Survey on Health Research Priorities

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

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Table of Contents

Household information (DM1)

Household information (DM1) - Question identifier:DM1_Q05

Including yourself, how many people live in your household?

  • 01: 1
  • 02: 2
  • 03: 3
  • 04: 4
  • 05: 5
  • 06: 6
  • 07: 7
  • 08: 8
  • 09: 9
  • 10: 10
  • 11: 11
  • 12: 12
  • 13: 13
  • 14: 14
  • 15: 15
  • 16: 16
  • 17: 17
  • 18: 18
  • 19: 19
  • 20: 20 or more

Household information (DM1) - Question identifier:DM1_Q10

Including yourself, how many of these people are 18 years of age or more?

  • 01: 1
  • 02: 2
  • 03: 3
  • 04: 4
  • 05: 5
  • 06: 6
  • 07: 7
  • 08: 8
  • 09: 9
  • 10: 10
  • 11: 11
  • 12: 12
  • 13: 13
  • 14: 14
  • 15: 15
  • 16: 16
  • 17: 17
  • 18: 18
  • 19: 19
  • 20: 20 or more

Gender (GDR)

Gender (GDR) - Question identifier:GDR_Q10

What is your gender?

  • 1: Male
  • 2: Female
  • 3: Or please specify

Age (AGE)

Age (AGE) - Question identifier:AGE_Q02

What is your age?

Min = 0; Max = 999

Demographics 2 (DM2)

Demographics 2 (DM2) - Question identifier:DM2_Q05

What is your age group?

  • 1: Under 18 years
  • 2: 18 to 24 years
  • 3: 25 to 34 years
  • 4: 35 to 44 years
  • 5: 45 to 54 years
  • 6: 55 to 64 years
  • 7: 65 years and over

Demographics 2 (DM2) - Question identifier:DM2_Q10

To determine which geographic region you live in, please provide your postal code.

Long Answer Length = 6

Health Research and Information (SHR)

Health Research and Information (SHR) - Question identifier:SHR_R05

The following questions are about health research in Canada.

Health Research and Information (SHR) - Question identifier:SHR_Q05

Health research aims to prevent, diagnose, treat and cure disease. It can also help improve health care and the health care system. Which of the following different types of health research is the most important to you?

  • 1: Laboratory research to better understand the cause of disease
  • 2: Research to test drugs and medical devices
  • 3: Research to improve health care services
  • 4: Research into the prevention of disease
  • 5: No opinion

Health Research and Information (SHR) - Question identifier:SHR_Q10

Which of the following different types of health research is the second most important to you?

  • 1: Laboratory research to better understand the cause of disease
  • 2: Research to test drugs and medical devices
  • 3: Research to improve health care services
  • 4: Research into the prevention of disease
  • 5: No opinion

Health Research and Information (SHR) - Question identifier:SHR_Q15

In a few words, what do you think are the most important issues you would like health researchers to address today?

Long Answer Length = 200

Health Research and Information (SHR) - Question identifier:SHR_Q20

In a few words, what do you think will be the most important future issues that health researchers will need to address in the next 30 years?

Long Answer Length = 200

Health Research and Information (SHR) - Question identifier:SHR_Q25

Canadians use a variety of sources to keep informed on the latest health research. How do you usually get information about health research results?

  • 01: Academic articles
  • 02: Books (electronic or print)
  • 03: Friends or family
  • 04: Health professionals
  • 05: Mainstream media (online or print) (e.g. TV, newspaper, radio, magazines)
  • 06: Social media
  • 07: Internet, excluding social media
  • 08: Other
  • 09: Don't look for or get information on health research results

Health Research and Information (SHR) - Question identifier:SHR_Q30

How satisfied are you with the way health research results are shared with Canadians?

  • 1: Very satisfied
  • 2: Satisfied
  • 3: Neither satisfied nor dissatisfied
  • 4: Dissatisfied
  • 5: Very dissatisfied

Health Research and Information (SHR) - Question identifier:SHR_Q35

What are the main reasons you are dissatisfied with how health research results are made known to Canadians?

  • 1: Information is too difficult to understand
  • 2: Information on results always seems to be changing
  • 3: Information is not relevant to my own health
  • 4: Do not trust the reliability of the results
  • 5: Do not know where to find information on health research
  • 6: Other

Health Research and Information (SHR) - Question identifier:SHR_Q40

How knowledgeable are you about health research and its role in improving the health of Canadians and the health care system?

  • 1: Very knowledgeable
  • 2: Somewhat knowledgeable
  • 3: Not very knowledgeable
  • 4: Not at all knowledgeable

Health Research and Information (SHR) - Question identifier:SHR_Q45

To what extent should health researchers be responsible for ensuring their research results are used?

  • 1: To a great extent
  • 2: To a moderate extent
  • 3: To a small extent
  • 4: Not at all
  • 5: No opinion or don't know

Health Research and Information (SHR) - Question identifier:SHR_Q50

To what extent should funding be provided to ensure that the next generation of health researchers are effectively trained to respond to future needs?

  • 1: To a great extent
  • 2: To a moderate extent
  • 3: To a small extent
  • 4: Not at all
  • 5: No opinion or don't know

Health Research and Information (SHR) - Question identifier:SHR_Q55

Sometimes organizations look to fund research that meets identified health priorities. Other times, researchers submit their own project ideas for funding based on their expertise. What proportion of research funding should be directed based on identified health priorities versus researchers' ideas?

  • 1: All funding should be directed based on identified health priorities
  • 2: Most funding should be directed based on identified health priorities
  • 3: Equal funding should be directed between identified health priorities and researchers' ideas
  • 4: Most funding should be directed based on researchers' ideas
  • 5: All funding should be directed based on researchers' ideas
  • 6: No opinion or don't know

Education (ED)

Education (ED) - Question identifier:ED_Q05

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.A. (Hons), B.Sc., B.Ed., LL.B.)
  • 7: University certificate, diploma or degree above the bachelor's level

Demographics 3 (DM3)

Demographics 3 (DM3) - Question identifier:DM3_Q05

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

  • 01: Less than $20,000
  • 02: $20,000 to less than $30,000
  • 03: $30,000 to less than $40,000
  • 04: $40,000 to less than $50,000
  • 05: $50,000 to less than $60,000
  • 06: $60,000 to less than $70,000
  • 07: $70,000 to less than $80,000
  • 08: $80,000 to less than $90,000
  • 09: $90,000 to less than $100,000
  • 10: $100,000 and over

Aboriginal Identity (ABM)

Aboriginal Identity (ABM) - Question identifier:ABM_Q01

Are you 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)

Data Sharing Agreements (DLS)

Data Sharing Agreements (DLS) - Question identifier:DLS_R01

To avoid duplication of surveys, Statistics Canada has signed an agreement to share the data from the Survey on Health Research Priorities with the Canadian Institutes of Health Research (CIHR). CIHR has agreed to keep the data confidential and use it only for statistical purposes.

Data Sharing Agreements (DLS) - Question identifier:DLS_Q01

Do you agree to share your information with CIHR?

  • 1: Yes
  • 2: No

Feedback (FDB)

Feedback (FDB) - Question identifier:FDB_Q02A

Do you have any comments about this questionnaire?

Long Answer Length = 200

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