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

A - -1

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  • 1: Legal name
  • 2: Business name
  • 3: Title of contact
  • 4: First name of contact
  • 5: Last name of contact
  • 6: Address (number and street)
  • 7: City
  • 8: Province/territory or state
  • 9: Country
  • 10: Postal code/ zip code

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  • 1: English
  • 2: French

B - -1

B - -1 - Question identifier:1.

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B - -1 - Question identifier:2.

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  • 1: General automotive mechanical and electrical repair and maintenance
  • 2: Automotive exhaust systems repair
  • 3: Automotive body, paint and interior repair and maintenance
  • 4: Other specialized motor vehicle repair and maintenance (e.g., brake, radiator, transmission repair shops)
  • 5: Automotive glass replacement shops
  • 6: Car washes
  • 7: All other automotive repair and maintenance (e.g., diagnostic centres, emissions testing, tire repair, oil and lube services)
  • 8: Electronic and precision equipment repair and maintenance
  • 9: Commercial and industrial machinery and equipment repair and maintenance
  • 10: None of the above - Please call the contact telephone number on the cover page for further instructions.

B - -1 - Question identifier:3.

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  • 1: yes, please provide the name of the company or professional practice
  • 2: no

C - -1

C - -1 - Question identifier:1.

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  • 1: Date from (YYYY MM DD) to (YYYY MM DD)

C - -1 - Question identifier:2.

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  • 1: seasonal operations
  • 2: new business
  • 3: change of fiscal year
  • 4: change of ownership
  • 5: ceased operations
  • 6: temporarily inactive

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F - -1

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F - -1 - Question identifier:1.

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F - -1 - Question identifier:a)

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  • i: repair and maintenance (exclude washing, and regulatory inspections)
  • ii: regulatory safety and emissions inspection services
  • iii: washing and cleaning services

F - -1 - Question identifier:b)

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  • i: repair and maintenance (exclude washing, and regulatory inspections)
  • ii: regulatory safety and emissions inspection services
  • iii: washing and cleaning services

F - -1 - Question identifier:c)

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  • i: repair and maintenance (include cleaning and washing services, regulatory inspections)

F - -1 - Question identifier:2.

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  • a): computer hardware and software
  • b): communication and navigation equipment
  • c): office equipment (exclude computer hardware and
    peripherals)
  • d): consumer electronics (exclude computers)
  • e): electronic medical equipment
  • f): other electronic and precision equipment

F - -1 - Question identifier:3.

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  • a): agricultural, construction, mining and forestry machinery
    and equipment (exclude cleaning)
  • b): commercial and service industry machinery and
    equipment (exclude cleaning)
  • c): manufacturing and metalworking machinery and
    equipment (exclude cleaning)
  • d): commercial refrigeration equipment (exclude cleaning)
  • e): other machinery and equipment (exclude cleaning)
  • f): industrial and commercial machinery and equipment
    cleaning services (e.g., high pressure water,
    chemicals, vacuuming)

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F - -1 - Question identifier:4.

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F - -1 - Question identifier:5.

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F - -1 - Question identifier:6.

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F - -1 - Question identifier:7.

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F - -1 - Question identifier:8.

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F - -1 - Question identifier:9.

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G - -1

G - -1 - Question identifier:1.

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G - -1 - Question identifier:2.

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G - -1 - Question identifier:a)

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G - -1 - Question identifier:b)

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G - -1 - Question identifier:3.

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H - -1

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H - -1 - Question identifier:1.

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H - -1 - Question identifier:a)

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H - -1 - Question identifier:b)

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H - -1 - Question identifier:c)

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H - -1 - Question identifier:2.

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J - -1

J - -1 - Question identifier:1.

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  • 1: yes, complete questions 2, 3 and 4
  • 2: no, go to question 5

J - -1 - Question identifier:2.

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J - -1 - Question identifier:3.

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  • a): goods
  • b): services
  • c): royalties, rights, licensing and franchise fees

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J - -1 - Question identifier:4.

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  • a): United States
  • b): Mexico
  • c): other countries (please specify):

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-1 - Question identifier:5.

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  • 1: yes, complete questions 6, 7 and 8
  • 2: no, go to next section

-1 - Question identifier:6.

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-1 - Question identifier:7.

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  • a): goods
  • b): services
  • c): royalties, rights, licensing and franchise fees

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-1 - Question identifier:8.

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  • a): United States
  • b): Mexico
  • c): other countries (please specify):

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L - -1

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  • 1: Mr.
  • 2: Mrs.
  • 3: Miss
  • 4: Ms
  • 1: Last name
  • 2: First name
  • 3: Title
  • 4: Telephone number
  • 5: Extension number
  • 6: Fax number
  • 7: E-mail address
  • 8: Website address

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  • 1: yyyy mm dd

M - -1

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