Census 2A - 2016

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

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The census provides a detailed statistical portrait of Canada and its people by their demographic, social and economic characteristics. This information is important for communities and is vital for planning services such as child care, schooling, family services, and skills training for employment.


This information is collected under the authority of the Statistics Act, R.S.C. 1985, c. S-19.

Confidential when completed.



The confidentiality of your responses is protected by law. All Statistics Canada employees have taken an oath of secrecy. Your personal information cannot be given to anyone outside Statistics Canada without your consent. This is your right.



- www.census.gc.ca
- Call us free of charge 1-855-700-2016
- TTY: 1-866-753-7083

Ce questionnaire est disponible en français (1-855-700-2016)

Steps A to D and question 1 are asked to determine who should complete this questionnaire.

Questions 2 to 6 provide information about the living arrangements of people in Canada, the family size, the number of children living with one parent or two parents, and the number of people who live alone. This information is used for planning social programs, such as Old Age Security and the Canada Child Tax Benefit. It is also used by communities to plan a variety of services such as day care centres, schools, police, fire protection and residences for senior citizens.

Questions 7 to 9 are used to provide a profile of the linguistic diversity of Canada's population. This information is used to estimate the need for services in English and French, and to better understand the current status and the evolution of Canada's various language groups.

Question 10 provides each person with the opportunity to make an informed decision about what happens to his or her personal census information in 92 years. Consenting to the release of census information in 92 years will help future generations better understand the Canada of today, and will benefit historical, academic and genealogical research.

Introduction statement

Message from the Chief Statistician of Canada

The census provides a portrait of our people and the places in which we live. Census information is important for your community and is vital for planning its public services. Be part of this new portrait of Canada and complete your census questionnaire.

In order to reduce the number of questions in this questionnaire, Statistics Canada will obtain your income information from personal income tax and benefits records.

By law, your household must complete a census questionnaire. Your answers are collected under the authority of the Statistics Act and will be kept strictly confidential.

The information that you provide may be used by Statistics Canada for other statistical and research purposes or may be combined with other survey or administrative data sources.

Thank you for your cooperation.

Wayne R. Smith
Chief Statistician of Canada

Reporting instructions

Complete your census questionnaire:

- ONLINE: at www.census.gc.ca by using the secure access code printed above.


- ON PAPER: please print using CAPITAL LETTERS.


STEP A - Question identifier:1.

What is your telephone number?

  • 1: Telephone Number

STEP A - Question identifier:2.

What email address could we use to contact your household, if applicable?

  • 1: Email address

STEP A - Question identifier:3.

What is the address of this dwelling?

  • 1: Number (and suffix, if applicable) (e.g., 302, 151 B, 16 1/2)
  • 2: Street name, street type (e.g., DR = Drive), direction (e.g., N = North)
  • 3: Apartment/unit
  • 4: City, municipality, town, village, Indian reserve
  • 5: Province/territory
  • 6: Postal code

STEP A - Question identifier:4.

What is the mailing address of this dwelling, if different from above?

  • 1: Mailing address (e.g., Rural Route, PO Box, Lot and Concession or General Delivery)


STEP B - Question identifier:1.

Including yourself, how many persons usually live at this address on May 10, 2016?

  • 1: Number of persons

STEP B - Question identifier:2.

Including yourself, list all persons who usually live here on May 10, 2016.



STEP C - Question identifier:1.

Did you leave anyone out of step B because you were not sure the person should be listed? For example, a student, a child in joint custody, a person temporarily away, a person who lives here temporarily, a resident from another country with a work or study permit, a refugee claimant, etc.

  • 1: No
  • 2: Yes. Specify the name, the relationship and the reason.
    - Name(s) and Relationship
    - Reason


STEP D - Question identifier:1.

Is anyone listed in step B a farm operator who produces at least one agricultural product intended for sale?
For example, crops, livestock, milk, poultry, eggs, greenhouse or nursery products, Christmas trees, sod, honey, bees, maple syrup products, furs, etc.

  • 1: No. Go to step E.
  • 2: Yes

STEP D - Question identifier:2.

Does this farm operator make the day-to-day management decisions related to the farm?

  • 1: No
  • 2: Yes


Copy the names in step B to question 1.
Keep the same order.
If more than six persons live here, you will need an extra questionnaire; call 1-855-700-2016.

STEP E - Question identifier:1.


  • 1: Family Name, Given Name

STEP E - Question identifier:2.

What is this person's sex?

  • 1: Male
  • 2: Female

STEP E - Question identifier:3.

What are this person's date of birth and age?

  • 1: Day, Month, Year
  • 2: Age

STEP E - Question identifier:4.

What is this person's marital status?

  • 1: Never legally married
  • 2: Legally married (and not separated)
  • 3: Separated, but still legally married
  • 4: Divorced
  • 5: Widowed

STEP E - Question identifier:5.

Is this person living with a common-law partner?

  • 1: Yes
  • 2: No

STEP E - Question identifier:6.

What is the relationship of this person to Person 1?

  • 1: Person 1

    Person 2
    1: Opposite-sex husband or wife of Person 1
    2: Opposite-sex common-law partner of Person 1
    3: Same-sex married spouse of Person 1
    4: Same-sex common-law partner of Person 1
    5: Son or daughter of Person 1 only
    6: Grandchild of Person 1
    7: Son-in-law or daughter-in-law of Person 1
    8: Father or mother of Person 1
    9: Father-in-law or mother-in-law of Person 1
    10: Brother or sister of Person 1
    11: Foster child
    12: Room-mate, lodger or boarder
    13: Other relationship - specify:

    Person 3-6
    1: Son or daughter of both Persons 1 and 2
    2: Son or daughter of Person 1 only
    3: Son or daughter of Person 2 only
    4: Grandchild of Person 1
    5: Son-in-law or daughter-in-law of Person 1
    6: Father or mother of Person 1
    7: Father-in-law or mother-in-law of Person 1
    8: Brother or sister of Person 1
    9: Foster child
    10: Room-mate, lodger or boarder
    11: Other relationship - specify:

STEP E - Question identifier:7.

Can this person speak English or French well enough to conduct a conversation?

  • 1: English only
  • 2: French only
  • 3: Both English and French
  • 4: Neither English nor French

STEP E - Question identifier:8. a)

What language does this person speak most often at home?

  • 1: English
  • 2: French
  • 3: Other language - specify:

STEP E - Question identifier:8 b)

Does this person speak any other languages on a regular basis at home?

  • 1: No
  • 2: Yes, English
  • 3: Yes, French
  • 4: Yes, other language - specify:

STEP E - Question identifier:9.

What is the language that this person first learned at home in childhood and still understands?

  • 1: English
  • 2: French
  • 3: Other language - specify:

STEP E - Question identifier:10.

This question is for all persons listed on the questionnaire. If you are answering on behalf of other people, please consult each person.

Does this person agree to make his or her 2016 Census information available in 2108 (92 years after the census)?

  • 1: Yes
  • 2: No


If more than six persons live here, you will need an extra questionnaire; call 1-855-700-2016.
You have now completed your questionnaire. Please mail it today. If you have lost the return envelope,
please mail the questionnaire to:
Statistics Canada
Ottawa, ON K1A 9Z8
Thank you for your cooperation.

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