Canadian Community Health Survey (CCHS) - Rapid Response - Sleep quality and Positive mental health

Canadian Community Health Survey (CCHS) - Rapid Response - Sleep quality and Positive mental health
Other versions of the questionnaire
Related Survey(s)

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

Hide all instructions

Table of Contents

Sleep quality (SLE)

In this module, respondents are asked a number of questions related to sleep, including number of hours usually spent sleeping on weekdays or weekends, quality of sleep, etc.

These questions will be used to examine the links between sleep and other factors, such as poor health and stress.

Sleep quality (SLE) - Question identifier:SLE_R01

The next questions are about your sleep.

Sleep quality (SLE) - Question identifier:SLE_R01B

First, we want to know details about your sleep in the past 7 days.

Sleep quality (SLE) - Question identifier:SLE_Q01A

On weekdays, at what time did you usually fall asleep?
Hour

  • 01: 1
  • 02: 2
  • 03: 3
  • 04: 4
  • 05: 5
  • 06: 6
  • 07: 7
  • 08: 8
  • 09: 9
  • 10: 10
  • 11: 11
  • 12: 12

Sleep quality (SLE) - Question identifier:SLE_Q01B

On weekdays, at what time did you usually fall asleep?
Minutes

  • 00: 0
  • 05: 5
  • 10: 10
  • 15: 15
  • 20: 20
  • 25: 25
  • 30: 30
  • 35: 35
  • 40: 40
  • 45: 45
  • 50: 50
  • 55: 55

Sleep quality (SLE) - Question identifier:SLE_Q01C

On weekdays, at what time did you usually fall asleep?
a.m. or p.m.

  • 1: a.m
  • 2: p.m

Sleep quality (SLE) - Question identifier:SLE_Q02A

On weekdays, at what time did you usually wake up?
Hour

  • 01: 1
  • 02: 2
  • 03: 3
  • 04: 4
  • 05: 5
  • 06: 6
  • 07: 7
  • 08: 8
  • 09: 9
  • 10: 10
  • 11: 11
  • 12: 12

Sleep quality (SLE) - Question identifier:SLE_Q02B

On weekdays, at what time did you usually wake up?
Minutes

  • 00: 0
  • 05: 5
  • 10: 10
  • 15: 15
  • 20: 20
  • 25: 25
  • 30: 30
  • 35: 35
  • 40: 40
  • 45: 45
  • 50: 50
  • 55: 55

Sleep quality (SLE) - Question identifier:SLE_Q02C

On weekdays, at what time did you usually wake up?
a.m. or p.m.

  • 1: a.m
  • 2: p.m

Sleep quality (SLE) - Question identifier:SLE_Q03A

On weekend days, at what time did you usually fall asleep?
Hour

  • 01: 1
  • 02: 2
  • 03: 3
  • 04: 4
  • 05: 5
  • 06: 6
  • 07: 7
  • 08: 8
  • 09: 9
  • 10: 10
  • 11: 11
  • 12: 12

Sleep quality (SLE) - Question identifier:SLE_Q03B

On weekend days, at what time did you usually fall asleep?
Minutes

  • 00: 0
  • 05: 5
  • 10: 10
  • 15: 15
  • 20: 20
  • 25: 25
  • 30: 30
  • 35: 35
  • 40: 40
  • 45: 45
  • 50: 50
  • 55: 55

Sleep quality (SLE) - Question identifier:SLE_Q03C

On weekend days, at what time did you usually fall asleep?
a.m. or p.m.

  • 1: a.m
  • 2: p.m

Sleep quality (SLE) - Question identifier:SLE_Q04A

On weekend days, at what time did you usually wake up?
Hour

  • 01: 1
  • 02: 2
  • 03: 3
  • 04: 4
  • 05: 5
  • 06: 6
  • 07: 7
  • 08: 8
  • 09: 9
  • 10: 10
  • 11: 11
  • 12: 12

Sleep quality (SLE) - Question identifier:SLE_Q04B

On weekend days, at what time did you usually wake up?
Minutes

  • 00: 0
  • 05: 5
  • 10: 10
  • 15: 15
  • 20: 20
  • 25: 25
  • 30: 30
  • 35: 35
  • 40: 40
  • 45: 45
  • 50: 50
  • 55: 55

Sleep quality (SLE) - Question identifier:SLE_Q04C

On weekend days, at what time did you usually wake up?
a.m. or p.m.

  • 1: a.m
  • 2: p.m

Sleep quality (SLE) - Question identifier:SLE_Q15

Overall, how would you rate your sleep quality over the past 7 days?

  • 1: Excellent
  • 2: Good
  • 3: Fair
  • 4: Poor

Sleep quality (SLE) - Question identifier:SLE_Q45

In the past 7 days, on how many days did you wake up 3 or more times during your sleep?

Number of days

  • 0: 0
  • 1: 1
  • 2: 2
  • 3: 3
  • 4: 4
  • 5: 5
  • 6: 6
  • 7: 7

Positive mental health (PMS)

Answers to this module are used to determine the positive mental health of the respondent. Higher levels of positive mental health are widely thought to be associated with better overall health.

The questions in this module will determine the past two weeks frequency during which respondents report having positive feelings about themselves, their lives and their experiences.

Positive mental health (PMS) - Question identifier:PMS_Q05

The following questions are about how you have been feeling during the past 2 weeks.

I've been feeling optimistic about the future.

  • 1: None of the time
  • 2: Rarely
  • 3: Some of the time
  • 4: Often
  • 5: All of the time

Positive mental health (PMS) - Question identifier:PMS_Q10

The following questions are about how you have been feeling during the past 2 weeks.

I've been feeling useful.

  • 1: None of the time
  • 2: Rarely
  • 3: Some of the time
  • 4: Often
  • 5: All of the time

Positive mental health (PMS) - Question identifier:PMS_Q15

The following questions are about how you have been feeling during the past 2 weeks.

I've been feeling relaxed.

  • 1: None of the time
  • 2: Rarely
  • 3: Some of the time
  • 4: Often
  • 5: All of the time

Positive mental health (PMS) - Question identifier:PMS_Q20

The following questions are about how you have been feeling during the past 2 weeks.

I've been feeling interested in other people.

  • 1: None of the time
  • 2: Rarely
  • 3: Some of the time
  • 4: Often
  • 5: All of the time

Positive mental health (PMS) - Question identifier:PMS_Q25

The following questions are about how you have been feeling during the past 2 weeks.

I've had energy to spare.

  • 1: None of the time
  • 2: Rarely
  • 3: Some of the time
  • 4: Often
  • 5: All of the time

Positive mental health (PMS) - Question identifier:PMS_Q30

The following questions are about how you have been feeling during the past 2 weeks.

I've been dealing with problems well.

  • 1: None of the time
  • 2: Rarely
  • 3: Some of the time
  • 4: Often
  • 5: All of the time

Positive mental health (PMS) - Question identifier:PMS_Q35

The following questions are about how you have been feeling during the past 2 weeks.

I've been thinking clearly.

  • 1: None of the time
  • 2: Rarely
  • 3: Some of the time
  • 4: Often
  • 5: All of the time

Positive mental health (PMS) - Question identifier:PMS_Q40

The following questions are about how you have been feeling during the past 2 weeks.

I've been feeling good about myself.

  • 1: None of the time
  • 2: Rarely
  • 3: Some of the time
  • 4: Often
  • 5: All of the time

Positive mental health (PMS) - Question identifier:PMS_Q45

The following questions are about how you have been feeling during the past 2 weeks.

I've been feeling close to other people.

  • 1: None of the time
  • 2: Rarely
  • 3: Some of the time
  • 4: Often
  • 5: All of the time

Positive mental health (PMS) - Question identifier:PMS_Q50

The following questions are about how you have been feeling during the past 2 weeks.

I've been feeling confident.

  • 1: None of the time
  • 2: Rarely
  • 3: Some of the time
  • 4: Often
  • 5: All of the time

Positive mental health (PMS) - Question identifier:PMS_Q55

The following questions are about how you have been feeling during the past 2 weeks.

I've been able to make up my own mind about things.

  • 1: None of the time
  • 2: Rarely
  • 3: Some of the time
  • 4: Often
  • 5: All of the time

Positive mental health (PMS) - Question identifier:PMS_Q60

The following questions are about how you have been feeling during the past 2 weeks.

I've been feeling loved.

  • 1: None of the time
  • 2: Rarely
  • 3: Some of the time
  • 4: Often
  • 5: All of the time

Positive mental health (PMS) - Question identifier:PMS_Q65

The following questions are about how you have been feeling during the past 2 weeks.

I've been interested in new things.

  • 1: None of the time
  • 2: Rarely
  • 3: Some of the time
  • 4: Often
  • 5: All of the time

Positive mental health (PMS) - Question identifier:PMS_Q70

The following questions are about how you have been feeling during the past 2 weeks.

I've been feeling cheerful.

  • 1: None of the time
  • 2: Rarely
  • 3: Some of the time
  • 4: Often
  • 5: All of the time
Date modified: