Diversity of Charity and Non-profit Boards

For Information onlyThis is an electronic survey example for information purposes only. This is not a working questionnaire.

Hide all instructions

Table of Contents

Organization membership (OM)

Organization membership (OM) - Question identifier:OM_R05

The following questions are about your organization membership.

Organization membership (OM) - Question identifier:OM_Q05A

Do you sit on the board of directors for a charity or not-for-profit organization?

  • 1: Yes
  • 2: No

Organization membership (OM) - Question identifier:OM_Q05B

For how many charities or not-for-profit organizations are you on the board of directors?

  • 1: One
  • 2: Two
  • 3: Three or more

Organization membership (OM) - Question identifier:OM_Q10A

Do you participate in the governance of a charity or not-for-profit organization?

  • 1: Yes, I am a staff member or employee
  • 2: No

Organization membership (OM) - Question identifier:OM_Q10B

For how many charities or not-for-profit organizations do you work?

  • 1: One
  • 2: Two
  • 3: Three or more

Organization membership (OM) - Question identifier:OM_R15

Now a series of questions about [this charity or not-for-profit organization./the charity or not-for-profit organization for which you work the most hours.]

Organization membership (OM) - Question identifier:OM_Q15

What is the name of this organization?

Long Answer Length = 80

Name of organization

Organization information (INF)

Organization information (INF) - Question identifier:INF_Q05

Is [^OM_Q15/this organization] a for-profit organization that distributes profits to owners or shareholders?

  • 1: Yes
  • 2: No

Organization information (INF) - Question identifier:INF_Q10

Is [^OM_Q15/this organization] a registered charity?

  • 1: Yes
  • 2: No

Organization information (INF) - Question identifier:INF_Q15

Is [^OM_Q15/this organization] incorporated as a not-for-profit organization?

  • 1: Yes
  • 2: No

Organization information (INF) - Question identifier:INF_Q20

Does [^OM_Q15/this organization] have any other legal status?

  • 1: Yes
  • 2: No

Organization activities (ACT)

Organization activities (ACT) - Question identifier:ACT_Q01

In which provinces or territories does [^OM_Q15/this organization] operate?

Select all that apply.

  • 01: Newfoundland and Labrador
  • 02: Prince Edward Island
  • 03: Nova Scotia
  • 04: New Brunswick
  • 05: Quebec
  • 06: Ontario
  • 07: Manitoba
  • 08: Saskatchewan
  • 09: Alberta
  • 10: British Columbia
  • 11: Yukon
  • 12: Northwest Territories
  • 13: Nunavut
  • 14: Outside of Canada

Organization activities (ACT) - Question identifier:ACT_Q02

Which of the following best describes the geographic area that [^OM_Q15/this organization] primarily services?

  • 1: A neighbourhood, city, town, or rural municipality
  • 2: A region of a province or territory
  • 3: A province or territory or more than one province or territory
  • 4: Canada
  • 5: International
  • 6: Don't know

Organization activities (ACT) - Question identifier:ACT_Q05

Does [^OM_Q15/this organization] undertake activities in arts and culture?

Include visual or performing arts, media and communications, as well as historic or literary societies, museums, zoos, and aquariums.

  • 1: Yes
  • 2: No

Organization activities (ACT) - Question identifier:ACT_Q10

Does [^OM_Q15/this organization] undertake activities in sports and recreation?

Include providing opportunities for sports and recreation, tourism, and service clubs.
e.g., The Rotary Foundation, Kin Canada, Lions Clubs International Foundation

  • 1: Yes
  • 2: No

Organization activities (ACT) - Question identifier:ACT_Q15

Does [^OM_Q15/this organization] undertake activities in education or research?

Include providing formal educational programs or conducting medical and scientific research.
Exclude providing day care or health promotion and wellness education.

  • 1: Yes
  • 2: No

Organization activities (ACT) - Question identifier:ACT_Q20

Does [^OM_Q15/this organization] undertake activities in the area of health?

Include providing health care, nursing home care, health promotion and wellness education.
Exclude medical research.

  • 1: Yes
  • 2: No

Organization activities (ACT) - Question identifier:ACT_Q25

Does [^OM_Q15/this organization] undertake activities in the area of social services?

Include family and child services such as parenting courses, day care and youth programs and emergency and relief organizations.
e.g., Scouts Canada, YMCA or YWCA, volunteer firefighters, temporary shelters
Exclude health services, nursing homes, community development and job training.

  • 1: Yes
  • 2: No

Organization activities (ACT) - Question identifier:ACT_Q30

Does [^OM_Q15/this organization] undertake activities in the area of the environment?

Include protection and beautification of the natural environment, animal protection and veterinary services.

