Employment Insurance Coverage Survey - 2012

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

Table of Contents

Confirm Mother Status (MO)

Confirm Mother Status (MO) - Question identifier:MO_Q01

According to our information, in ^DV_REFMO your youngest child was aged 12 months or less. Is this correct?

1. Yes
2. No
DK, RF

Confirm Mother Status (MO) - Question identifier:MO_Q02

Are you the mother of your child by birth or by adoption?

1. By birth
2. By adoption
DK, RF

Confirm Mother Status (MO) - Question identifier:MO_Q03

Is it also correct that your child was born in ^DV_BIRTH?

1. Yes
2. No
DK, RF

Confirm Mother Status (MO) - Question identifier:MO_Q04M

What is your child's month of birth?

1. January
2. February
3. March
4. April
5. May
6. June
7. July
8. August
9. September
10. October
11. November
12. December
DK, RF

Confirm Mother Status (MO) - Question identifier:MO_Q04Y

What is your child's year of birth?

Minimum: 2000 Maximum: 2015

Confirm Type (TY)

Confirm Type (TY) - Question identifier:TY_Q01

According to our Labour Force Survey interview with ^DT_YOUYOUR, you were without work and wanting to work during the ^DT_SECONDTHIRD week of ^DV_REFMO. Is this correct?

1. Yes
2. No, respondent did work during reference week
3. Respondent was not working and did not want to
DK, RF

Confirm Type (TY) - Question identifier:TY_Q02

According to our Labour Force Survey interview with ^DT_YOUYOUR, you were working less than 30 hours during the ^DT_SECONDTHIRD week of ^DV_REFMO. Is this correct?

1. Yes
2. No, respondent did not work during reference week
3. No, worked more than 29 hours during reference
week
DK, RF

Confirm Type (TY) - Question identifier:TY_Q03

According to our Labour Force Survey interview with ^DT_YOUYOUR, you were not working and not looking for work during the ^DT_SECONDTHIRD week of ^DV_REFMO. Is this correct?

1. Yes
2. No, respondent did work during reference week
3. No, respondent was actually looking for work
that week
DK, RF

Confirm Type (TY) - Question identifier:TY_Q04

Did you work continuously during the last 3 months?

1. Yes
2. No
3. Not working at all
DK, RF

Confirm Type (TY) - Question identifier:TY_Q05

According to our Labour Force Survey interview with ^DT_YOUYOUR, you were working during the ^DT_SECONDTHIRD week of ^DV_REFMO. Is this correct?

1. Yes
2. No, not working that week
DK, RF

Confirm Type (TY) - Question identifier:TY_Q06

How many paid hours did you work in total during the ^DT_SECONDTHIRD week of ^DV_REFMO?

Minimum: 0 Maximum: 95

Confirm Type (TY) - Question identifier:TY_Q06A

Would you say that you worked less than 30 hours or more?

1. Less than 30 hours
2. 30 hours or more
DK, RF

Confirm Type (TY) - Question identifier:TY_Q07

Did you have a week without work (or pay) between ^DV_REFMO2 and the end of the ^DT_SECONDTHIRD week of ^DV_REFMO?

1. Yes
2. No
DK, RF

Confirm Type (TY) - Question identifier:TY_Q08

Did you actually look for work or want to work during the ^DT_SECONDTHIRD week of ^DV_REFMO?

1. Yes
2. No
DK, RF

Last Work (LW)

Last Work (LW) - Question identifier:LW_Q01

In that interview in ^DV_REFMO ^DT_YOUYOUR indicated that you never worked. Is this correct?

1. Yes, never worked
2. No, worked before
DK, RF

Last Work (LW) - Question identifier:LW_Q02

In that interview in ^DV_REFMO ^DT_YOUYOUR indicated that you last worked in ^DV_LWM, ^DV_ LWY. Is this correct?

1. Yes, the date is good
2. No, the date is wrong
3. No, never worked
DK, RF

Last Work (LW) - Question identifier:LW_Q03

When did you last work?

1. Select to enter date
2. Never worked
DK, RF

Last Work (LW) - Question identifier:LW_Q03Y

In what year did you last work?

Minimum: 1927 Maximum: 2015

Last Work (LW) - Question identifier:LW_Q03M

In what month did you last work?

1. January
2. February
3. March
4. April
5. May
6. June
7. July
8. August
9. September
10. October
11. November
12. December
DK, RF

Last Work (LW) - Question identifier:LW_Q04

Was it within the last year?

1. Yes
2. No
DK, RF

Last Work (LW) - Question identifier:LW_Q05

Was it within the last two years?

1. Yes
2. No
DK, RF

Out of scope (OS)

Out of scope (OS) - Question identifier:OS_R01

You were selected for this survey to represent ^DT_OUTTEXT. Thank you for your cooperation and excuse us for disturbing you.

Job information (JB)

Job information (JB) - Question identifier:JB_Q01

^DT_Q01TXT

1. Yes
2. No, did not work for that employer
DK, RF

Job information (JB) - Question identifier:JB_Q02

For whom ^Q02TXT

1. Enter the employer's name
2. Own business
3. Family worker
DK, RF

Job information (JB) - Question identifier:JB_Q02N

Enter the employer's name.

Long Answer, 50 characters.

Job information (JB) - Question identifier:JB_Q03

Did you also work for pay at another job or business in ^DV_REFMO?

1. Yes
2. No
DK, RF

Job information (JB) - Question identifier:JB_Q04

What is the name of this employer you also worked for?

