Canadian Health Measures Survey (Cycle 8) - Household Questionnaire

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

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Collect household mailing address (CHM)
Collect mailing address (NAD)
Telephone number of household (TEL)
E-mail address of household (EA)
Dwelling type (DW)
Occupancy (DWL)
Other living quarters (OLQ)
Household member or not (HC)
Household composition (HHC)
Person providing demographics (PPD)
Age with confirmation (ANCQ)
Sex and gender (GDR)
Education (ED)
Person providing information (PPI)
Consent (PGC2)
Relationship with confirmation (RWC)
Main activity (MAC)
Main activity (MA)
Main activity (EDC)
General health (GEN)
Noise Annoyance and Perceived Stress (NAPS)
Pregnancy (PRS)
Chronic conditions (CCC)
Chronic conditions (CC2)
Family medical history (FMH)
Hepatitis (HEP)
Meat and meat alternatives consumption (MFC)
Milk and dairy product consumption (MDC)
Grains, fruits and vegetables consumption (GFV)
Dietary fat consumption (DFC)
Water and soft drink consumption (WSD)
Salt consumption (SLT)
Sugary food consumption (SFC)
Sleep hygiene (SLH)
Sleep times and 24-hour activity (SLE)
Toddler physical activity (TPA)
Moderate physical activity (MPA2)
Sedentary activities (SED)
Other physical activities (OPA)
Request parent to leave (RPL)
Current smoking status (CSS)
Smoking - past use (SPU)
Tobacco alternatives products (TAL)
Exposure to second-hand smoke (ETS)
Electronic cigarettes and vaping (ECV)
Exposure to second-hand vapour (ETV)
Alcohol use (ALC)
Alcohol use (ALW)
Alcohol use (ALWM)
Births and breastfeeding (MBF)
Births and breastfeeding (BRF)
Request parent return (RPR)
Request child leave (RCL)
Pregnancy information (PRG)
Birth information of child (BIR)
Breastfeeding of child (BRI)
Strengths and difficulties ©Robert Goodman (SDQ)
Request child return (RCR)
Regular health care provider (RHC2)
Labour market activities (LMAM)
Labour market activities (LMA3)
Labour market activities (LMA4)
Labour market activities (LMA5)
Labour market activities (LMA6)
Labour market activities (LBF)
Telework (LM)
Place of birth, immigration and citizenship (IM)
Indigenous identity (ABM)
Sociodemographic characteristics (PG)
Language (LAN)
Housing characteristics (HSC)
Total household income (THI)
Income (INC)
Tap water collection (TWC)
Administration information (ADMM)
Get telephone number (GTEL)
Get e-mail address (GEA)
Special needs (CSN)
Book appointment (BCA)
Preferred time to call (PTC)

Collect household mailing address (CHM)

Collect household mailing address (CHM) - Question identifier:CHM_Q01

Is this also the mailing address for this household?

#{CMP_AddressLine1.Prefill}
#{CMP_AddressLine2.Prefill}
#{CMP_City.Prefill}, #{__DT_CMP_Province_E}
#{CMP_PostalCode.Prefill}

1: Yes
2: No

Collect mailing address (NAD)

Collect mailing address (NAD) - Question identifier:NAD_Q01

What is the mailing address?
Civic number

Min = 0; Max = 999999

Collect mailing address (NAD) - Question identifier:NAD_Q02

What is the mailing address?
Civic number suffix

Long Answer Length = 3

Collect mailing address (NAD) - Question identifier:NAD_Q03

What is the mailing address?
Street name

Long Answer Length = 50

Collect mailing address (NAD) - Question identifier:NAD_Q04

What is the mailing address?
Street type

1: Summary page / Standard answer list

Collect mailing address (NAD) - Question identifier:NAD_Q05

What is the mailing address?
Street direction

01: East
02: North
03: Northeast
04: Northwest
05: South
06: Southeast
07: Southwest
08: West

Collect mailing address (NAD) - Question identifier:NAD_Q06

What is the mailing address?
Apartment number

Long Answer Length = 6

Collect mailing address (NAD) - Question identifier:NAD_Q07

What is the mailing address?
City, municipality, town, village, indian reserve

Long Answer Length = 50

Collect mailing address (NAD) - Question identifier:NAD_Q08

What is the mailing address?
Postal code

Long Answer Length = 6

Collect mailing address (NAD) - Question identifier:NAD_Q10

What is the mailing address?
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

Collect mailing address (NAD) - Question identifier:NAD_Q13

What is the mailing address?
Rural address

Long Answer Length = 60

Telephone number of household (TEL)

Telephone number of household (TEL) - Question identifier:TEL_R01

I would like to confirm the household's telephone number.

Telephone number of household (TEL) - Question identifier:TEL_Q01

Is the telephone number #{CMP_Contact1_PhoneNumber1}?

1: Yes
2: No

Telephone number of household (TEL) - Question identifier:TEL_Q02

What is the household's telephone number, including the area code?

Long Answer Length = 80

E-mail address of household (EA)

E-mail address of household (EA) - Question identifier:EA_Q02

Email may be used to help us book an appointment, to send out reminders or for future contact. What is the email address for this household?
Email address

Long Answer Length = 254

Dwelling type (DW)

Dwelling type (DW) - Question identifier:DW_R01

INTERVIEWER: If dwelling type is evident select from the list below. Otherwise, ask question to respondent.

Dwelling type (DW) - Question identifier:DW_Q01

What type of dwelling is this?

01: Single detached
02: Double
03: Row or terrace
04: Duplex
05: Low-rise apartment of fewer than 5 stories or a flat
06: High-rise apartment of 5 stories or more
07: Institution
08: Hotel; rooming/lodging house; camp
09: Mobile home
10: Other - Specify

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

Occupancy (DWL) - Question identifier:DWL_Q03

Is this dwelling in need of any repairs?

1: No, only regular maintenance is needed, for example, painting, furnace cleaning
2: Yes, minor repairs are needed, for example, missing or loose floor tiles, bricks or shingles, defective steps, railing or siding
3: Yes, major repairs are needed, for example, defective plumbing or electrical wiring, structural repairs to walls, floors or ceilings

Occupancy (DWL) - Question identifier:DWL_Q04

How many bedrooms are in this dwelling?

Min = 0; Max = 99

Other living quarters (OLQ)

Other living quarters (OLQ) - Question identifier:OLQ_Q01

Is there another set of living quarters within this structure?

1: Yes
2: No

Other living quarters (OLQ) - Question identifier:OLQ_Q02

INTERVIEWER: Select number of multiples (between 1 and 9)

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

Household member or not (HC)

Household member or not (HC) - Question identifier:HC_Q01

Are you a member of this household?

1: Yes
2: No

Household composition (HHC)

Household composition (HHC) - Question identifier:HHC_R10A

The next few questions ask for important basic information about the people in this household.

Household composition (HHC) - Question identifier:HHC_R10B

List all persons that usually live at this address.

Household composition (HHC) - Question identifier:HHC_Q10A

People usually living or staying at this address.
First name

Long Answer Length = 50

Household composition (HHC) - Question identifier:HHC_Q10B

People usually living or staying at this address.
Last name

Long Answer Length = 50

Household composition (HHC) - Question identifier:HHC_Q10C

People usually living or staying at this address.
Age

Min = 0; Max = 999

Household composition (HHC) - Question identifier:HHC_Q10AA

Enter the information for each person living at this address who is not listed above, then press the "Add this person" button.
First name

Long Answer Length = 50

Household composition (HHC) - Question identifier:HHC_Q10BB

Enter the information for each person living at this address who is not listed above, then press the "Add this person" button.
Last name

Long Answer Length = 50

Household composition (HHC) - Question identifier:HHC_Q10CC

Enter the information for each person living at this address who is not listed above, then press the "Add this person" button.
Age

Min = 0; Max = 999

Household composition (HHC) - Question identifier:HHC_Q10AAA

People no longer living or staying at this address. If incorrect, then press the "Add this person" button.
First name

Long Answer Length = 50

Household composition (HHC) - Question identifier:HHC_Q10BBB

People no longer living or staying at this address. If incorrect, then press the "Add this person" button.
Last name

Long Answer Length = 50

Household composition (HHC) - Question identifier:HHC_Q10CCC

People no longer living or staying at this address. If incorrect, then press the "Add this person" button.
Age

Min = 0; Max = 999

Person providing demographics (PPD)

Person providing demographics (PPD) - Question identifier:PPD_Q01

Select the person who is providing the information about the household.

1: ^HHC_Q10A ^HHC_Q10B, age ^HHC_Q10C

Age with confirmation (ANCQ)

Age with confirmation (ANCQ) - Question identifier:ANCQ_Q01A

What are the dates of birth for the following household members?
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 with confirmation (ANCQ) - Question identifier:ANCQ_Q01B

What are the dates of birth for the following household members?
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 with confirmation (ANCQ) - Question identifier:ANCQ_Q01C

What are the dates of birth for the following household members?
Year

Min = 0; Max = 9999

Age with confirmation (ANCQ) - Question identifier:ANCQ_R02

INTERVIEWER: Verify that all of the information is correct.

Sex and gender (GDR)

Sex and gender (GDR) - Question identifier:GDR_R05

The following questions are about sex at birth and gender.

Sex and gender (GDR) - Question identifier:GDR_Q05

What is this person's sex at birth?

1: Male
2: Female

Sex and gender (GDR) - Question identifier:GDR_Q10

What is this person's gender?

1: Male
2: Female
3: Or please specify

Sex and gender (GDR) - Question identifier:GDR_Q15

Please verify that all of the information is correct.

1: Summary page / Standard answer list

Education (ED)

Education (ED) - Question identifier:ED_Q05

What is this person's highest certificate, diploma or degree completed?

^HHC_Q10A ^HHC_Q10B, ^AWC_AGE_S1 ^YEARSMONTHS_E

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

Person providing information (PPI)

Person providing information (PPI) - Question identifier:PPI_Q01A

INTERVIEWER: Is the person providing the information a member of this household?

1: Yes
2: No

Person providing information (PPI) - Question identifier:PPI_Q01

INTERVIEWER: Select the person who is providing the information.

1: Summary page / Standard answer list

Person providing information (PPI) - Question identifier:PPI_R02

A parent or guardian must provide information for respondents aged less than 12.

Person providing information (PPI) - Question identifier:PPI_Q02

Are you a parent or guardian of ^FNAME?

1: Yes
2: No

Person providing information (PPI) - Question identifier:PPI_Q03

What type of parent are you?

1: Birth father
2: Birth mother
3: Non-birth parent
4: Guardian

Consent (PGC2)

Consent (PGC2) - Question identifier:PGC2_R05

INTERVIEWER: Since the selected respondent is under 15 years of age, informed verbal consent from a parent or guardian must be obtained before proceeding. Provide information about the CHMS to the parent or guardian using available resources including the video, then answer any questions they may have.

Consent (PGC2) - Question identifier:PGC2_Q05

INTERVIEWER: Have you shown the video to ^FNAME's parent or guardian?

1: Yes
2: No

Consent (PGC2) - Question identifier:PGC2_R10

On behalf of ^FNAME ^LNAME, do you agree that:
• You understand what information is collected by the Canadian Health Measures Survey and what is involved with participating.
• You have been told that personal information will be kept confidential.
• You have the right not to participate and the right to stop at any time.

Consent (PGC2) - Question identifier:PGC2_Q10

Do you consent to ^FNAME participating in the Canadian Health Measures Survey household questionnaire?

1: Yes
2: No

Consent (PGC2) - Question identifier:PGC2_R15

INTERVIEWER: Since the selected respondent is 12 to 14 years of age, informed verbal assent from the selected respondent must also be obtained before proceeding. Provide information about the CHMS to the selected respondent using available resources including the video, then answer any questions they may have.

Consent (PGC2) - Question identifier:PGC2_Q15

INTERVIEWER: Have you shown the video to ^FNAME?

1: Yes
2: No

Consent (PGC2) - Question identifier:PGC2_R20

Do you agree that:
• You understand what information is collected by the Canadian Health Measures Survey and what is involved with participating.
• You have been told that your personal information will be kept confidential.
• You have the right not to participate and the right to stop at any time.

Consent (PGC2) - Question identifier:PGC2_Q20

Do you consent to participating in the Canadian Health Measures Survey household questionnaire?

1: Yes
2: No

Consent (PGC2) - Question identifier:PGC2_R25

INTERVIEWER: Informed verbal consent from the selected respondent must be obtained before proceeding. Provide information about the CHMS to the selected respondent using available resources including the video, then answer any questions they may have.

Consent (PGC2) - Question identifier:PGC2_Q25

INTERVIEWER: Have you shown the video to ^FNAME?

1: Yes
2: No

Consent (PGC2) - Question identifier:PGC2_R30

Consent (PGC2) - Question identifier:PGC2_Q30

Do you consent to participating in the Canadian Health Measures Survey household questionnaire?

1: Yes
2: No

Consent (PGC2) - Question identifier:PGC2_R35

INTERVIEWER: Since this is a proxy interview and the respondent is 15 years of age or greater, informed verbal consent from the parent or guardian must be obtained before proceeding. Provide information about the CHMS to the parent or guardian using available resources including the video, then answer any questions they may have.

Consent (PGC2) - Question identifier:PGC2_Q35

INTERVIEWER: Have you shown the video to ^FNAME's parent or guardian?

1: Yes
2: No

Consent (PGC2) - Question identifier:PGC2_R40

Consent (PGC2) - Question identifier:PGC2_Q40

Do you consent to ^FNAME participating in the Canadian Health Measures Survey household questionnaire?

1: Yes
2: No

Relationship with confirmation (RWC)

Relationship with confirmation (RWC) - Question identifier:RWC_Q05

What is the relationship of the following [people/person] to you[/, age ^AWC_AGE]?

01: Husband or wife
02: Common-law partner
03: Father or mother
04: Son or daughter
05: Brother or sister
06: In-law
07: Other related
08: Unrelated

Relationship with confirmation (RWC) - Question identifier:RWC_Q10

Select the type of relationship.

1: Birth
3: Step
4: Adoptive
5: Foster

Relationship with confirmation (RWC) - Question identifier:RWC_Q15

Select the type of relationship.

1: Birth
3: Step
4: Adopted
5: Foster

Relationship with confirmation (RWC) - Question identifier:RWC_Q20

Select the type of relationship.

1: Full
2: Half
3: Step
4: Adopted
5: Foster

Relationship with confirmation (RWC) - Question identifier:RWC_Q25

Select the type of relationship.

1: Father or mother
2: Son or daughter
3: Brother or sister
4: Other in-law

Relationship with confirmation (RWC) - Question identifier:RWC_Q30

Select the type of relationship.

1: Aunt or uncle
2: Cousin
3: Niece or nephew
4: Grandfather or grandmother
5: Grandson or granddaughter
6: Other relative

Main activity (MAC)

Main activity (MAC) - Question identifier:MAC_Q05

In the past 12 months, was your main activity working at a job or business?

1: Yes
2: No

Main activity (MA)

Main activity (MA) - Question identifier:MA_Q02

During the past 12 months, what was your main activity?

01: Looking for paid work
02: Going to school
03: Caring for your children
04: Household work
05: Retired
06: Maternity, paternity or parental leave
07: Long term illness
08: Volunteering or care-giving other than for your children
09: Other

Main activity (EDC)

Main activity (EDC) - Question identifier:EDC_Q10

Are you currently attending a school, such as high school, college, CEGEP or university?

1: Yes
2: No

Main activity (EDC) - Question identifier:EDC_Q20

Are you enrolled as a full-time or part-time student?

1: Full-time student
2: Part-time student

General health (GEN)

General health (GEN) - Question identifier:GEN_R01

The following question is about health. By health, we mean not only the absence of disease or injury but also physical, mental and social well-being.

General health (GEN) - Question identifier:GEN_Q01

In general, how is your health?

1: Excellent
2: Very good
3: Good
4: Fair
5: Poor

General health (GEN) - Question identifier:GEN_Q05

In general, how is your mental health?

1: Excellent
2: Very good
3: Good
4: Fair
5: Poor

Noise Annoyance and Perceived Stress (NAPS)

Noise Annoyance and Perceived Stress (NAPS) - Question identifier:NAPS_R01

The next questions ask about your perceived annoyance by various noise sources while you are at home. "At home" means inside your home or outdoors at home - for example, in the garden or on the balcony.

Noise Annoyance and Perceived Stress (NAPS) - Question identifier:NAPS_Q01

Thinking about the last 12 months or so, when you are at home, what number from 0 to 10 best shows how much you are bothered, disturbed or annoyed by road traffic noise?

01: 0 - Not annoyed at all
02: 1
03: 2
04: 3
05: 4
06: 5
07: 6
08: 7
09: 8
10: 9
11: 10 - Extremely annoyed
12: Do not hear

Noise Annoyance and Perceived Stress (NAPS) - Question identifier:NAPS_Q02

Thinking about the last 12 months or so, when you are at home, what number from 0 to 10 best shows how much you are bothered, disturbed or annoyed by aircraft noise?

01: 0 - Not annoyed at all
02: 1
03: 2
04: 3
05: 4
06: 5
07: 6
08: 7
09: 8
10: 9
11: 10 - Extremely annoyed
12: Do not hear

Noise Annoyance and Perceived Stress (NAPS) - Question identifier:NAPS_Q03

Thinking about the last 12 months or so, when you are at home, what number from 0 to 10 best shows how much you are bothered, disturbed or annoyed by rail noise?

01: 0 - Not annoyed at all
02: 1
03: 2
04: 3
05: 4
06: 5
07: 6
08: 7
09: 8
10: 9
11: 10 - Extremely annoyed
12: Do not hear

Noise Annoyance and Perceived Stress (NAPS) - Question identifier:NAPS_Q04

Which of the following best describes the area where you live?

1: Quiet rural (Dwelling units more than 500 m from heavily travelled roads and/or rail lines and not subject to frequent aircraft flyovers)
2: Quiet suburban residential (Remote from large cities, industrial activity and trucking)
3: Normal suburban residential (Not located near industrial activity)
4: Urban residential (Not immediately adjacent to heavily travelled roads and industrial areas)
5: Noisy urban residential (Near relatively busy roads or industrial areas)
6: Very noisy urban residential (Immediately adjacent to heavily travelled roads and industrial areas)

Noise Annoyance and Perceived Stress (NAPS) - Question identifier:NAPS_R05

The next set of questions is about your feelings and thoughts during the last month. For each question, you will be asked to indicate how often you felt or thought a certain way.

Noise Annoyance and Perceived Stress (NAPS) - Question identifier:NAPS_Q06

Within the last month, that is, from ^DT_DATELASTMONTH to today, how often have you:
felt that you were unable to control the important things in your life?

0: Never
1: Almost never
2: Sometimes
3: Fairly often
4: Very often

Noise Annoyance and Perceived Stress (NAPS) - Question identifier:NAPS_Q07

Within the last month, that is, from ^DT_DATELASTMONTH to today, how often have you:
felt confident about your ability to handle your personal problems?

0: Never
1: Almost never
2: Sometimes
3: Fairly often
4: Very often

Noise Annoyance and Perceived Stress (NAPS) - Question identifier:NAPS_Q08

Within the last month, that is, from ^DT_DATELASTMONTH to today, how often have you:
felt that things were going your way?

0: Never
1: Almost never
2: Sometimes
3: Fairly often
4: Very often

Noise Annoyance and Perceived Stress (NAPS) - Question identifier:NAPS_Q09

Within the last month, that is, from ^DT_DATELASTMONTH to today, how often have you:
felt that difficulties were piling up so high that you could not overcome them?

0: Never
1: Almost never
2: Sometimes
3: Fairly often
4: Very often

Pregnancy (PRS)

Pregnancy (PRS) - Question identifier:PRS_R05

To better understand your health information, it is important to know if you are pregnant.

Pregnancy (PRS) - Question identifier:PRS_Q05

Are you pregnant?

1: Yes
2: No

Chronic conditions (CCC)

Chronic conditions (CCC) - Question identifier:CCC_R01

The next questions are about long-term health conditions. These are conditions which are expected to last or have already lasted 6 months or more and that have been diagnosed by a health professional.

Chronic conditions (CCC) - Question identifier:CCC_Q05

Do you have diabetes?

1: Yes
2: No

Chronic conditions (CCC) - Question identifier:CCC_Q10

How old were you when this was first diagnosed?

Min = 0; Max = 999

Chronic conditions (CCC) - Question identifier:CCC_Q15

Were you pregnant when you were first diagnosed with diabetes?

1: Yes
2: No

Chronic conditions (CCC) - Question identifier:CCC_Q20

Other than during pregnancy, has a health professional ever told you that you have diabetes?

1: Yes
2: No

Chronic conditions (CCC) - Question identifier:CCC_Q25

What type of diabetes Wereyou diagnosed with?
Don't consider pre-diabetes or diabetes that develops during pregnancy (gestational diabetes).

If you don't remember or weren't told, please select "Don't know".

1: Type 1 diabetes
2: Type 2 diabetes
3: Other types of diabetes

Chronic conditions (CCC) - Question identifier:CCC_Q30

When you were first diagnosed with diabetes, how long was it before you were started on insulin?

1: Less than 1 month
2: 1 month to less than 2 months
3: 2 months to less than 6 months
4: 6 months to less than 1 year
5: 1 year or more
6: Never

Chronic conditions (CCC) - Question identifier:CCC_Q35

Do you currently take insulin for your diabetes?

1: Yes
2: No

Chronic conditions (CCC) - Question identifier:CCC_Q40

In the past month, did you take pills to control your blood sugar?

1: Yes
2: No

Chronic conditions (CCC) - Question identifier:CCC_Q45

Have you ever been diagnosed with cancer?

1: Yes
2: No

Chronic conditions (CCC) - Question identifier:CCC_Q65

Do you have heart disease?

1: Yes
2: No

Chronic conditions (CCC) - Question identifier:CCC_Q70

How old were you when this was first diagnosed?

Min = 0; Max = 999

Chronic conditions (CCC) - Question identifier:CCC_Q75

[Have you/Have you] ever been told by a health professional that you have had a heart attack?

1: Yes
2: No

Chronic conditions (CCC) - Question identifier:CCC_Q80

Do you have high blood pressure?

1: Yes
2: No

Chronic conditions (CCC) - Question identifier:CCC_Q85

In the past month, have you taken any medicine for high blood pressure?

1: Yes
2: No

Chronic conditions (CCC) - Question identifier:CCC_Q90

[Have you/Have you] ever been told by a health professional that your blood cholesterol was high?

1: Yes
2: No

Chronic conditions (CCC) - Question identifier:CCC_Q95

Do you suffer from the effects of a stroke?

1: Yes
2: No

Chronic conditions (CCC) - Question identifier:CCC_Q100

Do you have osteoporosis?

1: Yes
2: No

Chronic conditions (CCC) - Question identifier:CCC_Q120

Do you have arthritis?

1: Yes
2: No

Chronic conditions (CC2)

Chronic conditions (CC2) - Question identifier:CC2_R185

We are interested in conditions diagnosed by a health professional and that are expected to last or have already lasted 6 months or more.

Chronic conditions (CC2) - Question identifier:CC2_Q220

Do you have or suffer from any of the following conditions?
Thyroid condition

1: Yes
2: No

Chronic conditions (CC2) - Question identifier:CC2_Q225

Do you have or suffer from any of the following conditions?
Chronic kidney disease

1: Yes
2: No

Chronic conditions (CC2) - Question identifier:CC2_Q230

Do you have or suffer from any of the following conditions?
Liver disease or gallbladder problems

1: Yes
2: No

Chronic conditions (CC2) - Question identifier:CC2_Q240

Do you have hepatitis?

1: Yes
2: No

Chronic conditions (CC2) - Question identifier:CC2_Q245

What type of hepatitis do you have?

1: Hepatitis A
2: Hepatitis B
3: Hepatitis C

Family medical history (FMH)

Family medical history (FMH) - Question identifier:FMH_R11

The next set of questions is about the medical history of your immediate family members. [/It is important that we get this information from each individual that we interview, even those in the same family.]

By immediate family, we mean only your birth parents[, birth siblings and birth children/and birth siblings] - alive or deceased. We are only interested in conditions diagnosed by a health professional.

Family medical history (FMH) - Question identifier:FMH_Q11

Has anyone in your immediate family ever been diagnosed with heart disease?

1: Yes
2: No

Family medical history (FMH) - Question identifier:FMH_Q12

What is the youngest age at which a member of your immediate family was first diagnosed with heart disease?

Min = 0; Max = 999

Family medical history (FMH) - Question identifier:FMH_Q13

Has anyone in your immediate family ever had a stroke?

1: Yes
2: No

Family medical history (FMH) - Question identifier:FMH_Q14

What is the youngest age at which a member of your immediate family had a stroke?

Min = 0; Max = 999

Family medical history (FMH) - Question identifier:FMH_Q15

Has anyone in your immediate family ever had high blood pressure?

1: Yes
2: No

Family medical history (FMH) - Question identifier:FMH_Q16

What is the youngest age at which a member of your immediate family was first diagnosed with high blood pressure?

Min = 0; Max = 999

Family medical history (FMH) - Question identifier:FMH_Q17

Has anyone in your immediate family ever had arthritis?

1: Yes
2: No

Family medical history (FMH) - Question identifier:FMH_Q18

What is the youngest age at which a member of your immediate family was first diagnosed with arthritis?

Min = 0; Max = 999

Family medical history (FMH) - Question identifier:FMH_Q19

Has anyone in your immediate family ever had diabetes?

1: Yes
2: No

Family medical history (FMH) - Question identifier:FMH_Q22

What is the youngest age at which a member of your immediate family was first diagnosed with diabetes?

Min = 0; Max = 999

Family medical history (FMH) - Question identifier:FMH_Q21

What kind of diabetes was a member of your immediate family diagnosed with?

1: Type 1 diabetes
2: Type 2 diabetes
3: Other types of diabetes

Family medical history (FMH) - Question identifier:FMH_Q23

Has anyone in your immediate family ever had asthma?

1: Yes
2: No

Family medical history (FMH) - Question identifier:FMH_Q24

Was it one of your parents who was diagnosed with asthma?

1: Yes
2: No

Hepatitis (HEP)

Hepatitis (HEP) - Question identifier:HEP_R12

The next questions are about hepatitis.

Hepatitis (HEP) - Question identifier:HEP_Q12

Hepatitis B vaccinations usually come in a two or three dose series. Have you received a complete series of hepatitis B vaccines?

1: Yes
2: No

Hepatitis (HEP) - Question identifier:HEP_Q13

Did you receive a blood transfusion in Canada before 1990?

1: Yes
2: No

Meat and meat alternatives consumption (MFC)

Meat and meat alternatives consumption (MFC) - Question identifier:MFC_R05

The next questions are about the foods you usually eat or drink. Think about all the foods you eat, both meals and snacks, at home and away from home.

Meat and meat alternatives consumption (MFC) - Question identifier:MFC_Q05A

How often do you usually eat the following meats?
Poultry meat, such as chicken or turkey

Min = 0; Max = 99

Meat and meat alternatives consumption (MFC) - Question identifier:MFC_Q05B

How often do you usually eat the following meats?
Poultry meat, such as chicken or turkey

1: Per day
2: Per week
3: Per month
4: Per year

Meat and meat alternatives consumption (MFC) - Question identifier:MFC_Q10A

How often do you usually eat the following meats?
Pork meat

Min = 0; Max = 99

Meat and meat alternatives consumption (MFC) - Question identifier:MFC_Q10B

How often do you usually eat the following meats?
Pork meat

1: Per day
2: Per week
3: Per month
4: Per year

Meat and meat alternatives consumption (MFC) - Question identifier:MFC_Q11A

How often do you usually eat the following meats?
Red meat, such as beef, veal, lamb or goat

Min = 0; Max = 99

Meat and meat alternatives consumption (MFC) - Question identifier:MFC_Q11B

How often do you usually eat the following meats?
Red meat, such as beef, veal, lamb or goat

1: Per day
2: Per week
3: Per month
4: Per year

Meat and meat alternatives consumption (MFC) - Question identifier:MFC_Q12

Do you eat liver?

1: Yes
2: No

Meat and meat alternatives consumption (MFC) - Question identifier:MFC_Q13

Which types of liver do you eat?

1: Beef
2: Veal
3: Pork
4: Chicken
5: Other type of liver

Meat and meat alternatives consumption (MFC) - Question identifier:MFC_Q13F

How often do you eat the following type[s/] of liver?
Beef liver

Min = 0; Max = 99

Meat and meat alternatives consumption (MFC) - Question identifier:MFC_Q13G

How often do you eat the following type[s/] of liver?
Beef liver

1: Per day
2: Per week
3: Per month
4: Per year

Meat and meat alternatives consumption (MFC) - Question identifier:MFC_Q13H

How often do you eat the following type[s/] of liver?
Veal liver

Min = 0; Max = 99

Meat and meat alternatives consumption (MFC) - Question identifier:MFC_Q13I

How often do you eat the following type[s/] of liver?
Veal liver

1: Per day
2: Per week
3: Per month
4: Per year

Meat and meat alternatives consumption (MFC) - Question identifier:MFC_Q13J

How often do you eat the following type[s/] of liver?
Pork liver

Min = 0; Max = 99

Meat and meat alternatives consumption (MFC) - Question identifier:MFC_Q13K

How often do you eat the following type[s/] of liver?
Pork liver

1: Per day
2: Per week
3: Per month
4: Per year

Meat and meat alternatives consumption (MFC) - Question identifier:MFC_Q13L

How often do you eat the following type[s/] of liver?
poultry liver

Min = 0; Max = 99

Meat and meat alternatives consumption (MFC) - Question identifier:MFC_Q13M

How often do you eat the following type[s/] of liver?
Poultry liver

1: Per day
2: Per week
3: Per month
4: Per year

Meat and meat alternatives consumption (MFC) - Question identifier:MFC_Q13N

How often do you eat the following type[s/] of liver?
Other type of liver

Min = 0; Max = 99

Meat and meat alternatives consumption (MFC) - Question identifier:MFC_Q13O

How often do you eat the following type[s/] of liver?
Other type of liver

1: Per day
2: Per week
3: Per month
4: Per year

Meat and meat alternatives consumption (MFC) - Question identifier:MFC_Q14A

How often do you usually eat the following products?
Beef or pork hot dogs

Min = 0; Max = 99

Meat and meat alternatives consumption (MFC) - Question identifier:MFC_Q14B

How often do you usually eat the following products?
Beef or pork hot dogs

1: Per day
2: Per week
3: Per month
4: Per year

Meat and meat alternatives consumption (MFC) - Question identifier:MFC_Q15A

How often do you usually eat the following products?
Sausage or bacon

Min = 0; Max = 99

Meat and meat alternatives consumption (MFC) - Question identifier:MFC_Q15B

How often do you usually eat the following products?
Sausage or bacon

1: Per day
2: Per week
3: Per month
4: Per year

Meat and meat alternatives consumption (MFC) - Question identifier:MFC_Q16A

How often do you usually eat the following products?
Deli meat

Min = 99; Max = 0

Meat and meat alternatives consumption (MFC) - Question identifier:MFC_Q16B

How often do you usually eat the following products?
Deli meat

1: Per day
2: Per week
3: Per month
4: Per year

Meat and meat alternatives consumption (MFC) - Question identifier:MFC_Q18A

How often do you usually eat eggs and egg dishes that include the yolk?

