For information only

Getting started

Why are we conducting this survey?

The survey collects data used to produce statistics on facilities in Canada primarily mandated to provide residential services for victims of abuse (defined as on-going victimization). In aggregated form, the statistics monitor the nature and counts of residential services and admissions over time, as well as information on the type of clients being served as per a "one-day snapshot", a pre-determined business day. This information is useful for federal and provincial/territorial governments, sheltering and other non-profit organizations, service providers, and researchers to assist in developing research, policy and programs, as well as identifying funding needs for residential facilities for victims of abuse.

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

Although voluntary, your participation is important so that the information collected is as accurate and complete as possible.

Other important information

Authorization to collect this information

Data are collected under the authority of the Statistics Act, Revised Statutes of Canada, 1985, Chapter S-19.

Confidentiality

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

Record linkages

To enhance the data from this survey and to reduce the reporting burden, Statistics Canada may combine the acquired data with information from other surveys or from administrative sources. Contact us if you have any questions or concerns about record linkage:

Email: infostats@statcan.gc.ca

Telephone: 1-877-949-9492

Mail:
Chief Statistician of Canada
Statistics Canada
Attention of Director, Canadian Centre for Justice and Community Safety Statistics
150 Tunney's Pasture Driveway
Ottawa, Ontario
K1A 0T6

Data-sharing agreements

Section 12 of the Statistics Act provides for the sharing of information with federal, provincial or territorial government organizations. For this survey, there is an agreement with the Canadian Mortgage and Housing Corporation (CMHC), which has agreed to keep the data confidential and use them only for statistical purposes.

Under Section 12, you may refuse to share your information with CMHC by writing a letter of objection to the Chief Statistician and mailing it to the following address:

Chief Statistician of Canada
Statistics Canada
Attention of Director, Canadian Centre for Justice and Community Safety Statistics
150 Tunney's Pasture Driveway
Ottawa, Ontario
K1A 0T6

Answering this questionnaire

For this questionnaire

[Please report for the indicated residential facility for victims of abuse.]

Reporting period

Some information, including about clients served, have a reference period of a "one-day snapshot", a pre-determined business day of April 14, 2021. Other questions, including admissions, revenues and expenditures, refer to a 12-month reference period of your choice.

What will you need to complete this questionnaire

Information about your facility, including length of stay, populations served, services and capacity according to its mandate, as of a "one-day snapshot", a pre-determined business day of April 14, 2021. Information about your residents, including type of abuse experienced; socio-demographic information including age, Aboriginal identity, visible minority status, residency status, ability to speak at least one official language, disabilities, and parental responsibilities; relationship of the abuser to the resident; repeat clients; turn-aways; and departures as of April 14, 2021. Annual information, according to a 12-month period of your choice, including average length of stay, admissions, physical repairs or improvements, revenues and expenditures by type, and the top three issues or challenges faced by the facility and faced by those using the facility.

At the end of the survey you will be asked a few questions about the impact of the COVID-19 pandemic on your facility, based on a best estimate, including how the pandemic has impacted your ability to provide services, how certain challenges are currently impacting your facility compared to before the pandemic, and the types of measures that have been put in place since the beginning of the pandemic.

Who should complete this questionnaire?

This questionnaire should be completed by the executive director or equivalent. If there is no executive director, please direct the questionnaire to the administrator.

Printing a blank questionnaire

Select the following link if you wish to access and print a blank questionnaire for reference purposes: Survey of Residential Facilities for Victims of Abuse

Printing your completed questionnaire

You can print this questionnaire once you have completed and submitted it.

Business or organization and contact information

1. Verify or provide the business or organization's legal and operating name and correct where needed.

Note: Legal name modifications should only be done to correct a spelling error or typo.

2. Verify or provide the contact information of the designated business or organization contact person for this questionnaire and correct where needed.

Note: The designated contact person is the person who should receive this questionnaire. The designated contact person may not always be the one who actually completes the questionnaire.

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

1. Operational
2. Not currently operational
   e.g., temporarily or permanently closed, change of ownership

[Why is this business or organization not currently operational? When did this business or organization cease operations?]

Scope of this survey

9. Is this a residential facility that is primarily mandated to serve victims of abuse?

Primarily mandated definition: according to the mandate of your organization, its main activity is to provide housing to persons who have experienced abuse.

1. Yes
2. No

10. What is this residential facility's charitable registration number or business number?
e.g., GST number

Facility Profile (FP)

The purpose of this section is to obtain a one-day snapshot of your facility as of noon on April 14, 2021.

11. What type of accommodation best describes your facility as of noon on April 14, 2021?

Base your response on the length of housing your facility is to provide according to your mandate, regardless of practice.
These facility types are specific to residential facilities primarily mandated to serve victims of abuse.

1. Short-term housing
   Include facilities generally with a policy of less than three months accommodation. These facilities generally provide beds to residents, as opposed to apartments.
   e.g., transition house, women's shelter, family violence shelter, domestic violence shelter, private homes part of safe home networks
2. Long-term housing
   Include facilities generally with a policy of three or more months stay. These facilities generally provide apartments to residents.
   e.g., second stage housing, third stage housing
3. Mixed – short-term and long-term housing
   Include facilities that offer both short-term beds and long-term accommodations.

12. Is your facility able to report detailed information (including on residents and expenditures) separately for short-term housing and long-term housing?

1. Yes
2. No

Facility Profile Roster (FPR)

13. Which groups is your facility primarily mandated to serve as residents as of noon on April 14, 2021?

Definition of groups your facility is primarily mandated to serve: the population your facility is directed to serve according to its mandate.

Adults are usually defined as 18 years of age or older, although some jurisdictions include those aged 16 or 17 years of age with or without children or may define adults as 19 years of age or older.

Accompanying children are usually defined as children under the age of 18 years accompanying their parent.

Select all that apply.

1. Adult females
   Include transgendered adults identifying as females.
   Exclude adult females admitted with a parent.
2. Adult males
   Include transgendered adults identifying as males and adult males admitted on a case-by-case basis.
   Exclude adult males admitted with a parent.
3. Adults of another gender
   Include adults whose current gender was not reported exclusively as male or female. Also include persons who are unsure of their gender, persons who identify as both male and female, or neither male nor female.
   Exclude adults of another gender admitted with a parent.
4. Accompanying female children
   Include adult children accompanying a parent or caregiver, such as adult children with disabilities and those who are caretakers of a parent experiencing abuse, and transgendered children identifying as female.
   Accompanying male children
   Include adult children accompanying a parent or caregiver, such as adult children with disabilities and those who are caretakers of a parent experiencing abuse, transgendered children identifying as male, and male children admitted on a case-by-case basis.
5. Accompanying children of another gender
   Include adult children accompanying a parent or caregiver, such as adult children with disabilities and those who are caretakers of a parent experiencing abuse; children whose current gender was not reported exclusively as male or female, or who are unsure of their gender, or who identify as both male and female, or neither male nor female.

14. Which types of abuse is your facility primarily mandated to address as of noon on April 14, 2021?

Definition: the types of abuse your facility is directed to address according to its mandate.

Select all that apply.

1. Spousal abuse
   Include abuse by a different or same-gender legally married spouse, common-law partner, legally separated spouse, separated common-law partner or divorced spouse.
2. Other intimate relationship abuse
   Include dating relationship of couples who do not live together, ex-dating relationship, extra-marital lover and one-night stand.
3. Other family relationship abuse
   Include violence by a father, step-father, mother, step-mother, son, step-son, daughter, step-daughter, brother, sister, and extended family including in-laws, uncle and aunt.
4. Abuse by an acquaintance or friend
   Include close friend, classmate, neighbour/someone who lives nearby, roommate; authority figure such as teacher, professor, employer, person in a position of trust, landlord, police officer, childcare provider, priest or non-relative caregiver.
5. Elder abuse
   Include abuse of persons 55 years of age and older.
6. Other
   Specify other type of abuse

15. What is the total number of funded beds within your facility as of noon on April 14, 2021?

Include children's beds and cribs if applicable, regardless of the source of funding.

Exclude unfunded beds, which may include emergency beds such as cots, sofas, sleeping bags.

Count each funded bed.

16. What is the total number of funded units within your facility as of noon on April 14, 2021?

e.g., apartments, houses

[Of the total number of funded units reported, how many were occupied as of noon on April 14, 2021?]

Occupied meaning the unit is unavailable to other residents or potential residents, whether or not the unit is completely full.

17. Is your facility an Aboriginal organization?

Definition of Aboriginal organization: an organization guided by First Nations, Métis or Inuit teachings.

1. Yes
2. No

18. Is your facility located in a First Nations, Métis or Inuit community as of noon on April 14, 2021?

1. Yes
2. No

19. Is your facility located on a reserve as of noon on April 14, 2021?

1. Yes
2. No

20. Is your facility owned by a First Nations government (band council) as of noon on April 14, 2021?

1. Yes
2. No

21. Is your facility operated by a First Nations government (band council) as of noon on April 14, 2021?

1. Yes
2. No

22. Does your facility offer transportation to the facility as of noon on April 14, 2021?

e.g., facility vehicle, paying for a taxi

1. Yes
2. No

23. How wheelchair accessible is your facility as of noon on April 14, 2021?

Select all that apply.

1. At least one of the building entrances is wheelchair accessible e.g., access ramps, street-level entrances, automatic or easy-to open doors
2. At least one bedroom within the facility is wheelchair accessible e.g., widened doorways, automatic or easy-to-open doors
3. At least one bathroom within the facility is wheelchair accessible e.g., widened doorways, grab bars, automatic or easy-to-open doors
   OR
4. Not wheelchair accessible

24. Which of the following general services does your facility provide as of noon on April 14, 2021?

Definition of provide: a particular service is offered by staff or volunteers at the facility.

Select all that apply.

1. Crisis phone line
   Include staffed 24 hour line.
2. Transportation services
   Exclude transportation to the shelter.
   e.g., to court, to medical appointments
3. Recreation area or services
   e.g., playground, book club
4. Classes or tutoring
   Include classes or tutoring for children, youth and adults.
   e.g., language classes, homework help
5. Pet accommodation
   Include accommodation of domestic animals such as cats, dogs, hamsters and birds in your facility or by your facility's staff or volunteers.
   Exclude accommodation of service animals.
6. Food bank
   Include provision of food items for new accommodation.
   Exclude provision of meals at the facility.
7. Clothing items
8. Housing referrals
9. Furniture items
10. Advocacy on behalf of individuals
11. Political or social action
    e.g., writing letters to politicians, lobbying
12. Public education
    e.g., workshops and booths to educate the public about abuse

25. Which of the following professional services does your facility provide as of noon on April 14, 2021?

Definition of provide: a particular service is offered by staff or volunteers at the facility.

Select all that apply.

1. Medical services
   Exclude mental health and addictions or substance use services
2. Addictions or substance use services
3. Mental health services
   e.g., offering services or consultations with a health professional about mental health, including a family doctor or general practitioner, psychiatrist, psychologist, nurse, social worker or counsellor
4. Legal services
   e.g., paralegal services, assisting persons with legal documents and obtaining legal aid, court support
5. Employment services
   e.g., job training, employment search
6. Assistance with applications for funding
   e.g., assisting persons with applying for third-party loans or grants
7. Financial compensation
   e.g., providing loans or grants to pay for third-party counselling, housing

26. Which of the following services for adults does your facility provide as of noon on April 14, 2021?

Definition of provide: a particular service is offered by staff or volunteers at the facility.

Select all that apply.

1. Individual counselling for adults
2. Group counselling for adults
3. Safety planning or protection planning
4. Teaching life skills
   e.g., budgeting, banking, groceries, day-to-day management
5. Teaching parenting skills

27. Which of the following services for children does your facility provide as of noon on April 14, 2021?

Definition of provide: a particular service is offered by staff or volunteers at the facility.

Select all that apply.

1. Childcare
2. Counselling for children
   Include programs for children exposed to violence or children victims of abuse.
   e.g., play therapy, role playing, and goal oriented programing

28. Which of the following services for abusers, non-resident parents and families does your facility provide as of noon on April 14, 2021?

Definition of provide: a particular service is offered by staff or volunteers at the facility.

Select all that apply.

1. Treatment or counselling for abusers
2. Family counselling programs
   Include counselling that includes partners and children.
3. Supervised visiting for non-resident parent

29. Which of the following services for vulnerable populations does your facility provide as of noon on April 14, 2021?

Definition of provide: a particular service is offered by staff or volunteers at the facility.

Select all that apply.

1. Specialized services for older adults
   Include services for persons 55 years of age and older.
2. Culturally sensitive services for Aboriginal persons
   Include services that accommodate and recognize the diverse needs of First Nations, Métis, and Inuit persons.
   e.g., traditional healing methods, provision of services by spiritual Elders, integration of Aboriginal cultural norms and beliefs.
3. Services for gender and sexuality diversity
   Include specialized services for Lesbian, Gay, Bi-sexual and Transgendered, Queer and Two Spirited (LGBTQ2S) persons.
4. Provision of services in non-official languages
   e.g., ability of staff or volunteers to communicate in languages other than English or French when providing services, availability of resource materials in languages other than English or French
5. Services for immigrants or refugees
6. Services for persons with mobility disabilities
   e.g., physical rehabilitation or therapy
7. Services for persons with visual disabilities
   e.g., Braille reading materials, large print reading materials
8. Services for persons with hearing disabilities
   e.g., TTY or TDD, sign language communication or interpretation
9. Services for persons with developmental or intellectual disabilities
   e.g., communications assistance

Resident profile (RP)

The purpose of this section is to obtain a one-day snapshot of the residents being served as of noon on April 14, 2021.

30. What was the number of persons residing in your facility as of noon on April 14, 2021 by reason for seeking shelter?

Include residents who were temporarily absent from the facility.

[Number for reasons of abuse, number for other reasons]

1. Adult females
2. Adult males
3. Adults of another gender
4. Accompanying female children
5. Accompanying male children
6. Accompanying children of another gender

The following questions only pertain to adult residents who sought shelter for reasons of abuse.

31. How many of the [adult females] residing in your facility as of noon on April 14, 2021 for reasons of abuse experienced the following specific types of abuse?