Long Answer, 50 characters.

Job information (JB) - Question identifier:JB_Q10

What kind of business, industry or service ^DT_ISWAS this?

Long Answer, 30 characters.

Job information (JB) - Question identifier:JB_Q11

What kind of work ^DT_AREWERE you doing?

Long Answer, 30 characters.

Job information (JB) - Question identifier:JB_Q12M

When did you start working for ^DV_ERNAME?

1. January
2. February
3. March
4. April
5. May
6. June
7. July
8. August
9. September
10. October
11. November
12. December
DK, RF

Job information (JB) - Question identifier:JB_Q12Y

(When did you start working for ^DV_ERNAME?)

Minimum: 1927 Maximum: 2015

Job information (JB) - Question identifier:JB_Q13

In that job with ^DV_ERNAME, ^DT_AREWERE you a union member?

1. Yes
2. No
DK, RF

Job information (JB) - Question identifier:JB_Q14

^DT_AREWERE1 you covered by a union contract or collective agreement?

1. Yes
2. No
DK, RF

Job information (JB) - Question identifier:JB_Q15

What ^DT_ISWAS your usual (gross) rate of pay, before deductions? Do not include overtime, tips, commissions or bonuses.

1. Enter salary $
2. Minimum wage
3. Only earned commissions
DK, RF

Job information (JB) - Question identifier:JB_Q15A

Enter the salary.

Minimum: 0.01 Maximum: 900000.00

Job information (JB) - Question identifier:JB_Q15B

...Per

1. Hour
2. Day
3. Week
4. Biweekly
5. Twice per month
6. Month
7. Year
DK, RF

Job information (JB) - Question identifier:JB_Q16

^DT_DODID you usually receive commissions, tips, or bonuses?

1. Yes
2. No
DK, RF

Job information (JB) - Question identifier:JB_Q17A

What ^DT_ISWAS your usual (gross) commissions / tips / bonus pay before deductions?

Minimum: 0.01 Maximum: 900000.00

Job information (JB) - Question identifier:JB_Q17B

...Per

1. Hour
2. Day
3. Week
4. Biweekly
5. Twice per month
6. Month
7. Year
DK, RF

Job information (JB) - Question identifier:JB_Q18

On average, how many paid hours did you usually work per week in that job with ^DV_ERNAME? (excluding overtime)

Minimum: 0 Maximum: 99

Job information (JB) - Question identifier:JB_Q19

^DT_ISWAS1 your job with ^DV_ERNAME permanent?

1. Yes, permanent
2. No, not permanent
DK, RF

Job information (JB) - Question identifier:JB_Q20

In what way ^DT_ISWAS your job not permanent? ^DT_ISWAS1 it:

1. ... seasonal?
2. ... temporary, term or contract job (non-seasonal)?
3. ... casual?
4. ... work done through a temporary help agency?
5. Other - Specify
DK, RF

Job information (JB) - Question identifier:JB_Q21

^DT_AREWERE1 Employment Insurance (EI) premiums deducted from your wages or salary at that job with ^DV_ERNAME?

1. Yes
2. No
DK, RF

Job information (JB) - Question identifier:JB_Q22

Was this because:

1. ... your weekly hours or earnings are / were too
low to be insured by Employment Insurance?
2. ... you are / were self employed or working on
a contract?
3. ... you are / were working for a family business?
4. ... your job is / was part of a government job
creation program?
5. ... you work / worked outside Canada?
6. ... you are / were paid in cash?
7. Other - Specify
DK, RF

Work in last year (WY)

Work in last year (WY) - Question identifier:WY_Q01

During the 52 week period ^DT_TIMEREF, how many weeks did you work (including leave with pay)?

Minimum: 0 Maximum: 52

Work in last year (WY) - Question identifier:WY_Q02

Did you work at a job or business or were you absent from a job during the 3 months prior to the ^DT_BIRTHADOP of your child?

1. Yes, working or absent from work
2. No, did not have a job or business
DK, RF

Work in last year (WY) - Question identifier:WY_Q03

Why did you not work in the ^DT_MONTHYEAR prior to the ^DT_BIRTHADOP of your child?

1. Took care of other children
2. Preferred to stay at home
3. Went to school or took training
4. Could not find suitable work
5. Other - Specify
DK, RF

Work in last year (WY) - Question identifier:WY_Q04

Of the weeks you worked during the 52 week period ^DT_TIMEREF1, did you work:

1. ... all weeks full-time
2. ... most weeks full-time and some weeks
part-time (or half and half)
3. ... most weeks part-time and some weeks
full time
4. ... all weeks part-time
DK, RF

Work in last year (WY) - Question identifier:WY_Q05

During the weeks that you worked full-time, how many hours on average did you work per week?

Minimum: 30 Maximum: 168

Work in last year (WY) - Question identifier:WY_Q06

During the weeks that you worked part-time, how many hours on average did you work per week?

Minimum: 1 Maximum: 30

Stopped Working (SW)

Stopped Working (SW) - Question identifier:SW_R01

According to our information, you stopped working or had an interruption of work with ^DV_ERNAME ^DV_LWDATE.

Stopped Working (SW) - Question identifier:SW_Q01

What was the main reason you stopped working at that job?

1. Own illness or disability
2. Caring for own children
3. Caring for elder relative
4. Pregnancy
5. Other personal or family responsibilities
6. Going to school
7. Lost job, laid off or job ended
8. Business sold or closed down
9. Changed residence
10. Dissatisfied with job
11. Retired
12. Other - Specify
DK, RF

Stopped Working (SW) - Question identifier:SW_Q02

Was your retirement from that job voluntary or involuntary?

1. Voluntary
2. Involuntary
DK, RF

Stopped Working (SW) - Question identifier:SW_Q03

What was the specific reason for your job loss?

1. End of seasonal job
2. End of temporary, term or contract job
(non-seasonal)
3. Casual job, no work available
4. Company moved
5. Company went out of business
6. Business conditions (not enough work, drop
in orders, retooling, etc.)
7. Dismissal by employer (i.e. fired)
8. Other -Specify
DK, RF

Stopped Working (SW) - Question identifier:SW_Q04

^DT_Q04TXT

1. Yes
2. No
DK, RF

Stopped Working (SW) - Question identifier:SW_Q05

How long in advance did you ^DT_Q05TXT

1. To enter how long in advance
2. Knew it from the beginning
DK, RF

Stopped Working (SW) - Question identifier:SW_Q05A

Enter the number of days, weeks or months for the notice here. If found out the same day, the answer is 0. Enter the period (days, weeks or months) on the next screen.

Minimum: 0 Maximum: 999

Stopped Working (SW) - Question identifier:SW_Q05B

Enter unit of time.

1. Days
2. Weeks
3. Months
DK, RF

Stopped Working (SW) - Question identifier:SW_Q06

Did you receive a record of employment (ROE) for Employment Insurance purposes when you stopped working at your job for ^DV_ERNAME?

1. Yes
2. No
DK, RF

Stopped Working (SW) - Question identifier:SW_Q07

When you stopped working for ^DV_ERNAME ^DV_LWDATE, did you receive any of the following payments from your employer:

1. ... severance pay or pay instead of vacation?
2. ... a pension pay-out?
3. ... early retirement package?
4. ... wages instead of notice (lump sum
amount)?
5. ... sick leave credits / payment for unused
sick benefits?
6. ... any other payments
(Specify)?
7. None
DK, RF

Stopped Working (SW) - Question identifier:SW_Q08

Did you expect to return to your job with ^DV_ERNAME at that time?

1. Yes
2. No
DK, RF

Break from working since birth/adoption (BK)

Break from working since birth/adoption (BK) - Question identifier:BK_Q01

Have you taken a break from working (of a week or more) ^DT_ADOPREG?

1. Yes
2. No
3. Not working before pregnancy or adoption
DK, RF

Break from working since birth/adoption (BK) - Question identifier:BK_Q02

Why did you decide not to take time off for the care of your child?

1. Still planning to take time-off
2. Could not afford to give up salary
3. Afraid to loose job
4. Employer would not let me take time-off
5. Family or friends took care of child
6. Found acceptable day-care services
7. Preferred to work
8. Type of work allowed her to work and care for
the baby
9. Other - Specify
DK, RF

Break from working since birth/adoption (BK) - Question identifier:BK_Q03

When did this break from working start?

1. To enter the date
2. Never worked before birth
DK, RF

Break from working since birth/adoption (BK) - Question identifier:BK_Q03M

What month did this break from working start?

Minimum: 1 Maximum: 12

Break from working since birth/adoption (BK) - Question identifier:BK_Q03Y

What year did this break from working start?

Minimum: 2000 Maximum: 2015

Break from working since birth/adoption (BK) - Question identifier:BK_Q04

How long was this break from working, in terms of weeks?

1. To enter the number of weeks
2. To enter the number of months
DK, RF

Break from working since birth/adoption (BK) - Question identifier:BK_Q04A

(How long was this break from working, in terms of weeks?)

Minimum: 0 Maximum: 108

Break from working since birth/adoption (BK) - Question identifier:BK_Q04B

(How long was this break from working, in terms of months?)

Minimum: 0 Maximum: 24

Parental benefits for mothers (PM)

Parental benefits for mothers (PM) - Question identifier:PM_Q01A

Have you made any claim or applied for benefits with the Quebec Parental Insurance Plan ^DT_PREGNADOP2?

1. Yes
2. No
DK, RF

Parental benefits for mothers (PM) - Question identifier:PM_Q01B

Do you intend to claim or expect to receive parental benefits before your child turns one year old?

1. Yes
2. No
DK, RF

Parental benefits for mothers (PM) - Question identifier:PM_Q02A

Have you made any claims or applied for maternity or parental benefits with the Canadian Employment Insurance program ^DT_PREGNADOP2?

1. Yes
2. No
3. Made a claim to the Quebec Plan
DK, RF

Parental benefits for mothers (PM) - Question identifier:PM_Q02B

Do you intend to claim or expect to receive maternity or parental benefits before your child turns one year old?

1. Yes
2. No
DK, RF

Parental benefits for mothers (PM) - Question identifier:PM_Q03

Have you received benefits from the Quebec Plan ^DT_PREGNADOP2?

1. Yes
2. No
3. Expecting benefits
DK, RF

Parental benefits for mothers (PM) - Question identifier:PM_Q04

How many weeks of benefits have you received from the Quebec Parental Insurance Plan?

Minimum: 1 Maximum: 50

Parental benefits for mothers (PM) - Question identifier:PM_Q05

What was the weekly amount of the benefits you last received?

Minimum: 1 Maximum: 850

Parental benefits for mothers (PM) - Question identifier:PM_Q06

Why do you think you did not receive parental benefits?

