Canadian COVID-19 Antibody and Health Survey/Adult

Verification (DBS) - Question identifier:DBS_R01

Before we start, we need to ask about your current health and physical conditions.

Verification (DBS) - Question identifier:DBS_Q51

Do you have a blood clotting condition such as haemophilia or Von Willebrand disease?

• 1: Yes
• 2: No

Verification (DBS) - Question identifier:DBS_Q52

Have you received chemotherapy in the past four weeks?

• 1: Yes
• 2: No

Verification (DBS) - Question identifier:DBS_Q57A

Have you ever had a mastectomy?

• 1: Yes
• 2: No

Verification (DBS) - Question identifier:DBS_Q57B

On which side?

• 1: Right
• 2: Left
• 3: Both

Chronic conditions 1 (CHR) - Question identifier:CHR_R01

The next question is about long-term health conditions. These are 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 1 (CHR) - Question identifier:CHR_Q25

Do you have any of the following long term health conditions that have been diagnosed by a health care professional?

• 01: Chronic lung conditions (e.g., emphysema or bronchitis)
• 02: Asthma
• 03: Chronic heart disease
• 04: Diabetes (Exclude gestational diabetes)
• 05: Chronic kidney disease
• 06: Liver disease (e.g., chronic hepatitis)
• 07: High blood pressure
• 08: Chronic blood disorder
• 09: A weakened immune system (e.g., due to disease or medication)
• 10: Chronic neurological disorder
• 11: Stroke
• 12: Alzheimer's disease or other dementias
• 13: None of the above

Chronic conditions 2 (CAN) - Question identifier:CAN_Q30

Have you been diagnosed with cancer in the past 20 years?

• 1: Yes
• 2: No
• 9: DK

Symptoms and COVID-19 status (CS) - Question identifier:CS_Q05

Do you think you have ever had COVID-19?

• 1: Yes
• 2: No
• 9: DK

Symptoms and COVID-19 status (CS) - Question identifier:CS_Q15

In the past six months, did you ever have any of the following symptoms?

• 01: Cough
• 02: Fever
• 03: Chills
• 04: Sore throat
• 05: Shortness of breath or difficulty breathing
• 06: Pain (e.g., muscular, chest, abdominal, joint)
• 07: Runny nose (Exclude seasonal allergies)
• 08: Nausea, vomiting or diarrhea
• 09: Headache
• 10: General weakness
• 11: New loss of taste or smell
• 12: None of the above

Symptoms and COVID-19 status (CS) - Question identifier:CS_Q20A

Of the symptoms reported in the last six months, when was your first symptom?

Time of month

• 1: Early
• 2: Mid
• 3: Late

Symptoms and COVID-19 status (CS) - Question identifier:CS_Q20B

Month

• 01: January
• 02: February
• 03: March
• 04: April
• 05: May
• 06: June
• 07: July
• 08: August
• 09: September
• 10: October
• 11: November
• 12: December

Symptoms and COVID-19 status (CS) - Question identifier:CS_Q20C

Year

• 1: 2020
• 2: 2021

Symptoms and COVID-19 status (CS) - Question identifier:CS_Q25

Have you ever had a nasal or throat swab to test for COVID-19?

• 1: Yes
• 2: No

Symptoms and COVID-19 status (CS) - Question identifier:CS_Q30

How many times have you been tested?

Number of times

Min = 0; Max = 99

Symptoms and COVID-19 status (CS) - Question identifier:CS_Q35

Have you ever had a positive test result?

• 1: Yes
• 2: No
• 3: Waiting for results

Symptoms and COVID-19 status (CS) - Question identifier:CS_Q40

Were you hospitalized for COVID-19?

• 1: Yes
• 2: No

Symptoms and COVID-19 status (CS) - Question identifier:CS_Q45A

When was your positive COVID-19 test taken?

Day

• 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
• 21: 21
• 22: 22
• 23: 23
• 24: 24
• 25: 25
• 26: 26
• 27: 27
• 28: 28
• 29: 29
• 30: 30
• 31: 31

Symptoms and COVID-19 status (CS) - Question identifier:CS_Q45B

Month

• 01: January
• 02: February
• 03: March
• 04: April
• 05: May
• 06: June
• 07: July
• 08: August
• 09: September
• 10: October
• 11: November
• 12: December

Symptoms and COVID-19 status (CS) - Question identifier:CS_Q45C

Year

• 1: 2020
• 2: 2021

Symptoms and COVID-19 status (CS) - Question identifier:CS_Q50

Have you had any other positive test results for COVID-19?

