StatCan WxT | Collaborative open source project led by the Government of Canada

Contact (CN)
Household Composition (RS)
Household Composition (HC)
Education (ED)
Activity Limitation (AL)
Dwelling Characteristics (DC)
Facilities Associated with the Dwelling (FD)
Tenure (TE)
Owned Principal Residence (OP)
Purchase and Sale of Owned Principal Residence (PS)
Mortgages on Owned Principal Residences (MT)
Improvements and Repairs of Owned Principal Residences (RR)
Rented Principal Residences (RN)
Utilities and Other Rented Accommodations (UT)
Owned Secondary Residences and Other Properties (OS)
Household Furnishings and Equipment (HF)
Home Operation (HO)
Food and Alcohol (FA)
Clothing for women and girls 4 years and over (CF)
Clothing for men and boys 4 years and over (CM)
Clothing for children under 4 years of age (CC)
Clothing (CG)
Personal and Health Care (PH)
Automobiles and trucks (AT)
Vehicle Expenses (VE)
Transportation (TR)
Recreational Vehicles (RV)
Recreation, Reading Materials and Education (RE)
Tobacco and Miscellaneous (TM)
Personal Income (IN)
Personal Taxes, Security and Money Gifts (TX)
Change in Assets (CA)
Unincorporated Business (UB)
Loans with Regular Payments (LO)
Other Monies Owed (MO)
Statistics Canada (SC)
Summary (SU)
Exit (EX)
Living Quarters (LQ)
Thank You (TY)

Contact (CN)

MU_N01
Interviewer: Do you want to generate multiples?

Yes Multiple Interview
Yes Multiple Dwelling
No (Go to CN_01)

MU_N02
Interviewer: Enter number of multiple (between 1 and 9)

(Number of multiple between 1 and 9)

CN_N01
A header should be displayed at the top of the screen

Telephone Number: (xxx) xxx-1234
Address: xx name of street, apt. number
City
Postal Code

Interviewer: Record method of interview..

Telephone
Personal visit

CN_N02
A header should be displayed at the top of the screen

Telephone Number: (xxx) xxx-1234
Address: xx name of street, apt. number
City
Postal Code

Interviewer: Have you made contact?

Yes (Go to End Block)
No (Go to CAI_SO)

II_R01
Hello, I’m from Statistics Canada. My name is…

LP_Q01
Would you prefer to be interviewed in English or in French?

English (Go to End Block)
French Go to End Block)
Other (Go to LP_N02)

Interviewer: Select respondent’s preferred non official language. If necessary, ask: (What language would you prefer?)

Chinese
Italian
Punjabi
Spanish
Portuguese
Polish
German
Vietnamese
Arabic
Tagalog
Greek
Tamil
Afghan
Cantonese
Hindi
Mandarin
Persian (Farsi)
Russian
Ukrainian
Urdu
Inukitut
Hungarian
Korean
Serbo-Croatian
Gujarati
Dari
Other – Specify (Go to LP_N-2S)

LP_N02S
Interviewer: Specify. (Go to CAI_SO)

IC_R01
The Survey of Household Spending collects information about the spending habits of households. The survey looks at the amount of money households spend on food, clothing, shelter, transportation, health care and other items. Information is also collected about dwelling characteristics, household equipment and appliances owned.

Your answers will be kept strictly confidential and used only for statistical purposes.

While participation is voluntary, your assistance is essential if the results are to be accurate.

(Registration#: STC/HLD-045-60118)

REF_R01
One of our Interviewers previously contacted your household regarding the Survey of Household Spending.

REF_R02
Your participation is essential if the results are to be accurate.
[All information collected in this survey will be kept strictly confidential.]

ARC_R01
One of our Interviewers previously contacted your household regarding the Survey of Household Spending.
I would like to continue the interview where we left off.

LA_N01
Interviewer: Confirm the listing address.
Call the Listing Address block.

TEL_Q01
I would like to confirm your telephone number.
Is it [telephone number]?

Yes (Go to RS)
No
DK , R (Go to RS)

TEL_Q02
What is your telephone number, including the area code?.

Call the North American Telephone block.

CAI_SO
Interviewer: This is the end of the component. Return to previously answered questions to make any necessary corrections, or select <Exit> to exit the component.

Exit

Go To Block RS

Household Composition (RS)

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

Please include everyone who lives here at the time of the interview and everyone who usually lives here, for example, room-mates, students who return from school to live with their parents, or spouse working away from home.

Do not include the persons who have permanently left the household during the year, for example, to get married or because of separation/divorce.

We’ll begin by listing the reference person first. The reference person is the household member that is mainly responsible for the financial maintenance (for example, pays the rent, mortgage, property taxes or electricity). In cases where members equally share the financial responsibility, choose one member to be the household reference person.

PE_Q01
What are the names of all persons who usually live here?
Interviewer: Enter the first name.

PE_Q02
What are the names of all persons who usually live here?
Interviewer: Enter the last name.
(IF 20 PERSONS ARE ENTERED, Go to ANC_Q01)

First Name
Last Name

RS_Q04
Are there any other persons who usually live here but are now away at school, in hospital, or somewhere else?

Yes
No (Go to ANC_Q01)

PE_Q01
What are the names of the other people who live or stay here?
Interviewer: Add a person only if he/she has no other usual residence elsewhere.
Enter the first name.

PE_Q02
What are the names of the other people who live or stay here?
Interviewer: Add a person only if he/she has no other usual residence elsewhere.
Enter the last name.

First Name
Last Name

ANC_Q01
What is the [respondent name]’s date of birth?

Enter the day.
Enter the month.
Enter a four-digit year. (IF ANC_Q01 =2012 Go to SEX_Q01)

ANC_Q02
So [respondent name]’s age on [reference date] was [calculated age]. Is that correct?

Yes (Go to SEX_Q01)
No, return and correct year of birth (Go to ANC_Q01)
No, collect age (Go to ANC_Q03)

ANC_Q03
What is [respondent name]’s age?

Age in years

SEX_Q01
Interviewer: Enter [respondent name]'s sex.
If necessary, ask: (Is [respondent name] male or female?)

Male
Female

CAI_SO
Interviewer: This is the end of the component. Return to previously answered questions to make any necessary corrections, or select <Exit> to exit the component.

Exit

Go to Block HC

Household Composition (HC)

The next section refers to the household composition.

HC_Q020
What is [household member’s first name]’s relationship to [first name of Person No 01]? Is it:

Interviewer:

is assigned to the reference person.
… spouse?
… son/daughter?
… other relative?
not related

HC_Q050
What is [household member’s first name]’s marital status? Is it:

…married spouse of a household member?
…common-law spouse of a household member?
…never married (single)?
…other (separated, divorced or widowed)?

HC_Q060
Economic Family: Economic family refers to a group of two or more persons who live in the same dwelling and are related to each other by blood, marriage, common-law or adoption. A couple may be of opposite or same sex. Foster children are included. For example, unrelated room-mates would have different codes.

Interviewer: Please assign the ‘Economic Family Code’ at time of interview

HC_Q070
Did [respondent name] join the household since January 2012?

Go to Block ED

Education (ED)

The next section refers to level of education – Reference person and spouse only

ED_Q010
What is the highest level of schooling that [Member’s name] received?

Did [Member’s name] receive a:

… less than a high school diploma?
… secondary (high) school diploma or equivalent?
… trade/vocational certificate?
… apprenticeship certificate?
… community college, CEGEP, or nursing school diploma?
… university certificate or diploma below Bachelor's?
… bachelor's degree (B.A., B.Sc., B.Ed.)?
… university degree, certificate or diploma above a Bachelor's (LL.B., M.D., D.D.S., D.M.D., D.V.M., O.D., M.A., M.Sc., M.Ed., Ph.D., D.Sc., D.Ed.)?
Other – Specify (Go to ED_Q010S)

ED_Q010S
Education - (ED)

Interviewer: Specify.

Go To Block AL

Activity Limitation (AL)

The next section refers to activity limitation

AL_Q010
Does any member of this household/Do you have any difficulty hearing, seeing, communicating, walking, climbing stairs, bending, learning or doing any similar activities?

Yes, sometimes
Yes, often
No (Go to AL_Q030)

AL_Q020
Would you tell me who they are?

Interviewer: Mark all that apply

First Name
Last Name

AL_Q030
Does a physical condition or mental condition or health problem reduce the amount or the kind of activity that any member of this household/that you can do at home, at work, at school, or in other activities such as transportation or leisure?

Yes, sometimes
Yes, often
No (Go To Block DC)

AL_Q040
Would you tell me who they are?

Interviewer: Mark all that apply

First Name
Last Name

Go To Block DC

Dwelling Characteristics (DC)

The next section refers to the characteristics of your dwelling.

DC_Q010
Would you describe your dwelling as:

… single detached?
… semi-detached (double)?
… row or terrace?
… duplex?
… apartment in a building that has fewer than five storeys?
… apartment in a building that has five or more storeys?
… hotel, rooming or lodging house, camp, for example, logging, construction?
… mobile home?
Other, Specify (Go to DC_Q010S)

DC_Q010S
Please specify the type of dwelling.

DC_Q020
Is this dwelling part of a condominium development?

DC_Q040
When was this dwelling originally built?

1920 or before
1921-1945
1946-1960
1961-1970
1971-1980
1981-1990
1991-2000
2001-2010
2011
2012
2013

DC_Q050
Is this dwelling in need of any repairs? Do not include desired remodelling or additions.

Yes, major repairs are needed, for example, defective plumbing or electrical wiring, structural repairs to walls, floors or ceilings.
Yes, minor repairs are needed, for example, missing or loose floor tiles, bricks or shingles, defective steps, railings or siding
No, only regular maintenance is needed, for example, painting or furnace cleaning.

DC_Q060
How many rooms are there in this dwelling?

Include kitchen, bedrooms and finished rooms in the attic or basement.
Exclude bathrooms, halls, vestibules and rooms used solely for business purposes.

DC_Q070
How many bedrooms are there in this dwelling?

Include all rooms designated as bedrooms even though the use may be occasional, as in the case of "spare" bedrooms.
Exclude rooms designated as dining rooms, or living rooms which may be used as bedrooms at night.

Interviewer: If a bachelor apartment, enter “0” bedrooms.

DC_Q080
How many bathrooms with a bathtub or shower are there in this dwelling?

DC_Q100
What is the principal heating equipment for this dwelling? Is it:

… steam or hot water system, including boilers?
… forced air furnace?
… heating stove, including wood stove?
… electric heat, including electric baseboard heaters?
Other, Specify (Go to DC_Q100S)

DC_Q100S
Please specify the principal heating equipment.

DC_Q110
How old is this heating equipment?

5 years or less (2008-2013)
6 to 10 years (2003-2007)
11 to 15 years (1998-2002)
16 to 20 years (1993-1997)
Over 20 years (Before 1993)

DC_Q120
What is the principal fuel used to heat this dwelling? Is it:

… oil or other liquid fuel?
… natural gas (piped gas)?
… propane (bottled gas)?
… electricity?
… wood?
Other, Specify (Go to DC_Q120S)

DC_Q120S
Interviewer: Specify.

DC_Q130
What is the principal fuel for the hot water supply? Is it:

… oil or other liquid fuel?
… natural gas (piped gas)?
… propane (bottled gas)?
… electricity?
… Other, Specify (Go to DC_Q130S)
No running hot water

DC_Q130S
Interviewer: Specify.

DC_Q140
What is the principal fuel used for cooking? Is it:

… natural gas (piped gas)?
… propane (bottled gas)?
… electricity?
… Other, Specify (Go to DC_Q140S)

DC_Q140S
Interviewer: Specify

Go To Block FD

Facilities Associated with the Dwelling (FD)

The next section refers to equipment associated with your dwelling, including items you do not own.

FD_Q010
How many of the following items do you have: refrigerators?

FD_Q020
How many of the following items do you have: colour TV sets?

FD_Q030
How many of the following items do you have: VCRs?

FD_Q040
How many of the following items do you have: cell phones for personal use?
Include handheld text messaging devices with cell phone capability.
Exclude cordless phones.

FD_Q050
How many of the following items do you have: telephones, excluding cell phones?
Include phones used for business.

IF 0 Go to FD_Q050S or Else Go to FD_Q060

FD_Q050S
Why is there no telephone?

Interviewer: Specify.

FD_Q060
How many telephone numbers do you have for this dwelling?
Include phone numbers used for business.
Exclude cell phone numbers and pager numbers.

FD_Q070
Do you have: a microwave oven?

FD_Q080
Do you have: a stand alone freezer (which is not part of a refrigerator)?

FD_Q090
Do you have: a dishwasher?

FD_Q100
Do you have: a washing machine inside your dwelling?

FD_Q110
What type of clothes dryer do you have inside your dwelling? Is it:

… an electric clothes dryer?
… a gas clothes dryer?
None

FD_Q120
What type of air conditioning do you have? Is it:

… a window-type air conditioning unit?
… central air conditioning?
None

FD_Q130
Do you have: cable TV?

FD_Q135
Do you have:

… basic cable service?
… extended cable service?
…Other - Specify

FD_Q135S
Interviewer: Specify

FD_Q140
Do you have: a satellite dish?

FD_Q150
Do you have: a compact disc (CD) player?

FD_Q160
Do you have: a DVD player?

FD_Q170
Do you have: a CD writer?

FD_Q180
Do you have: a DVD writer?

FD_Q190
Do you have: a home computer?
Exclude computers used exclusively for business.

FD_Q200
Does anyone in your household use the Internet from home?

Yes
No (Go To Block TE)

FD_Q210
What type of Internet connection do you have? Is it:

Interviewer: If more than one type of connection, mark "Other type of connection" and specify which types.

… regular telephone connection to a computer?
… high-speed telephone connection to a computer?
… cable connection to a computer?
… connection to a television?
… a satellite dish?
… wireless, for example, cell phone, personal digital appliance?
Other type of connection, Specify (Go to FD_Q210S)

FD_Q210S
Interviewer: Specify.

Go To Block TE

Tenure (TE)

The next section refers to the tenure of the dwelling.

TE_Q010
Is your dwelling:

… owned without a mortgage by your household? (Go to TE_Q015)
… owned with a mortgage by your household? (Go to TE_Q015)
… rented by your household? (Go to TE_Q030)
… occupied rent-free by your household, that is, where no member owns the dwelling and no rent is charged?

TE_Q015
If you were to sell your dwelling now, how much would you expect to sell it for?

IF (TE_Q010 = 1 or 2) and DC_Q010 < 5 Go to TE_Q020
Else Go to TE_Q030

TE_Q017
If you were to rent this dwelling today, how much would you expect to rent it for, monthly, unfurnished and without utilities?

IF (TE_Q010 = 1 OR TE_Q010=2) AND
DC_Q010 < 5 Go to TE_Q020
ELSE Go to TE_Q030

TE_Q020
Some homeowners have added an apartment to their homes to accommodate relatives or to rent out to others. Such apartments have their own kitchen and bathroom facilities. Is there an apartment like this in your dwelling?

TE_Q030
In what year did the household move to this dwelling?

TE_Q040
In which month?

Interviewer: Select the month.

If necessary, ask: (What is the month?)

January
February
March
April
May
June
July
August
September
October
November
December

TE_Q080
Were any of the dwellings previously occupied in 2012:
... owned with mortgage by your household?

TE_Q090
Were any of the dwellings previously occupied in 2012:
… owned without a mortgage by your household?

TE_Q100
Were any of the dwellings previously occupied in 2012: rented by your household?

TE_Q110
Were any of the dwellings previously occupied in 2012: occupied rent-free by your household, that is, where no member owned the dwelling and no rent was charged?

IF (TE_Q080=1 OR TE_Q090=1) Go to TE_Q120
Else Go To Block OP

TE_Q120
Were any of the dwellings previously owned and occupied in 2012: sold?

TE_Q130
Were any of the dwellings previously owned and occupied in 2012: rented to others?

TE_Q140
Were any of the dwellings previously owned and occupied in 2012: left vacant?

TE_Q150
Is there any other dwelling status?

Yes (Go to TE_Q150S)
No

IF TE_Q140=1 and TE_Q150=2 Go To TE_Q160
ELSE Go To Block OP

TE_Q150S
Interviewer: Specify.

TE_Q160
For how many months in 2012 was the dwelling left vacant?

TE_R002
In the questions to follow please remember to include any expenditures spent on vacant dwellings, such as mortgage payments, property taxes, repairs and improvements, homeowner’s insurance and condo fees.

Go To Block OP

Owned Principal Residence (OP)

The next section refers to your owned principal residence.

OP_Q010
How many dwellings did members of your household own and occupy in 2012?
Exclude vacation homes, secondary residences and dwellings owned but not occupied by any member of the household in 2012.

IF OP_Q010 = 0 Go to Next Block RN

OP_Q020
For how many months in 2012 did your household own and occupy a principal residence?

OP_Q030
For dwellings owned and occupied in 2012, how much was the: total amount billed for property taxes in 2012?
Include municipal and school taxes, special service charges and local improvements billed in 2012.

IF OP_Q030 = 0 Go to OP_Q030S

OP_Q030S
Please explain why no property taxes were paid.

OP_Q040
For dwellings owned and occupied in 2012, how much was the: total premiums paid in 2012 for homeowners' insurance covering fire, theft and other perils?

OP_Q050
For dwellings owned and occupied in 2012, how much was the: amount paid for condominium fees in 2012?
Include special levies.

OP_Q055
Which of the following services were included in the condominium fees:
Interviewer: Mark all that apply

taxes?
heat?
electricity?
water?
interior insurance?
cable/internet/telephone?
day-to-day care and upkeep of the common property elements (for example, snow removal, landscaping, cleaning of common elements including carpets and exterior windows, heating/cooling system maintenance)?
contributions to reserve fund?
property management fees?
building repair and maintenance?
amenities?
Other – Specify
None of the above

OP_Q060
Were any of the expenses just mentioned (property taxes, homeowners insurance or condo fees) charged against income from business or from rooms rented out?

Yes
No (Go to OP_Q080)

OP_Q070
What amount was charged (against income from your businesses or income from rooms rented out)?
You can report this as an amount or as a percentage.

OP_Q071
Was this an amount or a percentage?

Amount
Percentage

OP_Q080
In 2012, how much did your household spend on: legal charges related to the dwellings?
For example, title searches and mortgage registration fees.

OP_Q090
In 2012, how much did your household spend on: other expenses related to the dwellings, for example, surveying,appraisals, renewal fees and early renewal or closing penalties associated with mortgages?
Include pad rental fees for mobile homes.
Exclude expenses such as mortgage payments, renovations, repairs, rent, utilities, real estate commissions, land transfer taxes, and land registration fees.

IF OP_Q090 > 0 Go to OP_Q090S

OP_Q090S
Interviewer: Specify.

Go To Block PS

Purchase and Sale of Owned Principal Residence (PS)

The next section refers to the purchase and sale of owned principal residence

PS_Q010
Did your household purchase a home in 2012?

Yes
No (Go to PS_Q050)

PS_Q020
Was this purchase made by a person who had never previously owned a dwelling which they occupied?

PS_Q030
What was the purchase price of your home?

Exclude adjustments to property taxes and fuel oil (record in Section OP – Owned Principal Residences and in Section UT – Utilities and Other Rented Accommodation).

PS_Q040
How much was paid for land transfer taxes (Welcome Tax) and land registration fees?

PS_Q050
Did your household sell a home in 2012?

Yes
No (Go to Block MT)

PS_Q060
What was the selling price of your home?

PS_Q070
How much was paid for real estate commissions?

Go To Block MT

Mortgages on Owned Principal Residences (MT)

The next section refers to mortgages on owned principal residences.

Exclude mortgages on rental property, vacation homes, secondary residences and dwellings not occupied at any time in 2012.
Exclude all other loans (record in Section LO – Loans with Regular Payments).

MT_Q001
In 2012, did your household have any mortgages on dwellings which it owned and occupied?

Yes
No (Go to MT_Q370)

MT_Q010
In 2012, did your household make any regular payments on the mortgages?

Yes
No (Go to MT_Q070)

MT_Q020
What was the amount of your regular payment (#1)?
Exclude amounts pertaining to business, for example, part of a duplex.

MT_Q022
In 2012, how many of these payments were made?

MT_Q030
In 2012, were there any other regular payments made on mortgages?

Yes
No (Go to MT_Q070)

MT_Q040
What was the amount of this regular payment (#2)?
Exclude amounts pertaining to business, for example, part of a duplex.

MT_Q042
In 2012, how many of these payments were made?

MT_Q050
In 2012, were there any other regular payments made on mortgages?

Yes
No (Go to MT_Q070)

MT_Q060
What was the amount of this regular payment (#3)?
Exclude amounts pertaining to business, for example, part of a duplex.

Interviewer: If the household reports more than 3 different mortgage payments, enter the total payments here.

MT_Q062
In 2012, how many of these payments were made?

MT_Q070
In 2012, did your household make any irregular and lump sum payments on your mortgage including payments made to close the mortgage?

MT_Q080
What was the amount of your irregular or lump sum payments (#1)?

MT_Q082
In 2012, how many of these payments were made?

MT_Q090
In 2012, did your household make any other irregular or lump sum payments on your mortgage including payments made to close the mortgage?

Yes
No (Go to MT_Q125)

MT_Q100
What was the amount of this irregular or lump sum payment (#2)?

MT_Q102
In 2012, how many of these payments were made?

MT_Q110
In 2012, did your household make any other irregular or lump sum payments on your mortgage including payments made to close the mortgage?

Yes
No (Go to MT_Q125)

MT_Q120
What was the amount of this irregular or lump sum payment (#3)?

Interviewer: If the household reports more than 3 different irregular or lump sum payments, enter the total payments here.

MT_Q122
In 2012, how many of these payments were made?

MT_Q125
What was the total premium paid in 2012 for mortgage life, loan, payment and/or disability insurance?

MT_Q130
Did the mortgage payments include: property taxes?

MT_Q140
Did the mortgage payments just reported include: premiums for mortgage life, loan, payment and/or disability insurance?

MT_Q160
In 2012, were any amounts borrowed?
Include any amounts borrowed if the mortgage was started in 2012 or amounts added if the mortgage was renewed in 2012.
Exclude any amounts pertaining to business, for example, part of a duplex.

Yes
No (Go to MT_Q240)

MT_Q170
What amount was added (#1)?

MT_Q175
In which month was this amount borrowed?

Interviewer: Select the month.

If necessary, ask: (What is the month?)

January
February
March
April
May
June
July
August
September
October
November
December

MT_Q180
Were any other amounts added to your mortgage in 2012?

Yes
No (Go to MT_Q240)

MT_Q190
What amount was added (#2)?

In which month was this amount borrowed?

Interviewer: Select the month.

If necessary, ask: (What is the month?)

January
February
March
April
May
June
July
August
September
October
November
December

MT_Q200
Were any other amounts added to your mortgage in 2012?

Yes
No (Go to MT_Q240)

MT_Q210
What amount was added (#3)?

MT_Q215
In which month was this amount borrowed?

Interviewer: Select the month.

If necessary, ask: (What is the month?)

January
February
March
April
May
June
July
August
September
October
November
December

MT_Q220
Were any other amounts added to your mortgage in 2012?

Yes
No (Go to MT_Q240)

MT_Q230
What amount was added (#4)?
Interviewer: If the household reports more than 4 different amounts added, enter the total amounts here.

MT_Q235
In which month was this amount borrowed?
Interviewer: Select the month.

If necessary, ask: (What is the month?)

January
February
March
April
May
June
July
August
September
October
November
December

MT_Q240
What was the total interest paid on all mortgages in 2012?
Refer to mortgage statements from lenders, if possible.

MT_Q250
What was the total principal paid on all mortgages in 2012?
Refer to mortgage statements from lenders, if possible.

MT_Q260
Interviewer: Did the respondent refer to mortgage statements or electronic records to answer the total interest paid and the total principal paid questions?

MT_R002
We will now be asking balance, interest rate and term information for any mortgages with a balance owing on December 31, 2012.
Please start with the mortgage having the largest balance owing.

Interviewer: Press any key and <Enter> to continue.

MT_Q270
Did your household have any mortgages with a balance owing on December 31, 2012?

MT_Q280
What was the total balance owing for this mortgage?
Where possible, report the balance owing on December 31, 2012. If not possible, report the balance owing on the anniversary date, or at the beginning or the end of the term.
Exclude amounts owing on home equity lines of credit.

MT_Q290
In which of the following groups do you estimate your balance owing is for this mortgage? Was it:

Interviewer: Read categories to respondent.

... less than $25,000?
... $25,000 to less than $50,000?
... $50,000 to less than $75,000?
... $75,000 to less than $100,000?
... $100,000 to less than $150,000?
... $150,000 to less than $200,000?
... $200,000 to less than $250,000?
... $250,000 to less than $300,000?
... $300,000 to less than $500,000?
... $500,000 or more?

MT_Q300
As of what date was this balance owing? Give month and year.

Interviewer: Select the month.

If necessary, ask: (What is the month?)

January
February
March
April
May
June
July
August
September
October
November
December

MT_Q301
As of what date was this balance owing? Give month and year.
Interviewer: Specify year.

MT_Q310
What is the amortization period for the mortgage? That is, the total number of years over which you agreed to pay off the mortgage in full. Is it:

Interviewer: Read categories to respondent.

… less than 10 years
… 10-14 years
… 15-19 years
… 20-24 years
… 25 years
… 30 years
… 35 years
… 40 years
Other - Specify

MT_Q310S
What is the amortization period for the mortgage? That is, the total number of years over which you agreed to pay off the mortgage in full.

Interviewer: Specify.

MT_Q320
What is the current term of the mortgage? Is it:

Interviewer: Read categories to respondent.

… 6 months?
… 1 year?
… 2 years?
… 3 years?
… 4 years?
… 5 years?
… 7 years?
… 10 years?
Other terms - specify

MT_Q320S
What is the current term of the mortgage?

Interviewer: Specify.

MT_Q330
When was the start date of the current term? Give month and year.

Interviewer: Select the month.

If necessary, ask: (What is the month?)

January
February
March
April
May
June
July
August
September
October
November
December

MT_Q331
When was the start date of the current term? Give month and year.

Interviewer: Specify year.

MT_Q340
In which month and year will you need to renew the mortgage?
Give month and year.

Interviewer: Select the month.

If necessary, ask: (What is the month?)

January
February
March
April
May
June
July
August
September
October
November
December

MT_Q341
In which month and year will you need to renew the mortgage?
Give month and year.

Interviewer: Specify year.

MT_Q350
Was the interest rate fixed or variable?

Interviewer: Read categories to respondent.

Fixed rate (the interest rate remains the same over the term of the mortgage)
Variable rate (the interest rate changes over the term of the mortgage)

MT_Q360
What was the interest rate?

Interviewer: Record the interest rate as a percentage.
Remember to always show two numbers after the decimal (8.5% would be captured as 8.50; 10% would be captured as 10.00).

% (Percent)

MT_Q370
In 2012, did your household finance a dwelling it owned and occupied using an arrangement which was not a mortgage?

MT_Q380
What kind of financing was used? Was it:

Interviewer: Read categories to respondent. Mark all that apply.

... a line of credit secured by the dwelling (home equity line)?
... a line of credit secured by another asset (for example, a Guaranteed Investment Certificate (GIC))?
... an unsecured line of credit?
... an on-going all-in-one borrowing arrangement that allows the borrower to choose the amounts and types of borrowing (for example, mortgage, line of credit, personal loan)?
... a personal loan?
Other - Specify

MT_Q380S
What kind of financing was used?

Interviewer: Specify.

MT_Q390
On December 31, 2012, how much did your household owe on the home equity line of credit?

MT_Q400
In 2012, how much interest was paid on the home equity line of credit?

MT_Q410
In 2012, how much principal was paid on the home equity line of credit?

MT_Q420
In 2012, did your household owe more money on the home equity line of credit on January 1st or December 31st?

Owed more on January 1st
Owed more on December 31st
No difference

MT_Q430
How much more was owed on January 1st?

MT_Q440
How much more was owed on December 31st?

MT_Q450
In 2012, were there any other mortgages on dwellings which your household owned and occupied?

MT_Q480
What was the total balance owing for this mortgage?
Where possible, report the balance owing on December 31, 2012. If not possible, report the balance owing on the anniversary date, or at the beginning or the end of the term.

Exclude amounts owing on home equity lines of credit.

MT_Q490
In which of the following groups do you estimate your balance owing is for this mortgage? Was it:

Interviewer: Read categories to respondent.

... less than $25,000?
... $25,000 to less than $50,000?
... $50,000 to less than $75,000?
... $75,000 to less than $100,000?
... $100,000 to less than $150,000?
... $150,000 to less than $200,000?
... $200,000 to less than $250,000?
... $250,000 to less than $300,000?
... $300,000 to less than $500,000?
... $500,000 or more?

MT_Q500
As of what date was this balance owing? Give month and year.

Interviewer: Select the month.

If necessary, ask: (What is the month?)

January
February
March
April
May
June
July
August
September
October
November
December

MT_Q501
As of what date was this balance owing? Give month and year.

Interviewer: Specify year.

MT_Q510
What is the amortization period for the mortgage? That is, the total number of years over which you agreed to pay off the mortgage in full.

Interviewer: Read categories to respondent.

… less than 10 years
… 10-14 years
... 15-19 years
… 20-24 years
... 25 years
… 30 years
… 35 years
… 40 years
Other - Specify

MT_Q510S
What is the amortization period for the mortgage? That is, the total number of years over which you agreed to pay off the mortgage in full.

Interviewer: Specify.

MT_Q520
What is the current term of the mortgage? Is it:

Interviewer: Read categories to respondent.

... 6 months?
... 1 year?
... 2 years?
... 3 years?
... 4 years?
... 5 years?
... 7 years?
... 10 years?
Other terms - Specify

MT_Q520S
What is the current term of the mortgage?

Interviewer: Specify.

MT_Q530
When was the start date of the current term? Give month and year.

Interviewer: Select the month.

If necessary, ask: (What is the month?)

January
February
March
April
May
June
July
August
September
October
November
December

MT_Q531
When was the start date of the current term? Give month and year.

Interviewer: Specify year.

MT_Q540
In which month and year will you need to renew the mortgage?

Interviewer: Select the month.

If necessary, ask: (What is the month?)

January
February
March
April
May
June
July
August
September
October
November
December

MT_Q541
In which month and year will you need to renew the mortgage?

Interviewer: Specify year.

MT_Q550
Was the interest rate fixed or variable?

Interviewer: Read categories to respondent.

Fixed rate (the interest rate remains the same over the term of the mortgage)
Variable rate (the interest rate changes over the term of the mortgage).

MT_Q560
What was the interest rate?

Interviewer: Record the interest rate as a percentage. Remember to always show two numbers after the decimal (8.5% would be captured as 8.50; 10% would be captured as 10.00).

% (Percent)

MT_Q570
In 2012, did your household finance a dwelling it owned and occupied using an arrangement which was not a mortgage?

MT_Q580
What kind of financing was used? Was it:

Interviewer: Read categories to respondent. Mark all that apply.

a line of credit secured by the dwelling (home equity line)?
a line of credit secured by another asset (for example, a Guaranteed Investment Certificate (GIC))?
an unsecured line of credit?
an on-going all-in-one borrowing arrangement that allows the borrower to choose the amounts and types of borrowing (for example, mortgage, line of credit, personal loan)?
a personal loan?
Other - Specify

MT_Q580S
What kind of financing was used?

Interviewer: Specify.

MT_Q590
On December 31, 2012, how much did your household owe on the home equity line of credit?

MT_Q600
In 2012, how much interest was paid on the home equity line of credit?

MT_Q610
In 2012, how much principal was paid on the home equity line of credit?

MT_Q620
In 2012, did your household owe more money on the home equity line of credit on January 1st or December 31st?

Owed more on January 1st
Owed more on December 31st
No difference

MT_Q630
How much more was owed on January 1st?

MT_Q640
How much more was owed on December 31st?

Go To Block RR

Improvements and Repairs of Owned Principal Residences (RR)

The next section refers to spending on Improvements and Repairs of owned principal residences.

Exclude expenses for vacation homes, secondary residences, rented principal residences and other properties.
Exclude expenses charged against business and rental income.
Exclude housekeeping costs, such as rug cleaning and snow removal.

Insurance Settlements
For insurance settlements used to repair or replace property, report the deductible in the appropriate expenditure question.

RR_Q010
In 2012, how much did your household spend on:
… exterior additions or extensions, for example, garages, carports, porches, decks and sheds?
Include all items purchased for the project, no matter how small the cost, such as, lumber, hardware, floor coverings, paint, wallpaper, electrical fixtures and wiring.

RR_Q014
In 2012, did your household have any expenses for roofs?

Exclude expenses that were already reported as a part of a large project such as an addition or extension (record in question RR_Q010).

RR_Q015
How much was spent for complete re-roofing – that is replacing all the shingles or complete re-tarring?

RR_Q016
How much was spent for fixing and maintaining the existing roof?

RR_Q019
In 2012, did your household have any expenses for eavestroughing?

RR_Q020
How much was spent for installing or completely replacing eavestroughing?

RR_Q021
How much was spent for fixing and maintaining existing eavestroughing?

RR_Q024
In 2012, did your household have any expenses for exterior walls, siding, soffits, facia, chimneys and foundations?

RR_Q025
How much was spent for adding or completely replacing exterior walls, siding, soffits, facia, chimneys and foundations?
Exclude chimney cleaning (record in section HF – Household Furnishings and Equipment, question HF_Q540).

RR_Q026
How much was spent for fixing and maintaining existing exterior walls, siding, soffits, facia, chimneys and foundations?
Exclude chimney cleaning (record in section HF – Household Furnishings and Equipment, question HF_Q540).

RR_Q029
In 2012, did your household have any expenses for windows and exterior doors including garage doors?

RR_Q030
How much was spent for adding or replacing windows and exterior doors including garage doors?

RR_Q031
How much was spent for fixing and maintaining existing windows and exterior doors, including garage doors?
Include replacing or repairing door knobs and locks.

RR_Q035
In 2012, did your household have any expenses for fences, driveways, patios, in-ground or above-ground swimming pools, hot tubs and major landscaping projects such as installing a pond?

RR_Q036
How much was spent for installing or completely replacing fences, driveways, patios, in-ground or above-ground swimming pools, hot tubs and major landscaping projects such as installing a pond?
Include complete resodding, shrubs and trees.
Exclude hobby gardening (record in section HO - Home Operation).

RR_Q037
How much was spent for fixing and maintaining existing fences, driveways, patios, in-ground or above-ground swimming pools, hot tubs and ponds?

RR_Q040
In 2012, how much did your household spend on:
… exterior painting or staining, for example, painting or staining doors, garages, decks, porches or fences?

RR_Q045
In 2012, how much did your household spend on:
… septic systems and wells?
Include installation, replacement and repairs.
Do not include pumping services (record in Section UT – Utilities and Other Rented Accommodation, question UT_Q010).

RR_Q050
This next set of questions is about money your household spent on work done to the inside of your dwelling(s) (owned principal residences).

In 2012, how much did your household spend on:
… interior additions or extensions, for example, additional rooms, bathrooms, kitchens, bedrooms, sunrooms?
Include all items purchased for the project, no matter how small the cost, such as, lumber, hardware, floor coverings, paint, wallpaper, electrical fixtures and wiring.
Include built-in appliances.

RR_Q055
In 2012, how much did your household spend on:
… renovating/remodelling of rooms, for example, kitchen, bathroom, and bedrooms?
Include all items purchased for the project, no matter how small the cost, such as, lumber, hardware, floor coverings, paint, wallpaper, electrical fixtures and wiring.
Include built-in appliances.

RR_Q060
In 2012, how much did your household spend on:
... finishing the basement?
Include all items purchased for the project, no matter how small the cost, such as, lumber, hardware, floor coverings, paint, wallpaper, electrical fixtures and wiring.
Include built-in appliances.
Exclude expenses that were already reported as a part of a large project such as an addition, extension or remodelling (record in RR_Q010, RR_Q050, RR_Q055).

RR_Q065
In 2012, did your household have any expenses for a concrete basement floor?

RR_Q066
How much was spent for adding or completely replacing a concrete basement floor?

RR_Q067
How much was spent for fixing and maintaining an existing concrete basement floor?

RR_Q070
In 2012, how much did your household spend on:
… interior walls and ceilings, for example, plastering, drywall, paneling, tiling?

RR_Q075
In 2012, how much did your household spend on:
… interior painting and wallpapering?
Include patching or prepping the walls prior to painting or wallpapering.

RR_Q080
In 2012, did your household have any expenses for hard surface flooring, such as tiling, linoleum and wood floors, and wall-to-wall carpeting?

RR_Q081
How much was spent for installing or completely replacing hard surface flooring, such as tiling, linoleum and wood floors, and wall-to-wall carpeting?
Include underpadding.

RR_Q082
How much was spent for fixing and maintaining existing hard surface flooring, such as tiling, linoleum and wood floors, and wall-to-wall carpeting?
Include re-varnishing hardwood floors.
Exclude carpet cleaning.

RR_Q085
In 2012, did your household have any expenses for interior doors, for example, closet doors, bedroom doors, bathroom doors, French doors, pocket doors?

RR_Q086
How much was spent for adding or replacing interior doors, for example, closet doors, bedroom doors, bathroom doors, French doors, pocket doors?

RR_Q087
How much was spent for fixing and maintaining interior doors, for example, closet doors, bedroom doors, bathroom doors, French doors, pocket doors?
Include replacing or repairing door knobs and door locks.

RR_Q090
In 2012, did your household have any expenses for plumbing fixtures and equipment, for example, faucets, sinks bathtubs, shower units, hot tubs, hot water tanks or water softeners?
Include service contracts.

RR_Q091
How much was spent for installing or completely replacing plumbing fixtures and equipment, for example, new faucets, sinks, bathtubs, shower units, hot tubs, hot water tanks or water softeners?

RR_Q092
How much was spent for fixing and maintaining existing plumbing fixtures and equipment, for example, faucets, sinks, bathtubs, shower units, hot tubs, toilet tanks, hoses, tubing, hot water tanks or water softeners?
Include service contracts

RR_Q095
In 2012, did your household have any expenses for heating and/or air conditioning equipment, for example, furnaces, fireplaces and oil tanks?
Include replacing furnace filters and service contracts.

RR_Q096
How much was spent on installing or completely replacing heating and/or air conditioning equipment, for example, new furnaces, fireplaces and oil tanks?

RR_Q097
How much was spent for fixing and maintaining existing heating and/or air conditioning equipment, for example, furnaces, fireplaces and oil tanks?
Include replacing furnace filters and service contracts.

RR_Q100
In 2012, did your household have any expenses for home security devices?