1. Receiving pay for work or working
2. Not enough hours or insurable income
3. Not eligible
4. Other - Specify
DK, RF

Parental benefits for mothers (PM) - Question identifier:PM_Q07

Have you made a claim ^DT_BENEFITS with the Canadian Employment Insurance program ^DT_PREGNADOP2?

1. Yes
2. No
DK, RF

Parental benefits for mothers (PM) - Question identifier:PM_Q08

What was the main reason you did not claim or apply for parental benefits?

1. Working or receiving pay from work
2. Not contributing to the program
3. Not working enough
4. Has not worked recently (eg. for 2 years)
5. Did not want benefits (too low, too much trouble)
6. Did not need benefits (have other sources
of income)
7. Did not know enough about the program
8. Never thought about it
9. Other - Specify
DK, RF

Employment Insurance (EI)

Employment Insurance (EI) - Question identifier:EI_Q02

Have you made any claims or applied for Employment Insurance (EI) ^DT_STOPWORK?

1. Yes
2. No
DK, RF

Employment Insurance (EI) - Question identifier:EI_Q03

Have you made any claims or applied for Employment Insurance (EI) from ^DV_REFMO11 to ^DV_REFMO?

1. Yes
2. No
DK, RF

Employment Insurance (EI) - Question identifier:EI_Q04

Have you received Employment Insurance benefits ^DT_STOPWKPREG?

1. Yes
2. No
DK, RF

Employment Insurance (EI) - Question identifier:EI_Q05

Did you receive Employment Insurance (EI) benefits for the ^DT_SECONDTHIRD week of ^DV_REFMO, that is from the RSTART ^DT_RSTTH to the REND ^DT_REDTH of ^DV_REFMO (or do you still expect to receive benefits for that week) ?

Did you receive Employment Insurance (EI) benefits for the ^DT_SECONDTHIRD week of ^DV_REFMO, that is from the sRSTART ^DT_RSTTH to the sREND ^DT_REDTH of ^DV_REFMO (or do you still expect to receive benefits for that week) ?

Did you receive Employment Insurance (EI) benefits for the ^DT_SECONDTHIRD week of ^DV_REFMO, that is from the sRSTART ^DT_RSTTH to the sREND ^DT_REDTH of ^DV_REFMO (or do you still expect to receive benefits for that week) ?

1. Yes
2. No
DK, RF

Employment Insurance (EI) - Question identifier:EI_Q06

Did you receive Employment Insurance (EI) benefits for any other week of ^DV_REFMO?

1. Yes
2. No
DK, RF

Employment Insurance (EI) - Question identifier:EI_Q07

What type of benefits did you receive that week?

1. Training
2. Regular
3. Maternity (only if female)
4. Parental
5. Sickness
6. Fishing
7. Other - Specify
DK, RF

Employment Insurance (EI) - Question identifier:EI_Q08

Have you received any other types of EI benefits ^DT_PREGNADOP2?

1. Yes
2. No
DK, RF

Employment Insurance (EI) - Question identifier:EI_Q09

What type or types of EI benefits have you received ^DT_PREGNADOP2?

1. Regular
2. Maternity
3. Parental
4. Sickness
5. Other - Specify
DK, RF

Employment Insurance (EI) - Question identifier:EI_Q10

How many weeks of Employment Insurance (EI) benefits have you received ^DT_LASTAPPLIED?

Minimum: 1 Maximum: 158

Employment Insurance (EI) - Question identifier:EI_Q11

What amount of Employment Insurance benefits did you receive ^DT_PERWKMTH?

Minimum: 1 Maximum: 447

Employment Insurance (EI) - Question identifier:EI_Q13

While you were receiving benefits, were you taking training or courses to which you were referred?

1. Yes
2. No
DK, RF

Employment Insurance (EI) - Question identifier:EI_Q14

Why do you think you did not receive Employment Insurance benefits for the ^DT_SECONDTHIRD week of ^DV_REFMO?

1. Still expecting benefit payment for that week
2. Had employment that week
3. Claim ran out
4. Did not work enough hours or weeks to qualify
5. Serving a waiting period
6. Payments delayed due to severance or other
payments
7. Not available or not looking for work
8. Quit voluntarily (or dismissed)
9. Benefit payments withheld for other reason
10. Other - Specify
DK, RF

Employment Insurance (EI) - Question identifier:EI_Q15

Do you think that you would have qualified (or been eligible) for Employment Insurance (EI) benefits in the ^DT_SECONDTHIRD week of ^DV_REFMO?

1. Yes
2. No
DK, RF

Employment Insurance (EI) - Question identifier:EI_Q16

What was the main reason you did not claim or apply for Employment Insurance (EI) benefits during this period?

1. Was working or expecting to return to work
2. Did not want EI (benefits too low, too much trouble)
3. Did not need EI (have other sources of income)
4. Did not know enough about EI
5. Never thought about it
6. Student (incl. too young)
7. Retired (incl. Pension, too old)
8. Did not want to work
9. Receiving other benefits (incl. disability, welfare)
10. Other - Specify
DK, RF

Employment Insurance (EI) - Question identifier:EI_Q17

Why did you think you would not qualify (or not be eligible) for Employment Insurance?

1. Working or expect to return to work
2. Not paying EI premiums (incl. Self-employed)
3. Not enough hours to qualify
4. Student (incl. too young)
5. Not looking or available to work
6. Received severance package
7. Retired (incl. Pension, too old)
8. Has not worked recently (eg. for 2 years)
9. Quit voluntarily
10. Other - Specify
DK, RF

Parental benefits for fathers (PF)

Parental benefits for fathers (PF) - Question identifier:PF_Q01A

Has your spouse claimed ^DT_PARENTAL benefits since the ^DT_BIRTHADOP of your child?

1. Yes
2. No
3. No spouse present
DK, RF

Parental benefits for fathers (PF) - Question identifier:PF_Q01B

Does your spouse intend to claim or expect to receive ^DT_PARENTAL benefits before your child turns one year old?

1. Yes
2. No
DK, RF

Parental benefits for fathers (PF) - Question identifier:PF_Q02

What is the main reason that your spouse did not apply for parental benefits?

1. Spouse is not eligible (not working, not paying
premiums, self-employed)
2. Impossible to take time off work (include
spouse is working)
3. Money related reasons
4. Mother wants to stay home (include by choice,
more practical, nursing)
5. Spouse does not want to stay home
6. Did not know that he could claim benefits
7. Other - Specify
DK, RF

Parental benefits for fathers (PF) - Question identifier:PF_Q03

Has your spouse received Parental benefits yet?

1. Yes
2. No
DK, RF

Parental benefits for fathers (PF) - Question identifier:PF_Q04

How many weeks of ^DT_PARENTAL benefits does your spouse intend to claim in total?

Minimum: 0 Maximum: 37

Parental benefits for fathers (PF) - Question identifier:PF_Q05A

Has your spouse collected parental benefits at the same time as you?

1. Yes
2. No
DK, RF

Parental benefits for fathers (PF) - Question identifier:PF_Q05B

Does your spouse intend to collect parental benefits at the same time as you?

1. Yes
2. No
DK, RF

Parental benefits for fathers (PF) - Question identifier:PF_Q06

^DT_YOURSPOUS intend to collect the total number of weeks of parental benefits available?

1. Yes
2. No
DK, RF

Parental benefits for fathers (PF) - Question identifier:PF_Q07

What is the main reason that ^DT_NOYOURSPOUS intend to take the total number of weeks of parental leave available?

1. Financial reasons (incl. need the money)
2. Work / Employer related reasons
3. Prefer to work
4. Other - Specify
DK, RF

Additional Payments (AP)

Additional Payments (AP) - Question identifier:AP_Q01

Did you receive employer payments or private insurance payments or other benefits for the weeks you took off work during your pregnancy or to take care of your child?

1. Yes
2. No
DK, RF

Additional Payments (AP) - Question identifier:AP_Q02

What was the source of these payments or benefits?

1. Employer
2. Group insurance
3. Worker's compensation
4. Other - Specify
DK, RF

Additional Payments (AP) - Question identifier:AP_Q03

Were any of these payments paid to complement parental benefits during the weeks parental benefits were paid?

1. Yes
2. No
DK, RF

Additional Payments (AP) - Question identifier:AP_Q04A

How much were these payments?

Minimum: 0 Maximum: 9000

Additional Payments (AP) - Question identifier:AP_Q04B

...Per

1. week
2. every two weeks
3. month
DK, RF

Additional Payments (AP) - Question identifier:AP_Q05

For how many weeks did you receive these payments since your ^DT_PREGADOP1?

Minimum: 0 Maximum: 52

Income Sources (IS)

Income Sources (IS) - Question identifier:IS_R01

The next set of questions relate to income sources.

Income Sources (IS) - Question identifier:IS_Q01

Do you rely on your parents for MOST of your day-to-day financial needs, for things like housing and food?

1. Yes
2. No
DK, RF

Income Sources (IS) - Question identifier:IS_Q02

From which of the following sources did you receive any income during ^DV_REFMO?

1. Income from EMPLOYMENT sources
(include wages, salaries, bonuses, tips and
commissions) or SELF-EMPLOYMENT
sources (include farm and non-farm activities)
2. Income from GOVERNMENT sources
(include Child Tax Benefits, Universal Child Care
Benefits, Old Age Security, Guaranteed Income
Supplement, Canada/Québec Pension Plan,
Employment Insurance)
3. Income from EMPLOYER or PRIVATE
pension sources (include regular pension income
from an employers' pension plan payments from
RRSP annuities or RRIF's)
4. Income from INVESTMENT sources
(include dividends, interest on bonds, accounts,
GIC's and mutual funds) Do not include capital
gains or losses
5. Income from OTHER sources (include
child support payments, alimony and scholarships)
6. No income source
DK, RF

Income Sources (IS) - Question identifier:IS_Q03

From which of the following sources did your spouse receive any income during ^DV_REFMO?

1. Income from EMPLOYMENT sources
(include wages, salaries, bonuses, tips and
commissions) or SELF-EMPLOYMENT sources
(include farm and non-farm activities)
2. Income from GOVERNMENT sources
(include Child Tax Benefits, Universal Child Care
Benefits, Old Age Security, Guaranteed Income
Supplement, Canada/Québec Pension Plan,
Employment Insurance)
3. Income from EMPLOYER or PRIVATE pension
sources (include regular pension income from
an employers' pension plan payments from RRSP
annuities or RRIF's)
4. Income from INVESTMENT sources
(include dividends, interest on bonds, accounts,
GIC's and mutual funds) Do not include capital
gains or losses
5. Income from OTHER sources (include
child support payments, alimony and scholarships)
6. No income source
7. No spouse present
DK, RF

Income Sources (IS) - Question identifier:IS_Q04

Did your spouse work full-time or part-time during ^DV_REFMO?

1. Full-time
2. Part-time
DK, RF

Income Sources (IS) - Question identifier:IS_Q05

Have you or any members of your household received social assistance payments in ^DV_REFMO?

1. Yes
2. No
DK, RF

Income Sources (IS) - Question identifier:IS_Q06

What was the amount you or your household received in social assistance payments in ^DV_REFMO?

Minimum: 10.00 Maximum: 5000.00

Income Sources (IS) - Question identifier:IS_Q07

For how many months have you or your household been receiving social assistance payments?

Minimum: 0 Maximum: 720

Income Sources (IS) - Question identifier:IS_Q08

Did another member of your household receive Employment Insurance (EI) benefits?

1. Yes
2. No
DK, RF

Additional Sources of Funding (AF)

Additional Sources of Funding (AF) - Question identifier:AF_R01

The following questions relate to additional sources of funds that are sometimes used to pay for regular household expenditures.

Additional Sources of Funding (AF) - Question identifier:AF_Q01

In ^DV_REFMO, would you say that your household income from all sources:

1. ... met all your regular expenses and financial
commitments?
2. ... met most but not all?
3. ... met some?
4. ... met very little?
5. ... did not meet any of your expenses?
DK, RF

Additional Sources of Funding (AF) - Question identifier:AF_Q02

Did you or someone in your household have to use up some of your savings OR cash in your investments to meet your household expenses in ^DV_REFMO?

1. Yes
2. No
DK, RF

Additional Sources of Funding (AF) - Question identifier:AF_Q03

Did you need to increase your reliance on credit to meet your regular household expenses in ^DV_REFMO? (i.e. credit card, line of credit, loan)

1. Yes
2. No
3. Did not have credit
DK, RF

Additional Sources of Funding (AF) - Question identifier:AF_Q04

Did you or your family get some financial assistance from friends or relatives?

1. Yes
2. No
DK, RF

Additional Sources of Funding (AF) - Question identifier:AF_Q05

Did you do any odd jobs, for example for friends or relatives, to supplement your income?

1. Yes
2. No
DK, RF

Additional Sources of Funding (AF) - Question identifier:AF_Q06

What else did you do to make up for the shortfall in your income (relative to your expenses) in ^DV_REFMO? Did you:

1. ... cut expenses, reduce spending?
2. ... delay payments or consolidate debts?
3. ... look for a new job or plan to start a business?
4. ... rely on a family member increasing hours of
work?
5. ... move to cheaper accomodations (or share
accommodations)?
6. ... sell property or belongings?
7. ... apply for social assistance?
8. ... use food banks, soup kitchens?
9. ... apply for student loan, go back to school?
10. ... take a pension, CPP / QPP?
11. ... do anything else? (Specify)
DK, RF

Additional Sources of Funding (AF) - Question identifier:AF_Q07

What was the main source of money (or funds) used to meet your household expenses in ^DV_REFMO?

1. Wages or self-employment earnings of spouse
or partner or other family member
2. Own wages or salary
3. Own self-employment income
4. Employment Insurance benefits of self
5. Employment Insurance benefits of another
household member
6. Social assistance
7. Disability insurance / Workers' Compensation
8. Pensions or CPP / QPP of self or spouse
9. Alimony, student loans, scholarships
10. Financial assistance from friends or relatives
11. Income from investments, interest, dividends,
rentals
12. Savings
13. Loan / credit
14. Other - Specify
DK, RF

Job Search (JS)

Job Search (JS) - Question identifier:JS_R01

The following questions are about job search activities.

Job Search (JS) - Question identifier:JS_Q01

During the ^DT_SECONDTHIRD week of ^DV_REFMO, did you do anything to find work or find a new job?

1. Yes
2. No
DK, RF

Job Search (JS) - Question identifier:JS_Q02

What is the most important thing that you did that week to find work or find a new job?

1. Employment agency (public or private)
2. Contacted employers directly (resume, visit,
call, interview...)
3. Looked at job ads
4. Contacted union
5. Internet access or kiosk
6. Organization / Networking community
7. Checked with friends or relatives
8. Placed or answered job ads
9. Other - Specify
DK, RF

Job Search (JS) - Question identifier:JS_Q03

During the ^DT_SECONDTHIRD week of ^DV_REFMO, about how many hours did you spend on activities related to looking for work? (Include time spent looking at job ads, making telephone calls, writing letters, filling applications, taking job search seminars, attending interviews, etc.)

Minimum: 0 Maximum: 61

Job Search (JS) - Question identifier:JS_Q04

During that week of job search, about how much did it cost you to look for work? (Include expenses such as phone bills, stationery and photocopying, ads, stamps, employment agencies, travel costs, work shops and childcare.)

Minimum: 0 Maximum: 9999

Job Search (JS) - Question identifier:JS_Q05A

Did you look for work...
... outside your community (city, town or village)? (More than 60 km)

1. Yes
2. No
DK, RF

Job Search (JS) - Question identifier:JS_Q05B

(Did you look for work...)
... outside the province?

1. Yes
2. No
DK, RF

Job Search (JS) - Question identifier:JS_Q06

At the moment, are you working at a job or business?

1. Yes
2. No
DK, RF

Job Search (JS) - Question identifier:JS_R07

The amount of pay is sometimes important when deciding to accept a new job. Imagine that you were offered a similar job to the one you had with ^DV_ERNAME but at a lower wage. (Assume that this similar job offers the same hours and benefits.)

Job Search (JS) - Question identifier:JS_Q07A

Would you accept such a job if the wages were...?

... 75% of the previous wages you received or $ ^DV_CALCUL1 ^DT_PAYPERIOD?

1. Yes
2. No
DK, RF

Job Search (JS) - Question identifier:JS_Q07B

Would you accept such a job if the wages were...?

... 85% of the previous wages you received or $ ^DV_CALCUL2 ^DT_PAYPERIOD?

1. Yes
2. No
DK, RF

Job Search (JS) - Question identifier:JS_Q07C

Would you accept such a job if the wages were...?

... 90% of the previous wages you received or $ ^DV_CALCUL3 ^DT_PAYPERIOD?

1. Yes
2. No
DK, RF

Job Search (JS) - Question identifier:JS_Q07D

Would you accept such a job if the wages were...?

... 95% of the previous wages you received or $ ^DV_CALCUL4 ^DT_PAYPERIOD?

1. Yes
2. No
DK, RF

Job Search (JS) - Question identifier:JS_Q07E

Would you accept such a job if the wages were...?

... same as the previous wage you received?

1. Yes
2. No
DK, RF

Job Search (JS) - Question identifier:JS_Q08

Would you like to work if a suitable job were offered in the next three months?

1. Yes
2. No
DK, RF

Job Search (JS) - Question identifier:JS_Q09

In the next three months, what are your chances of finding an acceptable job?

1. Not very good
2. Good
3. Very good
4. You already have a job to start
within 3 months
DK, RF

Job Search (JS) - Question identifier:JS_Q10

At this time, what would help you most to find a job?

1. Skills training (i.e. Computer, language, writing,
skilled trades etc.)
2. More education (academic)
3. Child care assistance
4. Work experience
5. Job finding clubs
6. Resume writing skills
7. Moving to another city / region
8. Help in starting a business / entrepreneurship
training
9. Transportation
10. Contacts or networking
11. Better health / younger / older
12. Other - Specify
DK, RF

Plans to return to work (PR)

Plans to return to work (PR) - Question identifier:PR_R01

The following questions concern your plan to return to work after the birth or adoption of your child.

Plans to return to work (PR) - Question identifier:PR_Q01

At the moment, are you working at a job or business?

1. Yes
2. No
DK, RF

Plans to return to work (PR) - Question identifier:PR_Q02

Have you performed any work for pay since the ^DT_BIRTHADOP of your child?

1. Yes
2. No
DK, RF

Plans to return to work (PR) - Question identifier:PR_Q03

At the time you left your last job, did you have an agreement with your employer that you could return to work there?

1. Yes
2. No
DK, RF

Plans to return to work (PR) - Question identifier:PR_Q04

Are you planning to go back to work?

1. Yes
2. No
DK, RF

Plans to return to work (PR) - Question identifier:PR_Q05

In how many months do you plan to return to work?

Minimum: 0 Maximum: 60

Plans to return to work (PR) - Question identifier:PR_Q06

Are you planning to return to work for the same employer or the same business you had before the ^DT_BIRTHADOP of your child?

1. Yes
2. No
DK, RF

Plans to return to work (PR) - Question identifier:PR_Q07

Why are you not returning to work for the same employer or the same business?

1. Employer has let me go
2. Employer stopped operations
3. Prefer another employer or job
4. Changing place of residence
5. Want different work conditions
6. Other - Specify
DK, RF

Plans to return to work (PR) - Question identifier:PR_Q08

Are you planning to go back to the same job or position with that employer?

1. Yes
2. No
DK, RF

Plans to return to work (PR) - Question identifier:PR_Q09

Are you planning to return to the same working conditions that you had before the ^DT_BIRTHADOP? (for example, schedule, hours, working environment)

1. Yes
2. No
DK, RF

Plans to return to work (PR) - Question identifier:PR_Q10

What difference ^DT_WANTWILL in the working conditions?

1. Working less hours
2. Different schedule (shift)
3. Other - Specify
DK, RF

Plans to return to work (PR) - Question identifier:PR_Q11

Who will take care of your child when you return to work?

1. Private babysitter
2. Private nursery or daycare
3. Public nursery or daycare (at reduced cost)
4. Friend or relative will take care of child
5. Employer based daycare
6. Share child care with husband
7. Other - Specify
DK, RF

Plans to return to work (PR) - Question identifier:PR_Q12

What is the reason that you are not ^DT_NOTRETURN?

1. Prefer to take care of my child (until school age)
2. Paid to take leave
3. Mothers should stay home with their child
4. Cannot find or afford babysitting or daycare
5. Cannot find a suitable job
6. Will go to school or take training
7. Other - Specify
DK, RF

Work after birth (WA)

Work after birth (WA) - Question identifier:WA_Q01

Were you working for ^DV_ERNAME before the ^DT_BIRTHADOP of your child?

1. Yes
2. No
DK, RF

Work after birth (WA) - Question identifier:WA_Q02

For whom were you working for at that time?

3. The family business
DK, RF
1. Enter the employer's name
2. Own business

Work after birth (WA) - Question identifier:WA_Q02N

(For whom were you working for at that time?)

Long Answer, 50 characters.

Work after birth (WA) - Question identifier:WA_Q03

What kind of business, industry or service was this?

Long Answer, 30 characters.

Work after birth (WA) - Question identifier:WA_Q04

What kind of work were you doing?

Long Answer, 30 characters.

Work after birth (WA) - Question identifier:WA_Q05

In that job with ^DV_EMPLOYER, were you a union member or covered by a union contract or collective agreement?

1. Yes
2. No
DK, RF

Work after birth (WA) - Question identifier:WA_Q06

What was your usual (gross) rate of pay, before deductions? Do not include overtime, tips, commissions or bonuses.

1. Enter salary $
2. Minimum wage
3. Only earned commissions
DK, RF

Work after birth (WA) - Question identifier:WA_Q06A

Enter the salary.

Minimum: 0.01 Maximum: 900000.00

Work after birth (WA) - Question identifier:WA_Q06B

...Per

1. Hour
2. Day
3. Week
4. Biweekly
5. Twice per month
6. Month
7. Year
DK, RF

Work after birth (WA) - Question identifier:WA_Q07

At the time you stopped working for the ^DT_BIRTHADOP of your child, did you have an agreement with your employer that you could return to work there?

1. Yes
2. No
DK, RF

Work after birth (WA) - Question identifier:WA_Q08M

When did you first return to work for pay after the ^DT_BIRTHADOP of your child in ^DV_CHILB?

1. January
2. February
3. March
4. April
5. May
6. June
7. July
8. August
9. September
10. October
11. November
12. December
DK, RF

Work after birth (WA) - Question identifier:WA_Q08Y

(When did you first return to work for pay after the ^DT_BIRTHADOP of your child in ^DV_CHILB?)

Minimum: 2000 Maximum: 2015

Work after birth (WA) - Question identifier:WA_Q09

Why did you return to work at that time?

1. EI benefits ended
2. Other benefits or leave from work ran out
3. Needed the money
4. Employer required that I return
5. Worried about promotions
6. Preferred to work
7. Other - Specify
DK, RF

Work after birth (WA) - Question identifier:WA_Q10

Did you return to work for the same employer or business as before the ^DT_BIRTHADOP of your child?

1. Yes
2. No
DK, RF

Work after birth (WA) - Question identifier:WA_Q11

Why did you not return to work for the same employer or business ^DT_BEBIRTHADOP?

1. Wanted different work conditions
2. Preferred another employer
3. Was not working immediately before birth or adoption
4. Job does not exist anymore
5. Other - Specify
DK, RF

Work after birth (WA) - Question identifier:WA_Q12

Did you go back to the same job or position you had before?

1. Yes
2. No
DK, RF

Work after birth (WA) - Question identifier:WA_Q13

Did you return to work with the same working conditions (for example: schedule, hours, work environment)?

1. Yes
2. No
DK, RF

Work after birth (WA) - Question identifier:WA_Q14

What difference ^DT_WANTWAS in your working conditions?

1. Less weekly hours
2. Different schedule (shift)
3. Other - Specify
DK, RF

Work after birth (WA) - Question identifier:WA_Q15

Who took care of your child when you returned to work?

1. Worked and took care of child
2. Shared child care with husband
3. Friend or relative took care of child
4. Private babysitter
5. Employer based daycare
6. Private nursery or daycare
7. Public nursery or daycare (at reduced cost)
8. Other - Specify
DK, RF

Work after birth (WA) - Question identifier:WA_Q16A

What was the cost of this childcare for your youngest child?

Minimum: 0.00 Maximum: 10000.00

Work after birth (WA) - Question identifier:WA_Q16B

...Per

1. Week
2. Month
3. Other - Specify
DK, RF

Work after birth (WA) - Question identifier:WA_Q17

For how many of your children do you use this childcare provider?

Minimum: 0 Maximum: 10

Changes in income (CI)

Changes in income (CI) - Question identifier:CI_R01

We would like to have an indication of the change in income you experienced after the ^DT_BIRTHADOP of your child.

Changes in income (CI) - Question identifier:CI_Q01

In the MONTH BEFORE the ^DT_BIRTHADOP of your child, was your total household income from all sources:

1. ... less than $1600 (less than $20,000 per
annum)
2. ... $1600 to less than $2500
($20,000 - $30,000 per annum)
3. ... $2500 to less than $3300
($30,000 - $40,000 per annum)
4. ... $3300 to less than $5000
($40,000 - $60,000 per annum)
5. ... $5000 to less than $6700
($60,000 - $80,000 per annum)
6. ... $6700 or more ($80,000 or more per annum)
DK, RF

Changes in income (CI) - Question identifier:CI_Q02

In the MONTH AFTER the ^DT_BIRTHADOP of your child, did your total household income decrease, increase or stay the same?

1. Decrease
2. Increase
3. Stay the same
DK, RF

Changes in income (CI) - Question identifier:CI_Q03

By how much money per month did your household income ^DT_INCREASE after the ^DT_BIRTHADOP of your child?

Minimum: 0 Maximum: 10000

Socio-demographics (SD)

Socio-demographics (SD) - Question identifier:SD_Q01

What is the language you first learned at home in childhood (mother tongue)?

1. English
2. French
3. Other
DK, RF

Socio-demographics (SD) - Question identifier:SD_Q02

Were you born in Canada?

1. Yes
2. No
DK, RF

Socio-demographics (SD) - Question identifier:SD_Q03

When did you arrive in Canada?

1. To enter the year
2. Never immigrated, Canadian by birth
DK, RF

Socio-demographics (SD) - Question identifier:SD_Q03Y

(When did you arrive in Canada?)

Minimum: 1900 Maximum: 2015

Socio-demographics (SD) - Question identifier:SD_Q04

In which country were you born?

Long Answer, 30 characters.

Socio-demographics (SD) - Question identifier:SD_Q05

Now we have come to the end of the interview. Thank you very much for your participation in this survey. Do you have any comments you would like to give us concerning this project?

1. Yes
2. No

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