  • 1: Yes
  • 2: No

Organization activities (ACT) - Question identifier:ACT_Q35

Does [^OM_Q15/this organization] undertake activities in the area of development and housing?

Include economic and community development, housing, employment training, vocational counselling, and operation community or neighbourhood organizations.

  • 1: Yes
  • 2: No

Organization activities (ACT) - Question identifier:ACT_Q40

Does [^OM_Q15/this organization] undertake activities in the area of law, advocacy or politics?

Include advocacy on behalf of a specific cause or group, the law or legal services, crime prevention, victim services, offender rehabilitation, and politics.
Exclude organizations that are engaged in advocacy as a secondary activity.

  • 1: Yes
  • 2: No

Organization activities (ACT) - Question identifier:ACT_Q45

Does [^OM_Q15/this organization] undertake activities in the area of grantmaking, fundraising or promoting voluntarism?

Include making grants to other organizations, fund-raising on behalf of other organizations and promoting and supporting volunteering for other organizations.

  • 1: Yes
  • 2: No

Organization activities (ACT) - Question identifier:ACT_Q50

Does [^OM_Q15/this organization] undertake international activities?

Include delivering services outside Canada or fostering international relations.

  • 1: Yes
  • 2: No

Organization activities (ACT) - Question identifier:ACT_Q55

Does [^OM_Q15/this organization] undertake activities in the area of religion?

Include religious congregations, or organizations supporting a religious congregation.
Exclude religiously inspired groups that focus on some other type of activity, such as international development.

  • 1: Yes
  • 2: No

Organization activities (ACT) - Question identifier:ACT_Q60

Does [^OM_Q15/this organization] operate as a business association, professional association or union?

Include regulating or promoting the interests of specific professions, branches of business, or groups of employees.

  • 1: Yes
  • 2: No

Organization activities (ACT) - Question identifier:ACT_Q65

Does [^OM_Q15/this organization] undertake any activities in an area not previously mentioned?

  • 1: Yes
  • 2: No

Organization activities (ACT) - Question identifier:ACT_Q70

Of the areas that you previously indicated that [^OM_Q15/this organization] was active in, which is the one area to which most of its time is devoted?

  • 01: Arts and culture
  • 02: Sports and recreation
  • 03: Education or research
  • 04: Health
  • 05: Social services
  • 06: Environment
  • 07: Development and housing
  • 08: Law, advocacy or politics
  • 09: Grantmaking, fundraising or promoting voluntarism
  • 10: International activities
  • 11: Religion
  • 12: Business association, professional association, union
  • 13: Other organization activities

Organization activities (ACT) - Question identifier:ACT_Q75

Which of the following populations does [^OM_Q15/this organization] serve?

Select all that apply.

  • 01: Those in poverty
  • 02: Those with low income, but not in poverty
  • 03: Indigenous persons
  • 04: Gay, lesbian, bisexual, transgender, queer, intersex, and two-spirit individuals (i.e., LGBTQ2)
  • 05: Newcomers
  • 06: Visible minorities
  • 07: Youth
  • 08: Seniors
  • 09: Persons with disabilities
  • 10: Other

Organization activities (ACT) - Question identifier:ACT_Q80

How many individuals sit on the board of directors of [^OM_Q15/this organization]?

Min = 0; Max = 99

Organization activities (ACT) - Question identifier:ACT_Q85

Does [^OM_Q15/this organization] have a written policy to ensure the diversity of its board of directors?

Diversity refers to the variety of similarities and differences among people, including but not limited to gender, ethnicity, generation, sexual orientation, culture, religion, belief system, marital status, disability, mental health, education, geography, nationality, etc.

  • 1: Yes
  • 2: No
  • 3: Don't know

Board of director diversity characteristics (BDC)

Board of director diversity characteristics (BDC) - Question identifier:BDC_R05

Now a series of questions about yourself as a board member.

Education (ED)

Education (ED) - Question identifier:ED_Q05

What is the highest certificate, diploma or degree that you have completed?

  • 1: Less than high school diploma or its equivalent
  • 2: High school diploma or a high school equivalency certificate
  • 3: Trades certificate or diploma
  • 4: College, CEGEP or other non-university certificate or diploma (other than trades certificates or diplomas)
  • 5: University certificate or diploma below the bachelor's level
  • 6: Bachelor's degree (e.g., B.A., B.A. (Hons), B.Sc., B.Ed., LL.B.)
  • 7: University certificate, diploma or degree above the bachelor's level

Long-term conditions (LTC)

Long-term conditions (LTC) - Question identifier:LTC_R05

The following questions are about any long-term conditions you may have.

Long-term conditions (LTC) - Question identifier:LTC_Q05

Do you have any of the following difficulties?

Include only difficulties or long-term conditions that have lasted or are expected to last for six or more months.

Select all that apply.

  • 1: Difficulty seeing even when wearing glasses or contact lenses
  • 2: Difficulty hearing even when using a hearing aid or cochlear implant
  • 3: Difficulty walking, using stairs, using your hands or fingers or doing other physical activities
  • 4: Difficulty learning, remembering or concentrating
  • 5: Emotional, psychological or mental health conditions (e.g., anxiety, depression, bipolar disorder, substance abuse, anorexia)
  • 6: Other health problem or long-term condition that has lasted or is expected to last for six or more months
  • 7: I do not have any difficulty or long-term condition that has lasted or is expected to last for six or more months

Long-term conditions (LTC) - Question identifier:LTC_Q10

Do you identify as a person with a disability?

A person with a disability is a person who has a long-term difficulty or condition, such as vision, hearing, mobility, flexibility, dexterity, pain, learning, developmental, memory or mental health-related impairments, that limit their daily activities inside or outside the home such as at school, work, or in the community in general.

  • 1: Yes
  • 2: No

Indigenous identity (IS)

Indigenous identity (IS) - Question identifier:IS_Q01

Are you First Nations, Métis or Inuk (Inuit)?

Would you say:

  • 1: No
  • 2: Yes, First Nations
  • 3: Yes, Métis
  • 4: Yes, Inuk (Inuit)

Sociodemographic characteristics (PG)

Sociodemographic characteristics (PG) - Question identifier:PG_Q05

The following question collects information in accordance with the Employment Equity Act and its Regulations and Guidelines to support programs that promote equal opportunity for everyone to share in the social, cultural, and economic life of Canada.

Select all that apply.

Are you:

  • 01: White
  • 02: South Asian (e.g., East Indian, Pakistani, Sri Lankan)
  • 03: Chinese
  • 04: Black
  • 05: Filipino
  • 06: Arab
  • 07: Latin American
  • 08: Southeast Asian (e.g., Vietnamese, Cambodian, Laotian, Thai)
  • 09: West Asian (e.g., Iranian, Afghan)
  • 10: Korean
  • 11: Japanese
  • 12: Other

Demographic questions (DEM1)

Demographic questions (DEM1) - Question identifier:DEM1_Q30A

Where were you born?

  • 1: Born in Canada
  • 2: Born outside Canada

Demographic questions (DEM1) - Question identifier:DEM1_Q30B

Are you a Canadian citizen?

  • 1: Yes, a Canadian citizen by birth
  • 2: Yes, a Canadian citizen by naturalization (Canadian citizen by naturalization refers to an immigrant who was granted citizenship of Canada under the Citizenship Act.)
  • 3: No, not a Canadian citizen

Demographic questions (DEM1) - Question identifier:DEM1_Q30C

Are you a landed immigrant or permanent resident?

A landed immigrant or permanent resident is a person who has been granted the right to live in Canada permanently by immigration authorities.

  • 1: No
  • 2: Yes

Demographic questions (DEM1) - Question identifier:DEM1_Q35

In what year did you first become a landed immigrant or a permanent resident?

Min = 0; Max = 9999

If exact year is not known, enter best estimate.

Year of immigration

Demographic questions (GDR)

Demographic questions (GDR) - Question identifier:GDR_R05

The following questions are about sex at birth and gender.

Demographic questions (GDR) - Question identifier:GDR_Q05

What was your sex at birth?

Sex refers to sex assigned at birth.

  • 1: Male
  • 2: Female

Demographic questions (GDR) - Question identifier:GDR_Q10

What is your gender?

Gender refers to current gender which may be different from sex assigned at birth and may be different from what is indicated on legal documents.

Is it:

  • 1: Male
  • 2: Female
  • 3: Or please specify

Demographic questions (GDR) - Question identifier:GDR_R15

Please verify that all of the information is correct.

Your information
Sex assigned at birth: [Male/Female/Information not provided]
Gender: [Male/Female/^GDR_S10/Information not provided]

If all the information is correct, press the Next button.
To make changes, press the Previous button.

Demographic questions (DEM)

Demographic questions (DEM) - Question identifier:DEM_Q05

What is your age?

Min = 0; Max = 999

Age in years

Demographic questions (DEM) - Question identifier:DEM_Q15

To determine which geographic region you live in, please provide your postal code.

Long Answer Length = 6

Postal code
Example: A9A 9A9

Sexual orientation (SOR)

Sexual orientation (SOR) - Question identifier:SOR_Q01

What is your sexual orientation?

Would you say you are:

  • 1: Heterosexual
  • 2: Lesbian or gay
  • 3: Bisexual
  • 4: Or please specify
Date modified: