Survey of Service Industries: Employment Services, 2012 - Full Questionnaire
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For Information onlyThis is an electronic survey example for information purposes only. This is not a working questionnaire.
A - Introduction
If necessary, please make address label corrections in the boxes below.
- 1: Legal name
- 2: Business name
- 3: Title of contact
- 4: First name of contact
- 5: Last name of contact
- 6: Address (number and street)
- 7: City
- 8: Province/territory or state
- 9: Country
- 10: Postal code/ zip code
What is your language of preference?
- 1: English
- 2: French
This survey collects the financial and operating data needed to develop national and regional economic policies and programs.
This information is collected under the authority of the Statistics Act, Revised Statutes of Canada, 1985, Chapter S-19.
COMPLETION OF THIS QUESTIONNAIRE IS A LEGAL REQUIREMENT UNDER THIS ACT.
This document is confidential when completed.
Si vous préférez recevoir ce questionnaire en français, veuillez nous appeler au numéro sans frais suivant : 1-800-972-9692.
The Statistics Act protects the confidentiality of information collected by Statistics Canada.
Your answers are confidential.
Statistics Canada is prohibited by law from releasing any information it collects which could identify any person, business, or organization, unless consent has been given by the respondent or as permitted by the Statistics Act.
Statistics Canada will use information from this survey for statistical purposes.
To reduce respondent burden, Statistics Canada has entered into data-sharing agreements with provincial and territorial statistical agencies and other government organizations, which have agreed to keep the data confidential and use them only for statistical purposes. Statistics Canada will only share data from this survey with those organizations that have demonstrated a requirement to use the data.
Section 11 of the Statistics Act provides for the sharing of information with provincial and territorial statistical agencies that meet certain conditions. These agencies must have the legislative authority to collect the same information, on a mandatory basis, and the legislation must provide substantially the same provisions for confidentiality and penalties for disclosure of confidential information as the Statistics Act. Because these agencies have the legal authority to compel businesses to provide the same information, consent is not requested and businesses may not object to the sharing of the data.
For this survey, there are Section 11 agreements with the provincial and territorial statistical agencies of Newfoundland and Labrador, Nova Scotia, New Brunswick, Quebec, Ontario, Manitoba, Saskatchewan, Alberta, British Columbia, and the Yukon.
The shared data will be limited to information pertaining to business establishments located within the jurisdiction of the respective province or territory.
Section 12 of the Statistics Act provides for the sharing of information with federal, provincial or territorial government organizations. Under Section 12, you may refuse to share your information with any of these organizations by writing a letter of objection to the Chief Statistician and returning it with the completed questionnaire. Please specify the organizations with which you do not want to share your data.
For this survey, there are Section 12 agreements with the statistical agencies of Prince Edward Island, the Northwest Territories and Nunavut.
For agreements with provincial and territorial government organizations, the shared data will be limited to information pertaining to business establishments located within the jurisdiction of the respective province or territory.
To enhance the data from this survey, Statistics Canada may combine it with information from other surveys or from administrative sources.
Security of emails and faxes
Statistics Canada advises of the risk of interception by a third party when transmitting information by email or fax. Once we receive your questionnaire, however, Statistics Canada provides a guaranteed level of protection, which covers all information collected under the authority of the Statistics Act. Note: Our online questionnaires are secure, so there is no risk of interception when you respond to our surveys online.
Please return the questionnaire within 30 days.
Please mail the completed questionnaire in the enclosed envelope or fax it to Statistics Canada at 1-888-883-7999.
Lost the return envelope or need help? Call us at 1-800-972-9692 or mail to:
Statistics Canada, Operations and Integration Division, 150 Tunney's Pasture Driveway, Ottawa, Ontario K1A 0T6
- Report for business unit(s) specified on the label on the front page.
- Complete only the questions that apply to your business.
- When precise figures are not available, please provide your best estimate.
- Report in Canadian dollars. Dollar amounts and percentages should be rounded to whole numbers.
- Consult the reporting guide at www.statcan.gc.ca/guides-e for further information.
B - Main business activity
B - Main business activity - Question identifier:1.
Please describe the nature of your business.
B - Main business activity - Question identifier:2.
Please check the one main activity which most accurately represents your main source of revenue.
- 1: Permanent placement, executive search and contract staffing services: establishments primarily engaged in listing employment vacancies and selecting, referring and placing applicants (including executives and contractors) in employment. The individuals placed are not employees of the placement agencies.
- 2: Temporary staffing services: establishments primarily engaged in supplying workers for limited periods of time to supplement the workforce of the client. The individuals provided are salaried employees of the temporary staffing establishment.
- 3: Co-employment staffing services provided by a professional employer organization: establishments primarily engaged in providing workforce and human resource management services to clients.
- 4: None of the above - Please call the contact telephone number on the cover page for further instructions.
C - Reporting period information
C - Reporting period information - Question identifier:1.
Please report information for your fiscal year (normal business year) ending between April 1, YYYY and March 31, YYYY. Please indicate below the period covered by this questionnaire.
- 1: Date from (YYYY MM DD) to (YYYY MM DD)
C - Reporting period information - Question identifier:2.
If the reporting period does not cover a full year, please check the reason(s) below:
- 1: seasonal operations
- 2: new business
- 3: change of fiscal year
- 4: change of ownership
- 5: ceased operations
- 6: temporarily inactive
D - Revenue
D - Revenue - Question identifier:1.
Sales of goods and services (e.g., rental and leasing income, commissions, fees, admissions, services revenue) Report net of returns and allowances.
D - Revenue - Question identifier:2.
Grants, subsidies, donations and fundraising
D - Revenue - Question identifier:3.
Royalties, rights, licensing and franchise fees
D - Revenue - Question identifier:4.
