2012 to 2013
Household Questionnaire

Table of Contents

Explanatory notes for this document
Entry
Contact (CN)
Interviewer Introduction (II)
Initial Contact (IC)
Language of Preference (LP)
Survey Introduction (INT)
Confirm Listing Address (Personal) (LA)
Check Mailing Address (CHM)
Address (AD)
Confirm Telephone (TELC)
North American Telephone (NATP)
Dwelling (DW)
Collective Dwelling (COLL)
Dwelling Minimum (DMB)
Number of Rooms (DWE2)
Roster Introduction (RS)
Usual Roster (USU)
Temporary Roster (TEM)
Other Roster 1 (OTH1)
Demographic Introduction (DM)
Age with Confirmation (AWC)
Sex (SEX)
Marital Status with Confirmation (De-facto) (MSWC)
Educational Attainment (EHG2)
Canadian Forces (CAF)
Relationship with Confirmation (RWC)
Person Providing Demographics (PPD)
Person providing information (PPI)
General Health (GEN)
Pregnancy (PRS)
Chronic Conditions (CCC)
Family Medical History (FMH)
Phlegm (PLM)
Hepatitis (HEP)
Human Papillomavirus Vaccine (HPV)
Medication
Medication Use (MEU)
New Product Information (NPI)
New Product Information - Call Block (NPC)
Height and Weight
Height and Weight (HWT)
Weight Detail (WTD)
Food Frequency
Meat Consumption (MFC)
Food Frequency Detail (FFD)
Milk and Dairy Product Consumption (MDC)
Grain, Fruit and Vegetable Consumption (GFV)
Dietary Fat Consumption (DFC)
Water and Soft Drink Consumption (WSD)
Salt Consumption (SLT)
International Physical Activity Questionnaire (IPA)
Children's Physical Activity (CPA)
Time Spent Outdoors (TSO)
Sedentary Activities (SAC)
Hobbies
Hobbies (HOB)
Hobby Detail (HDB)
Frequency Detail (FQD)
Sleep (SLP)
Request for Parent to Leave (RPL)
Smoking (SMK)
Alcohol Use (ALC)
Illicit Drug Use (IDU)
Sexual Behaviour (SXB)
PAP Test (PAP)
Request for Parent to Return (RPR)
Exposure to Second-Hand Smoke (ETS)
Request for Child to Leave (RCL)
Pregnancy Information (PRG)
Birth Information (BIR)
Breastfeeding Information (BRI)
Strengths and Difficulties© Robert Goodman (SDQ)
Request for Child to Return (RCR)
Labour Force
Labour Force (LAF)
Labour Market Activities Minimal (LMAM)
Labour Force Status (LMA2)
Labour Force Year (LFY)
Class of Worker (LMA3)
Industry (LMA4)
Occupation (LMA5)
Usual Hours of Work (LFH)
Socio-Demographic
Socio-Demographic Characteristics (SDC)
Immigration Minimum (IMM)
Aboriginal Minimum (AMB)
Population Group (PG)
Language Extended (LAE)
Education
Education (EDU)
Education Minimum with concept (EDM)
Education - School Attendance (ESC1)
Income
Income (INC)
Total Personal Income (TPI)
Total Household Income (THI)
Tap Water
Tap Water Collection (TWC)
Tap Water VOC (TWV)
Tap Water Fluoride (TWF)
Administration Information (ADM)

Explanatory notes for this document

1. Question text in bold font is read to the respondent. Text in normal font is not read to the respondent. Instructions to the person asking the questions or taking the measures are prefaced by the word "Interviewer", and are not read aloud.
2. Question text in bold font enclosed by brackets ( ) is read to the respondent at the discretion of the person asking the questions.
3. In this text, the use of the masculine is generic and applies to both men and women. Please note that during the actual household interview, the questions were personalized to be appropriate to the gender of the respondent.
4. Question text enclosed in square brackets [ ] is dynamic and in most cases will vary depending on
   the particular circumstances. The symbol ^ indicates that dynamic substitution will take place.
5. In this document, the flow direction from a given response is not provided when it is to the next immediate question.
6. For more detailed information on physical measures protocols, please contact Statistics Canada's National Contact Centre (toll-free 1-800-263-1136; 613-951-8116; infostats@statcan.gc.ca).

Entry

Contact (CN)

CN_BEG

CN_N02

INTERVIEWER : Have you made contact?

1. Yes
2. No (Go to CN_END)
   (DK, RF not allowed)

CN_END

Interviewer Introduction (II)

II_BEG

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

• INTERVIEWER : Introduce yourself using both your given and last names.
• Press <ENTER> to continue.

II_END

Initial Contact (IC)

IC_BEG

IC_R01
I am contacting you from Statistics Canada regarding the Canadian Health Measures Survey. All information is collected under the authority of the Statistics Act and will be kept strictly confidential.

• INTERVIEWER : Press <Enter> to continue.

IC_END

Language of Preference (LP)

LP_BEG

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

1. English (Go to LP_END)
2. French (Go to LP_END)
3. Other
4. (DK, RF not allowed)

LP_N02

• INTERVIEWER : Select respondent's preferred non-official language.
• If necessary, ask: (What language would you prefer?)
  • 03 Chinese
    04 Italian
    05 Punjabi
    06 Spanish
    07 Portuguese
    08 Polish
    09 German
    10 Vietnamese
    11 Arabic
    12 Tagalog
    13 Greek
    14 Tamil
    15 Cree
    16 Afghan
    17 Cantonese
    18 Hindi
    19 Mandarin
    20 Persian (Farsi)
    21 Russian
    22 Ukrainian
    23 Urdu
    24 Inuktitut
    25 Hungarian
    26 Korean
    27 Serbo-Croatian
    28 Gujarati
    29 Dari
    90 Other - Specify (Go to LP_S02)
    (DK, RF not allowed)

LP_C02

• If not 90 "Other-Specify", go to LP_END.
• Otherwise, go to LP_S02.

LP_S02

• (Select respondent's preferred non-official language.
• If necessary, ask: (What language would you prefer?))
• INTERVIEWER : Specify.
• (80 spaces)
• (DK, RF not allowed)

LP_END

Survey Introduction (INT)

INT_BEG

INT_R01
The survey will collect information on Canadians' health and health habits. The first part of the survey is this interview, which includes questions on many health-related topics. The second part of the survey involves a visit to a mobile clinic to collect direct physical measures such as blood pressure, height and weight, and hearing tests.

• INTERVIEWER : Press <Enter> to continue.

INT_R02
Your answers are collected under the authority of the Statistics Act and will be kept strictly confidential. While participation is voluntary, your cooperation is important to ensure the information collected in this survey is as accurate and as comprehensive as possible. (Registration#: STC/HLT-084-75364)

• INTERVIEWER : Press <Enter> to continue.

INT_END

Confirm Listing Address (Personal) (LA)

LA_BEG

LA_N01_NUM

• INTERVIEWER : Confirm the listing address.

• INTERVIEWER : Enter the civic number.
• If necessary, ask:(What is the civic number?)

• (5 spaces)

• DK, RF

LA_N01_STRT

• INTERVIEWER : Confirm the listing address.

• INTERVIEWER: Enter the street name.
• If necessary, ask: (What is the street name?)

• (50 spaces)

• (DK, RF not allowed)

LA_N01_APT

• INTERVIEWER : Confirm the listing address.

• INTERVIEWER : Enter the apartment number.
• If necessary, ask: (What is the apartment number?)

• (5 spaces)

• DK, RF

LA_N01_CITY

• INTERVIEWER : Confirm the listing address.

• INTERVIEWER : Enter the city, town, village or municipality.
• If necessary, ask: (What is the city, town, village or municipality?)

• (30 spaces)

• (DK, RF not allowed)

LA_N01_PC

• INTERVIEWER : Confirm the listing address.

• INTERVIEWER: Enter the postal code.
• If necessary, ask: (What is the postal code?)

• (6 spaces)

• DK, RF (Go to LA_N01_PRN)

• Go to LA_E01A

Programmer:

• If the first digit of the postal code is "X" go to LA_N01_PRN (i.e. do NOT ask LA_N01_CONF (confprov))
• If EMPTY, go to LA_N01_PRN.

LA_N01_CONF

• INTERVIEWER : Confirm the listing address.

• INTERVIEWER: Confirm that the ^Prov1E is ^Prov2E.
• If necessary, ask: (So the ^Prov1E is ^Prov2E?)
  1. Yes (Go to LA_END)
  2. No (DK, RF not allowed)

Programmer:

Prov1F :

• Prov1E : If first digit of postal code = "Y" then Prov1E = "territory"
• Else Prov1E = "province"

Prov2F :

• Prov2E : If first digit of postal code = "A" then Prov2E = "Newfoundland and Labrador"
• If first digit of postal code = "B" then Prov2E = "Nova Scotia"
• If first digit of postal code = "C" then Prov2E = "Prince Edward Island"
• If first digit of postal code = "E" then Prov2E = "New Brunswick"
• If first digit of postal code in "G, H, J" then Prov2E = "Quebec"
• If first digit of postal code in "K, L, M, N, P" then Prov2E = "Ontario"
• If first digit of postal code = "R" then Prov2E = "Manitoba"
• If first digit of postal code = "S" then Prov2E = "Saskatchewan"
• If first digit of postal code = "T" then Prov2E = "Alberta"
• If first digit of postal code = "V" then Prov2E = "British Columbia"
• If first digit of postal code = "Y" then Prov2E = "Yukon"

LA_N01_PRN

• INTERVIEWER : Confirm the listing address.

• INTERVIEWER: Select the province or territory.
• If necessary, ask: (What is the province or territory?)

• 10 Newfoundland and Labrador
• 11 Prince Edward Island
• 12 Nova Scotia
• 13 New Brunswick
• 24 Quebec
• 35 Ontario
• 46 Manitoba
• 47 Saskatchewan
• 48 Alberta
• 59 British Columbia
• 60 Yukon
• 61 Northwest Territories
• 62 Nunavut
• (DK, RF not allowed)

LA_END

Check Mailing Address (CHM)

CHM_BEG

• External fields required:

• CHMAddress: taken from LA data fields

CHM_Q01
Is this also your mailing address?

• ^CHMAddress
  1. Yes (Go to CHM_END)
  2. No
• DK, RF (Go to CHM_END)

CHM_B02

• What is your correct mailing address?
• Call the Address block (AD).

CHM_END

Address (AD)

AD_BEG

AD_N01_NUM

• INTERVIEWER : Enter the civic number.
• If necessary, ask: (What is the civic number?)
• (5 spaces)
• DK, RF

AD_C01

• If DK or RF is entered, go to AD_N01_CNUM.
• Otherwise, go to AD_N01_STRT.

AD_N01_CNUM

• INTERVIEWER : Do you wish to skip the remaining address fields?
  1. Yes (Go to AD_END)
  2. No
• (DK, RF not allowed)

Programmer:

• If AD_N01_CNUM = 1 "Yes" is selected, fill the remaining address fields with DK or RF (based on the response to AD_N01_NUM) and go to AD_END.

AD_N01_STRT

• INTERVIEWER : Enter the street name.
• If necessary, ask: (What is the street name?)
• (50 spaces)
• DK, RF

AD_N01_APT

• INTERVIEWER : Enter the apartment number.
• If necessary, ask: (What is the apartment number?)
• (5 spaces)
• DK, RF

AD_N01_CITY

• INTERVIEWER : Enter the city, town, village or municipality.
• If necessary, ask: (What is the city, town, village or municipality?)
• (30 spaces)
• (DK, RF not allowed)

AD_N01_PC

• INTERVIEWER : Enter the postal code.
• If the address is outside Canada, press <ENTER>. If necessary, ask: (What is the postal code?)
• (6 spaces)
• DK, RF (Go to AD_N01_PRN)

Programmer:

• If the first digit of the postal code is "X" go to AD_N01_PRN (Prov) (i.e. do NOT ask AD_N01_CPR (confprov))

AD_N01_CPR

• INTERVIEWER : Confirm that the ^Prov1E is ^Prov2E.
• If necessary, ask:(So the ^Prov1E is ^Prov2E?)
  1. Yes (Go to AD_END)
  2. No
• (DK, RF not allowed)

Programmer:

• Prov1E : If first digit of postal code = "Y" then Prov1E = "territory"
• Else Prov1E = "province"
• Prov2E : If first digit of postal code = "A" then Prov2E = "Newfoundland and Labrador"
• If first digit of postal code = "B" then Prov2E = "Nova Scotia"
• If first digit of postal code = "C" then Prov2E = "Prince Edward Island"
• If first digit of postal code = "E" then Prov2E = "New Brunswick"
• If first digit of postal code in "G, H, J" then Prov2E = "Quebec"
• If first digit of postal code in "K, L, M, N, P" then Prov2E = "Ontario"
• If first digit of postal code = "R" then Prov2E = "Manitoba"
• If first digit of postal code = "S" then Prov2E = "Saskatchewan"
• If first digit of postal code = "T" then Prov2E = "Alberta"
• If first digit of postal code = "V" then Prov2E = "British Columbia"
• If first digit of postal code = "Y" then Prov2E = "Yukon"

AD_N01_PRN

• INTERVIEWER : Select the province or territory.
• If necessary, ask: (What is the province or territory?)
• 10 Newfoundland and Labrador
• 11 Prince Edward Island
• 12 Nova Scotia
• 13 New Brunswick
• 24 Quebec
• 35 Ontario
• 46 Manitoba
• 47 Saskatchewan
• 48 Alberta
• 59 British Columbia
• 60 Yukon
• 61 Northwest Territories
• 62 Nunavut
• 76 U.S.A.
• 77 Outside Canada and U.S.A.
• (DK, RF not allowed)

Programmer:

• If PROV= 76 (U.S.A.), go to AD_N01_STA (STATE / ÉTAT).
• Otherwise, go to AD_END

AD_N01_STA

• INTERVIEWER : Select the state.
• If necessary, ask: (What is the state?)
• 01 Alabama
• 02 Alaska
• 03 Arizona
• 04 Arkansas
• 05 California
• 06 Colorado
• 07 Connecticut
• 08 Delaware
• 09 District of Columbia
• 10 Florida
• 11 Georgia
• 12 Hawaï
• 13 Idaho
• 14 Illinois
• 15 Indiana
• 16 Iowa
• 17 Kansas
• 18 Kentucky
• 19 Louisiana
• 20 Maine
• 21 Maryland
• 22 Massachusetts
• 23 Michigan
• 24 Minnesota
• 25 Mississippi
• 26 Missouri
• 27 Montana
• 28 Nebraska
• 29 Nevada
• 30 New Hampshire
• 31 New Jersey
• 32 New Mexico
• 33 New York
• 34 North Carolina
• 35 North Dakota
• 36 Ohio
• 37 Oklahoma
• 38 Oregon
• 39 Pennsylvania
• 40 Rhode Island
• 41 South Carolina
• 42 South Dakota
• 43 Tennessee
• 44 Texas
• 45 Utah
• 46 Vermont
• 47 Virginia
• 48 Washington
• 49 West Virginia
• 50 Wisconsin
• 51 Wyoming
• (DK, RF not allowed)

AD_N01_ZIP

• INTERVIEWER : Enter only a US zip code.
• If necessary, ask: (What is the zip code?)
• (12 spaces)
• DK, RF (Go to AD_END)

AD_END

Confirm Telephone (TELC)

TELC_BEG

• External fields required:
• Variables taken from sample file:
• TELNUM: telephone number

TELC_D01A

• Not Applicable

TELC_C01B

• If TELNUM = EMPTY, go to TELC_B02.
• Otherwise, go to TELC_D01B.

TELC_D01B

• Programmer: DT_TELEPHONENUMBER1 = TELNUM from Sample file.
• Display using the format "(XXX) XXX-XXXX".

TELC_Q01
I would like to confirm your telephone number.
Is it ^DT_TelephoneNumber1?

• 1 Yes
• 2 No (Go to TELC_B02)
• DK, RF
• Go to TELC_C02

TELC_C02

• If TELC_Q01 = 1 (Yes), go to TELC_END.
• Otherwise, go to TELC_B02.

TELC_B02

• Call the North American Telephone (NATP) block.

  Programmer:

  • Pass the following parameters:
  • DV_QTEXT_E = "What is your telephone number, including the area code?"
  • DT_TelephoneNumber1 = TELC_B02.NAT_TEL

TELC_END

North American Telephone (NATP)

NATP_BEG

• Import the following variables:
• DV_QTEXT_E (Question Text)

NATP_Q01
^DV_QTEXT_E

• INTERVIEWER : Enter the area code.
• If necessary, ask: (What is the area code?)
• Enter "000" if no telephone.
• (MIN: 0)
• (MAX: 995)

DK, RF (Go to NATP_Q02)

NATP_C01

• If NATP_Q01 = "000", fill NATP_Q02 with "0000000", go to NATP_END.
• Otherwise, go to NATP_E01A.

NATP_Q02
(^DV_QTEXT_E)

• INTERVIEWER : Enter the telephone number.
• If necessary, ask: (What is the telephone number?)
• (MIN: 0)
• (MAX: 9,999,995)
• DK, RF

NATP_END

Dwelling (DW)

DW_BEG

DW_N02

• INTERVIEWER : Select the dwelling type.
• 01 Single detached
• 02 Double
• 03 Row or Terrace
• 04 Duplex
• 05 Low-rise apartment (fewer than 5 stories) or flat
• 06 High-rise apartment (5 stories or more)
• 07 Institution
• 08 Hotel; rooming/lodging house; camp
• 09 Mobile home
• 10 Other - Specify
• DK, RF
• Go to DW_END

Help text:

• Definition :
• Single detached: a structure with one dwelling only, separated by open space from all other structures (except its own garage or shed)
• Double: a dwelling joined to only one other dwelling, separate from it by a wall extending from ground to roof
• Row or terrace: a dwelling unit in a row of three or more dwellings sharing common walls extending from ground to roof in which there are no other dwellings either above or below
• Duplex: two dwellings, situated one above the other, not attached to any other structure and surrounded on all sides by open space
• Low-rise apartment or flat: a dwelling in a triplex, quadriplex or an apartment building of fewer than 5 stories, separated from other dwellings by horizontal and vertical divisions
• High-rise apartment: a dwelling within a residential structure of 5 or more stories
• Institution: a collective dwelling which exists primarily to provide short-term or long-term custody or medical care (e.g., penitentiaries, orphanages, nursing homes, hospitals, homes of religious orders)
• Hotel; rooming/lodging house; camp: non-institutional collective dwellings
• Mobile home: a movable dwelling designed and constructed to be transported (by road) on its own chassis to a site, and placed on a temporary foundation such as block posts or a prepared pad
• Other: includes dwellings (other than mobile homes) used as permanent residences and capable of being moved on short notice, such as motor homes, tents, railroad cars, houseboats, etc.

DW_S02

• INTERVIEWER : Specify.
• (80 spaces)
• (DK, RF not allowed)

DW_END

Collective Dwelling (COLL)

Overview:

• COLL is called if DW_N02 = 08.

COLL_BEG

COLL_N01

• INTERVIEWER : Specify the type of collective dwelling (e.g., lodging/rooming house, hotel, motel, hostel, tourist home, hospital, staff residence, working camp, etc.)
• If necessary, ask: (Please specify the type of dwelling.)
• (80 spaces)
• (DK, RF not allowed)

COLL_Q02

• What is the total number of people living here?
• Number of people
• (MIN: 1)
• (MAX: 995)
• DK, RF

COLL_END

Dwelling Minimum (DMB)

DMB_BEG

DMB_Q01
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.
  1. Owned by you or a member of this household, even if it is still being paid for
  2. Rented, even if no cash rent is paid
• DK, RF

Help text:

• Tag: Owned or rented
• Choose "Owned" if the respondent and/or another member of this household own the dwelling in which they live, even if the dwelling is on rented or leased land, or if it is part of a condominium, or if it is still being paid for by the respondent or another member of this household.
• Choose "Rented" in all other cases, even if the dwelling occupied by the respondent is provided without cash rent or at a reduced rent (for example, a clergy's residence or a superintendent's dwelling in an apartment building), or the dwelling is part of a co-operative.

DMB_B01B

• Call Number of Rooms block DWE2.

DMB_Q02

• Is this dwelling in need of any repairs?
• Do not include remodelling or additions.
• INTERVIEWER : Read categories to respondent.
  1. No, only regular maintenance is needed (painting, furnace cleaning, etc.)
  2. Yes, minor repairs are needed (missing or loose floor tiles, bricks or shingles, defective steps, railing or siding, etc.)
  3. Yes, major repairs are needed (defective plumbing or electrical wiring, structural repairs to walls, floors or ceilings, etc.)
• DK, RF

Help text:

• Tag: Maintenance of the dwelling
• Regular maintenance means the normal activities continually being performed to prevent the dwelling from deteriorating, such as oiling hinges and replacing electrical fuses.
• If some part of the respondent's dwelling is damaged, defective or not operating properly, they should choose "minor repairs" or "major repairs". They should choose "major repairs" if their dwelling needs critical repairs to electrical, heating or water systems; or structures such as walls, floors, ceilings; or needs major replacements such as a new roof, or new external siding.
• If the dwelling needs both minor and major repairs, the respondent should choose "major repairs".

DMB_END

Number of Rooms (DWE2)

DWE2_BEG

DWE2_Q01
How many bedrooms are there in this dwelling?

• INTERVIEWER : Include all rooms designed as bedrooms even if they are now used for something else, for example, as guest rooms or television rooms.
• Do not count rooms used solely for business purposes.
• Include all rooms used as bedrooms now, even if they were not originally built as bedrooms, such as bedrooms in a finished basement.
• For a one-room dwelling or bachelor apartment, enter zero
• Number of bedrooms
• (MIN: 0)
• (MAX: 95)
• DK, RF

DWE2_END

Roster Introduction (RS)

RS_BEG

RS_R01
The next few questions ask for important basic information about the people in your household.

• INTERVIEWER : Press <ENTER> to continue.
• Programmer: Call "Usual" Roster Block (USU)
• Call "Usual" Roster Block (USU)

RS_Q02
Is anyone staying here temporarily?

• 1 Yes
• 2 No
• DK, RF
• Programmer: If RS_Q02 = 1, call Temporary Roster Block (TEM)

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

• 1 Yes
• 2 No
• DK, RF

Programmer:

• If RS_Q04 = 1, call Other Roster 1 Block (OTH1)

RS_END

Usual Roster (USU)

USU_BEG

USU_Q01
What are the names of all persons who usually live here?

• INTERVIEWER : Begin with adults who have responsibility for the care or support of the family.
  Enter the first name.
• INTERVIEWER: Begin with adults who have responsibility for the care or support of the family.
  Enter the last name.
• (DK, RF not allowed)

USU_END

Temporary Roster (TEM)

TEM_BEG

TEM_Q01
What are the names of all persons who are staying here temporarily?

• INTERVIEWER : Add a person only if he/she has no other usual residence elsewhere.
  Enter the first name.
• INTERVIEWER: Add a person only if he/she has no other usual residence elsewhere.
  Enter the last name.

TEM_END

Other Roster 1 (OTH1)

OTH1_BEG

OTH1_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.
• INTERVIEWER: Add a person only if he/she has no other usual residence elsewhere.
  Enter the last name.

OTH1_END

Demographic Introduction (DM)

DM_BEG

DM_N01

• INTERVIEWER : The following questions collect the demographic information for all household members.
• (DK, RF not allowed)

DM_END

Age with Confirmation (AWC)

AWC_BEG

• External variables required:
• RESPONDENTNAME: name of respondent selected from
• the roster for collection of demographic
• information (one space separating first and last names)
• REFERENCEYEAR: numeric year during which interview is
• taking place
• REFERENCEMONTH: numeric month during which interview
• is taking place
• REFERENCEMONTHE: English text for month during which
• interview is taking place
• REFERENCEDAY: numeric day during which interview is
• taking place

AWC_Q02
What is ^RESPONDENTNAME's date of birth?

• INTERVIEWER : Enter the day.
• If necessary ask: (What is the day?)
• INTERVIEWER : Enter the month.
• If necessary ask: (What is the month?)
• 01 January 07 July
• 02 February 08 August
• 03 March 09 September
• 04 April 10 October
• 05 May 11 November
• 06 June 12 December
• INTERVIEWER : Enter a four-digit year.
• If necessary ask: (What is the year?)

Programmer:

• If DK or RF is entered in either AWC_Q02.Month or AWC_Q02.Year, go to AWC_Q02. If AWC_Q02. Day is DK or RF and AWC_Q02.Month and AWC_Q02.Year contain valid information and AWC_Q02.Month = current month, go to AWC_Q04. Calculate age (DV_CALCULATEDAGE) based on the entered date of birth.

AWC_Q03
So ^RESPONDENTNAME's age on ^REFERENCEMONTHE ^REFERENCEDAY, ^REFERENCEYEAR was ^DV_CALCULATEDAGE ^DT_YEARSMONTHSE.
Is that correct?

• INTERVIEWER : Date of birth is ^DV_MONTHOFBIRTHE ^DAYOFBIRTH, ^YEAROFBIRTH.
• 1 Yes (Go to AWC_END)
• 2 No, return and correct date of birth
• 3 No, collect age
• (DK, RF not allowed)

AWC_Q04
What is ^RESPONDENTNAME's age?

• Age in years
• (MIN: 0)
• (MAX: 130)
• (DK, RF not allowed)

AWC_END

Sex (SEX)

SEX_BEG

• External variables required:
• RESPONDENTNAME: name of respondent selected from
• the roster for collection of demographic
• information (one space separating first and last names)

SEX_Q01

• INTERVIEWER : Enter ^RESPONDENTNAME's sex.
• If necessary, ask: (Is ^RESPONDENTNAME male or female?)
• 1 Male
• 2 Female
• (DK, RF not allowed)

SEX_END

Marital Status with Confirmation (De-facto) (MSWC)

Overview:

• MSWC is called if the age of the household member is >= 16.

MSWC_BEG

• External variables required:
• RESPONDENTNAME: name of respondent selected from
• the roster for collection of demographic
• information

MSWC_Q02
What is ^RESPONDENTNAME's marital status? Is he:

• INTERVIEWER : Read categories to respondent.
• 1 ...married?
• 2 ...living common-law?
• 3 ...widowed?
• 4 ...separated?
• 5 ...divorced?
• 6 ...single, never married?
• DK, RF

MSWC_END

Educational Attainment (EHG2)

Overview:

• EHG2 is called if the age of the household member is >= 12.

EHG2_BEG

• External fields required:
• RESPONDENTNAME: name of respondent selected from
• the roster for collection of demographic
• information

EHG2_Q01
What is the highest grade of elementary or high school ^RESPONDENTNAME has ever completed?

• 1 Grade 8 or lower (Québec: Secondary II or lower)
• (Go to EHG2_Q03)
• 2 Grade 9 - 10 (Québec: Secondary III or IV, Newfoundland and Labrador: 1st year secondary)
• (Go to EHG2_Q03)
• 3 Grade 11 - 13 (Québec: Secondary V, Newfoundland and Labrador: 2nd to 3rd year of secondary)
• DK, RF

Help text:

• Tag: Educational Attainment
• The attainment of a certificate, diploma or degree is considered to be at a higher level than some post secondary education without a certificate, diploma or degree.

EHG2_Q02
Did ^RESPONDENTNAME complete a high school diploma or its equivalent?

• 1 Yes
• 2 No
• DK, RF

EHG2_Q03
Has ^RESPONDENTNAME received any other education that could be counted towards a certificate, diploma or degree from an educational institution?

• 1 Yes (Go to EHG2_Q04)
• 2 No DK, RF Go to EHG2_END

EHG2_Q04
What is the highest certificate, diploma or degree that ^RESPONDENTNAME has completed?

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

EHG2_END

Canadian Forces (CAF)

Overview:

• CAF is called if the age of the household member is >15 and <65.

CAF_BEG

• External fields required:
• RESPONDENTNAME: name of respondent selected from
• the roster for collection of demographic
• information

CAF_Q01
Is ^RESPONDENTNAME a full time member of the regular Canadian Armed Forces?

• 1 Yes
• 2 No
• (DK, RF not allowed)

Content type:

• NOTE TO DATA USERS:
• Full time members of the regular Canadian Armed Forces are not eligible to be sampled for the CHMS.

CAF_END

Relationship with Confirmation (RWC)

RWC_BEG

• External variables required:

• RESPONDENTNAME1:
• name of first respondent in the relationship being
• collected
• AGE1: age of first respondent in the relationship being
• collected
• SEX1E: If sex of first respondent in the relationship being
• collected = 1, then Sex1E = "Male"
• If sex of first respondent in the relationship being
• collected = 2, then Sex1E = "Female"

• RESPONDENTNAME2:
• name of second respondent in the
• relationship being collected
• AGE2: age of second respondent in the relationship
• being collected
• SEX2E: If sex of second respondent in the relationship being
• collected = 1, then Sex2E = "Male"
• If sex of second respondent in the relationship being
• collected = 2, then Sex2E = "Female"

RWC_Q2
What is the relationship ...
of: ^RESPONDENTNAME1 (^AGE1, ^SEX1E)
to: ^RESPONDENTNAME2 (^AGE2, ^SEX2E)?

• 01 Husband/Wife
• 02 Common-law partner
• 03 Father/Mother
• (Go to RWC_Q3A)
• 04 Son/Daughter
• (Go to RWC_Q3B)
• 05 Brother/Sister
• (Go to RWC_Q3C)
• 06 Foster father/mother
• 07 Foster son/daughter
• 08 Grand father/mother
• 09 Grandson/daughter
• 10 In-law
• (Go to RWC_Q3D)
• 11 Other related
• (Go to RWC_Q3E)
• 12 Unrelated
• DK, RF

RWC_Q3A
What is the relationship ...
of: ^RESPONDENTNAME1 (^AGE1, ^SEX1E)
to: ^RESPONDENTNAME2 (^AGE2, ^SEX2E)?

• Is that a(n):

• INTERVIEWER : Read categories to respondent.
• 1 birth father/mother?
• 2 step father/mother?
• 3 adoptive father/mother?
• DK, RF

• Go to RWC_END

RWC_Q3B
What is the relationship ...
of: ^RESPONDENTNAME1 (^AGE1, ^SEX1E)
to: ^RESPONDENTNAME2 (^AGE2, ^SEX2E)?

• Is that a(n):

• INTERVIEWER : Read categories to respondent.

• 1 ...birth son/daughter?
• 2 ...step son/daughter?
• 3 ...adopted son/daughter?
• DK, RF

• Go to RWC_END

RWC_Q3C
What is the relationship ...

of: ^RESPONDENTNAME1 (^AGE1, ^SEX1E)
to: ^RESPONDENTNAME2 (^AGE2, ^SEX2E)?

• Is that a(n):

• INTERVIEWER : Read categories to respondent.

1. ...full brother/sister?
2. ...half brother/sister?
3. ...step brother/sister?
4. ...adopted brother/sister?
5. ...foster brother/sister?

• DK, RF

• Go to RWC_END

RWC_Q3D
What is the relationship ...

• of: ^RESPONDENTNAME1 (^AGE1, ^SEX1E)
• to: ^RESPONDENTNAME2 (^AGE2, ^SEX2E)?

• Is that a(n):

• INTERVIEWER : Read categories to respondent.
• 1 ...father/mother in-law?
• 2 ...son/daughter in-law?
• 3 ...brother/sister in-law?
• 4 ...other in-law?
• DK, RF

• Go to RWC_END

RWC_Q3E
What is the relationship ...

• of: ^RESPONDENTNAME1 (^AGE1, ^SEX1E)
• to: ^RESPONDENTNAME2 (^AGE2, ^SEX2E)?

• Is that a(n):

• INTERVIEWER : Read categories to respondent.
• 1 ...uncle/aunt?
• 2 ...cousin?
• 3 ...nephew/niece?
• 4 ...other relative?
• DK, RF

• Go to RWC_END

RWC_END

Person Providing Demographics (PPD)

Overview:

• PPD identifies the person who is providing the household roster information. A list of household members 10 years of age and over is available to choose from. It includes category "88" (Non-household member).

PPD_BEG

PPD_N01

• INTERVIEWER : Select the person who is providing the information. If the person is not on the list, select "Non-household member".
• (DK, RF not allowed)

Programmer:

• Display all current household members (i.e., those with membership codes of 01, 02, 03, 05 or 06) that are 10 years of age or older. Note that "Non-household member" should be saved as code 88.

Content type:

• NOTE TO DATA USERS: Random selection of CHMS respondents takes place after the demographic information is collected. One person is selected from the list of household members aged 12 to 79. In households with children aged 3 to 11, an additional child aged 3 to 11 is selected.

PPD_END

Person providing information (PPI)

Overview:

• PPI identifies the person who is providing the survey information.
• A list of household members over 11 years of age is available to choose from. It includes category "88" (Non-household member).

PPI_BEG External variables required:

• Variables from other components:
• RESPONDENTNAME: name of respondent
• FNAME: first name of respondent
• AWC_AGE: age of respondent
• SEX_Q01: sex of respondent (1 = male; 2 = female)

PPI_N01

• INTERVIEWER : Select the person who is providing the information. If the person is not on the list, select "Non-household member".
• (DK, RF not allowed)

Programmer:

• Display all current household members (i.e., those with membership codes of 01, 02, 03, 05 or 06) that are 12 years of age or older. Note that "Non-household member" should be saved as code 88.

PPI_D01

Programmer:

• IF PPI_N01 = person ID of selected respondent, THEN
  • IF SEX_Q01 = 1 (Male), THEN
    • PROXYSEX = 1
  • ELSE
    • PROXYSEX = 2
  • ENDIF
• ELSE
  • IF SEX_Q01 = 1 (Male), THEN
    • PROXYSEX = 3
  • ELSE
    • PROXYSEX = 4
  • ENDIF
• ENDIF

PPI_C02

• If PROXYSEX = 1 or 2, go to PPI_END.
• Otherwise, go to PPI_N02.

PPI_N02

• INTERVIEWER : Is the person providing the information a parent or guardian of ^FNAME?
• 1 Yes
• 2 No
• (DK, RF not allowed)

Content type:

• NOTE TO DATA USERS:
• A parent or guardian must provide the information for a respondent who is less than 12 years old.

PPI_C03

• If PPI_N02 = 2, go to PPI_END.
• Otherwise, go to PPI_N03.

PPI_N03

• INTERVIEWER : Is the person providing the information a birth or biological parent of ^FNAME?
• 1 Yes
• 2 No
• (DK, RF not allowed)

PPI_END

General Health (GEN)

GEN_BEG

• External variables required:
• Variables from other components:
• FNAME: first name of respondent
• AWC_AGE: age of respondent
• Variables from previously completed blocks:
• PROXYSEX: gender of selected respondent and whether the interview is being conducted by proxy.
  • 1 = male, non-proxy
  • 2 = female, non-proxy
  • 3 = male, proxy
  • 4 = female, proxy

GEN_D11

• Not Applicable

GEN_R11
This survey deals with various aspects of your health. I'll be asking about such things as physical activity, nutrition, environment and health status. By health, we mean not only the absence of disease or injury but also physical, mental and social well-being.

• INTERVIEWER : Press <1> to continue.

GEN_Q11
In general, would you say your health is... ?

• INTERVIEWER : Read categories to respondent.
• 1 Excellent
• 2 Very good
• 3 Good
• 4 Fair
• 5 Poor
• DK, RF

Help text:

• Tag: Perceived health
• Perceived health is an indicator of overall health status. It can reflect aspects of health not captured in other measures, such as: incipient disease, disease severity, aspects of positive health status, physiological and psychological reserves and social and mental function. Perceived health refers to the perception of a person's health in general, either by the person himself or herself, or, in the case of proxy response, by the person responding. Health means not only the absence of disease or injury but also physical, mental and social well being.
• Press "Escape" to return.

GEN_Q12
Compared to one year ago, how would you say your health is now? Is it... ?

• INTERVIEWER : Read categories to respondent.
• 1 Much better now than 1 year ago
• 2 Somewhat better now (than 1 year ago)
• 3 About the same as 1 year ago
• 4 Somewhat worse now (than 1 year ago)
• 5 Much worse now (than 1 year ago)
• DK, RF

GEN_C13

• If PROXYSEX = 3 or 4, go to GEN_C15.
• Otherwise, go to GEN_Q13A.

GEN_Q13A
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
• 1 I
• 2 I
• 3 I
• 4 I
• 5 I
• 6 I
• 7 I
• 8 I
• 9 V
• 10 Very satisfied
• (MIN: 0)
• (MAX: 10)
• DK, RF

GEN_Q14
In general, would you say your mental health is... ?

• INTERVIEWER : Read categories to respondent.
• 1 Excellent
• 2 Very good
• 3 Good
• 4 Fair
• 5 Poor
• DK, RF

GEN_C15

• If AWC_AGE < 12, go to GEN_C16A.
• Otherwise, go to GEN_Q15.

GEN_Q15
Thinking about the amount of stress in your life, would you say that most days are... ?

• INTERVIEWER : Read categories to respondent.
• 1 Not at all stressful
• 2 Not very stressful
• 3 A bit stressful
• 4 Quite a bit stressful
• 5 Extremely stressful
• DK, RF

GEN_C16A

• If PROXYSEX = 3 or 4, go to GEN_D20.
• Otherwise, go to GEN_C16B.

GEN_C16B

• If AWC_AGE < 15 or > 75, go to GEN_Q18.
• Otherwise, go to GEN_Q16.

GEN_Q16
Have you worked at a job or business at any time in the past 12 months?

• 1 Yes
• 2 No (Go to GEN_Q18)
• DK, RF (Go to GEN_Q18)

GEN_Q17
The next question is about your main job or business in the past 12 months.

 

Would you say that most days at work were... ?

• INTERVIEWER : Read categories to respondent.
• 1 Not at all stressful
• 2 Not very stressful
• 3 A bit stressful
• 4 Quite a bit stressful
• 5 Extremely stressful
• DK, RF

GEN_Q18
How would you describe your sense of belonging to your local community? Would you say it is... ?

• INTERVIEWER : Read categories to respondent.
• 1 Very strong
• 2 Somewhat strong
• 3 Somewhat weak
• 4 Very weak
• DK, RF

GEN_Q19

Would you rate your quality of life as... ?

• INTERVIEWER : Read categories to respondent.
• 1 Excellent
• 2 Very good
• 3 Good
• 4 Fair
• 5 Poor
• DK, RF

GEN_D20

• Not Applicable

GEN_Q20
Do you have a regular medical doctor?

• 1 Yes
• 2 No
• DK, RF

GEN_END

Pregnancy (PRS)

PRS_BEG

• External variables required:
• Variables from other components:
• FNAME: first name of respondent
• AWC_AGE: age of respondent
• SEX_Q01: sex of respondent (1 = male; 2 = female)
• Variables from previously completed blocks:
• PROXYSEX: gender of selected respondent and whether the interview is being conducted by proxy.
  • 1 = male, non-proxy
  • 2 = female, non-proxy
  • 3 = male, proxy
  • 4 = female, proxy

PRS_C11A

• If SEX_Q01 = 1, go to PRS_END.
• Otherwise, go to PRS_C11B.

PRS_C11B

• If AWC_AGE < 14 or > 59, go to PRS_END.
• Otherwise, go to PRS_Q11.

PRS_Q11
It is important to know when analyzing health whether or not the person is pregnant. Are you pregnant?

• 1 Yes
• 2 No
• DK, RF

PRS_END

Chronic Conditions (CCC)

CCC_BEG

• External variables required:
• Variables from other components:
• FNAME: first name of respondent
• AWC_AGE: age of respondent
• SEX_Q01: sex of respondent (1 = male; 2 = female)
• Variables from previously completed blocks:
• PROXYSEX: gender of selected respondent and whether the interview is being conducted by proxy.
  • 1 = male, non-proxy
  • 2 = female, non-proxy
  • 3 = male, proxy
  • 4 = female, proxy

CCC_R11
Now I'd like to ask about certain chronic health conditions which you may have. We are interested in "long-term conditions" which are expected to last or have already lasted 6 months or more and that have been diagnosed by a health professional.

CCC_D11

• Not Applicable

CCC_Q11
Do you have asthma?

• 1 Yes
• 2 No (Go to CCC_C21)
• DK (Go to CCC_C21)
• RF (Go to CCC_END)

CCC_Q12
How old were you when this was first diagnosed?

• INTERVIEWER : Maximum is ^AWC_AGE.
• Age in years
• (MIN: 0)
• (MAX: 79)
• DK, RF

CCC_Q13
Have you had any asthma symptoms or asthma attacks in the past 12 months?

• 1 Yes
• 2 No
• DK, RF

CCC_C21

• If AWC_AGE < 12, go to CCC_C31.
• Otherwise, go to CCC_Q21.

CCC_Q21
Do you have fibromyalgia?

• 1 Yes
• 2 No
• DK, RF

CCC_D22

• If CCC_Q21=1, DT_FIBROTEXTE = ", excluding fibromyalgia".
• If CCC_Q21=2, DK or RF, DT_FIBROTEXTE = "EMPTY".

CCC_Q22
Do you have arthritis[, excluding fibromyalgia/EMPTY]?

• 1 Yes
• 2 No (Go to CCC_Q24)
• DK, RF (Go to CCC_Q24)

Help text:

• Tag: Arthritis
• Arthritis means "joint inflammation" and encompasses more than 100 diseases and conditions that affect the joints, the tissues that surround the joint and other connective tissue causing pain, swelling and stiffness which often lead to disability.
• Osteoarthritis results from deterioration of cartilage and thickening of the bones underneath, in one of more joints. This leads to joint damage, pain and stiffness. Typically it affects hands, feet, knees, spine and hips.
• Rheumatoid Arthritis is a type of inflammatory arthritis and an autoimmune disease. It is caused by the body's immune system attacking the body's joints (primarily hands, wrists and feet). This leads to pain, inflammation and joint damage. Rheumatoid Arthritis may also involve other organ systems such as eyes, heart and lungs.
• Rheumatism is an older term used to describe any of a number of painful conditions of muscles, tendons, joints, and bones. While the term is still used in colloquial speech, there is no longer any recognized disorder called "rheumatism". Rheumatism conditions have been classified as localized, regional or generalized. Localized rheumatism conditions include bursitis and tendinitis. Regional rheumatism conditions include chest wall pain, temporomandibular joint pain, and myofascial pain syndromes. Generalized rheumatism conditions include fibromyalgia. Another category of rheumatism is psychogenic rheumatism. With this term it is understood that the patient is reporting inconsistent pains of muscles and joints that do not correspond to true anatomy and physiology. The patient is felt to have underlying psychological causes for the symptoms.
• Press "Escape" to return.

CCC_Q23
What kind of arthritis do you have?

• INTERVIEWER : Mark all that apply.
• 2 Osteoarthritis
• 4 Other - Specify (Go to CCC_S23)
• DK, RF

Go to CCC_Q24

CCC_S23
(What kind of arthritis do you have?)

• INTERVIEWER : Specify.
• (80 spaces)
• (DK, RF not allowed)

CCC_D24

• If CCC_Q21=1 and CCC_Q22=1, DT_CCCTEXTE = ", excluding fibromyalgia and arthritis".
• If CCC_Q21=1 and CCC_Q22=2, DT_CCCTEXTE = ", excluding fibromyalgia".
• If CCC_Q21=2 and CCC_Q22=1, DT_CCCTEXTE = ", excluding arthritis".
• If CCC_Q21=2 and CCC_Q22=2, DT_CCCTEXTE = "EMPTY".

CCC_Q24
Do you have back problems[, excluding fibromyalgia and arthritis/, excluding fibromyalgia/, excluding arthritis/EMPTY]?

• 1 Yes
• 2 No
• DK, RF

CCC_C25

• If AWC_AGE > 39, go to CCC_Q25.
• Otherwise, go to CCC_C31.

CCC_Q25
Do you have osteoporosis?

• 1 Yes
• 2 No
• DK, RF

CCC_C31

• If AWC_AGE < 6, go to CCC_D41.
• Otherwise, go to CCC_D31.

CCC_D31

• Not Applicable

CCC_Q31
Remember, we're interested in conditions diagnosed by a health professional.

Do you have high blood pressure?

• 1 Yes
• 2 No
• DK, RF

CCC_Q32
In the past month have you taken any medicine for high blood pressure?

• 1 Yes
• 2 No
• DK, RF

CCC_Q33
Have you ever had your blood cholesterol measured?

• 1 Yes
• 2 No (Go to CCC_D41)
• DK, RF (Go to CCC_D41)

CCC_Q34

Have you ever been told by a health professional that your blood cholesterol was high?

• 1 Yes
• 2 No
• DK, RF

CCC_D41

• Not Applicable

CCC_Q41
Remember, we're interested in conditions diagnosed by a health professional.

Do you have chronic bronchitis?

• 1 Yes
• 2 No (Go to CCC_C43)
• DK, RF (Go to CCC_C43)

CCC_Q42
How old were you when this was first diagnosed?

• INTERVIEWER : Maximum is ^AWC_AGE.
• Age in years
• (MIN: 0)
• (MAX: 79)
• DK, RF

CCC_C43

• If AWC_AGE < 30, go to CCC_Q51.
• Otherwise, go to CCC_Q43.

CCC_Q43
Do you have emphysema?

• 1 Yes
• 2 N (Go to CCC_Q45)
• DK, RF (Go to CCC_Q45)

CCC_Q44
How old were you when this was first diagnosed?

• INTERVIEWER : Maximum is ^AWC_AGE.
• Age in years
• (MIN: 0)
• (MAX: 79)
• DK, RF

CCC_Q45
Do you have chronic obstructive pulmonary disease (COPD)?

• 1 Yes
• 2 No (Go to CCC_Q51)
• DK, RF (Go to CCC_Q51)

CCC_Q46
How old were you when this was first diagnosed?

• INTERVIEWER : Maximum is ^AWC_AGE.
• Age in years
• (MIN: 0)
• (MAX: 79)
• DK, RF

CCC_Q51
Remember, we're interested in conditions diagnosed by a health professional.

Do you have diabetes?

• INTERVIEWER : Exclude respondents who have been told they have prediabetes. Only respondents with type 1, type 2 or gestational diabetes should answer "Yes" to this question.
• 1 Yes
• 2 No (Go to CCC_D61)
• DK, RF (Go to CCC_D61)

CCC_Q52
Were you diagnosed with... ?

• INTERVIEWER : Read categories to respondent. Mark all that apply.
• 1 Insulin dependent diabetes - Type 1
• 2 Non-insulin dependent diabetes - Type 2
• 3 Gestational diabetes
• DK, RF

CCC_C53

• If CCC_Q52 = 3, DK or RF, go to CCC_D61.
• Otherwise, go to CCC_Q53.

CCC_Q53
How old were you when this was first diagnosed?

• INTERVIEWER : Maximum is ^AWC_AGE.
• Age in years
• (MIN: 0)
• (MAX: 79)
• DK, RF

CCC_D61

• Not Applicable

CCC_Q61
Do you have heart disease?

• 1 Yes
• 2 No (Go to CCC_Q63)
• DK, RF (Go to CCC_Q63)

CCC_Q62
How old were you when this was first diagnosed?

• INTERVIEWER : Maximum is ^AWC_AGE.
• Age in years
• (MIN: 0)
• (MAX: 79)
• DK, RF

CCC_Q63
Have you ever been told by a health professional that you have had a heart attack?

• 1 Yes
• 2 No
• DK, RF

CCC_Q71
Remember, we're interested in conditions diagnosed by a health professional.

Do you have cancer?

• 1 Yes
• (Go to CCC_Q73)
• 2 No
• DK, RF (Go to CCC_C81)

CCC_Q72
Have you ever been diagnosed with cancer?

• 1 Yes
• 2 No (Go to CCC_C81)
• DK, RF (Go to CCC_C81)

CCC_Q73
How old were you when this was first diagnosed?

• INTERVIEWER : Maximum is ^AWC_AGE.
• Age in years
• (MIN: 0)
• (MAX: 79)
• DK, RF

CCC_C74

• If SEX_Q01 = 1, go to CCC_Q75.
• Otherwise, go to CCC_D74.

CCC_D74

• If CCC_Q71 = 1, DT_CCC74TEXTE = "do".
• Otherwise, DT_CCC74TEXTE = "did".

CCC_Q74

What type of cancer [do/did] you have?

 

• INTERVIEWER : Mark all that apply.
• 01 Breast
• 02 Colorectal
• 03 Skin - Melanoma
• 04 Skin - Non-melanoma
• 05 Ovarian
• 06 Cervical
• 07 Uterine
• 08 Other - Specify
• (Go to CCC_S74)
• DK, RF

Go to CCC_C81

CCC_S74
(What type of cancer [do/did] you have?)

• INTERVIEWER : Specify.
• (80 spaces)
• (DK, RF not allowed)

Go to CCC_C81

CCC_Q75
What type of cancer [do/did] you have?

• INTERVIEWER : Mark all that apply.
• 1 Prostate
• 2 Colorectal
• 3 Skin - Melanoma
• 4 Skin - Non-melanoma
• 5 Other - Specify
• (Go to CCC_S75)
• DK, RF
• Go to CCC_C81

CCC_S75
(What type of cancer [do/did] you have?)

• INTERVIEWER : Specify.
• (80 spaces)
• (DK, RF not allowed)

CCC_C81

• If AWC_AGE < 12, go to CCC_Q83.
• Otherwise, go to CCC_Q81.

CCC_Q81
Remember, we're interested in conditions diagnosed by a health professional.

Do you suffer from the effects of a stroke?

• 1 Yes
• 2 No
• DK, RF

CCC_Q82
Do you have a thyroid condition?

• 1 Yes
• 2 No
• DK, RF

CCC_Q83
Do you have a mood disorder such as depression, bipolar disorder, mania or dysthymia?

• INTERVIEWER : Include manic depression.
• 1 Yes
• 2 No
• DK, RF

CCC_C91

• If AWC_AGE < 6, go to CCC_C92.
• Otherwise, go to CCC_D91.

CCC_D91

• Not Applicable

CCC_Q91
Remember, we're interested in conditions diagnosed by a health professional.

Do you have an eating disorder such as anorexia or bulimia?

• 1 Yes
• 2 No
• DK, RF

CCC_C92

• If AWC_AGE < 12, go to CCC_Q95.
• Otherwise, go to CCC_Q92.

CCC_Q92
Do you suffer from kidney dysfunction or disease?

• 1 Yes
• 2 No
• DK, RF

CCC_Q93
Do you have liver disease or gallbladder problems?

• 1 Yes
• 2 No (Go to CCC_Q95)
• DK, RF (Go to CCC_Q95)

CCC_Q94
What kind of liver disease or gallbladder problem do you have?

• INTERVIEWER : Mark all that apply. If respondent says gallbladder was removed and no other response to this question is provided, return to CCC_Q93 and enter "No".
• 1 Hepatitis A
• 2 Hepatitis B
• 3 Hepatitis C
• 4 Jaundice
• 5 Cirrhosis
• 6 Gallstones
• 7 Other - Specify
• (Go to CCC_S94)
• DK, RF (Go to CCC_Q95)

Go to CCC_C95

CCC_S94
(What kind of liver disease or gallbladder problem do you have?)

• INTERVIEWER : Specify.
• (80 spaces)
• (DK, RF not allowed)

CCC_C95

• If <1>, <2> or <3> is selected at CCC_Q94, go to CCC_Q97.
• Otherwise, go to CCC_Q95.

CCC_Q95
Do you have hepatitis?

• 1 Yes
• 2 No (Go to CCC_Q97)
• DK, RF (Go to CCC_Q97)

CCC_Q96
What type of hepatitis do you have?

• INTERVIEWER : Read categories to respondent. Mark all that apply.
• 1 Hepatitis A
• 2 Hepatitis B
• 3 Hepatitis C
• DK, RF

CCC_Q97
Has a doctor, psychologist or other health care professional ever said that you had a developmental disability or disorder? These may include Down syndrome, autism, Asperger syndrome, mental impairment due to lack of oxygen at birth, etc.

• 1 Yes
• 2 No
• DK, RF

CCC_Q98
Do you have Attention Deficit Disorder?

• INTERVIEWER : Include Attention Deficit Disorder and Attention Deficit Hyperactivity Disorder.
• 1 Yes
• 2 No
• DK, RF

CCC_Q99
Remember, we're interested in conditions diagnosed by a health professional.

Do you have a learning disability?

• INTERVIEWER : Only include conditions diagnosed by a health professional, for example dyslexia.
• Do not include conditions previously mentioned.
• 1 Yes
• 2 No
• DK, RF

CCC_Q101
Do you have any other long-term physical or mental health condition that has been diagnosed by a health professional?

• 1 Yes
• 2 No (Go to CCC_END)
• DK, RF (Go to CCC_END)

CCC_S101
(Do you have any other long-term physical or mental health condition that has been diagnosed by a health professional?)

• INTERVIEWER : Specify.
• (80 spaces)
• (DK, RF not allowed)

CCC_END

Family Medical History (FMH)

FMH_BEG

• External variables required:
• Variables from other components:
• FNAME: first name of respondent
• AWC_AGE: age of respondent
• RWC_Q3C: relationship between selected household members
• PERSEL: number of selected respondents in household (Blaise alias = PersonsSelected)
• Variables from previously completed blocks:
• PROXYSEX: gender of selected respondent and whether the interview is being conducted by proxy.
  • 1 = male, non-proxy
  • 2 = female, non-proxy
  • 3 = male, proxy
  • 4 = female, proxy
• FMHFLAG: whether FMH has already been completed by a member of the household (1 = FMH already completed)

Content type:

• NOTE TO DATA USERS:
• In households with two selected respondents who are full birth siblings, FMH is asked only to the first respondent interviewed.

FMH_C11

• If (PERSEL = 2 and RWC_Q3C = 1 (for the relationship between the two selected household members) and FMHFLAG = 1), go to FMH_END.
• Otherwise, go to FMH_D11A.

FMH_D11A

• If PERSEL = 1 or (PERSEL = 2 and RWC_Q3C = 1 for the relationship between the two selected respondents), DT_FMH11INT2E = "EMPTY".
• Otherwise, DT_FMH11INT2E = "It is important that we get this information from each individual that we interview, even those in the same family.".

FMH_D11B

• If AWC_AGE > 14, DT_FMHTEXTE = ", birth siblings and birth children".
• Else, DT_FMHTEXTE = " and birth siblings".

FMH_R11
The next set of questions is about the medical history of your immediate family members. [EMPTY/It is important that we get this information from each individual that we interview, even those in the same family.]

By immediate family, we mean only your birth parents [, birth siblings and birth children/ and birth siblings] - alive or deceased. We are only interested in conditions diagnosed by a health professional.

• INTERVIEWER : Press <1> to continue.

FMH_Q11
Has anyone in your immediate family ever been diagnosed with heart disease, including a heart attack or angina?

• 1 Yes
• 2 No (Go to FMH_Q13)
• DK, RF (Go to FMH_Q13)

FMH_Q12
What is the youngest age at which a member of your immediate family was first diagnosed with heart disease?

• INTERVIEWER : If diagnosed at death, then use age at death.
• Age in years
• (MIN: 0)
• (MAX: 130)
• DK, RF

FMH_Q13
Has anyone in your immediate family ever had a stroke?

• 1 Yes
• 2 No (Go to FMH_Q15)
• DK, RF (Go to FMH_Q15)

FMH_Q14
What is the youngest age at which a member of your immediate family had a stroke?

• INTERVIEWER : If diagnosed at death, then use age at death.
• Age in years
• (MIN: 0)
• (MAX: 130)
• DK, RF

FMH_Q15
Has anyone in your immediate family ever had high blood pressure, excluding during pregnancy?

• 1 Yes
• 2 No (Go to FMH_Q17)
• DK, RF (Go to FMH_Q17)

FMH_Q16
What is the youngest age at which a member of your immediate family was first diagnosed with high blood pressure?

• INTERVIEWER : If diagnosed at death, then use age at death.
• Age in years
• (MIN: 0)
• (MAX: 130)
• DK, RF

FMH_Q17
Has anyone in your immediate family ever had arthritis?

• 1 Yes
• 2 No (Go to FMH_Q19)
• DK, RF (Go to FMH_Q19)

FMH_Q18
What is the youngest age at which a member of your immediate family was first diagnosed with arthritis?

• INTERVIEWER : If diagnosed at death, then use age at death.
• Age in years
• (MIN: 0)
• (MAX: 130)
• DK, RF

FMH_Q19
Has anyone in your immediate family ever had diabetes, excluding during pregnancy?

• 1 Yes
• 2 No (Go to FMH_Q23)
• DK, RF (Go to FMH_Q23)

FMH_Q21
Was this... ?

• INTERVIEWER : Read categories to respondent.
• 1 Insulin dependent diabetes (Type 1)
• 2 Non-insulin dependent diabetes (Type 2)
• 3 Both
• DK, RF

FMH_Q22
What is the youngest age at which a member of your immediate family was first diagnosed with diabetes?

• INTERVIEWER : If diagnosed at death, then use age at death.
• Age in years
• (MIN: 0)
• (MAX: 130)
• DK, RF

FMH_Q23
Has anyone in your immediate family ever had asthma?

• 1 Yes
• 2 No (Go to FMH_END)
• DK, RF (Go to FMH_END)

FMH_Q24
Was it one of your parents who was diagnosed with asthma?

• 1 Yes
• 2 No
• DK, RF

FMH_D24

• If FHM_Q11=DK or RF and FMH_Q13=DK or RF and FMH_Q15=DK or RF and FMH_Q17=DK or RF and FMH_Q19=DK or RF and FMH_Q23=DK or RF, DV_FMHFLAG = 2
• Otherwise, DV_FMHFLAG = 1

FMH_END

Phlegm (PLM)

PLM_BEG

• External variables required:
• Variables from other components:
• FNAME: first name of respondent
• DateLastYearE
• Date2YearsAgoE
• Variables from previously completed blocks:
• PROXYSEX: gender of selected respondent and whether the interview is being conducted by proxy.
  • 1 = male, non-proxy
  • 2 = female, non-proxy
  • 3 = male, proxy
  • 4 = female, proxy

PLM_R11
We asked you earlier about "long-term conditions" that have been diagnosed by a health professional. Now, a few questions about conditions that do not need to have been diagnosed by a health professional and that have lasted 3 months or more.

• INTERVIEWER : Press <1> to continue.

PLM_D11

Programmer:

• DateLastYearE: English text of date one year ago

PLM_Q11
During the past year, that is, from ^DateLastYearE to yesterday, have you had a cough where you brought up phlegm that lasted 3 months or more?

• 1 Yes
• 2 No (Go to PLM_END)
• DK, RF (Go to PLM_END)

PLM_D12

Programmer:

• Date2YearsAgoE: English text of date two years ago

PLM_Q12
During the previous year, that is, from ^Date2YearsAgoE to ^DateLastYearE, did you have a cough where you brought up phlegm that lasted 3 months or more?

• 1 Yes
• 2 No
• DK, RF

PLM_END

Hepatitis (HEP)

HEP_BEG

• External variables required:
• Variables from other components:
• ReferenceYear: numeric year during which interview is taking place
• FNAME: first name of respondent
• AWC_AGE: age of respondent
• Variables from previously completed blocks:
• PROXYSEX: gender of selected respondent and whether the interview is being conducted by proxy.
  • 1 = male, non-proxy
  • 2 = female, non-proxy
  • 3 = male, proxy
  • 4 = female, proxy

HEP_R11
The next questions are about hepatitis.

• INTERVIEWER : Press <1> to continue.

HEP_Q12
Hepatitis B vaccinations usually come in a 2 or 3 dose series. Have you received a complete series of hepatitis B vaccines?

• INTERVIEWER : Examples of hepatitis B vaccines include Engerix-B, Recombivax HB, and Twinrix.
• 1 Yes
• 2 No
• DK, RF

HEP_C13

• If AWC_AGE <= (ReferenceYear - 1990), go to HEP_END.
• Otherwise, go to HEP_Q13.

HEP_Q13
Did you receive a blood transfusion in Canada before 1990?

• 1 Yes
• 2 No
• DK, RF

HEP_END

Human Papillomavirus Vaccine (HPV)

HPV_BEG

• External variables required:
• Variables from other components:
• FNAME: first name of respondent
• AWC_AGE: age of respondent
• SEX_Q01: sex of respondent (1 = male; 2 = female)
• Variables from previously completed blocks:
• PROXYSEX: gender of selected respondent and whether the interview is being conducted by proxy.
  • 1 = male, non-proxy
  • 2 = female, non-proxy
  • 3 = male, proxy
  • 4 = female, proxy

HPV_C11

• If SEX_Q01 = 1 or AWC_AGE < 9 or > 59, go to HPV_END.
• Otherwise, go to HPV_R11.

HPV_R11
The next few questions are about the human papillomavirus or HPV vaccine.

• INTERVIEWER : Press <1> to continue.

HPV_C12

• If AWC_AGE > 13, go to HPV_Q12.
• Otherwise, go to HPV_R12.

HPV_R12
An HPV vaccine is offered to girls in many schools across Canada, as early as age 9.

• INTERVIEWER : The vaccine is given starting in grade 4 in some jurisdictions.
• Press <1> to continue.

HPV_Q12
Have you ever received the HPV vaccine?

• 1 Yes
• 2 No (Go to HPV_END)
• DK, RF (Go to HPV_END)

HPV_Q13
HPV vaccinations usually come in a 3 dose series. How many doses have you received?

• 1 1 dose
• 2 2 doses
• 3 3 doses
• DK, RF

HPV_END

Medication

Medication Use (MEU)

Overview:

• • Information is collected on a total of up to 45 prescription medications, over-the counter medications and other health products, taken or used in the past month. Look-up databases are used to identify the products. Products containing ingredients of particular interest have been pre-flagged on these databases (FollowUpFlag = 1). For these products, additional questions are administered to collect information on the quantity and frequency of use.

MEU_BEG

• External variables required:
• Variables from other components:
• SEX_Q01 : sex of respondent (1 = male; 2 = female)
• AWC_AGE : age of respondent
• FNAME: first name of respondent
• Variables from previously completed blocks:
• PROXYSEX: gender of selected respondent and whether the interview is being conducted by proxy.
  • 1 = male, non-proxy
  • 2 = female, non-proxy
  • 3 = male, proxy
  • 4 = female, proxy

Programmer:

• Set DT_DateLastMonthE = English text of date one month ago.

MEU_D01

• Not Applicable

MEU_R01
Now I'd like to ask a few questions about your use of prescriptions, over-the-counter medications and other health products, including natural health products.

In order to record this information accurately, I will need to see the bottles and containers. We are interested in any prescription and over-the-counter medications, vitamins, minerals, other health products and health remedies that you have taken or used in the past month, that is, from ^DT_DateLastMonthE to today.

Could you please go and get all the bottles and containers for these products now.

• INTERVIEWER : Press <1> to continue.

MEU_D02B

• If SEX_Q01 = 1 and AWC_AGE > 13, DT_MEUTEXT2E = "antibiotics and nicotine patches".
• Otherwise, if SEX_Q01 = 2 and AWC_AGE > 13, DT_MEUTEXT2E = "antibiotics, nicotine patches and birth control pills, patches or injections".
• Otherwise, DT_MEUTEXT2E = "antibiotics and asthma medication".

MEU_Q02
First I need to capture information on medications that have been prescribed or administered by a health professional such as a doctor or dentist. This includes such things as insulin, [antibiotics and nicotine patches/antibiotics, nicotine patches and birth control pills, patches or injections/antibiotics and asthma medication].

Remember, we are only interested in prescription medications that you have taken or used in the past month.

• INTERVIEWER : Has the respondent taken or used any prescription medications in the past month?
• This question applies only to medications taken or used within the past month. Medications that have been prescribed but not taken or used within this period of time (e.g., Epi-pen) should not be captured.
• 1 Yes
• 2 No (Go to MEU_Q22)
• DK, RF (Go to MEU_Q22)

MEU_B11

• Call the New product information (NPI) block

Content type:

• NOTE TO DATA USERS:
  The NPI block is called once for each prescription medication, up to a maximum of 45 times.

MEU_C11

• If the number of products captured is less than 45, go to MEU_N11.
• Otherwise, go to MEU_Q15.

MEU_N11

• INTERVIEWER : Do you have another prescription medication to capture?
• 1 Yes
• (Go to MEU_B11)
• 2 No
• (DK not allowed)
• RF
• (Go to MEU_Q22)

MEU_Q12
Have you taken or used any other prescription medications in the past month?

Please include any prescription creams, injections or patches.

• 1 Yes(Go to MEU_B11)
• 2 No
• DK, RF

Go to MEU_Q22

Content type:

NOTE TO DATA USERS:

• MEU_Q15 to MEU_Q21 are asked only if more than 45 prescription medications have been taken or used in the past month.

MEU_Q15
How many other prescription medications have you taken or used in the past month? Please include any prescription creams, injections or patches.

• (MIN: 0)
• (MAX: 95)
• DK, RF

MEU_Q20
Have you taken or used any over-the-counter medications or other health products, including natural health products in the past month?

Over-the-counter medications could include such things as pain killers, antacids, allergy pills and hydrocortisone creams. Examples of health products include vitamins, minerals, amino acids, probiotics, fish oils and other oils, herbal remedies and homeopathic preparations.

• INTERVIEWER : This question applies only to products taken or used within the past month. Products that have not been taken or used within this period of time should not be captured.
• 1 Yes(Go to MEU_Q21)
• 2 No
• DK, RF

Go to MEU_END

MEU_Q21
How many over-the-counter medications or health products have you taken or used in the past month?

• (MIN: 1)
• (MAX: 95)
• DK, RF

Go to MEU_END

MEU_Q22

Now I need to capture information on all over-the-counter medications and other health products, including natural health products, that you have taken or used in the past month, that is, from ^DT_DateLastMonthE to today.

Over-the-counter medications could include such things as pain killers, antacids, allergy pills and hydrocortisone creams. Examples of health products include vitamins, minerals, amino acids, probiotics, fish oils and other oils, herbal remedies and homeopathic preparations.

• INTERVIEWER : Has the respondent taken or used any over-the-counter medications or health products in the past month?
• This question applies only to products taken or used within the past month. Products that have not been taken or used within this period of time should not be captured.
• 1 Yes
• 2 No (Go to MEU_END)
• DK, RF (Go to MEU_END)

MEU_B25

• Call the New Drug Product (NPI) block

Content type:

• NOTE TO DATA USERS:
  The NPI block is called once for each over-the-counter medication or other health product, up to a maximum of 45 products in total (including prescription medications).

MEU_C26

• If the number of products (combined) captured is less than 45, go to MEU_N26.
• Otherwise, go to MEU_Q29.

MEU_N26

• INTERVIEWER : Do you have another over-the-counter medication or health product to capture?
• 1 Yes(Go to MEU_B25)
• 2 No
• (DK not allowed)
• RF
• (Go to MEU_END)

MEU_Q27
Have you taken or used any other over-the-counter medications or health products in the past month? Please include any solutions, powders, creams or pastes.

• 1 Yes Go to MEU_B25)
• 2 No
• DK, RF

Go to MEU_END

Content type:

• NOTE TO DATA USERS:
  MEU_Q29 is asked only if more than 45 products in total, including prescription medications, over-the counter medications and other health products, have been taken or used in the past month.

MEU_Q29
How many other over-the-counter medications or health products have you taken or used in the past month? Please include any solutions, powders, creams or pastes.

• (MIN: 0)
• (MAX: 95)
• DK, RF

MEU_END

New Product Information (NPI)

NPI_BEG

• External variables required:
• Variables from other components:
• Variables from previously completed blocks:
• MEU_Q22: whether the respondent has taken or used any over-the-counter medications or health products
• PROXYSEX: gender of selected respondent and whether the interview is being conducted by proxy.
  • 1 = male, non-proxy
  • 2 = female, non-proxy
  • 3 = male, proxy
  • 4 = female, proxy
• DT_DateLastMonthE: English text of date one month ago

NPI_N05

• INTERVIEWER : Is a product identification number available for the product (e.g., DIN, DIN-HM, NPN, EN)?
• 1 Yes
• 2 No (Go to NPI_N15)
• (DK, RF not allowed)

NPI_N07

• INTERVIEWER : Record the product identification number from the bottle, tube or box.
• (MIN: 1)
• (MAX: 99,999,995)
• (DK, RF not allowed)

Content type:

• NOTE TO DATA USERS:
  A search is performed based on the Product Identification Number. This could be a Drug Identification Number (DIN); Natural Product Number (NPN); Homeopathic Medicine Number (DIN_HM); or Exemption Number (EN).

NPI_C08

• If DV_PIN = EMPTY (product identification number not found in PIN_Database), go to NPI_D18A.
• Otherwise, go to NPI_Q10.

NPI_Q10

• Product identification number: ^DV_PIN
• Product name: ^DV_PRODUCT_NAME
• Form: ^DT_FORME
• Strength: ^DT_STRENGTH

• INTERVIEWER : Confirm whether the information displayed is correct.
• 1 Yes
• (Go to NPI_D25)
• 2 No
• (DK, RF not allowed)

NPI_N11

• INTERVIEWER : Is ^DV_PIN the correct product identification number?
• 1 Yes
• (Go to NPI_D18A)
• 2 No (Go to NPI_N05)
• (DK, RF not allowed)

NPI_N15

• INTERVIEWER : Why is a product identification number not available for the product?
• 1 Container not available
• 2 No product identification number
• (DK, RF not allowed)

NPI_D15

• If NPI_N15 = 1 and MEU_Q22 = EMPTY, DT_NPI15E = "To search for this product I will need some of the following information:
• - Product name: for example, Accutane, Alesse 21 or Ventolin.
• - Product form: for example, pill, powder, liquid or cream.
• - Manufacturer: for example, Roche, Pfizer or GlaxoSmithKline.".
• Otherwise, if NPI_N15 = 1 and MEU_Q22 = RESPONSE , DT_NPI15E = "To search for this product, I will need some of the following information:
• - Product name: for example, Children's Tylenol® Cold and Cough Nighttime.
• - Product form: for example, pill, powder, liquid or cream.
• - Manufacturer: for example, Bayer, Jamieson or Sisu.".
• Otherwise, DT_NPI15E = "EMPTY".

Programmer:

• NOTE TO DATA USERS:
  If a product identification number is not available, MedSearch can be used to search for the medication.
• The MedSearch tool uses a look-up database to search for prescription medications, over-the-counter medications and other health products based on product name, manufacturer, active ingredients, route of administration, form and/or product strength.

NPI_Q16
^DT_NPI15E

• INTERVIEWER : Use the MedSearch tool to find the product.
• Press <1> to continue.
• 1 Continue
• (DK, RF not allowed)

NPI_N17

• INTERVIEWER : Was an exact product match found?
• 1 Yes
• 2 No (Go to NPI_D18A)
• (DK, RF not allowed)

NPI_D17

NPI_Q17A

• Product identification number: ^DV_PIN
• Product name: ^DV_PRODUCT_NAME
• Form:^DT_FORME
• Strength: ^DT_STRENGTH
• Route of administration: ^DT_ROUTEE

   

• INTERVIEWER : Confirm whether the information displayed is correct.
• 1 Yes (Go to NPI_D25)
• 2 No
• (DK, RF not allowed)

NPI_N17B

• INTERVIEWER : Do you want to search for the product again?
• 1 Yes(Go to NPI_D15)
• 2 No
• (DK, RF not allowed)

NPI_D18A

• If MEU_Q22 = EMPTY, DT_NAMEEXAMPLEE = "For example, Accutane, Alesse 21 or Ventolin.".
• Otherwise, DT_NAMEEXAMPLEE = "For example, Children's Tylenol® Cold and Cough Nighttime.".

Content type:

• NOTE TO DATA USERS:
  If a product cannot be found in the database search at NPI_N07 or NPI_N16, information about the product is entered at NPI_Q18 to NPI_Q25.

NPI_Q18
(What is the name of this product? [For example, Accutane, Alesse 21 or Ventolin./For example, Children's Tylenol® Cold and Cough Nighttime.])

• INTERVIEWER : Capture the information from the product container, if it is available. Otherwise, ask the respondent to provide the information, as accurately as possible.
• (80 spaces)
• DK, RF (Go to NPI_END)

NPI_D18B

• Not Applicable

NPI_C19

• If NPI_N15 = 1, go to NPI_Q20.
• Otherwise, go to NPI_D19.

NPI_D19

• If MEU_Q22 = EMPTY, DT_COMPANYEXAMPLEE = "For example, Roche, Pfizer, GlaxoSmithKline.".
• Otherwise, DT_COMPANYEXAMPLEE = "For example, Bayer, Jamieson or Sisu.".

NPI_Q19
What company information is found on the product container? ^DT_COMPANYEXAMPLEE.

• INTERVIEWER : Capture all the company names from the product container. This could include: the manufacturer, the importer and/or the company for which this product was manufactured. If there is no company information on the container, enter <Don't know>.
• (80 spaces)
• DK, RF

NPI_Q20
(What is the form of this product? For example, is it a pill, powder, liquid or cream?)

• INTERVIEWER : Capture the information from the product container, if it is available. Otherwise, ask the respondent to provide the information, as accurately as possible.
• Select the product form.
• 01 Tablet / pill / capsule
• 02 Lozenge
• 03 Chew / gummy
• 04 Globule
• 05 Drop
• 06 Tincture
• 07 Liquid / solution
• 08 Suspension
• 09 Cream / ointment / gel / lotion
• 10 Packet / sachet
• 11 Powder
• 12 Granule
• 13 Spray / aerosol
• 14 Patch
• 15 Kit
• 16 Suppository
• 50 Other - Specify
• (Go to NPI_S20)
• DK, RF

Go to NPI_D20

NPI_S20
(What is the form of this product? For example, is it a pill, powder, liquid or cream?)

• INTERVIEWER : Specify.
• (80 spaces)
• (DK, RF not allowed)

NPI_D20

• If NPI_Q20 = 50, DT_FORME = "NPI_S20".
• Otherwise, if NPI_Q20 = DK, RF, DT_FORME = "EMPTY".
• Otherwise, DT_FORME = "English text of category selected at NPI_Q20".

NPI_Q21
(What is the strength of this product, for example, 250mg, 1%, 1000 international units?)

• INTERVIEWER : Capture the information from the product container, if it is available. Otherwise, ask the respondent to provide the information, as accurately as possible.
• (80 spaces)
• DK, RF

NPI_Q22
(How is this product administered? For example, is it inhaled, swallowed, dissolved beneath the tongue or applied to the skin?)

• INTERVIEWER : Capture the information from the product container, if it is available. Otherwise, ask the respondent to provide the information as accurately as possible.
• Select the route of administration of the product.
• 01 Oral
• 02 Sublingual (under tongue)
• 03 Buccal (inside of cheek)
• 04 Dental (teeth or gums)
• 05 By inhalation
• 06 Nasal (nose)
• 07 Ophthalmic (eyeball)
• 08 Otic (ear)
• 09 Topical (applied to skin)
• 10 Transdermal (absorbed through skin)
• 11 By injection
• 12 Rectal
• 13 Vaginal
• Other - Specify
• trong>(Go to NPI_S22)
• DK, RF

Go to NPI_D25

NPI_S22
(How is this product administered? For example, is it inhaled, swallowed, dissolved beneath the tongue or applied to the skin?)

• INTERVIEWER : Specify.
• (80 spaces)
• (DK, RF not allowed)
• Go to NPI_D25

NPI_D25

• If DV_Short_form = 9, 13, 14, 15 or 16 then set:, DT_TAKE1E = "used".
  Else, DT_TAKE1E = "took".
• If DV_Short_form = 9, 13, 14, 15 or 16 then set:, DT_TAKE2E = "using".
  Else, DT_TAKE2E = "taking".
• If DV_Short_form = 9, 13, 14, 15 or 16 then set:, DT_TAKE3E = "use".
  Else, DT_TAKE3E = "take".

NPI_Q25
When was the last time that you [used/took] this product?
(The response categories are today, yesterday, within the last week or within the last month.)

• 1 Today
• 2 Yesterday
• 3 Within the last week
• 4 Within the last month
• 5 More than one month ago
• (Go to NPI_END)
• DK, RF (Go to NPI_END)

NPI_C25

• If FollowUpFlag = 1 (administer follow-up questions), go to NPI_D26.
• Otherwise, go to NPI_END.

Content type:

• NOTE TO DATA USERS:
  The next questions are only asked for products found on the look-up database that contain ingredients of particular interest.

NPI_D26

• Not Applicable

Content type:

• NOTE TO DATA USERS:
• DT_NPC_TEXT1E is created and passed to NPC. This text string contains examples of possible units of measure based on the form of the product.

NPI_B26

• Call the New Product Information - Call Block (NPC).

NPI_D59

• If MEU_Q22 = 1, DT_SPRODE = "this or a similar product".
• Otherwise, DT_SPRODE = "this product".

NPI_D60

• If NPI_Q25 = 1 or 2, DT_NPITEXT5E = "For how long have you been [using/taking] [this or a similar product/this product]? (^DV_Product_Name)".
• Otherwise, DT_NPITEXT5E = "For how long did you ^DT_TAKE3E [this or a similar product/this product]? (^DV_PRODUCT_NAME)".

NPI_D62

• If MEU_Q22 = EMPTY, DT_NPITEXT7E = "Consider a change in prescription (e.g., a change in medication company or dosage) to be a stop in medication use.
• Do not consider a short break in the use of a prescribed medication (e.g., temporarily ran out of medication or forgot to take a dose) to be a stop in medication use.
• For prescription medication used on an as-needed basis (e.g., medicated cream for a reoccurring condition), only include the period when it was last used.".
• Otherwise, DT_NPITEXT7E = "A similar product could be a different company name (e.g., Jamieson Vitamin C® vs. Flintstones Vitamin C®) or a different form (e.g., tablet vs. liquid).
• Do not consider a short break in the use of a product (e.g., temporarily ran out of a vitamin supplement or forgot to take a dose) to be a stop in product use.
• For over-the-counter medication used on an as-needed basis (e.g., medication for a cold or headache), only include the period when it was last used.".

NPI_Q63
[For how long have you been [using/taking] [this or a similar product/this product]?/For how long did you [use/take] [this or a similar product/this product]?] (^DV_PRODUCT_NAME)

(If you stopped [using/taking] it at some point, only include the most recent period of use.)

• INTERVIEWER : Enter time only.
• ^DT_NPITEXT7E
• (MIN: 1)
• (MAX: 500)
• DK
• (Go to NPI_Q65)
• RF
• (Go to NPI_END)

NPI_N64

• INTERVIEWER : Select the reporting period.
• 1 Days
• 2 Weeks
• 3 Months
• 4 Years
• (DK, RF not allowed)

NPI_Q65
In the past month, on how many days did you [use/take] this product (^DV_PRODUCT_NAME)?

• INTERVIEWER : Enter number of days.
• If the medication was used every day for the past month, enter "31".
• (MIN: 1)
• (MAX: 31)
• DK, RF

NPI_END

New Product Information - Call Block (NPC)

NPC_BEG

• External variables required:
• DT_NPC_TEXT1E: example text in English
• DV_PRODUCT_NAME: product name
• DT_TAKE1E: English text fill for "used/took"
• DT_TAKE3E: English text fill for "use/take"

NPC_Q10
On the days that you [used/took] this product, how many times did you usually [use/take] it in a single day?

• INTERVIEWER : Record the number of times per day.
• (MIN: 1)
• (MAX: 100)
• DK, RF (Go to NPC_END)

NPC_Q11
How much did you usually [use/take] each time you [used/took] it? ^DT_NPC_TEXT1E

• INTERVIEWER : Enter the quantity only.
• (MIN: 0.01)
• (MAX: 99,995.00)
• DK, RF (Go to NPC_END)

NPC_D11A

• If NPC_Q10 = 1, DT_TIMESE = "time".
• Otherwise, DT_TIMESE = "times".

NPC_N12

• INTERVIEWER : Select the unit of measure.
• 01 Tablets / pills / capsules
• 02 Lozenges
• 03 Chews / gummies
• 04 Millilitres (mL)
• 05 Milligrams (mg)
• 06 Grams (g)
• 07 Tablespoons (Tbsp)
• 08 Teaspoons (tsp)
• 09 Capfuls
• 10 Scoops
• 11 Packets / sachets
• 12 Drops
• 13 Sprays
• 14 Doses
• 15 Vials
• 16 Units
• 50 Other - Specify
• (Go to NPC_S12)
• DK, RF

Go to NPC_D12

NPC_S12
(Select the unit of measure.)

• INTERVIEWER : Specify.
• (80 spaces)
• (DK, RF not allowed)

NPC_D12

• If NPC_N12 = 01, DT_UNITE = "tablet(s)".
• If NPC_N12 = 02, DT_UNITE = "lozenge(s)".
• If NPC_N12 = 03, DT_UNITE = "chew(s)".
• If NPC_N12 = 04, DT_UNITE = "millilitre(s)".
• If NPC_N12 = 05, DT_UNITE = "milligram(s)".
• If NPC_N12 = 06, DT_UNITE = "gram(s)".
• If NPC_N12 = 07, DT_UNITE = "tablespoon(s)".
• If NPC_N12 = 08, DT_UNITE = "teaspoon(s)".
• If NPC_N12 = 09, DT_UNITE = "capful(s)".
• If NPC_N12 = 10, DT_UNITE = "scoop(s)".
• If NPC_N12 = 11, DT_UNITE = "packet(s)".
• If NPC_N12 = 12, DT_UNITE = "drop(s)".
• If NPC_N12 = 13, DT_UNITE = "spray(s)".
• If NPC_N12 = 14, DT_UNITE = "dose(s)".
• If NPC_N12 = 15, DT_UNITE = "vial(s)".
• If NPC_N12 = 16, DT_UNITE = "unit(s)".
• If NPC_N12 = 50, DT_UNITE = "^NPC_S12".

NPC_Q14
So you [used/took] ^NPC_Q11 ^DT_UNITE ^NPC_Q10 [time/times] each day you [used/took] this product (^DV_PRODUCT_NAME). Is that correct?

• 1 Yes
• 2 No (Go to NPC_Q10)
• (DK, RF not allowed)

NPC_END

Height and Weight

Height and Weight (HWT)

HWT_BEG

• External variables required:
• Variables from other components:
• AWC_AGE: age of respondent
• SEX_Q01: sex of respondent (1 = male; 2 = female)
• Variables from previously completed blocks:
• PROXYSEX: gender of selected respondent and whether the interview is being conducted by proxy.
  • 1 = male, non-proxy
  • 2 = female, non-proxy
  • 3 = male, proxy
  • 4 = female, proxy

HWT_Q1
The next questions are about height and weight. How tall are you without shoes on?

• INTERVIEWER : Is that in feet and inches or in centimetres?
• 1 Feet and inches
• 2 Centimetres
• (Go to HWT_N1C)
• DK, RF (Go to HWT_B3)

HWT_N1A

• INTERVIEWER : Enter feet only.
• Feet
• (MIN: 0)
• (MAX: 7)
• (DK, RF not allowed)

HWT_N1B

• INTERVIEWER : Enter inches only, to the nearest quarter of an inch.
• (MIN: 0)
• (MAX: 96)
• (DK, RF not allowed)

HWT_C1

• If HWT_Q1 = 1, go to HWT_D1.
• Otherwise, go to HWT_N1C.

HWT_N1C

• INTERVIEWER : Record the height to the nearest half centimetre.
• (MIN: 40)
• (MAX: 244)
• (DK, RF not allowed)

HWT_D1

• Not Applicable

HWT_D3

• Not Applicable

HWT_B3

• Call the Weight Detail (WTD) block

Programmer:

• Pass "How much do you weigh? " as parameter.

HWT_C4

• If PROXYSEX = 3 or 4, go to HWT_END.
• Otherwise, go to HWT_Q4.

HWT_Q4
Do you consider yourself... ?

• INTERVIEWER : Read categories to respondent.
• 1 Overweight
• 2 Underweight
• 3 Just about right
• DK, RF

HWT_END

Weight Detail (WTD)

WTD_BEG

• External variables required:
• Variables from other components:
• AWC_AGE: age of respondent
• SEX_Q01: sex of respondent (1 = male; 2 = female)
• Variables from previously completed blocks:
• PROXYSEX: gender of selected respondent and whether the interview is being conducted by proxy.
  • 1 = male, non-proxy
  • 2 = female, non-proxy
  • 3 = male, proxy
  • 4 = female, proxy
• DT_QUESTIONE: English question text

WTD_Q11
^DT_QUESTIONE

• INTERVIEWER : Enter amount only.
• Weight
• (MIN: 1)
• (MAX: 575)
• DK, RF (Go to WTD_END)

WTD_N11

• INTERVIEWER : Was that in pounds or kilograms?
• 1 Pounds
• 2 Kilograms
• (DK, RF not allowed)

WTD_D11

• Not Applicable

WTD_END

Food Frequency

Meat Consumption (MFC)

Overview:

• NOTE TO DATA USERS:
  Please note that the purpose of the headings is to facilitate the interview process for respondents, and not for estimating food group consumption. The foods listed in the questionnaire are in support of the nutrition biomarkers only.
• Information on frequency of food consumption is collected via the Food Frequency Detail (FFD) call block. The question text and interviewer instructions are passed to the call block as parameters.

MFC_BEG

• External variables required:
• Variables from other components:
• FNAME: first name of respondent
• Variables from previously completed blocks:
• PROXYSEX: gender of selected respondent and whether the interview is being conducted by proxy.
  • 1 = male, non-proxy
  • 2 = female, non-proxy
  • 3 = male, proxy
  • 4 = female, proxy

MFC_R11
The next questions are about the foods you usually eat or drink. Think about all the foods you eat, both meals and snacks, at home and away from home.

The answer categories for these questions are number of times per day, per week, per month or per year.

• INTERVIEWER : Press <1> to continue.

MFC_B11

• Call the Food Frequency Detail (FFD) block.

Programmer:

• Pass "DT_BOLDQUESTINTROE = How often do you usually eat:" as parameter.
• Pass "DT_QUESTIONE = ... red meat, such as beef, hamburger, pork or lamb? (For example, once a day, three times a week, twice a month.)" as parameter.
• Pass "DT_INTERVIEWERE =Include wild red meat such as bear, elk, venison or bison." as parameter.

MFC_B12

• Call the Food Frequency Detail (FFD) block.

Programmer:

• Pass "DT_BOLDQUESTINTROE = How often do you usually eat:" as parameter.
• Pass "DT_QUESTIONE = ... liver, including all types of liver such as beef, veal, pork or chicken, but excluding liverwurst and liver pâté?" as parameter.
• Pass "DT_INTERVIEWERE =EMPTY" as parameter.

MFC_B14

• Call the Food Frequency Detail (FFD) block.

Programmer:

• Pass "DT_NOTBOLDQUESTINTROE = How often do you usually eat:" as parameter.
• Pass "DT_QUESTIONE = ... beef or pork hot dogs?" as parameter.
• Pass "DT_INTERVIEWERE =EMPTY" as parameter.

MFC_B15

• Call the Food Frequency Detail (FFD) block.

Programmer:

• Pass "DT_NOTBOLDQUESTINTROE = How often do you usually eat:" as parameter.
• Pass "DT_QUESTIONE = ... sausage or bacon, including all types of sausages such as breakfast, pepperoni and Kielbassa but excluding low-fat, light or turkey varieties? " as parameter.
• Pass "DT_INTERVIEWERE = EMPTY" as parameter.

MFC_B19A

• Call the Food Frequency Detail (FFD) block.

Programmer:

• Pass "DT_NOTBOLDQUESTINTROE = How often do you usually eat:" as parameter.
• Pass "DT_QUESTIONE = ... eggs and egg dishes that include the yolk? Please exclude all egg dishes made with only egg whites. Egg dishes could include such things as eggs, omelette, frittata or quiche. " as parameter.
• Pass "DT_INTERVIEWERE = EMPTY" as parameter.

MFC_C19A

• If MFC_B19A.FFD_Q11 = 0, DK or RF, go to MFC_B20.
• Otherwise, go to MFC_R19A.

MFC_R19A
Now I'd like to ask about the use of omega-3 enriched eggs in the eggs and egg dishes you just reported.

• INTERVIEWER : Press <1> to continue.

MFC_B19B

• Call the Food Frequency Detail (FFD) block.

Programmer:

• Pass "DT_BOLDQUESTINTROE = How often do you usually eat:" as parameter.
• Pass "DT_QUESTIONE =... eggs and egg dishes that are made with omega-3 enriched eggs? Please exclude all egg dishes made with only egg whites. " as parameter.
• Pass "DT_INTERVIEWERE = EMPTY" as parameter.

MFC_B20

• Call the Food Frequency Detail (FFD) block.

Programmer:

• Pass "DT_BOLDQUESTINTROE = How often do you usually eat:" as parameter.
• Pass "DT_QUESTIONE = ... cooked dried beans, such as refried beans, baked beans, pea soup or kidney beans, excluding green and yellow beans?" as parameter.
• Pass "DT_INTERVIEWERE = EMPTY" as parameter.

MFC_B21

• Call the Food Frequency Detail (FFD) block.

Programmer:

• Pass "DT_NOTBOLDQUESTINTROE = How often do you usually eat:" as parameter.
• Pass "DT_QUESTIONE =... peanuts, walnuts, seeds or other nuts, excluding nut butters such as peanut butter?" as parameter.
• Pass "DT_INTERVIEWERE = EMPTY" as parameter.

MFC_END

Food Frequency Detail (FFD)

FFD_BEG

• External variables required:
• Variables from other blocks:
• DT_BOLDQUESTINTROE: English question introductory text - bold
• DT_NOTBOLDQUESTINTROE: English question introductory text - Not bold
• DT_QUESTIONE: English question text
• DT_INTERVIEWERE: English interviewer instructions

FFD_Q11

• ^DT_BOLDQUESTINTROE ^DT_NOTBOLDQUESTINTROE
• ^DT_QUESTIONE
• INTERVIEWER : ^DT_INTERVIEWERE
• Enter amount only.
• Times
• (MIN: 0)
• (MAX: 500)
• DK, RF
• (Go to FFD_END)

FFD_C11

• If FFD_Q11 = 0, go to FFD_END.
• Otherwise, go to FFD_N11.

FFD_N11

• INTERVIEWER : ^DT_QUESTIONE
• ^DT_INTERVIEWERE
• Select the reporting period.
• 1 Per day
• 2 Per week
• 3 Per month
• 4 Per year
• (DK, RF not allowed)

FFD_END

Milk and Dairy Product Consumption (MDC)

Overview:

• NOTE TO DATA USERS:
  Please note that the purpose of the headings is to facilitate the interview process for respondents, and not for estimating food group consumption. The foods listed in the questionnaire are in support of the nutrition biomarkers only.

MDC_BEG

• External variables required:
• Variables from other components:
• FNAME: first name of respondent
• Variables from previously completed blocks:
• PROXYSEX: gender of selected respondent and whether the interview is being conducted by proxy.
  • 1 = male, non-proxy
  • 2 = female, non-proxy
  • 3 = male, proxy
  • 4 = female, proxy

MDC_D01

• Not Applicable

MDC_R01
Now, some questions about your consumption of milk and other dairy products. Remember, think about all the foods you eat and drink, both meals and snacks, at home and away from home.

Again, the answer categories are number of times per day, per week, per month or per year.

• INTERVIEWER : Press <1> to continue.

MDC_B01

• Call the Food Frequency (FFD) block.

Programmer:

• Pass "DT_QUESTIONE =" How often do you drink enriched milk substitutes such as enriched soya, rice or almond milk, or use them on cereal? (For example: twice a day, three times a week, once a month). " as parameter.
• Pass "DT_INTERVIEWERE = Include only milk substitutes that have been enriched with vitamins and minerals. Do not include milk substitutes added to coffee or tea." as parameter.

MDC_C02

• If MDC_B01.FFD_Q11 = 0, DK or RF, go to MDC_B04.
• Otherwise, go to MDC_B02.

MDC_B02

• Call the Food Frequency Detail (FFD) block.

Programmer:

• Pass "DT_BOLDQUESTINTROE = The next two questions ask about the type of milk substitutes you just reported." as parameter.
• Pass "DT_QUESTIONE = How often do you drink or use omega-3 enriched milk substitutes?" as parameter.
• Pass "DT_INTERVIEWERE = Do not include milk substitutes added to coffee or tea." as parameter.

MDC_Q03
What kind of enriched milk substitutes do you usually drink or use on cereal?

• INTERVIEWER : Mark all that apply.
• 1 Rice (enriched)
• 2 Soya (enriched)
• 3 Almond (enriched)
• 4 Other - Specify
• (Go to MDC_S03)
• DK, RF

MDC_S03
(What kind of enriched milk substitutes do you usually drink or use on cereal?)

• INTERVIEWER : Specify.
• (80 spaces)
• (DK, RF not allowed)

MDC_B04

• Call the Food Frequency Detail (FFD) block.

Programmer:

• Pass "DT_QUESTIONE = How often do you drink milk or flavoured milk beverages or use them on cereal? (For example: twice a day, three times a week, once a month). "as parameter.
• Pass "DT_INTERVIEWERE = Do not include milk or cream added to coffee or tea." as parameter.

MDC_C05

• If MDC_B04.FFD_Q11 = 0, DK or RF, go to MDC_B13.
• Otherwise, go to MDC_B05.

MDC_B05

• Call the Food Frequency Detail (FFD) block.

Programmer:

• Pass "DT_BOLDQUESTINTROE = The next two questions ask about the type of milk or flavoured milk beverages you just reported." as parameter.
• Pass "DT_QUESTIONE = How often do you drink or use omega-3 enriched milk or milk beverages?" as parameter.
• Pass "DT_INTERVIEWERE = Do not include milk or cream added to coffee or tea." as parameter.

MDC_Q12
What kind of milk do you usually drink or use on cereal?

• INTERVIEWER : If the respondent uses lactose-free milk, probe to determine the fat content and choose the appropriate category. Do not include milk substitutes such as rice, soya or almond milk.
• Mark all that apply.
• 01 3.25% (Whole or homo)
• 02 2%
• 03 1%
• 04 0.5%
• 05 Skim or Non-Fat (including powdered milk)
• 06 Flavoured milk beverages (such as Chocolate milk and flavoured milks such as Oh Henry! ®)
• 09 Other - Specify
• (Go to MDC_S12)
• DK, RF

Go to MDC_B13

MDC_S12
(What kind of milk do you usually drink or use on cereal?)

• INTERVIEWER : Specify.
• (80 spaces)
• (DK, RF not allowed)

MDC_B13

• Call the Food Frequency Detail (FFD) block.

Programmer:

• Pass "DT_BOLDQUESTINTROE = How often do you usually eat: " as parameter.
• Pass "DT_QUESTIONE ="... cottage cheese? " as parameter.
• Pass "DT_INTERVIEWERE = EMPTY" as parameter.

MDC_B13B

• Call the Food Frequency Detail (FFD) block.

Programmer:

• Pass "DT_NOTBOLDQUESTINTROE = How often do you usually eat: " as parameter.
• Pass "DT_QUESTIONE = "... processed cheese such as Kraft Cheez Whiz®, Kraft Singles®, or Black Diamond Slices®?" as parameter.
• Pass "DT_INTERVIEWERE = EMPTY" as parameter.

MDC_B13C

• Call the Food Frequency Detail (FFD) block.

Programmer:

• Pass "DT_NOTBOLDQUESTINTROE = How often do you usually eat:" as parameter.
• Pass "DT_QUESTIONE = ... other types of cheese such as mozzarella, cheddar, or Swiss?" as parameter.
• Pass "DT_INTERVIEWERE = EMPTY" as parameter.

MDC_B14

• Call the Food Frequency Detail (FFD) block.

Programmer:

• Pass "DT_BOLDQUESTINTROE = How often do you usually eat: " as parameter.
• Pass "DT_QUESTIONE = ... yogurt, excluding frozen yogurt? " as parameter.
• Pass "DT_INTERVIEWERE = EMPTY" as parameter.

MDC_B15

• Call the Food Frequency Detail (FFD) block.

Programmer:

• Pass "DT_NOTBOLDQUESTINTROE = How often do you usually eat:" as parameter.
• Pass "DT_QUESTIONE =... ice cream or frozen yogurt? " as parameter.
• Pass "DT_INTERVIEWERE = EMPTY" as parameter.

MDC_END

Grain, Fruit and Vegetable Consumption (GFV)

Overview:

• NOTE TO DATA USERS:
  Please note that the purpose of the headings is to facilitate the interview process for respondents, and not for estimating food group consumption. The foods listed in the questionnaire are in support of the nutrition biomarkers only.

GFV_BEG

• External variables required:
• Variables from other components:
• FNAME: first name of respondent
• Variables from previously completed blocks:
• PROXYSEX: gender of selected respondent and whether the interview is being conducted by proxy.
  • 1 = male, non-proxy
  • 2 = female, non-proxy
  • 3 = male, proxy
  • 4 = female, proxy

GFV_R11
Now, a few questions about grains, fruits and vegetables. Remember, think about all the foods you eat, both meals and snacks, at home and away from home.

Again, the answer categories are number of times per day, per week, per month or per year.

• INTERVIEWER : Press <1> to continue.

GFV_B11

• Call the Food Frequency Detail (FFD) block.

Programmer:

• Pass "DT_BOLDQUESTINTROE = How often do you usually eat:" as parameter.
• Pass "DT_QUESTIONE = ...hot or cold cereal? (For example: once a day, three times a week, twice a month)." as parameter.
• Pass "DT_INTERVIEWERE = EMPTY" as parameter.

GFV_B12

• Call the Food Frequency Detail (FFD) block.

Programmer:

• Pass "DT_BOLDQUESTINTROE = How often do you usually eat:" as parameter.
• Pass "DT_QUESTIONE = ... whole grain bread such as whole wheat, rye or pumpernickel including bread made with oats or buckwheat? Please include bagels, rolls, pita bread or tortillas. " as parameter.
• Pass "DT_INTERVIEWERE = Do not include white bread made with whole grains such as Dempster's Smart® White or Wonder®+ Invisibles®." as parameter.

GFV_B13

• Call the Food Frequency Detail (FFD) block.

Programmer:

• Pass "DT_NOTBOLDQUESTINTROE = How often do you usually eat:" as parameter.
• Pass "DT_QUESTIONE =... white bread, including bagels, rolls, pita bread or tortillas?" as parameter.
• Pass "DT_INTERVIEWERE = Include white bread made with whole grains such as Dempster's Smart® White or Wonder® + Invisibles®." as parameter.

GFV_B14

• Call the Food Frequency Detail (FFD) block.

Programmer:

• Pass "DT_NOTBOLDQUESTINTROE = How often do you usually eat:" as parameter
• Pass "DT_QUESTIONE =... any kind of pasta, including spaghetti, noodles, macaroni & cheese or pasta salad?" as parameter.
• Pass "DT_INTERVIEWERE = EMPTY" as parameter.

GFV_B16

• Call the Food Frequency Detail (FFD) block.

Programmer:

• Pass "DT_BOLDQUESTINTROE = How often do you usually eat:"as parameter.
• Pass "DT_QUESTIONE =... instant, seasoned or wild rice, such as Minute Rice®, Dainty Rice®, or Rice-a-Roni®? " as parameter.
• Pass "DT_INTERVIEWERE = Include all types of wild rice, but only include white and brown rice if it is instant." as parameter.

GFV_B17A

• Call the Food Frequency Detail (FFD) block.

Programmer:

• Pass "DT_NOTBOLDQUESTINTROE = How often do you usually eat:" as parameter.
• Pass "DT_QUESTIONE =... citrus fruit such as oranges or grapefruits, fresh, frozen or canned?" as parameter.
• Pass "DT_INTERVIEWERE = Only include citrus fruit such as lemons or limes if the entire fruit is consumed (not just a slice added to a dish or beverage)." as parameter.

GFV_Q17B
How often do you usually eat:

... strawberries, fresh, frozen or canned, in the summer?

• INTERVIEWER : Enter amount only.
• Times
• (MIN: 0)
• (MAX: 500)
• DK, RF (Go to GFV_Q17C)

GFV_C17B

• If GFV_Q17B = 0, go to GFV_Q17C.
• Otherwise, go to GFV_N17B.

GFV_N17B

• INTERVIEWER : Select the reporting period.
• 1 Per day
• 2 Per week
• 3 Per month
• 4 Per summer
• (DK, RF not allowed)

GFV_Q17C
How often do you usually eat:
... strawberries (fresh, frozen or canned) during the rest of the year?

• INTERVIEWER : Enter amount only.
• Times
• (MIN: 0)
• (MAX: 500)
• DK, RF (Go to GFV_B17D)

GFV_C17C

• If GFV_Q17C = 0, go to GFV_B17D.
• Otherwise, go to GFV_N17C.

GFV_N17C

• INTERVIEWER : Select the reporting period.
• 1 Per day
• 2 Per week
• 3 Per month
• 4 Overall, during the rest of the year
• (DK, RF not allowed)

GFV_B17D

• Call the Food Frequency Detail (FFD) block.

Programmer:

• Pass "DT_BOLDQUESTINTROE = How often do you usually eat: " as parameter.
• Pass "DT_QUESTIONE =... other types of fruit; fresh, frozen or canned?"as parameter.
• Pass "DT_INTERVIEWERE = EMPTY" as parameter.

GFV_B18

• Call the Food Frequency Detail (FFD) block.

Programmer:

• Pass "DT_NOTBOLDQUESTINTROE = How often do you usually eat:" as parameter.
• Pass "DT_QUESTIONE = ... tomatoes or tomato sauce, including salsa, tomato soup and spaghetti sauce but excluding tomato paste, ketchup or pizza sauce? " as parameter.
• Pass "DT_INTERVIEWERE = EMPTY" as parameter.

GFV_B19

• Call the Food Frequency Detail (FFD) block.

Programmer:

• Pass "DT_NOTBOLDQUESTINTROE = How often do you usually eat:" as parameter.
• Pass "DT_QUESTIONE =... lettuce or green leafy salad with or without other vegetables?Do not include spinach." as parameter.
• Pass "DT_INTERVIEWERE = EMPTY" as parameter.

GFV_B20

• Call the Food Frequency Detail (FFD) block.

Programmer:

• Pass "DT_NOTBOLDQUESTINTROE = How often do you usually eat:" as parameter.
• Pass "DT_QUESTIONE =... spinach, mustard greens, cabbage or collards, excluding kale?" as parameter.
• Pass "DT_INTERVIEWERE = EMPTY" as parameter.

GFV_B21

• Call the Food Frequency Detail (FFD) block.

Programmer:

• Pass "DT_BOLDQUESTINTROE = How often do you usually eat:" as parameter.
• Pass "DT_QUESTIONE = ... french fries, home fries, or hash brown potatoes?" as parameter.
• Pass "DT_INTERVIEWERE = EMPTY" as parameter.

GFV_B22

• Call the Food Frequency Detail (FFD) block.

Programmer:

• Pass "DT_NOTBOLDQUESTINTROE = How often do you usually eat:" as parameter
• Pass "DT_QUESTIONE =... other potatoes including baked, boiled, mashed or in potato salad, but excluding sweet potatoes?" as parameter.
• Pass "DT_INTERVIEWERE = EMPTY" as parameter.

GFV_B23

• Call the Food Frequency Detail (FFD) block.

Programmer:

• Pass "DT_NOTBOLDQUESTINTROE = How often do you usually eat:" as parameter.
• Pass "DT_QUESTIONE = ... all other types of vegetables, excluding those already mentioned?" as parameter.
• Pass "DT_INTERVIEWERE = EMPTY" as parameter.

GFV_B24

• Call the Food Frequency Detail (FFD) block.

Programmer:

• Pass "DT_NOTBOLDQUESTINTROE = How often do you usually eat:" as parameter.
• Pass "DT_QUESTIONE = ... flax seeds, whole or ground, including flax seeds eaten in foods such as breakfast cereal, yogurt, muffins, bread or any other dishes? " as parameter.
• Pass "DT_INTERVIEWERE = EMPTY" as parameter.

GFV_END

Dietary Fat Consumption (DFC)

Overview:

• NOTE TO DATA USERS:
  Please note that the purpose of the headings is to facilitate the interview process for respondents, and not for estimating food group consumption. The foods listed in the questionnaire are in support of the nutrition biomarkers only.

DFC_BEG

• External variables required:
• Variables from other components:
• FNAME: first name of respondent
• Variables from previously completed blocks:
• PROXYSEX: gender of selected respondent and whether the interview is being conducted by proxy.
  • 1 = male, non-proxy
  • 2 = female, non-proxy
  • 3 = male, proxy
  • 4 = female, proxy

DFC_R11
Remember, think about all the foods you eat, both meals and snacks, at home and away from home.

Again, the answer categories are number of times per day, per week, per month or per year.

• INTERVIEWER : Press <1> to continue.

DFC_B11

• Call the Food Frequency Detail (FFD) block.

Programmer:

• Pass "DT_BOLDQUESTINTROE = How often do you usually eat:" as parameter.
• Pass "DT_QUESTIONE = ... regular-fat salad dressing or mayonnaise, including on salads and sandwiches? (For example: once a day, three times a week, twice a month) " as parameter.
• Pass "DT_INTERVIEWERE = EMPTY" as parameter.

DFC_B12

• Call the Food Frequency Detail (FFD) block.

Programmer:

• Pass "DT_BOLDQUESTINTROE = How often do you usually eat:" as parameter.
• Pass "DT_QUESTIONE =... regular-fat potato chips, tortilla chips or corn chips, excluding low fat chips and pretzels? " as parameter.
• Pass "DT_INTERVIEWERE = EMPTY" as parameter.

DFC_B13

• Call the Food Frequency Detail (FFD) block

Programmer:

• Pass "DT_NOTBOLDQUESTINTROE = How often do you usually eat:" as parameter.
• Pass "DT_QUESTIONE =...margarine?" as parameter.
• Pass "DT_INTERVIEWERE = EMPTY" as parameter.

DFC_C14

• If DFC_B13.FFD_Q11 = 0, DK or RF, go to DFC_END.
• Otherwise, go to DFC_B14.

DFC_B14

• Call the Food Frequency Detail (FFD) block.

Programmer:

• Pass "DT_NOTBOLDQUESTINTROE = How often do you usually eat:" as parameter.
• Pass "DT_QUESTIONE =... omega-3 enriched margarine?"as parameter.
• Pass "DT_INTERVIEWERE = EMPTY" as parameter.

DFC_END

Water and Soft Drink Consumption (WSD)

Overview:

• NOTE TO DATA USERS:
  Please note that the purpose of the headings is to facilitate the interview process for respondents, and not for estimating food group consumption. The foods listed in the questionnaire are in support of the nutrition biomarkers only.

WSD_BEG

• External variables required:
• Variables from other components:
• FNAME: first name of respondent
• AWC_AGE: age of respondent
• PERSEL: number of selected respondents in household (Blaise alias = PersonsSelected)
• Variables from previously completed blocks:
• PROXYSEX: gender of selected respondent and whether the interview is being conducted by proxy.
  • 1 = male, non-proxy
  • 2 = female, non-proxy
  • 3 = male, proxy
  • 4 = female, proxy

WSD_D30

• Not Applicable

WSD_R30
Next, some questions about your drink consumption. Think about all the things you drink, both at home and away from home.

Again, the answer categories are number of times per day, per week, per month, or per year.

• INTERVIEWER : Press <1> to continue.

WSD_B30

• Call the Food Frequency Detail (FFD) block.

Programmer:

• Pass "DT_BOLDQUESTINTROE= How often do you usually drink: " as parameter.
• Pass "DT_QUESTIONE = ...diet soft drinks? (For example: once a day, three times a week, twice a month.) " as parameter.
• Pass "DT_INTERVIEWERE = EMPTY" as parameter.

WSD_B31

• Call the Food Frequency Detail (FFD) block.

Programmer:

• Pass "DT_BOLDQUESTINTROE= How often do you usually drink: " as parameter.
• Pass "DT_QUESTIONE = ...regular soft drinks? " as parameter.
• Pass "DT_INTERVIEWERE = By 'regular' we mean non-diet soft drinks. " as parameter.

WSD_B32

• Call the Food Frequency Detail (FFD) block.

Programmer:

• Pass "DT_NOTBOLDQUESTINTROE= How often do you usually drink: " as parameter.
• Pass "DT_QUESTIONE = ... sport drinks, such as Gatorade® or Powerade®? " as parameter.
• Pass "DT_INTERVIEWERE = EMPTY" as parameter.

WSD_B33

• Call the Food Frequency Detail (FFD) block.

Programmer:

• Pass "DT_NOTBOLDQUESTINTROE= How often do you usually drink: " as parameter.
• Pass "DT_QUESTIONE = ... vitamin-added water, such as Aquafina Plus Vitamins® or Vitamin Water®? Do not include flavoured water or other types of water that are not fortified with vitamins. " as parameter.
• Pass "DT_INTERVIEWERE = EMPTY" as parameter.

WSD_R34
The next few questions are about the different kinds of juice or fruit flavoured drinks you usually drink. When we say fruit juice, we mean 100% pure fruit juices such as apple, orange or grapefruit juice, whether or not they are made from concentrate. When we say fruit flavoured drinks, we mean drinks such as Sunny Delight®, fruit punch or Kool-Aid®.

• INTERVIEWER : Press <1> to continue.

WSD_B34

• Call the Food Frequency Detail (FFD) block.

Programmer:

• Pass "DT_BOLDQUESTINTROE= How often do you usually drink: " as parameter
• Pass "DT_QUESTIONE = ... orange or grapefruit juice? " as parameter.
• Pass "DT_INTERVIEWERE = Only include 100% pure fruit juices. Include juice to which calcium and vitamin D has been added. " as parameter.

WSD_B35

• Call the Food Frequency Detail (FFD) block.

Programmer:

• Pass "DT_BOLDQUESTINTROE= How often do you usually drink: " as parameter.
• Pass "DT_QUESTIONE = ... other 100% fruit juices, for example, apple, grape or mixed fruit juice? " as parameter.
• Pass "DT_INTERVIEWERE = Include juice to which calcium and vitamin D has been added. " as parameter.

WSD_C35

• If WSD_B34.FFD_Q11 = 0, DK or RF and WSD_B35.FFD_Q11 = 0, DK or RF, go to WSD_B37.
• Otherwise, go to WSD_B36.

WSD_B36

• Call the Food Frequency Detail (FFD) block.

Programmer:

• Pass "DT_BOLDQUESTINTROE= Now think about all of the types of juice you just reported. " as parameter.
• Pass "DT_QUESTIONE = How often do you usually drink juice with calcium and vitamin D added? " as parameter.
• Pass "DT_INTERVIEWERE = EMPTY" as parameter.

WSD_B37

• Call the Food Frequency Detail (FFD) block.

Programmer:

• Pass "DT_NOTBOLDQUESTINTROE= How often do you usually drink: " as parameter.
• Pass "DT_QUESTIONE = ... fruit-flavoured drinks? " as parameter.
• Pass "DT_INTERVIEWERE = Do not include Crystal Light®. " as parameter.

WSD_B38

• Call the Food Frequency Detail (FFD) block.

Programmer:

• Pass "DT_NOTBOLDQUESTINTROE= How often do you usually drink: " as parameter.
• Pass "DT_QUESTIONE = ... vegetable juices? " as parameter.
• Pass "DT_INTERVIEWERE = Do not include vegetable juices used in cooking. " as parameter.

WSD_D39

• If WSD_B33.FFD_Q11 = RESPONSE and < > 0, DK or RF, DT_WSDTEXTE = "Do not include vitamin-added water already reported.".
• Otherwise, DT_WSDTEXTE = "EMPTY".

WSD_R39
Next, some questions about your water consumption. [Do not include vitamin-added water already reported./EMPTY]

• INTERVIEWER : Press <1> to continue.

WSD_Q39
How much water, in cups, do you usually drink at home? A cup is equivalent to the size of a measuring cup: 250 ml or 8 oz.

• INTERVIEWER : Enter number of cups only.
• Cups
• (MIN: 0)
• (MAX: 100)
• DK, RF

WSD_C39

• If WSD_Q39 = 0, DK or RF, go to WSD_Q41.
• Otherwise, go to WSD_N39.

WSD_N39

• INTERVIEWER : Select the reporting period.
• 1 Per day
• 2 Per week
• 3 Per month
• 4 Per year
• (DK, RF not allowed)

WSD_Q40
When you drink water at home, what is your primary source of drinking water?

• INTERVIEWER : Include carbonated water and flavoured water as "bottled water". Do not include vitamin-added water.
• Read categories to respondent.
• 1 Tap water, including water from a Brita®-type jug
• 2 Bottled water, including water from an individual serving-size bottle or from a water cooler
• 3 Other - Specify
• (Go to WSD_S40)
• DK, RF
• Go to WSD_Q41

WSD_S40
(When you drink water at home, what is your primary source of drinking water?)

• INTERVIEWER : Specify.
• (80 spaces)
• (DK, RF not allowed)

WSD_Q41
How much water, in cups, do you usually drink away from home? For example, when at work, at school or when away from home during your leisure time. (A cup is equivalent to the size of a measuring cup: 250 ml or 8 oz.)

• INTERVIEWER : Enter number of cups only.
• Cups
• (MIN: 0)
• (MAX: 100)
• DK, RF

WSD_C41

• If WSD_Q41 = 0, DK or RF, go to WSD_C43.
• Otherwise, go to WSD_N41.

WSD_N41

• INTERVIEWER : Select the reporting period.
• 1 Per day
• 2 Per week
• 3 Per month
• 4 Per year
• (DK, RF not allowed)

WSD_Q42
When you drink water away from home, what is your primary source of drinking water?

• INTERVIEWER : Include carbonated water and flavoured water as "Bottled water". Do not include vitamin-added water.
• Read categories to respondent.
• 1 Tap water, including water from a Brita®-type jug
• 2 Bottled water, including water from an individual serving-size bottle or from a water cooler
• 3 Other - Specify
• (Go to WSD_S42)
• DK, RF

Go to WSD_C43

WSD_S42
(When you drink water away from home, what is your primary source of drinking water?)

• INTERVIEWER : Specify.
• (80 spaces)
• (DK, RF not allowed)

WSD_C43

• If PERSEL = 2 and AWC_AGE > 11, go to WSD_END.
• Otherwise, go to WSD_Q43.

Content type:

• NOTE TO DATA USERS:
• In households with two selected respondents, questions WSD_Q43 to WSD_Q45 are asked only during the interview for the respondent who is less than 12 years old.

WSD_Q43
What is the source of the tap water in this home?

• INTERVIEWER : Read categories to respondent.
• 1 Water supplied by your city, town or municipality
• 2 Water from a private well
• 3 Water from a cistern
• 4 Water from a surface source such as natural spring, lake, river, lagoon or dugout
• 5 Other - Specify
• (Go to WSD_S43)
• DK
• RF
• (Go to WSD_END)

Go to WSD_Q44

WSD_S43
(What is the source of the tap water in this home?)

• INTERVIEWER : Specify.
• (80 spaces)
• (DK, RF not allowed)

WSD_Q44
Is the water in this home treated using... ?

• INTERVIEWER : This refers to any water treatment done at the home. Do not include treatments performed by the municipality.
• Read categories to respondent. Mark all that apply.
• 01 A filter, for example, a faucet attachment, refrigerator filter or Brita®-type jug filter
• 02 A water softener
• 03 An ultraviolet system
• 04 Reverse osmosis
• 05 Boiling
• 06 Distilling
• 07 Other - Specify
• (Go to WSD_S44)
• 08 No treatment
• DK, RF

Go to WSD_C45

WSD_S44
(Is the water in this home treated using... ?)

• INTERVIEWER : Specify.
• (80 spaces)
• (DK, RF not allowed)

WSD_C45

• If WSD_Q44 = 2 (Water softener), go to WSD_Q45.
• Otherwise, go to WSD_END.

WSD_Q45
Is the water used for drinking and food preparation treated using the water softener?

• 1 Yes
• 2 No
• DK, RF

WSD_END

Salt Consumption (SLT)

Overview:

• NOTE TO DATA USERS:
  Please note that the purpose of the headings is to facilitate the interview process for respondents, and not for estimating food group consumption. The foods listed in the questionnaire are in support of the nutrition biomarkers only.

SLT_BEG

• External variables required:
• Variables from other components:
• FNAME: first name of respondent
• AWC_AGE: age of respondent
• PERSEL: number of selected respondents in household (Blaise alias = PersonsSelected)
• Variables from previously completed blocks:
• PROXYSEX: gender of selected respondent and whether the interview is being conducted by proxy.
  • 1 = male, non-proxy
  • 2 = female, non-proxy
  • 3 = male, proxy
  • 4 = female, proxy

SLT_Q11
How often do you usually add salt to your food, excluding during cooking?

• INTERVIEWER : Read categories to respondent.
• 1 Always
• 2 Often
• 3 Sometimes
• 4 Rarely
• 5 Never
• (Go to SLT_C13)
• DK, RF (Go to SLT_C13)

SLT_Q12
What type of salt is usually used?

• INTERVIEWER : Read categories to respondent.
• 1 Ordinary table salt
• 2 Sea, Kosher, seasoned, or other flavoured salt
• 3 Light salt
• 4 Salt substitute
• 5 Other - Specify
• (Go to SLT_S12)
• DK, RF

Go to SLT_C13

SLT_S12
(What type of salt is usually used?)

• INTERVIEWER : Specify.
• (80 spaces)
• (DK, RF not allowed)

SLT_C13

• If PERSEL = 2 and AWC_AGE > 11, go to SLT_END.
• Otherwise, go to SLT_Q13.

Content type:

• NOTE TO DATA USERS:
  In households with two selected respondents, SLT_Q13 is asked only during the interview for the respondent who is less than 12 years old.

SLT_Q13
How often is ordinary table salt added during the cooking or preparation of foods in this household?

• INTERVIEWER : Read categories to respondent.
• 1 Always
• 2 Often
• 3 Sometimes
• 4 Rarely
• 5 Never
• DK, RF

SLT_END

International Physical Activity Questionnaire (IPA)

IPA_BEG

• External variables required:
• Variables from other components:
• FNAME: first name of respondent
• AWC_AGE: age of respondent
• Variables from previously completed blocks:
• PROXYSEX: gender of selected respondent and whether the interview is being conducted by proxy.
  • 1 = male, non-proxy
  • 2 = female, non-proxy
  • 3 = male, proxy
  • 4 = female, proxy

IPA_C01

• If AWC_AGE < 12, go to IPA_END.
• Otherwise, go to IPA_R01A.

IPA_R01A
I am going to ask you about the time you spent being physically active in the last 7 days. Please answer each question even if you do not consider yourself to be an active person. Think about the activities you do at work, as part of your house and yard work, to get from place to place, and in your spare time for recreation, exercise or sport.

• INTERVIEWER : Press <1> to continue.

IPA_R01B
The first questions are about your work. This includes paid jobs, farming, volunteer work, course work and any other unpaid work that you did outside your home. Do not include unpaid work you might do around your home, like housework, yard work, general maintenance, and caring for your family. I will ask you about these later.

• INTERVIEWER : Press <1> to continue.

IPA_Q01
Do you currently have a job or do any unpaid work outside your home?

• INTERVIEWER : This includes taking courses at school, college, CEGEP or university, as well as other credit and non-credit classes. It also includes volunteer work and time spent looking for work. It does not include unpaid house or yard work, nor caring for dependents; this will be asked in a later section.
• 1 Yes
• 2 No (Go to IPA_R08)
• DK, RF (Go to IPA_R08)

IPA_R02A
The following questions are about all the physical activity you did as part of your paid or unpaid work. This does not include travelling to and from work.

• INTERVIEWER : Press <1> to continue.

IPA_R02B
First, think about all the vigorous activities which take hard physical effort that you did as part of your work. Vigorous activities make you breathe much harder than normal. These may include things like heavy lifting, digging or heavy construction work. Think about only those vigorous physical activities that you did for at least 10 minutes at a time.

• INTERVIEWER : Press <1> to continue.

IPA_Q02
During the last 7 days, on how many days did you do vigorous physical activities as part of your work? (Think about only those physical activities that you did for at least 10 minutes at a time.)

• INTERVIEWER : Work includes paid and unpaid work as well as school, college, CEGEP, university, and other credit and non-credit classes. Include all jobs and volunteer work.
• Enter amount only.
• Number of days
• (MIN: 0)
• (MAX: 7)
• DK, RF (Go to IPA_R04)

IPA_C03

• If IPA_Q02 = 0, go to IPA_R04.
• Otherwise, go to IPA_Q03.

IPA_Q03
How much time did you usually spend on one of those days doing vigorous physical activities as part of your work?

• INTERVIEWER : Include rest periods resulting from physical fatigue as part of the 10 minutes. Include only those physical activities that lasted at least 10 minutes at a time.
• If respondent answers in hours and minutes, enter the number of hours on this screen and the number of minutes on the next screen. If respondent answers in minutes only, enter 0 hours on this screen and number of minutes on the next screen.
• Enter number of hours.
• Hours
• (MIN: 0)
• (MAX: 24)
• DK, RF (Go to IPA_R04)

IPA_C03A

• If IPA_Q03 = 24, go to IPA_R04.
• Otherwise, go to IPA_N03.

IPA_N03

• INTERVIEWER : Enter number of minutes.
• Minutes
• (MIN: 0)
• (MAX: 960)
• DK, RF

IPA_R04
Now think about activities which take moderate physical effort that you did as part of your work. Moderate physical activities make you breathe somewhat harder than normal and may include activities like carrying light loads. Do not include walking. Again, think about only those moderate physical activities that you did for at least 10 minutes at a time.

• INTERVIEWER : Press <1> to continue.

IPA_Q04
During the last 7 days, on how many days did you do moderate physical activities as part of your work? (Think about only those physical activities that you did for at least 10 minutes at a time.)

• INTERVIEWER : Work includes paid and unpaid work as well as school, college, CEGEP, university, and other credit and non-credit classes. Include all jobs and volunteer work.
• Enter amount only.
• Number of days.
• (MIN: 0)
• (MAX: 7)
• DK, RF (Go to IPA_R06)

IPA_C05

• If IPA_Q04 = 0, go to IPA_R06.
• Otherwise, go to IPA_Q05.

IPA_Q05
How much time did you usually spend on one of those days doing moderate physical activities as part of your work?

• INTERVIEWER : Include only those physical activities that lasted at least 10 minutes at a time.
• If respondent answers in hours and minutes, enter the number of hours on this screen and the number of minutes on the next screen. If respondent answers in minutes only, enter 0 hours on this screen and number of minutes on the next screen.
• Enter number of hours.
• Hours
• (MIN: 0)
• (MAX: 24)
• DK, RF (Go to IPA_R06)

IPA_C05A

• If IPA_Q05 = 24, go to IPA_R06.
• Otherwise, go to IPA_N05.

IPA_N05

• INTERVIEWER : Enter number of minutes.
• Minutes
• (MIN: 0)
• (MAX: 960)
• DK, RF

IPA_R06
Now think about the time you spend walking for at least 10 minutes at a time as part of your work. Please do not count any walking you did to travel to or from work.

• INTERVIEWER : Press <1> to continue.

IPA_Q06
During the last 7 days, on how many days did you walk as part of your work? (Think about only the walking you did for at least 10 minutes at a time.)

• INTERVIEWER : Work includes paid and unpaid work as well as school, college, CEGEP, university, and other credit and non-credit classes. Include all jobs and volunteer work.
• Enter amount only.
• Number of days
• (MIN: 0)
• (MAX: 7)
• DK, RF (Go to IPA_R08)

IPA_C07

• If IPA_Q06 = 0, go to IPA_R08.
• Otherwise, go to IPA_Q07.

IPA_Q07
How much time did you usually spend on one of those days walking as part of your work?

• INTERVIEWER : Work includes paid and unpaid work as well as school, college, CEGEP, university, and other credit and non-credit classes. Include all jobs and volunteer work. Include only walking that lasted at least 10 minutes at a time.
• If respondent answers in hours and minutes, enter the number of hours on this screen and the number of minutes on the next screen. If respondent answers in minutes only, enter 0 hours on this screen and number of minutes on the next screen.
• Enter number of hours.
• Hours
• (MIN: 0)
• (MAX: 24)
• DK, RF (Go to IPA_R08)

IPA_C07A

• If IPA_Q07 = 24, go to IPA_R08.
• Otherwise, go to IPA_N07.

IPA_N07

• INTERVIEWER : Enter number of minutes.
• Minutes
• (MIN: 0)
• (MAX: 960)
• DK, RF

IPA_R08
Now, think about how you travelled from place to place, including to places like work, stores, movies and so on.

• INTERVIEWER : Press <1> to continue.

IPA_Q08
During the last 7 days, on how many days did you travel in a motor vehicle like a car, bus, train or streetcar?

• INTERVIEWER : Enter amount only.
• Number of days
• (MIN: 0)
• (MAX: 7)
• DK, RF (Go to IPA_R12)

IPA_C08

• If IPA_Q08 = 0, go to IPA_R10.
• Otherwise, go to IPA_Q09.

IPA_Q09
How much time did you usually spend on one of those days travelling in a car, bus, train or other kind of motor vehicle?

• INTERVIEWER : If respondent answers in hours and minutes, enter the number of hours on this screen and the number of minutes on the next screen. If respondent answers in minutes only, enter 0 hours on this screen and number of minutes on the next screen.
• Enter number of hours.
• Hours
• (MIN: 0)
• (MAX: 24)
• DK, RF (Go to IPA_R10)

IPA_C09

• If IPA_Q09 = 24, go to IPA_R10.
• Otherwise, go to IPA_N09.

IPA_N09

• INTERVIEWER : Enter number of minutes.
• (MIN: 0)
• (MAX: 960)
• DK, RF

IPA_R10
Now think only about the bicycling you did to travel to and from work, to do errands, or to go from place to place. Only include bicycling that you did for at least 10 minutes at a time.

• INTERVIEWER : Press <1> to continue.

IPA_Q10
During the last 7 days, on how many days did you bicycle to go from place to place? (Think about only the bicycling that you did for at least 10 minutes at a time.)

• INTERVIEWER : Do not include time spent bicycling purely for leisure as this will be asked later.
• Enter amount only.
• (MIN: 0)
• (MAX: 7)
• DK, RF (Go to IPA_R12)

IPA_C11

• If IPA_Q10 = 0, go to IPA_R12.
• Otherwise, go to IPA_Q11.

IPA_Q11
How much time did you usually spend on one of those days to bicycle from place to place?

• INTERVIEWER : Include only bicycling that lasted at least 10 minutes at a time.
• If respondent answers in hours and minutes, enter the number of hours on this screen and the number of minutes on the next screen. If respondent answers in minutes only, enter 0 hours on this screen and number of minutes on the next screen.
• Enter number of hours.
• Hours
• (MIN: 0)
• (MAX: 24)
• DK, RF (Go to IPA_R12)

IPA_C11A

• If IPA_Q11 = 24, go to IPA_R12.
• Otherwise, go to IPA_N11.

IPA_N11

• INTERVIEWER : Enter number of minutes.
• (MIN: 0)
• (MAX: 960)
• DK, RF

IPA_R12
Now think only about the walking you did to travel to and from work, to do errands or to go from place to place. Only include walking that you did for at least 10 minutes at a time.

• INTERVIEWER : Press <1> to continue.

IPA_Q12
During the last 7 days, on how many days did you walk to go from place to place? (Think only about the walking that you did for at least 10 minutes at a time.)

• INTERVIEWER : Do not include time spent walking purely for leisure (e.g., walking the dog) or exercise as these will be asked later. Include time spent shopping, doing groceries and running errands.
• Enter amount only.
• Number of days
• (MIN: 0)
• (MAX: 7)
• DK, RF (Go to IPA_R14)

IPA_C13

• If IPA_Q12 = 0, go to IPA_R14.
• Otherwise, go to IPA_Q13.

IPA_Q13
How much time did you usually spend on one of those days walking from place to place?

• INTERVIEWER : Include only walking that lasted for at least 10 minutes at a time.
• If respondent answers in hours and minutes, enter the number of hours on this screen and the number of minutes on the next screen. If respondent answers in minutes only, enter 0 hours on this screen and number of minutes on the next screen.
• Enter number of hours.
• Hours
• (MIN: 0)
• (MAX: 24)
• DK, RF (Go to IPA_R14)

IPA_C13A

• If IPA_Q13 = 24, go to IPA_R14.
• Otherwise, go to IPA_N13.

IPA_N13

• INTERVIEWER : Enter number of minutes.
• Minutes
• (MIN: 0)
• (MAX: 960)
• DK, RF

IPA_R14
Now think about the physical activities you have done in the last 7 days in and around your home, like housework, gardening, yard work, general maintenance work, and caring for your family.

• INTERVIEWER : Press <1> to continue.

IPA_R15
First, think about vigorous activities which take hard physical effort that you did in the garden or yard. Vigorous activities make you breathe much harder than normal and may include heavy lifting, chopping wood, shoveling snow, or digging. Again, think about only those vigorous physical activities that you did for at least 10 minutes at a time.

• INTERVIEWER : Press <1> to continue.

IPA_Q15
During the last 7 days, on how many days did you do vigorous physical activities in the garden or yard? (Think about only those physical activities that you did for at least 10 minutes at a time.)

• INTERVIEWER : Include any garden or yard (e.g., at a cottage or friend's house). Yard includes all outside areas such as the front yard, the back yard and the driveway. Include shovelling snow and other seasonal maintenance.
• Enter amount only.
• Number of days
• (MIN: 0)
• (MAX: 7)
• DK, RF (Go to IPA_R17)

IPA_C16

• If IPA_Q15 = 0, go to IPA_R17.
• Otherwise, go to IPA_Q16.

IPA_Q16
How much time did you usually spend on one of those days doing vigorous physical activities in the garden or yard?

• INTERVIEWER : Include only those physical activities that lasted at least 10 minutes at a time.
• If respondent answers in hours and minutes, enter the number of hours on this screen and the number of minutes on the next screen. If respondent answers in minutes only, enter 0 hours on this screen and number of minutes on the next screen.
• Enter number of hours.
• (MIN: 0)
• (MAX: 24)
• DK, RF (Go to IPA_R17)

IPA_C16A

• If IPA_Q16 = 24, go to IPA_R17.
• Otherwise, go to IPA_N16.

IPA_N16

• INTERVIEWER : Enter number of minutes.
• Minutes
• (MIN: 0)
• (MAX: 960)
• DK, RF

IPA_R17
Now think about activities which take moderate physical effort that you did in the garden or yard. Moderate physical activities make you breathe somewhat harder than normal and may include carrying light loads, sweeping, washing windows, and raking. Again, include only those moderate physical activities that you did for at least 10 minutes at a time.

• INTERVIEWER : Press <1> to continue.

IPA_Q17
During the last 7 days, on how many days did you do moderate activities in the garden or yard? (Think about only those physical activities that you did for at least 10 minutes at a time.)

• INTERVIEWER : Enter amount only.
• Number of days
• (MIN: 0)
• (MAX: 7)
• DK, RF (Go to IPA_R19)

IPA_C18

• If IPA_Q17 = 0, go to IPA_R19.
• Otherwise, go to IPA_Q18.

IPA_Q18
How much time did you usually spend on one of those days doing moderate physical activities in the garden or yard?

• INTERVIEWER : Include only those physical activities that lasted at least 10 minutes at a time.
• If respondent answers in hours and minutes, enter the number of hours on this screen and the number of minutes on the next screen. If respondent answers in minutes only, enter 0 hours on this screen and number of minutes on the next screen.
• Enter number of hours.
• Hours
• (MIN: 0)
• (MAX: 24)
• DK, RF (Go to IPA_R19)

IPA_C18A

• If IPA_Q18 = 24, go to IPA_R19.
• Otherwise, go to IPA_N18.

IPA_N18

• INTERVIEWER : Enter number of minutes.
• Minutes
• (MIN: 0)
• (MAX: 960)
• DK, RF

IPA_R19
Now think about activities which take at least moderate physical effort that you did inside your home. Examples include carrying light loads, scrubbing floors, washing windows, and sweeping. Include only those moderate physical activities that you did for at least 10 minutes at a time.

• INTERVIEWER : Moderate activities make you breathe somewhat harder than normal.
• Press <1> to continue.

IPA_Q20
During the last 7 days, on how many days did you do moderate activities inside your home? (Think about only those physical activities that you did for at least 10 minutes at a time.)

• INTERVIEWER : Enter amount only.
• (MIN: 0)
• (MAX: 7)
• DK, RF (Go to IPA_R22)

IPA_C21

• If IPA_Q20 = 0, go to IPA_R22.
• Otherwise, go to IPA_Q21.

IPA_Q21
How much time did you usually spend on one of those days doing moderate physical activities inside your home?

• INTERVIEWER : Include only those physical activities that lasted at least 10 minutes at a time.
• If respondent answers in hours and minutes, enter the number of hours on this screen and the number of minutes on the next screen. If respondent answers in minutes only, enter 0 hours on this screen and number of minutes on the next screen.
• Enter number of hours.
• Hours
• (MIN: 0)
• (MAX: 24)
• DK, RF (Go to IPA_R22)

IPA_C21A

• If IPA_Q21 = 24, go to IPA_R22.
• Otherwise, go to IPA_N21.

IPA_N21

• INTERVIEWER : Enter number of minutes.
• Minutes
• (MIN: 0)
• (MAX: 960)
• DK, RF

IPA_R22
Now, think about all the physical activities that you did in the last 7 days solely for recreation, sport, exercise or leisure. Please do not include any activities you have already mentioned.

• INTERVIEWER : Press <1> to continue.

IPA_Q22
Not counting any walking you have already mentioned, during the last 7 days, on how many days did you walk for at least 10 minutes at a time in your leisure time?

• INTERVIEWER : Include walking the dog and walking for exercise (e.g., on a treadmill).
• Enter amount only.
• Number of days
• (MIN: 0)
• (MAX: 7)
• DK, RF (Go to IPA_R24)

IPA_C23

• If IPA_Q22 = 0, go to IPA_R24.
• Otherwise, go to IPA_Q23.

IPA_Q23
How much time did you usually spend on one of those days walking in your leisure time?

• INTERVIEWER : Include only walking that lasted at least 10 minutes at a time.
• If respondent answers in hours and minutes, enter the number of hours on this screen and the number of minutes on the next screen. If respondent answers in minutes only, enter 0 hours on this screen and number of minutes on the next screen.
• Enter number of hours.
• Hours
• (MIN: 0)
• (MAX: 24)
• DK, RF (Go to IPA_R24)

IPA_C23A

• If IPA_Q23 = 24, go to IPA_R24.
• Otherwise, go to IPA_N23.

IPA_N23

• INTERVIEWER : Enter number of minutes.
• Minutes
• (MIN: 0)
• (MAX: 960)
• DK, RF

IPA_R24
Now think about other physical activities you did in your leisure time for at least 10 minutes at a time.

• INTERVIEWER : Press <1> to continue.

IPA_R25
First, think about vigorous activities which take hard physical effort that you did in your leisure time. Examples include aerobics, running, playing hockey, basketball or football.

• INTERVIEWER : Vigorous activities make you breathe much harder than normal.
• Press <1> to continue.

IPA_Q25
During the last 7 days, on how many days did you do vigorous physical activities in your leisure time? (Think about only those vigorous physical activities that you did for at least 10 minutes at a time.)

• INTERVIEWER : Enter amount only.
• Number of days.
• (MIN: 0)
• (MAX: 7)
• DK, RF (Go to IPA_R27)

IPA_C25

• If IPA_Q25 = 0, go to IPA_R27.
• Otherwise, go to IPA_Q26.

IPA_Q26
How much time did you usually spend on one of those days doing vigorous physical activities in your leisure time?

• INTERVIEWER : Do not include activities previously mentioned. Include only those physical activities that lasted at least 10 minutes at a time.
• If respondent answers in hours and minutes, enter the number of hours on this screen and the number of minutes on the next screen. If respondent answers in minutes only, enter 0 hours on this screen and number of minutes on the next screen.
• Enter number of hours.
• Hours
• (MIN: 0)
• (MAX: 24)
• DK, RF (Go to IPA_R27)

IPA_C26A

• If IPA_Q26 = 24, go to IPA_R27.
• Otherwise, go to IPA_N26.

IPA_N26

• INTERVIEWER : Enter number of minutes.
• Minutes
• (MIN: 0)
• (MAX: 960)
• DK, RF

IPA_R27
Now think about activities which take moderate physical effort that you did in your leisure time. Examples include bicycling for pleasure, playing baseball, or playing doubles tennis or badminton. Again, include only those moderate activities that you did for at least 10 minutes at a time.

• INTERVIEWER : Press <1> to continue.

IPA_Q28
During the last 7 days, on how many days did you do moderate physical activities in your leisure time? (Think about only those physical activities that you did for at least 10 minutes at a time.)

• INTERVIEWER : Do not include walking or other activities previously mentioned. If the same activity is reported as both vigorous and moderate, confirm that this is correct. Collect time spent doing the vigorous and moderate portions of the activity separately.
• Enter amount only.
• Number of days.
• (MIN: 0)
• (MAX: 7)
• DK, RF (Go to IPA_R30)

IPA_C29

• If IPA_Q28 = 0, go to IPA_R30.
• Otherwise, go to IPA_Q29.

IPA_Q29
How much time did you usually spend on one of those days doing moderate physical activities in your leisure time?

• INTERVIEWER : Include only those physical activities that lasted at least 10 minutes at a time.
• If respondent answers in hours and minutes, enter the number of hours on this screen and the number of minutes on the next screen. If respondent answers in minutes only, enter 0 hours on this screen and number of minutes on the next screen.
• Enter number of hours.
• Hours
• (MIN: 0)
• (MAX: 24)
• DK, RF (Go to IPA_R30)

IPA_C29A

• If IPA_Q29 = 24, go to IPA_R30.
• Otherwise, go to IPA_N29.

IPA_N29

• INTERVIEWER : Enter number of minutes.
• Minutes
• (MIN: 0)
• (MAX: 960)
• DK, RF

IPA_R30
The last question is about the time that you spent sitting during the last 7 days. Include time at work, at home, while doing course work and during leisure time. This may include time spent sitting at a desk, visiting friends, reading or sitting or lying down to watch television. Do not include any time spent sitting in a motor vehicle that you have already told me about.

• INTERVIEWER : Press <1> to continue.

IPA_Q30
During the last 7 days, how much time did you usually spend sitting on a weekday?

• INTERVIEWER : Include time spent lying down while awake (e.g., reading, watching TV, insomnia). Do not include time spent lying down sleeping.
• If respondent answers in hours and minutes, enter the number of hours on this screen and the number of minutes on the next screen. If respondent answers in minutes only, enter 0 hours on this screen and number of minutes on the next screen.
• Enter number of hours.
• (MIN: 0)
• (MAX: 24)
• DK, RF (Go to IPA_Q31)

IPA_C30

• If IPA_Q30 = 24, go to IPA_Q31.
• Otherwise, go to IPA_N30.

IPA_N30

• INTERVIEWER : Enter number of minutes.
• Minutes
• (MIN: 0)
• (MAX: 960)
• DK, RF

IPA_Q31
During the last 7 days, how much time did you usually spend sitting on a weekend day?

• INTERVIEWER : If the respondent's answer seems unusually high, probe to determine if the time reported is for one day only or for the weekend as a whole. Include time spent lying down while awake. Do not include time spent lying down sleeping.
• If respondent answers in hours and minutes, enter the number of hours on this screen and the number of minutes on the next screen. If respondent answers in minutes only, enter 0 hours on this screen and number of minutes on the next screen.
• Enter number of hours.
• Hours
• (MIN: 0)
• (MAX: 24)
• DK, RF (Go to IPA_END)

IPA_C30A

• If IPA_Q31 = 24, go to IPA_END.
• Otherwise, go to IPA_N31.

IPA_N31

• INTERVIEWER : Enter number of minutes.
• Minutes
• (MIN: 0)
• (MAX: 960)
• DK, RF

IPA_END

Children's Physical Activity (CPA)

CPA_BEG

• External variables required:
• Variables from other components:
• FNAME: first name of respondent
• AWC_AGE: age of respondent

CPA_C11

• If AWC_AGE < 12, go to CPA_R11A.
• Otherwise, go to CPA_END.

Content type:

• NOTE TO DATA USERS:
  CPA is only asked for selected respondents aged 3 to 11.

CPA_R11A
The next few questions are about ^FNAME's physical activity. Physical activity is any activity that increases the heart rate and causes someone to be out of breath. Physical activity can take place while playing sports, doing school activities, playing with friends, or walking to school.

• INTERVIEWER : Press <1> to continue.

CPA_R11B
Some examples of physical activity are running, brisk walking, dancing, swimming, rollerblading, skateboarding, biking, soccer, basketball and football.

For these next two questions, add up all the time he spent in physical activity each day.

• INTERVIEWER : Press <1> to continue.

CPA_Q11
Over the past 7 days, on how many days was he physically active for a total of at least 60 minutes per day?

• INTERVIEWER : Read categories to respondent.
• 1 None (zero days)
• 2 1 day
• 3 2 or 3 days
• 4 4 days or more
• DK, RF

CPA_Q12
Over a typical or usual week, on how many days is he physically active for a total of at least 60 minutes per day?

• 1 None (zero days)
• 2 1 day
• 3 2 or 3 days
• 4 4 days or more
• DK, RF

CPA_C13

• If AWC_AGE > 5, go to CPA_Q13.
• Otherwise, go to CPA_D15.

CPA_Q13
About how many hours a week does he usually take part in physical activity that makes him out of breath or warmer than usual:

• ... in his free time at school, for example, at lunch?
• INTERVIEWER : Read categories to respondent.
• 1 Never
• 2 Less than 2 hours per week
• 3 2 to less than 4 hours per week
• 4 4 to less than 7 hours per week
• 5 7 or more hours per week
• DK, RF

CPA_Q14
About how many hours a week does he usually take part in physical activity that makes him out of breath or warmer than usual:

... in his class time at school?

• 1 Never
• 2 Less than 2 hours per week
• 3 2 to less than 4 hours per week
• 4 4 to less than 7 hours per week
• 5 7 or more hours per week
• DK, RF

CPA_D15

• If AWC_AGE > 5, DT_CPA15TEXTE = "outside of school".
• Otherwise, DT_CPA15TEXTE = "EMPTY".

CPA_Q15
About how many hours a week does he usually take part in physical activity that makes him out of breath or warmer than usual:

...[outside of school/EMPTY] while participating in lessons or league or team sports?

• INTERVIEWER : Read categories to respondent.
• 1 Never
• 2 Less than 2 hours per week
• 3 2 to less than 4 hours per week
• 4 4 to less than 7 hours per week
• 5 7 or more hours per week
• DK, RF

CPA_Q16
About how many hours a week does he usually take part in physical activity that makes him out of breath or warmer than usual:

...[outside of school/EMPTY] while participating in unorganized activities, either on his own or with friends?

• 1 Never
• 2 Less than 2 hours per week
• 3 2 to less than 4 hours per week
• 4 4 to less than 7 hours per week
• 5 7 or more hours per week
• DK, RF

CPA_Q17
On average, about how many hours a day does he watch TV or videos or play video games?

• 1 Doesn't watch TV or videos or play video games
• 2 Less than 1 hour a day
• 3 1 to less than 3 hours a day
• 4 3 to less than 5 hours a day
• 5 5 to less than 7 hours a day
• 6 7 or more hours a day
• DK, RF

CPA_D18

• If AWC_AGE < 6, DT_CPA18TEXTE = "Include time spent on the computer with an adult or older child.".
• Otherwise, DT_CPA18TEXTE = "EMPTY".

CPA_Q18
On average, about how many hours a day does he spend on a computer, for example, doing homework, playing games, e-mailing, chatting, surfing the Internet? [Include time spent on the computer with an adult or older child./EMPTY]

• 1 Doesn't use a computer
• 2 Less than 1 hour a day
• 3 1 to less than 3 hours a day
• 4 3 to less than 5 hours a day
• 5 5 to less than 7 hours a day
• 6 7 or more hours a day
• DK, RF

CPA_END

Time Spent Outdoors (TSO)

TSO_BEG

• External variables required:
• Variables from other components:
• FNAME: first name of respondent
• AWC_AGE: age of respondent
• Variables from previously completed blocks:
• PROXYSEX: gender of selected respondent and whether the interview is being conducted by proxy.
  • 1 = male, non-proxy
  • 2 = female, non-proxy
  • 3 = male, proxy
  • 4 = female, proxy

TSO_C01A

• If AWC_AGE > 14, go to TSO_END.
• Otherwise, go to TSO_C01B.

TSO_C01B

• If AWC_AGE = 7 to 14, go to TSO_Q21.
• Otherwise, go to TSO_Q01.

TSO_Q01
During the past month did ^FNAME...?

• INTERVIEWER : The category < 2 > (Attend a home-based daycare) includes care provided by a friend or relative (e.g., grandparent) in the friend or relative's own home.
• Select the category < 5 > (Stay at home with a parent, guardian or caregiver) only if it was part of the regular weekday routine. Do not include sick days or Professional Development/Activity days or holidays lasting less than one week. Include vacations of one week or more in this category if the child stayed at home or was travelling with a parent or guardian.
• Read categories to respondent. Mark all that apply.
• 1 Attend a daycare center
• 2 Attend a home-based daycare
• 3 Attend nursery school or preschool
• 4 Attend school (including kindergarten)
• 5 Stay at home with a parent, guardian or caregiver
• 6 Receive any other type of childcare (e.g., attend day camp) - Specify
• DK, RF (Go to TSO_Q11)

TSO_C01C

• If <6> is selected at TSO_Q01, go to TSO_S01.
• Otherwise, go to TSO_C02.

TSO_S01
(What other type of childcare did ^FNAME receive?)

• INTERVIEWER : Specify.
• (80 spaces)
• (DK, RF not allowed)

TSO_C02

• If <4> is selected at TSO_Q01, go to TSO_Q02.
• Otherwise, go to TSO_C03.

TSO_Q02
What grade of school is ^FNAME in?

• INTERVIEWER : If the school year has ended, collect the grade just completed.
• 1 Junior or senior kindergarten
• 2 Grade 1 or higher
• (Go to TSO_R22)
• DK, RF (Go to TSO_R22)

TSO_C03

• If TSO_Q01 = 5 and/or 6 only, go to TSO_Q11.
• Otherwise, go to TSO_D03A.

TSO_D03A

• If TSO_Q01 = (1 or 2) and TSO_Q01 <> 3 and TSO_Q01 <> 4, DT_CHILDCAREE = "daycare".
• If TSO_Q01 = 3 and TSO_Q01 <> 1 and TSO_Q01 <> 2 and TSO_Q01 <> 4, DT_CHILDCAREE = "nursery school or preschool".
• If TSO_Q01 = 4 and TSO_Q01 <> 1 and TSO_Q01 <> 2 and TSO_Q01 <> 3, DT_CHILDCAREE = "kindergarten".
• If TSO_Q01 = (1 or 2) and 3 and TSO_Q01 <> 4, DT_CHILDCAREE = "daycare, nursery school or preschool".
• If TSO_Q01 = (1 or 2) and 4 and TSO_Q01 <> 3, DT_CHILDCAREE = "daycare or kindergarten".
• If TSO_Q01 = 3 and 4 and TSO_Q01 <> 1 and TSO_Q01 <> 2, DT_CHILDCAREE = "nursery school, preschool or kindergarten".
• If TSO_Q01 = (1 or 2) and 3 and 4, DT_CHILDCAREE = "daycare, nursery school, preschool or kindergarten".

TSO_D03B

• If TSO_Q01 = (1 or 2) and TSO_Q01 <> 3 and TSO_Q01 <> 4, DT_CHILDCARE2E = "daycare".
• If TSO_Q01 = 3 and TSO_Q01 <> 1 and TSO_Q01 <> 2 and TSO_Q01 <> 4, DT_CHILDCARE2E = "nursery school or preschool".
• If TSO_Q01 = 4 and TSO_Q01 <> 1 and TSO_Q01 <> 2 and TSO_Q01 <> 3, DT_CHILDCARE2E = "kindergarten".
• If TSO_Q01 = (1 or 2) and 3 and TSO_Q01 <> 4, DT_CHILDCARE2E = "daycare and nursery school or preschool".
• If TSO_Q01 = (1 or 2) and 4 and TSO_Q01 <> 3, DT_CHILDCARE2E = "daycare and kindergarten".
• If TSO_Q01 = 3 and 4 and TSO_Q01 <> 1 and TSO_Q01 <> 2, DT_CHILDCARE2E = "nursery school or preschool and kindergarten".
• If TSO_Q01=(1 or 2) and 3 and 4, DT_CHILDCARE2E = "daycare and nursery school or preschool and kindergarten".

TSO_D03C

• If more than one of 1, 2, 3 or 4 is selected at TSO_Q01, DT_TSOTEXTE = "these programs".
• Else, DT_TSOTEXTE = "this program".
• Content type:
• NOTE TO DATA USERS:
• TSO_R03 to TSO_Q10 are asked for children aged 3 to 6 who attended daycare, nursery school, preschool or kindergarten in the past month.
• TSO_Q03 to TSO_Q09 ask about time spent outdoors before these activities; while at the activities; after the activities but before dinner; and after dinner but before bedtime.
• TSO_Q10 asks about time spent outdoors on days when the child did not attend any of these activities.

TSO_R03
Now I'd like to ask some questions about the time ^FNAME usually spends outdoors. I will first ask about time spent outside before getting to ^DT_CHILDCAREE, then about time spent outside while attending [these programs/this program] and finally about time spent outside after leaving ^DT_CHILDCARE2E for the day.

Please think about an average day during the past month.

• INTERVIEWER : Press <1> to continue.

TSO_Q03
On an average day during the past month, how much time did ^FNAME usually spend outside after waking up in the morning but before getting to ^DT_CHILDCAREE? Please include any time spent walking to ^DT_CHILDCAREE. Do not include time spent travelling in a car, bus or other vehicle.

• INTERVIEWER : If the child goes to multiple places on a given day, this question refers to the time spent outside after waking up in the morning but before arriving at the first place for the day (e.g., daycare, nursery school or kindergarten).
• Read categories to respondent.
• 1 None
• 2 1 to less than 15 minutes
• 3 15 to less than 30 minutes
• 4 30 minutes to less than 1 hour
• 5 1 to less than 2 hours
• 6 2 hours or more
• DK, RF

TSO_C04

• If TSO_Q01 = 1 (daycare centre), go to TSO_Q04.
• Otherwise, go to TSO_C05.

TSO_Q04
On an average day during the past month...

...how much time did he usually spend outside while at the daycare center?

• 1 None
• 2 1 to less than 15 minutes
• 3 15 to less than 30 minutes
• 4 30 minutes to less than 1 hour
• 5 1 to less than 2 hours
• 6 2 hours or more
• DK, RF

TSO_C05

• If TSO_Q01 = 2 (home-based daycare), go to TSO_Q05.
• Otherwise, go to TSO_C06.

TSO_Q05
On an average day, during the past month...

...how much time did he usually spend outside while at the home-based daycare?

• 1 None
• 2 1 to less than 15 minutes
• 3 15 to less than 30 minutes
• 4 30 minutes to less than 1 hour
• 5 1 to less than 2 hours
• 6 2 hours or more
• DK, RF

TSO_C06

• If TSO_Q01 = 3 (nursery school/preschool), go to TSO_Q06.
• Otherwise, go to TSO_C07.

TSO_Q06
On an average day, during the past month...

...how much time did he usually spend outside while at nursery school or preschool?

• 1 None
• 2 1 to less than 15 minutes
• 3 15 to less than 30 minutes
• 4 30 minutes to less than 1 hour
• 5 1 to less than 2 hours
• 6 2 hours or more
• DK, RF

TSO_C07

• If TSO_Q01 = 4 (kindergarten), go to TSO_Q07.
• Otherwise, go to TSO_D08.

TSO_Q07
On an average day, during the past month...

...how much time did he usually spend outside while at kindergarten?

• 1 None
• 2 1 to less than 15 minutes
• 3 15 to less than 30 minutes
• 4 30 minutes to less than 1 hour
• 5 1 to less than 2 hours
• 6 2 hours or more
• DK, RF

TSO_D08

• Not Applicable

TSO_Q08
On an average day, during the past month...

...how much time did he usually spend outside after leaving ^DT_CHILDCAREE, but before dinner? Please include any time spent walking from ^DT_CHILDCAREE. Do not include time spent travelling in a car, bus or other vehicle.

• INTERVIEWER : Include time spent outside between programs (e.g., walking from one place to another), as well as time spent outside after leaving the last place the child has been for the day, but before dinner.
• 1 None
• 2 1 to less than 15 minutes
• 3 15 to less than 30 minutes
• 4 30 minutes to less than 1 hour
• 5 1 to less than 2 hours
• 6 2 hours or more
• DK, RF

TSO_Q09
On an average day, during the past month...

...how much time did he usually spend outside after dinner on a day when he attended ^DT_CHILDCAREE?

• 1 None
• 2 1 to less than 15 minutes
• 3 15 to less than 30 minutes
• 4 30 minutes to less than 1 hour
• 5 1 to less than 2 hours
• 6 2 hours or more
• DK, RF

TSO_Q10
On an average day during the past month, on a day when ^FNAME did not go to ^DT_CHILDCAREE, for example, on the weekend, how much time did he usually spend outside?

• 1 None
• 2 1 to less than 15 minutes
• 3 15 to less than 30 minutes
• 4 30 minutes to less than 1 hour
• 5 1 to less than 2 hours
• 6 2 hours or more
• DK, RF

Go to TSO_END

Content type:

• NOTE TO DATA USERS:
  TSO_Q11 is asked for children aged 3 to 6 who did not attend daycare, nursery school, preschool or school in the past month. These are children who stayed home with a parent or guardian and/or received some other type of childcare (e.g., attended day camp).

TSO_Q11
On an average day during the past month, how much time did ^FNAME usually spend outside during the day?

• INTERVIEWER : Read categories to respondent.
• 1 None
• 2 1 to less than 15 minutes
• 3 15 to less than 30 minutes
• 4 30 minutes to less than 1 hour
• 5 1 to less than 2 hours
• 6 2 hours or more
• DK, RF

Go to TSO_END

Content type:

• NOTE TO DATA USERS:
  TSO_Q21 is asked for respondents aged 7 to 14. </;i>

TSO_Q21
During the past month, did you attend school?

• INTERVIEWER : Select "no" if the child was home schooled.
• 1 Yes
• 2 No (Go to TSO_Q27)
• DK, RF (Go to TSO_Q27)

Content type:

• NOTE TO DATA USERS:
  TSO_R22 to TSO_Q26 are asked for respondents aged 7 to 14 who attended school in the past month, and for children aged 3 to 6 who attended school in grade 1 or over in the past month.

TSO_R22
I am now going to ask you about the time you usually spend outside on school days.

• INTERVIEWER : Press <1> to continue.

TSO_Q22
During the past month, on an average school day, how much time did you usually spend outside after waking up, but before getting to school? Please include any time spent walking or biking to school. Do not include time spent travelling to school in a car, bus or other vehicle.

• INTERVIEWER : Read categories to respondent.
• 1 None
• 2 1 to less than 15 minutes
• 3 15 to less than 30 minutes
• 4 30 minutes to less than 1 hour
• 5 1 to less than 2 hours
• 6 2 hours or more
• DK, RF

TSO_Q23
During the past month, on an average school day...

...how much time did you usually spend outside while at school, including before school started, at recess, at lunch and during class time (e.g., during physical education class)?

• INTERVIEWER : Include any time spent outside at a before- or after-school program or activity at the child's school.
• 1 None
• 2 1 to less than 15 minutes
• 3 15 to less than 30 minutes
• 4 30 minutes to less than 1 hour
• 5 1 to less than 2 hours
• 6 2 hours or more
• DK, RF

TSO_Q24
During the past month, on an average school day...

...how much time did you usually spend outside after leaving school, but before dinner? Please include any time spent walking or biking home from school. Do not include time spent travelling in a car, bus or other vehicle.

• 1 None
• 2 1 to less than 15 minutes
• 3 15 to less than 30 minutes
• 4 30 minutes to less than 1 hour
• 5 1 to less than 2 hours
• 6 2 hours or more
• DK, RF

TSO_Q25 During the past month, on an average school day...

...how much time did you usually spend outside after dinner?

• 1 None
• 2 1 to less than 15 minutes
• 3 15 to less than 30 minutes
• 4 30 minutes to less than 1 hour
• 5 1 to less than 2 hours
• 6 2 hours or more
• DK, RF

TSO_Q26
On an average day during the past month, when you did not go to school, for example, on the weekend, how much time did you usually spend outside?

• 1 None
• 2 1 to less than 15 minutes
• 3 15 to less than 30 minutes
• 4 30 minutes to less than 1 hour
• 5 1 to less than 2 hours
• 6 2 hours or more
• DK, RF

Go to TSO_END

Content type:

• NOTE TO DATA USERS:
  TSO_Q27 and TSO_Q28 are asked for children aged 7 to 14 who did not attend school in the past month.

TSO_Q27
On an average weekday (Monday to Friday) during the past month, how much time did you usually spend outside?

• INTERVIEWER : Read categories to respondent.
• 1 None
• 2 1 to less than 15 minutes
• 3 15 to less than 30 minutes
• 4 30 minutes to less than 1 hour
• 5 1 to less than 2 hours
• 6 2 hours or more
• DK, RF

TSO_Q28
On an average weekend day (Saturday or Sunday) during the past month, how much time did you usually spend outside?

• 1 None
• 2 1 to less than 15 minutes
• 3 15 to less than 30 minutes
• 4 30 minutes to less than 1 hour
• 5 1 to less than 2 hours
• 6 2 hours or more
• DK, RF

TSO_END

Sedentary Activities (SAC)

SAC_BEG

• External variables required:
• Variables from other components:
• FNAME: first name of respondent
• AWC_AGE: age of respondent
• Variables from previously completed blocks:
• PROXYSEX: gender of selected respondent and whether the interview is being conducted by proxy.
  • 1 = male, non-proxy
  • 2 = female, non-proxy
  • 3 = male, proxy
  • 4 = female, proxy

SAC_C11

• If AWC_AGE < 12, go to SAC_END.
• Otherwise, go to SAC_D11.

SAC_D11

• Not Applicable

SAC_R11
Now, a few additional questions about activities you do in your leisure time, that is, activities not at work or at school.

• INTERVIEWER : Press <1> to continue.

SAC_Q11
In a typical week in the past 3 months, how much time did you usually spend on a computer, including watching videos, playing computer games, emailing or using the Internet? Include Internet use on other devices and time spent doing homework on a computer. Do not include time spent on a computer at work or at school.

• INTERVIEWER : Do not include time spent on a computer at work or at school. Include Internet use on other devices such as iPads or cell phones.
• Enter time in hours to the nearest half hour.
• (MIN: 0)
• (MAX: 96)
• DK, RF

SAC_Q12A
In a typical week in the past 3 months, how much time did you usually spend:

... playing video games that require physical activity, such as Wii Fit or Dance Dance Revolution?

• INTERVIEWER : Do not include time spent playing video games on a computer.
• Enter time in hours to the nearest half hour.
• (MIN: 0)
• (MAX: 96)
• DK, RF

SAC_Q12B
In a typical week in the past 3 months, how much time did you usually spend:

... playing other types of video games on a game console or hand-held electronic device?

• INTERVIEWER : Do not include time spent playing video games on a computer. Game consoles include Xbox, Nintendo and PlayStation® consoles. Hand-held electronic devices include Nintendo DS, PSP® and cell phones.
• Enter time in hours to the nearest half hour.
• (MIN: 0)
• (MAX: 96)
• DK, RF

SAC_Q13
In a typical week in the past 3 months, how much time did you usually spend:

... watching television, DVD's or videos? Please do not include time spent watching TV or videos on a computer or while exercising.

• INTERVIEWER : Do not include time spent watching videos on devices such as iPads or cell phones. Do not include time when the TV was left on, but the respondent was not watching.
• Enter time in hours to the nearest half hour.
• (MIN: 0)
• (MAX: 96)
• DK, RF

SAC_Q14

In a typical week in the past 3 months, how much time did you usually spend:

…reading? Include time spent reading as part of your homework, but do not include time spent reading at work or at school.

• INTERVIEWER : Include books, eBooks, magazines, newspapers and homework. Do not include reading on the computer or Internet.
• Enter time in hours to the nearest half hour.
• (MIN: 0)
• (MAX: 96)
• DK, RF

SAC_END

Hobbies

Hobbies (HOB)

HOB_BEG

• External variables required:
• Variables from other components:
• FNAME: first name of respondent
• AWC_AGE: age of respondent
• Variables from previously completed blocks:
• PROXYSEX: gender of selected respondent and whether the interview is being conducted by proxy.
  • 1 = male, non-proxy
  • 2 = female, non-proxy
  • 3 = male, proxy
  • 4 = female, proxy

HOB_R11
Now some questions about activities you may have done recently.

• INTERVIEWER : Press <1> to continue.

HOB_D11A

Programmer:

• Date3MonthsAgoE: English text of date three months ago

HOB_D11B

• If 11< AWC_AGE < 20, DT_HOB11TEXTE = " or at school?".
• If AWC_AGE < 12, DT_HOB11TEXTE = " or at school? For children this can include watching or helping a relative as well as participating themselves.".
• Otherwise, DT_HOB11TEXTE = ", that is outside of work?".

HOB_Q11
In the past 3 months, that is from ^Date3MonthsAgoE to yesterday, have you done any of the following in your leisure time[ or at school?/ or at school? For children this can include watching or helping a relative as well as participating themselves./, that is outside of work?]

• INTERVIEWER : Read categories to respondent. Mark all that apply.
• 01 Arts using paints, glazes, finger paints, water colours, crayons
• 02 Pottery and ceramics using a kiln
• 03 Model making using glues, solders, paints or metals
• 04 Making fishing sinkers or weights
• 05 Welding or soldering
• 06 Auto repairs
• 07 Electronics assembly, repairs of components
• 08 Plumbing
• 09 Refinishing furniture
• 10 Woodworking
• 11 None
• (Go to HOB_END)
• DK, RF (Go to HOB_END)

HOB_B12
Call the Hobby Detail (HDB) block.

Programmer:

• The block should be called for each activity identified in HOB_Q11.
• Parameters required: HOB_Q11.

HOB_END

Hobby Detail (HDB)

HDB_BEG

• External variables required:
• Variables from previously completed blocks:
• HOB_Q11: Activities in last three months
• PROXYSEX: gender of selected respondent and whether the interview is being conducted by proxy.
  • 1 = male, non-proxy
  • 2 = female, non-proxy
  • 3 = male, proxy
  • 4 = female, proxy

HDB_D11

• If HOB_Q11 = 1, DT_ACTTEXTE = "do arts".
• If HOB_Q11 = 2, DT_ACTTEXTE = "do pottery or ceramics".
• If HOB_Q11 = 3, DT_ACTTEXTE = "do model making".
• If HOB_Q11 = 4, DT_ACTTEXTE = "make fishing sinkers or weights".
• If HOB_Q11 = 5, DT_ACTTEXTE = "do welding or soldering".
• If HOB_Q11 = 6, DT_ACTTEXTE = "do auto repairs".
• If HOB_Q11 = 7, DT_ACTTEXTE = "do electronics".
• If HOB_Q11 = 8, DT_ACTTEXTE = "do plumbing".
• If HOB_Q11 = 9, DT_ACTTEXTE = "refinish furniture".
• If HOB_Q11 = 10, DT_ACTTEXTE = "do woodworking".

Programmer:

• Repeat HDB_D11, HDB_B11, HDB_C12 and HDB_Q12 for each activity identified in HOB_Q11.

HDB_B11

• Call the Frequency Detail (FQD) block.

Programmer:

• Pass " How often do you usually [do arts/do pottery or ceramics/do model making/make fishing sinkers or weights/do welding or soldering/do auto repairs/do electronics/do plumbing/refinish furniture/do woodworking]? (For example: twice a day, three times a week, once a month) " as parameter.

HDB_C12

• If HDB_B11.FQD_Q11 = DK or RF, go to HDB_END.
• Otherwise, go to HDB_Q12.

HDB_Q12
About how much time do you spend on each occasion?

• 1 Less than 30 minutes
• 2 30 to 60 minutes
• 3 61 to 90 minutes
• 4 More than an hour and a half
• DK, RF

HDB_END

Frequency Detail (FQD)

FQD_BEG

• External variables required:
• DT_QUESTIONE: English question text

FQD_Q11

• ^DT_QUESTIONE
• INTERVIEWER : Enter amount only.
• Times
• (MIN: 0)
• (MAX: 500)
• DK, RF (Go to FQD_END)

FQD_C11

• If FQD_Q11 = 0, go to FQD_END.
• Otherwise, go to FQD_N11.

FQD_N11

• INTERVIEWER : Select the reporting period.
• 1 Per day
• 2 Per week
• 3 Per month
• 4 Per year
• (DK, RF not allowed)

FQD_END

Sleep (SLP)

SLP_BEG

• External variables required:
• Variables from other components:
• FNAME: first name of respondent
• AWC_AGE: age of respondent
• Variables from previously completed blocks:
• PROXYSEX: gender of selected respondent and whether the interview is being conducted by proxy.
  • 1 = male, non-proxy
  • 2 = female, non-proxy
  • 3 = male, proxy
  • 4 = female, proxy

SLP_D11

• Not Applicable

SLP_R11
Now a few questions about your sleep.

• INTERVIEWER : Press <1> to continue.

SLP_Q11
How many hours do you usually spend sleeping in a 24 hour period, excluding time spent resting?

• INTERVIEWER : Enter number of hours per 24 hour period. Record to the nearest half hour.
• (MIN: 1)
• (MAX: 24)
• DK, RF (Go to SLP_END)

SLP_Q12
How often do you have trouble going to sleep or staying asleep?

• INTERVIEWER : Read categories to respondent.
• 1 Never
• (Go to SLP_C14)
• 2 Rarely
• (Go to SLP_C14)
• 3 Sometimes
• (Go to SLP_C14)
• 4 Most of the time
• 5 All of the time
• DK, RF (Go to SLP_C14)

SLP_Q13
How long have you had this trouble?

• INTERVIEWER : Read categories to respondent.
• 1 Less than 2 weeks
• 2 2 weeks to less than 6 months
• 3 6 months to less than one year
• 4 1 year to less than 2 years
• 5 2 years or more
• DK, RF

SLP_C14

• If AWC_AGE < 6, go to SLP_Q16.
• Otherwise, go to SLP_Q14.

SLP_Q14
How often do you find your sleep refreshing?

• 1 Never
• 2 Rarely
• 3 Sometimes(Go to SLP_Q16)
• 4 Most of the time(Go to SLP_Q16)
• 5 All of the time(Go to SLP_Q16)
• DK, RF (Go to SLP_Q16)

SLP_Q15
How long has your sleep not been refreshing?

• INTERVIEWER : Read categories to respondent.
• 1 Less than 2 weeks
• 2 2 weeks to less than 6 months
• 3 6 months to less than one year
• 4 1 year to less than 2 years
• 5 2 years or more
• DK, RF

SLP_Q16
How often do you find it difficult to stay awake during your normal waking hours when you want to?

• 1 Never
• (Go to SLP_END)
• 2 Rarely
• (Go to SLP_END)
• 3 Sometimes
• (Go to SLP_END)
• 4 Most of the time
• 5 All of the time
• DK, RF (Go to SLP_END)

SLP_Q17
How long have you had difficulty staying awake when you want to?

• INTERVIEWER : Read categories to respondent.
• 1 Less than 2 weeks
• 2 2 weeks to less than 6 months
• 3 6 months to less than one year
• 4 1 year to less than 2 years
• 5 2 years or more
• DK, RF

SLP_END

Request for Parent to Leave (RPL)

RPL_BEG

• External variables required:
• Variables from other components:
• AWC_AGE: age of respondent
• Variables from previously completed blocks:
• PROXYSEX: gender of selected respondent and whether the interview is being conducted by proxy.
  • 1 = male, non-proxy
  • 2 = female, non-proxy
  • 3 = male, proxy
  • 4 = female, proxy

RPL_C11

• If AWC_AGE < 12 or > 19, go to RPL_END.
• Otherwise, go to RPL_N11.

RPL_N11

• INTERVIEWER : Is the parent or guardian in the room with the youth?
• 1 Yes
• 2 No (Go to RPL_END)
• (DK, RF not allowed)

RPL_R12
The next set of questions deal with some sensitive topics such as smoking, drug use and sexual behaviour. To obtain honest and accurate answers, it is best when these questions are answered in private.

• INTERVIEWER : Press <1> to continue.

RPL_Q13

• INTERVIEWER : Read to parent or guardian.
• Would you please leave the room for a few minutes? We will let you know when we have finished these questions and you will be welcome to return.
• INTERVIEWER : Is the selected respondent now alone?
• 1 Yes
• 2 No (Go to RPL_END)
• (DK, RF not allowed)

Content type:

• NOTE TO DATA USERS:
  If the selected respondent is aged 12 to19 and if the parent/guardian was providing the information for the youth but the parent/guardian left the room at RPL_Q13, the next few sets of questions will be redirected to the youth. In this case, the value of PROXYSEX is temporarily modified.

RPL_D14

Programmer:

• IF RPL_Q13 = 1 THEN
  • IF PROXYSEX = 3 THEN
    • PROXYSEX = 1
    • RPL_D14 = 1
  • ELSE IF PROXYSEX = 4 THEN
    • PROXYSEX = 2
    • RPL_D14 = 1
  • ENDIF
• ENDIF

RPL_END

Smoking (SMK)

SMK_BEG

• External variables required:
• Variables from other components:
• FNAME: first name of respondent

AWC_AGE:

• age of respondent
• Variables from previously completed blocks:
• PROXYSEX: gender of selected respondent and whether the interview is being conducted by proxy.
  • 1 = male, non-proxy
  • 2 = female, non-proxy
  • 3 = male, proxy
  • 4 = female, proxy

SMK_C11

• If AWC_AGE < 12, go to SMK_END.
• Otherwise, go to SMK_R11.

SMK_R11
Now, I am going to ask you about cigarette smoking. By cigarettes, we mean both ready-made cigarettes and ones you roll yourself, excluding cigars, cigarillos, marijuana or pipes.

• INTERVIEWER : Press <1> to continue.
• DK and RF are not allowed.

SMK_D11

• Not Applicable

SMK_Q11
In your lifetime, have you smoked a total of 100 or more cigarettes (about 4 packs)?

• 1 Yes
• 2 No
• DK, RF

SMK_Q12
At the present time, do you smoke cigarettes daily, occasionally or not at all?

• 1 Daily
• 2 Occasionally
• 3 Not at all
• DK, RF

SMK_C20A

• If SMK_Q11 = 2 and (SMK_Q12 = 3, DK or RF), go to SMK_Q60.
• Otherwise, go to SMK_C20B.

SMK_C20B

• If SMK_Q11 = NONRESPONSE and SMK_Q12 = NONRESPONSE, go to SMK_Q60.
• Otherwise, go to SMK_R21.

Content type:

• NOTE TO DATA USERS:
  SMK_R21 to SMK_R21A are asked for
• - daily and occasional smokers; and
• - non-smokers who have smoked at least 100 cigarettes in their lifetime.

SMK_R21
The next questions are about your smoking history. To begin, a question about when you started smoking. You may find it helpful to think back to what you were doing or who you were with when you started smoking.

• INTERVIEWER : Press <1> to continue.
• DK and RF are not allowed.

SMK_Q21
At what age did you smoke your first whole cigarette?

• INTERVIEWER : Minimum is 5; maximum is ^AWC_AGE.
• Age in years
• (MIN: 5)
• (MAX: 79)
• DK, RF

SMK_R21A
Now I'd like to know about changes in your smoking pattern from the time you smoked your first whole cigarette until today.

• INTERVIEWER : Press <1> to continue.
• DK and RF are not allowed.

SMK_C21A

• If SMK_Q12 = 1, go to SMK_Q22.
• Otherwise, go to SMK_Q21A.

Content type:

• NOTE TO DATA USERS:
  SMK_Q21A is asked for
  - occasional smokers; and
  - non-smokers who have smoked at least 100 cigarettes in their lifetime.

SMK_Q21A
Have you ever smoked at least 1 cigarette a month?

• 1 Yes
• 2 No (Go to SMK_Q60)
• DK, RF (Go to SMK_Q60)

Content type:

• NOTE TO DATA USERS :
  SMK_Q22 to SMK_Q24 are asked for
  - daily smokers;
  - occasional smokers who have ever smoked at least one cigarette a month; and
  - non-smokers who have smoked at least 100 cigarettes in their lifetime and who have ever smoked at least one cigarette a month.

SMK_Q22
How old were you when you started smoking at least 1 cigarette a month?

• INTERVIEWER : Minimum is ^SMK_Q21; maximum is ^AWC_AGE.
• Age in years
• (MIN: 5)
• (MAX: 79)
• DK, RF (Go to SMK_Q60)

SMK_Q23
When you were ^SMK_Q22 years old, how many days in a typical month did you smoke at least one cigarette?

• INTERVIEWER : If the respondent smoked every day or daily, enter "31".
  If the respondent smoked 30 days in a month, ask if this means every day. If so, enter "31". If not, enter "30".
• Days
• (MIN: 1)
• (MAX: 31)
• DK, RF

SMK_D24

• If SMK_Q23 = 31, DT_SMK24TEXTE = "how many cigarettes did you usually smoke each day".
• Otherwise, DT_SMK24TEXTE = "on the days you smoked, how many cigarettes did you usually smoke".

Content type:

• NOTE TO DATA USERS:
  SMK_Q24 asks about smoking patterns at the time at which the respondent started smoking at least one cigarette a month. The question is phrased differently according to the response to SMK_Q23.
  - Respondents who reported having smoked daily at the age at which they first started smoking at least one cigarette a month (SMK_Q23=31) are asked, "How many cigarettes did you usually smoke each day?".
  - Respondents who did not smoke daily when they first started smoking at least one cigarette a month are asked, "On the days you smoked, how many cigarettes did you usually smoke?".

SMK_Q24
When you were ^SMK_Q22 years old...

...[how many cigarettes did you usually smoke each day/on the days you smoked, how many cigarettes did you usually smoke]?

• Cigarettes
• (MIN: 1)
• (MAX: 95)
• DK, RF

SMK_C25A

• If SMK_Q12 = 1 or SMK_Q12 = 2, go to SMK_R25.
• Otherwise, go to SMK_C31A.

Content type:

• NOTE TO DATA USERS:
  SMK_R25 and SMK_Q25 are asked for daily smokers and occasional smokers who have ever smoked at least one cigarette a month.

SMK_R25
Next, a question about cigarette brand names. By brand name I mean the name on the package of cigarettes, including size and strength, such as King Size, Regular, Mild or Extra Mild.

• INTERVIEWER : Press <1> to continue.
• DK and RF are not allowed.

SMK_Q25 What brand of cigarettes do you currently smoke?

• INTERVIEWER : If necessary, probe for cigarette strength and size.
• (80 spaces)
• DK, RF

Content type:

• NOTE TO DATA USERS:
  A database is searched to find and capture the cigarette brand.

SMK_D25

• Not Applicable

SMK_C25B

• If SMK_D25 = 1 (Other) or 2 (Autre), go to SMK_S25.
• Otherwise, go to SMK_C31A.

SMK_S25

• INTERVIEWER : Specify.
• (80 spaces)
• (DK, RF not allowed)

SMK_C31A

• If SMK_Q12 = 1, go to SMK_Q31.
• Otherwise, go to SMK_C41.

Content type:

• NOTE TO DATA USERS:
  SMK_Q31 is asked for daily smokers only.

SMK_Q31
How many cigarettes do you smoke each day now?

• Cigarettes
• (MIN: 1)
• (MAX: 95)
• DK, RF
• Go to SMK_C51A

SMK_C41

• If SMK_Q12 = 2, go to SMK_Q41.
• Otherwise, go to SMK_C51A.

Content type:

• NOTE TO DATA USERS:
  SMK_Q41and SMK_Q42 are asked for occasional smokers who have ever smoked at least one cigarette a month.

SMK_Q41
On the days that you smoke, how many cigarettes do you usually smoke?

• Cigarettes
• (MIN: 1)
• (MAX: 95)
• DK, RF

SMK_Q42
In the past month, on how many days have you smoked 1 or more cigarettes?

• Days
• (MIN: 0)
• (MAX: 31)
• DK, RF

SMK_C51A

• If SMK_Q23 = 31, go to SMK_C53.
• Otherwise, go to SMK_C51B.

SMK_C51B

• If SMK_Q12 = 1, go to SMK_Q52.
• Otherwise, go to SMK_D51.

SMK_D51

• Not Applicable

Content type:

• NOTE TO DATA USERS:
• SMK_Q51 is asked for - occasional smokers who have ever smoked at least one cigarette a month and who did not smoke daily when they first started smoking; and
  - non-smokers who have smoked at least 100 cigarettes in their lifetime, who have ever smoked at least one cigarette a month and who did not smoke daily when they first started smoking.

SMK_Q51
Have you ever smoked cigarettes daily?

• 1 Yes
• 2 No (Go to SMK_C53)
• DK, RF (Go to SMK_Q60)

Content type:

• NOTE TO DATA USERS:
  SMK_Q52 and SMK_Q53 are asked for
  - daily smokers who did not smoke daily when they first started smoking;
  - occasional smokers who have ever smoked daily and who did not smoke daily when they first started smoking; and
  - non-smokers who have smoked at least 100 cigarettes in their lifetime, who have ever smoked daily and who did not smoke daily when they first started smoking.

SMK_Q52
At what age did you begin to smoke cigarettes daily?

• INTERVIEWER : Minimum is ^SMK_Q22; maximum is ^AWC_AGE.
• Age in years
• (MIN: 5)
• (MAX: 79)
• DK, RF

SMK_D53

• If SMK_Q12 = 1, DT_SMK53TEXTE = "When you started smoking cigarettes daily, how".
• Otherwise, DT_SMK53TEXTE = "How".

Content type:

• NOTE TO DATA USERS:
  SMK_Q53 is phrased differently depending on whether the respondent is a daily smoker.
  - Daily smokers are asked, "When you started smoking cigarettes daily, how many cigarettes did you usually smoke each day?".
  - Occasional and non smokers are asked, "How many cigarettes did you usually smoke each day?" referring to the time period reported at SMK_Q52.
  Note that respondents who smoked daily when they first started smoking are not asked this question since, for them, this same information was collected at SMK_Q24.

SMK_Q53
[When you started smoking cigarettes daily, how/How] many cigarettes did you usually smoke each day?

• Cigarettes
• (MIN: 1)
• (MAX: 95)
• DK, RF

SMK_C53

• If SMK_Q12 = (1, DK or RF) go to SMK_Q60
• Otherwise if SMK_Q12 = 2 and SMK_Q51 = 2, go to SMK_Q60.
• Otherwise, go to SMK_D54.

SMK_D54

• If SMK_Q52 <> RESPONSE, DT_SMK54INT = "^SMK_Q22".
• If SMK_Q52 = RESPONSE, DT_SMK54INT = "^SMK_Q52".
• If SMK_Q12 <> 2, DT_SMKTEXT1E = "completely".
• If SMK_Q12 = 2, DT_SMKTEXT1E = "daily".

Content type:

• NOTE TO DATA USERS:
  SMK_Q54 is asked for
  - occasional smokers who have ever smoked daily; and
  - non-smokers who have smoked at least 100 cigarettes in their lifetime and who have ever smoked at least one cigarette a month.
• Two different questions are asked at SMK_Q54.
  - Occasional smokers are asked, "At what age did you stop smoking cigarettes daily?".
  - Non-smokers are asked, "At what age did you stop smoking cigarettes completely?".

SMK_Q54
At what age did you stop smoking cigarettes [completely/daily]?

• INTERVIEWER : Minimum is [^SMK_Q22/^SMK_Q52]; maximum is ^AWC_AGE.
• Age in years
• (MIN: 5)
• (MAX: 79)
• DK, RF

Content type:

• NOTE TO DATA USERS:
  SMK_Q60 is asked for all respondents aged 12 or older.

SMK_Q60
In the past month, have you smoked cigars, cigarillos or a pipe or used snuff or chewing tobacco?

• 1 Yes
• 2 No
• DK, RF

SMK_END

Alcohol Use (ALC)

ALC_BEG

• External variables required:
• Variables from other components:
• FNAME: first name of respondent
• AWC_AGE: age of respondent
• SEX_Q01: sex of respondent (1 = male; 2 = female)
• Variables from previously completed blocks:
• PROXYSEX: gender of selected respondent and whether the interview is being conducted by proxy.
  • 1 = male, non-proxy
  • 2 = female, non-proxy
  • 3 = male, proxy
  • 4 = female, proxy

ALC_C11

• If AWC_AGE < 12, go to ALC_END.
• Otherwise, go to ALC_D11A.

ALC_D11A

• Not Applicable

ALC_R11
Now, some questions about your alcohol consumption.
When we use the word "drink" it means:
- one bottle or can of beer or a glass of draft
- one glass of wine or a wine cooler
- one drink or cocktail with one and a half ounces of liquor.

• INTERVIEWER : Press <1> to continue.

ALC_D11B

Programmer:

• DATELASTYEARE: English text of date one year ago

ALC_Q11
During the past 12 months, that is, from ^DATELASTYEARE to yesterday, have you had a drink of beer, wine, liquor or any other alcoholic beverage?

• 1 Yes
• 2 No (Go to ALC_D17)
• DK, RF (Go to ALC_END)

ALC_Q12
During the past 12 months, how often did you drink alcoholic beverages?

• 1 Less than once a month
• 2 Once a month
• 3 2 to 3 times a month
• 4 Once a week
• 5 2 to 3 times a week
• 6 4 to 6 times a week
• 7 Every day
• DK, RF

ALC_D13

• If SEX_Q01=1, DT_BINGEDRINKE = "5".
• Otherwise, DT_BINGEDRINKE = "4".

Content type:

• NOTE TO DATA USERS:
  ALC_Q13A asks males if they have had 5 or more drinks on one occasion and asks females if they have had 4 or more drinks on one occasion.

ALC_Q13A
How often in the past 12 months have you had [5/4] or more drinks on one occasion?

• 1 Never
• 2 Less than once a month
• 3 Once a month
• 4 2 to 3 times a month
• 5 Once a week
• 6 More than once a week
• DK, RF

ALC_D14

Programmer:

• DateLastWeekE: English text of date one week ago

ALC_Q14
Thinking back over the past week, that is, from ^DateLastWeekE to yesterday, did you have a drink of beer, wine, liquor or any other alcoholic beverage?

• 1 Yes
• 2 No (Go to ALC_Q18)
• DK(Go to ALC_Q18)
• RF(Go to ALC_Q19)

ALC_D15A

Programmer:

• NameYesterdayE: English name of day of week yesterday

ALC_D15B

• If ALC_Q15 = 1st reading, DT_BEGINNING_E = "Starting with yesterday, that is ".
• If ALC_Q15 <> 1st reading, DT_BEGINNING_E = "EMPTY".

ALC_Q15
[Starting with yesterday, that is /EMPTY]^NameYesterdayE, how many drinks did you have?

• Drinks
• (MIN: 0)
• (MAX: 95)
• DK, RF

Programmer:

• If ALC_Q15 <> 1st reading, then capitalize ^NameYesterdayE
• Ask ALC_Q15 seven times, once for each day of the week, working backwards from yesterday (for example Monday, Sunday, etc.).
• If RF on first day, go to ALC_Q19.

ALC_Q16
Is the amount you drank over the last week more, about the same, or less compared to most weeks?

• 1 More
• 2 About the same
• 3 Less
• DK, RF

Go to ALC_Q18

ALC_D17

• Not Applicable

Content type:

• NOTE TO DATA USERS:
  ALC_Q17 is asked only to respondents who have not had a drink of beer, wine, liquor or any other alcoholic beverage in the past 12 months (ALC_Q11 = 2).

ALC_Q17
Have you ever had a drink?

• 1 Yes
• 2 No (Go to ALC_END)
• DK, RF (Go to ALC_END)

Content type:

• NOTE TO DATA USERS:
  ALC_Q18 to ALC_Q19 are asked for all respondents who have had a drink in the past 12 months (ALC_Q12 = 1) as well as for those who have not had a drink in the past 12 months but have had a drink at some time in their lifetime (ALC_Q17 = 1)

ALC_Q18
Did you ever regularly drink more than 12 drinks a week?

• 1 Yes
• 2 No
• DK, RF

ALC_Q19
Not counting small sips, how old were you when you started drinking alcoholic beverages?

• INTERVIEWER : Drinking does not include having a few sips of wine for religious purposes.
• Minimum is 5; maximum is ^AWC_AGE.
• Age in years
• (MIN: 5)
• (MAX: 79)
• DK, RF

ALC_END

Illicit Drug Use (IDU)

IDU_BEG

• External variables required:
• Variables from other components:
• FNAME: first name of respondent
• AWC_AGE: age of respondent
• Variables from previously completed blocks:
• PROXYSEX: gender of selected respondent and whether the interview is being conducted by proxy.
  • 1 = male, non-proxy
  • 2 = female, non-proxy
  • 3 = male, proxy
  • 4 = female, proxy

IDU_C11

• If PROXYSEX = 3 or 4 or AWC_AGE < 14, go to IDU_END.
• Otherwise, go to IDU_R11.

IDU_R11
Now I am going to ask you some questions about your use of drugs and other substances for non-medicinal purposes, for the experience, for the feeling they cause or to get high. I would like to remind you that everything you say will remain strictly confidential.

• INTERVIEWER : Press <1> to continue.

IDU_Q11
Have you ever used or tried marijuana, cannabis or hashish?

• 1 Yes
• 2 No
• DK
• RF(Go to IDU_END)

IDU_Q21
Have you ever used or tried prescription drugs for non-medicinal purposes, for the experience, for the feeling they cause or to get high?

• INTERVIEWER : Examples include such things as painkillers, stimulants such as Ritalin, sedatives or tranquilizers.
• 1 Yes
• 2 No
• DK
• RF(Go to IDU_END)

IDU_Q22
Have you ever used or tried other drugs or substances such as cocaine, speed, solvents or steroids?

• INTERVIEWER : Do not include marijuana or prescription drugs.
• 1 Yes
• 2 No
• DK
• RF(Go to IDU_END)

IDU_C31

• If IDU_Q21 = 1 or IDU_Q22 = 1, go to IDU_D31.
• Otherwise, go to IDU_END.

IDU_D31

• If IDU_Q21 = 1 and IDU_Q22 = 1, DT_IDUR32TEXTE = "prescription and other drugs or substances".
• If IDU_Q21 = 1 and IDU_Q22 < > 1, DT_IDUR32TEXTE = "prescription drugs".
• If IDU_Q21 < > 1 and IDU_Q22 = 1, DT_IDUR32TEXTE = "other drugs or substances".

IDU_D32

• If IDU_Q11 = 1, DT_IDUCANNABISTEXTE = "Do not include marijuana, cannabis or hashish.".
• Otherwise, DT_IDUCANNABISTEXTE = "EMPTY".

IDU_R32
The next two questions ask about the [prescription and other drugs or substances/prescription drugs/other drugs or substances] you just reported. [Do not include marijuana, cannabis or hashish./EMPTY]

• INTERVIEWER : Press <1> to continue.

IDU_Q32
Have you ever injected or been injected with drugs for non-medicinal purposes, for the experience, for the feeling they cause or to get high?

• INTERVIEWER : Examples include such things as cocaine, heroin or steroids.
• 1 Yes
• 2 No (Go to IDU_END)
• DK, RF (Go to IDU_END)

IDU_Q33
Other than by injection, have you ever used or tried drugs for non-medicinal purposes, for the experience, for the feeling they cause or to get high? [Do not include marijuana, cannabis or hashish./EMPTY]

• INTERVIEWER : Some drugs can be administered in various ways. For this question, only include drugs taken using non-injection methods (e.g., snorting, sniffing, smoking, or oral ingestion) such as crack cocaine, hallucinogens and speed.
• 1 Yes
• 2 No
• DK, RF

IDU_END

Sexual Behaviour (SXB)

SXB_BEG

• External variables required:
• Variables from other components:
• FNAME: first name of respondent
• AWC_AGE: age of respondent
• MSWC_Q02: marital status of respondent
• Variables from previously completed blocks:
• PROXYSEX: gender of selected respondent and whether the interview is being conducted by proxy.
  • 1 = male, non-proxy
  • 2 = female, non-proxy
  • 3 = male, proxy
  • 4 = female, proxy

SXB_C11

• If AWC_AGE < 14 or PROXYSEX = 3 or 4, go to SXB_END.
• Otherwise, go to SXB_R11.

SXB_R11
I would like to ask you a few questions about sexual behaviour. We ask these questions because sexual behaviours can have very important and long-lasting effects on personal health. You can be assured that anything you say will remain confidential.

• INTERVIEWER : Press <1> to continue.

SXB_Q11
Have you ever had sexual intercourse?

• 1 Yes
• 2 No (Go to SXB_END)
• DK, RF (Go to SXB_END)

SXB_Q12
In the past 12 months, have you had sexual intercourse?

• 1 Yes
• 2 No (Go to SXB_Q21)
• DK, RF (Go to SXB_END)

SXB_Q13
With how many different partners?

• 1 1 partner
• 2 2 partners
• 3 3 partners
• 4 4 or more partners
• DK, RF

SXB_Q21
Have you ever been diagnosed with a sexually transmitted disease or infection?

• 1 Yes
• 2 No (Go to SXB_C23A)
• DK, RF (Go to SXB_C23A)

SXB_Q22
Which sexually transmitted disease(s) or infection(s) have you been diagnosed with?

• 01 HIV (Human Immunodeficiency Virus)
• 02 AIDS (Acquired Immunodeficiency Syndrome)
• 03 Chlamydia
• 04 Genital Herpes (Herpes Simplex Type II)
• 05 Syphilis
• 06 Gonorrhoea
• 07 Genital Warts (Human Papilloma Virus or HPV)
• 08 Venereal disease
• 09 Hepatitis B
• 10 Other - Specify(Go to SXB_S22)
• DK, RF

SXB_S22
(Which sexually transmitted disease(s) or infection(s) have you been diagnosed with?)

• INTERVIEWER : Specify.
• (80 spaces)
• (DK, RF not allowed)

SXB_C23A

• If SXB_Q12 = 1 (had intercourse in last 12 months), go to SXB_C23B.
• Otherwise, go to SXB_END.

SXB_C23B

• If MSWC_Q02 = 1 (Married) or 2 (Common-law) and SXB_Q13 = 1 (one partner), go to SXB_END.
• Otherwise, go to SXB_Q23.

SXB_Q23
Did you or your partner use a condom the last time you had sexual intercourse?

• 1 Yes
• 2 No
• DK, RF

SXB_Q24
Do you or your partner usually use a condom when you have sexual intercourse?

• 1 Yes
• 2 No
• DK, RF

SXB_END

PAP Test (PAP)

PAP_BEG

• External variables required:
• Variables from other components:
• AWC_AGE: age of respondent
• SEX_Q01: sex of respondent (1 = male; 2 = female)
• Variables from previously completed blocks:
• PROXYSEX: gender of selected respondent and whether the interview is being conducted by proxy.
  • 1 = male, non-proxy
  • 2 = female, non-proxy
  • 3 = male, proxy
  • 4 = female, proxy
• PRS_Q11: whether respondent is pregnant

PAP_C11

• If (PROXYSEX =3 or 4) or SEX_Q01 = 1 or AWC_AGE < 14, go to PAP_END.
• Otherwise, go to PAP_Q11.

PAP_Q11
Now a few questions about PAP tests.

Have you ever had a PAP smear test?

•  
• 1 Yes
• 2 No (Go to PAP_Q14)
• DK, RF (Go to PAP_END)

PAP_Q12
When was the last time?

• 1 Less than 6 months ago(Go to PAP_END)
• 2 6 months to less than 1 year ago(Go to PAP_END)
• 3 1 year to less than 3 years ago(Go to PAP_END)
• 4 3 years to less than 5 years ago
• 5 5 or more years ago
• DK, RF (Go to PAP_END)

PAP_Q14
What are the reasons that you have not had a PAP smear test in the past 3 years?

• INTERVIEWER : Mark all that apply.
• 01 Have not gotten around to it
• 02 Respondent or parent did not think it was necessary (e.g., thought she was too young)
• 03 Doctor did not think it was necessary
• 04 Uninformed (e.g., did not know what it was / did not know where to go)
• 05 Has had a hysterectomy
• 06 Does not have a doctor
• 07 Fear / dislike having one done (e.g., painful, embarrassing, worried the results may show that something is wrong)
• 08 Other - Specify(Go to PAP_S14)
• DK, RF

Go to PAP_END

PAP_S14
(What are the reasons that you have not had a PAP smear test in the past 3 years?)

• INTERVIEWER : Specify.
• (80 spaces)
• (DK, RF not allowed)

PAP_END

Request for Parent to Return (RPR)

RPR_BEG

• External variables required:
• Variables from other components:
• AWC_AGE: age of respondent
• Variables from previously completed blocks:
• PROXYSEX: gender of selected respondent and whether the interview is being conducted by proxy.
  • 1 = male, non-proxy
  • 2 = female, non-proxy
  • 3 = male, proxy
  • 4 = female, proxy
  • RPL_N11: variable indicating if parent was in the room
  • RPL_Q13: variable indicating if parent left the room

RPR_C11

• If AWC_AGE < 12 or > 19 or RPL_Q13 = 2, go to RPR_END.
• Otherwise, go to RPR_D11.

RPR_D11

• If RPL_N11 = 1, DT_RPR11TEXTE = "rejoin".
• Otherwise, DT_RPR11TEXTE = "join".

RPR_R11
We have now finished the sensitive questions. If your parent or guardian is available, please ask him or her to [rejoin/join] us now.

• INTERVIEWER : Press <1> to continue.

RPR_N11

• INTERVIEWER : Is the parent or guardian in the room?
• 1 Yes
• 2 No
• (DK, RF not allowed)

Content type:

• NOTE TO DATA USERS:
  If the selected respondent is aged 12 to19 and the parent/guardian was providing the information for the youth prior to RPL and the parent/guardian left the room temporarily but has now returned, the remainder of the questions will be redirected back to the parent/guardian. In this case, PROXYSEX is reset to the original value.

RPR_D12

• Programmer: IF RPR_N11 = 1 and RPL_D14 = 1 THEN
  • IF PROXYSEX = 1 THEN
    • PROXYSEX = 3
  • ELSE IF PROXYSEX = 2 THEN
    • PROXYSEX = 4
  • ENDIF
• ENDIF

RPR_END

Exposure to Second-Hand Smoke (ETS)

ETS_BEG

• External variables required:
• Variables from other components:
• AWC_AGE: age of respondent
• PERSEL: number of selected respondents in household (Blaise alias = PersonsSelected)
• Variables from previously completed blocks:
• PROXYSEX: gender of selected respondent and whether the interview is being conducted by proxy.
  • 1 = male, non-proxy
  • 2 = female, non-proxy
  • 3 = male, proxy
  • 4 = female, proxy
• GEN_Q16: Whether the respondent worked at a job or business at any time in the previous 12 months
• SMK_Q12: whether respondent smokes cigarettes daily, occasionally or not at all
• SMK_Q60: whether respondent smoked cigarillos or little cigars, other types of cigars, or a pipe or used snuff or chewing tobacco in the past month

ETS_R01
The next questions are about exposure to second-hand smoke. Second-hand smoke includes the smoke that smokers exhale and the smoke from burning cigarettes, cigars, cigarillos or little cigars and pipes.

• INTERVIEWER : Press <1> to continue.

ETS_C01

• If PERSEL = 2 and AWC_AGE > 11, go to ETS_Q04.
• Otherwise, go to ETS_Q01.

Content type:

• NOTE TO DATA USERS:
  In households with two selected respondents, ETS_Q01 to ETS_Q03 are asked only during the interview for the selected respondent who is less than 12 years old.

ETS_Q01
Is smoking allowed inside this home?

• INTERVIEWER : Include any cigarette, cigar, cigarillo or little cigar or pipe smoking.
• 1 Yes
• 2 No (Go to ETS_D14)
• DK, RF (Go to ETS_D14)

ETS_Q02
Is smoking inside this home restricted in any way?

• INTERVIEWER : Smoking is restricted if it is only allowed in certain areas of the home or under certain circumstances. Examples of restrictions include allowing smoking only in certain rooms, when windows are open or in the presence of other ventilation, or banning smoking when there are young children or elderly people present.
• 1 Yes
• 2 No (Go to ETS_Q04)
• DK, RF (Go to ETS_Q04)

ETS_Q03
How is smoking restricted inside this home?

• INTERVIEWER : Read categories to respondent. Mark all that apply.
• 1 Allowed in certain rooms only
• 2 Restricted in the presence of young children
• 3 Allowed only if windows are open or with another type of ventilation
• 4 Other restriction(s)
• DK, RF

ETS_Q04
How often does someone smoke inside this home? Include both household members and visitors.

• INTERVIEWER : Include respondent's own smoking. Read categories to respondent.
• 1 Every day
• 2 Almost every day
• 3 At least once a week (Go to ETS_D09)
• 4 At least once a month (Go to ETS_D09)
• 5 Less than once a month (Go to ETS_D09)
• 6 Never (Go to ETS_D14)
• DK, RF (Go to ETS_D09)

ETS_C05

• If PERSEL = 2 and AWC_AGE > 11, go to ETS_D09.
• Otherwise, go to ETS_Q05.

Content type:

• NOTE TO DATA USERS:
  In households with two selected respondents, ETS_Q05 to ETS_Q08 are asked only during the interview for the selected respondent who is less than 12 years old.

ETS_Q05
How many people smoke inside this home every day or almost every day?

• INTERVIEWER : Include both household members and visitors. Include cigarette, cigar, cigarillo or little cigar and pipe smoking. Include respondent's own smoking.
• Number of people
• (MIN: 1)
• (MAX: 15)
• DK, RF

ETS_Q06
Which of the following tobacco products are smoked inside this home?

• INTERVIEWER : Include respondent's own smoking. Read categories to respondent. Mark all that apply.
• 1 Cigarettes
• 2 Cigarillos or little cigars
• 3 All other types of cigars
• 4 Pipes
• DK, RF (Go to ETS_D09)

ETS_C07

• If ETS_Q06 =4 only, go to ETS_Q08.
• Otherwise, go to ETS_D07.

ETS_D07

• If ETS_Q06 = 1 and ETS_Q06 < > 2 or 3, DT_SMOKEE = "cigarettes".
• If ETS_Q06 = 2 and ETS_Q06 < > 1 or 3, DT_SMOKEE = "cigarillos or little cigars".
• If ETS_Q06 = 3 and ETS_Q06 < > 1 or 2, DT_SMOKEE = "cigars".
• If ETS_Q06 = 1 and ETS_Q06 = 2 and ETS_Q06 < > 3, DT_SMOKEE = "cigarettes and cigarillos or little cigars".
• If ETS_Q06 = 1 and ETS_Q06 = 3 and ETS_Q06 < > 2, DT_SMOKEE = "cigarettes and cigars".
• If ETS_Q06 = 2 and ETS_Q06 = 3 and ETS_Q06 < > 1, DT_SMOKEE = "cigarillos, little cigars and other types of cigars".
• If ETS_Q06 = 1 and ETS_Q06 = 2 and ETS_Q06 = 3, DT_SMOKEE = "cigarettes, cigarillos or little cigars, and other types of cigars".

ETS_Q07
On a typical day, how many ^DT_SMOKEE are smoked inside this home?

• INTERVIEWER : There are about 20 cigarettes in a pack. Include the respondent's own smoking.
• Number
• (MIN: 1)
• (MAX: 995)
• DK, RF

ETS_C08

• If ETS_Q06 = 4, go to ETS_Q08.
• Otherwise, go to ETS_D09.

ETS_Q08
On a typical day, what is the total period of time that at least one person is smoking a pipe inside this home?

• INTERVIEWER : Include the time only once even if more than one person is smoking a pipe at the same time. Include respondent's own smoking.
• Read categories to respondent.
• 1 Less than 1 hour
• 2 1 to less than 3 hours
• 3 3 to less than 5 hours
• 4 5 hours or more
• DK, RF

ETS_D09

• If (SMK_Q12 = 1 or 2) or SMK_Q60 = 1, DT_ETS9TEXTE = "Not including your own smoking, in".
• Otherwise, DT_ETS9TEXTE = "In".

Content type:

• NOTE TO DATA USERS:
  ETS_Q09 to ETS_Q24 are asked for all selected respondents.

ETS_Q09
[Not including your own smoking, in/In] the past month, how often were you exposed to second-hand smoke inside this home?

• INTERVIEWER : Select "Never" if the respondent was only exposed to his/her own smoke. Read categories to respondent.
• 1 Every day
• 2 Almost every day
• 3 At least once a week
• 4 At least once in the past month
• 5 Never
• DK, RF

ETS_D14

• If (SMK_Q12 = 1 or 2) or SMK_Q60 = 1, DT_ETS14TEXTE = "Do not include exposure to your own smoke.".
• Otherwise, DT_ETS14TEXTE = "EMPTY".

ETS_R14
The next questions are about exposure to second-hand smoke in places other than your own home. Again, second-hand smoke includes the smoke that smokers exhale and the smoke from burning cigarettes, cigars, cigarillos or little cigars and pipes. [Do not include exposure to your own smoke./EMPTY]

• INTERVIEWER : Press <1> to continue.

ETS_Q14
In the past month, were you exposed to second-hand smoke, every day or almost every day...

... in a car or other vehicle?

• 1 Yes
• 2 No
• DK, RF

ETS_C16

• If GEN_Q16 = 1, go to ETS_Q16.
• Otherwise, go to ETS_Q20.

ETS_Q16
In the past month, were you exposed to second-hand smoke every day or almost every day...

...at your place of work?

• INTERVIEWER : Include exposure outdoors if the respondent works outdoors. Do not include exposure at the entrance to a building (e.g., when arriving at or leaving the place of work); this should be captured at ETS_Q22: outdoors in public places.
• 1 Yes
• 2 No
• DK, RF

ETS_Q20
In the past month, were you exposed to second-hand smoke, every day or almost every day...

... inside someone else's home?

• 1 Yes
• 2 No
• DK, RF

ETS_Q21
In the past month, were you exposed to second-hand smoke, every day or almost every day...

... indoors, in public places such as bars, restaurants, shopping malls, arenas, bingo halls, bowling alleys, concert or sporting facilities?

• 1 Yes
• 2 No
• DK, RF

ETS_Q22
In the past month, were you exposed to second-hand smoke, every day or almost every day...

... outdoors in public places such as outdoor patios, bus stops or shelters, entrances to buildings, school property, sidewalks or parks?

• 1 Yes
• 2 No
• DK, RF

ETS_Q23
In the past month, were you exposed to second-hand smoke, every day or almost every day...

... anywhere else?

• 1 Yes
• 2 No
• DK, RF

ETS_D24

• If ETS_Q04 = 1, 2, 3, 4 or 5, DT_EXHOMEE = " excluding inside your own home,".
• Otherwise, DT_EXHOMEE = "EMPTY ".

ETS_Q24
Overall,[ excluding inside your own home,/EMPTY ] in the past month how often were you exposed to second-hand smoke? [Do not include exposure to your own smoke./EMPTY]

• INTERVIEWER : Read categories to respondent.
• 1 Every day
• 2 Almost every day
• 3 At least once a week
• 4 At least once in the past month
• 5 Never
• DK, RF

ETS_END

Request for Child to Leave (RCL)

RCL_BEG

• External variables required:
• Variables from other components:
• AWC_AGE: age of respondent
• SEX_Q01: sex of respondent (1 = male; 2 = female)
• Variables from previously completed blocks:
• PROXYSEX: gender of selected respondent and whether the interview is being conducted by proxy.
  • 1 = male, non-proxy
  • 2 = female, non-proxy
  • 3 = male, proxy
  • 4 = female, proxy
• RPL_N11: whether parent or guardian is in the room
• RPR_N11: whether parent has returned to room

RCL_C11

• If AWC_AGE > 17 or (RPL_N11 = 1 and RPR_N11 = 2), go to RCL_END.
• Otherwise, go to RCL_D11.

RCL_D11

• If SEX_Q01 = 1, DT_HIMHER2 = "him".
• If SEX_Q01 = 2, DT_HIMHER2 = "her".
• If SEX_Q01 = 1, DT_HESHE = "he".
• If SEX_Q01 = 2, DT_HESHE = "she".

RCL_N11

• INTERVIEWER : Is the child in the room?
• 1 Yes
• 2 No (Go to RCL_END)
• (DK, RF not allowed)

RCL_D12

• If PROXYSEX = 3 or 4, DT_RCL12INTE = "Read to parent or guardian.".
• If PROXYSEX = 3 or 4, DT_RCL12TEXTE = "It is best when this next set of questions is answered by an adult in private.".
• If PROXYSEX <> 3 or 4, DT_RCL12INTE = "Read to respondent.".
• If PROXYSEX <> 3 or 4 and RPL_N11 = 2, DT_RCL12TEXTE = "This next set of questions deals with topics that are best answered by your parent or guardian in private. Please ask your parent or guardian to come and answer these next questions.".
• If PROXYSEX <> 3 or 4 and RPL_N11 <> 2, DT_RCL12TEXTE = "This next set of questions deals with topics that are best answered by your parent or guardian in private.".

1 RCL_R12

• INTERVIEWER : [Read to parent or guardian./Read to respondent.]
• [It is best when this next set of questions is answered by an adult in private./This next set of questions deals with topics that are best answered by your parent or guardian in private. Please ask your parent or guardian to come and answer these next questions./This next set of questions deals with topics that are best answered by your parent or guardian in private.]
• INTERVIEWER : Press <1> to continue.

RCL_C12

• If AWC_AGE < 12, go to RCL_Q13.
• Otherwise, go to RCL_N12.

RCL_N12

• INTERVIEWER : Is the parent or guardian available to answer the next questions?
• 1 Yes
• 2 No (Go to RCL_END)
• DK, RF

RCL_D13A

• If PROXYSEX = 3 or 4, DT_RCL13TEXTE = "Could ^FNAME please leave the room while we complete these questions? We will let ^DT_HIMHER know when we have finished these questions and [he/she] may return.".
• Otherwise, DT_RCL13TEXTE = "Would you please leave the room so that your parent or guardian may answer these questions in private? We will let you know when we have finished these questions and at that time we would like you to return.".

RCL_Q13
[Could ^FNAME please leave the room while we complete these questions? We will let him know when we have finished these questions and he may return./Would you please leave the room so that your parent or guardian may answer these questions in private? We will let you know when we have finished these questions and at that time we would like you to return.]

• INTERVIEWER : Has the child left the room?
• 1 Yes
• 2 No
• (DK, RF not allowed)

Content type:

• NOTE TO DATA USERS:
  If the selected respondent is aged 12 to17 and is providing his own information and if the parent/guardian is available to answer questions and the youth leaves the room at RCL_Q13, the next few sets of questions will be redirected to the parent/guardian. In this case, the value of PROXYSEX is temporarily modified.

RCL_D13B

Programmer: IF RCL_Q13 = 1 THEN

• IF PROXYSEX = 1 THEN
  • PROXYSEX = 3
  • RCL_D13 = 1
• ELSE IF PROXYSEX = 2 THEN
  • PROXYSEX = 4
  • RCL_D13 = 1
• ENDIF

ENDIF

RCL_END

Pregnancy Information (PRG)

PRG_BEG

• External variables required:
• Variables from other components:
• FNAME: first name of respondent
• AWC_AGE: age of respondent
• SEX_Q01: sex of respondent (1 = male; 2 = female)
• SEX_Q01[PPI_N01]: sex of person providing information
• Variables from previously completed blocks:
• PROXYSEX: gender of selected respondent and whether the interview is being conducted by proxy.
  • 1 = male, non-proxy
  • 2 = female, non-proxy
  • 3 = male, proxy
  • 4 = female, proxy
• PPI_N03: whether person providing the information is a biological parent (1 = yes; 2 = no)

Content type:

• NOTE TO DATA USERS:
  PRG collects information on selected respondents aged 3 to 11. It is only asked if the person providing the information is a biological parent of the selected respondent.

PRG_C11

• If AWC_AGE > 11 or PPI_N03 = 2, go to PRG_END.
• Otherwise, go to PRG_D11.

PRG_D11

• If SEX_Q01 = 1, DT_HIMHER2 = "him".
• Otherwise, DT_HIMHER2 = "her".
• If SEX_Q01[PPI_N01] = 2 and PPI_N03 = 1, DT_PRG11INTE = "your pregnancy with ^FNAME".
• Otherwise, DT_PRG11INTE = "^FNAME's biological mother's pregnancy with ^HIMHER2".
• If SEX_Q01[PPI_N01] = 2 and PPI_N03 = 1, DT_PRG11ATEXTE = "you".
• Otherwise, DT_PRG11ATEXTE = "she".
• If SEX_Q01[PPI_N01] = 2 and PPI_N03 = 1, DT_PRG11BTEXTE = "your".
• Otherwise, DT_PRG11BTEXTE = "her".

PRG_R11
Next some question about [your pregnancy with ^FNAME/^FNAME's biological mother's pregnancy with him].

• INTERVIEWER : Press <1> to continue.

PRG_Q11
Did [you/she] smoke during [your/her] pregnancy with ^FNAME?

• 1 Yes
• 2 No (Go to PRG_END)
• DK, RF (Go to PRG_END)

PRG_D12

• If SEX_Q01[PPI_N01] = 2 and PPI_N03 = 1, DT_PRG12TEXTE = "you".
• Otherwise, DT_PRG12TEXTE = "she".

PRG_Q12
How many cigarettes per day did [you/she] smoke?

• INTERVIEWER : Enter number of cigarettes.
• Cigarettes
• (MIN: 1)
• (MAX: 95)
• DK, RF

PRG_D13

• If SEX_Q01[PPI_N01] <> 2 and PPI_N03 = 1, DT_PRG13BTEXTE = "she".
• If PRG_Q12 = NONRESPONSE, DT_PRG12CTEXTE = "EMPTY".
• If SEX_Q01[PPI_N01] = 2 and PPI_N03 <> 1, DT_PRG13BTEXTE = "she".
• If SEX_Q01[PPI_N01] <> 2 and PPI_N03 = 1, DT_PRG13ATEXTE = "her".
• If SEX_Q01[PPI_N01] = 2 and PPI_N03 = 1, DT_PRG13BTEXTE = "you".
• If SEX_Q01[PPI_N01] = 2 and PPI_N03 <> 1, DT_PRG13ATEXTE = "her".
• If SEX_Q01[PPI_N01] = 2 and PPI_N03 = 1, DT_PRG13ATEXTE = "your".
• If PRG_Q12 = RESPONSE, DT_PRG12CTEXTE = "this amount".

PRG_Q13
At what stage in [her/your] pregnancy did [she/you] smoke[EMPTY/this amount]?

• INTERVIEWER : Mark all that apply.
• 1 During the first three months
• 2 During the second three months
• 3 During the third three months
• 4 Throughout
• DK, RF

PRG_END

Birth Information (BIR)

BIR_BEG

• External variables required:
• Variables from other components:
• FNAME: first name of respondent
• AWC_AGE: age of respondent
• SEX_Q01: sex of respondent (1 = male; 2 = female)
• SEX_Q01[PPI_N01]: sex of person providing the information
• Variables from previously completed blocks:
• PROXYSEX: gender of selected respondent and whether the interview is being conducted by proxy.
  • 1 = male, non-proxy
  • 2 = female, non-proxy
  • 3 = male, proxy
  • 4 = female, proxy
• PPI_N03: whether person providing information is a biological parent (1 = yes; 2 = no)

Content type:

• NOTE TO DATA USERS:
  BIR is asked to the parent or guardian of selected respondents aged 3 to 11.

BIR_C11

• If AWC_AGE > 11, go to BIR_END.
• Otherwise, go to BIR_R11.

BIR_R11
The following questions concern ^FNAME's birth.

• INTERVIEWER : Press <1> to continue.

BIR_Q11
How much did he weigh at birth?

• INTERVIEWER : Record the reporting unit.
• 1 Pounds and Ounces
• 2 Grams(Go to BIR_N14)
• DK, RF (Go to BIR_Q21)

BIR_N12

• INTERVIEWER : Enter pounds only.
• Pounds
• (MIN: 0)
• (MAX: 20)
• (DK, RF not allowed)

BIR_N13

• INTERVIEWER : Enter ounces only.
• Ounces
• (MIN: 0)
• (MAX: 15)
• (DK, RF not allowed)

Go to BIR_Q21

BIR_N14

• INTERVIEWER : Enter grams.
• Grams
• (MIN: 225)
• (MAX: 9,995)
• (DK, RF not allowed)

BIR_Q21
Was he born before, after or on the due date?

• 1 Before the due date
• 2 After the due date
• 3 On the due date
• (Go to BIR_Q23)
• DK, RF (Go to BIR_Q23)

BIR_D22

• If BIR_Q21 = 1, DT_BEFOREAFTE = "before".
• If BIR_Q21 = 2, DT_BEFOREAFTE = "after".

BIR_Q22
How many days [before/after] the due date was he born?

• INTERVIEWER : If less than one day, enter "0".
• Days
• (MIN: 0)
• (MAX: 126)
• DK, RF

BIR_Q23
Was this a single birth, or was it twins or triplets?

• 1 Single birth
• 2 Twins
• 3 Triplets
• 4 More than triplets
• DK, RF (Go to BIR_END)

BIR_Q24
Was ^FNAME admitted to a special neonatal unit or an intensive care unit immediately following birth, before he left the hospital?

• 1 Yes
• 2 No (Go to BIR_Q26)
• DK, RF (Go to BIR_Q26)

BIR_Q25
For how many days, in total, was this care received?

• INTERVIEWER : If less than one day, enter "0".
• Days
• (MIN: 0)
• (MAX: 995)
• DK, RF

BIR_D26

• If SEX_Q01[PPI_N01] = 2 and PPI_N03 = 1, DT_BIR26TEXTE = "were you".
• Otherwise, DT_BIR26TEXTE = "was ^FNAME's biological mother".

BIR_Q26
How old [were you/was ^FNAME's biological mother] when ^FNAME was born?

• INTERVIEWER : Minimum is 12; maximum is 70.
• Age in years
• (MIN: 12)
• (MAX: 70)
• DK, RF

BIR_END

Breastfeeding Information (BRI)

BRI_BEG

• External variables required:
• Variables from other components:
• FNAME: first name of respondent
• AWC_AGE: age of respondent
• SEX_Q01: sex of respondent (1 = male; 2 = female)
• SEX_Q01[PPI_N01]: sex of person providing information
• Variables from previously completed blocks:
• PROXYSEX: gender of selected respondent and whether the interview is being conducted by proxy.
  • 1 = male, non-proxy
  • 2 = female, non-proxy
  • 3 = male, proxy
  • 4 = female, proxy
• PPI_N03: whether person providing the information is a biological parent (1 = yes; 2 = no)

Content type:

• NOTE TO DATA USERS:
  BRI collects information on selected respondents aged 3 to 11. It is only asked if the person providing the information is a biological parent of the selected respondent.

BRI_C11

• If AWC_AGE > 11 or PPI_N03 = 2, go to BRI_END.
• Otherwise, go to BRI_D11.

BRI_D11

• If SEX_Q01[PPI_N01] = 2 and PPI_N03 = 1, DT_BRI11TEXTE = "you".
• Otherwise, DT_BRI11TEXTE = "^FNAME's biological mother".

BRI_Q11
Did [you/^FNAME's biological mother] breastfeed ^FNAME as an infant, even if only for a short period of time?

• 1 Yes
• 2 No (Go to BRI_END)
• DK, RF (Go to BRI_END)

BRI_D12

• If SEX_Q01[PPI_N01] = 2 and PPI_N03 = 1, DT_BRI12TEXTE = "you".
• Otherwise, DT_BRI12TEXTE = "she".

BRI_Q12
For how long did [you/she] breastfeed?

• 01 Less than one week
• 02 1 to less than 3 weeks
• 03 3 to less than 5 weeks
• 04 5 to less than 9 weeks
• 05 9 to less than 12 weeks
• 06 3 to less than 7 months
• 07 7 to less than 10 months
• 08 10 to 12 months
• 09 More than 1 year
• DK, RF

BRI_Q13
For how long was ^FNAME fed only breast milk?

• INTERVIEWER : Water, tea, juice or other liquids are not to be included. Medication and vitamins can be included.
• 1 Less than one week
• 2 1 to less than 3 weeks
• 3 3 to less than 5 weeks
• 4 5 to less than 9 weeks
• 5 9 to less than 12 weeks
• 6 3 to 6 months
• 7 More than 6 months
• DK, RF

BRI_END

Strengths and Difficulties© Robert Goodman (SDQ)

SDQ_BEG

• External variables required:
• Variables from other components:
• FNAME: first name of respondent
• AWC_AGE: age of respondent
• SEX_Q01: sex of respondent (1 = male; 2 = female)
• Variables from previously completed blocks:
• RCL_N11: whether respondent is in the room
• RCL_N12: whether parent or guardian is available to answer questions

Content type:

• NOTE TO DATA USERS:
  SDQ is asked to the parent or guardian of selected respondents aged 4 to 17. The questions are not administered for selected respondents aged 12 to 17 if the youth is still in the room or if the parent or guardian is unavailable to answer the questions.

SDQ_C01

• If AWC_AGE < 4, go to SDQ_END.
• Otherwise, go to SDQ_C11A.

SDQ_C11A

• If AWC_AGE = 4 to 11, go to SDQ_D11.
• Otherwise, go to SDQ_C11B.

SDQ_C11B

• If AWC_AGE = 12 to17 and (RCL_N11 = 2 or RCL_N12 = 1), go to SDQ_D11.
• Otherwise, go to SDQ_END.

SDQ_D11

• If SEX_Q01 <> 1, DT_HESHE_C = "She".
• If SEX_Q01 = 1, DT_HESHE_C = "He".
• If SEX_Q01 = 1, DT_HISHER = "his".
• If SEX_Q01 <> 1, DT_HISHER = "her".

SDQ_R11
Now I'm going to read a series of statements. Please tell me if the statement is "Not true", "Somewhat true" or "Certainly true". It would help us if you answered all of the questions as best you can even if you are not absolutely certain. Please give your answers on the basis of your child's behaviour over the last six months.

• INTERVIEWER : Press <1> to continue.

SDQ_Q11
^FNAME is considerate of other people's feelings.

• 1 Not true
• 2 Somewhat true
• 3 Certainly true
• DK
• RF(Go to SDQ_END)

SDQ_Q12
He is restless, overactive, cannot stay still for long.

• 1 Not true
• 2 Somewhat true
• 3 Certainly true
• DK, RF

SDQ_Q13
He often complains of headaches, stomach aches or sickness.

• 1 Not true
• 2 Somewhat true
• 3 Certainly true
• DK, RF

SDQ_D14

• If AWC_AGE < 12, DT_SDQ14TEXTE = "[She/He] shares readily with other children, for example toys, treats, pencils.".
• Otherwise, DT_SDQ14TEXTE = "[She/He] shares readily with other youth, for example CD's, games, food.".

SDQ_Q14
[He shares readily with other children, for example toys, treats, pencils./He shares readily with other youth, for example CD's, games, food.]

• 1 Not true
• 2 Somewhat true
• 3 Certainly true
• DK, RF

SDQ_Q15
He often loses his temper.

• 1 Not true
• 2 Somewhat true
• 3 Certainly true
• DK, RF

SDQ_D16

• If AWC_AGE < 12, DT_SDQ16TEXTE = "^FNAME is rather solitary, prefers to play alone.".
• Otherwise, DT_SDQ16TEXTE = "^FNAME would rather be alone than with other youth.".

SDQ_Q16
[^FNAME is rather solitary, prefers to play alone./^FNAME would rather be alone than with other youth.]

• 1 Not true
• 2 Somewhat true
• 3 Certainly true
• DK, RF

SDQ_Q17
He is generally well behaved, usually does what adults request.

• 1 Not true
• 2 Somewhat true
• 3 Certainly true
• DK, RF

SDQ_Q18
He has many worries or often seems worried.

• 1 Not true
• 2 Somewhat true
• 3 Certainly true
• DK, RF

SDQ_Q19
He is helpful if someone is hurt, upset, or feeling ill.

• 1 Not true
• 2 Somewhat true
• 3 Certainly true
• DK, RF

SDQ_Q20
He is constantly fidgeting or squirming.

• 1 Not true
• 2 Somewhat true
• 3 Certainly true
• DK, RF

SDQ_Q21
^FNAME has at least one good friend.

• 1 Not true
• 2 Somewhat true
• 3 Certainly true
• DK, RF

SDQ_D22

• If AWC_AGE < 12, DT_SDQ22TEXTE = "[She/He] often fights with other children or bullies them.".
• Otherwise, DT_SDQ22TEXTE = "[She/He] often fights with other youth or bullies them.".

SDQ_Q22
[He often fights with other children or bullies them./He often fights with other youth or bullies them.]

• 1 Not true
• 2 Somewhat true
• 3 Certainly true
• DK, RF

SDQ_Q23
He is often unhappy, depressed or tearful.

• 1 Not true
• 2 Somewhat true
• 3 Certainly true
• DK, RF

SDQ_D24

• If AWC_AGE < 12, DT_SDQ24TEXTE = "[She/He] is generally liked by other children.".
• Otherwise, DT_SDQ24TEXTE = "[She/He] is generally liked by other youth.".

SDQ_Q24
[He is generally liked by other children./He is generally liked by other youth.]

• 1 Not true
• 2 Somewhat true
• 3 Certainly true
• DK, RF

SDQ_Q25
He is easily distracted, his concentration wanders.

• 1 Not true
• 2 Somewhat true
• 3 Certainly true
• DK, RF

SDQ_D26

• If AWC_AGE < 12, DT_SDQ26TEXTE = "^FNAME is nervous or clingy in new situations, easily loses confidence.".
• Otherwise, DT_SDQ26TEXTE = "^FNAME is nervous in new situations, easily loses confidence.".

SDQ_Q26
[^FNAME is nervous or clingy in new situations, easily loses confidence./^FNAME is nervous in new situations, easily loses confidence.]

• 1 Not true
• 2 Somewhat true
• 3 Certainly true
• DK, RF

SDQ_Q27
He is kind to younger children.

• 1 Not true
• 2 Somewhat true
• 3 Certainly true
• DK, RF

SDQ_Q28
He often lies or cheats.

• 1 Not true
• 2 Somewhat true
• 3 Certainly true
• DK, RF

SDQ_D29

• If AWC_AGE < 12, DT_SDQ29TEXTE = "[She/He] is picked on or bullied by other children.".
• Otherwise, DT_SDQ29TEXTE = "[She/He] is picked on or bullied by other youth.".

SDQ_Q29
[He is picked on or bullied by other children./He is picked on or bullied by other youth.]

• 1 Not true
• 2 Somewhat true
• 3 Certainly true
• DK, RF

SDQ_Q30
He often offers to help others (parents, teachers, other children).

• 1 Not true
• 2 Somewhat true
• 3 Certainly true
• DK, RF

SDQ_Q31
^FNAME thinks things out before acting.

• 1 Not true
• 2 Somewhat true
• 3 Certainly true
• DK, RF

SDQ_Q32
He steals from home, school or elsewhere.

• 1 Not true
• 2 Somewhat true
• 3 Certainly true
• DK, RF

SDQ_D33

• If AWC_AGE < 12, DT_SDQ33TEXTE = "[She/He] gets along better with adults than with other children.".
• Otherwise, DT_SDQ33TEXTE = "[She/He] gets along better with adults than with other youth.".

SDQ_Q33
[He gets along better with adults than with other children./He gets along better with adults than with other youth.]

• 1 Not true
• 2 Somewhat true
• 3 Certainly true
• DK, RF

SDQ_Q34
He has many fears, is easily scared.

• 1 Not true
• 2 Somewhat true
• 3 Certainly true
• DK, RF

SDQ_Q35
He has a good attention span, sees chores or homework through to the end.

• 1 Not true
• 2 Somewhat true
• 3 Certainly true
• DK, RF

SDQ_END

Request for Child to Return (RCR)

RCR_BEG

• External variables required:
• Variables from other components:
• AWC_AGE: age of respondent
• SEX_Q01: sex of respondent (1 = male; 2 = female)
• Variables from previously completed blocks:
• PROXYSEX: gender of selected respondent and whether the interview is being conducted by proxy.
  • 1 = male, non-proxy
  • 2 = female, non-proxy
  • 3 = male, proxy
  • 4 = female, proxy
• RCL_N11: variable indicating if child was in the room
• RCL_Q13: variable indicating if child left the room
• RCL_D13: variable indicating if PROXYSEX status has been altered

RCR_C11

• If AWC_AGE < 18 and RCL_N11 = 1 and RCL_Q13 = 1, go to RCR_D11.
• Otherwise, go to RCR_END.

RCR_D11

• If AWC_AGE > 12, DT_RCR11TEXTE = "^FNAME should return now to answer the remaining questions in the survey. You may wish to remain in the room or close by to provide assistance to ^FNAME if needed.".
• If AWC_AGE = 12, DT_RCR11TEXTE = "^FNAME should return now to answer the remaining questions in the survey. You may wish to remain in the room or close by to provide assistance to ^FNAME if needed.".
• If AWC_AGE < 12, DT_RCR11TEXTE = "^FNAME may return now if [he/she] wishes. [He/She] may help answer the remaining questions.".
• If SEX_Q01 = 1, DT_HESHE = "he".
• If SEX_Q01 = 1, DT_HESHE_C = "He".
• If SEX_Q01 <> 1, DT_HESHE = "she".
• If SEX_Q01 <> 1, DT_HESHE_C = "She".

RCR_R11
We have now finished this set of questions. ^DT_RCR11TEXTE

• INTERVIEWER : Press <1> to continue.

RCR_N11

• INTERVIEWER : Has the child returned to the room?
• 1 Yes
• 2 No
• (DK, RF not allowed)

Content type:

• NOTE TO DATA USERS:
  If the selected respondent is a youth aged 12 to17, was providing his own information prior to RCL, left the room at RCL but has now returned, the remainder of the questions will be redirected back to the youth. In this case, PROXYSEX is reset to the original value.

RCR_D11C

Programmer:

• IF RCR_N11 = 1 and RCL_D13 = 1 THEN
  • IF PROXYSEX = 3 THEN
    • PROXYSEX = 1
  • ELSE IF PROXYSEX = 4 THEN
    • PROXYSEX = 2
  • ENDIF
• ENDIF

RCR_END

Labour Force

Labour Force (LAF)

LAF_BEG

• External variables required:
• Variables from other components:
• FNAME: first name of respondent
• RESPONDENTNAME: given name and surname of respondent
• AWC_AGE: age of respondent
• Variables from previously completed blocks:
• PROXYSEX: gender of selected respondent and whether the interview is being conducted by proxy.
  • 1 = male, non-proxy
  • 2 = female, non-proxy
  • 3 = male, proxy
  • 4 = female, proxy
• GEN_Q16: whether the respondent worked at a job or business at any time in the previous 12 months (1 = yes; 2 = no)

LAF_C01

• If AWC_AGE < 15 or AWC_AGE > 75 or GEN_Q16 = DK or RF, go to LAF_END.
• Otherwise, go to LAF_D01.

LAF_D01

• DV_REFBEGE = English date corresponding to one week ago
• DV_REFENDE = English date corresponding to yesterday
• DV_NMBEGE = English date corresponding to today's date plus 28 days

LAF_B01

• Call Labour Market Activities - Minimum Block (LMAM)
• LAF_C11
• If LMAM_Q02 = 2 or ((LMAM_Q02 = 1) and (LMAM_Q03 = 8, 9 or 10)), go to LAF_B11.
• Otherwise, go to LAF_C21.
• Content type:
• LMAM_Q02: Last week, did you have a job or business from which you were absent? 1 = Yes
• 2 = No
• LMAM_Q03: What was the main reason you were absent from work last week?
• 08 = Temporary layoff due to business conditions (Employees only)
• 09 = Seasonal layoff (Employees only)
• 10 = Casual job, no work available (Employees only)

LAF_D11

Programmer:

• AGE = AWC_AGE

LAF_B11

• Call Labour Force Status Block (LMA2)

LAF_C21

• If (GEN_Q16 = EMPTY and LMAM_Q01 = 2) or GEN_Q16 = 2, go to LAF_B21.
• Otherwise, go to LAF_C31.

Content type:

• GEN_Q16: Have you worked at a job or business at any time in the past 12 months?
• LMAM_Q01: Last week, did you work at a job or business?

LAF_B21

• Call CHMS Labour Force Year Block (LFY)

LAF_C31

• If ((LMAM_Q01 = 1) or ((LMAM_Q02 = 1) and (LMAM_Q03 = 1, 2, 3, 4, 5, 6, 7, 11, 12, 13 or 14))) or LFY_Q01 = 1 or GEN_Q16 = 1, go to LAF_D31.
• Otherwise, go to LAF_END.

Content type:

• LMAM_Q01: Last week, did you work at a job or business?
  1 = Yes
• LMAM_Q02: Last week, did you have a job or business from which you were absent?
  1 = Yes
• LMAM_Q03: What was the main reason you were absent from work last week
  01 = Own illness or disability
  02 = Caring for own children
  03 = Caring for elder relative (60 years of age or older)
  04 = Maternity or parental leave
  05= Other personal or family responsibilities
  06 = Vacation
  07 = Labour dispute (strike or lockout) (Employees only)
  11 = Work schedule (e.g., shift work) (Employees only)
  12 = Self-employed, no work available (Self-employed only)
  13 = Seasonal business (Excluding employees)
  14 = Other - Specify
• LFY_Q01: Have you worked at a job or a business at any time in the past 12 months?
  1 = Yes
• GEN_Q16: Have you worked at a job or business at any time in the past 12 months?
  1 = Yes

LAF_D31

• If LMAM_Q01 = 1 or LMAM_Q02 = 1, DT_LAF31TEXTE = "job or business".
• Otherwise, DT_LAF31TEXTE = "most recent job or business".

LAF_R31
The next questions are about your [job or business/most recent job or business].

• INTERVIEWER : If the respondent had more than one job or business, report on the job or business for which the number of hours worked per week was the greatest.
• Press <1> to continue.

LAF_B31

• Call CHMS Class of Worker Block (LMA3)

LAF_B41

• Call CHMS Industry Block (LMA4)

LAF_B51

• Call CHMS Occupation Block (LMA5)

LAF_B61

• Call CHMS Labour Force Usual Hours of Work Block (LFH)

LAF_END

Labour Market Activities Minimal (LMAM)

LMAM_BEG

• External variables required:
• Variables from other components:
• RESPONDENTNAME: given name and surname of respondent
• FNAME: given name of respondent
• REFBEGE: English date corresponding to the first day of reference week
• REFENDE: English date corresponding to the last day of reference week
• Variables from previously completed blocks:
• PROXYSEX: gender of selected respondent and whether the interview is being conducted by proxy.
  • 1 = male, non-proxy
  • 2 = female, non-proxy
  • 3 = male, proxy
  • 4 = female, proxy
• GEN_Q16: Whether the respondent worked at a job or business at any time in the previous 12 months

LMAM_D01

• If PROXYSEX = 1, DT_LMAM_D01E = "your".
• If PROXYSEX = 2, DT_LMAM_D01E = "your".
• If PROXYSEX = 3, DT_LMAM_D01E = "^FNAME's".
• If PROXYSEX = 4, DT_LMAM_D01E = "^FNAME's".

LMAM_C01

• If GEN_Q16 = 2, go to LMAM_D02.
• Otherwise, go to LMAM_Q01.

LMAM_Q01
Many of the following questions concern your activities last week. By

last week, I mean the week beginning on ^REFBEGE, and ending ^REFENDE.

Last week, did you work at a job or business? (regardless of the number of hours)

• 1 Yes
• 2 No (Go to LMAM_Q02)
• DK, RF

Go to LMAM_END

LMAM_D02

• If GEN_Q16 = 2, DT_LMAM_D02E = "Many of the following questions concern [your/^FNAME's] activities last week. By last week, I mean the week beginning on ^REFBEGE, and ending ^REFENDE.".
• Otherwise, DT_LMAM_D02E = "EMPTY".

LMAM_Q02
[Many of the following questions concern your activities last week. By last week, I mean the week beginning on ^REFBEGE, and ending ^REFENDE./EMPTY]

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

• 1 Yes
• (Go to LMAM_Q03)
• 2 No
• DK, RF

Go to LMAM_END

LMAM_Q03
What was the main reason you were absent from work last week?

• 01 Own illness or disability
• 02 Caring for own children
• 03 Caring for elder relative (60 years of age or older)
• 04 Maternity or parental leave
• 05 Other personal or family responsibilities
• 06 Vacation
• 07 Labour dispute (strike or lockout) (Employees only)
• 08 Temporary layoff due to business conditions (Employees only)
• 09 Seasonal layoff (Employees only)
• 10 Casual job, no work available (Employees only)
• 11 Work schedule (e.g., shift work) (Employees only)
• 12 Self-employed, no work available (Self-employed only)
• 13 Seasonal business (Excluding employees)
• 14 Other - Specify
• (Go to LMAM_S03)
• DK, RF

Go to LMAM_END

LMAM_S03
(What was the main reason you were absent from work last week?)

• INTERVIEWER : Specify.
• (80 spaces)
• DK, RF

LMAM_END

Labour Force Status (LMA2)

LMA2_BEG

• External variables required:
• Variables from other components:
• FNAME: given name of respondent
• AGE: age of respondent in years
• REFENDE
• English date corresponding to the last day of reference week
• NMBEGE
• English date corresponding to the first day after 4 weeks from the end of the reference week
• Variables from previously completed blocks:
• PROXYSEX: gender of selected respondent and whether the interview is being conducted by proxy.
  • 1 = male, non-proxy
  • 2 = female, non-proxy
  • 3 = male, proxy
  • 4 = female, proxy
• LMAM_Q02: Last week, did you have a job or business from which you were absent? (1 = Yes; 2 = No)
• LMAM_Q03: What was the main reason you were absent from work last week?
  01 = Own illness or disability
  02 = Caring for own children
  03 = Caring for elder relative (60 years of age or older)
  04 = Maternity or parental leave
  05 = Other personal or family responsibilities
  06 = Vacation
  07 = Labour dispute (strike or lockout) (Employees only)
  08 = Temporary layoff due to business conditions (Employees only)
  09 = Seasonal layoff (Employees only)
  10 = Casual job, no work available (Employees only)
  11 = Work schedule (e.g., shift work) (Employees only)
  12 = Self-employed, no work available (Self-employed only)
  13 = Seasonal business (excluding employees)
  14 = Other - Specify

LMA2_C04B

• If (LMAM_Q02=1) and (LMAM_Q03=8), go to LMA2_D08.
• Otherwise, go to LMA2_Q04.

LMA2_Q04
In the 4 weeks ending ^REFENDE, did you do anything to find work?

• 1 Yes
• (Go to LMA2_Q07)
• 2 No
• DK, RF (Go to LMA2_END)

LMA2_C05

• If (AGE >= 065), go to LMA2_END.
• Otherwise, go to LMA2_Q05.

LMA2_Q05
Last week, did you have a job to start at a definite date in the future?

• 1 Yes
• (Go to LMA2_Q06)
• 2 No
• DK, RF

Go to LMA2_END

LMA2_Q06
Will you start that job before or after ^NMBEGE?

• 1 Before the date above
• (Go to LMA2_D08)
• 2 On or after the date above
• DK, RF

Go to LMA2_END

LMA2_Q07
Did you want a job with more or less than 30 hours per week?

• 1 30 or more hours per week
• 2 Less than 30 hours per week
• DK, RF

LMA2_D08

• If ((LMAM_Q02=1) and (LMAM_Q03=8)), DT_LMA2_D08E = "if you had been recalled".
• Otherwise, DT_LMA2_D08E = "if a suitable job had been offered".

LMA2_Q08
Could you have worked last week [if you had been recalled/if a suitable job had been offered]?

• 1 Yes
• 2 No (Go to LMA2_Q09)
• DK, RF

Go to LMA2_END

LMA2_Q09
What was the main reason you were not available to work last week?

• 01 Own illness or disability
• 02 Caring for own children
• 03 Caring for elder relative (60 years of age or older)
• 04 Other personal or family responsibilities
• 05 Going to school
• 06 Vacation
• 07 Already has a job
• 08 Other - Specify
• (Go to LMA2_S09)
• DK, RF

Go to LMA2_END

LMA2_S09
(What was the main reason you were not available to work last week?)

• INTERVIEWER : Specify.
• (80 spaces)
• DK, RF

LMA2_END

Labour Force Year (LFY)

LFY_BEG

• External variables required:
• Variables from other components:
• FNAME: Given name of respondent
• Variables from previously completed blocks:
• PROXYSEX: gender of selected respondent and whether the interview is being conducted by proxy.
  • 1 = male, non-proxy
  • 2 = female, non-proxy
  • 3 = male, proxy
  • 4 = female, proxy
• GEN_Q16: Whether the respondent worked at a job or business at any time in the previous 12 months
• LMA2_Q04: Respondent did something to find work in last 4 weeks (1 = Yes, 2 = No)

LFY_D01

• If DT DATELASTYEARE = EMPTY, DT_DATELASTYEARE = "English text of date one year ago".

LFY_C01

• If GEN_Q16 = 2, go to LFY_C02.
• Otherwise, go to LFY_R01.

LFY_R01
Now some questions about jobs or employment which you have had during the past 12 months, that is, from ^DT_DATELASTYEARE to yesterday.

• INTERVIEWER : Press <1> to continue.

LFY_Q01
Have you worked at a job or a business at any time in the past 12 months? (regardless of number of hours)

• 1 Yes
• 2 No (Go to LFY_C02)
• DK, RF

Go to LFY_END

LFY_C02

• If LMA2_Q04 = 1 (did something to find work in last 4 weeks), go to LFY_END.
• Otherwise, go to LFY_Q02.

LFY_Q02
During the past 12 months, did you do anything to find work?

• 1 Yes
• 2 No
• DK, RF
• LFY_D02

LFY_END

Class of Worker (LMA3)

LMA3_BEG

• External variables required:
• Variables from other components:
• FNAME: given name of respondent
• Variables from previously completed blocks:
• PROXYSEX: gender of selected respondent and whether the interview is being conducted by proxy.
  • 1 = male, non-proxy
  • 2 = female, non-proxy
  • 3 = male, proxy
  • 4 = female, proxy

LMA3_D10

• Not Applicable

LMA3_Q10
Were you an employee or self-employed?

• 1 Employee
• 2 Self-employed
• 3 Working in a family business without pay
• DK, RF

LMA3_END

Industry (LMA4)

LMA4_BEG

• External variables required:
• Variables from other components:
• FNAME: given name of respondent
• Variables from previously completed blocks:
• PROXYSEX: gender of selected respondent and whether the interview is being conducted by proxy.
  • 1 = male, non-proxy
  • 2 = female, non-proxy
  • 3 = male, proxy
  • 4 = female, proxy
• LMA3_Q10: Were you an employee or self-employed?
  1 = Employee
  2 = Self-employed
  3 = Working in a family business without pay

LMA4_C11B

• If (LMA3_Q10=2), go to LMA4_Q11.
• Otherwise, go to LMA4_Q12.

LMA4_Q11
What was the name of your business?

• INTERVIEWER : Enter the full name of the business.
• If there is no business name, enter the respondent's full name.
• (50 spaces)
• DK, RF

Go to LMA4_Q13

LMA4_Q12
For whom did you work?

• INTERVIEWER : Enter the full name of the company, business, government department or agency, or person.
• (50 spaces)
• DK, RF

LMA4_Q13
What kind of business, industry or service was this?

• INTERVIEWER : Enter a detailed description.
• For example:
• new home construction
• primary school
• municipal police
• wheat farm
• retail shoe store
• food wholesale
• car parts factory
• federal government
• (50 spaces)
• DK, RF

LMA4_END

Occupation (LMA5)

LMA5_BEG

• External variables required:
• Variables from other components:
• FNAME: given name of respondent
• Variables from previously completed blocks:
• PROXYSEX: gender of selected respondent and whether the interview is being conducted by proxy.
  • 1 = male, non-proxy
  • 2 = female, non-proxy
  • 3 = male, proxy
  • 4 = female, proxy
• LMAM_Q01: Last week, did you work at a job or business? (regardless of the number of hours) (1 = Yes; 2 = No)
• LMAM_Q02: Last week, did you have a job or business from which you were absent? (1 = Yes; 2 = No)
• LMAM_Q03: What was the main reason you were absent from work last week?
  1 Own illness or disability
  2 Caring for own children
  3 Caring for elder relative (60 years of age or older)
  4 Maternity or parental leave
  5 Other personal or family responsibilities
  6 Vacation
  7 Labour dispute (strike or lockout) (Employees only)
  8 Temporary layoff due to business conditions (Employees only)
  9 Seasonal layoff (Employees only)
  10 Casual job, no work available (Employees only)
  11 Work schedule (e.g., shift work) (Employees only)
  12 Self-employed, no work available (Self-employed only)
  13 Seasonal business (excluding employees)
  14 Other - Specify

LMA5_C14

• If ((LMAM_Q01=1) or ((LMAM_Q01=2) and (LMAM_Q02=1) and
• (LMAM_Q03=1, 2, 3, 4, 5, 6, 7, 11, 12, 13 or 14))), go to LMA5_D14.
• Otherwise, go to LMA5_END.

LMA5_D14

• Not Applicable

LMA5_Q14
What was your work or occupation?

• INTERVIEWER : Enter a detailed description.
• For example:
• legal secretary
• plumber
• fishing guide
• wood furniture assembler
• secondary school teacher
• computer programmer
• (50 spaces)
• DK, RF

LMA5_D15

• Not Applicable

LMA5_Q15
In this work, what were your main activities?

• INTERVIEWER : Enter a detailed description.
• For example:
• prepared legal documents
• installed residential plumbing
• guided fishing parties
• made wood furniture products
• taught mathematics
• developed software
• (50 spaces)
• DK, RF

LMA5_END

Usual Hours of Work (LFH)

LFH_BEG

• External variables required:
• Variables from other components:
• FNAME: given name of respondent
• Variables from previously completed blocks:
• PROXYSEX: gender of selected respondent and whether the interview is being conducted by proxy.
  • 1 = male, non-proxy
  • 2 = female, non-proxy
  • 3 = male, proxy
  • 4 = female, proxy
• LMAM_Q01: Last week, did you work at a job or business? (regardless of the number of hours) (1 = Yes; 2 = No)
• LMAM_Q02: Last week, did you have a job or business from which you were absent? (1 = Yes; 2 = No) LMAM_Q03: What was the main reason you were absent from work last week?
  1 = Own illness or disability
  2 = Caring for own children
  3 = Caring for elder relative (60 years of age or older)
  4 = Maternity or parental leave
  5 = Other personal or family responsibilities
  6 = Vacation
  7 = Labour dispute (strike or lockout) (Employees only)
  8 = Temporary layoff due to business conditions (Employees only)
  9 = Seasonal layoff (Employees only)
  10 = Casual job, no work available (Employees only)
  11 = Work schedule (e.g., shift work) (Employees only)
  12 = Self-employed, no work available (Self-employed only)
  13 = Seasonal business (excluding employees)
  14 = Other - Specify
• LMA3_Q10: Were you an employee or self-employed?
  1 = Employee
  2 = Self-employed
  3 = Working in a family business without pay

LFH_D16

• If LMA3_Q10= 2, DT_JOBE = "business".
• Otherwise, DT_JOBE = "job".
• If LMAM_Q01 = 1 or LMAM_Q02 = 1, DT_DODIDE = "do".
• Otherwise, DT_DODIDE = "did".
• If LMAM_Q01 = 1 or LMAM_Q02 = 1, DT_WORKE = "work".
• Otherwise, DT_WORKE = "worked".

LFH_Q16
About how many hours a week [do/did] you usually work at your [business/job]? If you usually [work/worked] extra hours, paid or unpaid, please include these hours.

• (MIN: 0)
• (MAX: 168)
• DK, RF

LFH_END

Socio-Demographic

Socio-Demographic Characteristics (SDC)

SDC_BEG

• External variables required:
• Variables from other components:
• FNAME: first name of respondent
• AWC_YOB: year of birth of respondent
• PERSEL: number of selected respondents in household
• CURRENTYEAR: the year during which the information is collected
• Variables from previously completed blocks:
• PROXYSEX: gender of selected respondent and whether the interview is being conducted by proxy.
  • 1 = male, non-proxy
  • 2 = female, non-proxy
  • 3 = male, proxy
  • 4 = female, proxy

SDC_D11

• If PERSEL = 1, DT_SDC11TEXTE = "EMPTY".
• Otherwise, DT_SDC11TEXTE = "It is important that we get this information from each individual that we interview, even those in the same family.".

SDC_R11
Now some general background questions which will help us compare the health of people in Canada. [EMPTY/It is important that we get this information from each individual that we interview, even those in the same family.]

• INTERVIEWER : Press <1> to continue.

SDC_B12

• Call the Immigration Minimum (IMM) block

Programmer:

• YEAROFBIRTH = AWC_YOB for selected respondent

SDC_C13

• If SDC_B12.DV_CNTRYCODE (derived from SDC_B12.IMM_Q01) = 11124 (Canada), 11840 (USA), 11304 (Greenland) or 21276 (Germany), go to SDC_B13.
• Otherwise, go to SDC_C14.

SDC_B13

• Call the Aboriginal Minimum (AMB) block.

SDC_C14

• If SDC_B13.AMB_Q01 = 1 (Aboriginal person), go to SDC_END.
• Otherwise, go to SDC_B14.

SDC_B14

• Call the Population Group (PG) block.

SDC_END

Immigration Minimum (IMM)

IMM_BEG

• External variables required:
• Variables from other components:
• FNAME: first name of respondent
• CURRENTYEAR: the year during which the information is collected
• YEAROFBIRTH: year of birth, from the entry block
• Variables from previously completed blocks:
• PROXYSEX: gender of selected respondent and whether the interview is being conducted by proxy.
  • 1 = male, non-proxy
  • 2 = female, non-proxy
  • 3 = male, proxy
  • 4 = female, proxy

IMM_Q01
In what country were you 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.
• 1 Search
• 2 Other - Specify
• (Go to IMM_S01)
• DK, RF

Content type:

• NOTE TO DATA USERS:
  A database is searched at IMM_Q01 to find and capture the country of birth.

IMM_C01

• If DV_CNTRYCODE = 90000 (Other-Specify), go to IMM_S01.
• Otherwise, go to IMM_C02.

IMM_C02

• If DV_CNTRYCODE = 11124 (Canada), go to IMM_Q02.
• Otherwise, go to IMM_Q03.

IMM_S01
(In what country were you born?)

• INTERVIEWER : Specify.
• (80 spaces)
• DK, RF

Go to IMM_Q03

IMM_Q02
In which province or territory were you born?

• INTERVIEWER : Ask the respondent to specify province or territory of birth according to current boundaries.
• 10 Newfoundland and Labrador
• 11 Prince Edward Island
• 12 Nova Scotia
• 13 New Brunswick
• 24 Quebec
• 35 Ontario
• 46 Manitoba
• 47 Saskatchewan
• 48 Alberta
• 59 British Columbia
• 60 Yukon
• 61 Northwest Territories
• 62 Nunavut
• DK, RF

Go to IMM_END

IMM_Q03
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.
• 1 Yes
• 2 No (Go to IMM_Q05)
• DK, RF (Go to IMM_Q05)

IMM_Q04
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.
• Year
• (MIN: 1,870)
• (MAX: 2,100)
• DK, RF

IMM_Q05
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: 1,870)
• (MAX: 2,100)
• DK, RF

IMM_END

Aboriginal Minimum (AMB)

AMB_BEG

• External variables required:
• Variables from other components:
• FNAME: first name of respondent
• Variables from previously completed blocks:
• PROXYSEX: gender of selected respondent and whether the interview is being conducted by proxy.
  • 1 = male, non-proxy
  • 2 = female, non-proxy
  • 3 = male, proxy
  • 4 = female, proxy

AMB_D01

• Not Applicable

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".
• 1 Yes
• (Go to AMB_Q02)
• 2 No
• DK, RF

Go to AMB_END

Help text:

• Tag: Aboriginal group
• This question should be answered regardless of whether or not this person is an Aboriginal person of North America.
• Aboriginal people are usually those with ancestors who resided in North America prior to European contact and who identify with one of the three Aboriginal groups listed on the questionnaire: First Nations (North American Indian), Métis and Inuk.
• Persons who consider themselves to be East Indian or Asian Indian, or who have ethnic roots on the subcontinent of India, should respond "No, not an Aboriginal person" to this question.
• Individuals who refer to themselves as Métis in the context of mixed ancestry, but who do not have North American Aboriginal ancestry-for example, those from Africa, the Caribbean and South America-should respond "No, not an Aboriginal person".
• Press "Escape" to return.

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".
• 1 First Nations (North American Indian)
• 2 Métis
• 3 Inuk (Inuit)
• DK, RF

AMB_END

Population Group (PG)

PG_BEG

• External variables required:
• Variables from other components:
• FNAME: first name of respondent
• Variables from previously completed blocks:
• PROXYSEX: gender of selected respondent and whether the interview is being conducted by proxy.
  • 1 = male, non-proxy
  • 2 = female, non-proxy
  • 3 = male, proxy
  • 4 = female, proxy

PG_D01

• Not Applicable

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.
• 01 White
• 02 South Asian (e.g., East Indian, Pakistani, Sri Lankan)
• 03 Chinese
• 04 Black
• 05 Filipino
• 06 Latin American
• 07 Arab
• 08 Southeast Asian (e.g., Vietnamese, Cambodian, Malaysian, Laotian)
• 09 West Asian (e.g., Iranian, Afghan)
• 10 Korean
• 11 Japanese
• 12 Other - Specify
• (Go to PG_S01)
• DK, RF

Go to PG_END

Help text:

• Tag: Racial or cultural group
• All response categories and examples must be read aloud, even if the respondent has already given a response.
• If the respondent provides a response that is not on the list, do not reclassify it into one of the given categories. For example, do not select "White" if the respondent says "Caucasian". Instead, record "Caucasian" in the "Other - Specify" category.
• If no preceding aboriginal question block is on the survey, and an aboriginal respondent answers that they are First Nations, Métis or Inuk (Inuit), select <12 Other - Specify> and enter "NA".
• Press "Escape" to return.

PG_S01
(You may belong to one or more racial or cultural groups on the following list.

Are you... ?)

• INTERVIEWER : Specify.
• (80 spaces)
• DK, RF

PG_END

Language Extended (LAE)

LAE_BEG

• External variables required:
• Variables from other components:
• FNAME: first name of respondent
• Variables from previously completed blocks:
• PROXYSEX: gender of selected respondent and whether the interview is being conducted by proxy.
  • 1 = male, non-proxy
  • 2 = female, non-proxy
  • 3 = male, proxy
  • 4 = female, proxy

LAE_D01

• Not Applicable

LAE_Q01
Of English or French, which language(s) do you speak well enough to conduct a conversation? Is it... ?

• INTERVIEWER : Read categories to respondent.
• 1 English only
• 2 French only
• 3 Both English and French
• 4 Neither English nor French
• DK, RF

Help text:

• Tag: Knowledge of official languages
• For a child who has not yet learned to speak:
• Report the language(s) that the child is learning to speak at home: English, French, both or neither.
• Presss "Escape" to return.

LAE_B02

Content type:

• NOTE TO DATA USERS:
  A database is searched at LAE_B02 to find and capture the language(s) other than English or French that the respondent speaks well enough to conduct a conversation. The question text, interviewer instructions and help text are fed into a call block as parameters. Up to three languages can be entered.

Help text:

• Tag: Knowledge of non-official languages
  For a child who has not yet learned to speak:
  Report a language other than English or French that the child is learning to speak at home.
• Some languages like Chinese (Cantonese, Mandarin or other Chinese language) and those used by Jewish communities (such as Hebrew or Yiddish) have regional dialects which should be reported as separate response options. Probe the respondent for the correct language.
• If the respondent DOES NOT report the language of interview, probe to determine if it was simply forgotten or if it is not spoken well enough to conduct a conversation.

Programmer:

• Pass the parameters question text, interviewer instruction
  and help text.
• QTEXT = What language(s) other than English or French do you speak well enough to conduct a conversation?
• ITEXT = Mark up to three responses. Report only those languages in which the respondent can carry on a conversation of some length on various topics

LAE_B03

Content type:

• NOTE TO DATA USERS:
  A database is searched at LAE_B03 to find and capture the language spoken most often at home. The question text, interviewer instructions and help text are fed into a call block as parameters. Multiple responses are allowed only if languages are spoken equally often at home. Up to three languages can be entered.

Help text:

• Tag: Home language spoken most often
  For a child who has not yet learned to speak:
  Report the language spoken most often to this child at home. If two languages are spoken, report the language spoken most often. If both languages are used equally often, report both languages.
• For a person who lives alone, report the language in which the respondent feels most comfortable (this can be the language the respondent would use to talk on the telephone, entertain friends at home, etc.).
• Some languages like Chinese (Cantonese, Mandarin or other Chinese language) and those used by Jewish communities (such as Hebrew or Yiddish) have regional dialects which should be reported as separate response options. Probe the respondent for the correct language.

Programmer:

• Pass the parameters question text, interviewer instruction
  and help text.
• QTEXT = What language do you speak most often at home?
• ITEXT = Mark up to three responses. Multiple responses are accepted
  only if languages are spoken equally often at home.

LAE_B06

Content type:

• NOTE TO DATA USERS:
  A database is searched at LAE_B06 to find and capture the language first learned in childhood and still understood. The question text, interviewer instructions and help text are fed into a call block as parameters. Multiple responses are allowed only if languages were learned at the same time. Up to three languages can be entered.

Help text:

• Tag: Mother tongue
  This question should be asked of children between the ages of 0-5 years where their main introduction to the first language learned at home would be through their parents and siblings.
• For a child who has not yet learned to speak:
  Report the language spoken most often to this child at home. Report two languages only if both languages are spoken equally often so that the child learns both languages at the same time.
• Some languages like Chinese (Cantonese, Mandarin or other Chinese language) and those used by Jewish communities (such as Hebrew or Yiddish)
  have regional dialects which should be reported as separate response options. Probe the respondent for the correct language.

Programmer:

• Pass the parameters question text, interviewer instruction and help text.
• QTEXT = What is the language that you first learned at home in childhood and still understand?
• ITEXT = Accept up to 3 responses. If the respondent no longer understands the first
• language learned, indicate the second language learned. Accept multiple responses only if languages were learned at the same time.

LAE_END

Education

Education (EDU)

EDU_BEG

• External variables required:
• Variables from other components:
• FNAME: first name of respondent
• AWC_AGE: age of respondent
• Variables from previously completed blocks:
• PROXYSEX: gender of selected respondent and whether the interview is being conducted by proxy.
  • 1 = male, non-proxy
  • 2 = female, non-proxy
  • 3 = male, proxy
  • 4 = female, proxy

EDU_C01

• If AWC_AGE < 12, go to EDU_END.
• Otherwise, go to EDU_B01.

EDU_B01

• Call Education Minimum block (EDM)

EDU_END

Education Minimum with concept (EDM)

EDM_BEG

• Import the following:
• Variables from previously completed blocks:
• PROXYSEX: gender of selected respondent and whether the interview is being conducted by proxy.
  • 1 = male, non-proxy
  • 2 = female, non-proxy
  • 3 = male, proxy
  • 4 = female, proxy

EDM_B01A

• Call Education - School Attendance block (ESC1)

EDM_C01D

• If ESC1_Q01 = 1 (Yes), go to EDM_Q01.
• Otherwise, go to EDM_END.

EDM_Q01
What type of educational institution are you attending?

• INTERVIEWER : Mark all that apply.
• 1 Elementary, junior high school or high school
• 2 Trade school, college, CEGEP or other non-university institution
• 3 University
• DK, RF

Help text:

• Tag: Type of educational institution
• Elementary school is also referred to as primary school. Schools are classified as elementary if they provide instruction to Grades 6 and under.
• Junior high school is also referred to as middle school and usually represents Grade 7 and 8, although this can differ among provinces in Canada and other countries.
• High School usually represents Grade 9 to 12 including high school equivalency certificates such as the General Educational Development (GED) certificate and the Adult Basic Education (ABE) certificate.
• Trade/vocational certificate or diploma is a term used to classify skill courses that prepare trainees for occupations not at the professional or semi-professional levels. A trade-vocational school is a public or private educational institution, which offers courses to prepare people for employment in a specific occupation such as heavy equipment operator, automotive mechanic, secretarial and upholstering. Many community colleges or technical institutes offer certificates or diplomas at the trade level.
• Apprenticeship certificate is a program that combines on-the-job training (by observation and practice) with short periods of related in-class technical training to produce a fully qualified journeyman tradesperson. The employer undertakes, by contract, to employ and train an apprentice under the supervision of a qualified journeyman. To become an apprentice, usually there is a formal registration process with a provincial ministry or department. Examples of occupations for which apprenticeship will lead to a journeyman certificate include cooking, masonry, finishing carpentry, plumbing, and machinist.
• CEGEP is a French acronym for "Collège d'enseignement général et professionnel." These institutions are classified at a postsecondary level (students enter CEGEP after completing six years of elementary school and five years of secondary school) and offer Diploma of College Studies (DCS/DEC) as a two-year pre-university program or as a three-year technical program leading to employment. There are also shorter technical programs leading to an Attestation of College Studies (ACS). A two-year Diploma of Vocational Studies (DVS/DEP) is required prior to entering into an apprenticeship in Québec. Pre-university programs lead to university, whereas technical programs generally lead to the labour market, but can, under certain conditions, also lead to university.
• Other non-university institutions include seminaries, schools of nursing, private business schools, police or fire-fighting academies and flight schools which upon completion of a prescribed program of study offer a certificate or diploma.
• Press "Escape" to return.

EDM_Q02
Are you enrolled as... ?

• INTERVIEWER : Read categories to respondent.
• 1 A full-time student
• 2 A part-time student
• 3 Both full-time and part-time student
• DK, RF

EDM_END

Education - School Attendance (ESC1)

ESC1_BEG

External variables required:

Variables from previously completed blocks:

PROXYSEX: gender of selected respondent and whether the interview is being conducted by proxy

• 1 = male, non-proxy
• 2 = female, non-proxy
• 3 = male, proxy
• 4 = female, proxy

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.
• 1 Yes
• 2 No
• DK, RF

ESC1_END

Income

Income (INC)

INC_BEG

• External variables required:
• Variables from other components:
• CPROV: respondent's province of residence
• FNAME: first name of respondent
• AWC_AGE: age of respondent
• PERSEL: number of selected respondents in household
• CURRENTYEAR: the year during which the information is collected
• OthHlthComp: If the other Health component has been completed in a 2 respondent household (Yes or No)
• OthHlthCompAge: Age of other Selected Respondent for the household
• OthRespProxySex: ProxySex of Other Selected Respondent
• PPIGender: If AWC_AGE of selected respondent < 12 PPIGender = SEX_Q01 [PPI_N01], the gender of the person providing the information.
• Variables from previously completed blocks:
• PROXYSEX: gender of selected respondent and whether the interview is being conducted by proxy.
  • 1 = male, non-proxy
  • 2 = female, non-proxy
  • 3 = male, proxy
  • 4 = female, proxy

Content type:

• NOTE TO DATA USERS:
  In households with two selected respondents, household income is only asked during the first interview in the household where the selected respondent is either less than 12 years old (the parent or guardian provides the information) or is aged 20 or older and giving a non-proxy interview.The variable ASK_INC, defined below, indicates whether household income will be asked in the current interview

INC_D11A

Programmer:

• IF PERSEL = 2 THEN
  • IF OthHlthComp = 1 THEN
    • If OthHlthCompAge < 12 or ((OthRespProxySex = 1 or 2) and OthHlthCompAge > 19) THEN
      • ASK_INC = 2
    • ELSE
      • ASK_INC = 1
    • ENDIF
  • ELSE (IF OthHlthComp = 2)
    • If AWC_AGE < 12 or ((PROXYSEX = 1 or 2) and AWC_AGE > 19) THEN
      • ASK_INC = 1
    • ELSE
      • ASK_INC = 2
    • ENDIF
  • ENDIF
• ELSE (PERSEL = 1)
  • ASK_INC = 1 (there is only one selected person in the household)
• ENDIF

INC_C11A

• If ASK_INC = 2 and AWC_AGE <15, go to INC_END.
• Otherwise, go to INC_D11B.

INC_D11B

• If CPROV = 60 or CPROV = 61 or CPROV = 62, DT_INC11TEXTE = "territorial".
• Otherwise, DT_INC11TEXTE = "provincial".

INC_R11
Although many health expenses are covered by [territorial/provincial] health insurance, there is still a relationship between health and income. Please be assured that, like all other information you have provided, the answers to the next questions will be kept strictly confidential.

• INTERVIEWER : Press <1> to continue.

INC_C41

• If AWC_AGE < 15, go to INC_C51.
• Otherwise, go to INC_B41.

INC_B41

• Call the Total Personal Income (TPI) block.

INC_C51

• If ASK_INC = 2, go to INC_END.
• Otherwise, go to INC_D51A.

INC_D51A

Programmer:

• If AWC_AGE of selected respondent < 12 and PPIGender = 1 then PROXYSEX = 1.
• Otherwise, if AWC_AGE of selected respondent < 12 and PPIGender = 2 then PROXYSEX = 2.

INC_B51

• Call the Total Household Income (THI) block.

INC_D51B

Programmer:

• Set PROXYSEX back to the original PROXYSEX value.

INC_END

Total Personal Income (TPI)

TPI_BEG

• External variables required:
• FNAME: first name of respondent
• CURRENTYEAR: the year during which the information is collected

TPI_D01

• DV_PASTYEAR = CURRENTYEAR - 1
  (e.g. 2008 - 1 = 2007)

TPI_Q01
Now a question about your total personal income.

What is your best estimate of your total personal income, before taxes and deductions, from all sources during the year ending December 31, ^DV_PASTYEAR?

Income can come from various sources such as from work, investments, pensions or government. Examples include Employment Insurance, Social Assistance, Child Tax Benefit and other income such as child support, spousal support (alimony) and rental income.

• INTERVIEWER : Capital gains should not be included in the personal income.
• (MIN: ­9,000,000)
• (MAX: 90,000,000)
• DK, RF

TPI_C02

• If TPI_Q01 = DK or RF, go to TPI_Q02.
• Otherwise, go to TPI_END.

TPI_Q02
Can you estimate in which of the following groups your personal income falls?

Was your total personal income during the year ending December 31, ^DV_PASTYEAR... ?

• INTERVIEWER : Read categories to respondent.
• 1 Less than $30,000, including income loss
• (Go to TPI_Q03)
• 2 $30,000 and more
• (Go to TPI_Q04)
• DK, RF

Go to TPI_END

TPI_Q03
Please stop me when I have read the category which applies to you.

Was it... ?

• INTERVIEWER : Read categories to respondent.
• 1 Less than $5,000
• 2 $5,000 to less than $10,000
• 3 $10,000 to less than $15,000
• 4 $15,000 to less than $20,000
• 5 $20,000 to less than $25,000
• 6 $25,000 to less than $30,000
• DK, RF

Go to TPI_END

TPI_Q04
Please stop me when I have read the category which applies to you.

Was it... ?

• INTERVIEWER : Read categories to respondent.
• 01 $30,000 to less than $40,000
• 02 $40,000 to less than $50,000
• 03 $50,000 to less than $60,000
• 04 $60,000 to less than $70,000
• 05 $70,000 to less than $80,000
• 06 $80,000 to less than $90,000
• 07 $90,000 to less than $100,000
• 08 $100,000 and over
• DK, RF

Go to TPI_END

TPI_END

Total Household Income (THI)

THI_BEG

• External variables required:
• FNAME: first name of respondent
• CURRENTYEAR: the year during which the information is collected

THI_D01

• DV_PASTYEAR = CURRENTYEAR - 1
• (e.g. 2008 - 1 = 2007)

THI_Q01
Now a question about your total household income.

What is your best estimate of your total household income received by all household members, from all sources, before taxes and deductions, during the year ending December 31, ^DV_PASTYEAR?

Income can come from various sources such as from work, investments, pensions or government. Examples include Employment Insurance, Social Assistance, Child Tax Benefit and other income such as child support, spousal support (alimony) and rental income.

• INTERVIEWER : Capital gains should not be included in the household income.
• (MIN: ­9,000,000)
• (MAX: 90,000,000)
• DK, RF

THI_C02

• If THI_Q01 = DK or RF, go to THI_Q02.
• Otherwise, go to THI_END.

THI_Q02
Can you estimate in which of the following groups your household income falls? Was the total household income during the year ending December 31, ^DV_PASTYEAR... ?

• INTERVIEWER : Read categories to respondent.
• 1 Less than $50,000, including income loss
• (Go to THI_Q03)
• 2 $50,000 and more
• (Go to THI_Q04)
• DK, RF

Go to THI_END

THI_Q03
Please stop me when I have read the category which applies to your household.

Was it... ?

• INTERVIEWER : Read categories to respondent.
• 1 Less than $5,000
• 2 $5,000 to less than $10,000
• 3 $10,000 to less than $15,000
• 4 $15,000 to less than $20,000
• 5 $20,000 to less than $30,000
• 6 $30,000 to less than $40,000
• 7 $40,000 to less than $50,000
• DK, RF

Go to THI_END

THI_Q04
Please stop me when I have read the category which applies to your household.

Was it... ?

• INTERVIEWER : Read categories to respondent.
• 1 $50,000 to less than $60,000
• 2 $60,000 to less than $70,000
• 3 $70,000 to less than $80,000
• 4 $80,000 to less than $90,000
• 5 $90,000 to less than $100,000
• 6 $100,000 to less than $150,000
• 7 $150,000 and over
• DK, RF

THI_END

Tap Water

Tap Water Collection (TWC)

• Overview:
• Households are randomly sub-selected to provide a sample or samples of their household tap water, which will be sent for laboratory analysis. One set of samples will be analysed for fluoride concentration, and the other set for levels of certain volatile organic compounds (VOCs).
• As well, a small number of households are randomly sub-selected to provide a replicate (duplicate) sample for fluoride and/or VOC analysis. The results of the replicate analyses will be used for quality control purposes.
• The first respondent interviewed in a two-respondent household is asked to provide the tap water sample. In the rare case where the interview is not taking place in the respondent's home, or when the water is temporarily unavailable, the sample may be taken during the interview with the second respondent.

TWC_BEG

• External variables required:
• Variables from other components:
• TWVSTATUS: Status of VOC water collection at the household level. This variable is initially set to EMPTY for the household. In two-respondent households selected to provide a VOC water sample, TWVSTATUS for the second respondent will be equal to the value of DV_TWVSTATUS set at TWC_D98 during the first respondent's interview.
• TWFSTATUS: Status of fluoride water collection at the household level. This variable is initially set to EMPTY for the household. In two-respondent households selected to provide a fluoride water sample, TWFSTATUS for the second respondent will be equal to the value of DV_TWFSTATUS set at TWC_D98 during the first respondent's interview.
• Variables from previously completed blocks:
• WVOCFLG: Flag indicating whether the household has been selected to provide a VOC water sample (1=Yes, 2=No)
• WFLUFLG: Flag indicating whether the household has been selected to provide a fluoride water sample (1=Yes, 2=No)
• WVOCREP: Flag indicating whether the household has been selected to provide a replicate VOC water sample (1=Yes, 2=No)
• WFLUREP: Flag indicating whether the household has been selected to provide a replicate fluoride water sample (1=Yes, 2=No)

Programmer:

• TWC will be generated, as a tab within the Health component, under the following condition:
• If (WVOCFLG = 1 or WFLUFLG = 1) and (TWVSTATUS = EMPTY or 0 or 3 or 4) and (TWFSTATUS = EMPTY or 0 or 3 or 4) and (TWVSTATUS<> 1 and TWFSTATUS <> 1).
• If the tab has been generated and it is not selected by the end of the interview, the application should naturally flow into TWC before the end of the interview (prior to the ADM block).
• The derived variables DV_TWVSTATUS and DV_TWFSTATUS, set at the end of the Tap Water Collection Block, indicate the outcome of the block for VOCs and fluoride respectively. These variables are carried to the second respondent in two-respondent households as TWVSTATUS and TWFSTATUS.
• The tab will only reappear for the second respondent in a two-respondent household selected to provide water sample(s) if the first respondent's interview did not take place in the dwelling (TWVSTATUS = 3 or TWFSTATUS = 3) or if there was a temporary problem with the water source as indicated by the interviewer (TWVSTATUS = 4 or TWFSTATUS = 4).

TWC_N01

• INTERVIEWER : This is the beginning of the Tap Water Collection block.
• Press <1> to continue.
• 1 Continue
• (DK, RF not allowed)

TWC_D01

Programmer:

• IF TWC_N01 = 1 and TWC_STIME = EMPTY, then DO:
  • Set TWC_STIME = Current Time (in HH:MM:SS format).
  • Set TWC_SDATE = Current Date (in YYYMMDD format).
• ENDIF

TWC_N02

• INTERVIEWER : Is this interview taking place at the respondent's dwelling?
• 1 Yes
• 2 No (Go to TWC_C90)
• (DK, RF not allowed)

TWC_C03

• If TWVSTATUS = 4 or TWFSTATUS = 4, go to TWC_N03.
• Otherwise, go to TWC_C04.

Content type:

• NOTE TO DATA USERS:
  If for some reason a water sample cannot not be taken during the interview with the first respondent in a two- respondent household, the interviewer has the option of trying again during the second interview. In this case, TWVSTATUS will equal 4 for the second respondent if the household was selected to provide a VOC sample, and TWFSTATUS will equal 4 for the second respondent if the household was selected to provide a fluoride sample.

TWC_N03

• INTERVIEWER : No water sample was taken during the interview with the first respondent in this household, due to a problem with the water source.
• Do you want to proceed with the water collection now?
• 1 Yes
• 2 No (Go to TWC_C90)
• DK
• (RF is not allowed)

TWC_C04

• If WVOCFLG = 1, go to TWC_N04.
• Otherwise, go to TWC_C05.

TWC_N04

• INTERVIEWER : Is there a non-expired VOC bottle available (65 mL amber glass bottle)?
• 1 Yes
• 2 No
• (DK, RF not allowed)

TWC_C05

• If WFLUFLG = 1, go to TWC_N05.
• Otherwise, go to TWC_C06.

TWC_N05

• INTERVIEWER : Is there a fluoride tube available (15 mL plastic tube)?
• 1 Yes
• 2 No
• (DK, RF not allowed)

TWC_C06

• If TWC_N04 = 1 or TWC_N05 = 1, go to TWC_D06A.
• Otherwise, go to TWC_C90.

TWC_D06A

• If TWC_N04 = 1 and TWC_N05 = 1, DT_TWCR6TEXTE = "I would like to take two small samples of water from your kitchen tap. One sample will be used to measure the amount of fluoride in your tap water. The other will be used to assess the levels of certain environmental contaminants.
• I will need to let your cold water run for five minutes in order to flush the stagnant water from your household pipes and to ensure a constant water temperature.".
  Otherwise if TWC_N04 = 1, DT_TWCR6TEXTE = "I would like to take a small sample of water from your kitchen tap. This sample will be used to assess the levels of certain environmental contaminants in your tap water.
• I will need to let your cold water run for five minutes in order to flush the stagnant water from your household pipes and to ensure a constant water temperature.".
  Otherwise (i.e., TWC_N05 = 1), DT_TWCR6TEXTE = "I would like to take a small sample of water from your kitchen tap. This sample will be used to measure the amount of fluoride in your tap water.
• I will need to let your cold water run for five minutes in order to flush the stagnant water from your household pipes and to ensure a constant water temperature.".

TWC_D06B

• If TWC_N04 = 1, DT_TWCR6VOCE = "- VOC water sample (65 mL amber glass bottle)".
• Otherwise, DT_TWCR6VOCE = "EMPTY".
• If TWC_N05 = 1, DT_TWCR6FLUE = "- fluoride water sample (15 mL plastic tube)".
• Otherwise, DT_TWCR6FLUE = "EMPTY".

TWC_R06
^DT_TWCR6TEXTE

• INTERVIEWER : You will need a collection container for a...
• [- VOC water sample (65 mL amber glass bottle)/EMPTY]
• [- fluoride water sample (15 mL plastic tube)/EMPTY]
• Show the respondent the collection container(s).
• Press <1> to continue.

TWC_R07
After you have completed the clinic portion of the survey, we will send your tap water test results to you, along with the results of your other tests.

Do you have any questions before we proceed?

• INTERVIEWER : Press <1> to continue.

TWC_Q10
Do you agree to provide a water sample?

• 1 Yes (Go to TWC_R20)
• 2 No (DK, RF not allowed)

TWC_N11

• INTERVIEWER : Record the reason(s) that the respondent refused to provide a water sample.
• Mark all that apply.
• 01 Did not want interviewer in kitchen or other area of house
• 02 Felt measure was invasive / not Statistics Canada's business
• 03 Cost of running tap for five minutes
• 04 Environmental concerns (e.g., water wastage)
• 05 Concerns over well running dry
• 06 Concerns over cistern running dry
• 07 Problem with water source (e.g., interference with current water use in the household, water turned off at source)
• 10 Other - Specify
• (Go to TWC_S11)
• DK, RF

Go to TWC_C90

TWC_S11
(Record the reason(s) that the respondent refused to provide a water sample.)

• INTERVIEWER : Specify.
• (80 spaces)
• (DK, RF not allowed)

Go to TWC_C90

TWC_R20
Could you please take me to your kitchen tap so I can start running the cold water?

• INTERVIEWER : If the kitchen tap is not available, then take the water sample(s) from another source in the following priority:
• 1. Bathroom sink
• 2. Bathroom tub or shower
• 3. Basement bathroom sink
• 4. Basement bathroom tub or shower
• 5. Laundry sink
• 6. Outside faucet
• If in an apartment building, the sample(s) should only be taken from within the dwelling (e.g., sample should not be taken from apartment building laundry facility).
• Press <1> to continue.

TWC_D20

• If TWC_N04 = 1, DT_TWCN20VOCE = "Remove the lid from the VOC bottle and...
• - tilt the bottle slightly to avoid getting bubbles in the sample
• - fill the bottle until it is completely full (about to overflow or overflows just a few drops) to eliminate headspace
• - ensure there are no bubbles trapped in sample, and
• - cap the bottle immediately.
• If the water overflows more than a few drops, discard the water, label the bottle as unusable, take another VOC bottle and collect another sample.".
• Otherwise, DT_TWCN20VOCE = "EMPTY".
• If TWC_N05 = 1, DT_TWCN20FLUE = "Remove the lid from the fluoride tube and...
• - fill the tube, leaving a 1 cm gap at the top, and cap immediately.".
• Otherwise, DT_TWCN20FLUE = "EMPTY".

TWC_N20

• INTERVIEWER : Let the cold water run on full for five minutes, then reduce the water flow to a trickle.
• ^DT_TWCN20VOCE
• ^DT_TWCN20FLUE
• If a lid drops or becomes contaminated, label the container as unusable and get a new container.
• Press <1> to continue.
• 1 Continue
• (DK, RF not allowed)

TWC_C21

• If TWC_N04 = 1, go to TWC_B21.
• Otherwise, go to TWC_C31.

TWC_B21

• Call the Tap Water VOC block (TWV).

TWC_C31

• If TWC_N05 = 1, go to TWC_B31.
• Otherwise, go to TWC_C34.

TWC_B31

• Call the Tap Water Fluoride block (TWF).

TWC_C34

• If WVOCREP = 1 and TWC_B21.TWV_N01 = 1, go to TWC_N34.
• Otherwise, go to TWC_C35.

Content type:

• NOTE TO DATA USERS:
  A small percentage of households is randomly selected to provide a replicate VOC sample (WVOCREP=1). If the first VOC sample was successfully collected and WVOCREP=1, then the interview flows to TWC_N34.

TWC_N34

• INTERVIEWER : Is there a VOC bottle available for the replicate sample?
• 1 Yes
• 2 No
• (DK, RF not allowed)

TWC_C35

• If WFLUREP = 1 and TWC_B31.TWF_N01 = 1, go to TWC_N35.
• Otherwise, go to TWC_C36.

Content type:

• NOTE TO DATA USERS:
  A small percentage of households is randomly selected to provide a replicate fluoride sample (WFLUREP=1). If the first fluoride sample was successfully collected and WFLUREP=1, then the interview flows to TWC_N35.

TWC_N35

• INTERVIEWER : Is there a fluoride tube available for the replicate sample?
• 1 Yes
• 2 No
• (DK, RF not allowed)

TWC_C36

• If (WVOCREP = 1 and TWC_N34 = 1) or (WFLUREP = 1 and TWC_N35 = 1), go to TWC_D36A.
• Otherwise, go to TWC_C90.

TWC_D36A

• If [(WVOCREP = 1 and TWC_N34 = 1) and (WFLUREP = 1 and TWC_N35 = 1)], DT_TWCNUME = "two additional samples of water".
• Otherwise, DT_TWCNUME = "one additional sample of water".

TWC_D36B

Programmer:

• IF WVOCREP = 1 and TWC_N34 = 1, then
• DT_TWCR36VOCE = DT_TWCR6VOCE.
• DT_TWCN37VOCE = DT_TWCN20VOCE.
• ENDIF.
• IF WFLUREP = 1 and TWC_N35 = 1, then
• DT_TWCR36FLUE = DT_TWCR6FLUE.
• DT_TWCN37FLUE = DT_TWCN20FLUE.
• ENDIF.

TWC_R36
To ensure the accuracy of the water data collected, a small percentage of households has been randomly selected to provide duplicate water samples. Yours is one of these randomly selected households.

Could we please go back and take [two additional samples of water/one additional sample of water].

Was it... ?

• INTERVIEWER : Please take a replicate...
• ^DT_TWCR36VOCE
• ^DT_TWCR36FLUE
• Press <1> to continue.

TWC_N37

• INTERVIEWER : Turn the cold water on full, then reduce the water flow to a trickle.
• ^DT_TWCN37VOCE
• ^DT_TWCN37FLUE
• If a lid drops or becomes contaminated, label the container as unusable and get a new container.
• Press <1> to continue.
• 1 Continue
• (DK, RF not allowed)

TWC_C38

• If WVOCREP = 1 and TWC_N34 = 1, go to TWC_B40.
• Otherwise, go to TWC_C50.

TWC_B40

• Call the Tap Water VOC block (TWV).

TWC_C50

• If WFLUREP = 1 and TWC_N35 = 1, go to TWC_B50.
• Otherwise, go to TWC_C90.

TWC_B50

• Call the Tap Water Fluoride block (TWF).

TWC_C90

• If TWC_ B21.TWV_N01 = 1 or TWC_ B31.TWF_N01 = 1, go to TWC_N90.
• Otherwise, go to TWC_C95.

TWC_N90

• INTERVIEWER : Record the source of the water sample(s).
• 01 Kitchen sink
• 02 Bathroom sink
• 03 Bathroom tub or shower
• 04 Basement bathroom sink
• 05 Basement bathroom tub or shower
• 06 Laundry sink
• 07 Outside faucet
• 10 Other - Specify
• (Go to TWC_S90)
• (DK, RF not allowed)

Go to TWC_N96

TWC_S90

• (Record the source of the water sample(s).)
• INTERVIEWER : Specify.
• (80 spaces)
• (DK, RF not allowed)

Go to TWC_N96

TWC_C95

• If [(TWC_Q10 = 2 and only 7 is selected at TWC_N11) or (TWC_B21.TWV_N02 = 1) or (TWC_B31.TWF_N02 = 1)] and PERSEL = 2 and (TWVSTATUS = EMPTY or TWFSTATUS = EMPTY) (i.e., this is the first respondent in the household to be asked the TWC block) and (TWC_B21.TWV_N01 <> 1 and TWC_B31.TWF_N01 <> 1), go to TWC_N95.
• Otherwise, go to TWC_N96.

Content type:

• NOTE TO DATA USERS:
  If the current interview is with the first respondent in a household with two selected respondents, and no tap water sample could be taken due to a problem with the water source, the interviewer is given the opportunity, at TWC_N95, to indicate whether another attempt should be made to take the water sample(s) during the interview with the second respondent.

TWC_N95

• INTERVIEWER : You have indicated that no water sample could be taken due to a problem with the water source.
• Do you want to try again during the second respondent's interview?
• 1 Yes
• 2 No
• (DK, RF not allowed)

TWC_N96

• INTERVIEWER : This is the end of the Tap Water Collection block.
• Press <1> to continue.
• 1 Continue
• (DK, RF not allowed)
• NOTE TO DATA USERS:
• The status of the VOC tap water sample is set at TWC_D97: whether the sample was taken, and if not, the reason for not taking the sample.

TWC_D97

Programmer:

• If WVOCFLG <> 1, DV_TWVSTATUS = 0 (Not selected for VOC sample).
• Otherwise, if TWC_B21.TWV_N01 = 1, DV_TWVSTATUS = 1 (VOC water sample successfully taken).
• Otherwise, if [TWC_Q10 = 2 and (at least one of 1, 2, 3, 4, 5, 6 has been selected at TWC_N11)] or TWC_B21.TWV_N02 = 4, DV_TWVSTATUS = 2 (VOC water sample not taken - Refusal).
• Otherwise, if TWC_N02 = 2, DV_TWVSTATUS = 3 (VOC water sample not taken - Interview not in respondent's home).
• Otherwise, if [(TWC_Q10 = 2 and only 7 has been selected at TWC_N11) or (TWC_B21.TWV_N02 = 1)] and TWC_N95 = 1, DV_TWVSTATUS = 4 (VOC water sample not taken due to problem with water source - try again with second respondent).
• Otherwise, if (((TWC_Q10 = 2 and only 7 has been selected at TWC_N11) or (TWC_B21.TWV_N02 = 1)) and TWC_N95 <> 1) or TWC_N03 = 2, DV_TWVSTATUS = 5 (VOC water sample not taken due to a problem with the water source - no further attempt to be made).
• Otherwise, if TWC_N04 = 2 or (TWC_B21.TWV_N02 = 2 or 3), DV_TWVSTATUS = 6 (VOC water sample not taken - no bottle available).
• Otherwise, if only 10 has been selected at TWC_N11 or TWC_B21.TWV_N02 = 7, DV_TWVSTATUS = 7 (VOC water sample not taken - other reason).
• Otherwise, DV_TWVSTATUS = 9.
• NOTE TO DATA USERS:
• The status of the fluoride tap water sample is set at TWC_D98: whether the sample was taken, and if not, the reason for not taking the sample.

TWC_D98

Programmer:

• If WFLUFLG <> 1, DV_TWFSTATUS = 0 (Not selected for fluoride sample).
• Otherwise, if TWC_B31.TWF_N01 = 1, DV_TWFSTATUS = 1 (Fluoride water sample successfully taken).
• Otherwise, if [TWC_Q10 = 2 and (at least one of 1, 2, 3, 4, 5, 6 has been selected at TWC_N11)] or TWC_B31.TWF_N02 = 3, DV_TWFSTATUS = 2 (Fluoride water sample not taken - refusal).
• Otherwise, if TWC_N02 = 2, DV_TWFSTATUS = 3 (Fluoride water sample not taken - interview not in respondent's home).
• Otherwise, if [(TWC_Q10 = 2 and only 7 has been selected at TWC_N11) or (TWC_31.TWF_N02 = 1)] and TWC_N95 = 1, DV_TWFSTATUS = 4 (Fluoride water sample not taken due to problem with water source - try again with second respondent).
• Otherwise, if (((TWC_Q10 = 2 and only 7 has been selected at TWC_N11) or (TWC_B31.TWF_N02 = 1)) and TWC_N95 <> 1) or TWC_N03 = 2, DV_TWFSTATUS = 5 (Fluoride water sample not taken due to a problem with the water source - no further attempt to be made).
• Otherwise, if TWC_N05 = 2 or TWC_B31.TWF_N02 = 2, DV_TWFSTATUS = 6 (Fluoride water sample not taken - no tube available).
• Otherwise, if only 10 has been selected at TWC_N11 or TWC_B31.TWF_N02 = 7, DV_TWFSTATUS = 7 (Fluoride water sample not taken - other reason).
• Otherwise, DV_TWFSTATUS = 9.

TWC_D99

Programmer:

• IF TWC_N96 = 1 and TWC_ETIME = EMPTY, then DO:
  • Set TWC_ETIME = Current Time (in HH:MM:SS format).
  • Set TWC_EDATE = Current Date (in YYYMMDD format).
• ENDIF.

TWC_END

Tap Water VOC (TWV)

TWV_BEG

TWV_N01

• INTERVIEWER : Were you able to collect a useable VOC water sample?
• Select "no" only if you cannot collect any useable VOC water sample.
• 1 Yes (Go to TWV_N11)
• 2 No
• (DK, RF not allowed)

TWV_N02

• INTERVIEWER : Specify the reason that a useable VOC water sample was not obtained.
• 1 Problem with water source
• 2 No more VOC bottles available
• 3 All VOC bottles have expired
• 4 Respondent refused to run water for five minutes
• 7 Other - Specify
• (Go to TWV_S02)
• (DK, RF not allowed)

Go to TWV_END

TWV_S02
(Specify the reason that a useable VOC water sample was not obtained.)

• INTERVIEWER : Specify.
• (80 spaces)
• (DK, RF not allowed)

Go to TWV_END

TWV_N11

• INTERVIEWER : Scan or manually enter the serial number on the filled VOC bottle.
• Serial number
• (MIN: 1,012)
• (MAX: 99,999,999,012)
• (DK, RF not allowed)

TWV_N12

• INTERVIEWER : Scan or manually enter the expiry date on the filled VOC bottle in the format YYYYMMDD.
• (8 spaces)
• (DK, RF not allowed)

TWV_N13

• INTERVIEWER : Re-scan or manually enter the serial number on the filled VOC bottle.
• Serial number
• (MIN: 1,012)
• (MAX: 99,999,999,012)
• DK, RF

TWV_N14

• INTERVIEWER : Re-scan or manually enter the expiry date on the filled VOC collection container in the format YYYYMMDD.
• (8 spaces)
• (DK, RF not allowed)

TWV_END

Tap Water Fluoride (TWF)

TWF_BEG

TWF_N01

• INTERVIEWER : Were you able to collect a useable fluoride water sample?
• Select "no" only if you cannot collect any useable fluoride water sample.
• 1 Yes (Go to TWF_N11)
• 2 No (DK, RF not allowed)

TWF_N02

• INTERVIEWER : Specify the reason that a useable fluoride water sample was not obtained.
• 1 Problem with water source
• 2 No more fluoride tubes available
• 3 Respondent refused to run water for five minutes
• 7 Other - Specify
• (Go to TWF_S02)
• (DK, RF not allowed)

Go to TWF_END

TWF_S02
(Specify the reason that a useable fluoride water sample was not obtained.)

• INTERVIEWER : Specify.
• (80 spaces)
• (DK, RF not allowed)

Go to TWF_END

TWF_N11

• INTERVIEWER : Scan or manually enter the serial number on the filled fluoride tube.
• (MIN: 1,013)
• (MAX: 99,999,999,013)
• (DK, RF not allowed)

TWF_N12

• INTERVIEWER : Re-scan or manually enter the serial number on the filled fluoride tube.
• (MIN: 1,013)
• (MAX: 99,999,999,013)
• (DK, RF not allowed)

TWF_END

Administration Information (ADM)

ADM_BEG

• External variables required:
• Variables from previously completed blocks:
• PROXYSEX: gender of selected respondent and whether the interview is being conducted by proxy.
  • 1 = male, non-proxy
  • 2 = female, non-proxy
  • 3 = male, proxy
  • 4 = female, proxy

ADM_N31

• INTERVIEWER : Is this a fictitious name for the respondent?
• Yes
• No
• (Go to ADM_N35)
• DK
• (Go to ADM_N35)
• (RF is not allowed)

ADM_N32

• INTERVIEWER : Remind respondent about the importance of getting correct names.
• Do you want to make corrections to:
• ... first name only?
• ... last name only?
• (Go to ADM_N34)
• ... both names?
• ... no corrections?
• (Go to ADM_N35)
• (DK, RF not allowed)

ADM_N33

• INTERVIEWER : Enter the first name only.
• (25 spaces)
• (DK, RF not allowed)

ADM_C34

• If ADM_N32 <> 3 (both names), go to ADM_N35.
• Otherwise, go to ADM_N34.

ADM_N34

• INTERVIEWER : Enter the last name only.
• (25 spaces)
• (DK, RF not allowed)

ADM_N35

• INTERVIEWER : Was this interview conducted on the telephone or in person?
• On telephone
• In person
• Both
• (DK, RF not allowed)

ADM_C36

• If PROXYSEX = 3 or 4, go to ADM_N38.
• Otherwise, go to ADM_N36.

ADM_N36

• INTERVIEWER : Was the respondent alone when you asked the health component questions
• 1 Yes (Go to ADM_N38)
• 2 No
• (DK, RF not allowed)

ADM_N37

INTERVIEWER : Do you think that the answers of the respondent were affected by someone else being there?

• 1 Yes
• 2 No
• (DK, RF not allowed)

ADM_N38

• INTERVIEWER : Select the language of interview.
• 01 English
• 02 French
• 03 Chinese
• 04 Italian
• 05 Punjabi
• 06 Spanish
• 07 Portuguese
• 08 Polish
• 09 German
• 10 Vietnamese
• 11 Arabic
• 12 Tagalog (Filipino)
• 13 Greek
• 14 Tamil
• 15 Cree
• 16 Afghan
• 17 Cantonese
• 18 Hindi
• 19 Mandarin
• 20 Persian (Farsi)
• 21 Russian
• 22 Ukrainian
• 23 Urdu
• 24 Inuktitut
• 25 Hungarian
• 26 Korean
• 27 Serbo-Croatian
• 28 Gujarati
• 29 Dari
• 90 Other - Specify
• (Go to ADM_S38)
• (DK, RF not allowed)

Go to ADM_END

ADM_S38
(Select the language of interview.)

• INTERVIEWER : Specify.
• (80 spaces)
• (DK, RF not allowed)

ADM_END