Canadian Social Survey - Quality of Life, Health, and Housing Costs
For Information onlyThis is an electronic survey example for information purposes only. This is not a working questionnaire.
Table of Contents
- Location of residence (DEM)
- Sex and gender (GDR)
- Age (AGE)
- Main activity (MAC)
- Life satisfaction (LSM)
- Sense of meaning and purpose (MP)
- Future outlook (FO)
- General health (GEN)
- Chronic conditions (INF)
- Sense of belonging to local community (SBL)
- Someone to count on (RES)
- Loneliness (LON)
- Satisfaction (DOS)
- Participation in groups (CER)
- Trust in people (PCT)
- Trust in the media (TM)
- Confidence in institutions (CII)
- Neighbourhood safety (NSC)
- Occupancy (DWL)
- Dwelling satisfaction (DWS)
- Waitlist for social and affordable housing (WSA)
- Impacts of rising costs (IRC)
- Financial well-being (EHA)
- Mortgage interest rates (MIR)
- Discrimination or unfair treatment in Canada (DIS)
- Education (ED)
- Marital status (MS)
- Language (LAN)
- Indigenous identity (ABM)
- Sociodemographic characteristics (PG)
- Place of birth, immigration and citizenship (DEM1)
- Long-term conditions (LTC)
- Sexual orientation (SOR)
- Future surveys (UCE)
Location of residence (DEM)
Location of residence (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
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
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
Future outlook (FO)
Future outlook (FO) - Question identifier:FO_Q01
Thinking about your life in general, how often would you say you have a hopeful view of the future?
- 1: Always
- 2: Often
- 3: Sometimes
- 4: Rarely
- 5: Never
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
Chronic conditions (INF)
Chronic conditions (INF) - Question identifier:INF_R01
The next question is 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 (INF) - Question identifier:INF_Q01
Do you currently have any of the following long-term health conditions?
- 01: Cancer
- 02: Chronic lung condition (e.g., emphysema, chronic bronchitis, chronic obstructive pulmonary disease (COPD) pulmonary fibrosis)
- 03: Sleep apnea
- 04: Asthma
- 05: Chronic heart disease
- 06: Diabetes (Exclude gestational diabetes.)
- 07: Chronic kidney disease
- 08: Liver disease (e.g., chronic hepatitis)
- 09: High blood pressure
- 10: Chronic blood disorder (e.g., sickle cell anemia, hemophilia)
- 11: Osteoporosis
- 12: Back problems
- 13: Urinary incontinence
- 14: Bowel disorder (e.g., Crohn's disease, ulcerative colitis, irritable bowel syndrome)
- 15: A weakened immune system (e.g., due to disease or medication)
- 16: Chronic neurological disorder (e.g., amyotrophic lateral sclerosis (ALS) or Lou Gehrig's disease, multiple sclerosis (MS), Parkinson's disease)
- 17: Chronic fatigue syndrome or fibromyalgia
- 18: Effects of a stroke
- 19: Alzheimer's disease or other dementia
- 20: Mental health condition (e.g., depression, anxiety)
- 21: Arthritis (e.g., osteoarthritis, rheumatoid arthritis, gout)
- 22: Other
- 23: None of the above
Chronic conditions (INF) - Question identifier:INF_Q02
In the past month, have you experienced any symptoms that led you to believe that you had any respiratory infection such as COVID-19, cold, flu, or RSV?
- 1: Yes
- 2: No
Chronic conditions (INF) - Question identifier:INF_R03
The following questions refer to any symptoms you experienced from any respiratory infection you had in the past month.
Chronic conditions (INF) - Question identifier:INF_Q03
What symptoms did you experience?
- 01: Fever
- 02: Coughing
- 03: Sore throat
- 04: Sneezing
- 05: Shortness of breath or difficulty breathing
- 06: Chills
- 07: Fatigue, tiredness or weakness
- 08: Loss of smell or taste
- 09: Runny nose or nasal congestion
- 10: Headache
- 11: Muscle or body aches
- 12: Pain (e.g., abdominal, joint, chest, sinus
Exclude headache.) - 13: Loss of appetite
- 14: Nausea or vomiting
- 15: Diarrhea
- 16: Other
Chronic conditions (INF) - Question identifier:INF_Q04
How severe were your symptoms at their worst?
- 1: Mild - Did not affect my daily life
- 2: Moderate - I had difficulty doing my usual activities around the house (e.g., difficulty to prepare meals or do household chores)
- 3: Severe - I was bedridden or unable to look after myself (e.g., unable to shower or get dressed)
- 4: Very severe - I was admitted to the hospital because of my symptoms
Chronic conditions (INF) - Question identifier:INF_Q05
What type of health care service or provider did you visit or consult because of your symptoms?
- 01: General practitioner, family doctor or nurse practitioner office or clinic (Include consultations with your regular health care provider if you have one, even if they work in a walk-in clinic.)
- 02: Walk-in clinic (Exclude walk-in clinic visits where you consulted with your regular care provider.)
- 03: Community health centre (Include nursing stations.)
- 04: Medical specialist office or clinic (e.g., cardiologist, respirologist
Include only consultations with the specialist because of your symptoms.) - 05: Hospital emergency room
- 06: Telephone health line (e.g., Health Links, Health Connect Ontario, Health811, Health-Line, TeleCare, Info-Santé)
- 07: Pharmacy (Include only visits that involved a consultation with a pharmacist.)
- 08: Other health care service or provider
- 09: I did not visit or consult a health care service or provider
Sense of belonging to local community (SBL)
Sense of belonging to local community (SBL) - Question identifier:SBL_Q100
How would you describe your sense of belonging to your local community?
- 1: Very strong
- 2: Somewhat strong
- 3: Somewhat weak
- 4: Very weak
- 5: No opinion
Someone to count on (RES)
Someone to count on (RES) - Question identifier:RES_Q06
How often would you say you have people you can depend on to help you when you really need it?
- 1: Always
- 2: Often
- 3: Sometimes
- 4: Rarely
- 5: Never
Loneliness (LON)
Loneliness (LON) - Question identifier:LON_Q01
How often do you feel lonely?
- 1: Always
- 2: Often
- 3: Sometimes
- 4: Rarely
- 5: Never
Satisfaction (DOS)
Satisfaction (DOS) - Question identifier:DOS_Q08
On a scale from 0 to 10, where 0 means you feel "Not at all satisfied" and 10 means you are "Completely satisfied", how satisfied are you with the amount of time you have to do the things that you like doing?
- 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 (DOS) - Question identifier:DOS_Q09
On a scale from 0 to 10, where 0 means you feel "Not at all satisfied" and 10 means you are "Completely satisfied", how satisfied are you with the quality of your local environment such as access to green space, and air or water quality?
- 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
Participation in groups (CER)
Participation in groups (CER) - Question identifier:CER_Q10
In the past 12 months, were you a member or participant in the following groups, organizations or associations? These could be formally organized groups or just groups of people who get together regularly to do an activity or talk about things.
- 01: Sports or recreational organization (e.g., hockey league, health club or golf club)
- 02: Cultural, educational or hobby organization (e.g., theatre group, book club or bridge club)
- 03: Union or professional association
- 04: Political party or group
- 05: Religious-affiliated group (Exclude regular attendance at your place of worship.)
- 06: School group, neighbourhood, civic or community association (e.g., parent-teacher association (PTA), alumni association, block parents or neighbourhood watch)
- 07: Humanitarian or charitable organization or service club (e.g., Meals on Wheels, United Way, UNICEF, Heart and Stroke Foundation, Distress Centre, Rotary Club, Red Cross)
- 08: Seniors' group (e.g., seniors' club, recreational association or resource centre)
- 09: Youth organization (e.g., Scouts, Guides, Big Brothers or Big Sisters, YMCA or YWCA)
- 10: Immigrant or ethnic association or club
- 11: Environmental group (e.g., in the areas of conservation, ecology, the environment or animal rights)
- 12: Other type of group, organization or association
- 13: Not a member or participant in any groups, organizations or associations
Trust in people (PCT)
Trust in people (PCT) - Question identifier:PCT_Q10
Generally speaking, would you say that most people can be trusted or that you cannot be too careful in dealing with people?
- 1: Most people can be trusted
- 2: You cannot be too careful in dealing with people
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
Confidence in institutions (CII)
Confidence in institutions (CII) - Question identifier:CII_R10
Using a scale of 1 to 5 where 1 means "No confidence at all" and 5 means "A great deal of confidence", please answer the following questions.
Confidence in institutions (CII) - Question identifier:CII_Q10
How much confidence do you have in the following institutions?
The police
- 1: 1 - No confidence at all
- 2: 2
- 3: 3
- 4: 4
- 5: 5 - A great deal of confidence
Confidence in institutions (CII) - Question identifier:CII_Q15
How much confidence do you have in the following institutions?
The justice system and courts
- 1: 1 - No confidence at all
- 2: 2
- 3: 3
- 4: 4
- 5: 5 - A great deal of confidence
Confidence in institutions (CII) - Question identifier:CII_Q30
How much confidence do you have in the following institutions?
The school system
- 1: 1 - No confidence at all
- 2: 2
- 3: 3
- 4: 4
- 5: 5 - A great deal of confidence
Confidence in institutions (CII) - Question identifier:CII_Q40
How much confidence do you have in the following institutions?
The Federal Parliament
- 1: 1 - No confidence at all
- 2: 2
- 3: 3
- 4: 4
- 5: 5 - A great deal of confidence
Confidence in institutions (CII) - Question identifier:CII_Q60
How much confidence do you have in the following institutions?
The Canadian media
- 1: 1 - No confidence at all
- 2: 2
- 3: 3
- 4: 4
- 5: 5 - A great deal of confidence
Neighbourhood safety (NSC)
Neighbourhood safety (NSC) - Question identifier:NSC_Q30
How safe do you feel from crime when walking alone in your area after dark?
- 1: Very safe
- 2: Reasonably safe
- 3: Somewhat unsafe
- 4: Very unsafe
- 5: You do not walk alone
Occupancy (DWL)
Occupancy (DWL) - Question identifier:DWL_Q01A
Is this dwelling owned by a member of this household?
- 1: Yes, owned, even if it is still being paid for
- 2: No, rented, even if no cash rent is paid
Dwelling satisfaction (DWS)
Dwelling satisfaction (DWS) - Question identifier:DWS_R10
How satisfied are you with the following aspects of your dwelling?
Dwelling satisfaction (DWS) - Question identifier:DWS_Q10B
Having enough bedrooms
- 1: Very satisfied
- 2: Satisfied
- 3: Neither satisfied nor dissatisfied
- 4: Dissatisfied
- 5: Very dissatisfied
Dwelling satisfaction (DWS) - Question identifier:DWS_Q10C
Being affordable
- 1: Very satisfied
- 2: Satisfied
- 3: Neither satisfied nor dissatisfied
- 4: Dissatisfied
- 5: Very dissatisfied
Dwelling satisfaction (DWS) - Question identifier:DWS_Q10D
Its condition
- 1: Very satisfied
- 2: Satisfied
- 3: Neither satisfied nor dissatisfied
- 4: Dissatisfied
- 5: Very dissatisfied
Waitlist for social and affordable housing (WSA)
Waitlist for social and affordable housing (WSA) - Question identifier:WSA_Q05
Is any member of your household currently on a waiting list for subsidized housing?
- 1: Yes
- 2: No
Impacts of rising costs (IRC)
Impacts of rising costs (IRC) - Question identifier:IRC_Q25
Are you concerned with your ability to afford housing because of rising housing costs or rising rent?
- 1: Yes, very concerned
- 2: Yes, somewhat concerned
- 3: No, not concerned
Impacts of rising costs (IRC) - Question identifier:IRC_Q30
Have rising housing costs or rising rent influenced your decision about whether to move within the last 6 months?
- 1: No, I did not move or consider moving
- 2: No, I wanted to, but did not move because housing prices or rent are already too high
- 3: No, I moved but rising housing costs or rising rent did not influence my decision
- 4: Yes, I moved sooner than planned because of rising housing costs or rising rent (e.g., purchasing a house before prices rise more or moving to a new rental before rents rise more)
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
Financial well-being (EHA) - Question identifier:EHA_Q15
In the past 12 months, has any member of your household ever experienced significant financial difficulty because of increases in rent or mortgage payments?
- 1: Yes, often
- 2: Yes, sometimes
- 3: No
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
Discrimination or unfair treatment in Canada (DIS)
Discrimination or unfair treatment in Canada (DIS) - Question identifier:DIS_R05
The next questions are about your possible experiences with discrimination or unfair treatment in Canada.
Discrimination or unfair treatment in Canada (DIS) - Question identifier:DIS_Q05
In the past 5 years, have you experienced discrimination or been treated unfairly by others in Canada because of any of the following?
- 01: Your Indigenous identity
- 02: Your ethnicity or culture
- 03: Your race or skin colour
- 04: Your religion
- 05: Your language
- 06: Your accent
- 07: Your physical appearance (Include discrimination on the basis of weight, height, hair style or colour, clothing, jewelry, tattoos and other physical characteristics. Exclude discrimination on the basis of skin colour.)
- 08: Your sex (Sex refers to sex assigned at birth.)
- 09: Your sexual orientation (e.g., heterosexual, lesbian, gay, bisexual)
- 10: Your gender identity or expression (Include gender diverse identities such as two-spirit or nonbinary.)
- 11: Your age
- 12: A physical or mental disability
- 13: Some other reason
- 14: Did not experience discrimination
Discrimination or unfair treatment in Canada (DIS) - Question identifier:DIS_Q10
In what types of situations have you experienced discrimination in Canada in the past 5 years?
- 01: In a store, bank or restaurant
- 02: When attending school or classes
- 03: On the Internet, including social media platforms
- 04: At work or when applying for a job or promotion
- 05: When seeking or applying for housing (e.g., buying or renting)
- 06: When interacting with the police
- 07: When interacting with the courts
- 08: When crossing the border into Canada (Exclude incidences of discrimination upon leaving Canada.)
- 09: While attending social gatherings or by or among friends or family
- 10: While using public areas, such as parks and sidewalks
- 11: While using public transit, such as buses, trains or taxis
- 12: When seeing a medical health professional or in other health care settings (Medical health professionals may include doctors, nurses, physiotherapists, etc.
In health care settings may include at hospitals, clinics, dental offices, etc.) - 13: Any other situation
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
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
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
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
Sexual orientation (SOR)
Sexual orientation (SOR) - Question identifier:SOR_Q01
What is your sexual orientation?
- 1: Heterosexual (i.e., straight)
- 2: Lesbian or gay
- 3: Bisexual or pansexual
- 4: Or please specify
Future surveys (UCE)
Future surveys (UCE) - Question identifier:UCE_R05
Statistics Canada is planning a series of short, fifteen to twenty minute 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_Q10A
Please provide the following information so we can email or text you to participate in this survey series.
Email address
Long Answer Length = 80
Future surveys (UCE) - Question identifier:UCE_Q10B
Please provide the following information so we can email or text you to participate in this survey series.
Cellular number
Long Answer Length = 10
Future surveys (UCE) - Question identifier:UCE_R15
Thank you for signing up. We will contact you soon.
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