Canadian Social Survey - Quality of Life, Virtual Health Care and Trust
For Information onlyThis is an electronic survey example for information purposes only. This is not a working questionnaire.
Table of Contents
- Household members and geographic region (DEM)
- Sex and gender (GDR)
- Age (AGE)
- Life satisfaction (LSM)
- Sense of meaning and purpose (MP)
- General health (GEN)
- Long-term conditions (LTC)
- Chronic conditions (CHR)
- Primary health care (PHC)
- In-person health care (IHC)
- Virtual health care (VIR)
- Electronic health information (EHI)
- Trust in different groups of people (TP)
- Satisfaction with personal relationships (SPR)
- Trust in the media (TM)
- Main activity (MAC)
- Financial well-being (EHA)
- Mortgage interest rates (MIR)
- Overland flood mitigation (AW)
- Eviction (EVI)
- Marital status (MS)
- Education (ED)
- Language (LAN)
- Indigenous identity (ABM)
- Sociodemographic characteristics (PG)
- Place of birth, immigration and citizenship (DEM1)
- Sexual orientation (SOR)
- Future surveys (UCE)
Household members and geographic region (DEM)
Household members and geographic region (DEM) - Question identifier:DEM_Q01A
Provide your first and last name.
First name
Long Answer Length = 50
Household members and geographic region (DEM) - Question identifier:DEM_Q01B
Provide your first and last name.
Last name
Long Answer Length = 50
Household members and geographic region (DEM) - Question identifier:DEM_Q05
Including yourself, how many people live in your household?
Number of people
- 01: 1
- 02: 2
- 03: 3
- 04: 4
- 05: 5
- 06: 6
- 07: 7
- 08: 8
- 09: 9
- 10: 10
- 11: 11
- 12: 12
- 13: 13
- 14: 14
- 15: 15
- 16: 16
- 17: 17
- 18: 18
- 19: 19
- 20: 20 or more
Household members and geographic region (DEM) - Question identifier:DEM_Q10
Including yourself, how many of these people are 15 years of age or more?
Number of people
- 00: 0
- 01: 1
- 02: 2
- 03: 3
- 04: 4
- 05: 5
- 06: 6
- 07: 7
- 08: 8
- 09: 9
- 10: 10
- 11: 11
- 12: 12
- 13: 13
- 14: 14
- 15: 15
- 16: 16
- 17: 17
- 18: 18
- 19: 19
- 20: 20 or more
Household members and geographic region (DEM) - Question identifier:DEM_Q15
To determine which geographic region you live in, provide your postal code.
Postal code
Long Answer Length = 7
Sex and gender (GDR)
Sex and gender (GDR) - Question identifier:GDR_R05
The following questions are about sex at birth, gender and age.
Sex and gender (GDR) - Question identifier:GDR_Q05
What was your sex at birth?
- 1: Male
- 2: Female
Sex and gender (GDR) - Question identifier:GDR_Q10
What is your gender?
- 1: Male
- 2: Female
- 3: Or please specify
Sex and gender (GDR) - Question identifier:GDR_R15
Please verify that all of the information is correct.
If all the information is correct, press the Next button.
To make changes, press the Previous button.
Your information
Sex assigned at birth: [Male/Female/Information not provided]
Gender: [Male/Female/Specify your gender/Information not provided]
Age (AGE)
Age (AGE) - Question identifier:AGE_Q01A
What is your date of birth?
Year
Min = 0000; Max = 9999
Age (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
Age (AGE) - Question identifier:AGE_Q01C
What is your date of birth?
Day
- 01: 1
- 02: 2
- 03: 3
- 04: 4
- 05: 5
- 06: 6
- 07: 7
- 08: 8
- 09: 9
- 10: 10
- 11: 11
- 12: 12
- 13: 13
- 14: 14
- 15: 15
- 16: 16
- 17: 17
- 18: 18
- 19: 19
- 20: 20
- 21: 21
- 22: 22
- 23: 23
- 24: 24
- 25: 25
- 26: 26
- 27: 27
- 28: 28
- 29: 29
- 30: 30
- 31: 31
Age (AGE) - Question identifier:AGE_Q02
What is your age?
Age in years
Min = 0; Max = 999
Life satisfaction (LSM)
Life satisfaction (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 about your life as a whole right now?
- 00: 0 Very dissatisfied
- 01: 1
- 02: 2
- 03: 3
- 04: 4
- 05: 5
- 06: 6
- 07: 7
- 08: 8
- 09: 9
- 10: 10 Very satisfied
Sense of meaning and purpose (MP)
Sense of meaning and purpose (MP) - Question identifier:MP_Q01
Using a scale of 0 to 10, where 0 means "Not at all" and 10 means "Completely", to what extent do you feel the things you do in your life are worthwhile?
- 00: 0 Not at all
- 01: 1
- 02: 2
- 03: 3
- 04: 4
- 05: 5
- 06: 6
- 07: 7
- 08: 8
- 09: 9
- 10: 10 Completely
General health (GEN)
General health (GEN) - Question identifier:GEN_R01
The following questions are 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_Q02
In general, how is your mental health?
- 1: Excellent
- 2: Very good
- 3: Good
- 4: Fair
- 5: Poor
Long-term conditions (LTC)
Long-term conditions (LTC) - Question identifier:LTC_R05
The following questions are about any long-term conditions you may have.
Long-term conditions (LTC) - Question identifier:LTC_Q05
Do you have any of the following difficulties?
- 1: Difficulty seeing even when wearing glasses or contact lenses
- 2: Difficulty hearing even when using a hearing aid or cochlear implant
- 3: Difficulty walking, using stairs, using your hands or fingers or doing other physical activities
- 4: Difficulty learning, remembering or concentrating
- 5: Emotional, psychological or mental health conditions (e.g., anxiety, depression, bipolar disorder, substance abuse, anorexia)
- 6: Other health problem or long-term condition that has lasted or is expected to last for six or more months
- 7: I do not have any difficulty or long-term condition that has lasted or is expected to last for six or more months
Long-term conditions (LTC) - Question identifier:LTC_Q10
Do you identify as a person with a disability?
- 1: Yes
- 2: No
Chronic conditions (CHR)
Chronic conditions (CHR) - Question identifier:CHR_Q05
Have you been diagnosed by a health care professional with any of the following long-term health conditions?
- 01: Asthma
- 02: Chronic lung condition (e.g., emphysema, bronchitis, chronic obstructive pulmonary disease (COPD))
- 03: Chronic heart disease
- 04: Diabetes (Exclude gestational diabetes.)
- 05: Chronic kidney disease
- 06: Liver disease (e.g., chronic hepatitis)
- 07: High blood pressure
- 08: Chronic blood disorder (e.g., sickle cell anemia, hemophilia)
- 09: A weakened immune system (e.g., due to disease or medication)
- 10: Chronic neurological disorder (e.g., ALS or Lou Gehrig's disease, multiple sclerosis (MS), Parkinson's disease)
- 11: Effects of a stroke
- 12: Alzheimer's disease or other dementia
- 13: Cancer
- 14: Arthritis (e.g., osteoarthritis, rheumatoid arthritis, gout
Exclude fibromyalgia.) - 15: Eye disease (e.g., glaucoma, cataracts, macular degeneration, retinopathy)
- 16: Urinary incontinence
- 17: Bowel disorder (e.g., Crohn's disease, ulcerative colitis, irritable bowel syndrome, bowel incontinence)
- 18: Mood disorder (e.g., depression, bipolar disorder, mania or dysthymia)
- 19: Anxiety disorder (e.g., phobia, obsessive-compulsive disorder (OCD) or a panic disorder)
- 20: Post-traumatic stress disorder (PTSD)
- 21: Other
- 22: None of the above
Primary health care (PHC)
Primary health care (PHC) - Question identifier:PHC_Q020
Do you have a regular health care provider? By this, we mean one health professional that you regularly see or talk to when you need care or advice for your health.
- 1: Yes
- 2: No
In-person health care (IHC)
In-person health care (IHC) - Question identifier:IHC_Q05
In the past 12 months, have you had any in-person health care appointments?
- 1: Yes
- 2: No
Virtual health care (VIR)
Virtual health care (VIR) - Question identifier:VIR_R05
The following questions are about virtual health care. By virtual health care, we mean any interaction between patients and health professionals, occurring remotely, using any forms of communication or information technologies, with the aim of facilitating or maximizing the quality and effectiveness of patient care.
Virtual health care (VIR) - Question identifier:VIR_Q05
In the past 12 months, have you sought or been offered a virtual health care appointment?
- 1: Yes
- 2: No
Virtual health care (VIR) - Question identifier:VIR_Q10
In the past 12 months, have you declined a virtual health care appointment with a health professional?
- 1: Yes
- 2: No
Virtual health care (VIR) - Question identifier:VIR_Q15
Thinking of the last time you declined a virtual health care appointment with a health professional, what were the reasons?
- 01: Instructions were unclear
- 02: Concerns about privacy and security
- 03: More comfortable with in-person appointments
- 04: Felt that health issue required an in-person appointment
- 05: Not comfortable with technology
- 06: Connectivity issues
- 07: No access to required tools (e.g., Internet, computer, phone)
- 08: Other
Virtual health care (VIR) - Question identifier:VIR_Q20
In the past 12 months, have you had any virtual health care appointments?
- 1: Yes
- 2: No
Virtual health care (VIR) - Question identifier:VIR_Q25
In the past 12 months, with which health professionals have you had virtual health care appointments?
- 1: Family doctor, general practitioner or nurse practitioner (Nurse practitioners are registered nurses with additional training. They can order tests, prescribe medications, and refer to specialists. They can also diagnose and help prevent and manage new illness and chronic disease.)
- 2: Medical specialist (e.g., oncologist, psychiatrist, cardiologist)
- 3: Other health professional (e.g., physiotherapist, psychologist, dietitian or pharmacist)
- 4: None of the above
Virtual health care (VIR) - Question identifier:VIR_Q30A
What type of virtual health care appointments did you have?
- 1: Over the telephone (voice only)
- 2: Using video on a phone, tablet or computer
- 3: Written correspondence (e.g., email, text, instant messaging)
- 4: Other
Virtual health care (VIR) - Question identifier:VIR_Q30B
What type of virtual health care appointments did you have?
- 1: Over the telephone (voice only)
- 2: Using video on a phone, tablet or computer
- 3: Written correspondence (e.g., email, text, instant messaging)
- 4: Other
Virtual health care (VIR) - Question identifier:VIR_Q30C
What type of virtual health care appointments did you have?
- 1: Over the telephone (voice only)
- 2: Using video on a phone, tablet or computer
- 3: Written correspondence (e.g., email, text, instant messaging)
- 4: Other
Virtual health care (VIR) - Question identifier:VIR_Q35
Did you have to pay for any of your virtual health care appointments?
- 1: Yes
- 2: No
Virtual health care (VIR) - Question identifier:VIR_Q40
Thinking of your last virtual health care appointment, what was its main purpose?
- 1: A regular check-up or routine appointment
- 2: Medication or prescription refill
- 3: Treatment of a chronic physical or mental health condition diagnosed by a health professional (A chronic condition usually develops slowly and has lasted or is expected to last six months or more.)
- 4: Treatment of an acute physical or mental condition or an infectious disease (An acute condition usually develops suddenly and is short-term. e.g., flu, stomach flu, acute stress reaction)
- 5: Other
Virtual health care (VIR) - Question identifier:VIR_Q50
Again, thinking of the last virtual health care appointment you had, in general, how satisfied were you with the care you received?
- 1: Very satisfied
- 2: Satisfied
- 3: Neither satisfied nor dissatisfied
- 4: Dissatisfied
- 5: Very dissatisfied
Virtual health care (VIR) - Question identifier:VIR_Q55
What were the positive aspects of your last virtual health care appointment?
- 01: Services addressed perceived needs
- 02: Appointment was on time
- 03: No need to travel to appointment
- 04: Saved time
- 05: Saved money
- 06: Instructions on how to access the appointment were clear
- 07: Appointment was in the language of your choice
- 08: Other
- 09: None of the above
Virtual health care (VIR) - Question identifier:VIR_Q60
What were the negative aspects of your last virtual health care appointment?
- 01: Services did not address perceived needs
- 02: Delay in start time of appointment
- 03: Concerns about privacy and security
- 04: Health issue required an in-person follow-up appointment
- 05: Instructions provided were unclear
- 06: Problems with equipment or connectivity issues
- 07: Not comfortable with technology
- 08: Had to pay for the appointment
- 09: Appointment was not in the language of your choice
- 10: Other
- 11: None of the above
Electronic health information (EHI)
Electronic health information (EHI) - Question identifier:EHI_R05
The following questions are about electronic access to your health information.
This information may be provided by hospitals, doctors, laboratories, pharmacies, or other health professionals. It may include the following information: after appointment summaries, upcoming appointments, test results, vaccine or immunization records, progress notes, discharge summaries, and medical imaging reports.
Electronic health information (EHI) - Question identifier:EHI_Q05
In the past 12 months, which of the following electronic health information have you accessed?
- 01: Lab test results
- 02: Vaccine or immunization records
- 03: Current medications and medication history (Include requests for prescription renewals.)
- 04: Patient visit summaries
- 05: Specialist consultation notes or records
- 06: Upcoming appointments
- 07: Forms and questionnaires
- 08: Progress notes
- 09: Discharge summaries
- 10: Medical imaging reports
- 11: Other electronic health information
- 12: None of the above
Electronic health information (EHI) - Question identifier:EHI_Q10
Which of the following electronic health information did you need to pay to access?
- 01: Lab test results
- 02: Vaccine or immunization records
- 03: Current medications and medication history (Include requests for prescription renewals.)
- 04: Patient visit summaries
- 05: Specialist consultation notes or records
- 06: Upcoming appointments
- 07: Forms and questionnaires
- 08: Progress notes
- 09: Discharge summaries
- 10: Medical imaging reports
- 11: Other electronic health information
- 12: None of the above
Electronic health information (EHI) - Question identifier:EHI_Q15
Which health professionals or resources provide electronic health information that you currently access?
- 01: Family doctor, general practitioner or nurse practitioner (Nurse practitioners are registered nurses with additional training. They can order tests, prescribe medications, and refer to specialists. They can also diagnose and help prevent and manage new illness and chronic disease.)
- 02: Medical specialist (e.g., oncologist, psychiatrist, cardiologist)
- 03: Other health professional
- 04: Hospital
- 05: Medical clinic
- 06: Laboratory
- 07: Diagnostic imaging centre
- 08: Other
- 99: DK
Electronic health information (EHI) - Question identifier:EHI_Q20
You indicated that you access the following electronic health information. What are the two types of electronic health information that you access the most often?
- 01: Lab test results
- 02: Vaccine or immunization records
- 03: Current medications and medication history (Include requests for prescription renewals.)
- 04: Patient visit summaries
- 05: Specialist consultation notes or records
- 06: Upcoming appointments
- 07: Forms and questionnaires
- 08: Progress notes
- 09: Discharge summaries
- 10: Medical imaging reports
- 11: Other electronic health information
Electronic health information (EHI) - Question identifier:EHI_Q25A
You said you accessed the following health care information.
How easy would you say it is to navigate this information?
Lab test results
- 1: Very easy
- 2: Somewhat easy
- 3: Neither easy nor difficult
- 4: Somewhat difficult
- 5: Very difficult
Electronic health information (EHI) - Question identifier:EHI_Q25B
You said you accessed the following health care information.
How easy would you say it is to navigate this information?
Vaccine or immunization records
- 1: Very easy
- 2: Somewhat easy
- 3: Neither easy nor difficult
- 4: Somewhat difficult
- 5: Very difficult
Electronic health information (EHI) - Question identifier:EHI_Q25C
You said you accessed the following health care information.
How easy would you say it is to navigate this information?
Current medications and medication history
- 1: Very easy
- 2: Somewhat easy
- 3: Neither easy nor difficult
- 4: Somewhat difficult
- 5: Very difficult
Electronic health information (EHI) - Question identifier:EHI_Q25D
You said you accessed the following health care information.
How easy would you say it is to navigate this information?
Patient visit summaries
- 1: Very easy
- 2: Somewhat easy
- 3: Neither easy nor difficult
- 4: Somewhat difficult
- 5: Very difficult
Electronic health information (EHI) - Question identifier:EHI_Q25E
You said you accessed the following health care information.
How easy would you say it is to navigate this information?
Specialist consultation notes or records
- 1: Very easy
- 2: Somewhat easy
- 3: Neither easy nor difficult
- 4: Somewhat difficult
- 5: Very difficult
Electronic health information (EHI) - Question identifier:EHI_Q25F
You said you accessed the following health care information.
How easy would you say it is to navigate this information?
Upcoming appointments
- 1: Very easy
- 2: Somewhat easy
- 3: Neither easy nor difficult
- 4: Somewhat difficult
- 5: Very difficult
Electronic health information (EHI) - Question identifier:EHI_Q25G
You said you accessed the following health care information.
How easy would you say it is to navigate this information?
Forms and questionnaires
- 1: Very easy
- 2: Somewhat easy
- 3: Neither easy nor difficult
- 4: Somewhat difficult
- 5: Very difficult
Electronic health information (EHI) - Question identifier:EHI_Q25H
You said you accessed the following health care information.
How easy would you say it is to navigate this information?
Progress notes
- 1: Very easy
- 2: Somewhat easy
- 3: Neither easy nor difficult
- 4: Somewhat difficult
- 5: Very difficult
Electronic health information (EHI) - Question identifier:EHI_Q25I
You said you accessed the following health care information.
How easy would you say it is to navigate this information?
Discharge summaries
- 1: Very easy
- 2: Somewhat easy
- 3: Neither easy nor difficult
- 4: Somewhat difficult
- 5: Very difficult
Electronic health information (EHI) - Question identifier:EHI_Q25J
You said you accessed the following health care information.
How easy would you say it is to navigate this information?
Medical imaging reports
- 1: Very easy
- 2: Somewhat easy
- 3: Neither easy nor difficult
- 4: Somewhat difficult
- 5: Very difficult
Electronic health information (EHI) - Question identifier:EHI_Q25K
You said you accessed the following health care information.
How easy would you say it is to navigate this information?
Other electronic health information
- 1: Very easy
- 2: Somewhat easy
- 3: Neither easy nor difficult
- 4: Somewhat difficult
- 5: Very difficult
Electronic health information (EHI) - Question identifier:EHI_Q30A
You said you accessed the following electronic health information.
How satisfied are you with the type of information included?
Lab test results
- 1: Very satisfied
- 2: Satisfied
- 3: Neither satisfied nor dissatisfied
- 4: Dissatisfied
- 5: Very dissatisfied
Electronic health information (EHI) - Question identifier:EHI_Q30B
You said you accessed the following electronic health information.
How satisfied are you with the type of information included?
Vaccine or immunization records
- 1: Very satisfied
- 2: Satisfied
- 3: Neither satisfied nor dissatisfied
- 4: Dissatisfied
- 5: Very dissatisfied
Electronic health information (EHI) - Question identifier:EHI_Q30C
You said you accessed the following electronic health information.
How satisfied are you with the type of information included?
Current medications and medication history
- 1: Very satisfied
- 2: Satisfied
- 3: Neither satisfied nor dissatisfied
- 4: Dissatisfied
- 5: Very dissatisfied
Electronic health information (EHI) - Question identifier:EHI_Q30D
You said you accessed the following electronic health information.
How satisfied are you with the type of information included?
Patient visit summaries
- 1: Very satisfied
- 2: Satisfied
- 3: Neither satisfied nor dissatisfied
- 4: Dissatisfied
- 5: Very dissatisfied
Electronic health information (EHI) - Question identifier:EHI_Q30E
You said you accessed the following electronic health information.
How satisfied are you with the type of information included?
Specialist consultation notes or records
- 1: Very satisfied
- 2: Satisfied
- 3: Neither satisfied nor dissatisfied
- 4: Dissatisfied
- 5: Very dissatisfied
Electronic health information (EHI) - Question identifier:EHI_Q30F
You said you accessed the following electronic health information.
How satisfied are you with the type of information included?
Upcoming appointments
- 1: Very satisfied
- 2: Satisfied
- 3: Neither satisfied nor dissatisfied
- 4: Dissatisfied
- 5: Very dissatisfied
Electronic health information (EHI) - Question identifier:EHI_Q30G
You said you accessed the following electronic health information.
How satisfied are you with the type of information included?
Forms and questionnaires
- 1: Very satisfied
- 2: Satisfied
- 3: Neither satisfied nor dissatisfied
- 4: Dissatisfied
- 5: Very dissatisfied
Electronic health information (EHI) - Question identifier:EHI_Q30H
You said you accessed the following electronic health information.
How satisfied are you with the type of information included?
Progress notes
- 1: Very satisfied
- 2: Satisfied
- 3: Neither satisfied nor dissatisfied
- 4: Dissatisfied
- 5: Very dissatisfied
Electronic health information (EHI) - Question identifier:EHI_Q30I
You said you accessed the following electronic health information.
How satisfied are you with the type of information included?
Discharge summaries
- 1: Very satisfied
- 2: Satisfied
- 3: Neither satisfied nor dissatisfied
- 4: Dissatisfied
- 5: Very dissatisfied
Electronic health information (EHI) - Question identifier:EHI_Q30J
You said you accessed the following electronic health information.
How satisfied are you with the type of information included?
Medical imaging reports
- 1: Very satisfied
- 2: Satisfied
- 3: Neither satisfied nor dissatisfied
- 4: Dissatisfied
- 5: Very dissatisfied
Electronic health information (EHI) - Question identifier:EHI_Q30K
You said you accessed the following electronic health information.
How satisfied are you with the type of information included?
Other electronic health information
- 1: Very satisfied
- 2: Satisfied
- 3: Neither satisfied nor dissatisfied
- 4: Dissatisfied
- 5: Very dissatisfied
Electronic health information (EHI) - Question identifier:EHI_Q35A
You said you accessed the following electronic health information.
How easy is it for you to understand the information included?
Lab test results
- 1: Very easy
- 2: Somewhat easy
- 3: Neither easy nor difficult
- 4: Somewhat difficult
- 5: Very difficult
Electronic health information (EHI) - Question identifier:EHI_Q35B
You said you accessed the following electronic health information.
How easy is it for you to understand the information included?
Vaccine or immunization records
- 1: Very easy
- 2: Somewhat easy
- 3: Neither easy nor difficult
- 4: Somewhat difficult
- 5: Very difficult
Electronic health information (EHI) - Question identifier:EHI_Q35C
You said you accessed the following electronic health information.
How easy is it for you to understand the information included?
Current medications and medication history
- 1: Very easy
- 2: Somewhat easy
- 3: Neither easy nor difficult
- 4: Somewhat difficult
- 5: Very difficult
Electronic health information (EHI) - Question identifier:EHI_Q35D
You said you accessed the following electronic health information.
How easy is it for you to understand the information included?
Patient visit summaries
- 1: Very easy
- 2: Somewhat easy
- 3: Neither easy nor difficult
- 4: Somewhat difficult
- 5: Very difficult
Electronic health information (EHI) - Question identifier:EHI_Q35E
You said you accessed the following electronic health information.
How easy is it for you to understand the information included?
Specialist consultation notes or records
- 1: Very easy
- 2: Somewhat easy
- 3: Neither easy nor difficult
- 4: Somewhat difficult
- 5: Very difficult
Electronic health information (EHI) - Question identifier:EHI_Q35F
You said you accessed the following electronic health information.
How easy is it for you to understand the information included?
Upcoming appointments
- 1: Very easy
- 2: Somewhat easy
- 3: Neither easy nor difficult
- 4: Somewhat difficult
- 5: Very difficult
Electronic health information (EHI) - Question identifier:EHI_Q35G
You said you accessed the following electronic health information.
How easy is it for you to understand the information included?
Forms and questionnaires
- 1: Very easy
- 2: Somewhat easy
- 3: Neither easy nor difficult
- 4: Somewhat difficult
- 5: Very difficult
Electronic health information (EHI) - Question identifier:EHI_Q35H
You said you accessed the following electronic health information.
How easy is it for you to understand the information included?
Progress notes
- 1: Very easy
- 2: Somewhat easy
- 3: Neither easy nor difficult
- 4: Somewhat difficult
- 5: Very difficult
Electronic health information (EHI) - Question identifier:EHI_Q35I
You said you accessed the following electronic health information.
How easy is it for you to understand the information included?
Discharge summaries
- 1: Very easy
- 2: Somewhat easy
- 3: Neither easy nor difficult
- 4: Somewhat difficult
- 5: Very difficult
Electronic health information (EHI) - Question identifier:EHI_Q35J
You said you accessed the following electronic health information.
How easy is it for you to understand the information included?
Medical imaging reports
- 1: Very easy
- 2: Somewhat easy
- 3: Neither easy nor difficult
- 4: Somewhat difficult
- 5: Very difficult
Electronic health information (EHI) - Question identifier:EHI_Q35K
You said you accessed the following electronic health information.
How easy is it for you to understand the information included?
Other electronic health information
- 1: Very easy
- 2: Somewhat easy
- 3: Neither easy nor difficult
- 4: Somewhat difficult
- 5: Very difficult
Electronic health information (EHI) - Question identifier:EHI_Q55
What are the reasons you are not accessing any of your electronic health information?
- 01: Family member, caregiver or friend accesses it on your behalf
- 02: Health care professional does not provide electronic health information
- 03: Instructions were unclear
- 04: Concerns about privacy and security
- 05: Not comfortable with technology
- 06: Connectivity issues
- 07: Forgot password
- 08: No access to required technology (e.g., Internet, computer, phone)
- 09: Cost
- 10: Unaware of existence of electronic health information
- 11: Not interested in accessing your electronic health information
- 12: Other
Trust in different groups of people (TP)
Trust in different groups of people (TP) - Question identifier:TP_R05
The following questions ask about your level of trust in different groups of people.
Trust in different groups of people (TP) - Question identifier:TP_Q05
Using a scale of 0 to 10, where 0 means "Cannot be trusted at all" and 10 means "Can be trusted completely", what is your level of trust in the people in your family?
- 00: 0 Cannot be trusted at all
- 01: 1
- 02: 2
- 03: 3
- 04: 4
- 05: 5
- 06: 6
- 07: 7
- 08: 8
- 09: 9
- 10: 10 Can be trusted completely
Trust in different groups of people (TP) - Question identifier:TP_Q10
Using a scale of 0 to 10, where 0 means "Cannot be trusted at all" and 10 means "Can be trusted completely", what is your level of trust in your friends?
- 00: 0 Cannot be trusted at all
- 01: 1
- 02: 2
- 03: 3
- 04: 4
- 05: 5
- 06: 6
- 07: 7
- 08: 8
- 09: 9
- 10: 10 Can be trusted completely
Trust in different groups of people (TP) - Question identifier:TP_Q15
Using a scale of 0 to 10, where 0 means "Cannot be trusted at all" and 10 means "Can be trusted completely", what is your level of trust in the people in your neighbourhood?
- 00: 0 Cannot be trusted at all
- 01: 1
- 02: 2
- 03: 3
- 04: 4
- 05: 5
- 06: 6
- 07: 7
- 08: 8
- 09: 9
- 10: 10 Can be trusted completely
Trust in different groups of people (TP) - Question identifier:TP_Q20
Using a scale of 0 to 10, where 0 means "Cannot be trusted at all" and 10 means "Can be trusted completely", what is your level of trust in strangers?
- 00: 0 Cannot be trusted at all
- 01: 1
- 02: 2
- 03: 3
- 04: 4
- 05: 5
- 06: 6
- 07: 7
- 08: 8
- 09: 9
- 10: 10 Can be trusted completely
Satisfaction with personal relationships (SPR)
Satisfaction with personal relationships (SPR) - Question identifier:SPR_R05
The following questions ask about your level of satisfaction with your personal relationships.
Satisfaction with personal relationships (SPR) - Question identifier:SPR_Q05
On a scale from 0 to 10, where 0 means "Not at all satisfied" and 10 means "Completely satisfied", how satisfied are you with your personal relationships with the people in your family?
- 00: 0 Not at all satisfied
- 01: 1
- 02: 2
- 03: 3
- 04: 4
- 05: 5
- 06: 6
- 07: 7
- 08: 8
- 09: 9
- 10: 10 Completely satisfied
Satisfaction with personal relationships (SPR) - Question identifier:SPR_Q10
On a scale from 0 to 10, where 0 means "Not at all satisfied" and 10 means "Completely satisfied", how satisfied are you with your personal relationships with your friends?
- 00: 0 Not at all satisfied
- 01: 1
- 02: 2
- 03: 3
- 04: 4
- 05: 5
- 06: 6
- 07: 7
- 08: 8
- 09: 9
- 10: 10 Completely satisfied
Trust in the media (TM)
Trust in the media (TM) - Question identifier:TM_R05
The following questions are about trust in media. The media are communication outlets that deliver news and information through the Internet, social media, television, radio and in print.
Trust in the media (TM) - Question identifier:TM_Q05
On a scale of 0 to 10, where 0 means "Not at all" and 10 means "Completely", to what extent do you generally trust the news or information you receive from the media?
- 00: 0 Not at all
- 01: 1
- 02: 2
- 03: 3
- 04: 4
- 05: 5
- 06: 6
- 07: 7
- 08: 8
- 09: 9
- 10: 10 Completely
Trust in the media (TM) - Question identifier:TM_Q10
From which source do you get most of your news or information?
- 1: Internet, other than social media (Include web pages, podcasts, blogs.)
- 2: Social media (Include websites, forums and applications where users create and share content or participate in social networking.
e.g., Facebook, Instagram, Twitter, LinkedIn, TikTok) - 3: Television
- 4: Radio
- 5: Print media (Include newspapers, magazines.)
- 6: Other
Trust in the media (TM) - Question identifier:TM_R15
Please rate your level of trust in these sources, whether you use them or not.
Trust in the media (TM) - Question identifier:TM_Q15
On a scale of 0 to 10, where 0 means "Not at all" and 10 means "Completely", to what extent do you generally trust the news or information you receive from the Internet, other than social media?
- 00: 0 Not at all
- 01: 1
- 02: 2
- 03: 3
- 04: 4
- 05: 5
- 06: 6
- 07: 7
- 08: 8
- 09: 9
- 10: 10 Completely
Trust in the media (TM) - Question identifier:TM_Q20
On a scale of 0 to 10, where 0 means "Not at all" and 10 means "Completely", to what extent do you generally trust the news or information you receive from social media?
- 00: 0 Not at all
- 01: 1
- 02: 2
- 03: 3
- 04: 4
- 05: 5
- 06: 6
- 07: 7
- 08: 8
- 09: 9
- 10: 10 Completely
Trust in the media (TM) - Question identifier:TM_Q25
On a scale of 0 to 10, where 0 means "Not at all" and 10 means "Completely", to what extent do you generally trust the news or information you receive from television?
- 00: 0 Not at all
- 01: 1
- 02: 2
- 03: 3
- 04: 4
- 05: 5
- 06: 6
- 07: 7
- 08: 8
- 09: 9
- 10: 10 Completely
Trust in the media (TM) - Question identifier:TM_Q30
On a scale of 0 to 10, where 0 means "Not at all" and 10 means "Completely", to what extent do you generally trust the news or information you receive from radio?
- 00: 0 Not at all
- 01: 1
- 02: 2
- 03: 3
- 04: 4
- 05: 5
- 06: 6
- 07: 7
- 08: 8
- 09: 9
- 10: 10 Completely
Trust in the media (TM) - Question identifier:TM_Q35
On a scale of 0 to 10, where 0 means "Not at all" and 10 means "Completely", to what extent do you generally trust the news or information you receive from print media?
- 00: 0 Not at all
- 01: 1
- 02: 2
- 03: 3
- 04: 4
- 05: 5
- 06: 6
- 07: 7
- 08: 8
- 09: 9
- 10: 10 Completely
Main activity (MAC)
Main activity (MAC) - Question identifier:MAC_Q05
Last week, was your main activity working at a paid job or business, looking for paid work, going to school, caring for children, household work, retired or something else?
- 01: Working at a paid job or business
- 02: Vacation from paid work
- 03: Looking for paid work
- 04: Going to school, including vacation from school
- 05: Caring for children
- 06: Household work
- 07: Retired
- 08: Maternity, paternity or parental leave
- 09: Long term illness
- 10: Volunteering
- 11: Care-giving other than for children
- 12: Other
Financial well-being (EHA)
Financial well-being (EHA) - Question identifier:EHA_Q10
In the past 12 months, how difficult or easy was it for your household to meet its financial needs in terms of transportation, housing, food, clothing and other necessary expenses?
- 1: Very difficult
- 2: Difficult
- 3: Neither difficult nor easy
- 4: Easy
- 5: Very easy
Mortgage interest rates (MIR)
Mortgage interest rates (MIR) - Question identifier:MIR_R05
Interest rates on mortgages began rising in late 2021. These increases can impact the financial situation of mortgage owners.
Mortgage interest rates (MIR) - Question identifier:MIR_Q05
Please choose the option that best describes the impact of rising mortgage interest rates on your financial situation.
- 1: No impact (e.g., I don't expect my mortgage to rise, a rise in mortgage payment will have no impact on my financial well-being)
- 2: Minor impact (e.g., I will have to curtail some discretionary spending such as vacations, social activities)
- 3: Moderate impact (e.g., I will have to make significant changes to discretionary spending)
- 4: Major impact (e.g., I will definitely have to make changes to my spending on daily essentials such as food and transportation)
- 5: Severe impact (e.g., I can't afford this house and I will have to move)
- 6: Not applicable (e.g., renter, living with family or friends, I own this house with no mortgage)
- 9: DK
Overland flood mitigation (AW)
Overland flood mitigation (AW) - Question identifier:AW_R05
Overland flooding occurs when water rises and covers dry land (e.g., river overflowing its banks, a storm surge from a hurricane, runoff from snowmelt). There are actions one can take to protect or prevent this flooding from affecting one's property - including, but not limited to, installing backwater valves, changing property grading to direct water away from the foundation, and installing back-up sump pumps. The cost of these actions can be reduced through government programs that offer subsidies or grants.
Overland flood mitigation (AW) - Question identifier:AW_Q05
How would you rate your level of awareness of the actions you need to take to protect or prevent flooding on your property, the government programs offering grants or subsidies, and the costs associated with this type of work?
- 1: Unaware
- 2: Somewhat aware
- 3: Fully aware
- 4: Not applicable (e.g., I am a homeowner and my property is subject to flooding but actions are being taken at the community level; I am a homeowner but I am not responsible for outside property maintenance and upkeep; I am a renter and this is the responsibility of the...)
Eviction (EVI)
Eviction (EVI) - Question identifier:EVI_Q05
In the past 12 months, have you been evicted from your rental unit by your landlord?
- 1: Yes
- 2: No, and I have been renting in the past 12 months
- 3: Does not apply, as I was not renting in the past 12 months
Eviction (EVI) - Question identifier:EVI_Q10
What is the main reason you were evicted?
