Survey of Residential Facilities for Victims of Abuse 2017-2018
For Information onlyThis is an electronic survey example for information purposes only. This is not a working questionnaire.
Table of Contents
- Getting Started (SVTS)
- Answering this Questionnaire (AQP)
- Business or organization and contact information (BR)
- Pre-contact (PC)
- Facility Profile (FP)
- Facility Profile Roster (FPR)
- Resident Profile (RP)
- Socio-demographic information (SD)
- Departures and turn-aways (DT)
- Annual Information (AI)
- Feedback (FDBK)
- Out of Scope (OOS)
Getting Started (SVTS)
Getting Started (SVTS) - Question identifier:SVTS_R01
Why we conduct this survey?
This survey collects data used to produce statistics on facilities in Canada primarily mandated to provide residential services for victims of abuse (defined as on-going victimization). In aggregated form, the statistics monitor the nature and counts of residential services and admissions over time, as well as information on the type of clients being served as per a "one-day snapshot", a pre-determined business day. This information is useful for federal and provincial/territorial governments, sheltering and other non-profit organizations, service providers, and researchers to assist in developing research, policy and programs, as well as identifying funding needs for residential facilities for victims of abuse.
Your information may also be used by Statistics Canada for other statistical and research purposes.
Although your participation is voluntary, your cooperation is important so that the information collected will be as accurate and complete as possible.
Getting Started (SVTS) - Question identifier:SVTS_R03
Other important information:
How are we authorized to collect this information?
Collected under the authority of the Statistics Act, Revised Statutes of Canada, 1985, Chapter S-19.
Your answers are confidential:
Your answers are collected under the authority of the Statistics Act and will be kept strictly confidential.
Record linkages:
To enhance the data from this survey and to reduce respondent burden, Statistics Canada may combine the information you provide with other survey or administrative data sources.
Data-sharing agreements:
Section 12 of the Statistics Act provides for the sharing of information with federal, provincial or territorial government organizations. For this survey, there is an agreement with the Canada Mortgage and Housing Corporation (CMHC), which has agreed to keep the data confidential and use them only for statistical purposes. Under Section 12, you may refuse to share your information with CMHC by writing a letter of objection to the Chief Statistician and mailing it to the following address:
Chief Statistician of Canada
Statistics Canada
Attention of Director, Canadian Centre for Justice Statistics
150 Tunney's Pasture Driveway
Ottawa, Ontario
K1A 0T6
Answering this Questionnaire (AQP)
Answering this Questionnaire (AQP) - Question identifier:AQP_R05
For this questionnaire
Answering this Questionnaire (AQP) - Question identifier:AQP_R06
[Please report for the indicated residential facility for victims of abuse.]
Answering this Questionnaire (AQP) - Question identifier:AQP_R07
Reporting period
Some information, including about clients served, have a reference period of a "one-day snapshot", a pre-determined business day of April 18, 2018. Other questions, including admissions, revenues and expenditures, refer to a 12-month reference period of your choice.
Answering this Questionnaire (AQP) - Question identifier:AQP_R03
What you will need to complete this questionnaire
Information about your facility, including length of stay, populations served, services and capacity according to its mandate, as of a "one-day snapshot", a pre-determined business day of April 18, 2018. Information about your residents, including type of abuse experienced; socio-demographic information including age, Aboriginal identity, visible minority status, residency status, ability to speak at least one official language, disabilities, and parental responsibilities; relationship of the abuser to the resident; repeat clients; turn-aways; and departures as of April 18, 2018. Annual information, according to a 12-month period of your choice, including average length of stay, admissions, physical repairs or improvements, revenues and expenditures by type, and the top three issues or challenges faced by the facility and faced by those using the facility.
Answering this Questionnaire (AQP) - Question identifier:AQP_R01
Who should complete this questionnaire?
This questionnaire should be completed by the executive director or equivalent. If there is no executive director, please direct the questionnaire to the administrator.
Answering this Questionnaire (AQP) - Question identifier:AQP_R13
Printing a blank questionnaire
For reference purposes, you may print a blank questionnaire by selecting the following link:
<insert link here>.
Answering this Questionnaire (AQP) - Question identifier:AQP_R15
Printing your completed questionnaire
You may print this questionnaire once you have completed and submitted it.
Business or organization and contact information (BR)
Business or organization and contact information (BR) - Question identifier:BR_R10
Please verify or provide the contact information of the designated business or organization contact person for this questionnaire and correct where needed.
Business or organization and contact information (BR) - Question identifier:BR_Q10A
First name
Long Answer Length = 24
Business or organization and contact information (BR) - Question identifier:BR_Q10B
Last name
Long Answer Length = 32
Business or organization and contact information (BR) - Question identifier:BR_Q10C
Title
Long Answer Length = 32
Business or organization and contact information (BR) - Question identifier:BR_Q10D
Preferred language of communication
- 1: English
- 2: French
Business or organization and contact information (BR) - Question identifier:BR_Q10E
Mailing address (number and street)
Long Answer Length = 64
Business or organization and contact information (BR) - Question identifier:BR_Q10F
City
Long Answer Length = 32
Business or organization and contact information (BR) - Question identifier:BR_Q10G
Province, territory or state
- 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
Business or organization and contact information (BR) - Question identifier:BR_Q10H
Postal code or ZIP code
Long Answer Length = 10
Business or organization and contact information (BR) - Question identifier:BR_Q10I
Country
- 01: Canada
- 17: United States
Business or organization and contact information (BR) - Question identifier:BR_Q10J
Email address
Long Answer Length = 256
Business or organization and contact information (BR) - Question identifier:BR_Q10K
Telephone number (including area code)
Long Answer Length = 12
Business or organization and contact information (BR) - Question identifier:BR_Q10L
Extension number (if applicable)
Min = 0; Max = 99999
Business or organization and contact information (BR) - Question identifier:BR_Q10M
Fax number (including area code)
Long Answer Length = 12
Pre-contact (PC)
Pre-contact (PC) - Question identifier:PC_R01
Scope of this survey
Pre-contact (PC) - Question identifier:PC_Q10
Is this a residential facility that is primarily mandated to serve victims of abuse?
- 1: Yes
- 2: No
Pre-contact (PC) - Question identifier:PC_Q30
What is this residential facility's charitable registration number or business number?
e.g., GST number
.
- 1: Charitable registration number
- 2: Business number
- 3: No charitable registration number or business number
Pre-contact (PC) - Question identifier:PC_Q30A
Charitable Registration Number - First 9 digits
Min = 0; Max = 999999999
Pre-contact (PC) - Question identifier:PC_Q30B
Business Number - 9-digit number
Min = 0; Max = 999999999
Facility Profile (FP)
Facility Profile (FP) - Question identifier:FP_R01
The purpose of this section is to obtain a one-day snapshot of your facility as of noon on [April 18, 2018].
Facility Profile (FP) - Question identifier:FP_R10
What type of accommodation best describes your facility as of noon on [April 18, 2018]?
1: Short-term housing (Include facilities generally with a policy of less than three months accommodation. These facilities generally provide beds to residents, as opposed to apartments. e.g., transition house, women's shelter, family violence shelter, domestic violence shelter, private homes part of safe home networks)
2: Long-term housing (Include facilities generally with a policy of three or more months stay. These facilities generally provide apartments to residents. e.g., second stage housing, third stage housing)
3: Mixed - short-term and long-term housing (Include facilities that offer both short-term beds and long-term accomodations)
Facility Profile (FP) - Question identifier:FP_Q15
Is your facility able to report detailed information (including on residents and expenditures) separately for short-term housing and long-term housing?
- 1: Yes
- 2: No
Facility Profile Roster (FPR)
Facility Profile Roster (FPR) - Question identifier:FPR_Q20
Which group(s) is your facility primarily mandated to serve as residents as of noon on [April 18, 2018]?
- 1: Adult women (Usually defined as 18 years of age or older, although some jurisdictions include those aged 16 or 17 years of age with or without children or may define adults as 19 years of age or older.)
- 2: Adult men (Usually defined as 18 years of age or older, although some jurisdictions include those aged 16 or 17 years of age with or without children or may define adults as 19 years of age or older.)
- 3: Accompanying female children (Usually defined as girls under the age of 18 years accompanying their parent.)
- 4: Accompanying male children (Usually defined as boys under the age of 18 years accompanying their parent.)
Facility Profile Roster (FPR) - Question identifier:FPR_Q30
Which type(s) of abuse is your facility primarily mandated to address as of noon on [April 18, 2018]?
- 1: Spousal abuse (Include abuse by an opposite or same-sex legally married spouse, common-law partner, legally separated spouse, separated common-law partner or divorced spouse.)
- 2: Other intimate relationship abuse (Include dating relationship of couples who do not live together , ex-dating relationship, extra-marital lover and one-night stand.)
- 3: Other family relationship abuse (Include violence by a father, step-father, mother, step-mother, son, step-son, daughter, step-daughter, brother, sister, and extended family including in-laws, uncle and aunt.)
- 4: Abuse by an acquaintance (Include close friend, classmate, neighbour/someone who lives nearby , roommate; authority figure such as teacher , professor, employer, person in a position of trust, landlord, police officer, childcare provider, priest or non-relative caregiver.)
- 5: Elder abuse (Include abuse of persons 55 years of age and older.)
- 6: Other
Facility Profile Roster (FPR) - Question identifier:FPR_Q60
What is the total number of funded beds within your facility as of noon on [April 18, 2018]?
Min = 0; Max = 999999
Facility Profile Roster (FPR) - Question identifier:FPR_Q70
What is the total number of funded units within your facility as of noon on [April 18, 2018]?
Min = 0; Max = 999999
Facility Profile Roster (FPR) - Question identifier:FPR_Q75
Is your facility an Aboriginal organization?
- 1: Yes
- 2: No
Facility Profile Roster (FPR) - Question identifier:FPR_Q80
Is your facility located in a First Nations, Métis or Inuit community as of noon on [April 18, 2018]?
- 1: Yes
- 2: No
Facility Profile Roster (FPR) - Question identifier:FPR_Q90
Is your facility located on a reserve as of noon on [April 18, 2018]?
- 1: Yes
- 2: No
Facility Profile Roster (FPR) - Question identifier:FPR_Q100
Is your facility owned by a First Nations government (band council) as of noon on [April 18, 2018]?
- 1: Yes
- 2: No
Facility Profile Roster (FPR) - Question identifier:FPR_Q110
Is your facility operated by a First Nations government (band council) as of noon on [April 18, 2018]?
- 1: Yes
- 2: No
Facility Profile Roster (FPR) - Question identifier:FPR_Q120
Does your facility offer transportation to the facility as of noon on [April 18, 2018]?
- 1: Yes
- 2: No
Facility Profile Roster (FPR) - Question identifier:FPR_Q140
How wheelchair accessible is your facility as of noon on [April 18, 2018]?
- 1: At least one of the building entrances is wheelchair accessible (e.g., access ramps, street-level entrances, automatic or easy-to-open doors)
- 2: At least one bedroom within the facility is wheelchair accessible (e.g., widened doorways, automatic or easy-to-open doors)
- 3: At least one bathroom within the facility is wheelchair accessible (e.g., widened doorways, grab bars, automatic or easy-to-open doors)
- 4: Not wheelchair accessible
Facility Profile Roster (FPR) - Question identifier:FPR_Q150
Which of the following general services does your facility provide as of noon on [April 18, 2018]?
- 01: Crisis phone line (Include staffed 24 hour line.)
- 02: Transportation services (Exclude transportation to the shelter.
e.g., to court, to medical appointments) - 03: Recreation area or services (e.g., playground, book club)
- 04: Classes or tutoring (Include classes or tutoring for children and adults.
e.g., language classes, homework help) - 05: Pet accommodation (Include accommodation of domestic animals such as cats, dogs, hamsters and birds in your facility or by your facility' s staff or volunteers.
Exclude accomodation of service animals.) - 06: Food bank (Include provision of food items for new accomodation.
Exclude provision of meals at the facility.) - 07: Clothing items
- 08: Housing referrals
- 09: Furniture items
- 10: Advocacy on behalf of individuals
- 11: Political or social action (e.g., writing letters to politicians, lobbying)
- 12: Public education (e.g., workshops and booths to educate the public about abuse)
Facility Profile Roster (FPR) - Question identifier:FPR_Q160
Which of the following professional services does your facility provide as of noon on [April 18, 2018]?
- 1: Medical services (Exclude mental health and addictions or substance use services.)
- 2: Addictions or substance use services
- 3: Legal services (e.g., paralegal services, assisting persons with legal documents and obtaining legal aid, court support)
- 4: Employment services (e.g., job training, employment search)
- 5: Assistance with applications for funding (e.g., assisting persons with applying for third-party loans or grants)
- 6: Financial compensation (e.g., providing loans or grants for to pay for third-party counseling, housing)
Facility Profile Roster (FPR) - Question identifier:FPR_Q170
Which of the following services for adults does your facility provide as of noon on [April 18, 2018]?
- 1: Individual counselling for adults
- 2: Group counselling for adults
- 3: Safety planning or protection planning
- 4: Teaching life skills (e.g., budgeting, banking, groceries, day-to-day management)
- 5: Teaching parenting skills
Facility Profile Roster (FPR) - Question identifier:FPR_Q180
Which of the following services for children does your facility provide as of noon on [April 18, 2018]?
- 1: Childcare
- 2: Counselling for children (Include programs for children exposed to violence or children victims of abuse.
e.g., play therapy, role playing, and goal oriented programing)
Facility Profile Roster (FPR) - Question identifier:FPR_Q190
Which of the following services for abusers, non-resident parents and families does your facility provide as of noon on [April 18, 2018]?
- 1: Treatment or counselling for abusers
- 2: Family counselling programs (Include counselling that includes partners and children.)
- 3: Supervised visiting for non-resident parent
Facility Profile Roster (FPR) - Question identifier:FPR_Q200
Which of the following services for vulnerable populations does your facility provide as of noon on [April 18, 2018]?
- 01: Specialized services for older adults (Include services for persons 55 years of age and older.)
- 02: Culturally sensitive services for Aboriginal persons (Include services that accommodate and recognize the diverse needs of First Nations, Métis, and Inuit persons.
e.g., traditional healing methods, provision of services by spiritual Elders, integration of Aboriginal cultural norms and beliefs) - 03: Services for gender and sexuality diversity (Include specialized services for Lesbian, Gay, Bi-sexual and Transgendered, Queer and Two Spirited (LGBTQ2S) persons.)
- 04: Provision of services in non-official languages (e.g., ability of staff or volunteers to communicate in languages other than English or French when providing services, availability of resource materials in languages other than English or French)
- 05: Services for immigrants or refugees
- 06: Services for persons with mobility disabilities (e.g., physical rehabilitation or therapy)
- 07: Services for persons with visual disabilities (e.g., Braille reading materials, large print reading materials)
- 08: Services for persons with hearing disabilities (e.g., TTY or TDD, sign language communication or interpretation)
- 09: Services for persons with developmental or intellectual disabilities (e.g., communications assistance)
Resident Profile (RP)
Resident Profile (RP) - Question identifier:RP_R10A
The purpose of this section is to obtain a one-day snapshot of the residents being served as of noon on [April 18, 2018].
Resident Profile (RP) - Question identifier:RP_R10B
What was the number of persons residing in your facility as of noon on [April 18, 2018] by reason for seeking shelter?
Resident Profile (RP) - Question identifier:RP_R10C_A
A. Adult women
Resident Profile (RP) - Question identifier:RP_Q10C_AA
Number for reasons of abuse
Min = 0; Max = 9999
Resident Profile (RP) - Question identifier:RP_Q10C_AB
Number for other reasons
Min = 0; Max = 9999
Resident Profile (RP) - Question identifier:RP_Q10C_AC
Total residents
Min = 0; Max = 99999
Resident Profile (RP) - Question identifier:RP_R10C_B
B. Adult men
Resident Profile (RP) - Question identifier:RP_Q10C_BA
Number for reasons of abuse
Min = 0; Max = 9999
Resident Profile (RP) - Question identifier:RP_Q10C_BB
Number for other reasons
Min = 0; Max = 9999
Resident Profile (RP) - Question identifier:RP_Q10C_BC
Total residents
Min = 0; Max = 99999
Resident Profile (RP) - Question identifier:RP_R10C_C
C. Accompanying female children
Resident Profile (RP) - Question identifier:RP_Q10C_CA
Number for reasons of abuse
Min = 0; Max = 9999
Resident Profile (RP) - Question identifier:RP_Q10C_CB
Number for other reasons
Min = 0; Max = 9999
Resident Profile (RP) - Question identifier:RP_Q10C_CC
Total residents
Min = 0; Max = 99999
Resident Profile (RP) - Question identifier:RP_R10C_D
D. Accompanying male children
Resident Profile (RP) - Question identifier:RP_Q10C_DA
Number for reasons of abuse
Min = 0; Max = 9999
Resident Profile (RP) - Question identifier:RP_Q10C_DB
Number for other reasons
Min = 0; Max = 9999
Resident Profile (RP) - Question identifier:RP_Q10C_DC
Total residents
Min = 0; Max = 99999
Resident Profile (RP) - Question identifier:RP_R20A
The following questions only pertain to adult residents who sought shelter for reasons of abuse.
Resident Profile (RP) - Question identifier:RP_R20B
How many of the [adult women] residing in your facility as of noon on [April 18, 2018] for reasons of abuse experienced the following specific types of abuse?
Resident Profile (RP) - Question identifier:RP_R20C
Number of adult women
Resident Profile (RP) - Question identifier:RP_R20D
Type of violence experienced:
Resident Profile (RP) - Question identifier:RP_Q20A
A. Physical abuse
Min = 0; Max = 9999
Resident Profile (RP) - Question identifier:RP_Q20B
B. Sexual abuse
Min = 0; Max = 9999
Resident Profile (RP) - Question identifier:RP_Q20C
C. Financial abuse
Min = 0; Max = 9999
Resident Profile (RP) - Question identifier:RP_Q20D
D. Emotional or psychological abuse
Min = 0; Max = 9999
Resident Profile (RP) - Question identifier:RP_Q20E
E. Harassment
Min = 0; Max = 9999
Resident Profile (RP) - Question identifier:RP_Q20F
F. Forced marriage
Min = 0; Max = 9999
Resident Profile (RP) - Question identifier:RP_Q20G
G. Human trafficking or exploitation - being forced into sex work
Min = 0; Max = 9999
Resident Profile (RP) - Question identifier:RP_Q20H
H. Human trafficking or exploitation - forced labour or other
Min = 0; Max = 9999
Resident Profile (RP) - Question identifier:RP_Q20I
I. Cultural abuse
Min = 0; Max = 9999
Resident Profile (RP) - Question identifier:RP_Q20J
J. Spiritual abuse
Min = 0; Max = 9999
Resident Profile (RP) - Question identifier:RP_Q20K
K. Other
Min = 0; Max = 9999
Resident Profile (RP) - Question identifier:RP_R25
What specific type(s) of abuse was each of the [adult women] residing in your facility as of noon on [April 18, 2018] protecting her children from?
Resident Profile (RP) - Question identifier:RP_R25C
Number of adult women
Resident Profile (RP) - Question identifier:RP_R25D
Protecting children from:
Resident Profile (RP) - Question identifier:RP_Q25A
A. Physical abuse
Min = 0; Max = 9999
Resident Profile (RP) - Question identifier:RP_Q25B
B. Sexual abuse
Min = 0; Max = 9999
Resident Profile (RP) - Question identifier:RP_Q25C
C. Emotional or psychological abuse
Min = 0; Max = 9999
Resident Profile (RP) - Question identifier:RP_Q25D
D. Neglect
Min = 0; Max = 9999
Resident Profile (RP) - Question identifier:RP_Q25E
E. Exposure to violence
Min = 0; Max = 9999
Resident Profile (RP) - Question identifier:RP_Q25F
F. Other
Min = 0; Max = 9999
Resident Profile (RP) - Question identifier:RP_R30A
How many of the [adult men] residing in your facility as of noon on [April 18, 2018] for reasons of abuse experienced the following specific types of abuse?
Resident Profile (RP) - Question identifier:RP_R30B
Number of adult men
Resident Profile (RP) - Question identifier:RP_R30C
Type of violence experienced:
Resident Profile (RP) - Question identifier:RP_Q30A
A. Physical abuse
Min = 0; Max = 9999
Resident Profile (RP) - Question identifier:RP_Q30B
B. Sexual abuse
Min = 0; Max = 9999
Resident Profile (RP) - Question identifier:RP_Q30C
C. Financial abuse
Min = 0; Max = 9999
Resident Profile (RP) - Question identifier:RP_Q30D
D. Emotional or psychological abuse
Min = 0; Max = 9999
Resident Profile (RP) - Question identifier:RP_Q30E
E. Harassment
Min = 0; Max = 9999
Resident Profile (RP) - Question identifier:RP_Q30F
F. Forced marriage
Min = 0; Max = 9999
Resident Profile (RP) - Question identifier:RP_Q30G
G. Human trafficking or exploitation - being forced into sex work
Min = 0; Max = 9999
Resident Profile (RP) - Question identifier:RP_Q30H
H. Human trafficking or exploitation - forced labour or other
Min = 0; Max = 9999
Resident Profile (RP) - Question identifier:RP_Q30I
I. Cultural abuse
Min = 0; Max = 9999
Resident Profile (RP) - Question identifier:RP_Q30J
J. Spiritual abuse
Min = 0; Max = 9999
Resident Profile (RP) - Question identifier:RP_Q30K
K. Other
Min = 0; Max = 9999
Resident Profile (RP) - Question identifier:RP_R35
What specific type(s) of abuse was each of the [adult men] residing in your facility as of noon on [April 18, 2018] protecting his children from?
Resident Profile (RP) - Question identifier:RP_R35C
Number of adult men
Resident Profile (RP) - Question identifier:RP_R35D
Protecting children from:
Resident Profile (RP) - Question identifier:RP_Q35A
A. Physical abuse
Min = 0; Max = 9999
Resident Profile (RP) - Question identifier:RP_Q35B
B. Sexual abuse
Min = 0; Max = 9999
Resident Profile (RP) - Question identifier:RP_Q35C
C. Emotional or psychological abuse
Min = 0; Max = 9999
Resident Profile (RP) - Question identifier:RP_Q35D
D. Neglect
Min = 0; Max = 9999
Resident Profile (RP) - Question identifier:RP_Q35E
E. Exposure to violence
Min = 0; Max = 9999
Resident Profile (RP) - Question identifier:RP_Q35F
F. Other
Min = 0; Max = 9999
Resident Profile (RP) - Question identifier:RP_R60A
What were the referral sources for each of the [adult women] residing in your facility as of noon on [April 18, 2018] for reasons of abuse?
Resident Profile (RP) - Question identifier:RP_R60B
Number of adult women
Resident Profile (RP) - Question identifier:RP_R60C
Referral source
Resident Profile (RP) - Question identifier:RP_Q60A
A. Self-referred only
Min = 0; Max = 9999
Resident Profile (RP) - Question identifier:RP_Q60B
B. Family or friend
Min = 0; Max = 9999
Resident Profile (RP) - Question identifier:RP_Q60C
C. Government department or office
Min = 0; Max = 9999
Resident Profile (RP) - Question identifier:RP_Q60D
D. Aboriginal (First Nations, Métis or Inuit) organization or community
Min = 0; Max = 9999
Resident Profile (RP) - Question identifier:RP_Q60E
E. Phone help line
Min = 0; Max = 9999
Resident Profile (RP) - Question identifier:RP_Q60F
F. Another resident
Min = 0; Max = 9999
Resident Profile (RP) - Question identifier:RP_Q60G
G. Hospital, doctor, nurse, other health care practitioner or hospital social worker
Min = 0; Max = 9999
Resident Profile (RP) - Question identifier:RP_Q60H
H. Clergy, minister of religion
Min = 0; Max = 9999
Resident Profile (RP) - Question identifier:RP_Q60I
I. Police
Min = 0; Max = 9999
Resident Profile (RP) - Question identifier:RP_Q60J
J. Other residential facility for victims of abuse
Min = 0; Max = 9999
Resident Profile (RP) - Question identifier:RP_Q60K
K. Other type of residential facility
Min = 0; Max = 9999
Resident Profile (RP) - Question identifier:RP_Q60L
L. Other community agency
Min = 0; Max = 9999
Resident Profile (RP) - Question identifier:RP_Q60M
M. Other referral source
Min = 0; Max = 9999
Resident Profile (RP) - Question identifier:RP_Q60N
N. Unknown
Min = 0; Max = 9999
Resident Profile (RP) - Question identifier:RP_R70A
What were the referral sources for each of the [adult men] residing in your facility as of noon on [April 18, 2018] for reasons of abuse?
Resident Profile (RP) - Question identifier:RP_R70B
Number of adult men
Resident Profile (RP) - Question identifier:RP_R70C
Referral source
Resident Profile (RP) - Question identifier:RP_Q70A
A. Self-referred only
Min = 0; Max = 9999
Resident Profile (RP) - Question identifier:RP_Q70B
B. Family or friend
Min = 0; Max = 9999
Resident Profile (RP) - Question identifier:RP_Q70C
C. Government department or office
Min = 0; Max = 9999
Resident Profile (RP) - Question identifier:RP_Q70D
D. Aboriginal (First Nations, Métis or Inuit) organization or community
Min = 0; Max = 9999
Resident Profile (RP) - Question identifier:RP_Q70E
E. Phone help line
Min = 0; Max = 9999
Resident Profile (RP) - Question identifier:RP_Q70F
F. Another resident
Min = 0; Max = 9999
Resident Profile (RP) - Question identifier:RP_Q70G
G. Hospital, doctor, nurse, other health care practitioner or hospital social worker
Min = 0; Max = 9999
Resident Profile (RP) - Question identifier:RP_Q70H
H. Clergy, minister of religion
Min = 0; Max = 9999
Resident Profile (RP) - Question identifier:RP_Q70I
I. Police
Min = 0; Max = 9999
Resident Profile (RP) - Question identifier:RP_Q70J
J. Other residential facility for victims of abuse
Min = 0; Max = 9999
Resident Profile (RP) - Question identifier:RP_Q70K
K. Other type of residential facility
Min = 0; Max = 9999
Resident Profile (RP) - Question identifier:RP_Q70L
L. Other community agency
Min = 0; Max = 9999
Resident Profile (RP) - Question identifier:RP_Q70M
M. Other referral source
Min = 0; Max = 9999
Resident Profile (RP) - Question identifier:RP_Q70N
N. Unknown
Min = 0; Max = 9999
Resident Profile (RP) - Question identifier:RP_R100
The following questions gather information about first-time and repeat clients, which may inform planning of programs and services.
Resident Profile (RP) - Question identifier:RP_Q100
As of noon on [April 18, 2018], does your facility allow repeat clients?
- 1: Yes
- 2: No
Resident Profile (RP) - Question identifier:RP_R110A
Of the [adult women] residing in your facility as of noon on [April 18, 2018] for reasons of abuse, how many were previously served by your facility in the last year?
Resident Profile (RP) - Question identifier:RP_R110B
Receipt of service in the previous year
Resident Profile (RP) - Question identifier:RP_R110C
Number of adult women
Resident Profile (RP) - Question identifier:RP_Q110A
A. Received services as a resident (may include having received services on an outreach basis as well)
Min = 0; Max = 9999
Resident Profile (RP) - Question identifier:RP_Q110B
B. Received services on an outreach basis only (were not residents)
Min = 0; Max = 9999
Resident Profile (RP) - Question identifier:RP_Q110C
C. Not served in the past year (either as a resident or on an outreach basis)
Min = 0; Max = 9999
Resident Profile (RP) - Question identifier:RP_Q110D
D. Unknown
Min = 0; Max = 9999
Resident Profile (RP) - Question identifier:RP_R110H
Total
Resident Profile (RP) - Question identifier:RP_R120A
Of the [adult men] residing in your facility as of noon on [April 18, 2018] for reasons of abuse, how many were previously served by your facility in the last year?
Resident Profile (RP) - Question identifier:RP_R120B
Receipt of service in the previous year
Resident Profile (RP) - Question identifier:RP_R120C
Number of adult men
Resident Profile (RP) - Question identifier:RP_Q120A
A. Received services as a resident (may include having received services on an outreach basis as well)
Min = 0; Max = 9999
Resident Profile (RP) - Question identifier:RP_Q120B
B. Received services on an outreach basis only (were not residents)
Min = 0; Max = 9999
Resident Profile (RP) - Question identifier:RP_Q120C
C. Not served in the past year (either as a resident or on an outreach basis)
Min = 0; Max = 9999
Resident Profile (RP) - Question identifier:RP_Q120D
D. Unknown
Min = 0; Max = 9999
Resident Profile (RP) - Question identifier:RP_R120H
Total
Socio-demographic information (SD)
Socio-demographic information (SD) - Question identifier:SD_R150A
Of the [adult women] residing in your facility as of noon on [April 18, 2018] for reasons of abuse, how many were in each of the following age groups?
Socio-demographic information (SD) - Question identifier:SD_R150B
Age groups
Socio-demographic information (SD) - Question identifier:SD_R150C
Number of adult women
Socio-demographic information (SD) - Question identifier:SD_Q150A
A. Less than 18 years of age
Min = 0; Max = 9999
Socio-demographic information (SD) - Question identifier:SD_Q150B
B. 18 to 24 years of age
Min = 0; Max = 9999
Socio-demographic information (SD) - Question identifier:SD_Q150C
C. 25 to 29 years of age
Min = 0; Max = 9999
Socio-demographic information (SD) - Question identifier:SD_Q150D
D. 30 to 34 years of age
Min = 0; Max = 9999
Socio-demographic information (SD) - Question identifier:SD_Q150E
E. 35 to 44 years of age
Min = 0; Max = 9999
Socio-demographic information (SD) - Question identifier:SD_Q150F
F. 45 to 54 years of age
Min = 0; Max = 9999
Socio-demographic information (SD) - Question identifier:SD_Q150G
G. 55 to 64 years of age
Min = 0; Max = 9999
Socio-demographic information (SD) - Question identifier:SD_Q150H
H. 65 years of age and older
Min = 0; Max = 9999
Socio-demographic information (SD) - Question identifier:SD_Q150I
I. Unknown
Min = 0; Max = 9999
Socio-demographic information (SD) - Question identifier:SD_R150D
Total
Socio-demographic information (SD) - Question identifier:SD_R160A
Of the [adult men] residing in your facility as of noon on [April 18, 2018] for reasons of abuse, how many were in each of the following age groups?
Socio-demographic information (SD) - Question identifier:SD_R160B
Age groups
Socio-demographic information (SD) - Question identifier:SD_R160C
Number of adult men
Socio-demographic information (SD) - Question identifier:SD_Q160A
A. Less than 18 years of age
Min = 0; Max = 9999
Socio-demographic information (SD) - Question identifier:SD_Q160B
B. 18 to 24 years of age
Min = 0; Max = 9999
Socio-demographic information (SD) - Question identifier:SD_Q160C
C. 25 to 29 years of age
Min = 0; Max = 9999
Socio-demographic information (SD) - Question identifier:SD_Q160D
D. 30 to 34 years of age
Min = 0; Max = 9999
Socio-demographic information (SD) - Question identifier:SD_Q160E
E. 35 to 44 years of age
Min = 0; Max = 9999
Socio-demographic information (SD) - Question identifier:SD_Q160F
F. 45 to 54 years of age
Min = 0; Max = 9999
Socio-demographic information (SD) - Question identifier:SD_Q160G
G. 55 to 64 years of age
Min = 0; Max = 9999
Socio-demographic information (SD) - Question identifier:SD_Q160H
H. 65 years of age and older
Min = 0; Max = 9999
Socio-demographic information (SD) - Question identifier:SD_Q160I
I. Unknown
Min = 0; Max = 9999
Socio-demographic information (SD) - Question identifier:SD_R160D
Total
Socio-demographic information (SD) - Question identifier:SD_R170A
Of the [accompanying female children] residing in your facility as of noon on [April 18, 2018] for reasons of abuse, how many were in each of the following age groups?
Socio-demographic information (SD) - Question identifier:SD_R170B
Age groups
Socio-demographic information (SD) - Question identifier:SD_R170C
Number of accompanying female children
Socio-demographic information (SD) - Question identifier:SD_Q170A
A. 0 to 4 years of age
Min = 0; Max = 9999
Socio-demographic information (SD) - Question identifier:SD_Q170B
B. 5 to 11 years of age
Min = 0; Max = 9999
Socio-demographic information (SD) - Question identifier:SD_Q170C
C. 12 to 14 years of age
Min = 0; Max = 9999
Socio-demographic information (SD) - Question identifier:SD_Q170D
D. 15 to 17 years of age
Min = 0; Max = 9999
Socio-demographic information (SD) - Question identifier:SD_Q170E
E. 18 years of age and older (adult children)
Min = 0; Max = 9999
Socio-demographic information (SD) - Question identifier:SD_Q170F
F. Unknown
Min = 0; Max = 9999
Socio-demographic information (SD) - Question identifier:SD_R170D
Total
Socio-demographic information (SD) - Question identifier:SD_R180A
Of the [accompanying male children] residing in your facility as of noon on [April 18, 2018] for reasons of abuse, how many were in each of the following age groups?
Socio-demographic information (SD) - Question identifier:SD_R180B
Age groups
Socio-demographic information (SD) - Question identifier:SD_R180C
Number of accompanying male children
Socio-demographic information (SD) - Question identifier:SD_Q180A
A. 0 to 4 years of age
Min = 0; Max = 9999
Socio-demographic information (SD) - Question identifier:SD_Q180B
B. 5 to 11 years of age
Min = 0; Max = 9999
Socio-demographic information (SD) - Question identifier:SD_Q180C
C. 12 to 14 years of age
Min = 0; Max = 9999
Socio-demographic information (SD) - Question identifier:SD_Q180D
D. 15 to 17 years of age
Min = 0; Max = 9999
Socio-demographic information (SD) - Question identifier:SD_Q180E
E. 18 years of age and older (adult children)
Min = 0; Max = 9999
Socio-demographic information (SD) - Question identifier:SD_Q180F
F. Unknown
Min = 0; Max = 9999
Socio-demographic information (SD) - Question identifier:SD_R180D
Total
Socio-demographic information (SD) - Question identifier:SD_R210A
What was the number of residents by Aboriginal identity as of noon on [April 18, 2018]?
Socio-demographic information (SD) - Question identifier:SD_R210C_A
A. Adult women
Socio-demographic information (SD) - Question identifier:SD_Q210C_AA
Of Aboriginal identity
Min = 0; Max = 9999
Socio-demographic information (SD) - Question identifier:SD_Q210C_AB
Not of Aboriginal identity
Min = 0; Max = 9999
Socio-demographic information (SD) - Question identifier:SD_Q210C_AC
Unknown
Min = 0; Max = 9999
Socio-demographic information (SD) - Question identifier:SD_Q210C_AD
Total residents
Min = 0; Max = 999999
Socio-demographic information (SD) - Question identifier:SD_R210C_B
B. Adult men
Socio-demographic information (SD) - Question identifier:SD_Q210C_BA
Of Aboriginal identity
Min = 0; Max = 9999
Socio-demographic information (SD) - Question identifier:SD_Q210C_BB
Not of Aboriginal identity
Min = 0; Max = 9999
Socio-demographic information (SD) - Question identifier:SD_Q210C_BC
Unknown
Min = 0; Max = 9999
Socio-demographic information (SD) - Question identifier:SD_Q210C_BD
Total residents
Min = 0; Max = 999999
Socio-demographic information (SD) - Question identifier:SD_R210C_C
C. Accompanying female children
Socio-demographic information (SD) - Question identifier:SD_Q210C_CA
Of Aboriginal identity
Min = 0; Max = 9999
Socio-demographic information (SD) - Question identifier:SD_Q210C_CB
Not of Aboriginal identity
Min = 0; Max = 9999
Socio-demographic information (SD) - Question identifier:SD_Q210C_CC
Unknown
Min = 0; Max = 9999
Socio-demographic information (SD) - Question identifier:SD_Q210C_CD
Total residents
Min = 0; Max = 999999
Socio-demographic information (SD) - Question identifier:SD_R210C_D
D. Accompanying male children
Socio-demographic information (SD) - Question identifier:SD_Q210C_DA
Of Aboriginal identity
Min = 0; Max = 9999
Socio-demographic information (SD) - Question identifier:SD_Q210C_DB
Not of Aboriginal identity
Min = 0; Max = 9999
Socio-demographic information (SD) - Question identifier:SD_Q210C_DC
Unknown
Min = 0; Max = 9999
Socio-demographic information (SD) - Question identifier:SD_Q210C_DD
Total residents
Min = 0; Max = 999999
Socio-demographic information (SD) - Question identifier:SD_R210C_G
Total
Socio-demographic information (SD) - Question identifier:SD_R220A
What was the number of residents by visible minority identity as of noon on [April 18, 2018]?
Socio-demographic information (SD) - Question identifier:SD_R220F
Resident type
Socio-demographic information (SD) - Question identifier:SD_R220C_A
A. Adult women
Socio-demographic information (SD) - Question identifier:SD_Q220C_AA
Of visible minority identity
Min = 0; Max = 9999
Socio-demographic information (SD) - Question identifier:SD_Q220C_AB
Not of visible minority identity
Min = 0; Max = 9999
Socio-demographic information (SD) - Question identifier:SD_Q220C_AC
Unknown
Min = 0; Max = 9999
Socio-demographic information (SD) - Question identifier:SD_Q220C_AD
Total residents
Min = 0; Max = 999999
Socio-demographic information (SD) - Question identifier:SD_R220C_B
B. Adult men
Socio-demographic information (SD) - Question identifier:SD_Q220C_BA
Of visible minority identity
Min = 0; Max = 9999
Socio-demographic information (SD) - Question identifier:SD_Q220C_BB
Not of visible minority identity
Min = 0; Max = 9999
Socio-demographic information (SD) - Question identifier:SD_Q220C_BC
Unknown
Min = 0; Max = 9999
Socio-demographic information (SD) - Question identifier:SD_Q220C_BD
Total residents
Min = 0; Max = 999999
Socio-demographic information (SD) - Question identifier:SD_R220C_C
C. Accompanying female children
Socio-demographic information (SD) - Question identifier:SD_Q220C_CA
Of visible minority identity
Min = 0; Max = 9999
Socio-demographic information (SD) - Question identifier:SD_Q220C_CB
Not of visible minority identity
Min = 0; Max = 9999
Socio-demographic information (SD) - Question identifier:SD_Q220C_CC
Unknown
Min = 0; Max = 9999
Socio-demographic information (SD) - Question identifier:SD_Q220C_CD
Total residents
Min = 0; Max = 999999
Socio-demographic information (SD) - Question identifier:SD_R220C_D
D. Accompanying male children
Socio-demographic information (SD) - Question identifier:SD_Q220C_DA
Of visible minority identity
Min = 0; Max = 9999
Socio-demographic information (SD) - Question identifier:SD_Q220C_DB
Not of visible minority identity
Min = 0; Max = 9999
Socio-demographic information (SD) - Question identifier:SD_Q220C_DC
Unknown
Min = 0; Max = 9999
Socio-demographic information (SD) - Question identifier:SD_Q220C_DD
Total residents
Min = 0; Max = 999999
Socio-demographic information (SD) - Question identifier:SD_R220C_G
Total
Socio-demographic information (SD) - Question identifier:SD_R230A
What was the number of residents by residency status as of noon on [April 18, 2018]?
Socio-demographic information (SD) - Question identifier:SD_R230F
Resident type
Socio-demographic information (SD) - Question identifier:SD_R230C_A
A. Adult women
Socio-demographic information (SD) - Question identifier:SD_Q230C_AA
Non-permanent resident
Min = 0; Max = 9999
Socio-demographic information (SD) - Question identifier:SD_Q230C_AB
Permanent resident or citizen
Min = 0; Max = 9999
Socio-demographic information (SD) - Question identifier:SD_Q230C_AC
Unknown
Min = 0; Max = 9999
Socio-demographic information (SD) - Question identifier:SD_Q230C_AD
Total residents
Min = 0; Max = 999999
Socio-demographic information (SD) - Question identifier:SD_R230C_B
B. Adult men
Socio-demographic information (SD) - Question identifier:SD_Q230C_BA
Non-permanent resident
Min = 0; Max = 9999
Socio-demographic information (SD) - Question identifier:SD_Q230C_BB
Permanent resident or citizen
Min = 0; Max = 9999
Socio-demographic information (SD) - Question identifier:SD_Q230C_BC
Unknown
Min = 0; Max = 9999
Socio-demographic information (SD) - Question identifier:SD_Q230C_BD
Total residents
Min = 0; Max = 999999
Socio-demographic information (SD) - Question identifier:SD_R230C_C
C. Accompanying female children
Socio-demographic information (SD) - Question identifier:SD_Q230C_CA
Non-permanent resident
Min = 0; Max = 9999
Socio-demographic information (SD) - Question identifier:SD_Q230C_CB
Permanent resident or citizen
Min = 0; Max = 9999
Socio-demographic information (SD) - Question identifier:SD_Q230C_CC
Unknown
Min = 0; Max = 9999
Socio-demographic information (SD) - Question identifier:SD_Q230C_CD
Total residents
Min = 0; Max = 999999
Socio-demographic information (SD) - Question identifier:SD_R230C_D
D. Accompanying male children
Socio-demographic information (SD) - Question identifier:SD_Q230C_DA
Non-permanent resident
Min = 0; Max = 9999
Socio-demographic information (SD) - Question identifier:SD_Q230C_DB
Permanent resident or citizen
Min = 0; Max = 9999
Socio-demographic information (SD) - Question identifier:SD_Q230C_DC
Unknown
Min = 0; Max = 9999
Socio-demographic information (SD) - Question identifier:SD_Q230C_DD
Total residents
Min = 0; Max = 999999
Socio-demographic information (SD) - Question identifier:SD_R230C_G
Total
Socio-demographic information (SD) - Question identifier:SD_R240A
What was the number of residents by ability to speak at least one official language (English or French) well enough to conduct a conversation as of noon on [April 18, 2018]?
Socio-demographic information (SD) - Question identifier:SD_R240F
Resident type
Socio-demographic information (SD) - Question identifier:SD_R240C_A
A. Adult women
Socio-demographic information (SD) - Question identifier:SD_Q240C_AA
Who do speak at least one official language
Min = 0; Max = 9999
Socio-demographic information (SD) - Question identifier:SD_Q240C_AB
Who do not speak at least one official language
Min = 0; Max = 9999
Socio-demographic information (SD) - Question identifier:SD_Q240C_AC
Unknown
Min = 0; Max = 9999
Socio-demographic information (SD) - Question identifier:SD_Q240C_AD
Total residents
Min = 0; Max = 999999
Socio-demographic information (SD) - Question identifier:SD_R240C_B
B. Adult men
Socio-demographic information (SD) - Question identifier:SD_Q240C_BA
Who do speak at least one official language
Min = 0; Max = 9999
Socio-demographic information (SD) - Question identifier:SD_Q240C_BB
Who do not speak at least one official language
Min = 0; Max = 9999
Socio-demographic information (SD) - Question identifier:SD_Q240C_BC
Unknown
Min = 0; Max = 9999
Socio-demographic information (SD) - Question identifier:SD_Q240C_BD
Total residents
Min = 0; Max = 999999
Socio-demographic information (SD) - Question identifier:SD_R240C_C
C. Accompanying female children
Socio-demographic information (SD) - Question identifier:SD_Q240C_CA
Who do speak at least one official language
Min = 0; Max = 9999
Socio-demographic information (SD) - Question identifier:SD_Q240C_CB
Who do not speak at least one official language
Min = 0; Max = 9999
Socio-demographic information (SD) - Question identifier:SD_Q240C_CC
Unknown
Min = 0; Max = 9999
Socio-demographic information (SD) - Question identifier:SD_Q240C_CD
Total residents
Min = 0; Max = 999999
Socio-demographic information (SD) - Question identifier:SD_R240C_D
D. Accompanying male children
Socio-demographic information (SD) - Question identifier:SD_Q240C_DA
Who do speak at least one official language
Min = 0; Max = 9999
Socio-demographic information (SD) - Question identifier:SD_Q240C_DB
Who do not speak at least one official language
Min = 0; Max = 9999
Socio-demographic information (SD) - Question identifier:SD_Q240C_DC
Unknown
Min = 0; Max = 9999
Socio-demographic information (SD) - Question identifier:SD_Q240C_DD
Total residents
Min = 0; Max = 999999
Socio-demographic information (SD) - Question identifier:SD_R240C_G
Total
Socio-demographic information (SD) - Question identifier:SD_R250A
What was the number of residents by whether they have disabilities as of noon on [April 18, 2018]?