Investment income (dividends and interest)
D - Revenue - Question identifier:5.
D - Revenue - Question identifier:6.
Total revenue (sum of questions 1 to 5)
E - Expenses
E - Expenses - Question identifier:1.
Salaries and wages of employees who have been issued a T4 statement (include salaries and wages paid to internal employees and to employees temporarily assigned)
E - Expenses - Question identifier:2.
Employer portion of employee benefits (include employer contributions to pension, medical/life insurance plans, employment insurance, etc.)
E - Expenses - Question identifier:3.
Commissions paid to non-employees
E - Expenses - Question identifier:4.
Professional and business services fees (e.g., legal, accounting)
E - Expenses - Question identifier:5.
Subcontract expenses (include contract labour, contract work and custom work) (include also amounts paid to contractors temporarily assigned - non T4 recipients)
E - Expenses - Question identifier:6.
Charges for services provided by your head office
E - Expenses - Question identifier:7.
Cost of goods sold, if applicable (purchases plus opening inventory minus closing inventory)
E - Expenses - Question identifier:8.
E - Expenses - Question identifier:9.
Rental and leasing (include rental of premises, equipment, motor vehicles, etc.)
E - Expenses - Question identifier:10.
Repair and maintenance (e.g., property, equipment, vehicles)
E - Expenses - Question identifier:11.
Insurance (include professional liability, motor vehicles, etc.)
E - Expenses - Question identifier:12.
Advertising, marketing and promotions (report charitable donations at question 22)
E - Expenses - Question identifier:13.
Travel, meals and entertainment
E - Expenses - Question identifier:14.
Utilities and telecommunications expenses (include gas, heating, hydro, water, telephone and Internet expenses)
E - Expenses - Question identifier:15.
Property and business taxes, licences and permits
E - Expenses - Question identifier:16.
Royalties, rights, licensing and franchise fees
E - Expenses - Question identifier:17.
Delivery, warehousing, postage and courier
E - Expenses - Question identifier:18.
Financial services fees
E - Expenses - Question identifier:19.
E - Expenses - Question identifier:20.
Amortization and depreciation of tangible and intangible assets
E - Expenses - Question identifier:21.
E - Expenses - Question identifier:22.
All other expenses
E - Expenses - Question identifier:23.
Total expenses (sum of questions 1 to 22)
E - Expenses - Question identifier:24.
Corporate taxes, if applicable
E - Expenses - Question identifier:25.
Gains (losses) and other items (see reporting guide)
E - Expenses - Question identifier:26.
Net profit/loss after tax and other items (see reporting guide)
F - Industry characteristics
For each type of employment services, please report the Number of persons placed or assigned and the Sales of goods and services breakdown.
F - Industry characteristics - Question identifier:1.
Executive/retained search services
F - Industry characteristics - Question identifier:2.
Permanent placement services (exclude executive/retained search services)
F - Industry characteristics - Question identifier:3.
Contract staffing services (temporary assignment of contractors - non T4 recipients)
F - Industry characteristics - Question identifier:4.
Temporary staffing services (temporary assignment of staffing firm employees - T4 recipients)
F - Industry characteristics - Question identifier:5.
Temporary staffing to permanent placement services (temporary assignment of staffing firm employees - T4 recipients - with the expectation of permanent work at the end of the trial period with the client)
F - Industry characteristics - Question identifier:6.
Co-employment staffing and payrolling services (co-employment staffing is provided by a professional employer organization; payrolling is long term staffing such as labour leasing, staff leasing, employee leasing and extended employee staffing)
F - Industry characteristics - Question identifier:7.
All other sales (please specify):
F - Industry characteristics - Question identifier:8.
Total sales (sum of questions 1 to 7)
F - Industry characteristics - Question identifier:9.
Salaries, wages and benefits paid to internal employees - T4 recipients
F - Industry characteristics - Question identifier:10.
Salaries, wages and benefits paid to employees temporarily assigned - T4 recipients
F - Industry characteristics - Question identifier:11.
Amounts paid to contractors temporarily assigned - non T4 recipients
Number of internal employees
F - Industry characteristics - Question identifier:12.
Number of internal employees - T4 recipients
G - Not applicable
H - Sales by type of client
Please provide a percentage breakdown of your sales by type of client.
H - Sales by type of client - Question identifier:1.
Clients in Canada
H - Sales by type of client - Question identifier:a)
H - Sales by type of client - Question identifier:b)
Individuals and households
H - Sales by type of client - Question identifier:c)
Governments, not-for-profit organizations and public institutions (e.g., hospitals, schools)
H - Sales by type of client - Question identifier:2.
Clients outside Canada
I - Sales by client location
Please provide a percentage breakdown of your sales by client location (first point of sale).
- 1: Newfoundland and Labrador
- 2: Prince Edward Island
- 3: Nova Scotia
- 4: New Brunswick
- 5: Quebec
- 6: Ontario
- 7: Manitoba
- 8: Saskatchewan
- 9: Alberta
- 10: British Columbia
- 11: Yukon
- 12: Northwest Territories
- 13: Nunavut
- 14: Clients outside Canada (must equal question 2 in section H)
J and K - Not applicable
L - Contact information
Name of person to contact about this questionnaire:
- 1: Mr.
- 2: Mrs.
- 3: Miss
- 4: Ms
- 1: Last name
- 2: First name
- 3: Title
- 4: Telephone number
- 5: Extension number
- 6: Fax number
- 7: E-mail address
- 8: Website address
I certify that the information contained herein is complete and correct to the best of my knowledge.
- 1: yyyy mm dd
M - Comments
We invite your comments below. Please be assured that we review all comments with the intent of improving the survey.
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