Canadian Social Survey - Quality of Life, Renter Experiences and Trust
For Information onlyThis is an electronic survey example for information purposes only. This is not a working questionnaire.
Table of Contents
- Household members and geographic region (DEM)
- Age order selection (AOSR)
- Household members and geographic region 2 (DEM2)
- Sex and gender (GDR)
- Age (AGE)
- Main activity (MAC)
- Life satisfaction (LSM)
- Sense of meaning and purpose (MP)
- General health (GEN)
- Trust in others (PCT)
- Trust in the media (TM)
- Confidence in institutions (CII)
- Financial well-being (EHA)
- Eviction (EVI)
- Overland flood mitigation (AW)
- Marital status (MS)
- Education (ED)
- Language (LAN)
- Indigenous identity (ABM)
- Sociodemographic characteristics (PG)
- Place of birth, immigration and citizenship (DEM1)
- Long-term conditions (LTC)
- Sexual orientation (SOR)
- Future surveys (UCE)
Household members and geographic region (DEM)
Household members and geographic region (DEM) - Question identifier:DEM_Q01A
Provide your first and last name.
First name
Long Answer Length = 50
Household members and geographic region (DEM) - Question identifier:DEM_Q01B
Provide your first and last name.
Last name
Long Answer Length = 50
Household members and geographic region (DEM) - Question identifier:DEM_Q05
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
Household members and geographic region (DEM) - Question identifier:DEM_Q10
Including yourself, how many of these people are 15 years of age or more?
Number of people
- 00: 0
- 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
Age order selection (AOSR)
Age order selection (AOSR) - Question identifier:AOSR_Q05
Among the people aged 15 years or more living in your household, which are you?
- 1: The oldest
- 2: The second oldest
- 3: The third oldest
- 4: The fourth oldest
- 5: The fifth oldest
- 6: The sixth oldest
Age order selection (AOSR) - Question identifier:AOSR_Q10
The [selected person] has been selected to participate in this survey. Is this person currently available to continue with this survey?
- 1: Yes (have the [selected person] continue now)
- 2: No
Age order selection (AOSR) - Question identifier:AOSR_R15
When the [selected person] becomes available to participate in this survey, they can do so by following the instructions in the letter you have received.
You may now exit the survey by clicking on the Log out button at the top right of this page.
Age order selection (AOSR) - Question identifier:AOSR_Q20A
Provide your first and last name.
First name
Long Answer Length = 50
Age order selection (AOSR) - Question identifier:AOSR_Q20B
Provide your first and last name.
Last name
Long Answer Length = 50
Household members and geographic region 2 (DEM2)
Household members and geographic region 2 (DEM2) - Question identifier:DEM2_Q15
To determine which geographic region you live in, provide your postal code.
Postal code
Example: A9A 9A9
Long Answer Length = 80
Sex and gender (GDR)
Sex and gender (GDR) - Question identifier:GDR_R05
The following questions are about sex at birth, gender and age.
Sex and gender (GDR) - Question identifier:GDR_Q05
What was your sex at birth?
- 1: Male
- 2: Female
Sex and gender (GDR) - Question identifier:GDR_Q10
What is your gender?
- 1: Male
- 2: Female
- 3: Or please specify
Sex and gender (GDR) - Question identifier:GDR_R15
Please verify that all of the information is correct.
If all the information is correct, press the Next button.
To make changes, press the Previous button.
Your information
Sex assigned at birth: [Male/Female/Information not provided]
Gender: [Male/Female/Specify your gender/Information not provided]
Age (AGE)
Age (AGE) - Question identifier:AGE_Q01A
What is your date of birth?
Year
Min = 0000; Max = 9999
Age (AGE) - Question identifier:AGE_Q01B
What is your date of birth?
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
Age (AGE) - Question identifier:AGE_Q01C
What is your date of birth?
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
Age (AGE) - Question identifier:AGE_Q02
What is your age?
Age in years
Min = 0; Max = 999
Main activity (MAC)
Main activity (MAC) - Question identifier:MAC_Q05
Last week, was your main activity working at a paid job or business, looking for paid work, going to school, caring for children, household work, retired or something else?
- 01: Working at a paid job or business
- 02: Vacation from paid work
- 03: Looking for paid work
- 04: Going to school, including vacation from school
- 05: Caring for children
- 06: Household work
- 07: Retired
- 08: Maternity, paternity or parental leave
- 09: Long term illness
- 10: Volunteering
- 11: Care-giving other than for children
- 12: Other
Life satisfaction (LSM)
Life satisfaction (LSM) - Question identifier:LSM_Q01
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: 0 Very dissatisfied
- 01: 1
- 02: 2
- 03: 3
- 04: 4
- 05: 5
- 06: 6
- 07: 7
- 08: 8
- 09: 9
- 10: 10 Very satisfied
Sense of meaning and purpose (MP)
Sense of meaning and purpose (MP) - Question identifier:MP_Q01
Using a scale of 0 to 10, where 0 means "Not at all" and 10 means "Completely", to what extent do you feel the things you do in your life are worthwhile?
- 00: 0 Not at all
- 01: 1
- 02: 2
- 03: 3
- 04: 4
- 05: 5
- 06: 6
- 07: 7
- 08: 8
- 09: 9
- 10: 10 Completely
General health (GEN)
General health (GEN) - Question identifier:GEN_R01
The following questions are about health. 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, how is your health?
- 1: Excellent
- 2: Very good
- 3: Good
- 4: Fair
- 5: Poor
General health (GEN) - Question identifier:GEN_Q02
In general, how is your mental health?
- 1: Excellent
- 2: Very good
- 3: Good
- 4: Fair
- 5: Poor
Trust in others (PCT)
Trust in others (PCT) - Question identifier:PCT_Q10
Generally speaking, would you say that most people can be trusted or that you cannot be too careful in dealing with people?
- 1: Most people can be trusted
- 2: You cannot be too careful in dealing with people
Trust in the media (TM)
Trust in the media (TM) - Question identifier:TM_R05
The following questions are about trust in media. The media are communication outlets that deliver news and information through the Internet, social media, television, radio and in print.
Trust in the media (TM) - Question identifier:TM_Q05
On a scale of 0 to 10, where 0 means "Not at all" and 10 means "Completely", to what extent do you generally trust the news or information you receive from the media?
- 00: 0 Not at all
- 01: 1
- 02: 2
- 03: 3
- 04: 4
- 05: 5
- 06: 6
- 07: 7
- 08: 8
- 09: 9
- 10: 10 Completely
Trust in the media (TM) - Question identifier:TM_Q10
From which source do you get most of your news or information?
- 1: Internet, other than social media (Include: web pages, podcasts, blogs)
- 2: Social media (Include websites, forums and applications where users create and share content or participate in social networking.
e.g., Facebook, Instagram, Twitter, LinkedIn, TikTok) - 3: Television
- 4: Radio
- 5: Print media (Include: newspapers, magazines)
- 6: Other
Trust in the media (TM) - Question identifier:TM_R15
Please rate your level of trust in these sources, whether you use them or not.
Trust in the media (TM) - Question identifier:TM_Q15
On a scale of 0 to 10, where 0 means "Not at all" and 10 means "Completely", to what extent do you generally trust the news or information you receive from the Internet, other than social media?
- 00: 0 Not at all
- 01: 1
- 02: 2
- 03: 3
- 04: 4
- 05: 5
- 06: 6
- 07: 7
- 08: 8
- 09: 9
- 10: 10 Completely
Trust in the media (TM) - Question identifier:TM_Q20
On a scale of 0 to 10, where 0 means "Not at all" and 10 means "Completely", to what extent do you generally trust the news or information you receive from social media?
- 00: 0 Not at all
- 01: 1
- 02: 2
- 03: 3
- 04: 4
- 05: 5
- 06: 6
- 07: 7
- 08: 8
- 09: 9
- 10: 10 Completely
Trust in the media (TM) - Question identifier:TM_Q25
On a scale of 0 to 10, where 0 means "Not at all" and 10 means "Completely", to what extent do you generally trust the news or information you receive from television?
- 00: 0 Not at all
- 01: 1
- 02: 2
- 03: 3
- 04: 4
- 05: 5
- 06: 6
- 07: 7
- 08: 8
- 09: 9
- 10: 10 Completely
Trust in the media (TM) - Question identifier:TM_Q30
On a scale of 0 to 10, where 0 means "Not at all" and 10 means "Completely", to what extent do you generally trust the news or information you receive from radio?
- 00: 0 Not at all
- 01: 1
- 02: 2
- 03: 3
- 04: 4
- 05: 5
- 06: 6
- 07: 7
- 08: 8
- 09: 9
- 10: 10 Completely
Trust in the media (TM) - Question identifier:TM_Q35
On a scale of 0 to 10, where 0 means "Not at all" and 10 means "Completely", to what extent do you generally trust the news or information you receive from print media?
- 00: 0 Not at all
- 01: 1
- 02: 2
- 03: 3
- 04: 4
- 05: 5
- 06: 6
- 07: 7
- 08: 8
- 09: 9
- 10: 10 Completely
Confidence in institutions (CII)
Confidence in institutions (CII) - Question identifier:CII_R10
Using a scale of 1 to 5 where 1 means "No confidence at all" and 5 means "A great deal of confidence", please answer the following questions.
Confidence in institutions (CII) - Question identifier:CII_Q10
How much confidence do you have in the following institutions?
The police
- 1: 1 - No confidence at all
- 2: 2
- 3: 3
- 4: 4
- 5: 5 - A great deal of confidence
Confidence in institutions (CII) - Question identifier:CII_Q15
How much confidence do you have in the following institutions?
The justice system and courts
- 1: 1 - No confidence at all
- 2: 2
- 3: 3
- 4: 4
- 5: 5 - A great deal of confidence
Confidence in institutions (CII) - Question identifier:CII_Q30
How much confidence do you have in the following institutions?
The school system
- 1: 1 - No confidence at all
- 2: 2
- 3: 3
- 4: 4
- 5: 5 - A great deal of confidence
Confidence in institutions (CII) - Question identifier:CII_Q40
How much confidence do you have in the following institutions?
The Federal Parliament
- 1: 1 - No confidence at all
- 2: 2
- 3: 3
- 4: 4
- 5: 5 - A great deal of confidence
Confidence in institutions (CII) - Question identifier:CII_Q60
How much confidence do you have in the following institutions?
The Canadian media
- 1: 1 - No confidence at all
- 2: 2
- 3: 3
- 4: 4
- 5: 5 - A great deal of confidence
Financial well-being (EHA)
Financial well-being (EHA) - Question identifier:EHA_Q10
In the past 12 months, how difficult or easy was it for your household to meet its financial needs in terms of transportation, housing, food, clothing and other necessary expenses?
- 1: Very difficult
- 2: Difficult
- 3: Neither difficult nor easy
- 4: Easy
- 5: Very easy
Eviction (EVI)
Eviction (EVI) - Question identifier:EVI_Q05
In the past 12 months, have you been evicted from your rental unit by your landlord?
- 1: Yes
- 2: No, and I have been renting in the past 12 months
- 3: Does not apply, as I was not renting in the past 12 months
Eviction (EVI) - Question identifier:EVI_Q10
What is the main reason you were evicted?
- 01: Difficulties paying rent (i.e., rent not paid or often late)
- 02: Conflict with landlord
- 03: Conflict with neighbour
- 04: Overcrowding (i.e., too many people were living in the unit)
- 05: Landlord wanted unit for own use
- 06: Sale of property by landlord
- 07: Demolition (i.e., planned to tear down the building)
- 08: Conversion (i.e., unit is no longer being used for rental purposes)
- 09: Major repairs or renovation (i.e., the unit had to be vacated so that repairs or renovations could be undertaken)
- 10: Damage to rental unit, building or another part of the property
- 11: Illegal activity in rental unit, building or property
- 12: Actions that affected the safety of self or others
- 13: Actions that interfered with the enjoyment of rights of others
- 14: Other reason
Eviction (EVI) - Question identifier:EVI_Q15A
Where were you living when you were evicted?
City, town, municipality
Long Answer Length = 80
Eviction (EVI) - Question identifier:EVI_Q15B
Where were you living when you were evicted?
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
Overland flood mitigation (AW)
Overland flood mitigation (AW) - Question identifier:AW_R05
Overland flooding occurs when water rises and covers dry land (e.g., river overflowing its banks, a storm surge from a hurricane, runoff from snowmelt). There are actions one can take to protect or prevent this flooding from affecting one's property - including, but not limited to, installing backwater valves, changing property grading to direct water away from the foundation, and installing back-up sump pumps. The cost of these actions can be reduced through government programs that offer subsidies or grants.
Overland flood mitigation (AW) - Question identifier:AW_Q05
How would you rate your level of awareness of the actions you need to take to protect or prevent flooding on your property, the government programs offering grants or subsidies, and the costs associated with this type of work?
- 1: Unaware
- 2: Somewhat aware
- 3: Fully aware
- 4: Not applicable (e.g., I am a homeowner and my property is subject to flooding but actions are being taken at the community level; I am a homeowner but I am not responsible for outside property maintenance and upkeep; I am a renter and this is the responsibility of the...)
Marital status (MS)
Marital status (MS) - Question identifier:MS_Q01
What is your marital status?
- 1: Married (For Quebec residents only, select the "Married" category if your marital status is "civil union".)
- 2: Living common law (Two people who live together as a couple but who are not legally married to each other.)
- 3: Never married and not living common law
- 4: Separated and not living common law
- 5: Divorced and not living common law
- 6: Widowed and not living common law
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: Trades 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
Language (LAN)
Language (LAN) - Question identifier:LAN_Q01
Can you speak English or French well enough to conduct a conversation?
- 1: English only
- 2: French only
- 3: Both English and French
- 4: Neither English nor French
Language (LAN) - Question identifier:LAN_Q02
What language do you currently speak most often at home?
- 1: English
- 2: French
- 3: Other
Indigenous identity (ABM)
Indigenous identity (ABM) - Question identifier:ABM_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 (PG)
Sociodemographic characteristics (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.
- 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
Place of birth, immigration and citizenship (DEM1)
Place of birth, immigration and citizenship (DEM1) - Question identifier:DEM1_Q05A
Where were you born?
- 1: Born in Canada
- 2: Born outside Canada
Place of birth, immigration and citizenship (DEM1) - Question identifier:DEM1_Q05B
Are you a Canadian citizen?
- 1: Yes, a Canadian citizen by birth
- 2: Yes, a Canadian citizen by naturalization (Canadian citizen by naturalization refers to an immigrant who was granted citizenship of Canada under the Citizenship Act.)
- 3: No, not a Canadian citizen
Place of birth, immigration and citizenship (DEM1) - Question identifier:DEM1_Q05C
Are you a landed immigrant or permanent resident?
- 1: No
- 2: Yes
Place of birth, immigration and citizenship (DEM1) - Question identifier:DEM1_Q10
In what year did you first become a landed immigrant or a permanent resident?
If exact year is not known, enter best estimate.
Year of immigration
Min = 0; Max = 9999
Long-term conditions (LTC)
Long-term conditions (LTC) - Question identifier:LTC_R05
The following questions are about any long-term conditions you may have.
Long-term conditions (LTC) - Question identifier:LTC_Q05
Do you have any of the following difficulties?
- 1: Difficulty seeing even when wearing glasses or contact lenses
- 2: Difficulty hearing even when using a hearing aid or cochlear implant
- 3: Difficulty walking, using stairs, using your hands or fingers or doing other physical activities
- 4: Difficulty learning, remembering or concentrating
- 5: Emotional, psychological or mental health conditions (e.g., anxiety, depression, bipolar disorder, substance abuse, anorexia)
- 6: Other health problem or long-term condition that has lasted or is expected to last for six or more months
- 7: I do not have any difficulty or long-term condition that has lasted or is expected to last for six or more months
Long-term conditions (LTC) - Question identifier:LTC_Q10
Do you identify as a person with a disability?
- 1: Yes
- 2: No
Sexual orientation (SOR)
Sexual orientation (SOR) - Question identifier:SOR_Q01
What is your sexual orientation?
- 1: Heterosexual
- 2: Lesbian or gay
- 3: Bisexual
- 4: Or please specify
Future surveys (UCE)
Future surveys (UCE) - Question identifier:UCE_R05
Statistics Canada is planning a series of short, fifteen to twenty minute surveys about important social topics. These surveys will be sent out in the near future and will ask about a wide variety of issues that affect Canadian society. By participating in this survey series, you will be able to share your opinions and thoughts on these issues and compare your ideas with those of other Canadians.
Future surveys (UCE) - Question identifier:UCE_Q05
Would you like to sign-up for future surveys?
- 1: Yes
- 2: No (Note: Your household will remain eligible for other Statistics Canada surveys.)
Future surveys (UCE) - Question identifier:UCE_Q10A
Please provide the following information so we can email or text you to participate in this survey series.
Email address
Long Answer Length = 80
Future surveys (UCE) - Question identifier:UCE_Q10B
Please provide the following information so we can email or text you to participate in this survey series.
Cellular number
Long Answer Length = 10
Future surveys (UCE) - Question identifier:UCE_R10
Thank you for signing up. We may contact you soon.
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