Canadian Social Survey - Quality of Life, Climate Change and Trust
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)
- Personal agency (PAG)
- Loneliness (LON)
- Sense of belonging to local community (SBL)
- Local community (LC)
- Personal relationships (DOS1)
- Communication with relatives (CWR)
- Communication with friends (CWF)
- Someone to count on (RES)
- Social provisions (SPS)
- Trust in people (PCT)
- Trust in different groups of people (TIP)
- Confidence in institutions (CII)
- Misinformation (MIS1)
- Misinformation (UI)
- Misinformation (MIS)
- Place of birth, immigration and citizenship (DEM1)
- Sense of pride (PRD)
- Sense of belonging to Canada (SBL1)
- Shared values (SVR)
- Satisfaction with local environment (DOS)
- Climate change (CC)
- Financial well-being (EHA)
- Education (ED)
- Marital status (MS)
- Language (LAN)
- Indigenous identity (ABM)
- Sociodemographic characteristics (PG)
- 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
Personal agency (PAG)
Personal agency (PAG) - Question identifier:PAG_Q05
How often do you feel like you have a choice over the things that happen in your life?
- 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
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
Local community (LC)
Local community (LC) - Question identifier:LC_Q05
On a scale of 0 to 10, where 0 means "Completely disagree" and 10 means "Completely agree," to what extent do you agree with the following statement?
Your local community is a place where people from different backgrounds get along well together.
- 00: 0 - Completely disagree
- 01: 1
- 02: 2
- 03: 3
- 04: 4
- 05: 5
- 06: 6
- 07: 7
- 08: 8
- 09: 9
- 10: 10 - Completely agree
Personal relationships (DOS1)
Personal relationships (DOS1) - Question identifier:DOS1_Q04
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 your personal relationships?
- 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
Communication with relatives (CWR)
Communication with relatives (CWR) - Question identifier:CWR_Q40
Overall, how satisfied are you with how often you communicate with your relatives?
- 1: Very satisfied
- 2: Satisfied
- 3: Neither satisfied nor dissatisfied
- 4: Dissatisfied
- 5: Very dissatisfied
Communication with friends (CWF)
Communication with friends (CWF) - Question identifier:CWF_Q60
Overall, how satisfied are you with how often you communicate with your friends?
- 1: Very satisfied
- 2: Satisfied
- 3: Neither satisfied nor dissatisfied
- 4: Dissatisfied
- 5: Very dissatisfied
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
Social provisions (SPS)
Social provisions (SPS) - Question identifier:SPS_R001
The next questions are about your current relationships with friends, family members, co-workers, community members, and so on.
Social provisions (SPS) - Question identifier:SPS_Q015
Please indicate to what extent each statement describes your current relationships with other people.
I have close relationships that provide me with a sense of emotional security and wellbeing.
- 1: Strongly agree
- 2: Agree
- 3: Disagree
- 4: Strongly disagree
Social provisions (SPS) - Question identifier:SPS_Q020
Please indicate to what extent each statement describes your current relationships with other people.
There is someone I could talk to about important decisions in my life.
- 1: Strongly agree
- 2: Agree
- 3: Disagree
- 4: Strongly disagree
Social provisions (SPS) - Question identifier:SPS_Q025
Please indicate to what extent each statement describes your current relationships with other people.
I have relationships where my competence and skill are recognized.
- 1: Strongly agree
- 2: Agree
- 3: Disagree
- 4: Strongly disagree
Social provisions (SPS) - Question identifier:SPS_Q035
Please indicate to what extent each statement describes your current relationships with other people.
I feel part of a group of people who share my attitudes and beliefs.
- 1: Strongly agree
- 2: Agree
- 3: Disagree
- 4: Strongly disagree
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 different groups of people (TIP)
Trust in different groups of people (TIP) - Question identifier:TIP_Q10
Using a scale of 1 to 5, where 1 means "Cannot be trusted at all" and 5 means "Can be trusted completely", what is your level of trust in each of the following groups of people?
People in your family
- 1: 1 - Cannot be trusted at all
- 2: 2
- 3: 3
- 4: 4
- 5: 5 - Can be trusted completely
Trust in different groups of people (TIP) - Question identifier:TIP_Q15
Using a scale of 1 to 5, where 1 means "Cannot be trusted at all" and 5 means "Can be trusted completely", what is your level of trust in each of the following groups of people?
People in your neighbourhood
- 1: 1 - Cannot be trusted at all
- 2: 2
- 3: 3
- 4: 4
- 5: 5 - Can be trusted completely
Trust in different groups of people (TIP) - Question identifier:TIP_Q24
Using a scale of 1 to 5, where 1 means "Cannot be trusted at all" and 5 means "Can be trusted completely", what is your level of trust in each of the following groups of people?
People with a different ethnic or cultural background than you
- 1: 1 - Cannot be trusted at all
- 2: 2
- 3: 3
- 4: 4
- 5: 5 - Can be trusted completely
Trust in different groups of people (TIP) - Question identifier:TIP_Q25
Using a scale of 1 to 5, where 1 means "Cannot be trusted at all" and 5 means "Can be trusted completely", what is your level of trust in each of the following groups of people?
Strangers
- 1: 1 - Cannot be trusted at all
- 2: 2
- 3: 3
- 4: 4
- 5: 5 - Can be trusted 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
Misinformation (MIS1)
Misinformation (MIS1) - Question identifier:MIS1_Q06
From which sources do you typically get your news or information, regardless of the platform (e.g., website, social media, television, print)?
- 01: Close contacts (e.g., family, friends, colleagues)
- 02: Government communications (Include communications from federal, provincial, territorial and municipal government agencies.)
- 03: Scientific experts or peer-reviewed journals
- 04: News organizations
- 05: Social media users
- 06: Online forums and discussion groups
- 07: Other
- 08: None of the above
Misinformation (MIS1) - Question identifier:MIS1_Q07
From which platforms do you typically get your news or information?
- 01: Cable, network or paid programming on television
- 02: Print (e.g., newspapers, magazines)
- 03: Radio
- 04: Conversations with family, friends and other close contacts (Include conversations by phone, messaging or in person.)
- 05: News website, app or other platform
- 06: Social media (e.g., Facebook, Instagram, Reddit, X (formerly Twitter))
- 07: Video and audio streaming (e.g., YouTube, Apple, TikTok)
- 08: Other websites
- 09: Other
Misinformation (UI)
Misinformation (UI) - Question identifier:UI_Q090A
In the past 12 months, how often did you see news or information on the Internet that you suspected was misleading, false or inaccurate?
- 1: Every day
- 2: Once a month to a few times a month
- 3: Once a year to a few times a year
- 4: Not in the last year
- 5: Never
Misinformation (MIS)
Misinformation (MIS) - Question identifier:MIS_Q65
Compared with three years ago, do you find it easier, harder or about the same to distinguish between true and false news or information?
- 1: Easier
- 2: About the same
- 3: Harder
Misinformation (MIS) - Question identifier:MIS_R70
Misinformation is news or information that is verifiably false or inaccurate. The sharer of misinformation may or may not be aware that it is misinformation. When they are aware, it is often referred to as disinformation.
Misinformation (MIS) - Question identifier:MIS_Q70
How concerned are you about the presence of misinformation online?
- 1: Extremely concerned
- 2: Very concerned
- 3: Somewhat concerned
- 4: Not very concerned
- 5: Not at all concerned
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
Sense of pride (PRD)
Sense of pride (PRD) - Question identifier:PRD_Q10
How proud are you to be Canadian?
- 1: Very proud
- 2: Proud
- 3: Somewhat proud
- 4: Not very proud
- 5: Not proud at all
- 6: No opinion
Sense of pride (PRD) - Question identifier:PRD_Q15
How proud are you to live in Canada?
- 1: Very proud
- 2: Proud
- 3: Somewhat proud
- 4: Not very proud
- 5: Not proud at all
- 6: No opinion
Sense of belonging to Canada (SBL1)
Sense of belonging to Canada (SBL1) - Question identifier:SBL1_Q400
How would you describe your sense of belonging to Canada?
- 1: Very strong
- 2: Somewhat strong
- 3: Somewhat weak
- 4: Very weak
- 5: No opinion
Shared values (SVR)
Shared values (SVR) - Question identifier:SVR_R01
The next questions ask about the extent to which you agree with a number of Canadian values.
Shared values (SVR) - Question identifier:SVR_Q01
To what extent do you personally agree with the following values?
Human rights
- 1: To a great extent
- 2: To a moderate extent
- 3: To a small extent
- 4: Not at all
Shared values (SVR) - Question identifier:SVR_Q02
To what extent do you personally agree with the following values?
Respect for the law
- 1: To a great extent
- 2: To a moderate extent
- 3: To a small extent
- 4: Not at all
Shared values (SVR) - Question identifier:SVR_Q03
To what extent do you personally agree with the following values?
Gender equality
- 1: To a great extent
- 2: To a moderate extent
- 3: To a small extent
- 4: Not at all
Shared values (SVR) - Question identifier:SVR_Q04
To what extent do you personally agree with the following values?
English and French as Canada's official languages
- 1: To a great extent
- 2: To a moderate extent
- 3: To a small extent
- 4: Not at all
Shared values (SVR) - Question identifier:SVR_Q05
To what extent do you personally agree with the following values?
Ethnic and cultural diversity
- 1: To a great extent
- 2: To a moderate extent
- 3: To a small extent
- 4: Not at all
Shared values (SVR) - Question identifier:SVR_Q06
To what extent do you personally agree with the following values?
Respect for Indigenous (First Nations, Métis or Inuit) culture
- 1: To a great extent
- 2: To a moderate extent
- 3: To a small extent
- 4: Not at all
Satisfaction with local environment (DOS)
Satisfaction with local environment (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
Climate change (CC)
Climate change (CC) - Question identifier:CC_R05
Climate change refers to a long-term shift in the average weather conditions of a region. It can involve extreme weather events (e.g., floods, heat waves), rising sea levels, greater droughts, melting glaciers, etc.
Climate change (CC) - Question identifier:CC_Q05
Who or what do you think will be most affected by climate change?
- 01: You, personally
- 02: Your family
- 03: People in your community
- 04: People in Canada
- 05: People in lower-income countries
- 06: Plants and animals
- 07: Future generations of people
- 08: None of the above
Climate change (CC) - Question identifier:CC_Q10
How concerned are you about climate change?
- 1: Extremely concerned
- 2: Very concerned
- 3: Somewhat concerned
- 4: Not very concerned
- 5: Not at all concerned
Climate change (CC) - Question identifier:CC_Q15
In the past 12 months, how often did you feel stressed because of climate change?
- 1: Every day in the last 12 months
- 2: Once a month to a few times a month in the last 12 months
- 3: Once to a few times in the last 12 months
- 4: Not in the last 12 months
- 5: Never
Climate change (CC) - Question identifier:CC_Q20
In the past 12 months, which of the following actions have you taken to reduce your impact on the environment?
- 01: Reduced energy consumption
- 02: Recycled, composted, etc.
- 03: Reduced food waste
- 04: Purchased an electric or hybrid vehicle
- 05: Used public transit, carpooled, biked or walked to work
- 06: Avoided air travel by using other modes of transportation
- 07: Other
- 08: No actions taken in the past 12 months
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
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 (not living common law)
- 4: Separated (not living common law)
- 5: Divorced (not living common law)
- 6: Widowed (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
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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