Business Activity, Expenditure and Output Survey - 2017

Business or organization and contact information - Question identifier:1

Please verify or provide the business or organization's legal and operating name and correct where needed. Note: Legal name modifications should only be done to correct a spelling error or typo.

Legal name

Operating name (if applicable)

Business or organization and contact information - Question identifier:2

Please verify or provide the contact information of the designated business or organization contact person for this questionnaire and correct where needed. Note: The designated contact person is the person who should receive this questionnaire. The designated contact person may not always be the one who actually completes the questionnaire.

First name

Last name

Title

Preferred language of communication

Mailing address (number and street)

City

Province, territory or state

Postal code or ZIP code Example: A9A 9A9 or 12345-1234

Country

Email address Example: user@example.gov.ca

Telephone number (including area code) Example: 123-123-1234

Extension number (if applicable)

Fax number (including area code) Example: 123-123-1234

Business or organization and contact information - Question identifier:3

Please verify or provide the current operational status of the business or organization identified by the legal and operating name above.

.

• 1: Operational
• 2: Not currently operational e.g., temporarily or permanently closed, change of ownership

Why is this business or organization not currently operational?

• 1: Seasonal operations
• 2: Ceased operations
• 3: Sold operations
• 4: Amalgamated with other businesses or organizations
• 5: Temporarily inactive but will re-open
• 6: No longer operating due to other reasons

Business or organization and contact information - Question identifier:3a

Seasonal operations

When did this business or organization close for the season?
Date:
Example: YYYY-MM-DD

When does this business or organization expect to resume operations?
Date:
Example: YYYY-MM-DD

Business or organization and contact information - Question identifier:3b

Ceased operations

When did this business or organization cease operations?
Date:
Example: YYYY-MM-DD

Why did this business or organization cease operations?

• 1: Bankruptcy
• 2: Liquidation
• 3: Dissolution
• 4: Other reasons - specify:

Business or organization and contact information - Question identifier:3c

Sold operations

When was this business or organization sold?
Date:
Example: YYYY-MM-DD

What is the legal name of the buyer?

Business or organization and contact information - Question identifier:3d

Amalgamated with (an) other business(es) or organization(s)

When did this business or organization amalgamate?
Date:
Example: YYYY-MM-DD

What is the legal name of the resulting or continuing business or organization?

What is (are) the legal name(s) of the other amalgamated business(es) or organization(s)?

Business or organization and contact information - Question identifier:3e

Temporarily inactive but will re-open

When did this business or organization become temporarily inactive?
Date:
Example: YYYY-MM-DD

When does this business or organization expect to resume operations?
Date:
Example: YYYY-MM-DD

Why is this business or organization temporarily inactive?

Business or organization and contact information - Question identifier:3f

No longer operating due to other reason(s)

When did this business or organization cease operations?
Date:
Example: YYYY-MM-DD

Why did this business or organization cease operations?

Main activity - Question identifier:4

Please verify or provide the current main activity of the business or organization identified by the legal and operating name above. Note: The described activity was assigned using the North American Industry Classification System (NAICS).

.

• 1: This is the current main activity.
• 2: This is not the current main activity.

This is not the current main activity - Please provide a brief but precise description of this business or organization's main activity. e.g., breakfast cereal manufacturing, shoe store, software development

Main activity - Question identifier:5

You indicated that is not the current main activity. Was this business or organization's main activity ever classified as: ?

• 1: Yes
• 2: No

Main activity - Question identifier:5a

When did the main activity change?
Date:
Example: YYYY-MM-DD

Main activity - Question identifier:6

Please search and select the industry classification code that best corresponds to this business or organization's main activity. How to search:
- if desired, you can filter the search results by first selecting this business or organization's activity sector
- enter keywords or a brief description that best describes this business or organization main activity
- press the Search button to search the database for an activity that best matches the keywords or description you provided
- then select an activity from the list.

Select this business or organization's activity sector (optional)

Enter keywords or a brief description, then press the Search button

Please select an activity (industry code)

Please select an activity (industry description)

Main activity - Question identifier:7

You have indicated that the current main activity of this business or organization is: Are there any other activities that contribute significantly (at least 10%) to this business or organization's revenue?

.

• 1: Yes, there are other activities.
• 2: No, that is the only significant activity.

Main activity - Question identifier:7a

Yes, there are other activities.

Please provide a brief but precise description of this business or organization's secondary activity. e.g., breakfast cereal manufacturing, shoe store, software development

Main activity - Question identifier:8

Approximately what percentage of this business or organization's revenue is generated by each of the following activities? When precise figures are not available, please provide your best estimates.

Main activity - Question identifier:a

#{__NAICS_TITLE_E}

Main activity - Question identifier:b

#{__secondary_NAICS_TITLE_E}

Main activity - Question identifier:c

All other activities.

Total percentage

Capital Expenses - Question identifier:1

Did this business make any capital expenditures in YYYY? - e.g., lease hold improvements, building construction, the purchase of furnishings, machinery and equipment, vehicles, computers or software

• 1: Yes
• 2: No

Capital Expenses - Question identifier:2

Does this business intend to make any capital expenditures in YYYY+1 or YYYY+2? - e.g., lease hold improvements, building construction, the purchase of furnishings, machinery and equipment, vehicles, computers or software

• 1: Yes
• 2: No

In YYYY, did this business perform scientific research and development in Canada of at least $10,000 or fund another organization to perform scientific research and development of at least $10,000?

• 1: Yes
• 2: No

Contact person - Question identifier:1

Who is the best person to contact about this questionnaire?

First name:

Last name:

Title:

Email address:
Example: user@example.gov.ca

Telephone number (including area code):
Example: 123-123-1234

Extension number (if applicable):

Fax number (including area code):
Example: 123-123-1234

Feedback - Question identifier:1

How long did it take to complete this questionnaire? Include the time spent gathering the necessary information.

Hours:

Minutes:

Feedback - Question identifier:2

We invite your comments about this questionnaire. Enter your comments