- 01: Difficulties paying rent (i.e., rent not paid or often late)
- 02: Conflict with landlord
- 03: Conflict with neighbour
- 04: Overcrowding (i.e., too many people were living in the unit)
- 05: Landlord wanted unit for own use
- 06: Sale of property by landlord
- 07: Demolition (i.e., planned to tear down the building)
- 08: Conversion (i.e., unit is no longer being used for rental purposes)
- 09: Major repairs or renovation (i.e., the unit had to be vacated so that repairs or renovations could be undertaken)
- 10: Damage to rental unit, building or another part of the property
- 11: Illegal activity in rental unit, building or property
- 12: Actions that affected the safety of self or others
- 13: Actions that interfered with the enjoyment of rights of others
- 14: Other reason
Eviction (EVI) - Question identifier:EVI_R15
Where were you living when you were evicted?
Eviction (EVI) - Question identifier:EVI_Q15A
City, town, municipality
Long Answer Length = 80
Eviction (EVI) - Question identifier:EVI_Q15B
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
Marital status (MS)
Marital status (MS) - Question identifier:MS_Q01
What is your marital status?
- 1: Married (For Quebec residents only, select the "Married" category if your marital status is "civil union".)
- 2: Living common law (Two people who live together as a couple but who are not legally married to each other.)
- 3: Never married and not living common law
- 4: Separated and not living common law
- 5: Divorced and not living common law
- 6: Widowed and not living common law
Education (ED)
Education (ED) - Question identifier:ED_Q05
What is the highest certificate, diploma or degree that you have completed?
- 1: Less than high school diploma or its equivalent
- 2: High school diploma or a high school equivalency certificate
- 3: Trades certificate or diploma
- 4: College, CEGEP or other non-university certificate or diploma (other than trades certificates or diplomas)
- 5: University certificate or diploma below the bachelor's level
- 6: Bachelor's degree (e.g., B.A., B.A. (Hons), B.Sc., B.Ed., LL.B.)
- 7: University certificate, diploma or degree above the bachelor's level
Language (LAN)
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 currently speak most often at home?
- 1: English
- 2: French
- 3: Other
Indigenous identity (ABM)
Indigenous identity (ABM) - Question identifier:ABM_Q01
Are you First Nations, Métis or Inuk (Inuit)?
- 1: No, not First Nations, Métis, or Inuk (Inuit)
- 2: Yes, First Nations (North American Indian)
- 3: Yes, Métis
- 4: Yes, Inuk (Inuit)
Sociodemographic characteristics (PG)
Sociodemographic characteristics (PG) - Question identifier:PG_Q05
The following question collects information in accordance with the Employment Equity Act and its Regulations and Guidelines to support programs that promote equal opportunity for everyone to share in the social, cultural, and economic life of Canada.
- 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
Place of birth, immigration and citizenship (DEM1)
Place of birth, immigration and citizenship (DEM1) - Question identifier:DEM1_Q05A
Where were you born?
- 1: Born in Canada
- 2: Born outside Canada
Place of birth, immigration and citizenship (DEM1) - Question identifier:DEM1_Q05B
Are you a Canadian citizen?
- 1: Yes, a Canadian citizen by birth
- 2: Yes, a Canadian citizen by naturalization (Canadian citizen by naturalization refers to an immigrant who was granted citizenship of Canada under the Citizenship Act.)
- 3: No, not a Canadian citizen
Place of birth, immigration and citizenship (DEM1) - Question identifier:DEM1_Q05C
Are you a landed immigrant or permanent resident?
- 1: No
- 2: Yes
Place of birth, immigration and citizenship (DEM1) - Question identifier:DEM1_Q10
In what year did you first become a landed immigrant or a permanent resident?
If exact year is not known, enter best estimate.
Year of immigration
Min = 0; Max = 9999
Sexual orientation (SOR)
Sexual orientation (SOR) - Question identifier:SOR_Q01
What is your sexual orientation?
- 1: Heterosexual
- 2: Lesbian or gay
- 3: Bisexual
- 4: Or please specify
Future surveys (UCE)
Future surveys (UCE) - Question identifier:UCE_R05
Statistics Canada is planning a series of short surveys about important social topics. These surveys will be sent out in the near future and will ask about a wide variety of issues that affect Canadian society. By participating in this survey series, you will be able to share your opinions and thoughts on these issues and compare your ideas with those of other Canadians.
Future surveys (UCE) - Question identifier:UCE_Q05
Would you like to sign-up for future surveys?
- 1: Yes
- 2: No (Note: Your household will remain eligible for other Statistics Canada surveys.)
Future surveys (UCE) - Question identifier:UCE_R10
Statistics Canada is planning a series of short surveys about important social topics. These surveys will be sent out in the near future and will ask about a wide variety of issues that affect Canadian society. By participating in this survey series, you will be able to share your opinions and thoughts on these issues and compare your ideas with those of other Canadians.
Please note that participation is voluntary and you can choose not to participate even after we have contacted you. However, your participation is important so that the information collected is as accurate and complete as possible.
Future surveys (UCE) - Question identifier:UCE_R10A
Please provide the following information so we can email or text you to participate in this survey series.
Future surveys (UCE) - Question identifier:UCE_Q10A
Email address
Long Answer Length = 80
Future surveys (UCE) - Question identifier:UCE_Q10B
Cellular number
Long Answer Length = 10
Future surveys (UCE) - Question identifier:UCE_R15
Thank you for signing up. We may contact you soon.
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