Survey of Safety in Public and Private Spaces

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

Demographic information (RRS)

Demographic information (RRS) - Question identifier:RRS_R01

The next few questions ask for important information about the people in your household.

Demographic information (RRS) - Question identifier:RRS_Q12

Including yourself, how many persons are staying at this address?

  • 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

Demographic information (RRS3)

Demographic information (RRS3) - Question identifier:RRS3_Q15A

[Please provide your first name, last name, and age. / Beginning with yourself, please provide the first name, last name, and age of all the people usually living at this address.]
First name

Long Answer Length = 25

Demographic information (RRS3) - Question identifier:RRS3_Q15B

[Please provide your first name, last name, and age. / Beginning with yourself, please provide the first name, last name, and age of all the people usually living at this address.]
Last name

Long Answer Length = 30

Demographic information (RRS3) - Question identifier:RRS3_Q15C

[Please provide your first name, last name, and age. / Beginning with yourself, please provide the first name, last name, and age of all the people usually living at this address.]
Age

Min = 0; Max = 999

Demographic information (RSR2)

Demographic information (RSR2) - Question identifier:RSR2_Q30

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

  • 01: Your husband or wife
  • 02: Your common-law partner
  • 03: Your father or mother
  • 04: Your son or daughter (birth, adopted or step)
  • 05: Your brother or sister
  • 06: Your foster father or mother
  • 07: Your foster son or daughter
  • 08: Your grandfather or grandmother
  • 09: Your grandson or granddaughter
  • 10: Your in-law
  • 11: Other related
  • 12: Unrelated

Demographic information (GDR)

Demographic information (GDR) - Question identifier:GDR_R05

The following questions are about sex at birth and gender.

Demographic information (GDR) - Question identifier:GDR_Q05

What was this person's sex at birth?

  • 1: Male
  • 2: Female

Demographic information (GDR) - Question identifier:GDR_Q10

What is this person's gender?

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

Demographic information (AGE)

Demographic information (AGE) - Question identifier:AGE_Q01A

What is your date of birth?
Year

Min = 1903; Max = 2024

Demographic information (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

Demographic information (AGE) - Question identifier:AGE_Q01C

What is your date of birth?
Day

  • 01: 1
  • 02: 2
  • 03: 3
  • 04: 4
  • 05: 5
  • 06: 6
  • 07: 7
  • 08: 8
  • 09: 9
  • 10: 10
  • 11: 11
  • 12: 12
  • 13: 13
  • 14: 14
  • 15: 15
  • 16: 16
  • 17: 17
  • 18: 18
  • 19: 19
  • 20: 20
  • 21: 21
  • 22: 22
  • 23: 23
  • 24: 24
  • 25: 25
  • 26: 26
  • 27: 27
  • 28: 28
  • 29: 29
  • 30: 30
  • 31: 31

Demographic information (AGE) - Question identifier:AGE_Q02

What is your age?

Min = 0; Max = 999

Demographic information (SOR)

Demographic information (SOR) - Question identifier:SOR_Q01

What is your sexual orientation?

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

Demographic information (MS)

Demographic information (MS) - Question identifier:MS_Q01

What is your marital status?

  • 1: Married (For Quebec residents only, select the 'Married' category if your marital status is 'civil union')
  • 2: Living common law (Two people who live together as a couple but who are not legally married to each other.)
  • 3: Never married (not living common law)
  • 4: Separated (not living common law)
  • 5: Divorced (not living common law)
  • 6: Widowed (not living common law)

Demographic information (PMC)

Demographic information (PMC) - Question identifier:PMC_Q15

Have you ever been in an intimate partner relationship, including dating someone, being married, or living common-law?

  • 1: Yes
  • 2: No

Demographic information (PMC) - Question identifier:PMC_Q20

Have you had contact with any former dating partner, former spouse, or former common-law partner in the past 12 months?

  • 1: Yes
  • 2: No

Perceptions (PA)

Perceptions (PA) - Question identifier:PA_R010A

The next statements are opinions that may be held by members of Canadian society when it comes to gender roles for women and men and violence in relationships.

Perceptions (PA) - Question identifier:PA_Q010

Indicate if you strongly agree, agree, neither agree nor disagree, disagree, or strongly disagree with each of the following statements. Remember that these are personal opinions and there are no right or wrong answers.
People should be able to express their gender however they choose

  • 1: Strongly agree
  • 2: Agree
  • 3: Neither agree nor disagree
  • 4: Disagree
  • 5: Strongly disagree

Perceptions (PA) - Question identifier:PA_Q020

Indicate if you strongly agree, agree, neither agree nor disagree, disagree, or strongly disagree with each of the following statements. Remember that these are personal opinions and there are no right or wrong answers.
There are significant obstacles that make it harder for women to get ahead than men

  • 1: Strongly agree
  • 2: Agree
  • 3: Neither agree nor disagree
  • 4: Disagree
  • 5: Strongly disagree

Perceptions (PA) - Question identifier:PA_Q030

Indicate if you strongly agree, agree, neither agree nor disagree, disagree, or strongly disagree with each of the following statements. Remember that these are personal opinions and there are no right or wrong answers.
People who report sexual assault are almost always telling the truth

  • 1: Strongly agree
  • 2: Agree
  • 3: Neither agree nor disagree
  • 4: Disagree
  • 5: Strongly disagree

Perceptions (PA) - Question identifier:PA_Q040

Indicate if you strongly agree, agree, neither agree nor disagree, disagree, or strongly disagree with each of the following statements. Remember that these are personal opinions and there are no right or wrong answers.
Violence between partners can be excused if people get so angry they lose control

  • 1: Strongly agree
  • 2: Agree
  • 3: Neither agree nor disagree
  • 4: Disagree
  • 5: Strongly disagree

Perceptions (PA) - Question identifier:PA_Q050

Indicate if you strongly agree, agree, neither agree nor disagree, disagree, or strongly disagree with each of the following statements. Remember that these are personal opinions and there are no right or wrong answers.
It is understandable that someone would react violently if they suspect their partner of having an affair

  • 1: Strongly agree
  • 2: Agree
  • 3: Neither agree nor disagree
  • 4: Disagree
  • 5: Strongly disagree

Perceptions (PA) - Question identifier:PA_Q060

Indicate if you strongly agree, agree, neither agree nor disagree, disagree, or strongly disagree with each of the following statements. Remember that these are personal opinions and there are no right or wrong answers.
I would support a family member if they came out as transgender

  • 1: Strongly agree
  • 2: Agree
  • 3: Neither agree nor disagree
  • 4: Disagree
  • 5: Strongly disagree

Perceptions (PA) - Question identifier:PA_Q070

Indicate if you strongly agree, agree, neither agree nor disagree, disagree, or strongly disagree with each of the following statements. Remember that these are personal opinions and there are no right or wrong answers.
People have the right to check who their partner has been calling or texting at all times

  • 1: Strongly agree
  • 2: Agree
  • 3: Neither agree nor disagree
  • 4: Disagree
  • 5: Strongly disagree

Perceptions (PA) - Question identifier:PA_Q080

Indicate if you strongly agree, agree, neither agree nor disagree, disagree, or strongly disagree with each of the following statements. Remember that these are personal opinions and there are no right or wrong answers.
Same-sex and opposite-sex couples should have the same rights to adopt children

  • 1: Strongly agree
  • 2: Agree
  • 3: Neither agree nor disagree
  • 4: Disagree
  • 5: Strongly disagree

Employment and education (LMAM)

Employment and education (LMAM) - Question identifier:LMAM_R01

Some of the following questions concern your activities last week.

Employment and education (LMAM) - Question identifier:LMAM_Q01

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

  • 1: Yes
  • 2: No

Employment and education (LMAM) - Question identifier:LMAM_Q02

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

  • 1: Yes
  • 2: No

Employment and education (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

Employment and education (MA)

Employment and education (MA) - Question identifier:MA_Q01

In the past 12 months, did you work at a job or business?

  • 1: Yes
  • 2: No

Employment and education (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 caregiving other than for your children
  • 09: Other

Employment and education (LMC)

Employment and education (LMC) - Question identifier:LMC_Q15

How many jobs or businesses did you have in the past 12 months?

  • 1: One
  • 2: More than one

Employment and education (LMC) - Question identifier:LMC_Q20

[Was at least one of the jobs you had located in Canada / Is the job you had located in Canada / Is the job you currently have located in Canada]?

  • 1: Yes
  • 2: No

Employment and education (LMC) - Question identifier:LMC_R01

For the following questions, please think of the job or business in Canada at which you worked the most hours in the past 12 months.

Employment and education (LMA3)

Employment and education (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

Employment and education (LMA4)

Employment and education (LMA4) - Question identifier:LMA4_Q01

What was the full name of your business?

Long Answer Length = 50

Employment and education (LMA4) - Question identifier:LMA4_Q02

For whom did you work?

Long Answer Length = 50

Employment and education (LMA4) - Question identifier:LMA4_Q03

What kind of business, industry or service was this?

Long Answer Length = 50

Employment and education (LMA5)

Employment and education (LMA5) - Question identifier:LMA5_R01

The following questions refer to the work or occupation in which you spent most of your time in the past 12 months.

Employment and education (LMA5) - Question identifier:LMA5_Q01

What kind of work were you doing?

Long Answer Length = 50

Employment and education (LMA5) - Question identifier:LMA5_Q02

What were your most important activities or duties?

Long Answer Length = 50

Employment and education (LMA6)

Employment and education (LMA6) - Question identifier:LMA6_Q01

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

Min = 0.0; Max = 99.9

Employment and education (RHW)

Employment and education (RHW) - Question identifier:RHW_Q05

Which of the following best describes your work location during the past 12 months?

  • 1: Working from home all of the time
  • 2: Working from home some of the time
  • 3: Working outside my home all of the time

Employment and education (UWS)

Employment and education (UWS) - Question identifier:UWS_Q230

Which of the following best describes your usual work schedule?

  • 01: A regular daytime schedule or shift
  • 02: A regular evening shift
  • 03: A regular night shift
  • 04: A rotating shift (One that changes periodically from days to evenings or to nights)
  • 05: A split shift (One consisting of two or more distinct periods each day)
  • 06: On call
  • 07: An irregular schedule
  • 08: Other

Employment and education (TOE)

Employment and education (TOE) - Question identifier:TOE_Q240

[Was / Is] your job permanent, or is there some way that it [was / is] not permanent?

  • 1: Permanent
  • 2: Not permanent (e.g., seasonal, temporary, term, casual)

Employment and education (TOE) - Question identifier:TOE_Q241

In what way [was / is] your job not permanent?

  • 1: Seasonal (A job that ends with the off-season, e.g., an employee who works in farming, fishing or tourism.)
  • 2: Temporary, term or contract (A non-seasonal job that has a fixed end date.)
  • 3: Casual job (Work when needed by your employer, e.g., a substitute teacher, "spare" or "fill-in".)
  • 4: Other

Employment and education (GWC)

Employment and education (GWC) - Question identifier:GWC_Q05

What [are / were] the genders of your colleagues at your job?

  • 1: All or mostly men
  • 2: All or mostly women
  • 3: About evenly divided
  • 4: Not applicable

Employment and education (AAW)

Employment and education (AAW) - Question identifier:AAW_Q05A

Did you receive information or education from your employer on the following?
What is sexual harassment and sexual assault

  • 1: Yes
  • 2: No
  • 3: Not applicable
  • 9: DK

Employment and education (AAW) - Question identifier:AAW_Q05B

Did you receive information or education from your employer on the following?
How to report sexual harassment and sexual assault

  • 1: Yes
  • 2: No
  • 3: Not applicable
  • 9: DK

Employment and education (AAW) - Question identifier:AAW_Q05C

Did you receive information or education from your employer on the following?
How to access resources for sexual harassment and sexual assault confidentially

  • 1: Yes
  • 2: No
  • 3: Not applicable
  • 9: DK

Employment and education (EDB)

Employment and education (EDB) - Question identifier:EDB_Q10

Were you attending school, such as high school, college, CEGEP or university, at any time in the past 12 months?

  • 1: Yes
  • 2: No

Employment and education (EDB) - Question identifier:EDB_Q11

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

  • 1: Yes
  • 2: No

Employment and education (EDB) - Question identifier:EDB_Q12A

In the past 12 months, how many different schools did you attend?

  • 1: One
  • 2: More than one

Employment and education (EDB) - Question identifier:EDB_Q12B

[Was at least one of the schools you attended located in Canada / Is the school you are currently attending located in Canada / Is the school you were attending located in Canada]?

  • 1: Yes
  • 2: No

Employment and education (EDB) - Question identifier:EDB_R12

For the following questions, please think of the school in Canada at which you spent the most time in the past 12 months.

Employment and education (EDB) - Question identifier:EDB_Q13

In which of the following ways did you attend school in the past 12 months?

  • 1: In person
  • 2: Online
  • 3: Both in person and online

Employment and education (EDB) - Question identifier:EDB_Q15

What type of educational institution were you attending in the past 12 months?

  • 1: Elementary, junior high school or high school
  • 2: Tradeschool, college, CEGEP or other non-university institution
  • 3: University

Employment and education (EDB) - Question identifier:EDB_Q14

What [is / was] your major field of study or specialization?

Long Answer Length = 80

Employment and education (EDB) - Question identifier:EDB_Q20

[Are / Were] you enrolled as a full-time or part-time student?

  • 1: Full-time student
  • 2: Part-time student
  • 3: Both full-time and part-time student

Employment and education (GCM)

Employment and education (GCM) - Question identifier:GCM_Q05

What [is / was] the gender of the majority of the students in your program?

  • 1: All or mostly men
  • 2: All or mostly women
  • 3: About evenly divided between men and women
  • 4: Not applicable

Employment and education (ED)

Employment and education (ED) - Question identifier:ED_Q05

What is the highest certificate, diploma or degree that you have completed?

  • 1: Less than high school diploma or its equivalent
  • 2: High school diploma or a high school equivalency certificate
  • 3: Trades certificate or diploma
  • 4: College, CEGEP or other non-university certificate or diploma (other than trades certificates or diplomas)
  • 5: University certificate or diploma below the bachelor's level
  • 6: Bachelor's degree (e.g., B.A., B.A. (Hons), B.Sc., B.Ed., LL.B.)
  • 7: University certificate, diploma or degree above the bachelor's level

Employment and education (AAS)

Employment and education (AAS) - Question identifier:AAS_Q25A

[Are / Were] you aware of the following procedures and services at your school?
Your school's procedures for dealing with reported incidents of harassment and sexual assault

  • 1: Yes
  • 2: No
  • 9: DK

Employment and education (AAS) - Question identifier:AAS_Q25B

[Are / Were] you aware of the following procedures and services at your school?
Services available at your school for victims of harassment or sexual assault

  • 1: Yes
  • 2: No
  • 9: DK

Employment and education (AAS) - Question identifier:AAS_Q25C

[Are / Were] you aware of the following procedures and services at your school?
Resources available off-campus for victims of harassment or sexual assault

  • 1: Yes
  • 2: No
  • 9: DK

Employment and education (AAS) - Question identifier:AAS_Q25D

[Are / Were] you aware of the following procedures and services at your school?
Where to take a friend to get help at your school if they were harassed or sexually assaulted

  • 1: Yes
  • 2: No
  • 9: DK

Employment and education (WSS)

Employment and education (WSS) - Question identifier:WSS_Q05

You indicated that in the past 12 months, you worked at a paid job or business and attended school. Was the place where you worked the same as the place where you went to school?

  • 1: Yes
  • 2: No

Employment and education (WSS) - Question identifier:WSS_R05

The following questions will ask you about events that happened at work and events that happened at school. Since your workplace is the same as the place where you attend school, please think about what you were doing at the time the events took place (work-related tasks or tasks related to study). This will help you to decide whether the event happened in a work-related situation or a school-related situation.

Sexualized behaviours witnessed (BWR)

Sexualized behaviours witnessed (BWR) - Question identifier:BWR_R05

The following questions refer to behaviours that occurred in a work- or school-related situation.

Sexualized behaviours witnessed (BWR) - Question identifier:BWR_Q05A

Was there ever a time in the past 12 months where you witnessed sexualized behaviours such as jokes, comments, gestures, or unwanted contact being directed at others?
At work or in a work-related situation

  • 1: Yes
  • 2: No

Sexualized behaviours witnessed (BWR) - Question identifier:BWR_Q05B

Was there ever a time in the past 12 months where you witnessed sexualized behaviours such as jokes, comments, gestures, or unwanted contact being directed at others?
At school or in a school-related situation

  • 1: Yes
  • 2: No

Sexualized behaviours witnessed (BWR) - Question identifier:BWR_Q10A

Was there ever a time in the past 12 months where you witnessed discriminatory behaviours due to gender, sexual orientation, or gender identity such as someone being excluded, insulted, ignored, or mistreated being directed at others?
At work or in a work-related situation

  • 1: Yes
  • 2: No

Sexualized behaviours witnessed (BWR) - Question identifier:BWR_Q10B

Was there ever a time in the past 12 months where you witnessed discriminatory behaviours due to gender, sexual orientation, or gender identity such as someone being excluded, insulted, ignored, or mistreated being directed at others?
At school or in a school-related situation

  • 1: Yes
  • 2: No

Sexualized behaviours witnessed (BWR) - Question identifier:BWR_Q15A

Thinking only about behaviours that you witnessed in the past 12 months (that were not directed at you personally), did you take any action in response, such as speaking to someone about it, reporting it or attempting to intervene?
At work or in a work-related situation

  • 1: Yes
  • 2: No
  • 3: In some instances yes, in others, no

Sexualized behaviours witnessed (BWR) - Question identifier:BWR_Q15B

Thinking only about behaviours that you witnessed in the past 12 months (that were not directed at you personally), did you take any action in response, such as speaking to someone about it, reporting it or attempting to intervene?
At school or in a school-related situation

  • 1: Yes
  • 2: No
  • 3: In some instances yes, in others, no

Sexualized behaviours witnessed (BWR) - Question identifier:BWR_Q20A

[What actions did you take at work or in a work-related situation? / In the instances when you did take action at work or in a work-related situation, what actions did you take?]

  • 1: You spoke to the person responsible for the behaviour
  • 2: You spoke to those targeted
  • 3: You reported the behaviour to someone in authority
  • 4: You intervened and separated those involved
  • 5: You created a distraction to stop the situation
  • 6: You asked others to step in as a group
  • 7: You took some other action

Sexualized behaviours witnessed (BWR) - Question identifier:BWR_Q20B

[What actions did you take at school or in a school-related situation? / In the instances when you did take action at school or in a school-related situation, what actions did you take?]

  • 1: You spoke to the person responsible for the behaviour
  • 2: You spoke to those targeted
  • 3: You reported the behaviour to someone in authority
  • 4: You intervened and separated those involved
  • 5: You created a distraction to stop the situation
  • 6: You asked others to step in as a group
  • 7: You took some other action

Sexualized behaviours witnessed (BWR) - Question identifier:BWR_Q25A

[You indicated that there were times at work or in a work-related situation when you did not take action when you witnessed behaviours.] There are many reasons why people do not take action in these situations. Please select which ones apply to the behaviours you witnessed in the past 12 months at work or in a work-related situation.

  • 01: You didn't think it was serious enough
  • 02: You felt worried for your own safety
  • 03: You didn't think it was your responsibility
  • 04: You felt there could be negative consequences for you or others
  • 05: You believed other people were taking action
  • 06: The person targeted by the behaviour asked you not to take any action
  • 07: You didn't know what to do
  • 08: You felt uncomfortable
  • 09: You were worried that taking action would have affected your relationships (e.g., being excluded from social groups or activities)
  • 10: You were worried about what people would think of you
  • 11: Other reasons

Sexualized behaviours witnessed (BWR) - Question identifier:BWR_Q25B

[You indicated that there were times at school or in a school-related situation when you did not take action when you witnessed behaviours.] There are many reasons why people do not take action in these situations. Please select which ones apply to the behaviours you witnessed in the past 12 months at school or in a school-related situation.

  • 01: You didn't think it was serious enough
  • 02: You felt worried for your own safety
  • 03: You didn't think it was your responsibility
  • 04: You felt there could be negative consequences for you or others
  • 05: You believed other people were taking action
  • 06: The person targeted by the behaviour asked you not to take any action
  • 07: You didn't know what to do
  • 08: You felt uncomfortable
  • 09: You were worried that taking action would have affected your relationships (e.g., being excluded from social groups or activities)
  • 10: You were worried about what people would think of you
  • 11: Other reasons

Sexualized behaviours experienced (SBE)

Sexualized behaviours experienced (SBE) - Question identifier:SBE_R01

Should you feel emotional discomfort during or after completing the survey, [contact information for support resources in your area is available. / please contact one of the support resources in your area listed below.]

[List of victim services for each province and territory]

Sexualized behaviours experienced (SBE) - Question identifier:SBE_Q05A

In the past 12 months, were any of the following behaviours directed at you personally while at work or in a work-related situation?
Inappropriate sexual jokes

  • 1: Yes
  • 2: No

Sexualized behaviours experienced (SBE) - Question identifier:SBE_Q05AA

How many times were these behaviours directed at you personally while at work or in a work-related situation in the past 12 months?

  • 1: 1 or 2 times
  • 2: 3 to 5 times
  • 3: 6 to 10 times
  • 4: More than 10 times

Sexualized behaviours experienced (SBE) - Question identifier:SBE_Q05B

In the past 12 months, were any of the following behaviours directed at you personally while at work or in a work-related situation?
Unwanted sexual attention, such as whistles, calls, suggestive looks, gestures, or body language

  • 1: Yes
  • 2: No

Sexualized behaviours experienced (SBE) - Question identifier:SBE_Q05BA

How many times were these behaviours directed at you personally while at work or in a work-related situation in the past 12 months?

  • 1: 1 or 2 times
  • 2: 3 to 5 times
  • 3: 6 to 10 times
  • 4: More than 10 times

Sexualized behaviours experienced (SBE) - Question identifier:SBE_Q05C

In the past 12 months, were any of the following behaviours directed at you personally while at work or in a work-related situation?
Unwanted physical contact, such as hugs or shoulder rubs or getting too close

  • 1: Yes
  • 2: No

Sexualized behaviours experienced (SBE) - Question identifier:SBE_Q05CA

How many times were these behaviours directed at you personally while at work or in a work-related situation in the past 12 months?

  • 1: 1 or 2 times
  • 2: 3 to 5 times
  • 3: 6 to 10 times
  • 4: More than 10 times

Sexualized behaviours experienced (SBE) - Question identifier:SBE_Q05D

In the past 12 months, were any of the following behaviours directed at you personally while at work or in a work-related situation?
Suggestions that you do not act like a man or woman is supposed to act

  • 1: Yes
  • 2: No

Sexualized behaviours experienced (SBE) - Question identifier:SBE_Q05DA

How many times were these behaviours directed at you personally while at work or in a work-related situation in the past 12 months?

  • 1: 1 or 2 times
  • 2: 3 to 5 times
  • 3: 6 to 10 times
  • 4: More than 10 times

Sexualized behaviours experienced (SBE) - Question identifier:SBE_Q05E

In the past 12 months, were any of the following behaviours directed at you personally while at work or in a work-related situation?
Being insulted, mistreated, ignored, or excluded because you are a man or a woman

  • 1: Yes
  • 2: No

Sexualized behaviours experienced (SBE) - Question identifier:SBE_Q05EA

How many times were these behaviours directed at you personally while at work or in a work-related situation in the past 12 months?

  • 1: 1 or 2 times
  • 2: 3 to 5 times
  • 3: 6 to 10 times
  • 4: More than 10 times

Sexualized behaviours experienced (SBE) - Question identifier:SBE_Q05F

In the past 12 months, were any of the following behaviours directed at you personally while at work or in a work-related situation?
Being insulted, mistreated, ignored, or excluded because of your sexual orientation or assumed sexual orientation

  • 1: Yes
  • 2: No

Sexualized behaviours experienced (SBE) - Question identifier:SBE_Q05FA

How many times were these behaviours directed at you personally while at work or in a work-related situation in the past 12 months?

  • 1: 1 or 2 times
  • 2: 3 to 5 times
  • 3: 6 to 10 times
  • 4: More than 10 times

Sexualized behaviours experienced (SBE) - Question identifier:SBE_Q05G

In the past 12 months, were any of the following behaviours directed at you personally while at work or in a work-related situation?
Being insulted, mistreated, ignored, or excluded because you are (or are assumed to be) transgender

  • 1: Yes
  • 2: No

Sexualized behaviours experienced (SBE) - Question identifier:SBE_Q05GA

How many times were these behaviours directed at you personally while at work or in a work-related situation in the past 12 months?

  • 1: 1 or 2 times
  • 2: 3 to 5 times
  • 3: 6 to 10 times
  • 4: More than 10 times

Sexualized behaviours experienced (SBE) - Question identifier:SBE_Q05H

In the past 12 months, were any of the following behaviours directed at you personally while at work or in a work-related situation?
Someone indecently exposing themselves or inappropriately displaying any body parts in a sexual manner

  • 1: Yes
  • 2: No

Sexualized behaviours experienced (SBE) - Question identifier:SBE_Q05HA

How many times were these behaviours directed at you personally while at work or in a work-related situation in the past 12 months?

  • 1: 1 or 2 times
  • 2: 3 to 5 times
  • 3: 6 to 10 times
  • 4: More than 10 times

Sexualized behaviours experienced (SBE) - Question identifier:SBE_Q10A

In the past 12 months, were any of the following behaviours directed at you personally while at school or in a school-related situation?
Inappropriate sexual jokes

  • 1: Yes
  • 2: No

Sexualized behaviours experienced (SBE) - Question identifier:SBE_Q10AA

How many times were these behaviours directed at you personally while at school or in a school-related situation in the past 12 months?

  • 1: 1 or 2 times
  • 2: 3 to 5 times
  • 3: 6 to 10 times
  • 4: More than 10 times

Sexualized behaviours experienced (SBE) - Question identifier:SBE_Q10B

In the past 12 months, were any of the following behaviours directed at you personally while at school or in a school-related situation?
Unwanted sexual attention, such as whistles, calls, suggestive looks, gestures, or body language

  • 1: Yes
  • 2: No

Sexualized behaviours experienced (SBE) - Question identifier:SBE_Q10BA

How many times were these behaviours directed at you personally while at school or in a school-related situation in the past 12 months?

  • 1: 1 or 2 times
  • 2: 3 to 5 times
  • 3: 6 to 10 times
  • 4: More than 10 times

Sexualized behaviours experienced (SBE) - Question identifier:SBE_Q10C

In the past 12 months, were any of the following behaviours directed at you personally while at school or in a school-related situation?
Unwanted physical contact, such as hugs or shoulder rubs or getting too close

  • 1: Yes
  • 2: No

Sexualized behaviours experienced (SBE) - Question identifier:SBE_Q10CA

How many times were these behaviours directed at you personally while at school or in a school-related situation in the past 12 months?

  • 1: 1 or 2 times
  • 2: 3 to 5 times
  • 3: 6 to 10 times
  • 4: More than 10 times

Sexualized behaviours experienced (SBE) - Question identifier:SBE_Q10D

In the past 12 months, were any of the following behaviours directed at you personally while at school or in a school-related situation?
Suggestions that you do not act like a man or woman is supposed to act

  • 1: Yes
  • 2: No

Sexualized behaviours experienced (SBE) - Question identifier:SBE_Q10DA

How many times were these behaviours directed at you personally while at school or in a school-related situation in the past 12 months?

  • 1: 1 or 2 times
  • 2: 3 to 5 times
  • 3: 6 to 10 times
  • 4: More than 10 times

Sexualized behaviours experienced (SBE) - Question identifier:SBE_Q10E

In the past 12 months, were any of the following behaviours directed at you personally while at school or in a school-related situation?
Being insulted, mistreated, ignored, or excluded because you are a man or a woman

  • 1: Yes
  • 2: No

Sexualized behaviours experienced (SBE) - Question identifier:SBE_Q10EA

How many times were these behaviours directed at you personally while at school or in a school-related situation in the past 12 months?

  • 1: 1 or 2 times
  • 2: 3 to 5 times
  • 3: 6 to 10 times
  • 4: More than 10 times

Sexualized behaviours experienced (SBE) - Question identifier:SBE_Q10F

In the past 12 months, were any of the following behaviours directed at you personally while at school or in a school-related situation?
Being insulted, mistreated, ignored, or excluded because of your sexual orientation or assumed sexual orientation

  • 1: Yes
  • 2: No

Sexualized behaviours experienced (SBE) - Question identifier:SBE_Q10FA

How many times were these behaviours directed at you personally while at school or in a school-related situation in the past 12 months?

  • 1: 1 or 2 times
  • 2: 3 to 5 times
  • 3: 6 to 10 times
  • 4: More than 10 times

Sexualized behaviours experienced (SBE) - Question identifier:SBE_Q10G

In the past 12 months, were any of the following behaviours directed at you personally while at school or in a school-related situation?
Being insulted, mistreated, ignored, or excluded because you are (or are assumed to be) transgender

  • 1: Yes
  • 2: No

Sexualized behaviours experienced (SBE) - Question identifier:SBE_Q10GA

How many times were these behaviours directed at you personally while at school or in a school-related situation in the past 12 months?

  • 1: 1 or 2 times
  • 2: 3 to 5 times
  • 3: 6 to 10 times
  • 4: More than 10 times

Sexualized behaviours experienced (SBE) - Question identifier:SBE_Q10H

In the past 12 months, were any of the following behaviours directed at you personally while at school or in a school-related situation?
Someone indecently exposing themselves or inappropriately displaying any body parts in a sexual manner

  • 1: Yes
  • 2: No

Sexualized behaviours experienced (SBE) - Question identifier:SBE_Q10HA

How many times were these behaviours directed at you personally while at school or in a school-related situation in the past 12 months?

  • 1: 1 or 2 times
  • 2: 3 to 5 times
  • 3: 6 to 10 times
  • 4: More than 10 times

Sexualized behaviours experienced (SBE) - Question identifier:SBE_Q15A

In the past 12 months, were any of the following behaviours directed at you personally while [in another public place not associated with work or school / in another public place not associated with work / in another public place not associated with school / in a public place]?
Inappropriate sexual jokes

  • 1: Yes
  • 2: No

Sexualized behaviours experienced (SBE) - Question identifier:SBE_Q15AA

How many times were these behaviours directed at you personally while in a public place in the past 12 months?

  • 1: 1 or 2 times
  • 2: 3 to 5 times
  • 3: 6 to 10 times
  • 4: More than 10 times

Sexualized behaviours experienced (SBE) - Question identifier:SBE_Q15B

In the past 12 months, were any of the following behaviours directed at you personally while [in another public place not associated with work or school / in another public place not associated with work / in another public place not associated with school / in a public place]?
Unwanted sexual attention, such as whistles, calls, suggestive looks, gestures, or body language

  • 1: Yes
  • 2: No

Sexualized behaviours experienced (SBE) - Question identifier:SBE_Q15BA

How many times were these behaviours directed at you personally while in a public place in the past 12 months?

  • 1: 1 or 2 times
  • 2: 3 to 5 times
  • 3: 6 to 10 times
  • 4: More than 10 times

Sexualized behaviours experienced (SBE) - Question identifier:SBE_Q15C

In the past 12 months, were any of the following behaviours directed at you personally while [in another public place not associated with work or school / in another public place not associated with work / in another public place not associated with school / in a public place]?
Unwanted physical contact, such as hugs or shoulder rubs or getting too close

  • 1: Yes
  • 2: No

Sexualized behaviours experienced (SBE) - Question identifier:SBE_Q15CA

How many times were these behaviours directed at you personally while in a public place in the past 12 months?

  • 1: 1 or 2 times
  • 2: 3 to 5 times
  • 3: 6 to 10 times
  • 4: More than 10 times

Sexualized behaviours experienced (SBE) - Question identifier:SBE_Q15D

In the past 12 months, were any of the following behaviours directed at you personally while [in another public place not associated with work or school / in another public place not associated with work / in another public place not associated with school / in a public place]?
Suggestions that you do not act like a man or woman is supposed to act

  • 1: Yes
  • 2: No

Sexualized behaviours experienced (SBE) - Question identifier:SBE_Q15DA

How many times were these behaviours directed at you personally while in a public place in the past 12 months?

  • 1: 1 or 2 times
  • 2: 3 to 5 times
  • 3: 6 to 10 times
  • 4: More than 10 times

Sexualized behaviours experienced (SBE) - Question identifier:SBE_Q15E

In the past 12 months, were any of the following behaviours directed at you personally while [in another public place not associated with work or school / in another public place not associated with work / in another public place not associated with school / in a public place]?
Being insulted, mistreated, ignored, or excluded because you are a man or a woman

  • 1: Yes
  • 2: No

Sexualized behaviours experienced (SBE) - Question identifier:SBE_Q15EA

How many times were these behaviours directed at you personally while in a public place in the past 12 months?

  • 1: 1 or 2 times
  • 2: 3 to 5 times
  • 3: 6 to 10 times
  • 4: More than 10 times

Sexualized behaviours experienced (SBE) - Question identifier:SBE_Q15F

In the past 12 months, were any of the following behaviours directed at you personally while [in another public place not associated with work or school / in another public place not associated with work / in another public place not associated with school / in a public place]?
Being insulted, mistreated, ignored, or excluded because of your sexual orientation or assumed sexual orientation

  • 1: Yes
  • 2: No

Sexualized behaviours experienced (SBE) - Question identifier:SBE_Q15FA

How many times were these behaviours directed at you personally while in a public place in the past 12 months?

  • 1: 1 or 2 times
  • 2: 3 to 5 times
  • 3: 6 to 10 times
  • 4: More than 10 times

Sexualized behaviours experienced (SBE) - Question identifier:SBE_Q15G

In the past 12 months, were any of the following behaviours directed at you personally while [in another public place not associated with work or school / in another public place not associated with work / in another public place not associated with school / in a public place]?
Being insulted, mistreated, ignored, or excluded because you are (or are assumed to be) transgender

  • 1: Yes
  • 2: No

Sexualized behaviours experienced (SBE) - Question identifier:SBE_Q15GA

How many times were these behaviours directed at you personally while in a public place in the past 12 months?

  • 1: 1 or 2 times
  • 2: 3 to 5 times
  • 3: 6 to 10 times
  • 4: More than 10 times

Sexualized behaviours experienced (SBE) - Question identifier:SBE_Q15H

In the past 12 months, were any of the following behaviours directed at you personally while [in another public place not associated with work or school / in another public place not associated with work / in another public place not associated with school / in a public place]?
Someone indecently exposing themselves or inappropriately displaying any body parts in a sexual manner

  • 1: Yes
  • 2: No

Sexualized behaviours experienced (SBE) - Question identifier:SBE_Q15HA

How many times were these behaviours directed at you personally while in a public place in the past 12 months?

  • 1: 1 or 2 times
  • 2: 3 to 5 times
  • 3: 6 to 10 times
  • 4: More than 10 times

Bystanders present (BRE)

Bystanders present (BRE) - Question identifier:BRE_R01

The following questions refer to behaviours that occurred in a work- or school-related situation.

Bystanders present (BRE) - Question identifier:BRE_Q05A

Thinking about the behaviours that were directed at you personally in the past 12 months, was there ever a time when other people were present when the behaviours occurred?
At work or in a work-related situation

  • 1: Yes
  • 2: No
  • 3: For some instances yes, for others, no
  • 9: DK

Bystanders present (BRE) - Question identifier:BRE_Q05B

Thinking about the behaviours that were directed at you personally in the past 12 months, was there ever a time when other people were present when the behaviours occurred?
At school or in a school-related situation

  • 1: Yes
  • 2: No
  • 3: For some instances yes, for others, no
  • 9: DK

Behaviours experienced at work (BEW)

Behaviours experienced at work (BEW) - Question identifier:BEW_R05

The following questions will refer to the behaviours that were directed at you personally at work or in a work-related situation in the past 12 months. Please think of all the behaviours that you experienced when answering these questions.

Behaviours experienced at work (BEW) - Question identifier:BEW_Q05

In which of these locations did the behaviours take place?

  • 1: At your workplace (e.g., at a work site, office, laboratory, client's home, or any place where you normally complete work activities (including your home, if applicable).
    Include outdoor spaces that you may use during your work day, for example, a parking lot.)
  • 2: At a public or private place other than your place of work (e.g., in a restaurant, bar, hotel, conference centre, place of training
    Include these locations if you were there for work-related purposes such as retirement parties or training sessions.)
  • 3: Online or by phone where some or all of the people were associated with your work (e.g., by email, instant message or text message; on a social networking website; online app or dating website; in an online work environment such as a phone call or video chat.)
  • 4: On public transit while travelling to or from work (Include transit stations and park and rides.)
  • 5: Other

Behaviours experienced at work (BEW) - Question identifier:BEW_Q05_2A

Was this during a training session, conference or social event for work?

  • 1: Yes
  • 2: No

Behaviours experienced at work (BEW) - Question identifier:BEW_Q10

How many people carried out the behaviours?

  • 1: One (This could be one person responsible for one or more behaviours.)
  • 2: More than one

Behaviours experienced at work (BEW) - Question identifier:BEW_Q15

What was the gender of this person?

  • 1: Man
  • 2: Woman
  • 3: Non-binary
  • 9: DK

Behaviours experienced at work (BEW) - Question identifier:BEW_Q20

Were they men, women or non-binary people?

  • 1: All men
  • 2: All women
  • 3: All non-binary persons
  • 4: A mix of different genders
  • 9: DK

Behaviours experienced at work (BEW) - Question identifier:BEW_Q21

Were they mostly men, mostly women or mostly non-binary?

  • 1: Mostly men
  • 2: Mostly women
  • 3: Mostly non-binary persons
  • 4: About evenly divided between men and women
  • 5: About evenly divided between men and non-binary persons
  • 6: About evenly divided between women and non-binary persons
  • 7: About evenly divided between men, women and non-binary persons

Behaviours experienced at work (BEW) - Question identifier:BEW_Q25

Which of the following people carried out the behaviours?

  • 01: A person at your work with authority over you
  • 02: A person at your work who you have authority over
  • 03: Another co-worker
  • 04: A contractor or consultant at your work
  • 05: A client, customer, patient at your work
  • 06: Someone else associated with your work
  • 07: A current or former spouse, common-law or dating partner
  • 08: Another person
  • 99: DK

Behaviours experienced at work (BEW) - Question identifier:BEW_Q30

Did the behaviours lead you to the following?

  • 01: Avoid or want to avoid specific people at work
  • 02: Avoid or want to avoid specific locations or tasks at work
  • 03: Miss work or work fewer hours
  • 04: Have difficulty doing your work
  • 05: Turn down a job opportunity
  • 06: Experience a loss of trust in the person in authority at work or in your company or organization
  • 07: Change your job, transfer or quit
  • 08: Avoid optional work-related social functions
  • 09: Experience negative emotional or psychological impacts
  • 10: Experience negative impact on your personal or social life
  • 11: Get help from a counsellor or mental health professional
  • 12: Use drugs or alcohol to cope with the experience
  • 13: Other
  • 14: Did not experience any negative impacts

Behaviours experienced at work (BEW) - Question identifier:BEW_Q35

Did you speak to anyone associated with your work about the behaviours?

  • 1: Yes
  • 2: No

Behaviours experienced at work (BEW) - Question identifier:BEW_Q40

Which of the following people associated with your work did you speak to?

  • 1: The person or people responsible for the behaviour
  • 2: A supervisor, boss or senior manager
  • 3: Another co-worker (including one of your employees)
  • 4: A human resources advisor or corporate security officer
  • 5: A union representative
  • 6: An ombudsperson or someone responsible for the welfare of employees
  • 7: Someone else associated with your work

Behaviours experienced at work (BEW) - Question identifier:BEW_Q45

Did you take formal action such as filing a formal complaint or a grievance?

  • 1: Yes
  • 2: No

Behaviours experienced at work (BEW) - Question identifier:BEW_Q50

Overall, how satisfied are you with the actions taken after you spoke to someone associated with your work?

  • 1: Very satisfied
  • 2: Somewhat satisfied
  • 3: Neither satisfied nor dissatisfied
  • 4: Somewhat dissatisfied
  • 5: Very dissatisfied
  • 6: Unsure at this time

Behaviours experienced at school (BES)

Behaviours experienced at school (BES) - Question identifier:BES_R05

The following questions will refer to the behaviours that were directed at you personally at school or in a school-related situation in the past 12 months. Please think of all the behaviours that you experienced when answering these questions.

Behaviours experienced at school (BES) - Question identifier:BES_Q05

In which of the following locations did the behaviours take place?

  • 1: At your school or on campus
  • 2: Away from your school or campus
  • 3: Online or by phone where some or all of the people were associated with your school

Behaviours experienced at school (BES) - Question identifier:BES_Q05_1

Was it:

  • 1: In a learning environment such as a class or discussion group
  • 2: In a non-residential building at school, such as a library, cafeteria or gym
  • 3: In a residence or other campus housing (Include fraternity and sorority houses.)
  • 4: Other location at school or on campus

Behaviours experienced at school (BES) - Question identifier:BES_Q05_2

Was it:

  • 1: At another school in Canada
  • 2: At an internship, on the job training/co-op, work placement, practicum or school-related volunteer assignment
  • 3: At a house or apartment (Include fraternity or sorority houses.)
  • 4: At a restaurant or bar, where people from your school were involved
  • 5: Travelling to or from school by public transit or school bus (Include transit stations and park and rides.)
  • 6: Other location away from your school or campus

Behaviours experienced at school (BES) - Question identifier:BES_Q05_3

Was it:

  • 1: During a remote learning class or student collaboration session or meeting
  • 2: On a social media platform where people associated with your school interact (e.g., Instagram, Snapchat, TikTok, Facebook, X (formerly Twitter), Reddit)
  • 3: Through your personal email or phone number

Behaviours experienced at school (BES) - Question identifier:BES_Q10

How many people carried out the behaviours?

  • 1: One (This could be one person responsible for one or more behaviours.)
  • 2: More than one

Behaviours experienced at school (BES) - Question identifier:BES_Q15

What was the gender of this person?

  • 1: Man
  • 2: Woman
  • 3: Non-binary
  • 9: DK

Behaviours experienced at school (BES) - Question identifier:BES_Q20

Were they men, women or non-binary people?

  • 1: All men
  • 2: All women
  • 3: All non-binary persons
  • 4: A mix of different genders
  • 9: DK

Behaviours experienced at school (BES) - Question identifier:BES_Q21

Were they mostly men, mostly women or mostly non-binary?

  • 1: Mostly men
  • 2: Mostly women
  • 3: Mostly non-binary persons
  • 4: About evenly divided between men and women
  • 5: About evenly divided between men and non-binary persons
  • 6: About evenly divided between women and non-binary persons
  • 7: About evenly divided between men, women and non-binary persons

Behaviours experienced at school (BES) - Question identifier:BES_Q25

Which of the following people carried out the behaviours?

  • 01: Student at your school
  • 02: Student from another school
  • 03: Teacher, professor or instructor at your school
  • 04: Teaching assistant at your school
  • 05: Non-academic school staff member
  • 06: Private tutor
  • 07: Member of a school club or sports team
  • 08: Coach or trainer from a sports team at your school
  • 09: Member of school security
  • 10: Supervisor or boss in a co-op, work placement or internship
  • 11: Current or former spouse or partner (e.g., spouse or common-law partner, boyfriend or girlfriend type of relationship, casual dating partner)
  • 12: Friend or acquaintance
  • 13: Stranger
  • 14: Someone else
  • 99: DK

Behaviours experienced at school (BES) - Question identifier:BES_Q30

Did the behaviours lead you to the following?

  • 01: Miss or stop going to any of your classes
  • 02: Drop a class or classes
  • 03: Change your program
  • 04: Change your school
  • 05: Ask for extensions on assignments or exams to be rescheduled
  • 06: Try to change your class schedule
  • 07: Move or change where you lived
  • 08: Change your route to school or time of day that you travelled to or from school
  • 09: Avoid specific buildings at school
  • 10: Experience problems with friends, family, roommates, classmates or coworkers
  • 11: Experience negative emotional or psychological impacts
  • 12: Use drugs or alcohol to cope with the experience
  • 13: Get help from a counsellor or mental health professional
  • 14: Other
  • 15: Did not experience any negative impacts

Behaviours experienced at school (BES) - Question identifier:BES_Q35

Did you speak to anyone associated with your school about the behaviours that you experienced?

  • 1: Yes
  • 2: No

Behaviours experienced at school (BES) - Question identifier:BES_Q40

Who did you speak to?

  • 01: The person or people responsible for the behaviour
  • 02: Another student at your school
  • 03: Support services run by students
  • 04: Support services run by the school administration
  • 05: School security
  • 06: A teacher, professor, instructor or tutor
  • 07: A member of the school administration
  • 08: Someone responsible for the welfare of students at your residential college, dorm or hall
  • 09: Mental health counsellor
  • 10: Some other school employee or person employed at your residential college, dorm or hall
  • 11: Someone else associated with the school

Behaviours experienced at school (BES) - Question identifier:BES_Q45

Did you take formal action such as filing a formal complaint or a grievance?

  • 1: Yes
  • 2: For some behaviours, yes, for others, no
  • 3: No

Behaviours experienced at school (BES) - Question identifier:BES_Q50

Overall, how satisfied are you with the actions taken after you spoke to someone associated with your school?

  • 1: Very satisfied
  • 2: Somewhat satisfied
  • 3: Neither satisfied nor dissatisfied
  • 4: Somewhat dissatisfied
  • 5: Very dissatisfied
  • 6: Unsure at this time

Behaviours experienced in public (BEP)

Behaviours experienced in public (BEP) - Question identifier:BEP_R05

The following questions will refer to behaviours directed at you in a public space in the past 12 months. Please think of all the incidents that you experienced when answering these questions, excluding those that happened at work, at school or in your home.

A public space is anywhere the public is able to access with little or no restrictions.
e.g., coffee shops, the street, shopping malls, public transportation, bars, restaurants

Exclude behaviours that occurred in your school, workplace, home or apartment.

Exclude behaviours that you witnessed, but which were not directed at you.

Behaviours experienced in public (BEP) - Question identifier:BEP_Q05

In which of the following locations did the behaviours take place?

  • 01: In a restaurant or bar
  • 02: Inside a school or on school grounds
  • 03: In a commercial or office building, a factory, a store, or a shopping mall
  • 04: In a hospital, prison or rehabilitation centre
  • 05: On public transportation
  • 06: In a parking garage or parking lot
  • 07: On a sidewalk, street or highway in your neighbourhood
  • 08: On any other sidewalk, street or highway
  • 09: In a rural area or park (Include national, provincial, and local parks, or conservation areas)
  • 10: In a private residence
  • 11: Other

Behaviours experienced in public (BEP) - Question identifier:BEP_Q10

How many people carried out the behaviours?

  • 1: One (This could be one person responsible for one or more behaviours.)
  • 2: More than one

Behaviours experienced in public (BEP) - Question identifier:BEP_Q15

What was the gender of this person?

  • 1: Man
  • 2: Woman
  • 3: Non-binary
  • 9: DK

Behaviours experienced in public (BEP) - Question identifier:BEP_Q20

Were they men, women or non-binary people?

  • 1: All men
  • 2: All women
  • 3: All non-binary persons
  • 4: A mix of different genders
  • 9: DK

Behaviours experienced in public (BEP) - Question identifier:BEP_Q21

Were they mostly men, mostly women or mostly non-binary?

  • 1: Mostly men
  • 2: Mostly women
  • 3: Mostly non-binary persons
  • 4: About evenly divided between men and women
  • 5: About evenly divided between men and non-binary persons
  • 6: About evenly divided between women and non-binary persons
  • 7: About evenly divided between men, women and non-binary persons

Behaviours experienced in public (BEP) - Question identifier:BEP_Q25

Which of the following people carried out the behaviours?

  • 01: Your current spouse or common-law partner
  • 02: Your former spouse or common-law partner
  • 03: Your current dating partner
  • 04: Your former dating partner
  • 05: A member of your family
  • 06: Your neighbour
  • 07: Your friend
  • 08: An acquaintance
  • 09: An online friend
  • 10: Your teacher or professor
  • 11: Your supervisor, manager or boss
  • 12: Your co-worker
  • 13: Your classmate
  • 14: Known by sight only
  • 15: A stranger
  • 16: Other

Behaviours experienced in public (BEP) - Question identifier:BEP_Q30

Did the behaviours you experienced lead to the following?

  • 01: Avoiding certain places
  • 02: Avoiding certain people or situations
  • 03: Changing the way you present yourself in public (e.g., changing the way you dress or act)
  • 04: Carrying something to defend yourself or alert others
  • 05: Becoming withdrawn from social events or activities you typically enjoy
  • 06: Staying home in order to avoid similar experiences
  • 07: Experiencing negative emotional or psychological impacts
  • 08: Other
  • 09: Did not experience any negative impacts

Behaviours experienced online (BEO)

Behaviours experienced online (BEO) - Question identifier:BEO_R05

The following questions will ask about behaviours that may have been directed at you personally while online in the past 12 months.

Behaviours experienced online (BEO) - Question identifier:BEO_Q05

In the past 12 months, how often have you used the Internet?

  • 1: Daily
  • 2: Weekly
  • 3: Monthly
  • 4: Less than once a month
  • 5: Never

Behaviours experienced online (BEO) - Question identifier:BEO_Q10A

In the past 12 months, were any of the following behaviours directed at you personally while online?
You received any threatening or aggressive emails, social media messages, or text messages where you were the only recipient

  • 1: Yes
  • 2: No

Behaviours experienced online (BEO) - Question identifier:BEO_Q10B

In the past 12 months, were any of the following behaviours directed at you personally while online?
You were the target of threatening or aggressive comments spread through group emails, group text messages or postings on social media

  • 1: Yes
  • 2: No

Behaviours experienced online (BEO) - Question identifier:BEO_Q10C

In the past 12 months, were any of the following behaviours directed at you personally while online?
Someone posted or distributed, or threatened to post or distribute, intimate or sexually explicit videos or images of you without your consent

  • 1: Yes
  • 2: No

Behaviours experienced online (BEO) - Question identifier:BEO_Q10D

In the past 12 months, were any of the following behaviours directed at you personally while online?
Someone pressured you to send, share, or post sexually suggestive or explicit images or messages

  • 1: Yes
  • 2: No

Behaviours experienced online (BEO) - Question identifier:BEO_Q10E

In the past 12 months, were any of the following behaviours directed at you personally while online?
Someone sent you sexually suggestive or explicit images or messages when you did not want to receive them

  • 1: Yes
  • 2: No

Behaviours experienced online (BEO) - Question identifier:BEO_R15

The following questions will refer to the behaviours directed at you personally while online in the past 12 months. Please think of all the behaviours that you experienced when answering these questions.

Behaviours experienced online (BEO) - Question identifier:BEO_Q15

How many people carried out the behaviours?

  • 1: One (This could be one person responsible for one or more behaviours.)
  • 2: More than one

Behaviours experienced online (BEO) - Question identifier:BEO_Q20

What was the gender of this person?

  • 1: Man
  • 2: Woman
  • 3: Non-binary
  • 9: DK

Behaviours experienced online (BEO) - Question identifier:BEO_Q25

Were they men, women or non-binary people?

  • 1: All men
  • 2: All women
  • 3: All non-binary persons
  • 4: A mix of different genders
  • 9: DK

Behaviours experienced online (BEO) - Question identifier:BEO_Q26

Were they mostly men, mostly women or mostly non-binary?

  • 1: Mostly men
  • 2: Mostly women
  • 3: Mostly non-binary persons
  • 4: About evenly divided between men and women
  • 5: About evenly divided between men and non-binary persons
  • 6: About evenly divided between women and non-binary persons
  • 7: About evenly divided between men, women and non-binary persons

Behaviours experienced online (BEO) - Question identifier:BEO_Q30

Which of the following people carried out the behaviours?

  • 01: Your current spouse or common-law partner
  • 02: Your former spouse or common-law partner
  • 03: Your current dating partner
  • 04: Your former dating partner
  • 05: A member of your family
  • 06: Your neighbour
  • 07: A classmate or a student at your school
  • 08: A co-worker
  • 09: A client or customer at your work
  • 10: Your friend
  • 11: An acquaintance
  • 12: An online friend
  • 13: A teacher, professor or coach at your school
  • 14: Someone else associated with your school
  • 15: Your supervisor, manager or boss
  • 16: Known by sight only
  • 17: A stranger
  • 18: Other
  • 99: DK

Behaviours experienced online (BEO) - Question identifier:BEO_Q35

Did you experience any negative emotional impacts as a result of the behaviours?

  • 1: Yes
  • 2: No

Behaviours experienced online (BEO) - Question identifier:BEO_Q40

Did you ever talk to anyone about the behaviours?

  • 1: Yes
  • 2: No

Behaviours experienced online (BEO) - Question identifier:BEO_Q45

Who did you talk to?

  • 01: The police
  • 02: Your friends
  • 03: Your family members
  • 04: Your neighbours
  • 05: A classmate or student at your school
  • 06: Your co-workers
  • 07: Your online friends
  • 08: A lawyer
  • 09: A counsellor, psychologist, or social worker
  • 10: The administrators of the service (e.g., reported directly to Facebook, X (formerly Twitter) or the chat room)
  • 11: A teacher, coach or someone associated with your school
  • 12: Your boss, manager, supervisor or someone associated with your work
  • 13: Other

Behaviours experienced online (BEO) - Question identifier:BEO_Q50

Did any of the behaviours occur while you were online for work-related purposes?

  • 1: Yes
  • 2: No

Behaviours experienced online (BEO) - Question identifier:BEO_Q55

Did any of the behaviours occur while you were online for school-related purposes?

  • 1: Yes
  • 2: No

Physical and sexual assault (PSA)

Physical and sexual assault (PSA) - Question identifier:PSA_R110

Remember that your answers are strictly confidential.

Should you feel emotional discomfort during or after completing the survey, [contact information for support resources in your area is available. / please contact one of the support resources in your area listed below.]

[List of victim services for each province and territory]

Physical and sexual assault (PSA) - Question identifier:PSA_Q110

Since you were 15, have you been attacked by anyone; that is anything from being threatened, hit, slapped, pushed or grabbed, to being shot or beaten?

  • 1: Yes
  • 2: No

Physical and sexual assault (PSA) - Question identifier:PSA_Q115

Did this happen during the past 12 months?

  • 1: Yes
  • 2: No

Physical and sexual assault (PSA) - Question identifier:PSA_Q120

Since you were 15, has anyone threatened to hit or attack you, or threatened you with a weapon?

  • 1: Yes
  • 2: No

Physical and sexual assault (PSA) - Question identifier:PSA_Q125

Did this happen during the past 12 months?

  • 1: Yes
  • 2: No

Physical and sexual assault (PSA) - Question identifier:PSA_R130

Remember that your answers are strictly confidential.

Physical and sexual assault (PSA) - Question identifier:PSA_Q130

Since you were 15, has anyone ever touched you against your will in any sexual way; that is, anything from unwanted touching or grabbing, to kissing or fondling?

  • 1: Yes
  • 2: No

Physical and sexual assault (PSA) - Question identifier:PSA_Q135

Did this happen during the past 12 months?

  • 1: Yes
  • 2: No

Physical and sexual assault (PSA) - Question identifier:PSA_Q140

Since you were 15, has anyone, including family and non-family, forced you or attempted to force you into any unwanted sexual activity by threatening you, holding you down or hurting you in some way?

  • 1: Yes
  • 2: No

Physical and sexual assault (PSA) - Question identifier:PSA_Q145

Did this happen during the past 12 months?

  • 1: Yes
  • 2: No

Physical and sexual assault (PSA) - Question identifier:PSA_Q150

Since you were 15, has anyone subjected you to a sexual activity to which you were not able to consent; that is, were you drugged, intoxicated, manipulated or forced in other ways than physically?

  • 1: Yes
  • 2: No

Physical and sexual assault (PSA) - Question identifier:PSA_Q155

Did this happen during the past 12 months?

  • 1: Yes
  • 2: No

Physical and sexual assault (PSA) - Question identifier:PSA_R160

You indicated that you have experienced the following behaviours during the past 12 months:

[Someone attacked you / Someone threatened to hit or attack you, or threatened you with a weapon / Someone forced you or attempted to force you into unwanted sexual activity / Someone touched you against your will in a sexual way / Someone subjected you to a sexual activity to which you were not able to consent]

Physical and sexual assault (PSA) - Question identifier:PSA_Q160

Did you experience these behaviours in one incident or more than one incident?

  • 1: All in one incident
  • 2: Over multiple incidents

Physical and sexual assault (PSA) - Question identifier:PSA_Q170

How many separate incidents?

  • 1: 2 incidents
  • 2: 3 to 5 incidents
  • 3: 6 to 10 incidents
  • 4: More than 10 incidents

Stalking, criminal harassment (SCH)

Stalking, criminal harassment (SCH) - Question identifier:SCH_R10

Remember that your answers are strictly confidential.

Stalking, criminal harassment (SCH) - Question identifier:SCH_Q10

In the past 12 months, have you been stalked, that is, have you been the subject of repeated and unwanted attention?

  • 1: Yes
  • 2: No

Stalking, criminal harassment (SCH) - Question identifier:SCH_Q15

Did this cause you to fear for your safety or the safety of someone you know?

  • 1: Yes
  • 2: No

Sexual assault at work (SAW)

Sexual assault at work (SAW) - Question identifier:SAW_Q05

You indicated that you were a victim of sexual assault in the past 12 months.

Did [the sexual assault / any of the sexual assaults] that you experienced in the past 12 months happen to you at work or in a work-related situation?

  • 1: Yes
  • 2: No

Sexual assault at work (SAW) - Question identifier:SAW_Q10

How many incidents of sexual assault did you experience at work or in a work-related situation in the past 12 months?

Min = 0; Max = 999

Sexual assault at work (SAW) - Question identifier:SAW_R15

The following questions will refer to the most serious incident of sexual assault that you experienced at work or in a work-related situation in the past 12 months.

If you are unable to think of one incident as the most serious, please think of the incident that affected you the most.

Sexual assault at work (SAW) - Question identifier:SAW_Q15

In which of these locations did the most serious incident of sexual assault take place?

  • 1: At your workplace (e.g., at a work site, office, laboratory, client's home, or any place where you normally complete work activities.
    Include outdoor spaces that you may use during your work day, for example, a parking lot.)
  • 2: At a public or private place other than your place of work (e.g., in a restaurant, bar, hotel, conference centre, place of training
    Include these locations if you were there for work-related purposes such as retirement parties or training sessions.)
  • 3: On public transit while travelling to or from work (Include transit stations and park and rides.)
  • 4: Other

Sexual assault at work (SAW) - Question identifier:SAW_Q16

Was this during a training session, conference or social event for work?

  • 1: Yes
  • 2: No

Sexual assault at work (SAW) - Question identifier:SAW_Q20

How many people carried out the most serious incident?

  • 1: One
  • 2: More than one

Sexual assault at work (SAW) - Question identifier:SAW_Q25

What was the gender of this person?

  • 1: Man
  • 2: Woman
  • 3: Non-binary
  • 9: DK

Sexual assault at work (SAW) - Question identifier:SAW_Q30

Were they men, women or non-binary people?

  • 1: All men
  • 2: All women
  • 3: All non-binary persons
  • 4: A mix of different genders
  • 9: DK

Sexual assault at work (SAW) - Question identifier:SAW_Q31

Were they mostly men, mostly women or mostly non-binary?

  • 1: Mostly men
  • 2: Mostly women
  • 3: Mostly non-binary persons
  • 4: About evenly divided between men and women
  • 5: About evenly divided between men and non-binary persons
  • 6: About evenly divided between women and non-binary persons
  • 7: About evenly divided between men, women and non-binary persons

Sexual assault at work (SAW) - Question identifier:SAW_Q35

Which of the following people carried out the most serious incident?

  • 01: A person at your work with authority over you
  • 02: A person at your work who you have authority over
  • 03: Any other co-worker
  • 04: A contractor or consultant at your work
  • 05: A client, customer or patient at your work
  • 06: Someone else associated with your work
  • 07: A current or former spouse, common-law or dating partner
  • 08: A stranger
  • 09: Other

Sexual assault at work (SAW) - Question identifier:SAW_Q40

Did the incident that you experienced lead you to do any of the following?

  • 01: Avoid or want to avoid specific people at work
  • 02: Avoid or want to avoid specific locations or tasks at work
  • 03: Miss work or work fewer hours
  • 04: Have difficulty doing your work
  • 05: Turn down a job opportunity
  • 06: Experience a loss of trust in the person in authority at work or in your company or organization
  • 07: Change your job, transfer or quit
  • 08: Avoid optional work-related social functions
  • 09: Experience negative emotional or psychological impacts
  • 10: Experience negative impact on your personal or social life
  • 11: Get help from a counsellor or mental health professional
  • 12: Use drugs or alcohol to cope with the experience
  • 13: Something else
  • 14: Did not experience any negative impacts

Sexual assault at work (SAW) - Question identifier:SAW_Q45

Did you speak to anyone associated with your work about the most serious incident that you experienced?

  • 1: Yes
  • 2: No

Sexual assault at work (SAW) - Question identifier:SAW_Q50

Which of the following people associated with your work did you speak to?

  • 1: The person or persons responsible for the behaviour
  • 2: A supervisor, boss or senior manager
  • 3: Another co-worker (including one of your employees)
  • 4: A human resources advisor or corporate security officer
  • 5: A union representative
  • 6: An ombudsperson or someone responsible for the welfare of employees
  • 7: Someone else associated with your work

Sexual assault at work (SAW) - Question identifier:SAW_Q55

Did you take formal action such as filing a formal complaint or a grievance?

  • 1: Yes
  • 2: No

Sexual assault at work (SAW) - Question identifier:SAW_Q60

Overall, how satisfied are you with the actions taken after you spoke to someone associated with your work?

  • 1: Very satisfied
  • 2: Satisfied
  • 3: Neither satisfied nor dissatisfied
  • 4: Dissatisfied
  • 5: Very dissatisfied
  • 6: Unsure at this time

Sexual assault at school (SAS)

Sexual assault at school (SAS) - Question identifier:SAS_Q05

You indicated that you were a victim of sexual assault in the past 12 months.

Did [the sexual assault / any of the sexual assaults] that you experienced in the past 12 months happen to you at school or in a school-related situation?

  • 1: Yes
  • 2: No

Sexual assault at school (SAS) - Question identifier:SAS_Q10

How many incidents of sexual assault did you experience at school or in a school-related situation in the past 12 months?

Min = 0; Max = 999

Sexual assault at school (SAS) - Question identifier:SAS_R15

The following questions will refer to the most serious incident of sexual assault that you experienced at school or in a school-related situation in the past 12 months.

If you are unable to think of one incident as the most serious, please think of the incident that affected you the most.

Sexual assault at school (SAS) - Question identifier:SAS_Q15

In which of these locations did the most serious incident of sexual assault take place?

  • 1: On your school's campus
  • 2: Off of your school's campus

Sexual assault at school (SAS) - Question identifier:SAS_Q16

Where did the most serious incident take place?

  • 1: In a learning environment such as a class, lecture or discussion group
  • 2: In a non-residential building on campus, such as a library, cafeteria or gym
  • 3: In a residence or other campus housing (Include fraternity and sorority houses.)
  • 4: Other on-campus location

Sexual assault at school (SAS) - Question identifier:SAS_Q17

Where did the most serious incident take place?

  • 1: At another postsecondary school in Canada
  • 2: At an internship, on the job training/co-op, work placement, practicum or volunteer assignment
  • 3: At a house or apartment (Exclude fraternity or sorority houses.)
  • 4: In a fraternity or sorority house off campus, including school-owned housing
  • 5: At a restaurant or bar
  • 6: On public transit while travelling to or from school (Include transit stations and park and rides.)
  • 7: Other off-campus location

Sexual assault at school (SAS) - Question identifier:SAS_Q20

How many people carried out the most serious incident?

  • 1: One
  • 2: More than one

Sexual assault at school (SAS) - Question identifier:SAS_Q25

What was the gender of this person?

  • 1: Man
  • 2: Woman
  • 3: Non-binary
  • 9: DK

Sexual assault at school (SAS) - Question identifier:SAS_Q30

Were they men, women or non-binary people?

  • 1: All men
  • 2: All women
  • 3: All non-binary persons
  • 4: A mix of different genders
  • 9: DK

Sexual assault at school (SAS) - Question identifier:SAS_Q31

Were they mostly men, mostly women or mostly non-binary?

  • 1: Mostly men
  • 2: Mostly women
  • 3: Mostly non-binary persons
  • 4: About evenly divided between men and women
  • 5: About evenly divided between men and non-binary persons
  • 6: About evenly divided between women and non-binary persons
  • 7: About evenly divided between men, women and non-binary persons

Sexual assault at school (SAS) - Question identifier:SAS_Q35

Which of the following people carried out the most serious incident?

  • 01: Student at your school
  • 02: Student from another school
  • 03: Teacher, professor or instructor at your school
  • 04: Teaching assistant at your school
  • 05: Non-academic school staff member
  • 06: Private tutor
  • 07: Member of a school club or sports team
  • 08: Coach or trainer from a sports team at your school
  • 09: Member of school security
  • 10: Supervisor or boss in a co-op, work placement or internship
  • 11: Current or former spouse or partner (e.g., spouse or common-law partner, boyfriend or girlfriend type of relationship, casual dating partner)
  • 12: Friend or acquaintance
  • 13: Stranger
  • 14: Other

Sexual assault at school (SAS) - Question identifier:SAS_Q40

Did the incident that you experienced lead you to do any of the following?

  • 01: Miss or stop going to any of your classes
  • 02: Drop a class or classes
  • 03: Change your program
  • 04: Change your school
  • 05: Ask for extensions on assignments or exams to be rescheduled
  • 06: Try to change your class schedule
  • 07: Move or change where you lived
  • 08: Change your route to school or time of day that you travelled to or from school
  • 09: Avoid specific buildings at school
  • 10: Experience problems with friends, family, roommates, classmates or coworkers
  • 11: Experience negative emotional or psychological impacts
  • 12: Use drugs or alcohol to cope with the experience
  • 13: Get help from a counsellor or mental health professional
  • 14: Something else
  • 15: Did not experience any negative impacts

Sexual assault at school (SAS) - Question identifier:SAS_Q45

Did you speak to anyone associated with your school about the most serious incident?

  • 1: Yes
  • 2: No

Sexual assault at school (SAS) - Question identifier:SAS_Q50

Who did you speak to?

  • 01: Another student at your school
  • 02: Support services run by students
  • 03: Support services run by the school administration
  • 04: Campus security
  • 05: An instructor, professor, lecturer or tutor
  • 06: A member of the school administration
  • 07: Someone responsible for the welfare of students at your residential college, dorm or hall
  • 08: Mental health counsellor
  • 09: Some other school employee or person employed at your residential college, dorm or hall
  • 10: Someone else associated with the school

Sexual assault at school (SAS) - Question identifier:SAS_Q55

Did you take formal action such as filing a formal complaint or a grievance?

  • 1: Yes
  • 2: No

Sexual assault at school (SAS) - Question identifier:SAS_Q60

Overall, how satisfied are you with the actions taken after you spoke to someone associated with your school?

  • 1: Very satisfied
  • 2: Satisfied
  • 3: Neither satisfied nor dissatisfied
  • 4: Dissatisfied
  • 5: Very dissatisfied
  • 6: Unsure at this time

Sexual assault in a public or private space (SAP)

Sexual assault in a public or private space (SAP) - Question identifier:SAP_Q05

Did you experience any other sexual assaults in the past 12 months that did not happen in a work- or school-related situation?

  • 1: Yes
  • 2: No

Sexual assault in a public or private space (SAP) - Question identifier:SAP_R15

You indicated that you were a victim of sexual assault in the past 12 months, in a situation not related to your work or school.

The following questions will refer to the most serious incident of sexual assault experienced in the past 12 months, in a situation not related to your work or school.

If you are unable to think of one incident as the most serious, please think of the incident that affected you the most.

Sexual assault in a public or private space (SAP) - Question identifier:SAP_Q15

Where did the most serious incident of sexual assault take place?

  • 1: Your home, property or surrounding area
  • 2: Other private residence or property
  • 3: Commercial or institutional establishment (e.g., restaurant, bar, school, office building, store, shopping mall, hospital)
  • 4: Street or other public place
  • 5: Other

Sexual assault in a public or private space (SAP) - Question identifier:SAP_Q16

Where in your home, property or surrounding area did the most serious incident of sexual assault take place?

  • 1: Inside your home or vacation property
  • 2: In a shared space in your apartment or condominium building (e.g., a hallway or laundry room)
  • 3: In an outside area of your property or apartment building, such as a yard, shed or private parking lot

Sexual assault in a public or private space (SAP) - Question identifier:SAP_Q17

In which other private residence or property did the most serious incident of sexual assault take place?

  • 1: In or around the offender's home
  • 2: In or around another private residence or farm

Sexual assault in a public or private space (SAP) - Question identifier:SAP_Q18

In which commercial or institutional establishment did the most serious incident of sexual assault take place?

  • 1: In a restaurant or bar
  • 2: In another type of establishment, such as a store, shopping mall, school, office, factory or hospital

Sexual assault in a public or private space (SAP) - Question identifier:SAP_Q19

Where on a street or other public place did the most serious incident of sexual assault take place?

  • 1: On public transportation, including transit stations and park and rides
  • 2: On a street, sidewalk, or public parking lot
  • 3: In a rural area or park (Include national, provincial, and local parks, or conservation areas.)

Sexual assault in a public or private space (SAP) - Question identifier:SAP_Q20

How many people carried out the most serious incident?

  • 1: One
  • 2: More than one

Sexual assault in a public or private space (SAP) - Question identifier:SAP_Q25

What was the gender of this person?

  • 1: Man
  • 2: Woman
  • 3: Non-binary
  • 9: DK

Sexual assault in a public or private space (SAP) - Question identifier:SAP_Q30

Were they men, women or non-binary people?

  • 1: All men
  • 2: All women
  • 3: All non-binary persons
  • 4: A mix of different genders
  • 9: DK

Sexual assault in a public or private space (SAP) - Question identifier:SAP_Q31

Were they mostly men, mostly women or mostly non-binary?

  • 1: Mostly men
  • 2: Mostly women
  • 3: Mostly non-binary persons
  • 4: About evenly divided between men and women
  • 5: About evenly divided between men and non-binary persons
  • 6: About evenly divided between women and non-binary persons
  • 7: About evenly divided between men, women and non-binary persons

Sexual assault in a public or private space (SAP) - Question identifier:SAP_Q35

Which of the following people carried out the most serious incident?

  • 01: Your current spouse or common-law partner
  • 02: Your former spouse or common-law partner
  • 03: Your current dating partner
  • 04: Your former dating partner
  • 05: A member of your family
  • 06: Your neighbour
  • 07: Your friend
  • 08: An acquaintance
  • 09: An online friend
  • 10: Your teacher or professor
  • 11: Your supervisor, manager or boss
  • 12: Your co-worker
  • 13: Your classmate
  • 14: Known by sight only
  • 15: A stranger
  • 16: Your caregiver
  • 17: Other

Most serious incident of [sexual / physical and sexual] assault (SAD)

Most serious incident of [sexual / physical and sexual] assault (SAD) - Question identifier:SAD_R99

You indicated that you experienced sexual assaults in the following settings in the previous 12 months:

At work or in a work-related setting
At school or in a school-related setting
In a public or private setting outside of your work or school

Most serious incident of [sexual / physical and sexual] assault (SAD) - Question identifier:SAD_Q100

Thinking about the sexual assaults that you experienced in the past 12 months, which do you consider to have been the most serious?

  • 1: The sexual assault at work or in a work-related situation
  • 2: The sexual assault at school or in a school-related situation
  • 3: The sexual assault in a public or private space not associated with work or school

Most serious incident of [sexual / physical and sexual] assault (SAD) - Question identifier:SAD_R100

The following questions will refer to the most serious incident of [sexual / physical and sexual] assault that you experienced in the past 12 months.

Most serious incident of [sexual / physical and sexual] assault (SAD) - Question identifier:SAD_Q110

Did the person who committed the act have a weapon, such as a gun or knife, or something they were using as a weapon, such as a rock or bottle?

  • 1: Yes
  • 2: No
  • 9: DK

Most serious incident of [sexual / physical and sexual] assault (SAD) - Question identifier:SAD_Q115

What type of weapon?

  • 1: Gun
  • 2: Knife
  • 3: Bottle
  • 4: Bat or stick
  • 5: Other
  • 9: DK

Most serious incident of [sexual / physical and sexual] assault (SAD) - Question identifier:SAD_Q135

Were you physically injured in any way?

  • 1: Yes
  • 2: No

Most serious incident of [sexual / physical and sexual] assault (SAD3)

Most serious incident of [sexual / physical and sexual] assault (SAD3) - Question identifier:SAD3_Q400

Did the police find out about the most serious incident of [sexual / physical and sexual] assault in any way?

  • 1: Yes
  • 2: No

Most serious incident of [sexual / physical and sexual] assault (SAD3) - Question identifier:SAD3_Q405

How did they learn about it?

  • 1: From you
  • 2: Some other way

Most serious incident of [sexual / physical and sexual] assault (SAD3) - Question identifier:SAD3_R420

You indicated that the police became aware of the most serious incident of [sexual / physical and sexual] assault, but that you did not personally report it.

Most serious incident of [sexual / physical and sexual] assault (SAD3) - Question identifier:SAD3_Q420

Did you speak with the police about the most serious incident of [sexual / physical and sexual] assault at any point?

  • 1: Yes
  • 2: No

Most serious incident of [sexual / physical and sexual] assault (SAD3) - Question identifier:SAD3_R430

The next questions are about experiences you may have had when you spoke to the police about the most serious incident of [sexual / physical and sexual] assault.

You may have spoken with more than one officer, so answer each question thinking about your overall experience.

Most serious incident of [sexual / physical and sexual] assault (SAD3) - Question identifier:SAD3_Q430

Were you informed about services, programs or resources available to you?

  • 1: Yes
  • 2: No

Most serious incident of [sexual / physical and sexual] assault (SAD3) - Question identifier:SAD3_Q435

In general, were you treated with respect?

  • 1: Yes
  • 2: No

Most serious incident of [sexual / physical and sexual] assault (SAD3) - Question identifier:SAD3_Q440

In general, did you feel as though your report was believed?

  • 1: Yes
  • 2: No

Most serious incident of [sexual / physical and sexual] assault (SAD3) - Question identifier:SAD3_Q445

Overall, did you feel that speaking to the police was worth your time or effort?

  • 1: Yes
  • 2: No

Most serious incident of [sexual / physical and sexual] assault (SAD3) - Question identifier:SAD3_Q450

Overall, how satisfied were you with the way you were treated by the police?

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

Most serious incident of [sexual / physical and sexual] assault (SAD3) - Question identifier:SAD3_Q470

What action did the police take?

  • 01: Visit the scene
  • 02: Make a report or conduct an investigation
  • 03: Give a warning to the offender
  • 04: Take the offender away
  • 05: Arrest the offender
  • 06: Lay charges against the offender
  • 07: Take any other action
  • 08: Take no action

Most serious incident of [sexual / physical and sexual] assault (SAD3) - Question identifier:SAD3_Q480

Overall, how satisfied were you with the actions that the police took?

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

Most serious incident of [sexual / physical and sexual] assault (SAD3) - Question identifier:SAD3_Q500

[Other than the police, who else did you talk to/ Who did you talk to] about the most serious incident of [sexual / physical and sexual] assault?

  • 01: A family member
  • 02: A friend or neighbour
  • 03: A co-worker
  • 04: A doctor or nurse
  • 05: A lawyer
  • 06: A priest, rabbi, imam, elder, or other spiritual advisor
  • 07: Other
  • 08: Did not talk to anyone

Most serious incident of [sexual / physical and sexual] assault (SAD3) - Question identifier:SAD3_Q510

During the past 12 months, did you ever contact or use any services for help because of the incident?

  • 1: Yes
  • 2: No

Most serious incident of [sexual / physical and sexual] assault (SAD3) - Question identifier:SAD3_Q515

Did your use of these services have any of the following outcomes?

  • 01: Helped you financially or helped you ensure your financial security
  • 02: Helped with your physical or mental health and well-being
  • 03: Helped you with the criminal justice system process
  • 04: Ensured your safety or ensured the safety of your children
  • 05: Made you feel responsible for the violence you experienced
  • 06: Made you feel revictimized
  • 07: Other
  • 08: No outcome

Most serious incident of [sexual / physical and sexual] assault (SAD3) - Question identifier:SAD3_Q520

Is there any reason why you didn't use any of these services?

  • 01: Didn't know of any services
  • 02: None available
  • 03: Waiting list
  • 04: Incident too minor
  • 05: Shame or embarrassment
  • 06: Wouldn't be believed
  • 07: The offender or your family prevented you
  • 08: Distance from service
  • 09: Didn't want or need help
  • 10: None available in my language
  • 11: Other

Most serious incident of [sexual / physical and sexual] assault (SAD3) - Question identifier:SAD3_Q525

Thinking of the most serious incident of [sexual / physical and sexual] assault in the past 12 months, did anyone make you feel as though you were responsible or to blame for this incident?

  • 1: Yes
  • 2: No

Most serious incident of [sexual / physical and sexual] assault (SAD3) - Question identifier:SAD3_Q530

Who made you feel as though you were responsible or to blame for the most serious incident of [sexual / physical and sexual] assault experienced in the past 12 months?

  • 1: The person or persons who committed the violence
  • 2: Your friends or family
  • 3: The police
  • 4: Victim services (e.g., a crisis centre or help line, a counsellor, psychologist, or social worker, a community, family, ethnic, or cultural centre, a shelter or transition house, a women's or men's centre, a senior's centre, a support group)
  • 5: Other

Most serious incident of [sexual / physical and sexual] assault (SAD3) - Question identifier:SAD3_Q540

Thinking about the most serious incident of [sexual / physical and sexual] assault that you experienced in the past 12 months, did you experience any negative emotional impacts as a result?

  • 1: Yes
  • 2: No

Most serious incident of [sexual / physical and sexual] assault (SAD3) - Question identifier:SAD3_R550

Now, some questions about longer-term effects of the most serious incident of [sexual / physical and sexual] assault.

Most serious incident of [sexual / physical and sexual] assault (SAD3) - Question identifier:SAD3_Q550

In the past month, have you had nightmares about the incident or thought about it when you did not want to?

  • 1: Yes
  • 2: No

Most serious incident of [sexual / physical and sexual] assault (SAD3) - Question identifier:SAD3_Q560

In the past month, have you tried hard not to think about the incident or went out of your way to avoid situations that reminded you of it?

  • 1: Yes
  • 2: No

Most serious incident of [sexual / physical and sexual] assault (SAD3) - Question identifier:SAD3_Q570

In the past month, have you felt constantly on guard, watchful, or easily startled?

  • 1: Yes
  • 2: No

Most serious incident of [sexual / physical and sexual] assault (SAD3) - Question identifier:SAD3_Q580

In the past month, have you felt numb or detached from others, activities, or your surroundings?

  • 1: Yes
  • 2: No

Most serious incident of [sexual / physical and sexual] assault (SAD3) - Question identifier:SAD3_Q590

Did the most serious incident of [sexual / physical and sexual] assault cause you to change your behaviour in any of the following ways?

  • 01: Avoiding certain places
  • 02: Changing your routine to avoid certain people or situations
  • 03: Changing the way you present yourself in public (e.g., changing the way you dress or act)
  • 04: Carrying something to defend yourself or alert others
  • 05: Becoming withdrawn from social events or activities you typically enjoy
  • 06: Staying home in order to avoid similar experiences
  • 07: Other
  • 08: Not at all

Most serious incident of physical assault (PAD)

Most serious incident of physical assault (PAD) - Question identifier:PAD_R105

You indicated that you were a victim of physical assault in the past 12 months.

Most serious incident of physical assault (PAD) - Question identifier:PAD_Q105

Thinking of the most serious incident of physical assault in the past 12 months, did this occur at the same time as the incident of sexual assault that you just reported?

  • 1: Yes
  • 2: No

Most serious incident of physical assault (PAD) - Question identifier:PAD_R110

The following questions will refer to the most serious incident of physical assault experienced in the past 12 months.

If you are unable to think of one incident as the most serious, please think of the incident that affected you the most.

Most serious incident of physical assault (PAD) - Question identifier:PAD_Q110

Did the person who committed the act have a weapon, such as a gun or knife, or something they were using as a weapon, such as a rock or bottle?

  • 1: Yes
  • 2: No
  • 9: DK

Most serious incident of physical assault (PAD) - Question identifier:PAD_Q115

What type of weapon?

  • 1: Gun
  • 2: Knife
  • 3: Bottle
  • 4: Bat or stick
  • 5: Other
  • 9: DK

Most serious incident of physical assault (PAD) - Question identifier:PAD_Q135

Were you physically injured in any way?

  • 1: Yes
  • 2: No

Most serious incident of physical assault (PAD) - Question identifier:PAD_Q200

Where did the most serious incident of physical assault take place?

  • 1: Your home, property or surrounding area
  • 2: Other private residence or property
  • 3: Commercial or institutional establishment (e.g., restaurant, bar, school, office building, store, shopping mall, hospital)
  • 4: Street or other public place
  • 5: Other

Most serious incident of physical assault (PAD) - Question identifier:PAD_Q210

Where in your home, property or surrounding area did the most serious incident of physical assault take place?

  • 1: Inside your home or vacation property
  • 2: In a shared space in your apartment or condominium building (e.g., a hallway or laundry room)
  • 3: In an outside area of your property or apartment building, such as a yard, shed or private parking lot

Most serious incident of physical assault (PAD) - Question identifier:PAD_Q220

In which other private residence or property did the most serious incident of physical assault take place?

  • 1: In or around the offender's home
  • 2: In or around another private residence or farm

Most serious incident of physical assault (PAD) - Question identifier:PAD_Q230

In which commercial or institutional establishment did the most serious incident of physical assault take place?

  • 1: In a restaurant or bar
  • 2: In another type of establishment, such as a store, shopping mall, school, office, factory or hospital

Most serious incident of physical assault (PAD) - Question identifier:PAD_Q240

Where on a street or other public place did the most serious incident of physical assault take place?

  • 1: On public transportation, including transit stations and park and rides
  • 2: On a street, sidewalk, or public parking lot
  • 3: In a rural area or park (Include national, provincial, and local parks, or conservation areas.)

Most serious incident of physical assault (PAD) - Question identifier:PAD_Q320

How many people carried out the most serious incident?

  • 1: One
  • 2: More than one

Most serious incident of physical assault (PAD) - Question identifier:PAD_Q325

What was the gender of this person?

  • 1: Man
  • 2: Woman
  • 3: Non-binary
  • 9: DK

Most serious incident of physical assault (PAD) - Question identifier:PAD_Q330

Were they men, women or non-binary people?

  • 1: All men
  • 2: All women
  • 3: All non-binary persons
  • 4: A mix of different genders
  • 9: DK

Most serious incident of physical assault (PAD) - Question identifier:PAD_Q331

Were they mostly men, mostly women or mostly non-binary?

  • 1: Mostly men
  • 2: Mostly women
  • 3: Mostly non-binary persons
  • 4: About evenly divided between men and women
  • 5: About evenly divided between men and non-binary persons
  • 6: About evenly divided between women and non-binary persons
  • 7: About evenly divided between men, women and non-binary persons

Most serious incident of physical assault (PAD) - Question identifier:PAD_Q340

Which of the following people carried out the most serious incident?

  • 01: Your current spouse or common-law partner
  • 02: Your former spouse or common-law partner
  • 03: Your current dating partner
  • 04: Your former dating partner
  • 05: A member of your family
  • 06: Your neighbour
  • 07: Your friend
  • 08: An acquaintance
  • 09: An online friend
  • 10: Your teacher or professor
  • 11: Your supervisor, manager or boss
  • 12: Your co-worker
  • 13: Your classmate
  • 14: Known by sight only
  • 15: A stranger
  • 16: Your caregiver
  • 17: Other

Most serious incident of physical assault (PAD3)

Most serious incident of physical assault (PAD3) - Question identifier:PAD3_Q400

Did the police find out about the most serious incident of physical assault in any way?

  • 1: Yes
  • 2: No

Most serious incident of physical assault (PAD3) - Question identifier:PAD3_Q405

How did they learn about it?

  • 1: From you
  • 2: Some other way

Most serious incident of physical assault (PAD3) - Question identifier:PAD3_R420

You indicated that the police became aware of the most serious incident of physical assault, but that you did not personally report it.

Most serious incident of physical assault (PAD3) - Question identifier:PAD3_Q420

Did you speak with the police about the most serious incident of physical assault at any point?

  • 1: Yes
  • 2: No

Most serious incident of physical assault (PAD3) - Question identifier:PAD3_R430

The next questions are about experiences you may have had when you spoke to the police about the most serious incident of physical assault.

You may have spoken with more than one officer, so answer each question thinking about your overall experience.

Most serious incident of physical assault (PAD3) - Question identifier:PAD3_Q430

Were you informed about services, programs or resources available to you?

  • 1: Yes
  • 2: No

Most serious incident of physical assault (PAD3) - Question identifier:PAD3_Q435

In general, were you treated with respect?

  • 1: Yes
  • 2: No

Most serious incident of physical assault (PAD3) - Question identifier:PAD3_Q440

In general, did you feel as though your report was believed?

  • 1: Yes
  • 2: No

Most serious incident of physical assault (PAD3) - Question identifier:PAD3_Q445

Overall, did you feel that speaking to the police was worth your time or effort?

  • 1: Yes
  • 2: No

Most serious incident of physical assault (PAD3) - Question identifier:PAD3_Q450

Overall, how satisfied were you with the way you were treated by the police?

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

Most serious incident of physical assault (PAD3) - Question identifier:PAD3_Q470

What action did the police take?

  • 01: Visit the scene
  • 02: Make a report or conduct an investigation
  • 03: Give a warning to the offender
  • 04: Take the offender away
  • 05: Arrest the offender
  • 06: Lay charges against the offender
  • 07: Take any other action
  • 08: Take no action

Most serious incident of physical assault (PAD3) - Question identifier:PAD3_Q480

Overall, how satisfied were you with the actions that the police took?

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

Most serious incident of physical assault (PAD3) - Question identifier:PAD3_Q500

Who did you talk to about the most serious incident of physical and sexual assault?

  • 01: A family member
  • 02: A friend or neighbour
  • 03: A co-worker
  • 04: A doctor or nurse
  • 05: A lawyer
  • 06: A priest, rabbi, imam, elder, or other spiritual advisor
  • 07: Other
  • 08: Did not talk to anyone

Most serious incident of physical assault (PAD3) - Question identifier:PAD3_Q510

During the past 12 months, did you ever contact or use any services for help because of the incident?

  • 1: Yes
  • 2: No

Most serious incident of physical assault (PAD3) - Question identifier:PAD3_Q515

Did your use of these services have any of the following outcomes?

  • 01: Helped you financially or helped you ensure your financial security
  • 02: Helped with your physical or mental health and well-being
  • 03: Helped you with the criminal justice system process
  • 04: Ensured your safety or ensured the safety of your children
  • 05: Made you feel responsible for the violence you experienced
  • 06: Made you feel revictimized
  • 07: Other
  • 08: No outcome

Most serious incident of physical assault (PAD3) - Question identifier:PAD3_Q520

Is there any reason why you didn't use any of these services?

  • 01: Didn't know of any services
  • 02: None available
  • 03: Waiting list
  • 04: Incident too minor
  • 05: Shame or embarrassment
  • 06: Wouldn't be believed
  • 07: The offender or your family prevented you
  • 08: Distance from service
  • 09: Didn't want or need help
  • 10: None available in my language
  • 11: Other

Most serious incident of physical assault (PAD3) - Question identifier:PAD3_Q525

Thinking of the most serious incident of physical assault in the past 12 months, did anyone make you feel as though you were responsible or to blame for this incident?

  • 1: Yes
  • 2: No

Most serious incident of physical assault (PAD3) - Question identifier:PAD3_Q530

Who made you feel as though you were responsible or to blame for the most serious incident of physical assault experienced in the past 12 months?

  • 1: The person or persons who committed the violence
  • 2: Your friends or family
  • 3: The police
  • 4: Victim services (e.g., a crisis centre or help line, a counsellor, psychologist, or social worker, a community, family, ethnic, or cultural centre, a shelter or transition house, a women's or men's centre, a senior's centre, a support group)
  • 5: Other

Most serious incident of physical assault (PAD3) - Question identifier:PAD3_Q540

Thinking about the most serious incident of physical assault that you experienced in the past 12 months, did you experience any negative emotional impacts as a result?

  • 1: Yes
  • 2: No

Most serious incident of physical assault (PAD3) - Question identifier:PAD3_R550

Now, some questions about longer-term effects of the most serious incident of physical assault.

Most serious incident of physical assault (PAD3) - Question identifier:PAD3_Q550

In the past month, have you had nightmares about the incident or thought about it when you did not want to?

  • 1: Yes
  • 2: No

Most serious incident of physical assault (PAD3) - Question identifier:PAD3_Q560

In the past month, have you tried hard not to think about the incident or went out of your way to avoid situations that reminded you of it?

  • 1: Yes
  • 2: No

Most serious incident of physical assault (PAD3) - Question identifier:PAD3_Q570

In the past month, have you felt constantly on guard, watchful, or easily startled?

  • 1: Yes
  • 2: No

Most serious incident of physical assault (PAD3) - Question identifier:PAD3_Q580

In the past month, have you felt numb or detached from others, activities, or your surroundings?

  • 1: Yes
  • 2: No

Most serious incident of physical assault (PAD3) - Question identifier:PAD3_Q590

Did the most serious incident of physical assault cause you to change your behaviour in any of the following ways?

  • 01: Avoiding certain places
  • 02: Changing your routine to avoid certain people or situations
  • 03: Changing the way you present yourself in public (e.g., changing the way you dress or act)
  • 04: Carrying something to defend yourself or alert others
  • 05: Becoming withdrawn from social events or activities you typically enjoy
  • 06: Staying home in order to avoid similar experiences
  • 07: Other
  • 08: Not at all

Experiences in intimate partner relationships (IPV)

Experiences in intimate partner relationships (IPV) - Question identifier:IPV_R100A

The following set of questions asks about abusive and violent behaviours in relationships. Your answers are very important, regardless of whether or not you have experienced any of these behaviours. Remember that all the information you provide is strictly confidential.

Due to the sensitive nature of the questions, this section has been designed with important security safeguards.

Should you need to exit the section quickly, click on the Leave page quickly button located at the top right of the page. You will be redirected to another topic and will not be able to return to these questions. No one with access to your computer or device will be able to retrieve the answers you have entered in this section.

However, if you want to save the answers you entered and finish the questionnaire later, press the Save and finish later button. When you resume your session, you will start where you left off.

Experiences in intimate partner relationships (IPV) - Question identifier:IPV_R100B

Indicate if you have ever experienced the following behaviours from any intimate partners you have had.

Include current or former spouses, common-law partners, or dating partners.

Experiences in intimate partner relationships (IPV) - Question identifier:IPV_Q100

Has an intimate partner ever done any of the following?
Been jealous and didn't want you to talk to other men or women

  • 1: Yes
  • 2: No

Experiences in intimate partner relationships (IPV) - Question identifier:IPV_Q105

Has an intimate partner ever done any of the following?
Harmed, or threatened to harm your pets

  • 1: Yes
  • 2: No

Experiences in intimate partner relationships (IPV) - Question identifier:IPV_Q110

Has an intimate partner ever done any of the following?
Demanded to know who you were with and where you were at all times

  • 1: Yes
  • 2: No

Experiences in intimate partner relationships (IPV) - Question identifier:IPV_Q115

Has an intimate partner ever done any of the following?
Put you down or called you names to make you feel bad

  • 1: Yes
  • 2: No

Experiences in intimate partner relationships (IPV) - Question identifier:IPV_Q120

Has an intimate partner ever done any of the following?
Forced you to give them money or possessions

  • 1: Yes
  • 2: No

Experiences in intimate partner relationships (IPV) - Question identifier:IPV_Q125

Has an intimate partner ever done any of the following?
Told you you were crazy, stupid, or not good enough

  • 1: Yes
  • 2: No

Experiences in intimate partner relationships (IPV) - Question identifier:IPV_Q130

Has an intimate partner ever done any of the following?
Tried to convince your family, children, or friends that you are crazy or tried to turn them against you

  • 1: Yes
  • 2: No

Experiences in intimate partner relationships (IPV) - Question identifier:IPV_Q135

Has an intimate partner ever done any of the following?
Followed you or hung around outside your home or work

  • 1: Yes
  • 2: No

Experiences in intimate partner relationships (IPV) - Question identifier:IPV_Q140

Has an intimate partner ever done any of the following?
Kept you from seeing or talking to your family or friends

  • 1: Yes
  • 2: No

Experiences in intimate partner relationships (IPV) - Question identifier:IPV_Q145

Has an intimate partner ever done any of the following?
Harassed you by phone, text, email, or using social media

  • 1: Yes
  • 2: No

Experiences in intimate partner relationships (IPV) - Question identifier:IPV_Q150

Has an intimate partner ever done any of the following?
Made you perform sex acts that you did not want to perform

  • 1: Yes
  • 2: No

Experiences in intimate partner relationships (IPV) - Question identifier:IPV_Q155

Has an intimate partner ever done any of the following?
Shook, pushed, grabbed, or threw you

  • 1: Yes
  • 2: No

Experiences in intimate partner relationships (IPV) - Question identifier:IPV_Q160

Has an intimate partner ever done any of the following?
Kept you from having access to a job, money, or financial resources

  • 1: Yes
  • 2: No

Experiences in intimate partner relationships (IPV) - Question identifier:IPV_R165B

Indicate if you have ever experienced the following behaviours from any intimate partners you have had.

Include current or former spouses, common-law partners, or dating partners.

Experiences in intimate partner relationships (IPV) - Question identifier:IPV_Q165

Has an intimate partner ever done any of the following?
Hit you with a fist or object, kicked or bit you

  • 1: Yes
  • 2: No

Experiences in intimate partner relationships (IPV) - Question identifier:IPV_Q170

Has an intimate partner ever done any of the following?
Confined or locked you in a room or other space

  • 1: Yes
  • 2: No

Experiences in intimate partner relationships (IPV) - Question identifier:IPV_Q175

Has an intimate partner ever done any of the following?
Forced or tried to force you to have sex

  • 1: Yes
  • 2: No

Experiences in intimate partner relationships (IPV) - Question identifier:IPV_Q180

Has an intimate partner ever done any of the following?
Threatened to harm or kill you or someone close to you

  • 1: Yes
  • 2: No

Experiences in intimate partner relationships (IPV) - Question identifier:IPV_Q185

Has an intimate partner ever done any of the following?
Choked you

  • 1: Yes
  • 2: No

Experiences in intimate partner relationships (IPV) - Question identifier:IPV_Q190

Has an intimate partner ever done any of the following?
Used or threatened to use a knife or gun or other weapon to harm you

  • 1: Yes
  • 2: No

Experiences in intimate partner relationships (IPV) - Question identifier:IPV_Q195

Has an intimate partner ever done any of the following?
Threatened to hit you with their fist or anything that could hurt you

  • 1: Yes
  • 2: No

Experiences in intimate partner relationships (IPV) - Question identifier:IPV_Q200

Has an intimate partner ever done any of the following?
Damaged or destroyed your possessions or property

  • 1: Yes
  • 2: No

Experiences in intimate partner relationships (IPV) - Question identifier:IPV_Q205

Has an intimate partner ever done any of the following?
Thrown anything at you that could have hurt you

  • 1: Yes
  • 2: No

Experiences in intimate partner relationships (IPV) - Question identifier:IPV_Q210

Has an intimate partner ever done any of the following?
Slapped you

  • 1: Yes
  • 2: No

Experiences in intimate partner relationships (IPV) - Question identifier:IPV_Q215

Has an intimate partner ever done any of the following?
Beaten you

  • 1: Yes
  • 2: No

Experiences in intimate partner relationships (IPV) - Question identifier:IPV_Q220

Has an intimate partner ever done any of the following?
Made comments about your sexual past or your sexual performance that made you feel ashamed, inadequate, or humiliated

  • 1: Yes
  • 2: No

Experiences in intimate partner relationships (IPV) - Question identifier:IPV_Q225

Has an intimate partner ever done any of the following?
Revealed, or threatened to reveal, your sexual orientation or your relationship to anyone who you did not want to know about your sexuality or sexual orientation

  • 1: Yes
  • 2: No

Experiences in intimate partner relationships (IPV) - Question identifier:IPV_Q230

Has an intimate partner ever blamed you for causing their abusive or violent behaviour?

  • 1: Yes
  • 2: No

Experiences in intimate partner relationships (IPV) - Question identifier:IPV_R235A

You indicated that you experienced the following behaviours committed by an intimate partner.

Remember that all information provided is strictly confidential.

Experiences in intimate partner relationships (IPV) - Question identifier:IPV_Q235

How often did these behaviours occur in the past 12 months?
Been jealous and didn't want you to talk to other men or women

  • 1: Not in the past 12 months
  • 2: Once
  • 3: A few times
  • 4: Monthly
  • 5: Weekly
  • 6: Daily or almost daily

Experiences in intimate partner relationships (IPV) - Question identifier:IPV_Q240

How often did these behaviours occur in the past 12 months?
Harmed, or threatened to harm your pets

  • 1: Not in the past 12 months
  • 2: Once
  • 3: A few times
  • 4: Monthly
  • 5: Weekly
  • 6: Daily or almost daily

Experiences in intimate partner relationships (IPV) - Question identifier:IPV_Q245

How often did these behaviours occur in the past 12 months?
Demanded to know who you were with and where you were at all times

  • 1: Not in the past 12 months
  • 2: Once
  • 3: A few times
  • 4: Monthly
  • 5: Weekly
  • 6: Daily or almost daily

Experiences in intimate partner relationships (IPV) - Question identifier:IPV_Q250

How often did these behaviours occur in the past 12 months?
Put you down or called you names to make you feel bad

  • 1: Not in the past 12 months
  • 2: Once
  • 3: A few times
  • 4: Monthly
  • 5: Weekly
  • 6: Daily or almost daily

Experiences in intimate partner relationships (IPV) - Question identifier:IPV_Q255

How often did these behaviours occur in the past 12 months?
Forced you to give them money or possessions

  • 1: Not in the past 12 months
  • 2: Once
  • 3: A few times
  • 4: Monthly
  • 5: Weekly
  • 6: Daily or almost daily

Experiences in intimate partner relationships (IPV) - Question identifier:IPV_Q260

How often did these behaviours occur in the past 12 months?
Told you you were crazy, stupid, or not good enough

  • 1: Not in the past 12 months
  • 2: Once
  • 3: A few times
  • 4: Monthly
  • 5: Weekly
  • 6: Daily or almost daily

Experiences in intimate partner relationships (IPV) - Question identifier:IPV_Q265

How often did these behaviours occur in the past 12 months?
Tried to convince your family, children, or friends that you are crazy or tried to turn them against you

  • 1: Not in the past 12 months
  • 2: Once
  • 3: A few times
  • 4: Monthly
  • 5: Weekly
  • 6: Daily or almost daily

Experiences in intimate partner relationships (IPV) - Question identifier:IPV_Q270

How often did these behaviours occur in the past 12 months?
Followed you or hung around outside your home or work

  • 1: Not in the past 12 months
  • 2: Once
  • 3: A few times
  • 4: Monthly
  • 5: Weekly
  • 6: Daily or almost daily

Experiences in intimate partner relationships (IPV) - Question identifier:IPV_Q275

How often did these behaviours occur in the past 12 months?
Kept you from seeing or talking to your family or friends

  • 1: Not in the past 12 months
  • 2: Once
  • 3: A few times
  • 4: Monthly
  • 5: Weekly
  • 6: Daily or almost daily

Experiences in intimate partner relationships (IPV) - Question identifier:IPV_Q280

How often did these behaviours occur in the past 12 months?
Harassed you by phone, text, email, or using social media

  • 1: Not in the past 12 months
  • 2: Once
  • 3: A few times
  • 4: Monthly
  • 5: Weekly
  • 6: Daily or almost daily

Experiences in intimate partner relationships (IPV) - Question identifier:IPV_Q285

How often did these behaviours occur in the past 12 months?
Made you perform sex acts that you did not want to perform

  • 1: Not in the past 12 months
  • 2: Once
  • 3: A few times
  • 4: Monthly
  • 5: Weekly
  • 6: Daily or almost daily

Experiences in intimate partner relationships (IPV) - Question identifier:IPV_Q290

How often did these behaviours occur in the past 12 months?
Shook, pushed, grabbed, or threw you

  • 1: Not in the past 12 months
  • 2: Once
  • 3: A few times
  • 4: Monthly
  • 5: Weekly
  • 6: Daily or almost daily

Experiences in intimate partner relationships (IPV) - Question identifier:IPV_Q295

How often did these behaviours occur in the past 12 months?
Kept you from having access to a job, money, or financial resources

  • 1: Not in the past 12 months
  • 2: Once
  • 3: A few times
  • 4: Monthly
  • 5: Weekly
  • 6: Daily or almost daily

Experiences in intimate partner relationships (IPV) - Question identifier:IPV_Q300

How often did these behaviours occur in the past 12 months?
Hit you with a fist or object, kicked or bit you

  • 1: Not in the past 12 months
  • 2: Once
  • 3: A few times
  • 4: Monthly
  • 5: Weekly
  • 6: Daily or almost daily

Experiences in intimate partner relationships (IPV) - Question identifier:IPV_Q305

How often did these behaviours occur in the past 12 months?
Confined or locked you in a room or other space

  • 1: Not in the past 12 months
  • 2: Once
  • 3: A few times
  • 4: Monthly
  • 5: Weekly
  • 6: Daily or almost daily

Experiences in intimate partner relationships (IPV) - Question identifier:IPV_Q310

How often did these behaviours occur in the past 12 months?
Forced or tried to force you to have sex

  • 1: Not in the past 12 months
  • 2: Once
  • 3: A few times
  • 4: Monthly
  • 5: Weekly
  • 6: Daily or almost daily

Experiences in intimate partner relationships (IPV) - Question identifier:IPV_Q315

How often did these behaviours occur in the past 12 months?
Threatened to harm or kill you or someone close to you

  • 1: Not in the past 12 months
  • 2: Once
  • 3: A few times
  • 4: Monthly
  • 5: Weekly
  • 6: Daily or almost daily

Experiences in intimate partner relationships (IPV) - Question identifier:IPV_Q320

How often did these behaviours occur in the past 12 months?
Choked you

  • 1: Not in the past 12 months
  • 2: Once
  • 3: A few times
  • 4: Monthly
  • 5: Weekly
  • 6: Daily or almost daily

Experiences in intimate partner relationships (IPV) - Question identifier:IPV_Q325

How often did these behaviours occur in the past 12 months?
Used or threatened to use a knife or gun or other weapon to harm you

  • 1: Not in the past 12 months
  • 2: Once
  • 3: A few times
  • 4: Monthly
  • 5: Weekly
  • 6: Daily or almost daily

Experiences in intimate partner relationships (IPV) - Question identifier:IPV_Q330

How often did these behaviours occur in the past 12 months?
Threatened to hit you with their fist or anything that could hurt you

  • 1: Not in the past 12 months
  • 2: Once
  • 3: A few times
  • 4: Monthly
  • 5: Weekly
  • 6: Daily or almost daily

Experiences in intimate partner relationships (IPV) - Question identifier:IPV_Q335

How often did these behaviours occur in the past 12 months?
Damaged or destroyed your possessions or property

  • 1: Not in the past 12 months
  • 2: Once
  • 3: A few times
  • 4: Monthly
  • 5: Weekly
  • 6: Daily or almost daily

Experiences in intimate partner relationships (IPV) - Question identifier:IPV_Q340

How often did these behaviours occur in the past 12 months?
Thrown anything at you that could have hurt you

  • 1: Not in the past 12 months
  • 2: Once
  • 3: A few times
  • 4: Monthly
  • 5: Weekly
  • 6: Daily or almost daily

Experiences in intimate partner relationships (IPV) - Question identifier:IPV_Q345

How often did these behaviours occur in the past 12 months?
Slapped you

  • 1: Not in the past 12 months
  • 2: Once
  • 3: A few times
  • 4: Monthly
  • 5: Weekly
  • 6: Daily or almost daily

Experiences in intimate partner relationships (IPV) - Question identifier:IPV_Q350

How often did these behaviours occur in the past 12 months?
Beaten you

  • 1: Not in the past 12 months
  • 2: Once
  • 3: A few times
  • 4: Monthly
  • 5: Weekly
  • 6: Daily or almost daily

Experiences in intimate partner relationships (IPV) - Question identifier:IPV_Q355

How often did these behaviours occur in the past 12 months?
Made comments about your sexual past or your sexual performance that made you feel ashamed, inadequate, or humiliated

  • 1: Not in the past 12 months
  • 2: Once
  • 3: A few times
  • 4: Monthly
  • 5: Weekly
  • 6: Daily or almost daily

Experiences in intimate partner relationships (IPV) - Question identifier:IPV_Q360

How often did these behaviours occur in the past 12 months?
Revealed, or threatened to reveal, your sexual orientation or your relationship to anyone who you did not want to know about your sexuality or sexual orientation

  • 1: Not in the past 12 months
  • 2: Once
  • 3: A few times
  • 4: Monthly
  • 5: Weekly
  • 6: Daily or almost daily

Experiences in intimate partner relationships (IPV) - Question identifier:IPV_Q365

How often did these behaviours occur in the past 12 months?
Blamed you for causing their violent behaviour

  • 1: Not in the past 12 months
  • 2: Once
  • 3: A few times
  • 4: Monthly
  • 5: Weekly
  • 6: Daily or almost daily

Experiences in intimate partner relationships (LTV)

Experiences in intimate partner relationships (LTV) - Question identifier:LTV_R010

You indicated that, in your lifetime, you have experienced some form of emotionally abusive or violent behaviours committed by an intimate partner.

