Life After Service Survey

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

Show all instructions

Table of Contents

Statement of linkage (SL)

Statement of linkage (SL) - Question identifier:SL_R01

To enhance the data from this survey and to reduce the reporting burden, Statistics Canada will combine the information you provide with your start and release dates from the Canadian Armed Forces. This information will come from client and employee personnel files from Veterans Affairs Canada and the Department of National Defence. Statistics Canada may also combine the information you provide with other survey or administrative data sources.

Permission to Share (PS)

Permission to Share (PS) - Question identifier:PS_R01

To avoid duplication, Statistics Canada has entered into an agreement to share information from the interviews conducted as part of this survey with Veterans Affairs Canada and the Department of National Defence. Veterans Affairs Canada and the Department of National Defence intend to link the information collected during this interview to your administrative records.

Permission to Share (PS) - Question identifier:PS_Q02

All information will be kept confidential and used only for statistical purposes.
Do you agree to share the information provided?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Roster (RS)

Roster (RS) - Question identifier:RS_R01

The next few questions ask for important basic information about the people in your household.

Roster (RS) - Question identifier:RS_Q04

Are there any other persons who usually live here but are now away at school, in hospital, or somewhere else?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Usual Roster (USU)

Usual Roster (USU) - Question identifier:USU_Q01

What are the names of all persons who usually live here?

Long Answer Length = 0

Demographics (DEM)

HC: Age without date of birth - ANDB

HC: Age without date of birth - ANDB - Question identifier:ANDB_Q01

What is [RespondentName]'s age?

  • 1: Min: 0 Max: 121
  • 999: Don't know
  • 998: Refusal

Marital Status without Confirmation (De-facto) (MSNC)

Marital Status without Confirmation (De-facto) (MSNC) - Question identifier:MSNC_Q01

What is your marital status?

  • 1: Married
  • 2: Living common-law
  • 3: Widowed
  • 4: Separated
  • 5: Divorced
  • 6: Single, never married
  • 8: RF
  • 9: DK

Relationship to Selected Respondent (RSR)

Relationship to Selected Respondent (RSR) - Question identifier:RSR_Q1

What is the relationship...

of: ^SPECRESPNAME2 (^SPECRESPAGE2)

to you?

  • 01: Husband/wife
  • 02: Common-law partner
  • 03: Father/mother
  • 04: Son/daughter (birth, adopted or step)
  • 05: Brother/sister
  • 06: Foster father/mother
  • 07: Foster son/daughter
  • 08: Grandfather/grandmother
  • 09: Grandson/granddaughter
  • 10: In-law
  • 11: Other related
  • 12: Unrelated
  • 98: RF
  • 99: DK

Sex (SEX)

Sex (SEX) - Question identifier:SEX_R01

The following questions are about sex at birth and gender. Sex refers to sex assigned at birth. Gender refers to current gender which may be different from sex assigned at birth and may be different from what is indicated on legal documents.

Sex (SEX) - Question identifier:SEX_Q01

What was your sex at birth?

  • 1: Male
  • 2: Female
  • 8: RF
  • 9: DK

Sex (SEX) - Question identifier:SEX_Q02

What is your gender?

  • 1: Male
  • 2: Female
  • 3: Or please specify
  • 8: RF
  • 9: DK

Sex (SEX) - Question identifier:SEX_R04

This survey asks questions based on sex at birth, such as pregnancy experiences. If specific questions are not relevant to you, we can skip those questions. Thank you for your understanding and for your participation.

General health (GEN)

General health (GEN) - Question identifier:GEN_R01

This survey deals with various aspects of your health. The following questions ask about physical activity, social relationships and health status. By health, we mean not only the absence of disease or injury but also physical, mental and social well-being.

General health (GEN) - Question identifier:GEN_Q01

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

  • 1: Excellent
  • 2: Very good
  • 3: Good
  • 4: Fair
  • 5: Poor
  • 8: RF
  • 9: DK

General health (GEN) - Question identifier:GEN_Q02A

Compared to one year ago, how would you say your health is now? Is it...?

  • 1: Much better now than 1 year ago
  • 2: Somewhat better now (than 1 year ago)
  • 3: About the same as 1 year ago
  • 4: Somewhat worse now (than 1 year ago)
  • 5: Much worse now (than 1 year ago)
  • 8: RF
  • 9: DK

General health (GEN) - Question identifier:GEN_Q02B

Using a scale of 0 to 10, where 0 means "Very dissatisfied" and 10 means "Very satisfied", how do you feel about your life as a whole right now?

  • 00: Very dissatisfied
  • 01: |
  • 02: |
  • 03: |
  • 04: |
  • 05: |
  • 06: |
  • 07: |
  • 08: |
  • 09: V
  • 10: Very satisfied
  • 98: RF
  • 99: DK

General health (GEN) - Question identifier:GEN_Q02C

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

  • 1: Excellent
  • 2: Very good
  • 3: Good
  • 4: Fair
  • 5: Poor
  • 8: RF
  • 9: DK

General health (GEN) - Question identifier:GEN_Q07

Thinking about the amount of stress in your life, would you say that most days are...?

  • 1: Not at all stressful
  • 2: Not very stressful
  • 3: A bit stressful
  • 4: Quite a bit stressful
  • 5: Extremely stressful
  • 8: RF
  • 9: DK

General health (GEN) - Question identifier:GEN_Q08

Have you worked at a job or business at any time in the past 12 months?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

General health (GEN) - Question identifier:GEN_R09

The next question is about your main job or business in the past 12 months.

General health (GEN) - Question identifier:GEN_Q09

Would you say that most days at work were...?

  • 1: Not at all stressful
  • 2: Not very stressful
  • 3: A bit stressful
  • 4: Quite a bit stressful
  • 5: Extremely stressful
  • 8: RF
  • 9: DK

General health (GEN) - Question identifier:GEN_Q10

How would you describe your sense of belonging to your local community? Would you say it is...?

  • 1: Very strong
  • 2: Somewhat strong
  • 3: Somewhat weak
  • 4: Very weak
  • 8: RF
  • 9: DK

General Health 2 (GEN1)

General Health 2 (GEN1) - Question identifier:GEN1_Q01

In general, how has the adjustment to civilian life been since you were released from the Canadian Armed Forces?

  • 1: Very difficult
  • 2: Moderately difficult
  • 3: Neither difficult nor easy
  • 4: Moderately easy
  • 5: Very easy
  • 8: RF
  • 9: DK

General Health 2 (GEN1) - Question identifier:GEN1_Q02

How would you describe the effect your release had on your spouse or partner?

  • 1: Very difficult
  • 2: Moderately difficult
  • 3: Neither difficult nor easy
  • 4: Moderately easy
  • 5: Very easy
  • 6: Not applicable
  • 8: RF
  • 9: DK

General Health 2 (GEN1) - Question identifier:GEN1_Q03

How would you describe the effect your release had on your children?

  • 1: Very difficult
  • 2: Moderately difficult
  • 3: Neither difficult nor easy
  • 4: Moderately easy
  • 5: Very easy
  • 6: Not applicable
  • 8: RF
  • 9: DK

General Health 2 (GEN1) - Question identifier:GEN1_Q04

How satisfied are you with your relationships with family members?

  • 1: Very satisfied
  • 2: Satisfied
  • 3: Neither satisfied nor dissatisfied
  • 4: Dissatisfied
  • 5: Very dissatisfied
  • 8: RF
  • 9: DK

Height and weight - Self-reported (HWT)

Height and weight - Self-reported (HWT) - Question identifier:HWT_Q1

It is important to know when analyzing health whether or not the person is pregnant. Are you pregnant?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Height and weight - Self-reported (HWT) - Question identifier:HWT_Q2

The next questions are about height and weight. How tall are you without shoes on?

