Canadian Community Health Survey (CCHS) - Annual Component - 2022
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For Information onlyThis is an electronic survey example for information purposes only. This is not a working questionnaire.
Table of Contents
- Respondent availability (TR)
- The proxy respondent (PRX)
- Verification (VER2)
- Date of birth (AGE)
- Sex and gender (GDRA)
- Relationship with confirmation (RWC)
- Main activity (MAC)
- Main activity (MA)
- Main activity (EDC)
- General health (GEN)
- Life satisfaction measures (LSM)
- Pregnancy (PRS)
- Height and weight (HWT)
- Weight perception (WTP)
- COVID-19 (COV2)
- Vaccination passeport COVID-19 (PVC)
- COVID-19 (COV3)
- Chronic conditions (CCC)
- Chronic conditions (CC1)
- Abilities (WDM)
- Injuries (INJ)
- Oral health (OHM)
- Oral health (OHM3)
- Eating habits (EAH)
- Physical activities (PAA)
- Physical activities (PAY)
- Use of protective equipment (UPE)
- Sedentary behaviours (SBE)
- Sleep (SLP)
- Current smoking status (CSS)
- Smoking - past use (SPU)
- Electronic cigarettes and vaping (ECV)
- Electronic cigarettes and vaping 2 (ECV2)
- Alcohol use (ALC)
- Medication use pain relievers (PRM)
- Cannabis use (CAN)
- Maternal experiences (MEX)
- Smoking during maternal experience (MXS)
- Maternal experiences (MXA)
- Flu shots (FLU)
- Regular health care provider (RHC)
- Labour market activities (LMAM)
- Labour market activities (LMA3)
- Labour market activities (LMA4)
- Labour market activities (LMA5)
- Labour market activities (LMA6)
- Labour market activities (LBF)
- Telework (LM)
- Place of birth, immigration and citizenship (IM)
- Indigenous identity (ABM)
- Population group (PG)
- Language (LAN)
- Sexual orientation (SOR)
- Home care services (HMC)
- Insurance coverage (INL)
- Insurance coverage (INP)
- Prescription cost (PCN)
- Food security (FSC)
- Total household income (INC)
- Administrative information (ADMC)
Respondent availability (TR)
In this module, we ask if the respondent is available.
Respondent availability (TR) - Question identifier:TR_Q01
May I speak to [First name of household contact] [Last name of household contact]?
Respondent availability
- 1: Yes, speaking to respondent
- 2: Yes, respondent available
- 3: No, respondent unable to complete this survey
- 4: No, respondent not available at this time
The proxy respondent (PRX)
This module asks why the respondent is unable to complete the survey.
The proxy respondent (PRX) - Question identifier:PRX_Q01
What is the reason [First name of household contact] is unable to complete this survey?
- 1: Respondent does not speak English or French (Language barrier)
- 2: Respondent unable to answer because of a health condition, a physical or mental disability, or problems related to aging
- 3: Respondent absent for the duration of the collection period
- 4: Other
The proxy respondent (PRX) - Question identifier:PRX_Q02
Is there someone [Minimum age of person providing proxy interview] or older who could provide us with some information on behalf [First name of household contact]? We would like to ask this person questions about [First name of household contact]'s health status, factors that affect their health and their use of health care services.
- 1: Yes
- 2: No
The proxy respondent (PRX) - Question identifier:PRX_Q03A
What is the first name of this person?
Long Answer Length = 80
First name
The proxy respondent (PRX) - Question identifier:PRX_Q03B
What is the last name of this person?
Long Answer Length = 80
Last name
Verification (VER2)
This module confirms the identity of the respondent before proceeding with the child portion of the survey.
Verification (VER2) - Question identifier:VER2_Q05
Are you [First name of specific respondent] [Last name of specific respondent]?
- 1: Yes
- 2: No
Verification (VER2) - Question identifier:VER2_Q07C
What is your date of birth?
Year
Min = 2000; Max = 2022
Verification (VER2) - Question identifier:VER2_Q07B
What is your date of birth?
Month
- 01: January
- 02: February
- 03: March
- 04: April
- 05: May
- 06: June
- 07: July
- 08: August
- 09: September
- 10: October
- 11: November
- 12: December
Verification (VER2) - Question identifier:VER2_Q07A
What is your date of birth?
Day
Min = 1; Max = 31
Verification (VER2) - Question identifier:VER2_Q08
In which province or territory do you currently live?
- 10: Newfoundland and Labrador
- 11: Prince Edward Island
- 12: Nova Scotia
- 13: New Brunswick
- 24: Quebec
- 35: Ontario
- 46: Manitoba
- 47: Saskatchewan
- 48: Alberta
- 59: British Columbia
- 60: Yukon
- 61: Northwest Territories
- 62: Nunavut
Date of birth (AGE)
This module is used to collect the respondent's date of birth, which is used to calculate the age of the household member and is necessary for determining question flows.
Date of birth (AGE) - Question identifier:AGE_Q01A
What is [your] date of birth?
Year
Min = 1897; Max = 2022
Date of birth (AGE) - Question identifier:AGE_Q01B
What is [your] date of birth?
Month
- 01: January
- 02: February
- 03: March
- 04: April
- 05: May
- 06: June
- 07: July
- 08: August
- 09: September
- 10: October
- 11: November
- 12: December
Date of birth (AGE) - Question identifier:AGE_Q01C
What is [your] date of birth?
Day
Min = 1; Max = 31
Sex and gender (GDRA)
The Sex and gender block is used to collect the gender and sex at birth of the respondent.
Sex and gender (GDRA) - Question identifier:GDRA_R05
The following questions are about sex at birth and gender.
Sex and gender (GDRA) - Question identifier:GDRA_Q05
What was [your] sex at birth?
Sex refers to sex assigned at birth.
- 1: Male
- 2: Female
Sex and gender (GDRA) - Question identifier:GDRA_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.
- 1: Male
- 2: Female
- 3: Or please specify
Sex and gender (GDRA) - Question identifier:GDRA_R15
Please verify that all of the information is correct.
[Your]
Sex assigned at birth: [Male/Female/Information not provided]
Gender: [Male/Female/Other/Information not provided]
If all the information is correct, press the Next button.
To make changes, press the Previous button.
Relationship with confirmation (RWC)
The Relationship with Confirmation block is used to determine the relationship of each household member to the selected respondent. This is used in the analysis and interpretation of changes in family and household characteristics and composition. For households of 1 person, the RWC module is not required.
Relationship with confirmation (RWC) - Question identifier:RWC_Q05
What is the relationship of the following [people/person] to you?
[First name of household member] [Last name of household member] [Age]
- 01: Husband or wife
- 02: Common-law partner
- 03: Father or mother
- 04: Son or daughter
- 05: Brother or sister
- 06: In-law
- 07: Other related
- 08: Unrelated
Main activity (MAC)
The Main activity block is used to determine whether the main activity of the respondent for the past 12 months was working at a job or business.
Main activity (MAC) - Question identifier:MAC_Q05
In the past 12 months, was your main activity working at a job or business?
- 1: Yes
- 2: No
Main activity (MA)
Main activity (MA) - Question identifier:MA_Q02
During the past 12 months, what was your main activity?
If the main activity was "sickness" or "short-term illness", indicate the usual main activity.
- 01: Looking for paid work
- 02: Going to school
- 03: Caring for your children
- 04: Household work
- 05: Retired
- 06: Maternity, paternity or parental leave
- 07: Long term illness
- 08: Volunteering or care-giving other than for your children
- 09: Other
Main activity (MA) - Question identifier:MA_Q03
In the past 7 days, did you work at a job or business?
- 1: Yes
- 2: No
Main activity (EDC)
Main activity (EDC) - Question identifier:EDC_Q10
Are you currently attending a school, college, CEGEP or university?
Report only attendance for courses that can be used as credits towards a certificate, diploma or degree. Distance learning for credit is included.
- 1: Yes
- 2: No
Main activity (EDC) - Question identifier:EDC_Q20
Are you enrolled as a full-time or part-time student?
Each educational institution classifies students as full-time or part-time depending on the type of program, and the number of courses, credits or hours of instruction.
- 1: Full-time student
- 2: Part-time student
General health (GEN)
The general health module is used to collect data on self-perceived health, satisfaction with life, self-perceived mental health, self-perceived stress at work and with life in general, and sense of belonging to local community.
Researchers are interested in these topics because they are good basic measures of health status. They can also be used to predict other aspects of the respondent's health. For example, respondents who describe their health as fair or poor are more likely to have long-term health problems, to suffer from depression and to be heavy users of the health care system.
General health (GEN) - Question identifier:GEN_R01
The following question is about health. By health, we mean not only the absence of disease or injury but also physical, mental and social well-being.
General health (GEN) - Question identifier:GEN_Q01
In general, how is your health?
- 1: Excellent
- 2: Very good
- 3: Good
- 4: Fair
- 5: Poor
General health (GEN) - Question identifier:GEN_Q05
In general, how is your mental health?
- 1: Excellent
- 2: Very good
- 3: Good
- 4: Fair
- 5: Poor
General health (GEN) - Question identifier:GEN_Q10
Thinking about the amount of stress in your life, how would you describe most of your days?
- 1: Not at all stressful
- 2: Not very stressful
- 3: A bit stressful
- 4: Quite a bit stressful
- 5: Extremely stressful
General health (GEN) - Question identifier:GEN_R15
The next question is about your main job or business in the past 12 months.
General health (GEN) - Question identifier:GEN_Q15
How would you describe most days at work?
- 1: Not at all stressful
- 2: Not very stressful
- 3: A bit stressful
- 4: Quite a bit stressful
- 5: Extremely stressful
General health (GEN) - Question identifier:GEN_Q20
How would you describe your sense of belonging to your local community?
- 1: Very strong
- 2: Somewhat strong
- 3: Somewhat weak
- 4: Very weak
Life satisfaction measures (LSM)
Life satisfaction measures (LSM) - Question identifier:LSM_Q01
Using a scale of 0 to 10, where 0 means "Very dissatisfied" and 10 means "Very satisfied", how do you feel aboutyour life as a whole right now?
- 00: Very dissatisfied
- 01: |
- 02: |
- 03: |
- 04: |
- 05: |
- 06: |
- 07: |
- 08: |
- 09: V
- 10: Very satisfied
Pregnancy (PRS)
In this module, female respondents aged 15 to 55 are asked if they are pregnant. This information is required for other modules, like Height and weight.
Pregnancy (PRS) - Question identifier:PRS_R05
To better understand your health information, it is important to know if you are pregnant.
Pregnancy (PRS) - Question identifier:PRS_Q05
Are you pregnant?
- 1: Yes
- 2: No
Height and weight (HWT)
In this module, respondents are asked to report their height and weight. Answers to these questions are used in many ways, including calculating the number of people who are overweight, or obese.
Obesity, especially amongst young people, is a major health problem. It can be associated with a number of major medical problems, including high blood pressure, heart disease and diabetes.
Height and weight (HWT) - Question identifier:HWT_Q05A
How tall are you without shoes on?
Feet
Min = 0; Max = 9
Report the height to the nearest inch or centimetre.
Height and weight (HWT) - Question identifier:HWT_Q05B
How tall are you without shoes on?
Inches
Min = 0; Max = 99
Report the height to the nearest inch or centimetre.
Height and weight (HWT) - Question identifier:HWT_Q05C
How tall are you without shoes on?
Centimetres
Min = 0; Max = 999
Report the height to the nearest inch or centimetre.
Height and weight (HWT) - Question identifier:HWT_Q40A
How much do you weigh?
Weight
Min = 0; Max = 999
Report the weight to the nearest pound or kilogram.
Height and weight (HWT) - Question identifier:HWT_Q40B
How much do you weigh?
Pounds or kilograms
Report the weight to the nearest pound or kilogram.
- 1: Pounds
- 2: Kilograms
Weight perception (WTP)
In this module, respondents indicate whether they consider themselves overweight, underweight or just about right.
Weight perception (WTP) - Question identifier:WTP_Q50
Do you consider yourself overweight, underweight or just about right?
- 1: Overweight
- 2: Underweight
- 3: Just about right
COVID-19 (COV2)
This module collects information about experiences during the COVID-19 pandemic.
Respondents are asked about their mental health during the pandemic compared to their mental health before the pandemic. Respondents are also asked about the precautions they have been taking to protect themselves or others from COVID-19 and if they have experienced symptoms of COVID-19.
Finally, respondents are asked about the COVID-19 vaccine.
This module was added to the questionnaire in September 2021 and replaced the COV module. The questions regarding testing were removed and some questions were added from the COVID-19 Vaccination Coverage Survey (CVCS).
COVID-19 (COV2) - Question identifier:COV2_R005
The next questions are about your experiences during the COVID-19 pandemic.
COVID-19 (COV2) - Question identifier:COV2_Q005
Compared to before the pandemic started, how would you say your mental health is now?
- 1: Much better now
- 2: Somewhat better now
- 3: About the same
- 4: Somewhat worse now
- 5: Much worse now
COVID-19 (COV2) - Question identifier:COV2_Q010
Which of the following precautions are you taking to protect yourself or others against COVID-19?
Select all that apply.
- 01: Wash hands more frequently
- 02: Wear a mask in public places where physical distancing is difficult
- 03: Keep a 2 meter or 6 foot distance from others
- 04: Avoid crowds and large gatherings
- 05: Avoid leaving the house for non-essential reasons
- 06: Work from home
- 07: Use delivery or curb side pick-up services (e.g., groceries, prescriptions)
- 08: Self-isolate if you have symptoms
- 09: Other precaution
- 10: No precaution taken
COVID-19 (COV2) - Question identifier:COV2_Q015
In the last 3 months, have you experienced any of the symptoms that led you to believe that you had COVID-19, such as fever, headache, sore throat, runny nose, difficulty breathing or tiredness?
- 1: Yes
- 2: No
COVID-19 (COV2) - Question identifier:COV2_Q020
While you were experiencing these symptoms, did you follow public health recommendations, such as self-isolating and wearing a mask if you had to go out in public?
- 1: Yes
- 2: No
COVID-19 (COV2) - Question identifier:COV2_Q038
Have you been vaccinated against COVID-19?
- 1: Yes, received at least one dose of a vaccine
- 2: No
COVID-19 (COV2) - Question identifier:COV2_Q030
Does the vaccine you received require one or two doses?
Certain types of vaccines require more than one dose to protect against COVID-19.
If you needed a second dose, you would have been informed of this at the time of your vaccination. Please do not include an additional dose, also known as a third dose or a booster dose.
- 1: One dose
- 2: Two doses
COVID-19 (COV2) - Question identifier:COV2_Q035
How many doses of the COVID-19 vaccine have you received so far?
- 1: One dose
- 2: Two doses
- 3: Three doses
- 4: Four doses or more
COVID-19 (COV2) - Question identifier:COV2_Q041
What is the main reason why you haven't been vaccinated against COVID-19?
- 01: I do not want to be vaccinated at this time
- 02: I do not want to be vaccinated at all
- 03: I don't have confidence in the vaccine that was offered to me
- 04: I have an appointment in the future
- 05: I have not been able to get an appointment yet
- 06: I don't know where to go to get vaccinated
- 07: I was sick at the time the vaccine was offered to me
- 08: The vaccine is not recommended for me (e.g., a pre-existing medical condition)
- 09: I have already had COVID-19
- 10: I haven't had the time
- 11: I don't think it is necessary, the risks of having COVID-19 are now low
- 12: Other reason
COVID-19 (COV2) - Question identifier:COV2_Q045
Why don't you want to be vaccinated against COVID-19?
Select all that apply.
- 01: I am not at high risk of getting COVID-19
- 02: If I get COVID-19, I will not be very sick
- 03: The severity of the pandemic has been overstated
- 04: Vaccines in general are not effective in preventing diseases
- 05: Vaccines in general are not safe
- 06: I do not trust the effectiveness of the COVID-19 vaccines
- 07: I do not trust the safety of the COVID-19 vaccines
- 08: Philosophical or religious reasons
- 09: Other reason
COVID-19 (COV2) - Question identifier:COV2_Q040
How likely is it that you would get a COVID-19 vaccine?
- 1: Very likely
- 2: Somewhat likely
- 3: Somewhat unlikely
- 4: Very unlikely
COVID-19 (COV2) - Question identifier:COV2_Q055A
What is the main reason why you haven't received your second dose?
- 01: One dose is enough to protect me against COVID-19
- 02: I was not aware that I needed a second dose
- 03: I had a bad reaction to the first dose
- 04: I have concerns about side effects associated with the second dose
- 05: The vaccine I want to receive for my second dose is not available
- 06: I have an appointment in the future
- 07: It's too much trouble getting a second appointment
- 08: I have already had COVID-19
- 09: I don't think it is necessary, the risks of having COVID-19 are now low
- 10: Other reason
COVID-19 (COV2) - Question identifier:COV2_Q060
How likely is it that you would get your second dose?
- 1: Very likely
- 2: Somewhat likely
- 3: Somewhat unlikely
- 4: Very unlikely
Vaccination passeport COVID-19 (PVC)
This module collects information about the COVID-19 vaccination passport that some public health authorities are considering establishing in the near future or have already implemented.
Respondents are asked if such a passport is a motivation to get vaccinated.
This module was added to the questionnaire in September 2021.
Vaccination passeport COVID-19 (PVC) - Question identifier:PVC_Q005
Some public health authorities are considering establishing a COVID-19 vaccination passport or have already done so.
Is such a passport a motivation for you to get vaccinated?
A vaccine passport is a document certifying that a person is immunized following vaccination against a disease, for example COVID-19.
- 1: Yes, definitely
- 2: Yes, possibly
- 3: No
COVID-19 (COV3)
This module collects information about experiences during the COVID-19 pandemic.
Respondents are asked the hypothetical question that if an additional dose of a COVID-19 vaccine is offered to boost the immune system or to fight variants, how likely is it that they would choose to get it.
This module was added to the questionnaire in September 2021.
COVID-19 (COV3) - Question identifier:COV3_Q005
If an additional dose of the COVID-19 vaccine is offered to stimulate your immune system or to fight against variants, how likely is it that you would get it?
An additional dose is also known as a third dose or a booster dose.
A variant is a mutation of the COVID-19 virus that can cause a change in transmission or a more severe infection, for example the Delta variant.
- 1: Very likely
- 2: Somewhat likely
- 3: Somewhat unlikely
- 4: Very unlikely
Chronic conditions (CCC)
The questions in this module deal with long-term health conditions that have lasted or are expected to last at least 6 months. Chronic conditions reported by respondents must have been diagnosed by a health professional.
Answers to these questions can be used to estimate the number of people in Canada suffering from conditions such as diabetes, heart disease, and asthma.
By combining answers from this module with information from other modules, researchers can look at the relationship between chronic conditions and other characteristics, such as use of health care services or use of medications.
Chronic conditions (CCC) - Question identifier:CCC_R01
The next questions are about long-term health conditions. These are conditions which are expected to last or have already lasted 6 months or more and that have been diagnosed by a health professional.
Chronic conditions (CCC) - Question identifier:CCC_Q05
Do you have diabetes?
Include type 1, type 2 or gestational diabetes.
Exclude prediabetes.
- 1: Yes
- 2: No
Chronic conditions (CCC) - Question identifier:CCC_Q10
How old were you when this was first diagnosed?
Min = 0; Max = 999
Chronic conditions (CCC) - Question identifier:CCC_Q15
Were you pregnant when you were first diagnosed with diabetes?
- 1: Yes
- 2: No
Chronic conditions (CCC) - Question identifier:CCC_Q20
Other than during pregnancy, has a health professional ever told you that you have diabetes?
- 1: Yes
- 2: No
Chronic conditions (CCC) - Question identifier:CCC_Q25
Were you diagnosed with type 1 or type 2 diabetes?
- 1: Type 1 - Insulin dependent diabetes
- 2: Type 2 - Non-Insulin dependent diabetes
- 3: Both types
Chronic conditions (CCC) - Question identifier:CCC_Q30
When you were first diagnosed with diabetes, how long was it before you were started on insulin?
- 1: Less than 1 month
- 2: 1 month to less than 2 months
- 3: 2 months to less than 6 months
- 4: 6 months to less than 1 year
- 5: 1 year or more
- 6: Never
Chronic conditions (CCC) - Question identifier:CCC_Q35
Do you currently take insulin for your diabetes?
- 1: Yes
- 2: No
Chronic conditions (CCC) - Question identifier:CCC_Q40
In the past month, did you take pills to control your blood sugar?
- 1: Yes
- 2: No
Chronic conditions (CCC) - Question identifier:CCC_Q45
Have you ever been diagnosed with cancer?
- 1: Yes
- 2: No
Chronic conditions (CCC) - Question identifier:CCC_Q50
How old were you when this was first diagnosed?
Min = 0; Max = 999
Chronic conditions (CCC) - Question identifier:CCC_Q55
Have you received treatment for cancer in the past 12 months?
- 1: Yes
- 2: No
Chronic conditions (CCC) - Question identifier:CCC_Q60
What type of cancer were you diagnosed with?
Select all that apply.
- 01: Breast
- 02: Prostate
- 03: Colorectal
- 04: Skin - Melanoma
- 05: Skin - Non-melanoma
- 06: Ovarian
- 07: Cervical
- 08: Uterine
- 09: Lung
- 10: Other - specify
Chronic conditions (CCC) - Question identifier:CCC_Q65
Do you have heart disease?
- 1: Yes
- 2: No
Chronic conditions (CCC) - Question identifier:CCC_Q70
How old were you when this was first diagnosed?
Min = 0; Max = 999
Chronic conditions (CCC) - Question identifier:CCC_Q75
[Have you] ever been told by a health professional that you have had a heart attack?
- 1: Yes
- 2: No
Chronic conditions (CCC) - Question identifier:CCC_Q80
Do you have high blood pressure?
- 1: Yes
- 2: No
Chronic conditions (CCC) - Question identifier:CCC_Q85
In the past month, have you taken any medicine for high blood pressure?
- 1: Yes
- 2: No
Chronic conditions (CCC) - Question identifier:CCC_Q90
[Have you] ever been told by a health professional that your blood cholesterol was high?
- 1: Yes
- 2: No
Chronic conditions (CCC) - Question identifier:CCC_Q95
Do you suffer from the effects of a stroke?
- 1: Yes
- 2: No
Chronic conditions (CCC) - Question identifier:CCC_Q100
Do you have osteoporosis?
- 1: Yes
- 2: No
Chronic conditions (CCC) - Question identifier:CCC_R105
We are interested in conditions diagnosed by a health professional and that are expected to last or have already lasted 6 months or more.
Chronic conditions (CCC) - Question identifier:CCC_Q105
Do you have fibromyalgia?
- 1: Yes
- 2: No
Chronic conditions (CCC) - Question identifier:CCC_Q110
How old were you when the first symptoms appeared?
Min = 0; Max = 999
Chronic conditions (CCC) - Question identifier:CCC_Q115
How old were you when this was first diagnosed?
Min = 0; Max = 999
Chronic conditions (CCC) - Question identifier:CCC_Q120
Do you have arthritis?
e.g., osteoarthritis, rheumatoid arthritis, gout
Exclude fibromyalgia.
- 1: Yes
- 2: No
Chronic conditions (CCC) - Question identifier:CCC_Q125
Do you have back problems?
Exclude scoliosis, fibromyalgia and arthritis.
- 1: Yes
- 2: No
Chronic conditions (CCC) - Question identifier:CCC_Q130
Was this diagnosed by a health professional?
- 1: Yes
- 2: No
Chronic conditions (CCC) - Question identifier:CCC_Q135
Do you have a mood disorder?
Include depression, bipolar disorder, mania, dysthymia or manic depression.
- 1: Yes
- 2: No
Chronic conditions (CC1)
The questions in this module deal with long-term health conditions that have lasted or are expected to last at least 6 months. Chronic conditions reported by respondents must have been diagnosed by a health professional.
Answers to these questions can be used to estimate the number of people in Canada suffering from conditions such as an anxiety disorder, post-traumatic stress disorder, and dementia.
By combining answers from this module with information from other modules, researchers can look at the relationship between chronic conditions and other characteristics, such as use of health care services or use of medications.
Chronic conditions (CC1) - Question identifier:CC1_R140
We are interested in conditions diagnosed by a health professional and that are expected to last or have already lasted 6 months or more.
Chronic conditions (CC1) - Question identifier:CC1_Q140
Do you have an anxiety disorder?
Include phobia, panic disorder or generalized anxiety disorder.
Exclude obsessive-compulsive disorder.
- 1: Yes
- 2: No
Chronic conditions (CC1) - Question identifier:CC1_Q145
Do you have post-traumatic stress disorder (PTSD)?
- 1: Yes
- 2: No
Chronic conditions (CC1) - Question identifier:CC1_Q150
Do you have Alzheimer's disease or any other dementia?
- 1: Yes
- 2: No
Chronic conditions (CC1) - Question identifier:CC1_Q155
Do you have chronic fatigue syndrome (CFS)?
Include myalgic encephalomyelitis.
- 1: Yes
- 2: No
Chronic conditions (CC1) - Question identifier:CC1_Q160
How old were you when the first symptoms appeared?
Age in years
Min = 0; Max = 999
Chronic conditions (CC1) - Question identifier:CC1_Q165
How old were you when this was first diagnosed?
Age in years
Min = 0; Max = 999
Chronic conditions (CC1) - Question identifier:CC1_Q170
Do you have multiple chemical sensitivities (MCS)?
- 1: Yes
- 2: No
Chronic conditions (CC1) - Question identifier:CC1_Q175
How old were you when the first symptoms appeared?
Age in years
Min = 0; Max = 999
Chronic conditions (CC1) - Question identifier:CC1_Q180
How old were you when this was first diagnosed?
Age in years
Min = 0; Max = 999
Abilities (WDM)
Disability indicates an impairment limiting activities of daily living. This module is adapted from the "Washington Group - Extended Question Set on Functioning" (WG WS-F) questionnaire and provides a description of an individual's overall functional health based on vision, hearing, mobility (walking or climbing steps), cognition (memory and concentration), self-care, and communication.
This module is designed to produce comparable data on disability cross-nationally. The module is appropriate for use to describe and monitor the majority of persons with limitations in basic activity functioning. The results from these questions are used to identify which limitations occur most.
Abilities (WDM) - Question identifier:WDM_R01
The next set of questions asks about your ability to do different activities.
Abilities (WDM) - Question identifier:WDM_Q05
Do you have difficulty doing any of these activities?
Difficulty seeing, even if wearing glasses
- 1: No difficulty
- 2: Some difficulty
- 3: A lot of difficulty
- 4: Cannot do at all or unable to do
Abilities (WDM) - Question identifier:WDM_Q10
Do you have difficulty doing any of these activities?
Difficulty hearing, even if using a hearing aid
- 1: No difficulty
- 2: Some difficulty
- 3: A lot of difficulty
- 4: Cannot do at all or unable to do
Abilities (WDM) - Question identifier:WDM_Q15
Do you have difficulty doing any of these activities?
Difficulty walking or climbing steps
- 1: No difficulty
- 2: Some difficulty
- 3: A lot of difficulty
- 4: Cannot do at all or unable to do
Abilities (WDM) - Question identifier:WDM_Q20
Do you have difficulty doing any of these activities?
Difficulty remembering or concentrating
- 1: No difficulty
- 2: Some difficulty
- 3: A lot of difficulty
- 4: Cannot do at all or unable to do
Abilities (WDM) - Question identifier:WDM_Q25
Do you have difficulty doing any of these activities?
Difficulty with self-care
Such as washing all over or dressing.
- 1: No difficulty
- 2: Some difficulty
- 3: A lot of difficulty
- 4: Cannot do at all or unable to do
Abilities (WDM) - Question identifier:WDM_Q30
Do you have difficulty doing any of these activities?
Difficulty communicating when using your usual language
For example understanding or being understood.
- 1: No difficulty
- 2: Some difficulty
- 3: A lot of difficulty
- 4: Cannot do at all or unable to do
Injuries (INJ)
The Injuries module deals with the causes, frequency, and treatment of injuries such as head injuries or concussions, broken bones, or cuts. All questions refer to the most serious injury suffered in the past12 months.
To put effective injury prevention in place, health planners need to know which types and causes of injuries are most common and which groups of people are most likely to be injured.
Injuries (INJ) - Question identifier:INJ_Q05A
In the past 12 months, have you had any of the following injuries?
A head injury or concussion
- 1: Yes
- 2: No
Injuries (INJ) - Question identifier:INJ_Q05AA
How many times in the past 12 months?
Min = 0; Max = 99
Injuries (INJ) - Question identifier:INJ_Q05B
In the past 12 months, have you had any of the following injuries?
A broken or fractured bone
- 1: Yes
- 2: No
Injuries (INJ) - Question identifier:INJ_Q05BA
How many times in the past 12 months?
Min = 0; Max = 99
Injuries (INJ) - Question identifier:INJ_Q05C
In the past 12 months, have you had any of the following injuries?
A serious cut or puncture
Exclude surgery or operation.
- 1: Yes
- 2: No
Injuries (INJ) - Question identifier:INJ_Q05CA
How many times in the past 12 months?
Min = 0; Max = 99
Injuries (INJ) - Question identifier:INJ_Q10
What were you doing when your head injury or concussion occured?
If you had more than one head injury or concussion in the past 12 months, report for the most serious.
- 1: Riding a bike
- 2: Sports or physical activity (Exclude riding a bike)
- 3: Household chores, outdoor yard maintenance or unpaid work
- 4: Riding or driving a motor vehicle (Include off-road vehicles)
- 5: Working at a paid job or business (Exclude when driving is your job)
- 6: Other
Injuries (INJ) - Question identifier:INJ_Q15
Was your head injury or concussion the result of a fall?
- 1: Yes
- 2: No
Injuries (INJ) - Question identifier:INJ_Q15A
How did you fall?
- 1: While doing physical activity
- 2: Going up or down stairs
- 3: Slipped or stumbled while walking
- 4: Getting into or out of furniture (e.g., bed, chair)
- 5: From an elevated position (e.g., ladder, tree, scaffolding)
- 6: Due to health problems (e.g., fainting, weakness, dizziness)
- 7: Other
Injuries (INJ) - Question identifier:INJ_Q20
In the 48 hours following your head injury or concussion, did you consult a health care professional?
- 1: Yes
- 2: No
Injuries (INJ) - Question identifier:INJ_Q20A
Where did you go to consult this health professional?
- 1: Doctor's office or clinic (e.g., walk-in, hospital outpatient, sports)
- 2: Hospital emergency room
- 3: Chiropractor or physiotherapist's office
- 4: Other
Injuries (INJ) - Question identifier:INJ_Q25
Were you admitted to a hospital overnight because of this injury?
- 1: Yes
- 2: No
Injuries (INJ) - Question identifier:INJ_Q30
What were you doing when your broken or fractured bone occured?
If you had more than one broken or fractured bone in the past 12 months, report the most serious.
- 1: Riding a bike
- 2: Sports or physical activity (Exclude riding a bike)
- 3: Household chores, outdoor yard maintenance or unpaid work
- 4: Riding or driving a motor vehicle (Include off-road vehicles)
- 5: Working at a paid job or business (Exclude when driving is your job)
- 6: Other
Injuries (INJ) - Question identifier:INJ_Q35
Which part of the body was injured?
- 01: Multiple body parts
- 02: Head or neck
- 03: Shoulder or upper arm
- 04: Elbow or lower arm
- 05: Wrist or hand
- 06: Hip or thigh
- 07: Knee or lower leg
- 08: Ankle or foot
- 09: Back or spine
- 10: Chest
- 11: Abdomen or pelvis
- 12: Other
Injuries (INJ) - Question identifier:INJ_Q40
Was your broken or fractured bone the result of a fall?
- 1: Yes
- 2: No
Injuries (INJ) - Question identifier:INJ_Q40A
How did you fall?
- 1: While doing physical activity
- 2: Going up or down stairs
- 3: Slipped or stumbled while walking
- 4: Getting into or out of furniture (e.g., bed, chair)
- 5: From an elevated position (e.g., ladder, tree, scaffolding)
- 6: Due to health problems (e.g., fainting, weakness, dizziness)
- 7: Other
Injuries (INJ) - Question identifier:INJ_Q45
In the 48 hours following your broken or fractured bone, did you consult a health care professional?
- 1: Yes
- 2: No
Injuries (INJ) - Question identifier:INJ_Q45A
Where did you go to consult this health professional?
- 1: Doctor's office or clinic (e.g., walk-in, hospital outpatient, sports)
- 2: Hospital emergency room
- 3: Other
Injuries (INJ) - Question identifier:INJ_Q50
Were you admitted to a hospital overnight because of this injury?
- 1: Yes
- 2: No
Injuries (INJ) - Question identifier:INJ_Q55
What were you doing when your serious cut or puncture occured?
If you had more than one serious cut or puncture in the past 12 months, report for the most serious.
- 1: Riding a bike
- 2: Sports or physical activity (Exclude riding a bike)
- 3: Household chores, outdoor yard maintenance or unpaid work
- 4: Riding or driving a motor vehicle (Include off-road vehicles)
- 5: Working at a paid job or business (Exclude when driving is your job)
- 6: Other
Injuries (INJ) - Question identifier:INJ_Q60
Which part of the body was injured?
- 01: Multiple body parts
- 02: Head or neck
- 03: Shoulder or upper arm
- 04: Elbow or lower arm
- 05: Wrist or hand
- 06: Hip or thigh
- 07: Knee or lower leg
- 08: Ankle or foot
- 09: Back or spine
- 10: Chest
- 11: Abdomen or pelvis
- 12: Other
Injuries (INJ) - Question identifier:INJ_Q65
Was your serious cut or puncture the result of a fall?
- 1: Yes
- 2: No
Injuries (INJ) - Question identifier:INJ_Q70
In the 48 hours following your serious cut or puncture, did you consult a health care professional?
- 1: Yes
- 2: No
Injuries (INJ) - Question identifier:INJ_Q70A
Where did you go to consult this health professional?
- 1: Doctor's office or clinic (e.g., walk-in, hospital outpatient, sports)
- 2: Hospital emergency room
- 3: Other
Injuries (INJ) - Question identifier:INJ_Q75
Were you admitted to a hospital overnight because of this injury?
- 1: Yes
- 2: No
Oral health (OHM)
This module asks the respondent to rate the health of their mouth, including teeth or dentures, tongue, gums, lips, and jaw joints. Respondents also indicate whether they have at least one of their own teeth and how often they've experienced any persistent or on-going mouth pain in the past 12 months.
The health of a person's teeth and mouth is related to many other aspects of their health. For example, poor teeth and poor nutrition are related to each other.
Data from this module could be used to identify groups with the greatest need for improved dental health services.
Oral health (OHM) - Question identifier:OHM_R01
Now some questions about the health of your mouth.
Include teeth or dentures, tongue, gums, lips and jaw joints.
Oral health (OHM) - Question identifier:OHM_Q05
In general, how would you rate the health of your mouth?
- 1: Excellent
- 2: Very good
- 3: Good
- 4: Fair
- 5: Poor
Oral health (OHM) - Question identifier:OHM_Q10
Do you have at least one of your own teeth?
- 1: Yes
- 2: No
Oral health (OHM) - Question identifier:OHM_Q15
In the past 12 months, how often have you had any persistent or on-going mouth pain?
Include pain in teeth, gums, tongue, jaw, jaw joints.
- 1: Often
- 2: Sometimes
- 3: Rarely
- 4: Never
Oral health (OHM3)
The Oral health (OHM3) module asks the respondent about their regular dental care habits and whether they have avoided dental treatment in the past 12 months due to cost.
Oral health (OHM3) - Question identifier:OHM3_R01
Now a few questions about your regular dental care habits.
Oral health (OHM3) - Question identifier:OHM3_Q05
How often do you usually see a dental professional?
- 1: More than once a year for check-ups or treatments
- 2: About once a year for check-ups or treatments
- 3: Less than once a year for check-ups or treatments
- 4: Only for emergency care
- 5: Never
Oral health (OHM3) - Question identifier:OHM3_Q10
When was the last time you saw a dental professional?
- 1: Less than a year ago
- 2: 1 year to less than 2 years ago
- 3: 2 years to less than 3 years ago
- 4: 3 years to less than 4 years ago
- 5: 4 years to less than 5 years ago
- 6: 5 or more years ago
Oral health (OHM3) - Question identifier:OHM3_R15
Now a few questions about the cost of your dental care.
[It is important that we get this information from each individual that we interview, even those in the same family./]
Oral health (OHM3) - Question identifier:OHM3_Q15
In the past 12 months, have you avoided going to a dental professional for your dental care due to the cost?
- 1: Yes
- 2: No
Oral health (OHM3) - Question identifier:OHM3_Q18
In the past 12 months, have you avoided having any of your recommended dental treatment because of the cost?
- 1: Yes
- 2: No
Oral health (OHM3) - Question identifier:OHM3_Q20
What types of dental treatment did you avoid due to cost?
Select all that apply.
- 1: Check-ups and cleanings
- 2: Fillings
- 3: Root canal treatment
- 4: Tooth extraction
- 5: Tooth replacement or tooth reconstruction (e.g., dentures, crowns, bridgework, implants)
Oral health (OHM3) - Question identifier:OHM3_Q45
Are all or part of your dental expenses covered by any insurance plan or government program?
- 1: Yes
- 2: No
- 3: Don't know
Oral health (OHM3) - Question identifier:OHM3_Q50
What type of insurance plan or program?
Select all that apply.
- 1: A plan through an employer (Include plans that are partially paid or sponsored by an employer.)
- 2: A private plan (Include personally purchased plans.)
- 3: A government paid plan (e.g., Children or seniors dental program, RAMQ, First Nations and Inuit program)
- 4: A plan through college or university
- 5: Don't know
Eating habits (EAH)
The Eating habits module is about some of the eating and drinking habits of the respondent, including the consumption of certain fruits and vegetables.
The health benefits of vegetable and fruit consumption are popular topics in nutrition promotion programs and research. Among research findings, there appears to be a link between an increased consumption of vegetables and fruits and a reduction in the risk of many types of cancer.
Eating habits (EAH) - Question identifier:EAH_R01
The next questions are about some of your eating and drinking habits.
Eating habits (EAH) - Question identifier:EAH_Q05A
In the past 30 days, how many times did you eat food from a restaurant?
Min = 0; Max = 999
Include fast-food, take-out, sit-down restaurants or prepared food from grocery stores.
Frequency can be reported per month, per week or per day.
Eating habits (EAH) - Question identifier:EAH_Q05B
In the past 30 days, how many times did you eat food from a restaurant?
Per month, per week or per day
Include fast-food, take-out, sit-down restaurants or prepared food from grocery stores.
Frequency can be reported per month, per week or per day.
- 1: Per month
- 2: Per week
- 3: Per day
Eating habits (EAH) - Question identifier:EAH_Q10A
In the past 30 days, how many times did you drink the following beverages?
100% pure fruit juice
Min = 0; Max = 999
Frequency can be reported per month, per week or per day.
Eating habits (EAH) - Question identifier:EAH_Q10B
In the past 30 days, how many times did you drink the following beverages?
Per month, per week or per day
Frequency can be reported per month, per week or per day.
- 1: Per month
- 2: Per week
- 3: Per day
Eating habits (EAH) - Question identifier:EAH_Q15A
In the past 30 days, how many times did you drink the following beverages?
Fruit flavoured drinks or sports drinks
Min = 0; Max = 999
e.g., FruitéTM, fruit punch, GatoradeTM
Frequency can be reported per month, per week or per day.
Eating habits (EAH) - Question identifier:EAH_Q15B
In the past 30 days, how many times did you drink the following beverages?
Per month, per week or per day
Frequency can be reported per month, per week or per day.
- 1: Per month
- 2: Per week
- 3: Per day
Eating habits (EAH) - Question identifier:EAH_Q20A
In the past 30 days, how many times did you drink the following beverages?
Regular soft drinks
Min = 0; Max = 999
Exclude diet soft drinks.
Frequency can be reported per month, per week or per day.
Eating habits (EAH) - Question identifier:EAH_Q20B
In the past 30 days, how many times did you drink the following beverages?
Per month, per week or per day
Frequency can be reported per month, per week or per day.
- 1: Per month
- 2: Per week
- 3: Per day
Eating habits (EAH) - Question identifier:EAH_Q25A
In the past 30 days, how many times did you drink the following beverages?
Sweetened coffee drinks or iced tea
Min = 0; Max = 999
e.g., StarbucksTM Macchiato, Tim Hortons Iced CappTM, NesteaTM
Frequency can be reported per month, per week or per day.
Eating habits (EAH) - Question identifier:EAH_Q25B
In the past 30 days, how many times did you drink the following beverages?
Per month, per week or per day
Frequency can be reported per month, per week or per day.
- 1: Per month
- 2: Per week
- 3: Per day
Eating habits (EAH) - Question identifier:EAH_Q30A
In the past 30 days, how many times did you drink the following beverages?
Energy drinks
Min = 0; Max = 999
e.g., Red BullTM, MonsterTM
Frequency can be reported per month, per week or per day.
Eating habits (EAH) - Question identifier:EAH_Q30B
In the past 30 days, how many times did you drink the following beverages?
Per month, per week or per day
Frequency can be reported per month, per week or per day.
- 1: Per month
- 2: Per week
- 3: Per day
Eating habits (EAH) - Question identifier:EAH_Q35A
In the past 30 days, how many times did you drink the following beverages?
Chocolate milk
Min = 0; Max = 999
Frequency can be reported per month, per week or per day.
Eating habits (EAH) - Question identifier:EAH_Q35B
In the past 30 days, how many times did you drink the following beverages?
Per month, per week or per day
Frequency can be reported per month, per week or per day.
- 1: Per month
- 2: Per week
- 3: Per day
Eating habits (EAH) - Question identifier:EAH_Q40A
In the past 30 days, how many times did you eat the following fruits and vegetables?
Fruits
Min = 0; Max = 999
Frequency can be reported per month, per week or per day.
Include fresh, frozen, canned or dried.
Exclude fruit juices.
Eating habits (EAH) - Question identifier:EAH_Q40B
In the past 30 days, how many times did you eat the following fruits and vegetables?
Per month, per week or per day
Include fresh, frozen, canned or dried.
Frequency can be reported per month, per week or per day.
- 1: Per month
- 2: Per week
- 3: Per day
Eating habits (EAH) - Question identifier:EAH_Q45A
In the past 30 days, how many times did you eat the following fruits and vegetables?
Dark green vegetables
Min = 0; Max = 999
e.g., broccoli, green beans, dark lettuce, spinach
Include fresh, frozen, canned or dried.
Frequency can be reported per month, per week or per day.
Eating habits (EAH) - Question identifier:EAH_Q45B
In the past 30 days, how many times did you eat the following fruits and vegetables?
Per month, per week or per day
Include fresh, frozen, canned or dried.
Frequency can be reported per month, per week or per day.
- 1: Per month
- 2: Per week
- 3: Per day
Eating habits (EAH) - Question identifier:EAH_Q50A
In the past 30 days, how many times did you eat the following fruits and vegetables?
Orange-coloured vegetables
Min = 0; Max = 999
e.g., carrots, orange bell peppers, sweet potatoes
Include fresh, frozen, canned or dried.
Frequency can be reported per month, per week or per day.
Eating habits (EAH) - Question identifier:EAH_Q50B
In the past 30 days, how many times did you eat the following fruits and vegetables?
Per month, per week or per day
Include fresh, frozen, canned or dried.
Frequency can be reported per month, per week or per day.
- 1: Per month
- 2: Per week
- 3: Per day
Eating habits (EAH) - Question identifier:EAH_Q55A
In the past 30 days, how many times did you eat the following fruits and vegetables?
Starchy vegetables
Min = 0; Max = 999
e.g., white potatoes, corn
Exclude deep fried potatoes.
Include fresh, frozen, canned or dried.
Frequency can be reported per month, per week or per day.
Eating habits (EAH) - Question identifier:EAH_Q55B
In the past 30 days, how many times did you eat the following fruits and vegetables?
Per month, per week or per day
Include fresh, frozen, canned or dried.
Frequency can be reported per month, per week or per day.
- 1: Per month
- 2: Per week
- 3: Per day
Eating habits (EAH) - Question identifier:EAH_Q60A
In the past 30 days, how many times did you eat the following fruits and vegetables?
Other vegetables
Min = 0; Max = 999
e.g., cucumber, celery, cabbage, tomatoes, cauliflower
Include fresh, frozen, canned or dried.
Frequency can be reported per month, per week or per day.
Eating habits (EAH) - Question identifier:EAH_Q60B
In the past 30 days, how many times did you eat the following fruits and vegetables?
Per month, per week or per day
Include fresh, frozen, canned or dried.
Frequency can be reported per month, per week or per day.
- 1: Per month
- 2: Per week
- 3: Per day
Physical activities (PAA)
Answers to this module are used to determine how active respondents, 18 years of age and older, have been in the last seven days.
Respondents are asked how much time they spend doing physical or other various activities, such as walking or cycling to get to places or sports or recreational activities that caused sweating or heavy breathing. They are also asked how much time in total they spend doing vigorous activities.
Higher levels of activity are widely thought to be associated with better health.
Physical activities (PAA) - Question identifier:PAA_R01
The following questions are about physical activities.
Physical activities (PAA) - Question identifier:PAA_Q05
In the past 7 days, did you use active ways like walking or cycling to get to places?
Include work, school, bus stops, shopping centres or visiting friends.
- 1: Yes
- 2: No
Physical activities (PAA) - Question identifier:PAA_Q10
In the past 7 days, on which days did you use active ways to get to places?
Select all that apply.
- 1: Monday
- 2: Tuesday
- 3: Wednesday
- 4: Thursday
- 5: Friday
- 6: Saturday
- 7: Sunday
Physical activities (PAA) - Question identifier:PAA_Q15A
In the past 7 days, how much time in total did you spend using active ways to get to places?
Hours
Min = 0; Max = 100
Physical activities (PAA) - Question identifier:PAA_Q15B
In the past 7 days, how much time in total did you spend using active ways to get to places?
Minutes
- 01: 0
- 02: 5
- 03: 10
- 04: 15
- 05: 20
- 06: 25
- 07: 30
- 08: 35
- 09: 40
- 10: 45
- 11: 50
- 12: 55
Physical activities (PAA) - Question identifier:PAA_Q30
In the past 7 days, did you do sports, fitness or recreational physical activities?
Include organized or non-organized activities. e.g., walking, home or gym exercise, cycling, running, skiing, team sports.
Exclude activities already reported.
- 1: Yes
- 2: No
Physical activities (PAA) - Question identifier:PAA_Q35
Did any of these physical activities make you sweat at least a little and breathe harder?
- 1: Yes
- 2: No
Physical activities (PAA) - Question identifier:PAA_Q40
In the past 7 days, on which days did you do the activities that made you sweat at least a little and breathe harder?
Select all that apply.
- 1: Monday
- 2: Tuesday
- 3: Wednesday
- 4: Thursday
- 5: Friday
- 6: Saturday
- 7: Sunday
Physical activities (PAA) - Question identifier:PAA_Q45A
How much time in total, did you spend doing these activities?
Hours
Min = 0; Max = 100
Physical activities (PAA) - Question identifier:PAA_Q45B
How much time in total, did you spend doing these activities?
Minutes
- 01: 0
- 02: 5
- 03: 10
- 04: 15
- 05: 20
- 06: 25
- 07: 30
- 08: 35
- 09: 40
- 10: 45
- 11: 50
- 12: 55
Physical activities (PAA) - Question identifier:PAA_Q60
In the past 7 days, did you do any other physical activities while at work, in or around your home or while volunteering?
e.g., carrying heavy loads, shoveling, vacuuming.
- 1: Yes
- 2: No
Physical activities (PAA) - Question identifier:PAA_Q65
Did any of these other physical activities make you sweat at least a little and breathe harder?
- 1: Yes
- 2: No
Physical activities (PAA) - Question identifier:PAA_Q70
In the past 7 days, on which days did you do these other activities that made you sweat at least a little and breathe harder?
Select all that apply.
- 1: Monday
- 2: Tuesday
- 3: Wednesday
- 4: Thursday
- 5: Friday
- 6: Saturday
- 7: Sunday
Physical activities (PAA) - Question identifier:PAA_Q75A
How much time in total, did you spend doing these activities?
Hours
Min = 0; Max = 100
Physical activities (PAA) - Question identifier:PAA_Q75B
How much time in total, did you spend doing these activities?
Minutes
- 01: 0
- 02: 5
- 03: 10
- 04: 15
- 05: 20
- 06: 25
- 07: 30
- 08: 35
- 09: 40
- 10: 45
- 11: 50
- 12: 55
Physical activities (PAA) - Question identifier:PAA_Q95
You have reported a total of [total hours of active transportation + total hours of recreational physical activities + total hours of other physical activity] hours of physical activity. Of these activities, were there any of vigorous intensity, meaning they caused you to be out of breath?
- 1: Yes
- 2: No
Physical activities (PAA) - Question identifier:PAA_Q100A
In the past 7 days, how much time in total did you spend doing these vigorous activities?
Hours
Min = 0; Max = 100
Physical activities (PAA) - Question identifier:PAA_Q100B
In the past 7 days, how much time in total did you spend doing these vigorous activities?
Minutes
- 01: 0
- 02: 5
- 03: 10
- 04: 15
- 05: 20
- 06: 25
- 07: 30
- 08: 35
- 09: 40
- 10: 45
- 11: 50
- 12: 55
Physical activities (PAY)
Answers to this module are used to determine how active respondents, aged 12 to 17, have been in the last seven days.
Respondents are asked on which days of the week they have been active, and for how long, doing various activities such as walking or cycling (to get to school, work, the shopping centre or to visit friends), or participating in sports or recreational activities or other activities that caused sweating or heavy breathing. They are also asked how much time in total was spent doing vigorous activities.
Higher levels of activity are widely thought to be associated with better health.
Physical activities (PAY) - Question identifier:PAY_R01
The following questions are about physical activities.
Physical activities (PAY) - Question identifier:PAY_Q05
In the past 7 days, did you do any of the following?
Select all that apply.
- 1: Attend school
- 2: Attend a day camp
- 3: Work, paid or unpaid
- 4: None of the above
Physical activities (PAY) - Question identifier:PAY_Q10
In the past 7 days, that is from [7 days ago] to [yesterday], did you use active ways like walking or cycling to get to places such as [school, the bus stop, the shopping centre, work/school, the bus stop, the shopping centre/the bus stop, the shopping centre, work/the bus stop, the shopping centre] or to visit friends?
Exclude walking, cycling or other activities done purely for leisure.
- 1: Yes
- 2: No
Physical activities (PAY) - Question identifier:PAY_Q15A
How much time did you spend using active ways to get to places?
...yesterday?
...on [2 days ago]?
...on [3 days ago]?
...on [4 days ago]?
...on [5 days ago]?
...on [6 days ago]?
...on [7 days ago]?
Min = 0; Max = 24
Enter the number of hours.
Physical activities (PAY) - Question identifier:PAY_Q15B
Enter number of minutes.
- 01: 0
- 02: 5
- 03: 10
- 04: 15
- 05: 20
- 06: 25
- 07: 30
- 08: 35
- 09: 40
- 10: 45
- 11: 50
- 12: 55
Physical activities (PAY) - Question identifier:PAY_Q20
In the past 7 days, did you do sports, fitness, or recreational physical activities while at [school or day camp, including during physical education classes, during your breaks and any other time you played indoors or outdoors/school, including during physical education classes, during your breaks and any other time you played indoors or outdoors/day camp, including any time you played indoors or outdoors]?
- 1: Yes
- 2: No
Physical activities (PAY) - Question identifier:PAY_Q25
Did any of these activities make you sweat at least a little and breathe harder?
- 1: Yes
- 2: No
Physical activities (PAY) - Question identifier:PAY_Q30A
How much time per day did you spend doing these activities at [school or day camp/school/day camp] that made you sweat at least a little and breathe harder?
...yesterday?
...on [2 days ago]?
...on [3 days ago]?
...on [4 days ago]?
...on [5 days ago]?
...on [6 days ago]?
...on [7 days ago]?
Min = 0; Max = 24
Enter the number of hours.
Physical activities (PAY) - Question identifier:PAY_Q30B
Enter number of minutes.
- 01: 0
- 02: 5
- 03: 10
- 04: 15
- 05: 20
- 06: 25
- 07: 30
- 08: 35
- 09: 40
- 10: 45
- 11: 50
- 12: 55
Physical activities (PAY) - Question identifier:PAY_Q35
In the past 7 days, did you do physical activities in your leisure time including exercising, playing an organized or non-organized sport or playing with your friends?
Exclude physical activities already reported.
- 1: Yes
- 2: No
Physical activities (PAY) - Question identifier:PAY_Q40
Did any of these make you sweat at least a little and breathe harder?
- 1: Yes
- 2: No
Physical activities (PAY) - Question identifier:PAY_Q45A
How much time per day did you spend doing these activities that made you sweat at least a little and breathe harder?
...yesterday?
...on [2 days ago]?
...on [3 days ago]?
...on [4 days ago]?
...on [5 days ago]?
...on [6 days ago]?
...on [7 days ago]?
Min = 0; Max = 24
Enter the number of hours.
Physical activities (PAY) - Question identifier:PAY_Q45B
Enter number of minutes.
- 01: 0
- 02: 5
- 03: 10
- 04: 15
- 05: 20
- 06: 25
- 07: 30
- 08: 35
- 09: 40
- 10: 45
- 11: 50
- 12: 55
Physical activities (PAY) - Question identifier:PAY_Q50
In the past 7 days, did you do any other physical activities?
e.g., while you [were doing paid or unpaid work or/were] helping your family with chores.
Exclude physical activities already reported.
- 1: Yes
- 2: No
Physical activities (PAY) - Question identifier:PAY_Q55
Did any of these other physical activities make you sweat at least a little and breathe harder?
- 1: Yes
- 2: No
Physical activities (PAY) - Question identifier:PAY_Q60A
How much time per day did you spend doing these other physical activities that made you sweat at least a little and breathe harder?
...yesterday?
...on [2 days ago]?
...on [3 days ago]?
...on [4 days ago]?
...on [5 days ago]?
...on [6 days ago]?
...on [7 days ago]?
Min = 0; Max = 24
Enter the number of hours.
Physical activities (PAY) - Question identifier:PAY_Q60B
Enter number of minutes.
- 01: 0
- 02: 5
- 03: 10
- 04: 15
- 05: 20
- 06: 25
- 07: 30
- 08: 35
- 09: 40
- 10: 45
- 11: 50
- 12: 55
Physical activities (PAY) - Question identifier:PAY_Q65
You have reported a total of [total hours of active transportation + total hours of recreational physical activities + total hours of other physical activity] hours of physical activity. Of these activities, were there any of vigorous intensity, meaning they caused you to be out of breath?
- 1: Yes
- 2: No
Physical activities (PAY) - Question identifier:PAY_Q70
In the past 7 days, on which days did you do these vigorous activities?
Select all that apply.
- 1: Yesterday
- 2: [2 days ago]
- 3: [3 days ago]
- 4: [4 days ago]
- 5: [5 days ago]
- 6: [6 days ago]
- 7: [7 days ago]
Physical activities (PAY) - Question identifier:PAY_Q75A
How much time in total did you spend doing these vigorous activities?
Hours
Min = 0; Max = 100
Physical activities (PAY) - Question identifier:PAY_Q75B
How much time in total did you spend doing these vigorous activities?
Minutes
- 01: 0
- 02: 5
- 03: 10
- 04: 15
- 05: 20
- 06: 25
- 07: 30
- 08: 35
- 09: 40
- 10: 45
- 11: 50
- 12: 55
Use of protective equipment (UPE)
Injuries suffered while participating in leisure activities are a major burden to both the people injured and to the health care system.
This module asks about the use of helmets, wrist protectors, elbow pads and mouth guards to protect against injuries while bicycling, in-line skating, skiing, snowboarding, skateboarding and playing hockey.
Results from this module are very useful to health region planners attempting to design programs to promote the use of protective equipment.
Use of protective equipment (UPE) - Question identifier:UPE_Q05
In the past 12 months, have you participated in any of these activities?
Select all that apply.
- 1: Bicycling
- 2: In-line skating or rollerblading
- 3: Downhill skiing
- 4: Snowboarding
- 5: Skateboarding
- 6: Playing ice hockey
Use of protective equipment (UPE) - Question identifier:UPE_Q10
When riding a bicycle, how often do you wear a helmet?
- 1: Always
- 2: Most of the time
- 3: Rarely
- 4: Never
Use of protective equipment (UPE) - Question identifier:UPE_Q20
When in-line skating or rollerblading, how often do you wear the following equipment?
A helmet
- 1: Always
- 2: Most of the time
- 3: Rarely
- 4: Never
Use of protective equipment (UPE) - Question identifier:UPE_Q25
When in-line skating or rollerblading, how often do you wear the following equipment?
Wrist guards or wrist protectors
- 1: Always
- 2: Most of the time
- 3: Rarely
- 4: Never
Use of protective equipment (UPE) - Question identifier:UPE_Q30
When in-line skating or rollerblading, how often do you wear the following equipment?
Elbow pads
- 1: Always
- 2: Most of the time
- 3: Rarely
- 4: Never
Use of protective equipment (UPE) - Question identifier:UPE_Q35
When in-line skating or rollerblading, how often do you wear the following equipment?
Knee pads
- 1: Always
- 2: Most of the time
- 3: Rarely
- 4: Never
Use of protective equipment (UPE) - Question identifier:UPE_Q45
When downhill skiing, how often do you wear a helmet?
- 1: Always
- 2: Most of the time
- 3: Rarely
- 4: Never
Use of protective equipment (UPE) - Question identifier:UPE_Q50
When snowboarding, how often do you wear the following equipment?
A helmet
- 1: Always
- 2: Most of the time
- 3: Rarely
- 4: Never
Use of protective equipment (UPE) - Question identifier:UPE_Q55
When snowboarding, how often do you wear the following equipment?
Wrist guards or wrist protectors
- 1: Always
- 2: Most of the time
- 3: Rarely
- 4: Never
Use of protective equipment (UPE) - Question identifier:UPE_Q65
When skateboarding, how often do you wear the following equipment?
A helmet
- 1: Always
- 2: Most of the time
- 3: Rarely
- 4: Never
Use of protective equipment (UPE) - Question identifier:UPE_Q70
When skateboarding, how often do you wear the following equipment?
Wrist guards or wrist protectors
- 1: Always
- 2: Most of the time
- 3: Rarely
- 4: Never
Use of protective equipment (UPE) - Question identifier:UPE_Q75
When skateboarding, how often do you wear the following equipment?
Elbow pads
- 1: Always
- 2: Most of the time
- 3: Rarely
- 4: Never
Use of protective equipment (UPE) - Question identifier:UPE_Q85
When playing ice hockey, how often do you wear a mouth guard?
- 1: Always
- 2: Most of the time
- 3: Rarely
- 4: Never
Sedentary behaviours (SBE)
Sedentary behaviour refers to time spent seated with little or no physical activity. In this module, respondents are asked how many hours of their free time, in the last seven days, they spent watching television or a screen on any electronic device while sitting or lying down. The answers to these questions are important in understanding overall health because too much sedentary time can be associated with lack of physical exercise, poor nutrition and other health problems.
Sedentary behaviours (SBE) - Question identifier:SBE_R001
The next questions are about the time you spent sitting in the last 7 days.
Sedentary behaviours (SBE) - Question identifier:SBE_Q005
On a school or work day, how much of your free time did you spend watching television or a screen on any electronic device while sitting or lying down?
Include mobile devices, computers, tablets, video game consoles or TV.
- 1: 2 hours or less per day
- 2: More than 2 hours but less than 4 hours
- 3: 4 hours to less than 6 hours
- 4: 6 hours to less than 8 hours
- 5: 8 hours or more per day
- 6: Was not at work or school
Sedentary behaviours (SBE) - Question identifier:SBE_Q010
[On a day that was not a school or workday, how/How] much of your free time did you spend watching television or a screen on any electronic device while sitting or lying down?
Include mobile devices, computers, tablets, video game consoles or TV.
- 1: 2 hours or less per day
- 2: More than 2 hours but less than 4 hours
- 3: 4 hours to less than 6 hours
- 4: 6 hours to less than 8 hours
- 5: 8 hours or more per day
Sleep (SLP)
In this module, respondents are asked a number of questions related to sleep, including number of hours usually spent sleeping, difficulty in going to sleep or staying asleep, how often sleep is refreshing, and difficulty in staying awake.
These questions will be used to examine the links between sleep and other factors, such as poor health and stress.
Sleep (SLP) - Question identifier:SLP_R001
Now a few questions about sleep.
Sleep (SLP) - Question identifier:SLP_Q005
How long do you usually spend sleeping each night?
Exclude time spent resting.
- 01: Under 2 hours
- 02: 2 hours to less than 3 hours
- 03: 3 hours to less than 4 hours
- 04: 4 hours to less than 5 hours
- 05: 5 hours to less than 6 hours
- 06: 6 hours to less than 7 hours
- 07: 7 hours to less than 8 hours
- 08: 8 hours to less than 9 hours
- 09: 9 hours to less than 10 hours
- 10: 10 hours to less than 11 hours
- 11: 11 hours to less than 12 hours
- 12: 12 hours or more
Sleep (SLP) - Question identifier:SLP_Q010
How often do you have trouble going to sleep or staying asleep?
- 1: Never
- 2: Rarely
- 3: Sometimes
- 4: Most of the time
- 5: All of the time
Sleep (SLP) - Question identifier:SLP_Q015
How often do you find your sleep refreshing?
- 1: Never
- 2: Rarely
- 3: Sometimes
- 4: Most of the time
- 5: All of the time
Sleep (SLP) - Question identifier:SLP_Q020
How often do you find it difficult to stay awake when you want to?
- 1: Never
- 2: Rarely
- 3: Sometimes
- 4: Most of the time
- 5: All of the time
Current smoking status (CSS)
Cigarette smoking is a major cause of heart disease and lung disease. The economic cost of illnesses and deaths caused by smoking is a major concern to health care planners and administrators.
The number of people who smoke varies significantly between health regions, between men and women and among age groups.
This module includes a series of questions about current and past smoking habits.
The results of this module can be used to develop smoking prevention and cessation programs for the groups that need them most.
Current smoking status (CSS) - Question identifier:CSS_R01
The next questions are about cigarette smoking.
Include cigarettes that are self-made. Exclude e-cigarettes.
Current smoking status (CSS) - Question identifier:CSS_Q05
Have you ever smoked a whole cigarette?
- 1: Yes
- 2: No
Current smoking status (CSS) - Question identifier:CSS_Q10
How old were you when you smoked your first whole cigarette?
Min = 0; Max = 999
Current smoking status (CSS) - Question identifier:CSS_Q15
Have you smoked more than 100 cigarettes (about 4 packs) in your life?
- 1: Yes
- 2: No
Current smoking status (CSS) - Question identifier:CSS_Q20
In the past 30 days, how often did you smoke cigarettes?
- 1: Every day
- 2: Less than once a day, but at least once a week
- 3: Less than once a week, but at least once in the past month
- 4: Not at all
Current smoking status (CSS) - Question identifier:CSS_Q25
How many cigarettes do you usually smoke each day?
Min = 0; Max = 999
Current smoking status (CSS) - Question identifier:CSS_Q35
In the past 30 days, how many days have you smoked one or more cigarettes?
Min = 0; Max = 99
Current smoking status (CSS) - Question identifier:CSS_Q30
On the days that you do smoke, how many cigarettes do you usually smoke?
Min = 0; Max = 999
Current smoking status (CSS) - Question identifier:CSS_Q40
In the past 12 months, have you made a serious attempt to stop smoking cigarettes, even if you stopped for less than a day?
- 1: Yes
- 2: No
Smoking - past use (SPU)
Cigarette smoking is a major cause of heart disease and lung disease. The economic cost of illnesses and deaths caused by smoking is a major concern to health care planners and administrators.
The number of people who smoke varies significantly between health regions, between men and women and among age groups.
This module includes a series of questions about past smoking habits and smoking cessation.
The results of this module can be used to develop smoking prevention and cessation programs for the groups that need them most.
Smoking - past use (SPU) - Question identifier:SPU_Q05
Have you ever smoked cigarettes daily?
- 1: Yes
- 2: No
Smoking - past use (SPU) - Question identifier:SPU_Q10A
When did you stop smoking?
Month
- 01: January
- 02: February
- 03: March
- 04: April
- 05: May
- 06: June
- 07: July
- 08: August
- 09: September
- 10: October
- 11: November
- 12: December
Smoking - past use (SPU) - Question identifier:SPU_Q10B
When did you stop smoking?
Year
Min = 0; Max = 9999
Example: YYYY
Smoking - past use (SPU) - Question identifier:SPU_Q15
At what age did you begin to smoke cigarettes daily?
Min = 0; Max = 999
Smoking - past use (SPU) - Question identifier:SPU_Q20
When you smoked every day, how many cigarettes did you usually smoke each day?
Min = 0; Max = 999
Smoking - past use (SPU) - Question identifier:SPU_Q25A
When did you stop smoking daily?
Month
- 01: January
- 02: February
- 03: March
- 04: April
- 05: May
- 06: June
- 07: July
- 08: August
- 09: September
- 10: October
- 11: November
- 12: December
Smoking - past use (SPU) - Question identifier:SPU_Q25B
When did you stop smoking daily?
Year
Min = 0; Max = 9999
Example: YYYY
Smoking - past use (SPU) - Question identifier:SPU_Q30
Was that when you completely quit smoking?
- 1: Yes
- 2: No
Smoking - past use (SPU) - Question identifier:SPU_Q35A
When did you stop completely?
Month
- 01: January
- 02: February
- 03: March
- 04: April
- 05: May
- 06: June
- 07: July
- 08: August
- 09: September
- 10: October
- 11: November
- 12: December
Smoking - past use (SPU) - Question identifier:SPU_Q35B
When did you stop completely?
Year
Min = 0; Max = 9999
Example: YYYY
Electronic cigarettes and vaping (ECV)
This module includes a series of questions on electronic cigarettes and vaping devices, excluding vaping cannabis. Respondents are asked if they have ever tried an e-cigarette or vaping device, and, if so, at what age they first tried it, and how often in the past 30 days and if it contained nicotine.
Electronic cigarettes and vaping (ECV) - Question identifier:ECV_R05
Now questions about electronic cigarettes (e-cigarettes) or vaping devices.
Electronic cigarettes and vaping (ECV) - Question identifier:ECV_Q05
Have you ever tried an e-cigarette or vaping device?
Include vaping e-liquid with nicotine and without nicotine i.e., just flavouring
Exclude vaping cannabis.
- 1: Yes
- 2: No
Electronic cigarettes and vaping (ECV) - Question identifier:ECV_Q10
At what age did you first use an e-cigarette or vaping device?
Min = 0; Max = 999
Electronic cigarettes and vaping (ECV) - Question identifier:ECV_Q15
In the past 30 days, how often did you use an e-cigarette or vaping device?
- 1: Every day
- 2: Almost every day
- 3: At least once a week
- 4: At least once in the past month
- 5: Never
Electronic cigarettes and vaping (ECV) - Question identifier:ECV_Q20
The last time you used an e-cigarette, did it contain nicotine?
- 1: Yes
- 2: No
Electronic cigarettes and vaping 2 (ECV2)
This module includes a series of questions about electronic cigarettes and vaping devices. Respondents are asked, in the past 30 days, how many days they have smoked a vaping liquid with or without nicotine or with unknown content.
In addition, they are asked if in the past 12 months they have tried to quit smoking by replacing cigarettes with a vaping device or an electronic cigarette and which one they tried first.
Electronic cigarettes and vaping 2 (ECV2) - Question identifier:ECV2_Q05A
During the past 30 days, on how many days did you vape the following products?
An e-liquid with nicotine
Min = 0; Max = 30
Electronic cigarettes and vaping 2 (ECV2) - Question identifier:ECV2_Q05B
During the past 30 days, on how many days did you vape the following products?
An e-liquid without nicotine
Min = 0; Max = 30
e.g., just flavouring
Electronic cigarettes and vaping 2 (ECV2) - Question identifier:ECV2_Q05C
During the past 30 days, on how many days did you vape the following products?
An e-liquid but you did not know what it contained
Min = 0; Max = 30
Electronic cigarettes and vaping 2 (ECV2) - Question identifier:ECV2_Q10
During the past 12 months, did you try to quit smoking cigarettes by switching to a vaping device or an e-cigarette?
- 1: Yes
- 2: No
Electronic cigarettes and vaping 2 (ECV2) - Question identifier:ECV2_Q15
Which did you try first, an e-cigarette or vaping device or a cigarette?
- 1: E-cigarette or vaping device
- 2: Cigarette
Alcohol use (ALC)
Consumption of alcohol has a number of implications for health. Excessive drinking is related to a number of diseases and social and mental health problems. Drinking is also a leading cause of accidents and injuries.
This module includes questions about how often and how much alcohol the respondent has drunk in the past 12 months, and if they have ever had a drink in their life.
This module will help researchers and health planners to understand patterns of alcohol consumption. For example, which groups are more likely to binge drink, i.e., drink 4 (or 5 in the case of males) or more drinks on one occasion.
Alcohol use (ALC) - Question identifier:ALC_R01
Now some questions about alcohol consumption.
Alcohol use (ALC) - Question identifier:ALC_Q05
Have you ever had a drink in your lifetime?
[A "drink" refers to:
- a small bottle, draft or can of beer, cider or cooler
- a glass of wine
- a cocktail or glass containing 1.5 ounces of liquor./]
- 1: Yes
- 2: No
Alcohol use (ALC) - Question identifier:ALC_Q10
In the past 12 months, have you had a drink of beer, wine, liquor or any other alcoholic beverage?
- 1: Yes
- 2: No
Alcohol use (ALC) - Question identifier:ALC_Q15
In the past 12 months, how often did you drink alcoholic beverages?
- 1: Less than once a month
- 2: Once a month
- 3: 2 to 3 times a month
- 4: Once a week
- 5: 2 to 3 times a week
- 6: 4 to 5 times a week
- 7: Daily or almost daily
Alcohol use (ALC) - Question identifier:ALC_Q20
How often in the past 12 months have you had [4/5] or more drinks on one occasion?
- 1: Never
- 2: Less than once a month
- 3: Once a month
- 4: 2 to 3 times a month
- 5: Once a week
- 6: More than once a week
Medication use pain relievers (PRM)
This module deals with the use of prescription and non-prescription pain relief medications in the past 12 months.
The results of this module will be used to create a picture of which pain relief medications are taken by various groups. Researchers will use the results to examine the relationship between health problems, use of medications, and use of other health care services.
Medication use pain relievers (PRM) - Question identifier:PRM_R01
The next series of questions are about various pain relievers.
By pain relievers, we mean products that contain opioids such as codeine, morphine or related drugs. Most of these products require a prescription, although some do not.
Medication use pain relievers (PRM) - Question identifier:PRM_Q10
In the past 12 months, have you taken any codeine products?
Include prescribed or non-prescribed drugs such as 292 or Tylenol® 1, 2, 3 and 4.
Exclude Regular Tylenol® or Extra Strength Tylenol®, Aspirin, Advil®, Motrin® or their generic equivalents.
- 1: Yes
- 2: No
Medication use pain relievers (PRM) - Question identifier:PRM_Q15
In the past 12 months, have you taken any oxycodone products?
Include Percocet®, Percodan®, OxyContin® and OxyNEO®.
- 1: Yes
- 2: No
Medication use pain relievers (PRM) - Question identifier:PRM_Q20
In the past 12 months, have you taken any fentanyl products?
- 1: Yes
- 2: No
Medication use pain relievers (PRM) - Question identifier:PRM_Q25
In the past 12 months, have you taken any other opioid products?
Include hydromorphone, Dilaudid®, Hydromorph Contin®, morphine, MS Contin® or Demerol®.
- 1: Yes
- 2: No
Medication use pain relievers (PRM) - Question identifier:PRM_Q30
In the past 12 months, how often did you take any such pain relievers?
If more than one pain reliever was prescribed in the last 12 months, report the most recent.
- 01: Once or twice
- 02: 3 to 11 times a year
- 03: About once a month
- 04: 2 or 3 times a month
- 05: About once or twice a week
- 06: 3 or 4 times a week
- 07: Daily or almost daily
- 08: As needed, or following surgery
Medication use pain relievers (PRM) - Question identifier:PRM_Q35
Thinking about all the pain relievers you have taken in the past 12 months, were they prescribed for you?
- 1: No, none were prescribed
- 2: Yes, they all were prescribed
- 3: Some were prescribed and others were not
Medication use pain relievers (PRM) - Question identifier:PRM_Q40A
In the past 12 months, did you take a higher dose of pain relievers than what was recommended?
- 1: Yes
- 2: No
Medication use pain relievers (PRM) - Question identifier:PRM_Q40B
In the past 12 months, did you take pain relievers more often than what was recommended?
- 1: Yes
- 2: No
Medication use pain relievers (PRM) - Question identifier:PRM_Q50
In the past 12 months, did you ever take or use pain relievers for reasons other than pain relief?
e.g., to feel better, improve mood, cope with stress or problems
- 1: Yes
- 2: No
Medication use pain relievers (PRM) - Question identifier:PRM_Q55
In the past 12 months, did you ever tamper with a pain reliever product before taking it?
e.g., by crushing tablets to swallow, snort or inject
Exclude for ease of swallowing or to take a lower dose.
- 1: Yes
- 2: No
Cannabis use (CAN)
In 2018, the Canadian government legalized the use of non-medical cannabis, allowing Canadians to legally purchase and consume cannabis for recreational purposes.
The purpose of this module is collect information about the use of cannabis in Canada. Respondents are asked if they have ever tried cannabis and the age of first use; the frequency of cannabis use in the past twelve months, in the past 30 days, and daily consumption. This module asks respondents about medical versus recreational marijuana use.
This information will be used to gain a better understanding of the scope of cannabis use in Canada, and the impact of cannabis use on the health and well-being of Canadians.
Cannabis use (CAN) - Question identifier:CAN_R01
The next few questions are about the use of cannabis for medical and non-medical purposes. The term "cannabis" refers to marijuana, hashish, hash oil or any other product of the cannabis plant.
Cannabis use (CAN) - Question identifier:CAN_Q05
Have you ever used or tried cannabis?
- 1: Yes
- 2: No
Cannabis use (CAN) - Question identifier:CAN_Q05A
Have you used or tried cannabis just once or more than once?
- 1: Just once
- 2: More than once
Cannabis use (CAN) - Question identifier:CAN_Q05B
At what age did you first try cannabis?
Min = 0; Max = 999
Cannabis use (CAN) - Question identifier:CAN_Q05C
Have you used cannabis in the past 12 months?
- 1: Yes
- 2: No
Cannabis use (CAN) - Question identifier:CAN_Q10
How often did you use cannabis in the past 12 months?
Report the average use in the last 12 months.
- 1: Less than once a month
- 2: 1 to 3 times a month
- 3: Once a week
- 4: More than once a week
- 5: Daily or almost daily
Cannabis use (CAN) - Question identifier:CAN_Q15
In the past 12 months, which of the following methods did you use to consume cannabis?
Select all that apply.
- 1: Smoked (e.g., joint, pipe, bong)
- 2: Vaporized
- 3: Swallowed (e.g., in food, beverages, capsules)
- 4: Absorbed (e.g., placed under the tongue, applied to skin)
- 5: Other
Cannabis use (CAN) - Question identifier:CAN_Q15B
Which cannabis preparation did you vaporize?
Select all that apply.
- 1: Dried flower or leaf
- 2: Cannabis liquid
- 3: Cannabis solid
Cannabis use (CAN) - Question identifier:CAN_Q20
In the past 12 months, which of the following methods did you use most often to consume cannabis?
- 1: Smoked
- 2: Vaporized
- 3: Swallowed
- 4: Absorbed
- 5: Other method
Cannabis use (CAN) - Question identifier:CAN_Q25
In the past 12 months, which of the following cannabis products have you used?
Select all that apply.
- 01: Dried flower or leaf
- 02: Hashish (e.g., hash, hash oil)
- 03: Cannabis oil for oral use (e.g., capsules, spray, tincture)
- 04: Cannabis vape pens or cartridges
- 05: Cannabis concentrates (e.g., shatter, budder, butane honey oil)
- 06: Cannabis edible food products (e.g., baked goods, candy, other foods)
- 07: Cannabis beverages (e.g., cola, tea, coffee)
- 08: Topicals (e.g., lotion, ointment, creams applied to skin)
- 09: Other (e.g., seeds)
Cannabis use (CAN) - Question identifier:CAN_Q30
In the past 12 months, for which of the following purposes have you used cannabis?
- 1: Non-medical purposes only
- 2: Medical purposes only (Either with or without a medical document)
- 3: Both medical and non-medical purposes
Cannabis use (CAN) - Question identifier:CAN_Q35
In the past 12 months, when you used cannabis for medical purposes, which symptoms were you using it for?
Select all that apply.
- 01: Pain
- 02: Nausea or vomiting
- 03: Lack of appetite or weight loss
- 04: Headaches or migraines
- 05: Muscle spasms or seizures
- 06: Anxiety or depression
- 07: Symptoms of PTSD
- 08: Problems sleeping
- 09: Opioid withdrawal symptoms
- 10: Other
Cannabis use (CAN) - Question identifier:CAN_Q40
Do you have a medical document from a healthcare professional to use cannabis for medical purposes?
- 1: Yes
- 2: No
Cannabis use (CAN) - Question identifier:CAN_Q45
In the past 30 days, on how many days did you use cannabis?
- 1: Never
- 2: 1 day
- 3: 2 or 3 days
- 4: 1 or 2 days per week
- 5: 3 or 4 days per week
- 6: 5 or 6 days per week
- 7: Daily
Cannabis use (CAN) - Question identifier:CAN_Q50
At what age did you begin to use cannabis daily or almost daily?
Min = 0; Max = 999
Maternal experiences (MEX)
Increasingly, health promotion programs are targeted at very young children. Researchers believe that children who have a good start in life become healthier teenagers and adults.
The focus of the next 3 modules is the behaviour of new mothers (aged 15 to 55) of babies under 6 years old.
The questions in the first module cover topics such as folic acid and iron supplements, weight gain, breastfeeding, sleeping arrangements for the child and the child's diet.
The results of this module can be used to identify which groups of women could benefit from educational programs that promote healthier babies.
Maternal experiences (MEX) - Question identifier:MEX_R01
The next questions are specific to women's health.
Maternal experiences (MEX) - Question identifier:MEX_Q05
Are you taking a vitamin supplement containing folic acid?
Include prenatal vitamins.
- 1: Yes
- 2: No
Maternal experiences (MEX) - Question identifier:MEX_Q10
Have you given birth in the past 5 years?
Exclude stillbirths.
- 1: Yes
- 2: No
Maternal experiences (MEX) - Question identifier:MEX_Q12
Was your last pregnancy a single birth or multiple births?
- 1: Single birth
- 2: Multiple births
Maternal experiences (MEX) - Question identifier:MEX_Q15
What is the first name of your last born child?
Long Answer Length = 30
[Refer to the last baby born during this multiple birth./]
Maternal experiences (MEX) - Question identifier:MEX_Q20
What is [your last child]'s date of birth?
Day
Min = 1; Max = 31
Maternal experiences (MEX) - Question identifier:MEX_Q25
What is [your last child]'s date of birth?
Month
- 01: January
- 02: February
- 03: March
- 04: April
- 05: May
- 06: June
- 07: July
- 08: August
- 09: September
- 10: October
- 11: November
- 12: December
Maternal experiences (MEX) - Question identifier:MEX_Q30
What is [your last child]'s date of birth?
Year
- 01: 2023
- 02: 2022
- 03: 2021
- 04: 2020
- 05: 2019
- 06: 2018
- 07: 2017
- 08: 2016
Maternal experiences (MEX) - Question identifier:MEX_Q40
During your pregnancy with [your last child], did you take folic acid supplements during the following time frames?
During the three months before you got pregnant
Include prenatal vitamins and multivitamins containing folic acid.
- 1: Yes
- 2: No
- 3: Don't know
Maternal experiences (MEX) - Question identifier:MEX_Q50
During your pregnancy with [your last child], did you take folic acid supplements during the following time frames?
During the first three months of your pregnancy
Include prenatal vitamins and multivitamins containing folic acid.
- 1: Yes
- 2: No
- 3: Don't know
Maternal experiences (MEX) - Question identifier:MEX_Q65
During your pregnancy with [your last child], did you take a vitamin supplement containing iron?
Include prenatal vitamins.
- 1: Yes
- 2: No
- 3: Don't know
Maternal experiences (MEX) - Question identifier:MEX_Q70
Just before your pregnancy with [your last child], how much did you weigh?
Weight
Min = 0; Max = 999
Maternal experiences (MEX) - Question identifier:MEX_Q75
Just before your pregnancy with [your last child], how much did you weigh?
Pounds or kilograms
- 1: Pounds
- 2: Kilograms
Maternal experiences (MEX) - Question identifier:MEX_Q80
How much weight did you gain during that pregnancy?
Weight
Min = -999; Max = 999
If you lost weight, enter a negative value.
Maternal experiences (MEX) - Question identifier:MEX_Q85
How much weight did you gain during that pregnancy?
Pounds or kilograms
If you lost weight, enter a negative value.
- 1: Pounds
- 2: Kilograms
Maternal experiences (MEX) - Question identifier:MEX_Q90
[How often does [your last child]/When [your last child] was less than one year old, how often did they] sleep in the same bed with you or anyone else?
- 1: Every day or almost every day
- 2: Occasionally
- 3: Never
Maternal experiences (MEX) - Question identifier:MEX_Q100
Was [your last child] breastfed or given breast milk even for a short time?
- 1: Yes
- 2: No
Maternal experiences (MEX) - Question identifier:MEX_Q105
What is the main reason that you did not breastfeed or give breast milk?
- 1: Did not want to breastfeed
- 2: No support or information to breastfeed
- 3: Medical condition
- 4: Other
Maternal experiences (MEX) - Question identifier:MEX_Q110
Are you still breastfeeding or giving breast milk to [your last child]?
- 1: Yes
- 2: No
Maternal experiences (MEX) - Question identifier:MEX_Q115A
How old was [your last child] when you stopped breastfeeding or giving breast milk?
Age
Min = 0; Max = 99
You can report the age in days, weeks, months or years.
Maternal experiences (MEX) - Question identifier:MEX_Q115B
How old was [your last child] when you stopped breastfeeding or giving breast milk?
Time period
You can report the age in days, weeks, months or years.
- 1: Days
- 2: Weeks
- 3: Months
- 4: Years
Maternal experiences (MEX) - Question identifier:MEX_Q120
What is the main reason that you stopped breastfeeding or giving breast milk?
- 1: Not enough breast milk
- 2: Child weaned themselves
- 3: Planned to stop at this time
- 4: Difficulty with breastfeeding
- 5: Medical condition
- 6: Other
Maternal experiences (MEX) - Question identifier:MEX_Q125
[Are you giving [your last child] a vitamin D supplement?/When [your last child] was less than a year old, did you give them a vitamin D supplement?/When [your last child] was less than one year old and fed breast milk, did you give them a vitamin D supplement?/When [your last child] was fed breast milk, did you give them a vitamin D supplement?]
- 1: Every day or almost every day
- 2: Occasionally
- 3: Never
Maternal experiences (MEX) - Question identifier:MEX_Q150
[Have/While you were still breastfeeding, had] liquids been introduced to [your last child]'s diet?
e.g., milk, formula, water or juice
- 1: Yes
- 2: No
Maternal experiences (MEX) - Question identifier:MEX_Q155
How old was [your last child] when liquids were first introduced?
Age
Min = 0; Max = 99
You can report the age in days, weeks, months or years.
Maternal experiences (MEX) - Question identifier:MEX_Q160
How old was [your last child] when liquids were first introduced?
Time period
You can report the age in days, weeks, months or years.
- 1: Days
- 2: Weeks
- 3: Months
- 4: Years
Maternal experiences (MEX) - Question identifier:MEX_Q170
Have solid foods been introduced to the baby's diet?
e.g. cereals, pureed meat, vegetables or fruits
- 1: Yes
- 2: No
Maternal experiences (MEX) - Question identifier:MEX_Q175
How old was [your last child] when solids were first added?
Age
Min = 0; Max = 99
You can report the age in days, weeks, months or years.
Maternal experiences (MEX) - Question identifier:MEX_Q180
How old was [your last child] when solids were first added?
Time period
You can report the age in days, weeks, months or years.
- 1: Days
- 2: Weeks
- 3: Months
- 4: Years
Maternal experiences (MEX) - Question identifier:MEX_Q190
What was the first solid food added to [your last child]'s diet?
- 1: Infant cereals
- 2: Fruits or vegetables
- 3: Meat and meat alternatives
- 4: Other
Maternal experiences (MEX) - Question identifier:MEX_Q195
What is the main reason [other liquids/solid foods/other liquids and solid foods] were first added to [your last child]'s diet?
- 1: Not enough breast milk
- 2: Baby was ready
- 3: Difficulty with breastfeeding
- 4: Medical conditions
- 5: Advice from health professional or family
- 6: Returned to work or school
- 7: Other
Smoking during maternal experience (MXS)
This module explores whether women smoked cigarettes before or during their pregnancy, and whether they were exposed on a regular basis to second-hand smoke during the pregnancy.
The results of this module can be used to identify which groups of women could benefit from educational programs that promote healthier babies.
Smoking during maternal experience (MXS) - Question identifier:MXS_Q05
In the 3 months before your pregnancy with [your last child] or before you realized you were pregnant, did you smoke cigarettes?
- 1: Yes
- 2: No
Smoking during maternal experience (MXS) - Question identifier:MXS_Q10
How often did you smoke?
- 1: Everyday
- 2: Almost everyday
- 3: A few times a week
- 4: Rarely
Smoking during maternal experience (MXS) - Question identifier:MXS_Q15
Once you found out you were pregnant with [your last child], did you smoke?
- 1: Yes
- 2: No
Smoking during maternal experience (MXS) - Question identifier:MXS_Q20
How often did you smoke?
- 1: Everyday
- 2: Almost everyday
- 3: A few times a week
- 4: Rarely
Smoking during maternal experience (MXS) - Question identifier:MXS_Q35
Did anyone regularly smoke in your presence during your pregnancy with [your last child]?
- 1: Yes
- 2: No
Maternal experiences (MXA)
This module explores whether women drank alcohol before or during their pregnancy or while they were breastfeeding.
The results of this module can be used to identify which groups of women could benefit from educational programs that promote healthier babies.
Maternal experiences (MXA) - Question identifier:MXA_Q05
In the 3 months before your pregnancy with [your last child], or before you realized you were pregnant, did you drink alcohol?
- 1: Yes
- 2: No
Maternal experiences (MXA) - Question identifier:MXA_Q10
How often did you drink?
- 1: A few times a month or less
- 2: Once or twice a week
- 3: Many times a week
- 4: Everyday
Maternal experiences (MXA) - Question identifier:MXA_Q12
On the days you did drink, how many drinks did you usually have?
- 1: One drink
- 2: Two drinks
- 3: Three drinks
- 4: More than three
Maternal experiences (MXA) - Question identifier:MXA_Q15
Once you found out you were pregnant with [your last child], did you drink alcohol?
- 1: Yes
- 2: No
Maternal experiences (MXA) - Question identifier:MXA_Q20
How often did you drink?
- 1: A few times a month or less
- 2: Once or twice a week
- 3: Many times a week
- 4: Everyday
Maternal experiences (MXA) - Question identifier:MXA_Q22
On the days you did drink, how many drinks did you usually have?
- 1: One drink
- 2: Two drinks
- 3: Three drinks
- 4: More than three
Maternal experiences (MXA) - Question identifier:MXA_Q35
[While you were breastfeeding [your last child] did you drink alcohol/Since you gave birth to [your last child], did you drink alcohol]?
- 1: Yes
- 2: No
Maternal experiences (MXA) - Question identifier:MXA_Q40
[How often did you drink/How often do you drink]?
- 1: A few times a month or less
- 2: Once or twice a week
- 3: Many times a week
- 4: Everyday
Maternal experiences (MXA) - Question identifier:MXA_Q42
[On the days you did drink, how many drinks did you usually have/On the days you drink, how may drinks do you usually have]?
- 1: One drink
- 2: Two drinks
- 3: Three drinks
- 4: More than three
Flu shots (FLU)
Respondents are asked about receiving a flu shot within the last 12 months. Respondents who have not had a shot in the past year are asked the reasons why they have not received one.
Influenza is a serious illness for certain groups, including the elderly. For all groups, the flu is a major cause of days absent from work, school, and other activities.
Results from this module will be used to identify groups of people who are less likely to get a flu shot. This information may be useful in planning and designing new programs to promote immunization.
Flu shots (FLU) - Question identifier:FLU_R01
Now a few questions about the flu vaccine.
Flu shots (FLU) - Question identifier:FLU_Q05
In the past 12 months, have you had a seasonal flu vaccine?
Seasonal flu vaccine can be administered either by a needle, called a flu shot, or by a nasal spray called FluMist®
- 1: Yes
- 2: No
Flu shots (FLU) - Question identifier:FLU_Q10
In which month did you have your last seasonal flu vaccine?
- 01: January
- 02: February
- 03: March
- 04: April
- 05: May
- 06: June
- 07: July
- 08: August
- 09: September
- 10: October
- 11: November
- 12: December
Flu shots (FLU) - Question identifier:FLU_Q15
Was that this year or last year?
- 1: This year
- 2: Last year
Flu shots (FLU) - Question identifier:FLU_Q20
What are the reasons that you did not have a seasonal flu vaccine in the past 12 months?
Select all that apply.
- 1: Did not think it was necessary
- 2: Concern about discomfort or side effects
- 3: Flu is not that severe
- 4: Flu vaccine does not work that well
- 5: Previously had a bad reaction to the flu vaccine or other vaccine
- 6: Other
Regular health care provider (RHC)
Respondents are asked whether or not they have a regular health care provider.
Many Canadians do not have access to a regular health care provider. This module has a number of uses for governments, health care planners, and researchers. For example, results could be used to identify groups or regions that have an increased need for health care resource allocation.
Regular health care provider (RHC) - Question identifier:RHC_Q05
Which of the following health care providers do you regularly consult with?
If you have more than one, report for the health care provider you consult with the most.
- 1: Family doctor or general practitioner
- 2: Medical specialist (e.g., cardiologist, pediatrician, oncologist)
- 3: Nurse practitioner
- 4: Other (e.g., chiropractor, psychologist)
- 5: Don't have a regular health care provider
Labour market activities (LMAM)
This is the minimum content block for the Labour Market Activities Harmonized Content.
It contains the questions required to establish whether a respondent is employed or not.
Labour market activities (LMAM) - Question identifier:LMAM_R01
Many of the following questions concern your activities last week.
Last week is from [7 days ago] to [yesterday].
Labour market activities (LMAM) - Question identifier:LMAM_Q01
Last week, did you work at a job or business?
Select ''Yes'' if you worked at least one hour:
for pay (wages, salary, etc.)
in self-employment.
Select ''No'' if you:
were away from work for the entire week for a reason such as vacation, illness, work schedule or layoff
did not have a job or business but were able to work.
Select ''Permanently unable to work'' if you:
did not have a job or business because of a physical or mental health condition that prevents you from working.
- 1: Yes
- 2: No
- 3: Permanently unable to work
Labour market activities (LMAM) - Question identifier:LMAM_Q02
Last week, did you have a job or business from which you were absent?
Select ''Yes'' if you:
were away from work for the entire week for a reason such as vacation, illness, parental leave or work schedule
were self-employed with a business, but no work was available.
Select ''No'' if you:
did not have a job or business
had a casual job, but no work was available.
- 1: Yes
- 2: No
Labour market activities (LMAM) - Question identifier:LMAM_Q03
What was the main reason you were absent from work last week?
- 01: Vacation
- 02: Own illness or disability
- 03: Caring for own children
- 04: Caring for elder relative (60 years of age or older)
- 05: Maternity or parental leave
- 06: Other personal or family responsibilities
- 07: Labour dispute (strike or lockout) (Employees only)
- 08: Temporary layoff due to business conditions (Employees only)
- 09: Seasonal layoff (Employees only)
- 10: Casual job, no work available (Employees only)
- 11: Work schedule (e.g., 10 days on, 10 days off, employees only)
- 12: Self-employed, no work available (Self-employed only)
- 13: Seasonal business (Excluding employees)
- 14: Other
Labour market activities (LMA3)
This is a block within the extended content for the Labour Market Activities Harmonized Content.
It contains the question required to identify the class of worker for a respondent who is employed.
Labour market activities (LMA3) - Question identifier:LMA3_Q01
Were you an employee or self-employed?
Select ''Employee'' if you worked:
for pay (wages, salary, tips or commissions).
Select ''Self-employed'' if you worked:
for your own business, farm or professional practice
as an independent contractor, painter, babysitter, etc.
- 1: Employee
- 2: Self-employed
- 3: Working in a family business without pay
Labour market activities (LMA4)
This is a block within the extended content for the Labour Market Activities Harmonized Content
It contains the questions required to identify the industry for a respondent who is employed.
Labour market activities (LMA4) - Question identifier:LMA4_Q01
What was the full name of your business?
Long Answer Length = 50
Enter the full name of the business. If there is no business name, enter the respondent's full name.
