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.

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Table of Contents

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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