Life After Service Survey

General health (GEN) - Question identifier:GEN_R01

This survey deals with various aspects of your health. The following questions ask about physical activity, social relationships and health status. By health, we mean not only the absence of disease or injury but also physical, mental and social well-being.

General health (GEN) - Question identifier:GEN_Q01

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

• 1: Excellent
• 2: Very good
• 3: Good
• 4: Fair
• 5: Poor
• 98: Refusal
• 99: Don't know

General health (GEN) - Question identifier:GEN_Q02A

Compared to one year ago, how would you say your health is now? Is it...?

• 1: Much better now than 1 year ago
• 2: Somewhat better now (than 1 year ago)
• 3: About the same as 1 year ago
• 4: Somewhat worse now (than 1 year ago)
• 5: Much worse now (than 1 year ago)
• 98: Refusal
• 99: Don't know

General health (GEN) - Question identifier:GEN_Q02B

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: -
• 2: -
• 3: -
• 4: -
• 5: -
• 6: -
• 7: -
• 8: -
• 9: -
• 10: Very satisfied
• 98: Refusal
• 99: Don't know

General health (GEN) - Question identifier:GEN_Q02C

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

• 1: Excellent
• 2: Very good
• 3: Good
• 4: Fair
• 5: Poor
• 98: Refusal
• 99: Don't know

General health (GEN) - Question identifier:GEN_Q07

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

• 1: Not at all stressful
• 2: Not very stressful
• 3: A bit stressful
• 4: Quite a bit stressful
• 5: Extremely stressful
• 98: Refusal
• 99: Don't know

General health (GEN) - Question identifier:GEN_Q08

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

• 1: Yes
• 2: No
• 98: Refusal
• 99: Don't know

General health (GEN) - Question identifier:GEN_R09

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

General health (GEN) - Question identifier:GEN_Q09

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
• 98: Refusal
• 99: Don't know

General health (GEN) - Question identifier:GEN_Q10

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
• 98: Refusal
• 99: Don't know

General Health 2 (GEN1) - Question identifier:GEN1_Q1

In general, how has the adjustment to civilian life been since you were released from the Canadian Forces?

• 1: Very difficult
• 2: Moderately difficult
• 3: Neither difficult nor easy
• 4: Moderately easy
• 5: Very easy
• 98: Refusal
• 99: Don't know

Height and weight - Self-reported (HWT) - Question identifier:HWT_Q2

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)
• 98: Refusal
• 99: Don't know

Height and weight - Self-reported (HWT) - Question identifier:HWT_N2C

INTERVIEWER: 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: Refusal
• 99: Don't know

Height and weight - Self-reported (HWT) - Question identifier:HWT_N2D

INTERVIEWER: 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: Refusal
• 99: Don't know

Height and weight - Self-reported (HWT) - Question identifier:HWT_N2E

INTERVIEWER: 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: Refusal
• 99: Don't know

Height and weight - Self-reported (HWT) - Question identifier:HWT_N2F

INTERVIEWER: 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: Refusal
• 99: Don't know

Height and weight - Self-reported (HWT) - Question identifier:HWT_Q3

How much do you weigh?

• Minimum: 1
• Maximum: 575
• 98: Refusal
• 99: Don't know

Height and weight - Self-reported (HWT) - Question identifier:HWT_N04

INTERVIEWER: Was that in pounds or kilograms?

• 1: Pounds
• 2: Kilograms

Height and weight - Self-reported (HWT) - Question identifier:HWT_Q4

Do you consider yourself...?

• 1: Overweight
• 2: Underweight
• 3: Just about right
• 98: Refusal
• 99: Don't know

Mastery (MAS) - Question identifier:MAS_R601

Now a series of statements that people might use to describe themselves. Please tell me if you strongly agree, agree, neither agree nor disagree, disagree, or strongly disagree.

Mastery (MAS) - Question identifier:MAS_Q601

You have little control over the things that happen to you.

• 1: Strongly agree
• 2: Agree
• 3: Neither agree nor disagree
• 4: Disagree
• 5: Strongly disagree
• 98: Refusal
• 99: Don't know

Mastery (MAS) - Question identifier:MAS_Q602

There is really no way you can solve some of the problems you have.

• 1: Strongly agree
• 2: Agree
• 3: Neither agree nor disagree
• 4: Disagree
• 5: Strongly disagree
• 98: Refusal
• 99: Don't know

Mastery (MAS) - Question identifier:MAS_Q603

There is little you can do to change many of the important things in your life.

• 1: Strongly agree
• 2: Agree
• 3: Neither agree nor disagree
• 4: Disagree
• 5: Strongly disagree
• 98: Refusal
• 99: Don't know

Mastery (MAS) - Question identifier:MAS_Q604

You often feel helpless in dealing with problems of life.

• 1: Strongly agree
• 2: Agree
• 3: Neither agree nor disagree
• 4: Disagree
• 5: Strongly disagree
• 98: Refusal
• 99: Don't know

Mastery (MAS) - Question identifier:MAS_Q605

Sometimes you feel that you are being pushed around in life.

• 1: Strongly agree
• 2: Agree
• 3: Neither agree nor disagree
• 4: Disagree
• 5: Strongly disagree
• 98: Refusal
• 99: Don't know

Mastery (MAS) - Question identifier:MAS_Q606

What happens to you in the future mostly depends on you.

• 1: Strongly agree
• 2: Agree
• 3: Neither agree nor disagree
• 4: Disagree
• 5: Strongly disagree
• 98: Refusal
• 99: Don't know

Mastery (MAS) - Question identifier:MAS_Q607

You can do just about anything you really set your mind to.

• 1: Strongly agree
• 2: Agree
• 3: Neither agree nor disagree
• 4: Disagree
• 5: Strongly disagree
• 98: Refusal
• 99: Don't know

Chronic conditions (CCC) - Question identifier:CCC_R011

Now I'd like to ask about certain chronic health conditions which you may have. We are interested in 'long-term 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_Q031

Do you have asthma?

• 1: Yes
• 2: No
• 98: Refusal
• 99: Don't know

Chronic conditions (CCC) - Question identifier:CCC_Q035

Have you had any asthma symptoms or asthma attacks in the past 12 months?

• 1: Yes
• 2: No
• 98: Refusal
• 99: Don't know

Chronic conditions (CCC) - Question identifier:CCC_Q036

In the past 12 months, have you taken any medicine for asthma such as inhalers, nebulizers, pills, liquids or injections?

• 1: Yes
• 2: No
• 98: Refusal
• 99: Don't know

Chronic conditions (CCC) - Question identifier:CCC_Q051

Do you have arthritis, excluding fibromyalgia?

• 1: Yes
• 2: No
• 98: Refusal
• 99: Don't know

Chronic conditions (CCC) - Question identifier:CCC_Q061

Do you have back problems, excluding fibromyalgia and arthritis?

• 1: Yes
• 2: No
• 98: Refusal
• 99: Don't know

Chronic conditions (CCC) - Question identifier:CCC_Q071

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.

Do you have high blood pressure?

• 1: Yes
• 2: No
• 98: Refusal
• 99: Don't know

Chronic conditions (CCC) - Question identifier:CCC_Q072

Have you ever been diagnosed with high blood pressure?

• 1: Yes
• 2: No
• 98: Refusal
• 99: Don't know

Chronic conditions (CCC) - Question identifier:CCC_Q073

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

• 1: Yes
• 2: No
• 98: Refusal
• 99: Don't know

Chronic conditions (CCC) - Question identifier:CCC_Q075

Were you pregnant when you were first diagnosed with high blood pressure?

• 1: Yes
• 2: No
• 98: Refusal
• 99: Don't know

Chronic conditions (CCC) - Question identifier:CCC_Q077

Other than during pregnancy, has a health professional ever told you that you have high blood pressure?

• 1: Yes
• 2: No
• 98: Refusal
• 99: Don't know

Chronic conditions (CCC) - Question identifier:CCC_Q081

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.

Do you have migraine headaches?

• 1: Yes
• 2: No
• 98: Refusal
• 99: Don't know

Chronic conditions (CCC) - Question identifier:CCC_Q091

Do you have chronic bronchitis, emphysema or chronic obstructive pulmonary disease or COPD?

• 1: Yes
• 2: No
• 98: Refusal
• 99: Don't know

Chronic conditions (CCC) - Question identifier:CCC_Q101

(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.)

Do you have diabetes?

• 1: Yes
• 2: No
• 98: Refusal
• 99: Don't know

Chronic conditions (CCC) - Question identifier:CCC_Q102

How old were you when this was first diagnosed?

• Minimum: 1
• Maximum: 121
• 98: Refusal
• 99: Don't Know

Chronic conditions (CCC) - Question identifier:CCC_Q10A

Were you pregnant when you were first diagnosed with diabetes?

• 1: Yes
• 2: No
• 98: Refusal
• 99: Don't know

Chronic conditions (CCC) - Question identifier:CCC_Q10B

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

• 1: Yes
• 2: No
• 98: Refusal
• 99: Don't know

Chronic conditions (CCC) - Question identifier:CCC_Q10C

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
• 98: Refusal
• 99: Don't know

Chronic conditions (CCC) - Question identifier:CCC_Q105

Do you currently take insulin for your diabetes?

• 1: Yes
• 2: No
• 98: Refusal
• 99: Don't know

Chronic conditions (CCC) - Question identifier:CCC_Q106

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

• 1: Yes
• 2: No
• 98: Refusal
• 99: Don't know

Chronic conditions (CCC) - Question identifier:CCC_Q121

Do you have heart disease?

• 1: Yes
• 2: No
• 98: Refusal
• 99: Don't know

Chronic conditions (CCC) - Question identifier:CCC_Q131

(Do you have:)

... cancer?

• 1: Yes
• 2: No
• 98: Refusal
• 99: Don't know

Chronic conditions (CCC) - Question identifier:CCC_Q132

Have you ever been diagnosed with cancer?

• 1: Yes
• 2: No
• 98: Refusal
• 99: Don't know

Chronic conditions (CCC) - Question identifier:CCC_Q141

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.

Do you have intestinal or stomach ulcers?

• 1: Yes
• 2: No
• 98: Refusal
• 99: Don't know

Chronic conditions (CCC) - Question identifier:CCC_Q151

Do you suffer from the effects of a stroke?

• 1: Yes
• 2: No
• 98: Refusal
• 99: Don't know

Chronic conditions (CCC) - Question identifier:CCC_Q161

(Do you have:)

urinary incontinence?

• 1: Yes
• 2: No
• 98: Refusal
• 99: Don't know

Chronic conditions (CCC) - Question identifier:CCC_Q171

Do you suffer from a bowel disorder such as Crohn's Disease, ulcerative colitis, Irritable Bowel Syndrome or bowel incontinence?

• 1: Yes
• 2: No
• 98: Refusal
• 99: Don't know

Chronic conditions (CCC) - Question identifier:CCC_Q172

What kind of bowel disease do you have?

• 1: Crohn's Disease
• 2: Ulcerative colitis
• 3: Irritable Bowel Syndrome
• 4: Bowel incontinence
• 5: Other
• 98: Refusal
• 99: Don't know

Chronic conditions (CCC) - Question identifier:CCC_Q181

Do you have:

Alzheimer's Disease or any other dementia?

• 1: Yes
• 2: No
• 98: Refusal
• 99: Don't know

Chronic conditions (CCC) - Question identifier:CCC_Q280

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.

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

• 1: Yes
• 2: No
• 98: Refusal
• 99: Don't know

CCC followup (CCC1) - Question identifier:CCC1_Q1

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

Do you suffer from the effects of a traumatic brain injury (TBI) or concussion?

• 1: Yes
• 2: No
• 3: Maybe
• 98: Refusal
• 99: Don't know

CCC followup (CCC1) - Question identifier:CCC1_Q2

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

• 1: Yes
• 2: No
• 98: Refusal
• 99: Don't know

CCC followup (CCC1) - Question identifier:CCC1_Q3

What kind of anxiety disorder do you have?

• 1: Phobia
• 2: Obsessive-compulsive disorder (OCD)
• 3: Panic disorder
• 4: Other - Specify
• 98: Refusal
• 99: Don't know

CCC followup (CCC1) - Question identifier:CCC1_Q4

Do you have post-traumatic stress disorder (PTSD)?

• 1: Yes
• 2: No
• 98: Refusal
• 99: Don't know

CCC followup (CCC1) - Question identifier:CCC1_Q5

Do you think any of the previously mentioned conditions you identified are related to your military service?

• 1: Yes
• 2: No
• 98: Refusal
• 99: Don't know

HUI1 (HUI1) - Question identifier:HUI1_R01

The next set of questions asks about your day-to-day health.

You may feel that some of these questions do not apply to you, but it is important that we ask the same questions of everyone.

HUI1 (HUI1) - Question identifier:HUI1_Q06

Are you usually able to hear what is said in a group conversation with at least three other people without a hearing aid?

• 1: Yes
• 2: No
• 98: Refusal
• 99: Don't know

HUI1 (HUI1) - Question identifier:HUI1_Q07A

Are you usually able to hear what is said in a group conversation with at least three other people with a hearing aid?

• 1: Yes
• 2: No
• 98: Refusal
• 99: Don't know

HUI1 (HUI1) - Question identifier:HUI1_Q07B

Are you able to hear at all?

• 1: Yes
• 2: No
• 98: Refusal
• 99: Don't know

HUI1 (HUI1) - Question identifier:HUI1_Q08

Are you usually able to hear what is said in a conversation with one other person in a quiet room without a hearing aid?

• 1: Yes
• 2: No
• 98: Refusal
• 99: Don't know

HUI1 (HUI1) - Question identifier:HUI1_Q09

Are you usually able to hear what is said in a conversation with one other person in a quiet room with a hearing aid?

• 1: Yes
• 2: No
• 98: Refusal
• 99: Don't know

Pain and discomfort (HUP) - Question identifier:HUP_R1

The next set of questions asks about the level of pain or discomfort you usually experience. They are not about illnesses like colds that affect people for short periods of time.

Pain and discomfort (HUP) - Question identifier:HUP_Q28

Are you usually free of pain or discomfort?

• 1: Yes
• 2: No
• 98: Refusal
• 99: Don't know

Pain and discomfort (HUP) - Question identifier:HUP_Q29

How would you describe the usual intensity of your pain or discomfort?

• 1: Mild
• 2: Moderate
• 3: Severe
• 98: Refusal
• 99: Don't know

Pain and discomfort (HUP) - Question identifier:HUP_Q30

How many activities does your pain or discomfort prevent?

• 1: None
• 2: A few
• 3: Some
• 4: Most
• 98: Refusal
• 99: Don't know

Restriction of activities (RAC) - Question identifier:RAC_R1

The next few questions deal with any current limitations in your daily activities caused by a long-term health condition or problem. In these questions, a 'long-term condition' refers to a condition that is expected to last or has already lasted six months or more.

Restriction of activities (RAC) - Question identifier:RAC_Q1

Do you have any difficulty hearing, seeing, communicating, walking, climbing stairs, bending, learning or doing any similar activities?

• 1: Sometimes
• 2: Often
• 3: Never
• 98: Refusal
• 99: Don't know

Restriction of activities (RAC) - Question identifier:RAC_Q2A

Does a long-term physical condition or mental condition or health problem, reduce the amount or the kind of activity you can do:

... at home?

• 1: Sometimes
• 2: Often
• 3: Never
• 98: Refusal
• 99: Don't know

Restriction of activities (RAC) - Question identifier:RAC_Q2B_1

(Does a long-term physical condition or mental condition or health problem, reduce the amount or the kind of activity you can do:)

... at school?

• 1: Sometimes
• 2: Often
• 3: Never
• 4: Does not attend school
• 98: Refusal
• 99: Don't know

Restriction of activities (RAC) - Question identifier:RAC_Q2B_2

(Does a long-term physical condition or mental condition or health problem, reduce the amount or the kind of activity you can do:)

... at work?

• 1: Sometimes
• 2: Often
• 3: Never
• 4: Does not work at a job
• 98: Refusal
• 99: Don't know

Restriction of activities (RAC) - Question identifier:RAC_Q2C

(Does a long-term physical condition or mental condition or health problem, reduce the amount or the kind of activity you can do:)

... in other activities, for example, transportation or leisure?

• 1: Sometimes
• 2: Often
• 3: Never
• 98: Refusal
• 99: Don't know

Restriction of activities (RAC) - Question identifier:RAC_R5

You reported that you have difficulty hearing, seeing, communicating, walking, climbing stairs, bending, learning or doing any similar activities.

Restriction of activities (RAC) - Question identifier:RAC_Q5

Which one of the following is the best description of the cause of this condition?

• 01: Accident at home
• 02: Motor vehicle accident
• 03: Accident at work
• 04: Other type of accident
• 05: Existed from birth or genetic
• 06: Work conditions
• 07: Disease or illness
• 08: Ageing
• 09: Emotional or mental health problem or condition
• 10: Use of alcohol or drugs
• 11: Other - Specify
• 98: Refusal
• 99: Don't know

Activities of Daily Living (ADL) - Question identifier:ADL_R01

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_Q01

Because of any physical condition or mental condition or health problem, do you need the help of another person:

...with preparing meals?

• 1: Yes
• 2: No
• 98: Refusal
• 99: Don't know

Activities of Daily Living (ADL) - Question identifier:ADL_Q02

(Because of any physical condition or mental condition or health problem, do you need the help of another person:)

... with getting to appointments and running errands such as shopping for groceries?

• 1: Yes
• 2: No
• 98: Refusal
• 99: Don't know

Activities of Daily Living (ADL) - Question identifier:ADL_Q03

(Because of any physical condition or mental condition or health problem, do you need need the help of another person:)

... with doing everyday housework?

• 1: Yes
• 2: No
• 98: Refusal
• 99: Don't know

Activities of Daily Living (ADL) - Question identifier:ADL_Q04

(Because of any physical condition or mental condition or health problem, do you need need the help of another person:)

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

• 1: Yes
• 2: No
• 98: Refusal
• 99: Don't know

Activities of Daily Living (ADL) - Question identifier:ADL_Q05

(Because of any physical condition or mental condition or health problem, do you need need the help of another person:)

... with moving about inside the house?

• 1: Yes
• 2: No
• 98: Refusal
• 99: Don't know

Activities of Daily Living (ADL) - Question identifier:ADL_Q06

(Because of any physical condition or mental condition or health problem, do you need need the help of another person:)

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

• 1: Yes
• 2: No
• 98: Refusal
• 99: Don't know

SF2 (SF2) - Question identifier:SF2_R02

Now I'm going to read you a list of activities that you might do during a typical day.
As I read each item, please tell me if your health now limits you a lot, limits you a little or does not limit you at all in these activities.

SF2 (SF2) - Question identifier:SF2_Q02

... moderate activities, such as moving a table, pushing a vacuum cleaner, bowling, or playing golf. Does your health now limit you a lot, limit you a little, or not limit you at all?

• 1: Yes, limited a lot
• 2: Yes, limited a little
• 3: No, not limited at all
• 98: Refusal
• 99: Don't know

SF2 (SF2) - Question identifier:SF2_Q03

... climbing several flights of stairs. Does your health now limit you a lot, limit you a little, or not limit you at all?

• 1: Yes, limited a lot
• 2: Yes, limited a little
• 3: No, not limited at all
• 98: Refusal
• 99: Don't know

SF2 (SF2) - Question identifier:SF2_R04

The following two questions ask you about your physical health and your daily activities.

SF2 (SF2) - Question identifier:SF2_Q04

During the past four weeks, how much of the time have you accomplished less than you would like as a result of your physical health?

• 1: All of the time
• 2: Most of the time
• 3: Some of the time
• 4: A little of the time
• 5: None of the time
• 98: Refusal
• 99: Don't know

SF2 (SF2) - Question identifier:SF2_Q05

During the past four weeks, how much of the time were you limited in the kind of work or other regular daily activities you do as a result of your physical health?

• 1: All of the time
• 2: Most of the time
• 3: Some of the time
• 4: A little of the time
• 5: None of the time
• 98: Refusal
• 99: Don't know

SF2 (SF2) - Question identifier:SF2_R06

The following two questions ask about your emotions and your daily activities.

SF2 (SF2) - Question identifier:SF2_Q06

During the past four weeks, how much of the time have you accomplished less than you would like as a result of any emotional problems, such as feeling depressed or anxious?

• 1: All of the time
• 2: Most of the time
• 3: Some of the time
• 4: A little of the time
• 5: None of the time
• 98: Refusal
• 99: Don't know

SF2 (SF2) - Question identifier:SF2_Q07

During the past four weeks, how much of the time did you do work or other regular daily activities less carefully than usual as a result of any emotional problems, such as feeling depressed or anxious?

• 1: All of the time
• 2: Most of the time
• 3: Some of the time
• 4: A little of the time
• 5: None of the time
• 98: Refusal
• 99: Don't know

SF2 (SF2) - Question identifier:SF2_Q08

During the past four weeks, how much of the time did pain interfere with your normal work, including both work outside of the home and housework? Did it interfere...

• 1: Not at all
• 2: A little bit
• 3: Moderately
• 4: Quite a bit
• 5: Extremely
• 98: Refusal
• 99: Don't know

SF2 (SF2) - Question identifier:SF2_R09

The next questions are about how you feel and how things have been with you during the past four weeks.
As I read each statement, please give me the one answer that comes closest to the way you have been feeling; is it all of the time, most of the time, some of the time, a little of the time, or none of the time?

SF2 (SF2) - Question identifier:SF2_Q09

How much of the time during the past four weeks have you felt calm and peaceful?

• 1: All of the time
• 2: Most of the time
• 3: Some of the time
• 4: A little of the time
• 5: None of the time
• 98: Refusal
• 99: Don't know

SF2 (SF2) - Question identifier:SF2_Q10

How much of the time during the past four weeks did you have a lot of energy?

• 1: All of the time
• 2: Most of the time
• 3: Some of the time
• 4: A little of the time
• 5: None of the time
• 98: Refusal
• 99: Don't know

SF2 (SF2) - Question identifier:SF2_Q11

How much of the time during the past four weeks have you felt downhearted and depressed?

• 1: All of the time
• 2: Most of the time
• 3: Some of the time
• 4: A little of the time
• 5: None of the time
• 98: Refusal
• 99: Don't know

SF2 (SF2) - Question identifier:SF2_Q12

During the past four weeks, how much of the time has your physical health or emotional problems interfered with your social activities like visiting with friends or relatives? Has it interfered...

• 1: All of the time
• 2: Most of the time
• 3: Some of the time
• 4: A little of the time
• 5: None of the time
• 98: Refusal
• 99: Don't know

Distress (DIS) - Question identifier:DIS_R01

The following questions deal with feelings you may have had during the past month.

Distress (DIS) - Question identifier:DIS_Q01A

During the past month, that is, from [one month ago] to yesterday, about how often did you feel:

tired out for no good reason?

• 1: All of the time
• 2: Most of the time
• 3: Some of the time
• 4: A little of the time
• 5: None of the time
• 98: Refusal
• 99: Don't know

Distress (DIS) - Question identifier:DIS_Q01B

During the past month, that is, from [one month ago] to yesterday, about how often did you feel:

nervous?

• 1: All of the time
• 2: Most of the time
• 3: Some of the time
• 4: A little of the time
• 5: None of the time
• 98: Refusal
• 99: Don't know

Distress (DIS) - Question identifier:DIS_Q01C

(During the past month, that is, from [one month ago] to yesterday, about how often did you feel:)

so nervous that nothing could calm you down?

• 1: All of the time
• 2: Most of the time
• 3: Some of the time
• 4: A little of the time
• 5: None of the time
• 98: Refusal
• 99: Don't know

Distress (DIS) - Question identifier:DIS_Q01D

(During the past month, that is, from [one month ago] to yesterday, about how often did you feel:)

hopeless?

• 1: All of the time
• 2: Most of the time
• 3: Some of the time
• 4: A little of the time
• 5: None of the time
• 98: Refusal
• 99: Don't know

Distress (DIS) - Question identifier:DIS_Q01E

During the past month, that is, from [one month ago] to yesterday, about how often did you feel:

restless or fidgety?

• 1: All of the time
• 2: Most of the time
• 3: Some of the time
• 4: A little of the time
• 5: None of the time
• 98: Refusal
• 99: Don't know

Distress (DIS) - Question identifier:DIS_Q01F

(During the past month, that is, from [one month ago] to yesterday, about how often did you feel:)

so restless you could not sit still?

• 1: All of the time
• 2: Most of the time
• 3: Some of the time
• 4: A little of the time
• 5: None of the time
• 98: Refusal
• 99: Don't know

Distress (DIS) - Question identifier:DIS_Q01G

(During the past month, that is, from [one month ago] to yesterday, about how often did you feel:)

sad or depressed?

• 1: All of the time
• 2: Most of the time
• 3: Some of the time
• 4: A little of the time
• 5: None of the time
• 98: Refusal
• 99: Don't know

Distress (DIS) - Question identifier:DIS_Q01H

(During the past month, that is, from [one month ago] to yesterday, about how often did you feel:)

so depressed that nothing could cheer you up?

• 1: All of the time
• 2: Most of the time
• 3: Some of the time
• 4: A little of the time
• 5: None of the time
• 98: Refusal
• 99: Don't know

Distress (DIS) - Question identifier:DIS_Q01I

(During the past month, that is, from [one month ago] to yesterday, about how often did you feel:)

that everything was an effort?

• 1: All of the time
• 2: Most of the time
• 3: Some of the time
• 4: A little of the time
• 5: None of the time
• 98: Refusal
• 99: Don't know

Distress (DIS) - Question identifier:DIS_Q01J

(During the past month, that is, from [one month ago] to yesterday, about how often did you feel:)

worthless?

• 1: All of the time
• 2: Most of the time
• 3: Some of the time
• 4: A little of the time
• 5: None of the time
• 98: Refusal
• 99: Don't know

Distress (DIS) - Question identifier:DIS_Q01K

We just talked about feelings that occurred to different degrees during the past month. Taking them altogether, did these feelings occur more often in the past month than is usual for you, less often than usual or about the same as usual?

• 1: More often
• 2: Less often
• 3: About the same
• 4: Never have had any
• 98: Refusal
• 99: Don't know

Distress (DIS) - Question identifier:DIS_Q01L

Is that a lot more, somewhat more or only a little more often than usual?

• 1: A lot
• 2: Somewhat
• 3: A little
• 98: Refusal
• 99: Don't know

Distress (DIS) - Question identifier:DIS_Q01M

Is that a lot less, somewhat less or only a little less often than usual?

• 1: A lot
• 2: Somewhat
• 3: A little
• 98: Refusal
• 99: Don't know

Distress (DIS) - Question identifier:DIS_Q01N

During the past month, how much did these feelings usually interfere with your life or activities?