  • 0: Less than 1' / 12" (less than 29.2 cm.)
  • 1: 1'0" to 1'11" / 12" to 23" (29.2 to 59.6 cm.)
  • 2: 2'0" to 2'11" / 24" to 35" (59.7 to 90.1 cm.)
  • 3: 3'0" to 3'11" / 36" to 47" (90.2 to 120.6 cm.)
  • 4: 4'0" to 4'11" / 48" to 59" (120.7 to 151.0 cm.)
  • 5: 5'0" to 5'11" (151.1 to 181.5 cm.)
  • 6: 6'0" to 6'11" (181.6 to 212.0 cm.)
  • 7: 7'0" and over (212.1 cm. and over)
  • 8: RF
  • 9: DK

Height and weight - Self-reported (HWT) - Question identifier:HWT_N2C

Select the exact height.

  • 00: 3'0" / 36" (90.2 to 92.6 cm.)
  • 01: 3'1" / 37" (92.7 to 95.2 cm.)
  • 02: 3'2" / 38" (95.3 to 97.7 cm.)
  • 03: 3'3" / 39" (97.8 to 100.2 cm.)
  • 04: 3'4" / 40" (100.3 to 102.8 cm.)
  • 05: 3'5" / 41" (102.9 to 105.3 cm.)
  • 06: 3'6" / 42" (105.4 to 107.9 cm.)
  • 07: 3'7" / 43" (108.0 to 110.4 cm.)
  • 08: 3'8" / 44" (110.5 to 112.9 cm.)
  • 09: 3'9" / 45" (113.0 to 115.5 cm.)
  • 10: 3'10" / 46" (115.6 to 118.0 cm.)
  • 11: 3'11" / 47" (118.1 to 120.6 cm.)
  • 98: RF
  • 99: DK

Height and weight - Self-reported (HWT) - Question identifier:HWT_N2D

Select the exact height.

  • 00: 4'0" / 48" (120.7 to 123.1 cm.)
  • 01: 4'1" / 49" (123.2 to 125.6 cm.)
  • 02: 4'2" / 50" (125.7 to 128.2 cm.)
  • 03: 4'3" / 51" (128.3 to 130.7 cm.)
  • 04: 4'4" / 52" (130.8 to 133.3 cm.)
  • 05: 4'5" / 53" (133.4 to 135.8 cm.)
  • 06: 4'6" / 54" (135.9 to 138.3 cm.)
  • 07: 4'7" / 55" (138.4 to 140.9 cm.)
  • 08: 4'8" / 56" (141.0 to 143.4 cm.)
  • 09: 4'9" / 57" (143.5 to 146.0 cm.)
  • 10: 4'10" / 58" (146.1 to 148.5 cm.)
  • 11: 4'11" / 59" (148.6 to 151.0 cm.)
  • 98: RF
  • 99: DK

Height and weight - Self-reported (HWT) - Question identifier:HWT_N2E

Select the exact height.

  • 00: 5'0" (151.1 to 153.6 cm.)
  • 01: 5'1" (153.7 to 156.1 cm.)
  • 02: 5'2" (156.2 to 158.7 cm.)
  • 03: 5'3" (158.8 to 161.2 cm.)
  • 04: 5'4" (161.3 to 163.7 cm.)
  • 05: 5'5" (163.8 to 166.3 cm.)
  • 06: 5'6" (166.4 to 168.8 cm.)
  • 07: 5'7" (168.9 to 171.4 cm.)
  • 08: 5'8" (171.5 to 173.9 cm.)
  • 09: 5'9" (174.0 to 176.4 cm.)
  • 10: 5'10" (176.5 to 179.0 cm.)
  • 11: 5'11" (179.1 to 181.5 cm.)
  • 98: RF
  • 99: DK

Height and weight - Self-reported (HWT) - Question identifier:HWT_N2F

Select the exact height.

  • 00: 6'0" (181.6 to 184.1 cm.)
  • 01: 6'1" (184.2 to 186.6 cm.)
  • 02: 6'2" (186.7 to 189.1 cm.)
  • 03: 6'3" (189.2 to 191.7 cm.)
  • 04: 6'4" (191.8 to 194.2 cm.)
  • 05: 6'5" (194.3 to 196.8 cm.)
  • 06: 6'6" (196.9 to 199.3 cm.)
  • 07: 6'7" (199.4 to 201.8 cm.)
  • 08: 6'8" (201.9 to 204.4 cm.)
  • 09: 6'9" (204.5 to 206.9 cm.)
  • 10: 6'10" (207.0 to 209.5 cm.)
  • 11: 6'11" (209.6 to 212.0 cm.)
  • 98: RF
  • 99: DK

Height and weight - Self-reported (HWT) - Question identifier:HWT_Q3

How much do you weigh?

Min = 1; Max = 575

Height and weight - Self-reported (HWT) - Question identifier:HWT_N4

Was that in pounds or kilograms?

  • 1: Pounds
  • 2: Kilograms

Height and weight - Self-reported (HWT) - Question identifier:HWT_Q4

Do you consider yourself...?

  • 1: Overweight
  • 2: Underweight
  • 3: Just about right
  • 8: RF
  • 9: DK

Mastery (MAS)

Mastery (MAS) - Question identifier:MAS_R601

Now a series of statements that people might use to describe themselves. Please tell me if you strongly agree, agree, neither agree nor disagree, disagree, or strongly disagree.

Mastery (MAS) - Question identifier:MAS_Q601

You have little control over the things that happen to you.

  • 1: Strongly agree
  • 2: Agree
  • 3: Neither agree nor disagree
  • 4: Disagree
  • 5: Strongly disagree
  • 8: RF
  • 9: DK

Mastery (MAS) - Question identifier:MAS_Q602

There is really no way you can solve some of the problems you have.

  • 1: Strongly agree
  • 2: Agree
  • 3: Neither agree nor disagree
  • 4: Disagree
  • 5: Strongly disagree
  • 8: RF
  • 9: DK

Mastery (MAS) - Question identifier:MAS_Q603

There is little you can do to change many of the important things in your life.

  • 1: Strongly agree
  • 2: Agree
  • 3: Neither agree nor disagree
  • 4: Disagree
  • 5: Strongly disagree
  • 8: RF
  • 9: DK

Mastery (MAS) - Question identifier:MAS_Q604

You often feel helpless in dealing with problems of life.

  • 1: Strongly agree
  • 2: Agree
  • 3: Neither agree nor disagree
  • 4: Disagree
  • 5: Strongly disagree
  • 8: RF
  • 9: DK

Mastery (MAS) - Question identifier:MAS_Q605

Sometimes you feel that you are being pushed around in life.

  • 1: Strongly agree
  • 2: Agree
  • 3: Neither agree nor disagree
  • 4: Disagree
  • 5: Strongly disagree
  • 8: RF
  • 9: DK

Mastery (MAS) - Question identifier:MAS_Q606

What happens to you in the future mostly depends on you.

  • 1: Strongly agree
  • 2: Agree
  • 3: Neither agree nor disagree
  • 4: Disagree
  • 5: Strongly disagree
  • 8: RF
  • 9: DK

Mastery (MAS) - Question identifier:MAS_Q607

You can do just about anything you really set your mind to.

  • 1: Strongly agree
  • 2: Agree
  • 3: Neither agree nor disagree
  • 4: Disagree
  • 5: Strongly disagree
  • 8: RF
  • 9: DK

Deployment Experience (DEPX)

Deployment Experience (DEPX) - Question identifier:DEPX_R01

The next questions ask about events that might have happened while you were in the military.

Deployment Experience (DEPX) - Question identifier:DEPX_Q01

During your military service, did you ever deploy? Include international or domestic deployments, exclude training exercises.

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Deployment Experience (DEPX) - Question identifier:DEPX_Q02

During your military service, did you:

...have contact with local civilians while overseas?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Deployment Experience (DEPX) - Question identifier:DEPX_Q03

(During your military service, did you:)

...witness destruction caused by warring factions?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Deployment Experience (DEPX) - Question identifier:DEPX_Q04

(During your military service, did you:)

...witness widespread suffering?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Chronic conditions (CCC)

Chronic conditions (CCC) - Question identifier:CCC_R011

Now I'd like to ask about certain long-term health conditions which you may have. We are interested in "long-term conditions" which are expected to last or have already lasted 6 months or more and that have been diagnosed by a health professional.

Chronic conditions (CCC) - Question identifier:CCC_Q031

Do you have asthma?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Chronic conditions (CCC) - Question identifier:CCC_Q035

Have you had any asthma symptoms or asthma attacks in the past 12 months?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Chronic conditions (CCC) - Question identifier:CCC_Q036

In the past 12 months, have you taken any medicine for asthma such as inhalers, nebulizers, pills, liquids or injections?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Chronic conditions (CCC) - Question identifier:CCC_Q051

Do you have arthritis, excluding fibromyalgia?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Chronic conditions (CCC) - Question identifier:CCC_Q061

Do you have back problems, excluding fibromyalgia and arthritis?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Chronic conditions (CCC) - Question identifier:CCC_Q071

Remember, we're interested in conditions diagnosed by a health professional and that are expected to last or have already lasted 6 months or more.

Do you have high blood pressure?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Chronic conditions (CCC) - Question identifier:CCC_Q072

Have you ever been diagnosed with high blood pressure?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Chronic conditions (CCC) - Question identifier:CCC_Q073

In the past month, have you taken any medicine for high blood pressure?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Chronic conditions (CCC) - Question identifier:CCC_Q075

Were you pregnant when you were first diagnosed with high blood pressure?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Chronic conditions (CCC) - Question identifier:CCC_Q077

Other than during pregnancy, has a health professional ever told you that you have high blood pressure?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Chronic conditions (CCC) - Question identifier:CCC_Q081

Remember, we're interested in conditions diagnosed by a health professional and that are expected to last or have already lasted 6 months or more.

Do you have migraine headaches?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Chronic conditions (CCC) - Question identifier:CCC_Q091

Do you have chronic bronchitis, emphysema or chronic obstructive pulmonary disease or COPD?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Chronic conditions (CCC) - Question identifier:CCC_Q101

(Remember, we're interested in conditions diagnosed by a health professional and that are expected to last or have already lasted 6 months or more.)

Do you have diabetes?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Chronic conditions (CCC) - Question identifier:CCC_Q102

How old were you when this was first diagnosed?

Min = 1; Max = 121

Chronic conditions (CCC) - Question identifier:CCC_Q10A

Were you pregnant when you were first diagnosed with diabetes?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Chronic conditions (CCC) - Question identifier:CCC_Q10B

Other than during pregnancy, has a health professional ever told you that you have diabetes?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Chronic conditions (CCC) - Question identifier:CCC_Q10C

When you were first diagnosed with diabetes, how long was it before you were started on insulin?

  • 1: Less than 1 month
  • 2: 1 month to less than 2 months
  • 3: 2 months to less than 6 months
  • 4: 6 months to less than 1 year
  • 5: 1 year or more
  • 6: Never
  • 8: RF
  • 9: DK

Chronic conditions (CCC) - Question identifier:CCC_Q105

Do you currently take insulin for your diabetes?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Chronic conditions (CCC) - Question identifier:CCC_Q106

In the past month, did you take pills to control your blood sugar?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Chronic conditions (CCC) - Question identifier:CCC_Q121

Do you have heart disease?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Chronic conditions (CCC) - Question identifier:CCC_Q131

(Do you have:)

cancer?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Chronic conditions (CCC) - Question identifier:CCC_Q132

Have you ever been diagnosed with cancer?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Chronic conditions (CCC) - Question identifier:CCC_Q141

Remember, we're interested in conditions diagnosed by a health professional and that are expected to last or have already lasted 6 months or more.

Do you have intestinal or stomach ulcers?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Chronic conditions (CCC) - Question identifier:CCC_Q151

Do you suffer from the effects of a stroke?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Chronic conditions (CCC) - Question identifier:CCC_Q161

(Do you have:)

urinary incontinence?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Chronic conditions (CCC) - Question identifier:CCC_Q171

Do you have a bowel disorder such as Crohn's Disease, ulcerative colitis, Irritable Bowel Syndrome or bowel incontinence?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Chronic conditions (CCC) - Question identifier:CCC_Q172

What kind of bowel disease do you have?

  • 1: Crohn's Disease
  • 2: Ulcerative colitis
  • 3: Irritable Bowel Syndrome
  • 4: Bowel incontinence
  • 5: Other
  • 8: RF
  • 9: DK

Chronic conditions (CCC) - Question identifier:CCC_Q181

Do you have:

Alzheimer's Disease or any other dementia?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Chronic conditions (CCC) - Question identifier:CCC_Q280

Remember, we're interested in conditions diagnosed by a health professional and that are expected to last or have already lasted 6 months or more.

Do you have a mood disorder such as depression, bipolar disorder, mania or dysthymia?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

CCC followup (CCC1)

CCC followup (CCC1) - Question identifier:CCC1_Q1

Remember, we're interested in conditions diagnosed by a health professional and are expected to last or have already lasted 6 months or more.

Do you suffer from the effects of a traumatic brain injury (TBI) or concussion?

  • 1: Yes
  • 2: No
  • 3: Maybe
  • 8: RF
  • 9: DK

CCC followup (CCC1) - Question identifier:CCC1_Q2

Do you have an anxiety disorder such as a phobia, obsessive-compulsive disorder or a panic disorder?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

CCC followup (CCC1) - Question identifier:CCC1_Q3

What kind of anxiety disorder do you have?

  • 1: Phobia
  • 2: Obsessive-compulsive disorder (OCD)
  • 3: Panic disorder
  • 4: Other - Specify
  • 8: RF
  • 9: DK

CCC followup (CCC1) - Question identifier:CCC1_Q4

Do you have post-traumatic stress disorder?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

CCC followup (CCC1) - Question identifier:CCC1_Q5

Do you think any of the previously mentioned conditions you identified are related to your military service?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Health Utility Index (HUI1)

Health Utility Index (HUI1) - Question identifier:HUI1_R01

The next set of questions asks about your day-to-day health.

You may feel that some of these questions do not apply to you, but it is important that we ask the same questions of everyone.

Health Utility Index (HUI1) - Question identifier:HUI1_Q01

Are you usually able to see well enough to read ordinary newsprint without glasses or contact lenses?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Health Utility Index (HUI1) - Question identifier:HUI1_Q02

Are you usually able to see well enough to read ordinary newsprint with glasses or contact lenses?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Health Utility Index (HUI1) - Question identifier:HUI1_Q03

Are you able to see at all?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Health Utility Index (HUI1) - Question identifier:HUI1_Q04

Are you able to see well enough to recognize a friend on the other side of the street without glasses or contact lenses?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Health Utility Index (HUI1) - Question identifier:HUI1_Q05

Are you usually able to see well enough to recognize a friend on the other side of the street with glasses or contact lenses?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Health Utility Index (HUI1) - Question identifier:HUI1_Q06

Are you usually able to hear what is said in a group conversation with at least three other people without a hearing aid?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Health Utility Index (HUI1) - Question identifier:HUI1_Q07A

Are you usually able to hear what is said in a group conversation with at least three other people with a hearing aid?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Health Utility Index (HUI1) - Question identifier:HUI1_Q07B

Are you able to hear at all?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Health Utility Index (HUI1) - Question identifier:HUI1_Q08

Are you usually able to hear what is said in a conversation with one other person in a quiet room without a hearing aid?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Health Utility Index (HUI1) - Question identifier:HUI1_Q09

Are you usually able to hear what is said in a conversation with one other person in a quiet room with a hearing aid?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Health Utility Index (HUI1) - Question identifier:HUI1_Q10

Are you usually able to be understood completely when speaking with strangers in your own language?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Health Utility Index (HUI1) - Question identifier:HUI1_Q11

Are you able to be understood partially when speaking with strangers?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Health Utility Index (HUI1) - Question identifier:HUI1_Q12

Are you able to be understood completely when speaking with those who know you well?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Health Utility Index (HUI1) - Question identifier:HUI1_Q13

Are you able to be understood partially when speaking with those who know you well?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Health Utility Index (HUI1) - Question identifier:HUI1_Q14

Are you usually able to walk around the neighbourhood without difficulty and without mechanical support such as braces, a cane or crutches?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Health Utility Index (HUI1) - Question identifier:HUI1_Q15

Are you able to walk at all?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Health Utility Index (HUI1) - Question identifier:HUI1_Q16

Do you require mechanical support such as braces, a cane or crutches to be able to walk around the neighbourhood?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Health Utility Index (HUI1) - Question identifier:HUI1_Q17

Do you require the help of another person to be able to walk?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Health Utility Index (HUI1) - Question identifier:HUI1_Q18

Do you require a wheelchair to get around?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Health Utility Index (HUI1) - Question identifier:HUI1_Q19

How often do you use a wheelchair?

  • 1: Always
  • 2: Often
  • 3: Sometimes
  • 4: Never
  • 8: RF
  • 9: DK

Health Utility Index (HUI1) - Question identifier:HUI1_Q20

Do you need the help of another person to get around in the wheelchair?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Health Utility Index (HUI1) - Question identifier:HUI1_Q21

Are you usually able to grasp and handle small objects such as a pencil or scissors?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Health Utility Index (HUI1) - Question identifier:HUI1_Q22

Do you require the help of another person because of limitations in the use of your hands or fingers?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Health Utility Index (HUI1) - Question identifier:HUI1_Q23

Do you require the help of another person with...?

  • 1: Some tasks
  • 2: Most tasks
  • 3: Almost all tasks
  • 4: All tasks
  • 8: RF
  • 9: DK

Health Utility Index (HUI1) - Question identifier:HUI1_Q24

Do you require special equipment, for example, devices to assist in dressing, because of limitations in the use of your hands or fingers?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Health Utility Index (HUI1) - Question identifier:HUI1_Q25

Would you describe yourself as being usually...?

  • 1: Happy and interested in life
  • 2: Somewhat happy
  • 3: Somewhat unhappy
  • 4: Unhappy with little interest in life
  • 5: So unhappy, that life is not worthwhile
  • 8: RF
  • 9: DK

Health Utility Index (HUI1) - Question identifier:HUI1_Q26

How would you describe your usual ability to remember things?

  • 1: Able to remember most things
  • 2: Somewhat forgetful
  • 3: Very forgetful
  • 4: Unable to remember anything at all
  • 8: RF
  • 9: DK

Health Utility Index (HUI1) - Question identifier:HUI1_Q27

How would you describe your usual ability to think and solve day-to-day problems?

  • 1: Able to think clearly and solve problems
  • 2: Having a little difficulty
  • 3: Having some difficulty
  • 4: Having a great deal of difficulty
  • 5: Unable to think or solve problems
  • 8: RF
  • 9: DK

Pain and discomfort (HUP)

Pain and discomfort (HUP) - Question identifier:HUP_R1

The next set of questions asks about the level of pain or discomfort you usually experience. They are not about illnesses like colds that affect people for short periods of time.

Pain and discomfort (HUP) - Question identifier:HUP_Q28

Are you usually free of pain or discomfort?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Pain and discomfort (HUP) - Question identifier:HUP_Q29

How would you describe the usual intensity of your pain or discomfort?

  • 1: Mild
  • 2: Moderate
  • 3: Severe
  • 8: RF
  • 9: DK

Pain and discomfort (HUP) - Question identifier:HUP_Q30

How many activities does your pain or discomfort prevent?

  • 1: None
  • 2: A few
  • 3: Some
  • 4: Most
  • 8: RF
  • 9: DK

Restriction of activities (RAC)

Restriction of activities (RAC) - Question identifier:RAC_R1

The next few questions deal with any current limitations in your daily activities caused by a long-term health condition or problem. In these questions, a "long-term condition" refers to a condition that is expected to last or has already lasted 6 months or more.

Restriction of activities (RAC) - Question identifier:RAC_Q1

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

  • 1: Sometimes
  • 2: Often
  • 3: Never
  • 8: RF
  • 9: DK

Restriction of activities (RAC) - Question identifier:RAC_Q2A

Does a long-term physical condition or mental condition or health problem, reduce the amount or the kind of activity you can do:

...at home?

  • 1: Sometimes
  • 2: Often
  • 3: Never
  • 8: RF
  • 9: DK

Restriction of activities (RAC) - Question identifier:RAC_Q2B_1

(Does a long-term physical condition or mental condition or health problem, reduce the amount or the kind of activity you can do:)

...at school?

  • 1: Sometimes
  • 2: Often
  • 3: Never
  • 4: Does not attend school
  • 8: RF
  • 9: DK

Restriction of activities (RAC) - Question identifier:RAC_Q2B_2

(Does a long-term physical condition or mental condition or health problem, reduce the amount or the kind of activity you can do:)

...at work?

  • 1: Sometimes
  • 2: Often
  • 3: Never
  • 4: Does not work at a job
  • 8: RF
  • 9: DK

Restriction of activities (RAC) - Question identifier:RAC_Q2C

(Does a long-term 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: Sometimes
  • 2: Often
  • 3: Never
  • 8: RF
  • 9: DK

Restriction of activities (RAC) - Question identifier:RAC_R5

You reported that you have difficulty hearing, seeing, communicating, walking, climbing stairs, bending, learning or doing any similar activities.

Restriction of activities (RAC) - Question identifier:RAC_Q5

Which one of the following is the best description of the cause of this condition?

  • 01: Accident at home
  • 02: Motor vehicle accident
  • 03: Accident at work
  • 04: Other type of accident
  • 05: Existed from birth or genetic
  • 06: Work conditions
  • 07: Disease or illness
  • 08: Ageing
  • 09: Emotional or mental health problem or condition
  • 10: Use of alcohol or drugs
  • 11: Other - Specify
  • 98: RF
  • 99: DK

Activities of daily living (ADL)

Activities of daily living (ADL) - Question identifier:ADL_R001

The next few questions are about common daily activities. These questions may not apply to you, but we need to ask the same questions of everyone.

Activities of daily living (ADL) - Question identifier:ADL_Q005

Because of any physical condition, mental condition or health problem, do you have any difficulty:

with preparing meals?

  • 1: No, you have no difficulty
  • 2: Yes, you have difficulty, but do not require help of others
  • 3: Yes, you have difficulty, but can do it with the help of others
  • 4: You cannot do it at all
  • 8: RF
  • 9: DK

Activities of daily living (ADL) - Question identifier:ADL_Q010

Because of any physical condition, mental condition or health problem, do you have any difficulty:

with running errands such as shopping for groceries?

  • 1: No, you have no difficulty
  • 2: Yes, you have difficulty, but do not require help of others
  • 3: Yes, you have difficulty, but can do it with the help of others
  • 4: You cannot do it at all
  • 8: RF
  • 9: DK

Activities of daily living (ADL) - Question identifier:ADL_Q015

(Because of any physical condition, mental condition or health problem, do you have any difficulty:)

with doing everyday housework?

  • 1: No, you have no difficulty
  • 2: Yes, you have difficulty, but do not require help of others
  • 3: Yes, you have difficulty, but can do it with the help of others
  • 4: You cannot do it at all
  • 8: RF
  • 9: DK

Activities of daily living (ADL) - Question identifier:ADL_Q020

(Because of any physical condition, mental condition or health problem, do you have any difficulty:)

with personal care such as bathing, dressing, eating or taking medication?

  • 1: No, you have no difficulty
  • 2: Yes, you have difficulty, but do not require help of others
  • 3: Yes, you have difficulty, but can do it with the help of others
  • 4: You cannot do it at all
  • 8: RF
  • 9: DK

Activities of daily living (ADL) - Question identifier:ADL_Q025

Because of any physical condition, mental condition or health problem, do you have any difficulty:

with moving about inside the house?

  • 1: No, you have no difficulty
  • 2: Yes, you have difficulty, but do not require help of others
  • 3: Yes, you have difficulty, but can do it with the help of others
  • 4: You cannot do it at all
  • 8: RF
  • 9: DK

Activities of daily living (ADL) - Question identifier:ADL_Q030

(Because of any physical condition, mental condition or health problem, do you have any difficulty:)

with looking after your personal finances such as making bank transactions or paying bills?

  • 1: No, you have no difficulty
  • 2: Yes, you have difficulty, but do not require help of others
  • 3: Yes, you have difficulty, but can do it with the help of others
  • 4: You cannot do it at all
  • 8: RF
  • 9: DK

Activities of Daily Living 2 (ADL1)

Activities of Daily Living 2 (ADL1) - Question identifier:ADL1_Q01

Of the unpaid help provided, who provides the most?

  • 1: Spouse or partner
  • 2: Son or daughter
  • 3: Parent or sibling
  • 4: Other extended family
  • 5: Friends or neighbours
  • 8: RF
  • 9: DK

Distress (DIS)

Distress (DIS) - Question identifier:DIS_R01

The following questions deal with feelings you may have had during the past month.

Distress (DIS) - Question identifier:DIS_Q01A

During the past month, that is, from [CURRENTDATE-1] to yesterday, about how often did you feel:

tired out for no good reason?

  • 1: All of the time
  • 2: Most of the time
  • 3: Some of the time
  • 4: A little of the time
  • 5: None of the time
  • 8: RF
  • 9: DK

Distress (DIS) - Question identifier:DIS_Q01B

During the past month, that is, from [CURRENTDATE-1] to yesterday, about how often did you feel:

nervous?

  • 1: All of the time
  • 2: Most of the time
  • 3: Some of the time
  • 4: A little of the time
  • 5: None of the time
  • 8: RF
  • 9: DK

Distress (DIS) - Question identifier:DIS_Q01C

(During the past month, that is, from [CURRENTDATE-1] to yesterday, about how often did you feel:)

so nervous that nothing could calm you down?

  • 1: All of the time
  • 2: Most of the time
  • 3: Some of the time
  • 4: A little of the time
  • 5: None of the time
  • 8: RF
  • 9: DK

Distress (DIS) - Question identifier:DIS_Q01D

(During the past month, that is, from [CURRENTDATE-1] to yesterday, about how often did you feel:)

hopeless?

  • 1: All of the time
  • 2: Most of the time
  • 3: Some of the time
  • 4: A little of the time
  • 5: None of the time
  • 8: RF
  • 9: DK

Distress (DIS) - Question identifier:DIS_Q01E

During the past month, that is, from [CURRENTDATE-1] to yesterday, about how often did you feel:

restless or fidgety?

  • 1: All of the time
  • 2: Most of the time
  • 3: Some of the time
  • 4: A little of the time
  • 5: None of the time
  • 8: RF
  • 9: DK

Distress (DIS) - Question identifier:DIS_Q01F

(During the past month, that is, from [CURRENTDATE-1] to yesterday, about how often did you feel:)

so restless you could not sit still?

  • 1: All of the time
  • 2: Most of the time
  • 3: Some of the time
  • 4: A little of the time
  • 5: None of the time
  • 8: RF
  • 9: DK

Distress (DIS) - Question identifier:DIS_Q01G

(During the past month, that is, from [CURRENTDATE-1] to yesterday, about how often did you feel:)

sad or depressed?

  • 1: All of the time
  • 2: Most of the time
  • 3: Some of the time
  • 4: A little of the time
  • 5: None of the time
  • 8: RF
  • 9: DK

Distress (DIS) - Question identifier:DIS_Q01H

(During the past month, that is, from [CURRENTDATE-1] to yesterday, about how often did you feel:)

so depressed that nothing could cheer you up?

  • 1: All of the time
  • 2: Most of the time
  • 3: Some of the time
  • 4: A little of the time
  • 5: None of the time
  • 8: RF
  • 9: DK

Distress (DIS) - Question identifier:DIS_Q01I

(During the past month, that is, from [CURRENTDATE-1] to yesterday, about how often did you feel:)

that everything was an effort?

  • 1: All of the time
  • 2: Most of the time
  • 3: Some of the time
  • 4: A little of the time
  • 5: None of the time
  • 8: RF
  • 9: DK

Distress (DIS) - Question identifier:DIS_Q01J

(During the past month, that is, from [CURRENTDATE-1] to yesterday, about how often did you feel:)

worthless?

  • 1: All of the time
  • 2: Most of the time
  • 3: Some of the time
  • 4: A little of the time
  • 5: None of the time
  • 8: RF
  • 9: DK

PTSD (PTSD)

PTSD (PTSD) - Question identifier:PTSD_Q1

Have you ever had any experience that was so frightening, horrible, or upsetting that, in the past month, you...

Have had nightmares about it or thought about it when you did not want to?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

PTSD (PTSD) - Question identifier:PTSD_Q2

(Have you ever had any experience that was so frightening, horrible, or upsetting that, in the past month, you...)

Tried hard not to think about it or went out of your way to avoid situations that reminded you of it?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

PTSD (PTSD) - Question identifier:PTSD_Q3

(Have you ever had any experience that was so frightening, horrible, or upsetting that, in the past month, you...)

Were constantly on guard, watchful, or easily startled?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

PTSD (PTSD) - Question identifier:PTSD_Q4

(Have you ever had any experience that was so frightening, horrible, or upsetting that, in the past month, you...)

Felt numb or detached from others, activities, or your surroundings?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

PTSD (PTSD) - Question identifier:PTSD_Q5

Were you thinking about an experience related to your military service?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Social Provisions (SPS)

Social Provisions (SPS) - Question identifier:SPS_R01

The next questions are about your current relationships with friends, family members, co-workers, community members, and so on. Please indicate to what extent each statement describes your current relationships with other people.

Social Provisions (SPS) - Question identifier:SPS_Q01

There are people I can depend on to help me if I really need it.

  • 1: Strongly agree
  • 2: Agree
  • 3: Disagree
  • 4: Strongly disagree
  • 8: RF
  • 9: DK

Social Provisions (SPS) - Question identifier:SPS_Q02

There are people who enjoy the same social activities I do.

  • 1: Strongly agree
  • 2: Agree
  • 3: Disagree
  • 4: Strongly disagree
  • 8: RF
  • 9: DK

Social Provisions (SPS) - Question identifier:SPS_Q03

I have close relationships that provide me with a sense of emotional security and wellbeing.

  • 1: Strongly agree
  • 2: Agree
  • 3: Disagree
  • 4: Strongly disagree
  • 8: RF
  • 9: DK

Social Provisions (SPS) - Question identifier:SPS_Q04

There is someone I could talk to about important decisions in my life.