Specify the full name of your business
Labour market activities (LMA4) - Question identifier:LMA4_Q02
For whom did you work?
Long Answer Length = 50
Enter the full name of the company, business, government department or agency, or person.
Specify who you worked for
Labour market activities (LMA4) - Question identifier:LMA4_Q03
What kind of business, industry or service was this?
Long Answer Length = 80
Examples: new home construction, primary school, municipal police, wheat farm, retail shoe store, food wholesale, car parts factory, federal government
Specify the kind of business, industry or service
Labour market activities (LMA5)
This is a block within the extended content for the Labour Market Activities Harmonized Content.
It contains the questions required to identify the occupation for a respondent who is employed.
Labour market activities (LMA5) - Question identifier:LMA5_R01
The following questions refer to the work or occupation in which you spent most of your time.
Labour market activities (LMA5) - Question identifier:LMA5_Q01
What kind of work were you doing?
Long Answer Length = 50
Examples: legal secretary, plumber, fishing guide, wood furniture assembler, secondary school teacher, computer programmer
Specify the kind of work you were doing
Labour market activities (LMA5) - Question identifier:LMA5_Q02
What were your most important activities or duties?
Long Answer Length = 50
Examples: prepared legal documents, installed residential plumbing, guided fishing parties, made wood furniture products, taught mathematics, developed software
Specify your most important activities or duties
Labour market activities (LMA6)
This is a block within the extended content for the Labour Market Activities Harmonized Content. It contains the question required to identify the number of usual hours worked for a respondent who is employed.
Labour market activities (LMA6) - Question identifier:LMA6_Q01
[Excluding overtime, on average, how many paid hours do you usually work per week?/On average, how many hours do you usually work per week?]
Min = 0; Max = 999.9
If necessary, enter a decimal value e.g., 32.5.
Labour market activities (LBF)
There are many relationships between work and health. This module includes questions on whether or not a respondent held more than one job or business over the last week, and the average number of hours worked at the second job per week, if applicable.
Labour market activities (LBF) - Question identifier:LBF_Q11
Did you have more than one job or business last week?
- 1: Yes
- 2: No
Labour market activities (LBF) - Question identifier:LBF_Q12
On average, how many hours do you usually work per week at your other job(s)?
Min = 0; Max = 999.9
If necessary, enter a decimal value e.g., 32.5.
Telework (LM)
This module is used to gather information on telework, a more prevalent reality during the COVID-19 pandemic.
Respondents are asked in which locations they have worked the most hours in the past 30 days.
This module was added to the questionnaire in June 2021.
Telework (LM) - Question identifier:LM_Q025
In the past 30 days, in which of these locations did you work the most hours?
"At home" could be any place where you live temporarily or permanently, from which you telework.
- 1: At a fixed location outside the home (e.g., office building, factory)
- 2: Outside the home with no fixed location (e.g., driving, making sales calls)
- 3: At home (e.g., main residence, cottage)
- 4: Absent from work
Place of birth, immigration and citizenship (IM)
This module collects data on the Place of birth, Landed immigrant status and Year of immigration in Canada.
Very important knowledge of understanding the health of Canadians is obtained by comparing the health of different groups. For example, do recent immigrants to Canada use health care services more or less than people born in Canada? Are people from European ethnic groups more likely to have certain chronic conditions than other groups?
Place of birth, immigration and citizenship (IM) - Question identifier:IM_Q01A
Where were you born?
Specify place of birth according to present boundaries.
- 1: Born in Canada
- 2: Born outside Canada
Place of birth, immigration and citizenship (IM) - Question identifier:IM_Q01AA
Specify the province or territory
- 10: Newfoundland and Labrador
- 11: Prince Edward Island
- 12: Nova Scotia
- 13: New Brunswick
- 24: Quebec
- 35: Ontario
- 46: Manitoba
- 47: Saskatchewan
- 48: Alberta
- 59: British Columbia
- 60: Yukon
- 61: Northwest Territories
- 62: Nunavut
Place of birth, immigration and citizenship (IM) - Question identifier:IM_Q01AB
Select the country
To search for a country, type the first few letters to narrow down the choices.
Note: If the country is not listed, select "Other".
- 1: Search
- 2: Other - Specify
Place of birth, immigration and citizenship (IM) - Question identifier:IM_Q02
In what year did you first come to Canada to live?
Min = 0; Max = 9999
If exact year is not known, enter best estimate.
Place of birth, immigration and citizenship (IM) - Question identifier:IM_Q03
Are you now, or have you ever been a landed immigrant?
A 'landed immigrant' (permanent resident) is a person who has been granted the right to live in Canada permanently by immigration authorities.
- 1: Yes
- 2: No
Place of birth, immigration and citizenship (IM) - Question identifier:IM_Q04
In what year did you first become a landed immigrant?
Min = 0; Max = 9999
If exact year is not known, enter best estimate.
Place of birth, immigration and citizenship (IM) - Question identifier:IM_Q05
Of what country are you a citizen?
Are you a citizen of:
Select all that apply.
- 1: Canada
- 2: Another country
Place of birth, immigration and citizenship (IM) - Question identifier:IM_Q05AA
Is it:
- 1: By birth
- 2: By naturalization (i.e., the process by which an immigrant is granted citizenship of Canada, under the Citizenship Act.)
Place of birth, immigration and citizenship (IM) - Question identifier:IM_Q05AB
Select the country
To search for a country, type the first few letters to narrow down the choices.
Note: If the country is not listed, select "Other".
- 1: Search
- 2: Other - Specify
Indigenous identity (ABM)
Comparing the health of different groups provides very important information for understanding the health of Canadians.
In this module, important social and demographic information is collected regarding aboriginal status.
Indigenous identity (ABM) - Question identifier:ABM_Q01
Are you First Nations, Métis or Inuk (Inuit)?
First Nations (North American Indian) includes Status and Non-Status Indians.
If "Yes", select the responses that best describes this person now.
Select all that apply.
- 1: No, not First Nations, Métis or Inuk (Inuit)
- 2: Yes, First Nations (North American Indian)
- 3: Yes, Métis
- 4: Yes, Inuk (Inuit)
Population group (PG)
Surveys with a preceding Aboriginal question block will skip the Population Group question if the respondent answered "Yes" to being an Aboriginal person.
Population group (PG) - Question identifier:PG_R05
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.
Population group (PG) - Question identifier:PG_Q05
Are you?
Select all that apply.
- 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 specify:
Language (LAN)
This module is about knowledge of the Official Languages, English and French. Respondents are asked the language most often spoken at home and their Mother tongue.
Language (LAN) - Question identifier:LAN_Q01
Can you speak English or French well enough to conduct a conversation?
- 1: English only
- 2: French only
- 3: Both English and French
- 4: Neither English nor French
Language (LAN) - Question identifier:LAN_Q02
What language do you speak most often at home?
Select all that apply.
- 1: English
- 2: French
- 3: Other
Language (LAN) - Question identifier:LAN_Q04
What is the language that you first learned at home in childhood and still understand?
If you no longer understand the first language learned, indicate the second language learned.
Select all that apply.
- 1: English
- 2: French
- 3: Other
Sexual orientation (SOR)
Comparing the health of different groups provides very important information for understanding the health of Canadians.
In this module, respondent sexual orientation is collected as it is important social and demographic information.
Sexual orientation (SOR) - Question identifier:SOR_Q01
What is your sexual orientation?
- 1: Heterosexual
- 2: Lesbian or gay
- 3: Bisexual
- 4: Or please specify
Home care services (HMC)
This module asks respondents aged 18 and over if they received any home care services, such as nursing care, meal preparation, help with bathing or housework and palliative care, either for themselves or for someone else in their household.
Respondents are also asked about the length of services, cost and payment, level of satisfaction with care, unmet care needs, reasons for not getting the services, and where they tried to obtain services.
Home care is considered to be an important part of health care reform. Both the health care system and the patient may benefit if some types of care are provided in the home instead of in a hospital or institution.
This module can be used to identify which groups are receiving home care and which are not. The health status of these groups and how they use other health services can be compared. This can help researchers understand whether home care is working as planned.
Home care services (HMC) - Question identifier:HMC_R005
Now some questions on home care services that you or anyone in the household may have received because of a health condition or a limitation in daily activities.
Home care services (HMC) - Question identifier:HMC_Q005
In the past 12 months, what type of home care services have been received?
Include services provided at home such as nursing care, meal preparation, someone to help with bathing or housework, etc.
Exclude post-partum care, help from family, friends or neighbours.
Select all that apply.
- 1: Nursing care (e.g., dressing changes, preparing medications, V.O.N. visits)
- 2: Other health care services (e.g., physiotherapy, occupational or speech therapy, nutrition counselling)
- 3: Medical equipment or supplies (e.g., wheelchair, pads for incontinence, help with using a ventilator or oxygen equipment)
- 4: Personal or home support (e.g., bathing, housekeeping, meal preparation)
- 5: Palliative or end-of-life care
- 6: Other services (e.g., transportation, meals-on-wheels)
- 7: No one in the household received any home care services
Home care services (HMC) - Question identifier:HMC_Q010A
Who received these home care services?
Nursing care
e.g., dressing changes, preparing medications, V.O.N. visits
- 1: You
- 2: Another member of the household
- 3: You and another member of the household
Home care services (HMC) - Question identifier:HMC_Q010B
Who received these home care services?
Other health care services
e.g., physiotherapy, occupational or speech therapy, nutrition counselling
- 1: You
- 2: Another member of the household
- 3: You and another member of the household
Home care services (HMC) - Question identifier:HMC_Q010C
Who received these home care services?
Medical equipment or supplies
e.g., wheelchair, pads for incontinence, help with using a ventilator or oxygen equipment
- 1: You
- 2: Another member of the household
- 3: You and another member of the household
Home care services (HMC) - Question identifier:HMC_Q010D
Who received these home care services?
Personal or home support
e.g., bathing, housekeeping, meal preparation
- 1: You
- 2: Another member of the household
- 3: You and another member of the household
Home care services (HMC) - Question identifier:HMC_Q010E
Who received these home care services?
Palliative or end-of-life care
- 1: You
- 2: Another member of the household
- 3: You and another member of the household
Home care services (HMC) - Question identifier:HMC_Q010F
Who received these home care services?
Other services
e.g., transportation, meals-on-wheels
- 1: You
- 2: Another member of the household
- 3: You and another member of the household
Home care services (HMC) - Question identifier:HMC_Q015A
How long were home care services received?
Nursing care
e.g., dressing changes, preparing medications, V.O.N. visits
- 1: Less than 1 month
- 2: 1 month to less than 3 months
- 3: 3 months to less than 6 months
- 4: 6 months to less than 1 year
- 5: 1 year to 3 years
- 6: More than 3 years
Home care services (HMC) - Question identifier:HMC_Q015B
How long were home care services received?
Other health care services
e.g., physiotherapy, occupational or speech therapy, nutrition counselling
- 1: Less than 1 month
- 2: 1 month to less than 3 months
- 3: 3 months to less than 6 months
- 4: 6 months to less than 1 year
- 5: 1 year to 3 years
- 6: More than 3 years
Home care services (HMC) - Question identifier:HMC_Q015C
How long were home care services received?
Medical equipment or supplies
e.g., wheelchair, pads for incontinence, help with using a ventilator or oxygen equipment
- 1: Less than 1 month
- 2: 1 month to less than 3 months
- 3: 3 months to less than 6 months
- 4: 6 months to less than 1 year
- 5: 1 year to 3 years
- 6: More than 3 years
Home care services (HMC) - Question identifier:HMC_Q015D
How long were home care services received?
Personal or home support
e.g., bathing, housekeeping, meal preparation
- 1: Less than 1 month
- 2: 1 month to less than 3 months
- 3: 3 months to less than 6 months
- 4: 6 months to less than 1 year
- 5: 1 year to 3 years
- 6: More than 3 years
Home care services (HMC) - Question identifier:HMC_Q015E
How long were home care services received?
Palliative or end-of-life care
- 1: Less than 1 month
- 2: 1 month to less than 3 months
- 3: 3 months to less than 6 months
- 4: 6 months to less than 1 year
- 5: 1 year to 3 years
- 6: More than 3 years
Home care services (HMC) - Question identifier:HMC_Q015F
How long were home care services received?
Other services
e.g., transportation, meals-on-wheels
- 1: Less than 1 month
- 2: 1 month to less than 3 months
- 3: 3 months to less than 6 months
- 4: 6 months to less than 1 year
- 5: 1 year to 3 years
- 6: More than 3 years
Home care services (HMC) - Question identifier:HMC_Q020A
In a typical month over the past 12 months, how much was paid for home care services?
Nursing care
e.g., dressing changes, preparing medications, V.O.N. visits
- 01: $0
- 02: $1 to less than $50
- 03: $50 to less than $100
- 04: $100 to less than $200
- 05: $200 to less than $300
- 06: $300 to less than $400
- 07: $400 to less than $1,000
- 08: $1,000 and more
Home care services (HMC) - Question identifier:HMC_Q020B
In a typical month over the past 12 months, how much was paid for home care services?
Other health care services
e.g., physiotherapy, occupational or speech therapy, nutrition counselling
- 01: $0
- 02: $1 to less than $50
- 03: $50 to less than $100
- 04: $100 to less than $200
- 05: $200 to less than $300
- 06: $300 to less than $400
- 07: $400 to less than $1,000
- 08: $1,000 and more
Home care services (HMC) - Question identifier:HMC_Q020C
In a typical month over the past 12 months, how much was paid for home care services?
Medical equipment or supplies
e.g., wheelchair, pads for incontinence, help with using a ventilator or oxygen equipment
- 01: $0
- 02: $1 to less than $50
- 03: $50 to less than $100
- 04: $100 to less than $200
- 05: $200 to less than $300
- 06: $300 to less than $400
- 07: $400 to less than $1,000
- 08: $1,000 and more
Home care services (HMC) - Question identifier:HMC_Q020D
In a typical month over the past 12 months, how much was paid for home care services?
Personal or home support
e.g., bathing, housekeeping, meal preparation
- 01: $0
- 02: $1 to less than $50
- 03: $50 to less than $100
- 04: $100 to less than $200
- 05: $200 to less than $300
- 06: $300 to less than $400
- 07: $400 to less than $1,000
- 08: $1,000 and more
Home care services (HMC) - Question identifier:HMC_Q020E
In a typical month over the past 12 months, how much was paid for home care services?
Palliative or end-of-life care
- 01: $0
- 02: $1 to less than $50
- 03: $50 to less than $100
- 04: $100 to less than $200
- 05: $200 to less than $300
- 06: $300 to less than $400
- 07: $400 to less than $1,000
- 08: $1,000 and more
Home care services (HMC) - Question identifier:HMC_Q020F
In a typical month over the past 12 months, how much was paid for home care services?
Other services
e.g., transportation, meals-on-wheels
- 01: $0
- 02: $1 to less than $50
- 03: $50 to less than $100
- 04: $100 to less than $200
- 05: $200 to less than $300
- 06: $300 to less than $400
- 07: $400 to less than $1,000
- 08: $1,000 and more
Home care services (HMC) - Question identifier:HMC_Q025
Who paid for these services?
Select all that apply.
- 1: Out of your own pocket
- 2: Family or friend living in the same household
- 3: Someone living outside the household (e.g., family, friends, volunteer organization)
- 4: Insurance
- 5: Government
- 6: Other
Home care services (HMC) - Question identifier:HMC_Q030
Overall, what was the level of satisfaction for the home care services received?
- 1: Very satisfied
- 2: Somewhat satisfied
- 3: Neither satisfied nor dissatisfied
- 4: Somewhat dissatisfied
- 5: Very dissatisfied
Home care services (HMC) - Question identifier:HMC_Q035
What are the reasons for the dissatisfaction?
Select all that apply.
- 1: Poor quality (i.e., concerns about provider competence, reliability of services, etc.)
- 2: Services did not address perceived needs
- 3: Services provided were insufficient
- 4: Long wait times to receive services
- 5: Other reason
Home care services (HMC) - Question identifier:HMC_Q037
Thinking of the home care services received in the past 12 months, how helpful were they in allowing the person or persons receiving these services to stay at home?
By "stay at home" we mean that it enabled the person to stay out of a hospital, nursing home, hospice, or assisted living facility.
- 1: Very helpful
- 2: Somewhat helpful
- 3: Not helpful
- 4: Reason for homecare was unrelated to staying at home (e.g., wound care)
Home care services (HMC) - Question identifier:HMC_Q038
Why weren't the home care services helpful in allowing the person or persons receiving these services to stay at home?
Select all that apply.
- 1: Poor quality (i.e., concerns about provider competence, reliability of services, etc.)
- 2: Services did not address perceived needs
- 3: Services provided were insufficient (e.g., coverage, frequency, etc.)
- 4: Long wait times to receive services
- 5: Cost of services was too high
- 6: Other reason
Home care services (HMC) - Question identifier:HMC_Q040
During the past 12 months, was there ever a time when you or anyone in the household felt that home care services were needed but were not received?
- 1: Yes
- 2: No
Home care services (HMC) - Question identifier:HMC_Q045
Were these home care services needed for yourself or someone else living in the household?
- 1: You only
- 2: Other household member
- 3: You and other household member
Home care services (HMC) - Question identifier:HMC_R050
For the following questions, please only report for the home care services you personally needed.
Home care services (HMC) - Question identifier:HMC_Q050
Thinking of the most recent time, what type of home care was needed?
Select all that apply.
- 1: Nursing care (e.g., dressing changes, preparing medications, V.O.N. visits)
- 2: Other health care services (e.g., physiotherapy, occupational or speech therapy, nutrition counselling)
- 3: Medical equipment or supplies (e.g., wheelchair, pads for incontinence, help with using a ventilator or oxygen equipment)
- 4: Personal or home support (e.g., bathing, housekeeping, meal preparation)
- 5: Palliative or end-of-life care
- 6: Other services (e.g., transportation, meals-on-wheels)
Home care services (HMC) - Question identifier:HMC_Q055
Again, thinking of the most recent time, why didn't you or another member of the household get these services?
Select all that apply.
- 01: Not available in the area
- 02: Not available at time required (e.g., inconvenient hours)
- 03: Waiting time too long
- 04: Cost
- 05: Didn't get around to it or didn't bother
- 06: Didn't know where to go or call
- 07: Language barrier
- 08: Decided not to seek services
- 09: Doctor did not think it was necessary
- 10: Not eligible for home care
- 11: Still waiting for home care
- 12: Other
Home care services (HMC) - Question identifier:HMC_Q060
Where did you or another member of the household try to get these home care services?
Select all that apply.
- 1: A government Home Care Program (e.g., CLSC in Quebec, CCAC in Ontario, Extra-Mural Program in New Brunswick)
- 2: A private agency
- 3: A family member, friend or neighbour
- 4: A volunteer organization
- 5: Nowhere - did not try to get service
- 6: Other
Insurance coverage (INL)
In this module, respondents are asked whether they have insurance to cover all or part of the cost of long-term care.
Respondents should include any private, government, association or employer-paid insurance plans.
The results of this module will be used to get an overall picture of which groups have various types of insurance. Researchers will be able to study this in combination with levels of health and use of health care services.
Insurance coverage (INL) - Question identifier:INL_Q05
[Do you] have insurance that covers all or part of the cost of [your] long term care, including home care?
Include coverage from [your] own plan or someone else's.
e.g., private, government or employer-paid plans.
- 1: Yes
- 2: No
- 3: Don't know
Insurance coverage (INP)
In this module, respondents are asked whether they have insurance to cover all or part of the cost of prescription medications.
Respondents should include any private, government, association or employer-paid insurance plans.
The results of this module will be used to get an overall picture of which groups have various types of insurance. Researchers will be able to study this in combination with levels of health and use of health care services.
Insurance coverage (INP) - Question identifier:INP_Q05
[Do you] have insurance that covers all or part of the cost of [your] prescription medications?
Include coverage from [your] own plan or someone else's.
e.g., private, government or employer-paid plans.
- 1: Yes
- 2: No
- 3: Don't know
Prescription cost (PCN)
This module collects data on non-adherence to prescription medication due to cost. Non-adherence can be defined by behaviours such as failing to fill, collect or take prescribed medication, reducing or skipping the medication dosage, or delaying filling prescriptions.
The data collected will be used to identify the segment of the Canadian population who engage in cost-related non-adherence to prescription medication, and will identify the percentage who have insurance for prescription medication.
Prescription cost (PCN) - Question identifier:PCN_Q05
In the past 12 months, did [you] have any prescriptions for medication?
- 1: Yes
- 2: No
Prescription cost (PCN) - Question identifier:PCN_Q10
In the past 12 months, did [you] do any of the following because of the cost of [your] prescriptions?
[]
Select all that apply. If none apply, click on "Next" to continue.
- 1: Not fill a prescription
- 2: Not collect a prescription
- 3: Skip doses of [your] medicine
- 4: Reduce the dosage of [your] medication
- 5: Delay filling a prescription
Food security (FSC)
This module asks respondents if anyone in the household has experienced any issues associated with food security in the previous 12 months, (the ability to afford the purchase of sufficient nutritious food), with specific questions about the actions and needs of the adults who are responsible for children.
Even in households that appear to have high incomes, budget constraints may make it difficult to purchase nutritious foods. Food security questions will be asked of all respondents regardless of income.
Note: This module should be answered by a knowledgeable member of the household. Persons 18 and older are considered adults. Youths aged 16 and 17 living with a relative are considered children, all others are considered adults.
Food security (FSC) - Question identifier:FSC_R10
The following statements may describe the food situation for your household in the past 12 months. Please indicate if the statement was often true, sometimes true or never true for [you/you and other household members] in the past 12 months.
Food security (FSC) - Question identifier:FSC_Q10
[You/You and other household members] worried that food would run out before you got money to buy more
- 1: Often true
- 2: Sometimes true
- 3: Never true
Food security (FSC) - Question identifier:FSC_Q15
The food that [you/you and other household members] bought just didn't last and there wasn't any money to get more
- 1: Often true
- 2: Sometimes true
- 3: Never true
Food security (FSC) - Question identifier:FSC_Q20
[You/You and other household members] couldn't afford to eat balanced meals
- 1: Often true
- 2: Sometimes true
- 3: Never true
Food security (FSC) - Question identifier:FSC_Q25
[You/You or other adults in your household] relied on only a few kinds of low-cost food to feed [your child/the children] because you were running out of money to buy food
- 1: Often true
- 2: Sometimes true
- 3: Never true
Food security (FSC) - Question identifier:FSC_Q30
[You/You or other adults in your household] couldn't feed [your child/the children] a balanced meal because you couldn't afford it
- 1: Often true
- 2: Sometimes true
- 3: Never true
Food security (FSC) - Question identifier:FSC_Q35
[Your child was/The children were] not eating enough because [you/you or other adults in your household] just couldn't afford enough food?
- 1: Often true
- 2: Sometimes true
- 3: Never true
Food security (FSC) - Question identifier:FSC_R40
[The following few questions are about the food situation in the past 12 months for you or any other adults in your household./]
Food security (FSC) - Question identifier:FSC_Q40
In the past 12 months, since last [January/February/March/April/May/June/July/August/September/October/November/December], did [you/you or other adults in your household] ever cut the size of your meals or skip meals because there wasn't enough money for food?
- 1: Yes
- 2: No
Food security (FSC) - Question identifier:FSC_Q45
How often did this happen?
- 1: Almost every month
- 2: Some months but not every month
- 3: Only 1 or 2 months
Food security (FSC) - Question identifier:FSC_Q50
In the past 12 months, did you personally ever eat less than you felt you should because there wasn't enough money to buy food?
- 1: Yes
- 2: No
Food security (FSC) - Question identifier:FSC_Q55
In the past 12 months, were you personally ever hungry but didn't eat because you couldn't afford enough food?
- 1: Yes
- 2: No
Food security (FSC) - Question identifier:FSC_Q60
In the past 12 months, did you personally ever lose weight because you didn't have enough money for food?
- 1: Yes
- 2: No
Food security (FSC) - Question identifier:FSC_Q65
In the past 12 months, did [you/you or other adults in your household] ever not eat for a whole day because there wasn't enough money for food?
- 1: Yes
- 2: No
Food security (FSC) - Question identifier:FSC_Q70
How often did this happen?
- 1: Almost every month
- 2: Some months but not every month
- 3: Only 1 or 2 months
Food security (FSC) - Question identifier:FSC_R75
Now, a few questions on the food experiences for children in your household.
Food security (FSC) - Question identifier:FSC_Q75
In the past 12 months, did [you/you or other adults in your household] ever cut the size of [your child's/any of the children's] meals because there wasn't enough money for food?
- 1: Yes
- 2: No
Food security (FSC) - Question identifier:FSC_Q80
In the past 12 months, did [your child/any of the children] ever skip meals because there wasn't enough money for food?
- 1: Yes
- 2: No
Food security (FSC) - Question identifier:FSC_Q85
How often did this happen?
- 1: Almost every month
- 2: Some months but not every month
- 3: Only 1 or 2 months
Food security (FSC) - Question identifier:FSC_Q90
In the past 12 months, [was your child/were any of the children] ever hungry but you couldn't afford more food?
- 1: Yes
- 2: No
Food security (FSC) - Question identifier:FSC_Q95
In the past 12 months, did [your child/any of the children] ever not eat for a whole day because there wasn't enough money for food?
- 1: Yes
- 2: No
Total household income (INC)
In this module, respondents are asked to provide their total household income.
Although income is a sensitive topic, this information is very important for studying the link between income and health.
Although many health care costs in Canada are covered by insurance, income still plays an important role in people's health. People living in households with lower incomes are more likely to have poorer health. People living in households with varying income levels also tend to use the health care system differently.
Total household income (INC) - Question identifier:INC_R01A
Although many health expenses are covered by health insurance, there is still an important relationship between health and income. Please be assured that, like all other information you have provided, these answers will be kept strictly confidential.
Total household income (INC) - Question identifier:INC_R01B
Now a question about total household income.
Total household income (INC) - Question identifier:INC_Q01
What is your best estimate of total household income received by all household members, from all sources, before taxes and deductions, during the year ending December 31, [Past year]?
Min = -99999999; Max = 99999999
Income can come from various sources such as from work, investments, pensions or government. Examples include Employment Insurance, Social Assistance, COVID-19 benefits, Child Tax Benefit and other income such as child support, spousal support (alimony) and rental income.
Capital gains should not be included in the household income.
Total household income (INC) - Question identifier:INC_Q02
Which of the following categories best represents your total household income for the year ending December 31, [Past year]?
Include income loss.
- 1: Less than $50,000
- 2: $50,000 and more
Total household income (INC) - Question identifier:INC_Q03
What was your total household income?
- 1: Less than $5,000
- 2: $5,000 to less than $10,000
- 3: $10,000 to less than $15,000
- 4: $15,000 to less than $20,000
- 5: $20,000 to less than $30,000
- 6: $30,000 to less than $40,000
- 7: $40,000 to less than $50,000
Total household income (INC) - Question identifier:INC_Q04
What was your total household income?
- 1: $50,000 to less than $60,000
- 2: $60,000 to less than $70,000
- 3: $70,000 to less than $80,000
- 4: $80,000 to less than $90,000
- 5: $90,000 to less than $100,000
- 6: $100,000 to less than $150,000
- 7: $150,000 and over
Administrative information (ADMC)
In this module, respondents are informed that their information may be used for data linkage. Respondents are asked to provide their provincial or territorial health number.
Respondents are also asked to give their permission to share their reported data and their tax data with health partners.
Administrative information (ADMC) - Question identifier:ADMC_R10
To enhance the data from this survey and to minimize the reporting burden for respondents, Statistics Canada will combine [your responses] with information from the tax data of all members of your household. [Statistics Canada, the provincial ministry of health and the Institut de la statistique du Québec/Statistics Canada and the territorial ministry of health/Statistics Canada and the provincial ministry of health] may also add information from other surveys or administrative sources.
Administrative information (ADMC) - Question identifier:ADMC_Q10
Having a provincial or territorial health number will assist us in linking to this other information. [Do you] have [a Newfoundland and Labrador/a Prince Edward Island/a Nova Scotia/a New Brunswick/a Quebec/an Ontario/a Manitoba/a Saskatchewan/an Alberta/a British Columbia/a Yukon/a the Northwest Territories/a Nunavut] health number?
- 1: Yes
- 2: No
Administrative information (ADMC) - Question identifier:ADMC_Q10A
For which province or territory is your health number?
Province or territory
- 10: Newfoundland and Labrador
- 11: Prince Edward Island
- 12: Nova Scotia
- 13: New Brunswick
- 24: Quebec
- 35: Ontario
- 46: Manitoba
- 47: Saskatchewan
- 48: Alberta
- 59: British Columbia
- 60: Yukon
- 61: Northwest Territories
- 62: Nunavut
- 88: Does not have a Canadian health number
Administrative information (ADMC) - Question identifier:ADMC_Q15
What is your health number?
Long Answer Length = 12
Administrative information (ADMC) - Question identifier:ADMC_R25A
To avoid duplication of surveys, Statistics Canada has signed agreements to share the data from this survey with provincial and territorial ministries of health, Health Canada and the Public Health Agency of Canada. Provincial ministries of health may make the data available to local health authorities.
Data shared with your ministry of health may also include identifiers such as name, address, telephone number and health card number. Health Canada, the Public Health Agency of Canada, and local health authorities, would receive only survey responses and the postal code.
Administrative information (ADMC) - Question identifier:ADMC_R25B
To avoid duplication of surveys, Statistics Canada has signed agreements to share the data from this survey with provincial and territorial ministries of health, the Institut de la statistique du Québec, Health Canada and the Public Health Agency of Canada. The Institut de la statistique du Québec and provincial ministries of health may make this data available to local health authorities.
Data shared with your ministry of health or the Institut de la statistique du Québec may also include identifiers such as name, address, telephone number and health card number. Health Canada, the Public Health Agency of Canada, and local health authorities, would receive only survey responses and the postal code.
Administrative information (ADMC) - Question identifier:ADMC_R25C
Statistics Canada has also entered into an agreement to share information from the interviews conducted as part of this survey with Veterans Affairs Canada and the Department of National Defence.
Veterans Affairs Canada and the Department of National Defence intend to link the information collected during this interview to your administrative records.
Administrative information (ADMC) - Question identifier:ADMC_Q35
These organizations have agreed to keep the data confidential and use it only for statistical purposes.
Do you agree to share the data [] provided?
- 1: Yes
- 2: No
Administrative information (ADMC) - Question identifier:ADMC_Q37
To reduce the number of questions in this questionnaire, Statistics Canada will use information from your tax forms submitted to the Canada Revenue Agency. With your consent Statistics Canada will share this information from your tax forms with [provincial and territorial ministries of health, the Institut de la statistique du Québec, [Veterans Affairs Canada, the Department of National Defence,/] Health Canada and the Public Health Agency of Canada/provincial and territorial ministries of health, Health Canada and the Public Health Agency of Canada]. These organizations have agreed to keep the information confidential and to use it only for statistical and research purposes.
Do you give Statistics Canada permission to share your tax information with [provincial and territorial ministries of health, the Institut de la statistique du Québec, [Veterans Affairs Canada, the Department of National Defence,/] Health Canada and the Public Health Agency of Canada/provincial and territorial ministries of health, Health Canada and the Public Health Agency of Canada]?
- 1: Yes
- 2: No
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