• 1: A lot
• 2: Some
• 3: A little
• 4: Not at all
• 98: Refusal
• 99: Don't know

PTSD (PTSD) - Question identifier:PTSD_R1

Have you ever had any experience that was so frightening, horrible, or upsetting that, in the past month, you...

PTSD (PTSD) - Question identifier:PTSD_Q1

Have had nightmares about it or thought about it when you did not want to?

• 1: Yes
• 2: No
• 98: Refusal
• 99: Don't know

PTSD (PTSD) - Question identifier:PTSD_Q2

Tried hard not to think about it or went out of your way to avoid situations that reminded you of it?

• 1: Yes
• 2: No
• 98: Refusal
• 99: Don't know

PTSD (PTSD) - Question identifier:PTSD_Q3

Were constantly on guard, watchful, or easily startled?

• 1: Yes
• 2: No
• 98: Refusal
• 99: Don't know

PTSD (PTSD) - Question identifier:PTSD_Q4

Felt numb or detached from others, activities, or your surroundings?

• 1: Yes
• 2: No
• 98: Refusal
• 99: Don't know

PTSD (PTSD) - Question identifier:PTSD_Q5

Were you thinking about an experience related to your military service?

• 1: Yes
• 2: No
• 98: Refusal
• 99: Don't know

Social Provisions (SPS) - Question identifier:SPS_R01

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_Q01

There are people I can depend on to help me if I really need it.

• 1: Strongly agree
• 2: Agree
• 3: Disagree
• 4: Strongly disagree
• 98: Refusal
• 99: Don't know

Social Provisions (SPS) - Question identifier:SPS_Q02

There are people who enjoy the same social activities I do.

• 1: Strongly agree
• 2: Agree
• 3: Disagree
• 4: Strongly disagree
• 98: Refusal
• 99: Don't know

Social Provisions (SPS) - Question identifier:SPS_Q03

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
• 98: Refusal
• 99: Don't know

Social Provisions (SPS) - Question identifier:SPS_Q04

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

• 1: Strongly agree
• 2: Agree
• 3: Disagree
• 4: Strongly disagree
• 98: Refusal
• 99: Don't know

Social Provisions (SPS) - Question identifier:SPS_Q05

I have relationships where my competence and skill are recognized.

• 1: Strongly agree
• 2: Agree
• 3: Disagree
• 4: Strongly disagree
• 98: Refusal
• 99: Don't know

Social Provisions (SPS) - Question identifier:SPS_Q06

There is a trustworthy person I could turn to for advice if I were having problems.

• 1: Strongly agree
• 2: Agree
• 3: Disagree
• 4: Strongly disagree
• 98: Refusal
• 99: Don't know

Social Provisions (SPS) - Question identifier:SPS_Q07

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

• 1: Strongly agree
• 2: Agree
• 3: Disagree
• 4: Strongly disagree
• 98: Refusal
• 99: Don't know

Social Provisions (SPS) - Question identifier:SPS_Q08

I feel a strong emotional bond with at least one other person.

• 1: Strongly agree
• 2: Agree
• 3: Disagree
• 4: Strongly disagree
• 98: Refusal
• 99: Don't know

Social Provisions (SPS) - Question identifier:SPS_Q09

There are people who admire my talents and abilities.

• 1: Strongly agree
• 2: Agree
• 3: Disagree
• 4: Strongly disagree
• 98: Refusal
• 99: Don't know

Social Provisions (SPS) - Question identifier:SPS_Q10

There are people I can count on in an emergency.

• 1: Strongly agree
• 2: Agree
• 3: Disagree
• 4: Strongly disagree
• 98: Refusal
• 99: Don't know

Smoking (SMK) - Question identifier:SMK_R1

The next questions are about smoking.

Smoking (SMK) - Question identifier:SMK_Q201A

In your lifetime, have you smoked a total of 100 or more cigarettes (about four packs)?

• 1: Yes
• 2: No
• 98: Refusal
• 99: Don't know

Smoking (SMK) - Question identifier:SMK_Q201B

Have you ever smoked a whole cigarette?

• 1: Yes
• 2: No
• 98: Refusal
• 99: Don't know

Smoking (SMK) - Question identifier:SMK_Q201C

At what age did you smoke your first whole cigarette?

• Minimum: 5
• Maximum: 121
• 98: Refusal
• 99: Don't know

Smoking (SMK) - Question identifier:SMK_Q202

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

• 1: Daily
• 2: Occasionally
• 3: Not at all
• 98: Refusal
• 99: Don't know

Smoking (SMK) - Question identifier:SMK_Q203

At what age did you begin to smoke cigarettes daily?

• Minimum: 5
• Maximum: 121
• 98: Refusal
• 99: Don't know

Smoking (SMK) - Question identifier:SMK_Q204

How many cigarettes do you smoke each day now?

• Minimum: 1
• Maximum: 99
• 98: Refusal
• 99: Don't know

Smoking (SMK) - Question identifier:SMK_Q205B

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

• Minimum: 1
• Maximum: 99
• 98: Refusal
• 99: Don't know

Smoking (SMK) - Question identifier:SMK_Q205C

In the past month, on how many days have you smoked 1 or more cigarettes?

• Minimum: 0
• Maximum: 30
• 98: Refusal
• 99: Don't know

Smoking (SMK) - Question identifier:SMK_Q205D

Have you ever smoked cigarettes daily?

• 1: Yes
• 2: No
• 98: Refusal
• 99: Don't know

Smoking (SMK) - Question identifier:SMK_Q206A

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
• 98: Refusal
• 99: Don't know

Smoking (SMK) - Question identifier:SMK_Q206B

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: Refusal
• 99: Don't know

Smoking (SMK) - Question identifier:SMK_Q206C

How many years ago was it?

• Minimum: 3
• Maximum: 121
• 98: Refusal
• 99: Don't know

Smoking (SMK) - Question identifier:SMK_Q207

At what age did you begin to smoke (cigarettes) daily?

• Minimum: 5
• Maximum: 121
• 98: Refusal
• 99: Don't know

Smoking (SMK) - Question identifier:SMK_Q208

How many cigarettes did you usually smoke each day?

• Minimum: 1
• Maximum: 99
• 98: Refusal
• 99: Don't know

Smoking (SMK) - Question identifier:SMK_Q209A

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
• 98: Refusal
• 99: Don't know

Smoking (SMK) - Question identifier:SMK_Q209B

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: Refusal
• 99: Don't know

Smoking (SMK) - Question identifier:SMK_Q209C

How many years ago was it?

• Minimum: 3
• Maximum: 121
• 98: Refusal
• 99: Don't know

Smoking (SMK) - Question identifier:SMK_Q210A

Was that when you completely quit smoking?