  • 1: Strongly agree
  • 2: Agree
  • 3: Disagree
  • 4: Strongly disagree
  • 8: RF
  • 9: DK

Social Provisions (SPS) - Question identifier:SPS_Q05

I have relationships where my competence and skill are recognized.

  • 1: Strongly agree
  • 2: Agree
  • 3: Disagree
  • 4: Strongly disagree
  • 8: RF
  • 9: DK

Social Provisions (SPS) - Question identifier:SPS_Q06

There is a trustworthy person I could turn to for advice if I were having problems.

  • 1: Strongly agree
  • 2: Agree
  • 3: Disagree
  • 4: Strongly disagree
  • 8: RF
  • 9: DK

Social Provisions (SPS) - Question identifier:SPS_Q07

I feel part of a group of people who share my attitudes and beliefs.

  • 1: Strongly agree
  • 2: Agree
  • 3: Disagree
  • 4: Strongly disagree
  • 8: RF
  • 9: DK

Social Provisions (SPS) - Question identifier:SPS_Q08

I feel a strong emotional bond with at least one other person.

  • 1: Strongly agree
  • 2: Agree
  • 3: Disagree
  • 4: Strongly disagree
  • 8: RF
  • 9: DK

Social Provisions (SPS) - Question identifier:SPS_Q09

There are people who admire my talents and abilities.

  • 1: Strongly agree
  • 2: Agree
  • 3: Disagree
  • 4: Strongly disagree
  • 8: RF
  • 9: DK

Social Provisions (SPS) - Question identifier:SPS_Q10

There are people I can count on in an emergency.

  • 1: Strongly agree
  • 2: Agree
  • 3: Disagree
  • 4: Strongly disagree
  • 8: RF
  • 9: DK

Social Provisions 2 (SPS1)

Social Provisions 2 (SPS1) - Question identifier:SPS1_Q01

When thinking about someone you can count on in an emergency, are you thinking of your...?

  • 1: Spouse or partner
  • 2: Son or daughter
  • 3: Parent or sibling
  • 4: Other extended family
  • 5: Friends or neighbours
  • 8: RF
  • 9: DK

Alcohol use (ALC)

Alcohol use (ALC) - Question identifier:ALC_R001

Now, some questions about your alcohol consumption.
A 'drink' refers to:
- a bottle or small can of beer, cider or cooler with 5% alcohol content, or a small draft;
- a glass of wine with 12% alcohol content;
- a glass or cocktail containing 1¿ oz. of a spirit with 40% alcohol content.

Alcohol use (ALC) - Question identifier:ALC_Q010

During the past 12 months, that is, from [CURRENTDATE-1] to yesterday, have you had a drink of beer, wine, liquor or any other alcoholic beverage?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Alcohol use (ALC) - Question identifier:ALC_Q015

During the past 12 months, how often did you drink alcoholic beverages?

  • 1: Less than once a month
  • 2: Once a month
  • 3: 2 to 3 times a month
  • 4: Once a week
  • 5: 2 to 3 times a week
  • 6: 4 to 6 times a week
  • 7: Every day
  • 8: RF
  • 9: DK

Alcohol use (ALC) - Question identifier:ALC_Q020

How often in the past 12 months have you had [4/5] or more drinks on one occasion?

  • 1: Never
  • 2: Less than once a month
  • 3: Once a month
  • 4: 2 to 3 times a month
  • 5: Once a week
  • 6: More than once a week
  • 8: RF
  • 9: DK

Suicidal thoughts and attempts (SUI)

Suicidal thoughts and attempts (SUI) - Question identifier:SUI_R1

The following questions relate to the sensitive issue of suicide.

Suicidal thoughts and attempts (SUI) - Question identifier:SUI_Q1

Have you ever seriously considered committing suicide or taking your own life?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Suicidal thoughts and attempts (SUI) - Question identifier:SUI_Q2

Has this happened in the past 12 months?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Suicidal thoughts and attempts (SUI) - Question identifier:SUI_Q3

Have you ever attempted to commit suicide or tried taking your own life?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Suicidal thoughts and attempts (SUI) - Question identifier:SUI_Q4

Did this happen in the past 12 months?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Suicidal thoughts and attempts (SUI) - Question identifier:SUI_Q5

Did you see or talk to a health professional following your attempt to commit suicide?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Suicidal thoughts and attempts (SUI) - Question identifier:SUI_Q6

Whom did you see or talk to?

  • 01: Family doctor or general practitioner
  • 02: Psychiatrist
  • 03: Psychologist
  • 04: Nurse
  • 05: Social worker or counsellor
  • 06: Religious or spiritual advisor such as a priest, chaplain or rabbi
  • 07: Teacher or guidance counsellor
  • 08: Other
  • 98: RF
  • 99: DK

Consultations about mental health (CMH)

Consultations about mental health (CMH) - Question identifier:CMH_R001

Now I would like to ask you some questions about mental and emotional well-being.

Consultations about mental health (CMH) - Question identifier:CMH_Q005

In the past 12 months, that is, from [CURRENTDATE - 1] to yesterday, have you seen or talked to a health professional about your emotional or mental health?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Consultations about mental health (CMH) - Question identifier:CMH_Q010

How many times (in the past 12 months)?

Min = 1; Max = 366

Consultations about mental health (CMH) - Question identifier:CMH_Q015

Whom did you see or talk to?

  • 1: Family doctor or general practitioner
  • 2: Psychiatrist
  • 3: Psychologist
  • 4: Nurse
  • 5: Social worker or counsellor
  • 6: Other - Specify
  • 8: RF
  • 9: DK

Contacts with Health Professionals - Part 1 (CHP)

Contacts with Health Professionals - Part 1 (CHP) - Question identifier:CHP_R001

Now I'd like to ask about your contacts with various health professionals and use of various health care services during the past 12 months, that is, from ^DV_DATEONEYEARAGO to yesterday.

Contacts with Health Professionals - Part 1 (CHP) - Question identifier:CHP_R005

Home care services are services provided in your own home because of a health condition or limitation in daily activities; they can include for example, nursing care, meal preparation, someone to help you bathe or do housework. Do not include the help from family, friends or neighbours.

Contacts with Health Professionals - Part 1 (CHP) - Question identifier:CHP_Q005

In the past 12 months, have you received any home care services?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Contacts with Health Professionals - Part 1 (CHP) - Question identifier:CHP_Q025

In the past 12 months, have you been a patient overnight in a hospital?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Contacts with Health Professionals - Part 1 (CHP) - Question identifier:CHP_Q030

For how many nights in the past 12 months?

Min = 1; Max = 366

Contacts with Health Professionals - Part 1 (CHP) - Question identifier:CHP_Q040

[Not counting when you were an overnight patient, in the past 12 months], have you seen or talked to any of the following health professionals about your physical, emotional or mental health:

a family doctor or general practitioner?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Contacts with Health Professionals - Part 1 (CHP) - Question identifier:CHP_Q045

How many times (in the past 12 months)?

Min = 1; Max = 366

Contacts with Health Professionals - Part 1 (CHP) - Question identifier:CHP_Q050

([Not counting when you were an overnight patient, in the past 12 months], have you seen or talked to:)

an eye specialist, such as an ophthalmologist or optometrist?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Contacts with Health Professionals - Part 1 (CHP) - Question identifier:CHP_Q055

How many times (in the past 12 months)?

Min = 1; Max = 75

Contacts with Health Professionals - Part 1 (CHP) - Question identifier:CHP_Q060

[Not counting when you were an overnight patient, in the past 12 months], have you seen or talked to:

any other medical doctor or specialist such as a surgeon, allergist, orthopaedist, [urologist/gynaecologist/urologist, gynaecologist] or psychiatrist (about your physical, emotional or mental health)?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Contacts with Health Professionals - Part 1 (CHP) - Question identifier:CHP_Q065

How many times (in the past 12 months)?

Min = 1; Max = 300

Contacts with Health Professionals - Part 1 (CHP) - Question identifier:CHP_Q070

[Not counting when you were an overnight patient, in the past 12 months], have you seen or talked to:

a nurse for care or advice about your physical, emotional or mental health?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Contacts with Health Professionals - Part 1 (CHP) - Question identifier:CHP_Q075

How many times (in the past 12 months)?

Min = 1; Max = 366

Contacts with Health Professionals - Part 1 (CHP) - Question identifier:CHP_Q080

([Not counting when you were an overnight patient, in the past 12 months], have you seen or talked to:)

a dental professional, such as a dentist, a dental hygienist or a denturologist?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Contacts with Health Professionals - Part 1 (CHP) - Question identifier:CHP_Q085

How many times (in the past 12 months)?

Min = 1; Max = 99

Contacts with Health Professionals - Part 2 (CP2)

Contacts with Health Professionals - Part 2 (CP2) - Question identifier:CP2_Q16

[Not counting when you were an overnight patient, in the past 12 months/In the past 12 months], have you seen, or talked to:

a chiropractor about your physical, emotional or mental health?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Contacts with Health Professionals - Part 2 (CP2) - Question identifier:CP2_Q17

How many times (in the past 12 months)?

Min = 1; Max = 366

Contacts with Health Professionals - Part 2 (CP2) - Question identifier:CP2_Q18

[Not counting when you were an overnight patient, in the past 12 months/In the past 12 months], have you seen, or talked to:

a physiotherapist (about your physical, emotional or mental health)?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Contacts with Health Professionals - Part 2 (CP2) - Question identifier:CP2_Q19

How many times (in the past 12 months)?

Min = 1; Max = 366

Contacts with Health Professionals - Part 2 (CP2) - Question identifier:CP2_Q20

[Not counting when you were an overnight patient, in the past 12 months/In the past 12 months], have you seen, or talked to:

a psychologist (about your physical, emotional or mental health)?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Contacts with Health Professionals - Part 2 (CP2) - Question identifier:CP2_Q21

How many times (in the past 12 months)?

Min = 1; Max = 366

Contacts with Health Professionals - Part 2 (CP2) - Question identifier:CP2_Q22

[Not counting when you were an overnight patient, in the past 12 months/In the past 12 months], have you seen, or talked to:

a social worker or counsellor (about your physical, emotional or mental health)?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Contacts with Health Professionals - Part 2 (CP2) - Question identifier:CP2_Q23

How many times (in the past 12 months)?

Min = 1; Max = 366

Contacts with Health Professionals - Part 2 (CP2) - Question identifier:CP2_Q24

[Not counting when you were an overnight patient, in the past 12 months/In the past 12 months], have you seen, or talked to:

an audiologist, a speech or occupational therapist (about your physical, emotional or mental health)?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Contacts with Health Professionals - Part 2 (CP2) - Question identifier:CP2_Q25

How many times (in the past 12 months)?

Min = 1; Max = 200

HCU1 (HCU1)

HCU1 (HCU1) - Question identifier:HCU1_Q01

Do you have a regular medical doctor?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

HCU1 (HCU1) - Question identifier:HCU1_Q02

People may also use alternative or complementary medicine.

In the past 12 months, have you seen or talked to an alternative health care provider such as an acupuncturist, homeopath or massage therapist about your physical, emotional or mental health?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Unmet health care needs (UCN)

Unmet health care needs (UCN) - Question identifier:UCN_Q005

During the past 12 months, was there ever a time when you felt that you needed health care, other than homecare services, but you did not receive it?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Unmet health care needs (UCN) - Question identifier:UCN_Q010

Thinking of the most recent time you felt this way, why didn't you get care?

  • 01: Care not available in the area
  • 02: Care not available at time required (e.g., doctor busy, away from office or no longer at that practice, inconvenient hours)
  • 03: Do not have a regular health care provider
  • 04: Waiting time too long
  • 05: Appointment was cancelled
  • 06: Felt would receive inadequate care
  • 07: Cost
  • 08: Decided not to seek care
  • 09: Doctor didn't think it was necessary
  • 10: Transportation issue
  • 11: Other
  • 98: RF
  • 99: DK

Unmet health care needs (UCN) - Question identifier:UCN_Q015

Again, thinking of the most recent time, what was the type of care that was needed?

  • 01: Treatment of a chronic physical health condition diagnosed by a health professional
  • 02: Treatment of a chronic mental health condition diagnosed by a health professional
  • 03: Treatment of an acute infectious disease (e.g., cold, flu and stomach flu)
  • 04: Treatment of an acute physical condition (non-infectious)
  • 05: Treatment of an acute mental health condition (e.g., acute stress reaction)
  • 06: A regular check-up (including pre-natal care)
  • 07: Care of an injury
  • 08: Dental care
  • 09: Medication / Prescription refill
  • 10: Other
  • 98: RF
  • 99: DK

Education Highest Degree Block v.1 (EHG1)

Education Highest Degree Block v.1 (EHG1) - Question identifier:EHG1_Q01

What is the highest certificate, diploma or degree that you have completed?

  • 1: Less than high school diploma or its equivalent
  • 2: High school diploma or a high school
    equivalency certificate
  • 3: Trade certificate or diploma
  • 4: College, CEGEP or other non-university
    certificate or diploma (other than trades
    certificates or diplomas)
  • 5: University certificate or diploma below the
    bachelor's level
  • 6: Bachelor's degree (e.g. B.A., B.Sc., LL.B.)
  • 7: University certificate, diploma, degree above the
    bachelor's level
  • 8: RF
  • 9: DK

EMH1 (EMH1)

EMH1 (EMH1) - Question identifier:EMH1_R001

The following questions will focus on your transition to civilian life after your military release.

EMH1 (EMH1) - Question identifier:EMH1_Q001

Have you worked at a civilian job or ran a business since you were released?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

EMH1 (EMH1) - Question identifier:EMH1_Q002

Since leaving the military, have you looked for work?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

EMH1 (EMH1) - Question identifier:EMH1_Q003

During the first 12 months after release, what was your main activity?

  • 1: Worked at a job or ran a business
  • 2: Worked in the Reserve Forces
  • 3: Retired and not looking for work
  • 4: Attended school or training
  • 5: Looked for work
  • 6: Cared or nurtured a family member or partner
  • 7: Was disabled or on disability
  • 8: RF
  • 9: DK

EMH1 (EMH1) - Question identifier:EMH1_Q004

Now we would like you to think about the past12 months. What has been your main activity in the past 12 months?

  • 1: Worked at a job or ran a business
  • 2: Worked in the Reserve Forces
  • 3: Retired and not looking for work
  • 4: Attended school or training
  • 5: Looked for work
  • 6: Cared or nurtured a family member or partner
  • 7: Was disabled or on disability
  • 8: RF
  • 9: DK

EMH1 (EMH1) - Question identifier:EMH1_Q005

Thinking about this activity in the past 12 months, how satisfied are you?

  • 1: Very satisfied
  • 2: Satisfied
  • 3: Neither satisfied nor dissatisfied
  • 4: Dissatisfied
  • 5: Very dissatisfied
  • 8: RF
  • 9: DK

EMH1 (EMH1) - Question identifier:EMH1_Q006

Was your job in the past 12 months the same job as in 2016?

  • 1: Yes
  • 2: No
  • 3: Was not working in 2016
  • 8: RF
  • 9: DK

EMH1 (EMH1) - Question identifier:EMH1_Q007

To what extent do you agree with the following statement:

The knowledge and skills I use at my current or most recent job are the same as the knowledge and skills used in my military service. Do you?