Remember that all information provided is strictly confidential.

Experiences in intimate partner relationships (LTV) - Question identifier:LTV_Q020

As a result of these experiences, have you ever been afraid of any partner?

  • 1: Yes
  • 2: No

Experiences in intimate partner relationships (LTV) - Question identifier:LTV_Q040

As a result of these experiences, have you ever felt controlled or trapped by any partner?

  • 1: Yes
  • 2: No

Experiences in intimate partner relationships (LTV) - Question identifier:LTV_Q060

As a result of these experiences, have you ever felt anxious or on edge because of any partner?

  • 1: Yes
  • 2: No

Experiences in intimate partner relationships (IPD)

Experiences in intimate partner relationships (IPD) - Question identifier:IPD_R010

You indicated that, in the past 12 months, you have experienced some form of emotionally abusive or violent behaviour committed by an intimate partner.

If you had more than one abusive or violent partner in the past 12 months, please think about the relationship where the most serious abuse or violence occurred.

Remember that all information provided is strictly confidential.

Experiences in intimate partner relationships (IPD) - Question identifier:IPD_Q015

What is this person's current relationship to you?

  • 1: Current spouse or common-law partner
  • 2: Former spouse or common-law partner
  • 3: Current dating partner
  • 4: Former dating partner

Experiences in intimate partner relationships (IPD) - Question identifier:IPD_Q017

Was this person emotionally abusive or violent towards you on more than one occasion?

  • 1: Yes
  • 2: No

Experiences in intimate partner relationships (IPD) - Question identifier:IPD_Q020

What was this person's relationship to you at the time of the behaviour?

  • 1: Current spouse or common-law partner
  • 2: Former spouse or common-law partner
  • 3: Current dating partner
  • 4: Former dating partner

Experiences in intimate partner relationships (IPD) - Question identifier:IPD_Q025

Thinking of the first time these behaviours occurred in the past 12 months, what was this person's relationship to you at that time?

  • 1: Current spouse or common-law partner
  • 2: Former spouse or common-law partner
  • 3: Current dating partner
  • 4: Former dating partner

Experiences in intimate partner relationships (IPD) - Question identifier:IPD_Q030

Thinking of the most recent time these behaviours occurred, what was this person's relationship to you at that time?

  • 1: Current spouse or common-law partner
  • 2: Former spouse or common-law partner
  • 3: Current dating partner
  • 4: Former dating partner

Experiences in intimate partner relationships (IPD3)

Experiences in intimate partner relationships (IPD3) - Question identifier:IPD3_Q060

As a result of the violence you experienced by an intimate partner in the past 12 months, were you physically injured in any way?

  • 1: Yes
  • 2: No

Experiences in intimate partner relationships (IPD3) - Question identifier:IPD3_Q065

What were your injuries?

  • 1: Bruises
  • 2: Cuts, scratches or burns
  • 3: Fractures or broken bones
  • 4: A miscarriage
  • 5: Internal injuries
  • 6: A concussion or other head injuries
  • 7: Other

Experiences in intimate partner relationships (IPD3) - Question identifier:IPD3_Q070

As a result of the violence you experienced in the past 12 months, did you ever lose consciousness or almost lose consciousness?

  • 1: Yes
  • 2: No

Experiences in intimate partner relationships (IPD3) - Question identifier:IPD3_Q075

Did any of the behaviour in the past 12 months occur while your current or former partner was drinking?

  • 1: Yes
  • 2: No

Experiences in intimate partner relationships (IPD3) - Question identifier:IPD3_Q080

Did any of the behaviour in the past 12 months happen while you were pregnant?

  • 1: Yes
  • 2: No

Experiences in intimate partner relationships (IPD3) - Question identifier:IPD3_Q085

During the past 12 months, were you ever separated because of your current or former partner's behaviour?

  • 1: Yes
  • 2: No
  • 3: Not applicable, separated more than 12 months ago

Experiences in intimate partner relationships (IPD3) - Question identifier:IPD3_Q090

Did you have to leave a shared home or accommodation you had with your current or former partner, even if only temporarily?

  • 1: Yes
  • 2: No
  • 3: Did not have a shared home or accommodation

Experiences in intimate partner relationships (IPD3) - Question identifier:IPD3_Q095

During this time, where did you stay?

  • 1: Purchased or rented new accommodations (e.g., home or apartment)
  • 2: With friends or family
  • 3: At a hotel, motel or other paid accommodation
  • 4: In a shelter
  • 5: In a car, on the street, or in a public park
  • 6: Other

Experiences in intimate partner relationships (IPD3) - Question identifier:IPD3_Q100

Did the police find out about the behaviour in any way?

  • 1: Yes
  • 2: No

Experiences in intimate partner relationships (IPD3) - Question identifier:IPD3_Q105

How did they learn about it?

  • 1: From you
  • 2: Some other way

Experiences in intimate partner relationships (IPD3) - Question identifier:IPD3_Q115

After the police learned about the behaviour, would you say it increased, decreased, stopped entirely, or stayed about the same?

  • 1: Increased
  • 2: Decreased
  • 3: Stopped entirely
  • 4: Stayed about the same

Experiences in intimate partner relationships (IPD3) - Question identifier:IPD3_R120

You indicated that the police became aware of the behaviour, but that you did not personally report it.

Experiences in intimate partner relationships (IPD3) - Question identifier:IPD3_Q120

Did you speak with the police about the behaviour at any point?

  • 1: Yes
  • 2: No

Experiences in intimate partner relationships (IPD3) - Question identifier:IPD3_R130

The next questions are about experiences you may have had when you spoke to the police about the behaviour.

You may have spoken with more than one officer or spoken with the police about more than one incident, so answer each question thinking about your overall experience.

Experiences in intimate partner relationships (IPD3) - Question identifier:IPD3_Q130

Were you informed about services, programs or resources available to you?

  • 1: Yes
  • 2: No

Experiences in intimate partner relationships (IPD3) - Question identifier:IPD3_Q140

In general, were you treated with respect?

  • 1: Yes
  • 2: No

Experiences in intimate partner relationships (IPD3) - Question identifier:IPD3_Q150

In general, did you feel as though your report was believed?

  • 1: Yes
  • 2: No

Experiences in intimate partner relationships (IPD3) - Question identifier:IPD3_Q160

Overall, did you feel that speaking to the police was worth your time or effort?

  • 1: Yes
  • 2: No

Experiences in intimate partner relationships (IPD3) - Question identifier:IPD3_Q170

Overall, how satisfied were you with the way you were treated by the police?

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

Experiences in intimate partner relationships (IPD3) - Question identifier:IPD3_Q195A

What action did the police take?

  • 01: Visit the scene
  • 02: Make a report or conduct an investigation
  • 03: Give a warning to your partner
  • 04: Give you a warning
  • 05: Take your partner away
  • 06: Take you away
  • 07: Arrest your partner
  • 08: Arrest you
  • 09: Lay charges against your partner
  • 10: Lay charges against you
  • 11: Take any other action
  • 12: Take no action

Experiences in intimate partner relationships (IPD3) - Question identifier:IPD3_Q200

Overall, how satisfied were you with the actions that the police took?

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

Experiences in intimate partner relationships (IPD3) - Question identifier:IPD3_Q205A

[Other than the police, who else did you talk to / Who did you talk to] about the behaviour?

  • 01: A family member
  • 02: A friend or neighbour
  • 03: A co-worker
  • 04: A doctor or nurse
  • 05: A lawyer
  • 06: A priest, rabbi, imam, elder, or other spiritual advisor
  • 07: Other
  • 08: Did not talk to anyone

Experiences in intimate partner relationships (IPD3) - Question identifier:IPD3_Q210

During the past 12 months, did you ever contact or use any services for help because of the behaviour?

  • 1: Yes
  • 2: No

Experiences in intimate partner relationships (IPD3) - Question identifier:IPD3_Q215B

Did your use of these services have any of the following outcomes?

  • 01: Helped you financially or helped you ensure your financial security
  • 02: Helped with your physical or mental health and well-being
  • 03: Helped you with the criminal justice system process
  • 04: Ensured your safety or ensured the safety of your children
  • 05: Helped you leave your relationship
  • 06: Helped your partner
  • 07: Made you feel responsible for the violence you experienced
  • 08: Made you feel revictimized
  • 09: Other
  • 10: No outcome

Experiences in intimate partner relationships (IPD3) - Question identifier:IPD3_Q230

Thinking about the abusive or violent behaviours that you have experienced in the past 12 months, did you experience any negative emotional impacts as a result?

  • 1: Yes
  • 2: No

Experiences in intimate partner relationships (IPD3) - Question identifier:IPD3_R240

Now, some questions about longer-term effects of the abusive or violent behaviour you experienced.

Experiences in intimate partner relationships (IPD3) - Question identifier:IPD3_Q240

In the past month, have you had nightmares about the abusive or violent behaviour or thought about it when you did not want to?

  • 1: Yes
  • 2: No

Experiences in intimate partner relationships (IPD3) - Question identifier:IPD3_Q250

In the past month, have you tried hard not to think about the abusive or violent behaviour or went out of your way to avoid situations that reminded you of it?

  • 1: Yes
  • 2: No

Experiences in intimate partner relationships (IPD3) - Question identifier:IPD3_Q260

In the past month, have you felt constantly on guard, watchful, or easily startled?

  • 1: Yes
  • 2: No

Experiences in intimate partner relationships (IPD3) - Question identifier:IPD3_Q270

In the past month, have you felt numb or detached from others, activities, or your surroundings?

  • 1: Yes
  • 2: No

Lifetime experiences (HOM)

Lifetime experiences (HOM) - Question identifier:HOM_Q10

Have you ever been homeless; that is, having to live in a shelter, on the street, or in an abandoned building?

  • 1: Yes
  • 2: No

Lifetime experiences (HOM) - Question identifier:HOM_Q17

Was this because you were leaving an emotionally abusive or physically violent situation?

  • 1: Yes
  • 2: No

Lifetime experiences (HOM) - Question identifier:HOM_Q30

Have you ever had to temporarily live with family or friends, or anywhere else because you had nowhere else to live?

  • 1: Yes
  • 2: No

Lifetime experiences (HOM) - Question identifier:HOM_Q37

Was this because you were leaving an emotionally abusive or physically violent situation?

  • 1: Yes
  • 2: No

Lifetime experiences (HOM) - Question identifier:HOM_Q50

Have you ever temporarily lived somewhere other than your home because you were leaving an abusive or violent situation?

  • 1: Yes
  • 2: No

Health and well-being (GEN)

Health and well-being (GEN) - Question identifier:GEN_R01

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

Health and well-being (GEN) - Question identifier:GEN_Q01

In general, how is your health?

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

Health and well-being (SHR)

Health and well-being (SHR) - Question identifier:SHR_Q115

In general, how would you rate your mental health?

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

Health and well-being (LSM)

Health and well-being (LSM) - Question identifier:LSM_Q01

Using a scale of 0 to 10, where 0 means "Very dissatisfied" and 10 means "Very satisfied", how do you feel about your life as a whole right now?

  • 00: 0 - Very dissatisfied
  • 01: 1
  • 02: 2
  • 03: 3
  • 04: 4
  • 05: 5
  • 06: 6
  • 07: 7
  • 08: 8
  • 09: 9
  • 10: 10 - Very satisfied

Long term conditions (LTC)

Long term conditions (LTC) - Question identifier:LTC_R05

The following questions are about any long-term conditions you may have.

Long term conditions (LTC) - Question identifier:LTC_Q05

Do you have any of the following difficulties?

  • 1: Difficulty seeing even when wearing glasses or contact lenses
  • 2: Difficulty hearing even when using a hearing aid or cochlear implant
  • 3: Difficulty walking, using stairs, using your hands or fingers or doing other physical activities
  • 4: Difficulty learning, remembering or concentrating
  • 5: Emotional, psychological or mental health conditions (e.g., anxiety, depression, bipolar disorder, substance abuse, anorexia)
  • 6: Other health problem or long-term condition that has lasted or is expected to last for six or more months
  • 7: I do not have any difficulty or long-term condition that has lasted or is expected to last for six or more months

Long term conditions (LTC) - Question identifier:LTC_Q10

Do you identify as a person with a disability?

  • 1: Yes
  • 2: No

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: Country list
  • 2: Other

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_Q05AA

Of what country are you a citizen?
First citizenship

  • 1: Country list
  • 2: Other

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

Of what country are you a citizen?
Second citizenship (if applicable)

  • 1: Country list
  • 2: Other

Place of birth, immigration and citizenship (IM) - Question identifier:IM_Q05AC

Of what country are you a citizen?
Third citizenship (if applicable)

  • 1: Country list
  • 2: Other

Indigenous identity (ABM)

Indigenous identity (ABM) - Question identifier:ABM_Q01

Is this person 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)

Indigenous identity (ABM) - Question identifier:ABM_Q02

Is this person a Status Indian (Registered or Treaty Indian as defined by the Indian Act of Canada)?

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

Indigenous identity (ABM) - Question identifier:ABM_Q03A

Is this person a member of a First Nation or Indian band?

  • 1: Yes, Member of a First Nation or Indian band
  • 2: No

Sociodemographic characteristics (PG)

Sociodemographic characteristics (PG) - Question identifier:PG_Q05

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

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

Religion (REL)

Religion (REL) - Question identifier:REL_Q01A

What is your religion?

  • 1: List of religions
  • 2: Other

Religion (REL) - Question identifier:REL_Q01B

What is your religion?

  • 1: No religion

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

Language (LAN) - Question identifier:LAN_R05

Thank you for completing the Survey of Safety in Public and Private Spaces. Should you feel emotional discomfort after completing the survey, [contact information for support resources in your area is available. / please contact one of the support resources in your area listed below.]

[List of victim services for each province and territory]

Date modified: