Survey of Service Industries: Heritage Institutions, 2010
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For Information onlyThis is an electronic survey example for information purposes only. This is not a working questionnaire.
A - Introduction
If necessary, please make address label corrections in the boxes below.
- 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
What is your language of preference?
- 1: English
- 2: French
This survey collects the financial and operating data needed to develop national and regional economic policies and programs.
This information is collected under the authority of the Statistics Act, Revised Statutes of Canada, 1985, Chapter S-19.
COMPLETION OF THIS QUESTIONNAIRE IS A LEGAL REQUIREMENT UNDER THIS ACT.
This document is confidential when completed.
Si vous préférez recevoir ce questionnaire en français, veuillez nous appeler au numéro sans frais suivant : 1-800-972-9692.
The Statistics Act protects the confidentiality of information collected by Statistics Canada.
Your answers are confidential.
Statistics Canada is prohibited by law from releasing any information it collects which could identify any person, business, or organization, unless consent has been given by the respondent or as permitted by the Statistics Act. The confidentiality provisions of the Statistics Act are not affected by either the Access to Information Act or any other legislation. Therefore, for example, the Canada Revenue Agency cannot access identifiable survey records from Statistics Canada.
Information from this survey will be used for statistical purposes only and will be published in aggregate form only.
To reduce respondent burden, Statistics Canada has entered into data sharing agreements with provincial and territorial statistical agencies and other government organizations, which must keep the data confidential and use them only for statistical purposes. Statistics Canada will only share data from this survey with those organizations that have demonstrated a requirement to use the data.
Section 11 of the Statistics Act provides for the sharing of information with provincial and territorial statistical agencies that meet certain conditions. These agencies must have the legislative authority to collect the same information, on a mandatory basis, and the legislation must provide substantially the same provisions for confidentiality and penalties for disclosure of confidential information as the Statistics Act. Because these agencies have the legal authority to compel businesses to provide the same information, consent is not requested and businesses may not object to the sharing of the data.
For this survey, there are Section 11 agreements with the provincial and territorial statistical agencies of Newfoundland and Labrador, Nova Scotia, New Brunswick, Quebec, Ontario, Manitoba, Saskatchewan, Alberta, British Columbia, and the Yukon.
The shared data will be limited to information pertaining to business establishments located within the jurisdiction of the respective province or territory.
Section 12 of the Statistics Act provides for the sharing of information with federal, provincial or territorial government organizations. Under Section 12, you may refuse to share your information with any of these organizations by writing a letter of objection to the Chief Statistician and returning it with the completed questionnaire. Please specify the organizations with which you do not want to share your data.
For this survey, there are Section 12 agreements with the statistical agencies of Prince Edward Island, the Northwest Territories and Nunavut.
For agreements with provincial and territorial government organizations, the shared data will be limited to information pertaining to business establishments located within the jurisdiction of the respective province or territory.
To enhance the data from this survey, Statistics Canada may combine it with information from other surveys or from administrative sources.
Security of emails and faxes
Statistics Canada advises you that there could be a risk of disclosure during facsimile or other electronic transmission. However, upon receipt, Statistics Canada will provide the guaranteed level of protection afforded all information collected under the authority of the Statistics Act.
Please return the questionnaire within 30 days.
Please mail the completed questionnaire in the enclosed envelope or fax it to Statistics Canada at 1-888-883-7999.
Lost the return envelope or need help? Call us at 1-800-972-9692 or mail to:
Statistics Canada, Operations and Integration Division, 150 Tunney's Pasture Driveway, Ottawa, Ontario K1A 0T6
- Report for business unit(s) specified on the label on the front page.
- Complete only the questions that apply to your business.
- When precise figures are not available, please provide your best estimate.
- Report in Canadian dollars. Dollar amounts and percentages should be rounded to whole numbers.
- Consult the reporting guide at www.statcan.gc.ca/guides-e for further information.
B - Main business activity
B - Main business activity - Question identifier:1.
Indicate the organization/park's primary heritage activity. Check one only.
- 1.: art museum and gallery, non-commercial
- 2.: history or science museum
- 3.: planetarium
- 4.: observatory
- 5.: other museums (e.g., community museum, artist-run centre, exhibition centre)
- 6.: archives
- 7.: historic site, building or community
- 8.: nature park or conservation area (include UNESCO natural heritage parks)
- 9.: botanical garden, arboretum, or conservatory
- 10.: aquarium
- 11.: zoo
- 12.: other heritage activity
(please specify) :
- 13.: None of the above - Please call the contact telephone number on the cover page for further instructions.
B - Main business activity - Question identifier:2.
Indicate if the organization/park has additional or secondary heritage activities. If this organization/park has more than one heritage activity or site location, include all activities in all further questions. Check all that apply.
- 1: no secondary activity
- 2: museum (exclude art museum and gallery)
- 3: art museum and gallery, non-commercial
- 4: nature park or conservation area
- 5: historic site, building, park, or community
- 6: archives
- 7: other (please specify) :
B - Main business activity - Question identifier:3.
If this organization is a park, please indicate if the activities of a campground or other traveller accommodations are included in this report.
- 1: yes
- 2: no
- 3: not applicable
B - Main business activity - Question identifier:4.
Indicate the governing authority of the organization/park. This question does not refer to the major source of funding but to whom the organization/park reports. Check one only.
- 1: not applicable
- 2: federal government
- 3: other government
- 4: religious organization or educational organization (include all elementary, secondary and post-secondary level institutions)
- 5: for-profit institution or business
- 6: other (e.g., independent board of directors, community organization)
B - Main business activity - Question identifier:5.
B - Main business activity - Question identifier:a)
Is this establishment a not-for-profit organization?
- 1: yes
- 2: no
B - Main business activity - Question identifier:b)
Type of organization
- 1: unincorporated
- 2: incorporated
- 3: other
B - Main business activity - Question identifier:c)
Please check as applicable.
- 1: registered charity (files a charitable organization tax return)
- 2: government agency or quasi-governmental organization
C - Reporting period information
C - Reporting period information - Question identifier:1.
Please report information for your fiscal year (normal business year) ending between April 1, 2010 and March 31, 2011. Please indicate below the period covered by this questionnaire.
- 1: Date from (YYYY MM DD) to (YYYY MM DD)
- 2: Date to (yyyy mm dd)
C - Reporting period information - Question identifier:2.
If the reporting period does not cover a full year, please check the reason(s) below:
- 1: seasonal operations
- 2: new business
- 3: change of fiscal year
- 4: change of ownership
- 5: ceased operations
- 6: temporarily inactive
D - Revenue
D - Revenue - Question identifier:1.
Sales of goods and services (e.g., rental and leasing income, commissions, fees, admissions, services revenue) Report net of returns and allowances.
D - Revenue - Question identifier:2.
Grants, subsidies, donations and fundraising
D - Revenue - Question identifier:3.
Royalties, rights, licensing and franchise fees
D - Revenue - Question identifier:4.
Investment income (dividends and interest)
D - Revenue - Question identifier:5.
D - Revenue - Question identifier:6.
Total revenue (sum of questions 1 to 5)
E - Expenses
E - Expenses - Question identifier:1.
Salaries and wages of employees who have been issued a T4 statement
E - Expenses - Question identifier:2.
Employer portion of employee benefits (include employer contributions to pension, medical/life insurance plans, employment insurance, etc.)
E - Expenses - Question identifier:3.
Commissions paid to non-employees
E - Expenses - Question identifier:4.
Professional and business services fees (e.g., legal, accounting)
E - Expenses - Question identifier:5.
Subcontract expenses (include contract labour, contract work and custom work)
E - Expenses - Question identifier:6.
Charges for services provided by your head office
E - Expenses - Question identifier:7.
Cost of goods sold, if applicable (purchases plus opening inventory minus closing inventory)
E - Expenses - Question identifier:8.
E - Expenses - Question identifier:9.
Rental and leasing (include rental of premises, equipment, motor vehicles, etc.)
E - Expenses - Question identifier:10.
Repair and maintenance (e.g., property, equipment, vehicles)
E - Expenses - Question identifier:11.
Insurance (include professional liability, motor vehicles, etc.)
E - Expenses - Question identifier:12.
Advertising, marketing and promotions (report charitable donations at question 22)
E - Expenses - Question identifier:13.
Travel, meals and entertainment
E - Expenses - Question identifier:14.
Utilities and telecommunications expenses (include gas, heating, hydro, water, telephone and Internet expenses)
E - Expenses - Question identifier:15.
Property and business taxes, licences and permits
E - Expenses - Question identifier:16.
Royalties, rights, licensing and franchise fees
E - Expenses - Question identifier:17.
Delivery, warehousing, postage and courier
E - Expenses - Question identifier:18.
Financial services fees
E - Expenses - Question identifier:19.
E - Expenses - Question identifier:20.
Amortization and depreciation of tangible and intangible assets
E - Expenses - Question identifier:21.
E - Expenses - Question identifier:22.
All other expenses (include your fundraising expenses not elsewhere reported) (please specify):
E - Expenses - Question identifier:23.
Total expenses (sum of questions 1 to 22)
E - Expenses - Question identifier:24.
Corporate taxes, if applicable
E - Expenses - Question identifier:25.
Gains (losses) and other items (see reporting guide)
E - Expenses - Question identifier:26.
Net profit/loss after tax and other items (see reporting guide)
F, G, H, I, J and K - Not applicable
L - Contact information
Name of person to contact about this questionnaire:
- 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
I certify that the information contained herein is complete and correct to the best of my knowledge.
- 1: yyyy mm dd
M - Comments
We invite your comments below. Please be assured that we review all comments with the intent of improving the survey.