Canadian Community Health Survey (CCHS) - Annual Component - 2024

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

Respondent availability (TR)

Respondent availability (TR) - Question identifier:TR_Q01

May I speak to [First name of household contact] [Last name of household contact]?

  • 1: Yes, speaking to respondent
  • 2: Yes, respondent available
  • 3: No, respondent unable to complete this survey
  • 4: No, respondent not available at this time

The proxy respondent (PRX)

The proxy respondent (PRX) - Question identifier:PRX_Q01

What is the reason [First name of household contact] is unable to complete this survey?

  • 1: Respondent does not speak English or French (Language barrier)
  • 2: Respondent unable to answer because of a health condition, a physical or mental disability, or problems related to aging
  • 3: Respondent absent for the duration of the collection period
  • 4: Other

The proxy respondent (PRX) - Question identifier:PRX_Q02

Is there someone [Minimum age of person providing proxy interview] or older who could provide us with some information on behalf of [First name of household contact]? We would like to ask this person questions about [First name of household contact]'s health status, factors that affect their health and their use of health care services.

  • 1: Yes
  • 2: No

The proxy respondent (PRX) - Question identifier:PRX_Q03A

What is the first name of this person?

Long Answer Length = 80

The proxy respondent (PRX) - Question identifier:PRX_Q03B

What is the last name of this person?

Long Answer Length = 80

Verification (VER2)

Verification (VER2) - Question identifier:VER2_Q05

Are you [First name of specific respondent] [Last name of specific respondent]?

  • 1: Yes
  • 2: No

Verification (VER2) - Question identifier:VER2_Q07C

What is your date of birth?
Year

Min = 2000; Max = 2022

Verification (VER2) - Question identifier:VER2_Q07B

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

Verification (VER2) - Question identifier:VER2_Q07A

What is your date of birth?
Day

Min = 1; Max = 31

Verification (VER2) - Question identifier:VER2_Q08

In which province or territory do you currently live?

  • 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

Date of birth (AGE)

Date of birth (AGE) - Question identifier:AGE_Q01A

What is [your] date of birth?
Year

Min = 1897; Max = 2022

Date of birth (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

Date of birth (AGE) - Question identifier:AGE_Q01C

What is [your] date of birth?
Day

Min = 1; Max = 31

Sex and gender (GDRA)

Sex and gender (GDRA) - Question identifier:GDRA_R05

The following questions are about sex at birth and gender.

Sex and gender (GDRA) - Question identifier:GDRA_Q05

What was [your] sex at birth?

  • 1: Male
  • 2: Female

Sex and gender (GDRA) - Question identifier:GDRA_Q10

What is [your] gender?

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

Sex and gender (GDRA) - Question identifier:GDRA_R15

Please verify that all of the information is correct.

[Your]

Sex assigned at birth: [Male/Female/Information not provided]
Gender: [Male/Female/Other/Information not provided]

Relationship with confirmation (RWC)

Relationship with confirmation (RWC) - Question identifier:RWC_Q05

What is the relationship of the following [people/person] to you?

  • 01: Husband or wife
  • 02: Common-law partner
  • 03: Father or mother
  • 04: Son or daughter
  • 05: Brother or sister
  • 06: In-law
  • 07: Other related
  • 08: Unrelated

Relationship with confirmation (RWC) - Question identifier:RWC_Q30

Select the type of relationship.

  • 1: Aunt or uncle
  • 2: Cousin
  • 3: Niece or nephew
  • 4: Grandfather or grandmother
  • 5: Grandson or granddaughter
  • 6: Other relative

Main activity (MA)

Main activity (MA) - Question identifier:MA_Q01

In the past12 months, did you work at a job or business?

  • 1: Yes
  • 2: No

Main activity (MA) - Question identifier:MA_Q01A

In the past 12 months, was working at a job or business your main activity?

  • 1: Yes
  • 2: No

Main activity (MA) - Question identifier:MA_Q02

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

  • 01: Looking for paid work
  • 02: Going to school
  • 03: Caring for your children
  • 04: Household work
  • 05: Retired
  • 06: Maternity, paternity or parental leave
  • 07: Long term illness
  • 08: Volunteering or care-giving other than for your children
  • 09: Other

School attendance (EDC)

School attendance (EDC) - Question identifier:EDC_Q10

Are you currently attending a school, college, CEGEP or university?

  • 1: Yes
  • 2: No

School attendance (EDC) - Question identifier:EDC_Q20

Are you enrolled as a full-time or part-time student?

Each educational institution classifies students as full-time or part-time depending on the type of program, and the number of courses, credits or hours of instruction.

  • 1: Full-time student
  • 2: Part-time student

General health (GEN)

General health (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.

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_Q05

In general, how is your mental health?

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

General health (GEN) - Question identifier:GEN_Q10

Thinking about the amount of stress in your life, how would you describe most of your days?

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

General health (GEN) - Question identifier:GEN_R15

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

General health (GEN) - Question identifier:GEN_Q15

How would you describe most days at work?

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

General health (GEN) - Question identifier:GEN_Q20

How would you describe your sense of belonging to your local community?

  • 1: Very strong
  • 2: Somewhat strong
  • 3: Somewhat weak
  • 4: Very weak

Life satisfaction measures (LSM)

Life satisfaction measures (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 aboutyour life as a whole right now?

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

Pregnancy (PRS)

Pregnancy (PRS) - Question identifier:PRS_R05

To better understand your health information, it is important to know if you are pregnant.

Pregnancy (PRS) - Question identifier:PRS_Q05

Are you pregnant?

  • 1: Yes
  • 2: No

Height and weight (HWT)

Height and weight (HWT) - Question identifier:HWT_Q05A

How tall are you without shoes on?
Feet

Min = 0; Max = 9

Height and weight (HWT) - Question identifier:HWT_Q05B

How tall are you without shoes on?
Inches

Min = 0; Max = 99

Height and weight (HWT) - Question identifier:HWT_Q05C

How tall are you without shoes on?
Centimetres

Min = 0; Max = 999

Height and weight (HWT) - Question identifier:HWT_Q40A

How much do you weigh?
Weight

Min = 0; Max = 999

Height and weight (HWT) - Question identifier:HWT_Q40B

How much do you weigh?
Pounds or kilograms

  • 1: Pounds
  • 2: Kilograms

Chronic conditions (CCC)

Chronic conditions (CCC) - Question identifier:CCC_R01

The next questions are 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 (CCC) - Question identifier:CCC_Q05

Do you have diabetes?

  • 1: Yes
  • 2: No

Chronic conditions (CCC) - Question identifier:CCC_Q10

How old were you when this was first diagnosed?

Min = 0; Max = 999

Chronic conditions (CCC) - Question identifier:CCC_Q15

Were you pregnant when you were first diagnosed with diabetes?

  • 1: Yes
  • 2: No

Chronic conditions (CCC) - Question identifier:CCC_Q20

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

  • 1: Yes
  • 2: No

Chronic conditions (CCC) - Question identifier:CCC_Q26

What type of diabetes were you diagnosed with?

  • 1: Type 1 diabetes
  • 2: Type 2 diabetes
  • 3: Other types of diabetes
  • 4: Don't know

Chronic conditions (CCC) - Question identifier:CCC_Q30

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

Chronic conditions (CCC) - Question identifier:CCC_Q35

Do you currently take insulin for your diabetes?

  • 1: Yes
  • 2: No

Chronic conditions (CCC) - Question identifier:CCC_Q40

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

  • 1: Yes
  • 2: No

Chronic conditions (CCC) - Question identifier:CCC_Q45

Have you ever been diagnosed with cancer?

  • 1: Yes
  • 2: No

Chronic conditions (CCC) - Question identifier:CCC_Q50

How old were you when this was first diagnosed?

Min = 0; Max = 999

Chronic conditions (CCC) - Question identifier:CCC_Q55

Have you received treatment for cancer in the past 12 months?

  • 1: Yes
  • 2: No

Chronic conditions (CCC) - Question identifier:CCC_Q60

What type of cancer were you diagnosed with?

  • 01: Breast
  • 02: Prostate
  • 03: Colorectal
  • 04: Skin - Melanoma
  • 05: Skin - Non-melanoma
  • 06: Ovarian
  • 07: Cervical
  • 08: Uterine
  • 09: Lung
  • 10: Other - specify

Chronic conditions (CCC) - Question identifier:CCC_Q65

Do you have heart disease?

  • 1: Yes
  • 2: No

Chronic conditions (CCC) - Question identifier:CCC_Q70

How old were you when this was first diagnosed?

Min = 0; Max = 999

Chronic conditions (CCC) - Question identifier:CCC_Q75

[Have you] ever been told by a health professional that you have had a heart attack?

  • 1: Yes
  • 2: No

Chronic conditions (CCC) - Question identifier:CCC_Q80

Do you have high blood pressure?

  • 1: Yes
  • 2: No

Chronic conditions (CCC) - Question identifier:CCC_Q85

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

  • 1: Yes
  • 2: No

Chronic conditions (CCC) - Question identifier:CCC_Q90

[Have you] ever been told by a health professional that your blood cholesterol was high?

  • 1: Yes
  • 2: No

Chronic conditions (CCC) - Question identifier:CCC_Q95

Do you suffer from the effects of a stroke?

  • 1: Yes
  • 2: No

Chronic conditions (CCC) - Question identifier:CCC_Q100

Do you have osteoporosis?

  • 1: Yes
  • 2: No

Chronic conditions (CCC) - Question identifier:CCC_R105

We are interested in conditions diagnosed by a health professional and that are expected to last or have already lasted 6 months or more.

Chronic conditions (CCC) - Question identifier:CCC_Q105

Do you have fibromyalgia?

  • 1: Yes
  • 2: No

Chronic conditions (CCC) - Question identifier:CCC_Q110

How old were you when the first symptoms appeared?

Min = 0; Max = 999

Chronic conditions (CCC) - Question identifier:CCC_Q115

How old were you when this was first diagnosed?

Min = 0; Max = 999

Chronic conditions (CCC) - Question identifier:CCC_Q120

Do you have arthritis?

  • 1: Yes
  • 2: No

Chronic conditions (CCC) - Question identifier:CCC_Q125

Do you have back problems?

  • 1: Yes
  • 2: No

Chronic conditions (CCC) - Question identifier:CCC_Q130

Was this diagnosed by a health professional?

  • 1: Yes
  • 2: No

Chronic conditions (CCC) - Question identifier:CCC_Q135

Do you have a mood disorder?

  • 1: Yes
  • 2: No

Chronic conditions (CCC) - Question identifier:CCC_Q140

Do you have an anxiety disorder?

  • 1: Yes
  • 2: No

Chronic conditions (CCC) - Question identifier:CCC_Q145

Do you have post-traumatic stress disorder (PTSD)?

  • 1: Yes
  • 2: No

Chronic conditions (CCC) - Question identifier:CCC_Q150

Do you have attention deficit disorder or attention deficit hyperactivity disorder, also known as ADD or ADHD?

  • 1: Yes
  • 2: No

Chronic conditions (CCC) - Question identifier:CCC_Q155

Do you have schizophrenia or any other psychosis?

  • 1: Yes
  • 2: No

Chronic conditions (CCC) - Question identifier:CCC_Q160

Do you have an eating disorder such as anorexia or bulimia?

  • 1: Yes
  • 2: No

Chronic conditions (CC1)

Chronic conditions (CC1) - Question identifier:CC1_R140

We are interested in conditions diagnosed by a health professional and that are expected to last or have already lasted 6 months or more.

Chronic conditions (CC1) - Question identifier:CC1_Q150

Do you have Alzheimer's disease or any other dementia?

  • 1: Yes
  • 2: No

Chronic conditions (CC1) - Question identifier:CC1_Q155

Do you have chronic fatigue syndrome (CFS)?

  • 1: Yes
  • 2: No

Chronic conditions (CC1) - Question identifier:CC1_Q160

How old were you when the first symptoms appeared?

Age in years

Min = 0; Max = 999

Chronic conditions (CC1) - Question identifier:CC1_Q165

How old were you when this was first diagnosed?

Age in years

Min = 0; Max = 999

Chronic conditions (CC1) - Question identifier:CC1_Q170

Do you have multiple chemical sensitivities (MCS)?

  • 1: Yes
  • 2: No

Chronic conditions (CC1) - Question identifier:CC1_Q175

How old were you when the first symptoms appeared?

Age in years

Min = 0; Max = 999

Chronic conditions (CC1) - Question identifier:CC1_Q180

How old were you when this was first diagnosed?

Age in years

Min = 0; Max = 999

Health utility index (HUI)

Health utility index (HUI) - Question identifier:HUI_R001

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 (HUI) - Question identifier:HUI_Q005

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

  • 1: Yes
  • 2: No

Health utility index (HUI) - Question identifier:HUI_Q005A

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

Health utility index (HUI) - Question identifier:HUI_Q005B

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

Health utility index (HUI) - Question identifier:HUI_Q010

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

  • 1: Yes
  • 2: No

Health utility index (HUI) - Question identifier:HUI_Q010A

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

Health utility index (HUI) - Question identifier:HUI_Q010B

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

Health utility index (HUI) - Question identifier:HUI_Q015

Are you able to see at all?

  • 1: Yes
  • 2: No

Health utility index (HUI) - Question identifier:HUI_Q015A

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

Health utility index (HUI) - Question identifier:HUI_Q015B

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

Health utility index (HUI) - Question identifier:HUI_Q030

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

Health utility index (HUI) - Question identifier:HUI_Q035

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

Health utility index (HUI) - Question identifier:HUI_Q035A

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

Health utility index (HUI) - Question identifier:HUI_Q035B

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

Health utility index (HUI) - Question identifier:HUI_Q040

Are you able to hear at all?

  • 1: Yes
  • 2: No

Health utility index (HUI) - Question identifier:HUI_Q040A

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

Health utility index (HUI) - Question identifier:HUI_Q040B

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

Health utility index (HUI) - Question identifier:HUI_Q055

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

  • 1: Yes
  • 2: No

Health utility index (HUI) - Question identifier:HUI_Q060

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

  • 1: Yes
  • 2: No

Health utility index (HUI) - Question identifier:HUI_Q065

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

  • 1: Yes
  • 2: No

Health utility index (HUI) - Question identifier:HUI_Q070

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

  • 1: Yes
  • 2: No

Health utility index (HUI) - Question identifier:HUI_Q075

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

Health utility index (HUI) - Question identifier:HUI_Q080

Are you able to walk at all?

  • 1: Yes
  • 2: No

Health utility index (HUI) - Question identifier:HUI_Q085

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

  • 1: Yes
  • 2: No

Health utility index (HUI) - Question identifier:HUI_Q090

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

  • 1: Yes
  • 2: No

Health utility index (HUI) - Question identifier:HUI_Q095

Do you require a wheelchair to get around?

  • 1: Yes
  • 2: No

Health utility index (HUI) - Question identifier:HUI_Q100

How often do you use a wheelchair?

