Purpose of this survey

The data collected in this survey are used to produce indexes that measure the changes in the prices of For-hire Motor Carrier Freight Services. Businesses use these indexes to gain a better understanding of their industry and assess their performance, while Statistics Canada uses these indexes to deflate current dollar values and derive real growth and productivity from this sector of the economy.

Confidentiality

Statistics Canada is prohibited by law from publishing any statistics which would divulge information relating to your business without your prior written consent. The data reported on your questionnaire will be treated in strict confidence, used for statistical purposes and published in aggregate form only. The confidentiality provisions of the Statistics Act are not affected by the Access to Information Act or by any other legislation.

Confidential when completed.

Collected under the authority of the Statistics Act, Revised Statutes of Canada, 1985, Chapter S19. Completion of this questionnaire is a legal requirement under this Act.

Record Linkage

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

Your Participation is important

Your participation is vital to ensuring that the information collected in this survey is accurate and comprehensive.

Fax or e-mail Transmission Disclosure

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

Return Procedures…. Need Help?

Please return the completed questionnaire to Statistics Canada within 15 days of receipt by mail using the return envelope. You can also fax it to 1-888-883-7999 or email to bsso@statcan.gc.ca.

Lost the return envelope or need help? Call us at 1-877-604-7828 or mail to: Statistics Canada, Business Survey Section/Central Region, 150 Tunney's Pasture Driveway, Ottawa, Ontario, K1A 0T6.

Visit our website at www.statcan.gc.ca.

Please provide your e-mail address.

If necessary, please make address label corrections in the boxes below (please print)

  • Legal Name
  • Business name
  • Title of Contact
  • Contact - First Name
  • Contact - Last Name
  • Address (number and street)
  • City
  • Province/territory or state
  • Postal Code/Zip Code
  • Country
  • Language Preference
    • English
    • French

The following questions ask for specific shipment information including shipment characteristics and pricing information.

This information will enable us to monitor price changes over time so that we develop accurate and relevant price indexes.

Please estimate the percentage of revenue received from each of the following NAICS categories during your last fiscal year. (NAICS - North American Industry Classification System).

Update if necessary.

48411 General Freight Trucking, Local
48412 General Freight Trucking, Long Distance 
48421 Used Household and Office Goods Moving 
48422 Specialized Freight (except Used Goods) Trucking, Local
48423 Specialized Freight (except Used Goods) Trucking, Long Distance 
Total revenue (100%)

This service description has been selected for use in the Services Price Index. You are asked to provide a price each month for the service described. Please review previously reported information . If previous information is incorrect, note the changes. Note: If your firm no longer offers this specific service, substitute another "typical shipment" under the "Service Description for substitution" and "Terms of Transaction for substitution".

Commodities 1, 2, 3

Service Description

  • NAICS:
    • 48411
    • 48412
    • 48421
    • 48422
    • 48423
  • Commodity
  • Type of shipment:
    • Truckload
    • Less Than Truckload
  • Type of shipment:
    • Domestic
    • International
  • Volume:
    • Unit of Measure
  • City of origin:
    • Province/State
  • City of destination:
    • Province/State
  • Distance:
    • Miles
    • Kilometres

Terms of Transaction

  • Buyer:
    • Domestic
    • International
  • Type of Buyer:
    • Business
    • Government
    • Exporter
    • General Consumer
  • Type of Rate:
    • List
    • Contract
    • Tariff
    • Spot
    • Other

Changes to commodities 1, 2 and 3

Service Description for substitution

  • NAICS:
    • 48411
    • 48412
    • 48421
    • 48422
    • 48423
  • Commodity
  • Type of shipment:
    • Truckload
    • Less Than Truckload
  • Type of shipment:
    • Domestic
    • International
  • Volume:
    • Unit of Measure
  • City of origin:
    • Province/State
  • City of destination:
    • Province/State
  • Distance:
    • Miles
    • Kilometres

Terms of Transaction for substitution

  • Buyer:
    • Domestic
    • International
  • Type of Buyer:
    • Business
    • Government
    • Exporter
    • General Consumer
  • Type of Rate:
    • List
    • Contract
    • Tariff
    • Spot
    • Other

Months: July, August and September

  • Price CAN$
    Exclude: GST, HST, PST and TVQ
  • Discount
    • Type of Discount
      • Cash
      • Competitive
      • Seasonal
      • Other (specify)
      • Not applicable
    • Value in Dollars or Percent
    • Already applied to Price?
      • Yes
      • No
  • Surcharge
    • Type of Surcharge
      • Fuel
      • Other (specify)
      • Not applicable
    • Value in Dollars or Percent
    • Already applied to Price?
      • Yes
      • No
  • Remarks/ Reason for price change

Please provide prices for the specific shipment described under the service description and terms, for the months indicated.

If there was no shipment, estimate the price you would have charged.

Commodities 1, 2 and 3

Months: October, November and December

  • Price CAN$
    Exclude: GST, HST, PST and TVQ
  • Discount
    • Type of Discount
      • Cash
      • Competitive
      • Seasonal
      • Other (specify)
      • Not applicable
    • Value in Dollars or Percent
    • Already applied to Price?
      • Yes
      • No
  • Surcharge
    • Type of Surcharge
      • Fuel
      • Other (specify)
      • Not applicable
    • Value in Dollars or Percent
    • Already applied to Price?
      • Yes
      • No
  • Remarks/ Reason for price change

Industry issues / Trends / Comments

Signature of authorized person
Date completed

Name of authorized person to contact about this questionnaire (please print)

  • First Name of authorized person
  • Last Name of authorized person
  • Title of authorized person
  • Telephone Number, extension
  • Fax number
  • E-mail address

Time to complete questionnaire

How long did you spend collecting and reporting the information needed to complete this questionnaire?

  • Minutes

Pre-filled Questionnaire

Please be advised that to reduce your burden of response, the questionnaire contains information you have provided in the past. We will continue to pre-fill this questionnaire unless otherwise notified.

Please make a copy of this completed questionnaire for your records.

Thank you for completing this questionnaire.

 

Overview:

This module is a slightly revised version of the Everyday Discrimination Scale developed by Dr. David R. Williams in 1997.  It asks all survey respondents about their perception of discrimination in their day-to-day life because of various characteristics such as their race, sex, age, weight, etc.  The module also includes questions about perception of discrimination in their experiences with health care services.

EDS_BEG

Rapid response module July-October 2013

External variables needed:
AGE
SEX
PROXYMODE

EDS_C001A

If DOEDS = 1, go to EDS_C001B.
Otherwise, go to EDS_END.

EDS_C001B

If Proxy Interview, go to EDS_END.
Otherwise, go to EDS_R001.

EDS_R001

In the following questions, we are interested in your opinion on how often other people have treated you unfairly because of such things as your gender, race, age or appearance.

INTERVIEWER: Press <1> to continue.

EDS_Q005

In your day-to-day life, how often do any of the following things happen to you?

You are treated with less courtesy or respect than other people are.

INTERVIEWER: Read categories to respondent.

  1. At least once a week
  2. A few times a month
  3. A few times a year
  4. Less than once a year
  5. Never

    DK, RF

EDS_Q010

(In your day-to-day life, how often do any of the following things happen to you?)

You receive poorer service than other people at restaurants or stores.

  1. At least once a week
  2. A few times a month
  3. A few times a year
  4. Less than once a year
  5. Never

    DK, RF

EDS_Q015

(In your day-to-day life, how often do any of the following things happen to you?)

People act as if they think you are not smart.

  1. At least once a week
  2. A few times a month
  3. A few times a year
  4. Less than once a year
  5. Never

    DK, RF

EDS_Q020

In your day-to-day life, how often do any of the following things happen to you?

People act as if they are afraid of you.

INTERVIEWER: Read categories to respondent.

  1. At least once a week
  2. A few times a month
  3. A few times a year
  4. Less than once a year
  5. Never

    DK, RF

EDS_Q025

(In your day-to-day life, how often do any of the following things happen to you?)

You are threatened or harassed.

  1. At least once a week
  2. A few times a month
  3. A few times a year
  4. Less than once a year
  5. Never

    DK, RF

EDS_C030

If (at least one question between EDS_Q005 to EDS_Q025 = 1 or 2 or 3 or 4), go to EDS_Q030.
Otherwise, go to EDS_C040.

EDS_Q030

What do you think the reasons might be for you to have had these experiences? 

Was it...

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

  • 01 Your race
  • 02 Your gender
  • 03 Your age
  • 04 Your weight
  • 05 Your religion
  • 06 Your sexual orientation
  • 07 A physical disability
  • 08 Something else related to your physical appearance
  • 09 Your income
  • 10 A mental health issue
  • 11 Other

    DK, RF

EDS_C035

If more than one response is given in EDS_Q030, go to EDS_Q035.
Otherwise, go to EDS_C040.

EDS_Q035

Of the reasons you just mentioned, which one do you think is the main reason?

  • 01 Your race
  • 02 Your gender
  • 03 Your age
  • 04 Your weight
  • 05 Your religion
  • 06 Your sexual orientation
  • 07 A physical disability
  • 08 Something else related to your physical appearance
  • 09 Your income
  • 10 A mental health issue
  • 11 Other

    DK, RF

Programmer:
Only display responses from EDS_Q030 in EDS_Q035.

EDS_C040

If AGE < 18, go to EDS_END.
Otherwise, go to EDS_Q040.

EDS_Q040

Have you received poorer service than other people in any of the following situations?

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

  • 01 In a doctor’s office
  • 02 In a community health centre / CLSC
  • 03 In a walk-in clinic
  • 04 On a telephone health line (for example, HealthLinks, Telehealth Ontario, Health-Line, TeleCare, Info-Santé)
  • 05 In a hospital emergency room
  • 06 In another hospital service
  • 07 Other
  • 08 None

    DK, RF

EDS_E040

You cannot select "None" and another category. Please return and correct.

Rule :
Trigger hard edit if EDS_Q040 = 8 (None) and any other response is selected in EDS_Q040.

EDS_C045

If at least one response category (1-7) is selected in EDS_Q040, go to EDS_Q045.
Otherwise, go to EDS_END.

EDS_Q045

What do you think the reasons might be for you to have had these experiences? 

Was it...

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

  • 01 Your race
  • 02 Your gender
  • 03 Your age
  • 04 Your weight
  • 05 Your religion
  • 06 Your sexual orientation
  • 07 A physical disability
  • 08 Something else related to your physical appearance
  • 09 Your income
  • 10 A mental health issue
  • 11 Other

    DK, RF

EDS_C050

If more than one response is given in EDS_Q045, go to EDS_Q050.
Otherwise, go to EDS_END.

EDS_Q050

Of the reasons you just mentioned, which one do you think is the main reason?

  • 01 Your race
  • 02 Your gender
  • 03 Your age
  • 04 Your weight
  • 05 Your religion
  • 06 Your sexual orientation
  • 07 A physical disability
  • 08 Something else related to your physical appearance
  • 09 Your income
  • 10 A mental health issue
  • 11 Other

    DK, RF

Programmer:
Only display responses from EDS_Q045 in EDS_Q050.

EDS_END

 
 
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