Min = 0; Max = 99

Meat and meat alternatives consumption (MFC) - Question identifier:MFC_Q18B

How often do you usually eat eggs and egg dishes that include the yolk?

1: Per day
2: Per week
3: Per month
4: Per year

Meat and meat alternatives consumption (MFC) - Question identifier:MFC_Q19A

Now I'd like to ask about the use of omega-3 enriched eggs in the eggs and egg dishes you just reported.
How often do you usually eat eggs and egg dishes that are made with omega-3 enriched eggs?

Min = 0; Max = 99

Meat and meat alternatives consumption (MFC) - Question identifier:MFC_Q19B

Now I'd like to ask about the use of omega-3 enriched eggs in the eggs and egg dishes you just reported.
How often do you usually eat eggs and egg dishes that are made with omega-3 enriched eggs?

1: Per day
2: Per week
3: Per month
4: Per year

Meat and meat alternatives consumption (MFC) - Question identifier:MFC_Q20A

How often do you usually eat the following products?
Cooked beans

Min = 0; Max = 99

Meat and meat alternatives consumption (MFC) - Question identifier:MFC_Q20B

How often do you usually eat the following products?
Cooked beans

1: Per day
2: Per week
3: Per month
4: Per year

Meat and meat alternatives consumption (MFC) - Question identifier:MFC_Q21A

How often do you usually eat the following products?
Peanuts, walnuts, seeds or other nuts

Min = 0; Max = 99

Meat and meat alternatives consumption (MFC) - Question identifier:MFC_Q21B

How often do you usually eat the following products?
Peanuts, walnuts, seeds or other nuts

1: Per day
2: Per week
3: Per month
4: Per year

Meat and meat alternatives consumption (MFC) - Question identifier:MFC_Q22A

How often do you usually eat the following products?
Peanut or other nut or seed butter

Min = 0; Max = 99

Meat and meat alternatives consumption (MFC) - Question identifier:MFC_Q22B

How often do you usually eat the following products?
Peanut or other nut or seed butter

1: Per day
2: Per week
3: Per month
4: Per year

Milk and dairy product consumption (MDC)

Milk and dairy product consumption (MDC) - Question identifier:MDC_R01

Now, some questions about your consumption of milk, plant-based beverages and other dairy products. Remember, think about all the foods you eat and drink, both meals and snacks, at home and away from home.

Milk and dairy product consumption (MDC) - Question identifier:MDC_Q01A

How often do you drink fortified plant-based beverages such as enriched soya, rice or almond milk, or use them on cereal?
Number of times

Min = 0; Max = 99

Milk and dairy product consumption (MDC) - Question identifier:MDC_Q01B

How often do you drink fortified plant-based beverages such as enriched soya, rice or almond milk, or use them on cereal?
Frequency

1: Per day
2: Per week
3: Per month
4: Per year

Milk and dairy product consumption (MDC) - Question identifier:MDC_Q03

What kinds of fortified plant-based beverages do you usually drink or use on cereal?

1: Rice
2: Soya
3: Almond
4: Cashew
5: Coconut
6: Oat
7: Other

Milk and dairy product consumption (MDC) - Question identifier:MDC_Q04A

How often do you drink milk or use it on cereal?
Enter a number between 0 and 99

Min = 0; Max = 99

Milk and dairy product consumption (MDC) - Question identifier:MDC_Q04B

How often do you drink milk or use it on cereal?
Select one.

1: Per day
2: Per week
3: Per month
4: Per year

Milk and dairy product consumption (MDC) - Question identifier:MDC_Q12

What is the fat content of the milk you usually drink or use on cereal?

1: 3.25% (Whole or homogenized)
2: 2%
3: 1%
4: 0.5%
5: Skim or Non-Fat (Include powdered milk.)
6: Other

Milk and dairy product consumption (MDC) - Question identifier:MDC_Q12A

Enter a number between 0 and 99

Min = 0; Max = 99

Milk and dairy product consumption (MDC) - Question identifier:MDC_Q12B

How often do you drink kefir or use it on cereal?
Select one

1: Per day
2: Per week
3: Per month
4: Per year

Milk and dairy product consumption (MDC) - Question identifier:MDC_Q13A

How often do you usually eat the following products?
Cottage cheese

Min = 0; Max = 99

Milk and dairy product consumption (MDC) - Question identifier:MDC_Q13B

How often do you usually eat the following products?
Cottage cheese

1: Per day
2: Per week
3: Per month
4: Per year

Milk and dairy product consumption (MDC) - Question identifier:MDC_Q14A

How often do you usually eat the following products?
Yogurt

Min = 0; Max = 99

Milk and dairy product consumption (MDC) - Question identifier:MDC_Q14B

How often do you usually eat the following products?
Yogurt

1: Per day
2: Per week
3: Per month
4: Per year

Milk and dairy product consumption (MDC) - Question identifier:MDC_Q15

What is the fat content of the yogurt you usually eat?

1: Fat free (0 to 0.9%)
2: Low fat (1 to 1.9%)
3: Regular fat (2 to 3.9%)
4: Medium fat (4 to 6%)
5: High fat (greater than 6%)

Milk and dairy product consumption (MDC) - Question identifier:MDC_Q17A

How often do YOU1 usually eat the following products?
Ice cream or frozen yogurt

Min = 0; Max = 99

Milk and dairy product consumption (MDC) - Question identifier:MDC_Q17B

How often do YOU1 usually eat the following products?
Ice cream or frozen yogurt

1: Per day
2: Per week
3: Per month
4: Per year

Milk and dairy product consumption (MDC) - Question identifier:MDC_Q18A

How often do YOU1 usually eat the following products?
Processed cheese

Min = 0; Max = 99

Milk and dairy product consumption (MDC) - Question identifier:MDC_Q18B

How often do YOU1 usually eat the following products?
Processed cheese

1: Per day
2: Per week
3: Per month
4: Per year

Milk and dairy product consumption (MDC) - Question identifier:MDC_Q19

What is the fat content of the processed cheese you usually eat?

1: Regular
2: Low fat (light)
3: Fat free

Milk and dairy product consumption (MDC) - Question identifier:MDC_Q20A

How often do you usually eat other types of cheese such as mozzarella, cheddar, or Swiss?
Enter a number between 0 and 99.

Min = 0; Max = 99

Milk and dairy product consumption (MDC) - Question identifier:MDC_Q20B

Select one.

1: Per day
2: Per week
3: Per month
4: Per year

Milk and dairy product consumption (MDC) - Question identifier:MDC_Q21

Thinking about the other types of cheese just reported, what is the fat content of the other types of cheese you usually eat?

1: Regular
2: Low fat (light)
3: Fat free

Grains, fruits and vegetables consumption (GFV)

Grains, fruits and vegetables consumption (GFV) - Question identifier:GFV_R10

Now, a few questions about grains, fruits and vegetables. Remember, think about all the foods you eat, both meals and snacks, at home and away from home.

Grains, fruits and vegetables consumption (GFV) - Question identifier:GFV_Q11AA

How often do you usually eat the following products?
Hot or cold cereal

Number of times

Min = 0; Max = 99

Grains, fruits and vegetables consumption (GFV) - Question identifier:GFV_Q11AB

How often do you usually eat the following products?
Hot or cold cereal

Frequency

1: Per day
2: Per week
3: Per month
4: Per year

Grains, fruits and vegetables consumption (GFV) - Question identifier:GFV_Q11BA

How often do you usually eat the following products?
Rice cereal

Number of times

Min = 0; Max = 99

Grains, fruits and vegetables consumption (GFV) - Question identifier:GFV_Q11BB

How often do you usually eat the following products?
Rice cereal

Frequency

1: Per day
2: Per week
3: Per month
4: Per year

Grains, fruits and vegetables consumption (GFV) - Question identifier:GFV_Q12A

How often do you usually eat the following products?
Whole grain bread

Number of times

Min = 0; Max = 99

Grains, fruits and vegetables consumption (GFV) - Question identifier:GFV_Q12B

How often do you usually eat the following products?
Whole grain bread

Frequency

1: Per day
2: Per week
3: Per month
4: Per year

Grains, fruits and vegetables consumption (GFV) - Question identifier:GFV_Q13A

How often do you usually eat the following products?
White bread

Number of times

Min = 0; Max = 99

Grains, fruits and vegetables consumption (GFV) - Question identifier:GFV_Q13B

How often do you usually eat the following products?
White bread

Frequency

1: Per day
2: Per week
3: Per month
4: Per year

Grains, fruits and vegetables consumption (GFV) - Question identifier:GFV_Q14A

How often do you usually eat the following products?
Any kind of pasta

Number of times

Min = 0; Max = 99

Grains, fruits and vegetables consumption (GFV) - Question identifier:GFV_Q14B

How often do you usually eat the following products?
Any kind of pasta

Frequency

1: Per day
2: Per week
3: Per month
4: Per year

Grains, fruits and vegetables consumption (GFV) - Question identifier:GFV_Q15AA

How often do you usually eat the following products?
Any kind of rice or rice product other than cereals

Number of times

Min = 0; Max = 99

Grains, fruits and vegetables consumption (GFV) - Question identifier:GFV_Q15AB

How often do you usually eat the following products?
Any kind of rice or rice product other than cereals

Frequency

1: Per day
2: Per week
3: Per month
4: Per year

Grains, fruits and vegetables consumption (GFV) - Question identifier:GFV_Q15BA

How often do you usually eat any of the following kinds of rice?
White rice

Number of times

Min = 0; Max = 99

Grains, fruits and vegetables consumption (GFV) - Question identifier:GFV_Q15BB

How often do you usually eat any of the following kinds of rice?
White rice

Frequency

1: Per day
2: Per week
3: Per month
4: Per year

Grains, fruits and vegetables consumption (GFV) - Question identifier:GFV_Q15CA

How often do you usually eat any of the following kinds of rice?
Brown rice

Number of times

Min = 0; Max = 99

Grains, fruits and vegetables consumption (GFV) - Question identifier:GFV_Q15CB

How often do you usually eat any of the following kinds of rice?
Brown rice

Frequency

1: Per day
2: Per week
3: Per month
4: Per year

Grains, fruits and vegetables consumption (GFV) - Question identifier:GFV_Q16A

How often do you usually eat any of the following kinds of rice?
Instant or wild rice

Number of times

Min = 0; Max = 99

Grains, fruits and vegetables consumption (GFV) - Question identifier:GFV_Q16B

How often do you usually eat any of the following kinds of rice?
Instant or wild rice

Frequency

1: Per day
2: Per week
3: Per month
4: Per year

Grains, fruits and vegetables consumption (GFV) - Question identifier:GFV_Q17A

How often do you usually eat the following products?
Fruit

Number of times

Min = 0; Max = 99

Grains, fruits and vegetables consumption (GFV) - Question identifier:GFV_Q17B

How often do you usually eat the following products?
Fruit

Frequency

1: Per day
2: Per week
3: Per month
4: Per year

Grains, fruits and vegetables consumption (GFV) - Question identifier:GFV_Q18A

How often do you usually eat the following products?
Tomatoes or tomato sauce

Number of times

Min = 0; Max = 99

Grains, fruits and vegetables consumption (GFV) - Question identifier:GFV_Q18B

How often do you usually eat the following products?
Tomatoes or tomato sauce

Frequency

1: Per day
2: Per week
3: Per month
4: Per year

Grains, fruits and vegetables consumption (GFV) - Question identifier:GFV_Q19A

How often do you usually eat the following products?
Lettuce or green leafy salad

Number of times

Min = 0; Max = 99

Grains, fruits and vegetables consumption (GFV) - Question identifier:GFV_Q19B

How often do you usually eat the following products?
Lettuce or green leafy salad

Frequency

1: Per day
2: Per week
3: Per month
4: Per year

Grains, fruits and vegetables consumption (GFV) - Question identifier:GFV_Q20A

How often do you usually eat the following products?
Spinach, mustard greens, cabbage or collards

Number of times

Min = 0; Max = 99

Grains, fruits and vegetables consumption (GFV) - Question identifier:GFV_Q20B

How often do you usually eat the following products?
Spinach, mustard greens, cabbage or collards

Frequency

1: Per day
2: Per week
3: Per month
4: Per year

Grains, fruits and vegetables consumption (GFV) - Question identifier:GFV_Q21A

How often do you usually eat the following products?
French fries, home fries, or hash browns

Number of times

Min = 0; Max = 99

Grains, fruits and vegetables consumption (GFV) - Question identifier:GFV_Q21B

How often do you usually eat the following products?
French fries, home fries, or hash browns

Frequency

1: Per day
2: Per week
3: Per month
4: Per year

Grains, fruits and vegetables consumption (GFV) - Question identifier:GFV_Q22A

How often do you usually eat the following products?
Potatoes

Number of times

Min = 0; Max = 99

Grains, fruits and vegetables consumption (GFV) - Question identifier:GFV_Q22B

How often do you usually eat the following products?
Potatoes

Frequency

1: Per day
2: Per week
3: Per month
4: Per year

Grains, fruits and vegetables consumption (GFV) - Question identifier:GFV_Q24A

How often do you usually eat the following products?
Flax seeds, whole or ground

Number of times

Min = 0; Max = 99

Grains, fruits and vegetables consumption (GFV) - Question identifier:GFV_Q24B

How often do you usually eat the following products?
Flax seeds, whole or ground

Frequency

1: Per day
2: Per week
3: Per month
4: Per year

Grains, fruits and vegetables consumption (GFV) - Question identifier:GFV_Q25A

How often do you usually eat the following products?
Crackers

Number of times

Min = 0; Max = 99

Grains, fruits and vegetables consumption (GFV) - Question identifier:GFV_Q25B

How often do you usually eat the following products?
Crackers

Frequency

1: Per day
2: Per week
3: Per month
4: Per year

Dietary fat consumption (DFC)

Dietary fat consumption (DFC) - Question identifier:DFC_R11

Remember, think about all the foods you eat, both meals and snacks, at home and away from home.

Dietary fat consumption (DFC) - Question identifier:DFC_Q11A

How often do you usually eat the following products?
Regular-fat salad dressing or mayonnaise

Min = 0; Max = 99

Dietary fat consumption (DFC) - Question identifier:DFC_Q11B

How often do you usually eat the following products?
Regular-fat salad dressing or mayonnaise

1: Per day
2: Per week
3: Per month
4: Per year

Dietary fat consumption (DFC) - Question identifier:DFC_Q12A

How often do you usually eat the following products?
Regular-fat potato chips, tortilla chips or corn chips

Min = 0; Max = 99

Dietary fat consumption (DFC) - Question identifier:DFC_Q12B

How often do you usually eat the following products?
Regular-fat potato chips, tortilla chips or corn chips

1: Per day
2: Per week
3: Per month
4: Per year

Dietary fat consumption (DFC) - Question identifier:DFC_Q13A

How often do you usually eat the following products?
Margarine

Min = 0; Max = 99

Dietary fat consumption (DFC) - Question identifier:DFC_Q13B

How often do you usually eat the following products?
Margarine

1: Per day
2: Per week
3: Per month
4: Per year

Dietary fat consumption (DFC) - Question identifier:DFC_Q15A

How often do you usually eat the following products?
Butter

Min = 0; Max = 99

Dietary fat consumption (DFC) - Question identifier:DFC_Q15B

How often do you usually eat the following products?
Butter

1: Per day
2: Per week
3: Per month
4: Per year

Dietary fat consumption (DFC) - Question identifier:DFC_Q16A

Vegetable oils

Min = 0; Max = 99

Dietary fat consumption (DFC) - Question identifier:DFC_Q16B

Vegetable oils

1: Per day
2: Per week
3: Per month
4: Per year

Water and soft drink consumption (WSD)

Water and soft drink consumption (WSD) - Question identifier:WSD_R30

Next, some questions about your drink consumption. Think about all the things you drink, both at home and away from home.

Water and soft drink consumption (WSD) - Question identifier:WSD_Q30A

How often do you usually drink the following drinks?
Diet soft drinks

Min = 0; Max = 99

Water and soft drink consumption (WSD) - Question identifier:WSD_Q30B

How often do you usually drink the following drinks?
Diet soft drinks

1: Per day
2: Per week
3: Per month
4: Per year

Water and soft drink consumption (WSD) - Question identifier:WSD_Q31A

How often do you usually drink the following drinks?
Regular soft drinks

Min = 0; Max = 99

Water and soft drink consumption (WSD) - Question identifier:WSD_Q31B

How often do you usually drink the following drinks?
Regular soft drinks

1: Per day
2: Per week
3: Per month
4: Per year

Water and soft drink consumption (WSD) - Question identifier:WSD_Q32A

How often do you usually drink the following drinks?
Sport drinks

Min = 0; Max = 99

Water and soft drink consumption (WSD) - Question identifier:WSD_Q32B

How often do you usually drink the following drinks?
Sport drinks

1: Per day
2: Per week
3: Per month
4: Per year

Water and soft drink consumption (WSD) - Question identifier:WSD_Q33A

How often do you usually drink the following drinks?
Vitamin-added water

Min = 0; Max = 99

Water and soft drink consumption (WSD) - Question identifier:WSD_Q33B

How often do you usually drink the following drinks?
Vitamin-added water

1: Per day
2: Per week
3: Per month
4: Per year

Water and soft drink consumption (WSD) - Question identifier:WSD_Q46A

How often do you usually drink the following drinks?
Energy drinks

Min = 0; Max = 99

Water and soft drink consumption (WSD) - Question identifier:WSD_Q46B

How often do you usually drink the following drinks?
Energy drinks

1: Per day
2: Per week
3: Per month
4: Per year

Water and soft drink consumption (WSD) - Question identifier:WSD_Q47A

How often do you usually drink the following drinks?
Sweetened coffee drinks or iced tea

Min = 0; Max = 99

Water and soft drink consumption (WSD) - Question identifier:WSD_Q47B

How often do you usually drink the following drinks?
Sweetened coffee drinks or iced tea

1: Per day
2: Per week
3: Per month
4: Per year

Water and soft drink consumption (WSD) - Question identifier:WSD_R35

The next few questions are about the different kinds of juice or fruit flavoured drinks you usually drink.

Water and soft drink consumption (WSD) - Question identifier:WSD_Q35A

How often do you usually drink 100% fruit juice?
Number of times

Min = 0; Max = 99

Water and soft drink consumption (WSD) - Question identifier:WSD_Q35B

How often do you usually drink 100% fruit juice?
Frequency

1: Per day
2: Per week
3: Per month
4: Per year

Water and soft drink consumption (WSD) - Question identifier:WSD_Q36A

Thinking about the juice you just reported, how often do you usually drink juice with calcium and vitamin D added?
Number of times

Min = 0; Max = 99

Water and soft drink consumption (WSD) - Question identifier:WSD_Q36B

Thinking about the juice you just reported, how often do you usually drink juice with calcium and vitamin D added?
Frequency

1: Per day
2: Per week
3: Per month
4: Per year

Water and soft drink consumption (WSD) - Question identifier:WSD_Q37A

How often do you usually drink the following drinks?
Fruit-flavoured drinks

Min = 0; Max = 99

Water and soft drink consumption (WSD) - Question identifier:WSD_Q37B

How often do you usually drink the following drinks?
Fruit-flavoured drinks

1: Per day
2: Per week
3: Per month
4: Per year

Water and soft drink consumption (WSD) - Question identifier:WSD_Q38A

How often do you usually drink the following drinks?
Vegetable juices

Min = 0; Max = 99

Water and soft drink consumption (WSD) - Question identifier:WSD_Q38B

How often do you usually drink the following drinks?
Vegetable juices

1: Per day
2: Per week
3: Per month
4: Per year

Water and soft drink consumption (WSD) - Question identifier:WSD_Q50A

How often do you usually drink the following drinks?
Coffee

Min = 0; Max = 99

Water and soft drink consumption (WSD) - Question identifier:WSD_Q50B

How often do you usually drink the following drinks?
Coffee

1: Per day
2: Per week
3: Per month
4: Per year

Water and soft drink consumption (WSD) - Question identifier:WSD_Q51A

How often do you usually drink the following drinks?
Tea

Min = 0; Max = 99

Water and soft drink consumption (WSD) - Question identifier:WSD_Q51B

How often do you usually drink the following drinks?
Tea

1: Per day
2: Per week
3: Per month
4: Per year

Water and soft drink consumption (WSD) - Question identifier:WSD_R39

Next, some questions about your water consumption.
[/Exclude vitamin-added water already reported.]

Water and soft drink consumption (WSD) - Question identifier:WSD_Q39A

How much water, in cups, do you usually drink at home?
Number of cups

Min = 0; Max = 99

Water and soft drink consumption (WSD) - Question identifier:WSD_Q39B

How much water, in cups, do you usually drink at home?
Frequency

1: Per day
2: Per week
3: Per month
4: Per year

Water and soft drink consumption (WSD) - Question identifier:WSD_Q40

When you drink water at home, what is your primary source of drinking water?

1: Tap water (include water from a Brita®-type jug)
2: Bottled water (Include water from an individual serving-size bottle or from a water cooler)
3: Other

Water and soft drink consumption (WSD) - Question identifier:WSD_Q41A

How much water, in cups, do you usually drink away from home?
Number of cups

Min = 0; Max = 99

Water and soft drink consumption (WSD) - Question identifier:WSD_Q41B

Frequency

1: Per day
2: Per week
3: Per month
4: Per year

Water and soft drink consumption (WSD) - Question identifier:WSD_Q42

When you drink water away from home, what is your primary source of drinking water?

1: Tap water (include water from a Brita®-type jug)
2: Bottled water (Include water from an individual serving-size bottle or from a water cooler)
3: Other

Water and soft drink consumption (WSD) - Question identifier:WSD_Q43

What is the source of the tap water in this home?

1: Supplied by the city, town or municipality
2: A private well
3: A cistern
4: A surface source such as a natural spring, lake, river, lagoon or dugout
5: Other

Water and soft drink consumption (WSD) - Question identifier:WSD_Q44

How is the water in this home treated?

01: A filter (e.g. a faucet attachment, refrigerator filter, Brita®-type jug filter)
02: A water softener
03: An ultraviolet system
04: Reverse osmosis
05: Boiling
06: Distilling
07: Other
08: No treatment

Water and soft drink consumption (WSD) - Question identifier:WSD_Q45

Is the water from the water softener used for drinking and food preparation?

1: Yes
2: No

Salt consumption (SLT)

Salt consumption (SLT) - Question identifier:SLT_R005

Now, some questions about your salt consumption.

Salt consumption (SLT) - Question identifier:SLT_Q005

How often [does ^FNAME or someone else/do you] usually add salt to your food, after it has been prepared?

1: Always
2: Often
3: Sometimes
4: Rarely
5: Never

Salt consumption (SLT) - Question identifier:SLT_Q010

What type of salt is usually used?

1: Ordinary table salt
2: Seasoned or other flavoured salt
3: Sea salt or gourmet salt
4: Light salt or half salt
5: Salt substitute
6: Other

Salt consumption (SLT) - Question identifier:SLT_R015

The next question only refers to the use of ordinary table salt.

Salt consumption (SLT) - Question identifier:SLT_Q015

How often is ordinary table salt added during the cooking or preparation of foods that you eat?

1: Always
2: Often
3: Sometimes
4: Rarely
5: Never

Sugary food consumption (SFC)

Sugary food consumption (SFC) - Question identifier:SFC_R05

The next questions are about candy and other sweets.

Think about all the sweets you eat, both meals and snacks, at home and away from home.

Sugary food consumption (SFC) - Question identifier:SFC_Q05A

How often do you usually eat candy or chocolate?
Number of times

Min = 0; Max = 50

Sugary food consumption (SFC) - Question identifier:SFC_Q05B

How often do you usually eat candy or chocolate?
Frequency

1: Per day
2: Per week
3: Per month
4: Per year

Sugary food consumption (SFC) - Question identifier:SFC_Q10A

How often do you usually eat sweet baked goods?
Number of times

Min = 0; Max = 50

Sugary food consumption (SFC) - Question identifier:SFC_Q10B

How often do you usually eat sweet baked goods?
Frequency

1: Per day
2: Per week
3: Per month
4: Per year

Sleep hygiene (SLH)

Sleep hygiene (SLH) - Question identifier:SLH_R05

Now a few questions about your sleep and bedtime habits in the past 7 days.

Sleep hygiene (SLH) - Question identifier:SLH_Q05

How many hours of sleep do you get in a typical 24-hour day, including time spent napping?

01: 0.5
02: 1.0
03: 1.5
04: 2
05: 2.5
06: 3
07: 3.5
08: 4
09: 4.5
10: 5
11: 5.5
12: 6
13: 6.5
14: 7
15: 7.5
16: 8
17: 8.5
18: 9
19: 9.5
20: 10
21: 10.5
22: 11
23: 11.5
24: 12
25: 12.5
26: 13
27: 13.5
28: 14
29: 14.5
30: 15
31: 15.5
32: 16
33: 16.5
34: 17
35: 17.5
36: 18
37: 18.5
38: 19
39: 19.5
40: 20

Sleep hygiene (SLH) - Question identifier:SLH_Q10

How many naps do you usually have in a 24-hour day?

1: 0
2: 1
3: 2
4: 3
5: 4 or more

Sleep hygiene (SLH) - Question identifier:SLH_Q15

How long does your nap usually last?

1: Less than 15 minutes
2: 15 to 30 minutes
3: More than 30 minutes

Sleep hygiene (SLH) - Question identifier:SLH_Q30

How often do you have an established, calming bedtime routine?

1: Every night
2: Some nights
3: Almost never

Sleep times and 24-hour activity (SLE)

Sleep times and 24-hour activity (SLE) - Question identifier:SLE_R01

The next questions are to record your sleep, physical and sedentary activities.

Sleep times and 24-hour activity (SLE) - Question identifier:SLE_R01B

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

Sleep times and 24-hour activity (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 times and 24-hour activity (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 times and 24-hour activity (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 times and 24-hour activity (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 times and 24-hour activity (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 times and 24-hour activity (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 times and 24-hour activity (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 times and 24-hour activity (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 times and 24-hour activity (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 times and 24-hour activity (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 times and 24-hour activity (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 times and 24-hour activity (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 times and 24-hour activity (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 times and 24-hour activity (SLE) - Question identifier:SLE_Q20

Do ^YOU have a consistent bedtime, meaning that it does not vary by more than 30 minutes each day?

1: Yes
2: No

Sleep times and 24-hour activity (SLE) - Question identifier:SLE_Q25

Do you have a consistent wake-up time, meaning that it does not vary by more than 30 minutes each day?

1: Yes
2: No

Sleep times and 24-hour activity (SLE) - Question identifier:SLE_Q30

In the past 7 days, did you use electronics within 2 hours before bedtime?

1: Yes
2: No

Sleep times and 24-hour activity (SLE) - Question identifier:SLE_Q35

How much time before you fell asleep did you use electronics?

1: Used up until the moment you fell asleep
2: Within the last 30 minutes before falling asleep
3: More than 30 minutes to one hour before falling asleep
4: More than one hour to 2 hours before falling asleep

Sleep times and 24-hour activity (SLE) - Question identifier:SLE_Q40

Do you have electronics in your bedroom?

1: Yes
2: No

Toddler physical activity (TPA)

Toddler physical activity (TPA) - Question identifier:TPA_R01

Thinking again of the past 7 days, we wish to record your physical and sedentary activities. To make it easier, we will ask you about weekdays and weekend days separately. If recall is too difficult, give your best estimate.

Toddler physical activity (TPA) - Question identifier:TPA_Q05A

In the past 7 days, how much time did you spend doing physical activity that made you sweat or breathe harder?
On a typical weekday

Hours per 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

Toddler physical activity (TPA) - Question identifier:TPA_Q05B

In the past 7 days, how much time did you spend doing physical activity that made you sweat or breathe harder?
On a typical weekday

Minutes per day

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

Toddler physical activity (TPA) - Question identifier:TPA_Q05C

In the past 7 days, how much time did you spend doing physical activity that made you sweat or breathe harder?
On a typical weekend day

Hours per 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

Toddler physical activity (TPA) - Question identifier:TPA_Q05D

In the past 7 days, how much time did you spend doing physical activity that made you sweat or breathe harder?
On a typical weekend day

Minutes per day

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

Toddler physical activity (TPA) - Question identifier:TPA_Q10A

In the past 7 days, how much total time did you spend sitting, reclining or lying down?
On a typical weekday

Hours per 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

Toddler physical activity (TPA) - Question identifier:TPA_Q10B

In the past 7 days, how much total time did you spend sitting, reclining or lying down?
On a typical weekday

Minutes per day

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

Toddler physical activity (TPA) - Question identifier:TPA_Q10C

In the past 7 days, how much total time did you spend sitting, reclining or lying down?
On a typical weekend day

Hours per 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

Toddler physical activity (TPA) - Question identifier:TPA_Q10D

In the past 7 days, how much total time did you spend sitting, reclining or lying down?
On a typical weekend day

Minutes per day

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

Toddler physical activity (TPA) - Question identifier:TPA_Q15A

Of the total time that was just reported, how much time did you spend sitting or lying down while using electronic devices?
On a typical weekday

Hours per 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

Toddler physical activity (TPA) - Question identifier:TPA_Q15B

Of the total time that was just reported, how much time did you spend sitting or lying down while using electronic devices?
On a typical weekday

Minutes per day

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

Toddler physical activity (TPA) - Question identifier:TPA_Q15C

Of the total time that was just reported, how much time did you spend sitting or lying down while using electronic devices?
On a typical weekend day

Hours per 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

Toddler physical activity (TPA) - Question identifier:TPA_Q15D

Of the total time that was just reported, how much time did you spend sitting or lying down while using electronic devices?
On a typical weekend day

Minutes per day

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

Moderate physical activity (MPA2)

Moderate physical activity (MPA2) - Question identifier:MPA2_R05

Thinking again of the past 7 days, we would like to record your total time spent doing various types of physical activities. Please do not report the same physical activity in more than one of the following questions.

Moderate physical activity (MPA2) - Question identifier:MPA2_Q05

In the past 7 days, did you use active transportation like walking or cycling to get to places?

1: Yes
2: No

Moderate physical activity (MPA2) - Question identifier:MPA2_Q10A

In the past 7 days, how much time in total did you spend using active transportation to get to places?
Hours per week

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
32: 32
33: 33
34: 34
35: 35
36: 36
37: 37
38: 38
39: 39
40: 40
41: 41
42: 42
43: 43
44: 44
45: 45
46: 46
47: 47
48: 48
49: 49
50: 50
51: 51
52: 52
53: 53
54: 54
55: 55
56: 56

Moderate physical activity (MPA2) - Question identifier:MPA2_Q10B

In the past 7 days, how much time in total did you spend using active transportation to get to places?
Minutes per week

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

Moderate physical activity (MPA2) - Question identifier:MPA2_Q15

In the past 7 days, did you do physical activities while at school as part of physical education classes, lunch hour, recess, school teams or clubs?

1: Yes
2: No

Moderate physical activity (MPA2) - Question identifier:MPA2_Q20

Did any of these physical activities make you sweat at least a little or breathe harder?

1: Yes
2: No

Moderate physical activity (MPA2) - Question identifier:MPA2_Q25A

In the past 7 days, how much time in total did you spend doing physical activities while at school that made you sweat at least a little or breathe harder?
Hours per week

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
32: 32
33: 33
34: 34
35: 35
36: 36
37: 37
38: 38
39: 39
40: 40
41: 41
42: 42
43: 43
44: 44
45: 45
46: 46
47: 47
48: 48
49: 49
50: 50
51: 51
52: 52
53: 53
54: 54
55: 55
56: 56

Moderate physical activity (MPA2) - Question identifier:MPA2_Q25B

In the past 7 days, how much time in total did you spend doing physical activities while at school that made you sweat at least a little or breathe harder?
Minutes per week

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

Moderate physical activity (MPA2) - Question identifier:MPA2_Q30

In the past 7 days, did you do physical activities outside of school as part of your leisure time?

1: Yes
2: No

Moderate physical activity (MPA2) - Question identifier:MPA2_Q35

Did any of these physical activities make you sweat at least a little or breathe harder?

1: Yes
2: No

Moderate physical activity (MPA2) - Question identifier:MPA2_Q40A

In the past 7 days, how much time in total did you spend doing physical activities outside of school that made you sweat at least a little or breathe harder?
Hours per week

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
32: 32
33: 33
34: 34
35: 35
36: 36
37: 37
38: 38
39: 39
40: 40
41: 41
42: 42
43: 43
44: 44
45: 45
46: 46
47: 47
48: 48
49: 49
50: 50
51: 51
52: 52
53: 53
54: 54
55: 55
56: 56

Moderate physical activity (MPA2) - Question identifier:MPA2_Q40B

In the past 7 days, how much time in total did you spend doing physical activities outside of school that made you sweat at least a little or breathe harder?
Minutes per week

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

Moderate physical activity (MPA2) - Question identifier:MPA2_R45

Moderate physical activity (MPA2) - Question identifier:MPA2_Q45

In the past 7 days, did you use active transportation like walking or cycling to get to places?

1: Yes
2: No

Moderate physical activity (MPA2) - Question identifier:MPA2_Q50A

In the past 7 days, how much time in total did you spend using active transportation to get to places?
Hours per week

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
32: 32
33: 33
34: 34
35: 35
36: 36
37: 37
38: 38
39: 39
40: 40
41: 41
42: 42
43: 43
44: 44
45: 45
46: 46
47: 47
48: 48
49: 49
50: 50
51: 51
52: 52
53: 53
54: 54
55: 55
56: 56

Moderate physical activity (MPA2) - Question identifier:MPA2_Q50B

In the past 7 days, how much time in total did you spend using active transportation to get to places?
Minutes per week

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

Moderate physical activity (MPA2) - Question identifier:MPA2_Q55

In the past 7 days, did you do sports, fitness or recreational physical activities?

1: Yes
2: No

Moderate physical activity (MPA2) - Question identifier:MPA2_Q60

Did any of these physical activities make you sweat at least a little or breathe harder?

1: Yes
2: No

Moderate physical activity (MPA2) - Question identifier:MPA2_Q65A

In the past 7 days, how much time in total did you spend doing sports, fitness or recreational physical activities that made you sweat at least a little or breathe harder?
Hours per week

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
32: 32
33: 33
34: 34
35: 35
36: 36
37: 37
38: 38
39: 39
40: 40
41: 41
42: 42
43: 43
44: 44
45: 45
46: 46
47: 47
48: 48
49: 49
50: 50
51: 51
52: 52
53: 53
54: 54
55: 55
56: 56

Moderate physical activity (MPA2) - Question identifier:MPA2_Q65B

In the past 7 days, how much time in total did you spend doing sports, fitness or recreational physical activities that made you sweat at least a little or breathe harder?
Minutes per week

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

Moderate physical activity (MPA2) - Question identifier:MPA2_Q70

In the past 7 days, did you do active work as part of your job?

1: Yes
2: No

Moderate physical activity (MPA2) - Question identifier:MPA2_Q75

Did any of these physical activities make you sweat at least a little or breathe harder?

1: Yes
2: No

Moderate physical activity (MPA2) - Question identifier:MPA2_Q80A

In the past 7 days, how much time in total did you spend doing active work as part of your job that made you sweat at least a little or breathe harder?
Hours per week

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
32: 32
33: 33
34: 34
35: 35
36: 36
37: 37
38: 38
39: 39
40: 40
41: 41
42: 42
43: 43
44: 44
45: 45
46: 46
47: 47
48: 48
49: 49
50: 50
51: 51
52: 52
53: 53
54: 54
55: 55
56: 56

Moderate physical activity (MPA2) - Question identifier:MPA2_Q80B

In the past 7 days, how much time in total did you spend doing active work as part of your job that made you sweat at least a little or breathe harder?
Minutes per week

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

Moderate physical activity (MPA2) - Question identifier:MPA2_Q85

In the past 7 days, did you do tasks that involved being physically active as part of [household chores, volunteering, paid or unpaid work/household chores or volunteering]?

1: Yes
2: No

Moderate physical activity (MPA2) - Question identifier:MPA2_Q90

Did any of these physical activities make you sweat at least a little or breathe harder?

1: Yes
2: No

Moderate physical activity (MPA2) - Question identifier:MPA2_Q95A

In the past 7 days, how much time in total did you spend doing tasks that involved being physically active as part of [household chores, volunteering, paid or unpaid work/household chores or volunteering] and that made you sweat at least a little or breathe harder?
Hours per week

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
32: 32
33: 33
34: 34
35: 35
36: 36
37: 37
38: 38
39: 39
40: 40
41: 41
42: 42
43: 43
44: 44
45: 45
46: 46
47: 47
48: 48
49: 49
50: 50
51: 51
52: 52
53: 53
54: 54
55: 55
56: 56

Moderate physical activity (MPA2) - Question identifier:MPA2_Q95B

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

Moderate physical activity (MPA2) - Question identifier:MPA2_R100

In the previous questions, you recorded a total time spent doing various types of physical activities of: ^SUMHourtext ^SUMMINtext

This includes active transportation and physical activities that made you sweat at least a little or breathe harder.

If this is correct, please click "Next" to continue. If not, please return and correct.

Sedentary activities (SED)

Sedentary activities (SED) - Question identifier:SED_R01

Now some questions about your sedentary activities in a typical 24-hour day.

We will be asking about total sedentary activities as well as the sedentary activities that contribute to the total that was reported. To make it easier, we will ask you about weekdays and weekend days separately. If recall is too difficult, give your best estimate.

Sedentary activities (SED) - Question identifier:SED_Q05A

In the past 7 days, how much time did you spend sitting, reclining or lying down?
On a typical weekday

Hours per 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

Sedentary activities (SED) - Question identifier:SED_Q05B

In the past 7 days, how much time did you spend sitting, reclining or lying down?
On a typical weekday

Minutes per day

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

Sedentary activities (SED) - Question identifier:SED_Q05C

In the past 7 days, how much time did you spend sitting, reclining or lying down?
On a typical weekend day

Hours per 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

Sedentary activities (SED) - Question identifier:SED_Q05D

In the past 7 days, how much time did you spend sitting, reclining or lying down?
On a typical weekend day

Minutes per day

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

Sedentary activities (SED) - Question identifier:SED_Q10A

Of the total time that was just reported, how much time did you spend sitting or lying down while using electronic devices during leisure time?
On a typical weekday

Hours per 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

Sedentary activities (SED) - Question identifier:SED_Q10B

Of the total time that was just reported, how much time did you spend sitting or lying down while using electronic devices during leisure time?
On a typical weekday

Minutes per day

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

Sedentary activities (SED) - Question identifier:SED_Q10C

Of the total time that was just reported, how much time did you spend sitting or lying down while using electronic devices during leisure time?
On a typical weekend day

Hours per 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

Sedentary activities (SED) - Question identifier:SED_Q10D

Of the total time that was just reported, how much time did you spend sitting or lying down while using electronic devices during leisure time?
On a typical weekend day

Minutes per day

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

Sedentary activities (SED) - Question identifier:SED_Q15A

Of the total time that was just reported, how much time did you spend sitting, reclining or lying down while at work or school?
On a typical weekday

Hours per 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

Sedentary activities (SED) - Question identifier:SED_Q15B

Of the total time that was just reported, how much time did you spend sitting, reclining or lying down while at work or school?
On a typical weekday

Minutes per day

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

Sedentary activities (SED) - Question identifier:SED_Q15C

Of the total time that was just reported, how much time did you spend sitting, reclining or lying down while at work or school?
On a typical weekend day

Hours per 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

Sedentary activities (SED) - Question identifier:SED_Q15D

Of the total time that was just reported, how much time did you spend sitting, reclining or lying down while at work or school?
On a typical weekend day

Minutes per day

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

Other physical activities (OPA)

Other physical activities (OPA) - Question identifier:OPA_R02

Now we will ask some questions to gather more details about the physical activities that you do. These activities may include those which have already been reported.

Other physical activities (OPA) - Question identifier:OPA_Q05A

In the past 7 days, how much time did you spend outdoors?
On a typical weekday

Hours per 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

Other physical activities (OPA) - Question identifier:OPA_Q05B

In the past 7 days, how much time did you spend outdoors?
On a typical weekday

Minutes per day

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

Other physical activities (OPA) - Question identifier:OPA_Q05C

In the past 7 days, how much time did you spend outdoors?
On a typical weekend day

Hours per 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

Other physical activities (OPA) - Question identifier:OPA_Q05D

In the past 7 days, how much time did you spend outdoors?
On a typical weekend day

Minutes per day

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

Other physical activities (OPA) - Question identifier:OPA_R10

Now we will ask some questions to gather more details about the physical activities that you do. These activities may include those which have already been reported.

Other physical activities (OPA) - Question identifier:OPA_Q10

In the past 7 days, how many days did you engage in strength-building exercise?

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

Other physical activities (OPA) - Question identifier:OPA_Q15

In the past 7 days, how many days did you engage in flexibility exercises?

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

Other physical activities (OPA) - Question identifier:OPA_Q20

In the past 7 days, how many days did you engage in any vigorous-intensity exercise?

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

Request parent to leave (RPL)

Request parent to leave (RPL) - Question identifier:RPL_R11

INTERVIEWER: The next set of questions deal with some sensitive topics such as [smoking and alcohol consumption/smoking, drug use and sexual behaviour]. To allow you to respond to these questions honestly, it is best when these questions are answered in private.

Request parent to leave (RPL) - Question identifier:RPL_Q11

INTERVIEWER: Does the youth wish to continue?

1: Yes
2: No

Current smoking status (CSS)

Current smoking status (CSS) - Question identifier:CSS_R01

The next questions are about cigarette smoking.

Include cigarettes that are self-made. Exclude e-cigarettes or vapes.

Current smoking status (CSS) - Question identifier:CSS_Q05

Have you ever smoked a whole cigarette?

1: Yes
2: No

Current smoking status (CSS) - Question identifier:CSS_Q10

How old were you when you smoked your first whole cigarette?

Min = 0; Max = 999

Current smoking status (CSS) - Question identifier:CSS_Q15

Have you smoked more than 100 cigarettes (about 4 packs) in your life?

1: Yes
2: No

Current smoking status (CSS) - Question identifier:CSS_Q20

In the past 30 days, how often did you smoke cigarettes?

1: Every day
2: Less than once a day, but at least once a week
3: Less than once a week, but at least once in the past month
4: Not at all

Current smoking status (CSS) - Question identifier:CSS_Q25

How many cigarettes do you usually smoke each day?

Min = 0; Max = 999

Current smoking status (CSS) - Question identifier:CSS_Q35

In the past 30 days, how many days have you smoked one or more cigarettes?

Min = 0; Max = 99

Current smoking status (CSS) - Question identifier:CSS_Q30

On the days that you do smoke, how many cigarettes do you usually smoke?

Min = 0; Max = 999

Current smoking status (CSS) - Question identifier:CSS_Q45

In the past 12 months, did you stop smoking for at least 24 hours because you were trying to cut back or quit?

1: Yes
2: No

Smoking - past use (SPU)

Smoking - past use (SPU) - Question identifier:SPU_Q05

Have you ever smoked cigarettes daily?

1: Yes
2: No

Smoking - past use (SPU) - Question identifier:SPU_Q10

When did you stop smoking?

1: Less than one year ago
2: 1 year to less than 2 years ago
3: 2 years to less than 3 years ago
4: 3 or more years ago

Smoking - past use (SPU) - Question identifier:SPU_Q15

At what age did you begin to smoke cigarettes daily?

Min = 0; Max = 999

Smoking - past use (SPU) - Question identifier:SPU_Q20

When you smoked every day, how many cigarettes did you usually smoke each day?

Min = 0; Max = 999

Smoking - past use (SPU) - Question identifier:SPU_R25

When did you stop smoking daily?

Smoking - past use (SPU) - Question identifier:SPU_Q25

When did you stop smoking daily?

1: Less than one year ago
2: 1 year to less than 2 years ago
3: 2 years to less than 3 years ago
4: 3 or more years ago

Smoking - past use (SPU) - Question identifier:SPU_Q30

Was that when you completely quit smoking?

1: Yes
2: No

Smoking - past use (SPU) - Question identifier:SPU_Q35

When did you stop completely?

1: Less than one year ago
2: 1 year to less than 2 years ago
3: 2 years to less than 3 years ago
4: 3 or more years ago

Smoking - past use (SPU) - Question identifier:SPU_Q40

During the past 12 months, did you do any of the following to help you quit smoking?

01: Use nicotine replacement products (e.g., nicotine patch, nicotine gum, nicotine inhaler, nicotine nasal spray, nicotine lozenge, nicotine mouth spray)
02: Use smoking cessation medications (e.g., Zyban®, Wellbutrin® or Champix®)
03: Use an internet-based program or an app
04: Use a vaping device or e-cigarette
05: Make a deal with a friend or your family
06: Reduce the number of cigarettes
07: Try to quit smoking on your own
08: Other

Smoking - past use (SPU) - Question identifier:SPU_Q45

During the past 12 months, did you do any of the following to help you when you quit smoking completely?

01: Use nicotine replacement products (e.g., nicotine patch, nicotine gum, nicotine inhaler, nicotine nasal spray, nicotine lozenge, nicotine mouth spray)
02: Use smoking cessation medications (e.g., Zyban®, Wellbutrin® or Champix®)
03: Use an internet-based program or an app
04: Use a vaping device or e-cigarette
05: Make a deal with a friend or your family
06: Reduce the number of cigarettes
07: Try to quit smoking on your own
08: Other

Tobacco alternatives products (TAL)

Tobacco alternatives products (TAL) - Question identifier:TAL_Q05

In the past 30 days, have you ever used any tobacco products other than cigarettes?

1: Yes
2: No

Exposure to second-hand smoke (ETS)

Exposure to second-hand smoke (ETS) - Question identifier:ETS_R04

The next questions are about exposure to second-hand smoke. This includes the smoke that is exhaled by smokers and that which comes from burning cigarettes, cigars, cigarillos or little cigars, pipes and water pipes.

Exclude smoke from electronic cigarettes and marijuana.

Exposure to second-hand smoke (ETS) - Question identifier:ETS_Q04

How often does someone smoke inside this home?

1: Every day
2: Almost every day
3: At least once a week
4: At least once a month
5: Less than once a month
6: Never

Exposure to second-hand smoke (ETS) - Question identifier:ETS_Q05

How many people smoke inside this home every day or almost every 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

Exposure to second-hand smoke (ETS) - Question identifier:ETS_Q06

Which of the following tobacco products are smoked inside this home?

1: Cigarettes
2: Cigarillos or little cigars
3: All other types of cigars
4: Pipes (Include water-pipes.)

Exposure to second-hand smoke (ETS) - Question identifier:ETS_Q07

On a typical day, how many [cigarettes/cigarillos or little cigars/cigars/cigarettes and cigarillos or little cigars/cigarettes and cigars/cigarillos or little cigars and other types of cigars/cigarettes, cigarillos or little cigars, and other types of cigars] are smoked inside this home?

Min = 0; Max = 999

Exposure to second-hand smoke (ETS) - Question identifier:ETS_Q09

[Not including your own smoking, in/In] the past month, that is, from ^DATELASTMONTH to today, how often were you exposed to second-hand smoke inside this home?

1: Every day
2: Almost every day
3: At least once a week
4: At least once in the past month
5: Never

Exposure to second-hand smoke (ETS) - Question identifier:ETS_R14

The next questions are about exposure to second-hand smoke in places other than your own home.

[Exclude exposure to your own smoke./NULL]

Exposure to second-hand smoke (ETS) - Question identifier:ETS_Q14

In the past month, that is, from ^DATELASTMONTH to today, were you exposed to second-hand smoke, every day or almost every day in a car or other vehicle?

1: Yes
2: No

Exposure to second-hand smoke (ETS) - Question identifier:ETS_Q16

In the past month, that is, from ^DATELASTMONTH to today, were you} exposed to second-hand smoke, every day or almost every day at your workplace or at school?

1: Yes
2: No

Exposure to second-hand smoke (ETS) - Question identifier:ETS_Q20

In the past month, that is, from ^DATELASTMONTH to today, were you exposed to second-hand smoke, every day or almost every day?
Inside someone else's home

1: Yes
2: No

Exposure to second-hand smoke (ETS) - Question identifier:ETS_Q21

In the past month, that is, from ^DATELASTMONTH to today, were you exposed to second-hand smoke, every day or almost every day?
Indoors, in public places

1: Yes
2: No

Exposure to second-hand smoke (ETS) - Question identifier:ETS_Q22

In the past month, that is, from ^DATELASTMONTH to today, were you exposed to second-hand smoke, every day or almost every day?
Outdoors, in public places

1: Yes
2: No

Exposure to second-hand smoke (ETS) - Question identifier:ETS_Q23

In the past month, that is, from ^DATELASTMONTH to today, were you exposed to second-hand smoke, every day or almost every day?
Anywhere else

1: Yes
2: No

Exposure to second-hand smoke (ETS) - Question identifier:ETS_Q24

Overall, [excluding inside your own home,/NULL] in the past month, that is, from ^DATELASTMONTH to today, how often were you exposed to second-hand smoke?

1: Every day
2: Almost every day
3: At least once a week
4: At least once in the past month
5: Never

Electronic cigarettes and vaping (ECV)

Electronic cigarettes and vaping (ECV) - Question identifier:ECV_R05

Now questions about electronic cigarettes (e-cigarettes) or vaping devices.

Electronic cigarettes and vaping (ECV) - Question identifier:ECV_Q05

Have you ever tried an e-cigarette or vaping device, also known as a vape?

1: Yes
2: No

Electronic cigarettes and vaping (ECV) - Question identifier:ECV_Q10

At what age did you first use an e-cigarette or vaping device?

Min = 0; Max = 999

Electronic cigarettes and vaping (ECV) - Question identifier:ECV_Q15

In the past 30 days, how often did you use an e-cigarette or vaping device?

1: Every day
2: At least once a week
3: At least once in the past month
4: Not at all

Electronic cigarettes and vaping (ECV) - Question identifier:ECV_Q25

The last time you used an e-cigarette or vaping device, also known as a vape, what did it contain?

1: An e-cigarette or a vaping device with nicotine
2: An e-cigarette or a vaping device without nicotine (e.g., just flavouring)
3: An e-cigarette or a vaping device but you did not know what it contained

Electronic cigarettes and vaping (ECV) - Question identifier:ECV_Q25A

During the past 30 days, on how many days did you vape an e-cigarette or a vaping device with nicotine?

Min = 0; Max = 30

Electronic cigarettes and vaping (ECV) - Question identifier:ECV_Q25B

During the past 30 days, on how many days did you vape an e-cigarette or a vaping device without nicotine?

Min = 0; Max = 30

Electronic cigarettes and vaping (ECV) - Question identifier:ECV_Q25C

During the past 30 days, on how many days did you vape an e-cigarette or a vaping device but you did not know what it contained?

Min = 0; Max = 30

Electronic cigarettes and vaping (ECV) - Question identifier:ECV_Q30

Which did you try first, an e-cigarette or vaping device or a cigarette?

1: E-cigarette or vaping device
2: Cigarette

Exposure to second-hand vapour (ETV)

Exposure to second-hand vapour (ETV) - Question identifier:ETV_R05

The next question is about exposure to second-hand vapour from electronic cigarettes, also known as e-cigarettes.

[Exclude your own vapour./]

Exposure to second-hand vapour (ETV) - Question identifier:ETV_Q005

In the past month, that is, from ^DATELASTMONTH to today, how often were you exposed to second-hand vapour inside this home?

1: Every day
2: Almost every day
3: At least once a week
4: At least once in the past month
5: Never

Alcohol use (ALC)

Alcohol use (ALC) - Question identifier:ALC_R01

Now some questions about alcohol consumption.

Alcohol use (ALC) - Question identifier:ALC_Q05

Have you ever had a drink in your lifetime?

1: Yes
2: No

Alcohol use (ALC) - Question identifier:ALC_Q10

In the past 12 months, have you had a drink of beer, wine, liquor or any other alcoholic beverage?

1: Yes
2: No

Alcohol use (ALC) - Question identifier:ALC_Q15

In the past 12 months, how often did you drink alcoholic beverages?

1: Less than once a month
2: Once a month
3: 2 to 3 times a month
4: Once a week
5: 2 to 3 times a week
6: 4 to 5 times a week
7: Daily or almost daily

Alcohol use (ALC) - Question identifier:ALC_Q20

How often in the past 12 months have you had [4/5] or more drinks on one occasion?

1: Never
2: Less than once a month
3: Once a month
4: 2 to 3 times a month
5: Once a week
6: More than once a week

Alcohol use (ALW)

Alcohol use (ALW) - Question identifier:ALW_Q05

In the past 7 days, that is from ^7DAYSAGO to yesterday, did you have a drink of beer, wine, liquor or any other alcoholic beverage?

1: Yes
2: No

Alcohol use (ALW) - Question identifier:ALW_Q10

In the past 7 days, that is from ^7DAYSAGO to yesterday, how many drinks did you have each day?
a. #{YESTERDAY.DayOfWeek("En", "TRUE")}, #{YESTERDAY}

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
21: 21
22: 22
23: 23
24: 24
25: 25
26: 26
27: 27
28: 28
29: 29
30: 30
31: 31
32: 32
33: 33
34: 34
35: 35
36: 36
37: 37
38: 38
39: 39
40: 40
41: 41
42: 42
43: 43
44: 44
45: 45
46: 46
47: 47
48: 48
49: 49
50: 50 or more

Alcohol use (ALW) - Question identifier:ALW_Q15

In the past 7 days, that is from ^7DAYSAGO to yesterday, how many drinks did you have each day?
b. #{2DAYSAGO.DayOfWeek("En", "TRUE")}, #{2DAYSAGO}

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
21: 21
22: 22
23: 23
24: 24
25: 25
26: 26
27: 27
28: 28
29: 29
30: 30
31: 31
32: 32
33: 33
34: 34
35: 35
36: 36
37: 37
38: 38
39: 39
40: 40
41: 41
42: 42
43: 43
44: 44
45: 45
46: 46
47: 47
48: 48
49: 49
50: 50 or more

Alcohol use (ALW) - Question identifier:ALW_Q20

In the past 7 days, that is from ^7DAYSAGO to yesterday, how many drinks did you have each day?
c. #{3DAYSAGO.DayOfWeek("En", "TRUE")}, #{3DAYSAGO}

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
21: 21
22: 22
23: 23
24: 24
25: 25
26: 26
27: 27
28: 28
29: 29
30: 30
31: 31
32: 32
33: 33
34: 34
35: 35
36: 36
37: 37
38: 38
39: 39
40: 40
41: 41
42: 42
43: 43
44: 44
45: 45
46: 46
47: 47
48: 48
49: 49
50: 50 or more

Alcohol use (ALW) - Question identifier:ALW_Q25

In the past 7 days, that is from ^7DAYSAGO to yesterday, how many drinks did you have each day?
d. #{4DAYSAGO.DayOfWeek("En", "TRUE")}, #{4DAYSAGO}

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
21: 21
22: 22
23: 23
24: 24
25: 25
26: 26
27: 27
28: 28
29: 29
30: 30
31: 31
32: 32
33: 33
34: 34
35: 35
36: 36
37: 37
38: 38
39: 39
40: 40
41: 41
42: 42
43: 43
44: 44
45: 45
46: 46
47: 47
48: 48
49: 49
50: 50 or more

Alcohol use (ALW) - Question identifier:ALW_Q30

In the past 7 days, that is from ^7DAYSAGO to yesterday, how many drinks did you have each day?
e. #{5DAYSAGO.DayOfWeek("En", "TRUE")}, #{5DAYSAGO}

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
21: 21
22: 22
23: 23
24: 24
25: 25
26: 26
27: 27
28: 28
29: 29
30: 30
31: 31
32: 32
33: 33
34: 34
35: 35
36: 36
37: 37
38: 38
39: 39
40: 40
41: 41
42: 42
43: 43
44: 44
45: 45
46: 46
47: 47
48: 48
49: 49
50: 50 or more

Alcohol use (ALW) - Question identifier:ALW_Q35

In the past 7 days, that is from ^7DAYSAGO to yesterday, how many drinks did you have each day?
f. #{6DAYSAGO.DayOfWeek("En", "TRUE")}, #{6DAYSAGO}

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
21: 21
22: 22
23: 23
24: 24
25: 25
26: 26
27: 27
28: 28
29: 29
30: 30
31: 31
32: 32
33: 33
34: 34
35: 35
36: 36
37: 37
38: 38
39: 39
40: 40
41: 41
42: 42
43: 43
44: 44
45: 45
46: 46
47: 47
48: 48
49: 49
50: 50 or more

Alcohol use (ALW) - Question identifier:ALW_Q40

In the past 7 days, that is from ^7DAYSAGO to yesterday, how many drinks did you have each day?
g. #{7DAYSAGO.DayOfWeek("En", "TRUE")}, #{7DAYSAGO}

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
21: 21
22: 22
23: 23
24: 24
25: 25
26: 26
27: 27
28: 28
29: 29
30: 30
31: 31
32: 32
33: 33
34: 34
35: 35
36: 36
37: 37
38: 38
39: 39
40: 40
41: 41
42: 42
43: 43
44: 44
45: 45
46: 46
47: 47
48: 48
49: 49
50: 50 or more

Alcohol use (ALWM)

Alcohol use (ALWM) - Question identifier:ALWM_Q45

Is the amount you drank over the past week more, about the same, or less compared to most weeks?

1: More
2: About the same
3: Less

Alcohol use (ALWM) - Question identifier:ALWM_Q50

Did you ever regularly drink more than 12 drinks a week?

1: Yes
2: No

Alcohol use (ALWM) - Question identifier:ALWM_Q55

Not counting small sips, how old were you when you started drinking alcoholic beverages?

Min = 1; Max = 99

Births and breastfeeding (MBF)

Births and breastfeeding (MBF) - Question identifier:MBF_R11

Now some questions about giving birth and breastfeeding experiences.

Births and breastfeeding (MBF) - Question identifier:MBF_Q11

Have you ever given birth?

1: Yes
2: No

Births and breastfeeding (MBF) - Question identifier:MBF_Q12

How many live births have you had?

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

Births and breastfeeding (BRF)

Births and breastfeeding (BRF) - Question identifier:BRF_Q11

Did you breastfeed your [first/second/third/fourth/fifth/sixth/seventh/eighth/ninth/tenth/eleventh/twelfth/thirteenth/fourteenth/fifteenth] baby?

1: Yes
2: No

Births and breastfeeding (BRF) - Question identifier:BRF_Q12

For how long did you breastfeed your [first/second/third/fourth/fifth/sixth/seventh/eighth/ninth/tenth/eleventh/twelfth/thirteenth/fourteenth/fifteenth] baby?

01: Less than 1 week
02: 1 to 2 weeks
03: 3 to 4 weeks
04: 5 to 8 weeks
05: 9 weeks to less than 12 weeks
06: 3 months (12 weeks to less than 16 weeks)
07: 4 months (16 weeks to less than 20 weeks)
08: 5 months (20 weeks to less than 24 weeks)
09: 6 months (24 weeks to less than 28 weeks)
10: 7 to 9 months
11: 10 to 12 months
12: More than 1 year

Request parent return (RPR)

Request parent return (RPR) - Question identifier:RPR_R11

The questions about sensitive topics have now been completed.

Request parent return (RPR) - Question identifier:RPR_Q11

INTERVIEWER: Is the parent or guardian in the room?

1: Yes
2: No

Request child leave (RCL)

Request child leave (RCL) - Question identifier:RCL_Q11

INTERVIEWER: Is the child in the room?

1: Yes
2: No

Request child leave (RCL) - Question identifier:RCL_R12

[INTERVIEWER: Read to respondent./INTERVIEWER: Read to parent or guardian.]

[It is best when this next set of questions is answered by an adult in private./This next set of questions deals with topics that are best answered by your parent or guardian in private./This next set of questions deals with topics that are best answered by your parent or guardian in private. Please ask your parent or guardian to come and answer these next questions.]

Request child leave (RCL) - Question identifier:RCL_Q12

INTERVIEWER: Is the parent or guardian available to answer the next questions?

1: Yes
2: No

Request child leave (RCL) - Question identifier:RCL_R13

[Could ^FNAME please leave the room while we complete these questions? We will let you know when we have finished these questions and you may return./Would you please leave the room so that your parent or guardian may answer these questions in private? We will let you know when we have finished these questions and at that time we would like you to return.]

Request child leave (RCL) - Question identifier:RCL_Q13

INTERVIEWER: Has the child left the room?

1: Yes
2: No

Pregnancy information (PRG)

Pregnancy information (PRG) - Question identifier:PRG_R11

Next some questions about [your pregnancy with ^FNAME/^FNAME's biological mother's pregnancy [with her/with him/]].

Pregnancy information (PRG) - Question identifier:PRG_Q11

Did [you/she] smoke during [your/her] pregnancy?

1: Yes
2: No

Pregnancy information (PRG) - Question identifier:PRG_Q12

How many cigarettes per day did [you/she] smoke?

Min = 0; Max = 99

Pregnancy information (PRG) - Question identifier:PRG_Q13

At what stage in [your/her] pregnancy did [you/she] smoke[?/this amount?]

1: During the first trimester
2: During the second trimester
3: During the third trimester
4: Throughout the pregnancy

Birth information of child (BIR)

Birth information of child (BIR) - Question identifier:BIR_R11

The following questions concern ^FNAME's birth.

Birth information of child (BIR) - Question identifier:BIR_Q11A

How much did you weigh at birth?
Pounds

Min = 0; Max = 99

Birth information of child (BIR) - Question identifier:BIR_Q11B

How much did you weigh at birth?
Ounces

Min = 0; Max = 99

Birth information of child (BIR) - Question identifier:BIR_Q11C

How much did you weigh at birth?
Grams

Min = 0; Max = 9999

Birth information of child (BIR) - Question identifier:BIR_Q21

Was you born before, after or on the due date?

1: Before the due date
2: After the due date
3: On the due date

Birth information of child (BIR) - Question identifier:BIR_Q22A

How many days before?

Min = 0; Max = 999

Birth information of child (BIR) - Question identifier:BIR_Q22B

How many days after?

Min = 0; Max = 999

Birth information of child (BIR) - Question identifier:BIR_Q23

Was this a single birth or was it twins, triplets or more?

1: Single birth
2: Twins
3: Triplets
4: More than triplets

Birth information of child (BIR) - Question identifier:BIR_Q24

Was ^FNAME admitted to a special neonatal unit or an intensive care unit immediately following birth, before you left the hospital?

1: Yes
2: No

Birth information of child (BIR) - Question identifier:BIR_Q25

How many days, in total, was this care received?

Min = 0; Max = 999

Birth information of child (BIR) - Question identifier:BIR_Q26

How old ^BIR26TEXT_E when ^FNAME was born?

Min = 0; Max = 99

Breastfeeding of child (BRI)

Breastfeeding of child (BRI) - Question identifier:BRI_Q11

Did [you/^FNAME's biological mother] breastfeed ^FNAME as an infant, even if only for a short period of time?

1: Yes
2: No

Breastfeeding of child (BRI) - Question identifier:BRI_Q12

For how long did ^DT_PRG11A_E breastfeed?

01: Less than one week
02: 1 to less than 3 weeks
03: 3 to less than 5 weeks
04: 5 to less than 9 weeks
05: 9 to less than 12 weeks
06: 3 to less than 7 months
07: 7 to less than 10 months
08: 10 to 12 months
09: More than 1 year

Breastfeeding of child (BRI) - Question identifier:BRI_Q13

For how long was ^FNAME fed only breast milk?

1: Less than one week
2: 1 to less than 3 weeks
3: 3 to less than 5 weeks
4: 5 to less than 9 weeks
5: 9 to less than 12 weeks
6: 3 to 6 months
7: More than 6 months

Now I'm going to read a series of statements. Please tell me if the statement is "Not true", "Somewhat true" or "Certainly true". It would help us if you answered all of the questions as best you can even if you are not absolutely certain. Please give your answers on the basis of your child's behaviour over the last six months.

^FNAME is considerate of other people's feelings.

1: Not true
2: Somewhat true
3: Certainly true

[She/He] is restless, overactive, cannot stay still for long.

1: Not true
2: Somewhat true
3: Certainly true

[She/He] often complains of headaches, stomach aches or sickness.

1: Not true
2: Somewhat true
3: Certainly true

[[She/He] shares readily with other children, for example toys, treats, pencils./[She/He] shares readily with other youth, for example games, food.]

1: Not true
2: Somewhat true
3: Certainly true

[She/He] often loses [her/his] temper.

1: Not true
2: Somewhat true
3: Certainly true

[^FNAME is rather solitary, prefers to play alone./^FNAME would rather be alone than with other youth.]

1: Not true
2: Somewhat true
3: Certainly true

[She/He] is generally well behaved, usually does what adults request.

1: Not true
2: Somewhat true
3: Certainly true

[She/He] has many worries or often seems worried.

1: Not true
2: Somewhat true
3: Certainly true

[She/He] is helpful if someone is hurt, upset, or feeling ill.

1: Not true
2: Somewhat true
3: Certainly true

[She/He] is constantly fidgeting or squirming.

1: Not true
2: Somewhat true
3: Certainly true

^FNAME has at least one good friend.

1: Not true
2: Somewhat true
3: Certainly true

[She/He] often fights with other [children/youth] or bullies them.

1: Not true
2: Somewhat true
3: Certainly true

[She/He] is often unhappy, depressed or tearful.

1: Not true
2: Somewhat true
3: Certainly true

[She/He] is generally liked by other [children/youth].

1: Not true
2: Somewhat true
3: Certainly true

[She/He] is easily distracted, [her/his] concentration wanders.

1: Not true
2: Somewhat true
3: Certainly true

[^FNAME is nervous or clingy in new situations, easily loses confidence./^FNAME is nervous in new situations, easily loses confidence.]

1: Not true
2: Somewhat true
3: Certainly true

[She/He] is kind to younger children.

1: Not true
2: Somewhat true
3: Certainly true

[She/He] often lies or cheats.

1: Not true
2: Somewhat true
3: Certainly true

[She/He] is picked on or bullied by other [children/youth].

1: Not true
2: Somewhat true
3: Certainly true

[She/He] often offers to help others (parents, teachers, other children).

1: Not true
2: Somewhat true
3: Certainly true

^FNAME thinks things out before acting.

1: Not true
2: Somewhat true
3: Certainly true

[She/He] steals from home, school or elsewhere.

1: Not true
2: Somewhat true
3: Certainly true

[She/He] gets along better with adults than with other [children/youth].

1: Not true
2: Somewhat true
3: Certainly true

[She/He] has many fears, is easily scared.

1: Not true
2: Somewhat true
3: Certainly true

[She/He] has a good attention span, sees chores or homework through to the end.

1: Not true
2: Somewhat true
3: Certainly true

Request child return (RCR)

Request child return (RCR) - Question identifier:RCR_R11

We have now finished this set of questions.

[^FNAME may return now if ^DT_HE_SHE_E wishes. ^DT_HE_SHE_C_E may help answer the remaining questions./^FNAME should return now to answer the remaining questions in the survey. You may wish to remain in the room or close by to provide assistance to ^FNAME if needed./NULL]

Request child return (RCR) - Question identifier:RCR_Q11

INTERVIEWER: Has the child returned to the room?

1: Yes
2: No

Regular health care provider (RHC2)

Regular health care provider (RHC2) - Question identifier:RHC2_R05

Now, here are some questions about primary health care. This type of health care is often delivered by family doctors or nurse practitioners.

Regular health care provider (RHC2) - Question identifier:RHC2_Q05

Do you have a regular health care provider? By this, we mean a primary health care professional that you can consult with when you need care or advice for your health.

1: Yes, a family doctor
2: Yes, a nurse practitioner
3: Yes, another health professional
4: No

Regular health care provider (RHC2) - Question identifier:RHC2_Q10

When you consult with [this family doctor/this nurse practitioner/this other health professional], do} you have to pay out-of-pocket for your consultation because they work in a private pay model?

1: Yes
2: No
9: DK

Regular health care provider (RHC2) - Question identifier:RHC2_R20

Some patients receive primary health care from a team of health professionals working together to provide coordinated services and care. In addition to family doctors and nurses, these teams could include social workers, dieticians and pharmacists, but do not include medical specialists (e.g., cardiologists, oncologists).

Regular health care provider (RHC2) - Question identifier:RHC2_Q20

Are you a patient of a team of health professionals that work together to provide you with coordinated services and care?

1: Yes
2: No
9: DK

Regular health care provider (RHC2) - Question identifier:RHC2_Q25

Do you have to pay out-of-pocket for any of the services provided by the team of health professionals?

1: Yes
2: No
9: DK

Labour market activities (LMAM)

Labour market activities (LMAM) - Question identifier:LMAM_R01

Many of the following questions concern your activities last week.

Last week is from ^DT_REFBEGE to ^DT_REFENDE.

Labour market activities (LMAM) - Question identifier:LMAM_Q01

Last week, did you work at a job or business?

1: Yes
2: No

Labour market activities (LMAM) - Question identifier:LMAM_Q02

Last week, did you have a job or business from which you were absent?

1: Yes
2: No

Labour market activities (LMAM) - Question identifier:LMAM_Q03

What was the main reason you were absent from work last week?

01: Vacation
02: Own illness or disability
03: Caring for own children
04: Caring for elder relative (60 years of age or older)
05: Maternity or parental leave
06: Other personal or family responsibilities
07: Labour dispute (strike or lockout) (Employees only)
08: Temporary layoff due to business conditions (Employees only)
09: Seasonal layoff (Employees only)
10: Casual job, no work available (Employees only)
11: Work schedule (e.g., 10 days on, 10 days off, employees only)
12: Self-employed, no work available (Self-employed only)
13: Seasonal business (Excluding employees)
14: Other

Labour market activities (LMA3)

Labour market activities (LMA3) - Question identifier:LMA3_Q01

Were you an employee or self-employed?

1: Employee
2: Self-employed
3: Working in a family business without pay

Labour market activities (LMA4)

Labour market activities (LMA4) - Question identifier:LMA4_Q01

What was the full name of your business?

Long Answer Length = 50

Labour market activities (LMA4) - Question identifier:LMA4_Q02

For whom did you work?

Long Answer Length = 50

Labour market activities (LMA4) - Question identifier:LMA4_Q03

What kind of business, industry or service was this?

Long Answer Length = 80

Labour market activities (LMA5)

Labour market activities (LMA5) - Question identifier:LMA5_R01

The following questions refer to the work or occupation in which you spent most of your time.

Labour market activities (LMA5) - Question identifier:LMA5_Q01

What kind of work were you doing?

Long Answer Length = 50

Labour market activities (LMA5) - Question identifier:LMA5_Q02

What were your most important activities or duties?

Long Answer Length = 50

Labour market activities (LMA6)

Labour market activities (LMA6) - Question identifier:LMA6_Q01

[Excluding overtime, on average, how many paid hours do you usually work per week?/On average, how many hours do you usually work per week?]

Min = 0; Max = 999.9

Labour market activities (LBF)

Labour market activities (LBF) - Question identifier:LBF_Q11

Did you have more than one job or business last week?

1: Yes
2: No

Labour market activities (LBF) - Question identifier:LBF_Q12

On average, how many hours do you usually work per week at your other job(s)?

Min = 0; Max = 999.9

Telework (LM)

Telework (LM) - Question identifier:LM_Q025

In the past 30 days, in which of these locations did you work the most hours?

1: At a fixed location outside the home
2: Outside the home with no fixed location
3: At home
4: Absent from work

Place of birth, immigration and citizenship (IM)

Place of birth, immigration and citizenship (IM) - Question identifier:IM_Q01A

Where were you born?

1: Born in Canada
2: Born outside Canada

Place of birth, immigration and citizenship (IM) - Question identifier:IM_Q01AA

Specify the province or territory

10: Newfoundland and Labrador
11: Prince Edward Island
12: Nova Scotia
13: New Brunswick
24: Quebec
35: Ontario
46: Manitoba
47: Saskatchewan
48: Alberta
59: British Columbia
60: Yukon
61: Northwest Territories
62: Nunavut

Place of birth, immigration and citizenship (IM) - Question identifier:IM_Q01AB

Select the country

1: Search
2: Other - Specify

Place of birth, immigration and citizenship (IM) - Question identifier:IM_Q02

In what year did you first come to Canada to live?

Min = 0; Max = 9999

Place of birth, immigration and citizenship (IM) - Question identifier:IM_Q03

Are you now, or have you ever been a landed immigrant?

1: Yes
2: No

Place of birth, immigration and citizenship (IM) - Question identifier:IM_Q04

In what year did you first become a landed immigrant?

Min = 0; Max = 9999

Place of birth, immigration and citizenship (IM) - Question identifier:IM_Q05

Of what country are you a citizen?
Are you a citizen of:

1: Canada
2: Another country

Place of birth, immigration and citizenship (IM) - Question identifier:IM_Q05AA

Is it:

1: By birth
2: By naturalization

Place of birth, immigration and citizenship (IM) - Question identifier:IM_Q05AB

Select the country

1: Search
2: Other - Specify

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.
Are you?

01: White
02: South Asian (e.g., East Indian, Pakistani, Sri Lankan)
03: Chinese
04: Black
05: Filipino
06: Arab
07: Latin American
08: Southeast Asian (e.g. Vietnamese, Cambodian, Laotian, Thai)
09: West Asian (e.g., Iranian, Afghan)
10: Korean
11: Japanese
12: Other — specify:

Language (LAN)

Language (LAN) - Question identifier:LAN_Q01

Can you speak English or French well enough to conduct a conversation?

1: English only
2: French only
3: Both English and French
4: Neither English nor French

Language (LAN) - Question identifier:LAN_Q02

What language do you speak most often at home?

1: English
2: French
3: Other

Language (LAN) - Question identifier:LAN_Q04

What is the language that you first learned at home in childhood and still understand?

1: English
2: French
3: Other

Housing characteristics (HSC)

Housing characteristics (HSC) - Question identifier:HSC_R01

The next questions ask about this home.

Housing characteristics (HSC) - Question identifier:HSC_Q11

How old is this home?

1: Less than 10 years old
2: 10 to 19 years old
3: 20 to 29 years old
4: 30 to 39 years old
5: 40 to 49 years old
6: 50 to 59 years old
7: 60 or more years old

Housing characteristics (HSC) - Question identifier:HSC_Q37

In the past seven days, were any chemicals used in this home to control fleas on pets?

1: Yes
2: No

Housing characteristics (HSC) - Question identifier:HSC_Q41

In the past seven days, did anyone treat the lawn or yard of this home, or the surrounding fields, woods or orchards with chemical products to kill insects or weeds, or to control plant diseases?

1: Yes
2: No

Housing characteristics (HSC) - Question identifier:HSC_Q42

In the past seven days when these chemical products were used to treat the area around this home, how many times were they applied?
Personally, by someone living in this home

Min = 0; Max = 99

Housing characteristics (HSC) - Question identifier:HSC_Q43

In the past seven days when these chemical products were used to treat the area around this home, how many times were they applied?
By a professional

Min = 0; Max = 99

Housing characteristics (HSC) - Question identifier:HSC_Q44

In the past seven days when these chemical products were used to treat the area around this home, how many times were they applied?
By someone other than a professional or household member

Min = 0; Max = 99

Total household income (THI)

Total household income (THI) - Question identifier:THI_R01A

Although many health expenses are covered by health insurance, there is still an important relationship between health and income. Please be assured that, like all other information you have provided, these answers will be kept strictly confidential.

Total household income (THI) - Question identifier:THI_R01B

Now a question about total household income.

Total household income (THI) - Question identifier:THI_Q01

What is your best estimate of total household income received by all household members, from all sources, before taxes and deductions, during the year ending December 31, ^{DV_PASTYEAR}?

Min = -99999999; Max = 99999999

Income (INC)

Income (INC) - Question identifier:INC_Q02

Which of the following categories best represents your total household income for the year ending December 31, ^{DV_PASTYEAR}?

1: Less than $50,000, including income loss
2: $50,000 and more

Income (INC) - Question identifier:INC_Q03

What was your total household income?

1: Less than $5,000
2: $5,000 to less than $10,000
3: $10,000 to less than $15,000
4: $15,000 to less than $20,000
5: $20,000 to less than $30,000
6: $30,000 to less than $40,000
7: $40,000 to less than $50,000

Income (INC) - Question identifier:INC_Q04

What was your total household income?

1: $50,000 to less than $60,000
2: $60,000 to less than $70,000
3: $70,000 to less than $80,000
4: $80,000 to less than $90,000
5: $90,000 to less than $100,000
6: $100,000 to less than $150,000
7: $150,000 and over

Tap water collection (TWC)

Tap water collection (TWC) - Question identifier:TWC_Q02

Is this interview taking place at the respondent's dwelling?

1: Yes
2: No

Tap water collection (TWC) - Question identifier:TWC_R06

[I would like to take a sample from your kitchen tap. This sample may be selected to measure the level of perfluoroalkyl and polyfluoroalkyl substances in your tap water.]

Tap water collection (TWC) - Question identifier:TWC_R07

INTERVIEWER: You will need the following collection tubes.

[PFAS water sample]

Show the respondent the collection containers.

Tap water collection (TWC) - Question identifier:TWC_R08

The results of tap water samples, if selected for analysis, will be sent along with other results once the temporary examination centre portion of the survey is completed.

Tap water collection (TWC) - Question identifier:TWC_Q10

Do you agree to provide water samples?

1: Yes
2: No

Tap water collection (TWC) - Question identifier:TWC_Q11

INTERVIEWER: Record the reasons that the respondent refused to provide water samples.

01: Did not want interviewer in kitchen or other area of house
02: Felt measure was invasive or not Statistics Canada's business
04: Environmental concerns (e.g., water wastage)
05: Concerns over well running dry
06: Concerns over cistern running dry
07: Problem with water source (e.g., interference with current water use in the household, water turned off at source)
10: Other

Tap water collection (TWC) - Question identifier:TWC_R20

INTERVIEWER: Ask the respondent to take you to the kitchen tap. If the kitchen tap is not available, then take the water sample from another source in the following priority:

1. Bathroom sink
2. Bathroom tub or shower
3. Basement bathroom sink
4. Basement bathroom tub or shower
5. Laundry sink
6. Outside faucet

If in an apartment building, the sample should only be taken from within the unit i.e., sample should not be taken from apartment building laundry facility.

Tap water collection (TWC) - Question identifier:TWC_R21

INTERVIEWER: Once the collection site is determined, collect the tap water in the HDPE bottle provided.

Tap water collection (TWC) - Question identifier:TWC_Q22

INTERVIEWER: Were you able to collect a useable PFAS water sample?

1: Yes
2: No

Tap water collection (TWC) - Question identifier:TWC_Q23

INTERVIEWER: Select the reason that a useable fluoride water sample was not obtained.

1: Problem with water source
2: No more bottles available
7: Other

Tap water collection (TWC) - Question identifier:TWC_Q24

INTERVIEWER: Scan the barcode on the filled PFAS bottle.

Min = 0; Max = 99999999999

Tap water collection (TWC) - Question identifier:TWC_Q25

INTERVIEWER: Re-scan the barcode on the filled PFAS bottle.

Min = 0; Max = 99999999999

Tap water collection (TWC) - Question identifier:TWC_R46

To ensure the accuracy of the water data collected, a small percentage of households have been randomly selected to provide duplicate water samples. Yours is one of these randomly selected households.

Tap water collection (TWC) - Question identifier:TWC_R47

INTERVIEWER: You will need the following duplicate collection bottle.

[PFAS water sample]

Tap water collection (TWC) - Question identifier:TWC_Q52

INTERVIEWER: Were you able to collect a useable duplicate PFAS water sample?

1: Yes
2: No

Tap water collection (TWC) - Question identifier:TWC_Q53

INTERVIEWER: Select the reason that a useable duplicate fluoride water sample was not obtained.

1: Problem with water source
2: No more bottles available
7: Other

Tap water collection (TWC) - Question identifier:TWC_Q54

INTERVIEWER: Scan the barcode on the filled duplicate PFAS bottle.

Min = 0; Max = 99999999999

Tap water collection (TWC) - Question identifier:TWC_Q55

INTERVIEWER: Re-scan the barcode on the filled duplicate PFAS bottle.

Min = 0; Max = 99999999999

Tap water collection (TWC) - Question identifier:TWC_Q90

INTERVIEWER: Record the source of the water samples.

01: Kitchen sink
02: Bathroom sink
03: Bathroom tub or shower
04: Basement bathroom sink
05: Basement bathroom tub or shower
06: Laundry sink
07: Outside faucet
08: Other

Tap water collection (TWC) - Question identifier:TWC_R95

I am now going to verify that you have an aerator on this tap. I will need to turn the water on full.

Tap water collection (TWC) - Question identifier:TWC_Q95

INTERVIEWER: Does the tap that water was collected from have an aerator?

1: Yes
2: No

Administration information (ADMM)

Administration information (ADMM) - Question identifier:ADMM_Q31

INTERVIEWER: Is this a fictitious name for the respondent?

1: Yes
2: No

Administration information (ADMM) - Question identifier:ADMM_R32

INTERVIEWER: Remind respondent about the importance of getting correct names.

Administration information (ADMM) - Question identifier:ADMM_Q32

INTERVIEWER: Do you want to make corrections to any of the respondent's names?

1: First name only
2: Last name only
3: Both names
4: No corrections

Administration information (ADMM) - Question identifier:ADMM_Q33

INTERVIEWER: What is the respondent's first name?

Long Answer Length = 25

Administration information (ADMM) - Question identifier:ADMM_Q34

INTERVIEWER: What is the respondent's last name?

Long Answer Length = 25

Administration information (ADMM) - Question identifier:ADMM_Q35B

INTERVIEWER: Was this interview conducted on the telephone or in person?

1: On telephone
2: In person
3: Both

Administration information (ADMM) - Question identifier:ADMM_Q38

INTERVIEWER: Select the language of interview.

01: English
02: French
03: Chinese
04: Italian
05: Punjabi
06: Spanish
07: Portuguese
08: Polish
09: German
10: Vietnamese
11: Arabic
12: Tagalog (Filipino)
13: Greek
14: Tamil
15: Cree
16: Afghan
17: Cantonese
18: Hindi
19: Mandarin
20: Persian (Farsi)
21: Russian
22: Ukrainian
23: Urdu
24: Inuktitut
25: Hungarian
26: Korean
27: Serbo-Croatian
28: Gujarati
29: Dari
90: Other - Specify

Get telephone number (GTEL)

Get telephone number (GTEL) - Question identifier:GTEL_R01

We will need to contact you to schedule or confirm your visit to the mobile examination centre and we might also need to contact you afterwards.

For example:
- we might need to confirm the mailing address so that we can send a final report with the results of the tests done at the centre
- our medical advisor might need to speak with you about test results.

Get telephone number (GTEL) - Question identifier:GTEL_Q01

Can you provide the best phone number where we can reach you, including the area code?

Long Answer Length = 12

Get telephone number (GTEL) - Question identifier:GTEL_Q02A

Can you confirm ^DT_TELEPHONENUMBER is the best phone number where we can reach you?

1: Yes
2: No

Get telephone number (GTEL) - Question identifier:GTEL_Q02

What is the best phone number to reach you, including the area code?

Long Answer Length = 12

Get telephone number (GTEL) - Question identifier:GTEL_Q03

We would like to have a secondary phone number in case we are unable to reach you. Is there an alternate phone number where we can reach you?

1: Yes
2: No

Get telephone number (GTEL) - Question identifier:GTEL_Q03A

What is your alternate phone number, including the area code?

Long Answer Length = 12

Get e-mail address (GEA)

Get e-mail address (GEA) - Question identifier:GEA_Q04

Can you provide a primary email address where we can reach you?

Long Answer Length = 64

Get e-mail address (GEA) - Question identifier:GEA_Q05A

Can you confirm ^EA_Q02 is the primary email address where we can reach you?

1: Yes
2: No

Get e-mail address (GEA) - Question identifier:GEA_Q05B

What is your primary email address?

Long Answer Length = 64

Special needs (CSN)

Special needs (CSN) - Question identifier:CSN_Q11

INTERVIEWER: Does the respondent have any special needs that the centre should be made aware of in advance?

1: Yes
2: No

Special needs (CSN) - Question identifier:CSN_Q12

INTERVIEWER: Indicate any special needs that the centre should be made aware of in advance.

01: Blind
04: Deaf/Hearing impaired
06: Interpreter needed
07: Lift device needed
08: Mentally impaired
10: Substance abuser
12: Wheelchair needed
14: Female HMS requested
15: Male HMS requested
20: Other - Specify

Special needs (CSN) - Question identifier:CSN_Q14

INTERVIEWER: Is an interpreter needed?

1: Yes
2: No

Special needs (CSN) - Question identifier:CSN_Q15

INTERVIEWER: Record the interpreter language needed.

01: English
02: French
03: Chinese
04: Italian
05: Punjabi
06: Spanish
07: Portuguese
08: Polish
09: German
10: Vietnamese
11: Arabic
12: Tagalog (Filipino)
13: Greek
14: Tamil
15: Cree
16: Afghan
17: Cantonese
18: Hindi
19: Mandarin
20: Persian (Farsi)
21: Russian
22: Ukrainian
23: Urdu
24: Inuktitut
25: Hungarian
26: Korean
27: Serbo-Croatian
28: Gujarati
29: Dari
90: Other - Specify

Special needs (CSN) - Question identifier:CSN_Q16

INTERVIEWER: What kind of interpreter arrangement is required?

1: None, a friend/family member will assist respondent in translating during the clinic visit
2: Interviewer will accompany the respondent to the clinic and interpret
3: Clinic needs to book an interpreter for the clinic visit

Book appointment (BCA)

Book appointment (BCA) - Question identifier:BCA_Q01

Who would be the best person to contact about the appointment for #{FNAME}?
First name

Long Answer Length = 25

Book appointment (BCA) - Question identifier:BCA_Q02

Who would be the best person to contact about the appointment for #{FNAME}?
Last name

Long Answer Length = 25

Book appointment (BCA) - Question identifier:BCA_R10

I would now like to review the information regarding the tests at the mobile examination centre.

Book appointment (BCA) - Question identifier:BCA_R11

INTERVIEWER: Go through the Respondent Information Kit with the respondent.

Review, in detail, the appropriate Pre-Testing Guidelines sheet for a [fasted/non-fasted] appointment. Remove the other Pre-Testing Guidelines sheet from the RIK.

Book appointment (BCA) - Question identifier:BCA_R12

Please read the Information and Consent Booklet prior to the appointment.

Book appointment (BCA) - Question identifier:BCA_R13

INTERVIEWER: Record all the information below on the respondent's Pre-Testing Guidelines sheet.

Book appointment (BCA) - Question identifier:BCA_R31

INTERVIEWER: If you have completed all possible respondent cases for this household, call the mobile examination centre now to book appointments.

Book appointment (BCA) - Question identifier:BCA_Q31

INTERVIEWER: Was an appointment booked?

1: Yes
2: No

Book appointment (BCA) - Question identifier:BCA_Q34

INTERVIEWER: Why was an appointment not booked?

01: Respondent not interested
02: Respondent will call another time
03: Respondent wants to be called
04: Left message
06: Outside clinic hours / clinic closed / not set up
07: Respondent not available for the remaining appointments
08: No appointments remaining
09: No answer / busy signal
10: Other
11: Another household interview to complete

Book appointment (BCA) - Question identifier:BCA_R41

Please call and set up an appointment at your earliest convenience. All of the information you need to make an appointment, such as the dates and times the centre is open and the telephone number to call, is here on your pre-testing guidelines sheet.

Book appointment (BCA) - Question identifier:BCA_R42

INTERVIEWER: Remind the respondent that Statistics Canada will provide a reimbursement for expenses related to attending the mobile examination centre.

Preferred time to call (PTC)

Preferred time to call (PTC) - Question identifier:PTC_Q12

We may need to contact you about the appointment. At what time of day would you prefer that we call you?

1: Any time
2: Morning
3: Afternoon
4: Evening

Date modified:: 2025-02-27

Canadian Health Measures Survey (Cycle 8) - Household Questionnaire

Table of Contents

Collect household mailing address (CHM)

Collect mailing address (NAD)

Telephone number of household (TEL)

E-mail address of household (EA)

Dwelling type (DW)

Occupancy (DWL)

Other living quarters (OLQ)

Household member or not (HC)

Household composition (HHC)

Person providing demographics (PPD)

Age with confirmation (ANCQ)

Sex and gender (GDR)

Education (ED)

Person providing information (PPI)

Consent (PGC2)

Relationship with confirmation (RWC)

Main activity (MAC)

Main activity (MA)

Main activity (EDC)

General health (GEN)

Noise Annoyance and Perceived Stress (NAPS)

Pregnancy (PRS)

Chronic conditions (CCC)

Chronic conditions (CC2)

Family medical history (FMH)

Hepatitis (HEP)

Meat and meat alternatives consumption (MFC)

Milk and dairy product consumption (MDC)

Grains, fruits and vegetables consumption (GFV)

Dietary fat consumption (DFC)

Water and soft drink consumption (WSD)

Salt consumption (SLT)

Sugary food consumption (SFC)

Sleep hygiene (SLH)

Sleep times and 24-hour activity (SLE)

Toddler physical activity (TPA)

Moderate physical activity (MPA2)

Sedentary activities (SED)

Other physical activities (OPA)

Request parent to leave (RPL)

Current smoking status (CSS)

Smoking - past use (SPU)

Tobacco alternatives products (TAL)

Exposure to second-hand smoke (ETS)

Electronic cigarettes and vaping (ECV)

Exposure to second-hand vapour (ETV)

Alcohol use (ALC)

Alcohol use (ALW)

Alcohol use (ALWM)

Births and breastfeeding (MBF)

Births and breastfeeding (BRF)

Request parent return (RPR)

Request child leave (RCL)

Pregnancy information (PRG)

Birth information of child (BIR)

Breastfeeding of child (BRI)

Strengths and difficulties ©Robert Goodman (SDQ)

Request child return (RCR)

Regular health care provider (RHC2)

Labour market activities (LMAM)

Labour market activities (LMA3)

Labour market activities (LMA4)

Labour market activities (LMA5)

Labour market activities (LMA6)

Labour market activities (LBF)

Telework (LM)

Place of birth, immigration and citizenship (IM)

Indigenous identity (ABM)

Sociodemographic characteristics (PG)

Language (LAN)

Housing characteristics (HSC)

Total household income (THI)

Income (INC)

Tap water collection (TWC)

Administration information (ADMM)

Get telephone number (GTEL)

Get e-mail address (GEA)

Special needs (CSN)