RR_Q101
How much was spent for installing, upgrading or completely replacing home security devices?
Exclude monitoring services

RR_Q102
How much was spent for fixing and maintaining existing home security devices?
Exclude monitoring services

RR_Q105
In 2012, how much did your household spend on:
... installing or completely replacing a central vacuum?
Exclude repairs

RR_R002
The next set of questions is about money your household spent on work done to the exterior and/or interior of your dwelling(s) (owned principal residences).

RR_Q110
In 2012, how much did your household spend on:
… caulking and weather-stripping, for example, around windows and doors?

RR_Q115
… insulation?

RR_Q118
… electrical fixtures and equipment such as wiring, electrical panel, ceiling fan, built-in ventilation fan, light fixtures, garage door opener, dimmer switches?

RR_Q120
Did your household spend money for any other work to improve or renovate your principal residences in 2012?
Include additions, replacements and new installations of any other equipment or fixtures.

RR_Q130
How much did your household spend for this improvement or renovation?

RR_Q130S
Interviewer: Specify.

RR_Q140
Did your household spend money for any other work to improve or renovate your principal residences in 2012?

RR_Q150
How much did your household spend for this improvement or renovation?

RR_Q150S
Interviewer: Specify.

RR_Q160
Did your household spend money for any other work to improve or renovate your principal residences in 2012?

RR_Q170
How much did your household spend for this improvement or renovation?

RR_Q170S
Interviewer: Specify.

RR_Q180
Your total expenditure for improvements was $ [ImpAlt_TempTot].

Of this amount how much did your household spend on:
… contract work or hired labour?
You can report this as an amount or a percentage.
Include the cost of materials if they were billed with the labour.

RR_Q181
Was this an amount or a percentage?

Amount
Percentage

RR_Q300
Did your household do any other repairs or maintenance work on your principal residences in 2012?

RR_Q310
How much did your household spend for this repair or maintenance?

RR_Q310S
Interviewer: Specify.

RR_Q320
Did your household do any other repairs or maintenance work on your principal residences in 2012?

RR_Q330
How much did your household spend for this repair or maintenance?

RR_Q330S
Interviewer: Specify.

RR_Q340
Did your household do any other repairs or maintenance work on your principal residences in 2012?

RR_Q350
How much did your household spend for this repair or maintenance?

RR_Q350S
Interviewer: Specify.

RR_Q360
Your total expenditure for repairs and maintenance was $ [Repairs_TempTot].

Of this amount how much did your household spend on contract work or hired labour? You can report this as an amount or a percentage.
Include the cost of materials if they were billed with the labour.

RR_Q361
Was this an amount or a percentage?

Amount
Percentage

Rented Principal Residences (RN)

The next section refers to spending on rented principal residences.

Include expenses for principal residences that were occupied rent-free, that is, where no member owned the dwelling and no rent was charged.
Include any expenses that were made by members of your household for dwellings that were used as a principal residence but owned by someone who was not a member of the household.
Include any expenses for households whose usual place of residence is a hotel or boarding house.
Exclude rented vacation homes and accommodation while away at school or working away from home (record in Section UT – Utilities and Other Rented Accommodation, question UT_Q070).

RN_Q010
How many months in 2012 did any member of your household occupy a rented dwelling?

Interviewer: If none, enter “0“. (Go To BlockUT)

RN_Q020
What was the total amount of rent paid in 2012 (for the principal residences which were occupied in 2012)?
Include any part of the dwelling used for businesses or rented to others.
Include amounts paid on behalf of your household.
Include the property taxes paid by this household.

RN_Q030
In 2012, what additional amounts were paid to the landlord that were not included in the payments just reported, for example, security deposits?

RN_Q025
Which of the following services were included in the rental payments:

Interviewer: Mark all that apply

... appliances, furniture, furnishings?
... electricity?
... heat?
... water?
... parking (inside or outside)?
... air conditioning?
... amenities (swimming pool/gym/laundry facilities)?
... cablevision/internet?
Other - Specify
None of the above

RN_Q040
In 2012, how much of the rent which you paid was returned to your household for any reason, for example, rent overpayment, return of security deposit?
Exclude provincial tax credits for rent paid and provincial or municipal rent allowances.

RN_Q060
Was your rent reduced in 2012 for any of the following reasons:

Interviewer: If the principal residence was occupied rent-free mark question RN_Q060 as «2».

government subsidized housing?
Include federal, provincial and municipal programs.
other reasons, for example, services to landlord and company housing?
No reduced rent?

RN_Q070
In 2012, how much did your household spend on: repairs and improvements of rented dwellings occupied in 2012?
Exclude amounts reimbursed by the landlord.

RN_Q080
In 2012, how much did your household spend on: tenants' insurance?

RN_Q090
In 2012, how much did your household spend on: parking at the place of residence?
Exclude any amount that was included in previous answers on rent expenses

RN_Q100
In 2012, was any part of the rent expenses charged against income from businesses owned by the household members or income from rooms rented out?

RN_Q110
What amount was charged against income from your businesses or income from rooms rented out? You can report this as an amount or as a percentage.

RN_Q111
Was this an amount or a percentage?

Amount
Percentage

Utilities and Other Rented Accommodations (UT)

The next section refers to utilities and other rented accommodations for both owners and renters.

Interviewer: If anyone in of the household had expenses related to property owned by someone outside the household and:

if the property was not used as the household's principal residence or for business, then report these expenses as other accommodations (question UT_Q070). For example: A household has used a vacation home owned by a parent and spent money on repairs and utilities.
if the property was used for farming or for other unincorporated business purposes, then deduct allowable expenses from gross income from self-employment when calculating net self-employment income. Report any capital cost allowances (depreciation) to your household business in Section UB – Unincorporated Business, question UB_Q060.

While answering the questions related to water, fuel and electricity:
Include fuel used for barbecues, fireplaces, etc.
Exclude expenses charged against businesses or rental income.
Exclude expenses for vacation homes and secondary residences (record in Section OS – Owned Secondary Residences and Other Accommodation, question OS_Q140).
Exclude camp fuels (record in Section RE – Recreation, Reading Materials and Education, question RE_Q110).

UT_Q010
In 2012, how much did your household spend on: water and sewage charges not included in property tax bill, for example, pumping services?

UT_Q020
In 2012, how much did your household spend on: electricity

UT_Q030
In 2012, how much did your household spend on: natural gas (piped gas)?

UT_Q040
In 2012, how much did your household spend on: other fuel for heating and cooking, for example, oil, propane, wood?

UT_Q050
In 2012, how much did your household spend on: rental of heating equipment?

While answering the questions related to other rented accommodations:
Exclude expenses charged against business income and expenses that will be reimbursed.
Exclude expenses where accommodation was part of the package, for example, combined with transportation, food or entertainment (record in Section RT – Recreational Vehicles and Transportation Services – Package Trips, question RT_Q110).
Exclude meals purchased separately (record in Section FA – Food and Alcohol, question FA_Q080).
Exclude rent expenses for households whose usual place of residence is a hotel, boarding house, etc. (record in Section RN - Rented Principal Residences).

UT_Q060
In 2012, while away from home overnight or longer, how much did your household spend on: hotels and motels?

UT_Q070
In 2012, how much did your household spend on: other accommodations, such as vacation home rentals, campground fees, accommodations while away at school or working away from home?

UT_Q080
How much of the amount reported for the hotels, motels or any other rental accommodations was spent in this province? You can report this as an amount or as a percentage.

IF UT_Q080 = 0, Go to Block OS

UT_Q081
Was this an amount or a percentage?

Amount
Percentage

Go To Block OS

Owned Secondary Residences and Other Properties (OS)

The next section refers to spending on owned secondary residences and other properties.

Interviewers: These questions are asked of both owners and renters.

OS_Q010
In 2012, did anyone in your household own a vacation home or other secondary residence?
Include time-shares and properties outside of Canada.
Exclude moveable vacation homes, for example, trailers, motor homes, etc. (record in Section RV – Other recreational vehicles, Question RV_Q010).
Exclude expenses charged against business or rental income.

Yes
No (Go to OS_Q160)

OS_Q020
In 2012, did anyone in your household purchase a vacation home or other secondary residence?

Yes
No (Go to OS_Q040)

OS_Q030
What was the purchase price?

OS_Q040
In 2012, how much money was borrowed for expenses associated with this dwelling?
Include purchase as well as mortgage and other financial obligations.

OS_Q050
How much were the mortgage payments in 2012?
Exclude payments made at time of sale.

OS_Q060
In 2012, did anyone in your household sell any vacation home or other secondary residence?

Yes
No (Go to OS_Q100)

OS_Q070
What was the selling price?

OS_Q080
What was the net amount received from the sale?

Interviewer: The net amount is the selling price less the amount paid on the outstanding mortgage and the real estate commissions.

OS_Q090
What were the real estate commissions?

OS_Q100
In 2012, how much did your household spend on: repairs and maintenance?

OS_Q110
In 2012, how much did your household spend on: improvements and alterations?

OS_Q120
In 2012, how much did your household spend on:
… property taxes and sewage charges?

OS_Q130
In 2012, how much did your household spend on:
… property insurance?

OS_Q140
In 2012, how much did your household spend on: Utilities, such as, electricity, water and fuel?

OS_Q150
In 2012, how much did your household spend on: other expenses associated with the property, for example, condominium charges, survey costs, legal fees, premiums for mortgage life, loan, payment or disability insurance?

OS_Q160
In 2012, did anyone in your household own any other property, such as, land, a vacant lot or vacant dwelling?
Exclude principal and secondary residences, rental or other business property, and farm property.

Yes
No (Go to Block HF)

OS_Q170
Were any of these properties purchased in 2012?

Yes
No (Go to OS_Q190)

OS_Q180
What was the purchase price?

OS_Q190
In 2012, how much money was borrowed for expenses associated with this other property (including purchase)?

OS_Q200
How much were the mortgage payments in 2012?
Exclude payments made at time of sale.

OS_Q210
In 2012, did anyone in your household sell any other property?

Yes
No (Go to OS_Q250)

OS_Q220
What was the selling price?

OS_Q230
What was the net amount received from the sale?
Interviewer: The net amount is the selling price less the amount paid on the outstanding mortgage and real estate commissions.

OS_Q240
What were the real estate commissions?

OS_Q250
How much did your household spend on repairs and improvements to the property in 2012?
For example, servicing of land including utilities, roads, sewers.

OS_Q260
How much was spent in 2012 on other expenses associated with the property?
For example, property taxes, survey costs, appraisal fees, utilities.

Go To Block HF

Household Furnishings and Equipment (HF)

The next section refers to spending on household furnishings and equipment.

Include purchases for use in principal residences, vacation homes or in other accommodations.
Exclude expenses charged against business income.

Household Furnishings, Art and Antiques

HF_Q010
In 2012, how much did your household spend on: mattresses and furniture for indoor or outdoor use?
Include the cost of home-made or home-finished furnishings.
Exclude rentals (record in question HF_Q540).

HF_Q020
In 2012, how much did your household spend on: glass mirrors, mirror frames and picture frames?

HF_Q030
In 2012, how much did your household spend on: lamps and lampshades?
Exclude light fixtures (record in Section RR - Repairs and Improvements of Owned Principal Residences).

HF_Q040
In 2012, how much did your household spend on: rugs, mats and underpadding?
Exclude wall-to-wall carpeting (record in Section RR - Repairs and Improvements of Owned Principal Residences).

HF_Q050
In 2012, how much did your household spend on: window coverings, and household textiles?
For example, curtains, blinds, bedding, towels, tablecloths, cushions, bathroom accessories?
Include cloth material used to make household furnishings.

HF_Q060
In 2012, how much did your household spend on: works of art, carvings and other decorative ware?
For example, vases, candlesticks, figurines, wall hangings.

HF_Q070
In 2012, how much did your household spend on: antiques, for example, furniture and jewellery that are at least 100 years old?

HF_Q080
In 2012, how much did your household spend on: maintenance and repair of furniture, carpeting and household textiles?
Include cleaning of carpets and furniture.
Include re-upholstering of furniture.

Home Electronics and Communications Equipment – Audio, Video and Other Home Entertainment Equipment

HF_Q090
In 2012, how much did your household spend on:
...home theatre systems?

HF_Q100
In 2012, how much did your household spend on:
...portable audio equipment, for example, MP3 players, portable radios, etc. ?

HF_Q102
In 2012, how much did your household spend on:
...non-portable audio equipment?
Do not include home theatre systems.
Do not include portable audio equipment.

HF_Q104
In 2012, how much did your household spend on:
...Blu-ray players?
Do not include home theatre systems.

HF_Q106
In 2012, how much did your household spend on:
... CD players and DVD players?
Do not include home theatre systems.
Do not include Blu-ray players.

HF_Q108
In 2012, how much did your household spend on:
…televisions, video recorders and other television/video components?
Do not include home theatre systems.

HF_Q110
In 2012, how much did your household spend on: video game systems, accessories and video game cartridges?

HF_Q120
In 2012, how much did your household spend on: pre-recorded DVDs, CDs, video and audio cassette tapes, video discs and downloads of audio or video?

HF_Q130
In 2012, how much did your household spend on: blank video and audio cassette tapes, blank CDs, blank DVDs and diskettes?

HF_Q135
Earlier you reported you do not own a computer - did your household have any expenses for computer hardware, software, supplies or equipment during 2012?
Remember to include purchases made as gifts.

Yes
No (Go to HF_Q170)

Home Electronics and Communications Equipment – Computer Equipment

HF_Q140
In 2012, how much did your household spend on: computer hardware purchases?
For example, desktop computer systems, laptops, handhelds, peripherals and parts purchased separately, for example, monitors, keyboards, disk drives, printers, mouses.

HF_Q150
In 2012, how much did your household spend on: computer software purchases?
For example, operating systems, word processing, spreadsheets, utilities programs, pc-games and multimedia software.
Include downloaded software.

HF_Q160
In 2012, how much did your household spend on: computer supplies and other equipment?
For example, printer paper, printer cartridges, CD or diskette storage units.
Exclude blank CDs, DVDs, and diskettes (record in question HF_Q130).

Home Electronics and Communications Equipment – Communications Equipment

HF_Q170
In 2012, how much did your household spend on: purchase of telephones, cell phones, fax machines, answering machines, pagers or handheld text messaging devices?

Home Electronics and Communications Equipment – Communications Services

HF_Q180
In 2012, did your household pay for two or more of the following services as a package or ‘bundled services’: telephone, cell phone, cablevision, satellite TV, Internet or security systems?

Yes
No (Go to HF_Q190)

HF_Q181
Which services were included?

Interviewer: Mark all that apply.

… telephone land line (including long distance)?
… cell phone?
… cablevision?
… satellite TV?
… Internet access (including virus services)?
…security systems?
Other – Specify (Go to HF_Q181S)

HF_Q181S
Interviewer: Specify

HF_Q181A
Can you provide the breakdown of the expenses?

Yes (Go to HF_Q190B)
No (Go to HF_Q182)

HF_Q182
What were your total expenses for these combined services?

HF_Q190
In 2012, how much did your household spend on the following services (exclude any amounts already reported as a package or ‘bundled services’): telephone services?
Include land-line basic and enhanced feature service charges, long distance charges after discounts, installation, equipment rentals, calls from hotels and pay phones, and phone cards.
Exclude Internet charges (record in HF_Q230) and cell phone charges (record in HF_Q200).

HF_Q200
In 2012, in addition to these combined services, how much did your household spend on: cell phone, pager, and handheld text messaging services?

HF_Q210
In 2012, in addition to these combined services, how much did your household spend on: rental of cablevision services?
Include installation, service charges and pay TV.

HF_Q220
In 2012, in addition to these combined services, how much did your household spend on: rental of satellite TV and radio services?
Include installation, service charges and pay TV.

HF_Q230
In 2012, in addition to these combined services, how much did your household spend on: Internet access services?
Include regular dial-up, medium and high-speed telephone and cable access and any other access method.

HF_Q235
In 2012, in addition to these combined services, how much did your household spend on: home security services?

HF_Q190B
In 2012, how much did your household spend on the following services (include all amounts whether they were paid separately or were part of a ‘bundled service’):
… telephone services?
Include land-line basic and enhanced feature service charges, long distance charges after discounts, installation, equipment rentals, calls from hotels and pay phones, and phone cards.
Exclude Internet charges (record in HF_Q230) and cell phone charges (record in HF_Q200).

HF_Q200B
In 2012, how much did your household spend on the following services (include amounts paid separately and those that were part of a ‘bundled service’): cell phone, pager, and handheld text messaging services?

HF_Q210B
In 2012, how much did your household spend on the following services (include amounts paid separately and those that were part of a ‘bundled service’): rental of cablevision services?
Include installation, service charges and pay TV.

HF_Q220B
In 2012, how much did your household spend on the following services (include amounts paid separately and those that were part of a ‘bundled service’): rental of satellite TV and radio services?
Include installation, service charges and pay TV.

HF_Q230B
In 2012, how much did your household spend on the following services (include amounts paid separately and those that were part of a ‘bundled service’): Internet access services?
Include regular dial-up, medium and high-speed telephone and cable access and any other access method.

HF_Q235B
In 2012, how much did your household spend on the following services (include amounts paid separately and those that were part of a ‘bundled service’): home security services?

HF_Q240
In 2012, how much did your household spend on: rental of DVDs, videotapes, videodiscs, and video games?

HF_Q250
In 2012, in addition to these combined services, how much did your household spend on: on-line services?
For example, subscriptions to Internet-based stock trading, information services, genealogy data bases, or other Internet-based services.
Exclude Internet versions of newspapers and magazines (record in Section RE – Recreation, Reading Materials and Education, questions RE_Q220 and RE_Q230).

HF_Q260
In 2012, in addition to these combined services, how much did your household spend on: maintenance and repair of audio, video, computer and communication equipment?
Include service contracts.

HF_Q270
In 2012, in addition to these combined services, how much did your household spend on: rental of audio, video, computer and communications equipment and other services related to home electronics equipment and supplies not reported elsewhere?
Exclude rental of telephones (record in question HF_Q190) and video games (record in question HF_Q240).

If HF_Q270 >0, Go to HF_Q270S

HF_Q270S
Interviewer: Specify

Major Household Appliances

HF_Q285
In 2012, did your household make any purchases of any appliances (excluding central vacuums)?
For example, refrigerators, freezers, stoves, ovens, microwaves, dishwashers, washers, dryers, sewing machines, vacuum cleaners, etc.

Yes
No (Go to HF_Q360)

HF_Q290
In 2012, how much did your household spend on: refrigerators and freezers?

HF_Q300
In 2012, how much did your household spend on: microwave ovens?

HF_Q310
In 2012, how much did your household spend on: cooking equipment?
For example, stoves, ranges, convection ovens, barbecues.
Exclude electric grills (record in question HF_Q400).

HF_Q320
In 2012, how much did your household spend on: washers and dryers?

HF_Q330
In 2012, how much did your household spend on: sewing machines, vacuum cleaners and other rug cleaning equipment?
Exclude central vacuums.

HF_Q350
In 2012, how much did your household spend on:
… dishwashers?

HF_Q360
In 2012, how much did your household spend on:
… room air conditioners, portable humidifiers and dehumidifiers?

HF_Q370
In 2012, how much did your household spend on: attachments and parts purchased separately for major household appliances?
Include vacuum cleaner bags.

HF_Q380
In 2012, how much did your household spend on: maintenance and repair of major household appliances?
Include service contracts.

HF_Q389
Did your household sell any major household appliances?
Exclude appliances that were traded-in.

Yes
No (Go to HF_Q400)

HF_Q390
What was the total amount received in 2012?

Small Electrical Appliances

HF_Q400
In 2012, how much did your household spend on:
… electric food preparation appliances?
For example, toasters, coffee makers, kettles, processors, blenders, electric knives, bread makers, electric grills.

HF_Q410
In 2012, how much did your household spend on:
… electric hairstyling and personal care appliances?
For example, dryers, clippers, razors, vaporisers, heating pads.
Exclude butane and other non-electric hairstyling equipment (record in Section PH - Personal and Health Care, question PH_Q080).

HF_Q420
In 2012, how much did your household spend on: all other electric appliances and equipment?
For example, irons, floor polishers, fans, electric blankets, can openers, extension cords, portable electric space heaters, water dispensers, water coolers, built-in fans, light fixtures and garage door openers.

Equipment for Serving and Preparing Food

HF_Q430
In 2012, how much did your household spend on: cutlery, flatware and silverware?
Exclude disposable tableware (record in Section HO – Home Operation, question HO_Q175).

HF_Q440
In 2012, how much did your household spend on: non-electric kitchen and cooking equipment?
For example, tableware, pots, pans, mixing bowls, chopping boards, canisters, food keepers, spice racks, food choppers,
measuring cups.

HF_Q445
In 2012, did your household have any expenses for tools or equipment for lawn, garden or snow removal?
For example, lawn mowers, snow blowers, hoses, sprinklers, shovels and other garden tools.

Yes
No (Go to HF_Q470)

HF_Q450
In 2012, how much did your household spend on: power lawn, garden and snow removal equipment?
For example, mowers, tractors, snow blowers, tillers, hedge trimmers.

HF_Q460
In 2012, how much did your household spend on: all other lawn, garden and snow removal tools and equipment, attachments, accessories, parts purchased separately?
Include non-power lawn mowers, hoses, sprinklers, clippers, shovels, flower pots, stakes, sprayers, spreaders.
Exclude flowers and garden supplies (record in Section HO – Home Operation).

Workshop/Garage Tools and Equipment

HF_Q470
In 2012, how much did your household spend on: power tools and equipment?
For example, electric drills, circular saws, sanders, jigsaws, motors, pumps.

HF_Q480
In 2012, how much did your household spend on: all other tools, for example, ladders, hammers, screwdrivers, measuring tools, tool chests, workbenches, hand saws, soldering irons, scissors, saw blades, drill bits?

Other Household Equipment

HF_Q490
In 2012, how much did your household spend on: non-electric cleaning equipment?
For example, brooms, mops, dish racks, paint rollers, pails, garbage cans.

HF_Q500
In 2012, how much did your household spend on: luggage?
For example, suitcases, briefcases, trunks, baby carriers.

HF_Q510
In 2012, how much did your household spend on: home security equipment?
For example, portable smoke detectors, fire extinguishers, burglar alarms, padlocks, safes and security boxes, escape ladders.
Exclude security services (record in question HF_Q235) and built-in devices (record in Section RR - Repairs and Improvements of Owned Principal Residences, question RR_Q100).

HF_Q520
In 2012, how much did your household spend on: all other household equipment, parts and accessories, for example, clocks, timers, ironing boards, calculators, strollers, house decorations, artificial Christmas trees?
Include non-clinical thermometers, clothes lines, laundry baskets, drapery hardware, hangers, fireplace tools, flashlights and silk flowers.

Service Related to Household Equipment

HF_Q530
In 2012, how much did your household spend on: maintenance and repair of household equipment not previously reported?
Exclude major home appliances and home entertainment equipment.

HF_Q540
In 2012, how much did your household spend on: all other services related to household furnishings and equipment?
For example, the making of keys and draperies, the installation of stoves and draperies, rental of household furnishings, appliances and equipment.
Exclude rental of home entertainment equipment (record in Section HF – Household Furnishings and Equipment, question HF_Q270).

Go To Block HO

Home Operation (HO)

The next section refers to home operation.

HO_Q010
In 2012, how much did your household spend on: postage stamps and other postal and delivery services?
Include registered mail, special delivery mail, post office boxes, telegrams, couriers, fax services and parcel delivery.

HO_Q015
In 2012, did your household have any expenses for child care (including expenses made for someone else’s children)?
Include day care and occasional babysitting inside or outside your home.
Exclude children's camps, for example, day camps, summer camps (record in Section RE- Recreation, Reading Materials and Education, Recreation Services, question RE_Q200).

Yes
No (Go to HO_Q050)

HO_Q020
In 2012, how much did your household spend on: day care centres?

HO_Q030
In 2012, how much did your household spend on: other child care outside the home?
Exclude children's camps, for example, day camps, summer camps (record in Section RE- Recreation, Reading Materials and Education, Recreation Services, question RE_Q200).

HO_Q040
In 2012, how much did your household spend on: child care in the home?

HO_Q050
In 2012, how much did your household spend on: expenses for domestic help?
For example, housekeepers, cleaners, house-sitters?

HO_Q060
In 2012, how much did your household spend on: horticultural services, snow and garbage removal?
For example, groundskeeping, planting, pruning, tree removal, spraying, consulting services, soil and plant testing, landscape design services?

HO_Q070
In 2012, how much did your household spend on: nursery and greenhouse stock, cut flowers, floral arrangements and decorative plants?
Include shrubs, trees, bulbs, seeds, sod, real Christmas trees, dried arrangements, funeral, wedding and other fresh flower arrangements.

Flowers and Garden Supplies

HO_Q080
In 2012, how much did your household spend on: fertilizers, herbicides, pesticides, soils and soil conditioners?

HO_Q085
Did your household have any pet expenses in 2012?
For example, pet food, bird seed, purchases of pets, pet-related goods, veterinarian services, kennels, grooming.

Yes
No (Go to HO_Q130)

HO_Q090
In 2012, how much did your household spend on: pet food?
Include birdseed.

HO_Q100
In 2012, how much did your household spend on: purchase of pets and pet-related goods?
For example, leashes, litter, collars, aquariums, grooming equipment and doghouses?

HO_Q120
In 2012, how much did your household spend on: veterinarian services and kennels, grooming and other pet- related services?

HO_Q130
In 2012, how much did your household spend on: laundry and dry-cleaning services?
Include diaper service.

HO_Q140
In 2012, how much did your household spend on: coin-operated washers and dryers, and self-service dry-cleaning?

Household Supplies

HO_Q150
In 2012, how much did your household spend on: detergent and other soap?
For example, laundry detergent, liquid detergent and automatic dishwasher detergent?

HO_Q155
In 2012, how much did your household spend on: other household cleaning supplies, for example, cleaners, waxes, bleach, fabric softeners, oven cleaners and drain cleaners?

HO_Q160
In 2012, how much did your household spend on: stationery supplies?
For example, giftwrap, greeting cards, writing paper, pens, markers, binders, tape?
Exclude school supplies (record in Section RE- Recreation, Reading Materials and Education, Education, questions RE_Q290 and RE_Q320).

HO_Q170
In 2012, how much did your household spend on: other paper supplies, for example, facial tissue, paper towels, and paper napkins?

HO_Q175
In 2012, how much did your household spend on: plastic and foil supplies, for example, waxed paper, foil and plastic wraps, disposable plates and cutlery and garbage bags?

HO_Q180
In 2012, how much did your household spend on: other household supplies, for example, light bulbs, dry cell batteries, candles, water softener salt, ice, road salt, adhesives, string, lawn mower gas?

Go To Block FA

Food and Alcohol (FA)

The next section refers to your food and alcohol purchases.

FA_Q010
In 2012, how much did your household spend on food purchased from any types of stores, farmer stalls and home delivery?
Exclude non-food items bought with your groceries.
Exclude bulk purchases of food for canning, freezing, etc. (record in question FA_Q030).
Exclude food purchases made while away from home overnight or longer (record in question FA_Q050).

Interviewer:
To get an annual expenditure, it may help to consider how much the regular grocery shopping is, how many times in a month the grocery shopping is done, and how much is for non-food items.

Remember to include food purchases at supermarkets, convenience stores, specialty stores, farmer’s stalls and any other type of stores.

FA_Q030
What additional amounts did your household spend on: bulk food purchases, for example, meat in excess of 25 kg (55 lb.), bulk quantities of produce for freezing?
Include charges for cutting, wrapping and freezing.

FA_Q040
What additional amounts did your household spend on: prepared food and non-alcoholic beverages for parties or weddings not already reported?

FA_Q050
What additional amounts did your household spend on: food and non-alcoholic beverages purchased from stores while away from home overnight or longer?

FA_Q060
How much did your household spend on alcoholic beverages purchased from stores?
For example, liquor stores, beer stores, wine stores, grocery stores.
Exclude non-alcoholic beer and wine (record in question FA_Q010).

FA_Q070
How much did your household spend on supplies and fees for self-made beer, wine or liquor?

FA_Q080
How much did your household spend on meals and snacks?
Include purchases in restaurants, drive-ins, cafeterias, take-outs, canteens, catering in restaurants and hotels.
Exclude alcoholic beverages (record in question FA_Q100).

FA_Q090
What amount was spent in this province?
You can report this as an amount or as a percentage.

If FA_Q090 = 0 or NonResponse, Go To FA_Q100

FA_Q091
Was this an amount or a percentage?

Amount
Percentage

FA_Q100
How much did your household spend on alcoholic beverages purchased and consumed in bars, cocktail lounges and restaurants?
Include all taxes and tips.

If FA_Q100 = 0 or NonResponse, Go To FA_Q120

FA_Q110
What amount was spent in this province?
You can report this as an amount or a percentage.

FA_Q111
Was this an amount or a percentage?

Amount
Percentage

FA_Q120
How much board did your household pay to other private households: for day board and children's lunches?
Exclude board paid while away from home overnight or longer (record in question FA_Q130).
Exclude child care expenses (already reported in the Home Operation Section).

FA_Q130
How much board did your household pay to other private households: while away from home overnight or longer?

Go To Block CF

Clothing for women and girls 4 years and over (CF)

The next section refers to spending on clothing for women and girls 4 years and over on December 31, 2012.

Include all items purchased for present or future use.
Exclude purchases for unborn children (report in CG_Q030).
Exclude gifts of clothing, footwear, accessories and jewellery for
Persons who were not household members (record in Section CG - Clothing - Gifts of Clothing, question CG_Q010).

Interviewer: Ask all detailed questions (CF_Q010 to CF_Q045) for each person. The question (CF_Q050) should be used to record the total amount spent for clothing expenditures for each person when the respondent cannot provide detailed clothing expenditures

CF_Q010
In 2012, how much did [Member’s first name] spend on: clothing, for example, outerwear, suits, dresses, skirts, slacks, sweaters, sleepwear, sportswear, specialized clothing, hosiery?
Exclude footwear and accessories.

CF_Q020
In 2012, how much did [Member’s first name] spend on: athletic footwear including running shoes?

CF_Q025
In 2012, how much did [Member’s first name] spend on: other footwear, for example, shoes, sandals, boots and slippers?

CF_Q030
In 2012, how much did [Member’s first name] spend on: accessories, for example, gloves, hats, mitts, purses, umbrellas?

CF_Q040
In 2012, how much did [Member’s first name] spend on: watches?

CF_Q045
In 2012, how much did [Member’s first name] spend on: Other jewellery?

CF_Q050
What was the total amount spent on clothing for [Member’s first name]?

Go To Block CM

Clothing for men and boys 4 years and over (CM)

The next section refers to spending on clothing for men and boys 4 years and over on December 31, 2012.

Include all items purchased for present or future use.
Include sales taxes.
Exclude purchases for unborn children (report in CG_Q030).
Exclude gifts of clothing, footwear, accessories and jewellery for persons who were not household members (record in Section CG - Clothing - Gifts of Clothing, question CG_Q020).

Interviewer: Ask all detailed questions (CM_Q010 to CM_Q045) for each person. The question (CM_Q050) should be used to record the total amount for clothing expenditures for each person when the respondent cannot provide detailed clothing expenditures

CM_Q010
In 2012, how much did [Member’s first name] spend on: Clothing, for example, outerwear, suits, pants, shirts, sweaters, socks, sleepwear, sportswear.
Exclude footwear and accessories.

CM_Q020
In 2012, how much did [Member’s first name] spend on: athletic footwear including running shoes?

CM_Q025
In 2012, how much did [Member’s first name] spend on: other footwear, for example, shoes, sandals, boots and slippers?

CM_Q030
In 2012, how much did [Member’s first name] spend on: accessories, for example, gloves, hats, ties, belts, wallets, umbrellas?

CM_Q040
In 2012, how much did [Member’s first name] spend on: watches?

CM_Q045
In 2012, how much did [Member’s first name] spend on: other jewellery?

CM_Q050
What was the total amount spent on clothing for [Member’s first name]?

Go To Block CC

Clothing for children under 4 years of age (CC)

The next section refers to spending on clothing for children under 4 years on December 31, 2012.

Include all items purchased for present or future use.
Include sales taxes.
Exclude purchases for unborn children (report in CG_Q030)
Exclude gifts of clothing, footwear, accessories and jewellery for persons who were not household members (record in Section CG -Clothing - Gifts of Clothing, question CG_Q030).

Interviewer: Ask all detailed questions (CC_Q010 to CC_Q030) for each person. The question (CC_Q040) should be used to record the total amount for clothing expenditures for each person when the respondent cannot provide detailed clothing expenditures.

CC_Q010
In 2012, how much was spent on: Outerwear, daywear, sleepwear, and cloth diapers?

CC_Q020
In 2012, how much was spent on: Disposable diapers?

CC_Q030
In 2012, how much was spent on: Footwear, for example, shoes, sandals, boots, slippers?

CC_Q040
What was the total amount spent on clothing for this person?

Go To Block CG

Clothing (CG)

The next section refers to purchases of gifts of clothing for people who were not members of your household and spending on clothing materials and services.

CG_Q010
In 2012, how much did your household spend to purchase gifts of clothing, footwear, accessories or jewellery for people who were not members of your household: for women and girls who were 4 years and over on December 31, 2012?

CG_Q020
In 2012, how much did your household spend to purchase gifts of clothing, footwear, accessories or jewellery for people who were not members of your household: for men and boys who were 4 years and over on December 31, 2012?

CG_Q030
In 2012, how much did your household spend to purchase gifts of clothing, footwear, accessories or jewellery for people who were not members of your household: for children who were under 4 years on December 31, 2012?
Include purchases for unborn children.

CG_Q040
In 2012, how much did your household spend on:
… clothing material, yarn, thread and other notions?
Exclude craft yarn (record in Section RE – Recreation, Reading Materials and Education - Other Recreation Equipment, question RE_Q070) and cloth for curtains, draperies and furnishings (record in Section HF - Household Furnishings and Equipment – Household Furnishings, Art and Antiques, question HF_Q050).

CG_Q060
In 2012, how much did your household spend on: other clothing services for example, dressmaking, tailoring, clothing storage, rental of clothing and costumes, engraving of jewellery, and maintenance, repair and alteration of clothing, footwear, watches and jewellery?
Exclude laundry and dry cleaning (record in Section HO – Home Operation – Cleaning Services, questions HO_Q130 or HO_Q140).

Go To Block PH

Personal and Health Care (PH)

The next section refers to spending on personal and health care.

PH_Q010
In 2012, how much did your household spend on: hair grooming services?
Include washing, cutting, styling, perming and colouring of hair.
Include tips.

PH_Q020
In 2012, how much did your household spend on: other personal care services?
Include hair removal, manicures, facials and tanning salons.
Include tips.

PH_Q030
In 2012, how much did your household spend on: hair care products?
For example, shampoos, conditioners, rinses, sprays, mousses, gels, home permanents and dyes.

PH_Q040
In 2012, how much did your household spend on: makeup, skin care and manicure products?

PH_Q050
In 2012, how much did your household spend on: fragrance products?
For example, perfume, cologne, body powders and pre-shave and after-shave products.

PH_Q060
In 2012, how much did your household spend on: personal deodorants and bar or liquid soap, shaving cream, sunscreen and suntan lotions, insect repellents, depilatory products, body and foot powders and other toiletry preparations?

PH_Q070
In 2012, how much did your household spend on: oral hygiene products?
For example, toothpaste, dental floss, mouthwash, denture cleaner and adhesives.

PH_Q080
In 2012, how much did your household spend on: personal care supplies and equipment, for example, brushes, wigs, hair scissors, razors, razor blades?
Include butane hairstyling equipment.
Exclude electric equipment (record in Section HF- Household Furnishings and Equipment, question HF_Q410).

PH_Q090
In 2012, how much did your household spend on premiums for: provincially or territorially administered hospital, medical and drug plans?

PH_Q100
In 2012, how much did your household spend on premiums for: private health insurance plans?
Include supplementary coverage to public hospital and medical plans for example, cost upgrades for private or semi-private beds, drugs, extended health benefit packages, drug plans, out-of-country or visitors' benefits.

PH_Q110
In 2012, how much did your household spend on premiums for: dental plans sold as separate policies?

PH_Q120
In 2012, how much did your household spend on premiums for: accident or disability insurance?

For the remaining questions include direct costs incurred by household members for all personal health care received.
Include amounts not covered by insurance such as exclusions, deductibles and expenses over limits.
Exclude payments for which you have been or will be reimbursed.

PH_Q130
In 2012, what were the direct costs to members of your household for: prescription eye wear, for example, contact lenses, eyeglasses, insurance on lenses?

PH_Q140
In 2012, what were the direct costs to members of your household for: other eye care goods, for example, non-prescription eye wear, eyeglass cases, supplies for contact lenses?

PH_Q150
In 2012, what were the direct costs to members of your household for: eye care services, for example, eye exams, eye surgery, laser surgery?

PH_Q160
In 2012, what were the direct costs to members of your household for: dental services and orthodontic and periodontal procedures?
For example, examinations, cleanings, fillings, extractions, x-rays, root canals, fittings and prescriptions for dentures.

PH_Q170
In 2012, what were the direct costs to members of your household for: physicians' care?
Include general practitioners and specialists.

PH_Q180
In 2012, what were the direct costs to members of your household for: hospital care, nursing homes, and other residential health care facilities?
Include all charges, for example, telephone, TV rentals, etc.

PH_Q190
In 2012, what were the direct costs to members of your household for: health care practitioners in the home, for example, nurses, attendant care, physiotherapists?

PH_Q200
In 2012, what were the direct costs to members of your household for: other health care practitioners, for example, nurses, therapists, chiropractors, osteopaths, podiatrists, physiotherapists, homeopaths and naturopaths?

PH_Q210
In 2012, what were the direct costs to members of your household for: other medical services, for example weight control programs, quit-smoking programs, ambulances, rental of medical equipment, laboratory services?

PH_Q220
In 2012, what were the direct costs to members of your household for: prescribed medicines, drugs and pharmaceutical products?

PH_Q230
In 2012, what were the direct costs to members of your household for: non-prescribed medicines, drugs and pharmaceutical products, for example, headache or pain remedies, herbal and homeopathic remedies, vitamins?

PH_Q240
In 2012, what were the direct costs to members of your household for: health care supplies and goods, for example, first aid kits, bandages, hearing aids, thermometers, wheelchairs and other appliances, bathroom scales, elastic hosiery?

Go To Block AT

Automobiles and trucks (AT)

The next section refers to spending on automobiles and trucks.

AT_Q010
In 2012, did anyone in your household own, lease or operate a car, van or truck and use it completely or partially for private use?
Exclude rented vehicles (record in Section VE – Vehicle Expenses, question VE_Q030).

Yes
No (Go to Block VE)

Maximum of 10 vehicles

AT_Q020
Please list all cars, vans or trucks (that anyone in your household owned, leased or operated during 2012, completely or partially for private use).

Interviewer: Enter the make, model or any other description used by the respondent.

AT_Q030
Which of the following best describes this vehicle? Is it:

a car?
a van/mini-van?
a truck/sport utility vehicle?

AT_Q040
When you bought or leased this vehicle, was it new or used?

New
Used

AT_Q050
Did anyone in your household buy this vehicle in 2012?

Yes
No (Go to AT_Q070)

AT_Q055
Was this vehicle purchased from:

a dealer?
a private household?

AT_Q060
What was the purchase price after the trade-in allowance was deducted for this vehicle?
Include all sales taxes.

AT_Q070
Was this vehicle being leased by a member of your household in 2012?

Yes
No(Go to AT_Q100)

AT_Q080
What were the total regular leasing cost paid by your household in 2012?
Exclude operating costs and any other amounts charged to business.

AT_Q090
What were the other leasing cost paid by your household in 2012?
Include down payment and closing costs.
Exclude any amounts charged to business.

AT_Q100
What was the status of this vehicle on December 31, 2012? Was it?

Owned? (Go to AT_Q130)
Leased? (Go to AT_Q130)
Return to lessor? (Go to AT_Q130)
Sold separately or traded-in on lease? (Go to AT_Q110)
Traded-in on purchase? (Go to AT_Q120)
Owned/leased by non-household member? (Go to AT_Q130)
Other - Specify

If AT_Q100 = 7, go to AT_Q100S, then to AT_Q110, and skip AT_Q120.

AT_Q100S
Interviewer: Specify

AT_Q110
What was the net amount received?
Exclude any amount paid to business.

AT_Q120
What was the vehicle’s trade-in value?

AT_Q130
In 2012, how much did your household spend on: gas and other fuels, for example, diesel fuel, propane?

AT_Q140
In 2012, how much did your household spend on:
…accessories and attachements, for example, alarm systems, car starters, radios including satellite, CD players, block and other heaters, car top carriers, seat covers?

AT_Q145
In 2012, how much did your household spend on:
... car seats or booster seats for children?

AT_Q150
In 2012, how much did your household spend on:
… tires, batteries and other automotive parts and supplies that were purchased separately, for example, mufflers, spark plugs, oil, antifreeze?

AT_Q160
In 2012, how much did your household spend on:
… maintenance and repair expenses, for example, oil changes, tune-ups, brakes, maintenance and body work?
Include emission tests.
Include repairs to other parties' vehicles which were paid by household members.
Exclude amounts paid by insurance or by persons who were not members of your household.

AT_Q170
In 2012, how much did your household spend on:
… vehicle registration fees?
Include insurance that is paid with registration fees.

AT_Q180
In 2012, how much did your household spend on:
… vehicle insurance premiums?
Exclude insurance that is paid with registration fees (record in AT_Q170).

AT_Q190
In 2012, how much did your household spend on:
… parking costs, for example, at work, at school, park-ride and parking meters?
Exclude parking at place of residence for renters (record in Section RN – Rented Principal Residences, question RN_Q090).

AT_Q195
Description of vehicle: [AT_Q020]
In 2012, how much did your household spend on:
… vehicle security and communication services?
Include private and business use.

AT_Q200
In 2012, how much did your household spend on:
Other operation services, for example, auto association fees, towing, toll and bridge fees?

IF AT_Q130 to AT_Q200 >0 (or NonResponse) Go To AT_Q210
Else Go To AT_Q229

AT_Q210
Were any of these operating expenses charged to business or reimbursed?

Yes
No (Go to AT_Q229)

AT_Q220
What amount was charged to business or reimbursed?
You can report this as an amount or as a percentage.
Exclude leasing fees charged tobusiness.

AT_Q221
Was this an amount or a percentage?

Amount
Percentage

AT_Q229
Were there any repair jobs covered by insurance?

Yes
No (Go to Block VE)

AT_Q230
What was the value of these repair jobs?

Go to Block VE

Vehicle Expenses (VE)

The next section refers to spending on other vehicle-related expenses.

VE_Q010
In 2012, how much did your household spend on:
… drivers' licences and tests?
Report government insurance if included.

VE_Q020
In 2012, how much did your household spend on:
… driving lessons?

VE_Q030
In 2012, how much did your household spend on:
… rental fees for cars, trucks or vans?
Include mileage, insurance charges, taxes and drop-off fees.
Exclude any expenses charged to business.

VE_Q040
In 2012, how much did your household spend on:
… gas and other fuels for rented cars, trucks or vans?

VE_Q050
In 2012, how much did your household spend on:
… other expenses for rented cars, trucks or vans, for example, toll fees, parking, repairs?

Go To Block TR

Transportation (TR)

The next section refers to spending on recreational vehicles and transportation services.

Bicycles

TR_Q010
In 2012, how much did your household spend on:
… the purchase of bicycles, parts and accessories?
Exclude children's bicycles with wheels under 35 centimeters (14 inches) (record in Section RE – Recreation, Reading Materials and Education, question RE_Q080).

TR_Q020
In 2012, how much did your household spend on:
… bicycle maintenance and repairs?

Rented or Leased Recreational Vehicles

TR_Q030
In 2012, how much were your household's total expenses for rented or leased recreational vehicles, such as, all-terrain vehicles, boats or canoes, snowmobiles, motorcycles, etc.?

Transportation Services

TR_Q040
In 2012, how much did your household spend on transportation by:
… city or commuter bus, subway, streetcar or commuter train?
Exclude expenses charged to business.
Exclude package trips (record in question TR_Q120).

TR_Q050
In 2012, how much did your household spend on transportation by:
… taxi?
Include tips.

TR_Q060
In 2012, how much did your household spend on transportation by:
… airplane?

TR_Q070
In 2012, how much did your household spend on transportation by:
… train?
Include sleeping cars.

TR_Q080
In 2012, how much did your household spend on transportation by:
… highway bus?

TR_Q090
In 2012, how much did your household spend on transportation by:
… other local passenger transportation, for example, carpooling, airport bus, limousine service, ferry service?

TR_Q095
In 2012, how much did your household spend on transportation by:
… other inter-city passenger transportation services, for example, sightseeing tours, travel insurance, ferry and other water transportation, carpooling?

TR_Q100
In 2012, how much did your household spend on moving, storage and delivery services?

TR_Q110
In 2012, did any member of your household take a trip that included a package? (The package must have been organized in advance. The cost of two or more components of the trip must have been combined.
For example, transportation and accommodation, accommodation with food and beverages.)
Exclude package trips to be taken after 2012 even if deposits were made in 2012 (record in Section CA – Change in Assets, question CA_Q031).

TR_Q120
What was the cost of the package trips (taken by your household in 2012)?

Go To Block RV

Recreational Vehicles (RV)

The next section refers to spending on recreational vehicles.

RV_Q010
In 2012, did anyone in your household own or operate a recreational vehicle, such as all-terrain vehicle, boat or canoe, snowmobile, motorcycle, etc. and use it completely or partially for private use?
Exclude rented or leased vehicles (record in Section TR – Transportation, question TR_Q030).

Yes
No (Go to Block RE)

Maximum of 10 recreational vehicles

RV_Q020
Please list all recreational vehicles that anyone in your household owned or operated and used completely or partially for private use..

Interviewer: Enter the make, model or any other description used by the respondent.

RV_Q030
Interviewer: If necessary, ask:

Which of the following best describes this recreational vehicle? Is it:

a motorcycle?
a snowmobile?
a tent trailer?
a travel trailer?
a truck camper?
a boat or canoe?
an outboard motor, a personal watercraft?
a motor home?
an all-terrain vehicle?
Other, for example, a utility trailer, an aircraft? (Go to RV_Q030S)

RV_Q030S
Interviewer: Specify

RV_Q035
Did anyone in your household buy this recreational vehicle in 2012?

Yes
No (Go to RV_Q050)

RV_Q040
What was the price after the trade-in allowance was deducted?
Include all sales taxes.

RV_Q050
In 2012, how much did your household spend on the following operating expenses: accessories, attachments, supplies and parts purchased separately for maintenance and repair?

RV_Q060
In 2012, how much did your household spend on the following operating expenses: gasoline, diesel fuel, etc.?
Exclude fuels for cooking, heating, etc. (record in Section RE - Recreation, Reading Materials and Education, question RE_Q110).

RV_Q070
In 2012, how much did your household spend on the following operating expenses: maintenance and repair jobs not covered by insurance?

RV_Q080
In 2012, how much did your household spend on the following operating expenses: vehicle insurance premiums paid for in 2012?

RV_Q090
In 2012, how much did your household spend on the following operating expenses: registration fees and licences paid for in 2012?

RV_Q100
In 2012, how much did your household spend on the following operating expenses: other expenses, for example, parking, hangar and airport fees, mooring and boat storage, harbour dues?

RV_Q110
Were any of the operating expenses charged to business

Yes
No (Go to RV_Q129)

RV_Q120
What amount was charged to business? You can report this as an amount or as a percentage.

RV_Q121
Was this an amount or a percentage?

Amount
Percentage

RV_Q129
Was this vehicle sold in 2012?

Yes
No (Go to Block_RE)

RV_Q130
What was the net amount received?

Go To Block RE

Recreation, Reading Materials and Education (RE)

The next section refers to spending related to recreation, reading materials and education.

RE_Q010
In 2012, how much did your household spend on: sports and athletic equipment?
Include equipment for golf, racquet sports, ice skating, skiing, fishing, home exercise and other sporting and athletic equipment and accessories.
Exclude athletic/running shoes (record in Clothing Section).
Exclude rentals (record in question RE_Q120).

RE_Q020
In 2012, how much did your household spend on: camping and picnic equipment and accessories?
For example, tents, backpacks, sleeping bags, camp stoves, lanterns, coolers, mattresses, utensils.
Include attachments and parts.
Exclude barbecues and electric grills (record in Section HF – Household Furnishings and Equipment, questions HF_Q310 and HF_Q400).

RE_Q025
In 2012, did your household have any expenses for any types of cameras or for photographic accessories or services?
For example digital cameras, memory cards, docking ports, lenses, tripods, projectors, albums, darkroom supplies, photographic film, school pictures, passport photos, binoculars, telescopes and microscopes.

Yes
No (Go to RE_Q060)

RE_Q030
In 2012, how much did your household spend on: digital cameras and accessories?
For example, memory cards, docking ports?

RE_Q040
In 2012, how much did your household spend on: other cameras, camera parts, attachments and accessories, optical equipment, photographic film and any other photographic goods?
Include lenses, tripods, projectors, albums, darkroom supplies.
Include binoculars, telescopes and microscopes.
Exclude video cameras (record in Section HF – Household Furnishings and Equipment, questions HF_Q100 and HF_Q130).

RE_Q050
In 2012, how much did your household spend on: photographers' services?
For example, film processing, extra prints enlargements, processing of digital images, passport photos and school pictures?

RE_Q060
In 2012, how much did your household spend on: musical instruments, parts and accessories, for example, pianos and guitars?
Exclude sheet music (record in question RE_Q250).

RE_Q065
In 2012, did your household have any expenses for other recreation equipment such as artists and craft material, toys, games, playground equipment, wading pool, collectors’ items, rental or repairs of recreation equipment, supplies for pools, hunting or fishing?

Yes
No (Go to RE_Q125)

RE_Q070
In 2012, how much did your household spend on: artists' materials, handicraft or hobbycraft kits and materials, yarn for crafts? Exclude school supplies (record in questions RE_Q290 and RE_Q320).

RE_Q080
In 2012, how much did your household spend on: toys and other games?
Include children's vehicles and bicycles with wheels under 35 centimeters (14 inches).

RE_Q090
In 2012, how much did your household spend on: swings, slides and other playground equipment, wading pools, pool covers, vacuum heads and other accessories for swimming pools?
Exclude pool chemicals (record in question RE_Q110).

RE_Q100
In 2012, how much did your household spend on: collectors' items, for example, stamps, coins?
Exclude works of art and antiques (record in Section HF – Household Furnishings and Equipment, questions HF_Q060 and HF_Q070).

RE_Q110
In 2012, how much did your household spend on: parts and supplies for recreation equipment, for example, camp fuels, ski wax, pool chemicals, ammunition, bait?

RE_Q120
In 2012, how much did your household spend on: rental, maintenance and repair of recreation, sports, fitness equipment, photographic equipment, and musical instruments?

RE_Q125
In 2012, did your household have any expenses for admissions to movies, live performing arts or sporting events, admissions to museums, zoos, ice shows, craft shows, fairs and festivals?

Yes
No (Go to RE_Q170)

RE_Q130
In 2012, how much did your household spend on admissions to:
… movie theatres?

RE_Q140
In 2012, how much did your household spend on admissions to: live performing arts events, for example, plays, concerts, dance performances?

RE_Q150
In 2012, how much did your household spend on admissions to: museums, historic sites, zoos, heritage facilities, ice shows, craft shows, fairs, festivals, and other activities and venues?

RE_Q160
In 2012, how much did your household spend on admissions to: live sports events?

RE_Q170
In 2012, how much did your household spend on: fees for coin-operated and carnival games, for example, pinball, video games?
Exclude slot machines and video lottery terminals which allow you to win money (record in Section TM – Tobacco and Miscellaneous, question TM_Q130).

RE_Q180
In 2012, how much did your household spend on: fees for sports activities, sports and recreation facilities and health clubs?
Include single usage fees and membership fees and dues.

RE_Q200
In 2012, how much did your household spend on: children's camps, for example, day camps, summer camps?

RE_Q210
In 2012, how much did your household spend on: other recreational services, for example, fishing and hunting licenses and guide service, party planning, rental of sports facilities?

RE_Q215
In 2012, did your household have any expenses for any reading materials such as newspapers, magazines, books, maps, posters or for services such as photocopying services, library charges or announcements, etc.?

Yes
No (Go to RE_Q265)

RE_Q220
In 2012, how much did your household spend on: newspapers?
Include Internet subscriptions, and electronic and audio versions.

RE_Q230
In 2012, how much did your household spend on: magazines and periodicals?

RE_Q240
In 2012, how much did your household spend on: books and pamphlets?
Exclude school books (record in questions RE_Q280 and RE_Q310).
Include Internet subscriptions, and electronic and audio versions.

RE_Q250
In 2012, how much did your household spend on: maps, sheet music and other printed matter, for example, posters, globes?
Include Internet subscriptions, and electronic and audio versions.

RE_Q260
In 2012, how much did your household spend on: services, for example, photocopying services, library charges, book rentals, bookbinding, advertisements, announcements?
Include Internet subscriptions, and electronic and audio versions.

RE_Q265
In 2012, did your household have any expenses for tuition fees, books or supplies for kindergarten, elementary, secondary school, college or university or for any specialized courses such as music, dance, sport, crafts, etc.?

Yes
No (Go to Block TM)

For the following questions include special and private schools.
Exclude day care expenses (record in Section HO – Home Operation, question HO_Q020).
Exclude lodging expenses (record in Section UT – Utilities and Other Rented Accommodation, question UT_Q070).

RE_Q270
In 2012, how much did your household spend on kindergarten, nursery school, elementary or secondary school: tuition fees?

RE_Q280
In 2012, how much did your household spend on kindergarten, nursery school, elementary or secondary school: books?

RE_Q290
In 2012, how much did your household spend on kindergarten, nursery school, elementary or secondary school: supplies?

RE_Q300
In 2012, how much did your household spend on post-secondary education, for example, university, trade, professional courses for: tuition fees?

RE_Q310
In 2012, how much did your household spend on post-secondary education, for example, university, trade, professional courses for: books?

RE_Q315
Of this amount how much was for new books? You can report this as an amount or a percentage.

RE_Q316
Was this an amount or a percentage?

Amount
Percentage

RE_Q320
In 2012, how much did your household spend on post-secondary education, for example, university, trade, professional courses for: supplies?

RE_Q330
In 2012, how much did your household spend on: other courses and lessons, for example, music, dancing, sports, crafts?
Exclude driving lessons (record in Section VE – Vehicle Expenses, question VE_Q020).

RE_Q340
In 2012, how much did your household spend on: other educational services, for example, tutoring, rental of books and equipment?

RE_Q340S
Interviewer: Specify.

Go To Block TM

Tobacco and Miscellaneous (TM)

The next section refers to tobacco and miscellaneous expenses.

TM_Q010
In 2012, how much did your household spend on: Cigarettes?

TM_Q020
In 2012, how much did your household spend on: other tobacco products and smokers' supplies?
For example, cigars and similar products, tobacco, matches, pipes, lighters, ashtrays.

Miscellaneous Expenses

TM_Q030
In 2012, how much did your household spend on the following financial services: service charges for banks and other financial institutions?
Include safety deposit box charges.

TM_Q040
In 2012, how much did your household spend on the following financial services: stock and bond commissions?

TM_Q050
In 2012, how much did your household spend on the following financial services: administration fees for brokers and others?

TM_Q060
In 2012, how much did your household spend on the following financial services: any other financial services, for example, financial planning, tax preparation or advice, accounting services?

TM_Q070
In 2012, how much did your household spend on: government-run lotteries?

TM_Q080
In 2012, how much did your household spend on: bingos?

TM_Q090
In 2012, how much did your household spend on: non-government lotteries, raffle tickets and other games of chance?

TM_Q100
In 2012, how much did your household spend on: casinos, slot machines and video lottery terminals?

TM_Q110
In 2012, how much were your household's WINNINGS from: government-run lotteries purchased by yourself or given to you as a gift?

TM_Q120
In 2012, how much were your household's WINNINGS from: bingos paid by yourself or given to you as a gift?

TM_Q130
In 2012, how much were your household's WINNINGS from: non-government lotteries, raffle tickets and other games of chance paid by yourself or given to you as a gift?

TM_Q140
In 2012, how much were your household's WINNINGS from: casinos, slot machines and video lottery terminals paid by yourself or given to you as a gift?

TM_Q150
In 2012, what expenses did your household have for: fines, loss of deposits, and money lost or stolen?

TM_Q160
In 2012, how much did your household spend on: contributions and dues for social clubs, co-operatives, political and fraternal organizations and alumni associations?
Exclude charitable organizations (record in Section TX – Personal Taxes, Security and Money Gifts, question TX_Q140).
Exclude sports activities (record in Section RE – Recreation, Reading Materials and Education, question RE_Q180).

TM_Q170
In 2012, how much did your household spend on: tools and equipment purchased for work by wage or salaried workers?
Exclude items reported previously.

TM_Q180
In 2012, how much did your household spend on: legal services not related to dwellings?
Exclude legal services related to house purchase, sale, etc. (record in Section OP - Owned Principal Residences, question OP_Q080).

TM_Q190
In 2012, how much did your household spend on: funeral services, cemetery plots and upkeep, and tombstones?
Exclude pre-paid funerals (record in Section CA – Change in Assets, question CA_Q031).
Exclude flowers (record in Section HO – Home Operation, question HO_Q070).

TM_Q200
In 2012, how much did your household spend on: government services, for example, passports, birth certificates, citizenship, visas, marriage licenses?
Exclude vehicle registrations and drivers' licences (record in Section AT - Automobiles and Trucks, question AT_Q170 or Section VE – Vehicle Expenses, question VE_Q010).

TM_Q210
In 2012, how much did your household spend on: wholesale/retail memberships?

TM_Q220
In 2012, how much did your household spend on: any other goods not yet reported?

If TM_Q220 >0, go to TM_Q220S

TM_Q220S
Interviewer: Specify.

TM_Q230
In 2012, how much did your household spend on: any other services not yet reported for example, rental of halls?

If TM_Q230 >0, go to TM_Q230S.

TM_Q230S
Interviewer: Specify.

The following questions are asked to obtain details on how purchases were made by the household in 2012.

TM_Q240
In 2012, how much did your household spend on goods and services purchased outside Canada?

TM_Q250
In 2012, did your household purchase any goods or services through direct sales?
For example, the Internet; mail order companies; catalogue sales; infomercials or other television offers; book, music or video clubs; door-to-door salespeople.

Yes
No (Go to Block IN)

TM_Q260
Did your household purchase: food and beverages (through direct sales)?

TM_Q270
Did your household purchase: books, newspapers and magazines (through direct sales)?

TM_Q280
Did your household purchase:
… clothing, cosmetics and jewellery (through direct sales)?

TM_Q290
Did your household purchase: home entertainment products, for example, CDs, audio equipment, computers through direct sales?

TM_Q300
Did your household purchase: other products, for example, appliances, cleaners, toys, crafts, greenhouse or nursery products through direct sales?

TM_Q310
Did your household purchase: travel services through direct sales?

TM_Q320
Did your household purchase: other services through direct sales?

Yes (Go to TM_Q320S)
No (Go to TM_Q330)

TM_Q320S
Interviewer: Specify.

TM_Q330
In 2012, how much did your household spend on goods or services purchased through: direct sales over the Internet?

TM_Q340
In 2012, how much did your household spend on goods or services purchased through: other types of direct sales?

Go To Block IN

Personal Income (IN)

The next section refers to the income for members 15 years or over on December 31, 2012.

Interviewer: Amounts for persons 14 years or under (born after 1994) should be reported in a parent's column.

Ask all detailed questions (IN_Q010 to IN_Q140) for each person. Question IN_Q150 should be used to record the total amount for income for each person when the respondent cannot provide detailed income.

Maximum of 20 members

IN_Q010
In 2012, how many weeks did you work:
… full-time, including holidays or sick leave with pay?

Yes
No
DK , RF

IN_Q020
In 2012, how many weeks did you work:
… part-time, including holidays with pay?

Yes
No
DK , RF

IN_Q030
For 2012, what was your income from:
… paid employment?
Include total wages and salaries including commissions, tips, bonuses, taxable benefits, research grants, royalties, before deductions.

IN_Q040
For 2012, what was [member’s first name]'s income from:
… self-employment ? (gross receipts minus expenses)
Include net farm income including grants and subsidies under farm-support programs, marketing board payments, gross insurance proceeds.
Include net non-farm income from unincorporated business, professional practice, including net income from roomers and boarders (non-relatives).

The following questions concern income from government.

IN_Q050
For 2012, what was [member’s first name]'s income from: child benefits, for example, child tax benefits, family allowances (federal, provincial and territorial)?

IN_Q060
For 2012, what was [member’s first name]'s income from: Old Age Security Pension, Guaranteed Income Supplement, Allowance and Allowance for the Survivor from federal government only?
Exclude provincial income supplements (report in question IN_Q090).

IN_Q070
For 2012, what was [member’s first name]'s income from: benefits from Canada or Quebec Pension Plan?
Report all regular payments for pension, disability and all other type of regular payments.

IN_Q080
For 2012, what was [member’s first name]'s income from: benefits from Employment Insurance or the Quebec Parental Insurance Plan
Include total benefits before tax deductions.

IN_Q090
For 2012, what was [member’s first name]'s income from: other government sources, for example, provincial income supplements and grants, GST / QST / HST credit, provincial tax credits, workers' compensation, veterans' pensions, social assistance?

If IN_Q090 >0 or NonResponse, Go To IN_Q090S

IN_Q090S
Interviewer: Specify

IN_Q100
For 2012, what was [member’s first name]'s income from: Personal Income Tax Refunds?

The following questions concern “Other income”.

IN_Q110
For 2012, what was [member’s first name]'s income from: dividends, interest on bonds, deposits, savings certificates, and other investment income, for example, net rents from real estate, interest from mortgages?
Exclude capital gains/losses.

IN_Q120
For 2012, what was [member’s first name]'s income from: retirement pensions, superannuation, and annuities including those from RRSP s and RRIF s?
Exclude withdrawals from a RRSP (record in Section CA – Change in Assets, question CA_Q050).

IN_Q130
For 2012, what was [member’s first name]'s income from: other money income, for example, alimony, child support, other support from outside the household, non-refundable scholarships, bursaries, fellowships, severance pay, retirement allowances, income maintenance insurance plan payments, other income from outside Canada?

If IN_Q130 >0 or NonResponse, Go To IN_Q130S

IN_Q130S
Interviewer: Specify.

IN_Q140
For 2012, what was [member’s first name]'s income from: other receipts, for example, money gifts received from persons outside your household, cash inheritances and life insurance settlements?

If IN_Q140 >0 or NonResponse, Go To IN_Q140S

IN_Q140S
Interviewer: Specify.

IN_Q150
What was the total amount of income for [member’s first name]?

Go To Block TX

Personal Taxes, Security and Money Gifts (TX)

The next section refers to the personal taxes, security and money gifts for persons 15 years and over on December 31, 2012.

Interviewer: Amounts for persons 14 years and under (born after 1997) should be reported in a parent's column.

TX_Q010
In 2012, how much did [member’s first name] pay for: income tax on 2012 income?
Exclude taxes paid in 2013 on 2012 income.

TX_Q020
In 2012, how much did [member’s first name] pay for: income tax on income for years prior to 2012?
Include taxes paid in 2012 on income earned in 2011 or earlier.

TX_Q030
In 2012, how much did [member’s first name] pay for: other personal taxes, for example, gift tax?

If TX_Q030 >0 or NonResponse, Go To TX_Q030S

TX_Q030S
Interviewer: Specify.

The following questions are concerning security and employment-related
payments.
Exclude RRSP contributions (record in question CA_Q040).

TX_Q040
In 2012, how much did [member’s first name] pay for: premiums on life, term and endowment insurance?

TX_Q050
In 2012, how much did [member’s first name] pay for: annuity contracts and transfers to RRIF s?

TX_Q060
In 2012, how much did [member’s first name] pay for: deductions from pay for employment insurance (EI) and Quebec parental insurance (QPIP)?

TX_Q070
In 2012, how much did [member’s first name] pay for: government retirement or pension fund, including federal, provincial and municipal government funds?

TX_Q080
In 2012, how much did [member’s first name] pay for: Canada/Quebec pension plan?

TX_Q090
In 2012, how much did [member’s first name] pay for: other retirement or pension funds?
Exclude RRSP contributions (record in question CA_Q040).

TX_Q100
In 2012, how much did [member’s first name] pay for: dues to unions and professional associations?

TX_Q110
In 2012, how much did [member’s first name] pay for support payments to a former spouse or partner?
Include alimony, separation allowance or child support.

The following questions concern money gifts, contributions and other support payments to persons who were not household members.

TX_Q120
In 2012, how much did [member’s first name] spend on: money gifts given to persons living in Canada?
Exclude support payments just reported.

TX_Q130
In 2012, how much did [member’s first name] spend on: money gifts given to persons living outside Canada?
Exclude support payments just reported.

TX_Q140
In 2012, how much did [member’s first name] spend on charitable contributions to: religious organizations?

TX_Q150
In 2012, how much did [member’s first name] spend on charitable contributions to: other charitable organizations?
For example, workplace charitable campaigns, Heart fund, Cancer society.

Go To Block CA

Change in Assets (CA)

The next section refers to changes in assets.

Report answers as a total of the information reported by individual household members.

This information is used to complete the household budget and to balance revenues and expenditures. We need to know the changes in assets over the year – we do not need the amount of assets.

CA_Q010
In 2012, was there an increase or decrease in cash held in accounts in banks, trust or loan companies, and cash on hand?
Include guaranteed investment certificates ( GICs ).
Exclude RRSP s (record in question CA_Q040 or CA_Q050).

Yes, an increase (Go to CA_Q011)
Yes, a decrease (Go to CA_Q012)
No change/Not applicable (Go to CA_Q020)

CA_Q011
What was the net increase?

CA_Q012
What was the net decrease?

CA_Q020
In 2012, was there an increase or decrease in money owed to your household by persons outside your household?
Exclude interest received (record in Section IN – Personal Income, question IN_Q110).

Yes, an increase (Go to CA_Q021)
Yes, a decrease (Go to CA_Q022)
No change/Not applicable (Go to CA_Q030)

CA_Q021
What was the net increase?

CA_Q022
What was the net decrease?

CA_Q030
In 2012, was there an increase or decrease in money deposited as a pledge against future purchases of goods and services?

Yes, an increase (Go to CA_Q031)
Yes, a decrease (Go to CA_Q032)
No change/Not applicable (Go to CA_Q040)

CA_Q031
What was the net increase?

CA_Q032
What was the net decrease?

CA_Q040
In 2012, how much did your household contribute to Registered Retirement Savings Plans (RRSPs)?

CA_Q050
In 2012, how much did your household withdraw from Registered Retirement Savings Plans (RRSPs)?

CA_Q060
In 2012, how much did your household contribute to Registered Education Savings Plans (RESPs)?

CA_Q070
In 2012, how much did your household withdraw from Registered Education Savings Plans (RESPs)?

CA_Q080
In 2012, what was the value of your household's: purchases of savings bonds, other bonds, Treasury bills and other securities?

CA_Q090
In 2012, what was the value of your household's: sales of savings bonds, other bonds, Treasury bills and other securities?
Exclude interest received on sales (record in Section IN – Personal Income, question IN_Q110).

CA_Q100
In 2012, what was the value of your household's: purchases of stock, mutual funds and shares in investment clubs?

CA_Q110
In 2012, what was the value of your household's: sales of stock, mutual funds and shares in investment clubs?
Exclude interest received on sales (record in Section IN – Personal Income, question IN_Q110).

CA_Q120
In 2012, what was the value of your household's: sales of personal property not traded in on new items in 2012?
Include items sold at auctions, yard sales and garage sales.
Exclude sales of appliances and vehicles (record in Sections HF- Household Facilities and Equipment, AT – Automobiles and Trucks, and RV – Recreational Vehicles).

Go To Block UB

Unincorporated Business (UB)

The next section refers to your household investments in unincorporated business.

UB_Q010
In 2012, did anyone in your household have investments in unincorporated businesses, professional practices, farms or rental properties?
Include major improvements, for example, land improvements.
Include your household’s share in the case of partnerships.

Yes
No (Go to Block LO)

UB_Q020
In 2012, how much was:
… repaid on the principal of your mortgages or loans?
Include all lump-sum payments.

UB_Q030
In 2012, how much was: paid to purchase assets for the business?
Include computers, machinery, trucks, cars, buildings and other income-earning properties.

UB_Q040
In 2012, how much was: borrowed for the business or farm?
Include mortgages and loans.

UB_Q050
In 2012, how much was: received after commissions from the sale of business assets?
Include computers, machinery, trucks, cars, buildings and other income-earning properties.

UB_Q060
In 2012, how much was: estimated for capital cost allowance (depreciation) in the determination of net income from self-employment?

UB_Q070
In 2012, was there an increase or decrease in accounts receivable?
For example, amount owed to the respondent by their customers.

Yes, an increase (Go to UB_Q071)
Yes, a decrease (Go to UB_Q072)
No change/Not applicable (Go to UB_Q080)

UB_Q071
What was the net increase?

UB_Q072
What was the net decrease?

UB_Q080
In 2012, was there an increase or decrease in accounts payable?
For example, amount owed by the respondent to his suppliers and has not been paid yet.

Yes, an increase (Go to UB_Q081)
Yes, a decrease (Go to UB_Q082)
No change/Not applicable (Go to Block LO).

UB_Q081
What was the net increase?

UB_Q082
What was the net decrease?

Go To Block LO

Loans with Regular Payments (LO)

The next section refers to loans with regular payments.

Include student loans only if repayment has begun (if not, record in section MO – Other Monies owed).
Include loans (other than student loans) received in 2012 for which payment does not begin until after 2012.
Exclude lines of credit, credit cards and accounts, and any outstanding bills (record in section MO – Other Monies Owed).
Exclude mortgages and loans on property (record in Sections MT, OS and UB) and loans pertaining completely to business (record in Section UB).

LO_Q010
In 2012, did your household have any loans with regular payments?

Yes
No (Go to Block MO)

LO_Q020
Please list all loans your household had in 2012?

Interviewer: Enter the loan description used by the respondent, for example, vehicle, recreational vehicle, student, consolidation of debts, furniture/appliances, renovations.

LO_Q030
Was this loan taken out in 2012?

Yes
No (Go to LO_Q050)

LO_Q040
What was the amount of this loan?

LO_Q050
Was there any additional amount borrowed in 2012 on this loan?

Yes
No (Go to LO_Q070)

LO_Q060
What was the additional amount?

LO_Q070
How much were the total payments made on this loan in 2012?
Include lump-sum payments.

Go To Block MO

Other Monies Owed (MO)

The next section refers to other monies owed by your household.

Exclude money owed or paid in connection with business or mortgage on property.

MO_Q010
In 2012, did your household owe more money on other loans from financial institutions on January 1st or December 31st?
Include lines of credit and student loans that are not yet being repaid.

Owed more on January 1st (Go to MO_Q011)
Owed more on December 31st (Go to MO_Q012)
No difference (Go to MO_Q020)
No other loans from financial institutions (Go to MO_Q030

MO_Q011
How much more was owed on January 1st?

MO_Q012
How much more was owed on December 31st?

MO_Q020
In 2012, what was the amount of interest charged on the loans from financial institutions?

MO_Q030
In 2012, did your household owe more on credit cards from financial institutions on January 1 or December 31?

Owed more on January 1st (Go to MO_Q031)
Owed more on December 31st (Go to MO_Q032)
No difference (Go to MO_Q040)
No other loans from financial institutions (Go to MO_Q050)

MO_Q031
How much more was owed on January 1st?

MO_Q032
How much more was owed on December 31st?

MO_Q040
In 2012, what was the amount of interest charged on the credit cards from financial institutions?

MO_Q050
In 2012, did your household owe more on credit cards and other debts with stores, service stations and other retail establishments on January 1st or December 31st?
Include all revolving budget accounts.

Owed more on January 1st (Go to MO_Q051)
Owed more on December 31st (Go to MO_Q052)
No difference (Go to MO_Q060)
No other loans from financial institutions (Go to MO_Q070)

MO_Q051
How much more was owed on January 1st?

MO_Q052
How much more was owed on December 31st?

MO_Q060
In 2012, what was the amount of interest charged on the credit cards and other debts with stores, service stations and other retail establishments?

MO_Q070
In 2012, did your household owe more for unpaid bills (for example, rents, taxes and hospital bills) on January 1st or December 31st?

Owed more on January 1st (Go to MO_Q071)
Owed more on December 31st (Go to MO_Q072)
No difference (Go to MO_Q080)
No other loans from financial institutions (Go to MO_Q090)

MO_Q071
How much more was owed on January 1st?

MO_Q072
How much more was owed on December 31st?

MO_Q080
In 2012, what was the amount of interest charged on rents, taxes and other bills, for example, hospital bills?

MO_Q090
In 2012, did anyone in your household borrow money through a pay day loan?

Go To Block SC

Statistics Canada (SC)

SC_R001
Interviewer: If it will be necessary to call-back the respondent to collect additional information, choose <1>, otherwise, choose <2> to continue.

Call-back Go to SC_R002
Continue

SC_R002
Interviewer: Exit (<F10>) the case now, and assign an In-progress code.

If SC_R001 = 1, then go to END_BLOCK

SC_Q001
Statistics Canada is always looking for ways to make surveys easier to complete. One option would be to answer the questions on a home computer and then send the information to Statistics Canada via the Internet. Naturally, the transmission of information would be safeguarded to guarantee privacy.

SC_Q010
If given the option, would you have chosen to do the survey yourself over the Internet?

Yes
No
Not sure

Go To Block SUMMARY

Summary (SU)

SU_SO
Interviewer: This is the end of the interview. If necessary, please return to make any necessary updates, or enter <1> to continue. Automatic edits may appear which will require follow-up with the respondent. Otherwise, the case will be finalized.

CAI_SO
Interviewer: This is the end of the component. Return to previously answered questions to make any necessary corrections, or select <Exit> to exit the component.

Exit

Exit (EX)

OC_N01
Interviewer: Is the case in-progress or final?

In-Progress
Final

OC_N02
Interviewer: Assign the appropriate in-progress outcome code.

Incorrect phone number
Phone number not in service
Fast busy signal / strange noise / dead silence / fax machine
No one home / No answer
Regular busy signal
Answering machine or service – no message left
Answering machine or service – message left
Call screened / blocked / forwarded
Interview prevented due to weather conditions
Interview requested in other official language
Language barrier (not official language)
Suspended / interrupted
Soft appointment; call-back required
Hard appointment; call-back required
Verification of survey requested
Request for interview by another Interviewer
Refusal
Refusal first follow-up
Refusal second follow-up
Unusual / special circumstances
Threat to safety
Interview prevented due to respondent’s mental or physical condition
Incomplete case

Go To LQ_Q01

OC_N03
Interviewer: Assign the appropriate final outcome code.

No contact
Interview prevented due to weather conditions
Absent for duration of survey
Interview requested in other official language
Language barrier (not official language)
Outside of sample
Dwelling demolished
Dwelling under construction / renovation
Dwelling vacant
Collective dwelling
Seasonal or secondary dwelling
Residents not eligible
Out of balance
Refusal (Go to OC_N04)
Refusal first follow-up (Go to OC_N04)
Refusal second follow-up (Go to OC_N04)
Unusual / special circumstances (Go to OC_N05)
Threat to safety
Interview prevented due to respondent’s mental or physical condition
Incomplete case

Go To LQ_Q01

OC_N04
Interviewer: Record the reason for the refusal.

Dangerous / rude attitude
Won't answer the door
Not interested / doesn't want to participate
Doesn't want to be disturbed
Doesn't have the time
Against the government or Statistics Canada
Doesn't believe in or want to hear about statistics
Doesn't believe in or want to hear about surveys
Recently completed a survey (doesn't want to again)
Doesn't believe the info is secure (confidentiality)
Doesn't want to give personal information
Says not obligated / wants legal proof
Can get info somewhere else (e.g., Revenue Canada)
Adamant refusal (no reason, e.g., shuts the door or hangs up the phone)
Doesn't want to continue the survey (no more follow-ups)
Same household, refusal maintained (for follow-ups only)
Why me? Tells you to choose someone else
Other – Specify (Go to OC_N04S)

OC_N04S
Interviewer: Specify.

OC_N05
Interviewer: Record the reason for the non-interview.

Illness or death in family
Recovering from natural disaster
Other – Specify (Go to OC_N05S)

OC_N05S
Interviewer: Specify.

Living Quarters (LQ)

LQ_Q01
Is there another set of living quarters within this structure?

Yes (Go to LQ_N02)
No (Go to TY_R01)

LQ_N02
Interviewer: Remember to verify the cluster list and add one or more multiples if necessary. Press <Enter> to continue.

Thank You (TY)

TY_R01
Thank you for your participation in the Survey of Household Spending.

CAI_SO
Interviewer: This is the end of the component. Return to previously answered questions to make any necessary corrections, or select <Exit> to exit the component.

Exit

END

Your diary of daily expenses

Diary Start Date
DD MM

Diary End Date
DD MM

Goods and services including food from stores and other goods and services

Item #
Date of expense
dd/mm (Example: 21/06)

Description of item

Write one item per line. See page 6 in the Diary Guide for help with this section.

Reminder: Please enter snacks, beverages and meals purchased from restaurants or fast-food outlets in the section that begins on page 7.

Cost - Do not include taxes. $ ¢

For example:

21/06 NO SPENDING
22/06 GAS 36.00

Snacks, beverages and meals purchased from restaurants or fast-food outlets

Item #
Date of expense
dd/mm (Example: 22/06)

Restaurant code

A = Table Service
B = Fast Food
C = Cafeteria
D = Other

See page 9 in the Diary Guide for full descriptions.

Check () the meal type

Breakfast
Lunch
Dinner
Snack or Beverage

Number of meals paid - Include meals paid for people who do not live with you.

Total cost - Include all taxes, tips and alcoholic beverages. $ ¢

Alcoholic beverages - If alcoholic beverages are included in the total cost, please provide an estimated cost. $ ¢

For example:

22/06 A () 02 25.74
22/06 D () 00 2.36

For office use only

Please do not write on this page.

Your interviewer will ask you the questions on this page when he/she returns to pick up this Diary of Daily Expenses.

1. Did you write "no spending" in the diary for the days with no spending for all members of your household?

Yes
No
Sometimes
Made a purchase every day

2. Respondent comments:

3. Some expenses such as gas and other related vehicle costs, lottery tickets, cigarettes and newspapers, meals and beverages bought outside your home, leisure activities, or hair salon and postal services are easily forgotten. Did you, or any member of your household, forget to record any of these expenses or any other expense in the diary?

Yes - go to #4
No - go to #5.

4. Please list the items that have been missed. Interviewer: Enter the description used by the respondent.

Description
Cost

5. During the 14 days when you were recording your purchases in the diary, were any members of your household away from home for overnight or longer?

Yes - go to #6
No - Thank you for participating in this survey.

6. Did you remember to include in the diary, expenses made while away from home such as gas, grocery, restaurant meals, snacks and beverages, admittance fees to tourist attractions and souvenirs?

Yes – Thank you for participating in this survey.
No – go to #7

7. Please list all the items. Do not include expenses that will be reimbursed. Interviewer: Enter the description used by the respondent.

Description
Cost

Comments

An interviewer will call you on:

Your completed diary will be picked up on:

At:

Thank you!

We greatly appreciate your participation.

Collected under the authority of the Statistics Act.

Revised Statutes of Canada, 1985, Chapter s19.

Confidential when completed

General Social SurveyCycle 28 Victimization

Previous Marriage or Common–law relationship (PMC)
Dwelling of Respondent (DOR)
Ownership of Dwelling by Respondent (ODR)
Length of time Respondent has lived in Dwelling (LRD)
Length of time Respondent has lived in Neighbourhood (LRN)
Length of time Respondent has lived in city or local Community (LRC)
Residential Mobility (MOB)
Questions about the Immediate Neighbourhood of respondent (QIN)
Live in a Welcoming Community (LWC)
Social Disorder Questions (SDQ)
Sense of Belonging (SBL)
Isolation (ISL)
Likelihood Neighbours would Call the Police (NCP)
Trust In People (TIP)
Neighbourhood Safety and Crime (NSC)
Public Transportation in respondent’s city/local community and Safety (PTS)
Alone at Home in the Evening or at night (AHE)
Perceptions: Evenings Out (PEO)
Satisfaction with Personal Safety from crime (SPS)
Protection From Crime (PFC)
Safer From Crime (SFC)
Perceptions: Local Police (PLP)
Confidence In Police (CIP)
Perceptions: Criminal Courts (PCC)
Contact With Police (CWP)
Criminal Victimization Screening: Property (VSP)
Criminal Victimization Screening: Vehicle (VSV)
Criminal Victimization Screening: Assault (VSA)
Criminal Victimization Screening: Total (VST)
Number of Years with spouse/Partner (YWP)
Emotional and Financial abuse by spouse/Partner (EFP)
Physical and Sexual violence by spouse/Partner (PSP)
Violence Towards others by current spouse/Partner (VTP)
Number of incidents of physical and sexual Violence with current spouse/Partner (NVP)
Unwanted Sexual activity by current spouse/Partner (USP)
Most Recent incident of physical or sexual violence with current spouse/Partner (MRP)
Information about incident that Happened in the past 5 years with current spouse/Partner (IHP)
Contact in the past 5 years with a Previous spouse/partner (CFP)
Children With EX–spouse/ex–partner who had contact with respondent in the last 5 years (CWX)
Emotional and Financial abuse by EX–spouse/ex–partner (EFX)
Physical and Sexual Violence by EX–spouse/ex–partner (PSX)
Violence Towards others by EX–spouse/ex–partner (VTX)
Number of incidents of physical and sexual Violence by an EX–spouse/ex–partner (NVX)
Unwanted Sexual activity by EX–spouse/ex–partner (USX)
Most Recent incident of physical or sexual violence with EX–spouse/ex–partner (MRX)
Information about incident that Happened in the past 5 years with EX–spouse/ex–partner (IHX)
Spouse/partner Abuse Injuries (SAI)
Spouse/partner abuse injuries – Medical Attention (SMA)
Spouse/partner abuse injuries – Time Off due to injuries (STO)
Spouse/partner abuse injuries – Other persons Harmed (SOH)
Spouse/partner abuse injuries – Other information (SOI)
Spouse/partner abuse violence – Police Learned about violence (SPL)
Spousal/partner abuse – Report to Police (SRP)
Spousal/partner abuse – Action Taken by police (SAT)
Spousal/partner abuse – Restraining Order or protective order against current spouse/partner (SRO)
Spousal/partner abuse – Satisfaction with Actions taken by police (SSA)
Spousal/partner abuse – Threatening Behaviour from spouse/partner after police involvement (STB)
Spousal/partner abuse – Reasons Not Reporting (SRN)
Spousal/partner abuse – Talk to Anyone about the violence (STA)
Spousal/partner abuse – Contact with Services (SCS)
Spousal/partner abuse – Impact on respondent (SEA)
EX–spousal/ex–partner Abuse Injuries (XAI)
EX–spousal/ex–partner abuse injuries – Medical Attention (XMA)
EX–spousal/ex–partner abuse injuries – Time Off due to injuries (XTO)
EX–spousal/ex–partner abuse injuries – Other persons Harmed (XOH)
EX–spousal/ex–partner abuse injuries – Other information (XOI)
EX–spousal/ex–partner abuse – Police Learned about violence (XPL)
EX–spousal/ex–partner abuse – Report to Police (XRP)
EX–spousal/ex–partner abuse – Action Taken by police (XAT)
EX–spousal/ex–partner abuse – Restraining Order or protective order against current ex–spouse/ex–partner (XRO)
EX–spousal/ex–partner abuse – Satisfaction with actions taken by police (XSA)
EX–spousal/ex–partner abuse – Threatening Behaviour from ex–spouse/ex–partner after police involvement (XTB)
EX–spousal/ex–partner abuse – Reasons for Not contacting the police (XRN)
EX–spousal/ex–partner abuse – Talk to Anyone about the incident (XTA)
EX–spousal/ex–partner abuse – Contact with Services (XCS)
EX–spousal/ex–partner abuse – Impact on respondent (XEA)
Incident report tables (IRT)
Info for array (IFA)
Main Routing Module: Crime Incident Report (CIR)
CIR Sub–module: Where incident took place (WHR)
CIR Sub–module: Person(s) who Committed the Act of violence or crime (PCA)
CIR Sub–module: How respondent Was Threatened (HWT)
CIR Sub–module: Who was present during the incident (WHO)
CIR Sub–module: Multiple People Present during the incident (MPP)
CIR Sub–module: Persons Involved (PIV)
CIR Sub–module: People who committed the Act were a Gang (PAG)
CIR Sub–module: Hate Crime reasons (HTC)
CIR Sub–module: Stolen Property (STP)
CIR Sub–module: Property Damage (PDM)
CIR Sub–module: Obtain Compensation through Insurance (OCI)
CIR Sub–module: Obtain Compensation through the Courts (OCC)
CIR Sub–module: Police Found Out about the incident (PFO)
CIR Sub–module: Reasons for reporting Incidents to the Police (RIP)
CIR Sub–module: Action Police Took (APT)
CIR Sub–module: Satisfaction of respondent with actions taken by police (SAP)
CIR Sub–module: Reasons for Not contacting the Police (RNP)
CIR Sub–module: Talk to anyone about the incident (TTA)
CIR Sub–module: Victims Services in respondent’s Community (VSC)
CIR Sub–module: General victimization – Impact on respondent (GIR)
CIR Sub–module: Case Went to Court (CWC)
Childhood Experiences (CEX)
Respondent was once the Legal Responsibility of the Government (LRG)
Acts that may have been Committed by Someone other than a current or previous spouse/partner (ACS)
Acts that may have been committed by a dating partner (ADP)
Stalking – Communication (STK)
Stalking – Following (FBS)
Stalking – Watching (WBS)
Stalking – Threatening Behaviours (TBS)
Stalking – Within Past Year (SPY)
Stalking – Most Recent Abuser (MRA)
Stalking – Most Recent stalking Experience (MRE)
Stalking – Reasons Not Reporting to Police (RNS)
Stalking – Talking to someone (SHS)
Stalking – Charges Laid (SCL)
Stalking – Restraining Order (ROS)
Stalking – Impact on Respondent (IOR)
Cyber Bullying Respondent (CBU)
Main Activity of Respondent (MAR)
Respondent Ever Worked (REW)
Work activities – Employment Type (WET)
Work activities – Telework Information (WTI)
Work activities – Last Year employer information (WLY)
Work activities – Hours Worked (WHW)
Main Activity of respondent’s spouse/Partner (MAP)
Education Extended Block (EOR)
Education – School Attendance v.1 (ESC1)
Education Of respondent’s Partner (EOP)
Education Of respondent’s Mother (EOM)
Education Of respondent’s Father (EOF)
Self Related Health (SRH)
Disability Screening Questions – Minimum Block (DSQ)
Subjective Well–being Minimum Block (SLM)
Medication of Respondent (MED)
Drinking of Respondent (DRR)
Drinking of spouse/Partner (DRP)
Drug Use of Respondent (DUR)
Drug Use of spouse/Partner (DUP)
Homeless (HOM)
Immigration extended block (BPR)
Birthplace of spouse/Partner (BPP)
Aboriginal Minimum (AMB)
Aboriginal Identity of spouse/Partner (AIP)
PG block Driver (PGD)
Visible Minority status of respondent’s spouse/Partner (VMP)
Discrimination (DIS)
Discrimination – Types of Situations experienced by respondent (DTS)
Religion Extended (REE)
Importance of Religion (RLR)
Religion of spouse/Partner (ROP)
Language Minimum (LAN)
Sexual Orientation of Respondent (SOR)

RSR_Q1

What is the relationship...

of: ^SPECRESPNAME2 (^SPECRESPAGE2, [Male/Female])

to you?

[Husband/Wife]
Common–law partner
[Father/Mother]
[Son/Daughter] (birth, adopted or step)
[Brother/Sister]
Foster [father/mother]
Foster [son/daughter]
[Grandfather/Grandmother]
[Grandson/Granddaughter]
In–law
Other related – Specify (Go to RSR_S1A)
Unrelated – Specify (Go to RSR_S1B)
DK, RF

Previous Marriage or Common–law relationship (PMC)

PMC_Q10

Have you ever been [married or in a common–law relationship/in a previous marriage or common–law relationship]?

Interviewer: By "common–law" we mean partners living together as a couple without being legally married.

Yes
No
DK, RF

Dwelling of Respondent (DOR)

DOR_R110

The following questions are about your housing and neighbourhood characteristics.

Interviewer: Press <1> to continue.

DOR_Q110

In what type of dwelling are you now living? Is it a...?

Interviewer: If the respondent answers condominium or seniors’ housing, ask whether the building is a townhouse, high–rise apartment, low–rise apartment or other.

Read categories until the respondent identifies the correct dwelling type. Please confirm answer.

Single detached house
Semi–detached or double (side by side)
Garden home, town–house or row house
Duplex (one above the other)
Low–rise apartment (less than 5 stories)
High–rise apartment (5 or more stories)
Mobile home or trailer
Other – Specify (Go to DOR_S110)
DK, RF

Go to DOR_END

Ownership of Dwelling by Respondent (ODR)

ODR_Q10

Is this dwelling...?

Interviewer: Read categories to respondent. If the respondent’s household contains both owners and renters, such as a boarder, the dwelling should be considered owned.

Owned by you or a member of this household, even if it is still being paid for
Rented, even if no cash rent is paid
DK, RF (Go to ODR_END)

Length of time Respondent has lived in Dwelling (LRD)

LRD_Q10

How long have you lived in this dwelling?

Less than 6 months
6 months to less than 1 year
1 year to less than 3 years
3 years to less than 5 years
5 years to less than 10 years
10 years and over
DK, RF

Length of time Respondent has lived in Neighbourhood (LRN)

LRN_Q10

How long have you lived in this neighbourhood?

Less than 6 months
6 months to less than 1 year
1 year to less than 3 years
3 years to less than 5 years
5 years to less than 10 years
10 years and over
DK, RF

Length of time Respondent has lived in city or local Community (LRC)

LRC_Q20

How long have you lived in this city or local community?

Less than 6 months
6 months to less than 1 year
1 year to less than 3 years
3 years to less than 5 years
5 years to less than 10 years
10 years and over
DK, RF

Residential Mobility (MOB)

MOB_Q010

In the last 5 years, how many times have you moved? Include all moves from one residence to another, even moves within the same city, town or community.

(MIN: 0)
(MAX: 25)
DK, RF

Questions about the Immediate Neighbourhood of respondent (QIN)

QIN_Q10

Would you say that you know...?

Interviewer: Read the categories to respondent.

Most of the people in your neighbourhood
Many of the people (in your neighbourhood)
A few of the people (in your neighbourhood)
None of the people in your neighbourhood
DK, RF

QIN_Q20

Would you say this neighbourhood is a place where neighbours help each other?

Yes
No
DK, RF

Live in a Welcoming Community (LWC)

LWC_Q10

In general, would you say that you live in a welcoming community?

Interviewer: A welcoming community is a community where you would not hesitate to participate in activities for fear of being harassed, ridiculed or discriminated against.

Yes
No
DK, RF

Social Disorder Questions (SDQ)

SDQ_Q110

In your neighbourhood, how much of a problem are:

noisy neighbours or loud parties?

Interviewer: Read the categories to respondent.

A big problem
A moderate problem
A small problem
Not a problem at all
DK, RF

SDQ_Q120

(In your neighbourhood, how much of a problem are:)

people hanging around on the streets?

A big problem
A moderate problem
A small problem
Not a problem at all
DK, RF

SDQ_Q140

(In your neighbourhood, how much of a problem is:)

garbage or litter lying around?

A big problem
A moderate problem
A small problem
Not a problem at all
DK, RF

SDQ_Q150

(In your neighbourhood, how much of a problem is:)

vandalism, graffiti and other deliberate damage to property or vehicles?

A big problem
A moderate problem
A small problem
Not a problem at all
DK, RF

SDQ_Q160

(In your neighbourhood, how much of a problem are:)

people being attacked or harassed because of their skin colour, ethnic origin or religion?

A big problem
A moderate problem
A small problem
Not a problem at all
DK, RF

SDQ_Q170

(In your neighbourhood, how much of a problem are:)

people using or dealing drugs?

A big problem
A moderate problem
A small problem
Not a problem at all
DK, RF

SDQ_Q180

(In your neighbourhood, how much of a problem are:)

people being drunk or rowdy in public places?

A big problem
A moderate problem
A small problem
Not a problem at all
DK, RF

Sense of Belonging (SBL)

SBL_Q100

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

Interviewer: Read categories to respondent.

Very strong
Somewhat strong
Somewhat weak
Very weak
No opinion
DK, RF

Isolation (ISL)

ISL_Q100

How many relatives and friends do you have who you feel close to, that is, who you feel at ease with, can talk to about what is on your mind, or call on for help? [Do not include those who live with you./EMPTY].

Interviewer: Relatives include all persons related by blood, marriage or adoption residing outside of the household. Include aunts, uncles, cousins, in–laws, etc.

(MIN: 0)
(MAX: 200)
DK, RF

Likelihood Neighbours would Call the Police (NCP)

NCP_Q10

How likely do you think it is that your neighbours would call the police:

if they heard or witnessed what seemed like criminal behaviour in your neighbourhood? Is it...?

Interviewer: Read categories to respondent.

Very likely
Somewhat likely
Somewhat unlikely
Not at all likely
Just moved into the area
DK, RF

NCP_Q20

(How likely do you think it is that your neighbours would call the police:)

if they heard or witnessed family violence occurring in your home?

Very likely
Somewhat likely
Somewhat unlikely
Not at all likely
DK, RF

Trust In People (TIP)

TIP_Q10

Using a scale of 1 to 5 where 1 means ’Cannot be trusted at all’ and 5 means ’Can be trusted a lot’, how much do you trust each of the following groups of people:

people in your family?

Cannot be trusted at all
...
...
...
Can be trusted a lot
DK, RF

TIP_Q15

(Using a scale of 1 to 5 where 1 means ’Cannot be trusted at all’ and 5 means ’Can be trusted a lot’, how much do you trust each of the following groups of people:)

people in your neighbourhood?

Cannot be trusted at all
...
...
...
Can be trusted a lot
DK, RF

TIP_Q20

(Using a scale of 1 to 5 where 1 means ’Cannot be trusted at all’ and 5 means ’Can be trusted a lot’, how much do you trust each of the following groups of people:)

people you work with or go to school with?

Cannot be trusted at all
...
...
...
Can be trusted a lot
Does not go to school nor works
DK, RF

TIP_Q25

(Using a scale of 1 to 5 where 1 means ’Cannot be trusted at all’ and 5 means ’Can be trusted a lot’, how much do you trust each of the following groups of people:)

strangers?

Cannot be trusted at all
...
...
...
Can be trusted a lot
DK, RF

Neighbourhood Safety and Crime (NSC)

NSC_R10

Now, some general questions on crime and safety.

Interviewer: Press <1> to continue.

NSC_Q10

Compared to other areas in Canada, do you think your neighbourhood has a higher amount of crime, about the same or a lower amount of crime?

Interviewer: Neighbourhood refers to the area surrounding your home.

Higher
About the same
Lower
DK, RF

NSC_Q20

During the last 5 years, do you think that crime in your neighbourhood has increased, decreased or remained about the same?

Increased
Decreased
About the same
Just moved into the area / has not lived in neighbourhood long enough

(DK not allowed)

NSC_Q30

How safe do you feel from crime walking alone in your area after dark? Do you feel...?

Interviewer: If respondent cannot walk, ask if they would go out in a wheelchair.

Read categories to respondent.

Very safe (Go to NSC_END)
Reasonably safe
Somewhat unsafe
Very unsafe
Do not walk alone
DK, RF

Go to NSC_Q50

NSC_Q50

If you felt safer from crime, would you walk alone in your area after dark more often?

Yes
No
DK, RF

Public Transportation in respondent’s city/local community and Safety (PTS)

PTS_Q10

Is there public transportation in your city or local community?

Yes
No (Go to PTS_END)
DK, RF

Go to PTS_D30

PTS_Q30

While waiting for or using public transportation alone after dark, do you feel...?

Interviewer: Read categories to respondent.

Very worried
Somewhat worried
Not at all worried about your safety from crime
Never use public transportation (after dark)
DK, RF

PTS_Q40

If you felt safer from crime, would you use public transportation alone after dark more often?

Yes
No
DK, RF

Alone at Home in the Evening or at night (AHE)

AHE_Q10

When alone in your home in the evening or at night, do you feel...?

Interviewer: Read categories to respondent.

Very worried
Somewhat worried
Not at all worried about your safety from crime
Never alone
DK, RF

Perceptions: Evenings Out (PEO)

PEO_Q110

On average, how many times a month do you go out during the evening:

to work, attend night classes, go to meetings or do volunteer work?

Interviewer: If respondent states "Less than once a month" enter "95". If the respondent says "Never" enter "0". If the respondent answers in weeks, multiply by four to convert that amount into times per month.

(MIN: 0)
(MAX: 95)
DK, RF

PEO_Q130

(On average, how many times a month do you go out during the evening:)

to go to bars, clubs or pubs?

(MIN: 0)
(MAX: 95)

(MIN: 0)
(MAX: 95)
DK, RF

Satisfaction with Personal Safety from crime (SPS)

SPS_Q10

In general, how satisfied are you with your personal safety from crime?

Interviewer: Read categories to respondent.

Very satisfied
Satisfied
Neither satisfied nor dissatisfied
Dissatisfied
Very dissatisfied
No opinion
DK, RF

Protection From Crime (PFC)

PFC_Q110

Have you ever done any of the following things to protect yourself or your property from crime? Have you ever:

changed your routine, activities, or avoided certain people or places?

Interviewer: Probe to be sure action was taken as a protection from crime.

Yes
No
DK, RF

PFC_Q120

(Have you ever done any of the following things to protect yourself or your property from crime? Have you ever:)

installed new locks or security bars?

Interviewer: Probe to be sure action was taken as a protection from crime.

Yes
No
DK, RF

PFC_Q130

(Have you ever done any of the following things to protect yourself or your property from crime? Have you ever:)

installed burglar alarms, motion detector lights or a video surveillance system?

Interviewer: Probe to be sure action was taken as a protection from crime.

Yes
No
DK, RF

PFC_Q140

(Have you ever done any of the following things to protect yourself or your property from crime? Have you ever:)

taken a self–defence course?

Interviewer: Probe to be sure action was taken as a protection from crime.

Yes
No
DK, RF

PFC_Q160

(Have you ever done any of the following things to protect yourself or your property from crime? Have you ever:)

obtained a dog?

Interviewer: Probe to be sure action was taken as a protection from crime.

Yes
No
DK, RF

PFC_Q180

(Have you ever done any of the following things to protect yourself or your property from crime? Have you ever:)

changed residence or moved?

Interviewer: Probe to be sure action was taken as a protection from crime.

Yes
No
DK, RF

Go to PFC_C185

PFC_Q185

[Did you do this/Have you done any of these things] to protect yourself or your property from crime in the last 12 months?

Yes (Go to PFC_C190)
No
DK, RF

Go to PFC_END

PFC_Q190

Which ones?

Interviewer: Mark all that apply.

Changed your routine, activities, or avoided certain people or places
Installed new locks or security bars
Installed burglar alarms or motion detector lights or a video surveillance system
Taken a self–defence course
Obtained a dog
Changed residence or moved
DK, RF

Safer From Crime (SFC)

SFC_Q10

Do you do any of the following things to make yourself safer from crime? Do you routinely:

carry something to defend yourself or to alert other people?

Interviewer: Routinely means "most of the time" even if you occasionally forget.

Examples of things to defend yourself or to alert other people are: a whistle, a knife, pepper spray, etc.

Yes
No
DK, RF

SFC_Q20

(Do you do any of the following things to make yourself safer from crime? Do you routinely:)

when alone and returning to a parked car, check the back seat for intruders before getting into the car?

Interviewer: Routinely means "most of the time" even if you occasionally forget.

Yes
No
DK, RF

SFC_Q30

(Do you do any of the following things to make yourself safer from crime? Do you routinely:)

plan your route with safety in mind?

Interviewer: Routinely means "most of the time" even if you occasionally forget.

Yes
No
DK, RF

SFC_Q40

(Do you do any of the following things to make yourself safer from crime? Do you routinely:)

stay at home at night because you are afraid to go out alone?

Interviewer: Routinely means "most of the time" even if you occasionally forget.

Yes
No
DK, RF

SFC_Q50

(Do you do any of the following things to make yourself safer from crime? Do you routinely:)

lock windows and doors at home?

Interviewer: Routinely means "most of the time" even if you occasionally forget.

Yes
No
DK, RF

SFC_Q60

(Do you do any of the following things to make yourself safer from crime? Do you routinely:)

rather than walk, use your car, a taxi or public transportation for your personal safety?

Interviewer: Routinely means "most of the time" even if you occasionally forget.

Yes
No
DK, RF

Perceptions: Local Police (PLP)

PLP_R110

The next questions deal with your perceptions about the work of the criminal justice system.

Interviewer: Press <1> to continue.

PLP_Q110

Do you think your local police force does a good job, an average job or a poor job:

of enforcing the laws?

Interviewer: "Local police force" refers to the police responsible for your municipality.

Exclude security guards, fire marshalls, by–law officers and all others who have no authority to make arrests.

Good job
Average job
Poor job
DK, RF

PLP_Q120

(Do you think your local police force does a good job, an average job or a poor job:)

of promptly responding to calls?

Interviewer: "Local police force" refers to the police responsible for your municipality.

Exclude security guards, fire marshalls, by–law officers and all others who have no authority to make arrests.

Good job
Average job
Poor job
DK, RF

PLP_Q130

(Do you think your local police force does a good job, an average job or a poor job:)

of being approachable and easy to talk to?

Interviewer: "Local police force" refers to the police responsible for your municipality.

Exclude security guards, fire marshalls, by–law officers and all others who have no authority to make arrests.

Good job
Average job
Poor job
DK, RF

PLP_Q140

(Do you think your local police force does a good job, an average job or a poor job:)

of supplying information to the public on ways to prevent crime?

Interviewer: "Local police force" refers to the police responsible for your municipality.

Exclude security guards, fire marshalls, by–law officers and all others who have no authority to make arrests.

Good job
Average job
Poor job
DK, RF

PLP_Q150

(Do you think your local police force does a good job, an average job or a poor job:)

of ensuring the safety of the citizens in your area?

Interviewer: "Local police force" refers to the police responsible for your municipality.

Exclude security guards, fire marshalls, by–law officers and all others who have no authority to make arrests.

Good job
Average job
Poor job
DK, RF

PLP_Q160

(Do you think your local police force does a good job, an average job or a poor job:)

of treating people fairly?

Interviewer: "Local police force" refers to the police responsible for your municipality.

Exclude security guards, fire marshalls, by–law officers and all others who have no authority to make arrests.

’Treating people fairly’ could be related to race, age, gender, or the severity of the offence, etc.

Good job
Average job
Poor job
DK, RF

Confidence In Police (CIP)

CIP_Q10

How much confidence do you have in the police?

Is it...?

Interviewer: Read categories to respondent.

Exclude security guards, fire marshalls, by–law officers and all others who have no authority to make arrests.

A great deal of confidence
Some confidence
Not very much confidence
No confidence at all
DK, RF

Perceptions: Criminal Courts (PCC)

PCC_Q145

How much confidence do you have in the Canadian Criminal courts?

Is it ...?

Interviewer: Read categories to respondent.

A great deal of confidence
Some confidence
Not very much confidence
No confidence at all
DK, RF

PCC_Q160

Have you ever had contact with the Canadian Criminal courts?

Interviewer: "Canadian Criminal courts" refers to courts in Canada which deal with criminal incidents.

Exclude family and traffic courts.

Contact with a criminal court may be for any reason such as being a witness to a crime, a victim of a crime, having friends or family members charged with a crime or being on a jury.

Yes
No
DK, RF

Contact With Police (CWP)

CWP_Q110

During the past 12 months, did you come into contact with the police:

for a public information session?

Yes
No
DK, RF

CWP_Q120

(During the past 12 months, did you come into contact with the police:)

for a traffic violation?

Yes
No
DK, RF

CWP_Q140

(During the past 12 months, did you come into contact with the police:)

as a witness to a crime?

Yes
No
DK, RF

CWP_Q150

(During the past 12 months, did you come into contact with the police:)

by being arrested?

Yes
No
DK, RF

CWP_Q160

(During the past 12 months, did you come into contact with the police:)

because of problems with your emotions, mental health or alcohol or drug use?

Yes
No
DK, RF

CWP_Q170

(During the past 12 months, did you come into contact with the police:)

because of a family member’s emotional problems, mental health or alcohol or drug use?

Yes
No
DK, RF

CWP_Q180

(During the past 12 months, did you come into contact with the police:)

for any other reason?

Yes – Specify (Go to CWP_S180)
No
DK, RF

Go to CWP_END

Criminal Victimization Screening: Property (VSP)

VSP_R110A The next questions ask about incidents which may have happened to you in Canada during the past 12 months.

Interviewer: Press <1> to continue.

VSP_R110B Please include acts committed by both family and non–family members whether or not they were reported to the police.

Interviewer: Press <1> to continue.

VSP_Q110

During the past 12 months, did anyone deliberately damage or destroy any property belonging to you or anyone in your household, such as a window or a fence?

Interviewer: Record incidents of vandalism to a motor vehicle in question VSV_Q120.

Exclude damage to the halls or elevators or to the outside of an apartment building.

Yes (Go to VSP_Q115)
No
DK, RF

Go to VSP_D115

VSP_Q115

How many times did this happen during the past 12 months?

(MIN: 0)
(MAX: 95)
DK, RF

VSP_Q120

[Excluding incidents already mentioned, did/Did] anyone take or try to take something from you by force or threat of force?

Interviewer: Record incidents of assault in question VSA_Q110, threats in question VSA_Q120 and sexual assaults in question VSA_Q130.

Yes (Go to VSP_Q125)
No
DK, RF

Go to VSP_D125

VSP_Q125

How many times did this happen during the past 12 months?

(MIN: 0)
(MAX: 95)
DK, RF

VSP_Q130

[Excluding incidents already mentioned, did/Did] anyone illegally break into or attempt to break into your residence or any other building on your property?

Yes (Go to VSP_Q135)
No
DK, RF

Go to VSP_D135

VSP_Q135

How many times did this happen during the past 12 months?

(MIN: 0)
(MAX: 95)
DK, RF

VSP_Q140

[Excluding incidents already mentioned, was/Was] anything of yours stolen from outside your home, such as yard furniture?

Interviewer: Record incidents of theft from work, school or other public place in VSP_Q150, theft from hotel, vacation home, cottage or while travelling in VSP_Q160 and motor vehicle theft in question VSV_Q110.

Yes (Go to VSP_Q145)
No
DK, RF

Go to VSP_D145

VSP_Q145

How many times did this happen during the past 12 month?

(MIN: 0)
(MAX: 95)
DK, RF

VSP_Q150

[Excluding incidents already mentioned, was/Was] anything of yours stolen from your place of work, from school or from a public place, such as a restaurant?

Interviewer: Probe to ensure property taken was their own personal property and not property belonging to their work place or school.

Yes (Go to VSP_Q155)
No
DK, RF

Go to VSP_D155

VSP_Q155

How many times did this happen during the past 12 months?

(MIN: 0)
(MAX: 95)
DK, RF

VSP_Q160

[Excluding incidents already mentioned, was/Was] anything of yours stolen from a hotel, vacation home, cottage, car, truck or while travelling in Canada?

Yes (Go to VSP_Q165)
No
DK, RF

Go to VSP_D165A

VSP_Q165

How many times did this happen during the past 12 months?

(MIN: 0)
(MAX: 95)
DK, RF

Criminal Victimization Screening: Vehicle (VSV)

VSV_Q100

During the past 12 months, did you or anyone in your household have a motor vehicle, such as a car, truck or motorcycle?

Interviewer: Exclude short term rentals; for example, those used for short trips or weekends.

Yes (Go to VSV_Q110)
No
DK, RF

Go to VSV_D125

VSV_Q110

[Excluding incidents already mentioned, did/Did] anyone steal or try to steal one of these vehicles or a part of one of them, such as a battery, hubcap or radio?

Yes (Go to VSV_Q115)
No
DK, RF

Go to VSV_D115

VSV_Q115

How many times did this happen during the past 12 months?

(MIN: 0)
(MAX: 95)
DK, RF

VSV_Q120

[Excluding incidents already mentioned, did/Did] anyone deliberately damage one of these vehicles, such as slashing tires?

Yes (Go to VSV_Q125)
No
DK, RF

Go to VSV_D125

VSV_Q125

How many times did this happen during the past 12 months?

(MIN: 0)
(MAX: 95)
DK, RF

VSV_Q130

[Excluding incidents already mentioned, did/Did] anyone steal or try to steal something else that belonged to you?

Yes (Go to VSV_Q135)
No
DK, RF

Go to VSV_D135A

VSV_Q135

How many times did this happen during the past 12 months?

(MIN: 0)
(MAX: 95)
DK, RF

Criminal Victimization Screening: Assault (VSA)

VSA_R110

An attack can be anything from being threatened, hit, slapped, pushed or grabbed, to being shot or beaten.

Interviewer: Press <1> to continue.

VSA_Q110

[Excluding incidents already mentioned, were/Were] you attacked by anyone in the past 12 months?

Please exclude acts that may have been committed by a current or previous spouse or partner.

Remember that your answers are strictly confidential.

Interviewer: Record incidents of threats in question VSA_Q120 and sexual assaults in question VSA_Q130.

Yes (Go to VSA_Q115)
No
DK, RF

Go to VSA_D115

Yes (Go to VSA_Q115)
No
DK, RF

VSA_Q115

How many times did this happen during the past 12 months?

(MIN: 0)
(MAX: 95)

Remember that your answers are strictly confidential.)

Yes (Go to VSA_Q125)
No
DK, RF

Go to VSA_D125

VSA_Q125

How many times did this happen during the past 12 months?

(MIN: 0)
(MAX: 95)
DK, RF

VSA_Q130

[Excluding incidents already mentioned, has/Has] anyone forced you or attempted to force you into any unwanted sexual activity, by threatening you, holding you down or hurting you in some way?

This includes acts by family and non–family but excludes acts that could involve current or previous spouses or common–law partners.

Remember that your answers are strictly confidential.

Yes (Go to VSA_Q135)
No
DK, RF

Go to VSA_D135

VSA_Q135

How many times did this happen during the past 12 months?

(MIN: 0)
(MAX: 95)
DK, RF

VSA_Q140

[Excluding incidents already mentioned, has/Has] anyone ever touched you against your will in any sexual way? By this I mean anything from unwanted touching or grabbing, to kissing or fondling.

(Please exclude acts that may have been committed by a current or previous spouse or partner.)

Yes (Go to VSA_Q145)
No
DK, RF

Go to VSA_D145

VSA_Q145

How many times did this happen during the past 12 months?

(MIN: 0)
(MAX: 95)
DK, RF

VSA_Q150

[Excluding incidents already mentioned, has/Has] anyone subjected you to a sexual activity to which you were not able to consent. By this I mean were you drugged, intoxicated, manipulated or forced in other ways than physically?

(Please exclude acts that may have been committed by a current or previous spouse or partner.

Remember that your answers are strictly confidential.)

Yes (Go to VSA_Q155)
No
DK, RF

Go to VSA_D155A

VSA_Q155

How many times did this happen during the past 12 months?

(MIN: 0)
(MAX: 95)
DK, RF

Criminal Victimization Screening: Total (VST)

VST_Q110

[Apart from what you have told me, were/Were] there any other crimes that happened to you during the past 12 months? ^DT_EXCLUDE_EInclude acts which may or may not have been reported to the police.

Interviewer: Exclude criminal harassment or stalking incidents. They will be collected in another section.

Yes (Go to VST_S110)
No
DK, RF

Go to VST_D200A

VST_Q115

How many times did this happen?

(MIN: 1)
(MAX: 95)
DK, RF

VST_Q200

I would like to confirm the crimes that you reported and that occurred on different occasions over the past 12 months. You said you were a victim of:

^DT_HhldDamage_E

^DT_TakeByForce_E

^DT_BreakAndEnt_E

^DT_OutsideHhld_E

^DT_PropertyStl_E

^DT_RobberyVaca_E

^DT_StolenVehic_E

^DT_DamageVehic_E

^DT_StolenOther_E

^DT_PhysicalAtt_E

^DT_Threat_E

^DT_SexualAssal_E

^DT_UnwantedSex_E

^DT_SexualnoConsent_E

^DT_OtherCrimeS_E

Interviewer: If changes are required, go back to appropriate questions and make the necessary corrections.

Confirmed: Number of crime incidents is correct (Go to VST_END)
Incorrect

(DK, RF not allowed)

VST_Q201

DK, RF

VST_Q205

I need to confirm that you have NOT been a victim of a crime [by someone other than a current or previous spouse or common–law partner/BLANK]in the past 12 months.

Interviewer: If changes are required, go back to appropriate questions and make the necessary corrections.

Confirmed: No crime incidents in the past 12 months
Incorrect

(DK, RF not allowed)

VST_Q206

DK, RF

Number of Years with spouse/Partner (YWP)

YWP_R10

Now, some questions concerning your [spouse/partner].

YWP_Q10

In what year did you start living together?

Interviewer: If the couple lived common–law before getting married, ask the respondent when they started living together. We want to know the total length of time that the couple has lived together.

(MIN: 1,921)
(MAX: 2,014)
DK, RF

YWP_Q15

In what month?

January
February
March
April
May
June
July
August
September
October
November
December
DK, RF

Go to YWP_D15

Emotional and Financial abuse by spouse/Partner (EFP)

EFP_Q210

I’m going to read a list of statements that some people have used to describe their [spouse/partner]. I’d like you to tell me whether or not each statement describes your [spouse/partner]. Please remember that all information provided is strictly confidential. [He/She/He or she]:

tries to limit your contact with family or friends.

Yes
No
DK, RF

EFP_Q220

(I’m going to read a list of statements that some people have used to describe their [spouse/partner]. I’d like you to tell me whether or not each statement describes your [spouse/partner]. Please remember that all information provided is strictly confidential. [He/She/He or she]:)

puts you down or calls you names to make you feel bad.

Yes
No
DK, RF

EFP_Q230

is jealous and doesn’t want you to talk to other men or women.

Yes
No
DK, RF

EFP_Q240

harms, or threatens to harm, someone close to you.

Yes
No
DK, RF

EFP_Q245

harms or threatens to harm your pet(s).

Interviewer: If respondent answers <No>, confirm that no pets were harmed by the spouse/partner. If respondent says <No> because he/she does not have pets, then select <Not applicable>.

Yes
No
Not applicable
DK, RF

EFP_Q250

demands to know who you are with and where you are at all times.

Yes
No
DK, RF

EFP_Q260

damages or destroys your possessions or property.

Yes
No
DK, RF

EFP_Q270

prevents you from knowing about or having access to the family income, even if you ask.

Yes
No
DK, RF

EFP_Q280

forces you to give [him/her/him or her] your money, possessions or property.