• 1: Yes
• 2: No

Symptoms and COVID-19 status (CS) - Question identifier:CS_Q55A

When was your second positive COVID-19 test?

Day

• 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
• 21: 21
• 22: 22
• 23: 23
• 24: 24
• 25: 25
• 26: 26
• 27: 27
• 28: 28
• 29: 29
• 30: 30
• 31: 31

Symptoms and COVID-19 status (CS) - Question identifier:CS_Q55B

Month

• 01: January
• 02: February
• 03: March
• 04: April
• 05: May
• 06: June
• 07: July
• 08: August
• 09: September
• 10: October
• 11: November
• 12: December

Symptoms and COVID-19 status (CS) - Question identifier:CS_Q55C

Year

• 1: 2020
• 2: 2021

Symptoms and COVID-19 status (CS) - Question identifier:CS_Q60

Why did you get tested?

• 01: Showing symptoms
• 02: Recent exposure to someone not living with you who either had symptoms or had a confirmed infection with the virus that causes COVID-19
• 03: Recent exposure to someone you live with who either had symptoms or had a confirmed infection with the virus that causes COVID-19
• 04: Recent international travel
• 05: I am a healthcare worker with direct patient contact (Include personal care worker and first responder.)
• 06: I am not a healthcare worker, but my work exposes me to the public (Include grocery or retail store worker, bus driver.)
• 07: Recent exposure at school or daycare
• 08: Did not have any symptoms but had concerns of infecting others
• 09: Other

Symptoms and COVID-19 status (CS) - Question identifier:CS_Q65

Why have you never been tested for COVID-19?

• 01: Have never had symptoms
• 02: Testing unavailable or difficult to access
• 03: Getting tested is inconvenient and time-consuming
• 04: Takes too long to get results
• 05: Afraid of getting an infection from the virus that causes COVID-19 from testing site
• 06: Worried about impact of a positive result (e.g., on work, school, or social life)
• 07: Do not trust that results are kept confidential
• 08: Fear of blame for spreading COVID-19 if test is positive
• 09: Afraid of test procedure
• 10: Other

Symptoms and COVID-19 status (CS) - Question identifier:CS_Q70

Did you ever consider getting tested for COVID-19 but didn't?

• 1: Yes
• 2: No

Symptoms and COVID-19 status (CS) - Question identifier:CS_Q75

When you considered getting tested, which of the following situations applied to you?

• 01: Showing symptoms
• 02: Recent exposure to someone not living with you who either had symptoms or had a confirmed infection with the virus that causes COVID-19
• 03: Recent exposure to someone you live with who either had symptoms or had a confirmed infection with the virus that causes COVID-19
• 04: Recent international travel
• 05: I am a healthcare worker with direct patient contact (Include personal care worker and first responder.)
• 06: I am not a healthcare worker, but my work exposes me to the public (Include grocery or retail store worker, bus driver.)
• 07: Recent exposure at school or daycare
• 08: Did not have any symptoms but had concerns of infecting others
• 09: Other

Risk for acquisition and risk factors (RA) - Question identifier:RA_Q05

Have you travelled outside of your home province since March 1, 2020?

• 1: Yes, but stayed within Canada
• 2: Yes, went outside of Canada
• 3: No

Risk for acquisition and risk factors (RA) - Question identifier:RA_Q10

In the last six months, have you worked in direct contact with people, rather than virtually or over the phone?

• 1: Did not work in the last six months
• 2: Worked in direct contact with people
• 3: Worked, but not in direct contact with people

Risk for acquisition and risk factors (RA) - Question identifier:RA_R01

The following questions refer to the work or occupation in which you spent most of your time in the last six months.

Risk for acquisition and risk factors (RA) - Question identifier:RA_Q15

What kind of work were you doing?

Specify the kind of work you were doing

Long Answer Length = 80

Risk for acquisition and risk factors (RA) - Question identifier:RA_Q20

What were your most important activities or duties?

Specify your most important activities or duties

Long Answer Length = 80

Risk for acquisition and risk factors (RA) - Question identifier:RA_Q35

Do you currently smoke tobacco?

• 1: Yes
• 2: No
• 9: DK

Risk for acquisition and risk factors (RA) - Question identifier:RA_Q40

How often?

• 1: Daily
• 2: Less than daily

Risk for acquisition and risk factors (RA) - Question identifier:RA_Q45

Do you currently vape?

• 1: Yes
• 2: No
• 9: DK

Risk for acquisition and risk factors (RA) - Question identifier:RA_Q50

How often?

• 1: Daily
• 2: Less than daily

Health behaviour changes related to COVID-19 (HB) - Question identifier:HB_Q20A

Which of the following precautions are you taking as protection against COVID-19?
Wash hands often

• 1: Always
• 2: Often
• 3: Occasionally
• 4: Never
• 5: Not applicable

Health behaviour changes related to COVID-19 (HB) - Question identifier:HB_Q20B

Which of the following precautions are you taking as protection against COVID-19?
Wear a mask in indoor public spaces where physical distancing is difficult or a mandatory mask by-law exists

• 1: Always
• 2: Often
• 3: Occasionally
• 4: Never
• 5: Not applicable

Health behaviour changes related to COVID-19 (HB) - Question identifier:HB_Q20C

Which of the following precautions are you taking as protection against COVID-19?
Wear a mask in outdoor public places where physical distancing is difficult or required

• 1: Always
• 2: Often
• 3: Occasionally
• 4: Never
• 5: Not applicable

Health behaviour changes related to COVID-19 (HB) - Question identifier:HB_Q20D

Which of the following precautions are you taking as protection against COVID-19?
Keep a 2 meter or 6 foot distance from others

• 1: Always
• 2: Often
• 3: Occasionally
• 4: Never
• 5: Not applicable

Health behaviour changes related to COVID-19 (HB) - Question identifier:HB_Q20E

Which of the following precautions are you taking as protection against COVID-19?
Avoid crowds and large gatherings

• 1: Always
• 2: Often
• 3: Occasionally
• 4: Never
• 5: Not applicable

Health behaviour changes related to COVID-19 (HB) - Question identifier:HB_Q20F

Which of the following precautions are you taking as protection against COVID-19?
Work from home when possible

• 1: Always
• 2: Often
• 3: Occasionally
• 4: Never
• 5: Not applicable

Health behaviour changes related to COVID-19 (HB) - Question identifier:HB_Q20G

Which of the following precautions are you taking as protection against COVID-19?
Use delivery services or curbside pick-up

• 1: Always
• 2: Often
• 3: Occasionally
• 4: Never
• 5: Not applicable

Health behaviour changes related to COVID-19 (HB) - Question identifier:HB_Q20H

Which of the following precautions are you taking as protection against COVID-19?
Limit contact with people at higher risk

• 1: Always
• 2: Often
• 3: Occasionally
• 4: Never
• 5: Not applicable

Health behaviour changes related to COVID-19 (HB) - Question identifier:HB_Q20I

Which of the following precautions are you taking as protection against COVID-19?
Self-isolate to protect myself when concerned about exposure

• 1: Always
• 2: Often
• 3: Occasionally
• 4: Never
• 5: Not applicable

Health behaviour changes related to COVID-19 (HB) - Question identifier:HB_Q20J

Which of the following precautions are you taking as protection against COVID-19?
Self-isolate to protect others after possible exposure to COVID-19

• 1: Always
• 2: Often
• 3: Occasionally
• 4: Never
• 5: Not applicable

Health assessment 1 (FLU) - Question identifier:FLU_Q05

In the past 12 months, have you had a seasonal flu vaccine?

• 1: Yes
• 2: No

Health assessment 2 (HR) - Question identifier:HR_Q10

When a COVID-19 vaccine becomes available to you, how likely is it that you will choose to get one?

• 1: Very likely
• 2: Somewhat likely
• 3: Somewhat unlikely
• 4: Very unlikely
• 5: Already received a vaccine for COVID-19

Health assessment 2 (HR) - Question identifier:HR_Q15

What are the reasons you would not get the COVID-19 vaccine?

• 01: Already had or think I have had COVID-19
• 02: Do not consider it necessary to get the vaccine
• 03: Not confident in the safety of the vaccine
• 04: Do not believe in vaccination
• 05: Concern about risks and side effects
• 06: Have a pre-existing medical condition
• 07: Will wait until it seems safe to get the vaccine
• 08: Have not yet decided
• 09: Other reason

Health assessment 2 (HR) - Question identifier:HR_Q20

Do you have a family physician or primary care provider?

• 1: Yes
• 2: No
• 9: DK

Health assessment 2 (HR) - Question identifier:HR_Q25

Have you donated blood to Canadian Blood Services or Héma-Québec since May, 2020?

• 1: Yes
• 2: No
• 9: DK

Health assessment 2 (HR) - Question identifier:HR_Q30

How many times?

Number of times

Min = 0; Max = 99

Health assessment 3 (GEN) - Question identifier:GEN_R01

The following question is about health. By health we mean not only the absence of disease or injury, but also physical, mental and social well being.

Health assessment 3 (GEN) - Question identifier:GEN_Q01

In general, how is your health?

Would you say:

• 1: Excellent
• 2: Very good
• 3: Good
• 4: Fair
• 5: Poor

Health assessment 3 (GEN) - Question identifier:GEN_Q05

In general, how is your mental health?

Would you say:

• 1: Excellent
• 2: Very good
• 3: Good
• 4: Fair
• 5: Poor

Health assessment 4 (HWT) - Question identifier:HWT_Q05A

How tall are you without shoes on?

Feet

Min = 0; Max = 9

Health assessment 4 (HWT) - Question identifier:HWT_Q05B

Inches

• 01: 0
• 02: 1
• 03: 2
• 04: 3
• 05: 4
• 06: 5
• 07: 6
• 08: 7
• 09: 8
• 10: 9
• 11: 10
• 12: 11

Health assessment 4 (HWT) - Question identifier:HWT_Q05C

Centimetres

Min = 0; Max = 999

Health assessment 4 (HWT) - Question identifier:HWT_Q40A

How much do you weigh?

Weight

Min = 0; Max = 999

Health assessment 4 (HWT) - Question identifier:HWT_Q40B

Pounds or kilograms

• 1: Pounds
• 2: Kilograms

Demographic questions 1 (GDR) - Question identifier:GDR_R05

The following questions are about sex at birth and gender.

Demographic questions 1 (GDR) - Question identifier:GDR_Q05

What was your sex at birth?

• 1: Male
• 2: Female

Demographic questions 1 (GDR) - Question identifier:GDR_Q10

What is your gender?

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

Demographic questions 1 (GDR) - Question identifier:GDR_Q15

Please verify that all of the information is correct.

Your information
Sex assigned at birth: #{__DT_SEX_E}
Gender: #{__DT_GDR_E}

Long Answer Length = 80

Demographic questions 2 (SOR) - Question identifier:SOR_Q01

What is your sexual orientation?

Would you say you are:

• 1: Heterosexual
• 2: Lesbian or gay
• 3: Bisexual
• 4: Or please specify

Demographic questions 3 (HHC) - Question identifier:HHC_Q01

Including yourself, how many people live in your household?

Number of people

• 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

Demographic questions 4 (DW) - Question identifier:DW_Q05

What type of dwelling is this?

Is it a:

• 01: Single detached
• 02: Double
• 03: Row or Terrace
• 04: Duplex
• 05: Low-rise apartment of fewer than 5 stories or a flat
• 06: High-rise apartment of 5 stories or more
• 07: Institution
• 08: Hotel, rooming or lodging house, camp
• 09: Mobile home
• 10: Other

Demographic questions 4 (DW) - Question identifier:DW_Q10

How many bathrooms are in this dwelling?

Number of bathrooms

Min = 0; Max = 9

Demographic questions 5 (DWL) - Question identifier:DWL_Q04

How many bedrooms are in this dwelling?

Number of bedrooms

Min = 0; Max = 99

Demographic questions 6 (ED) - Question identifier:ED_Q05

What is the highest certificate, diploma, or degree that anyone in this household 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.A. (Hons), B.Sc., B.Ed., LL.B.)
• 7: University certificate, diploma, degree above the bachelor's level

Indigenous identity (FN) - Question identifier:FN_Q01

Are you First Nations, Métis or Inuk (Inuit)?

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

Sociodemographic characteristics 1 (PG) - Question identifier:PG_Q05

The following question collects information in accordance with the Employment Equity Act and its Regulations and Guidelines to support programs that promote equal opportunity for everyone to share in the social, cultural, and economic life of Canada.

Are you:

• 01: White
• 02: South Asian (e.g., East Indian, Pakistani, Sri Lankan)
• 03: Chinese
• 04: Black
• 05: Filipino
• 06: Arab
• 07: Latin American
• 08: Southeast Asian (e.g., Vietnamese, Cambodian, Laotian, Thai)
• 09: West Asian (e.g., Iranian, Afghan)
• 10: Korean
• 11: Japanese
• 12: Other

Sociodemographic characteristics 2 (FNS) - Question identifier:FNS_Q01

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

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

Linking and sharing questions 1 (LNK) - Question identifier:LNK_R01

To enhance the data from this survey and to minimize the reporting burden for respondents, Statistics Canada will combine your responses with information from the tax data of all members of your household. Statistics Canada and the ministry of health for your home province or territory may also add information from other surveys or administrative sources.

For Quebec residents, the Institut de la statistique du Québec may add information from other surveys or administrative sources.

Linking and sharing questions 2 (HN) - Question identifier:HN_R01

Having a provincial or territorial health number will assist Statistics Canada in linking the survey data to the provincial or territorial health information.

Linking and sharing questions 2 (HN) - Question identifier:HN_Q01

Do you have a health card?

• 1: Yes
• 2: No

Linking and sharing questions 2 (HN) - Question identifier:HN_Q02

For which province or territory is your health card?

Health card province

• 10: Newfoundland and Labrador
• 11: Prince Edward Island
• 12: Nova Scotia
• 13: New Brunswick
• 24: Quebec
• 35: Ontario
• 46: Manitoba
• 47: Saskatchewan
• 48: Alberta
• 59: British Columbia
• 60: Yukon
• 61: Northwest Territories
• 62: Nunavut

Linking and sharing questions 2 (HN) - Question identifier:HN_Q03

What is your health card number?

Health card number

Long Answer Length = 12

Linking and sharing questions 3 (SHR) - Question identifier:SHR_R01

To avoid duplication of surveys, Statistics Canada may enter into agreements to share the data from this survey, including name, address, telephone number and health card number, with provincial and territorial ministries of health, Health Canada and the Public Health Agency of Canada. For Quebec residents, Statistics Canada may also enter into an agreement with the Institut de la statistique du Québec to share the same information.

The Institut de la statistique du Québec and provincial ministries of health may make this data available to local health authorities. Local health authorities will not receive any identifiers, only the postal code.

Linking and sharing questions 3 (SHR) - Question identifier:SHR_Q01

These organizations have agreed to keep the data confidential and use it only for statistical purposes.
Do you agree to share the data provided?

• 1: Yes
• 2: No

Linking and sharing questions 4 (TAX) - Question identifier:TAX_R01

To reduce the number of questions in this questionnaire, Statistics Canada will use information from your tax forms submitted to the Canada Revenue Agency. With your consent Statistics Canada will share this information from your tax forms with your provincial and territorial ministries of health, Health Canada and the Public Health Agency of Canada.

Quebec residents will also have their tax form information shared with the Institut de la statistique du Québec.

These organizations have agreed to keep the information confidential and to use it only for statistical and research purposes.

Linking and sharing questions 4 (TAX) - Question identifier:TAX_Q01

Do you give Statistics Canada permission to share your tax information?

• 1: Yes
• 2: No

COVID test procedure and consent (CON) - Question identifier:CON_R01

You received a testing kit from Statistics Canada with the letter that invited you to complete this questionnaire. The purpose of the kit is to collect drops of blood by using the dried blood spot (finger prick) method at home. Your blood will be used to determine if you have antibodies to the virus that causes COVID-19. To obtain accurate results, it is important to carefully follow the instructions provided in the kit.

COVID test procedure and consent (CON) - Question identifier:CON_Q50A

I understood the instructions provided in the kit and the risks associated with testing. I have also read and understood the steps taken for the secure storage of my blood sample. I am choosing to consent or not consent to the following:
Participating in the test

• 1: Yes, I consent
• 2: No, I do not consent

COVID test procedure and consent (CON) - Question identifier:CON_Q50B

I understood the instructions provided in the kit and the risks associated with testing. I have also read and understood the steps taken for the secure storage of my blood sample. I am choosing to consent or not consent to the following:
Receiving my results

• 1: Yes
• 2: No

COVID test procedure and consent (CON) - Question identifier:CON_Q50C

I understood the instructions provided in the kit and the risks associated with testing. I have also read and understood the steps taken for the secure storage of my blood sample. I am choosing to consent or not consent to the following:
Storage of my blood for future health studies

• 1: Yes
• 2: No

COVID test procedure and consent (CON) - Question identifier:CON_R02

I understand that even though I have answered "Yes" to some or all of the items above, I can still withdraw from any part of this survey or subsequent studies at any time.

NOTE: If you would like more information before proceeding, please contact us by phone at 1-888-253-1087 or by email at statcan.ccahs-ecsac.statcan@canada.ca <mailto:statcan.ccahs-ecsac.statcan@canada.ca>.

Test and contact information 1 (TST) - Question identifier:TST_R01

Please perform the test as indicated in the instructions. If you would like more information before proceeding, please contact us by phone at 1-888-253-1087 or by email at statcan.ccahs-ecsac.statcan@canada.ca <mailto:statcan.ccahs-ecsac.statcan@canada.ca>.

Test and contact information 1 (TST) - Question identifier:TST_Q01

Has the test been completed?

• 1: Yes
• 2: No

Test and contact information 2 (NAD) - Question identifier:NAD_Q01

In order for us to contact you about results or for future participation in the survey, please provide the following information:

Mailing address

Civic number

Min = 0; Max = 999999

Test and contact information 2 (NAD) - Question identifier:NAD_Q02

Civic number suffix

Long Answer Length = 3

Test and contact information 2 (NAD) - Question identifier:NAD_Q06

Apartment number

Long Answer Length = 6

Test and contact information 2 (NAD) - Question identifier:NAD_Q03

Street Name

Long Answer Length = 50

Test and contact information 2 (NAD) - Question identifier:NAD_Q04

Street type

• 1: List of street types

Test and contact information 2 (NAD) - Question identifier:NAD_Q05

Street direction

• 01: East
• 02: North
• 03: Northeast
• 04: Northwest
• 05: South
• 06: Southeast
• 07: Southwest
• 08: West

Test and contact information 2 (NAD) - Question identifier:NAD_Q13

Rural address

Long Answer Length = 60

Test and contact information 2 (NAD) - Question identifier:NAD_Q07

City, municipality, town, village, Indian reserve

Long Answer Length = 50

Test and contact information 2 (NAD) - Question identifier:NAD_Q10

Province or territory

• 10: Newfoundland and Labrador
• 11: Prince Edward Island
• 12: Nova Scotia
• 13: New Brunswick
• 24: Quebec
• 35: Ontario
• 46: Manitoba
• 47: Saskatchewan
• 48: Alberta
• 59: British Columbia
• 60: Yukon
• 61: Northwest Territories
• 62: Nunavut

Test and contact information 2 (NAD) - Question identifier:NAD_Q08

Postal code

Long Answer Length = 6

Test and contact information 3 (EA) - Question identifier:EA_Q01

Email address

Long Answer Length = 254

Test and contact information 4 (CEL) - Question identifier:CEL_Q01

Telephone number

Long Answer Length = 12

Re-contact 1 (FUP) - Question identifier:FUP_Q01

We may want to contact your household to ask about your participation in a follow-up to this survey.

Do we have your permission to contact you?

• 1: Yes
• 2: No

Re-contact 2 (AGE) - Question identifier:AGE_Q01A

What is your date of birth?

Year

Min = 1899; Max = 2018

Re-contact 2 (AGE) - Question identifier:AGE_Q01B

Month

• 01: January
• 02: February
• 03: March
• 04: April
• 05: May
• 06: June
• 07: July
• 08: August
• 09: September
• 10: October
• 11: November
• 12: December

Re-contact 2 (AGE) - Question identifier:AGE_Q01C

Day

• 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
• 21: 21
• 22: 22
• 23: 23
• 24: 24
• 25: 25
• 26: 26
• 27: 27
• 28: 28
• 29: 29
• 30: 30
• 31: 31