Socio-demographic information (SD) - Question identifier:SD_R250F
Resident type
Socio-demographic information (SD) - Question identifier:SD_R250C_A
A. Adult women
Socio-demographic information (SD) - Question identifier:SD_Q250C_AA
With disabilities
Min = 0; Max = 9999
Socio-demographic information (SD) - Question identifier:SD_Q250C_AB
Without disabilities
Min = 0; Max = 9999
Socio-demographic information (SD) - Question identifier:SD_Q250C_AC
Unknown
Min = 0; Max = 9999
Socio-demographic information (SD) - Question identifier:SD_Q250C_AD
Total residents
Min = 0; Max = 999999
Socio-demographic information (SD) - Question identifier:SD_R250C_B
B. Adult men
Socio-demographic information (SD) - Question identifier:SD_Q250C_BA
With disabilities
Min = 0; Max = 9999
Socio-demographic information (SD) - Question identifier:SD_Q250C_BB
Without disabilities
Min = 0; Max = 9999
Socio-demographic information (SD) - Question identifier:SD_Q250C_BC
Unknown
Min = 0; Max = 9999
Socio-demographic information (SD) - Question identifier:SD_Q250C_BD
Total residents
Min = 0; Max = 999999
Socio-demographic information (SD) - Question identifier:SD_R250C_C
C. Accompanying female children
Socio-demographic information (SD) - Question identifier:SD_Q250C_CA
With disabilities
Min = 0; Max = 9999
Socio-demographic information (SD) - Question identifier:SD_Q250C_CB
Without disabilities
Min = 0; Max = 9999
Socio-demographic information (SD) - Question identifier:SD_Q250C_CC
Unknown
Min = 0; Max = 9999
Socio-demographic information (SD) - Question identifier:SD_Q250C_CD
Total residents
Min = 0; Max = 999999
Socio-demographic information (SD) - Question identifier:SD_R250C_D
D. Accompanying male children
Socio-demographic information (SD) - Question identifier:SD_Q250C_DA
With disabilities
Min = 0; Max = 9999
Socio-demographic information (SD) - Question identifier:SD_Q250C_DB
Without disabilities
Min = 0; Max = 9999
Socio-demographic information (SD) - Question identifier:SD_Q250C_DC
Unknown
Min = 0; Max = 9999
Socio-demographic information (SD) - Question identifier:SD_Q250C_DD
Total residents
Min = 0; Max = 999999
Socio-demographic information (SD) - Question identifier:SD_R250C_G
Total
Socio-demographic information (SD) - Question identifier:SD_R260A
What was the number of adult women residents with disabilities by type of disability as of noon on [April 18, 2018]?
Socio-demographic information (SD) - Question identifier:SD_R260B
Type of disability
Socio-demographic information (SD) - Question identifier:SD_R260C
Number of adult women
Socio-demographic information (SD) - Question identifier:SD_Q260A
A. Mobility
Min = 0; Max = 9999
Socio-demographic information (SD) - Question identifier:SD_Q260B
B. Visual
Min = 0; Max = 9999
Socio-demographic information (SD) - Question identifier:SD_Q260C
C. Hearing
Min = 0; Max = 9999
Socio-demographic information (SD) - Question identifier:SD_Q260D
D. Developmental or intellectual
Min = 0; Max = 9999
Socio-demographic information (SD) - Question identifier:SD_Q260E
E. Other disabilities
Min = 0; Max = 9999
Socio-demographic information (SD) - Question identifier:SD_Q260F
F. Unknown
Min = 0; Max = 9999
Socio-demographic information (SD) - Question identifier:SD_R261A
What was the number of adult men residents with disabilities by type of disability as of noon on [April 18, 2018]?
Socio-demographic information (SD) - Question identifier:SD_R261B
Type of disability
Socio-demographic information (SD) - Question identifier:SD_R261C
Number of adult men
Socio-demographic information (SD) - Question identifier:SD_Q261A
A. Mobility
Min = 0; Max = 9999
Socio-demographic information (SD) - Question identifier:SD_Q261B
B. Visual
Min = 0; Max = 9999
Socio-demographic information (SD) - Question identifier:SD_Q261C
C. Hearing
Min = 0; Max = 9999
Socio-demographic information (SD) - Question identifier:SD_Q261D
D. Developmental or intellectual
Min = 0; Max = 9999
Socio-demographic information (SD) - Question identifier:SD_Q261E
E. Other disabilities
Min = 0; Max = 9999
Socio-demographic information (SD) - Question identifier:SD_Q261F
F. Unknown
Min = 0; Max = 9999
Socio-demographic information (SD) - Question identifier:SD_R262A
What was the number of accompanying female children residents with disabilities by type of disability as of noon on [April 18, 2018]?
Socio-demographic information (SD) - Question identifier:SD_R262B
Type of disability
Socio-demographic information (SD) - Question identifier:SD_R262C
Number of accompanying female children
Socio-demographic information (SD) - Question identifier:SD_Q262A
A. Mobility
Min = 0; Max = 9999
Socio-demographic information (SD) - Question identifier:SD_Q262B
B. Visual
Min = 0; Max = 9999
Socio-demographic information (SD) - Question identifier:SD_Q262C
C. Hearing
Min = 0; Max = 9999
Socio-demographic information (SD) - Question identifier:SD_Q262D
D. Developmental or intellectual
Min = 0; Max = 9999
Socio-demographic information (SD) - Question identifier:SD_Q262E
E. Other disabilities
Min = 0; Max = 9999
Socio-demographic information (SD) - Question identifier:SD_Q262F
F. Unknown
Min = 0; Max = 9999
Socio-demographic information (SD) - Question identifier:SD_R263A
What was the number of accompanying male children residents with disabilities by type of disability as of noon on [April 18, 2018]?
Socio-demographic information (SD) - Question identifier:SD_R263B
Type of disability
Socio-demographic information (SD) - Question identifier:SD_R263C
Number of accompanying male children
Socio-demographic information (SD) - Question identifier:SD_Q263A
A. Mobility
Min = 0; Max = 9999
Socio-demographic information (SD) - Question identifier:SD_Q263B
B. Visual
Min = 0; Max = 9999
Socio-demographic information (SD) - Question identifier:SD_Q263C
C. Hearing
Min = 0; Max = 9999
Socio-demographic information (SD) - Question identifier:SD_Q263D
D. Developmental or intellectual
Min = 0; Max = 9999
Socio-demographic information (SD) - Question identifier:SD_Q263E
E. Other disabilities
Min = 0; Max = 9999
Socio-demographic information (SD) - Question identifier:SD_Q263F
F. Unknown
Min = 0; Max = 9999
Socio-demographic information (SD) - Question identifier:SD_R270A
What was the number of adult women residents by parental responsibilities as of noon on [April 18, 2018]?
Socio-demographic information (SD) - Question identifier:SD_R270B
Parental responsibilities:
Socio-demographic information (SD) - Question identifier:SD_R270C
Number of adult women
Socio-demographic information (SD) - Question identifier:SD_Q270A
A. Admitted with one or more of their children
Min = 0; Max = 9999
Socio-demographic information (SD) - Question identifier:SD_Q270B
B. Admitted without any of their children
Min = 0; Max = 9999
Socio-demographic information (SD) - Question identifier:SD_Q270C
C. Without children or parenting responsibilities
Min = 0; Max = 9999
Socio-demographic information (SD) - Question identifier:SD_Q270D
D. Unknown
Min = 0; Max = 9999
Socio-demographic information (SD) - Question identifier:SD_R270E
Total
Socio-demographic information (SD) - Question identifier:SD_R271A
What was the number of adult men residents by parental responsibilities as of noon on [April 18, 2018]?
Socio-demographic information (SD) - Question identifier:SD_R271B
Parental responsibilities:
Socio-demographic information (SD) - Question identifier:SD_R271C
Number of adult men
Socio-demographic information (SD) - Question identifier:SD_Q271A
A. Admitted with one or more of their children
Min = 0; Max = 9999
Socio-demographic information (SD) - Question identifier:SD_Q271B
B. Admitted without any of their children
Min = 0; Max = 9999
Socio-demographic information (SD) - Question identifier:SD_Q271C
C. Without children or parenting responsibilities
Min = 0; Max = 9999
Socio-demographic information (SD) - Question identifier:SD_Q271D
D. Unknown
Min = 0; Max = 9999
Socio-demographic information (SD) - Question identifier:SD_R271E
Total
Socio-demographic information (SD) - Question identifier:SD_R280A
What was the number of adult women residents by the relationship of the primary abuser to the resident as of noon on [April 18, 2018]?
Socio-demographic information (SD) - Question identifier:SD_R280B
Number of adult women residents
Socio-demographic information (SD) - Question identifier:SD_R280C
Spousal relationship - opposite sex
Socio-demographic information (SD) - Question identifier:SD_Q280A
A. Spouse (legally married)
Min = 0; Max = 9999
Socio-demographic information (SD) - Question identifier:SD_Q280B
B. Common-law partner
Min = 0; Max = 9999
Socio-demographic information (SD) - Question identifier:SD_Q280C
C. Separated (legally)
Min = 0; Max = 9999
Socio-demographic information (SD) - Question identifier:SD_Q280D
D. Separated common-law partner
Min = 0; Max = 9999
Socio-demographic information (SD) - Question identifier:SD_Q280E
E. Divorced
Min = 0; Max = 9999
Socio-demographic information (SD) - Question identifier:SD_R280F
Spousal relationship same sex
Socio-demographic information (SD) - Question identifier:SD_Q280F
A. Spouse (legally married)
Min = 0; Max = 9999
Socio-demographic information (SD) - Question identifier:SD_Q280G
B. Common-law partner
Min = 0; Max = 9999
Socio-demographic information (SD) - Question identifier:SD_Q280H
C. Separated (legally)
Min = 0; Max = 9999
Socio-demographic information (SD) - Question identifier:SD_Q280I
D. Separated common-law partner
Min = 0; Max = 9999
Socio-demographic information (SD) - Question identifier:SD_Q280J
E. Divorced
Min = 0; Max = 9999
Socio-demographic information (SD) - Question identifier:SD_R280K
Other intimate relationship - opposite sex
Socio-demographic information (SD) - Question identifier:SD_Q280K
A. Dating relationship (couples who do not live together)
Min = 0; Max = 9999
Socio-demographic information (SD) - Question identifier:SD_Q280L
B. Ex-dating relationship
Min = 0; Max = 9999
Socio-demographic information (SD) - Question identifier:SD_Q280M
C. Other intimate relationship
Min = 0; Max = 9999
Socio-demographic information (SD) - Question identifier:SD_R280N
Other intimate relationship - same sex
Socio-demographic information (SD) - Question identifier:SD_Q280N
A. Dating relationship (couples who do not live together)
Min = 0; Max = 9999
Socio-demographic information (SD) - Question identifier:SD_Q280O
B. Ex-dating relationship
Min = 0; Max = 9999
Socio-demographic information (SD) - Question identifier:SD_Q280P
C. Other intimate relationship
Min = 0; Max = 9999
Socio-demographic information (SD) - Question identifier:SD_R280Q
Other family relationship
Socio-demographic information (SD) - Question identifier:SD_Q280Q
A. Parent
Min = 0; Max = 9999
Socio-demographic information (SD) - Question identifier:SD_Q280R
B. Child
Min = 0; Max = 9999
Socio-demographic information (SD) - Question identifier:SD_Q280S
C. Sibling
Min = 0; Max = 9999
Socio-demographic information (SD) - Question identifier:SD_Q280T
D. Extended family
Min = 0; Max = 9999
Socio-demographic information (SD) - Question identifier:SD_R280U
Acquaintance
Socio-demographic information (SD) - Question identifier:SD_Q280U
A. Close friend
Min = 0; Max = 9999
Socio-demographic information (SD) - Question identifier:SD_Q280V
B. Acquaintance
Min = 0; Max = 9999
Socio-demographic information (SD) - Question identifier:SD_Q280W
C. Authority figure
Min = 0; Max = 9999
Socio-demographic information (SD) - Question identifier:SD_Q280X
D. Caregiver
Min = 0; Max = 9999
Socio-demographic information (SD) - Question identifier:SD_R280Y
Other relationship
Socio-demographic information (SD) - Question identifier:SD_Q280Y
A. Other
Min = 0; Max = 9999
Socio-demographic information (SD) - Question identifier:SD_Q280Z
B. Unknown
Min = 0; Max = 9999
Socio-demographic information (SD) - Question identifier:SD_R280ZA
Total
Socio-demographic information (SD) - Question identifier:SD_R290A
What was the number of adult men residents by the relationship of the primary abuser to the resident as of noon on [April 18, 2018]?
Socio-demographic information (SD) - Question identifier:SD_R290B
Number of adult men residents
Socio-demographic information (SD) - Question identifier:SD_R290C
Spousal relationship - opposite sex
Socio-demographic information (SD) - Question identifier:SD_Q290A
A. Spouse (legally married)
Min = 0; Max = 9999
Socio-demographic information (SD) - Question identifier:SD_Q290B
B. Common-law partner
Min = 0; Max = 9999
Socio-demographic information (SD) - Question identifier:SD_Q290C
C. Separated (legally)
Min = 0; Max = 9999
Socio-demographic information (SD) - Question identifier:SD_Q290D
D. Separated common-law partner
Min = 0; Max = 9999
Socio-demographic information (SD) - Question identifier:SD_Q290E
E. Divorced
Min = 0; Max = 9999
Socio-demographic information (SD) - Question identifier:SD_R290F
Spousal relationship - same sex
Socio-demographic information (SD) - Question identifier:SD_Q290F
A. Spouse (legally married)
Min = 0; Max = 9999
Socio-demographic information (SD) - Question identifier:SD_Q290G
B. Common-law partner
Min = 0; Max = 9999
Socio-demographic information (SD) - Question identifier:SD_Q290H
C. Separated (legally)
Min = 0; Max = 9999
Socio-demographic information (SD) - Question identifier:SD_Q290I
D. Separated common-law partner
Min = 0; Max = 9999
Socio-demographic information (SD) - Question identifier:SD_Q290J
E. Divorced
Min = 0; Max = 9999
Socio-demographic information (SD) - Question identifier:SD_R290K
Other intimate relationship - opposite sex
Socio-demographic information (SD) - Question identifier:SD_Q290K
A. Dating relationship (couples who do not live together)
Min = 0; Max = 9999
Socio-demographic information (SD) - Question identifier:SD_Q290L
B. Ex-dating relationship
Min = 0; Max = 9999
Socio-demographic information (SD) - Question identifier:SD_Q290M
C. Other intimate relationship
Min = 0; Max = 9999
Socio-demographic information (SD) - Question identifier:SD_R290N
Other intimate relationship - same sex
Socio-demographic information (SD) - Question identifier:SD_Q290N
A. Dating relationship (couples who do not live together)
Min = 0; Max = 9999
Socio-demographic information (SD) - Question identifier:SD_Q290O
B. Ex-dating relationship
Min = 0; Max = 9999
Socio-demographic information (SD) - Question identifier:SD_Q290P
C. Other intimate relationship
Min = 0; Max = 9999
Socio-demographic information (SD) - Question identifier:SD_R290Q
Other family relationship
Socio-demographic information (SD) - Question identifier:SD_Q290Q
A. Parent
Min = 0; Max = 9999
Socio-demographic information (SD) - Question identifier:SD_Q290R
B. Child
Min = 0; Max = 9999
Socio-demographic information (SD) - Question identifier:SD_Q290S
C. Sibling
Min = 0; Max = 9999
Socio-demographic information (SD) - Question identifier:SD_Q290T
D. Extended family
Min = 0; Max = 9999
Socio-demographic information (SD) - Question identifier:SD_R290U
Acquaintance
Socio-demographic information (SD) - Question identifier:SD_Q290U
A. Close friend
Min = 0; Max = 9999
Socio-demographic information (SD) - Question identifier:SD_Q290V
B. Acquaintance
Min = 0; Max = 9999
Socio-demographic information (SD) - Question identifier:SD_Q290W
C. Authority figure
Min = 0; Max = 9999
Socio-demographic information (SD) - Question identifier:SD_Q290X
D. Caregiver
Min = 0; Max = 9999
Socio-demographic information (SD) - Question identifier:SD_R290Y
Other relationship
Socio-demographic information (SD) - Question identifier:SD_Q290Y
A. Other
Min = 0; Max = 9999
Socio-demographic information (SD) - Question identifier:SD_Q290Z
B. Unknown
Min = 0; Max = 9999
Socio-demographic information (SD) - Question identifier:SD_R290ZA
Total
Socio-demographic information (SD) - Question identifier:SD_R320A
How many residents reported to police the abusive situation that led them to seek shelter as of noon on [April 18, 2018]?
Socio-demographic information (SD) - Question identifier:SD_R320F
Resident type
Socio-demographic information (SD) - Question identifier:SD_R320B_A
A. Adult women
Socio-demographic information (SD) - Question identifier:SD_Q320B_AA
Who did report to police
Min = 0; Max = 9999
Socio-demographic information (SD) - Question identifier:SD_Q320B_AB
Who did not report to police
Min = 0; Max = 9999
Socio-demographic information (SD) - Question identifier:SD_Q320B_AC
Unknown
Min = 0; Max = 9999
Socio-demographic information (SD) - Question identifier:SD_Q320B_AD
Total residents
Min = 0; Max = 999999
Socio-demographic information (SD) - Question identifier:SD_R320B_B
B. Adult men
Socio-demographic information (SD) - Question identifier:SD_Q320B_BA
Who did report to police
Min = 0; Max = 9999
Socio-demographic information (SD) - Question identifier:SD_Q320B_BB
Who did not report to police
Min = 0; Max = 9999
Socio-demographic information (SD) - Question identifier:SD_Q320B_BC
Unknown
Min = 0; Max = 9999
Socio-demographic information (SD) - Question identifier:SD_Q320B_BD
Total residents
Min = 0; Max = 999999
Socio-demographic information (SD) - Question identifier:SD_R320B_C
Total
Socio-demographic information (SD) - Question identifier:SD_R330A
For how many residents did the abusive situation that led them to seek shelter result in charges laid against the abuser as of noon on [April 18, 2018]?
Socio-demographic information (SD) - Question identifier:SD_R330F
Resident type
Socio-demographic information (SD) - Question identifier:SD_R330B_A
A. Adult women
Socio-demographic information (SD) - Question identifier:SD_Q330B_AA
Charges were laid against the abuser
Min = 0; Max = 9999
Socio-demographic information (SD) - Question identifier:SD_Q330B_AB
Charges were not laid against the abuser
Min = 0; Max = 9999
Socio-demographic information (SD) - Question identifier:SD_Q330B_AC
Unknown
Min = 0; Max = 9999
Socio-demographic information (SD) - Question identifier:SD_Q330B_AD
Total residents
Min = 0; Max = 999999
Socio-demographic information (SD) - Question identifier:SD_R330B_B
B. Adult men
Socio-demographic information (SD) - Question identifier:SD_Q330B_BA
Charges were laid against the abuser
Min = 0; Max = 9999
Socio-demographic information (SD) - Question identifier:SD_Q330B_BB
Charges were not laid against the abuser
Min = 0; Max = 9999
Socio-demographic information (SD) - Question identifier:SD_Q330B_BC
Unknown
Min = 0; Max = 9999
Socio-demographic information (SD) - Question identifier:SD_Q330B_BD
Total residents
Min = 0; Max = 999999
Socio-demographic information (SD) - Question identifier:SD_R330B_C
Total
Socio-demographic information (SD) - Question identifier:SD_R340A
How many residents obtained an order for the abuser to stay away as of noon on [April 18, 2018]?
Socio-demographic information (SD) - Question identifier:SD_R340F
Resident type
Socio-demographic information (SD) - Question identifier:SD_R340B_A
A. Adult women
Socio-demographic information (SD) - Question identifier:SD_Q340B_AA
An order was obtained
Min = 0; Max = 9999
Socio-demographic information (SD) - Question identifier:SD_Q340B_AB
An order was not obtained
Min = 0; Max = 9999
Socio-demographic information (SD) - Question identifier:SD_Q340B_AC
Unknown
Min = 0; Max = 9999
Socio-demographic information (SD) - Question identifier:SD_Q340B_AD
Total residents
Min = 0; Max = 999999
Socio-demographic information (SD) - Question identifier:SD_R340B_B
B. Adult men
Socio-demographic information (SD) - Question identifier:SD_Q340B_BA
An order was obtained
Min = 0; Max = 9999
Socio-demographic information (SD) - Question identifier:SD_Q340B_BB
An order was not obtained
Min = 0; Max = 9999
Socio-demographic information (SD) - Question identifier:SD_Q340B_BC
Unknown
Min = 0; Max = 9999
Socio-demographic information (SD) - Question identifier:SD_Q340B_BD
Total residents
Min = 0; Max = 999999
Socio-demographic information (SD) - Question identifier:SD_R340B_C
Total
Departures and turn-aways (DT)
Departures and turn-aways (DT) - Question identifier:DT_R350A
The following questions pertain to all persons who were in the facility or who sought shelter for reasons of abuse, between midnight and noon on [April 18, 2018].
Departures and turn-aways (DT) - Question identifier:DT_R350B
How many residents departed from your facility between midnight and noon on [April 18, 2018]?
Departures and turn-aways (DT) - Question identifier:DT_R350C
Number of departures
Departures and turn-aways (DT) - Question identifier:DT_R350D
Resident type
Departures and turn-aways (DT) - Question identifier:DT_Q350A
A. Adult women
Min = 0; Max = 9999
Departures and turn-aways (DT) - Question identifier:DT_Q350B
B. Adult men
Min = 0; Max = 9999
Departures and turn-aways (DT) - Question identifier:DT_Q350C
C. Accompanying female children
Min = 0; Max = 9999
Departures and turn-aways (DT) - Question identifier:DT_Q350D
D. Accompanying male children
Min = 0; Max = 9999
Departures and turn-aways (DT) - Question identifier:DT_R350K
Total
Departures and turn-aways (DT) - Question identifier:DT_R360A
Where did the [adult women] residents who departed between midnight and noon on [April 18, 2018] go upon departure?
Departures and turn-aways (DT) - Question identifier:DT_R360B
Number of adult women
Departures and turn-aways (DT) - Question identifier:DT_R360C
Where resident went upon departure
Departures and turn-aways (DT) - Question identifier:DT_Q360A
A. Returned home - abuser in the home
Min = 0; Max = 9999
Departures and turn-aways (DT) - Question identifier:DT_Q360B
B. Returned home - abuser not in the home
Min = 0; Max = 9999
Departures and turn-aways (DT) - Question identifier:DT_Q360C
C. Another residential facility for victims of abuse
Min = 0; Max = 9999
Departures and turn-aways (DT) - Question identifier:DT_Q360D
D. Another type of residential facility
Min = 0; Max = 9999
Departures and turn-aways (DT) - Question identifier:DT_Q360E
E. New accommodation without abuser
Min = 0; Max = 9999
Departures and turn-aways (DT) - Question identifier:DT_Q360F
F. Living with friends or relatives
Min = 0; Max = 9999
Departures and turn-aways (DT) - Question identifier:DT_Q360G
G. Hospital
Min = 0; Max = 9999
Departures and turn-aways (DT) - Question identifier:DT_Q360H
H. Other
Min = 0; Max = 9999
Departures and turn-aways (DT) - Question identifier:DT_Q360I
I. Unknown
Min = 0; Max = 9999
Departures and turn-aways (DT) - Question identifier:DT_R360M
Total
Departures and turn-aways (DT) - Question identifier:DT_R370A
Where did the [adult men] residents who departed between midnight and noon on [April 18, 2018] go upon departure?
Departures and turn-aways (DT) - Question identifier:DT_R370B
Number of adult men
Departures and turn-aways (DT) - Question identifier:DT_R370C
Where resident went upon departure
Departures and turn-aways (DT) - Question identifier:DT_Q370A
A. Returned home - abuser in the home
Min = 0; Max = 9999
Departures and turn-aways (DT) - Question identifier:DT_Q370B
B. Returned home - abuser not in the home
Min = 0; Max = 9999
Departures and turn-aways (DT) - Question identifier:DT_Q370C
C. Another residential facility for victims of abuse
Min = 0; Max = 9999
Departures and turn-aways (DT) - Question identifier:DT_Q370D
D. Another type of residential facility
Min = 0; Max = 9999
Departures and turn-aways (DT) - Question identifier:DT_Q370E
E. New accommodation without abuser
Min = 0; Max = 9999
Departures and turn-aways (DT) - Question identifier:DT_Q370F
F. Living with friends or relatives
Min = 0; Max = 9999
Departures and turn-aways (DT) - Question identifier:DT_Q370G
G. Hospital
Min = 0; Max = 9999
Departures and turn-aways (DT) - Question identifier:DT_Q370H
H. Other
Min = 0; Max = 9999
Departures and turn-aways (DT) - Question identifier:DT_Q370I
I. Unknown
Min = 0; Max = 9999
Departures and turn-aways (DT) - Question identifier:DT_R370M
Total
Departures and turn-aways (DT) - Question identifier:DT_R380A
Where did the [accompanying female children] residents who departed between midnight and noon on [April 18, 2018] go upon departure?
Departures and turn-aways (DT) - Question identifier:DT_R380B
Number of accompanying female children
Departures and turn-aways (DT) - Question identifier:DT_R380C
Where resident went upon departure
Departures and turn-aways (DT) - Question identifier:DT_Q380A
A. Returned home - abuser in the home
Min = 0; Max = 9999
Departures and turn-aways (DT) - Question identifier:DT_Q380B
B. Returned home - abuser not in the home
Min = 0; Max = 9999
Departures and turn-aways (DT) - Question identifier:DT_Q380C
C. Another residential facility for victims of abuse
Min = 0; Max = 9999
Departures and turn-aways (DT) - Question identifier:DT_Q380D
D. Another type of residential facility
Min = 0; Max = 9999
Departures and turn-aways (DT) - Question identifier:DT_Q380E
E. New accommodation without abuser
Min = 0; Max = 9999
Departures and turn-aways (DT) - Question identifier:DT_Q380F
F. Living with friends or relatives
Min = 0; Max = 9999
Departures and turn-aways (DT) - Question identifier:DT_Q380G
G. Hospital
Min = 0; Max = 9999
Departures and turn-aways (DT) - Question identifier:DT_Q380H
H. Other
Min = 0; Max = 9999
Departures and turn-aways (DT) - Question identifier:DT_Q380I
I. Unknown
Min = 0; Max = 9999
Departures and turn-aways (DT) - Question identifier:DT_R380M
Total
Departures and turn-aways (DT) - Question identifier:DT_R390A
Where did the [accompanying male children] residents who departed between midnight and noon on [April 18, 2018] go upon departure?
Departures and turn-aways (DT) - Question identifier:DT_R390B
Number of accompanying male children
Departures and turn-aways (DT) - Question identifier:DT_R390C
Where resident went upon departure
Departures and turn-aways (DT) - Question identifier:DT_Q390A
A. Returned home - abuser in the home
Min = 0; Max = 9999
Departures and turn-aways (DT) - Question identifier:DT_Q390B
B. Returned home - abuser not in the home
Min = 0; Max = 9999
Departures and turn-aways (DT) - Question identifier:DT_Q390C
C. Another residential facility for victims of abuse
Min = 0; Max = 9999
Departures and turn-aways (DT) - Question identifier:DT_Q390D
D. Another type of residential facility
Min = 0; Max = 9999
Departures and turn-aways (DT) - Question identifier:DT_Q390E
E. New accommodation without abuser
Min = 0; Max = 9999
Departures and turn-aways (DT) - Question identifier:DT_Q390F
F. Living with friends or relatives
Min = 0; Max = 9999
Departures and turn-aways (DT) - Question identifier:DT_Q390G
G. Hospital
Min = 0; Max = 9999
Departures and turn-aways (DT) - Question identifier:DT_Q390H
H. Other
Min = 0; Max = 9999
Departures and turn-aways (DT) - Question identifier:DT_Q390I
I. Unknown
Min = 0; Max = 9999
Departures and turn-aways (DT) - Question identifier:DT_R390D
Total
Departures and turn-aways (DT) - Question identifier:DT_R420A
How many persons were turned away from your facility between midnight and noon on [April 18, 2018]?
Departures and turn-aways (DT) - Question identifier:DT_R420B
Number of turn-aways
Departures and turn-aways (DT) - Question identifier:DT_R420C
Group
Departures and turn-aways (DT) - Question identifier:DT_Q420A
A. Adult women
Min = 0; Max = 9999
Departures and turn-aways (DT) - Question identifier:DT_Q420B
B. Adult men
Min = 0; Max = 9999
Departures and turn-aways (DT) - Question identifier:DT_Q420C
C. Accompanying female children
Min = 0; Max = 9999
Departures and turn-aways (DT) - Question identifier:DT_Q420D
D. Accompanying male children
Min = 0; Max = 9999
Departures and turn-aways (DT) - Question identifier:DT_R420D
Total
Departures and turn-aways (DT) - Question identifier:DT_R430A
What was the number of adult women turned away between midnight and noon on [April 18, 2018] by primary reason for turn-away?
Departures and turn-aways (DT) - Question identifier:DT_R430B
Number of adult women
Departures and turn-aways (DT) - Question identifier:DT_R430C
Primary reason for turn-away
Departures and turn-aways (DT) - Question identifier:DT_Q430A
A. Shelter was full
Min = 0; Max = 9999
Departures and turn-aways (DT) - Question identifier:DT_Q430B
B. Type of abuse experienced was outside the facility's mandate
Min = 0; Max = 9999
Departures and turn-aways (DT) - Question identifier:DT_Q430C
C. Victim profile was outside of facility's mandate
Min = 0; Max = 9999
Departures and turn-aways (DT) - Question identifier:DT_Q430D
D. Transportation issue
Min = 0; Max = 9999
Departures and turn-aways (DT) - Question identifier:DT_Q430E
E. Language barrier
Min = 0; Max = 9999
Departures and turn-aways (DT) - Question identifier:DT_Q430F
F. Did not have the resources to serve persons with mental illnesses
Min = 0; Max = 9999
Departures and turn-aways (DT) - Question identifier:DT_Q430G
G. Did not have the resources to serve persons with substance use issues
Min = 0; Max = 9999
Departures and turn-aways (DT) - Question identifier:DT_Q430H
H. Accessibility issues
Min = 0; Max = 9999
Departures and turn-aways (DT) - Question identifier:DT_Q430I
I. Safety issue
Min = 0; Max = 9999
Departures and turn-aways (DT) - Question identifier:DT_Q430J
J. Other
Min = 0; Max = 9999
Departures and turn-aways (DT) - Question identifier:DT_R430D
Total
Departures and turn-aways (DT) - Question identifier:DT_R440A
What was the number of adult men turned away between midnight and noon on [April 18, 2018] by primary reason for turn-away?
Departures and turn-aways (DT) - Question identifier:DT_R440B
Number of adult men
Departures and turn-aways (DT) - Question identifier:DT_R440C
Primary reason for turn-away
Departures and turn-aways (DT) - Question identifier:DT_Q440A
A. Shelter was full
Min = 0; Max = 9999
Departures and turn-aways (DT) - Question identifier:DT_Q440B
B. Type of abuse experienced was outside the facility's mandate
Min = 0; Max = 9999
Departures and turn-aways (DT) - Question identifier:DT_Q440C
C. Victim profile was outside of facility's mandate
Min = 0; Max = 9999
Departures and turn-aways (DT) - Question identifier:DT_Q440D
D. Transportation issue
Min = 0; Max = 9999
Departures and turn-aways (DT) - Question identifier:DT_Q440E
E. Language barrier
Min = 0; Max = 9999
Departures and turn-aways (DT) - Question identifier:DT_Q440F
F. Did not have the resources to serve persons with mental illnesses
Min = 0; Max = 9999
Departures and turn-aways (DT) - Question identifier:DT_Q440G
G. Did not have the resources to serve persons with substance use issues
Min = 0; Max = 9999
Departures and turn-aways (DT) - Question identifier:DT_Q440H
H. Accessibility issues
Min = 0; Max = 9999
Departures and turn-aways (DT) - Question identifier:DT_Q440I
I. Safety issue
Min = 0; Max = 9999
Departures and turn-aways (DT) - Question identifier:DT_Q440J
J. Other
Min = 0; Max = 9999
Departures and turn-aways (DT) - Question identifier:DT_R440D
Total
Annual Information (AI)
Annual Information (AI) - Question identifier:AI_Q10
The following questions on average length of stay, admissions, physical repairs and finances refer to a 12-month reference period that most closely resembles the period your facility refers to in its annual reports.
What is the 12-month reference period used in providing information for this section?
- 1: Fiscal year (April 1, 2017 to March 31, 2018)
- 2: Other fiscal year - specify:
- 3: Calendar year (January 1, 2017 to December 31, 2017)
Annual Information (AI) - Question identifier:AI_Q20
What was the average length of stay for residents at your facility during the [fiscal year of April 1, 2017 to March 31, 2018/calendar year of January 1, 2017 to December 31, 2017]?
- 01: Less than one month
- 02: One month to less than three months
- 03: Three months to less than six months
- 04: Six months to less than nine months
- 05: Nine months to less than one year
- 06: One year to less than two years
- 07: Two years to less than three years
- 08: Three years or more
Annual Information (AI) - Question identifier:AI_R30A
What was the total number of admissions during the [fiscal year of April 1, 2017 to March 31, 2018/calendar year of January 1, 2017 to December 31, 2017]?
Annual Information (AI) - Question identifier:AI_R30B
Resident type
Annual Information (AI) - Question identifier:AI_R30C
Number of admissions (annual)
Annual Information (AI) - Question identifier:AI_Q30A
A. Adult women
Min = 0; Max = 999999
Annual Information (AI) - Question identifier:AI_Q30B
B. Adult men
Min = 0; Max = 999999
Annual Information (AI) - Question identifier:AI_Q30C
C. Accompanying female children
Min = 0; Max = 999999
Annual Information (AI) - Question identifier:AI_Q30D
D. Accompanying male children
Min = 0; Max = 999999
Annual Information (AI) - Question identifier:AI_R30D
Total admissions (annual)
Annual Information (AI) - Question identifier:AI_R40
The purpose of these questions is to collect information on physical repairs or improvements that have been made to your facility during [fiscal year of April 1, 2017 to March 31, 2018/calendar year of January 1, 2017 to December 31, 2017].
Exclude the construction of new units or regular maintenance (e.g., painting, repairing leaky faucets, furnace cleaning).
Annual Information (AI) - Question identifier:AI_Q40
Have any physical repairs or improvements been made to your facility during the [fiscal year of April 1, 2017 to March 31, 2018/calendar year of January 1, 2017 to December 31, 2017]?
- 1: Yes
- 2: No
Annual Information (AI) - Question identifier:AI_Q50
What types of physical repairs or improvements have been made to your facility during the [fiscal year of April 1, 2017 to March 31, 2018/calendar year of January 1, 2017 to December 31, 2017]?
- 1: Major physical repairs or improvements (Legal requirement to make repairs for safety reasons and for meeting municipal building codes.) (e.g., repairs to defective plumbing or electrical wiring, structural repairs to walls, floors or ceilings)
- 2: Minor physical repairs or improvements (e.g., repairs to missing or loose floor tiles, bricks or shingles, repairs to defective steps, railing or siding)
Annual Information (AI) - Question identifier:AI_Q60
How were these physical repairs or improvements funded?
- 1: Federal government funding
- 2: Provincial or territorial government funding
- 3: Joint Federal/Provincial/Territorial agreement funding
- 4: Regional/Municipal government funding
- 5: Fundraising and donations (Include grants by foundations or charities.)
- 6: Other
- 9: DK
Annual Information (AI) - Question identifier:AI_R70
The purpose of this section is to collect information on the revenues of your facility for the [fiscal year of April 1, 2017 to March 31, 2018/calendar year of January 1, 2017 to December 31, 2017].
Annual Information (AI) - Question identifier:AI_R80A
What was the dollar amount of the revenues for your facility for the [fiscal year of April 1, 2017 to March 31, 2018/calendar year of January 1, 2017 to December 31, 2017] by source?
Annual Information (AI) - Question identifier:AI_R80B
Source of revenue
Annual Information (AI) - Question identifier:AI_R80C
CAN $
Annual Information (AI) - Question identifier:AI_Q80A
A. Federal government
Min = 0; Max = 999999999
Annual Information (AI) - Question identifier:AI_Q80B
B. Provincial government
Min = 0; Max = 999999999
Annual Information (AI) - Question identifier:AI_Q80C
C. Regional or municipal government
Min = 0; Max = 999999999
Annual Information (AI) - Question identifier:AI_Q80D
D. First Nations government
Min = 0; Max = 999999999
Annual Information (AI) - Question identifier:AI_Q80E
E. Foundations
Min = 0; Max = 999999999
Annual Information (AI) - Question identifier:AI_Q80F
F. Fees for service
Min = 0; Max = 999999999
Annual Information (AI) - Question identifier:AI_Q80G
G. Provincial or territorial lotteries
Min = 0; Max = 999999999
Annual Information (AI) - Question identifier:AI_Q80H
H. Fundraising or donations
Min = 0; Max = 999999999
Annual Information (AI) - Question identifier:AI_Q80I
I. Other
Min = 0; Max = 999999999
Annual Information (AI) - Question identifier:AI_R80D
Total revenues (annual)
Annual Information (AI) - Question identifier:AI_Q90
What are the revenues figures for the [fiscal year of April 1, 2017 to March 31, 2018/calendar year of January 1, 2017 to December 31, 2017] based on?
- 1: estimated financial data
- 2: audited financial data
Annual Information (AI) - Question identifier:AI_R100
The purpose of this section is to collect information on the expenditures of your facility for the [fiscal year of April 1, 2017 to March 31, 2018/calendar year of January 1, 2017 to December 31, 2017].
Annual Information (AI) - Question identifier:AI_R110A
What was the dollar amount of the expenditures for your facility for the [fiscal year of April 1, 2017 to March 31, 2018/calendar year of January 1, 2017 to December 31, 2017] by type of expenditure?
Annual Information (AI) - Question identifier:AI_R110B
Expenditure type
Annual Information (AI) - Question identifier:AI_R110C
CAN $
Annual Information (AI) - Question identifier:AI_Q110A
A. Salary costs
Min = 0; Max = 999999999
Annual Information (AI) - Question identifier:AI_Q110B
B. Rent, mortgage and property taxes
Min = 0; Max = 999999999
Annual Information (AI) - Question identifier:AI_Q110C
C. Other housing costs
Min = 0; Max = 999999999
Annual Information (AI) - Question identifier:AI_Q110D
D. Administrative costs
Min = 0; Max = 999999999
Annual Information (AI) - Question identifier:AI_Q110E
E. Staff training
Min = 0; Max = 999999999
Annual Information (AI) - Question identifier:AI_Q110F
F. Office costs
Min = 0; Max = 999999999
Annual Information (AI) - Question identifier:AI_Q110G
G. Direct client costs
Min = 0; Max = 999999999
Annual Information (AI) - Question identifier:AI_Q110H
H. Contributions to reserve fund
Min = 0; Max = 999999999
Annual Information (AI) - Question identifier:AI_Q110I
I. Other
Min = 0; Max = 999999999
Annual Information (AI) - Question identifier:AI_R110D
Total expenditures (annual)
Annual Information (AI) - Question identifier:AI_Q120
What are the expenditures figures for the [fiscal year of April 1, 2017 to March 31, 2018/calendar year of January 1, 2017 to December 31, 2017] based on?
- 1: estimated financial data
- 2: audited financial data
Annual Information (AI) - Question identifier:AI_R130
What are the top three issues or challenges currently facing your facility?
Annual Information (AI) - Question identifier:AI_Q130A
Number 1 issue or challenge facing your facility
- 01: Financial instability
- 02: Lack of funding
- 03: Reliance on fundraising
- 04: Food costs
- 05: Transportation costs
- 06: Reliance on volunteers
- 07: Staff turnover
- 08: Mental health issues for staff
- 09: Low employee compensation
- 10: Skills development
- 11: Capacity
- 12: Accessibility issues related to the structure of the building
- 13: Need for physical repairs and improvements
- 14: Lack of administrative resources
- 15: Providing culturally appropriate supports and services
- 16: Meeting the diverse needs of clients
- 17: Advocacy
- 18: Not having the mandate to serve male clients
- 19: Criminal justice system
- 20: Lack of affordable childcare
- 21: Lack of permanent housing
- 22: Restrictions tied to external regulations
- 23: Other
Annual Information (AI) - Question identifier:AI_Q130B
Number 2 issue or challenge facing your facility
- 01: Financial instability
- 02: Lack of funding
- 03: Reliance on fundraising
- 04: Food costs
- 05: Transportation costs
- 06: Reliance on volunteers
- 07: Staff turnover
- 08: Mental health issues for staff
- 09: Low employee compensation
- 10: Skills development
- 11: Capacity
- 12: Accessibility issues related to the structure of the building
- 13: Need for physical repairs and improvements
- 14: Lack of administrative resources
- 15: Providing culturally appropriate supports and services
- 16: Meeting the diverse needs of clients
- 17: Advocacy
- 18: Not having the mandate to serve male clients
- 19: Criminal justice system
- 20: Lack of affordable childcare
- 21: Lack of permanent housing
- 22: Restrictions tied to external regulations
- 23: Other
Annual Information (AI) - Question identifier:AI_Q130C
Number 3 issue or challenge facing your facility
- 01: Financial instability
- 02: Lack of funding
- 03: Reliance on fundraising
- 04: Food costs
- 05: Transportation costs
- 06: Reliance on volunteers
- 07: Staff turnover
- 08: Mental health issues for staff
- 09: Low employee compensation
- 10: Skills development
- 11: Capacity
- 12: Accessibility issues related to the structure of the building
- 13: Need for physical repairs and improvements
- 14: Lack of administrative resources
- 15: Providing culturally appropriate supports and services
- 16: Meeting the diverse needs of clients
- 17: Advocacy
- 18: Not having the mandate to serve male clients
- 19: Criminal justice system
- 20: Lack of affordable childcare
- 21: Lack of permanent housing
- 22: Restrictions tied to external regulations
- 23: Other
Annual Information (AI) - Question identifier:AI_R140
What are the top three issues or challenges currently facing those using your facility?
Annual Information (AI) - Question identifier:AI_Q140A
Number 1 issue or challenge facing those using your facility
- 01: Underemployment and low incomes
- 02: Lack of and regulations related to income assistance
- 03: Affordable transportation
- 04: Affordable childcare
- 05: Food costs
- 06: Lack of legal aid funding or availability of affordable legal counsel
- 07: Lack of affordable and appropriate long-term housing upon departure
- 08: Lack of or waiting lists for residential facilities
- 09: Lack of or waiting lists for other services
- 10: Lack of follow-up support once they have left the facility
- 11: Mental health issues
- 12: Substance use issues
- 13: Parenting issues
- 14: Racism
- 15: Immigration regulations
- 16: Safety
- 17: Criminal justice system
- 18: Other
Annual Information (AI) - Question identifier:AI_Q140B
Number 2 issue or challenge facing those using your facility
- 01: Underemployment and low incomes
- 02: Lack of and regulations related to income assistance
- 03: Affordable transportation
- 04: Affordable childcare
- 05: Food costs
- 06: Lack of legal aid funding or availability of affordable legal counsel
- 07: Lack of affordable and appropriate long-term housing upon departure
- 08: Lack of or waiting lists for residential facilities
- 09: Lack of or waiting lists for other services
- 10: Lack of follow-up support once they have left the facility
- 11: Mental health issues
- 12: Substance use issues
- 13: Parenting issues
- 14: Racism
- 15: Immigration regulations
- 16: Safety
- 17: Criminal justice system
- 18: Other
Annual Information (AI) - Question identifier:AI_Q140C
Number 3 issue or challenge facing those using your facility
- 01: Underemployment and low incomes
- 02: Lack of and regulations related to income assistance
- 03: Affordable transportation
- 04: Affordable childcare
- 05: Food costs
- 06: Lack of legal aid funding or availability of affordable legal counsel
- 07: Lack of affordable and appropriate long-term housing upon departure
- 08: Lack of or waiting lists for residential facilities
- 09: Lack of or waiting lists for other services
- 10: Lack of follow-up support once they have left the facility
- 11: Mental health issues
- 12: Substance use issues
- 13: Parenting issues
- 14: Racism
- 15: Immigration regulations
- 16: Safety
- 17: Criminal justice system
- 18: Other
Feedback (FDBK)
Feedback (FDBK) - Question identifier:FDBK_Q01A
How long did it take to complete this questionnaire?
Hours:
Min = 0; Max = 99999
Feedback (FDBK) - Question identifier:FDBK_Q01B
How long did it take to complete this questionnaire?
Minutes:
Min = 0; Max = 99999
Feedback (FDBK) - Question identifier:FDBK_Q02
We invite your comments about this questionnaire.
Long Answer Length = 200
Out of Scope (OOS)
Out of Scope (OOS) - Question identifier:OOS_R10
You have indicated that this organization is not a residential facility primarily mandated to serve victims of abuse. A Statistics Canada representative may contact you to collect more details.
If you are ready to submit the questionnaire, press the Submit button.
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