• 1: Yes
• 2: No
• 98: Refusal
• 99: Don't know

Smoking (SMK) - Question identifier:SMK_Q210B

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
• 98: Refusal
• 99: Don't know

Smoking (SMK) - Question identifier:SMK_Q210C

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: Refusal
• 99: Don't know

Smoking (SMK) - Question identifier:SMK_Q210D

How many years ago was it?

• Minimum: 3
• Maximum: 121
• 98: Refusal
• 99: Don't know

Alcohol use (ALC) - Question identifier:ALC_R1

Now, some questions about your alcohol consumption.

When we use the word 'drink' it means:
- one bottle or can of beer or a glass of draft
- one glass of wine or a wine cooler
- one drink or cocktail with 1 and a 1/2 ounces of liquor.

Alcohol use (ALC) - Question identifier:ALC_Q1

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
• 98: Refusal
• 99: Don't know

Alcohol use (ALC) - Question identifier:ALC_Q2

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
• 98: Refusal
• 99: Don't know

Alcohol use (ALC) - Question identifier:ALC_Q3

How often in the past 12 months have you had five 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
• 98: Refusal
• 99: Don't know

Suicidal thoughts and attempts (SUI) - Question identifier:SUI_R1

The following questions relate to the sensitive issue of suicide.

Suicidal thoughts and attempts (SUI) - Question identifier:SUI_Q1

Have you ever seriously considered committing suicide or taking your own life?

• 1: Yes
• 2: No
• 98: Refusal
• 99: Don't know

Suicidal thoughts and attempts (SUI) - Question identifier:SUI_Q2

Has this happened in the past 12 months?

• 1: Yes
• 2: No
• 98: Refusal
• 99: Don't know

Suicidal thoughts and attempts (SUI) - Question identifier:SUI_Q3

Have you ever attempted to commit suicide or tried taking your own life?

• 1: Yes
• 2: No
• 98: Refusal
• 99: Don't know

Suicidal thoughts and attempts (SUI) - Question identifier:SUI_Q4

Did this happen in the past 12 months?

• 1: Yes
• 2: No
• 98: Refusal
• 99: Don't know

Suicidal thoughts and attempts (SUI) - Question identifier:SUI_Q5

Did you see or talk to a health professional following your attempt or consideration to commit suicide?

• 1: Yes
• 2: No
• 98: Refusal
• 99: Don't know

Suicidal thoughts and attempts (SUI) - Question identifier:SUI_Q6

Whom did you see or talk to?

• 1: Family doctor or general practitioner
• 2: Psychiatrist
• 3: Psychologist
• 4: Nurse
• 5: Social worker or counsellor
• 6: Religious or spiritual advisor such as a priest, chaplain or rabbi
• 7: Teacher or guidance counsellor
• 8: Other
• 98: Refusal
• 99: Don't know

Health care utilization (HCU) - Question identifier:HCU_R01

Now I'd like to ask about your contacts with various health professionals during the past 12 months, that is, from [date one year ago] to yesterday.

Health care utilization (HCU) - Question identifier:HCU_Q01

Do you have a regular medical doctor?

• 1: Yes
• 2: No
• 98: Refusal
• 99: Don't know

Health care utilization (HCU) - Question identifier:HCU_Q02

Why do you not have a regular medical doctor?

• 1: No medical doctors available in the area
• 2: Medical doctors in the area are not taking new patients
• 3: Have not tried to contact one
• 4: Had a medical doctor who left or retired
• 5: Other - Specify
• 98: Refusal
• 99: Don't know

Health care utilization (HCU) - Question identifier:HCU_Q03

Have you received any home care services in the past 12 months, with the cost being entirely or partially covered by government?

• 1: Yes
• 2: No
• 98: Refusal
• 99: Don't know

Health care utilization (HCU) - Question identifier:HCU_Q04

Have you received any other care services in the past 12 months, with the cost not covered by government (for example: care provided by a private agency or by a spouse or friends)?

• 1: Yes
• 2: No
• 98: Refusal
• 99: Don't know

Contacts with Health Professionals - Part 1 (CHP) - Question identifier:CHP_R01

Now I'd like to ask about your contacts with various health professionals during the past 12 months, that is, from [one year ago] to yesterday.

Contacts with Health Professionals - Part 1 (CHP) - Question identifier:CHP_Q01

In the past 12 months, have you been a patient overnight in a hospital, nursing home or convalescent home?

• 1: Yes
• 2: No
• 98: Refusal
• 99: Don't know

Contacts with Health Professionals - Part 1 (CHP) - Question identifier:CHP_Q02

For how many nights in the past 12 months?

• Minimum: 1
• Maximum: 366
• 98: Refusal
• 99: Don't know

Contacts with Health Professionals - Part 1 (CHP) - Question identifier:CHP_Q03

[Not counting when you were an overnight patient,] in the past 12 months, have you seen, or talked to any of the following health professionals about your physical, emotional or mental health:

a family doctor, [pediatrician,] or general practitioner?

• 1: Yes
• 2: No
• 98: Refusal
• 99: Don't know

Contacts with Health Professionals - Part 1 (CHP) - Question identifier:CHP_Q04

How many times (in the past 12 months)?

• Minimum: 1
• Maximum: 366
• 98: Refusal
• 99: Don't know

Contacts with Health Professionals - Part 1 (CHP) - Question identifier:CHP_Q05

Where did the most recent contact take place?

• 1: Doctor's office
• 2: Hospital emergency room
• 3: Hospital outpatient clinic (e.g. day surgery, cancer)
• 4: Walk-in clinic
• 5: Appointment clinic
• 6: Community health centre / CLSC
• 7: At work
• 8: At school
• 9: At home
• 10: Telephone consultation only
• 11: Other - Specify
• 98: Refusal
• 99: Don't know

Contacts with Health Professionals - Part 1 (CHP) - Question identifier:CHP_Q06

([Not counting when you were an overnight patient, ] in the past 12 months have you seen, or talked to:)

an eye specialist, such as an ophthalmologist or optometrist (about your physical, emotional or mental health)?

• 1: Yes
• 2: No
• 98: Refusal
• 99: Don't know

Contacts with Health Professionals - Part 1 (CHP) - Question identifier:CHP_Q07

How many times (in the past 12 months)?

• Minimum: 1
• Maximum: 75
• 98: Refusal
• 99: Don't know

Contacts with Health Professionals - Part 1 (CHP) - Question identifier:CHP_Q08

([Not counting when you were an overnight patient, ] in the past 12 months, have you seen, or talked to:)

any other medical doctor or specialist such as a surgeon, allergist, orthopaedist, [gynaecologist/urologist], or psychiatrist (about your physical, emotional or mental health)?

• 1: Yes
• 2: No
• 98: Refusal
• 99: Don't know

Contacts with Health Professionals - Part 1 (CHP) - Question identifier:CHP_Q09

How many times (in the past 12 months)?

• Minimum: 1
• Maximum: 300
• 98: Refusal
• 99: Don't know

Contacts with Health Professionals - Part 1 (CHP) - Question identifier:CHP_Q10

Where did the most recent contact take place?

• 1: Doctor's office
• 2: Hospital emergency room
• 3: Hospital outpatient clinic (e.g. day surgery, cancer)
• 4: Walk-in clinic
• 5: Appointment clinic
• 6: Community health centre / CLSC
• 7: At work
• 8: At school
• 9: At home
• 10: Telephone consultation only
• 11: Other - Specify
• 98: Refusal
• 99: Don't know

Contacts with Health Professionals - Part 1 (CHP) - Question identifier:CHP_Q11

[Not counting when you were an overnight patient, ] in the past 12 months, have you seen, or talked to:

a nurse for care or advice about your physical, emotional or mental health?

• 1: Yes
• 2: No
• 98: Refusal
• 99: Don't know

Contacts with Health Professionals - Part 1 (CHP) - Question identifier:CHP_Q12

How many times (in the past 12 months)?

• Minimum: 1
• Maximum: 366
• 98: Refusal
• 99: Don't know

Contacts with Health Professionals - Part 1 (CHP) - Question identifier:CHP_Q13

Where did the most recent contact take place?

• 1: Doctor's office
• 2: Hospital emergency room
• 3: Hospital outpatient clinic (e.g. day surgery, cancer)
• 4: Walk-in clinic
• 5: Appointment clinic
• 6: Community health centre / CLSC
• 7: At work
• 8: At school
• 9: At home
• 10: Telephone consultation only
• 11: Other - Specify
• 98: Refusal
• 99: Don't know

Contacts with Health Professionals - Part 1 (CHP) - Question identifier:CHP_Q14

([Not counting when you were an overnight patient, ] in the past 12 months, have you seen, or talked to:)

a dentist, dental hygienist or orthodontist (about your physical, emotional or mental health)?

• 1: Yes
• 2: No
• 98: Refusal
• 99: Don't know

Contacts with Health Professionals - Part 1 (CHP) - Question identifier:CHP_Q15

How many times (in the past 12 months)?

• Minimum: 1
• Maximum: 99
• 98: Refusal
• 99: Don't know

Contacts with Health Professionals - Part 2 (CP2) - Question identifier:CP2_Q16

[Not counting when you were an overnight patient,] in the past 12 months have you seen, or talked to:

a chiropractor about your physical, emotional or mental health?

• 1: Yes
• 2: No
• 98: Refusal
• 99: Don't know

Contacts with Health Professionals - Part 2 (CP2) - Question identifier:CP2_Q17

How many times (in the past 12 months)?

• Minimum: 1
• Maximum: 366
• 98: Refusal
• 99: Don't know

Contacts with Health Professionals - Part 2 (CP2) - Question identifier:CP2_Q18

[Not counting when you were an overnight patient,] in the past 12 months, have you seen, or talked to:

a physiotherapist (about your physical, emotional or mental health)?

• 1: Yes
• 2: No
• 98: Refusal
• 99: Don't know

Contacts with Health Professionals - Part 2 (CP2) - Question identifier:CP2_Q19

How many times (in the past 12 months)?

• Minimum: 1
• Maximum: 366
• 98: Refusal
• 99: Don't know

Contacts with Health Professionals - Part 2 (CP2) - Question identifier:CP2_Q20

[Not counting when you were an overnight patient,] in the past 12 months, have you seen, or talked to:

a psychologist (about your physical, emotional or mental health)?

• 1: Yes
• 2: No
• 98: Refusal
• 99: Don't know

Contacts with Health Professionals - Part 2 (CP2) - Question identifier:CP2_Q21

How many times (in the past 12 months)?

• Minimum: 1
• Maximum: 366
• 98: Refusal
• 99: Don't know

Contacts with Health Professionals - Part 2 (CP2) - Question identifier:CP2_Q22

[Not counting when you were an overnight patient,] in the past 12 months, have you seen, or talked to:

a social worker or counsellor (about your physical, emotional or mental health)?

• 1: Yes
• 2: No
• 98: Refusal
• 99: Don't know

Contacts with Health Professionals - Part 2 (CP2) - Question identifier:CP2_Q23

How many times (in the past 12 months)?

• Minimum: 1
• Maximum: 366
• 98: Refusal
• 99: Don't know

Contacts with Health Professionals - Part 2 (CP2) - Question identifier:CP2_Q24

[Not counting when you were an overnight patient,] in the past 12 months, have you seen, or talked to:

an audiologist, a speech or occupational therapist (about your physical, emotional or mental health)?

• 1: Yes
• 2: No
• 98: Refusal
• 99: Don't know

Contacts with Health Professionals - Part 2 (CP2) - Question identifier:CP2_Q25

How many times (in the past 12 months)?

• Minimum: 1
• Maximum: 200
• 98: Refusal
• 99: Don't know

HCU1 (HCU1) - Question identifier:HCU1_Q1

People may also use alternative or complementary medicine.
In the past 12 months, have you seen or talked to an alternative health care provider such as an acupuncturist, homeopath or massage therapist about your physical, emotional or mental health?

• 1: Yes
• 2: No
• 98: Refusal
• 99: Don't know

Unmet health care needs (UCN) - Question identifier:UCN_Q010

During the past 12 months, was there ever a time when you felt that you needed health care but you didn't receive it?

• 1: Yes
• 2: No
• 98: Refusal
• 99: Don't know

Unmet health care needs (UCN) - Question identifier:UCN_Q020

Thinking of the most recent time, why didn't you get care?

• 01: Not available - in the area
• 02: Not available - at time required (e.g. doctor on holidays, inconvenient hours)
• 03: Waiting time too long
• 04: Felt would be inadequate
• 05: Cost
• 06: Too busy
• 07: Didn't get around to it / didn't bother
• 08: Decided not to seek care
• 09: Doctor - didn't think it was necessary
• 10: Other - Specify
• 98: Refusal
• 99: Don't know

Unmet health care needs (UCN) - Question identifier:UCN_Q030

Again, thinking of the most recent time, what was the type of care that was needed?

• 1: Treatment of - a physical health problem
• 2: Treatment of - an emotional or mental health problem
• 3: A regular check-up (including regular pre-natal care)
• 4: Care of an injury
• 5: Other - Specify
• 98: Refusal
• 99: Don't know

Unmet health care needs (UCN) - Question identifier:UCN_Q040

Where did you try to get the service you were seeking?

• 1: Doctor's office
• 2: Community health centre / CLSC
• 3: Walk-in clinic
• 4: Appointment clinic
• 5: Hospital - emergency room
• 6: Hospital - outpatient clinic
• 7: Other - Specify
• 98: Refusal
• 99: Don't know

Insurance coverage (INS) - Question identifier:INS_R01

Now, turning to your insurance coverage. Please include any private, government or employer-paid plans.

