Licensed cannabis producers survey, 2017

For Information onlyThis is an electronic survey example for information purposes only. This is not a working questionnaire.

Introduction

This information is collected under the authority of the Statistics Act, Revised Statutes of Canada, 1985, Chapter S-19.
COMPLETION OF THIS QUESTIONNAIRE IS A LEGAL REQUIREMENT UNDER THIS ACT.

Please return the questionnaire within 21 days.
Please mail the completed questionnaire in the enclosed envelope
or fax it to Statistics Canada at 1-888-883-7999.
If you are unable to complete within 21 days OR if you need help, call us at 1-877-992-3999.

Statistics Canada
Operations and Integration Division
150 Tunney's Pasture Driveway
Ottawa, Ontario K1A 0T6
Visit our website, www.statcan.gc.ca

Purpose of this survey

Statistics Canada is conducting this survey to collect comprehensive business and economic information on licensed cannabis producers. The federal government will use data from this survey to better understand this industry and its relationship with the rest of the Canadian economy.

Your information may also be used by Statistics Canada for other statistical and research purposes.

Collection period:
From June 26 to September 25, 2018

Security of emails and faxes

Statistics Canada advises you that there could be a risk of disclosure during facsimile or email. However upon receipt, Statistics Canada will provide the guaranteed level of protection afforded all information collected under the authority of the Statistics Act.

Confidentiality

The Statistics Act protects the confidentiality of information collected by Statistics Canada.

Your answers are confidential.
Statistics Canada is prohibited by law from releasing any information it collects which could identify any person, business, or organization, unless consent has been given by the respondent or as permitted by the Statistics Act.
Statistics Canada will use the information from this survey for statistical purposes.

Data-sharing agreements

To reduce respondent burden, Statistics Canada has entered into data-sharing agreements with provincial and territorial statistical agencies and other government organizations, which have agreed to keep the data confidential and use them only for statistical purposes. Statistics Canada will only share data from this survey with those organizations that have demonstrated a requirement to use the data.

  • : Section 11 of the Statistics Act provides for the sharing of information with provincial and territorial statistical agencies that meet certain conditions. These agencies must have the legislative authority to collect the same information, on a mandatory basis, and the legislation must provide substantially the same provisions for confidentiality and penalties for disclosure of confidential information as the Statistics Act. Because these agencies have the legal authority to compel businesses to provide the same information, consent is not requested and businesses may not object to the sharing of the data.

    For this survey, there are Section 11 agreements with the provincial and territorial statistical agencies of Newfoundland and Labrador, Nova Scotia, New Brunswick, Quebec, Ontario, Manitoba, Saskatchewan, Alberta, British Columbia, and the Yukon.

    The shared data will be limited to information pertaining to business establishments located within the jurisdiction of the respective province or territory.
  • : Section 12 of the Statistics Act provides for the sharing of information with the federal, provincial or territorial government organizations. Under Section 12, you may refuse to share your information with any of these organizations by writing a letter of objection to the Chief Statistician and returning it with the completed questionnaire. Please specify the organizations with which you do not want to share your data.

    For this survey, there are Section 12 agreements with the statistical agencies of Prince Edward Island, Northwest Territories and Nunavut as well as with Health Canada.

    For agreements with provincial and territorial government organizations, the shared data will be limited to information pertaining to business establishments located within the jurisdiction of the respective province or territory.

Record linkages

To enhance the data from this survey and to minimize the reporting burden, Statistics Canada may combine it with information from other surveys or from administrative sources.

Reporting instructions

- Please print in ink.
- Report dollar amounts in Canadian dollars.
- When precise figures are not available, please provide your best estimates.
- Report to this questionnaire from a "fiscal year" perspective. That is, for each question in this questionnaire, the specified year (e.g, 2017) represents the 2017 fiscal year of this business. Not to be confused with the calendar year.
- Enter "0", if there is no value to report.

Business or organization and contact information

Business or organization and contact information - Question identifier:1

Please verify or provide the business or organization's legal and operating name and correct where needed.
Note: Legal name modifications should only be done to correct a spelling error or typo.

