Canadian Community Health Survey - Annual component(CCHS) - 2021

Proxy interview (GR) - Question identifier:GR_N005

Who is providing the information for this person's component?

• 01: MEMBER1
• 02: MEMBER2
• 03: MEMBER3
• 04: MEMBER4
• 05: MEMBER5
• 06: MEMBER6
• 07: MEMBER7
• 08: MEMBER8
• 09: MEMBER9
• 10: MEMBER10
• 11: MEMBER11
• 12: MEMBER12
• 13: MEMBER13
• 14: MEMBER14
• 15: MEMBER15
• 16: MEMBER16
• 17: MEMBER17
• 18: MEMBER18
• 19: MEMBER19
• 20: MEMBER20
• 88: Not a household member

Proxy interview (GR) - Question identifier:GR_N010

Do you want to complete this component by proxy?

• 1: Yes
• 2: No

Proxy interview (GR) - Question identifier:GR_N015

Record the reason why this component is being completed by proxy. Proxy interviews are to occur only if the mental or physical health of the selected member makes it impossible to complete the interview during the collection period.

• 1: Physical health condition
• 2: Mental health condition

Proxy interview (GR) - Question identifier:GR_N020

Enter the condition.

Long Answer Length = 80

Age of respondent (ANC1) - Question identifier:ANC1_Q01

What is [Name of specific respondent]'s date of birth?

Min = 1; Max = 31

Age of respondent (ANC1) - Question identifier:ANC1_Q02

What is [Name of specific respondent]'s date of birth?

• 01: January
• 02: February
• 03: March
• 04: April
• 05: May
• 06: June
• 07: July
• 08: August
• 09: September
• 10: October
• 11: November
• 12: December
• 98: RF
• 99: DK

Age of respondent (ANC1) - Question identifier:ANC1_Q03

What is [Name of specific respondent]'s date of birth?

Min = 0; Max = 9997

Age of respondent (ANC1) - Question identifier:ANC1_Q04

So [Name of specific respondent]'s age on [Reference system date] was [Age calculated based on the entered date of birth].
Is that correct?

• 1: Yes
• 2: No, return and correct date of birth
• 3: No, collect age

Age of respondent (ANC1) - Question identifier:ANC1_Q05

What is [Name of specific respondent]'s age?

Min = 0; Max = 121

Age of respondent (ANC1) - Question identifier:ANC1_R010

Because you are less than 12 years old, you are not eligible to participate in the Canadian Community Health Survey.

Age of respondent (ANC1) - Question identifier:ANC1_R015

Because you are more than 17 years old, you are not eligible to participate in the Canadian Community Health Survey.

Age of respondent (ANC1) - Question identifier:ANC1_R020

Because you are less than 18 years old, you are not eligible to participate in the Canadian Community Health Survey.

Age of respondent (ANC1) - Question identifier:ANC1_N030

Please confirm the spelling of respondent's first name. Update first name, if necessary.

Original First Name: [First name]
Original Last Name: [Last name]

Long Answer Length = 25

Age of respondent (ANC1) - Question identifier:ANC1_N035

Please confirm the spelling of respondent's last name. Update last name, if necessary.

Original First Name: [First name]
Original Last Name: [Last name]

Long Answer Length = 25

Sex and Gender (GDR) - Question identifier:GDR_R005

The following questions are about sex at birth and gender. Sex refers to sex assigned at birth. Gender refers to current gender which may be different from sex assigned at birth and may be different from what is indicated on legal documents.

Sex and Gender (GDR) - Question identifier:GDR_Q005

What was your sex at birth?

• 1: Male
• 2: Female
• 8: RF
• 9: DK

Sex and Gender (GDR) - Question identifier:GDR_Q010

What is your gender?

• 1: Male
• 2: Female
• 3: Or please specify
• 8: RF
• 9: DK

Sex and Gender (GDR) - Question identifier:GDR_R020

This survey asks questions based on sex at birth, such as pregnancy experiences and some cancer screening tests. If specific questions are not relevant to you, we can skip those questions. Thank you for your understanding and for your participation.

Relationship without confirmation (RNC) - Question identifier:RNC_Q1

What is the relationship...

of: [Name of specific respondent] ([Age of specific respondent])

to: [Name of secondary respondent] ([Age of secondary respondent])?

• 01: Husband/wife
• 02: Common-law partner
• 03: Father/mother
• 04: Son/daughter (birth, adopted or step)
• 05: Brother/sister
• 06: Foster father/mother
• 07: Foster son/daughter
• 08: Grandfather/ grandmother
• 09: Grandson/ granddaughter
• 10: In-law
• 11: Other related
• 12: Unrelated
• 98: RF
• 99: DK

Relationship without confirmation (RNC) - Question identifier:RNC_Q2A

Is that a(n)... ?

• 1: Birth father/mother
• 2: Stepfather/stepmother
• 3: Adoptive father/mother
• 8: RF
• 9: DK

Relationship without confirmation (RNC) - Question identifier:RNC_Q2B

Is that a(n)... ?

• 1: Birth son/daughter
• 2: Stepson/stepdaughter
• 3: Adopted son/daughter
• 8: RF
• 9: DK

Relationship without confirmation (RNC) - Question identifier:RNC_Q2C

Is that a(n)... ?

• 1: Full brother/sister
• 2: Half brother/sister
• 3: Stepbrother/stepsister
• 4: Adopted brother/sister
• 5: Foster brother/sister
• 8: RF
• 9: DK

Relationship without confirmation (RNC) - Question identifier:RNC_Q2D

Is that a(n)... ?

• 1: Father-in-law / mother-in-law
• 2: Son-in-law / daughter-in-law
• 3: Brother-in-law / sister-in-law
• 4: Other in-law
• 8: RF
• 9: DK

Relationship without confirmation (RNC) - Question identifier:RNC_Q2E

Is that a(n)... ?

• 1: Uncle/aunt
• 2: Cousin
• 3: Nephew/niece
• 4: Other relative
• 8: RF
• 9: DK

Relationship without confirmation (RNC) - Question identifier:RNC_Q2F

Is that a(n)... ?

• 1: Boyfriend/girlfriend
• 2: Roommate/lodger/ boarder
• 3: Other - Specify
• 8: RF
• 9: DK

Main activity (MAC) - Question identifier:MAC_Q005

Last week, was your main activity working at a paid job or business, looking for paid work, going to school, caring for children, household work, retired or something else?

• 01: Working at a paid job or business
• 02: Vacation (from paid work)
• 03: Looking for paid work
• 04: Going to school (including vacation from school)
• 05: Caring for children
• 06: Household work
• 07: Retired
• 08: Maternity/paternity leave
• 09: Long term illness
• 10: Volunteering
• 11: Care-giving other than for children
• 12: Other
• 98: RF
• 99: DK

Main activity (MAC) - Question identifier:MAC_Q010

Have you worked at a job or business at any time in the past 12 months?

• 1: Yes
• 2: No
• 8: RF
• 9: DK

Main activity (MAC) - Question identifier:MAC_Q015

Are you currently attending school, college, CEGEP or university?

• 1: Yes
• 2: No
• 8: RF
• 9: DK

Main activity (MAC) - Question identifier:MAC_Q020

Are you enrolled as...?

• 1: A full-time student
• 2: A part-time student
• 3: Both full-time and part-time student
• 8: RF
• 9: DK

Main activity (MAC) - Question identifier:MAC_Q025

To better understand the information you will provide on your health it is important to know if you are pregnant. Are you pregnant?

• 1: Yes
• 2: No
• 8: RF
• 9: DK

General health (GEN) - Question identifier:GEN_R005

The next questions are about your 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_Q005

In general, would you say your health is... ?

• 1: Excellent
• 2: Very good
• 3: Good
• 4: Fair
• 5: Poor
• 8: RF
• 9: DK

General health (GEN) - Question identifier:GEN_Q010

Using a scale of 0 to 10, where 0 means "Very dissatisfied" and 10 means "Very satisfied", how do you feel about your life as a whole right now?

0 Very dissatisfied
1 I
2 I
3 I
4 I
5 I
6 I
7 I
8 I
9 V
10 Very satisfied

Min = 0; Max = 10

General health (GEN) - Question identifier:GEN_Q015

In general, would you say your mental health is...?

• 1: Excellent
• 2: Very good
• 3: Good
• 4: Fair
• 5: Poor
• 8: RF
• 9: DK

General health (GEN) - Question identifier:GEN_Q020

Thinking about the amount of stress in your life, would you say that most of your days are...?

• 1: Not at all stressful
• 2: Not very stressful
• 3: A bit stressful
• 4: Quite a bit stressful
• 5: Extremely stressful
• 8: RF
• 9: DK

General health (GEN) - Question identifier:GEN_R025

The next question is about your main job or business in the past 12 months.

General health (GEN) - Question identifier:GEN_Q025

Would you say that most days at work were...?

• 1: Not at all stressful
• 2: Not very stressful
• 3: A bit stressful
• 4: Quite a bit stressful
• 5: Extremely stressful
• 8: RF
• 9: DK

General health (GEN) - Question identifier:GEN_Q030

How would you describe your sense of belonging to your local community? Would you say it is...?

• 1: Very strong
• 2: Somewhat strong
• 3: Somewhat weak
• 4: Very weak
• 8: RF
• 9: DK

COVID-19 (COV) - Question identifier:COV_R005

The next questions are about your experiences during the COVID-19 pandemic.

COVID-19 (COV) - Question identifier:COV_Q005

Compared to before the pandemic started, how would you say your mental health is now? Would you say...?

• 1: Much better now
• 2: Somewhat better now
• 3: About the same
• 4: Somewhat worse now
• 5: Much worse now
• 8: RF
• 9: DK

COVID-19 (COV) - Question identifier:COV_Q010

Which of the following precautions are you taking to protect yourself or others against COVID-19? Do you...?

• 01: Wash hands more frequently
• 02: Wear a mask in public places where physical distancing is difficult
• 03: Keep a 2 meter or 6 foot distance from others
• 04: Avoid crowds and large gatherings
• 05: Avoid leaving the house for non-essential reasons
• 06: Work from home
• 07: Use delivery or curb side pick-up services (e.g., groceries, prescriptions)
• 08: Self-isolate if you have symptoms
• 09: Other precaution
• 10: No precaution taken
• 98: RF
• 99: DK

COVID-19 (COV) - Question identifier:COV_Q015

Since the beginning of the pandemic, have you experienced any of the symptoms that led you to believe that you had COVID-19, such as fever, cough, chills, difficulty breathing or tiredness?

• 1: Yes
• 2: No
• 8: RF
• 9: DK

COVID-19 (COV) - Question identifier:COV_Q020

While you were experiencing these symptoms, did you follow public health recommendations, such as self-isolating and wearing a mask if you had to go out in public?

• 1: Yes
• 2: No
• 8: RF
• 9: DK

COVID-19 (COV) - Question identifier:COV_Q025

Have you ever been tested for COVID-19?

• 1: Yes
• 2: No
• 8: RF
• 9: DK

COVID-19 (COV) - Question identifier:COV_Q030

Was the result of one of your tests positive?

• 1: Yes (Diagnosed with COVID-19)
• 2: No (Not diagnosed with COVID-19)
• 3: Waiting for the results
• 8: RF
• 9: DK

COVID-19 (COV) - Question identifier:COV_Q035

When was your most recent [positive] test done?

• 01: January
• 02: February
• 03: March
• 04: April
• 05: May
• 06: June
• 07: July
• 08: August
• 09: September
• 10: October
• 11: November
• 12: December
• 98: RF
• 99: DK

COVID-19 (COV) - Question identifier:COV_N036

What was the year?

• 1: 2020
• 2: 2021
• 8: RF
• 9: DK

COVID-19 (COV) - Question identifier:COV_Q038

Have you been vaccinated against COVID-19?

• 1: Yes, received at least one dose of a vaccine
• 2: No
• 8: RF
• 9: DK

COVID-19 (COV) - Question identifier:COV_Q040

How likely is it that you would get a COVID-19 vaccine? Would you say...?

• 1: Very likely
• 2: Somewhat likely
• 3: Somewhat unlikely
• 4: Very unlikely
• 8: RF
• 9: DK

Height and weight - self reported (HWT) - Question identifier:HWT_Q005

The next questions are about height and weight. How tall are you without shoes on?

• 0: Less than 1' / 12" (less than 29.2 cm.)
• 1: 1'0" to 1'11" / 12" to 23" (29.2 to 59.6 cm.)
• 2: 2'0" to 2'11" / 24" to 35" (59.7 to 90.1 cm.)
• 3: 3'0" to 3'11" / 36" to 47" (90.2 to 120.6 cm.)
• 4: 4'0" to 4'11" / 48" to 59" (120.7 to 151.0 cm.)
• 5: 5'0" to 5'11" (151.1 to 181.5 cm.)
• 6: 6'0" to 6'11" (181.6 to 212.0 cm.)
• 7: 7'0" and over (212.1 cm. and over)
• 8: RF
• 9: DK

Height and weight - self reported (HWT) - Question identifier:HWT_N010

Select the exact height.

• 00: Less than or equal to 1'0" / 12" (29.2 to 31.7 cm.)
• 01: 1'1" / 13" (31.8 to 34.2 cm.)
• 02: 1'2" / 14" (34.3 to 36.7 cm.)
• 03: 1'3" / 15" (36.8 to 39.3 cm.)
• 04: 1'4" / 16" (39.4 to 41.8 cm.)
• 05: 1'5" / 17" (41.9 to 44.4 cm.)
• 06: 1'6" / 18" (44.5 to 46.9 cm.)
• 07: 1'7" / 19" (47.0 to 49.4 cm.)
• 08: 1'8" / 20" (49.5 to 52.0 cm.)
• 09: 1'9" / 21" (52.1 to 54.5 cm.)
• 10: 1'10" / 22" (54.6 to 57.1 cm.)
• 11: 1'11" / 23" (57.2 to 59.6 cm.)
• 98: RF
• 99: DK

Height and weight - self reported (HWT) - Question identifier:HWT_N015

Select the exact height.

• 00: 2'0" / 24" (59.7 to 62.1 cm.)
• 01: 2'1" / 25" (62.2 to 64.7 cm.)
• 02: 2'2" / 26" (64.8 to 67.2 cm.)
• 03: 2'3" / 27" (67.3 to 69.8 cm.)
• 04: 2'4" / 28" (69.9 to 72.3 cm.)
• 05: 2'5" / 29" (72.4 to 74.8 cm.)
• 06: 2'6" / 30" (74.9 to 77.4 cm.)
• 07: 2'7" / 31" (77.5 to 79.9 cm.)
• 08: 2'8" / 32" (80.0 to 82.5 cm.)
• 09: 2'9" / 33" (82.6 to 85.0 cm.)
• 10: 2'10" / 34" (85.1 to 87.5 cm.)
• 11: 2'11" / 35" (87.6 to 90.1 cm.)
• 98: RF
• 99: DK

Height and weight - self reported (HWT) - Question identifier:HWT_N020

Select the exact height.

• 00: 3'0" / 36" (90.2 to 92.6 cm.)
• 01: 3'1" / 37" (92.7 to 95.2 cm.)
• 02: 3'2" / 38" (95.3 to 97.7 cm.)
• 03: 3'3" / 39" (97.8 to 100.2 cm.)
• 04: 3'4" / 40" (100.3 to 102.8 cm.)
• 05: 3'5" / 41" (102.9 to 105.3 cm.)
• 06: 3'6" / 42" (105.4 to 107.9 cm.)
• 07: 3'7" / 43" (108.0 to 110.4 cm.)
• 08: 3'8" / 44" (110.5 to 112.9 cm.)
• 09: 3'9" / 45" (113.0 to 115.5 cm.)
• 10: 3'10" / 46" (115.6 to 118.0 cm.)
• 11: 3'11" / 47" (118.1 to 120.6 cm.)
• 98: RF
• 99: DK

Height and weight - self reported (HWT) - Question identifier:HWT_N025

Select the exact height.

• 00: 4'0" / 48" (120.7 to 123.1 cm.)
• 01: 4'1" / 49" (123.2 to 125.6 cm.)
• 02: 4'2" / 50" (125.7 to 128.2 cm.)
• 03: 4'3" / 51" (128.3 to 130.7 cm.)
• 04: 4'4" / 52" (130.8 to 133.3 cm.)
• 05: 4'5" / 53" (133.4 to 135.8 cm.)
• 06: 4'6" / 54" (135.9 to 138.3 cm.)
• 07: 4'7" / 55" (138.4 to 140.9 cm.)
• 08: 4'8" / 56" (141.0 to 143.4 cm.)
• 09: 4'9" / 57" (143.5 to 146.0 cm.)
• 10: 4'10" / 58" (146.1 to 148.5 cm.)
• 11: 4'11" / 59" (148.6 to 151.0 cm.)
• 98: RF
• 99: DK

Height and weight - self reported (HWT) - Question identifier:HWT_N030

Select the exact height.

• 00: 5'0" (151.1 to 153.6 cm.)
• 01: 5'1" (153.7 to 156.1 cm.)
• 02: 5'2" (156.2 to 158.7 cm.)
• 03: 5'3" (158.8 to 161.2 cm.)
• 04: 5'4" (161.3 to 163.7 cm.)
• 05: 5'5" (163.8 to 166.3 cm.)
• 06: 5'6" (166.4 to 168.8 cm.)
• 07: 5'7" (168.9 to 171.4 cm.)
• 08: 5'8" (171.5 to 173.9 cm.)
• 09: 5'9" (174.0 to 176.4 cm.)
• 10: 5'10" (176.5 to 179.0 cm.)
• 11: 5'11" (179.1 to 181.5 cm.)
• 98: RF
• 99: DK

Height and weight - self reported (HWT) - Question identifier:HWT_N035

Select the exact height.

• 00: 6'0" (181.6 to 184.1 cm.)
• 01: 6'1" (184.2 to 186.6 cm.)
• 02: 6'2" (186.7 to 189.1 cm.)
• 03: 6'3" (189.2 to 191.7 cm.)
• 04: 6'4" (191.8 to 194.2 cm.)
• 05: 6'5" (194.3 to 196.8 cm.)
• 06: 6'6" (196.9 to 199.3 cm.)
• 07: 6'7" (199.4 to 201.8 cm.)
• 08: 6'8" (201.9 to 204.4 cm.)
• 09: 6'9" (204.5 to 206.9 cm.)
• 10: 6'10" (207.0 to 209.5 cm.)
• 11: 6'11" (209.6 to 212.0 cm.)
• 98: RF
• 99: DK

Height and weight - self reported (HWT) - Question identifier:HWT_Q040

How much do you weigh?

Min = 1; Max = 575

Height and weight - self reported (HWT) - Question identifier:HWT_N045

Was that in pounds or kilograms?

• 1: Pounds
• 2: Kilograms

Height and weight - self reported (HWT) - Question identifier:HWT_Q050

Do you consider yourself...?

• 1: Overweight
• 2: Underweight
• 3: Just about right
• 8: RF
• 9: DK

Chronic conditions (CCC) - Question identifier:CCC_R015

The following questions are about "long-term health 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_Q035

Have you been told by a health professional that you have sleep apnea?

• 1: Yes
• 2: No
• 8: RF
• 9: DK

Chronic conditions (CCC) - Question identifier:CCC_Q045

Do you have fibromyalgia?

• 1: Yes
• 2: No
• 8: RF
• 9: DK

Chronic conditions (CCC) - Question identifier:CCC_Q050

Do you have arthritis, for example osteoarthritis, rheumatoid arthritis, gout or any other type, excluding fibromyalgia?

• 1: Yes
• 2: No
• 8: RF
• 9: DK

Chronic conditions (CCC) - Question identifier:CCC_Q055

Do you have back problems, excluding scoliosis, fibromyalgia and arthritis?

• 1: Yes
• 2: No
• 8: RF
• 9: DK

Chronic conditions (CCC) - Question identifier:CCC_Q060

Do you have osteoporosis?

• 1: Yes
• 2: No
• 8: RF
• 9: DK

Chronic conditions (CCC) - Question identifier:CCC_Q065

Do you have high blood pressure?

• 1: Yes
• 2: No
• 8: RF
• 9: DK

Chronic conditions (CCC) - Question identifier:CCC_Q070

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

• 1: Yes
• 2: No
• 8: RF
• 9: DK

Chronic conditions (CCC) - Question identifier:CCC_Q075

Do you have high blood cholesterol or lipids?

• 1: Yes
• 2: No
• 8: RF
• 9: DK

Chronic conditions (CCC) - Question identifier:CCC_Q080

In the past month, have you taken any medicine for high blood cholesterol or lipids?

• 1: Yes
• 2: No
• 8: RF
• 9: DK

Chronic conditions (CCC) - Question identifier:CCC_Q085

Do you have heart disease?

• 1: Yes
• 2: No
• 8: RF
• 9: DK

Chronic conditions (CCC) - Question identifier:CCC_Q087

Have you ever been diagnosed with heart disease?

• 1: Yes
• 2: No
• 8: RF
• 9: DK

Chronic conditions (CCC) - Question identifier:CCC_Q090

Do you suffer from the effects of a stroke?

• 1: Yes
• 2: No
• 8: RF
• 9: DK

Chronic conditions (CCC) - Question identifier:CCC_Q095

Do you have diabetes?

• 1: Yes
• 2: No
• 8: RF
• 9: DK

Chronic conditions (CCC) - Question identifier:CCC_Q100

How old were you when this was first diagnosed?

Min = 1; Max = 121

Chronic conditions (CCC) - Question identifier:CCC_Q105

Were you pregnant when you were first diagnosed with diabetes?

• 1: Yes
• 2: No
• 8: RF
• 9: DK

Chronic conditions (CCC) - Question identifier:CCC_Q110

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

• 1: Yes
• 2: No
• 8: RF
• 9: DK

Chronic conditions (CCC) - Question identifier:CCC_Q115

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
• 8: RF
• 9: DK

Chronic conditions (CCC) - Question identifier:CCC_Q120

Do you currently take insulin for your diabetes?

• 1: Yes
• 2: No
• 8: RF
• 9: DK

Chronic conditions (CCC) - Question identifier:CCC_Q125

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

• 1: Yes
• 2: No
• 8: RF
• 9: DK

Chronic conditions (CCC) - Question identifier:CCC_Q130

Do you have cancer?

• 1: Yes
• 2: No
• 8: RF
• 9: DK

Chronic conditions (CCC) - Question identifier:CCC_Q135

Have you ever been diagnosed with cancer?

• 1: Yes
• 2: No
• 8: RF
• 9: DK

Chronic conditions (CCC) - Question identifier:CCC_R140

Remember, we're interested in conditions diagnosed by a health professional and that are expected to last or have already lasted 6 months or more.

Chronic conditions (CCC) - Question identifier:CCC_Q145

Do you have Alzheimer's Disease or any other dementia?

• 1: Yes
• 2: No
• 8: RF
• 9: DK

Chronic conditions (CCC) - Question identifier:CCC_Q185

Do you have chronic fatigue syndrome?

• 1: Yes
• 2: No
• 8: RF
• 9: DK

Chronic conditions (CCC) - Question identifier:CCC_Q190

Do you suffer from multiple chemical sensitivities?

• 1: Yes
• 2: No
• 8: RF
• 9: DK

Chronic conditions (CCC) - Question identifier:CCC_Q195

Do you have a mood disorder such as depression, bipolar disorder, mania or dysthymia?

• 1: Yes
• 2: No
• 8: RF
• 9: DK

Chronic conditions (CCC) - Question identifier:CCC_Q200

Do you have an anxiety disorder such as a phobia, obsessive-compulsive disorder or a panic disorder?

• 1: Yes
• 2: No
• 8: RF
• 9: DK

Activities of daily living (ADL) - Question identifier:ADL_R001

The next few questions are about common daily activities. These questions may not apply to you, but we need to ask the same questions of everyone.

Activities of daily living (ADL) - Question identifier:ADL_Q005

Because of any physical condition, mental condition or health problem, do you have any difficulty:

with preparing meals?

• 1: No, you have no difficulty
• 2: Yes, you have difficulty, but do not require help of others
• 3: Yes, you have difficulty, but can do it with the help of others
• 4: [You] cannot do it at all
• 8: RF
• 9: DK

Activities of daily living (ADL) - Question identifier:ADL_Q010

Because of any physical condition, mental condition or health problem, do you have any difficulty:

with running errands such as shopping for groceries?

• 1: No, you have no difficulty
• 2: Yes, you have difficulty, but do not require help of others
• 3: Yes, you have difficulty, but can do it with the help of others
• 4: [You] cannot do it at all
• 8: RF
• 9: DK

Activities of daily living (ADL) - Question identifier:ADL_Q015

Because of any physical condition, mental condition or health problem, do you have any difficulty:

with doing everyday housework?

• 1: No, you have no difficulty
• 2: Yes, you have difficulty, but do not require help of others
• 3: Yes, you have difficulty, but can do it with the help of others
• 4: [You] cannot do it at all
• 8: RF
• 9: DK

Activities of daily living (ADL) - Question identifier:ADL_Q020

Because of any physical condition, mental condition or health problem, do you have any difficulty:

with personal care such as bathing, dressing, eating or taking medication?

• 1: No, you have no difficulty
• 2: Yes, you have difficulty, but do not require help of others
• 3: Yes, you have difficulty, but can do it with the help of others
• 4: [You] cannot do it at all
• 8: RF
• 9: DK

Activities of daily living (ADL) - Question identifier:ADL_Q025

Because of any physical condition, mental condition or health problem, do you have any difficulty:

with moving about inside the house?

• 1: No, you have no difficulty
• 2: Yes, you have difficulty, but do not require help of others
• 3: Yes, you have difficulty, but can do it with the help of others
• 4: [You] cannot do it at all
• 8: RF
• 9: DK

Activities of daily living (ADL) - Question identifier:ADL_Q030

Because of any physical condition, mental condition or health problem, do you have any difficulty:

with looking after your personal finances such as making bank transactions or paying bills?

• 1: No, you have no difficulty
• 2: Yes, you have difficulty, but do not require help of others
• 3: Yes, you have difficulty, but can do it with the help of others
• 4: [You] cannot do it at all
• 8: RF
• 9: DK

Sleep (SLP) - Question identifier:SLP_R001

Now a few questions about sleep.

Sleep (SLP) - Question identifier:SLP_Q005

How long do you usually spend sleeping each night?

• 01: Under 2 hours
• 02: 2 hours to less than 3 hours
• 03: 3 hours to less than 4 hours
• 04: 4 hours to less than 5 hours
• 05: 5 hours to less than 6 hours
• 06: 6 hours to less than 7 hours
• 07: 7 hours to less than 8 hours
• 08: 8 hours to less than 9 hours
• 09: 9 hours to less than 10 hours
• 10: 10 hours to less than 11 hours
• 11: 11 hours to less than 12 hours
• 12: 12 hours or more
• 98: RF
• 99: DK

Sleep (SLP) - Question identifier:SLP_Q010

How often do you have trouble going to sleep or staying asleep?

• 1: Never
• 2: Rarely
• 3: Sometimes
• 4: Most of the time
• 5: All of the time
• 8: RF
• 9: DK

Sleep (SLP) - Question identifier:SLP_Q015

How often do you find your sleep refreshing?

• 1: Never
• 2: Rarely
• 3: Sometimes
• 4: Most of the time
• 5: All of the time
• 8: RF
• 9: DK

Sleep (SLP) - Question identifier:SLP_Q020

How often do you find it difficult to stay awake when you want to?

• 1: Never
• 2: Rarely
• 3: Sometimes
• 4: Most of the time
• 5: All of the time
• 8: RF
• 9: DK

Fruit and vegetable consumption (FVC) - Question identifier:FVC_R001

These next questions are about the fruits and vegetables you ate or drank during the last month. Think about all meals and snacks, at home and away from home.

Fruit and vegetable consumption (FVC) - Question identifier:FVC_Q004

In the last month, did you drink 100% PURE fruit juices, such as pure orange juice, apple juice or pure juice blends? Exclude fruit-flavored drinks with added sugar or fruit punch.

• 1: Yes
• 2: No
• 8: RF
• 9: DK

Fruit and vegetable consumption (FVC) - Question identifier:FVC_Q005

How many times? You can report per day, per week or per month.

Min = 1; Max = 300

Fruit and vegetable consumption (FVC) - Question identifier:FVC_N005A

Select the reporting period that corresponds to FVC_Q005.

• 1: Per day
• 2: Per week
• 3: Per month

Fruit and vegetable consumption (FVC) - Question identifier:FVC_Q009

In the last month, not counting juice, did you eat fruit? Please remember to include frozen, dried or canned fruit.

• 1: Yes
• 2: No
• 8: RF
• 9: DK

Fruit and vegetable consumption (FVC) - Question identifier:FVC_Q010

How many times? (You can report per day, per week or per month.)

Min = 1; Max = 300

Fruit and vegetable consumption (FVC) - Question identifier:FVC_N010A

Select the reporting period that corresponds to FVC_Q010.

• 1: Per day
• 2: Per week
• 3: Per month

Fruit and vegetable consumption (FVC) - Question identifier:FVC_Q014

In the last month, did you eat dark green vegetables such as broccoli, green beans, peas and green peppers or dark leafy greens including romaine or spinach? Please remember to include (frozen or canned vegetables and) vegetables that were cooked in soups or mixed in salad.

• 1: Yes
• 2: No
• 8: RF
• 9: DK

Fruit and vegetable consumption (FVC) - Question identifier:FVC_Q015

How many times? (You can report per day, per week or per month.)

Min = 1; Max = 300

Fruit and vegetable consumption (FVC) - Question identifier:FVC_N015A

Select the reporting period that corresponds to FVC_Q015.

• 1: Per day
• 2: Per week
• 3: Per month

Fruit and vegetable consumption (FVC) - Question identifier:FVC_Q019

In the last month, did you eat orange-coloured vegetables such as carrots, orange bell pepper, sweet potatoes, pumpkin or squash? (Please remember to include frozen or canned vegetables and vegetables that were cooked in soups or mixed in salad).

• 1: Yes
• 2: No
• 8: RF
• 9: DK

Fruit and vegetable consumption (FVC) - Question identifier:FVC_Q020

How many times? (You can report per day, per week or per month.)

Min = 1; Max = 300

Fruit and vegetable consumption (FVC) - Question identifier:FVC_N020A

Select the reporting period that corresponds to FVC_Q020.

• 1: Per day
• 2: Per week
• 3: Per month

Fruit and vegetable consumption (FVC) - Question identifier:FVC_Q024

In the last month, did you eat potatoes that are not deep fried?

• 1: Yes
• 2: No
• 8: RF
• 9: DK

Fruit and vegetable consumption (FVC) - Question identifier:FVC_Q025

How many times? (You can report per day, per week or per month.)

Min = 1; Max = 300

Fruit and vegetable consumption (FVC) - Question identifier:FVC_N025A

Select the reporting period that corresponds to FVC_Q025.

• 1: Per day
• 2: Per week
• 3: Per month

Fruit and vegetable consumption (FVC) - Question identifier:FVC_Q029

[Excluding the green and orange vegetables as well as the potatoes you have already reported,] in the last month, did you eat OTHER vegetables? Examples include cucumber, celery, corn, cabbage and vegetable juice.

• 1: Yes
• 2: No
• 8: RF
• 9: DK

Fruit and vegetable consumption (FVC) - Question identifier:FVC_Q030

How many times? (You can report per day, per week or per month.)

Min = 1; Max = 300

Fruit and vegetable consumption (FVC) - Question identifier:FVC_N030A

Select the reporting period that corresponds to FVC_Q030.

• 1: Per day
• 2: Per week
• 3: Per month

Smoking (SMK) - Question identifier:SMK_R001

The next questions are about cigarette smoking.

Smoking (SMK) - Question identifier:SMK_Q005

At the present time, do you smoke cigarettes every day, occasionally or not at all?

• 1: Daily
• 2: Occasionally
• 3: Not at all
• 8: RF
• 9: DK

Smoking (SMK) - Question identifier:SMK_Q010

In the past 30 days, did you smoke any cigarettes?

• 1: Yes
• 2: No
• 8: RF
• 9: DK

Smoking (SMK) - Question identifier:SMK_Q015

During the past 30 days, did you smoke every day?

• 1: Yes
• 2: No
• 8: RF
• 9: DK

Smoking (SMK) - Question identifier:SMK_Q020

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

• 1: Yes
• 2: No
• 8: RF
• 9: DK

Smoking (SMK) - Question identifier:SMK_Q025

Have you ever smoked a whole cigarette?

• 1: Yes
• 2: No
• 8: RF
• 9: DK

Smoking (SMK) - Question identifier:SMK_Q030

Have you ever smoked cigarettes daily?

• 1: Yes
• 2: No
• 8: RF
• 9: DK

Smoking (SMK) - Question identifier:SMK_Q035

At what age did you smoke your first whole cigarette?

Min = 5; Max = 121

Smoking (SMK) - Question identifier:SMK_Q040

At what age did you begin to smoke cigarettes daily?

Min = 5; Max = 121

Smoking (SMK) - Question identifier:SMK_Q045

How many cigarettes do you smoke each day now?

Min = 1; Max = 99

Smoking (SMK) - Question identifier:SMK_Q050

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

Min = 1; Max = 99

Smoking (SMK) - Question identifier:SMK_Q055

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

Min = 0; Max = 31

Smoking (SMK) - Question identifier:SMK_Q060

When did you stop smoking? Was it...?

• 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
• 8: RF
• 9: DK

Smoking (SMK) - Question identifier:SMK_Q065

In what month did you stop?

• 01: January
• 02: February
• 03: March
• 04: April
• 05: May
• 06: June
• 07: July
• 08: August
• 09: September
• 10: October
• 11: November
• 12: December
• 98: RF
• 99: DK

Smoking (SMK) - Question identifier:SMK_Q070

How many years ago was it?

Min = 3; Max = 121

Smoking (SMK) - Question identifier:SMK_Q075

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

Min = 1; Max = 99

Smoking (SMK) - Question identifier:SMK_Q080

When did you stop smoking daily? Was it...?

• 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
• 8: RF
• 9: DK

Smoking (SMK) - Question identifier:SMK_Q085

In what month did you stop?

• 01: January
• 02: February
• 03: March
• 04: April
• 05: May
• 06: June
• 07: July
• 08: August
• 09: September
• 10: October
• 11: November
• 12: December
• 98: RF
• 99: DK

Smoking (SMK) - Question identifier:SMK_Q090

How many years ago was it?

Min = 3; Max = 121

Smoking (SMK) - Question identifier:SMK_Q095

Was that when you completely quit smoking?

• 1: Yes
• 2: No
• 8: RF
• 9: DK

Smoking (SMK) - Question identifier:SMK_Q100

When did you stop smoking completely? Was it...?

• 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
• 8: RF
• 9: DK

Smoking (SMK) - Question identifier:SMK_Q105

In what month did you stop?

• 01: January
• 02: February
• 03: March
• 04: April
• 05: May
• 06: June
• 07: July
• 08: August
• 09: September
• 10: October
• 11: November
• 12: December
• 98: RF
• 99: DK

Smoking (SMK) - Question identifier:SMK_Q110

How many years ago was it?

Min = 3; Max = 121

Smoking - stages of change 2 (SCH2) - Question identifier:SCH2_Q005

Are you seriously considering quitting smoking within the next 6 months?

• 1: Yes
• 2: No
• 8: RF
• 9: DK

Smoking - stages of change 2 (SCH2) - Question identifier:SCH2_Q015

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
• 8: RF
• 9: DK

Tobacco products alternatives 2 (TAL2) - Question identifier:TAL2_R001

Now, I would like to ask you a few questions about tobacco products, other than cigarettes.

Tobacco products alternatives 2 (TAL2) - Question identifier:TAL2_Q005

In the past 30 days, did you smoke any little cigars or cigarillos?

• 1: Yes
• 2: No
• 8: RF
• 9: DK

Tobacco products alternatives 2 (TAL2) - Question identifier:TAL2_Q010

Were these (little cigars or cigarillos) plain, flavoured or both?

• 1: Plain
• 2: Flavoured
• 3: Both
• 8: RF
• 9: DK

Tobacco products alternatives 2 (TAL2) - Question identifier:TAL2_Q015

In the past 30 days, did you smoke any cigars other than little cigars or cigarillos?

• 1: Yes
• 2: No
• 8: RF
• 9: DK

Tobacco products alternatives 2 (TAL2) - Question identifier:TAL2_Q025

(In the past 30 days), did you smoke a pipe?

• 1: Yes
• 2: No
• 8: RF
• 9: DK

Tobacco products alternatives 2 (TAL2) - Question identifier:TAL2_Q030

(In the past 30 days), did you use any chewing tobacco, pinch or snuff?

• 1: Yes
• 2: No
• 8: RF
• 9: DK

Tobacco products alternatives 2 (TAL2) - Question identifier:TAL2_Q035

In the past 30 days, did you smoke a tobacco water-pipe, also known as a hookah, shisha, nargeelay, hubble-bubble or gouza to smoke tobacco?

• 1: Yes
• 2: No
• 8: RF
• 9: DK

E-Cigarette and vaping (ECV) - Question identifier:ECV_R005

The following questions are about electronic cigarettes (e-cigarettes) or vaping devices. Please exclude vaping cannabis.

E-Cigarette and vaping (ECV) - Question identifier:ECV_Q005

Have you ever tried an e-cigarette or vaping device?

• 1: Yes
• 2: No
• 8: RF
• 9: DK

E-Cigarette and vaping (ECV) - Question identifier:ECV_Q010

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

Min = 5; Max = 121

E-Cigarette and vaping (ECV) - Question identifier:ECV_Q015

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

• 1: E-cigarette / vaping device
• 2: Cigarette
• 8: RF
• 9: DK

E-Cigarette and vaping (ECV) - Question identifier:ECV_Q020

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

• 1: Daily
• 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
• 8: RF
• 9: DK

Alcohol use (ALC) - Question identifier:ALC_R001

Now, some questions about your alcohol consumption.
A 'drink' refers to:
- a bottle or small can of beer, cider or cooler with 5% alcohol content, or a small draft;
- a glass of wine with 12% alcohol content;
- a glass or cocktail containing 1½ oz. of a spirit with 40% alcohol content.

Alcohol use (ALC) - Question identifier:ALC_Q005

Have you ever had a drink in your lifetime?

• 1: Yes
• 2: No
• 8: RF
• 9: DK

Alcohol use (ALC) - Question identifier:ALC_Q010

During the past 12 months, that is, from [Date one year ago] to yesterday, have you had a drink of beer, wine, liquor or any other alcoholic beverage?

• 1: Yes
• 2: No
• 8: RF
• 9: DK

Alcohol use (ALC) - Question identifier:ALC_Q015

During 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 6 times a week
• 7: Every day
• 8: RF
• 9: DK

Alcohol use (ALC) - Question identifier:ALC_Q020

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
• 8: RF
• 9: DK

Medication use (MED) - Question identifier:MED_R001

The next series of questions are about various medications.

The first series of questions are about your use of various pain relievers. By pain relievers, we mean products that contain opioids such as codeine or morphine, or related drugs. Most of these products require a prescription, although some codeine products are available without a prescription, for example, Tylenol #1 or 222s.
We are not interested in pain relievers such as Aspirin, Advil, regular Tylenol, Celebrex, etc.

Medication use (MED) - Question identifier:MED_Q005

During the past 12 months, have you used any codeine products like Tylenol #3, Tylenol #1, 292s or 222s?

• 1: Yes
• 2: No
• 8: RF
• 9: DK

Medication use (MED) - Question identifier:MED_Q010

During the past 12 months, have you used any oxycodone products such as Percocet or Percodan?

• 1: Yes
• 2: No
• 8: RF
• 9: DK

Medication use (MED) - Question identifier:MED_Q015

During the past 12 months, have you used any other opioid products such as hydromorphone, Dilaudid, Hydromorph Contin, morphine, MS Contin, or Demerol?

• 1: Yes
• 2: No
• 8: RF
• 9: DK

Medication use (MED) - Question identifier:MED_Q020

During the past 12 months, how often did you use any such pain relievers? Would you say...?

• 01: Once or twice
• 02: 3 to 11 times a year
• 03: About once a month
• 04: 2 or 3 times a month
• 05: About once or twice a week
• 06: 3 or 4 times a week
• 07: Daily or almost daily
• 08: As needed, or following surgery
• 98: RF
• 99: DK

Medication use (MED) - Question identifier:MED_Q025

Thinking about all the pain relievers you have used during the past 12 months, were they prescribed for you?

• 1: No, none were prescribed
• 2: Yes, they all were prescribed
• 3: Some were prescribed and others were not
• 8: RF
• 9: DK

Medication use (MED) - Question identifier:MED_Q030

Sometimes people do not take their pills as directed by a physician or pharmacist. Thinking about all the pain relievers you have used during the past 12 months, did you ever take more pills, or take them more often than you were supposed to?

• 1: Yes
• 2: No
• 8: RF
• 9: DK

Medication use (MED) - Question identifier:MED_Q035

During the past 12 months, did you ever use pain relievers only for the experience, the feeling they caused or to get high?

• 1: Yes
• 2: No
• 8: RF
• 9: DK

Medication use (MED) - Question identifier:MED_Q040

During the past 12 months, did you ever use pain relievers for reasons other than pain relief, for example, to feel better (improve mood), to cope with stress or problems, or any other reason?

• 1: Yes
• 2: No
• 8: RF
• 9: DK

Medication use (MED) - Question identifier:MED_Q045

During the past 12 months, did you ever tamper with a pain reliever product before taking it, for example, by crushing tablets to swallow, snort or inject [, not counting for ease of swallowing or to take a lower dose]?

• 1: Yes
• 2: No
• 8: RF
• 9: DK

Medication use (MED) - Question identifier:MED_R050

The next few questions are about your use of various stimulants.

By stimulants, we mean products prescribed by a doctor to help people who have attention or concentration problems (such as ADHD). Examples of stimulants include Ritalin, Concerta, Adderall, Dexedrine or others.

Medication use (MED) - Question identifier:MED_Q050

During the past 12 months, have you used any stimulants?

• 1: Yes
• 2: No
• 8: RF
• 9: DK

Medication use (MED) - Question identifier:MED_Q055

During the past 12 months, how often did you use any stimulants? Would you say...?

• 01: Once or twice
• 02: 3 to 11 times a year
• 03: About once a month
• 04: 2 or 3 times a month
• 05: About once or twice a week
• 06: 3 or 4 times a week
• 07: Daily or almost daily
• 08: As needed, or following surgery
• 98: RF
• 99: DK

Medication use (MED) - Question identifier:MED_Q060

Thinking about all the stimulants you used during the past 12 months, were they prescribed for you?

• 1: No, none were prescribed
• 2: Yes, they all were prescribed
• 3: Some were prescribed and others were not
• 8: RF
• 9: DK

Medication use (MED) - Question identifier:MED_Q065

Sometimes people do not take their pills as directed by a physician or pharmacist. Thinking about all the stimulants you have used during the past 12 months, did you ever take more pills or take them more often than you were supposed to?

• 1: Yes
• 2: No
• 8: RF
• 9: DK

Medication use (MED) - Question identifier:MED_Q070

During the past 12 months, did you ever use stimulants only for the experience, the feeling they caused or to get high?

• 1: Yes
• 2: No
• 8: RF
• 9: DK

Medication use (MED) - Question identifier:MED_Q075

During the past 12 months, did you ever use stimulants for reasons other than why they were prescribed, for example, to study, to stay alert, to decrease your appetite or for any other reason?

• 1: Yes
• 2: No
• 8: RF
• 9: DK

Medication use (MED) - Question identifier:MED_R080

The next few questions are about your use of various sedatives or anti-anxiety medications.

By sedatives, we mean products that can be obtained from a doctor such as diazepam, Valium, lorazepam, Ativan, alprazolam, Xanax, clonazepam, Rivotril or others.

Sedatives are sometimes prescribed to help people sleep, calm down, or to relax their muscles.

Medication use (MED) - Question identifier:MED_Q080

During the past 12 months, have you used any sedatives?

• 1: Yes
• 2: No
• 8: RF
• 9: DK

Medication use (MED) - Question identifier:MED_Q085

During the past 12 months, how often did you use any sedatives? Would you say...?

• 01: Once or twice
• 02: 3 to 11 times a year
• 03: About once a month
• 04: 2 or 3 times a month
• 05: About once or twice a week
• 06: 3 or 4 times a week
• 07: Daily or almost daily
• 08: As needed, or following surgery
• 98: RF
• 99: DK

Medication use (MED) - Question identifier:MED_Q090

Thinking about all the sedatives you have used during the past 12 months, were they prescribed for you?

• 1: No, none were prescribed
• 2: Yes, they all were prescribed
• 3: Some were prescribed and others were not
• 8: RF
• 9: DK

Medication use (MED) - Question identifier:MED_Q095

Sometimes people do not take their pills as directed by a physician or pharmacist. Thinking about all the sedatives you have used during the past 12 months, did you ever take more pills or take them more often than you were supposed to?

• 1: Yes
• 2: No
• 8: RF
• 9: DK

Medication use (MED) - Question identifier:MED_Q100

During the past 12 months, did you ever use sedatives only for the experience, the feeling they caused or to get high?

• 1: Yes
• 2: No
• 8: RF
• 9: DK

Cannabis use (CAN) - Question identifier:CAN_R005

The next few questions are about the use of cannabis for medical and non-medical purposes. The term "cannabis" refers to marijuana, hashish, hash oil or any other product of the cannabis plant.

Cannabis use (CAN) - Question identifier:CAN_Q005

Have you ever used or tried cannabis?

• 1: Yes, just once
• 2: Yes, more than once
• 3: No
• 8: RF
• 9: DK

Cannabis use (CAN) - Question identifier:CAN_Q010

At what age did you first try cannabis?

Min = 5; Max = 121

Cannabis use (CAN) - Question identifier:CAN_Q015

Have you used cannabis in the past 12 months?

• 1: Yes
• 2: No
• 8: RF
• 9: DK

Cannabis use (CAN) - Question identifier:CAN_Q020

How often (did you use cannabis in the past 12 months)?

• 1: Less than once a month
• 2: 1 to 3 times a month
• 3: Once a week
• 4: More than once a week
• 5: Daily or almost daily
• 8: RF
• 9: DK

Cannabis use (CAN) - Question identifier:CAN_Q025

In the past 12 months, which of the following methods did you use most often?

• 1: Smoked
• 2: Vaporized
• 3: Consumed in food or drink
• 4: Other - Specify
• 8: RF
• 9: DK

Cannabis use (CAN) - Question identifier:CAN_Q030

(In the past 12 months), have you used cannabis for...?

• 1: Non-medical purposes only
• 2: Medical purposes only, either with or without a medical document
• 3: Both medical and non-medical purposes
• 8: RF
• 9: DK

Cannabis use (CAN) - Question identifier:CAN_Q035

In the past 12 months, when you used cannabis for medical purposes, which symptoms were you using it for?

• 01: Pain
• 02: Nausea / vomiting
• 03: Lack of appetite / weight loss
• 04: Headaches / migraines
• 05: Muscle spasms or seizures
• 06: Anxiety / depression
• 07: Symptoms of PTSD
• 08: Problems sleeping
• 09: Opioid withdrawal symptoms
• 10: Other - Specify
• 98: RF
• 99: DK

Cannabis use (CAN) - Question identifier:CAN_Q040

Do you have a medical document from a health care professional to use cannabis for medical purposes?

• 1: Yes
• 2: No
• 8: RF
• 9: DK

Cannabis use (CAN) - Question identifier:CAN_Q045

In the past 12 months, has your use of cannabis led to health, social, legal or financial problems?

• 1: Yes
• 2: No
• 8: RF
• 9: DK

Cannabis use (CAN) - Question identifier:CAN_Q050

At any time in the past 12 months, have you failed to do what was normally expected of you because of your use of cannabis?

• 1: Yes
• 2: No
• 8: RF
• 9: DK

Cannabis use (CAN) - Question identifier:CAN_Q055

(In the past 12 months), has a relative, friend, doctor or other health professional been concerned about your use of cannabis or suggested you cut down?

• 1: Yes
• 2: No
• 8: RF
• 9: DK

Cannabis use (CAN) - Question identifier:CAN_Q060

In the past 30 days, how often did you use cannabis?

• 1: Never
• 2: 1 day
• 3: 2 or 3 days
• 4: 1 or 2 day(s) per week
• 5: 3 or 4 days per week
• 6: 5 or 6 days per week
• 7: Daily
• 8: RF
• 9: DK

Cannabis use (CAN) - Question identifier:CAN_Q065

At what age did you begin to use cannabis daily or almost daily?

Min = 5; Max = 121

Drug use (DRG) - Question identifier:DRG_R005

I am now going to ask questions on your use of various drugs.

Drug use (DRG) - Question identifier:DRG_Q020

Have you ever used or tried cocaine in any form, including crack, freebase, powder or snow?

• 1: Yes, just once
• 2: Yes, more than once
• 3: No
• 8: RF
• 9: DK

Drug use (DRG) - Question identifier:DRG_Q025

Was this in the past 12 months?

• 1: Yes
• 2: No
• 8: RF
• 9: DK

Drug use (DRG) - Question identifier:DRG_Q030

Have you ever used or tried amphetamines, speed, methamphetamines or crystal meth?

• 1: Yes, just once
• 2: Yes, more than once
• 3: No
• 8: RF
• 9: DK

Drug use (DRG) - Question identifier:DRG_Q035

Was this in the past 12 months?

• 1: Yes
• 2: No
• 8: RF
• 9: DK

Drug use (DRG) - Question identifier:DRG_Q040

Have you ever used or tried ecstasy, also known as MDMA, E, Xtc, Adam or X?

• 1: Yes, just once
• 2: Yes, more than once
• 3: No
• 8: RF
• 9: DK

Drug use (DRG) - Question identifier:DRG_Q045

Was this in the past 12 months?

• 1: Yes
• 2: No
• 8: RF
• 9: DK

Drug use (DRG) - Question identifier:DRG_Q050

Have you ever used or tried hallucinogens such as PCP, LSD, acid, magic mushrooms, mescaline or angel dust?

• 1: Yes, just once
• 2: Yes, more than once
• 3: No
• 8: RF
• 9: DK

Drug use (DRG) - Question identifier:DRG_Q055

Was this in the past 12 months?

• 1: Yes
• 2: No
• 8: RF
• 9: DK

Drug use (DRG) - Question identifier:DRG_Q060

Have you ever sniffed glue, gasoline or other solvents to get high?

• 1: Yes, just once
• 2: Yes, more than once
• 3: No
• 8: RF
• 9: DK

Drug use (DRG) - Question identifier:DRG_Q065

Was this in the past 12 months?

• 1: Yes
• 2: No
• 8: RF
• 9: DK

Drug use (DRG) - Question identifier:DRG_Q070

Have you ever used a needle to inject or be injected with a drug not prescribed by a doctor?

• 1: Yes, just once
• 2: Yes, more than once
• 3: No
• 8: RF
• 9: DK

Drug use (DRG) - Question identifier:DRG_Q075

Was this in the past 12 months?

• 1: Yes
• 2: No
• 8: RF
• 9: DK

Drug use (DRG) - Question identifier:DRG_Q080

Which of the following drugs have you injected using a needle?

• 1: Cocaine
• 2: Heroin or opium
• 3: Methamphetamine
• 4: Steroids
• 5: Other
• 6: I have never injected a drug using a needle
• 8: RF
• 9: DK

Physical activities - adults 18 years and older (PAA) - Question identifier:PAA_R001

The following questions are about various types of physical activities done in the last 7 days. I want you to only think of activities you did for a minimum of 10 continuous minutes.

Physical activities - adults 18 years and older (PAA) - Question identifier:PAA_Q005

In the last 7 days, that is from last [Day of the week 7 days ago] to yesterday, did you use active ways like walking or cycling to get to places such as work, school, the bus stop, the shopping centre or to visit friends?

• 1: Yes
• 2: No
• 8: RF
• 9: DK

Physical activities - adults 18 years and older (PAA) - Question identifier:PAA_Q010

In the last 7 days, on which days did you do these activities?

• 1: Monday
• 2: Tuesday
• 3: Wednesday
• 4: Thursday
• 5: Friday
• 6: Saturday
• 7: Sunday
• 8: RF
• 9: DK

Physical activities - adults 18 years and older (PAA) - Question identifier:PAA_Q015

How much time in total, in the last 7 days, did you spend doing these activities? Please only include activities that lasted a minimum of 10 continuous minutes.

Min = 0; Max = 168

Physical activities - adults 18 years and older (PAA) - Question identifier:PAA_N020

Enter number of minutes.

Min = 0; Max = 9995

Physical activities - adults 18 years and older (PAA) - Question identifier:PAA_Q030

[Not including activities you just reported,] in the last 7 days, did you do sports, fitness or recreational physical activities, organized or non-organized, that lasted a minimum of 10 continuous minutes?

Examples are walking, home or gym exercise, swimming, cycling, running, skiing, dancing and all team sports.

• 1: Yes
• 2: No
• 8: RF
• 9: DK

Physical activities - adults 18 years and older (PAA) - Question identifier:PAA_Q035

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

• 1: Yes
• 2: No
• 8: RF
• 9: DK

Physical activities - adults 18 years and older (PAA) - Question identifier:PAA_Q040

In the last 7 days, on which days did you do these recreational activities that made you sweat at least a little and breathe harder?

• 1: Monday
• 2: Tuesday
• 3: Wednesday
• 4: Thursday
• 5: Friday
• 6: Saturday
• 7: Sunday
• 8: RF
• 9: DK

Physical activities - adults 18 years and older (PAA) - Question identifier:PAA_Q045

In the last 7 days, how much time in total did you spend doing these activities that made you sweat at least a little and breathe harder?

Min = 0; Max = 168

Physical activities - adults 18 years and older (PAA) - Question identifier:PAA_N050

Enter number of minutes.

Min = 0; Max = 9995

Physical activities - adults 18 years and older (PAA) - Question identifier:PAA_Q060

In the last 7 days, did you do any other physical activities while at work, in or around your home or while volunteering?

Examples are carrying heavy loads, shoveling, and household chores such as vacuuming or washing windows. Please remember to only include activities that lasted a minimum of 10 continuous minutes.

• 1: Yes
• 2: No
• 8: RF
• 9: DK

Physical activities - adults 18 years and older (PAA) - Question identifier:PAA_Q065

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

• 1: Yes
• 2: No
• 8: RF
• 9: DK

Physical activities - adults 18 years and older (PAA) - Question identifier:PAA_Q070

In the last 7 days, on which days did you do these other activities that made you sweat at least a little and breathe harder?

• 1: Monday
• 2: Tuesday
• 3: Wednesday
• 4: Thursday
• 5: Friday
• 6: Saturday
• 7: Sunday
• 8: RF
• 9: DK

Physical activities - adults 18 years and older (PAA) - Question identifier:PAA_Q075

In the last 7 days, how much time in total did you spend doing these activities that made you sweat at least a little and breathe harder?

Min = 0; Max = 168

Physical activities - adults 18 years and older (PAA) - Question identifier:PAA_N080

Enter number of minutes.

Min = 0; Max = 9995

Physical activities - adults 18 years and older (PAA) - Question identifier:PAA_Q095

You have reported a total of [Total number of minutes] minutes of physical activity. Of these activities, were there any of vigorous intensity, meaning they caused you to be out of breath?

• 1: Yes
• 2: No
• 8: RF
• 9: DK

Physical activities - adults 18 years and older (PAA) - Question identifier:PAA_Q100

In the last 7 days, how much time in total did you spend doing vigorous activities that caused you to be out of breath?

Min = 0; Max = 168

Physical activities - adults 18 years and older (PAA) - Question identifier:PAA_N105

Enter number of minutes.

Min = 0; Max = 9995

Physical activities for youth (PAY) - Question identifier:PAY_R001

The following questions are about various types of physical activities that you have done each day in the past week.

Physical activities for youth (PAY) - Question identifier:PAY_Q005

During the last 7 days, that is from last [Day of the week 7 days ago] to yesterday, did you...?

• 1: Attend school
• 2: Attend a day camp
• 3: Attend paid or unpaid work
• 4: None of the above
• 8: RF
• 9: DK

Physical activities for youth (PAY) - Question identifier:PAY_Q010

In the last 7 days, did you use active ways like walking or cycling to get to places such [school,] the bus stop, the shopping centre, [work] or to visit friends?

• 1: Yes
• 2: No
• 8: RF
• 9: DK

Physical activities for youth (PAY) - Question identifier:PAY_Q015

How much time did you spend using active ways to get to places...
...yesterday?
...on [2 days ago]?
...on [3 days ago]?
...on [4 days ago]?
...on [5 days ago]?
...on [6 days ago]?
...on [7 days ago]?

Min = 0; Max = 24

Physical activities for youth (PAY) - Question identifier:PAY_N020

Enter number of minutes.

Min = 0; Max = 960

Physical activities for youth (PAY) - Question identifier:PAY_Q025

In the last 7 days, did you do sports, fitness or recreational physical activities while at [school [or day camp], including during physical education classes, during your breaks and any other time you played indoors or outdoors / day camp, including any time you played indoors or outdoors]?

• 1: Yes
• 2: No
• 8: RF
• 9: DK

Physical activities for youth (PAY) - Question identifier:PAY_Q030

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

• 1: Yes
• 2: No
• 8: RF
• 9: DK

Physical activities for youth (PAY) - Question identifier:PAY_Q035

How much time did you spend doing these activities at [school / day camp / school or day camp] that made you sweat at least a little and breathe harder...
...yesterday?
...on [2 days ago]?
...on [3 days ago]?
...on [4 days ago]?
...on [5 days ago]?
...on [6 days ago]?
...on [7 days ago]?

Min = 0; Max = 24

Physical activities for youth (PAY) - Question identifier:PAY_N040

Enter number of minutes.

Min = 0; Max = 960

Physical activities for youth (PAY) - Question identifier:PAY_Q045

In the last 7 days, did you do physical activities in your leisure time including exercising, playing an organized or non-organized sport or playing with your friends?

• 1: Yes
• 2: No
• 8: RF
• 9: DK

Physical activities for youth (PAY) - Question identifier:PAY_Q050

Did any of these leisure-time activities make you sweat at least a little and breathe harder?

• 1: Yes
• 2: No
• 8: RF
• 9: DK

Physical activities for youth (PAY) - Question identifier:PAY_Q055

How much time did you spend doing these leisure-time activities that made you sweat at least a little and breathe harder...
...yesterday?
...on [2 days ago]?
...on [3 days ago]?
...on [4 days ago]?
...on [5 days ago]?
...on [6 days ago]?
...on [7 days ago]?

Min = 0; Max = 24

Physical activities for youth (PAY) - Question identifier:PAY_N060

Enter number of minutes.

Min = 0; Max = 960

Physical activities for youth (PAY) - Question identifier:PAY_Q065

In the last 7 days, did you do any other physical activities [that you have not already reported], for example, while you were [doing paid or unpaid work or] helping your family with chores?

• 1: Yes
• 2: No
• 8: RF
• 9: DK

Physical activities for youth (PAY) - Question identifier:PAY_Q070

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

• 1: Yes
• 2: No
• 8: RF
• 9: DK

Physical activities for youth (PAY) - Question identifier:PAY_Q075

How much time did you spend doing these other physical activities that made you sweat at least a little and breathe harder...
...yesterday?
...on [2 days ago]?
...on [3 days ago]?
...on [4 days ago]?
...on [5 days ago]?
...on [6 days ago]?
...on [7 days ago]?

Min = 0; Max = 24

Physical activities for youth (PAY) - Question identifier:PAY_N080

Enter number of minutes.

Min = 0; Max = 960

Physical activities for youth (PAY) - Question identifier:PAY_Q090

You have reported a total of [Total number of minutes] minutes of physical activity. Of these activities, were there any of vigorous intensity, meaning they caused you to be out of breath?

• 1: Yes
• 2: No
• 8: RF
• 9: DK

Physical activities for youth (PAY) - Question identifier:PAY_Q095

In the last 7 days, on which days did you do these vigorous activities that caused you to be out of breath?

• 1: Yesterday
• 2: [2 days ago]
• 3: [3 days ago]
• 4: [4 days ago]
• 5: [5 days ago]
• 6: [6 days ago]
• 7: [7 days ago]
• 8: RF
• 9: DK

Physical activities for youth (PAY) - Question identifier:PAY_Q100

In the last 7 days, how much time in total did you spend doing vigorous activities that caused you to be out of breath?

Min = 0; Max = 168

Physical activities for youth (PAY) - Question identifier:PAY_N105

Enter number of minutes.

Min = 0; Max = 9995

Sedentary behaviours (SBE) - Question identifier:SBE_R001

The next questions are about the time you spent sitting in the last 7 days.

Sedentary behaviours (SBE) - Question identifier:SBE_Q005

On a school or work day, how much of your free time did you spend watching television or a screen on any electronic device while sitting or lying down?

• 1: 2 hours or less per day
• 2: More than 2 hours but less than 4 hours
• 3: 4 hours to less than 6 hours
• 4: 6 hours to less than 8 hours
• 5: 8 hours or more per day
• 6: Was not at work or school
• 8: RF
• 9: DK

Sedentary behaviours (SBE) - Question identifier:SBE_Q010

[On a day that was not a school or workday, how / How] much of your free time did you spend watching television or a screen on any electronic device while sitting or lying down?

• 1: 2 hours or less per day
• 2: More than 2 hours but less than 4 hours
• 3: 4 hours to less than 6 hours
• 4: 6 hours to less than 8 hours
• 5: 8 hours or more per day
• 8: RF
• 9: DK

Maternal experiences (MEX) - Question identifier:MEX_R001

The next questions are specific to women's health.

Maternal experiences (MEX) - Question identifier:MEX_Q005

Are you taking a vitamin supplement containing folic acid?

• 1: Yes
• 2: No
• 8: RF
• 9: DK

Maternal experiences (MEX) - Question identifier:MEX_Q010

Have you given birth in the past 5 years?

• 1: Yes
• 2: No
• 8: RF
• 9: DK

Maternal experiences (MEX) - Question identifier:MEX_Q015

What is the name of your last born child?

Long Answer Length = 50

Maternal experiences (MEX) - Question identifier:MEX_Q020

What is [your last child]'s date of birth?

Min = 1; Max = 31

Maternal experiences (MEX) - Question identifier:MEX_Q025

What is [your last child]'s date of birth?

• 01: January
• 02: February
• 03: March
• 04: April
• 05: May
• 06: June
• 07: July
• 08: August
• 09: September
• 10: October
• 11: November
• 12: December
• 98: RF
• 99: DK

Maternal experiences (MEX) - Question identifier:MEX_Q030

What is [your last child]'s date of birth?

Min = 2010; Max = 2099

Maternal experiences (MEX) - Question identifier:MEX_R040

The next questions are about your maternal experiences related to [your last child].

Maternal experiences (MEX) - Question identifier:MEX_Q040

In the three months before you got pregnant with [your last child], did you take a folic acid supplement or a multivitamin containing folic acid?

• 1: Yes
• 2: No
• 8: RF
• 9: DK

Maternal experiences (MEX) - Question identifier:MEX_Q045

Did you take it every day or almost every day?

• 1: Yes
• 2: No
• 8: RF
• 9: DK

Maternal experiences (MEX) - Question identifier:MEX_Q050

During the first three months of your pregnancy (with [your last child]), did you take a folic acid supplement or a multivitamin containing folic acid?

• 1: Yes
• 2: No
• 8: RF
• 9: DK

Maternal experiences (MEX) - Question identifier:MEX_Q055

Did you take it every day or almost every day?

• 1: Yes
• 2: No
• 8: RF
• 9: DK

Maternal experiences (MEX) - Question identifier:MEX_Q060

Before your pregnancy (with [your last child]), were you aware that taking folic acid before becoming pregnant can help prevent some birth defects?

• 1: Yes
• 2: No
• 8: RF
• 9: DK

Maternal experiences (MEX) - Question identifier:MEX_Q065

During your pregnancy (with [your last child]), did you take a vitamin supplement containing iron?

• 1: Yes
• 2: No
• 8: RF
• 9: DK

Maternal experiences (MEX) - Question identifier:MEX_Q070

Just before your pregnancy (with [your last child]), how much did you weigh?

Min = 1; Max = 700

Maternal experiences (MEX) - Question identifier:MEX_N075

Was that in pounds or kilograms?

• 1: Pounds
• 2: Kilograms

Maternal experiences (MEX) - Question identifier:MEX_Q080

How much weight did you gain during that pregnancy?

Min = -50; Max = 199

Maternal experiences (MEX) - Question identifier:MEX_N085

Was that in pounds or kilograms?

• 1: Pounds
• 2: Kilograms

Maternal experiences (MEX) - Question identifier:MEX_Q090

[How often does [your last child] / When [your last child] was less than one year old, how often did he/she] sleep in the same bed with you or anyone else?

• 1: Every day or almost every day
• 2: Once or twice a week
• 3: A few times a month
• 4: Less than once a month
• 5: Never
• 8: RF
• 9: DK

Maternal experiences (MEX) - Question identifier:MEX_Q095

What is the main reason [your last child] [is / was] sleeping in the same bed with you or someone else?

• 1: To breastfeed
• 2: So the baby would sleep / So I could get some sleep
• 3: Did not have room for a crib
• 4: Could not afford a crib
• 5: Believe that bedsharing was best for my child
• 6: Child was sick
• 7: Other
• 8: RF
• 9: DK

Maternal experiences (MEX) - Question identifier:MEX_Q100

Was [your last child] breastfed or given breast milk even for a short time?

• 1: Yes
• 2: No
• 8: RF
• 9: DK

Maternal experiences (MEX) - Question identifier:MEX_Q105

What is the main reason that you did not breastfeed or give breast milk?

• 1: Bottle feeding is easier
• 2: Formula is as good as breast milk
• 3: Breastfeeding is unappealing
• 4: Medical condition - mother
• 5: Other - Specify
• 8: RF
• 9: DK

Maternal experiences (MEX) - Question identifier:MEX_Q110

Are you still breastfeeding or giving breast milk to [your last child]?

• 1: Yes
• 2: No
• 8: RF
• 9: DK

Maternal experiences (MEX) - Question identifier:MEX_Q115

How long did you breastfeed or give breast milk to [your last child]?

Min = 1; Max = 730

Maternal experiences (MEX) - Question identifier:MEX_N115A

Was this time in days, weeks, months or years?

• 1: Days
• 2: Weeks
• 3: Months
• 4: Years

Maternal experiences (MEX) - Question identifier:MEX_Q120

What is the main reason that you stopped breastfeeding or giving breast milk?

• 01: Not enough breast milk
• 02: Baby was ready for solid foods
• 03: Inconvenience / fatigue due to breastfeeding
• 04: Difficulty with breastfeeding (e.g., sore nipples, engorged breasts, mastitis)
• 05: Medical condition - mother
• 06: Medical condition - baby
• 07: Planned to stop at this time
• 08: Child weaned him / herself (e.g., baby refusing breast, lack of interest)
• 09: Returned to work / school
• 10: Other - Specify
• 98: RF
• 99: DK

Maternal experiences (MEX) - Question identifier:MEX_Q125

[Are you giving [your last child] a vitamin D supplement? / When [your last child] was [less than a year old / less than one year old and fed breast milk / fed breast milk], did you give him/her a vitamin D supplement?]

• 1: Yes
• 2: No
• 8: RF
• 9: DK

Maternal experiences (MEX) - Question identifier:MEX_Q130

[Now that [your last child] is more than a year old, are you still giving [him/her] a vitamin D supplement? / When [your last child] was older than one and fed breast milk, did you continue to give [him/her] a vitamin D supplement?]

• 1: Yes
• 2: No
• 8: RF
• 9: DK

Maternal experiences (MEX) - Question identifier:MEX_Q140

Overall, how often [do / did] you give [your last child] a supplement containing vitamin D?

• 1: Every day
• 2: Almost every day
• 3: Once or twice a week
• 4: Less than once a week
• 8: RF
• 9: DK

Maternal experiences (MEX) - Question identifier:MEX_Q150

[While you were still breastfeeding, had / Have] liquids such as milk, formula, water, juice, tea or herbal mixture been introduced to [your last child]'s feeds?

• 1: Yes
• 2: No
• 8: RF
• 9: DK

Maternal experiences (MEX) - Question identifier:MEX_Q155

How old was your last child when other liquids were first added to the feeds?

Min = 1; Max = 730

Maternal experiences (MEX) - Question identifier:MEX_N160

Was this time in days, weeks, months or years?

• 1: Days
• 2: Weeks
• 3: Months
• 4: Years

Maternal experiences (MEX) - Question identifier:MEX_Q170

Have solid foods such as cereals, mashed up or pureed meat, vegetables or fruits been introduced to the baby's feeds?

• 1: Yes
• 2: No
• 8: RF
• 9: DK

Maternal experiences (MEX) - Question identifier:MEX_Q175

How old was [your last child] when solid foods (such as cereals, mashed up or pureed meat, vegetables or fruits) were first added to their feeds?

Min = 1; Max = 730

Maternal experiences (MEX) - Question identifier:MEX_N180

Was this time in days, weeks, months or years?

• 1: Days
• 2: Weeks
• 3: Months
• 4: Years

Maternal experiences (MEX) - Question identifier:MEX_Q190

What was the first solid food added to [your last child]'s feeds?

• 1: Infant cereals
• 2: Meat, fish or poultry
• 3: Meat alternatives (includes eggs, tofu, legumes, peas or lentils)
• 4: Fruits or vegetables
• 5: Other
• 8: RF
• 9: DK

Maternal experiences (MEX) - Question identifier:MEX_Q195

What is the main reason [other liquids / solid foods / other liquids and solid foods] were first added to [your last child]'s feeds?

• 01: Not enough breast milk
• 02: [Baby was ready for solid foods]
• 03: Inconvenience / fatigue due to breastfeeding
• 04: Difficulty with breastfeeding (e.g., sore nipples, engorged breasts, mastitis)
• 05: Medical condition - mother
• 06: Medical condition - baby
• 07: Advice from health professional / family
• 08: Returned to work / school
• 09: Formula equally healthy for baby
• 10: Other - Specify
• 98: RF
• 99: DK

Smoking during maternal experience (MXS) - Question identifier:MXS_Q005

In the three months before your pregnancy with [your last child], or before you realized you were pregnant, did you smoke cigarettes?

• 1: Everyday
• 2: Almost everyday
• 3: About 2 or 3 times a week
• 4: About once a week
• 5: Once or twice
• 6: Never
• 8: RF
• 9: DK

Smoking during maternal experience (MXS) - Question identifier:MXS_Q010

Once you found out you were pregnant (with [your last child]), did you smoke?

• 1: Everyday
• 2: Almost everyday
• 3: About 2 or 3 times a week
• 4: About once a week
• 5: Once or twice
• 6: Never
• 8: RF
• 9: DK

Smoking during maternal experience (MXS) - Question identifier:MXS_Q015

During the last 3 months of your pregnancy (with [your last child]), did you smoke?

• 1: Everyday
• 2: Almost everyday
• 3: About 2 or 3 times a week
• 4: About once a week
• 5: Once or twice
• 6: Never
• 8: RF
• 9: DK

Smoking during maternal experience (MXS) - Question identifier:MXS_Q020

Did anyone regularly smoke in your presence during your pregnancy with [your last child]?

• 1: Yes
• 2: No
• 8: RF
• 9: DK

Alcohol use during maternal experience (MXA) - Question identifier:MXA_Q005

In the three months before your pregnancy with [your last child], or before you realized you were pregnant, did you drink any alcohol?

• 1: Yes
• 2: No
• 8: RF
• 9: DK

Alcohol use during maternal experience (MXA) - Question identifier:MXA_Q010

How often did you drink?

• 1: Less than once per month
• 2: Once per month
• 3: 2 to 3 times per month
• 4: Once a week
• 5: 2 to 3 times per week
• 6: 4 to 6 times per week
• 7: Everyday
• 8: RF
• 9: DK

Alcohol use during maternal experience (MXA) - Question identifier:MXA_Q015

Once you found out you were pregnant with [your last child], did you drink any alcohol?

• 1: Yes
• 2: No
• 8: RF
• 9: DK

Alcohol use during maternal experience (MXA) - Question identifier:MXA_Q020

How often did you drink?

• 1: Less than once per month
• 2: Once per month
• 3: 2 to 3 times per month
• 4: Once a week
• 5: 2 to 3 times per week
• 6: 4 to 6 times per week
• 7: Everyday
• 8: RF
• 9: DK

Alcohol use during maternal experience (MXA) - Question identifier:MXA_Q025

During the last 3 months of your pregnancy (with [your last child]), did you drink any alcohol?

• 1: Yes
• 2: No
• 8: RF
• 9: DK

Alcohol use during maternal experience (MXA) - Question identifier:MXA_Q030

How often did you drink?

• 1: Less than once per month
• 2: Once per month
• 3: 2 to 3 times per month
• 4: Once a week
• 5: 2 to 3 times per week
• 6: 4 to 6 times per week
• 7: Everyday
• 8: RF
• 9: DK

Alcohol use during maternal experience (MXA) - Question identifier:MXA_Q035

While you were breastfeeding ([your last child]), did you drink any alcohol?

• 1: Yes
• 2: No
• 8: RF
• 9: DK

Alcohol use during maternal experience (MXA) - Question identifier:MXA_Q040

How often did you drink?

• 1: Less than once per month
• 2: Once per month
• 3: 2 to 3 times per month
• 4: Once a week
• 5: 2 to 3 times per week
• 6: 4 to 6 times per week
• 7: Everyday
• 8: RF
• 9: DK

Depression (DEP) - Question identifier:DEP_R001

The following questions deal with problems you may have had during the last two weeks.

Depression (DEP) - Question identifier:DEP_Q005

Over the last two weeks, how often have you:

had little interest or pleasure in doing things?

• 1: Not at all
• 2: Several days
• 3: More than half the days
• 4: Nearly every day
• 8: RF
• 9: DK

Depression (DEP) - Question identifier:DEP_Q010

Over the last two weeks, how often have you:

felt down, depressed, or hopeless?

• 1: Not at all
• 2: Several days
• 3: More than half the days
• 4: Nearly every day
• 8: RF
• 9: DK

Depression (DEP) - Question identifier:DEP_Q015

Over the last two weeks, how often have you:

had trouble falling or staying asleep, or sleeping too much?

• 1: Not at all
• 2: Several days
• 3: More than half the days
• 4: Nearly every day
• 8: RF
• 9: DK

Depression (DEP) - Question identifier:DEP_Q020

Over the last two weeks, how often have you:

felt tired or had little energy?

• 1: Not at all
• 2: Several days
• 3: More than half the days
• 4: Nearly every day
• 8: RF
• 9: DK

Depression (DEP) - Question identifier:DEP_Q025

Over the last two weeks, how often have you:

had poor appetite or overate?

• 1: Not at all
• 2: Several days
• 3: More than half the days
• 4: Nearly every day
• 8: RF
• 9: DK

Depression (DEP) - Question identifier:DEP_Q030

Over the last two weeks, how often have you:

felt bad about yourself, or that you are a failure or have let yourself or your family down?

• 1: Not at all
• 2: Several days
• 3: More than half the days
• 4: Nearly every day
• 8: RF
• 9: DK

Depression (DEP) - Question identifier:DEP_Q035

Over the last two weeks, how often have you:

had trouble concentrating on things, such as reading the newspaper or watching television?

• 1: Not at all
• 2: Several days
• 3: More than half the days
• 4: Nearly every day
• 8: RF
• 9: DK

Depression (DEP) - Question identifier:DEP_Q040

Over the last two weeks, how often have you:

been moving or speaking so slowly that other people could have noticed? Or the opposite, being so fidgety or restless that you have been moving around a lot more than usual?

• 1: Not at all
• 2: Several days
• 3: More than half the days
• 4: Nearly every day
• 8: RF
• 9: DK

Depression (DEP) - Question identifier:DEP_Q045

Over the last two weeks, how often have you:

had thoughts that you would be better off dead, or of hurting yourself?

• 1: Not at all
• 2: Several days
• 3: More than half the days
• 4: Nearly every day
• 8: RF
• 9: DK

Depression (DEP) - Question identifier:DEP_Q050

How difficult have these problems made it for you to do your work, take care of things at home, or get along with other people?

• 1: Not difficult at all
• 2: Somewhat difficult
• 3: Very difficult
• 4: Extremely difficult
• 8: RF
• 9: DK

Social provisions (SPS) - Question identifier:SPS_R001

The next questions are about your current relationships with friends, family members, co-workers, community members, and so on. Please indicate to what extent each statement describes your current relationships with other people.

Social provisions (SPS) - Question identifier:SPS_Q015

I have close relationships that provide me with a sense of emotional security and wellbeing.

• 1: Strongly agree
• 2: Agree
• 3: Disagree
• 4: Strongly disagree
• 8: RF
• 9: DK

Social provisions (SPS) - Question identifier:SPS_Q020

There is someone I could talk to about important decisions in my life.

• 1: Strongly agree
• 2: Agree
• 3: Disagree
• 4: Strongly disagree
• 8: RF
• 9: DK

Social provisions (SPS) - Question identifier:SPS_Q025

I have relationships where my competence and skill are recognized.

• 1: Strongly agree
• 2: Agree
• 3: Disagree
• 4: Strongly disagree
• 8: RF
• 9: DK

Social provisions (SPS) - Question identifier:SPS_Q035

I feel part of a group of people who share my attitudes and beliefs.

• 1: Strongly agree
• 2: Agree
• 3: Disagree
• 4: Strongly disagree
• 8: RF
• 9: DK

Social provisions (SPS) - Question identifier:SPS_Q050

There are people I can count on in an emergency.

• 1: Strongly agree
• 2: Agree
• 3: Disagree
• 4: Strongly disagree
• 8: RF
• 9: DK

Primary health care (PHC) - Question identifier:PHC_R001

Now I'd like to ask about your primary health care. It is often the first point of entry to the Canadian health system. It incorporates diagnosis, treatment and management of health problems.

Primary health care (PHC) - Question identifier:PHC_Q005

Is there a place that you usually go to when you need immediate care for a minor health problem?

• 1: Yes
• 2: No
• 8: RF
• 9: DK

Primary health care (PHC) - Question identifier:PHC_Q010

What kind of place is it?

• 1: A doctor's office
• 2: A hospital outpatient clinic
• 3: A community health centre [or CLSC]
• 4: A walk-in clinic
• 5: A hospital emergency room
• 6: Some other place
• 8: RF
• 9: DK

Primary health care (PHC) - Question identifier:PHC_Q015

Is this...?

• 1: An office with one doctor working in a solo practice
• 2: An office with several health care professionals working together as a team, that may include a dietician, nurse, social worker or psychologist
• 3: An office with several doctors working independently of each other, who may share one or more nurses
• 4: Other
• 8: RF
• 9: DK

Primary health care (PHC) - Question identifier:PHC_Q020

Do you have have a regular health care provider? By this, we mean one health professional that you regularly see or talk to when you need care or advice for your health.

• 1: Yes
• 2: No
• 8: RF
• 9: DK

Primary health care (PHC) - Question identifier:PHC_Q025

What are the reasons why you do not have a regular health care provider?

• 1: Do not need one in particular, but you have a usual place of care
• 2: No one available in the area
• 3: No one in the area is taking new patients
• 4: [You] have not tried to find one
• 5: Had one who left or retired
• 6: Other
• 8: RF
• 9: DK

Primary health care (PHC) - Question identifier:PHC_Q030

Is that regular health care provider a...?

• 1: Family doctor or general practitioner
• 2: Medical specialist such as a cardiologist or a pediatrician
• 3: Nurse practitioner
• 4: Other
• 8: RF
• 9: DK

Primary health care (PHC) - Question identifier:PHC_Q035

When you need immediate care for a minor health problem, how long do you usually have to wait before you can have an appointment with this [family physician / specialist / nurse practitioner / regular health care provider] [or another care provider from the same office?]

• 1: On the same day
• 2: The next day
• 3: In 2 to 3 days
• 4: In 4 to 6 days
• 5: In 1 to 2 weeks
• 6: Between 2 weeks and one month
• 7: One month or more
• 8: RF
• 9: DK

Primary health care (PHC) - Question identifier:PHC_Q040

Do you usually speak in English, in French or in another language with this [family physician / specialist / nurse practitioner / regular health care provider]?

• 1: English
• 2: French
• 3: English and French
• 4: English and another language
• 5: French and another language
• 6: Another language
• 8: RF
• 9: DK

Primary health care (PHC) - Question identifier:PHC_Q045

Is there one or more nurses working with your [family physician / specialist / nurse practitioner / regular health care provider] who are regularly involved in your health care?

• 1: Yes
• 2: No
• 8: RF
• 9: DK

Primary health care (PHC) - Question identifier:PHC_Q050

Other than doctors and nurses, are there other health professionals like nutritionists working in the same office where you get your regular health care?

• 1: Yes
• 2: No
• 8: RF
• 9: DK

Primary health care (PHC) - Question identifier:PHC_Q055

Other than from your [family physician / specialist / nurse practitioner / regular health care provider], who do you receive regular health care from?

• 01: Another family doctor or general practitioner
• 02: Specialist doctor
• 03: Nurse / Nurse practitioner
• 04: Chiropractor
• 05: Registered dietician
• 06: Pharmacist
• 07: Physiotherapist
• 08: Psychologist / Mental Health Professional
• 09: Social Worker
• 10: Other
• 11: None
• 98: RF
• 99: DK

Primary health care (PHC) - Question identifier:PHC_Q060

In general, how would you rate the level of coordination between your [family physician / specialist / nurse practitioner / regular health care provider] and other health professionals who provide you with regular care? Would you say the coordination is...?

• 1: Excellent
• 2: Very good
• 3: Good
• 4: Fair
• 5: Poor
• 6: Not applicable
• 8: RF
• 9: DK

Home care services - with palliative care (HMC) - Question identifier:HMC_R005

Now some questions on home care services that you [or anyone in the household] may have received because of a health condition or a limitation in daily activities. These include services provided in your own home such as nursing care, meal preparation, someone to help with bathing or housework, etc. Do not include the help from family, friends or neighbours.

Home care services - with palliative care (HMC) - Question identifier:HMC_Q005

In the past 12 months, what type of home care services have you [or anyone in the household] received?

• 1: Nursing care (e.g., dressing changes, preparing
  medications, V.O.N. visits)
• 2: Other health care services (e.g., physiotherapy,
  occupational or speech therapy, nutrition counselling)
• 3: Medical equipment or supplies (e.g., wheelchair, pads for incontinence, help with using a ventilator or oxygen equipment)
• 4: Personal or home support (such as bathing, housekeeping, meal preparation)
• 5: Palliative or end-of-life care
• 6: Other services (such as transportation, meals-on-wheels)
• 7: No one in the household received any home care services
• 8: RF
• 9: DK

Home care services - with palliative care (HMC) - Question identifier:HMC_Q010

Were [the nursing care / the other health care / the medical equipment or supplies / the personal or home support / the palliative care / the other] services provided for yourself or someone else living in the household?

• 1: Home care provided to selected respondent only
• 2: Home care provided to other household member only
• 3: Home care provided to selected respondent and other household member
• 8: RF
• 9: DK

Home care services - with palliative care (HMC) - Question identifier:HMC_R015

For the next two questions please only report for the home care services provided for you.

Home care services - with palliative care (HMC) - Question identifier:HMC_Q015

How long have [you / other household members] been receiving [the nursing care / the other health care / the medical equipment or supplies / the personal or home support / the palliative care / the other] services?

• 1: Less than 1 month
• 2: 1 month to less than 3 months
• 3: 3 months to less than 6 months
• 4: 6 months to less than 1 year
• 5: 1 year to 3 years
• 6: More than 3 years
• 8: RF
• 9: DK

Home care services - with palliative care (HMC) - Question identifier:HMC_Q020

In a typical month over the past 12 months, how much have [you / other household members] paid for [the nursing care / the other health care / the medical equipment or supplies / the personal or home support / the palliative care / the other] services?

• 01: $0
• 02: $1 to less than $50
• 03: $50 to less than $100
• 04: $100 to less than $200
• 05: $200 to less than $300
• 06: $300 to less than $400
• 07: $400 to less than $1000
• 08: $1000 and more
• 98: RF
• 99: DK

Home care services - with palliative care (HMC) - Question identifier:HMC_Q025

Who paid for these services?

• 1: Out of your / their own pocket
• 2: Family or friend living in the same household
• 3: Someone living outside the household (e.g., family, friends, volunteer organization)
• 4: Insurance
• 5: Government
• 6: Other
• 8: RF
• 9: DK

Home care services - with palliative care (HMC) - Question identifier:HMC_Q030

Overall, how satisfied [were you / were the other household members] with the home care services received?

[were you / were the other household members]...?

• 1: Very satisfied
• 2: Somewhat satisfied
• 3: Neither satisfied nor dissatisfied
• 4: Somewhat dissatisfied
• 5: Very dissatisfied
• 8: RF
• 9: DK

Home care services - with palliative care (HMC) - Question identifier:HMC_Q035

What are the reasons why [you were / the other household members were] not satisfied?

• 1: Poor quality (i.e. concerns about provider competence, reliability of services, etc.)
• 2: Services did not address perceived needs
• 3: Services provided were insufficient
• 4: Long wait times to receive services
• 5: Other reason
• 8: RF
• 9: DK

Home care services - with palliative care (HMC) - Question identifier:HMC_Q037

Thinking of the home care services that [you / the other household members / you and the other household members] received in the past 12 months, how helpful were they in allowing [you / the other household members / you and the other household members] to stay at home?

• 1: Very helpful
• 2: Somewhat helpful
• 3: Not helpful
• 4: Reason for homecare was unrelated to staying at home (e.g., wound care)
• 8: RF
• 9: DK

Home care services - with palliative care (HMC) - Question identifier:HMC_Q038

Why didn't the home care services help [you / the other household members / you and the other household members] to stay at home?

• 1: Poor quality (i.e., concerns about provider competence, reliability of services, etc.)
• 2: Services did not address perceived needs
• 3: Services provided were insufficient (coverage, frequency, etc.)
• 4: Long wait times to receive services
• 5: Cost of services was too high
• 6: Other reason
• 8: RF
• 9: DK

Home care services - with palliative care (HMC) - Question identifier:HMC_Q040

During the past 12 months, was there ever a time when [you or anyone in your household] felt that home care services were needed but were not received?

• 1: Yes
• 2: No
• 8: RF
• 9: DK

Home care services - with palliative care (HMC) - Question identifier:HMC_Q045

Were these (home care) services needed for yourself or someone else living in the household?

• 1: Selected Respondent only
• 2: Other household member only
• 3: Selected respondent and other household member
• 8: RF
• 9: DK

Home care services - with palliative care (HMC) - Question identifier:HMC_R050

[For the following questions, please only report for the home care services you (personally) needed.]

Home care services - with palliative care (HMC) - Question identifier:HMC_Q050

Thinking of the most recent time, what type of home care was needed?

• 1: Nursing care (e.g., dressing changes, preparing
  medications, V.O.N. visits)
• 2: Other health care services (e.g., physiotherapy,
  occupational or speech therapy, nutrition counselling)
• 3: Medical equipment or supplies (e.g., wheelchair, pads for incontinence, help with using a ventilator or oxygen equipment)
• 4: Personal or home support (such as bathing, housekeeping, meal preparation)
• 5: Palliative or end-of-life care
• 6: Other services (such as transportation, meals-on-wheels)
• 8: RF
• 9: DK

Home care services - with palliative care (HMC) - Question identifier:HMC_Q055

Again, thinking of the most recent time, why didn't [you / they] get these services?

• 01: Not available in the area
• 02: Not available at time required (e.g., inconvenient hours)
• 03: Waiting time too long
• 04: Cost
• 05: Didn't get around to it / didn't bother
• 06: Didn't know where to go / call
• 07: Language barrier
• 08: Decided not to seek services
• 09: Doctor did not think it was necessary
• 10: Not eligible for home care
• 11: Still waiting for home care
• 12: Other
• 98: RF
• 99: DK

Home care services - with palliative care (HMC) - Question identifier:HMC_Q060

Where did [you / they] try to get these home care services?

• 1: A government Home Care Program (e.g., CLSC in Quebec, CCAC in Ontario, Extramural Program in New Brunswick)
• 2: A private agency
• 3: A family member, friend or neighbour
• 4: A volunteer organization
• 5: Nowhere - did not try to get service
• 6: Other
• 8: RF
• 9: DK

Labour force (LBF) - Question identifier:LBF_Q005A

Many of the following questions concern your activities last week. By last week, I mean the week beginning on [First day of reference week], and ending [Last day of reference week].

Last week, did you work at a job or business? (regardless of the number of hours)

• 1: Yes
• 2: No
• 8: RF
• 9: DK

Labour force (LBF) - Question identifier:LBF_Q005B

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

• 1: Yes
• 2: No
• 8: RF
• 9: DK

Labour force (LBF) - Question identifier:LBF_Q005C

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

• 01: Own illness or disability
• 02: Caring for own children
• 03: Caring for elder relative (60 years of age or older)
• 04: Maternity or parental leave
• 05: Other personal or family responsibilities
• 06: Vacation
• 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., shift work) (Employees only)
• 12: Self-employed, no work available (Self-employed only)
• 13: Seasonal business (Excluding employees)
• 14: Other - Specify
• 98: RF
• 99: DK

Labour force (LBF) - Question identifier:LBF_R010

The next questions are about your current job or business.

Labour force (LBF) - Question identifier:LBF_Q010

Were you an employee or self-employed?

• 1: Employee
• 2: Self-employed
• 3: Working in a family business without pay
• 8: RF
• 9: DK

Labour force (LBF) - Question identifier:LBF_Q015A

What was the name of your business?

Long Answer Length = 50

Labour force (LBF) - Question identifier:LBF_Q015B

For whom did you work?

Long Answer Length = 50

Labour force (LBF) - Question identifier:LBF_Q015C

What kind of business, industry or service was this?

Long Answer Length = 50

Labour force (LBF) - Question identifier:LBF_Q020A

What was your work or occupation?

Long Answer Length = 50

Labour force (LBF) - Question identifier:LBF_Q020B

In this work, what were your main activities?

Long Answer Length = 50

Labour force (LBF) - Question identifier:LBF_Q025

On average, how many hours do you usually work per week?

Min = 0.0; Max = 168.0

Labour force (LBF) - Question identifier:LBF_Q030

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

• 1: Yes
• 2: No
• 8: RF
• 9: DK

Labour force (LBF) - Question identifier:LBF_Q035

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

Min = 1; Max = 168

Socio-demographic characteristics (SDC) - Question identifier:SDC_R001

Now, some general questions which will help us compare the health of people in Canada.

Socio-demographic characteristics (SDC) - Question identifier:SDC_Q005A

In what country were you born?

• 1: Search
• 3: Other - Specify
• 8: RF
• 9: DK

Socio-demographic characteristics (SDC) - Question identifier:SDC_Q005B

In which province or territory were you born?

• 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
• 98: RF
• 99: DK

Socio-demographic characteristics (SDC) - Question identifier:SDC_Q005C

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

• 1: Yes
• 2: No
• 8: RF
• 9: DK

Socio-demographic characteristics (SDC) - Question identifier:SDC_Q005D

In what year did you first become a landed immigrant in Canada?

Min = 1870; Max = 2100

Socio-demographic characteristics (SDC) - Question identifier:SDC_Q010

To which ethnic or cultural groups did your ancestors belong? (For example: French, Scottish, Chinese, East Indian)

• 01: Canadian
• 02: French
• 03: English
• 04: German
• 05: Scottish
• 06: Irish
• 07: Italian
• 08: Ukrainian
• 09: Dutch (Netherlands)
• 10: Chinese
• 11: Jewish
• 12: Polish
• 13: Portuguese
• 14: South Asian (e.g., East Indian, Pakistani, Sri Lankan)
• 15: Norwegian
• 16: Welsh
• 17: Swedish
• 18: First Nations (North American Indian)
• 19: Métis
• 20: Inuit
• 21: Other - Specify
• 98: RF
• 99: DK

Socio-demographic characteristics (SDC) - Question identifier:SDC_Q015A

Are you an Aboriginal person, that is, First Nations, Métis or Inuk (Inuit)? First Nations includes Status and Non-Status Indians.

• 1: Yes
• 2: No
• 8: RF
• 9: DK

Socio-demographic characteristics (SDC) - Question identifier:SDC_Q015B

Are you First Nations, Métis or Inuk (Inuit)?

• 1: First Nations (North American Indian)
• 2: Métis
• 3: Inuk (Inuit)
• 8: RF
• 9: DK

Socio-demographic characteristics (SDC) - Question identifier:SDC_Q020

You may belong to one or more racial or cultural groups on the following list. Are you... ?

• 01: White
• 02: South Asian (e.g., East Indian, Pakistani, Sri Lankan)
• 03: Chinese
• 04: Black
• 05: Filipino
• 06: Latin American
• 07: Arab
• 08: Southeast Asian (e.g., Vietnamese, Cambodian,
  Malaysian, Laotian)
• 09: West Asian (e.g., Iranian, Afghan)
• 10: Korean
• 11: Japanese
• 12: Other - Specify
• 98: RF
• 99: DK

Socio-demographic characteristics (SDC) - Question identifier:SDC_Q025A

Of English or French, which language(s) do you speak well enough to conduct a conversation? Is it... ?

• 1: English only
• 2: French only
• 3: Both English and French
• 4: Neither English nor French
• 8: RF
• 9: DK

Socio-demographic characteristics (SDC) - Question identifier:SDC_Q025B

What language do you speak most often at home?

Long Answer Length = 80

Socio-demographic characteristics (SDC) - Question identifier:SDC_Q025C

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

Long Answer Length = 80

Socio-demographic characteristics (SDC) - Question identifier:SDC_Q027

Have you ever served in the Canadian military?

• 1: Yes
• 2: No
• 8: RF
• 9: DK

Socio-demographic characteristics (SDC) - Question identifier:SDC_R030

Now a question about the dwelling in which you live.

Socio-demographic characteristics (SDC) - Question identifier:SDC_Q030

Is this dwelling...?

• 1: Owned by you or a member of this household, even if it is still being paid for
• 2: Rented, even if no cash rent is paid
• 8: RF
• 9: DK

Socio-demographic characteristics (SDC) - Question identifier:SDC_R035

Now, one additional background question which will help us compare the health of people in Canada.

Socio-demographic characteristics (SDC) - Question identifier:SDC_Q037

What is your sexual orientation?

• 1: Heterosexual
• 2: Homosexual
• 3: Bisexual
• 4: Or please specify
• 8: RF
• 9: DK

Person most knowledgeable about household situation (PMK) - Question identifier:PMK_R010

For the last few questions, I would like to speak with someone who would be best able to answer questions about the entire household such as household income and food purchases.

Person most knowledgeable about household situation (PMK) - Question identifier:PMK_Q010

Who would this person be?

• 01: MEMBER1
• 02: MEMBER2
• 03: MEMBER3
• 04: MEMBER4
• 05: MEMBER5
• 06: MEMBER6
• 07: MEMBER7
• 08: MEMBER8
• 09: MEMBER9
• 10: MEMBER10
• 11: MEMBER11
• 12: MEMBER12
• 13: MEMBER13
• 14: MEMBER14
• 15: MEMBER15
• 16: MEMBER16
• 17: MEMBER17
• 18: MEMBER18
• 19: MEMBER19
• 20: MEMBER20

Person most knowledgeable about household situation (PMK) - Question identifier:PMK_Q015

Is [MEMBER#] available?

• 1: Yes
• 2: No
• 3: Person most knowledgeable about household refuses to participate.

Person most knowledgeable about household situation (PMK) - Question identifier:PMK_R025

This completes your portion of the interview. On behalf of Statistics Canada, I would like to thank you very much for your time.

Person most knowledgeable about household situation (PMK) - Question identifier:PMK_R030

This completes your portion of the interview. On behalf of Statistics Canada, I would like to thank you very much for your time. I would now like to try and find the best time to speak with [MEMBER#].

Person most knowledgeable about household situation (PMK) - Question identifier:PMK_R035

This completes your portion of the interview. On behalf of Statistics Canada, I would like to thank you very much for your time. I would now like to speak with [MEMBER#].

Person most knowledgeable about household situation (PMK) - Question identifier:PMK_R040

Hello, My name is... I've just completed the main portion of the interview with <Respondent's name>. At this point I need to finish the interview with a few general questions on your household's situation. <Respondent's name> said you would be the best person to answer these types of questions.

Food security (FSC) - Question identifier:FSC_R010

The following questions are about the food situation for your household in the past 12 months. I'm going to read you several statements that may be used to describe the food situation for a household. Please tell me if the statement was often true, sometimes true, or never true for you [and other household members] in the past 12 months.

Food security (FSC) - Question identifier:FSC_Q010

The first statement is: You [and other household members] worried that food would run out before you got money to buy more. Was that often true, sometimes true, or never true in the past 12 months?

• 1: Often true
• 2: Sometimes true
• 3: Never true
• 8: RF
• 9: DK

Food security (FSC) - Question identifier:FSC_Q015

The food that you [and other household members] bought just didn't last, and there wasn't any money to get more. Was that often true, sometimes true, or never true in the past 12 months?

• 1: Often true
• 2: Sometimes true
• 3: Never true
• 8: RF
• 9: DK

Food security (FSC) - Question identifier:FSC_Q020

You [and other household members] couldn't afford to eat balanced meals. In the past 12 months was that often true, sometimes true, or never true?

• 1: Often true
• 2: Sometimes true
• 3: Never true
• 8: RF
• 9: DK

Food security (FSC) - Question identifier:FSC_R025

Now, I'm going to read a few statements that may describe the food situation for households with children.

Food security (FSC) - Question identifier:FSC_Q025

You [or other adults in your household] relied on only a few kinds of low-cost food to feed [the children] because you were running out of money to buy food. Was that often true, sometimes true, or never true in the past 12 months?

• 1: Often true
• 2: Sometimes true
• 3: Never true
• 8: RF
• 9: DK

Food security (FSC) - Question identifier:FSC_Q030

You [or other adults in your household] couldn't feed [the children] a balanced meal, because you couldn't afford it. Was that often true, sometimes true, or never true in the past 12 months?

• 1: Often true
• 2: Sometimes true
• 3: Never true
• 8: RF
• 9: DK

Food security (FSC) - Question identifier:FSC_Q035

[The children were] not eating enough because you [or other adults in your household] just couldn't afford enough food. Was that often, sometimes, or never true in the past 12 months?

• 1: Often true
• 2: Sometimes true
• 3: Never true
• 8: RF
• 9: DK

Food security (FSC) - Question identifier:FSC_R040

The following few questions are about the food situation in the past 12 months for you or any other adults in your household.

Food security (FSC) - Question identifier:FSC_Q040

In the past 12 months, since last [current month], did you [or other adults in your household] ever cut the size of your meals or skip meals because there wasn't enough money for food?

• 1: Yes
• 2: No
• 8: RF
• 9: DK

Food security (FSC) - Question identifier:FSC_Q045

How often did this happen? Was it...?

• 1: Almost every month
• 2: Some months but not every month
• 3: Only 1 or 2 months
• 8: RF
• 9: DK

Food security (FSC) - Question identifier:FSC_Q050

In the past 12 months, did you (personally) ever eat less than you felt you should because there wasn't enough money to buy food?

• 1: Yes
• 2: No
• 8: RF
• 9: DK

Food security (FSC) - Question identifier:FSC_Q055

In the past 12 months, were you (personally) ever hungry but didn't eat because you couldn't afford enough food?

• 1: Yes
• 2: No
• 8: RF
• 9: DK

Food security (FSC) - Question identifier:FSC_Q060

In the past 12 months, did you (personally) ever lose weight because you didn't have enough money for food?

• 1: Yes
• 2: No
• 8: RF
• 9: DK

Food security (FSC) - Question identifier:FSC_Q065

In the past 12 months, did [you or other adults in your household] ever not eat for a whole day because there wasn't enough money for food?

• 1: Yes
• 2: No
• 8: RF
• 9: DK

Food security (FSC) - Question identifier:FSC_Q070

How often did this happen? Was it...?

• 1: Almost every month
• 2: Some months but not every month
• 3: Only 1 or 2 months
• 8: RF
• 9: DK

Food security (FSC) - Question identifier:FSC_R075

Now, a few questions on the food experiences for children in your household.

Food security (FSC) - Question identifier:FSC_Q075

In the past 12 months, did you [or other adults in your household] ever cut the size of [any of the children's] meals because there wasn't enough money for food?

• 1: Yes
• 2: No
• 8: RF
• 9: DK

Food security (FSC) - Question identifier:FSC_Q080

In the past 12 months, did [any of the children] ever skip meals because there wasn't enough money for food?

• 1: Yes
• 2: No
• 8: RF
• 9: DK

Food security (FSC) - Question identifier:FSC_Q085

How often did this happen? Was it...?

• 1: Almost every month
• 2: Some months but not every month
• 3: Only 1 or 2 months
• 8: RF
• 9: DK

Food security (FSC) - Question identifier:FSC_Q090

In the past 12 months, [were any of the children] ever hungry but you just couldn't afford more food?

• 1: Yes
• 2: No
• 8: RF
• 9: DK

Food security (FSC) - Question identifier:FSC_Q095

In the past 12 months, did [any of the children] ever not eat for a whole day because there wasn't enough money for food?

• 1: Yes
• 2: No
• 8: RF
• 9: DK

Administration information (ADM) - Question identifier:ADM_Q005

Statistics Canada will combine your responses with information from the tax data of all members of your household. Statistics Canada, your [provincial / territorial] ministry of health [and the "Institut de la Statistique du Québec] may also add information from other surveys or administrative sources.

• 1: Continue (Go to ADM_D010A)
• 2: Respondent does not want his or her responses combined with other sources
• 3: Other [e.g., respondent hung up, interview suspended or interrupted]

Administration information (ADM) - Question identifier:ADM_Q010

Having a provincial or territorial health number will assist us in linking to this other information.

Do you have [a / an] [name of province / territory] health number?

• 1: Yes
• 2: No
• 8: RF
• 9: DK

Administration information (ADM) - Question identifier:ADM_Q015

For which province or territory is your health number?

• 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
• 88: Does not have a Canadian health number
• 98: RF
• 99: DK

Administration information (ADM) - Question identifier:ADM_Q020

What is your health number?

Long Answer Length = 12

Administration information (ADM) - Question identifier:ADM_R025

To avoid duplication of surveys, Statistics Canada has signed agreements to share the data from this survey with provincial and territorial ministries of health, Health Canada and the Public Health Agency of Canada. Provincial ministries of health may make the data available to local health authorities.

Data shared with your ministry of health may also include your identifiers such as name, address, telephone number and health card number. Health Canada, the Public Health Agency of Canada, and local health authorities, would receive only your survey responses and postal code.

Administration information (ADM) - Question identifier:ADM_R030

To avoid duplication of surveys, Statistics Canada has signed agreements to share the data from this survey with provincial and territorial ministries of health, the "Institut de la Statistique du Québec", Health Canada and the Public Health Agency of Canada. The "Institut de la Statistique du Québec" and provincial ministries of health may make this data available to local health authorities.

Data shared with your ministry of health may also include your identifiers such as name, address, telephone number and health card number. Health Canada, the Public Health Agency of Canada, and local health authorities, would receive only your survey responses and postal code.

Administration information (ADM) - Question identifier:ADM_Q035

These organizations have agreed to keep the data confidential and use it only for statistical purposes.

Do you agree to share the data provided?

• 1: Yes
• 2: No
• 8: RF
• 9: DK

Administration information (ADM) - Question identifier:ADM_Q037

To reduce the number of questions in this questionnaire, Statistics Canada will use income information from your tax forms submitted to the Canada Revenue Agency. With your consent Statistics Canada will share this information from your tax forms with provincial and territorial ministries of health, [the "Institut de la Statistique du Québec",] Health Canada and the Public Health Agency of Canada. These organizations have agreed to keep the information confidential and to use it only for statistical and research purposes.

Do you give Statistics Canada permission to share your tax information to provincial and territorial ministries of health, [the "Institut de la Statistique du Québec",] Health Canada and the Public Health Agency of Canada?

• 1: Yes
• 2: No
• 8: RF
• 9: DK

Income (INC) - Question identifier:INC_R001

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.

Income (INC) - Question identifier:INC_Q005

Thinking about the total income for all household members, from which of the following sources did your household receive any income in the year ending December 31, [Past year]?

• 01: Wages and salaries
• 02: Income from self-employment
• 03: Dividends and interest (e.g., on bonds, savings)
• 04: Employment insurance
• 05: Workers' compensation
• 06: Benefits from Canada or Quebec Pension Plan
• 07: Job-related retirement pensions, superannuation and annuities
• 08: RRSP/RRIF (Registered Retirement Savings Plan/Registered Retirement Income Fund)
• 09: Old Age Security and Guaranteed Income Supplement
• 10: Provincial or municipal social assistance or welfare
• 11: Child Tax Benefit or family allowances
• 12: Child support
• 13: Alimony
• 14: Other (e.g., rental income, scholarships)
• 15: None
• 98: RF
• 99: DK

Income (INC) - Question identifier:INC_Q010

Does this amount include a supplement for people with disabilities?

• 1: Yes
• 2: No
• 8: RF
• 9: DK

Income (INC) - Question identifier:INC_Q015

What was the main source of household income?

• 01: Wages and salaries
• 02: Income from self-employment
• 03: Dividends and interest (e.g., on bonds, savings)
• 04: Employment insurance
• 05: Workers' compensation
• 06: Benefits from Canada or Quebec Pension Plan
• 07: Job-related retirement pensions, superannuation and annuities
• 08: RRSP/RRIF (Registered Retirement Savings Plan/Registered Retirement Income Fund)
• 09: Old Age Security and Guaranteed Income Supplement
• 10: Provincial or municipal social assistance or welfare
• 11: Child Tax Benefit or family allowances
• 12: Child support
• 13: Alimony
• 14: Other (e.g., rental income, scholarships)
• 15: None
• 98: RF
• 99: DK

Income (INC) - Question identifier:INC_Q021

Now a question about your total household income.

What is your best estimate of your total household income received by all household members, from all sources, before taxes and deductions, during the year ending December 31, [Past year] ?

Income can come from various sources such as from work, investments, pensions or government. Examples include Employment Insurance, Social Assistance, Child Tax Benefit and other income such as child support, spousal support (alimony) and rental income.

Min = -9000000; Max = 90000000

Income (INC) - Question identifier:INC_Q022

Can you estimate in which of the following groups your household income falls? Was the total household income during the year ending December 31, [Past year]... ?

• 1: Less than $50,000, including income loss
• 2: $50,000 and more
• 8: RF
• 9: DK

Income (INC) - Question identifier:INC_Q023

Please stop me when I have read the category which applies to your household.

Was it... ?

• 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
• 8: RF
• 9: DK

Income (INC) - Question identifier:INC_Q024

Please stop me when I have read the category which applies to your household.

Was it... ?

• 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
• 8: RF
• 9: DK