Survey of People Living in First Nations Communities (Pilot 2009)

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

Telephone service and household roster (ROS)

Telephone service and household roster (ROS) - Question identifier:ROS_R01

To start, I would like to ask some questions about telephones in your home.

Telephone service and household roster (ROS) - Question identifier:ROS_Q01

Does your household currently have a telephone? Please do not include cell phones and phones used only for business.

1. Yes
2. No
DK,RF

Telephone service and household roster (ROS) - Question identifier:ROS_Q02

How many different telephone numbers does your household currently have excluding cell phone numbers and those used only for business?

Minimum: 1 Maximum: 9
DK,RF

Telephone service and household roster (ROS) - Question identifier:ROS_Q03AN1

What is your telephone number?

10 characters.
DK,RF

Telephone service and household roster (ROS) - Question identifier:ROS_Q03BN1

Is this telephone number a listed number?

1. Yes
2. No
DK,RF

Telephone service and household roster (ROS) - Question identifier:ROS_Q03CN1

Is this telephone number shared with any other households?

1. Yes
2. No
DK,RF

Telephone service and household roster (ROS) - Question identifier:ROS_Q03CAN1

With how many other households is this number shared?

Minimum: 0 Maximum: 99
DK,RF

Telephone service and household roster (ROS) - Question identifier:ROS_Q03AN2

What is your telephone number?

10 characters.
DK,RF

Telephone service and household roster (ROS) - Question identifier:ROS_Q03BN2

Is this telephone number a listed number?

1. Yes
2. No
DK,RF

Telephone service and household roster (ROS) - Question identifier:ROS_Q03CN2

Is this telephone number shared with any other households?

1. Yes
2. No
DK,RF

Telephone service and household roster (ROS) - Question identifier:ROS_Q03CAN2

With how many other households is this number shared?

Minimum: 0 Maximum: 99
DK,RF

Telephone service and household roster (ROS) - Question identifier:ROS_Q03AN3

What is your telephone number?

10 characters.
DK,RF

Telephone service and household roster (ROS) - Question identifier:ROS_Q03BN3

Is this telephone number a listed number?

1. Yes
2. No
DK,RF

Telephone service and household roster (ROS) - Question identifier:ROS_Q03CN3

Is this telephone number shared with any other households?

1. Yes
2. No
DK,RF

Telephone service and household roster (ROS) - Question identifier:ROS_Q03CAN3

With how many other households is this number shared?

Minimum: 0 Maximum: 99
DK,RF

Telephone service and household roster (ROS) - Question identifier:ROS_Q04

Do you or any members of your household currently have cell or mobile phone service? Exclude cell phone service used only for business and cordless phones.

1. Yes
2. No
DK,RF

Telephone service and household roster (ROS) - Question identifier:ROS_Q05

Excluding those used only for business, how many different telephone numbers does your household currently have for cell or mobile service phone service?

Minimum: 0 Maximum: 99
DK,RF

Telephone service and household roster (ROS) - Question identifier:ROS_R06

Now, I would like to ask you a few questions about the people who live in your household. I will start by asking some questions about you and will then ask the same questions about all the other people in your home.

Include persons who are staying at your home temporarily only if they have no other usual home.

Include persons who usually live at your home but are now away at school, in hospital, or somewhere else.

Telephone service and household roster (ROS) - Question identifier:ROS_Q06AP1

Record First Name of Person 1.

80 characters.

Telephone service and household roster (ROS) - Question identifier:ROS_Q06BP1

Record ^PER1's sex

1. Male
2. Female

Telephone service and household roster (ROS) - Question identifier:ROS_Q06CP1

What is your current marital status? Are you...

1. Single (never legally married)?
2. Legally married (and not separated)?
3. Living common-law?
4. Separated (but still legally married)?
5. Divorced?
6. Widowed?
DK,RF

Telephone service and household roster (ROS) - Question identifier:ROS_Q06DP1

Are you an Aboriginal person, that is First Nations (North American Indian), Métis, or Inuk (Inuit)?

1. Yes, First Nations (North American Indian)
2. Yes, Métis
3. Yes, Inuk (Inuit)
4. No
DK,RF

Telephone service and household roster (ROS) - Question identifier:ROS_Q06EP1

Are you a Status Indian (Registered or Treaty) as defined by the Indian Act of Canada?

1. Yes, Status Indian (Registered or Treaty)
2. No
DK,RF

Telephone service and household roster (ROS) - Question identifier:ROS_Q06FP1

Are you a member of an Indian Band/First Nation?

1. Yes, member of an Indian Band or First Nation
2. No
DK,RF

Telephone service and household roster (ROS) - Question identifier:ROS_Q06GP1

Is there a "YES" in questions D, E or F?

1. Yes
2. No

Telephone service and household roster (ROS) - Question identifier:ROS_Q06HP1A

What is your date of birth?

Minimum: 1880 Maximum: 2009
DK,RF

Telephone service and household roster (ROS) - Question identifier:ROS_Q06HP1B

Enter month

Minimum: 1 Maximum: 12
DK,RF

Telephone service and household roster (ROS) - Question identifier:ROS_Q06HP1C

Enter day

Minimum: 1 Maximum: 31
DK,RF

Telephone service and household roster (ROS) - Question identifier:ROS_Q06IP1

What is your age?

Minimum: 1 Maximum: 99
DK,RF

Telephone service and household roster (ROS) - Question identifier:ROS_Q06JP1

Assign a number if G is equal to "YES" and person was born before October 1, 1994. (i.e. person is 15 years or over)

Minimum: 1 Maximum: 15

Telephone service and household roster (ROS) - Question identifier:ROS_R07

This completes the first part of the interview. I will now randomly select a member of your household to answer the rest of the survey questions.

Unfortunately, I have no control over the selection of household members. In order to ensure that the survey is as accurate as possible, the selection of household members is made randomly.

Telephone service and household roster (ROS) - Question identifier:ROS_N07

Enter person number of selected respondent.

Minimum: 1 Maximum: 15

Telephone service and household roster (ROS) - Question identifier:ROS_Q07A

Is the person responding the selected respondent?

1. Yes
2. No

Telephone service and household roster (ROS) - Question identifier:ROS_Q08

May I speak with (selected respondent)?

1. Yes
2. No (Selected respondent unable to answer)

Telephone service and household roster (ROS) - Question identifier:ROS_Q09

Is (selected respondent) available (for the duration of the survey)?

1. Yes (Make an appointment)
2. No
DK,RF

Telephone service and household roster (ROS) - Question identifier:ROS_Q10

Is (selected respondent) unavailable to complete the survey because he/she is...

1. hunting, fishing, trapping or gathering wild plant food
2. out on the land
3. working
4. away at school
5. away due to illness/hospitalization
6. other (specify)
DK,RF

Telephone service and household roster (ROS) - Question identifier:ROS_Q11

Would you or another person living in your household be available to provide information about (selected respondent)?

1. Yes
2. No
DK,RF

Mobility (MO)

Mobility (MO) - Question identifier:MO_R01

I would like to ask you a couple of questions about where you live and moves that you may have made.

Mobility (MO) - Question identifier:MO_Q01

Have you lived in this community all of your life?

1. Yes
2. No
DK,RF

Mobility (MO) - Question identifier:MO_Q02

How many times, if any, have you moved in the past five years?

Minimum: 0 Maximum: 97
DK,RF

Health (HE)

Health (HE) - Question identifier:HE_R01

Now I would like to ask you some questions about your health.

Health (HE) - Question identifier:HE_Q01

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

1. Excellent?
2. Very Good?
3. Good?
4. Fair?
5. Poor?
DK,RF

Health (HE) - Question identifier:HE_R02

For the following questions, please answer "Yes, sometimes", "Yes, often" or "No".

Health (HE) - Question identifier:HE_Q02

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

1. Yes, sometimes
2. Yes, often
3. No
DK,RF

Health (HE) - Question identifier:HE_Q03A

Does a physical condition or mental condition or health problem reduce the amount or the kind of activity you can do...

at home?

1. Yes, sometimes
2. Yes, often
3. No
DK,RF

Health (HE) - Question identifier:HE_Q03B

(Does a physical condition or mental condition or health problem reduce the amount or the kind of activity you can do...)

at work or at school?

1. Yes, sometimes
2. Yes, often
3. No
DK,RF

Health (HE) - Question identifier:HE_Q03C

(Does a 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. Yes, sometimes
2. Yes, often
3. No
DK,RF

Health (HE) - Question identifier:HE_R04A

The next questions are about any special features that your home has or needs to assist anyone in your household with health conditions or health problems.

Health (HE) - Question identifier:HE_Q04A

Does your home now have modifications to doors or hallways?

1. Yes
2. No
DK,RF

Health (HE) - Question identifier:HE_Q04B

Does your home need modifications to doors or hallways?

1. Yes
2. No
DK,RF

Health (HE) - Question identifier:HE_Q05A

Does your home now have ramps?

1. Yes
2. No
DK,RF

Health (HE) - Question identifier:HE_Q05B

Does your home need ramps?

1. Yes
2. No
DK,RF

Health (HE) - Question identifier:HE_Q06A

Does your home now have modifications to the bathroom?

1. Yes
2. No
DK,RF

Health (HE) - Question identifier:HE_Q06B

Does your home need modifications to the bathroom?

1. Yes
2. No
DK,RF

Health (HE) - Question identifier:HE_Q07A

Does your home now have modifications to the kitchen?

1. Yes
2. No
DK,RF

Health (HE) - Question identifier:HE_Q07B

Does your home need modifications to the kitchen?

1. Yes
2. No
DK,RF

Health (HE) - Question identifier:HE_Q08A

Does your home now have alerting devices?

1. Yes
2. No
DK,RF

Health (HE) - Question identifier:HE_Q08B

Does your home need alerting devices?

1. Yes
2. No
DK,RF

Health (HE) - Question identifier:HE_Q09A

Does your home now have any other special features?

1. Yes (Specify)
2. No
DK,RF

Health (HE) - Question identifier:HE_Q09B

Does your home need any other special features?

1. Yes (Specify)
2. No
DK,RF

Language (LA)

Language (LA) - Question identifier:LA_R01

The next questions are about the languages you speak or understand.

Language (LA) - Question identifier:LA_Q01

What is the language you first learned at home in childhood and still understand?

1. Cree
2. Ojibway
3. Oji-Cree
4. Dene
5. Dakota/Sioux
6. Blackfoot
7. Other Aboriginal language (specify)
8. English
9. French
10. Sign language
11. Other non-Aboriginal language (specify)
DK,RF

Language (LA) - Question identifier:LA_Q02

What language or languages do you currently speak well enough to conduct a conversation?

1. Cree
2. Ojibway
3. Oji-Cree
4. Dene
5. Dakota/Sioux
6. Blackfoot
7. Other Aboriginal language (specify)
8. English
9. French
10. Sign language
11. Other non-Aboriginal language (specify)
DK,RF

Language (LA) - Question identifier:LA_R03A

For the following questions, please answer "All the time", "Most of the time", "Some of the time", "Rarely" or "Not at all".

Language (LA) - Question identifier:LA_Q03A

How often do you currently use an Aboriginal language or languages...

at home?

1. All the time
2. Most of the time
3. Some of the time
4. Rarely
5. Not at all
6. Not applicable
DK,RF

Language (LA) - Question identifier:LA_Q03B

(How often do you currently use an Aboriginal language or languages...)

at work?

1. All the time
2. Most of the time
3. Some of the time
4. Rarely
5. Not at all
6. Not applicable
DK,RF

Language (LA) - Question identifier:LA_Q03C

(How often do you currently use an Aboriginal language or languages...)

at school?

1. All the time
2. Most of the time
3. Some of the time
4. Rarely
5. Not at all
6. Not applicable
DK,RF

Language (LA) - Question identifier:LA_Q03D

(How often do you currently use an Aboriginal language or languages...)

elsewhere?

1. All the time
2. Most of the time
3. Some of the time
4. Rarely
5. Not at all
6. Not applicable
DK,RF

Language (LA) - Question identifier:LA_Q04

Some people feel it is important to keep, learn or re-learn an Aboriginal language while others feel it is not important. How do you feel? Is it ...

1. not important at all?
2. not very important?
3. somewhat important?
4. very important?
DK,RF

Education: Traditional activities and skills / Informal Education (ED)

Education: Traditional activities and skills / Informal Education (ED) - Question identifier:ED_R01A

Now I would like to ask about traditional activities and skills that you may have learned. Since the survey is being conducted in First Nations communities across Canada, some categories or examples might not be appropriate in your region.

Education: Traditional activities and skills / Informal Education (ED) - Question identifier:ED_Q01A

Have you ever ...

learned traditional singing and/or dancing?

1. Yes
2. No
DK,RF

Education: Traditional activities and skills / Informal Education (ED) - Question identifier:ED_Q01B

(Have you ever ...)

learned traditional drumming?

1. Yes
2. No
DK,RF

Education: Traditional activities and skills / Informal Education (ED) - Question identifier:ED_Q01C

(Have you ever ...)

participated in traditional ceremonies?

1. Yes
2. No
DK,RF

Education: Traditional activities and skills / Informal Education (ED) - Question identifier:ED_Q01D

(Have you ever ...)

gathered wild plants, for example berries, roots or wild rice?

1. Yes
2. No
DK,RF

Education: Traditional activities and skills / Informal Education (ED) - Question identifier:ED_Q01E

(Have you ever ...)

prepared or preserved berries or fruit?

1. Yes
2. No
DK,RF

Education: Traditional activities and skills / Informal Education (ED) - Question identifier:ED_Q01F

(Have you ever ...)

prepared plants for medicinal or other purposes?

1. Yes
2. No
DK,RF

Education: Traditional activities and skills / Informal Education (ED) - Question identifier:ED_Q01G

(Have you ever ...)

hunted, fished or trapped?

1. Yes
2. No
DK,RF

Education: Traditional activities and skills / Informal Education (ED) - Question identifier:ED_Q01H

(Have you ever ...)

processed and/or prepared animals for food or skins?

1. Yes
2. No
DK,RF

Education: Traditional activities and skills / Informal Education (ED) - Question identifier:ED_Q01I

(Have you ever ...)

cooked and/or prepared traditional foods?

1. Yes
2. No
DK,RF

Education: Traditional activities and skills / Informal Education (ED) - Question identifier:ED_Q01J

(Have you ever ...)

made traditional clothing, arts or crafts?

1. Yes
2. No
DK,RF

Education: Traditional activities and skills / Informal Education (ED) - Question identifier:ED_Q02A

People can learn about their history and culture through their family, friends and others. Have you ever learned about Aboriginal history and culture through traditional teaching, such as storytelling or involvement in cultural events, from your...

grandparents/great-grandparents?

1. Yes
2. No
DK,RF

Education: Traditional activities and skills / Informal Education (ED) - Question identifier:ED_Q02B

(People can learn about their history and culture through their family, friends and others. Have you ever learned about Aboriginal history and culture through traditional teaching, such as storytelling or involvement in cultural events, from your...)

parents?

1. Yes
2. No
DK,RF

Education: Traditional activities and skills / Informal Education (ED) - Question identifier:ED_Q02C

(People can learn about their history and culture through their family, friends and others. Have you ever learned about Aboriginal history and culture through traditional teaching, such as storytelling or involvement in cultural events, from your...)

Elders?

1. Yes
2. No
DK,RF

Education: Traditional activities and skills / Informal Education (ED) - Question identifier:ED_Q02D

(People can learn about their history and culture through their family, friends and others. Have you ever learned about Aboriginal history and culture through traditional teaching, such as storytelling or involvement in cultural events, from your...)

aunts and/or uncles?

1. Yes
2. No
DK,RF

Education: Traditional activities and skills / Informal Education (ED) - Question identifier:ED_Q02E

(People can learn about their history and culture through their family, friends and others. Have you ever learned about Aboriginal history and culture through traditional teaching, such as storytelling or involvement in cultural events, from your...)

brothers and/or sisters?

1. Yes
2. No
DK,RF

Education: Traditional activities and skills / Informal Education (ED) - Question identifier:ED_Q02F

(People can learn about their history and culture through their family, friends and others. Have you ever learned about Aboriginal history and culture through traditional teaching, such as storytelling or involvement in cultural events, from your...)

other relatives?

1. Yes
2. No
DK,RF

Education: Traditional activities and skills / Informal Education (ED) - Question identifier:ED_Q02G

(People can learn about their history and culture through their family, friends and others. Have you ever learned about Aboriginal history and culture through traditional teaching, such as storytelling or involvement in cultural events, from your...)

friends?

1. Yes
2. No
DK,RF

Education: Traditional activities and skills / Informal Education (ED) - Question identifier:ED_Q02H

(People can learn about their history and culture through their family, friends and others. Have you ever learned about Aboriginal history and culture through traditional teaching, such as storytelling or involvement in cultural events, from your...)

community/Aboriginal organization initiatives?

1. Yes
2. No
DK,RF

Education: Traditional activities and skills / Informal Education (ED) - Question identifier:ED_Q02I

(People can learn about their history and culture through their family, friends and others. Have you ever learned about Aboriginal history and culture through traditional teaching, such as storytelling or involvement in cultural events, from your...)

other (specify)

1. Yes
2. No
DK,RF

Education: Formal Education (FE)

Education: Formal Education (FE) - Question identifier:FE_R01

Now I would like to ask you some questions about your formal education.

Education: Formal Education (FE) - Question identifier:FE_Q01

Excluding kindergarten, how many grades of elementary and high school have you successfully completed?

1. No schooling
2. One to five
3. Six
4. Seven
5. Eight
6. Nine
7. Ten
8. Eleven
9. Twelve
10. Thirteen
DK,RF

Education: Formal Education (FE) - Question identifier:FE_Q02

Did you graduate from high school? Please do not include graduation through a high school equivalency program (GED).

1. Yes
2. No
DK,RF

Education: Formal Education (FE) - Question identifier:FE_Q03

Have you successfully completed a high school equivalency program (GED)?

1. Yes
2. No
DK,RF

Education: Formal Education (FE) - Question identifier:FE_Q04

Are you currently attending elementary or high school or a high school equivalency program?

1. Yes
2. No
DK,RF

Education: Formal Education (FE) - Question identifier:FE_Q05

Are you a full-time student or a part-time student?

1. Full-time
2. Part-time, day or evening
DK,RF

Education: Formal Education (FE) - Question identifier:FE_Q06

Is the program you are currently taking a high school equivalency program?

1. Yes
2. No
DK,RF

Education: Formal Education (FE) - Question identifier:FE_Q07

Are any of your teachers Aboriginal people?

1. Yes
2. No
DK,RF

Education: Formal Education (FE) - Question identifier:FE_Q08

Are any of your teachers' aides Aboriginal people?

1. Yes
2. No
6. Not applicable
DK,RF

Education: Formal Education (FE) - Question identifier:FE_Q09

Do any of your teachers teach in an Aboriginal language?

1. Yes
2. No
DK,RF

Education: Formal Education (FE) - Question identifier:FE_Q10

Do any of your teachers' aides teach in an Aboriginal language?

1. Yes
2. No
6. Not applicable
DK,RF

Education: Formal Education (FE) - Question identifier:FE_Q11

Are you being taught an Aboriginal language at elementary or high school?

1. Yes
2. No
DK,RF

Education: Formal Education (FE) - Question identifier:FE_Q12

Are you being taught about Aboriginal people at elementary or high school?

1. Yes
2. No
DK,RF

Education: Formal Education (FE) - Question identifier:FE_Q13

Do you feel that what you are being taught about Aboriginal people is usually accurate, sometimes accurate, seldom accurate or never accurate?

1. Usually accurate
2. Sometimes accurate
3. Seldom accurate
4. Never accurate
DK,RF

Education: Formal Education (FE) - Question identifier:FE_Q14

Why did you not continue elementary or high school?

1. Wanted to work
2. Had to work
3. Bored with school
4. School courses too hard or bad results
5. Pregnancy or taking care of (own) children
6. Problems at home
7. To help at home
8. No school available or accessible
9. Other (specify)
DK,RF

Education: Formal Education (FE) - Question identifier:FE_Q15

How old were you when you last took elementary or high school courses? Do not include courses taken later as part of a high school equivalency program.

Minimum: 0 Maximum: 97
DK,RF

Education: Formal Education (FE) - Question identifier:FE_Q16

For the next questions, think only of your last year in elementary or high school, including high school equivalency program. Were any of your teachers in elementary or high school Aboriginal people?

1. Yes
2. No
DK,RF

Education: Formal Education (FE) - Question identifier:FE_Q17

Were any of your teachers' aides Aboriginal people?

1. Yes
2. No
6. Not applicable
DK,RF

Education: Formal Education (FE) - Question identifier:FE_Q18

During your last year in elementary or high school, including high school equivalency program, did any of your teachers teach in an Aboriginal language?

1. Yes
2. No
DK,RF

Education: Formal Education (FE) - Question identifier:FE_Q19

Did any of your teachers' aides teach in an Aboriginal language?

1. Yes
2. No
6. Not applicable
DK,RF

Education: Formal Education (FE) - Question identifier:FE_Q20

During your last year in elementary or high school, including high school equivalency program, were you taught an Aboriginal language?

1. Yes
2. No
DK,RF

Education: Formal Education (FE) - Question identifier:FE_Q21

During your last year in elementary or high school, including high school equivalency program, were you taught about Aboriginal people?

1. Yes
2. No
DK,RF

Education: Formal Education (FE) - Question identifier:FE_Q22

Do you feel that what you were taught about Aboriginal people was usually accurate, sometimes accurate, seldom accurate or never accurate?

1. Usually accurate
2. Sometimes accurate
3. Seldom accurate
4. Never accurate
DK,RF

Education: Formal Education (FE) - Question identifier:FE_Q23

Now, think about any education or training above the high school level. Have you ever taken some education towards a certificate, diploma or degree above the high school level?

1. Yes
2. No
DK,RF

Education: Formal Education (FE) - Question identifier:FE_Q24A

At what type of educational institution did you take this education?

A university

1. Yes
2. No
DK,RF

Education: Formal Education (FE) - Question identifier:FE_Q24B

(At what type of educational institution did you take this education?)

A community college or CEGEP

1. Yes
2. No
DK,RF

Education: Formal Education (FE) - Question identifier:FE_Q24C

(At what type of educational institution did you take this education?)

A publicly-funded technical institute, or a trade/vocational school

1. Yes
2. No
DK,RF

Education: Formal Education (FE) - Question identifier:FE_Q24D

(At what type of educational institution did you take this education?)

A private business school or private training institute

1. Yes
2. No
DK,RF

Education: Formal Education (FE) - Question identifier:FE_Q24E

(At what type of educational institution did you take this education?)

Another school above high school

1. Yes
2. No
DK,RF

Education: Formal Education (FE) - Question identifier:FE_Q25

Have you completed the requirements for any certificate, diploma or degree for your education or training above the high school level?

1. Yes
2. No
DK,RF

Education: Formal Education (FE) - Question identifier:FE_Q26

Are you currently taking education towards a certificate, diploma or degree above the high school level?

1. Yes
2. No
DK,RF

Education: Formal Education (FE) - Question identifier:FE_Q27

In what year did you last take post-secondary education?