Count as many types of abuse as apply for each resident (may be more than one).
e.g., an adult female suffering physical abuse and financial abuse would be counted once in each of the two corresponding categories

1. Physical abuse
   Include kicked, bit, hit or hit with something; pushed, grabbed, shoved, slapped; beaten, choked, something thrown at; threatened with a gun or knife; gun or knife used on; and threatened to be hit or to have something thrown at them.
2. Sexual abuse
   Include forced into or unable to consent to any unwanted sexual activity or sexual touching.
3. Financial abuse
   e.g., preventing access to income
4. Emotional or psychological abuse
   Include damaging property, harming or threatening to harm someone else, demanding to know whereabouts, limiting contact with others, jealousy, put-downs, and name-calling.
5. Harassment
   Include stalking
6. Forced marriage
7. Human trafficking or exploitation – being forced into sex work
8. Human trafficking or exploitation – forced labour or other
9. Cultural abuse
   e.g., ostracism from community
10. Spiritual abuse
11. Other
    Specify other type of abuse

32. What specific types of abuse was each of the [adult females] residing in your facility as of noon on April 14, 2021 protecting her children from?

Protection of children definition: the protection of those under the age of 18 as well as adult children under the care of their parents, such as persons with disabilities, and/or children providing care to their parents.

Count as many types of abuse as apply for each resident (may be more than one).
e.g., an adult female protecting her children from physical abuse, sexual abuse, and emotional or psychological abuse would be counted once in each of the three corresponding categories.

1. Physical abuse
   Include kicked, bit, hit or hit with something; pushed, grabbed, shoved, slapped; beaten, choked, something thrown at; threatened with a gun or knife; gun or knife used on; and threatened to be hit or to have something thrown at them.
2. Sexual abuse
   Include forced into or unable to consent to any unwanted sexual activity or sexual touching.
3. Emotional or psychological abuse
   Include damaging property, harming or threatening to harm someone else, demanding to know whereabouts, limiting contact with others, jealousy, put-downs, and name-calling.
4. Harassment
   Include stalking
5. Neglect
6. Exposure to violence
7. Other
   Specify other type of abuse

33. How many of the [adult males] residing in your facility as of noon on April 14, 2021 for reasons of abuse experienced the following specific types of abuse?

Count as many types of abuse as apply for each resident (may be more than one).
e.g., an adult male suffering physical abuse and financial abuse would be counted once in each of the two corresponding categories.

1. Physical abuse
   Include kicked, bit, hit or hit with something; pushed, grabbed, shoved, slapped; beaten, choked, something thrown at; threatened with a gun or knife; gun or knife used on; and threatened to be hit or to have something thrown at them.
2. Sexual abuse
   Include forced into or unable to consent to any unwanted sexual activity or sexual touching.
3. Financial abuse
   e.g., preventing access to income
4. Emotional or psychological abuse
   Include damaging property, harming or threatening to harm someone else, demanding to know whereabouts, limiting contact with others, jealousy, put-downs, and name-calling.
5. Harassment
   Include stalking
6. Forced marriage
7. Human trafficking or exploitation – being forced into sex work
8. Human trafficking or exploitation – forced labour or other
9. Cultural abuse
   e.g., ostracism from community
10. Spiritual abuse
11. Other
    Specify other type of abuse

34. What specific types of abuse was each of the [adult males] residing in your facility as of noon on April 14, 2021 protecting his children from?

Protection of children definition: the protection of those under the age of 18 as well as adult children under the care of their parents, such as persons with disabilities, and/or children providing care to their parents.

Count as many types of abuse as apply for each resident (may be more than one).
e.g., an adult male protecting his children from physical abuse, sexual abuse, and emotional or psychological abuse would be counted once in each of the three corresponding categories.

1. Physical abuse
   Include kicked, bit, hit or hit with something; pushed, grabbed, shoved, slapped; beaten, choked, something thrown at; threatened with a gun or knife; gun or knife used on; and threatened to be hit or to have something thrown at them.
2. Sexual abuse
   Include forced into or unable to consent to any unwanted sexual activity or sexual touching.
3. Emotional or psychological abuse
   Include damaging property, harming or threatening to harm someone else, demanding to know whereabouts, limiting contact with others, jealousy, put-downs, and name-calling.
4. Harassment
   Include stalking
5. Neglect
6. Exposure to violence
7. Other
   Specify other type of abuse

35. How many of the [adults of another gender] residing in your facility as of noon on April 14, 2021 for reasons of abuse experienced the following specific types of abuse?

Count as many types of abuse as apply for each resident (may be more than one).
e.g., an adult of another gender suffering physical abuse and financial abuse would be counted once in each of the two corresponding categories.

1. Physical abuse
   Include kicked, bit, hit or hit with something; pushed, grabbed, shoved, slapped; beaten, choked, something thrown at; threatened with a gun or knife; gun or knife used on; and threatened to be hit or to have something thrown at them.
2. Sexual abuse
   Include forced into or unable to consent to any unwanted sexual activity or sexual touching.
3. Financial abuse
   e.g., preventing access to income
4. Emotional or psychological abuse
   Include damaging property, harming or threatening to harm someone else, demanding to know whereabouts, limiting contact with others, jealousy, put-downs, and name-calling.
5. Harassment
   Include stalking
6. Forced marriage
7. Human trafficking or exploitation – being forced into sex work
8. Human trafficking or exploitation – forced labour or other
9. Cultural abuse
   e.g., ostracism from community
10. Spiritual abuse
11. Other
    Specify other type of abuse

36. What specific types of abuse was each of the [adults of another gender] residing in your facility as of noon on April 14, 2021 protecting their children from?

Protection of children definition: the protection of those under the age of 18 as well as adult children under the care of their parents, such as persons with disabilities, and/or children providing care to their parents.

Count as many types of abuse as apply for each resident (may be more than one).
e.g., an adult of another gender protecting their children from physical abuse, sexual abuse, and emotional or psychological abuse would be counted once in each of the three corresponding categories.

1. Physical abuse
   Include kicked, bit, hit or hit with something; pushed, grabbed, shoved, slapped; beaten, choked, something thrown at; threatened with a gun or knife; gun or knife used on; and threatened to be hit or to have something thrown at them.
2. Sexual abuse
   Include forced into or unable to consent to any unwanted sexual activity or sexual touching.
3. Emotional or psychological abuse
   Include damaging property, harming or threatening to harm someone else, demanding to know whereabouts, limiting contact with others, jealousy, put-downs, and name-calling.
4. Harassment
   Include stalking
5. Neglect
6. Exposure to violence
7. Other
   Specify other type of abuse

37. What were the referral sources for each of the [adult females] residing in your facility as of noon on April 14, 2021 for reasons of abuse?

Definition of referral source: a person or organization that guided a person towards the facility.
Count as many referral sources as apply for each resident (may be more than one).

1. Self-referred only
2. Family or friend
3. Government department or office
   Include municipal or regional, provincial or territorial and federal departments or offices.
4. Aboriginal (First Nations, Métis or Inuit) organization or community
5. Phone help line
   e.g., Assaulted Women's Helpline, SOS violence conjugale
6. Another resident
   Include current or former residents.
7. Hospital, doctor, nurse, other health care practitioner or hospital social worker
8. Clergy, minister of religion
   e.g., imam, priest, rabbi
9. Police
   Include municipal, provincial, federal or military police
10. Other residential facility for victims of abuse
11. Other type of residential facility
12. Other community agency
    Specify other community agency
13. Other referral source
    Specify other referral source
14. Unknown

38. What were the referral sources for each of the [adult males] residing in your facility as of noon on April 14, 2021 for reasons of abuse?

Definition of referral source: a person or organization that guided a person towards the facility.
Count as many referral sources as apply for each resident (may be more than one).

1. Self-referred only
2. Family or friend
3. Government department or office
   Include municipal or regional, provincial or territorial and federal departments or offices.
4. Aboriginal (First Nations, Métis or Inuit) organization or community
5. Phone help line
   e.g., Assaulted Women's Helpline, SOS violence conjugale
6. Another resident
   Include current or former residents.
7. Hospital, doctor, nurse, other health care practitioner or hospital social worker
8. Clergy, minister of religion
   e.g., imam, priest, rabbi
9. Police
   Include municipal, provincial, federal or military police
10. Other residential facility for victims of abuse
11. Other type of residential facility
12. Other community agency
    Specify other community agency
13. Other referral source
    Specify other referral source
14. Unknown

39. What were the referral sources for each of the [adults of another gender] residing in your facility as of noon on April 14, 2021 for reasons of abuse?

Definition of referral source: a person or organization that guided a person towards the facility.
Count as many referral sources as apply for each resident (may be more than one).

1. Self-referred only
2. Family or friend
3. Government department or office
   Include municipal or regional, provincial or territorial and federal departments or offices.
4. Aboriginal (First Nations, Métis or Inuit) organization or community
5. Phone help line
   e.g., Assaulted Women's Helpline, SOS violence conjugale
6. Another resident
   Include current or former residents.
7. Hospital, doctor, nurse, other health care practitioner or hospital social worker
8. Clergy, minister of religion
   e.g., imam, priest, rabbi
9. Police
   Include municipal, provincial, federal or military police
10. Other residential facility for victims of abuse
11. Other type of residential facility
12. Other community agency
    Specify other community agency
13. Other referral source
    Specify other referral source
14. Unknown

The following questions gather information about first-time and repeat clients, which may inform planning of programs and services.

40. As of noon on April 14, 2021, does your facility allow repeat clients?

Definition of repeat clients: persons previously served by your facility in the last year, whether as a resident, ex-resident, or non-resident.

1. Yes
2. No

41. Of the [adult females] residing in your facility as of noon on April 14, 2021 for reasons of abuse, how many were previously served by your facility in the last year?

1. Received services as a resident (may include having received services on an outreach basis as well)
2. Received services on an outreach basis only (were not residents)
3. Not served in the past year (either as a resident or on an outreach basis)
   Include residents for whom it was the first time using any service offered by your facility within the previous year
4. Unknown

42. Of the [adult males] residing in your facility as of noon on April 14, 2021 for reasons of abuse, how many were previously served by your facility in the last year?

1. Received services as a resident (may include having received services on an outreach basis as well)
2. Received services on an outreach basis only (were not residents)
3. Not served in the past year (either as a resident or on an outreach basis)
   Include residents for whom it was the first time using any service offered by your facility within the previous year
4. Unknown

43. Of the [adults of another gender] residing in your facility as of noon on April 14, 2021 for reasons of abuse, how many were previously served by your facility in the last year?

Number of adults of another gender

1. Received services as a resident (may include having received services on an outreach basis as well)
2. Received services on an outreach basis only (were not residents)
3. Not served in the past year (either as a resident or on an outreach basis)
   Include residents for whom it was the first time using any service offered by your facility within the previous year
4. Unknown

Socio-demographic information (SD)

44. Of the [adult females] residing in your facility as of noon on April 14, 2021 for reasons of abuse, how many were in each of the following age groups?

1. Less than 18 years of age
2. 18 to 24 years of age
3. 25 to 29 years of age
4. 30 to 34 years of age
5. 35 to 44 years of age
6. 45 to 54 years of age
7. 55 to 64 years of age
8. 65 years of age and older
9. Unknown

45. Of the [adult males] residing in your facility as of noon on April 14, 2021 for reasons of abuse, how many were in each of the following age groups?

Number of adult males

1. Less than 18 years of age
2. 18 to 24 years of age
3. 25 to 29 years of age
4. 30 to 34 years of age
5. 35 to 44 years of age
6. 45 to 54 years of age
7. 55 to 64 years of age
8. 65 years of age and older
9. Unknown

46. Of the [adult residents of another gender] residing in your facility as of noon on April 14, 2021 for reasons of abuse, how many were in each of the following age groups?

1. Less than 18 years of age
2. 18 to 24 years of age
3. 25 to 29 years of age
4. 30 to 34 years of age
5. 35 to 44 years of age
6. 45 to 54 years of age
7. 55 to 64 years of age
8. 65 years of age and older
9. Unknown

47. Of the [accompanying female children] residing in your facility as of noon on April 14, 2021 for reasons of abuse, how many were in each of the following age groups?

Include adult children (generally 18 years of age and older) with disabilities or who are caretakers of a parent experiencing abuse.

1. 0 to 4 years of age
2. 5 to 11 years of age
3. 12 to 14 years of age
4. 15 to 17 years of age
5. 18 years of age and older (adult children)
6. Unknown

48. Of the [accompanying male children] residing in your facility as of noon on April 14, 2021 for reasons of abuse, how many were in each of the following age groups?

Include adult children (generally 18 years of age and older) with disabilities or who are caretakers of a parent experiencing abuse.

1. 0 to 4 years of age
2. 5 to 11 years of age
3. 12 to 14 years of age
4. 15 to 17 years of age
5. 18 years of age and older (adult children)
6. Unknown

49. Of the [accompanying children of another gender] residing in your facility as of noon on April 14, 2021 for reasons of abuse, how many were in each of the following age groups?

Include adult children (generally 18 years of age and older) with disabilities or who are caretakers of a parent experiencing abuse.

1. 0 to 4 years of age
2. 5 to 11 years of age
3. 12 to 14 years of age
4. 15 to 17 years of age
5. 18 years of age and older (adult children)
6. Unknown

50. What was the number of residents by Aboriginal identity as of noon on April 14, 2021?

Definition of Aboriginal identity: First Nations, Métis and Inuit. First Nations includes Status and Non-Status Indians.
The total should equal the total of residents on April 14, 2021 for reasons of abuse.

[Of Aboriginal identity, not of Aboriginal identity, unknown]

1. Adult females
2. Adult males
3. Adults of another gender
4. Accompanying female children
5. Accompanying male children
6. Accompanying children of another gender

51. What was the number of residents by visible minority identity as of noon on April 14, 2021?

Definition of visible minority: persons, other than Aboriginal peoples, who are non-Caucasian in race or non-white in colour.
e.g., South Asian, Chinese, Black, Filipino, Latin American, Arab, Southeast Asian, West Asian, Korean, Japanese
The total should equal the total of residents on April 14, 2021 for reasons of abuse.

[Of visible minority identity, not of visible minority identity, unknown]

1. Adult females
2. Adult males
3. Adults of another gender
4. Accompanying female children
5. Accompanying male children
6. Accompanying children of another gender

52. What was the number of residents by residency status as of noon on April 14, 2021?

The total should equal the total of residents on April 14, 2021 for reasons of abuse.

[Non-permanent resident, permanent resident or citizen, unknown]

1. Adult females
2. Adult males
3. Adults of another gender
4. Accompanying female children
5. Accompanying male children
6. Accompanying children of another gender

53. What was the number of residents by ability to speak at least one official language (English or French) well enough to conduct a conversation as of noon on April 14, 2021?

The total should equal the total of residents on April 14, 2021 for reasons of abuse.

[Who do speak at least one official language, who do not speak at least one official language, unknown]

1. Adult females
2. Adult males
3. Adults of another gender
4. Accompanying female children
5. Accompanying male children
6. Accompanying children of another gender

54. What was the number of residents who had ever been homeless prior to residing in your facility, as of noon on April 14, 2021?

Definition of homeless: Includes living in locations not intended for human habitation such as on the street or in parks, cars, laneways, sidewalks, or in a makeshift shelter or an abandoned building. It also includes living in temporary accommodations for people without housing, such as homeless shelters or extreme weather shelters, or as a temporary house guest staying with family, friends or strangers (e.g., room rental guest, or other overnight guest). This also includes those who had previously resided in residential facilities for victims of abuse.

Excludes the current residential facility for victims of abuse where residents are staying.

The total should equal the total of residents on April 14, 2021 for reasons of abuse.

[Number of residents who have ever been homeless, number of residents who have not ever been homeless, unknown]

1. Adult females
2. Adult males
3. Adults of another gender
4. Accompanying female children
5. Accompanying male children
6. Accompanying children of another gender

55. What was the number of residents by whether they have disabilities as of noon on April 14, 2021?

Definition of disabilities: In order to obtain a measure of the number of residents facing barriers and requiring accommodations, include residents with permanent and temporary mobility, visual, hearing, developmental or intellectual, or other disabilities.
The total should equal the total of residents on April 14, 2021 for reasons of abuse.

[With disabilities, without disabilities, unknown]

1. Adult females
2. Adult males
3. Adults of another gender
4. Accompanying female children
5. Accompanying male children
6. Accompanying children of another gender

56. What was the number of [adult female residents] with disabilities by type of disability as of noon on April 14, 2021?

Definition of disabilities: In order to obtain a measure of the number of residents facing barriers and requiring accommodations, include residents with permanent and temporary mobility, visual, hearing, developmental or intellectual, or other disabilities.

Count each resident as often as applies, if more than one disability.

1. Mobility
2. Visual
3. Hearing
4. Developmental or intellectual
5. Other disabilities
6. Unknown

57. What was the number of [adult male residents] with disabilities by type of disability as of noon on April 14, 2021?

Definition of disabilities: In order to obtain a measure of the number of residents facing barriers and requiring accommodations, include residents with permanent and temporary mobility, visual, hearing, developmental or intellectual, or other disabilities.

Count each resident as often as applies, if more than one disability.

1. Mobility
2. Visual
3. Hearing
4. Developmental or intellectual
5. Other disabilities
6. Unknown

58. What was the number of [adult residents of another gender] with disabilities by type of disability as of noon on April 14, 2021?

Definition of disabilities: In order to obtain a measure of the number of residents facing barriers and requiring accommodations, include residents with permanent and temporary mobility, visual, hearing, developmental or intellectual, or other disabilities.

Count each resident as often as applies, if more than one disability.

1. Mobility
2. Visual
3. Hearing
4. Developmental or intellectual
5. Other disabilities
6. Unknown

59. What was the number of [accompanying female children] by type of disability as of noon on April 14, 2021?

Definition of disabilities: In order to obtain a measure of the number of residents facing barriers and requiring accommodations, include residents with permanent and temporary mobility, visual, hearing, developmental or intellectual, or other disabilities.

Count each resident as often as applies, if more than one disability.

1. Mobility
2. Visual
3. Hearing
4. Developmental or intellectual
5. Other disabilities
6. Unknown

60. What was the number of [accompanying male children] by type of disability as of noon on April 14, 2021?

Definition of disabilities: In order to obtain a measure of the number of residents facing barriers and requiring accommodations, include residents with permanent and temporary mobility, visual, hearing, developmental or intellectual, or other disabilities.

Count each resident as often as applies, if more than one disability.

1. Mobility
2. Visual
3. Hearing
4. Developmental or intellectual
5. Other disabilities
6. Unknown

61. What was the number of [accompanying children of another gender] by type of disability as of noon on April 14, 2021?

Definition of disabilities: In order to obtain a measure of the number of residents facing barriers and requiring accommodations, include residents with permanent and temporary mobility, visual, hearing, developmental or intellectual, or other disabilities.

Count each resident as often as applies, if more than one disability.

1. Mobility
2. Visual
3. Hearing
4. Developmental or intellectual
5. Other disabilities
6. Unknown

62. What was the number of [adult female residents] by parental responsibilities as of noon on April 14, 2021?

The total should equal the total of adult female residents on April 14, 2021 for reasons of abuse.

1. Admitted with one or more of their children
2. Admitted without any of their children
3. Without children or parenting responsibilities
   e.g., have adult children living outside of the home, no custody of children
4. Unknown

63. What was the number of [adult male residents] by parental responsibilities as of noon on April 14, 2021?

The total should equal the total of adult male residents on April 14, 2021 for reasons of abuse.

1. Admitted with one or more of their children
2. Admitted without any of their children
3. Without children or parenting responsibilities
   e.g., have adult children living outside of the home, no custody of children
4. Unknown

64. What was the number of [adult residents of another gender] by parental responsibilities as of noon on April 14, 2021?

The total should equal the total of adults of another gender residents on April 14, 2021 for reasons of abuse.

1. Admitted with one or more of their children
2. Admitted without any of their children
3. Without children or parenting responsibilities
   e.g., have adult children living outside of the home, no custody of children
4. Unknown

65. What was the number of residents by whether or not they were living with the primary abuser at the time they sought shelter, as of noon on April 14, 2021?

The total should equal the total of residents on April 14, 2021 for reasons of abuse.

[Number of residents who were living with the abuser, number of residents who were not living with the abuser, unknown]

1. Adult females
2. Adult males
3. Adults of another gender
4. Accompanying female children
5. Accompanying male children
6. Accompanying children of another gender

66. What was the number of [adult female residents] by the relationship of the primary abuser to the resident as of noon on April 14, 2021?

The total should equal the total of adult female residents on April 14, 2021 for reasons of abuse.

Spousal relationship - different gender

1. Spouse (legally married)
2. Common-law partner
3. Separated (legally)
4. Separated common-law partner
5. Divorced

Spousal relationship - same gender

6. Spouse (legally married)
7. Common-law partner
8. Separated (legally)
9. Separated common-law partner
10. Divorced

Other intimate relationship - different gender

11. Dating relationship (couples who do or do not live together)
12. Ex-dating relationship
13. Other intimate relationship
    Include extra-marital lover and one night stand.

Other intimate relationship - same gender

14. Dating relationship (couples who do or do not live together)
15. Ex-dating relationship
16. Other intimate relationship
    Include extra-marital lover and one night stand.

Other family relationship

17. Parent
    Include father, step-father, mother and step-mother.
18. Child
    Include son, step-son, daughter, and step-daughter.
19. Sibling
    Include brother and sister.
20. Extended family
    e.g., in-laws, uncle, aunt

Acquaintance

21. Close friend
22. Acquaintance
    e.g., classmate, neighbour or someone who lives nearby, roommate, human trafficker
23. Authority figure
    e.g., teacher, professor, employer, person in a position of trust, landlord, police officer, clergy
24. Caregiver
    e.g., a non-relative responsible for taking care of the resident full or part-time

Other relationship

25. Other
    Specify other relationship
26. Unknown

67. What was the number of [adult male residents] by the relationship of the primary abuser to the resident as of noon on April 14, 2021?

The total should equal the total of adult male residents on April 14, 2021 for reasons of abuse.

Spousal relationship - different gender

1. Spouse (legally married)
2. Common-law partner
3. Separated (legally)
4. Separated common-law partner
5. Divorced

Spousal relationship - same gender

6. Spouse (legally married)
7. Common-law partner
8. Separated (legally)
9. Separated common-law partner
10. Divorced

Other intimate relationship - different gender

11. Dating relationship (couples who do or do not live together)
12. Ex-dating relationship
13. Other intimate relationship
    Include extra-marital lover and one night stand.

Other intimate relationship - same gender

14. Dating relationship (couples who do or do not live together)
15. Ex-dating relationship
16. Other intimate relationship
    Include extra-marital lover and one night stand.

Other family relationship

17. Parent
    Include father, step-father, mother and step-mother.
18. Child
    Include son, step-son, daughter, and step-daughter.
19. Sibling
    Include brother and sister.
20. Extended family
    e.g., in-laws, uncle, aunt

Acquaintance

21. Close friend
22. Acquaintance
    e.g., classmate, neighbour or someone who lives nearby, roommate, human trafficker
23. Authority figure
    e.g., teacher, professor, employer, person in a position of trust, landlord, police officer, clergy
24. Caregiver
    e.g., a non-relative responsible for taking care of the resident full or part-time

Other relationship

25. Other
    Specify other relationship
26. Unknown

68. What was the number of [adult residents of another gender] by the relationship of the primary abuser to the resident as of noon on April 14, 2021?

The total should equal the total of adult residents of another gender on April 14, 2021 for reasons of abuse.

Spousal relationship - different gender

1. Spouse (legally married)
2. Common-law partner
3. Separated (legally)
4. Separated common-law partner
5. Divorced

Spousal relationship - same gender

6. Spouse (legally married)
7. Common-law partner
8. Separated (legally)
9. Separated common-law partner
10. Divorced

Other intimate relationship - different gender

11. Dating relationship (couples who do or do not live together)
12. Ex-dating relationship
13. Other intimate relationship
    Include extra-marital lover and one night stand.

Other intimate relationship - same gender

14. Dating relationship (couples who do or do not live together)
15. Ex-dating relationship
16. Other intimate relationship
    Include extra-marital lover and one night stand.

Other family relationship

17. Parent
    Include father, step-father, mother and step-mother.
18. Child
    Include son, step-son, daughter, and step-daughter.
19. Sibling
    Include brother and sister.
20. Extended family
    e.g., in-laws, uncle, aunt

Acquaintance

21. Close friend
22. Acquaintance
    e.g., classmate, neighbour or someone who lives nearby, roommate, human trafficker
23. Authority figure
    e.g., teacher, professor, employer, person in a position of trust, landlord, police officer, clergy
24. Caregiver
    e.g., a non-relative responsible for taking care of the resident full or part-time

Other relationship

25. Other
    Specify other relationship
26. Unknown

69. How many residents reported to police the abusive situation that led them to seek shelter as of noon on April 14, 2021?

The total should equal the total of residents on April 14, 2021 for reasons of abuse.

[Who did report to police, who did not report to police, unknown]

1. Adult females
2. Adult males
3. Adults of another gender

70. For how many residents did the abusive situation that led them to seek shelter result in charges laid against the abuser as of noon on April 14, 2021?

Include charges laid by police or the Crown.

The total should equal the total of residents on April 14, 2021 for reasons of abuse.

[Charges were laid against the abuser, charges were not laid against the abuser, unknown]

1. Adult females
2. Adult males
3. Adults of another gender

71. How many residents obtained an order for the abuser to stay away as of noon on April 14, 2021?

Include peace bond, restraining order, undertaking to keep the peace and have good conduct, conditions of probation, emergency intervention order, emergency protection order, victim's assistance order, order to abstain from persistently following a person about from place to place.

The total should equal the total of residents on April 14, 2021 for reasons of abuse.

[An order was obtained, an order was not obtained, unknown]

1. Adult females
2. Adult males
3. Adults of another gender

Departures and turn-aways (DT)

The following questions pertain to all persons who were in the facility or who sought shelter for reasons of abuse between midnight and noon on April 14, 2021.

72. How many residents departed from your facility between midnight and noon on April 14, 2021?

Definition of departures: persons who are leaving the facility to live somewhere else

1. Adult females
2. Adult males
3. Adults of another gender
4. Accompanying female children
5. Accompanying male children
6. Accompanying children of another gender

73. Where did the [adult female residents] who departed between midnight and noon on April 14, 2021 go upon departure?

Count each resident once.

1. Returned home — abuser in the home
2. Returned home — abuser not in the home
3. Another residential facility for victims of abuse
4. Another type of residential facility
   e.g., group home, hostel, detox centre, addictions rehabilitation centre or other care facility
   Exclude homeless shelters.
5. New accommodation without abuser
6. Living with friends or relatives
7. Hospital
8. Homeless
   e.g., could include individuals living in homeless shelters or locations not intended for human habitation (cars, laneways, sidewalks)
9. Other
   Specify other place
10. Unknown

74. Where did the [adult male residents] who departed between midnight and noon on April 14, 2021 go upon departure?

Count each resident once.

1. Returned home — abuser in the home
2. Returned home — abuser not in the home
3. Another residential facility for victims of abuse
4. Another type of residential facility
   e.g., group home, hostel, detox centre, addictions rehabilitation centre or other care facility
   Exclude homeless shelters.
5. New accommodation without abuser
6. Living with friends or relatives
7. Hospital
8. Homeless
   e.g., could include individuals living in homeless shelters or locations not intended for human habitation (cars, laneways, sidewalks)
9. Other
   Specify other place
10. Unknown

75. Where did the [adult residents of another gender] who departed between midnight and noon on April 14, 2021 go upon departure?

Count each resident once.

1. Returned home — abuser in the home
2. Returned home — abuser not in the home
3. Another residential facility for victims of abuse
4. Another type of residential facility
   e.g., group home, hostel, detox centre, addictions rehabilitation centre or other care facility
   Exclude homeless shelters.
5. New accommodation without abuser
6. Living with friends or relatives
7. Hospital
8. Homeless
   e.g., could include individuals living in homeless shelters or locations not intended for human habitation (cars, laneways, sidewalks)
9. Other
   Specify other place
10. Unknown

76. Where did the [accompanying female children residents] who departed between midnight and noon on April 14, 2021 go upon departure?

Count each resident once.

1. Returned home — abuser in the home
2. Returned home — abuser not in the home
3. Another residential facility for victims of abuse
4. Another type of residential facility
   e.g., group home, hostel, detox centre, addictions rehabilitation centre or other care facility
   Exclude homeless shelters.
5. New accommodation without abuser
6. Living with friends or relatives
7. Hospital
8. Homeless
   e.g., could include individuals living in homeless shelters or locations not intended for human habitation (cars, laneways, sidewalks)
9. Other
   Specify other place
10. Unknown

77. Where did the [accompanying male children residents] who departed between midnight and noon on April 14, 2021 go upon departure?

Count each resident once.

1. Returned home — abuser in the home
2. Returned home — abuser not in the home
3. Another residential facility for victims of abuse
4. Another type of residential facility
   e.g., group home, hostel, detox centre, addictions rehabilitation centre or other care facility
   Exclude homeless shelters.
5. New accommodation without abuser
6. Living with friends or relatives
7. Hospital
8. Homeless
   e.g., could include individuals living in homeless shelters or locations not intended for human habitation (cars, laneways, sidewalks)
9. Other
   Specify other place
10. Unknown

78. Where did the [accompanying children of another gender residents] who departed between midnight and noon on April 14, 2021 go upon departure?

Count each resident once.

1. Returned home — abuser in the home
2. Returned home — abuser not in the home
3. Another residential facility for victims of abuse
4. Another type of residential facility
   e.g., group home, hostel, detox centre, addictions rehabilitation centre or other care facility
   Exclude homeless shelters.
5. New accommodation without abuser
6. Living with friends or relatives
7. Hospital
8. Homeless
   e.g., could include individuals living in homeless shelters or locations not intended for human habitation (cars, laneways, sidewalks)
9. Other
   Specify other place
10. Unknown

79. How many persons were turned away from your facility between midnight and noon on April 14, 2021?

1. Adult females
2. Adult males
3. Adults of another gender
4. Accompanying female children
5. Accompanying male children
6. Accompanying children of another gender

80. What was the number of [adult females] turned away between midnight and noon on April 14, 2021 by primary reason for turn-away?

Count each person once.

1. Shelter was full
2. Type of abuse experienced was outside the facility's mandate
3. Victim profile was outside of facility's mandate
4. Transportation issue
   e.g., cannot provide transportation to get them to the facility
5. Language barrier
   Include not having the resources to serve persons who do not speak official languages.
6. Did not have the resources to serve persons with mental illnesses
7. Did not have the resources to serve persons with substance use issues
8. Accessibility issue
   e.g., not having the resources to serve persons with disabilities, not wheelchair accessible
9. Safety issue
   e.g., on a non-admit or caution list
10. Other
    Specify other reason

81. What was the number of [adult males] turned away between midnight and noon on April 14, 2021 by primary reason for turn-away?

Count each person once.

1. Shelter was full
2. Type of abuse experienced was outside the facility's mandate
3. Victim profile was outside of facility's mandate
4. Transportation issue
   e.g., cannot provide transportation to get them to the facility
5. Language barrier
   Include not having the resources to serve persons who do not speak official languages.
6. Did not have the resources to serve persons with mental illnesses
7. Did not have the resources to serve persons with substance use issues
8. Accessibility issue
   e.g., not having the resources to serve persons with disabilities, not wheelchair accessible
9. Safety issue
   e.g., on a non-admit or caution list
10. Other
    Specify other reason

82. What was the number of [adults of another gender] turned away between midnight and noon on April 14, 2021 by primary reason for turn-away?

Count each person once.

1. Shelter was full
2. Type of abuse experienced was outside the facility's mandate
3. Victim profile was outside of facility's mandate
4. Transportation issue
   e.g., cannot provide transportation to get them to the facility
5. Language barrier
   Include not having the resources to serve persons who do not speak official languages.
6. Did not have the resources to serve persons with mental illnesses
7. Did not have the resources to serve persons with substance use issues
8. Accessibility issue
   e.g., not having the resources to serve persons with disabilities, not wheelchair accessible
9. Safety issue
   e.g., on a non-admit or caution list
10. Other
    Specify other reason

Annual information (AI)

The following questions on average length of stay, admissions, physical repairs and finances refer to a 12-month reference period that most closely resembles the period your facility refers to in its annual reports

83. What is the 12-month reference period used in providing information for this section?

1. Fiscal year April 1, 2020 to March 31, 2021
2. Other fiscal year
3. Calendar year January 1, 2020 to December 31, 2020

84. What was the average length of stay for residents at your facility during the [12-month reference period]?

1. Less than one month
2. One month to less than three months
3. Three months to less than six months
4. Six months to less than nine months
5. Nine months to less than one year
6. One year to less than two years
7. Two years to less than three years
8. Three years or more

85. What was the total number of admissions during the [12-month reference period]?

Count each person every time they were admitted as residents.

Definition of residents: persons admitted to the facility. That is, those who have been officially accepted with the allocation of a bed, child's bed, crib, bedroom or bedroom unit, or apartment.

Include those who are temporarily absent from the facility.

1. Adult females
2. Adult males
3. Adults of another gender
4. Accompanying female children
5. Accompanying male children
6. Accompanying children of another gender

Physical repairs or improvements

The purpose of these questions is to collect information on physical repairs or improvements that have been made to your facility during the [12-month reference period].

Exclude the construction of new units or regular maintenance (e.g., painting, repairing leaky faucets, furnace cleaning).

86. Have any physical repairs or improvements been made to your facility during the [12-month reference period]?

e.g., new roof, flooring, windows, floor tiles, plumbing fixtures

1. Yes
2. No

87. What types of physical repairs or improvements have been made to your facility during the [12-month reference period]?

Select all that apply.

1. Major physical repairs or improvements (Legal requirement to make repairs for safety reasons and for meeting municipal building codes.)
   e.g., repairs to defective plumbing or electrical wiring; structural repairs to walls, floors or ceilings
2. Minor physical repairs or improvements
   e.g., repairs to missing or loose floor tiles, bricks or shingles; repairs to defective steps, railing or siding

88. How were these physical repairs or improvements funded?

Select all that apply.

1. Federal government funding
2. Provincial or territorial government funding
3. Joint Federal, Provincial or Territorial agreement funding
4. Regional or municipal government funding
5. Fundraising and donations
   Include grants by foundations or charities.
6. Other
   Specify other type of funding
   OR
7. Don't know

Revenues

The purpose of this section is to collect information on the revenues of your facility for the [12-month reference period].

89. What was the dollar amount of the revenues for your facility for the [12-month reference period] by source?

Report the dollar amount rounded to the nearest dollar.

1. Federal government
2. Provincial or territorial government
3. Regional or municipal government
4. First Nations government
5. Foundations
6. Fees for service
   Include fees charged to residents to help offset facility costs.
7. Provincial or territorial lotteries
   Include the Associated Entities Fund in Saskatchewan, bingos, and Nevada tickets.
8. Fundraising or donations
9. Other
   Specify other source of revenue

90. What are the revenues figures for the [12-month reference period] based on?

1. Estimated financial data
2. Audited financial data

Expenditures

The purpose of this section is to collect information on the expenditures of your facility for the [12-month reference period].

91. What was the dollar amount of the expenditures for your facility for the [12-month reference period] by type of expenditure?

Report the dollar amount rounded to the nearest dollar.

1. Salary costs
   Include all salary and benefits for both permanent and casual employees as well as fees for services.
2. Rent, mortgage and property taxes
   Include expenditures for outreach offices.
3. Other housing costs
   e.g., house insurance, utilities, furniture
4. Administrative costs
   e.g., staff and board insurance
5. Staff training
   e.g., conferences, workshops
6. Office costs
   e.g., office supplies, postage
7. Direct client costs
   e.g., food, supplies, transportation, disbursements to residents
8. Contributions to reserve fund
   Include those required by Canada Mortgage and Housing Corporation.
9. Other
   Specify other type of expenditure

92. What are the expenditures figures for the [12-month reference period] based on?

1. Estimated financial data
2. Audited financial data

93. What are the top three issues or challenges currently facing your facility?

Select a different category from each dropdown list.

1. Financial instability
2. Lack of funding
3. Reliance on fundraising
4. Food costs
5. Transportation costs
6. Reliance on volunteers
7. Staff turnover
8. Mental health issues for staff
9. Low employee compensation
10. Skills development
11. Capacity
12. Accessibility issues related to the structure of the building
13. Need for physical repairs and improvements
14. Lack of administrative resources
15. Providing culturally appropriate supports and services
16. Meeting the diverse needs of clients
17. Advocacy
18. Not having the mandate to serve male clients
19. Criminal justice system
20. Lack of affordable childcare
21. Lack of permanent housing
22. Restrictions tied to external regulations
23. Other

94. What are the top three issues or challenges currently facing those using your facility?

Select a different category from each dropdown list.

1. Underemployment and low incomes
2. Lack of and regulations related to income assistance
3. Affordable transportation
4. Affordable childcare
5. Food costs
6. Lack of legal aid funding or availability of affordable legal counsel
7. Lack of affordable and appropriate long-term housing upon departure
8. Lack of or waiting lists for residential facilities
9. Lack of or waiting lists for other services
10. Lack of follow-up support once they have left the facility
11. Mental health issues
12. Substance use issues
13. Parenting issues
14. Racism
15. Immigration regulations
16. Safety
17. Criminal justice system
18. Other

Impacts of COVID-19 on Canadian Residential Facilities for Victims of Abuse (COV)

The following section is about the impact of the COVID-19 pandemic on your facility. Please provide answers based on a best estimate of the experiences at your facility.

95. Overall, to what extent did the COVID-19 pandemic impact your facility's ability to continue serving victims of abuse during the following periods?

[To a great extent, to a moderate extent, to a minor extent, not at all, not applicable]

1. Period of initial lockdown measures
   Period where schools and non-essential businesses were closed and travel was restricted
2. Period immediately after lockdown measures were relaxed (initial provincial or territorial re-opening phase)
   Period where non-essential businesses began to re-open in your province or territory, while physical distancing measures and other restrictions may have been put in place
3. Period of lockdown relaxation
   Period where all businesses were open and regular activities resumed in your province or territory, while some measures may have remained in place (e.g., wearing masks)
4. Period of second wave
   Period where number of COVID-19 cases began to increase again in your province or territory
5. Current period
6. Overall, from the beginning of the pandemic until now

96. Compared to before the COVID-19 pandemic, to what extent is your facility's current ability to provide services being impacted by the following challenges?

If the impact has varied at different times since the start of the pandemic, please indicate the current impact on your facility compared to before the pandemic.

[To a great extent, to a moderate extent, to a minor extent, not at all, not applicable]

1. Accommodation capacity
   e.g., inability to operate at full capacity due to distancing measures, inability to accommodate due to increase in demand
2. Shortage of funding
3. Difficulties accessing resources such as food or clothing
   Include donations in kind
4. Difficulties accessing personal protective equipment (PPE) or cleaning products such as sanitizer or disinfectant
5. Difficulties providing professional services or programs
   e.g., legal services, addictions or substance use services, individual or group counselling
6. Difficulties communicating with victims outside your facility or residents
   e.g., due to lack of appropriate technology
7. Difficulties communicating or working with other agencies
   Include victim services or other shelters
8. Difficulties following or applying government or public health recommendations and measures related to COVID-19

97. Compared to before the COVID-19 pandemic, to what extent is your facility's current ability to provide services being impacted by the following staffing challenges?

If the impact has varied at different times since the start of the pandemic, please indicate the current impact on your facility compared to before the pandemic.

[To a great extent, to a moderate extent, to a minor extent, not at all, not applicable]

1. Staff availability or reluctance to work due to health concerns or mental health challenges
2. Staff availability due to self-isolation requirements
3. Staff availability due to family or caregiving responsibilities
   Include child care and care for other dependents
4. Challenges related to staff shifting to working from home
5. Challenges related to hiring or training new staff
6. Challenges related to volunteer work
   Include shortage of volunteers or inability to hire volunteers
7. Staff being restricted to work at one location only

98. Compared to before the COVID-19 pandemic, have the following demand measures increased, decreased or remained about the same at your facility?

If these measures varied at different times since the start of the pandemic, please indicate the current situation compared to before the pandemic.

[Increased, remained about the same, decreased, not applicable]

1. Demand for admission for adults only
2. Demand for admission for adults and accompanying children
3. Number of crisis calls
   Include calls that may or may not have resulted in admission to the facility
4. Demand for support or services for victims outside your facility
   e.g., victims not able to leave their homes, outreach
5. Use of text messaging or instant messaging to provide support or services to victims outside your facility
   e.g., encrypted text messaging, online live chats
6. Use of email to provide support or services to victims outside your facility
7. Use of other methods of communication to provide support or services to victims outside your facility
   e.g., video conferencing, letters

99. Since the beginning of the COVID-19 pandemic, which of the following measures has your facility put in place?

Select all that apply.

1. Added beds or units
2. Reduced the number of beds or units
3. Designated areas, beds or units for residents who may need to self-isolate or have COVID-19
4. Moved residents to other shelter facilities
5. Acquired or used other non-shelter spaces
   e.g., motels, hotels or dormitories
6. Adapted or added new services or programs for residents
7. Adapted, added or extended services to support victims externally (non-residents)
8. Used new technologies to communicate with victims seeking shelter
   e.g., introduced or expanded use of a crisis line or encrypted messaging, provided virtual services and support
9. Shifted staff and/or volunteers to working from home
10. Used new forms of community outreach
    e.g., new public awareness campaigns
11. Enhanced or established new collaboration or networking with other types of organizations
    e.g., non-residential facilities, victim services organizations, homeless shelters
12. Enhanced health protection or cleaning practices
13. Other
    Specify other measures

Feedback

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

Is [ ] the best person to contact?

1. Yes
2. No

101. How long did it take to complete this questionnaire?

Include the time spent gathering the necessary information.

102. Do you have any comments about this questionnaire?

Out of Scope (OOS)

You have indicated that this organization is not a residential facility primarily mandated to serve victims of abuse. A Statistics Canada representative may contact you to collect more details.