  • 1: Always
  • 2: Often
  • 3: Sometimes
  • 4: Never

Health utility index (HUI) - Question identifier:HUI_Q105

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

  • 1: Yes
  • 2: No

Health utility index (HUI) - Question identifier:HUI_Q110

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

  • 1: Yes
  • 2: No

Health utility index (HUI) - Question identifier:HUI_Q115

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

  • 1: Yes
  • 2: No

Health utility index (HUI) - Question identifier:HUI_Q120

How many tasks do you require the help of another person with?

  • 1: Some tasks
  • 2: Most tasks
  • 3: Almost all tasks
  • 4: All tasks

Health utility index (HUI) - Question identifier:HUI_Q125

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

Health utility index (HUI) - Question identifier:HUI_Q130

How 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

Health utility index (HUI) - Question identifier:HUI_Q135

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

Health utility index (HUI) - Question identifier:HUI_Q140

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

Health utility index (HUI) - Question identifier:HUI_R145

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.

Health utility index (HUI) - Question identifier:HUI_Q145

Are you usually free of pain or discomfort?

  • 1: Yes
  • 2: No

Health utility index (HUI) - Question identifier:HUI_Q150

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

  • 1: Mild
  • 2: Moderate
  • 3: Severe

Health utility index (HUI) - Question identifier:HUI_Q155

How many activities does your pain or discomfort prevent?

  • 1: None
  • 2: A few
  • 3: Some
  • 4: Most

Long-term condition (LTC)

Long-term condition (LTC) - Question identifier:LTC_Q10

Do you identify as a person with a disability?

  • 1: Yes
  • 2: No

Activities of daily living (ADL)

Activities of daily living (ADL) - Question identifier:ADL_R01

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_Q05

Because of any health problem, physical or mental condition, do you have any difficulty with the following common daily activities?

Preparing meals

  • 1: No difficulty
  • 2: Some difficulty, but no help required
  • 3: Some difficulty and help from others is required
  • 4: Cannot do at all

Activities of daily living (ADL) - Question identifier:ADL_Q10

Because of any health problem, physical or mental condition, do you have any difficulty with the following common daily activities?

Running errands

  • 1: No difficulty
  • 2: Some difficulty, but no help required
  • 3: Some difficulty and help from others is required
  • 4: Cannot do at all

Activities of daily living (ADL) - Question identifier:ADL_Q15

Because of any health problem, physical or mental condition, do you have any difficulty with the following common daily activities?

Everyday housework

  • 1: No difficulty
  • 2: Some difficulty, but no help required
  • 3: Some difficulty and help from others is required
  • 4: Cannot do at all

Activities of daily living (ADL) - Question identifier:ADL_Q20

Because of any health problem, physical or mental condition, do you have any difficulty with the following common daily activities?

Personal care

  • 1: No difficulty
  • 2: Some difficulty, but no help required
  • 3: Some difficulty and help from others is required
  • 4: Cannot do at all

Activities of daily living (ADL) - Question identifier:ADL_Q25

Because of any health problem, physical or mental condition, do you have any difficulty with the following common daily activities?

Moving inside the house

  • 1: No difficulty
  • 2: Some difficulty, but no help required
  • 3: Some difficulty and help from others is required
  • 4: Cannot do at all

Activities of daily living (ADL) - Question identifier:ADL_Q30

Because of any health problem, physical or mental condition, do you have any difficulty with the following common daily activities?

Personal finances

  • 1: No difficulty
  • 2: Some difficulty, but no help required
  • 3: Some difficulty and help from others is required
  • 4: Cannot do at all

Eating habits (EAH)

Eating habits (EAH) - Question identifier:EAH_R01

The next questions are about some of your eating and drinking habits.

Eating habits (EAH) - Question identifier:EAH_Q05A

In the past 30 days, how many times did you eat food from a restaurant?

Min = 0; Max = 999

Eating habits (EAH) - Question identifier:EAH_Q05B

In the past 30 days, how many times did you eat food from a restaurant?

Per month, per week or per day

  • 1: Per month
  • 2: Per week
  • 3: Per day

Eating habits (EAH) - Question identifier:EAH_Q10A

In the past 30 days, how many times did you drink the following beverages?

100% pure fruit juice

Min = 0; Max = 999

Eating habits (EAH) - Question identifier:EAH_Q10B

In the past 30 days, how many times did you drink the following beverages?

Per month, per week or per day

  • 1: Per month
  • 2: Per week
  • 3: Per day

Eating habits (EAH) - Question identifier:EAH_Q15A

In the past 30 days, how many times did you drink the following beverages?

Fruit flavoured drinks or sports drinks

Min = 0; Max = 999

Eating habits (EAH) - Question identifier:EAH_Q15B

In the past 30 days, how many times did you drink the following beverages?

Per month, per week or per day

  • 1: Per month
  • 2: Per week
  • 3: Per day

Eating habits (EAH) - Question identifier:EAH_Q20A

In the past 30 days, how many times did you drink the following beverages?

Regular soft drinks

Min = 0; Max = 999

Eating habits (EAH) - Question identifier:EAH_Q20B

In the past 30 days, how many times did you drink the following beverages?

Per month, per week or per day

  • 1: Per month
  • 2: Per week
  • 3: Per day

Eating habits (EAH) - Question identifier:EAH_Q25A

In the past 30 days, how many times did you drink the following beverages?

Sweetened coffee drinks or iced tea

Min = 0; Max = 999

Eating habits (EAH) - Question identifier:EAH_Q25B

In the past 30 days, how many times did you drink the following beverages?

Per month, per week or per day

  • 1: Per month
  • 2: Per week
  • 3: Per day

Eating habits (EAH) - Question identifier:EAH_Q30A

In the past 30 days, how many times did you drink the following beverages?

Energy drinks

Min = 0; Max = 999

Eating habits (EAH) - Question identifier:EAH_Q30B

In the past 30 days, how many times did you drink the following beverages?

Per month, per week or per day

  • 1: Per month
  • 2: Per week
  • 3: Per day

Eating habits (EAH) - Question identifier:EAH_Q35A

In the past 30 days, how many times did you drink the following beverages?

Chocolate milk

Min = 0; Max = 999

Eating habits (EAH) - Question identifier:EAH_Q35B

In the past 30 days, how many times did you drink the following beverages?

Per month, per week or per day

  • 1: Per month
  • 2: Per week
  • 3: Per day

Eating habits (EAH) - Question identifier:EAH_Q40A

In the past 30 days, how many times did you eat the following fruits and vegetables?

Fruits

Min = 0; Max = 999

Eating habits (EAH) - Question identifier:EAH_Q40B

In the past 30 days, how many times did you eat the following fruits and vegetables?

Per month, per week or per day

  • 1: Per month
  • 2: Per week
  • 3: Per day

Eating habits (EAH) - Question identifier:EAH_Q45A

In the past 30 days, how many times did you eat the following fruits and vegetables?

Dark green vegetables

Min = 0; Max = 999

Eating habits (EAH) - Question identifier:EAH_Q45B

In the past 30 days, how many times did you eat the following fruits and vegetables?

Per month, per week or per day

  • 1: Per month
  • 2: Per week
  • 3: Per day

Eating habits (EAH) - Question identifier:EAH_Q50A

In the past 30 days, how many times did you eat the following fruits and vegetables?

Orange-coloured vegetables

Min = 0; Max = 999

Eating habits (EAH) - Question identifier:EAH_Q50B

In the past 30 days, how many times did you eat the following fruits and vegetables?

Per month, per week or per day

  • 1: Per month
  • 2: Per week
  • 3: Per day

Eating habits (EAH) - Question identifier:EAH_Q55A

In the past 30 days, how many times did you eat the following fruits and vegetables?

Starchy vegetables

Min = 0; Max = 999

Eating habits (EAH) - Question identifier:EAH_Q55B

In the past 30 days, how many times did you eat the following fruits and vegetables?

Per month, per week or per day

  • 1: Per month
  • 2: Per week
  • 3: Per day

Eating habits (EAH) - Question identifier:EAH_Q60A

In the past 30 days, how many times did you eat the following fruits and vegetables?

Other vegetables

Min = 0; Max = 999

Eating habits (EAH) - Question identifier:EAH_Q60B

In the past 30 days, how many times did you eat the following fruits and vegetables?

Per month, per week or per day

  • 1: Per month
  • 2: Per week
  • 3: Per day

Canada's Food Guide use (FGU)

Canada's Food Guide use (FGU) - Question identifier:FGU_Q005

Have you ever seen or heard of Canada's Food Guide?

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

Canada's Food Guide use (FGU) - Question identifier:FGU_Q010

Have you ever used information from Canada's Food Guide?

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

Canada's Food Guide use (FGU) - Question identifier:FGU_Q015

What did you use the information for?

Would you say:

  • 1: To choose foods
  • 2: To determine how much to eat every day
  • 3: To plan meals or to help with grocery shopping
  • 4: To assess how well you are eating
  • 5: Other

Use of protective equipment (UPE)

Use of protective equipment (UPE) - Question identifier:UPE_Q05

In the past 12 months, have you participated in any of these activities?

  • 1: Bicycling
  • 2: In-line skating or rollerblading
  • 3: Downhill skiing
  • 4: Snowboarding
  • 5: Skateboarding
  • 6: Playing ice hockey

Use of protective equipment (UPE) - Question identifier:UPE_Q10

When riding a bicycle, how often do you wear a helmet?

  • 1: Always
  • 2: Most of the time
  • 3: Rarely
  • 4: Never

Use of protective equipment (UPE) - Question identifier:UPE_Q20

When in-line skating or rollerblading, how often do you wear the following equipment?
A helmet

  • 1: Always
  • 2: Most of the time
  • 3: Rarely
  • 4: Never

Use of protective equipment (UPE) - Question identifier:UPE_Q25

When in-line skating or rollerblading, how often do you wear the following equipment?
Wrist guards or wrist protectors

  • 1: Always
  • 2: Most of the time
  • 3: Rarely
  • 4: Never

Use of protective equipment (UPE) - Question identifier:UPE_Q30

When in-line skating or rollerblading, how often do you wear the following equipment?
Elbow pads

  • 1: Always
  • 2: Most of the time
  • 3: Rarely
  • 4: Never

Use of protective equipment (UPE) - Question identifier:UPE_Q35

When in-line skating or rollerblading, how often do you wear the following equipment?
Knee pads

  • 1: Always
  • 2: Most of the time
  • 3: Rarely
  • 4: Never

Use of protective equipment (UPE) - Question identifier:UPE_Q45

When downhill skiing, how often do you wear a helmet?

  • 1: Always
  • 2: Most of the time
  • 3: Rarely
  • 4: Never

Use of protective equipment (UPE) - Question identifier:UPE_Q50

When snowboarding, how often do you wear the following equipment?
A helmet

  • 1: Always
  • 2: Most of the time
  • 3: Rarely
  • 4: Never

Use of protective equipment (UPE) - Question identifier:UPE_Q55

When snowboarding, how often do you wear the following equipment?
Wrist guards or wrist protectors

  • 1: Always
  • 2: Most of the time
  • 3: Rarely
  • 4: Never

Use of protective equipment (UPE) - Question identifier:UPE_Q65

When skateboarding, how often do you wear the following equipment?
A helmet

  • 1: Always
  • 2: Most of the time
  • 3: Rarely
  • 4: Never

Use of protective equipment (UPE) - Question identifier:UPE_Q70

When skateboarding, how often do you wear the following equipment?
Wrist guards or wrist protectors

  • 1: Always
  • 2: Most of the time
  • 3: Rarely
  • 4: Never

Use of protective equipment (UPE) - Question identifier:UPE_Q75

When skateboarding, how often do you wear the following equipment?
Elbow pads

  • 1: Always
  • 2: Most of the time
  • 3: Rarely
  • 4: Never

Use of protective equipment (UPE) - Question identifier:UPE_Q85

When playing ice hockey, how often do you wear a mouth guard?

  • 1: Always
  • 2: Most of the time
  • 3: Rarely
  • 4: Never

Moderate physical activity (MPA)

Moderate physical activity (MPA) - Question identifier:MPA_R01

Thinking again of the past 7 days, we would like to record your physical activities.

We will be asking about common sources of physical activity including: gym at school, recess or free time at school, organized sports and lessons, walking or playing for leisure, [walking or cycling for transportation, and physical activity while at work, volunteering, or at home/walking or cycling for transportation].

To make it easier, we will ask about weekdays and weekend days separately. If recall is too difficult, give your best estimate.

Moderate physical activity (MPA) - Question identifier:MPA_R05

In the past 7 days, how much time did you spend doing the following activities that made you sweat or breathe harder?

Moderate physical activity (MPA) - Question identifier:MPA_Q05A

Doing physical activity that made you sweat or breathe harder during school hours as part of physical education classes or at lunch hour or recess.
On a typical weekday

Hours per day

  • 01: 1
  • 02: 2
  • 03: 3
  • 04: 4
  • 05: 5
  • 06: 6
  • 07: 7
  • 08: 8

Moderate physical activity (MPA) - Question identifier:MPA_Q05B

Doing physical activity that made you sweat or breathe harder during school hours as part of physical education classes or at lunch hour or recess.
On a typical weekday

Minutes per day

  • 00: 0
  • 05: 5
  • 10: 10
  • 15: 15
  • 20: 20
  • 25: 25
  • 30: 30
  • 35: 35
  • 40: 40
  • 45: 45
  • 50: 50
  • 55: 55

Moderate physical activity (MPA) - Question identifier:MPA_Q15A

Doing physical activity that made you sweat or breathe harder while participating in clubs, lessons, leagues, or team sports.
On a typical weekday

Hours per day

  • 01: 1
  • 02: 2
  • 03: 3
  • 04: 4
  • 05: 5
  • 06: 6
  • 07: 7
  • 08: 8

Moderate physical activity (MPA) - Question identifier:MPA_Q15B

Doing physical activity that made you sweat or breathe harder while participating in clubs, lessons, leagues, or team sports.
On a typical weekday

Minutes per day

  • 00: 0
  • 05: 5
  • 10: 10
  • 15: 15
  • 20: 20
  • 25: 25
  • 30: 30
  • 35: 35
  • 40: 40
  • 45: 45
  • 50: 50
  • 55: 55

Moderate physical activity (MPA) - Question identifier:MPA_Q15C

Doing physical activity that made you sweat or breathe harder while participating in clubs, lessons, leagues, or team sports.
On a typical weekend day

Hours per day

  • 01: 1
  • 02: 2
  • 03: 3
  • 04: 4
  • 05: 5
  • 06: 6
  • 07: 7
  • 08: 8

Moderate physical activity (MPA) - Question identifier:MPA_Q15D

Doing physical activity that made you sweat or breathe harder while participating in clubs, lessons, leagues, or team sports.
On a typical weekend day

Minutes per day

  • 00: 0
  • 05: 5
  • 10: 10
  • 15: 15
  • 20: 20
  • 25: 25
  • 30: 30
  • 35: 35
  • 40: 40
  • 45: 45
  • 50: 50
  • 55: 55

Moderate physical activity (MPA) - Question identifier:MPA_Q20A

Doing physical activity that made you sweat or breathe harder for fitness, fun or recreation with friends, family or alone.
On a typical weekday

Hours per day

  • 01: 1
  • 02: 2
  • 03: 3
  • 04: 4
  • 05: 5
  • 06: 6
  • 07: 7
  • 08: 8

Moderate physical activity (MPA) - Question identifier:MPA_Q20B

Doing physical activity that made you sweat or breathe harder for fitness, fun or recreation with friends, family or alone.
On a typical weekday

Minutes per day

  • 00: 0
  • 05: 5
  • 10: 10
  • 15: 15
  • 20: 20
  • 25: 25
  • 30: 30
  • 35: 35
  • 40: 40
  • 45: 45
  • 50: 50
  • 55: 55

Moderate physical activity (MPA) - Question identifier:MPA_Q20C

Doing physical activity that made you sweat or breathe harder for fitness, fun or recreation with friends, family or alone.
On a typical weekend day

Hours per day

  • 01: 1
  • 02: 2
  • 03: 3
  • 04: 4
  • 05: 5
  • 06: 6
  • 07: 7
  • 08: 8

Moderate physical activity (MPA) - Question identifier:MPA_Q20D

Doing physical activity that made you sweat or breathe harder for fitness, fun or recreation with friends, family or alone.
On a typical weekend day

Minutes per day

  • 00: 0
  • 05: 5
  • 10: 10
  • 15: 15
  • 20: 20
  • 25: 25
  • 30: 30
  • 35: 35
  • 40: 40
  • 45: 45
  • 50: 50
  • 55: 55

Moderate physical activity (MPA) - Question identifier:MPA_Q25

In the past 7 days, did you use active ways like walking or cycling to get to places such as [school, stores, visiting friends or work/school, stores, or visiting friends]?

  • 1: Yes
  • 2: No

Moderate physical activity (MPA) - Question identifier:MPA_Q25A

In the past 7 days, how much time did you spend using the following active ways to get to places?
Walking

On a typical weekday

Hours per day

  • 01: 1
  • 02: 2
  • 03: 3
  • 04: 4
  • 05: 5
  • 06: 6
  • 07: 7
  • 08: 8

Moderate physical activity (MPA) - Question identifier:MPA_Q25B

In the past 7 days, how much time did you spend using the following active ways to get to places?
Walking

On a typical weekday

Minutes per day

  • 00: 0
  • 05: 5
  • 10: 10
  • 15: 15
  • 20: 20
  • 25: 25
  • 30: 30
  • 35: 35
  • 40: 40
  • 45: 45
  • 50: 50
  • 55: 55

Moderate physical activity (MPA) - Question identifier:MPA_Q25C

In the past 7 days, how much time did you spend using the following active ways to get to places?
Walking

On a typical weekend day

Hours per day

  • 01: 1
  • 02: 2
  • 03: 3
  • 04: 4
  • 05: 5
  • 06: 6
  • 07: 7
  • 08: 8

Moderate physical activity (MPA) - Question identifier:MPA_Q25D

In the past 7 days, how much time did you spend using the following active ways to get to places?
Walking

On a typical weekend day

Minutes per day

  • 00: 0
  • 05: 5
  • 10: 10
  • 15: 15
  • 20: 20
  • 25: 25
  • 30: 30
  • 35: 35
  • 40: 40
  • 45: 45
  • 50: 50
  • 55: 55

Moderate physical activity (MPA) - Question identifier:MPA_Q30A

In the past 7 days, how much time did you spend using the following active ways to get to places?
Cycling

On a typical weekday

Hours per day

  • 01: 1
  • 02: 2
  • 03: 3
  • 04: 4
  • 05: 5
  • 06: 6
  • 07: 7
  • 08: 8

Moderate physical activity (MPA) - Question identifier:MPA_Q30B

In the past 7 days, how much time did you spend using the following active ways to get to places?
Cycling

On a typical weekday

Minutes per day

  • 00: 0
  • 05: 5
  • 10: 10
  • 15: 15
  • 20: 20
  • 25: 25
  • 30: 30
  • 35: 35
  • 40: 40
  • 45: 45
  • 50: 50
  • 55: 55

Moderate physical activity (MPA) - Question identifier:MPA_Q30C

In the past 7 days, how much time did you spend using the following active ways to get to places?
Cycling

On a typical weekend day

Hours per day

  • 01: 1
  • 02: 2
  • 03: 3
  • 04: 4
  • 05: 5
  • 06: 6
  • 07: 7
  • 08: 8

Moderate physical activity (MPA) - Question identifier:MPA_Q30D

In the past 7 days, how much time did you spend using the following active ways to get to places?
Cycling

On a typical weekend day

Minutes per day

  • 00: 0
  • 05: 5
  • 10: 10
  • 15: 15
  • 20: 20
  • 25: 25
  • 30: 30
  • 35: 35
  • 40: 40
  • 45: 45
  • 50: 50
  • 55: 55

Moderate physical activity (MPA) - Question identifier:MPA_R32

Thinking again of the past 7 days, we wish to record your physical activities. We will be asking you about common sources of physical activity while on the job, during sports, fitness or recreational activities, walking or cycling for transportation, and physical activity while volunteering, at home or at work.

To make it easier, we will ask about weekdays and weekend days separately. If you work shifts, please adjust answers to typical workdays and days off. If recall is too difficult, give your best estimate.

Moderate physical activity (MPA) - Question identifier:MPA_R35

In the past 7 days, how much time did you spend doing the following activities that made you sweat or breathe harder?

Moderate physical activity (MPA) - Question identifier:MPA_Q35A

Active work as part of your job that made you sweat or breathe harder.
On a typical weekday

Hours per 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

Moderate physical activity (MPA) - Question identifier:MPA_Q35B

Active work as part of your job that made you sweat or breathe harder.
On a typical weekday

Minutes per day

  • 00: 0
  • 05: 5
  • 10: 10
  • 15: 15
  • 20: 20
  • 25: 25
  • 30: 30
  • 35: 35
  • 40: 40
  • 45: 45
  • 50: 50
  • 55: 55

Moderate physical activity (MPA) - Question identifier:MPA_Q35C

Active work as part of your job that made you sweat or breathe harder.
On a typical weekend day

Hours per 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

Moderate physical activity (MPA) - Question identifier:MPA_Q35D

Active work as part of your job that made you sweat or breathe harder.
On a typical weekend day

Minutes per day

  • 00: 0
  • 05: 5
  • 10: 10
  • 15: 15
  • 20: 20
  • 25: 25
  • 30: 30
  • 35: 35
  • 40: 40
  • 45: 45
  • 50: 50
  • 55: 55

Moderate physical activity (MPA) - Question identifier:MPA_Q40A

Sports, fitness or recreational physical activities that made you sweat or breathe harder.
On a typical weekday

Hours per 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

Moderate physical activity (MPA) - Question identifier:MPA_Q40B

Sports, fitness or recreational physical activities that made you sweat or breathe harder.
On a typical weekday

Minutes per day

  • 00: 0
  • 05: 5
  • 10: 10
  • 15: 15
  • 20: 20
  • 25: 25
  • 30: 30
  • 35: 35
  • 40: 40
  • 45: 45
  • 50: 50
  • 55: 55

Moderate physical activity (MPA) - Question identifier:MPA_Q40C

Sports, fitness or recreational physical activities that made you sweat or breathe harder.
On a typical weekend day

Hours per 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

Moderate physical activity (MPA) - Question identifier:MPA_Q40D

Sports, fitness or recreational physical activities that made you sweat or breathe harder.
On a typical weekend day

Minutes per day

  • 00: 0
  • 05: 5
  • 10: 10
  • 15: 15
  • 20: 20
  • 25: 25
  • 30: 30
  • 35: 35
  • 40: 40
  • 45: 45
  • 50: 50
  • 55: 55

Moderate physical activity (MPA) - Question identifier:MPA_Q45

In the past 7 days, did you use active ways like walking or cycling to get to places such as school, stores, visiting friends or work?

  • 1: Yes
  • 2: No

Moderate physical activity (MPA) - Question identifier:MPA_Q45A

In the past 7 days, how much time did you spend using the following active ways to get to places?
Walking

On a typical weekday

Hours per 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

Moderate physical activity (MPA) - Question identifier:MPA_Q45B

In the past 7 days, how much time did you spend using the following active ways to get to places?
Walking

On a typical weekday

Minutes per day

  • 00: 0
  • 05: 5
  • 10: 10
  • 15: 15
  • 20: 20
  • 25: 25
  • 30: 30
  • 35: 35
  • 40: 40
  • 45: 45
  • 50: 50
  • 55: 55

Moderate physical activity (MPA) - Question identifier:MPA_Q45C

In the past 7 days, how much time did you spend using the following active ways to get to places?
Walking

On a typical weekend day

Hours per 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

Moderate physical activity (MPA) - Question identifier:MPA_Q45D

In the past 7 days, how much time did you spend using the following active ways to get to places?
Walking

On a typical weekend day

Minutes per day

  • 00: 0
  • 05: 5
  • 10: 10
  • 15: 15
  • 20: 20
  • 25: 25
  • 30: 30
  • 35: 35
  • 40: 40
  • 45: 45
  • 50: 50
  • 55: 55

Moderate physical activity (MPA) - Question identifier:MPA_Q50A

In the past 7 days, how much time did you spend using the following active ways to get to places?
Cycling

On a typical weekday

Hours per 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

Moderate physical activity (MPA) - Question identifier:MPA_Q50B

In the past 7 days, how much time did you spend using the following active ways to get to places?
Cycling

On a typical weekday

Minutes per day

  • 00: 0
  • 05: 5
  • 10: 10
  • 15: 15
  • 20: 20
  • 25: 25
  • 30: 30
  • 35: 35
  • 40: 40
  • 45: 45
  • 50: 50
  • 55: 55

Moderate physical activity (MPA) - Question identifier:MPA_Q50C

In the past 7 days, how much time did you spend using the following active ways to get to places?
Cycling

On a typical weekend day

Hours per 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

Moderate physical activity (MPA) - Question identifier:MPA_Q50D

In the past 7 days, how much time did you spend using the following active ways to get to places?
Cycling

On a typical weekend day

Minutes per day

  • 00: 0
  • 05: 5
  • 10: 10
  • 15: 15
  • 20: 20
  • 25: 25
  • 30: 30
  • 35: 35
  • 40: 40
  • 45: 45
  • 50: 50
  • 55: 55

Moderate physical activity (MPA) - Question identifier:MPA_Q55A

In the past 7 days, how much time did you spend doing other physical activities that made you sweat or breathe harder while [at work,] doing household chores, or while volunteering?
On a typical weekday

Hours per 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

Moderate physical activity (MPA) - Question identifier:MPA_Q55B

In the past 7 days, how much time did you spend doing other physical activities that made you sweat or breathe harder while [at work,] doing household chores, or while volunteering?
On a typical weekday

Minutes per day

  • 00: 0
  • 05: 5
  • 10: 10
  • 15: 15
  • 20: 20
  • 25: 25
  • 30: 30
  • 35: 35
  • 40: 40
  • 45: 45
  • 50: 50
  • 55: 55

Moderate physical activity (MPA) - Question identifier:MPA_Q55C

In the past 7 days, how much time did you spend doing other physical activities that made you sweat or breathe harder while [at work,] doing household chores, or while volunteering?
On a typical weekend day

Hours per 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

Moderate physical activity (MPA) - Question identifier:MPA_Q55D

In the past 7 days, how much time did you spend doing other physical activities that made you sweat or breathe harder while [at work,] doing household chores, or while volunteering?
On a typical weekend day

Minutes per day

  • 00: 0
  • 05: 5
  • 10: 10
  • 15: 15
  • 20: 20
  • 25: 25
  • 30: 30
  • 35: 35
  • 40: 40
  • 45: 45
  • 50: 50
  • 55: 55

Other physical activities (OPA)

Other physical activities (OPA) - Question identifier:OPA_R02

Now we will ask some questions to gather more details about the physical activities that you do. These activities may include those which have already been reported.

Other physical activities (OPA) - Question identifier:OPA_Q05A

In the past 7 days, how much time did you spend outdoors?
On a typical weekday

Hours per 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

Other physical activities (OPA) - Question identifier:OPA_Q05B

In the past 7 days, how much time did you spend outdoors?
On a typical weekday

Minutes per day

  • 00: 0
  • 05: 5
  • 10: 10
  • 15: 15
  • 20: 20
  • 25: 25
  • 30: 30
  • 35: 35
  • 40: 40
  • 45: 45
  • 50: 50
  • 55: 55

Other physical activities (OPA) - Question identifier:OPA_Q05C

In the past 7 days, how much time did you spend outdoors?
On a typical weekend day

Hours per 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

Other physical activities (OPA) - Question identifier:OPA_Q05D

In the past 7 days, how much time did you spend outdoors?
On a typical weekend day

Minutes per day

  • 00: 0
  • 05: 5
  • 10: 10
  • 15: 15
  • 20: 20
  • 25: 25
  • 30: 30
  • 35: 35
  • 40: 40
  • 45: 45
  • 50: 50
  • 55: 55

Other physical activities (OPA) - Question identifier:OPA_R10

Now we will ask some questions to gather more details about the physical activities that you do. These activities may include those which have already been reported.

Other physical activities (OPA) - Question identifier:OPA_Q10

In the past 7 days, how many days did you engage in strength-building exercise?

  • 1: 1
  • 2: 2
  • 3: 3
  • 4: 4
  • 5: 5
  • 6: 6
  • 7: 7

Other physical activities (OPA) - Question identifier:OPA_Q15

In the past 7 days, how many days did you engage in flexibility exercises?

  • 1: 1
  • 2: 2
  • 3: 3
  • 4: 4
  • 5: 5
  • 6: 6
  • 7: 7

Other physical activities (OPA) - Question identifier:OPA_Q20

In the past 7 days, how many days did you engage in any vigorous-intensity exercise?

  • 1: 1
  • 2: 2
  • 3: 3
  • 4: 4
  • 5: 5
  • 6: 6
  • 7: 7

Current smoking status (CSS)

Current smoking status (CSS) - Question identifier:CSS_R01

The next questions are about cigarette smoking.

Include cigarettes that are self-made. Exclude e-cigarettes or vapes.

Current smoking status (CSS) - Question identifier:CSS_Q05

Have you ever smoked a whole cigarette?

  • 1: Yes
  • 2: No

Current smoking status (CSS) - Question identifier:CSS_Q10

How old were you when you smoked your first whole cigarette?

Min = 0; Max = 999

Current smoking status (CSS) - Question identifier:CSS_Q15

Have you smoked more than 100 cigarettes (about 4 packs) in your life?

  • 1: Yes
  • 2: No

Current smoking status (CSS) - Question identifier:CSS_Q20

In the past 30 days, how often did you smoke cigarettes?

  • 1: Every day
  • 2: Less than once a day, but at least once a week
  • 3: Less than once a week, but at least once in the past month
  • 4: Not at all

Current smoking status (CSS) - Question identifier:CSS_Q25

How many cigarettes do you usually smoke each day?

Min = 0; Max = 999

Current smoking status (CSS) - Question identifier:CSS_Q35

In the past 30 days, how many days have you smoked one or more cigarettes?

Min = 0; Max = 99

Current smoking status (CSS) - Question identifier:CSS_Q30

On the days that you do smoke, how many cigarettes do you usually smoke?

Min = 0; Max = 999

Current smoking status (CSS) - Question identifier:CSS_Q41

In the past 12 months, did you stop smoking for at least 24 hours because you were trying to cut back or quit?

  • 1: Yes
  • 2: No

Smoking - past use (SPU)

Smoking - past use (SPU) - Question identifier:SPU_Q05

Have you ever smoked cigarettes daily?

  • 1: Yes
  • 2: No

Smoking - past use (SPU) - Question identifier:SPU_Q10

When did you stop smoking?

  • 1: Less than one year ago
  • 2: 1 year to less than 2 years ago
  • 3: 2 years to less than 3 years ago
  • 4: 3 or more years ago

Smoking - past use (SPU) - Question identifier:SPU_Q15

At what age did you begin to smoke cigarettes daily?

Min = 0; Max = 999

Smoking - past use (SPU) - Question identifier:SPU_Q20

When you smoked every day, how many cigarettes did you usually smoke each day?

Min = 0; Max = 999

Smoking - past use (SPU) - Question identifier:SPU_Q25

When did you stop smoking daily?

  • 1: Less than one year ago
  • 2: 1 year to less than 2 years ago
  • 3: 2 years to less than 3 years ago
  • 4: 3 or more years ago

Smoking - past use (SPU) - Question identifier:SPU_Q30

Was that when you completely quit smoking?

  • 1: Yes
  • 2: No

Smoking - past use (SPU) - Question identifier:SPU_Q35

When did you stop completely?

  • 1: Less than one year ago
  • 2: 1 year to less than 2 years ago
  • 3: 2 years to less than 3 years ago
  • 4: 3 or more years ago

Smoking - past use (SPU) - Question identifier:SPU_Q40

During the past 12 months, did you do any of the following to help you quit smoking?

  • 01: Use nicotine replacement products (e.g., nicotine patch, nicotine gum, nicotine inhaler, nicotine nasal spray, nicotine lozenge, nicotine mouth spray)
  • 02: Use a tobacco-free nicotine pouch (These products are sometimes called 'white pouches', e.g. Zonnic®, Zyn®, On!®, Dryft®, Lyft®, Skruf®. These products do not contain tobacco; they are smokeless and spit-free.)
  • 03: Use smoking cessation medications (e.g., Zyban®, Wellbutrin® or Champix®)
  • 04: Use an internet-based program or an app
  • 05: Use a vaping device or e-cigarette
  • 06: Make a deal with a friend or your family
  • 07: Reduce the number of cigarettes
  • 08: Try to quit smoking on your own
  • 09: Other

Smoking - past use (SPU) - Question identifier:SPU_Q45

During the past 12 months, did you do any of the following to help you when you quit smoking completely?

  • 01: Use nicotine replacement products (e.g., nicotine patch, nicotine gum, nicotine inhaler, nicotine nasal spray, nicotine lozenge, nicotine mouth spray)
  • 02: Use a tobacco-free nicotine pouch (These products are sometimes called 'white pouches', e.g. Zonnic®, Zyn®, On!®, Dryft®, Lyft®, Skruf®. These products do not contain tobacco; they are smokeless and spit-free.)
  • 03: Use smoking cessation medications (e.g., Zyban®, Wellbutrin® or Champix®)
  • 04: Use an internet-based program or an app
  • 05: Use a vaping device or e-cigarette
  • 06: Make a deal with a friend or your family
  • 07: Reduce the number of cigarettes
  • 08: Try to quit smoking on your own
  • 09: Other

Electronic cigarettes and vaping (ECV)

Electronic cigarettes and vaping (ECV) - Question identifier:ECV_R05

Now questions about electronic cigarettes (e-cigarettes) or vaping devices.

Electronic cigarettes and vaping (ECV) - Question identifier:ECV_Q05

Have you ever tried an e-cigarette or vaping device, also known as a vape?

  • 1: Yes
  • 2: No

Electronic cigarettes and vaping (ECV) - Question identifier:ECV_Q10

At what age did you first use an e-cigarette or vaping device?

Min = 0; Max = 999

Electronic cigarettes and vaping (ECV) - Question identifier:ECV_Q15

In the past 30 days, how often did you use an e-cigarette or vaping device?

  • 1: Every day
  • 2: At least once a week
  • 3: At least once in the past month
  • 4: Not at all

Electronic cigarettes and vaping (ECV) - Question identifier:ECV_Q21

The last time you used an e-cigarette or vaping device, also known as a vape, what did it contain?

  • 1: An e-cigarette or a vaping device with nicotine
  • 2: An e-cigarette or a vaping device without nicotine (e.g., just flavouring)
  • 3: An e-cigarette or a vaping device but you did not know what it contained

Electronic cigarettes and vaping (ECV) - Question identifier:ECV_Q25A

During the past 30 days, on how many days did you vape an e-cigarette or a vaping device with nicotine?

Min = 0; Max = 30

Electronic cigarettes and vaping (ECV) - Question identifier:ECV_Q25B

During the past 30 days, on how many days did you vape an e-cigarette or a vaping device without nicotine?

Min = 0; Max = 30

Electronic cigarettes and vaping (ECV) - Question identifier:ECV_Q25C

During the past 30 days, on how many days did you vape an e-cigarette or a vaping device but you did not know what it contained?

Min = 0; Max = 30

Electronic cigarettes and vaping (ECV) - Question identifier:ECV_Q30

Which did you try first, an e-cigarette or vaping device or a cigarette?

  • 1: E-cigarette or vaping device
  • 2: Cigarette

Alcohol use (ALC)

Alcohol use (ALC) - Question identifier:ALC_R01

Now some questions about alcohol consumption.

Alcohol use (ALC) - Question identifier:ALC_Q05

Have you ever had a drink in your lifetime?

  • 1: Yes
  • 2: No

Alcohol use (ALC) - Question identifier:ALC_Q10

In the past 12 months, have you had a drink of beer, wine, liquor or any other alcoholic beverage?

  • 1: Yes
  • 2: No

Alcohol use (ALC) - Question identifier:ALC_Q15

In 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 5 times a week
  • 7: Daily or almost daily

Alcohol use (ALC) - Question identifier:ALC_Q20

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

Alcohol use (ALW)

Alcohol use (ALW) - Question identifier:ALW_Q05

In the past 7 days, that is from [7 days ago] to yesterday, did you have a drink of beer, wine, liquor or any other alcoholic beverage?

  • 1: Yes
  • 2: No

Alcohol use (ALW) - Question identifier:ALW_Q10

In the past 7 days, that is from [7 days ago] to yesterday, how many drinks did you have each day?
a. [Yesterday]

  • 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
  • 21: 21
  • 22: 22
  • 23: 23
  • 24: 24
  • 25: 25
  • 26: 26
  • 27: 27
  • 28: 28
  • 29: 29
  • 30: 30
  • 31: 31
  • 32: 32
  • 33: 33
  • 34: 34
  • 35: 35
  • 36: 36
  • 37: 37
  • 38: 38
  • 39: 39
  • 40: 40
  • 41: 41
  • 42: 42
  • 43: 43
  • 44: 44
  • 45: 45
  • 46: 46
  • 47: 47
  • 48: 48
  • 49: 49
  • 50: 50 or more

Alcohol use (ALW) - Question identifier:ALW_Q15

In the past 7 days, that is from [7 days ago] to yesterday, how many drinks did you have each day?
b. [2 days ago]

  • 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
  • 21: 21
  • 22: 22
  • 23: 23
  • 24: 24
  • 25: 25
  • 26: 26
  • 27: 27
  • 28: 28
  • 29: 29
  • 30: 30
  • 31: 31
  • 32: 32
  • 33: 33
  • 34: 34
  • 35: 35
  • 36: 36
  • 37: 37
  • 38: 38
  • 39: 39
  • 40: 40
  • 41: 41
  • 42: 42
  • 43: 43
  • 44: 44
  • 45: 45
  • 46: 46
  • 47: 47
  • 48: 48
  • 49: 49
  • 50: 50 or more

Alcohol use (ALW) - Question identifier:ALW_Q20

In the past 7 days, that is from [7 days ago] to yesterday, how many drinks did you have each day?
c. [3 days ago]

  • 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
  • 21: 21
  • 22: 22
  • 23: 23
  • 24: 24
  • 25: 25
  • 26: 26
  • 27: 27
  • 28: 28
  • 29: 29
  • 30: 30
  • 31: 31
  • 32: 32
  • 33: 33
  • 34: 34
  • 35: 35
  • 36: 36
  • 37: 37
  • 38: 38
  • 39: 39
  • 40: 40
  • 41: 41
  • 42: 42
  • 43: 43
  • 44: 44
  • 45: 45
  • 46: 46
  • 47: 47
  • 48: 48
  • 49: 49
  • 50: 50 or more

Alcohol use (ALW) - Question identifier:ALW_Q25

In the past 7 days, that is from [7 days ago] to yesterday, how many drinks did you have each day?
d. [4 days ago]

  • 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
  • 21: 21
  • 22: 22
  • 23: 23
  • 24: 24
  • 25: 25
  • 26: 26
  • 27: 27
  • 28: 28
  • 29: 29
  • 30: 30
  • 31: 31
  • 32: 32
  • 33: 33
  • 34: 34
  • 35: 35
  • 36: 36
  • 37: 37
  • 38: 38
  • 39: 39
  • 40: 40
  • 41: 41
  • 42: 42
  • 43: 43
  • 44: 44
  • 45: 45
  • 46: 46
  • 47: 47
  • 48: 48
  • 49: 49
  • 50: 50 or more

Alcohol use (ALW) - Question identifier:ALW_Q30

In the past 7 days, that is from [7 days ago] to yesterday, how many drinks did you have each day?
e. [5 days ago]

  • 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
  • 21: 21
  • 22: 22
  • 23: 23
  • 24: 24
  • 25: 25
  • 26: 26
  • 27: 27
  • 28: 28
  • 29: 29
  • 30: 30
  • 31: 31
  • 32: 32
  • 33: 33
  • 34: 34
  • 35: 35
  • 36: 36
  • 37: 37
  • 38: 38
  • 39: 39
  • 40: 40
  • 41: 41
  • 42: 42
  • 43: 43
  • 44: 44
  • 45: 45
  • 46: 46
  • 47: 47
  • 48: 48
  • 49: 49
  • 50: 50 or more

Alcohol use (ALW) - Question identifier:ALW_Q35

In the past 7 days, that is from [7 days ago] to yesterday, how many drinks did you have each day?
f. [6 days ago]

  • 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
  • 21: 21
  • 22: 22
  • 23: 23
  • 24: 24
  • 25: 25
  • 26: 26
  • 27: 27
  • 28: 28
  • 29: 29
  • 30: 30
  • 31: 31
  • 32: 32
  • 33: 33
  • 34: 34
  • 35: 35
  • 36: 36
  • 37: 37
  • 38: 38
  • 39: 39
  • 40: 40
  • 41: 41
  • 42: 42
  • 43: 43
  • 44: 44
  • 45: 45
  • 46: 46
  • 47: 47
  • 48: 48
  • 49: 49
  • 50: 50 or more

Alcohol use (ALW) - Question identifier:ALW_Q40

In the past 7 days, that is from [7 days ago] to yesterday, how many drinks did you have each day?
g. [7 days ago]

  • 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
  • 21: 21
  • 22: 22
  • 23: 23
  • 24: 24
  • 25: 25
  • 26: 26
  • 27: 27
  • 28: 28
  • 29: 29
  • 30: 30
  • 31: 31
  • 32: 32
  • 33: 33
  • 34: 34
  • 35: 35
  • 36: 36
  • 37: 37
  • 38: 38
  • 39: 39
  • 40: 40
  • 41: 41
  • 42: 42
  • 43: 43
  • 44: 44
  • 45: 45
  • 46: 46
  • 47: 47
  • 48: 48
  • 49: 49
  • 50: 50 or more

Cannabis use (CAN)

Cannabis use (CAN) - Question identifier:CAN_R01

The next few questions are about the use of cannabis for medical and non-medical purposes. The term "cannabis" refers to marijuana, hashish, hash oil or any other product of the cannabis plant.

Cannabis use (CAN) - Question identifier:CAN_Q05

Have you ever used or tried cannabis?

  • 1: Yes
  • 2: No

Cannabis use (CAN) - Question identifier:CAN_Q05A

Have you used or tried cannabis just once or more than once?

  • 1: Just once
  • 2: More than once

Cannabis use (CAN) - Question identifier:CAN_Q05B

At what age did you first try cannabis?

Min = 0; Max = 999

Cannabis use (CAN) - Question identifier:CAN_Q05C

Have you used cannabis in the past 12 months?

  • 1: Yes
  • 2: No

Cannabis use (CAN) - Question identifier:CAN_Q10

How often did you use cannabis in the past 12 months?

  • 1: Less than once a month
  • 2: 1 to 3 times a month
  • 3: Once a week
  • 4: More than once a week
  • 5: Daily or almost daily

Cannabis use (CAN) - Question identifier:CAN_Q15

In the past 12 months, which of the following methods did you use to consume cannabis?

  • 1: Smoked (e.g., joint, pipe, bong)
  • 2: Vaporized
  • 3: Swallowed (e.g., in food, beverages, capsules)
  • 4: Absorbed (e.g., placed under the tongue, applied to skin)
  • 5: Other

Cannabis use (CAN) - Question identifier:CAN_Q15B

Which cannabis preparation did you vaporize?

  • 1: Dried flower or leaf
  • 2: Cannabis liquid
  • 3: Cannabis solid

Cannabis use (CAN) - Question identifier:CAN_Q20

In the past 12 months, which of the following methods did you use most often to consume cannabis?

  • 1: Smoked
  • 2: Vaporized
  • 3: Swallowed
  • 4: Absorbed
  • 5: Other method

Cannabis use (CAN) - Question identifier:CAN_Q25

In the past 12 months, which of the following cannabis products have you used?

  • 01: Dried flower or leaf
  • 02: Hashish (e.g., hash, hash oil)
  • 03: Cannabis oil for oral use (e.g., capsules, spray, tincture)
  • 04: Cannabis vape pens or cartridges
  • 05: Cannabis concentrates (e.g., shatter, budder, butane honey oil)
  • 06: Cannabis edible food products (e.g., baked goods, candy, other foods)
  • 07: Cannabis beverages (e.g., cola, tea, coffee)
  • 08: Topicals (e.g., lotion, ointment, creams applied to skin)
  • 09: Other (e.g., seeds)

Cannabis use (CAN) - Question identifier:CAN_Q30

In the past 12 months, for which of the following purposes have you used cannabis?

  • 1: Non-medical purposes only
  • 2: Medical purposes only (Either with or without a medical document)
  • 3: Both medical and non-medical purposes

Cannabis use (CAN) - Question identifier:CAN_Q35

In the past 12 months, when you used cannabis for medical purposes, which symptoms were you using it for?

  • 01: Pain
  • 02: Nausea or vomiting
  • 03: Lack of appetite or weight loss
  • 04: Headaches or migraines
  • 05: Muscle spasms or seizures
  • 06: Anxiety or depression
  • 07: Symptoms of PTSD
  • 08: Problems sleeping
  • 09: Opioid withdrawal symptoms
  • 10: Other

Cannabis use (CAN) - Question identifier:CAN_Q40

Do you have a medical document from a healthcare professional to use cannabis for medical purposes?

  • 1: Yes
  • 2: No

Cannabis use (CAN) - Question identifier:CAN_Q45

In the past 30 days, on how many days did you use cannabis?

  • 1: Never
  • 2: 1 day
  • 3: 2 or 3 days
  • 4: 1 or 2 days per week
  • 5: 3 or 4 days per week
  • 6: 5 or 6 days per week
  • 7: Daily

Cannabis use (CAN) - Question identifier:CAN_Q50

At what age did you begin to use cannabis daily or almost daily?

Min = 0; Max = 999

Maternal experiences (MEX)

Maternal experiences (MEX) - Question identifier:MEX_R01

The next questions are specific to women's health.

Maternal experiences (MEX) - Question identifier:MEX_Q05

Are you taking a vitamin supplement containing folic acid?

  • 1: Yes
  • 2: No

Maternal experiences (MEX) - Question identifier:MEX_Q10

Have you given birth in the past 5 years?

  • 1: Yes
  • 2: No

Maternal experiences (MEX) - Question identifier:MEX_Q12

Was your last pregnancy a single birth or multiple births?

  • 1: Single birth
  • 2: Multiple births

Maternal experiences (MEX) - Question identifier:MEX_Q15

What is the first name of your last born child?

Long Answer Length = 30

Maternal experiences (MEX) - Question identifier:MEX_Q20

What is [Baby's first name/your last child]'s date of birth?
Day

Min = 1; Max = 31

Maternal experiences (MEX) - Question identifier:MEX_Q25

What is [Baby's first name/your last child]'s 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

Maternal experiences (MEX) - Question identifier:MEX_Q30

What is [Baby's first name/your last child]'s date of birth?
Year

  • 01: 2023
  • 02: 2022
  • 03: 2021
  • 04: 2020
  • 05: 2019
  • 06: 2018
  • 07: 2017
  • 08: 2016

Maternal experiences (MEX) - Question identifier:MEX_Q40

During your pregnancy with [Baby's first name/your last child], did you take folic acid supplements during the following time frames?

During the three months before you got pregnant

  • 1: Yes
  • 2: No
  • 3: Don't know

Maternal experiences (MEX) - Question identifier:MEX_Q50

During your pregnancy with [Baby's first name/your last child], did you take folic acid supplements during the following time frames?

During the first three months of your pregnancy

  • 1: Yes
  • 2: No
  • 3: Don't know

Maternal experiences (MEX) - Question identifier:MEX_Q65

During your pregnancy with [Baby's first name/your last child], did you take a vitamin supplement containing iron?

  • 1: Yes
  • 2: No
  • 3: Don't know

Maternal experiences (MEX) - Question identifier:MEX_Q70

Just before your pregnancy with [Baby's first name/your last child], how much did you weigh?
Weight

Min = 0; Max = 999

Maternal experiences (MEX) - Question identifier:MEX_Q75

Just before your pregnancy with [Baby's first name/your last child], how much did you weigh?
Pounds or kilograms

  • 1: Pounds
  • 2: Kilograms

Maternal experiences (MEX) - Question identifier:MEX_Q80

How much weight did you gain during that pregnancy?
Weight

Min = -999; Max = 999

Maternal experiences (MEX) - Question identifier:MEX_Q85

How much weight did you gain during that pregnancy?
Pounds or kilograms

  • 1: Pounds
  • 2: Kilograms

Maternal experiences (MEX) - Question identifier:MEX_Q90

[How often does [Baby's first name/your last child] / When [Baby's first name/your last child] was less than one year old, how often did they] sleep in the same bed with you or anyone else?

  • 1: Every day or almost every day
  • 2: Occasionally
  • 3: Never

Maternal experiences (MEX) - Question identifier:MEX_Q100

Was [Baby's first name/your last child] breastfed or given breast milk even for a short time?

  • 1: Yes
  • 2: No

Maternal experiences (MEX) - Question identifier:MEX_Q105

What is the main reason that you did not breastfeed or give breast milk?

  • 1: Did not want to breastfeed
  • 2: No support or information to breastfeed
  • 3: Medical condition
  • 4: Other

Maternal experiences (MEX) - Question identifier:MEX_Q110

Are you still breastfeeding or giving breast milk to [Baby's first name/your last child]?

  • 1: Yes
  • 2: No

Maternal experiences (MEX) - Question identifier:MEX_Q115A

How old was [Baby's first name/your last child] when you stopped breastfeeding or giving breast milk?
Age

Min = 0; Max = 99

Maternal experiences (MEX) - Question identifier:MEX_Q115B

How old was [Baby's first name/your last child] when you stopped breastfeeding or giving breast milk?
Time period

  • 1: Days
  • 2: Weeks
  • 3: Months
  • 4: Years

Maternal experiences (MEX) - Question identifier:MEX_Q120

What is the main reason that you stopped breastfeeding or giving breast milk?

  • 1: Not enough breast milk
  • 2: Child weaned themselves
  • 3: Planned to stop at this time
  • 4: Difficulty with breastfeeding
  • 5: Medical condition
  • 6: Other

Maternal experiences (MEX) - Question identifier:MEX_Q125

[Are you giving [Baby's first name/your last child] a vitamin D supplement] / When [Baby's first name/your last child] [was less than a year old] [and] [fed breast milk], did you give them a vitamin D supplement]?

  • 1: Every day or almost every day
  • 2: Occasionally
  • 3: Never

Maternal experiences (MEX) - Question identifier:MEX_Q150

[Have / While you were still breastfeeding, had]liquids been introduced to [Baby's first name/your last child]'s diet?

  • 1: Yes
  • 2: No

Maternal experiences (MEX) - Question identifier:MEX_Q155

How old was [Baby's first name/your last child] when liquids were first introduced?
Age

Min = 0; Max = 99

Maternal experiences (MEX) - Question identifier:MEX_Q160

How old was [Baby's first name/your last child] when liquids were first introduced?
Time period

  • 1: Days
  • 2: Weeks
  • 3: Months
  • 4: Years

Maternal experiences (MEX) - Question identifier:MEX_Q170

Have solid foods been introduced to the baby's diet?

  • 1: Yes
  • 2: No

Maternal experiences (MEX) - Question identifier:MEX_Q175

How old was [Baby's first name/your last child] when solids were first added?
Age

Min = 0; Max = 99

Maternal experiences (MEX) - Question identifier:MEX_Q180

How old was [Baby's first name/your last child] when solids were first added?
Time period

  • 1: Days
  • 2: Weeks
  • 3: Months
  • 4: Years

Maternal experiences (MEX) - Question identifier:MEX_Q190

What was the first solid food added to [Baby's first name/your last child]'s diet?

  • 1: Infant cereals
  • 2: Fruits or vegetables
  • 3: Meat and meat alternatives
  • 4: Other

Maternal experiences (MEX) - Question identifier:MEX_Q195

What is the main reason [other liquids / solid foods / other liquids and solid foods] were first added to [Baby's first name/your last child]'s diet?

  • 1: Not enough breast milk
  • 2: Baby was ready
  • 3: Difficulty with breastfeeding
  • 4: Medical conditions
  • 5: Advice from health professional or family
  • 6: Returned to work or school
  • 7: Other

Pap smear test (PAP)

Pap smear test (PAP) - Question identifier:PAP_R005

Now some questions about the Pap smear test.

Pap smear test (PAP) - Question identifier:PAP_Q005

Have you ever had a Pap smear test?

  • 1: Yes
  • 2: No

Pap smear test (PAP) - Question identifier:PAP_Q010

When was the last time?

Would you say:

  • 1: Less than 1 year to 1 year ago
  • 2: More than 1 year to 2 years ago
  • 3: More than 2 years to 3 years ago
  • 4: More than 3 years to 5 years ago
  • 5: More than 5 years ago

Pap smear test (PAP) - Question identifier:PAP_Q015

What are the reasons that you have not had a Pap smear test in the past 3 years?

Would you say:

  • 01: Lack of time
  • 02: Did not think it was necessary
  • 03: Health care provider did not think it was necessary, never brought it up
  • 04: Feelings of fear or discomfort
  • 05: Don't have a health care provider
  • 06: [Had a complete hysterectomy]
  • 07: Did not know it existed or that it was a possibility
  • 08: Had an HPV Test instead
  • 09: Other

Pap smear test (PAP) - Question identifier:PAP_Q020

How often do you usually have this test?

Would you say:

  • 1: It was the first time
  • 2: More than once a year
  • 3: Between once a year to less than every 3 years
  • 4: Every 3 years
  • 5: Less often than every 3 years
  • 6: No fixed frequency

Pap smear test (PAP) - Question identifier:PAP_Q025

High-risk types of Human papillomavirus (HPV) cause changes in the cells of the cervix that can be detected on a Pap test as abnormal changes. The HPV test is an additional tool used to show presence of high-risk type of HPV.

This test is not a Pap test but is collected in a similar way. An HPV test could be done at the same time as a Pap test or instead of a Pap test. It can be administered by your health care provider or by self-sampling at home.


Have you ever had an HPV test?

  • 1: Yes
  • 2: No
  • 3: Don't know

Mammography (MAM)

Mammography (MAM) - Question identifier:MAM_Q005

Have you ever had a mammogram, that is, a breast x-ray?

  • 1: Yes
  • 2: No

Mammography (MAM) - Question identifier:MAM_Q010

When was the last time?

Would you say:

  • 1: Less than 1 year to 1 year ago
  • 2: More than 1 year to 2 years ago
  • 3: More than 2 years to 3 years ago
  • 4: More than 3 years to 5 years ago
  • 5: More than 5 years ago

Mammography (MAM) - Question identifier:MAM_Q015

What were the reasons for having this mammogram?

Would you say:

  • 01: Family history of breast cancer
  • 02: Part of routine screening
  • 03: Age
  • 04: Previously detected lump
  • 05: Follow-up of breast cancer treatment
  • 06: On hormone replacement therapy
  • 07: Breast problem
  • 08: Other

Mammography (MAM) - Question identifier:MAM_Q020

What are the reasons you have not had a mammogram [in the past 3 years]?

Would you say:

  • 1: Lack of time
  • 2: Did not think it was necessary
  • 3: Health care provider did not think it was necessary, never brought it up
  • 4: Feelings of fear or discomfort
  • 5: Don't have a health care provider
  • 6: Had a bilateral mastectomy (i.e., both breasts were removed)
  • 7: Other

Mammography (MAM) - Question identifier:MAM_Q025

How often do you usually have this test?

Would you say:

  • 1: It was the first time
  • 2: More than once a year
  • 3: Between once a year to less than every 3 years
  • 4: Every 3 years
  • 5: Less often than every 3 years
  • 6: No fixed frequency

Colorectal cancer testing (CCT)

Colorectal cancer testing (CCT) - Question identifier:CCT_R001

Now a few questions about colorectal tests.

Colorectal cancer testing (CCT) - Question identifier:CCT_Q005

A fecal test is a test to check for blood in the stool, in which a stick is used to smear a small stool sample on a special card or a small stool sample is collected and placed inside a tube.

Have you ever had this test?

  • 1: Yes
  • 2: No

Colorectal cancer testing (CCT) - Question identifier:CCT_Q010

When was the last time?

Would you say:

  • 1: 6 months ago or less
  • 2: More than 6 months to 1 year ago
  • 3: More than 1 year to 2 years ago
  • 4: More than 2 years to 5 years ago
  • 5: More than 5 years ago

Colorectal cancer testing (CCT) - Question identifier:CCT_Q015

What are the reasons you did not have a fecal test [in the past 2 years]?

Would you say:

  • 01: Lack of time
  • 02: No access to test (e.g.,distance, clinic hours or cost)
  • 03: Did not think it was necessary
  • 04: Health care provider did not think it was necessary, never brought it up
  • 05: Feelings of fear or discomfort
  • 06: Don't have a health care provider
  • 07: Had a colonoscopy or sigmoidoscopy instead
  • 08: Did not know it existed or that it was a possibility
  • 09: Other

Colorectal cancer testing (CCT) - Question identifier:CCT_Q020

How often do you usually have this fecal test?

Would you say:

  • 1: It was the first time
  • 2: More than once a year
  • 3: Every year
  • 4: Every 2 years
  • 5: Less than every 2 years
  • 6: No fixed frequency

Colorectal cancer testing (CCT) - Question identifier:CCT_R025

A sigmoidoscopy and a colonoscopy are two tests in which a tube is inserted into the rectum in order to detect signs of cancer or other health problems.

A colonoscopy examines the entire colon, while a sigmoidoscopy only examines the first section of the colon. The sigmoidoscopy requires less preparation.

Colorectal cancer testing (CCT) - Question identifier:CCT_Q025

Have you ever had either one of these tests?

  • 1: Yes
  • 2: No

Colorectal cancer testing (CCT) - Question identifier:CCT_Q030

What are the reasons you have not had these tests?

Would you say:

  • 01: Lack of time
  • 02: No access to test (e.g.,distance, clinic hours or cost)
  • 03: Did not think it was necessary
  • 04: Health care provider did not think it was necessary, never brought it up
  • 05: Feelings of fear or discomfort
  • 06: Don't have a health care provider
  • 07: Had a fecal test instead
  • 08: Did not know it existed or that it was a possibility
  • 09: Other

Colorectal cancer testing (CCT) - Question identifier:CCT_Q035

Which of these tests have you had [a colonoscopy, a sigmoidoscopy or both]?

Would you say:

  • 1: Colonoscopy (Examines the entire colon.)
  • 2: Sigmoidoscopy (Examines the first section of the colon and requires less preparation.)
  • 3: Both

Colorectal cancer testing (CCT) - Question identifier:CCT_Q040

When was the last time you had a sigmoidoscopy?

Would you say:

  • 1: 1 year ago or less
  • 2: More than 1 year to 2 years ago
  • 3: More than 2 years to 5 years ago
  • 4: More than 5 years to 10 years ago
  • 5: More than 10 years ago

Colorectal cancer testing (CCT) - Question identifier:CCT_Q045

What are the reasons you have not had this test in the past 10 years?

Would you say:

  • 01: Lack of time
  • 02: No access to test (e.g.,distance, clinic hours or cost)
  • 03: Did not think it was necessary
  • 04: Health care provider did not think it was necessary, never brought it up
  • 05: Feelings of fear or discomfort
  • 06: Don't have a health care provider
  • 07: Had a different colorectal test instead
  • 08: Did not know it existed or that it was a possibility
  • 09: Other

Colorectal cancer testing (CCT) - Question identifier:CCT_Q050

How often do you usually have this test?

Would you say:

  • 1: It was the first time
  • 2: More than once every 5 years
  • 3: Every 5 years
  • 4: Less than once every 5 years
  • 5: No fixed frequency

Colorectal cancer testing (CCT) - Question identifier:CCT_Q055

When was the last time you had a colonoscopy?

Would you say:

  • 1: 1 year ago or less
  • 2: More than 1 year to 2 years ago
  • 3: More than 2 years to 5 years ago
  • 4: More than 5 years to 10 years ago
  • 5: More than 10 years ago

Colorectal cancer testing (CCT) - Question identifier:CCT_Q065

What are the reasons you have not had this test in the past 10 years?

Would you say:

  • 01: Lack of time
  • 02: No access to test (e.g.,distance, clinic hours or cost)
  • 03: Did not think it was necessary
  • 04: Health care provider did not think it was necessary, never brought it up
  • 05: Feelings of fear or discomfort
  • 06: Don't have a health care provider
  • 07: Had a different colorectal test instead
  • 08: Did not know it existed or that it was a possibility
  • 09: Other

Colorectal cancer testing (CCT) - Question identifier:CCT_Q070

How often do you usually have this test?

Would you say:

  • 1: It was the first time
  • 2: More than once every 10 years
  • 3: Every 10 years
  • 4: Less than once every 10 years
  • 5: No fixed frequency

Colorectal cancer testing (CCT) - Question identifier:CCT_Q075

Was the colonoscopy or sigmoidoscopy a follow-up of the results of a fecal test?

  • 1: Yes
  • 2: No

Colorectal cancer testing (CCT) - Question identifier:CCT_Q080

Were you prescribed [a colonoscopy / a sigmoidoscopy / one of these tests] because of a family history of colorectal cancer, an inflammatory bowel disease, a colorectal cancer follow up or symptoms of colorectal cancer

  • 1: Yes
  • 2: No

Flu shots (FLU)

Flu shots (FLU) - Question identifier:FLU_R01

Now a few questions about the flu vaccine.

Flu shots (FLU) - Question identifier:FLU_Q05

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

  • 1: Yes
  • 2: No

Flu shots (FLU) - Question identifier:FLU_Q10

In which month did you have your last seasonal flu vaccine?

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

Flu shots (FLU) - Question identifier:FLU_Q15

Was that this year or last year?

  • 1: This year
  • 2: Last year

Flu shots (FLU) - Question identifier:FLU_Q20

What are the reasons that you did not have a seasonal flu vaccine in the past 12 months?

  • 1: Did not think it was necessary
  • 2: Concern about discomfort or side effects
  • 3: Flu is not that severe
  • 4: Flu vaccine does not work that well
  • 5: Previously had a bad reaction to the flu vaccine or other vaccine
  • 6: Other

Vaccines (VAC)

Vaccines (VAC) - Question identifier:VAC_Q05

Excluding COVID-19 and flu vaccines, how likely are you to receive a vaccine if it is recommended to you by a health care provider?

  • 1: Very likely
  • 2: Somewhat likely
  • 3: Somewhat unlikely
  • 4: Very unlikely

COVID-19 Vaccination (COVV)

COVID-19 Vaccination (COVV) - Question identifier:COVV_Q005

Since the start of the COVID-19 pandemic, how many COVID-19 vaccine doses have you received (e.g., Johnson & Johnson, Moderna, Pfizer-BioNTech, AstraZeneca, Novavax)?

  • 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

COVID-19 Vaccination (COVV) - Question identifier:COVV_Q010

When did you receive your most recent COVID-19 vaccine dose?

  • 1: 2020
  • 2: 2021
  • 3: 2022
  • 4: 2023
  • 5: 2024
  • 6: 2025
  • 7: 2026

COVID-19 Vaccination (COVV) - Question identifier:COVV_Q015

When did you receive your most recent COVID-19 vaccine dose?

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

COVID-19 Vaccination (COVV) - Question identifier:COVV_Q020

If an annual booster dose for COVID-19 is recommended by the Public Health Agency of Canada or your provincial or territorial government, how likely are you to get it every year?

  • 1: Very likely
  • 2: Somewhat likely
  • 3: Somewhat unlikely
  • 4: Very unlikely

COVID-19 infections & symptoms (COVI)

COVID-19 infections & symptoms (COVI) - Question identifier:COVI_Q005

Since the start of the COVID-19 pandemic, how many different COVID-19 infections did you think or know you had?

  • 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

COVID-19 infections & symptoms (COVI) - Question identifier:COVI_Q010A

When did you experience your [most recent] COVID-19 infection?

Year

  • 1: 2020
  • 2: 2021
  • 3: 2022
  • 4: 2023
  • 5: 2024
  • 6: 2025
  • 7: 2026

COVID-19 infections & symptoms (COVI) - Question identifier:COVI_Q010B

When did you experience your [most recent] COVID-19 infection?

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

COVID-19 symptoms (PCC)

COVID-19 symptoms (PCC) - Question identifier:PCC_R001

Some people may experience more than one COVID-19 infection. When answering the following questions, think about all the times you experienced COVID-19.

COVID-19 symptoms (PCC) - Question identifier:PCC_Q005A

Three or more months after you thought or knew that you had COVID-19, did you experience any symptoms that could not be explained by anything else?

Would you say:

  • 1: Three months have not passed since you thought or knew that I had COVID-19 for the first time
  • 2: Yes
  • 3: No

COVID-19 symptoms (PCC) - Question identifier:PCC_Q005B

Since the start of the pandemic, did you experience any new unexplained symptoms lasting two or more months?

  • 1: Yes
  • 2: No

COVID-19 symptoms (PCC) - Question identifier:PCC_Q010

Do you continue to experience any of these symptoms?

  • 1: Yes
  • 2: No

COVID-19 symptoms (PCC) - Question identifier:PCC_Q015

For approximately how many months did you experience one or more of these symptoms?

Min = 0; Max = 99

COVID-19 symptoms (PCC) - Question identifier:PCC_Q020

When your symptoms [are/were] at their worst, how often [do/did] they limit your daily activities?

Would you say:

  • 1: Never
  • 2: Rarely
  • 3: Sometimes
  • 4: Often
  • 5: Always

COVID-19 symptoms (PCC) - Question identifier:PCC_Q025

Overall, since you started having these symptoms, how have they changed?

  • 1: Improved
  • 2: Worsened
  • 3: Stayed the same

Post COVID-19 condition (long COVID) (PSI)

Post COVID-19 condition (long COVID) (PSI) - Question identifier:PSI_R005A

Some people may experience persistent, recurring, or new symptoms months after they thought or knew they had COVID-19. This is called post COVID-19 condition or long COVID when symptoms continue 3 or more months after the infection and cannot be explained by anything else.

Post COVID-19 condition (long COVID) (PSI) - Question identifier:PSI_R005B

Post COVID-19 condition is not COVID-19. Symptoms can be different from those experienced during the initial infection. Post COVID-19 condition refers to the longer-term effects some people experience after their COVID-19 infection.

Post COVID-19 condition (long COVID) (PSI) - Question identifier:PSI_Q005

Since the start of the COVID-19 pandemic, did you at any time experience post COVID-19 condition (long COVID)?

  • 1: Yes
  • 2: No

Post COVID-19 condition (long COVID) (PSI) - Question identifier:PSI_Q010

Since the start of the COVID-19 pandemic, has a healthcare provider ever told you that you have or might have post COVID-19 condition (long COVID)?

  • 1: Yes
  • 2: No

Regular health care provider 2 (RHC2)

Regular health care provider 2 (RHC2) - Question identifier:RHC2_R05

Now some questions about primary health care. It is often the first point of entry to the Canadian health system. It incorporates diagnosis, treatment and management of health problems.

Regular health care provider 2 (RHC2) - Question identifier:RHC2_Q05

Do you have a regular health care provider? By this, we mean one health professional that you regularly consult with when you need care or advice for your health.

  • 1: Yes, a family doctor
  • 2: Yes, a nurse practitioner
  • 3: Yes, another health professional
  • 4: No

Regular health care provider 2 (RHC2) - Question identifier:RHC2_Q10

Which of the following arrangements best describes the practice that your regular health care provider works in?

Would you say:

  • 1: One doctor or nurse practitioner working in a solo practice
  • 2: Several doctors or nurse practitioners working independently of each other, who may share one or more receptionists or nurses
  • 3: Several health professionals working together as a team, that may include doctors, nurse practitioners, nurses, social workers, or psychologists
  • 4: Other
  • 5: Don't know

Regular health care provider 2 (RHC2) - Question identifier:RHC2_Q15

When you have a non-urgent primary health care need or require advice about your health, how long do you usually have to wait before you can consult your regular health care provider?

Would you say:

  • 01: On the same day
  • 02: The next day
  • 03: 2 to 3 days
  • 04: 4 to 6 days
  • 05: 1 week to less than 2 weeks
  • 06: 2 weeks to less than 1 month
  • 07: 1 month to less than 3 months
  • 08: 3 months to less than 6 months
  • 09: 6 months or more

Regular health care provider 2 (RHC2) - Question identifier:RHC2_Q20

Thinking of the most recent time you saw or talked to your regular health care provider, overall, how would you rate the quality of this consultation?

Would you say:

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

Regular health care provider 2 (RHC2) - Question identifier:RHC2_Q25

Why do you not have a regular health care provider?

Would you say:

  • 01: You have a family health team (A team that includes more than one type of health professional, such as doctors, nurse practitioners, nurses, social workers, or psychologists)
  • 02: Currently on a waitlist
  • 03: Do not need one in particular
  • 04: No one in the area is taking new patients
  • 05: There are no health care providers in the area
  • 06: You have not tried to find one
  • 07: You had one who left, retired, or changed their practice
  • 08: You moved to a new area
  • 09: Aged out of pediatric care (Pediatric care is health care for children and youth)
  • 10: Other

Regular health care provider 2 (RHC2) - Question identifier:RHC2_Q30

How long have you been without a regular health care provider?

Would you say:

  • 1: Less than one year
  • 2: 1 year to less than 2 years
  • 3: 2 years to less than 5 years
  • 4: 5 years to less than 10 years
  • 5: 10 years or more
  • 6: You have never had a regular health care provider

Regular health care provider 2 (RHC2) - Question identifier:RHC2_Q35

Is there a place you usually go when you require non-urgent primary health care or advice about your health?

  • 1: Yes
  • 2: No

Regular health care provider 2 (RHC2) - Question identifier:RHC2_Q40

What type of place is this?

Would you say:

  • 1: A walk-in clinic (Include walk-in clinics, even if you have an appointment)
  • 2: A community health centre [ or CLSC] (Include nursing stations)
  • 3: A hospital outpatient clinic
  • 4: A hospital emergency room
  • 5: A telephone health line (e.g., Health Links, Health Connect Ontario, Health811, Health-Line, TeleCare, Info-Santé)
  • 6: A pharmacy (Exclude visits that did not involve a consultation)
  • 7: Other

Regular health care provider 2 (RHC2) - Question identifier:RHC2_Q45

Does this place meet your non-urgent primary health care needs?

Would you say:

  • 1: Yes, your primary health care needs are fully met
  • 2: Yes, some of your primary health care needs are met
  • 3: No, your primary health care needs are not met

Electronic health information (EHI)

Electronic health information (EHI) - Question identifier:EHI_R05

The following questions are about electronic access to your health information.

This information may be provided by hospitals, doctors, laboratories, pharmacies, or other health professionals. It may include the following information: after-appointment summaries, upcoming appointments, test results, vaccine or immunization records, progress notes, discharge summaries, or medical imaging reports.

Electronic health information (EHI) - Question identifier:EHI_Q05

Do you have access to a secure website, patient portal, or app to book an appointment with your regular health care provider?

  • 1: Yes
  • 2: No

Electronic health information (EHI) - Question identifier:EHI_Q10

Do you have access to a secure website, patient portal, or app to request prescription refills from your regular health care provider?

  • 1: Yes
  • 2: No

Electronic health information (EHI) - Question identifier:EHI_Q15

Do you have access to your own comprehensive health record electronically?

Would you say:

  • 1: Yes, you have access to all your health records electronically
  • 2: Yes, you have access to some of your health records electronically
  • 3: No, you cannot access any of your health records electronically

Electronic health information (EHI) - Question identifier:EHI_Q20

Which of the following electronic health information do you have access to?

Would you say:

  • 01: Lab test results
  • 02: COVID-19 vaccine records
  • 03: Vaccine or immunization records other than for COVID-19
  • 04: Current medications and medication history (Include requests for prescription renewals)
  • 05: Patient visit summaries
  • 06: Specialist consultation notes or records
  • 07: Upcoming appointments
  • 08: Forms and questionnaires
  • 09: Progress notes
  • 10: Discharge summaries
  • 11: Medical imaging reports
  • 12: Other electronic health information

Positive mental health (PMS)

Positive mental health (PMS) - Question identifier:PMS_Q05

The following questions are about how you have been feeling during the past 2 weeks.

I've been feeling optimistic about the future.

  • 1: None of the time
  • 2: Rarely
  • 3: Some of the time
  • 4: Often
  • 5: All of the time

Positive mental health (PMS) - Question identifier:PMS_Q10

The following questions are about how you have been feeling during the past 2 weeks.

I've been feeling useful.

  • 1: None of the time
  • 2: Rarely
  • 3: Some of the time
  • 4: Often
  • 5: All of the time

Positive mental health (PMS) - Question identifier:PMS_Q15

The following questions are about how you have been feeling during the past 2 weeks.

I've been feeling relaxed.

  • 1: None of the time
  • 2: Rarely
  • 3: Some of the time
  • 4: Often
  • 5: All of the time

Positive mental health (PMS) - Question identifier:PMS_Q20

The following questions are about how you have been feeling during the past 2 weeks.

I've been feeling interested in other people.

  • 1: None of the time
  • 2: Rarely
  • 3: Some of the time
  • 4: Often
  • 5: All of the time

Positive mental health (PMS) - Question identifier:PMS_Q25

The following questions are about how you have been feeling during the past 2 weeks.

I've had energy to spare.

  • 1: None of the time
  • 2: Rarely
  • 3: Some of the time
  • 4: Often
  • 5: All of the time

Positive mental health (PMS) - Question identifier:PMS_Q30

The following questions are about how you have been feeling during the past 2 weeks.

I've been dealing with problems well.

  • 1: None of the time
  • 2: Rarely
  • 3: Some of the time
  • 4: Often
  • 5: All of the time

Positive mental health (PMS) - Question identifier:PMS_Q35

The following questions are about how you have been feeling during the past 2 weeks.

I've been thinking clearly.

  • 1: None of the time
  • 2: Rarely
  • 3: Some of the time
  • 4: Often
  • 5: All of the time

Positive mental health (PMS) - Question identifier:PMS_Q40

The following questions are about how you have been feeling during the past 2 weeks.

I've been feeling good about myself.

  • 1: None of the time
  • 2: Rarely
  • 3: Some of the time
  • 4: Often
  • 5: All of the time

Positive mental health (PMS) - Question identifier:PMS_Q45

The following questions are about how you have been feeling during the past 2 weeks.

I've been feeling close to other people.

  • 1: None of the time
  • 2: Rarely
  • 3: Some of the time
  • 4: Often
  • 5: All of the time

Positive mental health (PMS) - Question identifier:PMS_Q50

The following questions are about how you have been feeling during the past 2 weeks.

I've been feeling confident.

  • 1: None of the time
  • 2: Rarely
  • 3: Some of the time
  • 4: Often
  • 5: All of the time

Positive mental health (PMS) - Question identifier:PMS_Q55

The following questions are about how you have been feeling during the past 2 weeks.

I've been able to make up my own mind about things.

  • 1: None of the time
  • 2: Rarely
  • 3: Some of the time
  • 4: Often
  • 5: All of the time

Positive mental health (PMS) - Question identifier:PMS_Q60

The following questions are about how you have been feeling during the past 2 weeks.

I've been feeling loved.

  • 1: None of the time
  • 2: Rarely
  • 3: Some of the time
  • 4: Often
  • 5: All of the time

Positive mental health (PMS) - Question identifier:PMS_Q65

The following questions are about how you have been feeling during the past 2 weeks.

I've been interested in new things.

  • 1: None of the time
  • 2: Rarely
  • 3: Some of the time
  • 4: Often
  • 5: All of the time

Positive mental health (PMS) - Question identifier:PMS_Q70

The following questions are about how you have been feeling during the past 2 weeks.

I've been feeling cheerful.

  • 1: None of the time
  • 2: Rarely
  • 3: Some of the time
  • 4: Often
  • 5: All of the time

Consultations about mental health (CMH)

Consultations about mental health (CMH) - Question identifier:CMH_R01

The following questions are about mental and emotional well-being.

Consultations about mental health (CMH) - Question identifier:CMH_Q05

In the past 12 months, have you seen or talked to a health professional about your emotional or mental health?

  • 1: Yes
  • 2: No

Consultations about mental health (CMH) - Question identifier:CMH_Q15A

How many times in the past 12 months did you see or talk to the following health professionals about your emotional or mental health?

Family doctor or general practitioner

Min = 0; Max = 999

Consultations about mental health (CMH) - Question identifier:CMH_Q15B

How many times in the past 12 months did you see or talk to the following health professionals about your emotional or mental health?

Psychiatrist

Min = 0; Max = 999

Consultations about mental health (CMH) - Question identifier:CMH_Q15C

How many times in the past 12 months did you see or talk to the following health professionals about your emotional or mental health?

Psychologist

Min = 0; Max = 999

Consultations about mental health (CMH) - Question identifier:CMH_Q15D

How many times in the past 12 months did you see or talk to the following health professionals about your emotional or mental health?

Nurse

Min = 0; Max = 999

Consultations about mental health (CMH) - Question identifier:CMH_Q15E

How many times in the past 12 months did you see or talk to the following health professionals about your emotional or mental health?

Social worker or counsellor

Min = 0; Max = 999

Consultations about mental health (CMH) - Question identifier:CMH_Q15F

How many times in the past 12 months did you see or talk to the following health professionals about your emotional or mental health?

Other

Min = 0; Max = 999

Mental health (DEP)

Mental health (DEP) - Question identifier:DEP_R001

The following questions deal with problems you may have had during the last two weeks.

Mental health (DEP) - Question identifier:DEP_Q005

Over the last 2 weeks, how often have you been bothered by any of the following problems?

Had little interest or pleasure in doing things

  • 1: Not at all
  • 2: Several days
  • 3: More than half the days
  • 4: Nearly every day

Mental health (DEP) - Question identifier:DEP_Q010

Over the last 2 weeks, how often have you been bothered by any of the following problems?

Felt down, depressed, or hopeless

  • 1: Not at all
  • 2: Several days
  • 3: More than half the days
  • 4: Nearly every day

Mental health (DEP) - Question identifier:DEP_Q015

Over the last 2 weeks, how often have you been bothered by any of the following problems?

Had trouble falling or staying asleep, or sleeping too much

  • 1: Not at all
  • 2: Several days
  • 3: More than half the days
  • 4: Nearly every day

Mental health (DEP) - Question identifier:DEP_Q020

Over the last 2 weeks, how often have you been bothered by any of the following problems?

Felt tired or having little energy

  • 1: Not at all
  • 2: Several days
  • 3: More than half the days
  • 4: Nearly every day

Mental health (DEP) - Question identifier:DEP_Q025

Over the last 2 weeks, how often have you been bothered by any of the following problems?

Had poor appetite or overate

  • 1: Not at all
  • 2: Several days
  • 3: More than half the days
  • 4: Nearly every day

Mental health (DEP) - Question identifier:DEP_Q030

Over the last 2 weeks, how often have you been bothered by any of the following problems?

Felt bad about yourself — or that you are a failure or have let yourself or your family down

  • 1: Not at all
  • 2: Several days
  • 3: More than half the days
  • 4: Nearly every day

Mental health (DEP) - Question identifier:DEP_Q035

Over the last 2 weeks, how often have you been bothered by any of the following problems?

Had trouble concentrating on things, such as reading the newspaper or watching television

  • 1: Not at all
  • 2: Several days
  • 3: More than half the days
  • 4: Nearly every day

Mental health (DEP) - Question identifier:DEP_Q040

Over the last 2 weeks, how often have you been bothered by any of the following problems?

Been moving or speaking so slowly that other people could have noticed? Or the opposite, being so fidgety or restless that you have been moving around a lot more than usual

  • 1: Not at all
  • 2: Several days
  • 3: More than half the days
  • 4: Nearly every day

Mental health (DEP) - Question identifier:DEP_Q045

Over the last 2 weeks, how often have you been bothered by any of the following problems?

Had thoughts that you would be better off dead or of hurting yourself in some way

  • 1: Not at all
  • 2: Several days
  • 3: More than half the days
  • 4: Nearly every day

Mental health (DEP) - Question identifier:DEP_Q050

How difficult have these problems made it for you to do your work, take care of things at home, or get along with other people?

  • 1: Not difficult at all
  • 2: Somewhat difficult
  • 3: Very difficult
  • 4: Extremely difficult

Social provisions (SPS)

Social provisions (SPS) - Question identifier:SPS_R001

The next questions are about your current relationships with friends, family members, co-workers, community members, and so on.

Social provisions (SPS) - Question identifier:SPS_Q015

Please indicate to what extent each statement describes your current relationships with other people.

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

Social provisions (SPS) - Question identifier:SPS_Q020

Please indicate to what extent each statement describes your current relationships with other people.

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

  • 1: Strongly agree
  • 2: Agree
  • 3: Disagree
  • 4: Strongly disagree

Social provisions (SPS) - Question identifier:SPS_Q025

Please indicate to what extent each statement describes your current relationships with other people.

I have relationships where my competence and skill are recognized.

  • 1: Strongly agree
  • 2: Agree
  • 3: Disagree
  • 4: Strongly disagree

Social provisions (SPS) - Question identifier:SPS_Q035

Please indicate to what extent each statement describes your current relationships with other people.

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

  • 1: Strongly agree
  • 2: Agree
  • 3: Disagree
  • 4: Strongly disagree

Social provisions (SPS) - Question identifier:SPS_Q050

Please indicate to what extent each statement describes your current relationships with other people.

There are people I can count on in an emergency.

  • 1: Strongly agree
  • 2: Agree
  • 3: Disagree
  • 4: Strongly disagree

Perceived need for mental health care (PNCM)

Perceived need for mental health care (PNCM) - Question identifier:PNCM_R05

The following questions are about mental health care.

Mental health care may include services such as psychotherapy or counselling, prescription medication, support groups or other therapies.

Perceived need for mental health care (PNCM) - Question identifier:PNCM_Q05

During the past 12 months, was there ever a time when you felt that you needed mental health care, whether or not you received it?

  • 1: Yes
  • 2: No

Perceived need for mental health care (PNCM) - Question identifier:PNCM_Q10

To what extent do you feel your mental health care needs were met?

Would you say:

  • 1: Your mental health care needs were fully met
  • 2: Your mental health care needs were partially met
  • 3: Your mental health care needs were unmet

Labour market activities (LMAM)

Labour market activities (LMAM) - Question identifier:LMAM_R01

Many of the following questions concern your activities last week.

Last week is from [7 days ago] to [yesterday].

Labour market activities (LMAM) - Question identifier:LMAM_Q01

Last week, did you work at a job or business?

  • 1: Yes
  • 2: No
  • 3: Permanently unable to work

Labour market activities (LMAM) - Question identifier:LMAM_Q02

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

  • 1: Yes
  • 2: No

Labour market activities (LMAM) - Question identifier:LMAM_Q03

What was the main reason you were absent from work last week?

  • 01: Vacation
  • 02: Own illness or disability
  • 03: Caring for own children
  • 04: Caring for elder relative (60 years of age or older)
  • 05: Maternity or parental leave
  • 06: Other personal or family responsibilities
  • 07: Labour dispute (strike or lockout) (Employees only)
  • 08: Temporary layoff due to business conditions (Employees only)
  • 09: Seasonal layoff (Employees only)
  • 10: Casual job, no work available (Employees only)
  • 11: Work schedule (e.g., 10 days on, 10 days off, employees only)
  • 12: Self-employed, no work available (Self-employed only)
  • 13: Seasonal business (Excluding employees)
  • 14: Other

Labour market activities (LMA3)

Labour market activities (LMA3) - Question identifier:LMA3_Q01

Were you an employee or self-employed?

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

Labour market activities (LMA4)

Labour market activities (LMA4) - Question identifier:LMA4_Q01

What was the full name of your business?

Long Answer Length = 50

Labour market activities (LMA4) - Question identifier:LMA4_Q02

For whom did you work?

Long Answer Length = 50

Labour market activities (LMA4) - Question identifier:LMA4_Q03

What kind of business, industry or service was this?

Long Answer Length = 80

Labour market activities (LMA5)

Labour market activities (LMA5) - Question identifier:LMA5_R01

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

Labour market activities (LMA5) - Question identifier:LMA5_Q01

What kind of work were you doing?

Long Answer Length = 50

Labour market activities (LMA5) - Question identifier:LMA5_Q02

What were your most important activities or duties?

Long Answer Length = 50

Labour market activities (LMA6)

Labour market activities (LMA6) - Question identifier:LMA6_Q01

[Excluding overtime, on average, how many paid hours do you usually work per week? / On average, how many hours do you usually work per week?]

Min = 0; Max = 999.9

Labour market activities (LBF)

Labour market activities (LBF) - Question identifier:LBF_Q11

Did you have more than one job or business last week?

  • 1: Yes
  • 2: No

Labour market activities (LBF) - Question identifier:LBF_Q12

On average, how many hours do you usually work per week at your other job(s)?

Min = 0; Max = 999.9

Telework (LM)

Telework (LM) - Question identifier:LM_Q01

At the present time, in which of the following locations do you usually work as part of your main job or business?

  • 1: At a fixed location outside the home
  • 2: Outside the home with no fixed location (e.g., driving, door-to-door sales)
  • 3: At home (Include farms and all work done at the same address as your home, but on a different part of the property)

Telework (LM) - Question identifier:LM_Q02

Last week, what proportion of your work hours did you work at home as part of your main job or business?

  • 1: All your hours at home
  • 2: More than half, but not all your hours at home
  • 3: One quarter to half at home
  • 4: Less than a quarter at home
  • 5: No hours at home

Place of birth, immigration and citizenship (IM)

Place of birth, immigration and citizenship (IM) - Question identifier:IM_Q01A

Where were you born?

  • 1: Born in Canada
  • 2: Born outside Canada

Place of birth, immigration and citizenship (IM) - Question identifier:IM_Q01AA

Specify the 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

Place of birth, immigration and citizenship (IM) - Question identifier:IM_Q01AB

Select the country

  • 1: Search
  • 2: Other - Specify

Place of birth, immigration and citizenship (IM) - Question identifier:IM_Q02

In what year did you first come to Canada to live?

Min = 0; Max = 9999

Place of birth, immigration and citizenship (IM) - Question identifier:IM_Q03

Are you now, or have you ever been a landed immigrant?

  • 1: Yes
  • 2: No

Place of birth, immigration and citizenship (IM) - Question identifier:IM_Q04

In what year did you first become a landed immigrant?

Min = 0; Max = 9999

Place of birth, immigration and citizenship (IM) - Question identifier:IM_Q05

Of what country are you a citizen?

Are you a citizen of:

  • 1: Canada
  • 2: Another country

Place of birth, immigration and citizenship (IM) - Question identifier:IM_Q05AA

Is it:

  • 1: By birth
  • 2: By naturalization (i.e., the process by which an immigrant is granted citizenship of Canada, under the Citizenship Act.)

Place of birth, immigration and citizenship (IM) - Question identifier:IM_Q05AB

Select the country

  • 1: Search
  • 2: Other - Specify

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)

Population group (PG)

Population group (PG) - Question identifier:PG_R05

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.

Population group (PG) - Question identifier:PG_Q05

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 — specify:

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 speak most often at home?

  • 1: English
  • 2: French
  • 3: Other

Language (LAN) - Question identifier:LAN_Q04

What is the language that you first learned at home in childhood and still understand?

  • 1: English
  • 2: French
  • 3: Other

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

Home care services (HMC)

Home care services (HMC) - Question identifier:HMC_R005

Now some questions on home care services that you or anyone in the household may have received because of a health condition or a limitation in daily activities.

Home care services (HMC) - Question identifier:HMC_Q005

In the past 12 months, what type of home care services have been received?

  • 1: Nursing care (e.g., dressing changes, preparing medications, V.O.N. visits)
  • 2: Other health care services (e.g., physiotherapy, occupational or speech therapy, nutrition counselling)
  • 3: Medical equipment or supplies (e.g., wheelchair, pads for incontinence, help with using a ventilator or oxygen equipment)
  • 4: Personal or home support (e.g., bathing, housekeeping, meal preparation)
  • 5: Palliative or end-of-life care
  • 6: Other services (e.g., transportation, meals-on-wheels)
  • 7: No one in the household received any home care services

Home care services (HMC) - Question identifier:HMC_Q010A

Who received these home care services?
Nursing care

  • 1: You
  • 2: Another member of the household
  • 3: You and another member of the household

Home care services (HMC) - Question identifier:HMC_Q010B

Who received these home care services?
Other health care services

  • 1: You
  • 2: Another member of the household
  • 3: You and another member of the household

Home care services (HMC) - Question identifier:HMC_Q010C

Who received these home care services?
Medical equipment or supplies

  • 1: You
  • 2: Another member of the household
  • 3: You and another member of the household

Home care services (HMC) - Question identifier:HMC_Q010D

Who received these home care services?
Personal or home support

  • 1: You
  • 2: Another member of the household
  • 3: You and another member of the household

Home care services (HMC) - Question identifier:HMC_Q010E

Who received these home care services?
Palliative or end-of-life care

  • 1: You
  • 2: Another member of the household
  • 3: You and another member of the household

Home care services (HMC) - Question identifier:HMC_Q010F

Who received these home care services?
Other services

  • 1: You
  • 2: Another member of the household
  • 3: You and another member of the household

Home care services (HMC) - Question identifier:HMC_Q015A

How long were home care services received?
Nursing care

  • 1: Less than 1 month
  • 2: 1 month to less than 3 months
  • 3: 3 months to less than 6 months
  • 4: 6 months to less than 1 year
  • 5: 1 year to 3 years
  • 6: More than 3 years

Home care services (HMC) - Question identifier:HMC_Q015B

How long were home care services received?
Other health care services

  • 1: Less than 1 month
  • 2: 1 month to less than 3 months
  • 3: 3 months to less than 6 months
  • 4: 6 months to less than 1 year
  • 5: 1 year to 3 years
  • 6: More than 3 years

Home care services (HMC) - Question identifier:HMC_Q015C

How long were home care services received?
Medical equipment or supplies

  • 1: Less than 1 month
  • 2: 1 month to less than 3 months
  • 3: 3 months to less than 6 months
  • 4: 6 months to less than 1 year
  • 5: 1 year to 3 years
  • 6: More than 3 years

Home care services (HMC) - Question identifier:HMC_Q015D

How long were home care services received?
Personal or home support

  • 1: Less than 1 month
  • 2: 1 month to less than 3 months
  • 3: 3 months to less than 6 months
  • 4: 6 months to less than 1 year
  • 5: 1 year to 3 years
  • 6: More than 3 years

Home care services (HMC) - Question identifier:HMC_Q015E

How long were home care services received?
Palliative or end-of-life care

  • 1: Less than 1 month
  • 2: 1 month to less than 3 months
  • 3: 3 months to less than 6 months
  • 4: 6 months to less than 1 year
  • 5: 1 year to 3 years
  • 6: More than 3 years

Home care services (HMC) - Question identifier:HMC_Q015F

How long were home care services received?
Other services

  • 1: Less than 1 month
  • 2: 1 month to less than 3 months
  • 3: 3 months to less than 6 months
  • 4: 6 months to less than 1 year
  • 5: 1 year to 3 years
  • 6: More than 3 years

Home care services (HMC) - Question identifier:HMC_Q020A

In a typical month over the past 12 months, how much was paid for home care services?
Nursing care

  • 01: $0
  • 02: $1 to less than $50
  • 03: $50 to less than $100
  • 04: $100 to less than $200
  • 05: $200 to less than $300
  • 06: $300 to less than $400
  • 07: $400 to less than $1,000
  • 08: $1,000 and more

Home care services (HMC) - Question identifier:HMC_Q020B

In a typical month over the past 12 months, how much was paid for home care services?
Other health care services

  • 01: $0
  • 02: $1 to less than $50
  • 03: $50 to less than $100
  • 04: $100 to less than $200
  • 05: $200 to less than $300
  • 06: $300 to less than $400
  • 07: $400 to less than $1,000
  • 08: $1,000 and more

Home care services (HMC) - Question identifier:HMC_Q020C

In a typical month over the past 12 months, how much was paid for home care services?
Medical equipment or supplies

  • 01: $0
  • 02: $1 to less than $50
  • 03: $50 to less than $100
  • 04: $100 to less than $200
  • 05: $200 to less than $300
  • 06: $300 to less than $400
  • 07: $400 to less than $1,000
  • 08: $1,000 and more

Home care services (HMC) - Question identifier:HMC_Q020D

In a typical month over the past 12 months, how much was paid for home care services?
Personal or home support

  • 01: $0
  • 02: $1 to less than $50
  • 03: $50 to less than $100
  • 04: $100 to less than $200
  • 05: $200 to less than $300
  • 06: $300 to less than $400
  • 07: $400 to less than $1,000
  • 08: $1,000 and more

Home care services (HMC) - Question identifier:HMC_Q020E

In a typical month over the past 12 months, how much was paid for home care services?
Palliative or end-of-life care

  • 01: $0
  • 02: $1 to less than $50
  • 03: $50 to less than $100
  • 04: $100 to less than $200
  • 05: $200 to less than $300
  • 06: $300 to less than $400
  • 07: $400 to less than $1,000
  • 08: $1,000 and more

Home care services (HMC) - Question identifier:HMC_Q020F

In a typical month over the past 12 months, how much was paid for home care services?
Other services

  • 01: $0
  • 02: $1 to less than $50
  • 03: $50 to less than $100
  • 04: $100 to less than $200
  • 05: $200 to less than $300
  • 06: $300 to less than $400
  • 07: $400 to less than $1,000
  • 08: $1,000 and more

Home care services (HMC) - Question identifier:HMC_Q025

Who paid for these services?

  • 1: Out of your own pocket
  • 2: Family or friend living in the same household
  • 3: Someone living outside the household (e.g., family, friends, volunteer organization)
  • 4: Insurance
  • 5: Government
  • 6: Other

Home care services (HMC) - Question identifier:HMC_Q030

Overall, what was the level of satisfaction for the home care services received?

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

Home care services (HMC) - Question identifier:HMC_Q035

What are the reasons for the dissatisfaction?

  • 1: Poor quality (i.e., concerns about provider competence, reliability of services, etc.)
  • 2: Services did not address perceived needs
  • 3: Services provided were insufficient
  • 4: Long wait times to receive services
  • 5: Other reason

Home care services (HMC) - Question identifier:HMC_Q037

Thinking of the home care services received in the past 12 months, how helpful were they in allowing the person or persons receiving these services to stay at home?

  • 1: Very helpful
  • 2: Somewhat helpful
  • 3: Not helpful
  • 4: Reason for homecare was unrelated to staying at home (e.g., wound care)

Home care services (HMC) - Question identifier:HMC_Q038

Why weren't the home care services helpful in allowing the person or persons receiving these services to stay at home?

  • 1: Poor quality (i.e., concerns about provider competence, reliability of services, etc.)
  • 2: Services did not address perceived needs
  • 3: Services provided were insufficient (e.g., coverage, frequency, etc.)
  • 4: Long wait times to receive services
  • 5: Cost of services was too high
  • 6: Other reason

Home care services (HMC) - Question identifier:HMC_Q040

During the past 12 months, was there ever a time when you or anyone in the household felt that home care services were needed but were not received?

  • 1: Yes
  • 2: No

Home care services (HMC) - Question identifier:HMC_Q045

Were these home care services needed for yourself or someone else living in the household?

  • 1: You only
  • 2: Other household member
  • 3: You and other household member

Home care services (HMC) - Question identifier:HMC_R050

For the following questions, please only report for the home care services you personally needed.

Home care services (HMC) - Question identifier:HMC_Q050

Thinking of the most recent time, what type of home care was needed?

  • 1: Nursing care (e.g., dressing changes, preparing medications, V.O.N. visits)
  • 2: Other health care services (e.g., physiotherapy, occupational or speech therapy, nutrition counselling)
  • 3: Medical equipment or supplies (e.g., wheelchair, pads for incontinence, help with using a ventilator or oxygen equipment)
  • 4: Personal or home support (e.g., bathing, housekeeping, meal preparation)
  • 5: Palliative or end-of-life care
  • 6: Other services (e.g., transportation, meals-on-wheels)

Home care services (HMC) - Question identifier:HMC_Q055

Again, thinking of the most recent time, why didn't you or another member of the household get these services?

  • 01: Not available in the area
  • 02: Not available at time required (e.g., inconvenient hours)
  • 03: Waiting time too long
  • 04: Cost
  • 05: Didn't get around to it or didn't bother
  • 06: Didn't know where to go or call
  • 07: Language barrier
  • 08: Decided not to seek services
  • 09: Doctor did not think it was necessary
  • 10: Not eligible for home care
  • 11: Still waiting for home care
  • 12: Other

Home care services (HMC) - Question identifier:HMC_Q060

Where did you or another member of the household try to get these home care services?

  • 1: A government Home Care Program (e.g., CLSC in Quebec, CCAC in Ontario, Extra-Mural Program in New Brunswick)
  • 2: A private agency
  • 3: A family member, friend or neighbour
  • 4: A volunteer organization
  • 5: Nowhere - did not try to get service
  • 6: Other

Food security (FSC)

Food security (FSC) - Question identifier:FSC_R10

The following statements may describe the food situation for your household in the past 12 months. Please indicate if the statement was often true, sometimes true or never true for [you / you and other household members] in the past 12 months.

Food security (FSC) - Question identifier:FSC_Q10

[You / You and other household members] worried that food would run out before you got money to buy more

  • 1: Often true
  • 2: Sometimes true
  • 3: Never true

Food security (FSC) - Question identifier:FSC_Q15

The food that [you / you and other household members] bought just didn't last and there wasn't any money to get more

  • 1: Often true
  • 2: Sometimes true
  • 3: Never true

Food security (FSC) - Question identifier:FSC_Q20

[You / You and other household members] couldn't afford to eat balanced meals

  • 1: Often true
  • 2: Sometimes true
  • 3: Never true

Food security (FSC) - Question identifier:FSC_Q25

[You / You or other adults in your household] relied on only a few kinds of low-cost food to feed [your child / the children] because you were running out of money to buy food

  • 1: Often true
  • 2: Sometimes true
  • 3: Never true

Food security (FSC) - Question identifier:FSC_Q30

[You / You or other adults in your household] couldn't feed [your child / the children] a balanced meal because you couldn't afford it

  • 1: Often true
  • 2: Sometimes true
  • 3: Never true

Food security (FSC) - Question identifier:FSC_Q35

[Your child was / The children were] not eating enough because [you / you or other adults in your household] just couldn't afford enough food?

  • 1: Often true
  • 2: Sometimes true
  • 3: Never true

Food security (FSC) - Question identifier:FSC_R40

[The following few questions are about the food situation in the past 12 months for you or any other adults in your household.]

Food security (FSC) - Question identifier:FSC_Q40

In the past 12 months, since last [January/ February/ March/ April/ May/ June/ July/ August/ September/ October/ November/ December], did [you / you or other adults in your household] ever cut the size of your meals or skip meals because there wasn't enough money for food?

  • 1: Yes
  • 2: No

Food security (FSC) - Question identifier:FSC_Q45

How often did this happen?

  • 1: Almost every month
  • 2: Some months but not every month
  • 3: Only 1 or 2 months

Food security (FSC) - Question identifier:FSC_Q50

In the past 12 months, did you personally ever eat less than you felt you should because there wasn't enough money to buy food?

  • 1: Yes
  • 2: No

Food security (FSC) - Question identifier:FSC_Q55

In the past 12 months, were you personally ever hungry but didn't eat because you couldn't afford enough food?

  • 1: Yes
  • 2: No

Food security (FSC) - Question identifier:FSC_Q60

In the past 12 months, did you personally ever lose weight because you didn't have enough money for food?

  • 1: Yes
  • 2: No

Food security (FSC) - Question identifier:FSC_Q65

In the past 12 months, did [you / you or other adults in your household] ever not eat for a whole day because there wasn't enough money for food?

  • 1: Yes
  • 2: No

Food security (FSC) - Question identifier:FSC_Q70

How often did this happen?

  • 1: Almost every month
  • 2: Some months but not every month
  • 3: Only 1 or 2 months

Food security (FSC) - Question identifier:FSC_R75

Now, a few questions on the food experiences for children in your household.

Food security (FSC) - Question identifier:FSC_Q75

In the past 12 months, did [you / you or other adults in your household] ever cut the size of [your child's / any of the children's] meals because there wasn't enough money for food?

  • 1: Yes
  • 2: No

Food security (FSC) - Question identifier:FSC_Q80

In the past 12 months, did [your child / any of the children] ever skip meals because there wasn't enough money for food?

  • 1: Yes
  • 2: No

Food security (FSC) - Question identifier:FSC_Q85

How often did this happen?

  • 1: Almost every month
  • 2: Some months but not every month
  • 3: Only 1 or 2 months

Food security (FSC) - Question identifier:FSC_Q90

In the past 12 months, [was your child / were any of the children] ever hungry but you couldn't afford more food?

  • 1: Yes
  • 2: No

Food security (FSC) - Question identifier:FSC_Q95

In the past 12 months, did [your child / any of the children] ever not eat for a whole day because there wasn't enough money for food?

  • 1: Yes
  • 2: No

Administrative information (ADMC)

Administrative information (ADMC) - Question identifier:ADMC_R10

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, the [provincial / territorial] ministry of health [and the Institut de la statistique du Québec] may also add information from other surveys or administrative sources.

Administrative information (ADMC) - Question identifier:ADMC_Q10

Having a provincial or territorial health number will assist us in linking to this other information. [Do you] have [Newfoundland and Labrador / Prince Edward Island / Nova Scotia / New Brunswick / Quebec / Ontario / Manitoba / Saskatchewan / Alberta / British Columbia / Yukon / the Northwest Territories/Nunavut] health number?

  • 1: Yes
  • 2: No

Administrative information (ADMC) - Question identifier:ADMC_Q10A

For which province or territory is your health number?

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
  • 88: Does not have a Canadian health number

Administrative information (ADMC) - Question identifier:ADMC_Q15

What is your health number?

Long Answer Length = 12

Administrative information (ADMC) - Question identifier:ADMC_R25A

To avoid duplication of surveys, Statistics Canada has signed agreements to share the data from this survey with provincial and territorial ministries of health, Health Canada and the Public Health Agency of Canada. Provincial ministries of health may make the data available to local health authorities.

Data shared with your ministry of health may also include identifiers such as name, address, telephone number and health card number. Health Canada, the Public Health Agency of Canada, and local health authorities, would receive only survey responses and the postal code.

Administrative information (ADMC) - Question identifier:ADMC_R25B

To avoid duplication of surveys, Statistics Canada has signed agreements to share the data from this survey with provincial and territorial ministries of health, the Institut de la statistique du Québec, Health Canada and the Public Health Agency of Canada. The Institut de la statistique du Québec and provincial ministries of health may make this data available to local health authorities.

Data shared with your ministry of health or the Institut de la statistique du Québec may also include identifiers such as name, address, telephone number and health card number. Health Canada, the Public Health Agency of Canada, and local health authorities, would receive only survey responses and the postal code.

Administrative information (ADMC) - Question identifier:ADMC_Q35

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

Do you agree to share the data you provided?

  • 1: Yes
  • 2: No

Administrative information (ADMC) - Question identifier:ADMC_Q37

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 provincial and territorial ministries of health,[ the Institut de la statistique du Québec,] Health Canada and the Public Health Agency of Canada. These organizations have agreed to keep the information confidential and to use it only for statistical and research purposes.

Do you give Statistics Canada permission to share your tax information with provincial and territorial ministries of health,[ the Institut de la statistique du Québec,] Health Canada and the Public Health Agency of Canada?

  • 1: Yes
  • 2: No
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