Retail Commodity Survey

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

Introduction

Purpose

The Monthly Survey of Large Retailers (LMR) provides a breakdown of national retail sales on the basis of commodities for a panel of about 80 large retail enterprises. Sales data for more than 100 commodities are available on a monthly basis.

This survey collects detailed information about retail commodity sales in Canada to produce estimates of the distribution of the sales of various commodities at the national level, for different types of retail outlets in Canada.

Additional information

This survey collects essential commodity data to supplement retail automotive statistics. The business community, trade associations, government and others use this information in aggregate form to assist in decision making, marketing efforts and to assess business conditions.

Authority

Confidential when completed.

Collected under the authority of the Statistics Act, Revised Statutes of Canada, 1985, Chapter S19.

Confidentiality

The Statistics Act protects the confidentiality of information collected by Statistics Canada.

Your answers are confidential.

Statistics Canada is prohibited by law from releasing any information it collects which could identify any person, business, or organization, unless consent has been given by the respondent or as permitted by the Statistics Act. The confidentiality provisions of the Statistics Act are not affected by either the Access to Information Act or any other legislation. Therefore, for example, the Canada Revenue Agency cannot access identifiable survey records from Statistics Canada.

Information from this survey will be used for statistical purposes only and will be published in aggregate form only.

Data-sharing agreements

To reduce respondent burden, Statistics Canada has entered into data-sharing agreements with provincial and territorial statistical agencies and other government organizations, which must keep the data confidential and use them only for statistical purposes. A list of the organizations with which Statistics Canada has data-sharing agreements with will be sent to you on an occasional basis.

Record linkage

To enhance the data from this survey, Statistics Canada may combine it with information from other surveys or from administrative sources.

Security of emails and faxes

Statistics Canada advises you that there could be a risk of disclosure during facsimile or other electronic transmission. However, upon receipt, Statistics Canada will provide the guaranteed level of protection afforded all information collected under the authority of the Statistics Act.

Assistance

If you require assistance in the completion of this questionnaire or have any questions regarding the survey, please call the nearest Statistics Canada Regional Office:

Toronto:
Local 416-954-9069
Toll free 1-800-263-3072
Fax 416-973-6524

Sturgeon Falls:
Local 705-753-4888
Toll free 1-800-316-5354
Fax 886-656-5834

Introduction statement

Si vous préférez recevoir ce questionnaire en français, veuillez téléphoner au numéro figurant au bas de cette page.

Correct pre-printed information if necessary using the corresponding boxes provided below.

1. Legal name
2. Business name
3. C/O
4. No. and street
5. City
6. Province
7. Postal code

Thank you

Thank you for completing this questionnaire. Please retain a copy for your records.

Reporting period

Please indicate the reporting period covered by this questionnaire.

  • 1: Date from (yyyy mm dd)
  • 2: Date to (yyyy mm dd)

Instructions

Please report sales, commissions and other receipts for each commodity sold during the reporting period, either in dollars or as a percentage of Total Sales, Commissions & Other Receipts but not a combination of both. If reporting in dollars, omit cents. Exclude GST, HST, PST and TVQ.

When precise figures are not available, please provide your best estimates.

Sales, Commissions and Other Receipts
Report sales, commissions and other receipts during the reporting period.

Include:
-Sales of all goods purchased for resale, net of returns and discounts (do not deduct the value of trade-ins)
-Commission revenue and fees earned from selling goods and services on account of others, such as selling lottery tickets, bus tickets,and phone cards (do not report the value of sales)
-Parts and labour revenue from repair and maintenance
-Revenue from rental and leasing of goods and equipment
-Revenue from services, including food services
-Sales of goods manufactured as a secondary activity
-Proprietor's withdrawals, at retail, of goods for personal use

Exclude:
-Revenue from rental of real estate, placement fees, operating subsidies, grants, royalties and franchise fees
-Non-operating revenue such as interest and dividends

Certification

I certify that the information contained herein is complete and correct to the best of my knowledge and belief.

  • 1: Signature
  • 2: Date (yyyy mm dd)
  • 3: Name of signer
  • 4: Official position of signer
  • 5: Web site address
  • 6: Telephone
  • 7: Ext.
  • 8: Fax

Sales, Commissions and Other Receipts

Report either in dollars or as a percentage of Total Sales, Commissions and Other Receipts but not a combination of both. Please indicate dollars or percentage. If reporting in dollars, omit cents.

Exclude GST, HST, PST and TVQ.

When precise figures are not available, please provide your best estimates.

  • 1: A1000 Food (excludes pet food, meals and lunches) (sum of A1010 to A1090)
  • 1.1: A1010 Fresh meat and poultry (includes cooked, cured and smoked meats)
  • 1.2: A1020 Fresh fish and other seafood
  • 1.3: A1030 Fresh fruit and vegetables
  • 1.4: A1040 Dairy products and eggs (excludes ice cream)
  • 1.5: A1050 Bakery products (in-house and commercial)
  • 1.6: A1060 Candy, confectionery and snack foods
  • 1.7: A1070 Deli (excludes cheese), salad bars and prepared foods for take-out
  • 1.8: A1080 Frozen foods (includes frozen juice concentrates and ice cream)
  • 1.9: A1090 All other foods (excludes pet food, meals and lunches)
  • 2: A2000 Non-alcoholic beverages (sum of A2010 to A2020)
  • 2.1: A2010 Soft drinks
  • 2.2: A2020 Other non-alcoholic beverages (excludes soft drinks)
  • 3: A3000 Alcoholic beverages
  • 4: X0100 Supplies for making wine and beer
  • 5: S5000 Meals and lunches
  • 6: X0200 Pet food, supplies and accessories
  • 7: X0300 Tobacco products and supplies
  • 8: G1000 Housewares (non-electric) and household supplies (excludes personal care products)(sum of G1010 to G1030)
  • 8.1: G1010 Tableware (excludes linens), kitchenware, cookware and bakeware
  • 8.2: G1020 Household cleaning supplies, chemicals and paper products (includes foil and plastic wraps)
  • 8.3: G1030 Other household supplies (brooms, mops, laundry baskets, ironing boards, light bulbs, flashlights, smoke detectors, etc.)
  • 9: B1000 Personal care, health and beauty products (non-electric) (sum of B1010 and B1020)
  • 9.1: B1010 Cosmetics and fragrances
  • 9.2: B1020 Other toiletries/personal care products (excludes electrical appliances, eyewear,cosmetics and fragrances)
  • 10: B2010 Prescription eyewear
  • 11: B2020 Non-prescription eyewear
  • 12: B3000 Home health care "sick room" equipment and supplies (hearing aids, walkers, crutches, wheel chairs, artificial limbs, etc.) (excludes exercise equipment)
  • 13: B4000 Drugs (prescription and non-prescription), vitamins and other health supplements (sum of B4010 and B4020)
  • 13.1: B4010 Prescription drugs
  • 13.2: B4020 Over-the-counter drugs, vitamins, herbal remedies and other health supplements
  • 14: H0000 Furniture (indoor), household appliances and electronics (includes cameras)(sum of H1000, H2000 and H3000)
  • 14.1: H1000 Furniture (excludes patio and lawn furniture) (sum of H1010 to H1030)
  • 14.1.1: H1010 Mattresses and foundations (excludes nursery)
  • 14.1.2: H1020 Nursery furniture and equipment (includes mattresses, carriages and strollers)
  • 14.1.3: H1030 All other indoor furniture (includes home office)
  • 14.2: H2000 Household appliances (sum of H2010 and H2020)
  • 14.2.1: H2010 Major appliances
  • 14.2.2: H2020 Small electrical appliances (includes personal care electrical appliances)
  • 14.3: H3000 Home electronics, computers and cameras (includes telephones) (sum of H3010 to H3050)
  • 14.3.1: H3010 Televisions and audio/video equipment (excludes still and digital cameras)
  • 14.3.2: H3020 Cameras (still and digital) and related photographic equipment and supplies
  • 14.3.3: H3030 Computers, components and related equipment
  • 14.3.4: H3040 Computer software for business and entertainment (excludes electronic games)
  • 14.3.5: H3050 Telephones and home office electronics
  • 15: G2000 Home furnishings (excludes furniture, appliances and electronics) (sum of G2010 to G2040)
  • 15.1: G2010 Floor coverings (includes wood flooring) and tiles (floor, wall and counter)
  • 15.2: G2020 Draperies and other window treatments (includes furniture coverings)
  • 15.3: G2030 Bedding, linens and bathroom accessories (includes electric blankets)
  • 15.4: G2040 Artwork and other home decorating products (paintings, prints, lamps, clocks, statuettes, fireplace accessories, silk flowers, Christmas decor, etc.)
  • 16: X0400 Giftware, novelties and souvenirs
  • 17: D1000 Luggage and leather goods (excludes purses and wallets; includes duffel bags, briefcases, knapsacks and portfolios)
  • 18: D2000 Jewellery and watches (excludes clocks)
  • 19: C0000 Clothing and accessories (sum of C1000, C2000, C3000, C4000, C5000 and C6000)
  • 19.1: C1000 Women's clothing and accessories (excludes specialized sports clothing) (sum of C1010 to C1070)
  • 19.1.1: C1010 Women's outerwear (includes fur and ski clothing)
  • 19.1.2: C1020 Women's dresses and suits
  • 19.1.3: C1030 Women's skirts, pants, blouses, sweaters and other tops and bottoms
  • 19.1.4: C1040 Women's hosiery
  • 19.1.5: C1050 Women's lingerie, sleepwear and intimates
  • 19.1.6: C1060 Other women's clothing (includes wedding gowns, bathing suits, occupational uniforms and aerobic wear)
  • 19.1.7: C1070 Women's accessories (hats, gloves, scarves, purses, wallets, belts, umbrellas, etc.)
  • 19.2: C2000 Men's clothing and accessories (excludes specialized sports clothing) (sum of C2010 to C2060)
  • 19.2.1: C2010 Men's outerwear (includes fur and ski clothing)
  • 19.2.2: C2020 Men's suits, sport jackets and blazers
  • 19.2.3: C2030 Men's pants, shirts, sweaters and other tops and bottoms
  • 19.2.4: C2040 Men's underwear, sleepwear and hosiery
  • 19.2.5: C2050 Other men's clothing (includes bathing suits, occupational uniforms and aerobic wear)
  • 19.2.6: C2060 Men's accessories (hats, gloves, scarves, ties, wallets, belts, umbrellas, etc.)
  • 19.3: C3000 Girls' clothing and accessories
  • 19.4: C4000 Boys' clothing and accessories
  • 19.5: C5000 Infants' and children's clothing and accessories
  • 19.6: C6000 Unisex clothing
  • 20: D3000 Footwear (sum of D3010 and D3020)
  • 20.1: D3010 Athletic footwear (excludes ski boots, skates and cleated sports footwear)
  • 20.2: D3020 Non-athletic footwear (sum of D3021 to D3023)
  • 20.2.1: D3021 Women's and girls' footwear
  • 20.2.2: D3022 Men's and boys' footwear
  • 20.2.3: D3023 Infants' and children's footwear
  • 21: R1000 Recreational vehicles (sum of R1010 to R1030)
  • 21.1: R1010 Motor homes, travel trailers and truck campers (includes converted vans)
  • 21.2: R1020 Motorcycles and scooters (includes all-terrain vehicles, mopeds and motorbikes)
  • 21.3: R1030 Boats and other recreational vehicles and accessories (boats and motors, aircraft, snowmobiles, dune buggies, golf carts, personal watercraft, etc.)
  • 22: L1000 Sporting goods (includes specialized clothing, bicycles and exercise equipment)(sum of L1010 to L1070)
  • 22.1: L1010 Bicycles, biking equipment & accessories (excludes tricycles)
  • 22.2: L1020 Hunting, fishing and camping equipment and supplies (firearms, ammunition, tents, sleeping bags, etc.) (excludes tent trailers)
  • 22.3: L1030 Hockey, baseball, football, soccer, volleyball and basketball equipment and supplies (includes hockey skates, related cleated footwear and team uniforms)
  • 22.4: L1040 Ski equipment and accessories, alpine and cross country (includes snowboards and ski boots)
  • 22.5: L1050 Golf equipment and accessories (excludes clothing) (includes golf shoes and gloves)
  • 22.6: L1060 Exercise and fitness equipment
  • 22.7: L1070 All other sporting goods (figure skates, in-line skates, sail boards, tennis equipment, saddlery, binoculars, etc.)
  • 23: L2000 Toys, games and hobby supplies (includes tricycles and electronic games)
  • 24: L3000 Fabrics, yarns, sewing supplies and notions (excludes sewing machines)
  • 25: L4000 Craft and artists' supplies
  • 26: L5000 Musical instruments, accessories and supplies (includes sheet music)
  • 27: L6000 Pre-recorded CDs, DVDs, video and audio tapes (excludes rental)
  • 28: L7000 Books, newspapers and other periodicals (sum of L7010 and L7020)
  • 28.1: L7010 Books, hard cover and paperback
  • 28.2: L7020 Newspapers, magazines and other periodicals
  • 29: X0500 Stationery, office supplies, cards, gift wrap and party supplies (excludes artists' supplies)
  • 30: K1000 Hardware and home renovation products (sum of K1010 to K1060)
  • 30.1: K1010 Plumbing, heating, cooling and electrical equipment and supplies
  • 30.2: K1020 Paint, wallpaper and related supplies
  • 30.3: K1030 Tools, hand and power and accessories (excludes garden tools)
  • 30.4: K1040 Hardware (nails, fasteners, door knobs, hinges, etc.)
  • 30.5: K1050 Lumber and other building materials (excludes wood flooring and tiles)
  • 30.6: K1060 Other hardware and building products (flagpoles, mailboxes, garage door openers,etc.)
  • 31: P1000 Lawn and garden products, equipment and plants (sum of P1010 to P1030)
  • 31.1: P1010 Lawn/garden/patio furniture
  • 31.2: P1020 Outdoor power equipment and accessories (lawn tractors, lawn mowers, snowblowers, etc.)
  • 31.3: P1030 Lawn and garden related products and nursery stock (sum of P1031 and P1032)
  • 31.3.1: P1031 Nursery stock and supplies (plants, seeds, bulbs, sod, earth, fertilizers, etc.)
  • 31.3.2: P1032 Other lawn and garden related products (garden tools, hoses, wheel barrows, etc.) (also includes pools, playground centers and BBQ's)
  • 32: X0600 Cut flowers, indoor potted plants and related floral supplies
  • 33: V1000 New automotive vehicles (sum of V1010 to V1030)
  • 33.1: V1010 New cars
  • 33.2: V1020 New light trucks, vans, mini-vans and sport utility vehicles
  • 33.3: V1030 New medium/heavy trucks and buses
  • 34: V2000 Used automotive vehicles (sum of V2010 to V2030)
  • 34.1: V2010 Used cars
  • 34.2: V2020 Used light trucks, vans, mini-vans and sport utility vehicles
  • 34.3: V2030 Used medium/heavy trucks and buses
  • 35: V3000 Automotive parts and accessories (new, used and rebuilt) (sum of V3010 and V3020)
  • 35.1: V3010 Tires
  • 35.2: V3020 Other automotive parts and accessories (excludes tires)
  • 36: U1000 Automotive fuels, oils and additives (sum of U1010 and U1020)
  • 36.1: U1010 Automotive fuels
  • 36.2: U1020 Automotive oils and additives (includes windshield washer fluids and antifreeze)
  • 37: X0700 Pets
  • 38: X0800 Collectors' items (coins, stamps, cards, autographs, etc.)
  • 39: X0900 Manufactured mobile homes (new and used)
  • 40: X1000 Monuments and tombstones
  • 41: X1100 Farm equipment (new and used) and farm-related products and supplies
  • 42: X1200 Professional and scientific instruments and equipment
    (microscopes, survey equipment, telescopes, etc.)
  • 43: X1300 Used/second-hand merchandise and antiques
  • 44: X1400 Household fuels
  • 45: V4000 Labour receipts from automotive repairs, maintenance and service
  • 46: V5000 Receipts from automotive rental
  • 47: S0000 Receipts/commissions from non-automotive repairs, service, rental and leasing (sum of S1000 to S4000)
  • 47.1: S1000 Receipts from rental of CDs, DVDs, video and audio tapes and video games
  • 47.2: S2000 Other rental and leasing receipts/commissions
  • 47.3: S3000 Repair receipts/commissions
  • 47.4: S4000 Receipts/commissions from the provision of a service
  • 48: Y0000 Other (include any commodities not elsewhere classified and specify in the space provided). Please specify:
  • 49: Z0000 Total sales, commissions and other receipts
  • 50: Z9999 If you have reported in percentage (in other words
    Z0000 equals 100 per cent), please report the value in dollars of your Total Sales, Commissions and Other Receipts
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