Insurance coverage (INS) - Question identifier:INS_Q01

Do you have insurance that covers all or part of:

... the cost of your prescription medications?

• 1: Yes
• 2: No
• 98: Refusal
• 99: Don't know

Insurance coverage (INS) - Question identifier:INS_Q02

(Do you have insurance that covers all or part of:)

... your dental expenses?

• 1: Yes
• 2: No
• 98: Refusal
• 99: Don't know

Insurance coverage (INS) - Question identifier:INS_Q03

(Do you have insurance that covers all or part of:)

... the costs of eye glasses or contact lenses?

• 1: Yes
• 2: No
• 98: Refusal
• 99: Don't know

Education Highest Degree (EHG1) - Question identifier:EHG1_Q01

What is the highest certificate, diploma or degree that you have completed?

• 1: Less than high school diploma or its equivalent
• 2: High school diploma or a high school equivalency certificate
• 3: Trade certificate or diploma
• 4: College, CEGEP or other non-university certificate or diploma (other than trades certificates or diplomas)
• 5: University certificate or diploma below the bachelor's level
• 6: Bachelor's degree (e.g. B.A., B.Sc., LL.B.)
• 7: University certificate, diploma, degree above the bachelor's level
• 98: Refusal
• 99: Don't know

Labour force (LF2) - Question identifier:LF2_R01

The next questions concern your activities in the last seven days. By the last seven days, I mean beginning [date one week ago], and ending [date yesterday].

Labour force (LF2) - Question identifier:LF2_Q01

Last week, did you work at a job or a business? Please include part-time jobs, seasonal work, contract work, self-employment, baby-sitting and any other paid work, regardless of the number of hours worked.

• 1: Yes
• 2: No
• 3: Permanently unable to work
• 98: Refusal
• 99: Don't know

Labour force (LF2) - Question identifier:LF2_Q02

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

• 1: Yes
• 2: No
• 98: Refusal
• 99: Don't know

Labour force (LF2) - Question identifier:LF2_Q04

In the past four weeks, did you do anything to find work?

• 1: Yes
• 2: No
• 98: Refusal
• 99: Don't know

Labour force (LF2) - Question identifier:LF2_R05

The next questions are about your current job or business.

Labour force (LF2) - Question identifier:LF2_Q08

About how many hours a week do you usually work at your job or business? If you usually work extra hours, paid or unpaid, please include these hours.

• Minimum: 1
• Maximum: 168
• 98: Refusal
• 99: Don't know

EMH1 (EMH1) - Question identifier:EMH1_Q01

To what extent do you agree with the following statement:

The knowledge and skills I use at my current or most recent job are the same as the knowledge and skills used in my military service. Do you...?

• 1: Strongly agree
• 2: Agree
• 3: Neither agree nor disagree
• 4: Disagree
• 5: Strongly disagree
• 98: Refusal
• 99: Don't know

EMH1 (EMH1) - Question identifier:EMH1_Q04

Now we would like you to think about the past 12 months.
What has been your main activity in the past 12 months?

• 1: Worked at a job or ran a business
• 2: Worked in the reserve forces
• 3: Retired and not looking for work
• 4: Attended school or training
• 5: Looked for work
• 6: Cared or nurtured a family member or partner
• 7: Was disabled or on disability
• 8: Other - Specify
• 98: Refusal
• 99: Don't know

EMH1 (EMH1) - Question identifier:EMH1_Q05

Thinking about this activity in the past 12 months, how satisfied are you?

• 1: Very satisfied
• 2: Satisfied
• 3: Neither satisfied nor dissatisfied
• 4: Dissatisfied
• 5: Very dissatisfied
• 98: Refusal
• 99: Don't know

Income (INC) - Question identifier:INC_R01

Now, I would like to ask you some general background questions.

Income (INC) - Question identifier:INC_Q01

Are you...?

• 1: Married
• 2: Living common-law
• 3: Widowed
• 4: Separated
• 5: Divorced
• 6: Single, never married
• 98: Refusal
• 99: Don't know

Income (INC) - Question identifier:INC_Q02

Including yourself, how many persons usually live in your household?

• Minimum: 1
• Maximum: 999
• 98: Refusal
• 99: Don't know

Income (INC) - Question identifier:INC_Q03

How many of these persons are 18 years or younger?

• Minimum: 0
• Maximum: 999
• 98: Refusal
• 99: Don't know

Income (INC) - Question identifier:INC_R04

The following questions relate to your total household income.

Income (INC) - Question identifier:INC_Q04

What is your best estimate of the total household income received by all household members, from all sources, before taxes and deductions, during the year ending December 31, 2012?

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, alimony and rental income.

• Minimum: -9,000,000
• Maximum: 90,000,000
• 98: Refusal
• 99: Don't know

Income (INC) - Question identifier:INC_Q05

Can you estimate in which of the following groups your household income falls? Was the total household income during the year ending December 31, 2012...?

• 1: Less than $50,000 (includes income loss)
• 2: $50,000 and more
• 98: Refusal
• 99: Don't know

Income (INC) - Question identifier:INC_Q06

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

• 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
• 98: Refusal
• 99: Don't know

Income (INC) - Question identifier:INC_Q07

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

• 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
• 98: Refusal
• 99: Don't know

Income (INC) - Question identifier:INC_R08

Now a question about your total personal income.

Income (INC) - Question identifier:INC_Q08

What is your best estimate of your total personal income, before taxes and deductions, from all sources during the year ending December 31, 2012?


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, alimony and rental income.

• Minimum: -9,000,000
• Maximum: 90,000,000
• 98: Refusal
• 99: Don't know

Income (INC) - Question identifier:INC_Q09

Can you estimate in which of the following groups your personal income falls? Was your total personal income during the year ending December 31, 2012...?

• 1: Less than $30,000 (including income loss)
• 2: $30,000 and more
• 98: Refusal
• 99: Don't know

Income (INC) - Question identifier:INC_Q10

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

• 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 $25,000
• 6: $25,000 to less than $30,000
• 98: Refusal
• 99: Don't know

Income (INC) - Question identifier:INC_Q11

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

• 01: $30,000 to less than $40,000
• 02: $40,000 to less than $50,000
• 03: $50,000 to less than $60,000
• 04: $60,000 to less than $70,000
• 05: $70,000 to less than $80,000
• 06: $80,000 to less than $90,000
• 07: $90,000 to less than $100,000
• 08: $100,000 and over
• 98: Refusal
• 99: Don't know

Income 2 (INC1) - Question identifier:INC1_Q03

How satisfied are you with your financial situation?

• 1: Very satisfied
• 2: Satisfied
• 3: Neither satisfied nor dissatisfied
• 4: Dissatisfied
• 5: Very dissatisfied
• 98: Refusal
• 99: Don't know