Yes
No
DK, RF

Physical and Sexual violence by spouse/Partner (PSP)

PSP_R110

I’m going to ask you some questions concerning the serious problem of violence in the home. I’d like you to tell me if, in the past 5 years, your current [spouse/partner] has done any of the following to you. Your responses are important whether or not you have had any of these experiences. Remember that all information provided is strictly confidential.

Interviewer: Press <1> to continue.

PSP_Q110

During the past 5 years has your current [spouse/partner]:

threatened to hit you with [his/her/his or her] fist or anything else that could have hurt you?

Yes
No
DK, RF

PSP_Q120

(During the past 5 years has [he/she/he or she]:)

thrown anything at you that could have hurt you?

Yes
No
DK, RF

PSP_Q130

(During the past 5 years has [he/she/he or she]:)

pushed, grabbed or shoved you in a way that could have hurt you?

Yes
No
DK, RF

PSP_Q140

(During the past 5 years has [he/she/he or she]:)

slapped you?

Yes
No
DK, RF

PSP_Q150

(During the past 5 years has [he/she/he or she]:)

kicked you, bit you, or hit you with [his/her/his or her] fist?

Yes
No
DK, RF

PSP_Q160

(During the past 5 years has [he/she/he or she]:)

hit you with something that could have hurt you?

Yes
No
DK, RF

PSP_Q170

(During the past 5 years has [he/she/he or she]:)

beaten you?

Yes
No
DK, RF

PSP_Q180

(During the past 5 years has [he/she/he or she]:)

choked you?

Yes
No
DK, RF

PSP_Q190

(During the past 5 years has [he/she/he or she]:)

used or threatened to use a gun or knife on you?

Yes
No
DK, RF

PSP_Q200

(During the past 5 years has [he/she/he or she]:)

forced you into any unwanted sexual activity, by threatening you, holding you down, or hurting you in some way?

Yes
No
DK, RF

PSP_Q210

(During the past 5 years has [he/she/he or she]:)

subjected you to a sexual activity to which you were not able to consent. By this I mean were you drugged, intoxicated, manipulated or forced in other ways than physically?

Yes
No
DK, RF

Violence Towards others by current spouse/Partner (VTP)

VTP_Q10

In the past 5 years, has your current [spouse/partner] ever been physically or sexually violent:

towards anyone [else/BLANK] in the family?

Interviewer: Family includes all persons related by blood, marriage or adoption residing inside as well as outside of the household. It includes aunts, uncles, cousins, and in–laws, etc.

Yes
No
DK, RF

VTP_Q20

In the past 5 years, has your current [spouse/partner] ever been physically or sexually violent:

towards anyone outside of the family?

Interviewer: "Outside of the family" includes all persons not related by blood, marriage or adoption residing in as well as outside of the household.

Yes
No
DK, RF

Number of incidents of physical and sexual Violence with current spouse/Partner (NVP)

NVP_Q10

You said yes to at least one of the previous questions concerning physical and sexual violence. During the past 5 years, has [he/she/he or she] been violent to you on more than 1 occasion?

Yes (Go to NVP_Q20)
No
DK, RF

Go to NVP_END

NVP_Q20

How many different times did these things happen during the past 5 years?

Two
Three
Four
Five
Six
Seven
Eight
Nine
Ten
More than ten
DK, RF

NVP_Q30

In what year did these incidents start to happen?

(MIN: 1,921)
(MAX: 2,014)
DK, RF

NVP_Q40

How many of these incidents were in the past 12 months?

(MIN: 0)
(MAX: 995)
DK, RF

Unwanted Sexual activity by current spouse/Partner (USP)

USP_Q10

In how many of these ^NVP_Q40 incidents (during the past 12 months), did [he/she/he or she] force you into any unwanted sexual activity, by threatening you, holding you down or hurting you in some way?

(MIN: 0)
(MAX: 995)
DK, RF

Go to USP_C30A

USP_Q20

During this incident (in the past 12 months), did [he/she/he or she] force you into any unwanted sexual activity, by threatening you, holding you down or hurting you in some way?

Yes
No
DK, RF

USP_Q30

In how many of these ^NVP_Q40 incidents (during the past 12 months), did [he/she/he or she] subject you to sexual activity to which you were not able to consent?

Interviewer: You were not able to consent because you were drugged, intoxicated, manipulated or forced in other ways than physically.

(MIN: 0)
(MAX: 100)
DK, RF

Go to USP_END

USP_Q40

During this incident (in the past 12 months), did [he/she/he or she] subject you to a sexual activity to which you were not able to consent?

Interviewer: You were not able to consent because you were drugged, intoxicated, manipulated or forced in other ways than physically.

Yes
No
DK, RF

Most Recent incident of physical or sexual violence with current spouse/Partner (MRP)

MRP_Q10

During what year and month did [this/the most recent] incident of physical or sexual violence happen?

Interviewer: Enter the year in which [this/the most recent] incident of physical or sexual violence took place.

(MIN: 2,009)
(MAX: 2,014)
DK, RF

MRP_Q20

(During what year and month did [this/the most recent] incident of physical or sexual violence happen?)

Interviewer: Enter the month where [this/the most recent] incident of physical or sexual violence took place.

January
February
March
April
May
June
July
August
September
October
November
December
DK, RF

Information about incident that Happened in the past 5 years with current spouse/Partner (IHP)

IHP_Q10

Did [this incident/any of these incidents] (in the past 5 years) happen before you were married or living common–law?

Yes
No
DK, RF

IHP_Q20

Did [this incident/any of these incidents] (in the past 5 years) happen while you were married or living common–law?

Yes
No
DK, RF

IHP_Q30

Did [this incident/any of these incidents] (in the past 5 years) happen while you were temporarily separated?

Yes
No
No, never separated
DK, RF

IHP_Q40

Did [this incident/any of these incidents] (in the past 5 years) happen while you were pregnant?

Yes (Go to IHP_C50)
No
DK, RF

Go to IHP_END

IHP_Q50

Did [this incident/any of these incidents] begin while you were pregnant?

Yes
No
DK, RF

Go to IHP_END

Contact in the past 5 years with a Previous spouse/partner (CFP)

CFP_Q10

In the past 5 years, have you had any contact with a previous spouse or common–law partner?

Yes
No
DK, RF

Children With EX–spouse/ex–partner who had contact with respondent in the last 5 years (CWX)

CWX_Q10

Did you and your ex–spouse(s) or ex–common–law partner(s) have any children together who are presently under the age of 18?

Yes (Go to CWX_Q20)
No
DK, RF

Go to CWX_END

CWX_Q20

How many children did you have (with your ex–spouse(s) or ex–common–law partner(s)), who are presently under the age of 18?

Interviewer: Count all the children (presently under the age of 18) that the respondent had with all their ex–spouses/ex–common–law partners if applicable.

(MIN: 1)
(MAX: 19)
DK, RF

CWX_Q30

What is [this child’s/the children’s] principal residence?

Interviewer: Mark all that apply.

Respondent’s home
Ex–spouse/ex–common–law partner’s home
About the same amount of time at both parent’s homes
Somewhere else
DK, RF

CWX_Q40

How often does your ex–spouse(s)/ex–common–law partner(s) see [this child/these children]?

Interviewer: Mark all that apply.

At least once a week
At least once every 2 weeks
At least once a month
A few times a year
At least once a year
Doesn’t see the child but calls and/or sends letters, cards, gifts, etc.
Has no contact with the child
DK, RF

CWX_Q50

How often do you see [this child/these children]?

Interviewer: Mark all that apply.

At least once a week
At least once every 2 weeks
At least once a month
A few times a year
At least once a year
Doesn’t see the child but calls and/or sends letters, cards, gifts, etc.
Has no contact with the child
DK, RF

Emotional and Financial abuse by EX–spouse/ex–partner (EFX)

EFX_R210A Now a list of statements that some people have used to describe their previous spouse or partner.

Interviewer: Press <1> to continue.

Go to EFX_Q210

EFX_R210B Now a list of statements that may apply to your previous spouse or partner.

Interviewer: Press <1> to continue.

EFX_Q210

I’d like you to tell me whether or not each statement describes your ex–spouse or ex–partner. Please remember that all information provided is strictly confidential. He or she:

tried to limit your contact with family or friends.

Interviewer: If necessary, confirm with respondent, if the statement above describes his or her ex–spouse/ex–partner.

Yes
No
DK, RF

EFX_Q220

(I’d like you to tell me whether or not each statement describes your ex–spouse or ex–partner. Please remember that all information provided is strictly confidential. He or she:)

put you down or called you names to make you feel bad.

Interviewer: Interviewer: If necessary, confirm with respondent, if the statement above describes his or her ex–spouse/ex–partner.

Yes
No
DK, RF

EFX_Q230

(I’d like you to tell me whether or not each statement describes your ex–spouse or ex–partner. Please remember that all information provided is strictly confidential. He or she:)

was jealous and didn’t want you to talk to other men or women.

Interviewer: If necessary, confirm with respondent, if the statement above describes his or her ex–spouse/ex–partner.

Yes
No
DK, RF

EFX_Q240

(I’d like you to tell me whether or not each statement describes your ex–spouse or ex–partner. Please remember that all information provided is strictly confidential. He or she:)

harmed, or threatened to harm, someone close to you.

Interviewer: If necessary, confirm with respondent, if the statement above describes his or her ex–spouse/ex–partner.

Yes
No
DK, RF

EFX_Q245

(I’d like you to tell me whether or not each statement describes your ex–spouse or ex–partner. Please remember that all information provided is strictly confidential. He or she:)

harmed or threatened to harm your pet(s).

Interviewer: If respondent answers <No>, confirm that no pets were harmed by the ex–spouse/ex–partner. If respondent says <No> because he/she did not have pets, then select <Not applicable>.

Yes
No
Not applicable
DK, RF

EFX_Q250

(I’d like you to tell me whether or not each statement describes your ex–spouse or ex–partner. Please remember that all information provided is strictly confidential. He or she:)

demanded to know who you were with and where you were at all times.

Interviewer: If necessary, confirm with respondent, if the statement above describes his or her ex–spouse/ex–partner.

Yes
No
DK, RF

EFX_Q260

(I’d like you to tell me whether or not each statement describes your ex–spouse or ex–partner. Please remember that all information provided is strictly confidential. He or she:)

damaged or destroyed your possessions or property.

Interviewer: If necessary, confirm with respondent, if the statement above describes his or her ex–spouse/ex–partner.

Yes
No
DK, RF

EFX_Q270

(I’d like you to tell me whether or not each statement describes your ex–spouse or ex–partner. Please remember that all information provided is strictly confidential. He or she:)

prevented you from knowing about or having access to the family income, even if you asked.

Interviewer: If necessary, confirm with respondent, if the statement above describes his or her ex–spouse/ex–partner.

Yes
No
DK, RF

EFX_Q280

(I’d like you to tell me whether or not each statement describes your ex–spouse or ex–partner. Please remember that all information provided is strictly confidential. He or she:)

forced you to give him or her your money, possessions or property.

Interviewer: If necessary, confirm with respondent, if the statement above describes his or her ex–spouse/ex–partner.

Yes
No
DK, RF

Physical and Sexual Violence by EX–spouse/ex–partner (PSX)

PSX_R110A It is important to hear from people themselves if we are to understand the serious problem of violence in the home. I’m going to ask you some questions and I’d like you to tell me if, in the past 5 years, your previous spouse or partner did any of the following to you. Your responses are important whether or not you have had any of these experiences. Please remember that all information provided is strictly confidential.

Interviewer: Press <1> to continue.

Go to PSX_Q110

PSX_R110B The following questions refer to your previous spouse or partner. I’d like you to tell me if, in the past 5 years, your previous spouse or partner did any of the following to you. Again, your responses are important whether or not you have had any of these experiences. Please remember that all information provided is strictly confidential.

Interviewer: Press <1> to continue.

PSX_Q110

During the past 5 years did your previous spouse or partner:

threaten to hit you with his (her) fist or anything else that could have hurt you?

Yes
No
DK, RF

PSX_Q120

(During the past 5 years did he or she:)

throw anything at you that could have hurt you?

Yes
No
DK, RF

PSX_Q130

(During the past 5 years did he or she:)

push, grab or shove you in a way that could have hurt you?

Yes
No
DK, RF

PSX_Q140

(During the past 5 years did he or she:)

slap you?

Yes
No
DK, RF

PSX_Q150

(During the past 5 years did he or she:)

kick you, bite you or hit you with his (her) fist?

Yes
No
DK, RF

PSX_Q160

(During the past 5 years did he or she:)

hit you with something that could have hurt you?

Yes
No
DK, RF

PSX_Q170

(During the past 5 years did he or she:)

beat you?

Yes
No
DK, RF

PSX_Q180

(During the past 5 years did he or she:)

choke you?

Yes
No
DK, RF

PSX_Q190

(During the past 5 years did he or she:)

use or threaten to use a gun or knife on you?

Yes
No
DK, RF

PSX_Q200

(During the past 5 years did he or she:)

force you into any unwanted sexual activity, by threatening you, holding you down or hurting you in some way?

Yes
No
DK, RF

PSX_Q210

(During the past 5 years did he or she:)

subject you to a sexual activity to which you were not able to consent. By this I mean were you drugged, intoxicated, manipulated or forced in other ways than physically?

Yes
No
DK, RF

Violence Towards others by EX–spouse/ex–partner (VTX)

VTX_Q10

In the past 5 years, has your ex–spouse/partner ever been physically or sexually violent:

towards anyone [else/BLANK] in the family?

Interviewer: Family includes all persons related by blood, marriage or adoption residing inside as well as outside of the household. It includes aunts, uncles, cousins, and in–laws, etc.

Yes
No
DK, RF

VTX_Q20

In the past 5 years, has he(she) ever been physically or sexually violent:

towards anyone outside of the family?

Interviewer: "Outside of the family" includes all persons not related by blood, marriage or adoption residing in as well as outside of the household.

Yes
No
DK, RF

Number of incidents of physical and sexual Violence by an EX–spouse/ex–partner (NVX)

NVX_Q10

You said yes to at least one of the previous questions concerning physical and sexual violence. During the past 5 years, has he (she) been violent to you on more than 1 occasion?

Yes (Go to NVX_Q20)
No
DK, RF

Go to NVX_END

NVX_Q20

How many different times did these things happen during the past 5 years?

Two
Three
Four
Five
Six
Seven
Eight
Nine
Ten
More than ten
DK, RF

NVX_Q30

In what year did these incidents start to happen?

(MIN: 1,921)
(MAX: 2,014)
DK, RF

Go to NVX_Q40

NVX_Q40

How many of these were in the past 12 months?

(MIN: 0)
(MAX: 995)
DK, RF

Unwanted Sexual activity by EX–spouse/ex–partner (USX)

USX_Q10

In how many of these ^NVX_Q40 incidents (during the past 12 months), did he (she) force you into any unwanted sexual activity, by threatening you, holding you down or hurting you in some way?

(MIN: 0)
(MAX: 995)
DK, RF

Go to USX_C30A

USX_Q20

During this incident (in the past 12 months), did he (she) force you into any unwanted sexual activity, by threatening you, holding you down or hurting you in some way?

Yes
No
DK, RF

USX_Q30

In how many of these ^NVX_Q40 incidents (during the past 12 months), did he (she) subject you to a sexual activity to which you were not able to consent?

Interviewer: You were not able to consent because you were drugged, intoxicated, manipulated or forced in other ways than physically.

(MIN: 0)
(MAX: 100)
DK, RF

Go to USX_END

USX_Q40

During this incident (in the past 12 months), did he (she) subject you to a sexual activity to which you were not able to consent?

Interviewer: You were not able to consent because you were drugged, intoxicated, manipulated or forced in other ways than physically.

Yes
No
DK, RF

Most Recent incident of physical or sexual violence with EX–spouse/ex–partner (MRX)

MRX_Q10

During what year and month did [this/the most recent] incident of physical or sexual violence happen?

Interviewer: Enter the year in which [this/the most recent] incident of physical or sexual violence took place.

(MIN: 2,009)
(MAX: 2,014)
DK, RF

MRX_Q20

(During what year and month did [this/the most recent] incident of physical or sexual violence happen?)

Interviewer: Enter the month in which [this/the most recent] incident of physical or sexual violence took place.

January
February
March
April
May
June
July
August
September
October
November
December
DK, RF

Information about incident that Happened in the past 5 years with EX–spouse/ex–partner (IHX)

IHX_Q10

Did [this incident/any of these incidents] (in the past 5 years) happen while you were living together?

Yes
No
DK, RF

IHX_Q20

Did [this incident/any of these incidents] (in the past 5 years) happen while you were pregnant?

Yes (Go to IHX_C30A)
No
DK, RF

Go to IHX_Q40

IHX_Q30

Did these incidents begin while you were pregnant?

Yes
No
DK, RF

IHX_Q40

Did [this incident/any of these incidents] (in the past 5 years) happen after you split up?

Yes (Go to IHX_C45)
No
DK, RF

Go to IHX_END

IHX_Q45

Of [these ^piNVX_Q20 incidents/these incidents], how many happened after you split up?

(MIN: 1)
(MAX: 100)
DK, RF

IHX_Q50

How long were you separated when the violence occurred?

Less than 1 week
1 week to less than 1 month
1 to 6 months
More than 6 months
DK, RF

IHX_Q60

Do you think it increased after you split up (in frequency or intensity)?

Yes
No
DK, RF

Spouse/partner Abuse Injuries (SAI)

SAI_R110A You said that during the past 5 years your current [spouse/partner] was violent.

Interviewer: Press <1> to continue.

Go to SAI_D110B

SAI_R110B We will now return to some questions concerning the violence you experienced during the past 5 years by your current [spouse/partner].

Interviewer: Press <1> to continue.

SAI_Q110

During [EMPTY/any of] [this incident/these incidents], were you ever physically injured in any way, for example bruises, cuts, broken bones or other types of injury?

Yes (Go to SAI_Q111)
No
DK, RF

Go to SAI_END

SAI_Q111

What were your injuries? Were they:

bruises?

Yes
No
DK, RF

SAI_Q112

(What were your injuries? Were they:)

cuts, scratches, burns or other types of injuries like these?

Yes
No
DK, RF

SAI_Q113

(What were your injuries? Were they:)

fractures or broken bones?

Yes
No
DK, RF

Go to SAI_C115

SAI_Q115

(What were your injuries? Were they:)

a miscarriage?

Yes
No
DK, RF

SAI_Q116

(What were your injuries? Were they:)

internal injuries?

Yes
No
DK, RF

SAI_Q117

(What were your injuries? Were they:)

any other type of injury?

Yes – Specify (Go to SAI_S117)
No
DK, RF

Go to SAI_D120

SAI_Q120

Did any of the incidents in which you were injured happen in the past 12 months?

Yes
No
DK, RF

SAI_Q125

During [this incident/these incidents] was your [spouse/partner] drinking?

Interviewer: Select <yes> if the respondent says usually or during more than half of the incidents.

Yes
No
Does not drink
DK, RF

Spouse/partner abuse injuries – Medical Attention (SMA)

SMA_Q10

During the past 5 years, did you ever receive any medical attention from a doctor or a nurse for your injuries?

Interviewer: Include medical attention received immediately after the attack as well as any medical attention received as a result of the injuries.

Yes (Go to SMA_D15)
No
DK, RF

Go to SMA_END

SMA_Q15

Where did you receive the medical attention?

Interviewer: Mark all that apply.

At a physician’s office or walk–in clinic
At a [health center/hospital emergency room]
Other – Specify (Go to SMA_S15)
DK, RF (Go to SMA_END)

Go to SMA_C20

SMA_Q20

How many times did you visit the physician’s office or the walk–in clinic because of your injuries?

Interviewer: Visits related to injuries resulting from physical abuse by spouse or partner.

(MIN: 1)
(MAX: 995)
DK, RF

SMA_Q30

How many times did you go to a [health center/hospital emergency room] because of your injuries?

Interviewer: Visits related to injuries resulting from physical abuse by spouse or partner.

(MIN: 1)
(MAX: 995)
DK, RF

SMA_Q50

During [this visit/any of these visits] did you have to stay in the [health center/hospital] overnight? Please exclude wait time.

Yes
No
DK, RF

SMA_Q70

In total how many nights did you spend in a [health center/hospital] because of your injuries?

(MIN: 1)
(MAX: 995)
DK, RF

SMA_Q80

Were you ever taken to the [health center/hospital] by ambulance because of your injuries?

Interviewer: For injuries resulting from physical abuse caused by spouse/partner.

Yes
No
DK, RF

Spouse/partner abuse injuries – Time Off due to injuries (STO)

STO_Q10

As a result of the violence [and excluding any time you spent in a [hospital or health center/hospital]/BLANK] did you, during the past 5 years, ever have to stay in bed for all or most of the day?

Interviewer: Include time spent in bed for injuries as well as for stress reasons.

Most of a day means at least 6 hours over and above the time the respondent normally spends sleeping.

Yes (Go to STO_Q15)
No
DK, RF

Go to STO_D20A

STO_Q15

For how many days in total?

Interviewer: Count each day the respondent spent at least 6 hours in bed over and above the time he/she normally spends sleeping.

(MIN: 1)
(MAX: 995)
DK, RF

STO_Q20

During the past 5 years, did you ever have to take time off from your everyday activities because of what happened to you [other than the time you spent in the [hospital or health center/hospital] and [at home in bed/BLANK]/other than the time you spent in the [hospital or health center/hospital]/other than the time you spent [at home in bed/BLANK]/EMPTY]?

Interviewer: Select <yes> if the respondent’s everyday activities were disrupted for at least 6 hours.

Could include activities such as working at a paid job or business, looking for paid work, going to school, caring for children, household work, retirement.

Yes (Go to STO_Q25)
No
DK, RF

Go to STO_END

STO_Q25

In total, how many days did you take off?

Interviewer: If respondent was never able to go back to their everyday activities, provide an estimate of the number of days since the incident.

Never being able to go back to their everyday activities must be as a permanent consequence of the incident, not a choice.

(MIN: 1)
(MAX: 995)
DK, RF

Spouse/partner abuse injuries – Other persons Harmed (SOH)

SOH_Q10

During the past 5 years, was anyone else ever harmed or threatened during [this incident/these incidents]?

Yes (Go to SOH_Q15)
No
DK, RF

Go to SOH_END

SOH_Q15

How many persons?

(MIN: 1)
(MAX: 95)
DK, RF

SOH_Q20

[Was this person/Were any of these people] (harmed or threatened) under 15 years of age?

Yes (Go to SOH_C25)
No
DK, RF

Go to SOH_END

SOH_Q25

How many persons?

(MIN: 1)
(MAX: 95)
DK, RF

Spouse/partner abuse injuries – Other information (SOI)

SOI_Q10

During the past 5 years, did any of the children in your household see or hear [this incident/any of these incidents]?

Interviewer: Exclude friends, playmates or distant relatives.

Yes/think so (Go to SOI_D15)
No/don’t think so
No children at the time
DK, RF

Go to SOI_D20

SOI_Q15

Were [child protective services (la Direction de la protection de la jeunesse)/child protective services] involved?

Yes
No
DK, RF

SOI_Q20

During the past 5 years, did you ever fear that your life was in danger because of your [spouse/partner]’s violent or threatening behaviour?

Yes
No
DK, RF

SOI_Q25

(During the past 5 years), were you ever separated because of your [spouse/partner]’s violent or threatening behaviour?

Yes (Go to SOI_Q27)
No
DK, RF

Go to SOI_END

SOI_Q27

How many times?

(MIN: 1)
(MAX: 90)
DK, RF

Spouse/partner abuse violence – Police Learned about violence (SPL)

SPL_Q10

Did the police ever find out about the violence (in any way)?

Interviewer: If the respondent or the respondent’s spouse/partner or a member of the household is a police officer, select <yes> only if it was reported to the police.

Yes (Go to SPL_D10)
No
DK, RF

Go to SPL_END

SPL_Q20

Did they find out about it in the past 12 months?

Yes
No
DK, RF

SPL_Q30

How did they learn about it? Was it from you or some other way?

Respondent
Some other way
DK, RF

SPL_Q40

How many times was [he/she/he or she] violent toward you before the police learned about it?

(MIN: 1)
(MAX: 100)
DK, RF

Spousal/partner abuse – Report to Police (SRP)

SRP_Q110

Did you report the violence to the police for any of the following reasons:

to stop it or receive protection[ for yourself and for your child/ for yourself and for your children/EMPTY]?

Yes
No
DK, RF

SRP_Q120

(Did you report the violence to the police for any of the following reasons:)

to arrest and punish your [spouse/partner]?

Yes
No
DK, RF

SRP_Q130

(Did you report the violence to the police for any of the following reasons:)

because you felt it was your duty to notify police?

Yes
No
DK, RF

SRP_Q140

(Did you report the violence to the police for any of the following reasons:)

on the recommendation of someone else?

Yes
No
DK, RF

Spousal/partner abuse – Action Taken by police (SAT)

SAT_Q10

What action did the police take? Did they:

visit the scene?

Yes
No
DK, RF

SAT_Q20

(What action did the police take? Did they:)

make a report or conduct an investigation?

Yes
No
DK, RF

SAT_Q30

(What action did the police take? Did they:)

give a warning to your [spouse/partner]?

Yes
No
DK, RF

SAT_Q40

(What action did the police take? Did they:)

arrest or take your [spouse/partner] away?

Interviewer: "Take away" means to physically separate both spouses/partners. For instance driving the spouse to a parent’s or friend’s house, a hotel, a shelter.

Yes
No
DK, RF

SAT_Q45

(What action did the police take? Did they:)

arrest or take you away?

Interviewer: "Take away" means to physically separate both spouses/partners. For instance driving the respondent to a parent’s or friend’s house, a hotel, a shelter.

Yes
No
DK, RF

SAT_Q50

(What action did the police take? Did they:)

lay charges against your [spouse/partner]?

Yes
No
DK, RF

SAT_Q55

(What action did the police take? Did they:)

lay charges against you?

Yes
No
DK, RF

SAT_Q60

(What action did the police take? Did they:)

take any other action?

Yes (Go to SAT_S60)
No
DK, RF

Spousal/partner abuse – Restraining Order or protective order against current spouse/partner (SRO)

SRO_Q10

Was there ever any kind of restraining, protective or no contact order against your [spouse/partner]?

Yes (Go to SRO_Q20)
No
DK, RF

Go to SRO_D45

SRO_Q20

How was the order obtained?

Interviewer: Read categories to respondent.

Mark all that apply.

For example, contacting the police and applying for an Emergency Protection Order (EPO).

Through a family law process (such as a divorce lawyer or civil court)
Through the criminal justice system (such as the police or the criminal court)
Through child protection agencies
DK, RF

SRO_Q30

Was it ever violated?

Yes (Go to SRO_Q40)
No
DK, RF

Go to SRO_D45

SRO_Q40

Did you report this violation to the police?

Yes
No
DK, RF

SRO_Q45

During the past 5 years, did you ever attempt to obtain compensation, through a civil or criminal court[Blank/ or a provincial compensation program], because of the violence?

Yes (Go to SRO_Q50)
No
DK, RF

Go to SRO_END

SRO_Q50

Did you obtain any compensation?

Yes
No
Not yet resolved
DK, RF

Spousal/partner abuse – Satisfaction with Actions taken by police (SSA)

SSA_Q10

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

Interviewer: Read categories to respondent.

Refers to all incidents reported to the police.

Very satisfied
Somewhat satisfied
Somewhat dissatisfied
Very dissatisfied
DK, RF

Go to SSA_Q20

SSA_Q20

Is there anything (else) they should have done to help you?

Interviewer: Mark all that apply.

Remove spouse/ partner from the house
Arrest spouse/partner
Charge spouse/ partner
Respond more quickly
Refer/take you to a support service
Relocate you
Take you to hospital
Be more supportive/sympathetic
Other – Specify (Go to SSA_S20)
No/nothing
DK, RF

Go to SSA_END

Spousal/partner abuse – Threatening Behaviour from spouse/partner after police involvement (STB)

STB_Q10

After the police were involved, did your [spouse/partner]’s violent or threatening behaviour towards you...?

Interviewer: Read categories to respondent.

Increase
Decrease or stop
Stay the same
DK, RF

Go to STB_END

Spousal/partner abuse – Reasons Not Reporting (SRN)

SRN_Q10

I’m going to read a list of reasons why some people choose not to contact the police. Please tell me which ones apply to your experience. Was it:

because of fear of revenge by your [spouse/partner]?

Yes
No
DK, RF

SRN_Q15

(I’m going to read a list of reasons why some people choose not to contact the police. Please tell me which ones apply to your experience. Was it:)

because you were afraid child protection / child welfare agencies would take your [children/child] away from you?

Yes
No
DK, RF

SRN_Q20

(I’m going to read a list of reasons why some people choose not to contact the police. Please tell me which ones apply to your experience. Was it:)

because there was a lack of evidence?

Yes
No
DK, RF

SRN_Q25

(I’m going to read a list of reasons why some people choose not to contact the police. Please tell me which ones apply to your experience. Was it:)

because the police would not have considered the incident important enough?

Yes
No
DK, RF

SRN_Q30

(I’m going to read a list of reasons why some people choose not to contact the police. Please tell me which ones apply to your experience. Was it:)

because the police would not have been efficient or effective?

Yes
No
DK, RF

SRN_Q35

(I’m going to read a list of reasons why some people choose not to contact the police. Please tell me which ones apply to your experience. Was it:)

because you received unsatisfactory service in the past?

Yes
No
DK, RF

SRN_Q45

(I’m going to read a list of reasons why some people choose not to contact the police. Please tell me which ones apply to your experience. Was it:)

because dealing with the police could have caused you trouble with the law?

Yes
No
DK, RF

SRN_Q50

(I’m going to read a list of reasons why some people choose not to contact the police. Please tell me which ones apply to your experience. Was it:)

because you did not want to get your [spouse/partner] in trouble with the law?

Yes
No
DK, RF

SRN_Q55

(I’m going to read a list of reasons why some people choose not to contact the police. Please tell me which ones apply to your experience. Was it:)

because you did not want the hassle of dealing with the police?

Yes
No
DK, RF

SRN_Q60

(I’m going to read a list of reasons why some people choose not to contact the police. Please tell me which ones apply to your experience. Was it:)

because you were afraid reporting it to the police would bring shame and dishonour to the family?

Yes
No
DK, RF

SRN_Q65

(I’m going to read a list of reasons why some people choose not to contact the police. Please tell me which ones apply to your experience. Was it:)

because your family prevented you from contacting the police?

Yes
No
DK, RF

SRN_Q70

(I’m going to read a list of reasons why some people choose not to contact the police. Please tell me which ones apply to your experience. Was it:)

because you considered the incident a private or personal matter and handled it informally?

Yes
No
DK, RF

SRN_Q75

(I’m going to read a list of reasons why some people choose not to contact the police. Please tell me which ones apply to your experience. Was it:)

because you did not want others to find out about the victimization (including didn’t want publicity or news coverage)?

Yes
No
DK, RF

Go to SRN_Q80

SRN_Q80

(I’m going to read a list of reasons why some people choose not to contact the police. Please tell me which ones apply to your experience. Was it:)

because the crime was minor and not worth taking the time to report?

Yes
No
DK, RF

SRN_Q85

(I’m going to read a list of reasons why some people choose not to contact the police. Please tell me which ones apply to your experience. Was it:)

because no one was harmed?

Yes
No
DK, RF

SRN_Q90

(I’m going to read a list of reasons why some people choose not to contact the police. Please tell me which ones apply to your experience. Was it:)

because no harm was intended?

Yes
No
DK, RF

Go to SRN_D95

SRN_Q95

(I’m going to read a list of reasons why some people choose not to contact the police. Please tell me which ones apply to your experience. Was it:)

because you didn’t think your [spouse/partner] would be convicted or adequately punished?

Yes
No
DK, RF

SRN_Q100

(I’m going to read a list of reasons why some people choose not to contact the police. Please tell me which ones apply to your experience. Was it:)

because you feared or did not want the hassle of dealing with the court process?

Yes
No
DK, RF

SRN_Q105

(I’m going to read a list of reasons why some people choose not to contact the police. Please tell me which ones apply to your experience. Was it:)

because the police would be biased?

Yes
No
DK, RF

SRN_Q110

(I’m going to read a list of reasons why some people choose not to contact the police. Please tell me which ones apply to your experience. Was it:)

because it was reported to another official?

Yes
No
DK, RF

SRN_Q115

(I’m going to read a list of reasons why some people choose not to contact the police. Please tell me which ones apply to your experience. Was it:)

for some other reason, not already mentionned?

Yes (Go to SRN_S115)
No
DK, RF

Go to SRN_Q120

SRN_Q120

What was the main reason why you didn’t contact the police?

Fear of revenge by [spouse/partner]
Afraid child protection/welfare agencies would take away children
Lack of evidence
Police would not consider incident important enough
Police would not be efficient/effective
Police service unsatisfactory in the past
Would cause trouble with the law for respondent
Don’t want [spouse/partner] to be in trouble with the law
Did not want hassle of dealing with police
Would cause shame or dishonour to family
Prevented by family
Incident a private or personal matter. Handled informally
Do not want others to find out (publicity / news coverage)
Crime minor, not important enough to respondent
No one harmed
No harm intended
Didn’t think [spouse/partner] would be convicted or adequately punished
Fear of court process
Thought police would be biased
Reported to other official
^SRN_S115
DK, RF

Spousal/partner abuse – Talk to Anyone about the violence (STA)

STA_Q110

Other than to the police, did you ever talk to anyone else about [this incident/these incidents], such as:

a family member?

Yes
No
DK, RF

STA_Q120

(Other than to the police, did you ever talk to anyone else about [this incident/these incidents], such as:)

a friend or neighbour?

Yes
No
DK, RF

STA_Q130

(Other than to the police, did you ever talk to anyone else about [this incident/these incidents], such as:)

a co–worker?

Yes
No
DK, RF

STA_Q140

(Other than to the police, did you ever talk to anyone else about [this incident/these incidents], such as:)

a doctor or nurse?

Yes
No
DK, RF

STA_Q150

(Other than to the police, did you ever talk to anyone else about [this incident/these incidents], such as:)

a lawyer?

Yes
No
DK, RF

STA_Q160

(Other than to the police, did you ever talk to anyone else about [this incident/these incidents], such as:)

a priest, rabbi, imam, elder or another spiritual advisor?

Yes
No
DK, RF

STA_Q180

Did the police or anyone else provide you with information about services for victims in your community?

Interviewer: Probe respondent to find out who provided them with the information.

Yes, the police
Yes, someone else
No
DK, RF

Spousal/partner abuse – Contact with Services (SCS)

SCS_Q110

During the past 5 years, did you ever contact or use any of the following services for help because of the violence, such as:

a crisis centre or crisis line?

Yes
No
DK, RF

SCS_Q120

(During the past 5 years, did you ever contact or use any of the following services for help because of the violence, such as:)

victim services or victim witness assistance program?

Interviewer: Victim services include providing general information about the justice system, referrals, assistance with court, help preparing victim impact statements, offering case–specific information, emotional support and providing information to help victims recover financial losses resulting from the crime.

See help screen for examples and notes per province.

Yes
No
DK, RF

SCS_Q130

(During the past 5 years, did you ever contact or use any of the following services for help because of the violence, such as:)

a counsellor, psychologist or social worker?

Yes
No
DK, RF

SCS_Q140

(During the past 5 years, did you ever contact or use any of the following services for help because of the violence, such as:)

a community, family, ethnic or cultural centre?

Yes
No
DK, RF

SCS_Q150

(During the past 5 years, did you ever contact or use any of the following services for help because of the violence, such as:)

a shelter or transition house?

Interviewer: Facilities offering secure housing, support and referral services to abused women/men.

Yes
No
DK, RF

SCS_Q160

(During the past 5 years, did you ever contact or use any of the following services for help because of the violence, such as:)

a [women’s/men’s] centre[, a seniors’ centre/EMPTY] or support group?

Interviewer: Centres who do not offer housing but provide community, support, information and referrals services to victims.

Yes
No
DK, RF

SCS_Q165

During the past 5 years, did you ever contact or use any other service?

Yes (Go to SCS_S165)
No
DK, RF

Go to SCS_D170A

SCS_Q170A Did you contact [a crisis centre or crisis line/a victim services or victim witness assistance program/a counsellor, psychologist or social worker/a community, family, ethnic or cultural centre/a shelter or transition house/a [women’s/men’s] centre[, a seniors’ centre/EMPTY] or support group/a ^SCS_S165/this service] in the past 12 months?

Yes
No
DK, RF

Go to SCS_END

SCS_Q170B Did you contact any of these services in the past 12 months?

Yes (Go to SCS_D175)
No
DK, RF

Go to SCS_END

SCS_Q175

Which of the previously mentioned services did you contact or use in the past 12 months?

Interviewer: Mark all that apply.

Crisis centre or crisis line
Victim services or victim witness assistance programs
Counsellor, psychologist or social worker
Community, family, ethnic or cultural centre
Shelter or transition house
A [women’s/men’s] centre [, a seniors’ centre/EMPTY] or support group
[^SCS_S165/Another service]
DK, RF

Go to SCS_END

SCS_Q180

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

Interviewer: Mark all that apply.

Didn’t know of any services
None available
Waiting list
Too minor
Shame/embarrassment
Wouldn’t be believed
Spouse/ partner prevented me
Distance from service
Fear of losing financial support
Fear of losing the children
Didn’t want relationship to end
Didn’t want/need help
Other – Specify (Go to SCS_S180)
DK, RF

Spousal/partner abuse – Impact on respondent (SEA)

SEA_Q10

At the time of [this incident/these incidents], how did [this experience/these experiences] affect you emotionally?

Interviewer: Mark all that apply.

This question refers to emotional consequences. Do not include physical injury, financial loss or medical treatment.

Not at all
Not much
Angry
Upset, confused, frustrated
Fearful
More cautious/aware
Shock/disbelief
Hurt/disappointment
Victimized
Sleeping problems
Depression/anxiety attacks
Ashamed/guilty
Afraid for children
Annoyed
Lowered self esteem
Increased self–reliance
Problems relating to men/women
Other – Specify (Go to SEA_S10)
DK, RF

SEA_Q20

Now some questions about longer term effects of the violence you experienced. In the past month, have you:

had nightmares about it or thought about it when you did not want to?

Yes
No
DK, RF

SEA_Q30

(Now some questions about longer term effects of the violence you experienced. In the past month, have you:)

tried hard not to think about it or went out of your way to avoid situations that reminded you of it?

Yes
No
DK, RF

SEA_Q40

(Now some questions about longer term effects of the violence you experienced. In the past month, have you:)

felt constantly on guard, watchful, or easily startled?

Yes
No
DK, RF

SEA_Q50

(Now some questions about longer term effects of the violence you experienced. In the past month, have you:)

felt numb or detached from others, activities, or your surroundings?

Yes
No
DK, RF

EX–spousal/ex–partner Abuse Injuries (XAI)

XAI_R110

You said that during the past 5 years your ex–spouse or ex–partner was violent.

Interviewer: Press <1> to continue.

XAI_Q110

During [BLANK/any of] [this incident/these incidents] were you ever physically injured in any way, for example bruises, cuts, broken bones or other types of injury?

Yes (Go to XAI_Q111)
No
DK, RF

Go to XAI_END

XAI_Q111

What were your injuries? Were they:

bruises?

Yes
No
DK, RF

XAI_Q112

(What were your injuries? Were they:)

cuts, scratches, burns or other types of injuries like these?

Yes
No
DK, RF

XAI_Q113

(What were your injuries? Were they:)

fractures or broken bones?

Yes
No
DK, RF

XAI_Q115

(What were your injuries? Were they:)

a miscarriage?

Yes
No
DK, RF

XAI_Q116

(What were your injuries? Were they:)

internal injuries?

Yes
No
DK, RF

XAI_Q117

(What were your injuries? Were they:)

any other type of injury?

Yes – Specify (Go to XAI_S117)
No
DK, RF

Go to XAI_Q119

XAI_Q119

Did [this incident/these incidents] in which you were injured happen before or after the separation?

Before
After
Before and after
DK, RF

XAI_Q120

Did any of these incidents in which you were injured happen in the past 12 months?

Yes
No
DK, RF

XAI_Q125

During [this incident/these incidents] was your ex–spouse or ex–partner drinking?

Interviewer: Select "Yes" if the respondent says usually or during more than half of the incidents.

Yes
No
Does not drink
DK, RF

EX–spousal/ex–partner abuse injuries – Medical Attention (XMA)

XMA_Q10

During the past 5 years, did you ever receive any medical attention from a doctor or a nurse for your injuries?

Yes (Go to XMA_D15)
No
DK, RF

Go to XMA_END

XMA_Q15

Where did you receive the medical attention?

Interviewer: Mark all that apply.

At a physician’s office or walk–in clinic
At a [health center/hospital emergency room]
Other – Specify (Go to XMA_S15)
DK, RF (Go to XMA_END)

Go to XMA_C20

XMA_Q20

How many times did you visit the physician’s office or the walk–in clinic because of your injuries?

Interviewer: Visits related to injuries resulting from physical abuse by ex–spouse or ex–partner.

(MIN: 1)
(MAX: 995)
DK, RF

XMA_Q30

How many times did you go to a [health center/hospital emergency room] because of your injuries?

Interviewer: Visits related to injuries resulting from physical abuse by ex–spouse or ex–partner.

(MIN: 1)
(MAX: 995)
DK, RF

XMA_Q50

During [this visit/any of these visits] did you have to stay in the [health center/hospital] overnight? Please exclude wait time.

Yes
No
DK, RF

XMA_Q70

In total how many nights did you spend in a [health center/hospital] because of your injuries?

(MIN: 1)
(MAX: 995)
DK, RF

XMA_Q80

Were you ever taken to the [health center/hospital] by ambulance because of your injuries?

Interviewer: For injuries resulting from physical abuse caused by ex–spouse or ex–partner.

Yes
No
DK, RF

EX–spousal/ex–partner abuse injuries – Time Off due to injuries (XTO)

XTO_Q10

Interviewer: Include time spent in bed for injuries as well as for stress reasons.

Most of a day means at least 6 hours over and above the time the respondent normally spends sleeping.

Yes (Go to XTO_Q15)
No
DK, RF

Go to XTO_Q20

XTO_Q15

For how many days in total?

Interviewer: Count each day the respondent spent at least 6 hours in bed over and above the time he/she normally spends sleeping.

(MIN: 1)
(MAX: 995)
DK, RF

XTO_Q20

During the past 5 years, did you ever have to take time off from your everyday activities because of what happened to you[ other than the time you spent in the [hospital or health center/hospital] and [at home in bed/BLANK]/ other than the time you spent in the [hospital or health center/hospital]/ other than the time you spent [at home in bed/BLANK]/EMPTY]?

Interviewer: Select "Yes" if the respondent’s everyday activities were disrupted for at least 6 hours.

Could include activities such as working at a paid job or business, looking for paid work, going to school, caring for children, household work, retirement.

Yes (Go to XTO_Q25)
No
DK, RF

Go to XTO_END

XTO_Q25

In total, how many days did you take off?

Interviewer: If respondent was never able to go back to their everyday activities, provide an estimate of the number of days since the incident.

Never being able to go back to their everyday activities must be as a permanent consequence of the incident, not a choice.

(MIN: 1)
(MAX: 995)
DK, RF

EX–spousal/ex–partner abuse injuries – Other persons Harmed (XOH)

XOH_Q10

During the past 5 years, was anyone else ever harmed or threatened during [this incident/these incidents]?

Yes (Go to XOH_Q15)
No
DK, RF

Go to XOH_END

XOH_Q15

How many persons?

(MIN: 1)
(MAX: 95)
DK, RF

XOH_Q20

[Was this person/Were any of these people] (harmed or threatened) under 15 years of age?

Yes (Go to XOH_C25)
No
DK, RF

Go to XOH_END

XOH_Q25

How many persons?

(MIN: 1)
(MAX: 95)
DK, RF

EX–spousal/ex–partner abuse injuries – Other information (XOI)

XOI_Q10

During the past 5 years, did any of the children in your household see or hear [this incident/any of these incidents]?

Interviewer: Exclude friends, playmates or distant relatives.

Yes/think so (Go to XOI_D15)
No/don’t think so
No children at the time
DK, RF

Go to XOI_Q20

XOI_Q15

Were [child protective services (la Direction de la protection de la jeunesse)/child protective services] involved?

Yes
No
DK, RF

XOI_Q20

(During the past 5 years), did you ever fear that your life was in danger because of your ex–spouse or ex–partner’s violent or threatening behaviour?

Yes
No
DK, RF

EX–spousal/ex–partner abuse – Police Learned about violence (XPL)

XPL_Q10

Did the police ever find out about the violence (in any way)?

Interviewer: If the respondent or the respondent’s ex–spouse/ex–partner or a member of the household is a police officer, select <yes> only if it was reported to the police.

Yes (Go to XPL_D10)
No
DK, RF

Go to XPL_END

XPL_Q20

Did they find out about it in the past 12 months?

Yes
No
DK, RF

XPL_Q30

How did they learn about it? Was it from you or some other way?

Interviewer: If respondent answers both himself/herself and some other way – enter <Respondent>.

Respondent
Some other way
DK, RF

XPL_Q40

How many times was he (she) violent toward you before the police learned about it?

(MIN: 1)
(MAX: 100)
DK, RF

XPL_Q50

Had the police been made aware of incidents that have occurred after the separation?

Yes
No
DK, RF

XPL_Q60

Has the police been contacted for incidents that had happened before the separation?

Yes
No
DK, RF

EX–spousal/ex–partner abuse – Report to Police (XRP)

XRP_Q110

Did you report the violence to the police for any of the following reasons:

to stop it or receive protection[ for yourself and for your child/ for yourself and for your children/EMPTY]?

Yes
No
DK, RF

XRP_Q120

(Did you report the violence to the police for any of the following reasons:)

to arrest and punish your ex–spouse or ex–partner?

Yes
No
DK, RF

XRP_Q130

(Did you report the violence to the police for any of the following reasons:)

because you felt it was your duty to notify police?

Yes
No
DK, RF

XRP_Q140

(Did you report the violence to the police for any of the following reasons:)

on the recommendation of someone else?

Yes
No
DK, RF

EX–spousal/ex–partner abuse – Action Taken by police (XAT)

XAT_Q10

What action did the police take? Did they:

visit the scene?

Yes
No
DK, RF

XAT_Q20

(What action did the police take? Did they:)

make a report or conduct an investigation?

Yes
No
DK, RF

XAT_Q30

(What action did the police take? Did they:)

give a warning to your ex–spouse or ex–partner?

Yes
No
DK, RF

XAT_Q40

(What action did the police take? Did they:)

arrest or take your ex–spouse or ex–partner away?

Interviewer: "Take away" means to physically separate both ex–spouses or ex–partners. For instance driving the ex–spouse or ex–partner to a parent’s or friend’s house, a hotel, a shelter.

Yes
No
DK, RF

XAT_Q45

(What action did the police take? Did they:)

arrest or take you away?

Interviewer: "Take away" means to physically separate both ex–spouses or ex–partners. For instance driving the respondent to a parent’s or friend’s house, a hotel, a shelter.

Yes
No
DK, RF

XAT_Q50

(What action did the police take? Did they:)

lay charges against your ex–spouse or ex–partner?

Yes
No
DK, RF

XAT_Q55

(What action did the police take? Did they:)

lay charges against you?

Yes
No
DK, RF

XAT_Q60

(What action did the police take? Did they:)

take any other action?

Yes (Go to XAT_S60)
No
DK, RF

EX–spousal/ex–partner abuse – Restraining Order or protective order against current ex–spouse/ex–partner (XRO)

XRO_Q10

Was there ever any kind of restraining order, protective or no contact order against him(her)?

Yes (Go to XRO_Q20)
No
DK, RF

Go to XRO_D45

XRO_Q20

How was the order obtained?

Interviewer: Read categories to respondent.

Mark all that apply.

For example, contacting the police and applying for an Emergency Protection Order (EPO).

Through a family law process (such as a divorce lawyer or civil court)
Through the criminal justice system (such as the police or the criminal court)
Through child protection agencies
DK, RF

XRO_Q30

Was it ever violated?

Yes (Go to XRO_Q40)
No
DK, RF

Go to XRO_D45

XRO_Q40

Did you report this violation to the police?

Yes
No
DK, RF

XRO_Q45

During the past 5 years, did you ever attempt to obtain compensation, through a civil or criminal court [Blank/or a provincial compensation program], because of the violence?

Yes (Go to XRO_Q50)
No
DK, RF

Go to XRO_END

XRO_Q50

Did you obtain any compensation?

Yes
No
Not yet resolved
DK, RF

EX–spousal/ex–partner abuse – Satisfaction with actions taken by police (XSA)

XSA_Q10

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

Interviewer: Read categories to respondent.

Refers to all incidents reported to the police.

Very satisfied
Somewhat satisfied
Somewhat dissatisfied
Very dissatisfied
DK, RF

XSA_Q20

Is there anything (else) they should have done to help you?

Interviewer: Mark all that apply.

Remove ex–spouse/ex–partner from the house
Arrest ex–spouse/ex–partner
Charge ex–spouse/ex–partner
Respond more quickly
Refer/take you to a support service
Relocate you
Take you to hospital
Be more supportive/sympathetic
Other – Specify (Go to XSA_S20)
No/nothing
DK, RF

–spousal>

XTB_Q10

After the police were involved, did your ex–spouse or ex–partner’s violent or threatening behaviour towards you...?

Interviewer: Read categories to respondent.

Increase
Decrease or stop
Stay the same
DK, RF

EX–spousal/ex–partner abuse – Reasons for Not contacting the police (XRN)

XRN_Q10

I’m going to read a list of reasons why some people choose not to contact the police. Please tell me which ones apply to your experience. Was it:

because of fear of revenge by your ex–spouse/ex–partner?

Yes
No
DK, RF

XRN_Q15

(I’m going to read a list of reasons why some people choose not to contact the police. Please tell me which ones apply to your experience. Was it:)

because you were afraid child protection / child welfare agencies would take your [children/child] away from you?

Yes
No
DK, RF

XRN_Q20

(I’m going to read a list of reasons why some people choose not to contact the police. Please tell me which ones apply to your experience. Was it:)

because there was a lack of evidence?

Yes
No
DK, RF

XRN_Q25

(I’m going to read a list of reasons why some people choose not to contact the police. Please tell me which ones apply to your experience. Was it:)

because the police would not have considered the incident important enough?

Yes
No
DK, RF

XRN_Q30

(I’m going to read a list of reasons why some people choose not to contact the police. Please tell me which ones apply to your experience. Was it:)

because the police would not have been efficient or effective?

Yes
No
DK, RF

XRN_Q35

(I’m going to read a list of reasons why some people choose not to contact the police. Please tell me which ones apply to your experience. Was it:)

because you received unsatisfactory service in the past?

Yes
No
DK, RF

XRN_Q45

(I’m going to read a list of reasons why some people choose not to contact the police. Please tell me which ones apply to your experience. Was it:)

because dealing with the police could have caused you trouble with the law?

Yes
No
DK, RF

XRN_Q50

(I’m going to read a list of reasons why some people choose not to contact the police. Please tell me which ones apply to your experience. Was it:)

because you did not want to get your ex–spouse or ex–partner in trouble with the law?

Yes
No
DK, RF

XRN_Q55

(I’m going to read a list of reasons why some people choose not to contact the police. Please tell me which ones apply to your experience. Was it:)

because you did not want the hassle of dealing with the police?

Yes
No
DK, RF

XRN_Q60

(I’m going to read a list of reasons why some people choose not to contact the police. Please tell me which ones apply to your experience. Was it:)

because you were afraid reporting it to the police would bring shame and dishonour to the family?

Yes
No
DK, RF

XRN_Q65

(I’m going to read a list of reasons why some people choose not to contact the police. Please tell me which ones apply to your experience. Was it:)

because your family prevented you from contacting the police?

Yes
No
DK, RF

XRN_Q70

(I’m going to read a list of reasons why some people choose not to contact the police. Please tell me which ones apply to your experience. Was it:)

because you considered the incident a private or personal matter and handled it informally?

Yes
No
DK, RF

XRN_Q75

(I’m going to read a list of reasons why some people choose not to contact the police. Please tell me which ones apply to your experience. Was it:)

because you did not want others to find out about the victimization (including didn’t want publicity or news coverage)?

Yes
No
DK, RF

XRN_Q80

(I’m going to read a list of reasons why some people choose not to contact the police. Please tell me which ones apply to your experience. Was it:)

because the crime was minor and not worth taking the time to report?

Yes
No
DK, RF

XRN_Q85

(I’m going to read a list of reasons why some people choose not to contact the police. Please tell me which ones apply to your experience. Was it:)

because no one was harmed?

Yes
No
DK, RF

XRN_Q90

(I’m going to read a list of reasons why some people choose not to contact the police. Please tell me which ones apply to your experience. Was it:)

because no harm was intended?

Interviewer: Examples: minor crime, no intended harm, etc.

Yes
No
DK, RF

XRN_Q95

(I’m going to read a list of reasons why some people choose not to contact the police. Please tell me which ones apply to your experience. Was it:)

because you didn’t think your ex–spouse/ex–partner would be convicted or adequately punished?

Yes
No
DK, RF

XRN_Q100

(I’m going to read a list of reasons why some people choose not to contact the police. Please tell me which ones apply to your experience. Was it:)

because you feared or did not want the hassle of dealing with the court process?

Yes
No
DK, RF

XRN_Q105

(I’m going to read a list of reasons why some people choose not to contact the police. Please tell me which ones apply to your experience. Was it:)

because the police would be biased?

Yes
No
DK, RF

XRN_Q110

(I’m going to read a list of reasons why some people choose not to contact the police. Please tell me which ones apply to your experience. Was it:)

because it was reported to another official?

Yes
No
DK, RF

XRN_Q115

(I’m going to read a list of reasons why some people choose not to contact the police. Please tell me which ones apply to your experience. Was it:)

for some other reason, not already mentioned?

Yes (Go to XRN_S115)
No
DK, RF

Go to XRN_D120A

XRN_Q120

What was the main reason why you didn’t contact the police?

Fear of revenge by ex–spouse/ex–partner
Afraid child protection/ welfare agencies would take away children
Lack of evidence
Police would not consider incident important enough
Police would not be efficient/effective
Police service unsatisfactory in the past
Would cause trouble with the law for respondent
Don’t want ex–partner/ex–spouse to be in trouble with the law
Did not want hassle of dealing with police
Would cause shame or dishonour to family
Prevented by family
Incident a private or personal matter. Handled informally
Do not want others to find out (publicity / news coverage)
Crime minor, not important enough to respondent
No one harmed
No harm intended
Didn’t think ex–spouse/ex–partner would be convicted or adequately punished
Fear of court process
Thought police would be biased
Reported to other official
^XRN_S115
DK, RF

EX–spousal/ex–partner abuse – Talk to Anyone about the incident (XTA)

XTA_Q110

Other than to the police, did you ever talk to anyone else about [this incident/these incidents], such as:

family?

Yes
No
DK, RF

XTA_Q120

(Other than to the police, did you ever talk to anyone else about [this incident/these incidents], such as:)

a friend or neighbour?

Yes
No
DK, RF

XTA_Q130

(Other than to the police, did you ever talk to anyone else about [this incident/these incidents], such as:)

a co–worker?

Yes
No
DK, RF

XTA_Q140

(Other than to the police, did you ever talk to anyone else about [this incident/these incidents], such as:)

a doctor or nurse?

Yes
No
DK, RF

XTA_Q150

(Other than to the police, did you ever talk to anyone else about [this incident/these incidents], such as:)

a lawyer?

Yes
No
DK, RF

XTA_Q160

(Other than to the police, did you ever talk to anyone else about [this incident/these incidents], such as:)

a priest, rabbi, imam, elder or another spiritual advisor?

Yes
No
DK, RF

XTA_Q180

Did the police or anyone else provide you with information about services for victims in your community?

Yes, the police
Yes, someone else
No
DK, RF

EX–spousal/ex–partner abuse – Contact with Services (XCS)

XCS_Q110

During the past 5 years, did you ever contact or use any of the following services for help because of the violence, such as:

a crisis centre or crisis line?

Yes
No
DK, RF

XCS_Q120

(During the past 5 years, did you ever contact or use any of the following services for help because of the violence, such as:)

victim services or victim witness assistance program?

See help screen for examples and notes per province.

Yes
No
DK, RF

XCS_Q130

(During the past 5 years, did you ever contact or use any of the following services for help because of the violence, such as:)

a counsellor, psychologist or social worker?

Yes
No
DK, RF

XCS_Q140

(During the past 5 years, did you ever contact or use any of the following services for help because of the violence, such as:)

a community, family, ethnic or cultural centre?

Yes
No
DK, RF

XCS_Q150

(During the past 5 years, did you ever contact or use any of the following services for help because of the violence, such as:)

a shelter or transition house?

Interviewer: Facilities offering secure housing, support and referral services to abused women/men.

Yes
No
DK, RF

XCS_Q160

(During the past 5 years, did you ever contact or use any of the following services for help because of the violence, such as:)

a [women’s/men’s] centre[, a seniors’ centre/EMPTY] or support group?

Interviewer: Centres who do not offer housing but provide community, support, information and referrals services to victims.

Yes
No
DK, RF

XCS_Q165

During the past 5 years, did you ever contact or use any other service?

Yes (Go to XCS_S165)
No
DK, RF

Go to XCS_D170A

XCS_Q170A Did you contact [a crisis centre or crisis line/a victim services or victim witness assistance program/a counsellor, psychologist or social worker/a community, family, ethnic or cultural centre/a shelter or transition house/a [women’s/men’s] centre[, a seniors’ centre/EMPTY] or support group/a ^XCS_S165/this service] in the past 12 months?

Yes
No
DK, RF

Go to XCS_END

XCS_Q170B Did you contact any of these services in the past 12 months?

Yes (Go to XCS_D175)
No
DK, RF

Go to XCS_END

XCS_Q175

Which of the previously mentioned services did you contact or use in the past 12 months?

Interviewer: Mark all that apply.

Crisis centre or crisis line
Victim services or victim witness assistance programs
Counsellor, psychologist or social worker
Community, family, ethnic or cultural centre
Shelter or transition house
A [women’s/men’s] centre [, a seniors’ centre/EMPTY] or support group
[^XCS_S165/Another service]
DK, RF

Go to XCS_END

XCS_Q180

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

Interviewer: Mark all that apply.

Didn’t know of any services
None available
Waiting list
Too minor
Shame/embarrassment
Wouldn’t be believed
Spouse/ partner prevented me
Distance from service
Fear of losing financial support
Fear of losing the children
Didn’t want relationship to end
Didn’t want/need help
Other – Specify (Go to XCS_S180)
DK, RF

EX–spousal/ex–partner abuse – Impact on respondent (XEA)

XEA_Q10

At the time of [this incident/these incidents], how did [this experience/these experiences] affect you emotionally?

Interviewer: Mark all that apply.

This question refers to emotional consequences.

Do not include physical injury, financial loss or medical treatment.

Not at all
Not much
Angry
Upset, confused, frustrated
Fearful
More cautious/aware
Shock/disbelief
Hurt/disappointment
Victimized
Sleeping problems
Depression/anxiety attacks
Ashamed/guilty
Afraid for children
Annoyed
Lowered self esteem
Increased self–reliance
Problems relating to men/women
Other – Specify (Go to XEA_S10)
DK, RF

XEA_Q20

Now some questions about longer term effects of the violence you experienced. In the past month, have you:

had nightmares about it or thought about it when you did not want to?

Yes
No
DK, RF

XEA_Q30

(Now some questions about longer term effects of the violence you experienced. In the past month, have you:)

tried hard not to think about it or went out of your way to avoid situations that reminded you of it?

Yes
No
DK, RF

XEA_Q40

(Now some questions about longer term effects of the violence you experienced. In the past month, have you:)

felt constantly on guard, watchful, or easily startled?

Yes
No
DK, RF

XEA_Q50

(Now some questions about longer term effects of the violence you experienced. In the past month, have you:)

felt numb or detached from others, activities, or your surroundings?

Yes
No
DK, RF

Incident report tables (IRT)

IRT_R100

Now some questions to collect more information on this crime/all of these crimes. Some of these questions may not apply to you, but we need to ask the same questions of everyone.

Interviewer: Press <1> to continue.

Go to IRT_D110

IRT_Q100

You mentioned earlier that, in the past 12 months, you were the victim of:

^DT_HhldDamage_E

^DT_TakeByForce_E

^DT_BreakAndEnt_E

^DT_OutsideHhld_E

^DT_PropertyStl_E

^DT_RobberyVaca_E

^DT_StolenVehic_E

^DT_DamageVehic_E

^DT_StolenOther_E

^DT_PhysicalAtt_E

^DT_Threat_E

^DT_SexualAssal_E

^DT_UnwantedSex_E

^DT_SexualnoConsent_E

^DT_OtherCrimeS_E

Now some questions to collect more information on this crime/all of these crimes. Some of these questions may not apply to you, but we need to ask the same questions of everyone.

Interviewer: If changes are required, go back to appropriate questions and make the necessary corrections.

Confirmed: Number of crime incidents is correct
Incorrect
DK, RF

Info for array (IFA)

Main Routing Module: Crime Incident Report (CIR)

CIR_R010

We will now be collecting information on another crime.

Interviewer: Press <1> to continue.

CIR_Q010

In what month were you the victim of [household damages/an attempt to take something by force or having something taken by force/an attempt to break in or a break and enter/property stolen from outside your household/property stolen from your place of work or school or a public place/property stolen from a hotel, vacation home, cottage, car, truck or while travelling in Canada/a stolen vehicle or an attempt to steal a vehicle or parts of a vehicle/damages to a vehicle/an attempt to steal something else or other items being stolen/a physical attack/a threat of being hit or attacked, or threatened with a weapon/a sexual assault/unwanted sexual touching/a sexual activity to which you were not able to consent/another crime (^VST_S110)]?

Not in the past 12 months
January
February
March
April
May
June
July
August
September
October
November
December
Duplicate of incident already reported
DK, RF

CIR_Q015

Did this happen in the past 12 months?

Yes (will continue with incident report)
No
Yes, but refuses to talk about incident
DK, RF

CIR_Q090

Were you present at any time during the incident?

Yes
No (Go to CIR_C100)
DK, RF

Go to CIR_Q100

CIR_Q100

Did the person(s) who committed the act have a weapon, such as a gun or knife or something he/she was using as a weapon, such as a rock or bottle?

Yes (Go to CIR_Q105)
No
DK, RF

Go to CIR_C110

CIR_Q105

What type of weapon?

Interviewer: Mark all that apply.

Gun
Knife
Bottle
Bat/Stick
Rock
Other – Specify (Go to CIR_S105)
DK, RF

Go to CIR_C110

CIR_Q110

An assault can be anything from being hit, slapped, grabbed or knocked down, to being shot, or beaten. This can also include forced sexual activity and unwanted sexual touching or grabbing. In this incident, were you assaulted in any physical or sexual way?

Interviewer: Enter "Yes" if something was thrown at them or if they were shot at but not hit.

Yes (Go to CIR_C130A)
No
DK, RF

CIR_Q120

Did the person(s) threaten you with physical harm in any way?

Interviewer: Physical threats may have been made even if the respondent was not present when the incident occurred. For example, personal belongings may have been damaged or animals belonging to respondent may have been injured in order to threaten respondent.

Yes
No
DK, RF

CIR_Q150

How were you assaulted?

Interviewer: Mark all that apply.

Probe for multiple answers.

Remember that an assault can include any type of physical or sexual assault, such as being slapped, beaten or being forced into sexual activity or being touched or grabbed in a sexual way.

Forced or attempted forced sexual assault by being threatened, held down or hurt in some way
Unwanted sexual touching, grabbing, kissing or fondling
Shot, knifed or hit with object held in hand
Hit, kicked, slapped, knocked down
Grabbed, held, tripped, jumped, pushed
Other – Specify (Go to CIR_S150)
Not attacked/assaulted
DK, RF

CIR_Q160

Were you physically injured in any way (for example, bruises, cuts, broken bones)?

Yes
No
DK, RF

CIR_Q170

Did you ever receive any medical attention from a doctor or a nurse for your injuries?

Interviewer: Include medical attention received immediately after the attack as well as any follow–up medical attention received as a result of the injuries.

Yes (Go to CIR_D171)
No
DK, RF

Go to CIR_C190

CIR_Q171

Where did you receive the medical attention?

Interviewer: Mark all that apply.

At a physician’s office or walk–in clinic
At a [health center/hospital emergency room]
Other – Specify (Go to CIR_S171)
DK, RF (Go to CIR_D190)

Go to CIR_C172

CIR_Q172

How many times did you visit the physician’s office or the walk–in clinic because of your injuries?

Interviewer: Visits related to injuries resulting from physical or sexual assaults.

(MIN: 1)
(MAX: 995)
DK, RF

CIR_Q173

How many times did you go to a [health center/hospital emergency room] because of your injuries?

Interviewer: Visits related to injuries resulting from physical or sexual assaults.

(MIN: 1)
(MAX: 995)
DK, RF

CIR_Q174

During [this visit/any of these visits] did you have to stay in the [health center/hospital] overnight? Please exclude wait time.

Yes
No
DK, RF

CIR_Q175

In total how many nights did you spend in a [health center/hospital] because of your injuries?

(MIN: 1)
(MAX: 995)
DK, RF

CIR_Q176

Were you ever taken to the [health center/hospital] by ambulance because of your injuries?

Interviewer: For injuries resulting from physical or sexual assaults.

Yes
No
DK, RF

CIR_Q190

[Excluding any time you spent in a [health center/hospital], did/Did] you ever have to stay in bed for all or most of the day, as a result of the incident?

Interviewer: Include time spent in bed for injuries as well as for stress reasons.

Most of a day means at least 6 hours over and above the time the respondent normally spends sleeping.

Yes (Go to CIR_Q195)
No
DK, RF

Go to CIR_C205

CIR_Q195

For how many days in total?

Interviewer: Count each day the respondent spent at least 6 hours in bed over and above the time he/she normally spends sleeping.

(MIN: 1)
(MAX: 995)
DK, RF

CIR_R310

There is a growing concern in Canada about hate crimes. By this I mean crimes motivated by the offender’s hatred of a person’s sex, ethnicity, race, religion, sexual orientation, age, disability or language.

Interviewer: Press <1> to continue.

CIR_Q310

Do you believe that this incident committed against you could be considered a hate crime?

Interviewer: Hate crimes are crimes motivated by the offender’s hatred of a person’s sex, ethnicity, race, religion, sexual orientation, age, disability or language.

Yes (Go to CIR_B310)
No
DK, RF

Go to CIR_D335

CIR_Q335

Was anyone[ else/EMPTY] harmed or threatened during this incident?

Yes (Go to CIR_Q336)
No
DK, RF

Go to CIR_B350

CIR_Q336

How many people?

(MIN: 1)
(MAX: 95)
DK, RF

CIR_Q340A Was this person under the age of 15?

Yes
No
DK, RF

Go to CIR_B350

CIR_Q340B Were any of these people under 15 years of age?

Yes (Go to CIR_Q341)
No
DK, RF

Go to CIR_B350

CIR_Q341

How many people?

(MIN: 1)
(MAX: 95)
DK, RF

CIR_Q650

Of the remaining incidents during the past 12 months for [household damages/an attempt to take something by force or having something taken by force/an attempt to break in or a break and enter/property stolen from outside your household/property stolen from your place of work or school or a public place/property stolen from a hotel, vacation home, cottage, car, truck or while travelling in Canada/a stolen vehicle or an attempt to steal a vehicle or parts of a vehicle/damages to a vehicle/an attempt to steal something else or other items being stolen/a physical attack/a threat of being hit or attacked, or threatened with a weapon/a sexual assault/unwanted sexual touching/a sexual activity to which you were not able to consent/another crime (^VST_S110)], how many have details similar to this one? Exclude incidents you have already told me about.

(MIN: 0)
(MAX: 95)
DK, RF

CIR Sub–module: Where incident took place (WHR)

WHR_Q100

Where did this incident take place? (For example, was it at home, on the street, at work or at school?) Please exclude incidents that have happened outside Canada.

Respondent’s home and surrounding area (Go to WHR_Q110)
Other private residences or other farms (Go to WHR_Q120)
Commercial or institutional establishment (Go to WHR_Q130)
Street or other public place (Go to WHR_Q140)
Other – Specify (Go to WHR_S100)
DK, RF

Go to WHR_C150

WHR_Q110

(Where did this incident take place? (Respondent’s home and surrounding area))

Interviewer: Probe to know precisely where the incident took place, in order to select appropriate category.

Inside respondent’s own home/apartment
Inside a vacation property (includes surrounding areas) (Go to WHR_C150)
Inside garage or other building on respondent’s property (Go to WHR_C150)
Outside respondent’s home, apartment, including yard, farm field, driveway, parking lot or in shared areas related to home such as apartment hallway or laundry room
DK, RF (Go to WHR_C150)

WHR_Q112

Was that the same dwelling that you are living in now?

Yes (Go to WHR_C150)
No
DK, RF

WHR_Q115

What type of dwelling were you living in at the time of this incident? Was it a...?

Interviewer: Read categories to respondent.

Single detached house
Semi–detached or double (side by side)
Garden home, town–house or row house
Duplex (one above the other)
Low–rise apartment (less than 5 stories)
High–rise apartment (5 or more stories)
Mobile home or trailer
Other – Specify (Go to WHR_S115)
DK, RF

Go to WHR_C150

WHR_Q120

(Where did this incident take place? (Other private residences or other farms))

Interviewer: Probe to know precisely where the incident took place, in order to select appropriate category.

Offender’s home (in or around)
Other Private Residence or Farm (in or around)
DK, RF

Go to WHR_C150

WHR_Q130

(Where did this incident take place? (Commercial or institutional establishment))

Interviewer: Probe to know precisely where the incident took place, in order to select appropriate category.

In a restaurant or bar
Inside school or on school grounds
In a commercial or office building, a factory, a store, or a shopping mall
In a hospital, prison or rehabilitation centre
DK, RF

Go to WHR_C150

WHR_Q140

(Where did this incident take place? (Street or other public place))

Interviewer: Probe to know precisely where the incident took place, in order to select appropriate category.

On public transportation
In a parking garage or parking lot other than the respondent’s
On sidewalk/street/highway in respondent’s neighbourhood
On any other sidewalk/street/highway
In a rural area or park (include national, provincial or local park, or conservation area)
DK, RF

Go to WHR_C150

WHR_Q150

Was this your place of work?

Yes
No
DK, RF

Go to WHR_END

CIR Sub–module: Person(s) who Committed the Act of violence or crime (PCA)

PCA_Q10

At the time of the incident, did the person(s) who committed the act live with you?

Interviewer: If more than one person and at least one lived with respondent select <yes>.

Yes
No (Go to PCA_Q20)
DK, RF

Go to PCA_END

PCA_Q20

Did the person(s) who committed the act actually get [into the residence/into the vacation property/inside the garage or building] or just try to get in?

Interviewer: For apartments and multi–unit structures, determine if there was an actual or attempted entry of the respondent’s unit. Do not include entry to other parts of the building, such as the lobby.

Actually got in (Go to PCA_Q30)
Tried to get in
Threat received by telephone, mail, or e–mail (Go to PCA_END)
DK, RF

Go to PCA_D40

PCA_Q30

Did someone let them in?

Interviewer: Example: guests or workmen

Yes
No (Go to PCA_D40)
DK, RF

Go to PCA_END

PCA_Q40

Was there any evidence that they [forced/tried to force] their way in, such as a broken lock or window?

Yes (Go to PCA_Q45)
No
DK, RF

Go to PCA_END

PCA_Q45

What was the evidence?

Interviewer: Mark all that apply.

Broken lock or forced door
Broken or forced window
Other – Specify (Go to PCA_S45)
DK, RF

Go to PCA_END

CIR Sub–module: How respondent Was Threatened (HWT)

HWT_Q110

How were you threatened? Was it:

face–to–face?

Yes
No
DK, RF

HWT_Q120

^DT_POEHow were you threatened? Was it:[BLANK/)]

by mail?

Yes
No
DK, RF

HWT_Q130

(How were you threatened? Was it:)

by e–mail or on the Internet?

Yes
No
DK, RF

HWT_Q140

(How were you threatened? Was it:)

over the telephone?

Yes
No
DK, RF

HWT_Q150

(How were you threatened? Was it:)

other?

Yes (Go to HWT_S150)
No
DK, RF

Go to HWT_Q170

HWT_Q170

Did you think the threat was going to be carried out?

Yes
No
DK, RF

CIR Sub–module: Who was present during the incident (WHO)

WHO_Q120

In your opinion, was this incident related to the person’s alcohol or drug use?

Yes
No
DK, RF

WHO_Q210

Was only one person involved in committing the act?

Interviewer: Select <Don’t know – 3> if the respondent is unsure or guesses about the number of offenders.

Yes (Go to WHO_Q220)
No (Go to WHO_B210)
Don’t know

(DK not allowed)

Go to WHO_END

WHO_Q220

Was the person male or female?

Male
Female
DK, RF

WHO_Q230

How old would you say the person was?

(MIN: 1)
(MAX: 95)
DK, RF

WHO_Q240

What was the person’s relationship to you?

Interviewer: Record relationship at time of incident (not necessarily current relationship)

Mother
Father
Mother–in–law
Father–in–law
Step–mother
Step–father
Son
Daughter
Son–in–law
Daughter–in–law
Brother
Sister
Spouse/partner
Ex–spouse/ex–partner
Other family member
Boyfriend/girlfriend
Ex–boyfriend/ex–girlfriend
Neighbour
Friend
Acquaintance
Internet friend
Teacher/ professor
Supervisor, manager, boss
Co–worker
Classmate
Known by sight only
Stranger
Other – Specify (Go to WHO_S240)
DK, RF

Go to WHO_END

CIR Sub–module: Multiple People Present during the incident (MPP)

MPP_Q10

How many people were involved in this incident?

(MIN: 2)
(MAX: 95)
DK, RF

MPP_Q20

Were they male or female?

All male
All female
Both male and female (Go to MPP_C30)
DK, RF

Go to MPP_Q40

MPP_Q30

Were they mostly male or mostly female?

Mostly male
Mostly female
Evenly divided
DK, RF

MPP_Q40

How old would you say the youngest was?

(MIN: 1)
(MAX: 95)
DK, RF

MPP_Q50

How old would you say the oldest was?

(MIN: 1)
(MAX: 95)
DK, RF

CIR Sub–module: Persons Involved (PIV)

PIV_Q110

What was the relationship of the [first/second/third/fourth/fifth/sixth/seventh/eighth/nineth/tenth] offender to you?

Mother
Father
Mother–in–law
Father–in–law
Step–mother
Step–father
Son
Daughter
Son–in–law
Daughter–in–law
Brother
Sister
Spouse/partner
Ex–spouse/ex–partner
Other family member
Boyfriend/girlfriend
Ex–boyfriend/ex–girlfriend
Neighbour
Friend
Acquaintance
Internet friend
Teacher/ professor
Supervisor, manager, boss
Co–worker
Classmate
Known by sight only
Stranger
Other – Specify (Go to PIV_S110)
DK, RF

Go to PIV_D110

CIR Sub–module: People who committed the Act were a Gang (PAG)

PAG_Q10

Would you say that the people who committed the act were a gang?

Interviewer: Select <Don’t know – 3> if the respondent is unsure.

A gang is defined as a more or less structured group of individuals who use intimidation and violence on a regular basis in order to obtain power, recognition and/or control.

Yes
No
Don’t know

(DK not allowed)

CIR Sub–module: Hate Crime reasons (HTC)

HTC_Q120

Was this because of the person’s hatred of:

your race/ethnicity?

Yes
No
DK, RF

HTC_Q130

(Was this because of the person’s hatred of:)

your religion?

Yes
No
DK, RF

HTC_Q140

(Was this because of the person’s hatred of:)

your sexual orientation?

Yes
No
DK, RF

HTC_Q150

(Was this because of the person’s hatred of:)

your age?

Yes
No
DK, RF

HTC_Q155

(Was this because of the person’s hatred of:)

your sex?

Yes
No
DK, RF

HTC_Q160

(Was this because of the person’s hatred of:)

a disability?

Yes
No
DK, RF

HTC_Q170

(Was this because of the person’s hatred of:)

your language?

Yes
No
DK, RF

HTC_Q180

(Was this because of the person’s hatred for:)

some other reason, not already mentioned?

Yes (Go to HTC_E180)
No
DK, RF

CIR Sub–module: Stolen Property (STP)

STP_Q10

Excluding property belonging to a business, was anything that belonged to you or your household stolen during this incident?

Yes (Go to STP_Q20)
No
DK, RF

Go to STP_C50

STP_Q20

What was stolen during the incident? Anything else?

Interviewer: Mark all that apply.

Exclude property belonging to a business.

Cash
Purse, wallet, credit cards, cheques, personal cards or papers
Clothing, jewellery
Other personal property
Personal property of someone else
Car
Truck or van
Motorcycle or moped
Other motor vehicle
Part of a motor vehicle (for example battery, hubcap, radio, etc.)
Food, drink, liquor
Electronic equipment, including T.V. stereo, video recorder, CD’s
Household articles, including tools, appliances, furniture, carpets
Boat
Bicycle
Other household property
Nothing
DK, RF

STP_Q30

What is your best estimate of the value of all property or cash stolen in this incident?

(MIN: 0)
(MAX: 999,995)
DK, RF

STP_Q40

Was any of the stolen money or property recovered, not counting anything received from insurance?

Yes (Go to STP_Q45)
No
DK, RF

Go to STP_C50

STP_Q45

Was everything recovered?

Yes
No
DK, RF

STP_Q50

Excluding property belonging to a business, did the person(s) attempt to take anything that belonged to you or your household?

Yes
No
DK, RF

STP_Q60

What did they attempt to steal during this incident?

Interviewer: Mark all that apply.

Exclude property belonging to a business.

Cash
Respondent’s personal property
Personal property of someone else
Motor vehicle
Part of a motor vehicle (for example, battery, hubcap, radio, etc.)
Household property
Nothing
DK, RF

CIR Sub–module: Property Damage (PDM)

PDM_Q10

Was anything that belonged to you or a member of your household damaged but not taken in this incident?

Interviewer: Include damage resulting from vandalism.

Exclude property belonging to a business.

Yes
No (Go to PDM_END)
DK, RF

PDM_Q20

What was damaged?

Interviewer: Mark all that apply.

Exclude property belonging to a business.

Respondent’s personal property
Personal property of someone else
Motor vehicle or part of a motor vehicle
Dwelling or other building on property
Household property
Nothing
DK, RF

PDM_Q30

What is your estimate of the value of all damage done in this incident?

Interviewer: Round to the nearest dollar.

(MIN: 0)
(MAX: 999,995)
DK, RF

PDM_Q40

Have any of the damaged items been repaired or replaced?

Yes (Go to PDM_END)
No
DK, RF

PDM_Q45

Will they be repaired or replaced?

Yes
No
DK, RF

CIR Sub–module: Obtain Compensation through Insurance (OCI)

OCI_Q10

At the time of the incident, did you have any insurance?

Interviewer: Insurance refers to insurance purchased to cover or compensate for (or related to) the incident (i.e. damage to a vehicle is covered by auto insurance).

Yes (Go to OCI_Q20)
No
DK, RF

Go to OCI_B30

OCI_Q20

Did you attempt to obtain compensation for this incident through an insurance company?

Yes (Go to OCI_Q25)
No
DK, RF

Go to OCI_B30

OCI_Q25

Did you obtain any compensation?

Yes
No
Not yet resolved
DK, RF

CIR Sub–module: Obtain Compensation through the Courts (OCC)

OCC_Q10

Did you attempt to obtain compensation for this incident through a civil or criminal court or a provincial compensation program?

Yes (Go to OCC_Q15)
No
DK, RF

Go to OCC_Q20

OCC_Q15

Did you obtain any compensation?

Yes
No
Not yet resolved
DK, RF

OCC_Q20

For this incident, what is your best estimate of your out–of–pocket expenses, that is, expenses for which you do not expect to be reimbursed?

Interviewer: Round to the nearest dollar.

(MIN: 0)
(MAX: 99,995)
DK, RF

OCC_Q30

During the week of the incident, was your main activity working at a paid job or business, looking for paid work, going to school, caring for children, household work, retired, on vacation or something else?

Interviewer: Accept one response only. If respondent indicates more than one activity then probe for main activity. If respondent insists on more than one then select <Other–Specify>.

If sickness or short–term illness is reported, ask for usual main activity.

Working at a paid job or business
On vacation
Looking for paid work
Going to school
Caring for children
Household work
Retired
Maternity/paternity leave
Long term illness
Volunteering or care–giving other than for children
Other – Specify (Go to OCC_S30)
DK, RF

OCC_Q40

As a result of this incident, did you find it difficult or impossible to carry out your everyday activities for all or most of a day? (Reasons could range from requiring medical treatment to emotional or psychological distress, to having to replace or repair property or visit insurance agents.)

Interviewer: Select <yes> if the respondent’s main activity was disrupted for at least 6 hours during a day.

Yes (Go to OCC_Q50)
No
DK, RF

Go to OCC_END

OCC_Q50

For how many days?

(MIN: 1)
(MAX: 995)
DK, RF

CIR Sub–module: Police Found Out about the incident (PFO)

PFO_Q100

Did the police find out about this incident in any way?

Interviewer: If the respondent or a member of the household is a police officer, select <yes> only if it was officially reported to the police.

Yes (Go to PFO_Q105)
No
DK, RF

Go to PFO_END

PFO_Q105

How did they learn about it? Was it from you or some other way?

Interviewer: If respondent answers both himself/herself and some other way – enter <Respondent>.

Respondent
Some other way
DK, RF

CIR Sub–module: Reasons for reporting Incidents to the Police (RIP)

RIP_Q10

People have different reasons for reporting incidents to the police. Did any of the following have anything to do with why you reported this incident? Was it:

to stop the incident or receive protection?

Yes
No
DK, RF

RIP_Q20

(People have different reasons for reporting incidents to the police. Did any of the following have anything to do with why you reported this incident? Was it:)

to arrest and punish the offender?

Yes
No
DK, RF

RIP_Q30

(People have different reasons for reporting incidents to the police. Did any of the following have anything to do with why you reported this incident? Was it:)

to file a report to claim compensation or insurance?

Yes
No
DK, RF

RIP_Q40

(People have different reasons for reporting incidents to the police. Did any of the following have anything to do with why you reported this incident? Was it:)

because you felt it was your duty to notify police?

Yes
No
DK, RF

RIP_Q50

(People have different reasons for reporting incidents to the police. Did any of the following have anything to do with why you reported this incident? Was it:)

on the recommendation of someone else?

Yes
No
DK, RF

CIR Sub–module: Action Police Took (APT)

APT_Q10

What action did the police take? Did they:

visit the scene?

Yes
No
DK, RF

APT_Q20

(What action did the police take? Did they:)

make a report or conduct an investigation?

Yes
No
DK, RF

APT_Q30

(What action did the police take? Did they:)

give a warning to the offender?

Yes
No
Offender not known (Go to APT_Q60)
DK, RF

Go to APT_Q40

APT_Q40

(What action did the police take? Did they:)

arrest or take the offender away?

Yes
No
DK, RF

APT_Q50

(What action did the police take? Did they:)

lay charges against the offender?

Yes
No
DK, RF

APT_Q60

(What action did the police take? Did they:)

take any other action?

Yes – Specify (Go to APT_S60)
No
DK, RF

Go to APT_END

CIR Sub–module: Satisfaction of respondent with actions taken by police (SAP)

SAP_Q10

How satisfied were you with the actions that the police took? Were you ...?

Interviewer: Read categories to respondent.

Very satisfied
Somewhat satisfied
Somewhat dissatisfied
Very dissatisfied
DK, RF

SAP_Q20

Is there anything (else) they should have done to help you?

Interviewer: Mark all that apply.

Take the person out of the house
Charge the person
Arrest the person
Respond more quickly
Refer/take you to a support service
Relocate you
Take you to hospital
Be more supportive/sympathetic
Other – Specify (Go to SAP_S20)
No/nothing
DK, RF

Go to SAP_END

CIR Sub–module: Reasons for Not contacting the Police (RNP)

RNP_Q120

I’m going to read a list of reasons why some people choose not to contact the police. Please tell me which ones apply to this incident. Was it:

because of fear of revenge by the offender or others?

Yes
No
DK, RF

RNP_Q130

(I’m going to read a list of reasons why some people choose not to contact the police. Please tell me which ones apply to this incident. Was it:)

because the police would not have been able to find or identify DT_PROPOFF?

Yes
No
DK, RF

RNP_Q140

(I’m going to read a list of reasons why some people choose not to contact the police. Please tell me which ones apply to this incident. Was it:)

because there was a lack of evidence?

Yes
No
DK, RF

RNP_Q150

(I’m going to read a list of reasons why some people choose not to contact the police. Please tell me which ones apply to this incident. Was it:)

because the police would not have considered the incident important enough?

Yes
No
DK, RF

RNP_Q160

(I’m going to read a list of reasons why some people choose not to contact the police. Please tell me which ones apply to this incident. Was it:)

because the police would not have been efficient or effective?

Yes
No
DK, RF

RNP_Q170

(I’m going to read a list of reasons why some people choose not to contact the police. Please tell me which ones apply to this incident. Was it:)

because you received unsatisfactory service in the past?

Yes
No
DK, RF

RNP_Q180

(I’m going to read a list of reasons why some people choose not to contact the police. Please tell me which ones apply to this incident. Was it:)

because you tried to report but could not get through (includes waited too long on the phone; lack of confidence with the initial contact)?

Yes
No
DK, RF

RNP_Q190

(I’m going to read a list of reasons why some people choose not to contact the police. Please tell me which ones apply to this incident. Was it:)

because dealing with the police could have caused you trouble with the law?

Yes
No
DK, RF

RNP_Q200

(I’m going to read a list of reasons why some people choose not to contact the police. Please tell me which ones apply to this incident. Was it:)

because you did not want to get the offender in trouble with the law?

Yes
No
DK, RF

RNP_Q220

(I’m going to read a list of reasons why some people choose not to contact the police. Please tell me which ones apply to this incident. Was it:)

because you did not want the hassle of dealing with the police?

Yes
No
DK, RF

RNP_Q225

(I’m going to read a list of reasons why some people choose not to contact the police. Please tell me which ones apply to this incident. Was it:)

because you were afraid reporting it to the police would bring shame and dishonour to the family?

Yes
No
DK, RF

RNP_Q240

(I’m going to read a list of reasons why some people choose not to contact the police. Please tell me which ones apply to your experience. Was it:)

because your family prevented you from contacting the police?

Yes
No
DK, RF

RNP_Q245

(I’m going to read a list of reasons why some people choose not to contact the police. Please tell me which ones apply to this incident. Was it:)

because you considered the incident a private or personal matter and handled it informally?

Yes
No
DK, RF

RNP_Q250

(I’m going to read a list of reasons why some people choose not to contact the police. Please tell me which ones apply to this incident. Was it:)

because you did not want others to find out about the victimization (including didn’t want publicity or news coverage)?

Yes
No
DK, RF

RNP_Q260

(I’m going to read a list of reasons why some people choose not to contact the police. Please tell me which ones apply to this incident. Was it:)

because the crime was minor and not worth taking the time to report?

Yes
No
DK, RF

RNP_Q270

(I’m going to read a list of reasons why some people choose not to contact the police. Please tell me which ones apply to this incident. Was it:)

because no one was harmed or there was no financial loss?

Yes
No
DK, RF

RNP_Q280

(I’m going to read a list of reasons why some people choose not to contact the police. Please tell me which ones apply to this incident. Was it:)

because no harm was intended?

Yes
No
DK, RF

RNP_Q290

(I’m going to read a list of reasons why some people choose not to contact the police. Please tell me which ones apply to this incident. Was it:)

because you didn’t think the offender would be convicted or adequately punished?

Yes
No
DK, RF

RNP_Q300

(I’m going to read a list of reasons why some people choose not to contact the police. Please tell me which ones apply to this incident. Was it:)

because you feared or did not want the hassle of dealing with the court process?

Yes
No
DK, RF

RNP_Q310

(I’m going to read a list of reasons why some people choose not to contact the police. Please tell me which ones apply to this incident. Was it:)

because the police would be biased?

Yes
No
DK, RF

RNP_Q320

(I’m going to read a list of reasons why some people choose not to contact the police. Please tell me which ones apply to this incident. Was it:)

because the insurance wouldn’t cover it?

Interviewer: For example, no insurance, loss less than deductible, etc.

Yes
No
DK, RF

RNP_Q330

(I’m going to read a list of reasons why some people choose not to contact the police. Please tell me which ones apply to this incident. Was it:)

because you did not need a police report to file a claim?

Yes
No
DK, RF

RNP_Q340

(I’m going to read a list of reasons why some people choose not to contact the police. Please tell me which ones apply to this incident. Was it:)

because nothing was taken or the items were recovered?

Yes
No
DK, RF

RNP_Q350

(I’m going to read a list of reasons why some people choose not to contact the police. Please tell me which ones apply to this incident. Was it: )

because it was reported to another official?

Yes
No
DK, RF

RNP_Q355

(I’m going to read a list of reasons why some people choose not to contact the police. Please tell me which ones apply to your experience. Was it:)

for some other reason, not already mentioned?

Yes (Go to RNP_S355)
No
DK, RF

RNP_Q360

What was the main reason for not reporting to the police?

Fear of revenge by the offender or others
Police could not find/identify property or offender
Lack of evidence
Police would not have considered incident important enough
Police would not have been efficient or effective
Unsatisfactory service in the past
Tried to report but didn’t succeed at it
Dealing with the police could have caused you trouble with the law
Did not want the offender in trouble with the law
Did not want the hassle of dealing with police or courts
Afraid reporting would bring shame to the family
Prevented by family
Incident private and handled it informally
You did not want others to find out (including publicity or news coverage)
Crime was minor and not worth time to report
No one was harmed /no financial loss
No harm was intended
Didn’t think offender will be convicted or adequately punished
Fear of court process / did not want the hassle
Police would be biased
Insurance won’t cover it
Did not need a police report to file a claim
Nothing was taken or the items were recovered
It was reported to another official
^RNP_S355
DK, RF

CIR Sub–module: Talk to anyone about the incident (TTA)

TTA_Q110

Other than to the police, did you ever talk to anyone about what happened, such as:

a family member?

Yes
No
DK, RF

TTA_Q120

(Other than to the police, did you ever talk to anyone about what happened, such as:)

a friend or neighbour?

Yes
No
DK, RF

TTA_Q130

(Other than to the police, did you ever talk to anyone about what happened, such as:)

a co–worker?

Yes
No
DK, RF

TTA_Q140

(Other than to the police, did you ever talk to anyone about what happened, such as:)

a doctor or nurse?

Yes
No
DK, RF

TTA_Q150

(Other than to the police, did you ever talk to anyone about what happened, such as:)

a lawyer?

Yes
No
DK, RF

TTA_Q160

(Other than to the police, did you ever talk to anyone about what happened, such as:)

a priest, rabbi, imam, elder or another spiritual advisor?

Yes
No
DK, RF

CIR Sub–module: Victims Services in respondent’s Community (VSC)

VSC_Q10

Did the police or anyone else provide you with information about services for victims in your community?

Yes, the police
Yes, someone else
No
DK, RF

VSC_Q20

Did you ever contact or use any of the following services for help because of this incident, such as:

a crisis centre or crisis line?

Yes
No
DK, RF

VSC_Q25

(Did you ever contact or use any of the following services for help because of this incident, such as:)

victim services or a victim witness assistance program?

Yes
No
DK, RF

VSC_Q30

(Did you ever contact or use any of the following services for help because of this incident, such as:)

a counsellor, psychologist or social worker?

Yes
No
DK, RF

VSC_Q40

(Did you ever contact or use any of the following services for help because of this incident, such as:)

a community, family, ethnic or cultural centre?

Yes
No
DK, RF

VSC_Q50

(Did you ever contact or use any of the following services for help because of this incident, such as:)

a [women’s/men’s] centre, [a seniors’ centre/EMPTY] or support group?

Interviewer: Centres that do not offer housing but provide community, support, information and referrals services to victims.

Yes
No
DK, RF

VSC_Q60

(Did you ever contact or use any of the following services for help because of this incident, such as:)

a sexual assault centre?

Yes
No
DK, RF

VSC_Q90

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

Interviewer: Mark all that apply.

Didn’t know of any services
None available
Waiting list
Too minor
Shame/embarrassment
Wouldn’t be believed
Offender prevented me
Distance from service
Fear of losing financial support
Fear of losing the children
Didn’t want relationship to end
Didn’t want/need help
Language barrier
Other – Specify (Go to VSC_S90)
DK, RF

CIR Sub–module: General victimization – Impact on respondent (GIR)

GIR_Q10

At the time of the incident, how did this experience affect you emotionally?

Interviewer: Mark all that apply.

This question refers to emotional consequences. Do not include physical injury, financial loss or medical treatment.

Not at all
Not much
Angry
Upset, confused, frustrated
Fearful
More cautious/aware
Shock/disbelief
Hurt/disappointment
Victimized
Sleeping problems
Depression/anxiety attacks
Ashamed/guilty
Afraid for children
Annoyed
Lowered self esteem
Increased self–reliance
Problems relating to men/women
Other – Specify (Go to GIR_S10)
DK, RF

GIR_Q20

Now some questions about longer term effects of the incident you experienced. In the past month, have you:

had nightmares about it or thought about it when you did not want to?

Yes
No
DK, RF

GIR_Q30

(Now some questions about longer term effects of the incident you experienced. In the past month, have you: )

tried hard not to think about it or went out of your way to avoid situations that reminded you of it?

Yes
No
DK, RF

GIR_Q40

(Now some questions about longer term effects of the incident you experienced. In the past month, have you: )

felt constantly on guard, watchful, or easily startled?

Yes
No
DK, RF

GIR_Q50

(Now some questions about longer term effects of the incident you experienced. In the past month, have you: )

felt numb or detached from others, activities, or your surroundings?

Yes
No
DK, RF

CIR Sub–module: Case Went to Court (CWC)

CWC_Q10

Did the case go to court?

Yes (Go to CWC_Q20)
No
Case pending or awating trial
DK, RF

Go to CWC_END

CWC_Q20

How satisfied were you with the way the case was handled by the criminal justice system? Were you...?

Interviewer: Read categories to respondent.

Very satisfied
Somewhat satisfied
Somewhat dissatisfied
Very dissatisfied
Did not use the criminal justice system.
DK, RF

Childhood Experiences (CEX)

CEX_R010

The next few questions are about events that may have happened before you were 15. Remember that all information provided is strictly confidential.

Interviewer: Press <1> to continue.

CEX_Q010

Before age 15, how many times did an adult slap you on the face, head or ears, or hit you with something hard to hurt you? By adult, I mean anyone 18 years and over.

Interviewer: Read categories to respondent.

Exclude spanking.

Never
1 or 2 times
3 to 5 times
6 to 10 times
More than 10 times
DK, RF

CEX_Q020

Before age 15, how many times did an adult push, grab, shove or throw something at you to hurt you?

Interviewer: Read categories to respondent.

Never
1 or 2 times
3 to 5 times
6 to 10 times
More than 10 times
DK, RF

CEX_Q030

Before age 15, how many times did an adult kick, bite, punch, choke, burn you, or physically attack you in some way?

Interviewer: If necessary, read the categories to respondent.

Never
1 or 2 times
3 to 5 times
6 to 10 times
More than 10 times
DK, RF

CEX_Q040

Thinking about the most serious incident, what was the adult’s relationship to you?

Mother
Father
Step–mother
Step–father
Grandmother
Grandfather
Brother
Sister
Other family member
Boyfriend/girlfriend
Ex–boyfriend/ex–girlfriend
Neighbour
Friend
Acquaintance
Teacher/ professor/ tutor
Baby–sitter/ Nanny
Classmate
Known by sight only
Stranger
Other – Specify (Go to CEX_S040)
DK, RF

CEX_Q050

Before age 15, how many times did an adult force you or attempt to force you into any unwanted sexual activity, by threatening you, holding you down or hurting you in some way?

Interviewer: Read categories to respondent.

Never
1 or 2 times
3 to 5 times
6 to 10 times
More than 10 times
DK, RF

CEX_Q060

Before age 15, how many times did an adult touch you against your will in any sexual way? By this, I mean anything from unwanted touching or grabbing, to kissing or fondling.

Interviewer: If necessary, read the categories to respondent.

Never
1 or 2 times
3 to 5 times
6 to 10 times
More than 10 times
DK, RF

CEX_Q065

Thinking about the (most serious) incident of a sexual nature, what was that adult’s relationship to you?

Mother
Father
Step–mother
Step–father
Grandmother
Grandfather
Brother
Sister
Other family member
Boyfriend/girlfriend
Ex–boyfriend/ex–girlfriend
Neighbour
Friend
Acquaintance
Teacher/ professor/ tutor
Baby–sitter/ Nanny
Classmate
Known by sight only
Stranger
Other – Specify (Go to CEX_S065)
DK, RF

CEX_Q070

Before age 15, did you ever see or talk to the police or anyone from child protective services about any of the incidents you mentioned?

Interviewer: Mark all that apply.

Police
Child protection services
No
DK, RF

CEX_Q075

Before age 15, did you ever talk to anyone else about any of the incidents you mentioned?

Interviewer: Mark all that apply.

Exclude the police or someone from child protective services.

Family member
Friend
Neighbour
Doctor or nurse
Priest, rabbi, imam, elder or another spiritual advisor
Teacher
No, never spoke to anyone else
Other – Specify (Go to CEX_S075)
DK, RF

CEX_Q080

Before age 15, how many times did you see or hear any one of your parents, step–parents or guardians hit each other or another adult?

Interviewer: Read categories to respondent.

Never
1 or 2 times
3 to 5 times
6 to 10 times
More than 10 times
DK, RF

Respondent was once the Legal Responsibility of the Government (LRG)

LRG_Q10

As a child, were you ever under the legal responsibility of the government?

Interviewer: In this case, the government assumes the rights and responsibilities of a parent for the purpose of the child’s care, custody and control.

Yes
No
DK, RF

Acts that may have been Committed by Someone other than a current or previous spouse/partner (ACS)

ACS_R10

The following questions are about acts that may have been committed by someone other than a current or previous spouse or partner or someone you were dating.

Interviewer: Press <1> to continue.

ACS_Q10

In the past 5 years, has a child, relative, friend or caregiver:

tried to limit your contact with family or friends, called you names to make you feel bad, or threatened to harm you or someone close to you?

Interviewer: Remember to exclude acts committed by spouse/partner, ex–spouse/ex–partner or dating partner.

Yes
No
DK, RF

ACS_Q20

(In the past 5 years, has a child, relative, friend or caregiver:)

tried to prevent you from knowing about or having access to your income, forced you to relinquish control over your finances or give up something of value?

Interviewer: Remember to exclude acts committed by spouse/partner, ex–spouse/ex–partner or dating partner.

Yes
No
DK, RF

Acts that may have been committed by a dating partner (ADP)

ADP_Q010

In the past 5 years, has anyone you were dating tried to limit your contact with family or friends, called you names to make you feel bad, or threatened to harm you or someone close to you?

Interviewer: Could include incidents already mentioned previously.

Yes
No
Did not date in the past 5 years (Go to ADP_END)
DK, RF

ADP_Q020

In the past 5 years, have you experienced physical violence by someone you were dating?

Interviewer: Physical violence could include such acts as hitting, throwing things to hurt, pushing, grabbing, slapping, kicking, biting, hitting with the fist, threatening with a weapon, choking.

Yes
No
DK, RF

ADP_Q030

In the past 5 years, have you experienced sexual violence by someone you were dating?

Interviewer: Sexual violence could include such acts as forcing into an unwanted sexual activity by threatening, holding you down or hurting you or subjecting you to a sexual activity to which you are not able to consent.

Yes
No
DK, RF

Stalking – Communication (STK)

STK_R10

People may sometimes be stalked or harassed, either by someone they know or by a stranger.

Interviewer: Press <1> to continue.

STK_Q10

In the past 5 years, have you been the subject of repeated and unwanted attention that caused you to fear for your safety or the safety of someone known to you? By that I mean:

has anyone phoned you repeatedly or made silent or obscene phone calls?

Yes (Go to STK_Q15)
No
DK, RF

Go to STK_Q20

STK_Q15

Did you fear for your safety or the safety of someone known to you?

Yes
No
DK, RF

STK_Q20

(In the past 5 years, have you been the subject of repeated and unwanted attention that caused you to fear for your safety or the safety of someone known to you? By that I mean:)

has anyone sent you unwanted messages through e–mail, text, Facebook or any other social media?

Yes (Go to STK_Q25)
No
DK, RF

Go to STK_Q30

STK_Q25

Did you fear for your safety or the safety of someone known to you?

Yes
No
DK, RF

STK_Q30

(In the past 5 years, have you been the subject of repeated and unwanted attention that caused you to fear for your safety or the safety of someone known to you? By that I mean:)

has anyone sent you unwanted gifts, letters, or cards?

Yes (Go to STK_Q35)
No
DK, RF

Go to STK_Q40

STK_Q35

Did you fear for your safety or the safety of someone known to you?

Yes
No
DK, RF

STK_Q40

(In the past 5 years, have you been the subject of repeated and unwanted attention that caused you to fear for your safety or the safety of someone known to you? By that I mean:)

has anyone tried to communicate with you against your will in any other way?

Yes (Go to STK_S40)
No
DK, RF

Go to STK_D45

STK_Q45

Did you fear for your safety or the safety of someone known to you?

Yes
No
DK, RF

Stalking – Following (FBS)

FBS_Q10

(In the past 5 years, have you been the subject of repeated and unwanted attention that caused you to fear for your safety or the safety of someone known to you? By that I mean:)

has anyone followed you or spied on you either in person or through an electronic tracking device (such as a GPS)?

Yes
No
Not sure

(DK not allowed)

Go to FBS_D15

FBS_Q15

Did you fear for your safety or the safety of someone known to you?

Yes
No
DK, RF

Stalking – Watching (WBS)

WBS_Q10

(In the past 5 years, have you been the subject of repeated and unwanted attention that caused you to fear for your safety or the safety of someone known to you? By that I mean:)

has anyone waited outside your home?

Yes (Go to WBS_Q15)
No
DK, RF

Go to WBS_Q20

WBS_Q15

Did you fear for your safety or the safety of someone known to you?

Yes
No
DK, RF

WBS_Q20

(In the past 5 years, have you been the subject of repeated and unwanted attention that caused you to fear for your safety or the safety of someone known to you? By that I mean:)

has anyone waited outside your place of work or school or other places you were, when they had no business being there?

Yes (Go to WBS_Q25)
No
DK, RF

Go to WBS_D25

WBS_Q25

Did you fear for your safety or the safety of someone known to you?

Yes
No
DK, RF

Stalking – Threatening Behaviours (TBS)

TBS_Q10

(In the past 5 years, have you been the subject of repeated and unwanted attention that caused you to fear for your safety or the safety of someone known to you? By that I mean:)

has anyone persistently asked you for a date and refused to take no for an answer?

Yes (Go to TBS_Q15)
No
DK, RF

Go to TBS_Q20

TBS_Q15

Did you fear for your safety or the safety of someone known to you?

Yes
No
DK, RF

TBS_Q20

(In the past 5 years, have you been the subject of repeated and unwanted attention that caused you to fear for your safety or the safety of someone known to you? By that I mean:)

has anyone posted inappropriate, unwanted or personal information about you or pictures on a social media site?

Interviewer: Social media sites include YouTube, Google+, Twitter, Facebook, etc.

Yes (Go to TBS_Q25)
No
DK, RF

Go to TBS_Q30

TBS_Q25

Did you fear for your safety or the safety of someone known to you?

Yes
No
DK, RF

TBS_Q30

In the past 5 years, has anyone attempted to intimidate or threaten you by threatening or intimidating someone else?

Yes
No
DK, RF

TBS_Q40

In the past 5 years, has anyone attempted to intimidate or threaten you by hurting your pet(s)?

Yes
No
Does not have pets
DK, RF

TBS_Q50

In the past 5 years, has anyone attempted to intimidate or threaten you by damaging your property?

Yes
No
DK, RF

Go to TBS_END

Stalking – Within Past Year (SPY)

SPY_R10

You said you were stalked or harassed in a way that caused you to fear for your safety or the safety of someone known to you in the past 5 years.

Interviewer: Press <1> to continue.

SPY_Q10

Did [this incident/any of these incidents] occur in the past 12 months?

Yes
No
DK, RF

Stalking – Most Recent Abuser (MRA)

MRA_Q10

Was there more than one person who stalked or harassed you in the past 5 years?

Yes
No
DK, RF

MRA_Q20

[Is this person male or female?/Thinking about the person who has done this most recently, is this person male or female?]

Male
Female
DK, RF

MRA_Q30

What is the person’s relationship to you?

Interviewer: Record current relationship, not necessarily relationship at the time of incident.

Stranger
Spouse/common–law partner
Ex–spouse / Ex common–law partner
Boyfriend/girlfriend
Ex–boyfriend/girlfriend
Other relative
Neighbour
Friend/Casual acquaintance
Co–worker/ Classmate
Known by sight only
DK, RF

Stalking – Most Recent stalking Experience (MRE)

MRE_Q05

Do you believe that the harassment from this person has ended?

Ended
Still going on
Not sure

(DK not allowed)

MRE_Q10

For how long [has this person been stalking or harassing you/did this person stalk or harass you]?

Interviewer: Read categories to respondent.

1 week or less
1 to 4 weeks
1 to 6 months
6 to 12 months
More than one year
DK, RF

MRE_Q20A During this time, did this person ever physically intimidate you or threaten you with violence?

Yes
No
DK, RF

MRE_Q30

(During this time,) did this person ever grab or attack you in any way?

Yes
No
DK, RF

MRE_Q50

(During this time,) did you ever fear that your life was in danger from this person?

Yes
No
DK, RF

Stalking – Reasons Not Reporting to Police (RNS)

RNS_Q10

[Was this incident/Were these incidents] ever reported to the police?

Yes
No (Go to RNS_Q100)
DK, RF

Go to RNS_END

RNS_Q100

I’m going to read a list of reasons why some people choose not to contact the police. Please tell me which ones apply to your experience. Was it:

because of fear of revenge by the stalker or by others?

Yes
No
DK, RF

RNS_Q130

(I’m going to read a list of reasons why some people choose not to contact the police. Please tell me which ones apply to your experience. Was it:)

because the police would not have been able to find or identify the stalker?

Yes
No
DK, RF

RNS_Q140

(I’m going to read a list of reasons why some people choose not to contact the police. Please tell me which ones apply to your experience. Was it:)

because there was a lack of evidence?

Yes
No
DK, RF

RNS_Q150

(I’m going to read a list of reasons why some people choose not to contact the police. Please tell me which ones apply to your experience. Was it:)

because the police would not have considered the incident important enough?

Yes
No
DK, RF

RNS_Q160

(I’m going to read a list of reasons why some people choose not to contact the police. Please tell me which ones apply to your experience. Was it:)

because the police would not have been efficient or effective?

Yes
No
DK, RF

RNS_Q170

(I’m going to read a list of reasons why some people choose not to contact the police. Please tell me which ones apply to your experience. Was it:)

because you received unsatisfactory service in the past?

Yes
No
DK, RF

RNS_Q180

(I’m going to read a list of reasons why some people choose not to contact the police. Please tell me which ones apply to your experience. Was it:)

because you tried to report, but you could not get through (includes waited too long on the phone; lack of confidence with initial contact)?

Yes
No
DK, RF

RNS_Q190

(I’m going to read a list of reasons why some people choose not to contact the police. Please tell me which ones apply to your experience. Was it:)

because dealing with police could have caused you trouble with the law?

Yes
No
DK, RF

RNS_Q200

(I’m going to read a list of reasons why some people choose not to contact the police. Please tell me which ones apply to your experience. Was it:)

because you did not want to get the stalker in trouble with the law?

Yes
No
DK, RF

RNS_Q220

(I’m going to read a list of reasons why some people choose not to contact the police. Please tell me which ones apply to your experience. Was it:)

because you did not want the hassle of dealing with the police?

Yes
No
DK, RF

RNS_Q230

(I’m going to read a list of reasons why some people choose not to contact the police. Please tell me which ones apply to your experience. Was it:)

because you considered the incident a private or personal matter and handled it informally?

Yes
No
DK, RF

RNS_Q250

(I’m going to read a list of reasons why some people choose not to contact the police. Please tell me which ones apply to your experience. Was it:)

because you did not want others to find out about the victimization (including didn’t want publicity or news coverage)?

Yes
No
DK, RF

RNS_Q260

(I’m going to read a list of reasons why some people choose not to contact the police. Please tell me which ones apply to your experience. Was it:)

because the crime was minor and not worth taking the time to report?

Yes
No
DK, RF

RNS_Q270

(I’m going to read a list of reasons why some people choose not to contact the police. Please tell me which ones apply to your experience. Was it:)

because no one was harmed or there was no financial loss?

Yes
No
DK, RF

RNS_Q280

(I’m going to read a list of reasons why some people choose not to contact the police. Please tell me which ones apply to your experience. Was it:)

because no harm was intended?

Yes
No
DK, RF

RNS_Q290

(I’m going to read a list of reasons why some people choose not to contact the police. Please tell me which ones apply to your experience. Was it:)

because you didn’t think the stalker would be convicted or adequately punished?

Yes
No
DK, RF

RNS_Q300

(I’m going to read a list of reasons why some people choose not to contact the police. Please tell me which ones apply to your experience. Was it:)

because you feared or did not want the hassle of dealing with the court process?

Yes
No
DK, RF

RNS_Q310

(I’m going to read a list of reasons why some people choose not to contact the police. Please tell me which ones apply to your experience. Was it:)

because the police would be biased?

Yes
No
DK, RF

RNS_Q350

(I’m going to read a list of reasons why some people choose not to contact the police. Please tell me which ones apply to your experience. Was it:)

because it was reported to another official?

Yes
No
DK, RF

RNS_Q360

(I’m going to read a list of reasons why some people choose not to contact the police. Please tell me which ones apply to your experience. Was it:)

for some other reason, not already mentioned?

Yes (Go to RNS_S360)
No
DK, RF

Go to RNS_D370

RNS_Q370

What was the main reason why you didn’t contact the police?

Fear of revenge by the stalker or others
Police could not find/identify the stalker
Lack of evidence
Police would not have considered incident important enough
Police would not have been efficient or effective
Unsatisfactory service in the past
Tried to report but didn’t succeed at it
Dealing with the police could have caused you trouble with the law
Did not want the stalker in trouble with the law
Did not want the hassle of dealing with police
Incident private and handled it informally
You did not want others to find out (including publicity or news coverage)
Crime was minor and not worth time to report
No one was harmed /no financial loss
No harm was intended
Didn’t think stalker will be convicted or adequately punished
Fear of court process / did not want the hassle
Police would be biased
It was reported to another official
^RNS_S360
DK, RF

Stalking – Talking to someone (SHS)

SHS_Q10

[Other than the police, did/Did] you ever talk to anyone about what happened?

Yes (Go to SHS_Q20)
No
DK, RF

Go to SHS_END

SHS_Q20

Who did you talk to (about what happened)?

Interviewer: Mark all that apply.

Family member
Friend or neighbour
Co–worker
Doctor or nurse
Lawyer
Priest, rabbi, imam, elder or another spiritual advisor
Counsellor or psychologist
Someone else (Go to SHS_S20)
DK, RF

Go to SHS_END

Stalking – Charges Laid (SCL)

SCL_Q10

[Were/Thinking about the person who has done this most recently were] charges laid against this person?

Yes (Go to SCL_Q20)
No
DK, RF

Go to SCL_END

SCL_Q20

What kind of charges were they?

Interviewer: Mark all that apply.

Stalking or criminal harassment
Assault
Uttering threats
Mischief
Other types of charges (Go to SCL_S20)
DK, RF

Go to SCL_END

Stalking – Restraining Order (ROS)

ROS_Q10

[Was/Thinking about the person who has done this most recently was] there ever a restraining, protective or a no contact order against this person?

Yes (Go to ROS_Q20)
No
DK, RF

Go to ROS_END

ROS_Q20

[Was/(Thinking about the person who has done this most recently) was] the order ever violated?

Yes (Go to ROS_Q30)
No
DK, RF

Go to ROS_END

ROS_Q30

[Did/(Thinking about the person who has done this most recently) did] you report this violation to the police?

Yes
No
DK, RF

Stalking – Impact on Respondent (IOR)

IOR_Q10

At the time of [the incident/these incidents], how did [this experience/these experiences] affect you emotionally?

Interviewer: Mark all that apply.

This question refers to emotional consequences. Do not include physical injury, financial loss or medical treatment.

Not at all
Not much
Angry
Upset, confused, frustrated
Fearful
More cautious/aware
Shock/disbelief
Hurt/disappointment
Victimized
Sleeping problems
Depression/anxiety attacks
Ashamed/guilty
Afraid for children
Annoyed
Lowered self esteem
Increased self–reliance
Problems relating to men/women
Other – Specify (Go to IOR_S10)
DK, RF

Cyber Bullying Respondent (CBU)

CBU_R100

The following questions are about cyber–stalking and cyber–bullying, which is the use of the Internet to embarrass, intimidate or threaten someone.

Interviewer: Press <1> to continue.

CBU_Q100

During the past 5 years, how often have you typically used the Internet?

Daily
A few times a week
Once a week
A few times a month
Once a month
Less than once a month
Rarely
Never (Go to CBU_END)
DK, RF

CBU_Q110

In the past 5 years, :

have you ever received threatening or aggressive e–mails or instant messages where you were the only recipient?

Interviewer: Include only threatening or aggressive communications. Exclude money scams and other types of phishing scams.

Yes
No
DK, RF

Go to CBU_Q120

CBU_Q120

(In the past 5 years,:)

have you ever been the target of threatening or aggressive comments spread through group e–mails, instant messages or postings on Internet sites?

Yes
No
DK, RF

CBU_Q125

(In the past 5 years,)

has anyone ever sent out or posted pictures that embarrassed you or made you feel threatened?

Yes
No
DK, RF

CBU_Q130

(In the past 5 years,)

has anyone ever used your identity to send out or post embarrassing or threatening information?

Yes
No
DK, RF

CBU_Q140

(In the past 5 years,:)

have you ever been the target of any other kind of cyber stalking/ bullying (which is the use of the Internet to embarrass, intimidate or threaten someone), not already mentioned?

Yes (Go to CBU_S140)
No
DK, RF

Go to CBU_C150

CBU_R150

You said you were intimidated, embarrassed or threatened by someone over the Internet in the past 5 years.

Interviewer: Press <1> to continue.

CBU_Q150

Did any of these experiences occur in the past 12 months?

Yes
No
DK, RF

Main Activity of Respondent (MAR)

MAR_Q110

During the past 12 months, was your main activity working at a paid job or business, looking for paid work, going to school, caring for children, household work, retired or something else?

Interviewer: If sickness or short–term illness is reported, ask for usual main activity.

Working at a paid job or business
Looking for paid work
Going to school
Caring for children
Household work
Retired
Maternity/paternity or parental leave
Long term illness
Volunteering or care–giving other than for children
Other – Specify (Go to MAR_S110)
DK, RF

Go to MAR_Q133

MAR_Q133

Did you have a job or were you self–employed at any time last week?

Interviewer: Include persons that were on vacation, sick leave with pay, strike, lock–out, maternity/paternity or parental leave.

Yes
No
DK, RF

MAR_Q134

In the last four weeks, did you look for a job?

Yes
No
DK, RF

MAR_Q135

Did you have a job or were you self–employed at any time during the past 12 months?

Yes
No
DK, RF

Respondent Ever Worked (REW)

REW_Q10

Have you ever worked at a job or business?

Yes
No
DK, RF

REW_Q20

In what year did you last do any paid work?

(MIN: 1,900)
(MAX: 2,014)
DK, RF

REW_Q30

How old were you when you last did any paid work?

(MIN: 10)
(MAX: 95)
DK, RF

Work activities – Employment Type (WET)

WET_Q110

For how many weeks during the past 12 months were you employed?

Interviewer: Include vacation, illness, strikes, lock–outs or maternity/paternity or parental leave.

(MIN: 1)
(MAX: 52)
DK, RF

WET_Q120

Were you mainly ...?

Interviewer: Read categories to respondent.

Self–employed is a person who is earning income directly from their own business, trade or profession, rather than being paid a specified salary or wage by an employer.

A paid worker
Self–employed
An unpaid family worker
DK, RF

Work activities – Telework Information (WTI)

WTI_Q110

Excluding overtime, [do/did] you usually work any of your scheduled hours at home?

Interviewer: Exclude respondents who occasionally perform some overtime work in their homes.

Yes (Go to WTI_D120)
No
Not applicable
DK, RF

Go to WTI_END

WTI_Q120

How many paid hours per week [do/did] you usually work at home?

Interviewer: Round to the nearest whole hour.

(MIN: 1)
(MAX: 168)
DK, RF

Work activities – Last Year employer information (WLY)

WLY_Q110

[What is the name of your business?/What was the name of your business?/For whom did you work the longest time during the past 12 months?]

Interviewer: Name of business, government department or agency, or person.

(80 spaces)

DK, RF

WLY_Q120

What kind of business, industry or service [is/was] this?

Interviewer: Give full description: e.g., federal government, canning industry, forestry services.

(80 spaces)

DK, RF

WLY_Q130

What kind of work [are/were] you doing?

Interviewer: Examples include: babysitting in own home, factory worker, forestry technician.

(80 spaces)

DK, RF

WLY_Q140

What [are/were] your most important activities or duties?

Interviewer: Examples include: caring for children, stamp press machine operator, forest examiner.

(80 spaces)

DK, RF

WLY_Q145

Are you still working [for this employer/at this business]?

Interviewer: Includes those employed but not currently working due to vacation, sick leave with pay, leave of absence, strike, lockout or maternity/paternity or parental leave.

Yes
No
DK, RF

WLY_Q150

Which of the following best describes your terms of employment in this job? [Are/Were] you a...?

Interviewer: Read categories to respondent.

Regular employee (no contractual or anticipated termination date)
Seasonal employee (employment on this job is intermittent according to the seasons of the year)
Term employee (term of employment has a set termination date)
Casual or on–call employee
DK, RF

Work activities – Hours Worked (WHW)

WHW_Q120

How many hours a week [do/did] you usually work at your job?

Interviewer: If the respondent had more than one job add the number of hours for these jobs.

(MIN: 0)
(MAX: 168)
DK, RF

Go to WHW_D140

WHW_Q230

Which of the following best describes your usual work schedule at your job? [Is/Was] it ...?

Interviewer: Read categories to respondent.

For respondent’s main job:

"on call" means no prearranged schedules, but called as need arises (for example, a substitute teacher);

"irregular schedule" is usually prearranged one week or more in advance (for example, pilots).

A regular daytime schedule or shift
A regular evening shift
A regular night shift
A rotating shift (one that changes periodically from days to evenings or to nights)
A split shift (one consisting of two or more distinct periods each day)
A compressed work week
On call or casual
An irregular schedule
Other – Specify (Go to WHW_S230)
DK, RF

Main Activity of respondent’s spouse/Partner (MAP)

MAP_Q110

During the past 12 months, was your [spouse/partner]’s main activity working at a paid job or business, looking for paid work, going to school, caring for children, household work, retired or something else?

Interviewer: If sickness or short–term illness is reported, ask for usual main activity.

Working at a paid job or business
Looking for paid work
Going to school
Caring for children
Household work
Retired
Maternity/paternity or parental leave
Long term illness
Volunteering or care–giving other than for children
Other – Specify (Go to MAP_S110)

DK, RF

Go to MAP_C120

MAP_Q120

Was [he/she/he/she] enrolled as...?

Interviewer: Read the categories to respondant.

Full–time student
Part–time student
Both full–time and part–time student
DK, RF

MAP_Q130

Did [he/she/he/she] have a job or was [he/she/he/she] self–employed at any time during the past 12 months?

Interviewer: Include vacation, illness, strikes, lock–outs and maternity/paternity leave.

Yes
No
DK, RF

Education Extended Block (EOR)

Harmonized content

EOR_Q01

What type of educational institution [are you attending/did you attend]?

Interviewer: Mark all that apply.

Elementary, junior high school or high school
Trade school, college, CEGEP or other non–university institution
University
DK, RF

EOR_Q02

[Are you enrolled/Were you enrolled] as... ?

Interviewer: Read categories to respondent.

A full–time student
A part–time student
Both full–time and part–time student
DK, RF

EOR_Q03

In what country was the institution that granted your highest certificate, diploma or degree located?

Interviewer: Ask the respondent to specify the country according to current boundaries.

Start typing the name of the country to activate function.

Enter "CAN" to select Canada.

Enter "Other – Specify" if the country is not part of the list.

Search
Other – Specify (Go to EOR_S03)
DK, RF

Education – School Attendance v.1 (ESC1)

Harmonized content

Overview: This is the CATI/CAPI version one of the School attendance.

ESC1_Q01

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

Interviewer: Ask respondent to include attendance only for courses that can be used as credit towards a certificate, diploma or degree.

Yes
No
DK, RF

EHG3

EHG3_Q01

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

Less than high school diploma or its equivalent
High school diploma or a high school equivalency certificate (Go to EHG3_Q02)
Trade certificate or diploma (Go to EHG3_Q03)
College, CEGEP or other non–university certificate or diploma (other than trades certificates or diplomas) (Go to EHG3_Q04)
University certificate or diploma below the bachelor’s level
Bachelor’s degree (e.g. B.A., B.Sc., LL.B.)
University certificate, diploma or degree above the bachelor’s level (Go to EHG3_Q05)
DK, RF

Go to EHG3_END

EHG3_Q02

If the respondent has already specified the diploma or certificate, select the category from the list below; if not, ask:

Was that a... ?

Interviewer: Read categories to respondent.

High school graduation diploma
High school equivalency certificate (such as General Educational Development, GED or Adult Basic Education, ABE)
DK, RF

Go to EHG3_END

EHG3_Q03

If the respondent has already specified the certificate, select the category from the list below; if not, ask:

Was that a... ?

Interviewer: Read categories to respondent.

Registered Apprenticeship certificate (including Certificate of Qualification, Journeyperson’s designation)
Other trades certificate or diploma from a trade school or a professional training center
DK, RF

Go to EHG3_END

EHG3_Q04

Was that a certificate or diploma from a program of... ?

Interviewer: Read categories to respondent.

Less than 3 months
3 months to less than 1 year
1 year to 2 years
More than 2 years
DK, RF

Go to EHG3_END

EHG3_Q05

If the respondent has already specified the university certificate, diploma or degree, select the category from the list below; if not, ask:

Was that a... ?

Interviewer: Read categories to respondent.

Honorary doctorates should not be included in the "earned doctorate" category.

University certificate or diploma above the bachelor’s level
Degree in medicine, dentistry, veterinary medicine or optometry
Master’s degree
Earned doctorate
DK, RF

Education Of respondent’s Partner (EOP)

EOP_Q200

What is the highest level of education that your ^DT_MSTATUS_E has attained?

Earned doctorate (Ph.D., D.Sc., D.Ed.)
Masters (M.A., M.Sc., M.Ed.)
Degree in Medicine, Dentistry, Veterinary Medicine, or Optometry (M.D., D.D.S., D.M.D., D.V.M., O.D.)
Bachelor or undergraduate degree, or teacher’s college (B.A., B.Sc., LL.B., B.Ed.)
Diploma or certificate from community college, CEGEP or nursing school
Diploma or certificate from trade, technical or vocational school, or business college
Some university
Some community college, CEGEP or nursing school
Some trade, technical or vocational school, or business college
High school diploma
Some high school
Elementary school diploma
Some elementary
No schooling
Other – Specify (Go to EOP_S200)
DK, RF

Go to EOP_END

Education Of respondent’s Mother (EOM)

EOM_Q200

What is the highest level of education that your mother has attained? By mother, we mean the woman who mostly raised you.

Interviewer: This may be someone other than the respondent’s mother (example: sister, aunt, guardian, adoptive mother, grandmother).

Earned doctorate (Ph.D., D.Sc., D.Ed.)
Masters (M.A., M.Sc., M.Ed.)
Degree in Medicine, Dentistry, Veterinary Medicine, or Optometry (M.D., D.D.S., D.M.D., D.V.M., O.D.)
Bachelor or undergraduate degree, or teacher’s college (B.A., B.Sc., LL.B., B.Ed.)
Diploma or certificate from community college, CEGEP or nursing school
Diploma or certificate from trade, technical or vocational school, or business college
Some university
Some community college, CEGEP or nursing school
Some trade, technical or vocational school, or business college
High school diploma
Some high school
Elementary school diploma
Some elementary
No schooling
Other – Specify (Go to EOM_S200)
DK, RF

Go to EOM_END

Education Of respondent’s Father (EOF)

EOF_Q200

What is the highest level of education that your father has attained? By father, we mean the man who mostly raised you.

Interviewer: This may be someone other than the respondent’s father (example: brother, uncle, guardian, adoptive father, grandfather).

Earned doctorate (Ph.D., D.Sc., D.Ed.)
Masters (M.A., M.Sc., M.Ed.)
Degree in Medicine, Dentistry, Veterinary Medicine, or Optometry (M.D., D.D.S., D.M.D., D.V.M., O.D.)
Bachelor or undergraduate degree, or teacher’s college (B.A., B.Sc., LL.B., B.Ed.)
Diploma or certificate from community college, CEGEP or nursing school
Diploma or certificate from trade, technical or vocational school, or business college
Some university
Some community college, CEGEP or nursing school
Some trade, technical or vocational school, or business college
High school diploma
Some high school
Elementary school diploma
Some elementary
No schooling
Other – Specify (Go to EOF_S200)
DK, RF

Go to EOF_END

Self Related Health (SRH)

SRH_R110

The following set of questions asks about your day–to–day health.

Interviewer: Press <1> to continue.

By health, we mean not only the absence of disease or injury but also physical, mental and social well–being.

SRH_Q110

In general, would you say your health is...?

Excellent
Very good
Good
Fair
Poor
DK, RF

SRH_Q115

In general, would you say your mental health is...?

Excellent
Very good
Good
Fair
Poor
DK, RF

Disability Screening Questions – Minimum Block (DSQ)

DSQ_R01

The following questions are about difficulties you may have doing certain activities. Please tell me only about difficulties or long–term conditions that have lasted or are expected to last for six months or more.

Interviewer: Press <1> to continue.

DSQ_Q01

Do you have any difficulty seeing?

Interviewer: Read categories to respondent.

If respondent indicates that he/she uses glasses or contact lenses, ask for a response based on their ability to see when using these aids.

No (Go to DSQ_Q05)
Sometimes
Often
Always
DK

RF (Go to DSQ_Q05)

DSQ_Q02

Do you wear glasses or contact lenses to improve your vision?

Yes
No
DK, RF

DSQ_Q03

[With your glasses or contact lenses, which/Which] of the following best describes your ability to see? [You/He/She]... ?

Interviewer: Read categories to respondent.

Have no difficulty seeing (Go to DSQ_Q05)
Have some difficulty (seeing)
Have a lot of difficulty (seeing)
Are legally blind
Are blind
DK, RF (Go to DSQ_Q05)

DSQ_Q04

How often does this [difficulty/condition] limit your daily activities?

Interviewer: Read categories to respondent.

Never
Rarely
Sometimes
Often
Always
DK, RF

DSQ_Q05

Do you have any difficulty hearing?

Interviewer: Read categories to respondent.

If respondent indicates that he/she uses a hearing aid or a cochlear implant, ask for a response based on their ability to hear when using these aids.

No (Go to DSQ_Q09)
Sometimes
Often
Always
DK

RF (Go to DSQ_Q09)

DSQ_Q06

Do you use a hearing aid or cochlear implant?

Yes
No
DK, RF

DSQ_Q07

[With your hearing aid or cochlear implant, which/Which] of the following best describes your ability to hear? [You/He/She]... ?

Interviewer: Read categories to respondent.

Have no difficulty hearing (Go to DSQ_Q09)
Have some difficulty (hearing)
Have a lot of difficulty (hearing)
Cannot hear at all
Are Deaf
DK, RF (Go to DSQ_Q09)

DSQ_Q08

How often does this [difficulty/condition] limit your daily activities?

Interviewer: Read categories to respondent.

Never
Rarely
Sometimes
Often
Always

DSQ_Q09

Do you have any difficulty walking, using stairs, using your hands or fingers or doing other physical activities?

Interviewer: Read categories to respondent.

No (Go to DSQ_R18)
Sometimes
Often
Always
DK

RF (Go to DSQ_R18)

DSQ_R10

The following questions are about your ability to move around, even when using an aid such as a cane.

Interviewer: Press <1> to continue.

DSQ_Q10

How much difficulty do you have walking on a flat surface for 15 minutes without resting?

Interviewer: Read categories to respondent.

This corresponds to the regular walking pace of the respondent. If the respondent uses an aid for minimal support such as a cane, walking stick or crutches, ask for a response based on their ability to walk when using these aids.

No difficulty
Some (difficulty)
A lot (of difficulty)
[You/He/She] cannot do at all
DK, RF

DSQ_Q11

How much difficulty do you have walking up or down a flight of stairs, about 12 steps without resting?

Interviewer: Read categories to respondent.

No difficulty
Some (difficulty)
A lot (of difficulty)
[You/He/She] cannot do at all
DK, RF

DSQ_Q12

How often [does this difficulty walking limit/does this difficulty using stairs limit/do these difficulties limit] your daily activities?

Interviewer: Read categories to respondent.

Never
Rarely
Sometimes (Go to DSQ_R18)
Often (Go to DSQ_R18)
Always (Go to DSQ_R18)
DK, RF

DSQ_Q13

How much difficulty do you have bending down and picking up an object from the floor?

Interviewer: Read categories to respondent.

No difficulty
Some (difficulty)
A lot (of difficulty)
[You/He/She] cannot do at all
DK, RF

DSQ_Q14

How much difficulty do you have reaching in any direction, for example, above your head?

Interviewer: Read categories to respondent.

No difficulty
Some (difficulty)
A lot (of difficulty)
[You/He/She] cannot do at all
DK, RF

DSQ_Q15

How often [does this difficulty bending down and picking up an object limit/does this difficulty reaching limit/do these difficulties limit] your daily activities?

Interviewer: Read categories to respondent.

Never
Rarely
Sometimes (Go to DSQ_R18)
Often (Go to DSQ_R18)
Always (Go to DSQ_R18)
DK, RF

DSQ_Q16

How much difficulty do you have using your fingers to grasp small objects like a pencil or scissors?

Interviewer: Read categories to respondent.

No difficulty (Go to DSQ_R18)
Some (difficulty)
A lot (of difficulty)
[You/He/She] cannot do at all
DK, RF (Go to DSQ_R18)

DSQ_Q17

How often does this difficulty using your fingers limit your daily activities?

Interviewer: Read categories to respondent.

Never
Rarely
Sometimes
Often
Always
DK, RF

DSQ_R18

Please answer for difficulties or long–term conditions that have lasted or are expected to last for six months or more.

Interviewer: Press <1> to continue.

DSQ_Q18

Do you have any difficulty learning, remembering or concentrating?

Interviewer: Read categories to respondent.

No (Go to DSQ_Q25)
Sometimes
Often
Always
DK

RF (Go to DSQ_Q25)

DSQ_Q19

Do you think you have a condition that makes it difficult in general for you to learn? This may include learning disabilities such as dyslexia, hyperactivity, attention problems, etc..

Yes
No
DK, RF

DSQ_Q20

Has a teacher, doctor or other health care professional ever said that you had a learning disability?

Yes
No
DK, RF

DSQ_Q21

How often are your daily activities limited by this condition?

Interviewer: Read categories to respondent.

Never
Rarely
Sometimes (Go to DSQ_Q25)
Often (Go to DSQ_Q25)
Always (Go to DSQ_Q25)
DK, RF

DSQ_Q22

Has a doctor, psychologist or other health care professional ever said that you had a developmental disability or disorder? This may include Down syndrome, autism, Asperger syndrome, mental impairment due to lack of oxygen at birth, etc..

Yes (Go to DSQ_Q25)
No
DK, RF

DSQ_Q23

Do you have any ongoing memory problems or periods of confusion? Please exclude occasional forgetfulness such as not remembering where you put your keys.

Yes
No (Go to DSQ_Q25)
DK, RF (Go to DSQ_Q25)

DSQ_Q24

How often are your daily activities limited by this problem?

Interviewer: Read categories to respondent.

If respondent indicates that the problem is controlled by medication or therapy ask for a response based on when the respondent is using medication or therapy.

Never
Rarely
Sometimes
Often
Always
DK, RF

DSQ_Q25

Please remember that your answers will be kept strictly confidential.

Do you have any emotional, psychological or mental health conditions? These may include anxiety, depression, bipolar disorder, substance abuse, anorexia, etc..

Interviewer: Read categories to respondent.

No (Go to DSQ_C27)
Sometimes
Often
Always
DK, RF (Go to DSQ_C27)

DSQ_Q26

How often are your daily activities limited by this condition?

Interviewer: Read categories to respondent.

If respondent indicates that the condition is controlled by medication or therapy, ask for a response based on when the respondent is using medication or therapy.

Never
Rarely
Sometimes
Often
Always
DK, RF

DSQ_R27

The following questions are about pain due to a long–term condition that has lasted or is expected to last for six months or more.

Interviewer: Press <1> to continue.

DSQ_Q27

Do you have pain that is always present?

Yes
No
DK, RF

DSQ_Q28

Do you [also/null/blank] have periods of pain that reoccur from time to time?

Yes
No
DK, RF

DSQ_Q29

How often does this pain limit your daily activities?

Interviewer: Read categories to respondent.

If the respondent has both pain that is always present and pain that reoccurs from time to time, ask them about the pain that bothers them the most. If respondent indicates that pain is controlled by medication or therapy, ask for a response based on when the respondent is using medication or therapy.

Never
Rarely
Sometimes (Go to DSQ_END)
Often (Go to DSQ_END)
Always (Go to DSQ_END)
DK, RF

DSQ_Q30

Do you have any other health problem or long–term condition that has lasted or is expected to last for six months or more?

Yes
No (Go to DSQ_END)
DK, RF (Go to DSQ_END)

DSQ_Q31

How often does this health problem or long–term condition limit your daily activities?

Interviewer: Read categories to respondent.

If respondent indicated more than one health problem or condition, ask for a response that is based on the health problem or condition that limits the respondent’s daily activities the most.

Never
Rarely
Sometimes
Often
Always
DK, RF

Subjective Well–being Minimum Block (SLM)

Harmonized content

SLM_Q01

Using a scale of 0 to 10 where 0 means "Very dissatisfied" and 10 means "Very satisfied", how do you feel about your life as a whole right now?

0 Very dissatisfied
I
I
I
I
I
I
I
I
V
Very satisfied

(MIN: 0)
(MAX: 10)
DK, RF

Medication of Respondent (MED)

MED_Q110

During the past month, have you used any medications that were prescribed or bought over–the–counter to:

help you sleep?

Yes
No
DK, RF

MED_Q120

(During the past month, have you used any medications that were prescribed or bought over–the–counter to:)

help you calm down?

Yes
No
DK, RF

MED_Q130

(During the past month, have you used any medications that were prescribed or bought over–the–counter to:)

help you get out of depression?

Yes
No
DK, RF

Drinking of Respondent (DRR)

DRR_R110

The next questions pertain to the consumption of alcoholic beverages.

Interviewer: Press <1> to continue.

DRR_Q110

In the past month, how often did you drink alcoholic beverages? Was it ...?

Interviewer: Read categories to respondent.

Use of alcohol is a measure of a person’s health.

Every day
4–6 times a week
2–3 times a week
Once a week
Once or twice in the past month
Not in the past month (Go to DRR_END)
Never drinks (Go to DRR_END)
DK, RF (Go to DRR_END)

Go to DRR_Q120

DRR_Q120

How many times in the past month have you had 5 or more drinks on the same occasion?

Interviewer: Consider a drink to be one beer, one glass of wine or 1ݠoz. of liquor.

(MIN: 0)
(MAX: 31)
DK, RF

Drinking of spouse/Partner (DRP)

DRP_Q110

In the past month, how often did your [spouse/partner] drink alcoholic beverages? Was it...?

Interviewer: Read categories to respondent.

Use of alcohol is a measure of a person’s health.

Every day
4–6 times a week
2–3 times a week
Once a week
Once or twice in the past month
Not in the past month (Go to DRP_END)
Never drinks (Go to DRP_END)
DK, RF (Go to DRP_END)

Go to DRP_Q120

DRP_Q120

How many times in the past month has your [spouse/partner] had 5 or more drinks on the same occasion?

Interviewer: Consider a drink to be one beer, one glass of wine or 1ݠoz. of liquor.

(MIN: 0)
(MAX: 31)
DK, RF

Drug Use of Respondent (DUR)

DUR_R100

The following questions ask about the use of drugs. Please do not include medications that are taken (on a doctor’s prescription) or bought over–the–counter. Remember that all information provided is strictly confidential

Interviewer: Press <1> to continue.

DUR_Q100

In the past month, did you use marijuana, hashish, hash oil or other cannabis derivatives?

Yes (Go to DUR_Q105)
No
DK, RF

Go to DUR_Q110

DUR_Q105

How often (in the past month, did you use marijuana, hashish, hash oil or other cannabis derivatives)?

Interviewer: Read categories to respondent.

Every day
4–6 times a week
2–3 times a week
Once a week
Once or twice in the past month
DK, RF

DUR_Q110

In the past month, did you use any other non prescribed drugs for example magic mushrooms, cocaine, speed, methamphetamine, ecstasy, PCP, mescaline or heroin?

Yes (Go to DUR_Q115)
No
DK, RF

Go to DUR_END

DUR_Q115

How often (in the past month, did you use any other non prescribed drugs for example magic mushrooms, cocaine, speed, methamphetamine, ecstasy, PCP, mescaline or heroin)?

Interviewer: Read categories to respondent.

Every day
4–6 times a week
2–3 times a week
Once a week
Once or twice in the past month
DK, RF

Drug Use of spouse/Partner (DUP)

DUP_Q100

In the past month, did your [spouse/partner] use marijuana, hashish, hash oil or other cannabis derivatives?

Yes (Go to DUP_Q105)
No
DK, RF

Go to DUP_Q110

DUP_Q105

How often (in the past month, did your [spouse/partner] use marijuana, hashish, hash oil or other cannabis derivatives)?

Interviewer: Read categories to respondent.

Every day
4–6 times a week
2–3 times a week
Once a week
Once or twice in the past month
DK, RF

DUP_Q110

In the past month, did your [spouse/partner] use any other non prescribed drugs for example magic mushrooms, cocaine, speed, methamphetamine, ecstasy, PCP, mescaline or heroin?

Yes (Go to DUP_Q115)
No
DK, RF

Go to DUP_END

DUP_Q115

How often (in the past month, did your [spouse/partner] use any other non prescribed drugs for example magic mushrooms, cocaine, speed, methamphetamine, ecstasy, PCP, mescaline or heroin)?

Interviewer: Read categories to respondent.

Every day
4–6 times a week
2–3 times a week
Once a week
Once or twice in the past month
DK, RF

Homeless (HOM)

HOM_Q10

Have you ever been homeless; that is, having to live in a shelter, on the street, or in an abandoned building?

Interviewer: Examples could include individuals living in emergency temporary shelters, in other locations not intended for human habitation (e.g. laneways, sidewalks, etc.).

Please do not include individuals living with family/friends, strangers, in hotels, hostels or rented accommodations. Do not include homelessness outside of Canada.

Yes (Go to HOM_Q20)
No
DK, RF

Go to HOM_Q30

HOM_Q20

What is the longest period of time for which you have been homeless?

Less than 1 month
1 month to less than 1 year
1 year and over
DK, RF

HOM_Q30

Have you ever had to temporarily live with family or friends, in your car or anywhere else because you had nowhere else to live?

Interviewer: Examples could include individuals that are \u201Ccouch surfing\u201D or without a regular or stable dwelling.

Please do not include individuals living in hotels, hostels or rented accommodations.

Yes (Go to HOM_Q40)
No
DK, RF

Go to HOM_END

HOM_Q40

What is the longest period of time for which you had to live with family, friends, in your car or anywhere else because you had nowhere else to live?

Less than 1 month
1 month to less than 1 year
1 year and over
DK, RF

Immigration extended block (BPR)

Harmonized content

Overview: This is the extended CATI–CAPI version of the Place of birth, Place of birth of parents and grandparents, Year of first arrival in Canada, Landed immigrant status, Year of immigration in Canada and Country of citizenship.

BPR_Q02

In which province or territory were you born?

Interviewer: Ask the respondent to specify province or territory of birth according to current boundaries.

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

BPR_Q04

In which province or territory was your mother born?

Interviewer: Ask the respondent to specify province or territory of birth according to current boundaries.

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

BPR_Q10

In which province or territory was your father born?

Interviewer: Ask the respondent to specify province or territory of birth according to current boundaries.

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

BPR_Q15

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

Interviewer: The respondent may have first come to live in Canada on a work or study permit or by claiming refugee status.

If the respondent moved to Canada more than once, enter the first year they arrived in Canada (excluding vacation time spent in Canada).

If the respondent cannot give the exact year of arrival in Canada, ask for a best estimate of the year.

(MIN: 1,871)
(MAX: 2,100)
DK, RF

BPR_Q16

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

Interviewer: A landed immigrant, or permanent resident, is a person who has been granted the right to live in Canada permanently by immigration authorities.

Yes (Go to BPR_Q17)
No
DK, RF

Go to BPR_B18

BPR_Q17

In what year did you first become a landed immigrant in Canada?

Interviewer: If respondent cannot give exact year of immigration, ask for a best estimate of the year.

(MIN: 1,871)
(MAX: 2,100)
DK, RF

Birthplace of spouse/Partner (BPP)

BPP_Q10

In what country was your ^DT_MSTATUS_E born?

Interviewer: Ask the respondent to specify country of birth according to current boundaries.

Start typing the name of the country to activate function.

Enter "CAN" to select Canada.

Enter "Other – Specify" if the country is not part of the list.

Search
Other – Specify (Go to BPP_S10)
DK, RF (Go to BPP_END)

Go to BPP_C10C

BPP_Q20

In which province or territory?

Interviewer: Report place of birth according to current boundaries.

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

Aboriginal Minimum (AMB)

Harmonized content

Overview: This is the CATI–CAPI version of the minimal Aboriginal Group block.

*Please note that the skip for Country of birth should be done outside this block*

If General population target and Place of birth of respondent is Canada, USA, Germany or Greenland, then call the AMB block otherwise, skip this block.

AMB_Q01

Are you an Aboriginal person, that is, First Nations, Métis or Inuk (Inuit)? First Nations includes Status and Non–Status Indians.

Interviewer: The terms "First Nations" and "North American Indian" can be interchanged. Some respondents may prefer one term over the other.

"Inuit" is the plural form of "Inuk".

Yes (Go to AMB_Q02)
No
DK, RF

Go to AMB_END

AMB_Q02

Interviewer: If the respondent has already specified the Aboriginal group(s), select the group(s) from the list below; if not, ask:

Are you First Nations, Métis or Inuk (Inuit)?

Interviewer: Mark all that apply.

First Nations (North American Indian) includes Status and Non–Status Indians.

The terms "First Nations" and "North American Indian" can be interchanged. Some respondents may prefer one term over the other.

"Inuit" is the plural form of "Inuk".

First Nations (North American Indian)
Métis
Inuk (Inuit)
DK, RF

Aboriginal Identity of spouse/Partner (AIP)

AIP_Q01

Is your [spouse/partner] an Aboriginal person (that is, First Nations, Métis or Inuk [Inuit])?

Interviewer: The terms "First Nations" and "North American Indian" can be interchanged. First Nations includes Status and Non–Status Indians. Some respondents may prefer one term over the other.

"Inuit" is the plural form of "Inuk".

Yes (Go to AIP_Q02)
No
DK, RF

Go to AIP_END

AIP_Q02

Interviewer: If the respondent has already specified the Aboriginal group(s), select the group(s) from the list below; if not, ask:

Is your [spouse/partner] First Nations, Métis or Inuk (Inuit)?

Interviewer: Mark all that apply.

First Nations (North American Indian) includes Status and Non–Status Indians.

The terms "First Nations" and "North American Indian" can be interchanged. Some respondents may prefer one term over the other.

"Inuit" is the plural form of "Inuk".

First Nations (North American Indian)
Métis
Inuk (Inuit)
DK, RF

PG block Driver (PGD)

Population Group (PG)

Harmonized content

Overview: This is the CATI–CAPI version of the Population group Block.

Surveys with a preceding aboriginal question block, will skip the Population Group question if the respondent answered \u201CYes\u201D to being an aboriginal person.

PG_Q01

You may belong to one or more racial or cultural groups on the following list.

Are you... ?

Interviewer: Read categories to respondent and mark up to 4 responses that apply.

If respondent answers "mixed", "bi–racial" or "multi–racial", etc, probe for specific groups and mark each one separately (e.g., White, Black, Chinese).

Aboriginal people or First Nations are not included in the list of response categories because the Employment Equity Act defines visible minorities as "persons, other than Aboriginal persons, who are non–Caucasian in race or non–white in colour". Guidelines state that "Due to their status as First Nation people, Aboriginal peoples are specifically excluded from the definition".

Under the Employment Equity Act, Aboriginal Peoples are considered to be a separate designated group.

White
South Asian (e.g., East Indian, Pakistani, Sri Lankan)
Chinese
Black
Filipino
Latin American
Arab
Southeast Asian (e.g., Vietnamese, Cambodian,
Malaysian, Laotian)
West Asian (e.g., Iranian, Afghan)
Korean
Japanese
Other – Specify (Go to PG_S01)
DK, RF

Go to PG_END

Visible Minority status of respondent’s spouse/Partner (VMP)

VMP_Q110

Is your ^DT_MARSTATUS_E ...?

Interviewer: Read categories to respondent.

Mark up to 4 responses.

White
South Asian (e.g., East Indian, Pakistani, Sri Lankan)
Chinese
Black
Filipino
Latin American
Arab
Southeast Asian (e.g., Vietnamese, Cambodian, Malaysian, Laotian)
West Asian (e.g., Iranian, Afghan)
Korean
Japanese
Other – Specify (Go to VMP_S110)
DK, RF

Discrimination (DIS)

DIS_Q10

In the past 5 years, have you experienced discrimination or been treated unfairly by others in Canada because of:

your sex?

Interviewer: Discrimination means treating people differently, negatively or adversely because of their race, age, religion, sex, etc.

Yes
No
DK, RF

DIS_Q15

(In the past five years, have you experienced discrimination or been treated unfairly by others in Canada because of:)

your ethnicity or culture?

Interviewer: Discrimination means treating people differently, negatively or adversely because of their race, age, religion, sex, etc.

Yes
No
DK, RF

DIS_Q20

(In the past five years, have you experienced discrimination or been treated unfairly by others in Canada because of:)

your race or colour?

Interviewer: Discrimination means treating people differently, negatively or adversely because of their race, age, religion, sex, etc.

Yes
No
DK, RF

DIS_Q25

(In the past five years, have you experienced discrimination or been treated unfairly by others in Canada because of:)

your physical appearance (other than skin colour)?

Interviewer: Discrimination means treating people differently, negatively or adversely because of their race, age, religion, sex, etc. Physical appearance includes weight, height, hair style/colour, clothing, jewelry, tattoos and other physical characteristics excluding skin colour.

Yes
No
DK, RF

DIS_Q30

(In the past five years, have you experienced discrimination or been treated unfairly by others in Canada because of:)

your religion?

Interviewer: Discrimination means treating people differently, negatively or adversely because of their race, age, religion, sex, etc.

Yes
No
DK, RF

DIS_Q35

In the past five years, have you experienced discrimination or been treated unfairly by others in Canada because of:

your sexual orientation?

Interviewer: Discrimination means treating people differently, negatively or adversely because of their race, age, religion, sex, etc.

Yes
No
DK, RF

DIS_Q40

(In the past five years, have you experienced discrimination or been treated unfairly by others in Canada because of:)

your age?

Interviewer: Discrimination means treating people differently, negatively or adversely because of their race, age, religion, sex, etc.

Yes
No
DK, RF

DIS_Q45

(In the past five years, have you experienced discrimination or been treated unfairly by others in Canada because of:)

a disability (physical or mental)?

Interviewer: Discrimination means treating people differently, negatively or adversely because of their race, age, religion, sex, etc.

Yes
No
DK, RF

DIS_Q50

(In the past five years, have you experienced discrimination or been treated unfairly by others in Canada because of:)

your language?

Interviewer: Discrimination means treating people differently, negatively or adversely because of their race, age, religion, sex, etc.

Yes
No
DK, RF

DIS_Q55

(In the past five years, have you experienced discrimination or been treated unfairly by others in Canada:)

for some other reason?

Interviewer: Discrimination means treating people differently, negatively or adversely because of their race, age, religion, sex, etc.

Yes – Specify (Go to DIS_S55)
No
DK, RF

Go to DIS_END

Discrimination – Types of Situations experienced by respondent (DTS)

DTS_Q20

In what types of situations have you experienced discrimination in the past 5 years? Was it:

in a store, bank or restaurant?

Yes
No
DK, RF

DTS_Q25

(In what types of situations have you experienced discrimination in the past 5 years? Was it:)

at work or when applying for a job or promotion?

Yes
No
DK, RF

DTS_Q30

(In what types of situations have you experienced discrimination in the past 5 years? Was it:)

when dealing with the police?

Yes
No
DK, RF

DTS_Q35

(In what types of situations have you experienced discrimination in the past 5 years? Was it:)

when dealing with the courts?

Yes
No
DK, RF

DTS_Q60

(In what types of situations have you experienced discrimination in the past 5 years? Was it:)

when crossing the border into Canada?

Interviewer: Do not include incidences of discrimination upon leaving Canada.

Yes
No
Have not crossed the border into Canada in past 5 years
DK, RF

DTS_Q65

(In what types of situations have you experienced discrimination in the past 5 years? Was it:)

any other situation?

Yes – Specify (Go to DTS_S65)
No
DK, RF

Go to DTS_END

Religion Extended (REE)

Harmonized content

Overview: This is the CATI–CAPI extended version of Religion, Religious Participation with Other People and Religious Participation on One’s Own.

REE_Q01

What is your religion?

Specify one denomination or religion only, even if you are not currently a practicing member of that group.

Interviewer: For infants or children, religion refers to the specific religious group, denomination, or system of beliefs in which they will be raised, if any.

Respondent does not have to be practicing.

If respondent answers "Catholic", ask "by Catholic do you mean Roman Catholic, Ukrainian Catholic or something else?"

If respondent answers Christian, Protestant or Orthodox, ask "Which denomination or church?" If no specific denomination or church can be given, record original response. If respondent provides more than one response, ask about the religion which is most important to them or which they practice most often.

Start typing the name of the religion to activate the search function.

Enter "Other – Specify" if the name of the religion is not part of the list.

If no religion, enter "No religion".

Search
Other – Specify (Go to REE_S01)
DK, RF

REE_Q02

Not counting events such as weddings or funerals, during the past 12 months, how often did you participate in religious activities or attend religious services or meetings?

Interviewer: Read categories to respondent.

Exclude events such as weddings, funerals, baptisms, bar mitzvahs or other rites of passage.

All respondents should be asked the religious participation question, even if they said that they were not affiliated with a religion. For example, some respondents who said that they had "no religion", may attend religious services with family or friends on holidays such as Christmas, Easter, Chanukkah or Ramadan.

At least once a week
At least once a month
At least 3 times a year
Once or twice a year
Not at all
DK, RF

REE_Q03

In the past 12 months, how often did you engage in religious or spiritual activities on your own, including prayer, meditation and other forms of worship taking place at home or in any other location?

Interviewer: Read categories to respondent.

At least once a day
At least once a week
At least once a month
At least 3 times a year
Once or twice a year
Not at all
DK, RF

Importance of Religion (RLR)

RLR_Q110

How important are your religious or spiritual beliefs to the way you live your life? Would you say they are ...?

Interviewer: Read categories to respondent.

Very important
Somewhat important
Not very important
Not at all important
DK, RF

Religion of spouse/Partner (ROP)

ROP_Q01

What is your [spouse/partner]’s religion?

Interviewer: Specify one denomination or religion only, even if he or she is not currently a practicing member of that group.

If respondent answers "Catholic", ask "by Catholic do you mean Roman Catholic, Ukrainian Catholic or something else?"

If respondent answers Christian, Protestant or Orthodox, ask "Which denomination or church?" If no specific denomination or church can be given, record original response in "Other –Specify". If respondent provides more than one response, ask about the religion which is most important to them or which they practice most often.

Start typing the name of the religion to activate the search function.

Enter "Other – Specify" if the name of the religion is not part of the list.

If no religion, enter "No religion".

Search
Other – Specify (Go to ROP_S01)
DK, RF

Language Minimum (LAN)

Harmonized content

Overview: This is the minimum CATI–CAPI version of:

Knowledge of Official Languages (English and French)
Home Language spoken most often
Mother tongue

LAN_Q01

Of English or French, which language(s) do you speak well enough to conduct a conversation? Is it... ?

Interviewer: Read categories to respondent.

English only
French only
Both English and French
Neither English nor French
DK, RF

Sexual Orientation of Respondent (SOR)

SOR_R110

The following question asks about sexual orientation.

Interviewer: Press <1> to continue.

SOR_Q110

Do you consider yourself to be ...?

Interviewer: Read categories to respondent.

Heterosexual (sexual relations with people of the opposite sex)
Homosexual, that is lesbian or gay (sexual relations with people of your own sex)
Bisexual (sexual relations with people of both sexes)
DK, RF

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Date modified:: 2025-06-09