  • : Legal name
  • : Operating name (if applicable)

Business or organization and contact information - Question identifier:2

Please verify or provide the current operational status of the business or organization identified by the legal and operating name above.

  • : In operation
  • : Not in operation

Business or organization and contact information - Question identifier:3

Please verify or provide the contact information of the designated business or organization contact person for this questionnaire and correct where needed.
Note: The designated contact person is the person who should receive this questionnaire. The designated contact person may not always be the one who actually completes the questionnaire.

  • : First name
  • : Last name
  • : Title
  • : Preferred language of communication (English or French)
  • : Mailing address (number and street)
  • : City
  • : Province, territory or state
  • : Postal code or ZIP code (Example: A9A 9A9 or 12345-1234)
  • : Country
  • : Email address (Example: user@example.gov.ca)
  • : Telephone number (including area code) Example: 123-123-1234
  • : Extension number (if applicable)
  • : Fax number (including area code) Example: 123-123-1234

Business structure

Business structure - Question identifier:1

In what year was this business first established?

  • : Year

If this business was established in 2018, go to question 18.

Business structure - Question identifier:2

For this survey, please report information for this business's most recent 12-month fiscal period.

Note: For this survey, the end date should fall between April 1, 2017 and March 31, 2018.

  • : Start date (YYYY/MM/DD)
  • : End date (YYYY/MM/DD)

Please complete this survey for the "fiscal period" reported above.

This period will be referred to as "fiscal year" 2017 throughout the questionnaire.

Business structure - Question identifier:3

In 2017, did this business have cannabis-related production (e.g., growing, processing, researching, etc. ) or sales activities?

  • : Yes
  • : No

If this business did not have cannabis production or sales in fiscal year 2017, go to question 18.

Business structure - Question identifier:4

If applicable, what other business activities did this business engage in 2017 (e.g., production of tobacco, marketing, research and development of non-medical cannabis, other pharmaceuticals, etc.)?

OR

  • : No other activities

Business structure - Question identifier:5

How many employees did this business have in fiscal year 2017?

Include all employees who received a T4 for 2017. Consider seasonal, casual or part-time employees as regular employees.

  • : Employees

Business structure - Question identifier:6

In 2017, how many employees spent at least fifty percent (50%) of their time working on cannabis-related activities based on the following job categories?

Cannabis related activities refers to any business activities related to cannabis development, growing, harvesting, processing, packaging, storage, distribution, sales, etc.

Round up to a whole number, e.g., 1.5 employees = 2 employees.

Job category

Admin

  • : Administration, management or finance
  • : Marketing (e.g., branding, consultation, etc.)
  • : Sales

Production

  • : Research and development
  • : Engineering
  • : Cultivation & harvesting
  • : Processing/Manufacturing
  • : Quality assurance/control (including Heating ventilation and air conditioning (HVAC))
  • : Packaging
  • : Shipping, delivery & transportation

Other

  • : Security
  • : Other — specify :

Total

  • : Employees

Business activities

Business activities - Question identifier:7

Identify all of this business's locations that were involved in the production (e.g., growing, processing, researching, etc.) of cannabis in 2017. Also provide the number of months each location was in production in 2017.

  • : Location name
  • : Address
  • : Municipality
  • : Province
  • : Postal code
  • : Number of months in production in 2017

Business activities - Question identifier:8

In 2017, what was the active cannabis cultivation area and unused potential cultivation area for each of the locations identified above?

Potential cultivation area includes licensed or unlicensed area available but unused in 2017.

  • : Location name
  • : Active area
  • : Unused area
  • : Unit of measure (ft2 or m2)

Business activities - Question identifier:9

In 2017, indicate the cannabis-related activities that were carried out at each of the previously identified locations.

Cannabis related activities refers to any business activities related to cannabis development, growing, harvesting, processing, packaging, storage, distribution, sales, etc.

Exclude any type of activities that are not related to cannabis activities (e.g., other crop production or sales, etc.).

Select all that apply.

  • : Research and development
  • : Growing cannabis
  • : Cannabis processing (e.g., trimming, curing, etc.)
  • : Final cannabis product packaging
  • : Shipping
  • : Sales and marketing (e.g., branding, consultation, etc.)
  • : Human resources management
  • : Administration
  • : Other — specify :

Financial information

Financial information - Question identifier:10

In 2017, using dollar value or percentage (one or the other), what were the total sales of cannabis to all registered clients (patients or other licensed producers) by region?

Regions

CANADA

  • : Newfoundland and Labrador
  • : Prince Edward Island
  • : New Brunswick
  • : Nova Scotia
  • : Quebec
  • : Ontario
  • : Manitoba
  • : Saskatchewan
  • : Alberta
  • : British Columbia
  • : Yukon
  • : Northwest Territories
  • : Nunavut

INTERNATIONAL

  • : United States of America
  • : Germany
  • : Australia
  • : Other — specify :

Total

  • : Sales (CAN $)
  • : Sales (%)

Financial information - Question identifier:11

Please indicate this business's revenue details based on the following categories for fiscal year 2017.
Provide your best estimates.

Report '0' for those categories where this business had no sales.

Fiscal year 2017

  • : Cannabis revenues
    - Cannabis-related revenues
    (e.g., sales of cannabis goods and services)
  • : - Other cannabis-related revenues (e.g., apparel or accessories)
  • : Non cannabis revenues, specify:
    (e.g., all other sales of goods/accessories and services)

Total revenues

  • : Fiscal year 2017

Financial information - Question identifier:12

In 2017, what were this business's expenses for the following items and what portion of each expense item related to cannabis?
Provide your best estimates.

Report '0' for those categories where this business had no expenses.

Fiscal year 2017

Employee costs and expenses(for all employees who were issued a T4)
- Wages and salaries

  • : Dollars (CAN $)
  • : Percentage(%) related to cannabis for 2017

- Employee benefits

  • : Dollars (CAN $)
  • : Percentage(%) related to cannabis for 2017

Subcontracts(include contractors)(exclude research & development)

  • : Dollars (CAN $)
  • : Percentage(%) related to cannabis for 2017

Internal Research & Development (in-house)

  • : Dollars (CAN $)
  • : Percentage(%) related to cannabis for 2017

External Research & Development (out-sourced)

  • : Dollars (CAN $)
  • : Percentage(%) related to cannabis for 2017

Purchases: raw materials

  • : Dollars (CAN $)
  • : Percentage(%) related to cannabis for 2017

- fertilizers

  • : Dollars (CAN $)
  • : Percentage(%) related to cannabis for 2017

- seed purchases

  • : Dollars (CAN $)
  • : Percentage(%) related to cannabis for 2017

- plant purchases

  • : Dollars (CAN $)
  • : Percentage(%) related to cannabis for 2017

- other purchasing costs, specify:

  • : Dollars (CAN $)
  • : Percentage(%) related to cannabis for 2017

Professional and business fees (legal, accounting, consulting)

  • : Dollars (CAN $)
  • : Percentage(%) related to cannabis for 2017

Security

  • : Dollars (CAN $)
  • : Percentage(%) related to cannabis for 2017

Energy (e.g., electricity, natural gas, heat, oil, etc.) and water expenses

  • : Dollars (CAN $)
  • : Percentage(%) related to cannabis for 2017

Marketing fees (e.g., branding, consultation, etc.)

  • : Dollars (CAN $)
  • : Percentage(%) related to cannabis for 2017

Business taxes, licenses and permits

  • : Dollars (CAN $)
  • : Percentage(%) related to cannabis for 2017

Interest expense

  • : Dollars (CAN $)
  • : Percentage(%) related to cannabis for 2017

Product testing

  • : Dollars (CAN $)
  • : Percentage(%) related to cannabis for 2017

Other — specify:

  • : Dollars (CAN $)
  • : Percentage(%) related to cannabis for 2017

Total expenses

  • : Dollars (CAN $)
  • : Percentage(%) related to cannabis for 2017

Financial information - Question identifier:13

In 2017, what were this business's investment expenditures for the following items and what portion was related to cannabis?
Provide your best estimates.

Report '0' for those categories where this business had no investment expenses.

Fiscal year 2017

Equipment and machinery

  • : Dollars (CAN $)
  • : Percentage(%) related to cannabis for 2017

Buildings

  • : Dollars (CAN $)
  • : Percentage(%) related to cannabis for 2017

Land

  • : Dollars (CAN $)
  • : Percentage(%) related to cannabis for 2017

Agricultural vehicles (include tractors, etc.)

  • : Dollars (CAN $)
  • : Percentage(%) related to cannabis for 2017

Other vehicles

  • : Dollars (CAN $)
  • : Percentage(%) related to cannabis for 2017

Other specify:

  • : Dollars (CAN $)
  • : Percentage(%) related to cannabis for 2017

Total investment expenditures

  • : Dollars (CAN $)
  • : Percentage(%) related to cannabis for 2017

Financial information - Question identifier:14

Please categorize the current value of physical assets of this business for fiscal year 2017.

Report '0' for those categories where this business had no physical assets.

Physical assets (CAN $)

  • : Land

Building (CAN $)

  • : Greenhouses
  • : Other growing facilities
  • : Warehouses or vaults (e.g., product storage, etc.)
  • : Office (administration)
  • : Other buildings, specify:

Equipment (CAN $)

  • : Machinery, equipment, furniture and fixtures
  • : Computer equipment and software
  • : Other equipment, specify:

Other physical assets (CAN $)

  • : Other physical assets, specify:

Financial information - Question identifier:15

In 2017, for each of the following cannabis products (or substances), what were the quantities produced and sold?

Dried cannabis is harvested cannabis that has been subjected to any drying process.
Fresh cannabis is freshly harvested cannabis buds and leaves, but does not include plant materials that can be used to propagate cannabis.
Cannabis oil is an oil, in liquid form at room temperature of 22 ± 2°C, that contains cannabis in its natural form.

A. Cannabis seeds

  • : Unit of measure (kg, lb or unit)
  • : Quantity produced
  • : Quantity sold
  • : Sales (CAN $)

B. Cannabis plants

  • : Unit of measure (unit)
  • : Quantity produced
  • : Quantity sold
  • : Sales (CAN $)

C. Fresh cannabis

  • : Unit of measure (kg or lb)
  • : Quantity produced
  • : Quantity sold
  • : Sales (CAN $)

D. Dried cannabis

  • : Unit of measure (kg or lb)
  • : Quantity produced
  • : Quantity sold
  • : Sales (CAN $)

E. Cannabis oil

  • : Unit of measure (kg, lb, l or oz)
  • : Quantity produced
  • : Quantity sold
  • : Sales (CAN $)

F. Other cannabis products, specify:

  • : Unit of measure (kg, lb, l, oz or unit)
  • : Quantity produced
  • : Quantity sold
  • : Sales (CAN $)

Financial information - Question identifier:16

In 2017, provide the percentage breakdown of sales of cannabis products based on the following customers.

Dried cannabis is harvested cannabis that has been subjected to any drying process.
Fresh cannabis is freshly harvested cannabis buds and leaves, but does not include plant materials that can be used to propagate cannabis.
Cannabis oil is an oil, in liquid form at room temperature of 22 ± 2°C, that contains cannabis in its natural form.

Sales to registered clients (%)

  • : Cannabis seeds
  • : Cannabis plants
  • : Fresh cannabis
  • : Dried cannabis
  • : Cannabis oil
  • : Other cannabis products

Sales to licensed wholesalers (%)

  • : Cannabis seeds
  • : Cannabis plants
  • : Fresh cannabis
  • : Dried cannabis
  • : Cannabis oil
  • : Other cannabis products

Sales to other licensed producers (%)

  • : Cannabis seeds
  • : Cannabis plants
  • : Fresh cannabis
  • : Dried cannabis
  • : Cannabis oil
  • : Other cannabis products

Other specify (%):

  • : Cannabis seeds
  • : Cannabis plants
  • : Fresh cannabis
  • : Dried cannabis
  • : Cannabis oil
  • : Other cannabis products

Financial information - Question identifier:17

At the end of 2017 fiscal year, what were this business's inventories by the following product (or substance) types?

