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.

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Table of Contents

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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