  • 1: Strongly agree
  • 2: Agree
  • 3: Neither agree nor disagree
  • 4: Disagree
  • 5: Strongly disagree
  • 8: RF
  • 9: DK

EMH1 (EMH1) - Question identifier:EMH1_Q008

(To what extent do you agree with the following statement:)

The experiences, education, and training obtained during my military career have helped me in my current or most recent civilian job. Do you?

  • 1: Strongly agree
  • 2: Agree
  • 3: Neither agree nor disagree
  • 4: Disagree
  • 5: Strongly disagree
  • 8: RF
  • 9: DK

Labour force (LF2)

Labour force (LF2) - Question identifier:LF2_R01

The next questions concern your activities in the last seven days. By the last seven days, I mean beginning [date one week ago], and ending [date yesterday].

Labour force (LF2) - Question identifier:LF2_Q01

Last week, did you work at a job or a business? Please include part-time jobs, seasonal work, contract work, self-employment, baby-sitting and any other paid work, regardless of the number of hours worked.

  • 1: Yes
  • 2: No
  • 3: Permanently unable to work
  • 8: RF
  • 9: DK

Labour force (LF2) - Question identifier:LF2_Q02

Last week, did you have a job or business from which you were absent?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Labour force (LF2) - Question identifier:LF2_Q04

In the past four weeks, did you do anything to find work?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Labour force (LF2) - Question identifier:LF2_R05

The next questions are about your current job or business.

Labour force (LF2) - Question identifier:LF2_Q05

Are you an employee or self-employed?

  • 1: Employee
  • 2: Self-employed
  • 3: Working in a family business without pay
  • 8: RF
  • 9: DK

Labour force (LF2) - Question identifier:LF2_Q08

About how many hours a week do you usually work at your job or business? If you usually work extra hours, paid or unpaid, please include these hours.

Min = 1; Max = 168

Income (INC)

Income (INC) - Question identifier:INC_R001

Now, I would like to ask you some general background questions.

Income (INC) - Question identifier:INC_Q001

How many years have you been with your current partner?

Min = 1; Max = 80

Income (INC) - Question identifier:INC_Q002

During the past 12 months, what was your partner's main activity?

  • 01: Working at a paid job or business
  • 02: Looking for paid work
  • 03: Going to school
  • 04: Caring for children
  • 05: Household work
  • 06: Retired
  • 07: Maternity/Paternity or parental leave
  • 08: Long term illness
  • 09: Volunteering or care-giving other than for children
  • 10: Other - Specify
  • 98: RF
  • 99: DK

Income (INC) - Question identifier:INC_Q003

What is the highest certificate, diploma or degree that your partner has completed?

  • 1: Less than high school diploma or its equivalent
  • 2: High school diploma or a high school
    equivalency certificate
  • 3: Trade certificate or diploma
  • 4: College, CEGEP or other non-university
    certificate or diploma (other than trades
    certificates or diplomas)
  • 5: University certificate or diploma below the
    bachelor's level
  • 6: Bachelor's degree (e.g. B.A., B.Sc., LL.B.)
  • 7: University certificate, diploma, degree above the
    bachelor's level
  • 8: RF
  • 9: DK

Income (INC) - Question identifier:INC_R004

For the following questions, we would like you to think about your partner's health, and any current limitations in his or her daily activities caused by a long-term health condition or problem.

In these questions, a 'long-term health condition' refers to a condition that is expected to last or has already lasted six months or more.

Income (INC) - Question identifier:INC_Q004

Does a long-term physical condition or mental condition or health problem, reduce the amount or the kind of activity your partner can do:

... at home?

  • 1: Sometimes
  • 2: Often
  • 3: Never
  • 8: RF
  • 9: DK

Income (INC) - Question identifier:INC_Q005

(Does a long-term physical condition or mental condition or health problem, reduce the amount or the kind of activity your partner can do:)

... at school?

  • 1: Sometimes
  • 2: Often
  • 3: Never
  • 4: Does not attend school
  • 8: RF
  • 9: DK

Income (INC) - Question identifier:INC_Q006

(Does a long-term physical condition or mental condition or health problem, reduce the amount or the kind of activity your partner can do:)

... at work?

  • 1: Sometimes
  • 2: Often
  • 3: Never
  • 4: Does not work at a job
  • 8: RF
  • 9: DK

Income (INC) - Question identifier:INC_R007

The following questions relate to your total household income.

Income (INC) - Question identifier:INC_Q007

What is your best estimate of the total household income received by all household members, from all sources, before taxes and deductions, during the year ending December 31, 2018?

Income can come from various sources such as from work, investments, pensions or government. Examples include Employment Insurance, Social Assistance, Child Tax Benefit and other income such as child support, alimony and rental income.

Min = -9000000; Max = 90000000

Income (INC) - Question identifier:INC_Q008

Can you estimate in which of the following groups your household income falls? Was the total household income during the year ending December 31, 2018...?

  • 1: Less than $50,000 (includes income loss)
  • 2: $50,000 and more
  • 8: RF
  • 9: DK

Income (INC) - Question identifier:INC_Q009

Please stop me when I have read the category which applies to your household.

  • 1: Less than $5,000
  • 2: $5,000 to less than $10,000
  • 3: $10,000 to less than $15,000
  • 4: $15,000 to less than $20,000
  • 5: $20,000 to less than $30,000
  • 6: $30,000 to less than $40,000
  • 7: $40,000 to less than $50,000
  • 8: RF
  • 9: DK

Income (INC) - Question identifier:INC_Q010

Please stop me when I have read the category which applies to your household.

  • 1: $50,000 to less than $60,000
  • 2: $60,000 to less than $70,000
  • 3: $70,000 to less than $80,000
  • 4: $80,000 to less than $90,000
  • 5: $90,000 to less than $100,000
  • 6: $100,000 to less than $150,000
  • 7: $150,000 and over
  • 8: RF
  • 9: DK

Income (INC) - Question identifier:INC_R011

Now a question about your total personal income.

Income (INC) - Question identifier:INC_Q011

What is your best estimate of your total personal income, before taxes and deductions, from all sources during the year ending December 31, 2018?


Income can come from various sources such as from work, investments, pensions or government. Examples include Employment Insurance, Social Assistance, Child Tax Benefit and other income such as child support, alimony and rental income.

Min = -9000000; Max = 90000000

Income (INC) - Question identifier:INC_Q012

Can you estimate in which of the following groups your personal income falls? Was your total personal income during the year ending December 31, 2018...?

  • 1: Less than $30,000 (including income loss)
  • 2: $30,000 and more
  • 8: RF
  • 9: DK

Income (INC) - Question identifier:INC_Q013

Please stop me when I have read the category which applies to you.

  • 1: Less than $5,000
  • 2: $5,000 to less than $10,000
  • 3: $10,000 to less than $15,000
  • 4: $15,000 to less than $20,000
  • 5: $20,000 to less than $25,000
  • 6: $25,000 to less than $30,000
  • 8: RF
  • 9: DK

Income (INC) - Question identifier:INC_Q014

Please stop me when I have read the category which applies to you.

  • 01: $30,000 to less than $40,000
  • 02: $40,000 to less than $50,000
  • 03: $50,000 to less than $60,000
  • 04: $60,000 to less than $70,000
  • 05: $70,000 to less than $80,000
  • 06: $80,000 to less than $90,000
  • 07: $90,000 to less than $100,000
  • 08: $100,000 and over
  • 98: RF
  • 99: DK

Income 2 (INC1)

Income 2 (INC1) - Question identifier:INC1_Q03

How satisfied are you with your financial situation?

  • 1: Very satisfied
  • 2: Satisfied
  • 3: Neither satisfied nor dissatisfied
  • 4: Dissatisfied
  • 5: Very dissatisfied
  • 8: RF
  • 9: DK
Date modified: