National Household Survey 2011 - N2

STEP A - Question identifier:1.

Print your telephone number

• 1: Area Code, Telephone Number

STEP A - Question identifier:2.

Print the address:

• 1: No. and street or lot and concession
• 2: Apt. no
• 3: City, municipality, town, village, Indian reserve
• 4: Province/territory
• 5: Postal code

STEP B - Question identifier:1.

How many persons usually live at this address on May 10, 2011, including yourself?

• 1: Number of Persons

STEP B - Question identifier:2.

Including yourself, list below all persons who usually live here.

• 1: Family Name, Given Name

Did you leave anyone out of Step B because you were not sure the person should be listed? (For example, a person living at this address who has another home, a person temporarily away, etc.)

• 1: No
• 2: Yes. See the instructions for Step B. Add the additional names in Step B, if applicable.

Copy the names in Step B to Question 1. Keep the same order. Then answer the following questions for each person.

STEP D - Question identifier:1.

NAME

• 1: Family Name, Given Name

STEP D - Question identifier:2.

SEX

• 1: Male
• 2: Female

STEP D - Question identifier:3.

DATE OF BIRTH AND AGE

• 1: Day, Month, Year
• 2: Age

STEP D - Question identifier:4.

MARITAL STATUS

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

STEP D - Question identifier:5.

Is this person living with a common-law partner?

• 1: No
• 2: Yes

STEP D - Question identifier:6.

RELATIONSHIP TO PERSON 1

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

Activities of daily living - Question identifier:7.

Does this person have any difficulty hearing, seeing, communicating, walking, climbing stairs, bending, learning or doing any similar activities?

• 1: Yes, sometimes
• 2: Yes, often
• 3: No

Activities of daily living - Question identifier:8.

Does a physical condition or mental condition or health problem reduce the amount or the kind of activity this person can do:

(a) at home?

• 1: Yes, sometimes
• 2: Yes, often
• 3: No

(b) at work or at school?

• 1: Yes, sometimes
• 2: Yes, often
• 3: No
• 4: Not applicable

(c) in other activities, for example, transportation or leisure?

• 1: Yes, sometimes
• 2: Yes, often
• 3: No

Sociocultural information - Question identifier:9.

Where was this person born?

• 1: Nfld.Lab.
• 2: P.E.I.
• 3: N.S.
• 4: N.B.
• 5: Quebec
• 6: Ontario
• 7: Manitoba
• 8: Sask.
• 9: Alberta
• 10: B.C.
• 11: Yukon
• 12: N.W.T.
• 13: Nunavut
• 14: Born outside Canada - Specify country

Sociocultural information - Question identifier:10.

Of what country is this person a citizen?

• 1: Canada, by birth
• 2: Canada, by naturalization
• 3: Other country - Specify

Sociocultural information - Question identifier:11.

Is this person now, or has this person ever been, a landed immigrant?

• 1: No. Go to Question 13.
• 2: Yes

Sociocultural information - Question identifier:12.

In what year did this person first become a landed immigrant?

• 1: Year

Sociocultural information - Question identifier:13.

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

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

Sociocultural information - Question identifier:14.

What language(s), other than English or French, can this person speak well enough to conduct a conversation?

• 1: None
• 2: Specify other language(s)

Sociocultural information - Question identifier:15.

(a) What language does this person speak most often at home?

• 1: English
• 2: French
• 3: Other - Specify

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

• 1: No
• 2: Yes, English
• 3: Yes, French
• 4: Yes, Other - Specify

Sociocultural information - Question identifier:16.

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

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

Sociocultural information - Question identifier:17.

What were the ethnic or cultural origins of this person's ancestors?

• 1: Specify as many origins as applicable using capital letters.

Sociocultural information - Question identifier:18.

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

• 1: No, not an Aboriginal person
• 2: Yes, First Nations(North American Indian)
• 3: Yes, Métis
• 4: Yes, Inuk (Inuit)

Sociocultural information - Question identifier:19.