Minimum: 1900 Maximum: 2009
DK,RF

Education: Formal Education (FE) - Question identifier:FE_Q28

Why did you not finish your post-secondary education?

1. Pregnant / Caring for own child(ren)
2. Other family responsibilities
3. Own illness / disability
4. Financial reasons (not enough money)
5. Lost interest / lack of motivation
6. Got a job / wanted to work
7. Too old or too late now
8. Courses too hard / bad results
9. Too difficult to be away from home
10. Other (specify)
DK,RF

Education: Formal Education (FE) - Question identifier:FE_Q29

What certificate(s), diploma(s) or degree(s) have you completed?

1. Trades certificate or diploma
2. Registered Apprenticeship program
3. Other non-university certificate or diploma (obtained at community college, CEGEP, Technical institute, etc.)
4. University certificate or diploma below bachelor level
5. Bachelor's degree(s) (e.g., B.A., B.Sc., LL.B.)
6. University certificate or diploma ABOVE Bachelor's, BELOW Master's
7. Master's Degree(s) (e.g., M.A., M.Sc., M.Ed.)
8. Degree in medicine, dentistry, veterinary medicine or optometry (M.D., D.D.S., D.M.D., D.V.M., O.D.)
9. Earned doctorate (e.g., Ph.D., D.Sc., D.Ed.)
10. Other (specify)
DK,RF

Education: Formal Education (FE) - Question identifier:FE_Q30

In what year did you obtain your most recent certificate, diploma or degree?

Minimum: 1900 Maximum: 2009
DK, RF

Education: Formal Education (FE) - Question identifier:FE_Q31

Are you currently taking education towards a diploma, certificate or degree above the high school level?

1. Yes
2. No
DK,RF

Education: Formal Education (FE) - Question identifier:FE_Q32

Are you a full-time student or a part-time student?

1. Full-time
2. Part-time, day or evening
DK,RF

Education: Formal Education (FE) - Question identifier:FE_Q33

What type of certificate, diploma or degree are you currently working on?

1. Trades certificate or diploma
2. Registered Apprenticeship program
3. Other non-university certificate or diploma (obtained at community college, CEGEP, Technical institute, etc.)
4. University certificate or diploma below bachelor level
5. Bachelor's degree(s) (e.g., B.A., B.Sc., LL.B.)
6. University certificate or diploma ABOVE Bachelor's, BELOW Master's
7. Master's Degree(s) (e.g., M.A., M.Sc., M.Ed.)
8. Degree in medicine, dentistry, veterinary medicine or optometry
(M.D., D.D.S., D.M.D., D.V.M., O.D.)
9. Earned doctorate (e.g., Ph.D., D.Sc., D.Ed.)
10. Other (specify)
DK,RF

Education: Formal Education (FE) - Question identifier:FE_Q34

Did you take any of your post-secondary courses by correspondence or through some other form of distance education? By "distance education" we mean education received by mail or electronic media such as television, CD-ROM or the Internet.

1. Yes
2. No
DK,RF

Education: Formal Education (FE) - Question identifier:FE_Q35

Did you apply for financial assistance to carry out any of your post-secondary education?

1. Yes
2. No
DK,RF

Education: Formal Education (FE) - Question identifier:FE_Q36

Did you receive any type of financial assistance towards your post-secondary education?

1. Yes
2. No
3. On waiting list
DK,RF

Education: Formal Education (FE) - Question identifier:FE_Q37

What type of financial assistance did you receive?

1. Indian and Northern Affairs Canada (INAC) or Band funding
2. Grant, bursary or scholarship
3. Student loan
4. Personal bank loan
5. Other (specify)
DK,RF

Education: Formal Education (FE) - Question identifier:FE_R38

The next two questions may be personal. I can skip them if you prefer not to answer.

Education: Formal Education (FE) - Question identifier:FE_Q38

Were you ever a student at a federal residential school or a federal industrial school?

1. Yes
2. No
DK,RF

Education: Formal Education (FE) - Question identifier:FE_Q39A

Were any of the following members of your family ever a student at a federal residential school or a federal industrial school?

Your grandmothers

1. Yes
2. No
DK,RF

Education: Formal Education (FE) - Question identifier:FE_Q39B

(Were any of the following members of your family ever a student at a federal residential school or a federal industrial school?)

Your grandfathers

1. Yes
2. No
DK,RF

Education: Formal Education (FE) - Question identifier:FE_Q39C

(Were any of the following members of your family ever a student at a federal residential school or a federal industrial school?)

Your mother

1. Yes
2. No
DK,RF

Education: Formal Education (FE) - Question identifier:FE_Q39D

(Were any of the following members of your family ever a student at a federal residential school or a federal industrial school?)

Your father

1. Yes
2. No
DK,RF

Education: Formal Education (FE) - Question identifier:FE_Q39E

(Were any of the following members of your family ever a student at a federal residential school or a federal industrial school?)

Your current spouse or partner

1. Yes
2. No
3. Not applicable
DK,RF

Education: Formal Education (FE) - Question identifier:FE_Q39F

(Were any of the following members of your family ever a student at a federal residential school or a federal industrial school?)

Your brothers or sisters

1. Yes
2. No
3. Not applicable
DK,RF

Education: Formal Education (FE) - Question identifier:FE_Q39G

(Were any of the following members of your family ever a student at a federal residential school or a federal industrial school?)

Your aunts or uncles

1. Yes
2. No
3. Not applicable
DK,RF

Education: Formal Education (FE) - Question identifier:FE_Q39H

(Were any of the following members of your family ever a student at a federal residential school or a federal industrial school?)

Your cousins

1. Yes
2. No
3. Not applicable
DK,RF

Education: Formal Education (FE) - Question identifier:FE_Q39I

(Were any of the following members of your family ever a student at a federal residential school or a federal industrial school?)

Other relatives

1. Yes
2. No
3. Not applicable
DK,RF

Paid Work (PW)

Paid Work (PW) - Question identifier:PW_R01

Now I would like to ask you about work. Many of the following questions refer to last week, the week beginning on Sunday and ending last Saturday.

Paid Work (PW) - Question identifier:PW_Q01

Last week did you work at a job or a business?

1. Yes
2. No
DK,RF

Paid Work (PW) - Question identifier:PW_Q02

Last week, did you have a job or business from which you were absent?
(e.g. illness, vacation, etc.)

1. Yes
2. No
DK,RF

Paid Work (PW) - Question identifier:PW_Q03A

What was the main reason you were not at work last week?

1. Temporary layoff due to business conditions
2. Seasonal layoff
3. Casual job, no work available
4. Own illness or disability
5. Caring for relatives
6. Vacation or holiday
7. Other (specify)
DK,RF

Paid Work (PW) - Question identifier:PW_Q03B

Have you been given any indication that you will be recalled within the next six months?

1. Yes
2. No
DK,RF

Paid Work (PW) - Question identifier:PW_Q04A

Last week, did you have more than one job or business?

1. Yes
2. No
DK,RF

Paid Work (PW) - Question identifier:PW_R05

I am now going to ask you some questions about the job or business at which you usually work the most hours.

Paid Work (PW) - Question identifier:PW_Q05

Were you an employee, or self-employed?

1. Employee
2. Self-employed
DK,RF

Paid Work (PW) - Question identifier:PW_Q06

Was your job...

1. Permanent?
2. Seasonal?
3. Temporary, term or contract?
4. Casual?
DK,RF

Paid Work (PW) - Question identifier:PW_Q07

For whom did you work?

250 characters.
DK,RF

Paid Work (PW) - Question identifier:PW_Q08

What was the name of your business?

250 characters.
DK,RF

Paid Work (PW) - Question identifier:PW_Q09

What kind of service, business or industry was this?

250 characters.
DK,RF

Paid Work (PW) - Question identifier:PW_Q10

What was your work or occupation?

250 characters.
DK,RF

Paid Work (PW) - Question identifier:PW_Q11

In this work, what were your main activities?

250 characters.
DK,RF

Paid Work (PW) - Question identifier:PW_Q12

Did you spend most of your working hours on-reserve, or off-reserve?

1. On-reserve
2. Off-reserve
3. Equal time on and off-reserve
DK,RF

Paid Work (PW) - Question identifier:PW_Q13

Excluding overtime, do you usually work 30 or more hours per week at a single job?

1. Yes
2. No
DK,RF

Paid Work (PW) - Question identifier:PW_Q14

Do you want to work 30 or more hours per week at a single job?

1. Yes
2. No
DK,RF

Paid Work (PW) - Question identifier:PW_Q15

What is the main reason you usually work less than 30 hours per week at a single job?

1. Own illness or disability
2. Other personal or family responsibilities
3. Going to school
4. Business conditions
5. Could not find work with 30 or more hours per week
6. Other (specify)
DK,RF

Paid Work (PW) - Question identifier:PW_Q16

In the 4 weeks ending last Saturday, did you do anything to find work?

1. Yes
2. No
3. Retiree not interested in work
DK,RF

Paid Work (PW) - Question identifier:PW_Q17A

What did you do to find work in those 4 weeks? Did you...

inquire at the Band Office?

1. Yes
2. No
DK,RF

Paid Work (PW) - Question identifier:PW_Q17B

(What did you do to find work in those 4 weeks? Did you...)

inquire at Friendship Centre?

1. Yes
2. No
DK,RF

Paid Work (PW) - Question identifier:PW_Q17C

(What did you do to find work in those 4 weeks? Did you...)

use a public or private agency?

1. Yes
2. No
DK,RF

Paid Work (PW) - Question identifier:PW_Q17D

(What did you do to find work in those 4 weeks? Did you...)

contact employers directly?

1. Yes
2. No
DK,RF

Paid Work (PW) - Question identifier:PW_Q17E

(What did you do to find work in those 4 weeks? Did you...)

contact friends or relatives?

1. Yes
2. No
DK,RF

Paid Work (PW) - Question identifier:PW_Q17F

(What did you do to find work in those 4 weeks? Did you...)

place or answer advertisements?

1. Yes
2. No
DK,RF

Paid Work (PW) - Question identifier:PW_Q17G

(What did you do to find work in those 4 weeks? Did you...)

look at advertisements?

1. Yes
2. No
DK,RF

Paid Work (PW) - Question identifier:PW_Q17H

(What did you do to find work in those 4 weeks? Did you...)

do anything else? (specify)

1. Yes
2. No
DK,RF

Paid Work (PW) - Question identifier:PW_Q18

Were you looking for work on-reserve, off-reserve or both?

1. On-reserve
2. Off-reserve
3. Both (On-reserve and Off-reserve)
DK,RF

Paid Work (PW) - Question identifier:PW_Q19

What are the reasons you were only looking for work on-reserve?

1. Need to be close to home for personal or family responsibilities
2. Too far to travel to off-reserve jobs
3. No transportation available to off-reserve jobs
4. Faced with discrimination/racism off-reserve
5. Not sure where to look to find off-reserve job
6. Monetary advantages
7. Other (specify)
DK,RF

Paid Work (PW) - Question identifier:PW_Q20

What is the main reason you currently do not work at a job?

1. Own illness or disability
2. Other personal or family responsibilities
3. Going to school
4. No jobs available
5. Not qualified for available jobs
6. Other (specify)
DK,RF

Paid Work (PW) - Question identifier:PW_Q21

Last week did you have a job to start at a definite date in the future?

1. Yes
2. No
DK,RF

Paid Work (PW) - Question identifier:PW_Q22

Will you start that job sometime within the next 4 weeks?

1. Yes
2. No
DK,RF

Paid Work (PW) - Question identifier:PW_Q23

Did you want a job last week?

1. Yes
2. No
DK,RF

Paid Work (PW) - Question identifier:PW_Q24

What was the main reason you did not look for work last week?

1. Believes no work available
2. Own illness or disability
3. Other personal or family responsibilities
4. Going to school
5. Waiting for recall/replies
6. Retired
7. Other (specify)
DK, RF

Paid Work (PW) - Question identifier:PW_Q25

Could you have worked last week if a suitable job had been offered?

1. Yes
2. No
DK,RF

Paid Work (PW) - Question identifier:PW_Q26

What was the main reason you were not available to work last week?

1. Own illness or disability
2. Other personal or family responsibilities
3. Going to school
4. Vacation
5. Other (specify)
DK,RF

Unpaid Work / Community Involvment (UW)

Unpaid Work / Community Involvment (UW) - Question identifier:UW_R01A

The following questions ask about activities you may have done but not for pay or in exchange for something. Instead, the question refers to work done to produce goods for your own or community use.

Since the survey is being conducted across Canada, some questions may not seem appropriate for your region or at this time of year.

Unpaid Work / Community Involvment (UW) - Question identifier:UW_Q01A

In the last 4 weeks, did you ...

make clothing or footwear?

1. Yes
2. No
DK,RF

Unpaid Work / Community Involvment (UW) - Question identifier:UW_Q01B

Did you do this activity last week?

1. Yes
2. No
DK,RF

Unpaid Work / Community Involvment (UW) - Question identifier:UW_Q02A

(In the last 4 weeks, did you ...)

make arts/crafts (e.g. carving, drawings, jewellery)?

1. Yes
2. No
DK,RF

Unpaid Work / Community Involvment (UW) - Question identifier:UW_Q02B

Did you do this activity last week?

1. Yes
2. No
DK,RF

Unpaid Work / Community Involvment (UW) - Question identifier:UW_Q03A

(In the last 4 weeks, did you ...)

hunt, fish or trap?

1. Yes
2. No
DK,RF

Unpaid Work / Community Involvment (UW) - Question identifier:UW_Q03B

Did you do this activity last week?

1. Yes
2. No
DK,RF

Unpaid Work / Community Involvment (UW) - Question identifier:UW_Q04A

(In the last 4 weeks, did you ...)

process, smoke or cure meat?

1. Yes
2. No
DK,RF

Unpaid Work / Community Involvment (UW) - Question identifier:UW_Q04B

Did you do this activity last week?

1. Yes
2. No
DK,RF

Unpaid Work / Community Involvment (UW) - Question identifier:UW_Q05A

(In the last 4 weeks, did you ...)

cut, split or saw wood?

1. Yes
2. No
DK,RF

Unpaid Work / Community Involvment (UW) - Question identifier:UW_Q05B

Did you do this activity last week?

1. Yes
2. No
DK,RF

Unpaid Work / Community Involvment (UW) - Question identifier:UW_Q06A

(In the last 4 weeks, did you ...)

help construct a building (e.g. a home, garage, shed)?

1. Yes
2. No
DK,RF

Unpaid Work / Community Involvment (UW) - Question identifier:UW_Q06B

Did you do this activity last week?

1. Yes
2. No
DK,RF

Unpaid Work / Community Involvment (UW) - Question identifier:UW_Q07A

(In the last 4 weeks, did you ...)

make major repairs to your home?

1. Yes
2. No
DK,RF

Unpaid Work / Community Involvment (UW) - Question identifier:UW_Q07B

Did you do this activity last week?

1. Yes
2. No
DK,RF

Unpaid Work / Community Involvment (UW) - Question identifier:UW_Q08A

(In the last 4 weeks, did you ...)

tend a farm plot or food garden?

1. Yes
2. No
DK,RF

Unpaid Work / Community Involvment (UW) - Question identifier:UW_Q08B

Did you do this activity last week?

1. Yes
2. No
DK,RF

Unpaid Work / Community Involvment (UW) - Question identifier:UW_Q09A

(In the last 4 weeks, did you ...)

gather wild plants (e.g. berries, rice or sweet grass?)

1. Yes
2. No
DK,RF

Unpaid Work / Community Involvment (UW) - Question identifier:UW_Q09B

Did you do this activity last week?

1. Yes
2. No
DK,RF

Unpaid Work / Community Involvment (UW) - Question identifier:UW_Q10A

(In the last 4 weeks, did you ...)

preserve wild berries or fruit?

1. Yes
2. No
DK,RF

Unpaid Work / Community Involvment (UW) - Question identifier:UW_Q10B

Did you do this activity last week?

1. Yes
2. No
DK,RF

Unpaid Work / Community Involvment (UW) - Question identifier:UW_Q11

Last week, how many hours in total did you work at these unpaid activities I just mentioned?

1. Less than 5
2. 5 to 9
3. 10 to 14
4. 15 to 19
5. 20 or more
DK,RF

Unpaid Work / Community Involvment (UW) - Question identifier:UW_Q12A

The next question is about your participation in the community.

In the last 4 weeks, did you...

work at a community event (including feasts, festivals, food distribution, or community clean-up)?

1. Yes
2. No
DK,RF

Unpaid Work / Community Involvment (UW) - Question identifier:UW_Q12B

(In the last 4 weeks, did you...)

work or volunteer for a community organization or group (for example, a radio station, a youth group, etc.)?

1. Yes
2. No
DK,RF

Unpaid Work / Community Involvment (UW) - Question identifier:UW_Q12D

(In the last 4 weeks, did you...)

attend a public meeting held in the community?

1. Yes
2. No
DK,RF

Unpaid Work / Community Involvment (UW) - Question identifier:UW_Q12F

(In the last 4 weeks, did you...)

attend or participate in a community fundraising event?

1. Yes
2. No
DK,RF

Income (IC)

Income (IC) - Question identifier:IC_R01

Now, I would like to ask you a few questions about income.

Income (IC) - Question identifier:IC_Q01A

Thinking about the total income for all household members, from which of the following sources did your household receive any income during the year ending December 31, 2008:

Wages or salary?

1. Yes
2. No
DK,RF

Income (IC) - Question identifier:IC_Q01B

(Thinking about the total income for all household members, from which of the following sources did your household receive any income during the year ending December 31, 2008:)

Income from self-employment?

1. Yes
2. No
DK,RF

Income (IC) - Question identifier:IC_Q01C

(Thinking about the total income for all household members, from which of the following sources did your household receive any income during the year ending December 31, 2008:)

Child Benefits such as child tax benefits, family allowances?

1. Yes
2. No
DK,RF

Income (IC) - Question identifier:IC_Q01D

(Thinking about the total income for all household members, from which of the following sources did your household receive any income during the year ending December 31, 2008:)

Old Age Security Pension, Guaranteed Income Supplement or Spouse's Allowance from the Federal Government?

1. Yes
2. No
DK,RF

Income (IC) - Question identifier:IC_Q01E

(Thinking about the total income for all household members, from which of the following sources did your household receive any income during the year ending December 31, 2008:)

Canada or Quebec Pension Plan?

1. Yes
2. No
DK,RF

Income (IC) - Question identifier:IC_Q01F

(Thinking about the total income for all household members, from which of the following sources did your household receive any income during the year ending December 31, 2008:)

Employment insurance?

1. Yes
2. No
DK,RF

Income (IC) - Question identifier:IC_Q01G

(Thinking about the total income for all household members, from which of the following sources did your household receive any income during the year ending December 31, 2008:)

Provincial or community social assistance or welfare?

1. Yes
2. No
DK,RF

Income (IC) - Question identifier:IC_Q01H

(Thinking about the total income for all household members, from which of the following sources did your household receive any income during the year ending December 31, 2008:)

Other income from government sources (for example GST/QST/HST credit, provincial income supplements and grants, provincial tax credits, workers' compensation or veterans' pensions)?

1. Yes
2. No
DK,RF

Income (IC) - Question identifier:IC_Q01I

(Thinking about the total income for all household members, from which of the following sources did your household receive any income during the year ending December 31, 2008:)

Interest, dividends, or other investment income?

1. Yes
2. No
DK,RF

Income (IC) - Question identifier:IC_Q01J

(Thinking about the total income for all household members, from which of the following sources did your household receive any income during the year ending December 31, 2008:)

Retirement pensions, superannuation or annuities?

1. Yes
2. No
DK,RF

Income (IC) - Question identifier:IC_Q01K

(Thinking about the total income for all household members, from which of the following sources did your household receive any income during the year ending December 31, 2008:)

Royalties, trusts or land claims payments?

1. Yes
2. No
DK,RF

Income (IC) - Question identifier:IC_Q01L

(Thinking about the total income for all household members, from which of the following sources did your household receive any income during the year ending December 31, 2008:)

Other income (for example, treaty money, alimony, child support, education allowances or scholarships)?

1. Yes
2. No
DK,RF

Income (IC) - Question identifier:IC_Q02

What was the household's main source of income for the year ending December 31, 2008?

1. Wages or salary
2. Income from self-employment
3. Child Benefits such as child tax benefits, family allowances
4. Old Age Security Pension, Guaranteed Income Supplement or Spouse's Allowance from the Federal Government
5. Canada or Quebec Pension Plan
6. Employment insurance
7. Provincial or community social assistance or welfare
8. Other income from government sources
9. Dividends, interest or other investment income
10. Retirement pensions, superannuation or annuities
11. Royalties, trusts or land claims payments
12. Other income (for example, treaty money, alimony, child support, education allowances or scholarships)
DK,RF

Income (IC) - Question identifier:IC_Q03A

What was the total income of all household members from all sources for the year ending December 31, 2008?

Minimum: 0 Maximum: 999997
DK,RF

Income (IC) - Question identifier:IC_Q03AA

Was this an income loss or no income?

1. Income loss
2. No income
DK,RF

Income (IC) - Question identifier:IC_Q03B

Can you estimate in which of the following groups your household income falls? Was the total household income...

1. Less than $10,000
2. $10,000 to $14,999
3. $15,000 to $19,999
4. $20,000 to $29,999
5. $30,000 to $39,999
6. $40,000 to $49,999
7. $50,000 to $59,999
8. $60,000 to $69,999
9. $70,000 and over
DK,RF

Income (IC) - Question identifier:IC_Q04

Including yourself, how many household members received income from any source for the year ending December 31, 2008?

Minimum: 1 Maximum: 97
DK,RF

Income (IC) - Question identifier:IC_R05

The next questions ask about your personal income.

Income (IC) - Question identifier:IC_Q05

What was your main source of personal income for the year ending December 31, 2008?

1. Income loss
2. No income
3. Wages or salary
4. Income from self-employment
5. Child Benefits such as child tax benefits, family allowances
6. Old Age Security Pension, Guaranteed Income Supplement or Spouse's Allowance from the Federal Government
7. Canada or Quebec Pension Plan
8. Employment insurance
9. Provincial or community social assistance or welfare
10. Other income from government sources
11. Dividends, interest or other investment income
12. Retirement pensions, superannuation or annuities
13. Royalties, trusts or land claims payments
14. Other income (for example, treaty money, alimony, child support, education allowances or scholarships)
DK,RF

Income (IC) - Question identifier:IC_Q06A

What was your total personal income from all sources for the year ending December 31, 2008?

Minimum: 0 Maximum: 999997
DK,RF

Income (IC) - Question identifier:IC_Q06B

Can you estimate in which of the following groups your personal income falls? Was your total personal income...

1. Less than $3,000
2. $3,000 to $4,999
3. $5,000 to $9,999
4. $10,000 to $14,999
5. $15,000 to $19,999
6. $20,000 to $29,999
7. $30,000 to $39,999
8. $40,000 and over
DK,RF

Income (IC) - Question identifier:IC_REND

This concludes our questionnaire. Thank you for participating in the Pilot Survey of People Living in First Nations Communities. We really appreciate you taking the time to answer our questions. We will ensure that all information will be kept strictly confidential.

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