Dried cannabis is harvested cannabis that has been subjected to any drying process.
Fresh cannabis is freshly harvested cannabis buds and leaves, but does not include plant materials that can be used to propagate cannabis.
Cannabis oil is an oil, in liquid form at room temperature of 22 ± 2°C, that contains cannabis in its natural form.

A. Cannabis seeds

  • : Unit of measure (kg, lb or unit)
  • : Inventory
  • : Current total value (CAN $)

B. Cannabis plants (in growing phase)

  • : Unit of measure (unit)
  • : Inventory
  • : Current total value (CAN $)

C. Fresh cannabis

  • : Unit of measure (kg or lb)
  • : Inventory
  • : Current total value (CAN $)

D. Dried cannabis

  • : Unit of measure (kg or lb)
  • : Inventory
  • : Current total value (CAN $)

E. Cannabis oil

  • : Unit of measure (kg, lb, l or oz)
  • : Inventory
  • : Current total value (CAN $)

F. Other cannabis products, specify:

  • : Unit of measure (kg, lb, l, oz or unit)
  • : Inventory
  • : Current total value (CAN $)

Future opportunities

Future opportunities - Question identifier:18

In 2018, how much money has this business invested or intends to invest in the following expansion activities related to cannabis? (CAN $)

  • : Additional structures in current locations
  • : Additional land for future location
  • : Additional locations with existing facilities or structures
  • : Additional equipment
  • : Accumulating cannabis-related inventory (including raw materials, goods in process, finished goods)
  • : Other — specify :

OR

  • : No change

Future opportunities - Question identifier:19

Based on the following financing sources, how likely is this business to seek additional investment financing.

A. Canadian-based private venture capital

  • : Very unlikely
  • : Somewhat unlikely
  • : Somewhat likely
  • : Very likely

B. American-based private venture capital

  • : Very unlikely
  • : Somewhat unlikely
  • : Somewhat likely
  • : Very likely

C. Other private venture capital

  • : Very unlikely
  • : Somewhat unlikely
  • : Somewhat likely
  • : Very likely

D. Financial institutions (e.g., chartered banks, etc), cooperatives, credit unions

  • : Very unlikely
  • : Somewhat unlikely
  • : Somewhat likely
  • : Very likely

E. IPO (Initial public offering) or SPO (Secondary public offering)

  • : Very unlikely
  • : Somewhat unlikely
  • : Somewhat likely
  • : Very likely

F. Personal finance used towards this business

  • : Very unlikely
  • : Somewhat unlikely
  • : Somewhat likely
  • : Very likely

G. Partner(s) from strategic alliance(s)

  • : Very unlikely
  • : Somewhat unlikely
  • : Somewhat likely
  • : Very likely

H. Credit from suppliers

  • : Very unlikely
  • : Somewhat unlikely
  • : Somewhat likely
  • : Very likely

I. Angel investors, family or friends

  • : Very unlikely
  • : Somewhat unlikely
  • : Somewhat likely
  • : Very likely

J. Government sources

  • : Very unlikely
  • : Somewhat unlikely
  • : Somewhat likely
  • : Very likely

K. Other — specify :

  • : Very unlikely
  • : Somewhat unlikely
  • : Somewhat likely
  • : Very likely

Contact person

Contact person - Question identifier:1

Statistics Canada may need to contact the person who completed this questionnaire for further information.

  • Note: If the contact person is the same as on cover page, please check here.

    Otherwise, who is the best person to contact about this questionnaire?
  • 1: First name
  • 2: Last name
  • 3: Title
  • 4: Email address (Example: user@example.gov.ca)
  • 5: Telephone number (including area code) - Example: 123-123-1234
  • 6: Extension number (if applicable)
  • 7: Fax number (including area code) - Example: 123-123-1234

Feedback

Feedback - Question identifier:1

How long did it take to complete this questionnaire?

  • Note: Include the time spent gathering the necessary information.
  • 1: Hours
  • 2: Minutes

Feedback - Question identifier:2

We invite your comments about this questionnaire.

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