Is this person:

• 1: White
• 2: South Asian (e.g., East Indian, Pakistani, Sri Lankan, etc.)
• 3: Chinese
• 4: Black
• 5: Filipino
• 6: Latin American
• 7: Arab
• 8: Southeast Asian (e.g., Vietnamese, Cambodian, Malaysian, Laotian, etc.)
• 9: West Asian (e.g., Iranian, Afghan, etc.)
• 10: Korean
• 11: Japanese
• 12: Other - Specify

Sociocultural information - Question identifier:20.

Is this person a Status Indian (Registered or Treaty Indian as defined by the Indian Act of Canada)?

• 1: No
• 2: Yes, Status Indian (Registered or Treaty)

Sociocultural information - Question identifier:21.

Is this person a member of a First Nation/Indian band?

• 1: No
• 2: Yes, member of a First Nation/Indian band (Specify name of First Nation/Indian band.)

Sociocultural information - Question identifier:22.

What is this person's religion?

• 1: Specify one denomination or religion only.
• 2: No religion

Mobility - Question identifier:23.

Where did this person live 1 year ago, that is, on May 10, 2010?

• 1: Born after May 10, 2010
• 2: Lived at the same address as now
• 3: Lived at a different address in the same city, town, village, township, municipality or Indian reserve
• 4: Lived in a different city, town, village, township, municipality or Indian reserve in Canada (Specify)
• 5: Lived outside Canada (Specify country)

Mobility - Question identifier:24.

Where did this person live 5 years ago, that is, on May 10, 2006?

• 1: Born after May 10, 2006
• 2: Lived at the same address as now
• 3: Lived at a different address in the same city, town, village, township, municipality or Indian reserve
• 4: Lived in a different city, town, village, township, municipality or Indian reserve in Canada (Specify)
• 5: Lived outside Canada (Specify country)

Place of birth of parents - Question identifier:25.

Where was each of this person's parents born?

• a): Father
• 1: Born in Canada
• 2: Born outside Canada - specify country
• b): Mother
• 1: Born in Canada
• 2: Born outside Canada - specify country

(a) Father

• 1: Born in Canada
• 2: Born outside Canada (Specify country)

(b) Mother

• 1: Born in Canada
• 2: Born outside Canada (Specify country)

Place of birth of parents - Question identifier:26.

Answer Questions 27 to 55 for each person aged 15 years and over (born before May 10, 1996).

Education - Question identifier:27.

Has this person completed a secondary (high) school diploma or equivalent?

• 1: Yes, secondary (high) school diploma
• 2: Yes, secondary (high) school equivalency certificate
• 3: No

Education - Question identifier:28.

Has this person completed a Registered Apprenticeship or other trades certificate or diploma?

• 1: Yes, Registered Apprenticeship certificate (including Certificate of Qualification, Journeyperson's designation)
• 2: Yes, other trades certificate or diploma
• 3: No

Education - Question identifier:29.

Has this person completed a college, CEGEP, or other non-university certificate or diploma? (Other than certificates or diplomas reported in Question 28.)

• 1: Yes, certificate or diploma from a program of less than 3 months
• 2: Yes, certificate or diploma from a program of 3 months to less than 1 year
• 3: Yes, certificate or diploma from a program of 1 year to 2 years
• 4: Yes, certificate or diploma from a program of more than 2 years
• 5: No

Education - Question identifier:30.

Has this person completed a university certificate, diploma or degree?

• 1: Yes, university certificate or diploma below bachelor level
• 2: Yes, bachelor's degree (including LL.B.)
• 3: Yes, university certificate or diploma above bachelor level
• 4: Yes, master's degree
• 5: Yes, degree in medicine, dentistry, veterinary medicine
  or optometry
• 6: Yes, earned doctorate
• 7: No

Education - Question identifier:31.

What was the major field of study of the highest certificate, diploma or degree that this person completed?

• 1: Major field of study of highest certificate, diploma or degree
• 2: No certificate, diploma or degree (higher than high school). Go to Question 33

Education - Question identifier:32.

In what province, territory or country did this person complete his or her highest certificate, diploma or degree?

• 1: In Canada (Specify province or territory)
• 2: Outside Canada (Specify country)

Education - Question identifier:33.

At any time since September 2010, has this person attended a school, college, CEGEP or university?

• 1: Yes, attended elementary, junior high school or high school
• 2: Yes, attended trade school, business school, community college, technical institute, CEGEP or other non-university institution
• 3: Yes, attended university
• 4: No, did not attend school at any time since September 2010

Labour market activities - Question identifier:34.

During the week of Sunday, May 1 to Saturday, May 7, 2011, how many hours did this person spend working for pay or in self-employment?

• 1: Number of hours (to the nearest hour)
• 2: None

Labour market activities - Question identifier:35.

During the week of May 1 to May 7, was this person on temporary lay-off or absent from his / her job or business?

• 1: No
• 2: Yes, on temporary lay-off from a job to which this person expects to return
• 3: Yes, on vacation, ill, on strike or locked out, or absent for other reasons

Labour market activities - Question identifier:36.

During the week of May 1 to May 7, did this person have definite arrangements to start a new job within the next four weeks?

• 1: No
• 2: Yes

Labour market activities - Question identifier:37.

Did this person look for paid work during the four weeks from April 10 to May 7, 2011?

• 1: No (Go to Question 39)
• 2: Yes, looked for full-time work
• 3: Yes, looked for part-time work (less than 30 hours per week)

Labour market activities - Question identifier:38.

Could this person have started a job during the week of Sunday, May 1 to Saturday, May 7, 2011 had one been available?

• 1: Yes, could have started a job
• 2: No, already had a job
• 3: No, because of temporary illness or disability
• 4: No, because of personal or family responsibilities
• 5: No, going to school
• 6: No, other reasons

Labour market activities - Question identifier:39.

When did this person last work for pay or in self-employment, even for a few days?

• 1: In 2011
• 2: In 2010
• 3: Before 2010
• 4: Never

Labour market activities - Question identifier:40.

For whom did this person work?

• 1: Name of firm, government agency, etc.
• 2: Section, plant, department, etc. (if applicable)

Labour market activities - Question identifier:41.

What kind of business, industry or service was this?

• 1: Kind of business, industry or service

Labour market activities - Question identifier:42.

What was this person's work or occupation?

• 1: Occupation

Labour market activities - Question identifier:43.

In this work, what were this person's main activities?

• 1: Main activities

Labour market activities - Question identifier:44.

In this job or business, was this person mainly:

• 1: working for wages, salary, tips or commission?
• 2: working without pay for his/her spouse or another relative in a family farm or business?
• 3: self-employed without paid help (alone or in partnership)?
• 4: self-employed with paid help (alone or in partnership)?

Labour market activities - Question identifier:45.

If self-employed, was this person's farm or business incorporated?

• 1: No
• 2: Yes

Labour market activities - Question identifier:46.

At what address did this person usually work most of the time?

• 1: Worked at home (including farms) Go to Question 49
• 2: Worked outside Canada (Go to Question 49)
• 3: No fixed workplace address
• 4: Worked at the address specified below
  (Specify complete address: Street, City, Prov/Terr, Postal Code)

Labour market activities - Question identifier:47.a)

How did this person usually get to work?

• 1: Car, truck or van - as a driver
• 2: Car, truck or van - as a passenger
• 3: Bus
• 4: Subway or elevated rail
• 5: Light rail, streetcar or commuter train
• 6: Passenger ferry
• 7: Walked to work
• 8: Bicycle
• 9: Motorcycle, scooter or moped
• 10: Other method

Labour market activities - Question identifier:b)

How many people, including this person, usually shared the ride to work in this car, truck or van?

• 1: Drove alone
• 2: 2 people
• 3: 3 or more people

Labour market activities - Question identifier:48.a)

What time did this person usually leave home to go to work?

• 1: Time in hours and minutes. (a.m. or p.m.)

Labour market activities - Question identifier:b)

How many minutes did it usually take this person to get from home to work?

• 1: Number of minutes

Labour market activities - Question identifier:49.a)

In this job, what language did this person use most often?

• 1: English
• 2: French
• 3: Other - Specify

Labour market activities - Question identifier:b)

Did this person use any other languages on a regular basis in this job?

• 1: No
• 2: Yes, English
• 3: Yes, French
• 4: Yes, Other - Specify

Labour market activities - Question identifier:50.

In how many weeks did this person work in 2010?

• 1: None (Go to Question 53)
• 2: Number of weeks

Labour market activities - Question identifier:51.

During most of those weeks, did this person work full time or part time?

• 1: Full time (30 hours or more per week)
• 2: Part time (Less than 30 hours per week)

Labour market activities - Question identifier:52.

In 2010, did this person pay for child care, such as day care or babysitting, so that this person could work at his or her paid job(s)?

• 1: Yes (Enter the total amount for 2010)
• 2: No

Labour market activities - Question identifier:53.

In 2010, did this person pay child or spousal support payments to a former spouse or partner?

• 1: Yes (Enter the total amount for 2010)
• 2: No

Income in 2010 - Question identifier:54.

Does this person give Statistics Canada permission to use the income information available in his / her income tax files for the year ending December 31, 2010?

• 1: Yes (Go to STEP E)
• 2: No

Income in 2010 - Question identifier:55.

During the year ending December 31, 2010, did this person receive any income from the following sources?

Income in 2010 - Question identifier:a)

Did this person receive any wages or salaries from paid employment?

• 1: Yes (Enter the amount)
• 2: No

Income in 2010 - Question identifier:b)

Did this person make a profit or loss from farm self-employment
activities in 2010?

• 1: Yes (Enter the amount)
• 2: No

Income in 2010 - Question identifier:c)

Did this person make a profit or loss from non-farm self-employment activities in 2010, such as trapping, making handicrafts, running a business or from professional practice?

• 1: Yes (Enter the amount)
• 2: No

Income in 2010 - Question identifier:d)

Did this person receive any child benefits from federal, provincial or territorial governments?

• 1: Yes (Enter the amount)
• 2: No

Income in 2010 - Question identifier:e)

Did this person receive any Old Age Security Pension, Guaranteed Income Supplement,Allowance or Allowance for the Survivor from the federal government?

• 1: Yes (Enter the amount)
• 2: No

Income in 2010 - Question identifier:f)

Did this person receive any benefits from the Canada or Quebec Pension P Plan?

• 1: Yes (Enter the amount)
• 2: No

Income in 2010 - Question identifier:g)

Did this person receive any benefits from Employment Insurance from
the federal government or the Quebec P Parental Insurance Plan?

• 1: Yes (Enter the amount)
• 2: No

Income in 2010 - Question identifier:h)

Did this person receive any other income from government sources?

• 1: Yes (Enter the amount)
• 2: No

Income in 2010 - Question identifier:i)

Did this person receive any other money income?

• 1: Yes (Enter the amount)
• 2: No

Income in 2010 - Question identifier:j)

Did this person make any capital gains or losses?

• 1: Yes (Enter the amount)
• 2: No

Income in 2010 - Question identifier:k)

Did this person receive any retirement pensions, superannuation or
annuities?

• 1: Yes (Enter the amount)
• 2: No

Income in 2010 - Question identifier:l)

Other money income, such as alimony, child support, scholarships

• 1: Yes (Enter the amount)
• 2: No

TOTAL INCOME in 2010 from all sources

• 1: Yes (Enter the amount)
• 2: No

INCOME TAX PAID on 2010 income (federal, provincial and territorial)

• 1: Enter total amount

STEP E: Answer Questions E1 to E10 about this dwelling. - Question identifier:E1

Who pays the rent or mortgage, taxes, electricity, etc., for this dwelling?

• 1: Person 1
• 2: Person 2
• 3: Person 3
• 4: Person 4
• 5: Person 5
• 6: A person who is listed on another questionnaire for this dwelling
• 7: A person who does not live here

STEP E: Answer Questions E1 to E10 about this dwelling. - Question identifier:E2

(a) Is this dwelling band housing, or rented, or owned by you or a member of this household?

• 1: Band housing
• 2: Owned (even if it is still being paid for)
• 3: Rented (even if no cash rent is paid)

(b) Is this dwelling rented or owned by you or a member of this household?

• 1: Owned (even if it is still being paid for)
• 2: Rented (even if no cash rent is paid)

STEP E: Answer Questions E1 to E10 about this dwelling. - Question identifier:E3

Is this dwelling part of a condominium development?

• 1: Yes
• 2: No

STEP E: Answer Questions E1 to E10 about this dwelling. - Question identifier:E4a)

How many rooms are there in this dwelling?

• 1: Number of rooms

How many of these rooms are bedrooms?

• 1: Number of bedrooms

STEP E: Answer Questions E1 to E10 about this dwelling. - Question identifier:E5

When was this dwelling originally built?

• 1: 1920 or before
• 2: 1921-1945
• 3: 1946-1960
• 4: 1961-1970
• 5: 1971-1980
• 6: 1981-1985
• 7: 1986-1990
• 8: 1991-1995
• 9: 1996-2000
• 10: 2001-2005
• 11: 2006-2011

STEP E: Answer Questions E1 to E10 about this dwelling. - Question identifier:E6

Is this dwelling in need of any repairs?

• 1: No, only regular maintenance is needed (painting, furnace cleaning, etc.)
• 2: Yes, minor repairs are needed (missing or loose floor tiles, bricks or shingles, defective steps, railing or siding, etc.)
• 3: Yes, major repairs are needed (defective plumbing or electrical wiring, structural repairs to walls, floors or ceilings, etc.)

STEP E: Answer Questions E1 to E10 about this dwelling. - Question identifier:E7

Is this dwelling located on an agricultural operation that is operated by a member of this household?

• 1: Yes (Go to Step F)
• 2: No (Continue this section)

STEP E: Answer Questions E1 to E10 about this dwelling. - Question identifier:E8

For this dwelling, what are the YEARLY payments (last 12 months) for:

Electricity?

• 1: None
• 2: Included in rent or other payments; OR Enter the amount per year

Oil, gas, coal, wood or other fuels?

• 1: None
• 2: Included in rent or other payments; OR Enter the amount per year

Water and other municipal services?

• 1: None
• 2: Included in rent or other payments; OR Enter the amount per year

STEP E: Answer Questions E1 to E10 about this dwelling. - Question identifier:E9

For RENTERS only, answer parts (a) and (b):

What is the monthly rent paid for this dwelling?

• 1: Rented without payment of cash rent; OR
• 2: Enter the amount per month

Is this dwelling subsidized?

• 1: Yes
• 2: No

STEP E: Answer Questions E1 to E10 about this dwelling. - Question identifier:E10

For OWNERS only, answer parts (a) through (e):

What are the total regular monthly mortgage or loan payments for this dwelling?

• 1: None. Go to part c); OR
• 2: Enter the amount per month

Are the property taxes (municipal and school) included in the amount shown in part a)?

• 1: Yes. Go to part d).
• 2.: No

What are the estimated yearly property taxes (municipal and school) for this dwelling?

• 1: None; OR
• 2: Enter the amount per year

If you were to sell this dwelling now, for how much would you expect to sell it?

• 1: Enter the amount

What are the monthly condominium fees?

• 1: None; OR
• 2: Enter the amount per month

STEP F: If you are answering on behalf of other people, please consult each person. - Question identifier:F1

Does this person agree to make his or her 2011 National Household Survey information available in 2103 (92 years after the National Household Survey)?

• 1: Yes
• 2: No