Getting started

Why are we conducting this survey?

This survey collects information on how gynecological health symptoms impact women's daily lives in Canada. Symptoms may be related to menstruation, perimenopause, menopause, other health conditions or be of unknown cause.

Survey topics include menstruation, access to menstrual products, as well as symptoms related to menstruation, perimenopause and menopause. The survey also gathers information about access to a regular health care provider, pregnancy, medication use, chronic conditions and gynecological surgeries or procedures.

Survey results will help researchers, all levels of government and organizations develop equitable programs and policies to better support women's gynecological health.

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 and confidentiality

Data are collected under the authority of the Statistics Act, Revised Statutes of Canada, 1985, Chapter S-19. Your information will be kept strictly confidential.

Record linkages

To enhance the data from this survey and to reduce the response burden, Statistics Canada will combine the information you provide with information from the Census of Population, the Longitudinal Immigration Data Base and tax data for all members of your household. Your provincial ministry of health, and the Institut de la statistique du Québec for Quebec respondents, may also combine the information you provide with other surveys or administrative data sources.

Statistics Canada may also combine the information you provide with other survey or administrative data 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, Centre for Population Health Data
150 Tunney's Pasture Driveway
Ottawa, Ontario K1A 0T6

Demographics

Some questions may be sensitive. The information provided will help inform guidelines, programs and policies. Some of these questions may not apply to you, but the same questions need to be asked of everyone.

1. Are you [First name] [Last name]?

• Yes
• No
• No, my name has changed
  • What is your new name?
    • First name
    • Last name

2. What is your date of birth?

• Year
• Month
• Day

3. What is your age?

Age in years

Geographic region

4. In which province or territory do you currently live?

• Province or territory
  • Alberta
  • British Columbia
  • Manitoba
  • New Brunswick
  • Newfoundland and Labrador
  • Northwest Territories
  • Nova Scotia
  • Nunavut
  • Ontario
  • Prince Edward Island
  • Quebec
  • Saskatchewan
  • Yukon
    OR
  • Outside of Canada

5. To determine which geographic region you live in, provide your postal code.

Postal Code
Example: A9A 9A9

6. Including yourself, how many people usually live in your household?

Number of people

Gender and sex at birth

The following questions are about gender and sex at birth.

7. What is your gender?

Gender refers to current gender which may be different from sex assigned at birth and may be different from what is indicated on legal documents.

Is it:

• Man
• Woman
• Or please specify
  • Specify your gender

8. What was your sex at birth?

Sex at birth refers to the sex recorded on a person's first birth certificate. It is typically observed based on a person's reproductive system and other physical characteristics.

• Male
• Female

9. Please verify that all of the information is correct.

If all the information is correct, press the Next button.
To make changes, press the Previous button.

Your Information

Gender: [Man/Woman/Information not provided]
Sex at birth: [Male/Female/Information not provided]

Marital status

10. What is your marital status?

Is it:

• Married
  For Quebec residents only, select the "Married" category if your marital status is "civil union".
• Living common law
  Two people who live together as a couple but who are not legally married to each other.
• Never married (not living common law)
• Separated (not living common law)
• Divorced (not living common law)
• Widowed (not living common law)

Sexual orientation

This question collects information on sexual orientation to inform programs that promote equal opportunity for everyone living in Canada to share in its social, cultural, and economic life.

11. What is your sexual orientation?

Sexual orientation refers to how a person describes their sexuality.

Would you say:

• Heterosexual (i.e., straight)
• Lesbian or gay
• Bisexual or pansexual
• Or please specify
  • Specify your sexual orientation

General health

The following questions are about health. By health, we mean not only the absence of disease or injury but also physical, mental and social well-being.

12. In general, how is your health?

Would you say:

• Excellent
• Very good
• Good
• Fair
• Poor

13. In general, how is your mental health?

Would you say:

• Excellent
• Very good
• Good
• Fair
• Poor

Disability

14. Do you identify as a person with a disability?

A person with a disability is a person who has a long-term difficulty or condition, such as vision, hearing, mobility, flexibility, dexterity, pain, learning, developmental, memory or mental health-related impairments, that limit their daily activities inside or outside the home such as at school, work, or in the community in general.

• Yes
• No

Regular health care provider

Now, here are some questions about primary health care. This type of health care is often delivered by family doctors or nurse practitioners.

15. Do you have a regular health care provider? By this, we mean a primary health care professional that you can consult with when you need care or advice for your health.

Select "Yes, another health professional" if you receive regular care from locums.

• Yes, a family doctor
• Yes, a nurse practitioner
• Yes, another health professional
  • Specify the other health professional
• No

Menstruation, perimenopause and menopause

The next questions are about menstruation, perimenopause and menopause.

Menstruation is often referred to as your "period".

Perimenopause is the time leading up to menopause. Symptoms of perimenopause, such as more or less frequent periods, heavier or lighter periods or hot flashes, often start before the last menstrual period.

Menopause represents the end of menstruation. This can happen naturally when menstrual periods have stopped for 12 consecutive months. Menopause can also be a result of a procedure or surgery where both ovaries are removed or as a result of radiation therapy or chemotherapy.

Menstruation can be an indication of reproductive health. Some questions may be sensitive. The information provided will help inform guidelines, programs and policies. Some of these questions may not apply to you, but the same questions need to be asked of everyone.

16. At what age did you have your first menstrual period?

Menstruation is when blood and tissue from your uterus comes out of your vagina.

If exact age is not known, provide your best estimate.

• Age in years
  OR
• I have never had a menstrual period

17. In the past 12 months, have you had a menstrual period?

Select "Yes" if you have had at least one menstrual period.

Exclude bleedings caused by medical conditions, hormone therapy, or surgeries.

• Yes
• No

18. What is the main reason you have not had a menstrual period in the past 12 months?

Was it:

• Hormonal birth control
  e.g., birth control pill, hormonal intrauterine device (IUD), injection
• Removal of the uterus, also known as a partial or complete hysterectomy
• Removal of both ovaries
• Natural menopause
  i.e., not the result of a surgery or medical treatment
• Pregnancy
• Breastfeeding
• Medication, hormones, or drugs
  Exclude birth control
• Radiation or chemotherapy
• Endometrial or uterine ablation
• Other
  • Specify the other reason
• I don't know

19. Have you had your ovaries removed?

• Yes, one ovary removed
• Yes, both ovaries removed
• No, I have not had my ovaries removed

20. You indicated that your menstrual periods stopped. Since then, have you reached menopause?

Menopause represents the end of menstruation. This can happen naturally when menstrual periods have stopped for 12 consecutive months. Menopause can also be a result of a procedure or surgery where both ovaries are removed or as a result of radiation therapy or chemotherapy.

Would you say:

• Yes, natural menopause
• Yes, result of a procedure, surgery, radiation, or chemotherapy
• No, I have not reached menopause
• I don't know

21. [At what age did you have your second ovary removed?/At what age did you reach menopause?/At what age did you have your first procedure, surgery, radiation, or chemotherapy?/If menopause was a result of a procedure, surgery, radiation or chemotherapy: At what age did you have your first procedure, surgery, radiation, or chemotherapy?]

Menopause represents the end of menstruation. This can happen naturally when menstrual periods have stopped for 12 consecutive months. Menopause can also be a result of a procedure or surgery where both ovaries are removed or as a result of radiation therapy or chemotherapy.

Report age

If exact age is not known, provide your best estimate.

Age in years

22. In the past 12 months, did you have [any unusual or abnormal vaginal bleeding?/any vaginal bleeding or spotting between menstrual periods?]

There are different reasons why someone may experience vaginal bleeding outside their usual period or when they no longer have periods. Some causes are harmless and temporary, while others may indicate underlying health issues.

• Yes
• No

23. In the past 12 months, how many days did your menstrual period (bleeding) usually last?

Exclude times your menstrual period stopped due to pregnancy, breastfeeding, or using a form of birth control that stopped your menstrual bleeding.

Was it:

• 1 day
• 2 to 7 days
• More than 7 days
• Changes from cycle to cycle
• I don't know

24. In the past 12 months, how long were your menstrual cycles?

The length of a menstrual cycle is the number of days between the first day of a menstrual period (the first day of bleeding) to the first day of the next menstrual period.

Exclude times your menstrual period stopped due to pregnancy, breastfeeding, or using a form of birth control that stopped your menstrual bleeding.

Was it:

• Less than 21 days
• 21 to 35 days
• More than 35 days
• Irregular, changes from cycle to cycle
• I don't know

25. At any time in the past 12 months, did your menstrual periods stop for 3 consecutive months or more?

Exclude times your menstrual period stopped due to pregnancy, breastfeeding, or using a form of birth control that stopped your menstrual bleeding.

• Yes
• No

26. In the past 12 months, have you had any of the following experiences related to your menstrual bleeding?

Select all that apply.

Have you:

• Soaked through a pad or tampon every hour for several hours
• Needed to empty a menstrual cup more often than recommended
• Needed to wear more than one menstrual product at a time
  e.g., two pads, a tampon and a pad
• Needed to change menstrual products during the night
• Passed blood clots larger than a quarter or 25 cent coin
  OR
• None of the above

People may experience difficulties accessing menstrual products due to cost or availability.

27. How often in the past 12 months did you experience any of the following situations?

a. Unable to buy menstrual products because of cost

• Always
• Often
• Sometimes
• Rarely
• Never

b. Relied on menstrual products from community resource centre

e.g., food bank, charity

• Always
• Often
• Sometimes
• Rarely
• Never

c. Used free menstrual products available in public washrooms

e.g., at school, work, another public place

• Always
• Often
• Sometimes
• Rarely
• Never

d. Unexpectedly needed to use toilet paper

e.g., menstrual period started unexpectedly, no menstrual products available

• Always
• Often
• Sometimes
• Rarely
• Never

28. In the past 12 months, have you had menstrual pain, sometimes called "cramps"?

Menstrual pain or "cramps" can happen when your menstrual period starts a day or two earlier.

Would you say:

• No pain
• Mild discomfort or dull ache
• Moderate cramping
• Intense pain
• Unbearable pain

29. In the past 12 months, have you taken any medication to help with your menstrual pain, sometimes called "cramps"?

Select all that apply.

Have you taken:

• Non-prescription over-the-counter medication
  e.g., ibuprofen such as Advil®, acetaminophen also known as paracetamol such as Tylenol®, or Midol®
• Hormonal birth control
  e.g., birth control pill, patch, or ring
• Prescription medication, excluding hormonal birth control
  e.g., Mefenamic Acid such as Ponstan®, Celecoxib such as Celebrex®

• Other

  • Specify other

  
  OR

• Did not use any medication to help with menstrual pain

30. Have you consulted a health care provider about menstrual pain sometimes called "cramps"?

Would you say:

• Yes, within the past 12 months
• Yes, more than 12 months ago
• No

31. Have you consulted a health care provider about your menstrual bleeding?

Would you say:

• Yes, within the past 12 months
• Yes, more than 12 months ago
• No

32. In the past 12 months, thinking about your physical, mental and social well-being, how often has menstruation limited your ability to do your work, attend school, take care of things at home, or get along with other people?

Would you say:

• Never
• Rarely
• Sometimes
• Often
• Always

Perimenopause is the time leading up to menopause. Symptoms of perimenopause, such as more or less frequent periods, heavier or lighter periods or hot flashes, often start before the last menstrual period.

33. Are you in perimenopause?

Would you say:

• Yes, I have been told by a health care provider that I am in perimenopause
• Yes, I think I am in perimenopause but have not been told by a health care provider
• No, I am not in perimenopause
• I don't know

Pregnancy

To better understand menstruation, perimenopause and menopause and how this may affect your health, it is important to know if you are pregnant or have been pregnant.

Please be assured that, like all other information you have provided, these answers will be kept strictly confidential.

34. Have you ever been pregnant?

Select "Yes" if you are currently pregnant or have had a live birth, abortion, stillbirth, miscarriage, ectopic or tubal pregnancy.

• Yes
• No

35. Have you been pregnant in the past 12 months?

Include pregnancies that resulted in a live birth, stillbirth, abortion, miscarriage, ectopic or tubal pregnancy.

• Yes
  • Are you currently pregnant?
    • Yes
    • No
• No

36. Have you ever given birth?

Include live births and stillbirths.

Select all that apply.

Would you say:

• Yes, vaginal
  • Did you have an episiotomy? An episiotomy is a cut made by a health care provider during childbirth to enlarge the vaginal opening and facilitate delivery.
    • Yes
    • No
• Yes, caesarean
  OR
• No, I have not given birth

37. How many births have you had?

Include live births and stillbirths.

Exclude miscarriages.

• Number of births
  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7
  • 8
  • 9
  • 10
  • 11
  • 12
  • 13
  • 14
  • 15 or more

38. Have you ever breastfed?

Select "Yes" if you have ever breastfed, expressed or pumped breastmilk.

• Yes
  • Are you currently breastfeeding or have you breastfed in the past 12 months?
    • Yes, I am currently breastfeeding
    • Yes, I have breastfed in the past 12 months
    • No, I have not breastfed in the past 12 months
• No

Fertility

Sometimes people have difficulty becoming pregnant and need help such as getting medical advice, fertility counselling and testing, fertility drugs or medical procedures to become pregnant.

39. Have you ever consulted with a health care provider because you have had difficulty getting pregnant?

• Yes
• No

Medications

The following questions are about medications. Some types of medications may affect menstruation or perimenopause.

40. Birth control can be used for pregnancy prevention or for other health reasons.

Are you currently using any of the following types of birth control?

Select all that apply.

Are you using:

• Birth control pills
  • Which type of birth control pill do you use?
    • Combination pill (estrogen and progestin)
      e.g., Alesse®, Yaz®, Tri-Cyclen®
    • Progestin-only pill
      e.g., Slynd®, Micronor®, Movisse®
    • I don't know
• Injection
  e.g., Depo-Provera®
• Hormonal intrauterine device (IUD)
  e.g., Mirena® or Kyleena®
• Copper intrauterine device (IUD) also called a "Coil" or "Copper T"
• Hormonal implant such as NEXPLANON®
• Contraceptive patch or vaginal contraceptive ring
  e.g., EVRA® patch, NuvaRing®
  OR
• None of the above

41. Are you using your current birth control for any of the following reasons?

Select all that apply.

Are you using it to:

• Prevent pregnancy
• Regulate, lighten or stop menstrual bleeding
• Reduce menstrual pain or "cramps"
• Help with migraines
• Help with acne
• Reduce the risk of cancer
  e.g., ovarian, endometrial
• Management of polycystic ovarian syndrome (PCOS)
  PCOS is also known as polyendocrine metabolic ovarian syndrome (PMOS).
• Improve mood or energy
• Reduce excess hair growth or hair loss

• Other

  • Specify other

  OR

• None of the above

This question is about prescription medication you may be taking for any reason.

42. In the past 12 months, have you used any of the following prescription medications?

Exclude nutritional supplements such as vitamins, minerals, fibre supplements, antacids, and fish oils.

a. Antidepressants

e.g., fluoxetine, sertraline, bupropion

• Yes
• No

b. Antianxiety medications

e.g., lorazepam, diazepam, buspirone

• Yes
• No

c. Blood pressure medication

e.g., ACE inhibitors, beta blockers, diuretics, calcium channel blocker

• Yes
• No

d. Hormone replacement therapy (HRT) other than birth control

Can be in the form of pills, patches, sprays, gels, or vaginal rings

• Yes
• No

e. Thyroid medication

e.g., levothyroxine

• Yes
• No

f. Fertility enhancing drugs

e.g., gonadotropins, clomiphene citrate or letrozole may be used to enhance fertility when trying to become pregnant

• Yes
• No

g. Antiseizure medication

e.g., carbamazepine, valproate

• Yes
• No

h. Antipsychotics

e.g., risperidone, olanzapine

• Yes
• No

i. Weight loss medications, including GLP-1 receptor agonists

Include medication even if prescribed for diabetes or other conditions

e.g., GLP-1 receptor agonists semaglutide (Ozempic®, Wegovy®), tirzepatide (Mounjaro®, Zepbound®), liraglutide (Saxenda®, Victoza®)

• Yes
• No

j. Sleeping pills or sedatives

e.g., trazodone, zolpidem, temazepam

• Yes
• No

k. Diabetes medications

e.g., Insulin™, metformin, SGLT2 inhibitors

• Yes
• No

l. Other

• Yes
• No

43. Please specify what other types of prescription medications you have used in the past 12 months.

Specify other medications.

Symptoms

The next questions are about symptoms that you may have experienced. They may be related to menstruation, perimenopause, menopause, another health condition or be of unknown cause. Experiences can be different for everyone and can affect physical, mental and emotional health.

44. In the past 12 months, have you experienced any of the following changes in your hair or skin? ?

a. Increase in unwanted facial hair

• Yes
• No

b. Hair thinning, loss or balding

• Yes
• No

c. Thinning or slack skin

• Yes
• No

d. Moderate or severe acne

• Yes
• No

45. In the past 12 months, how often have you experienced the following symptoms?

Exclude hot flashes or night sweats that occur after childbirth or are due to medication, illness, room temperature or clothing.

a. Hot flashes

• Most days or nights
• More than once a week
• About once a week
• About once a month
• Rarely
• Never

b. Night sweats

• Most days or nights
• More than once a week
• About once a week
• About once a month
• Rarely
• Never

46. In the past 12 months, how often have hot flashes or night sweats limited your ability to do your work, take care of things at home, or get along with other people?

Would you say:

• Never
• Rarely
• Sometimes
• Often
• Always

47. Have you consulted a health care provider about your [hot flashes and night sweats/hot flashes/night sweats]?

Would you say:

• Yes, within the past 12 months
• Yes, more than 12 months ago
• No

The next question is about long-term health symptoms. These are symptoms which are expected to last or have already lasted 3 months or more. They may be related to a health condition you have or be of unknown cause.

48. In the past 12 months, have you experienced any of the following symptoms for 3 consecutive months or more?

a. Breast pain or tenderness

• Yes
• No

b. Heart pounding or racing

Exclude times exercising

• Yes
• No

c. Migraines

• Yes
• No

d. Aches or pain in muscles or joints

• Yes
• No

e. Difficulty falling or staying asleep

• Yes
• No

f. Fatigue, weakness or fainting

• Yes
• No

g. Feeling bloated, having gas pains, diarrhea or constipation

• Yes
• No

h. Leaking urine when laughing, coughing, sneezing, bending or walking

• Yes
• No

i. Rushing to the bathroom or leaking urine because of a sudden, strong need to urinate

• Yes
• No

j. Vaginal dryness

• Yes
• No

k. Pelvic pain occurring in the lowest part of the abdomen or in the genital area

• Yes
• No

l. Memory lapses or forgetfulness

• Yes
• No

m. Mood changes, mood swings or crying easily

• Yes
• No

n. Brain fog, difficulty thinking or problem-solving

• Yes
• No

o. Feeling anxious or nervous

• Yes
• No

p. Cannot stop worrying about things

• Yes
• No

q. Little interest or enjoyment in things I usually like

• Yes
• No

r. Feeling depressed or hopeless

• Yes
• No

s. Easily annoyed or frustrated

• Yes
• No

t. Loss of sexual pleasure

• Yes
• No

49. Have you consulted with a health care provider about these symptoms?

If you have consulted with a health care provider on more than one occasion, report the most recent.

a. Breast pain or tenderness

• No
• Yes, within the past 12 months
• Yes, more than 12 months ago

b. Heart pounding or racing

Exclude times exercising

• No
• Yes, within the past 12 months
• Yes, more than 12 months ago

c. Migraines

• No
• Yes, within the past 12 months
• Yes, more than 12 months ago

d. Aches or pain in muscles or joints

• No
• Yes, within the past 12 months
• Yes, more than 12 months ago

e. Difficulty falling or staying asleep

• No
• Yes, within the past 12 months
• Yes, more than 12 months ago

f. Fatigue, weakness or fainting

• No
• Yes, within the past 12 months
• Yes, more than 12 months ago

g. Feeling bloated, having gas pains, diarrhea or constipation

• No
• Yes, within the past 12 months
• Yes, more than 12 months ago

h. Leaking urine when laughing, coughing, sneezing, bending or walking

• No
• Yes, within the past 12 months
• Yes, more than 12 months ago

i. Rushing to the bathroom or leaking urine because of a sudden, strong need to urinate

• No
• Yes, within the past 12 months
• Yes, more than 12 months ago

j. Vaginal dryness

• No
• Yes, within the past 12 months
• Yes, more than 12 months ago

k. Pelvic pain occurring in the lowest part of the abdomen or in the genital area

• No
• Yes, within the past 12 months
• Yes, more than 12 months ago

l. Memory lapses or forgetfulness

• No
• Yes, within the past 12 months
• Yes, more than 12 months ago

m. Mood changes, mood swings or crying easily

• No
• Yes, within the past 12 months
• Yes, more than 12 months ago

n. Brain fog, difficulty thinking or problem-solving

• No
• Yes, within the past 12 months
• Yes, more than 12 months ago

o. Feeling anxious or nervous

• No
• Yes, within the past 12 months
• Yes, more than 12 months ago

p. Cannot stop worrying about things

• No
• Yes, within the past 12 months
• Yes, more than 12 months ago

q. Little interest or enjoyment in things I usually like

• No
• Yes, within the past 12 months
• Yes, more than 12 months ago

r. Feeling depressed or hopeless

• No
• Yes, within the past 12 months
• Yes, more than 12 months ago

s. Easily annoyed or frustrated

• No
• Yes, within the past 12 months
• Yes, more than 12 months ago

t. Loss of sexual pleasure

• No
• Yes, within the past 12 months
• Yes, more than 12 months ago

50. In the past 12 months, how often have you experienced the following symptoms?

a. Breast pain or tenderness

• Most days
• More than once a week
• About once a week
• About once a month
• Rarely

b. Heart pounding or racing

Exclude times exercising

• Most days
• More than once a week
• About once a week
• About once a month
• Rarely

c. Migraines

• Most days
• More than once a week
• About once a week
• About once a month
• Rarely

d. Aches or pain in muscles or joints

• Most days
• More than once a week
• About once a week
• About once a month
• Rarely

e. Difficulty falling or staying asleep

• Most days
• More than once a week
• About once a week
• About once a month
• Rarely

f. Fatigue, weakness or fainting

• Most days
• More than once a week
• About once a week
• About once a month
• Rarely

g. Feeling bloated, having gas pains, diarrhea or constipation

• Most days
• More than once a week
• About once a week
• About once a month
• Rarely

h. Leaking urine when laughing, coughing, sneezing, bending or walking

• Most days
• More than once a week
• About once a week
• About once a month
• Rarely

i. Rushing to the bathroom or leaking urine because of a sudden, strong need to urinate

• Most days
• More than once a week
• About once a week
• About once a month
• Rarely

j. Vaginal dryness

• Most days
• More than once a week
• About once a week
• About once a month
• Rarely

k. Pelvic pain occurring in the lowest part of the abdomen or in the genital area

• Most days
• More than once a week
• About once a week
• About once a month
• Rarely

l. Memory lapses or forgetfulness

• Most days
• More than once a week
• About once a week
• About once a month
• Rarely

m. Mood changes, mood swings or crying easily

• Most days
• More than once a week
• About once a week
• About once a month
• Rarely

n. Brain fog, difficulty thinking or problem-solving

• Most days
• More than once a week
• About once a week
• About once a month
• Rarely

o. Feeling anxious or nervous

• Most days
• More than once a week
• About once a week
• About once a month
• Rarely

p. Cannot stop worrying about things

• Most days
• More than once a week
• About once a week
• About once a month
• Rarely

q. Little interest or enjoyment in things I usually like

• Most days
• More than once a week
• About once a week
• About once a month
• Rarely

r. Feeling depressed or hopeless

• Most days
• More than once a week
• About once a week
• About once a month
• Rarely

s. Easily annoyed or frustrated

• Most days
• More than once a week
• About once a week
• About once a month
• Rarely

t. Loss of sexual pleasure

• Most days
• More than once a week
• About once a week
• About once a month
• Rarely

The next few questions are about the symptoms you reported experiencing in the past 12 months. The symptoms may be related to a health condition you have or be of unknown cause. They may be related to menstruation, perimenopause or menopause.

The following were reported in previous questions:

• Menstrual bleeding
• Menstrual pain or cramps
• Hot flashes
• Night sweats
• Breast pain or tenderness
• Heart pounding or racing
• Migraines
• Aches or pain in muscles or joints
• Difficulty falling or staying asleep
• Fatigue, weakness or fainting
• Feeling bloated, having gas pains, diarrhea or constipation
• Leaking urine when laughing, coughing, sneezing, bending or walking
• Rushing to the bathroom or leaking urine because of a sudden, strong need to urinate
• Vaginal dryness
• Pelvic pain occurring in the lowest part of the abdomen or in the genital area
• Memory lapses or forgetfulness
• Mood changes, mood swings or crying easily
• Brain fog, difficulty thinking or problem-solving
• Feeling anxious or nervous
• Cannot stop worrying about things
• Little interest or enjoyment in things I usually like
• Feeling depressed or hopeless
• Easily annoyed or frustrated
• Loss of sexual pleasure

51. In the past 12 months, how often have these symptoms limited the following activities?

a. Your home or family responsibilities

e.g., cleaning, shopping, taking care of children, other home responsibilities

• Always
• Often
• Sometimes
• Rarely
• Never
• Not applicable

b. Your ability to work at a job or business or attend school

• Always
• Often
• Sometimes
• Rarely
• Never
• Not applicable

c. Your ability to be physically active

e.g., walking or hiking, playing sports, going to the gym

• Always
• Often
• Sometimes
• Rarely
• Never
• Not applicable

d. Your social activities

e.g., getting together with friends, going to concerts, volunteering, hobbies

• Always
• Often
• Sometimes
• Rarely
• Never
• Not applicable

52. Thinking about the symptoms you reported experiencing in the past 12 months, indicate the answer that most applies to you.

a. I felt that my symptoms were normal for women.

• Strongly agree
• Agree
• Disagree
• Strongly disagree

b. I thought the symptoms would resolve on their own.

• Strongly agree
• Agree
• Disagree
• Strongly disagree

c. I thought my symptoms were manageable on my own.

• Strongly agree
• Agree
• Disagree
• Strongly disagree

d. I was not comfortable talking about my symptoms because of my values or beliefs.

• Strongly agree
• Agree
• Disagree
• Strongly disagree

e. I was embarrassed or afraid to seek care.

• Strongly agree
• Agree
• Disagree
• Strongly disagree

f. I was afraid of the results, treatments or medication.

• Strongly agree
• Agree
• Disagree
• Strongly disagree

g. I thought health care providers would dismiss or not take my symptoms seriously.

• Strongly agree
• Agree
• Disagree
• Strongly disagree

h. I didn't have time to see a health care provider.

• Strongly agree
• Agree
• Disagree
• Strongly disagree

Health care experiences

53. During the past 12 months, was there ever a time when you felt that you needed health care for [your menstruation/your menstrual bleeding/your menstrual bleeding and symptoms/your menstruation and symptoms/your symptoms], but you did not receive it?

• Yes
• No

The next questions are about the symptoms you reported experiencing in the previous questions and consulted with a health care provider about in the past 12 months. The symptoms may be related to a health condition you have or be of unknown cause. They may be related to menstruation, perimenopause or menopause.

You reported consulting with a health care provider about the following in the past 12 months:

• Menstrual bleeding
• Menstrual pain or cramps
• Hot flashes
• Night sweats
• Breast pain or tenderness
• Heart pounding or racing
• Migraines
• Aches or pain in muscles or joints
• Difficulty falling or staying asleep
• Fatigue, weakness or fainting
• Feeling bloated, having gas pains, diarrhea or constipation
• Leaking urine when laughing, coughing, sneezing, bending or walking
• Rushing to the bathroom or leaking urine because of a sudden, strong need to urinate
• Vaginal dryness
• Pelvic pain occurring in the lowest part of the abdomen or in the genital area
• Memory lapses or forgetfulness
• Mood changes, mood swings or crying easily
• Brain fog, difficulty thinking or problem-solving
• Feeling anxious or nervous
• Cannot stop worrying about things
• Little interest or enjoyment in things I usually like
• Feeling depressed or hopeless
• Easily annoyed or frustrated
• Loss of sexual pleasure

54. In the past 12 months, how many times have you consulted a health care provider for your symptoms?

Include both in-person and virtual consultations such as over the telephone, by video, or written correspondence.

• Once
• 2 to 4 times
• 5 to 9 times
• 10 or more times

55. In the past 12 months, did you have to pay out-of-pocket for the health care you sought for your symptoms previously reported?

Include all costs for any care from regulated health professionals, such as tests, blood work, prescriptions including birth control, and other medications.

Regulated health professionals include but are not limited to, doctors, nurses, pharmacists, chiropractors, physiotherapists, registered dieticians and psychologists.

Exclude amounts for which you have been or will be reimbursed by any insurance or government program.

Exclude care from unregulated health or wellness providers such as wellness coaches, holistic nutritionist and reflexologist, etc.

• Yes
  • Approximately how much did you have to pay? 
    Was it:
    • $1 to $249
    • $250 to $499
    • $500 to $999
    • $1,000 to $4,999
    • $5,000 to $9,999
    • $10,000 or more
    • I don't know
• No

The following statements are about your experiences with the health care services you received for symptoms in the past 12 months.

56. Thinking about all of these health care services, how often did you have the following experiences with a health care provider?

a. Treated you with courtesy and respect

• Never
• Sometimes
• Often
• Always

b. Spent enough time with you

• Never
• Sometimes
• Often
• Always

c. Explained things in a way that was easy to understand

• Never
• Sometimes
• Often
• Always

d. Involved you in care and treatment decisions

• Never
• Sometimes
• Often
• Always

e. Listened carefully to you

• Never
• Sometimes
• Often
• Always

f. Gave you an opportunity to ask questions or raise concerns

• Never
• Sometimes
• Often
• Always

g. Took into consideration your needs and personal situation

• Never
• Sometimes
• Often
• Always

h. Had all medical information they needed about you

• Never
• Sometimes
• Often
• Always

Infections

The next questions are about urinary tract infections (UTIs) and vaginal yeast infections.

57. In the past 12 months, have you had a urinary tract infection (UTI) or bladder infection?

Would you say:

• Yes
  • In the past 12 months, how many urinary tract infections (UTIs) or bladder infections have you had?
    • One infection
    • Two to three infections
    • More than three infections
• No
• I don't know

58. In the past 12 months, have you had a vaginal yeast infection?

Would you say:

• Yes
  • In the past 12 months, how many yeast infections have you had?
    • One infection
    • Two to three infections
    • More than three infections
• No
• I don't know

The next question is about sexually transmitted infections (STIs) or sexually transmitted and blood-borne infections (STBBIs).

59. Have you ever had a sexually transmitted infection (STI) such as chlamydia, gonorrhea, genital herpes, genital warts, human immunodeficiency virus (HIV) or syphilis?

Only report cases where you have been told by a health care provider that you have had the infection.

• Yes
• No

Chronic conditions

The following questions are about conditions you may have had during your life.

60. Have you ever been diagnosed by a health care professional with any of the following conditions?

Select all that apply.

Was it:

• Pelvic organ prolapse
• Pelvic inflammatory disease (PID)
• Fibroids
• Endometrial or uterine polyps
• Ovarian, paraovarian or cervical cysts
  OR
• None of the above

The next questions are about long-term health conditions. These are conditions which are expected to last or have already lasted 6 months or more and that have been diagnosed by a health care professional.

61. Have you been diagnosed by a health care professional with any of the following long-term health conditions?

Include only conditions that have lasted or are expected to last six months or more.

Select all that apply.

Do you have:

• Chronic mental health problem or condition
  e.g., mood disorder, anxiety disorder, post-traumatic stress disorder, eating disorder
  • How old were you when first diagnosed?
    If more than one diagnosis, report the age at the first diagnosis. If exact age is not known, provide your best estimate.
    • Age in years
• High Blood Pressure
  Select even if controlled by medication.
  • How old were you when first diagnosed?
    If exact age is not known, provide your best estimate.
    • Age in years
• Anemia
  • How old were you when first diagnosed?
    If exact age is not known, provide your best estimate.
    • Age in years
• Thyroid condition
  • How old were you when first diagnosed?
    If exact age is not known, provide your best estimate.
    • Age in years
• Polycystic ovary syndrome (PCOS) 
  PCOS is also known as polyendocrine metabolic ovarian syndrome (PMOS).
  • How old were you when the first symptoms appeared?
    If exact age is not known, provide your best estimate.
    • Age in years
  • How old were you when first diagnosed?
    If exact age is not known, provide your best estimate.
    • Age in years
• Chronic kidney disease
  Exclude kidney stones or infection
  • How old were you when first diagnosed?
    If exact age is not known, provide your best estimate.
    • Age in years
• Diabetes
  Select even if controlled by medication.
  Include type 1 and type 2 diabetes
  Exclude prediabetes and gestational diabetes
  • How old were you when first diagnosed?
    If exact age is not known, provide your best estimate.
    • Age in years
• Bowel disorder 
  e.g., Crohn's disease, ulcerative colitis, irritable bowel syndrome, bowel incontinence
  • How old were you when first diagnosed?
    If exact age is not known, provide your best estimate.
    • Age in years
• Endometriosis
  • How old were you when the first symptoms appeared?
    If exact age is not known, provide your best estimate.
    • Age in years
  • How old were you when first diagnosed?
    If exact age is not known, provide your best estimate.
    • Age in years
• Fibromyalgia
  • How old were you when the first symptoms appeared?
    If exact age is not known, provide your best estimate.
    • Age in years
  • How old were you when first diagnosed?
    If exact age is not known, provide your best estimate.
    • Age in years
• Blood clotting condition
  e.g., haemophilia, Von Willebrand disease
  • How old were you when first diagnosed?
    If exact age is not known, provide your best estimate.
    • Age in years
• Premenstrual Dysphoric Disorder (PMDD)
  • How old were you when first diagnosed?
    If exact age is not known, provide your best estimate.
    • Age in years

• Other long-term health condition

  • Specify the type of condition
  • How old were you when first diagnosed?
    If exact age is not known, provide your best estimate.
    • Age in years

  OR

• None of the above

62. Have you ever been diagnosed with cancer?

Exclude basal cell carcinoma

• Yes
• No

63. Other than surgery, have you ever received treatment for cancer?

Exclude treatment for basal cell carcinoma

• Yes
  • Which of the following cancer treatments did you receive?
    Select all that apply.
    Was it:
    • Chemotherapy
    • Radiation therapy to the pelvis
    • Radiation therapy to another area
    • Hormone suppression therapy
    • Other
      Exclude surgeries
• No

Height and weight

The next questions on height and weight are asked to support analysis of differences in reported health care experiences.

64. How tall are you without shoes on?

Report the height to the nearest inch or centimetre.

• Feet
• Inches
  OR
• Centimetres

65. How much do you weigh?

Report the weight to the nearest pound or kilogram.

• Weight
• Unit of measure
  • pounds
  • kilograms

Surgeries and procedures

The following questions are about surgeries or procedures you may have had.

66. Have you ever had any of the following surgeries or procedures?

Select all that apply.

Was it:

• Removal of uterus
  • At what age did you have your uterus removed?
    If exact age is not known, provide your best estimate.
    • Age in years
• Endometrial or uterine ablation or surgical excision
• Removal of fibroids
• Removal of one fallopian tube
• Removal of both fallopian tubes
  • At what age did you have your second fallopian tube removed?
    If exact age is not known, provide your best estimate.
    • Age in years
• Tubal ligation, also known as having your "tubes tied"
• Removal of thyroid, partial or complete
  OR
• None of the above

Indigenous Identity

67. Are you First Nations, Métis or Inuk (Inuit)?

First Nations (North American Indian) includes Status and Non-Status Indians.

If "Yes", select the responses that best describes this person now.

• No, not First Nations, Métis or Inuk (Inuit)
  OR
• Yes, First Nations (North American Indian)
• Yes, Métis
• Yes, Inuk (Inuit)

Sociodemographic characteristics

The following question collects information to support programs that promote equal opportunity for everyone to share in the social, cultural and economic life of Canada.

68. Which population group or groups best describe you?

Select all groups that apply, or specify another group, if applicable.

Are you:

• White
• South Asian
  For example, Indian, Pakistani, Sri Lankan
• Chinese
• Black
• Filipino
• Arab
• Latin American
• Southeast Asian
  For example, Vietnamese, Cambodian, Laotian, Thai
• West Asian
  For example, Iranian, Afghan
• Korean
• Japanese
• Or please specify
  • Specify another group

Main activity

69. During the past 12 months, was your main activity working at a job or business, looking for paid work, going to school, caring for children, household work, retired or something else?

If the main activity was "sickness" or "short-term illness", indicate the usual main activity.

Was it:

• Working at a job or business
• Looking for paid work
• Going to school
• Caring for your children
• Household work
• Retired
• Maternity, paternity or parental leave
• Long-term illness
• Volunteering or care-giving other than for your children
• Other
  • Specify the main activity

Education

70. What is the highest certificate, diploma or degree that you have completed?

• Less than high school diploma or its equivalent
• High school diploma or a high school equivalency certificate
• Trades certificate or diploma
• College, CEGEP or other non-university certificate or diploma (other than trades certificates or diplomas)
• University certificate or diploma below the bachelor's level
• Bachelor's degree
  e.g., B.A., B.A. (Hons), B.Sc., B.Ed., LL.B.
• University certificate, diploma or degree above the bachelor's level

Administrative information

To enhance the data from this survey and to minimize the reporting burden for respondents, Statistics Canada will combine your responses with information from the Census of Population, the Longitudinal Immigration Database and tax data of all members of your household. [Statistics Canada, the provincial ministry of health and the Institut de la statistique du Québec/Statistics Canada and the provincial ministry of health] may also add information from other surveys or administrative sources.

72. Having a provincial or territorial health number will assist us in linking to this other information. Do you have a provincial or territorial health number?

• Yes
• No
  • For which province or territory is your health number?
    If you do not have a Canadian health number, select "Does not have a Canadian health number" from the drop-down list.
    • Province or territory
      • Alberta
      • British Columbia
      • Manitoba
      • New Brunswick
      • Newfoundland and Labrador
      • Northwest Territories
      • Nova Scotia
      • Nunavut
      • Ontario
      • Prince Edward Island
      • Quebec
      • Saskatchewan
      • Yukon
      • Does not have a Canadian health number

73. What is your health number?

Enter a health number for [Newfoundland and Labrador / Prince Edward Island / Nova Scotia / New Brunswick / Quebec / Ontario / Manitoba / Saskatchewan / Alberta / British Columbia / Yukon / the Northwest Territories / Nunavut]. In [Newfoundland and Labrador/Prince Edward Island/Nova Scotia/New Brunswick/Quebec/Ontario/Manitoba/Saskatchewan/Alberta/British Columbia/Yukon/the Northwest Territories/Nunavut], the health number is made up of [twelve numbers/eight numbers/ten numbers/nine numbers/four letters followed by eight numbers/ten numbers. Do not include the two letters at the end for green health cards/nine numbers, beginning with 002 or 003/one letter followed by seven numbers]. Do not insert blanks, hyphens or commas between the numbers.

[Note: In Manitoba, health numbers of a family's members can be listed on the same card. Be sure to capture your health number if there is more than one on the card./Note: In British Columbia, residents may have a combined driver's license and health card. If you have a combined card, the health number is on the back above the barcode.]

Health number

To avoid duplication of surveys, Statistics Canada has signed agreements to share the data from this survey with provincial ministries of health [and the Institut de la statistique du Québec]. [The Institut de la statistique du Québec and provincial ministries of health/Provincial ministries of health] may make this data available to local health authorities.

Data shared with your ministry of health [and the Institut de la statistique du Québec] may also include identifiers such as name, address, telephone number and health number. Local health authorities would receive only survey responses and the postal code.

74. These organizations have agreed to keep the data confidential and use it only for statistical purposes.

Do you agree to share the data you provided?

• Yes
• No

To reduce the number of questions in this questionnaire, Statistics Canada will use information from the Census of Population, the Longitudinal Immigration Database, and your tax forms submitted to the Canada Revenue Agency. With your consent, Statistics Canada will share the information from your tax forms with provincial ministries of health [and the Institut de la statistique du Québec].

75. These organizations have agreed to keep the information confidential and to use it only for statistical and research purposes.

Do you agree to share the data you provided?

• Yes
• No

Future Surveys

Statistics Canada is planning a series of short, fifteen to twenty minute surveys about important social topics. These surveys will be sent out in the near future and will ask about a wide variety of issues that affect Canadian society. By participating in this survey series, you will be able to share your opinions and thoughts on these issues and compare your ideas with those of other Canadians.

76. Would you like to sign-up for future surveys?

Please provide the following information so we can email or call you to participate in this survey series.

• Email address
  Example: user@example.gov.ca
• Phone number
  Example: 123-123-1234

Resources

Thank you for completing the Canadian Gynecological Health Survey (CGHS).

Some resources are provided that may help support you or someone you know.

While you may wish to use these services, please note Statistics Canada is not affiliated with any of these organizations.

The Society of Obstetricians and Gynaecologists of Canada (SOGC)
The Society of Obstetricians and Gynaecologists of Canada (SOGC) is a national specialty organization focused on women's health. It supports health care for women through education, clinical practice, and research, and promotes equitable, high-quality care and professional collaboration in Canada and internationally.

Baby's Breath
Provides support for parents experiencing all sudden and unexpected infant deaths and stillbirth.
Telephone: 1-800-363-7437

Parents Orphelins (Quebec residents)
Provides support for parents grieving due to pregnancy and infant loss.
Telephone: 514-686-4880

Access line for Action Canada for Sexual Health and Rights
The Access Line is a 7-day a week toll-free, confidential phone and text line. It is available for questions about sexual health, pregnancy options, abortion, and safer sex. They provide information and make referrals to sexual health providers.
Telephone: 1-888-642-2725

Canadian Mental Health Association (National)
Provides advocacy, programs and resources that help to prevent mental health problems and illnesses and support recovery and resilience.
Telephone: 1-833-456-4566
Telephone: 1-866-277-3553 (in Quebec)

Government of Canada (Family violence resources and services in your area)
Links for family violence resources and services in your area.

Suicide Crisis Helpline
A national network of existing distress, crisis and suicide prevention line services.
Telephone: 9-8-8
Text: 9-8-8

Feedback

77. Do you have any comments about this questionnaire?

Enter your comments
200 characters available

September 14, 2026 | Ottawa

Collection for the 2026 Census of Population is now complete. Thanks to outstanding participation across the country, the final response rate is among the highest ever recorded for the Canadian census.

The overall response rate for the 2026 Census of population reached 98.4% nationally. This is above the 98% recorded in 2021 and equal to the rate that was achieved in 2016. The online response rate increased as well from 84.1% in 2021 to 88.6% in 2026, with more Canadians completing their census online than ever before.

The self-response rate also reached a new record of 91.2%. This means more Canadians completed their questionnaire without assistance from census staff.  It reflects a strong engagement with the Census and a good understanding of its importance.  
Statistics Canada is now turning its attention towards census results. They will be published in a series of data releases throughout 2027 that will provide Canadians with new insights on a wide variety of topics.

The first of seven releases of 2026 Census of population results is scheduled for February 10, 2027. It will provide new data on the population and dwelling counts.

The full release schedule is available on Statistics Canada's 2026 Census dissemination planning web page.

A more detailed analysis of census participation across the country, including statistics by province and territory, will also be published later this year.

Collection for the 2026 Census of Agriculture is also complete. Thanks to the participation of farm operators across Canada, as well as the community supporters and stakeholders who helped raise awareness of the census, the new data will provide a detailed statistical portrait of Canadian agriculture. The first results will be published in May 2027. The response rate for the Census of Agriculture will be provided as the data are published. For more information about the Census of Agriculture, visit the Census of Agriculture web page.

Quote

"On behalf of Statistics Canada, I thank all respondents for making the 2026 Census a success. I also want to extend our gratitude to the many partners and stakeholders who helped promote and support participation within their communities. Our overall response rate for the Census of Population is one of the highest in the world for such an exercise, making the data it provides as accurate and reliable as can be. The information obtained from the census provides invaluable insights into the evolving characteristics of our country that are needed to make well-informed, fact-based decisions. We look forward to sharing the results with all Canadians."

André Loranger, Chief Statistician of Canada

Contact for media inquiries

Statistics Canada Media Relations
statcan.mediahotline-ligneinfomedias.statcan@statcan.gc.ca

Why are we conducting this survey?

The Survey on Health Care Clinics in Canada aims to better understand patient access to care in Canada. The survey focuses on private health clinics that offer medical and diagnostic tests and medically necessary services offered by nurse practitioners. The survey is being conducted in partnership with Health Canada, who is the survey sponsor.

The questions focus on the number of medically necessary services provided in the previous fiscal year and whether these services were charged directly to patients insured under a provincial or territorial health care insurance plan. The survey also collects information on the total amount charged directly to patients for these services.

Data on operating revenue and expenses will be used to maintain the Canadian Business Register which lists all active businesses in Canada.

Responses to the Survey on Health Care Clinics in Canada will remain confidential.

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 response burden, Statistics Canada may combine the acquired data with information from other surveys or from administrative sources.

Data sharing agreements

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

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

For this survey, there are Section 11 agreements with the provincial and territorial statistical agencies of Newfoundland and Labrador, Nova Scotia, New Brunswick, Quebec, Ontario, Manitoba, Saskatchewan, Alberta, British Columbia and the Yukon. The shared data will be limited to information pertaining to business establishments located within the jurisdiction of the respective province or territory. Section 12 of the Statistics Act provides for the sharing of information with federal, provincial or territorial government organizations. Under Section 12, you may refuse to share your information with any of these organizations by writing a letter of objection to the Chief Statistician, specifying the organizations with which you do not want Statistics Canada to share your data, and mailing it to the following address:

Chief Statistician of Canada
Statistics Canada
Attention of Director, Centre for Population Health Division
150 Tunney's Pasture Driveway
Ottawa, Ontario
K1A 0T6

You may also contact us by email at infostats@statcan.gc.ca or by fax at 1-514-496-4879.

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

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

For this questionnaire

Please report for your Canadian operation(s)

Reporting instructions

• Report dollar amounts in thousands of Canadian dollars.
• When precise figures are not available, provide your best estimates.
• Percentages should be rounded to whole numbers.
• Enter "0" if there is no value to report.

Who should complete this questionnaire?

This questionnaire should be completed by the person most knowledgeable of the day-to-day activities of this business.

How do we protect your information?

Statistics Canada is committed to respecting the privacy of consultation survey participants. All personal information created, held or collected by the agency is protected in accordance with the Privacy Act.

Deadline for completing this questionnaire

Please complete this questionnaire and submit it within 21 days of receipt.

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 information if needed.

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

• Legal name
• Operating name (if applicable)

2. Verify or provide the contact information for the designated contact person for the business or organization's, and correct information if needed.

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

• First name
• Last name
• Title
• Preferred language of communication
• Mailing address (number and street)
• City
• Province, territory or state
• Postal code or ZIP code (Format: Letter digit letter space digit letter digit or 5 digits dash 4 digits) Example: A9A 9A9 or 12345-1234
• Country
• Email address Example: user@example.gov.ca
• Telephone number (including area code) Example: 123-123-1234
• Extension number (if applicable)
• Fax number (including area code) Example: 123-123-1234

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

• Operational
• Not currently operational e.g., temporarily or permanently closed, change of ownership
  • Why is this business or organization not currently operational?
• Seasonal operations
  • When did this business or organization close for the season?
    Date Example: YYYY-MM-DD
  • When does this business or organization expect to resume operations?
    Date Example: YYYY-MM-DD
• Ceased operations
  • When did this business or organization cease operations?
    Date Example: YYYY-MM-DD
  • Why did this business or organization cease operations?
    • Bankruptcy
    • Liquidation
    • Dissolution
    • Other
      • Specify the other reasons why operations ceased
• Sold operations
  • When was this business or organization sold?
    Date Example: YYYY-MM-DD
  • What is the legal name of the buyer?
• Amalgamated with other businesses or organizations
  • When did this business or organization amalgamate?
    Date Example: YYYY-MM-DD
  • What is the legal name of the resulting or continuing business or organization?
  • What are the legal names of the other amalgamated businesses or organizations?
• Temporarily inactive but expected to reopen
  • When did this business or organization become temporarily inactive?
    Date Example: YYYY-MM-DD
  • When does this business or organization expect to resume operations?
    Date Example: YYYY-MM-DD
  • Why is this business or organization temporarily inactive?
• No longer operating because of other reasons
  • When did this business or organization cease operations?
    Date Example: YYYY-MM-DD
  • Why did this business or organization cease operations?

4. Verify or provide the current main activity of the business or organization identified by the legal and operating name above.

Note: The described activity was assigned using the North American Industry Classification System (NAICS).

NAICS description text

Description and examples

NAICS description text

Examples and inclusions/exclusion text

• This is the current main activity
• This is not the current main activity

Provide a brief but precise description of this business or organization's main activity e.g., breakfast cereal manufacturing, shoe store, software development

Main activity

5. You indicated that NAICS description text is not the current main activity.

Was this business or organization's main activity ever classified as NAICS description text.

• Yes
  • When did the main activity change?
    • Date Example: YYYY-MM-DD
• No

6. Search and select the industry classification code that best corresponds to this business or organization's main activity.

How to search:

• if desired, you can filter the search results by first selecting the business or organization's activity sector
• enter keywords or a brief description that best describe the business or organization's main activity
• press the Search button to search the database for an activity that best matches the keywords or description you provided
• select an activity from the list.

Select this business or organization's activity sector (optional)

• Farming or logging operation
• Construction company or general contractor
• Manufacturer
• Wholesaler
• Retailer
• Provider of passenger or freight transportation
• Provider of investment, savings or insurance products
• Real estate agency, real estate brokerage or leasing company
• Provider of professional, scientific or technical services
• Provider of health care or social services
• Restaurant, bar, hotel, motel or other lodging establishment
• Other sector

Reporting period information

1. What are the start and end dates of this business's or organization's most recently completed fiscal year?

For this survey, the end date should fall between April 1st, 2025 and March 31st, 2026.

Fiscal Year Start date
Example: YYYY-MM-DD

Fiscal Year End date
Example: YYYY-MM-DD

2. What is the reason the reporting period does not cover a full year?

Select all that apply.

• Seasonal operations
• New business
• Change of ownership
• Temporarily inactive
• Change of fiscal year
• Ceased operations
• Other
  • Specify the other reason the reporting period does not cover a full year

Main Business Activity

3. Is this business either a nurse practitioners-led clinic or a nurse practitioner working as a sole proprietor?

A nurse practitioners-led clinic is defined as a clinic where one or more nurse practitioners are the lead providers of health care to patients, working either independently or as part of a team.

• Yes
• No

Reporting instructions

For this survey, please report based on how your business is structured: 

Sole proprietor, clinic or practice owner 

If you are the sole owner of the clinic (i.e., the business is registered in your name as a sole proprietorship), please report for the entire clinic. This includes services provided by yourself, your employees, and any subcontractors.

Registered Partnership 

If the clinic is registered as a formal partnership, please report on behalf of the entire business as registered under the partnership name.

Individual healthcare professional registered as a business 

If you are registered as a business in your own name and work in a shared clinic with other independently registered professionals (such as other physicians or nurse practitioners), please report only your own share of the clinic’s operations. Exclude any financial or operational data that pertains to the other providers. 

For example, if you are one of five doctors or nurse practitioners working in a clinic where each doctor or nurse practitioner is registered as their own business, please exclude the part of the answers relating to the other four doctors or nurse practitioners. 

Exclude all activities done outside a private clinic setting (e.g., hospital).

As a reminder, your responses to this survey will remain confidential. Individual responses to the Survey on Health Care Clinics in Canada will not be shared with Health Canada or provincial or territorial health ministries.

Operating Revenue and Expenses

4. For the reporting period ending between April 1st, 2025 to March 31st, 2026, what was this business's total operating revenue?

Include :

• Revenue from business activities, such as revenue from the sale of products and services (including those paid directly by patients and through insurance), and rental revenue
• Revenue from any level of government, including from contracts, grants and other contributions (e.g., from a provincial or territorial ministry of health or from other government department) 
• Non-government grants, donations, and subsidies
• all other operating revenue such as fundraising activities or other revenue relevant to the operation of the business. 

Exclude dividends, revenue from interest, revenue from intracompany transfers.

When precise figure is not available, please provide your best estimate.

Report dollar amounts in thousands of Canadian dollars.

Total operating revenue (CAN$'000)

5. For the reporting period ending between April 1st, 2025 to March 31st, 2026, what was this business's total operating expenses?

Report dollar amounts in thousands of Canadian dollars.

When precises figure is not available, please provide your best estimate.

Total operating expenses (CAN$'000)

Health clinics and services offered

The next section of this survey is to better understand Canadians' access to certain categories of health services provided by physicians or nurse practitioners.

As a reminder, your responses to this survey will remain confidential.

Individual responses to the Survey on Health Care Clinics in Canada will not be shared with Health Canada or provincial and territorial ministries of health.

6. For the reporting period ending between April 1st, 2025 to March 31st, 2026, how many physicians worked at this business?

Include: 

• if you are an owner and work at this business, please include yourself in the count below 
• all physicians working for the business whether they are full-time, part-time, subcontracted or casual.
  • Number of physicians
    OR
  • No physicians worked at this business

7. For the reporting period ending between April 1st, 2025 to March 31st, 2026, how many nurse practitioners worked at this business?

Include: 

• if you are an owner and work at this business, please include yourself in the count below 
• all nurse practitioners working for the business whether they are full-time, part-time, subcontracted or casual.
  • Number of nurse practitioners
    OR
  • No nurse practitioners worked at this business

8. Which of the following services does this business offer directly to patients?

Select all that apply

• Diagnostic imaging
  • Which of the following services does this business offer?
    For this survey, we are looking at a subset of diagnostic imaging services.
    Select all that apply
    • Magnetic resonance imaging (MRI)
    • Computed tomography (CT) Scan
    • Ultrasounds
      Include ultrasounds referred by a physician or a nurse practitioner.
      Exclude: elective 3D and 4D ultrasounds, FibroScans.
      OR
    • None of the above
• Subscription, membership or enrollment fee
  A subscription-based model where patients pay a regular fee to access certain medical services
  • Does this business provide access to a physician (directly or through referral)?
    • Yes
    • No
  • Does this business provide access to a nurse practitioner (directly or through referral)?
    • Yes
    • No
• Virtual health care services
  Services provided virtually (e.g., video or over the phone) such as consultation, referral, etc.
• Surgical services and procedures
  Surgical services and procedures (e.g., joint replacements, cataract surgery), or services related to surgeries including consultations.
  OR
• None of the above

Diagnostic imaging

9. For the reporting period ending between April 1st, 2025 to March 31st, 2026, how many diagnostic tests, referred by a physician or nurse practitioner, were received by patients insured by a provincial or territorial health care insurance plan?

Patient insured under a provincial or territorial health care insurance plan is defined as a patient who has a valid provincial or territorial health care card, even if the service provided to the patient by this business was not paid for by the public plan.

Include only patients with a referral from a physician or nurse practitioner.

Exclude:

• any diagnostic tests that are not considered medically necessary by the province or territory in which your business operates, and would not be covered by the provincial or territorial health care insurance plan even when provided in a hospital or other publicly-funded setting (e.g., elective 3D or 4D ultrasounds, FibroScans). 
• Workers Compensation Board (WCB) claimants, federally insured persons (e.g., insured by the Canadian Armed Forces, Correctional Services Canada, Veterans Affairs Canada, Immigration, Refugee, and Citizenship Canada)

When precise figures are not available, provide your best estimates.

1. Patients insured within the province or territory
   A patient insured within the province or territory means someone who has a valid health card from the province or territory where the service is delivered.
   • MRI
   • CT scans
   • Ultrasounds
2. Patients insured in another province or territory
   A patient insured in another province or territory means someone who has a valid health card from a different province or territory from where the service is delivered.
   • MRI
   • CT scans
   • Ultrasounds
3. Total number of diagnostic tests
   • Sum of a + b.
   • MRI
   • CT scans
   • Ultrasounds

The next section of this survey is to better understand Canadians' access to MRIs, CT scans, and ultrasounds at medical and diagnostic laboratories, and whether the patient had to pay to access the service.

Please note medical and diagnostic laboratories may be charging insured residents for these services, as there are a variety of circumstances when provincial and territorial health care insurance plans may not cover the costs of these scans when they are performed outside of a hospital.

As a reminder, your responses to this survey will remain confidential. Individual responses to the Survey on Health Care Clinics in Canada will not be shared with Health Canada or provincial and territorial ministries of health.

10. Of the diagnostic tests reported in question 9, were any billed directly to a patient insured under a provincial or territorial health care insurance plan, or billed to an organization other than the provincial or territorial health care plan (e.g., employee benefits plan, private insurance) ?

Patient insured under a provincial or territorial health care insurance plan is defined as a patient who has a valid provincial or territorial health care card, even if the service provided to the patient by this business was not paid for by the public plan.

• Yes, some patients or organizations other than the provincial or territorial health care plan paid for diagnostic tests.
• No, patients or organizations other than the provincial or territorial health care plan did not pay for diagnostic tests.

11. Of the total number of diagnostic tests reported in question 9, how many tests were billed directly to patients insured under a provincial or territorial health insurance plan, or billed to an organization other than the provincial or territorial health care plan (e.g., employee benefits plan, private insurance)?

Patient insured under a provincial or territorial health care insurance plan is defined as a patient who has a valid provincial or territorial health care card, even if the service provided to the patient by this business was not paid for by the public plan.

Include only patients with a referral from a physician or nurse practitioner.

Exclude:

• any diagnostic tests that are not considered medically necessary by the province or territory in which your business operates, and would not be covered by the provincial or territorial health care insurance plan even when provided in a hospital or other publicly-funded setting (e.g., elective 3D or 4D ultrasounds, FibroScans). 
• Workers Compensation Board claimants (WCB), federally insured persons (e.g., insured by the Canadian Armed Forces, Correctional Services Canada, Veterans Affairs Canada, Immigration, Refugee, and Citizenship Canada).
• services provided under contract or paid by a province, a territory or a provincial or territorial health authority.

When precise figures are not available, provide your best estimates.

1. Patients insured within the province or territory
   A patient insured within the province or territory means someone who has a valid health card from the province or territory where the service is delivered.
   • MRI
   • CT scans
   • Ultrasounds
2. Patients insured in another province or territory
   A patient insured in another province or territory means someone who has a valid health card from a different province or territory from where the service is delivered.
   • MRI
   • CT scans
   • Ultrasounds
3. Total number of diagnostic tests billed
   Sum of a + b.
   • MRI
   • CT scans
   • Ultrasounds

12. For the number of diagnostic tests reported in question 11, what was the total amount billed directly to patients insured under a provincial or territorial health care insurance plan, or billed to an organization other than the provincial or territorial health care plan (e.g., employee benefits plan, private insurance)?

Patient insured under a provincial or territorial health care insurance plan is defined as a patient who has a valid provincial or territorial health care card, even if the service provided to the patient by this business was not paid for by the public plan.

Include only amount charged:

• for patients with a referral from a physician or nurse practitioner
• associated with diagnostic tests such as MRI, CT scans and ultrasounds.

Exclude:

• any amount billed to patients for diagnostic tests that are not considered medically necessary by the province or territory in which your business operates, and would not be covered by the provincial or territorial health care insurance plan even when provided in a hospital or other publicly-funded setting (e.g., elective 3D or 4D ultrasounds, FibroScans). 
• Workers Compensation Board (WCB) claimants, federally insured persons (e.g., insured by the Canadian Armed Forces, Correctional Services Canada, Veterans Affairs Canada, Immigration, Refugee, and Citizenship Canada)
• services provided under contract or paid by a province or territory or a provincial or territorial health authority.

Report dollar amounts in thousands of Canadian dollars.

When precise figures are not available, provide your best estimates.

1. Patients insured within the province or territory
   A patient insured within the province or territory means someone who has a valid health card from the province or territory where the service is delivered.
   • Amount billed to the patient in CAN$ '000
2. Patients insured in another province or territory
   A patient insured in another province or territory means someone who has a valid health card from a different province or territory from where the service is delivered.
   • Amount billed to the patient in CAN$ '000

Total amount billed for diagnostic tests
Sum of a + b.

13. For the total amount billed for diagnostic tests reported in question 12, what is the percentage distribution of diagnostic tests referred by physicians or nurse practitioners?

Percentage distribution of diagnostic tests

1. Referred by physicians in percentage
2. Referred by nurse practitioners in percentage

Total percentage of billed diagnostic tests 
Sum of a + b.

Subscription, membership or enrollment fees

The next section of this survey is to better understand Canadians' access to physicians or nurse practitioners at locations where a patient may have to pay, or have someone else pay on their behalf, a subscription fee, membership fee or enrollment fee.

Please note membership clinics often charge patients a subscription, membership, or enrollment fees while providing access to a physician, and may charge additional fees for uninsured services, such as dietary advice or massage therapy.

As a reminder, your responses to this survey will remain confidential.

Individual responses to the Survey on Health Care Clinics in Canada will not be shared with Health Canada or provincial and territorial ministries of health.

14. For the reporting period ending between April 1st, 2025 to March 31st, 2026, how many patients, insured under provincial or territorial health care insurance plan, paid for, or had another organization pay on their behalf, a subscription, membership or enrollment fee to this business?

Patient insured under a provincial or territorial health care insurance plan is defined as a patient who has a valid provincial or territorial health care card, even if the service provided to the patient by this business was not paid for by the public plan.

Include:

• patients whose care is paid for by an organization other than a provincial or territorial health care insurance plan (e.g., employee benefits plan, private insurance)
• each patient registered under a family plan (e.g., if the fees cover three family members, please report as three patients).

Exclude:

• patients with a subscription, membership or enrollment fees where access to a physician or a nurse practitioner is not available
• Workers Compensation Board (WCB) claimants, federally insured persons (e.g., insured by the Canadian Armed Forces, Correctional Services Canada, Veterans Affairs Canada, Immigration, Refugee, and Citizenship Canada)
• patients who paid subscription, membership or enrollment fees whom only had access to a non-participating physician. A non-participating physician is a physician who does not have a billing number for the provincial or territorial public health care insurance plan and therefore is unable to bill the plan for any services provided to patients.

When precise figures are not available, provide your best estimates.

1. Patients insured within the province or territory
   A patient insured within the province or territory means someone who has a valid health card from the province or territory where the service is delivered.
   • Number of patients
2. Patients insured in another province or territory
   A patient insured in another province or territory means someone who has a valid health card from a different province or territory from where the service is delivered.
   • Number of patients

Total number of patients
Sum of a + b.

15. What was the total amount billed directly to patients insured under a provincial or territorial health care insurance plan, or billed to another organization, such as their employee benefits plan or private insurance, for subscription, membership or enrollment fees?

Patient insured under a provincial or territorial health care insurance plan is defined as a patient who has a valid provincial or territorial health care card, even if the service provided to the patient by this business was not paid for by the public plan.

Include all subscription, membership or enrollment fees:

• where a physician or nurse practitioner are available (directly or through referral from the business)
• paid for by the patient or an organization other than a provincial or territorial health care insurance plan (e.g., employee benefits plan, private insurance).

Exclude:

• patients with a subscription, membership or enrollment fees where access to a physician or a nurse practitioner is not available
• Workers Compensation Board (WCB) claimants, federally insured persons (e.g., insured by the Canadian Armed Forces, Correctional Services Canada, Veterans Affairs Canada, Immigration, Refugee, and Citizenship Canada)
• services provided by a physician who is not enrolled with a provincial or territorial health care insurance plan (i.e., the physician does not and cannot bill the public plan).

Report dollar amounts in thousands of Canadian dollars.

When precise figures are not available, provide your best estimates.

1. Patients insured within the province or territory
   A patient insured within the province or territory means someone who has a valid health card from the province or territory where the service is delivered.
   • Amount billed to the patient in CAN$ '000
2. Patients insured in another province or territory
   A patient insured in another province or territory means someone who has a valid health card from a different province or territory from where the service is delivered.
   • Amount billed to the patient in CAN$ '000

Total amount billed for subscription, membership or enrollment fees
Sum of a + b.

Virtual health care services

16. Does this business offer virtual health care for medically necessary services covered by a provincial or territorial health care insurance plan? Medically necessary virtual health care services are defined as any services provided virtually (e.g., video or over the phone) that would be insured by a provincial or territorial health care insurance plan if provided in-person by a physician. 

• Yes, this business offers medically necessary virtual health care services
• No, this business does not offer medically necessary virtual health care services

17. For the reporting period ending between April 1st, 2025 to March 31st, 2026, in which province or territory were this business's patients located?

Select all that apply

1. Newfoundland and Labrador
2. Prince Edward Island
3. Nova Scotia
4. New Brunswick
5. Quebec
6. Ontario
7. Manitoba
8. Saskatchewan
9. Alberta
10. British Columbia
11. Yukon
12. Northwest Territories
13. Nunavut

18. For the reporting period ending between April 1st, 2025 to March 31st, 2026, how many medically necessary virtual health care services did this business provide to patients insured under a provincial or territorial health care insurance plan?

Medically necessary virtual health care services are defined as any services provided virtually (e.g., video or over the phone) that would be insured by a provincial or territorial health care insurance plan if provided in-person by a physician.

Patient insured under a provincial or territorial health care insurance plan is defined as a patient who has a valid provincial or territorial health care card, even if the service provided to the patient by this business was not paid for by the public plan.

Exclude:

• Workers Compensation Board (WCB) claimants, federally insured persons (e.g., insured by the Canadian Armed Forces, Correctional Services Canada, Veterans Affairs Canada, Immigration, Refugee, and Citizenship Canada)
• services rendered by a non-participating physician. A non-participating physician is a physician who does not have a billing number for the provincial or territorial public health care insurance plan and therefore is unable to bill the plan for any services provided to patients.

When precise figures are not available, provide your best estimates.

Patients' location

1. Newfoundland and Labrador
   • Number of medically necessary virtual health care services
2. Prince Edward Island
   • Number of medically necessary virtual health care services
3. Nova Scotia
   • Number of medically necessary virtual health care services
4. New Brunswick
   • Number of medically necessary virtual health care services
5. Quebec
   • Number of medically necessary virtual health care services
6. Ontario
   • Number of medically necessary virtual health care services
7. Manitoba
   • Number of medically necessary virtual health care services
8. Saskatchewan
   • Number of medically necessary virtual health care services
9. Alberta
   • Number of medically necessary virtual health care services
10. British Columbia
    • Number of medically necessary virtual health care services
11. Yukon
    • Number of medically necessary virtual health care services
12. Northwest Territories
    • Number of medically necessary virtual health care services
13. Nunavut
    • Number of medically necessary virtual health care services

Total number of medically necessary virtual health care services
Sum of a to m

The next section of this survey is to better understand Canadians' access to physicians or nurse practitioner through virtual care and whether the patient had to pay to access these services, or have an organization other than the provincial or territorial health care plan pay on their behalf.

Please note virtual clinics may be charging insured residents for access to a physician or nurse practitioner, as some provincial and territorial health care insurance plans may only cover certain ways of connecting with a physician (e.g., telephone, video messaging) or access under certain circumstances. The virtual care provider may also be located outside of the province or territory where the patient is located.

As a reminder, your responses to this survey will remain confidential. Individual responses to the Survey on Health Care Clinics in Canada will not be shared with Health Canada or provincial or territorial ministries of health.

19. Of the number of medically necessary virtual health care services reported in question 18, were any billed directly to a patient insured under a provincial or territorial health care insurance plan, or billed to an organization other than the provincial or territorial health care plan (e.g., employee benefits plan, private insurance)?

Patient insured under a provincial or territorial health care insurance plan is defined as a patient who has a valid provincial or territorial health care card, even if the service provided to the patient by this business was not paid for by the public plan.

• Yes, some patients or organizations other than the provincial or territorial health care plan paid for medically necessary virtual health care services.
• No, patients or organizations other than the provincial or territorial health care plan did not pay for medically necessary virtual health care services.

20. Of the total number of virtual health care services reported at question 18, how many were billed directly to patients insured under a provincial or territorial health insurance plan, or billed to an organization other than the provincial or territorial health care plan (e.g., employee benefits plan, private insurance)?

Medically necessary virtual health care services are defined as any services provided virtually (e.g., video or over the phone) that would be insured by a provincial or territorial health care insurance plan if provided in-person by a physician. Patient insured under a provincial or territorial health care insurance plan is defined as a patient who has a valid provincial or territorial health care card, even if the service provided to the patient by this business was not paid for by the public plan.

Exclude:

• Workers Compensation Board (WCB) claimants, federally insured persons (e.g., insured by the Canadian Armed Forces, Correctional Services Canada, Veterans Affairs Canada, Immigration, Refugee, and Citizenship Canada)
• services provided under contract or paid by a province or territory or a provincial or territorial health authority
• services rendered by a non-participating physician. A non-participating physician is a physician who does not have a billing number for the provincial or territorial public health care insurance plan and therefore is unable to bill the plan for any services provided to patients.

When precise figures are not available, provide your best estimates.

Patients' location

1. Newfoundland and Labrador
   • Number of medically necessary virtual health care services
2. Prince Edward Island
   • Number of medically necessary virtual health care services
3. Nova Scotia
   • Number of medically necessary virtual health care services
4. New Brunswick
   • Number of medically necessary virtual health care services
5. Quebec
   • Number of medically necessary virtual health care services
6. Ontario
   • Number of medically necessary virtual health care services
7. Manitoba
   • Number of medically necessary virtual health care services
8. Saskatchewan
   • Number of medically necessary virtual health care services
9. Alberta
   • Number of medically necessary virtual health care services
10. British Columbia
    • Number of medically necessary virtual health care services
11. Yukon
    • Number of medically necessary virtual health care services
12. Northwest Territories
    • Number of medically necessary virtual health care services
13. Nunavut
    • Number of medically necessary virtual health care services

Total number of medically necessary virtual health care services
Sum of a to m

21. For the number of virtual care services reported in question 20, what was the total amount billed directly to patients insured under a provincial or territorial health care insurance plan, or billed to an organization other than the provincial or territorial health care plan (e.g., employee benefits plan, private insurance)?

Medically necessary virtual health care services are defined as any services provided virtually (e.g., video or over the phone) that would be insured by a provincial or territorial health care insurance plan if provided in-person by a physician. Patient insured under a provincial or territorial health care insurance plan is defined as a patient who has a valid provincial or territorial health care card, even if the service provided to the patient by this business was not paid for by the public plan.

Exclude:

• Workers Compensation Board (WCB) claimants, federally insured persons (e.g., insured by the Canadian Armed Forces, Correctional Services Canada, Veterans Affairs Canada, Immigration, Refugee, and Citizenship Canada)
• services provided under contract or paid by a province or territory or a provincial or territorial health authority
• services rendered by a non-participating physician. A non-participating physician is a physician who does not have a billing number for the provincial or territorial public health care insurance plan and therefore is unable to bill the plan for any services provided to patients.

Report dollar amounts in thousands of Canadian dollars.

When precise figures are not available, provide your best estimates.

Patients' location

1. Newfoundland and Labrador
   • Amount billed in CAN$ '000
2. Prince Edward Island
   • Amount billed in CAN$ '000
3. Nova Scotia
   • Amount billed in CAN$ '000
4. New Brunswick
   • Amount billed in CAN$ '000
5. Quebec
   • Amount billed in CAN$ '000
6. Ontario
   • Amount billed in CAN$ '000
7. Manitoba
   • Amount billed in CAN$ '000
8. Saskatchewan
   • Amount billed in CAN$ '000
9. Alberta
   • Amount billed in CAN$ '000
10. British Columbia
    • Amount billed in CAN$ '000
11. Yukon
    • Amount billed in CAN$ '000
12. Northwest Territories
    • Amount billed in CAN$ '000
13. Nunavut
    • Amount billed in CAN$ '000

Total amount billed for virtual health care services in CAN$ '000
Sum of a to m

22. For the total amount billed for virtual services reported in question 21, what is the percentage distribution of virtual services provided by physicians or nurse practitioners?

Percentage distribution of virtual services

1. Provided by physicians in percentage
2. Provided by nurse practitioners in percentage

Total percentage of billed virtual health care services
Sum of a + b.

23. For the total amount billed for virtual services reported in question 21, what is the percentage distribution of virtual services by modality?

When precise figures are not available, provide your best estimates.

Percentage distribution of virtual services

1. Provided by phone or video in percentage
2. Provided by synchronous or asynchronous messaging
   e.g., text messaging, online chat, email
3. Other
   e.g., artificial intelligence diagnosis

Total percentage of billed virtual health care services
Sum of a + b + c

Surgical services and procedures

24. Are any of the surgical services and procedures this business offers medically necessary services ?

Medically necessary surgical services and procedures are defined as services that would be insured under a provincial or territorial health care insurance plan if performed in a hospital or publicly-funded setting, including the services provided by a physician or nurse practitioner in relation to the surgical service or procedure.

Exclude all surgeries that are solely for cosmetic purposes.

• Yes, this business offers medically necessary surgical services and procedures.
• No, this business does not offer medically necessary surgical services and procedures.

25. For the reporting period ending between April 1st, 2025 to March 31st, 2026, how many medically necessary surgical services and procedures did this business provide to patients insured under a provincial or territorial health care insurance plan?

Medically necessary surgical services and procedures are defined as services that would be insured under a provincial or territorial health care insurance plan if performed in a hospital or publicly-funded setting, including the services provided by a physician or nurse practitioner in relation to the surgical service or procedure.

Patient insured under a provincial or territorial health care insurance plan is defined as a patient who has a valid provincial or territorial health care card, even if the service provided to the patient by this business was not paid for by the public plan.

Include:

• consultations with a physician or nurse practitioner, even if a surgery was not performed
• all of the individual treatments or procedures associated with a surgery or consultation should be reported as one complete service.

Exclude:

• all surgeries that are solely for cosmetic purposes
• Workers Compensation Board (WCB) claimants, federally insured persons (e.g., insured by the Canadian Armed Forces, Correctional Services Canada, Veterans Affairs Canada, Immigration, Refugee, and Citizenship Canada)
• services rendered by a non-participating physician. A non-participating physician is a physician who does not have a billing number for the provincial or territorial public health care insurance plan and therefore is unable to bill the plan for any services provided to patients.

When precise figures are not available, provide your best estimates.

1. Patients insured within the province or territory
   A patient insured within the province or territory means someone who has a valid health card from the province or territory where the service is delivered.
   • Number of surgical services and procedures
2. Patients insured in another province or territory
   A patient insured in another province or territory means someone who has a valid health card from a different province or territory from where the service is delivered.
   • Number of surgical services and procedures

Total number of surgical services and procedures
Sum of a + b.

The next section of this survey is to better understand Canadians' access to medically necessary surgical services and procedures, and whether the patient had to pay to access these services, or have an organization other than the provincial or territorial health care plan pay on their behalf.

As a reminder, your responses to this survey will remain confidential.

Individual responses to the Survey on Health Care Clinics in Canada will not be shared with Health Canada or provincial and territorial ministries of health.

26. Of the number of surgical services reported at question 25, were any billed directly to a patient insured under a provincial or territorial health care insurance plan, or billed to an organization other than the provincial or territorial health care plan (e.g., employee benefits plan, private insurance)?

Patient insured under a provincial or territorial health care insurance plan is defined as a patient who has a valid provincial or territorial health care card, even if the service provided to the patient by this business was not paid for by the public plan.

• Yes, some patients or organizations other than the provincial or territorial health care plan paid for medically necessary surgical services and procedures.
• No, patients or organizations other than the provincial or territorial health care plan did not pay for medically necessary surgical services and procedures.

27. Of the total number of surgical services and procedures reported at question 25, how many were billed directly to patients insured under a provincial or territorial health insurance plan, or billed to an organization other than the provincial or territorial health care plan (e.g., employee benefits plan, private insurance)?

Medically necessary surgical services and procedures are defined as services that would be insured under a provincial or territorial health care insurance plan if performed in a hospital or publicly-funded setting, including the services provided by a physician or nurse practitioner in relation to the surgical service or procedure.

Patient insured under a provincial or territorial health care insurance plan is defined as a patient who has a valid provincial or territorial health care card, even if the service provided to the patient by this business was not paid for by the public plan.

Include:

• consultations with a physician or nurse practitioner, even if a surgery was not performed
• all of the individual treatments or procedures associated with a surgery or consultation should be reported as one complete service.

Exclude:

• all surgeries that are solely for cosmetic purposes
• Workers Compensation Board (WCB) claimants, federally insured persons (e.g., insured by the Canadian Armed Forces, Correctional Services Canada, Veterans Affairs Canada, Immigration, Refugee, and Citizenship Canada)
• services provided under contract or paid by a province or territory or a provincial or territorial health authority
• services rendered by a non-participating physician. A non-participating physician is a physician who does not have a billing number for the provincial or territorial public health care insurance plan and therefore is unable to bill the plan for any services provided to patients.

When precise figures are not available, provide your best estimates.

1. a. Patients insured within the province or territory
   A patient insured within the province or territory means someone who has a valid health card from the province or territory where the service is delivered.
   • Number of surgical services and procedures billed
2. b. Patients insured in another province or territory
   A patient insured in another province or territory means someone who has a valid health card from a different province or territory from where the service is delivered.
   • Number of surgical services and procedures billed

Total number of surgical services and procedures billed
Sum of a + b.

28. For the number of surgical services reported in question 27, what was the total amount billed directly to patients insured under a provincial or territorial health care insurance plan, or billed to an organization other than the provincial or territorial health care plan (e.g., employee benefits plan, private insurance)?

Medically necessary surgical services and procedures are defined as services that would be insured under a provincial or territorial health care insurance plan if performed in a hospital or publicly-funded setting, including the services provided by a physician or nurse practitioner in relation to the surgical service or procedure.

Patient insured under a provincial or territorial health care insurance plan is defined as a patient who has a valid provincial or territorial health care card, even if the service provided to the patient by this business was not paid for by the public plan.

Include:

• consultations with a physician or nurse practitioner, even if a surgery was not performed
• all of the individual treatments or procedures associated with a surgery or consultation should be reported as one complete service.

Exclude:

• all surgeries that are solely for cosmetic purposes
• Workers Compensation Board (WCB) claimants, federally insured persons (e.g., insured by the Canadian Armed Forces, Correctional Services Canada, Veterans Affairs Canada, Immigration, Refugee, and Citizenship Canada)
• services provided under contract or paid by a province or territory or a provincial or territorial health authority
• services rendered by a non-participating physician. A non-participating physician is a physician who does not have a billing number for the provincial or territorial public health care insurance plan and therefore is unable to bill the plan for any services provided to patients.

Report dollar amounts in thousands of Canadian dollars.

When precise figures are not available, provide your best estimates.

1. Patients insured within the province or territory
   A patient insured within the province or territory means someone who has a valid health card from the province or territory where the service is delivered.
   • Amount billed in CAN$ '000
2. Patients insured in another province or territory
   A patient insured in another province or territory means someone who has a valid health card from a different province or territory from where the service is delivered.
   • Amount billed in CAN$ '000

Total amount billed for surgical services and procedures
Sum of a + b.

29. For the total amount billed for surgical services reported in question 28, what is the percentage distribution of surgical services provided by physicians or nurse practitioners?

Percentage distribution of surgical services and procedures

1. Provided by physicians in percentage
2. Provided by nurse practitioners in percentage

Total percentage of billed surgical services in percentage
Sum of a + b.

Services provided by nurse practitioners

30. Are any of the services offered by the nurse practitioners medically necessary ?

Medically necessary services are defined as services that would be insured under a provincial or territorial health care insurance plan if provided in-person by a physician (e.g., diagnosing, treating, prescribing, referring, requisitioning).

Note: Please do not report medically necessary services provided by nurse practitioners already captured in previous sections of this survey

• Yes, nurse practitioners in this business offer medically necessary services.
• No, nurse practitioners in this business do not offer medically necessary services.

31. For the reporting period ending between April 1st, 2025 to March 31st, 2026, how many medically necessary services did nurse practitioners in this business provide to patients insured under a provincial or territorial health care insurance plan?

Note: Please do not report medically necessary services provided by nurse practitioners already captured in previous sections of this survey

Medically necessary services are defined as services that would be insured under a provincial or territorial health care insurance plan if provided in-person by a physician (e.g., diagnosing, treating, prescribing, referring, requisitioning).

Patient insured under a provincial or territorial health care insurance plan is defined as a patient who has a valid provincial or territorial health care card, even if the service provided to the patient by this business was not paid for by the public plan

Include only services provided by nurse practitioners.

Exclude:

• services such as dietary advice, life coaching, physiotherapy, psychological counselling
• Workers Compensation Board (WCB) claimants, federally insured persons (e.g., insured by the Canadian Armed Forces, Correctional Services Canada, Veterans Affairs Canada, Immigration, Refugee, and Citizenship Canada).

When precise figures are not available, provide your best estimates.

1. a. Patients insured within the province or territory
   A patient insured within the province or territory means someone who has a valid health card from the province or territory where the service is delivered.
   • Number of medically necessary services
2. b. Patients insured in another province or territory
   A patient insured in another province or territory means someone who has a valid health card from a different province or territory from where the service is delivered.
   • Number of medically necessary services

Total number of medically necessary services
Sum of a + b.

The next section of this survey is to better understand Canadians' access to medically necessary services, and whether the patient had to pay to access these services.

As a reminder, your responses to this survey will remain confidential.

Individual responses to the Survey on Health Care Clinics in Canada will not be shared with Health Canada or provincial or territorial ministries of health.

32. Of the number of medically necessary services provided by nurse practitioners reported in question 31, were any billed directly to a patient insured under provincial or territorial health care insurance plan, or billed to an organization other than the provincial or territorial health care plan (e.g., employee benefits plan, private insurance)?

Patient insured under a provincial or territorial health care insurance plan is defined as a patient who has a valid provincial or territorial health care card, even if the service provided to the patient by this business was not paid for by the public plan.

• Yes, some patients or organizations other than the provincial or territorial health care plan paid for medically necessary services
• No, patients or organizations other than the provincial or territorial health care plan did not pay for medically necessary services.

33. Of the total number of medically necessary services provided by nurse practitioners reported in question 31, how many were billed directly to patients insured under a provincial or territorial health insurance plan, or billed to an organization other than the provincial or territorial health care plan (e.g., employee benefits plan, private insurance)?

Medically necessary services are defined as services that would be insured under a provincial or territorial health care insurance plan if provided in-person by a physician (e.g., diagnosing, treating, prescribing, referring, requisitioning).

Patient insured under a provincial or territorial health care insurance plan is defined as a patient who has a valid provincial or territorial health care card, even if the service provided to the patient by this business was not paid for by the public plan.

Include only services provided by nurse practitioners.

Exclude:

• services such as dietary advice, life coaching, physiotherapy, psychological counselling
• Workers Compensation Board (WCB) claimants, federally insured persons (e.g., insured by the Canadian Armed Forces, Correctional Services Canada, Veterans Affairs Canada, Immigration, Refugee, and Citizenship Canada)
• services provided under contract or paid by a province or territory or a provincial or territorial health authority.

When precise figures are not available, provide your best estimates.

1. a. Patients insured within the province or territory
   A patient insured within the province or territory means someone who has a valid health card from the province or territory where the service is delivered.
   • Number of medically necessary services billed
2. b. Patients insured in another province or territory
   A patient insured in another province or territory means someone who has a valid health card from a different province or territory from where the service is delivered.
   • Number of medically necessary services billed

Total number of medically necessary services billed
Sum of a + b.

34. For the number of medically necessary services provided by nurse practitioners reported in question 33, what was the total amount billed directly to patients insured under a provincial or territorial health care insurance plan, or billed to an organization other than the provincial or territorial health care plan (e.g., employee benefits plan, private insurance)?

Medically necessary services are defined as services that would be insured under a provincial or territorial health care insurance plan if provided in-person by a physician (e.g., diagnosing, treating, prescribing, referring, requisitioning).

Patient insured under a provincial or territorial health care insurance plan is defined as a patient who has a valid provincial or territorial health care card, even if the service provided to the patient by this business was not paid for by the public plan.

Include only services provided by nurse practitioners.

Exclude:

• services such as dietary advice, life coaching, physiotherapy, psychological counselling
• Workers Compensation Board (WCB) claimants, federally insured persons (e.g., insured by the Canadian Armed Forces, Correctional Services Canada, Veterans Affairs Canada, Immigration, Refugee, and Citizenship Canada)
• services provided under contract or paid by a province or territory or a provincial or territorial health authority.

Report dollar amounts in thousands of Canadian dollars.

When precise figures are not available, provide your best estimates.

• a. Patients insured within the province or territory
  A patient insured within the province or territory means someone who has a valid health card from the province or territory where the service is delivered.
  • Amount billed to the patient in CAN$ '000
• b. Patients insured in another province or territory
  A patient insured in another province or territory means someone who has a valid health card from a different province or territory from where the service is delivered.
  • Amount billed to the patient in CAN$ '000

Total amount billed for medically necessary services
Sum of a + b.

Changes or events

35. Indicate any changes or events that affected the reported values for this business or organization, compared with the last reporting period.

Select all that apply.

• Strike or lock-out
• Contracting out
• Organizational change
• Price changes in labour or raw materials
• Natural disaster
• Sold business or business units
• Expansion
• Acquisition of business or business units
• Merger of business or business units
• Vacation or maintenance periods
• Equipment failure
• Increased or decreased market demand
• Dissolution
• Change in accounting or basis of reporting
• Liquidation
• End of business activities
• Change in business activities

• Other

  • Specify the other change or event

  OR

• No changes or events

Contact person

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

Is the designated contact person for the business or organization the best person to contact?

• Yes
• No
  • Who is the best person to contact about this questionnaire?
    • First Name
    • Last Name
    • Title
    • Email address
      Example: user@example.gov.ca
    • Telephone number (including are code)
      Example: 123-123-1234
    • Extension number (if applicable)
    • Fax number (including area code)
      Example: 123-123-1234

Feedback

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

Include the time spent gathering the necessary information.

Hours

Minutes

38. Do you have any comments about this questionnaire?

Enter your comments.

Reporting period information

1. Please report the start and end dates of this business's most recent 12-month fiscal period.

Note: For this survey, the end date should fall between April 1, 2025, and March 31, 2026.

The reported fiscal period end date will be used as the reference point for the remainder of the survey.

• Start date
  Example: YYYY-MM-DD
• End date
  Example: YYYY-MM-DD

Business information

2. What is the form of ownership of this business?

• Sole proprietorship
• Incorporated company
  Include non-profit organizations, partnerships and limited partnerships in incorporated companies.
• Crown corporation
  Include port authorities and pilotage authorities.
• Government
  Include federal, provincial, municipal and First Nations government-operated ferries.
• Other
  e.g., businesses operating as subsidiaries
  • Specify other form of ownership:

Flow condition: If "Crown corporation" or "Government" are selected in Q2, survey will conclude. Otherwise, go to Q3.

3. How many vessels did this business operate in total during its last fiscal year ending in 2025/2026?

Report the total number of vessels operated that were owned, leased or chartered and not the number of times a vessel was operated. 

Include barges, cargo ships, tankers, ferries, research vessels, tugboats, escort vessels, icebreakers, offshore vessels, dredgers, buoy tenders, derricks or cranes, salvage vessels, diving vessels, dump vessels, floating dry docks, survey ships, or patrol boats that were operated by this business regardless of gross tonnage (GT).

Exclude vessels that were owned and not operated, as well as private pleasure craft and fishing vessels. 

Enter "0" if this business did not operate any vessels.

• Number of vessels operated by this business:

Flow condition: If Q3 is greater than 0 or blank, go to Q4, otherwise go to Q5.

4. How many of the vessels operated were 15 gross tonnage and above?

Report the total number of vessels operated that were owned, leased or chartered and were 15 GT and above.

Include barges, cargo ships, tankers, ferries, research vessels, tugboats, escort vessels, icebreakers, offshore vessels, dredgers, buoy tenders, derricks or cranes, salvage vessels, diving vessels, dump vessels, floating dry docks, survey ships, or patrol boats operated by this business that were 15 GT and above.

Exclude vessels that were owned and not operated, as well as private pleasure craft and fishing vessels.

Enter "0" if this business did not operate any vessels 15 GT and above.

• Number of vessels operated 15 GT and above

5. How many vessels did this business own in total during its last fiscal year ending in 2025/2026?

Include barges, cargo ships, tankers, ferries, research vessels, tugboats, escort vessels, icebreakers, offshore vessels, dredgers, buoy tenders, derricks or cranes, salvage vessels, diving vessels, dump vessels, floating dry docks, survey ships, or patrol boats owned by this business.

Exclude private pleasure craft and fishing vessels. 

Enter "0" if this business did not own any vessels.

• Number of vessels owned by this business:

Flow condition: If Q5 is greater than 0 or blank, go to Q6. Otherwise go to Q7.

6. How many of the vessels owned were 15 gross tonnage and above?

Include barges, cargo ships, tankers, ferries, research vessels, tugboats, escort vessels, icebreakers, offshore vessels, dredgers, buoy tenders, derricks or cranes, salvage vessels, diving vessels, dump vessels, floating dry docks, survey ships, or patrol boats owned by this business that were 15 GT and above.

Exclude private pleasure craft and fishing vessels.

Enter "0" if this business did not own any vessels 15 GT and above.

• Number of vessels owned 15 GT and above:

Flow condition: If Q3 = 0 or Q4 =0, survey will conclude. Otherwise go to Q7.

Revenue from vessel operations

7.  What was the total revenue from vessel operations for the fiscal year ending in 2025/2026?

Include revenue from the transportation of commodities, cargo, freight, passengers or vehicles; revenue from the towing of commodities or log booms; chartering or leasing; cost compensation from parent companies; revenue from on-vessel sales and concessions; and water transport subsidies.

Please report in Canadian dollars.

If the exact value is not available, please provide your best estimate.

• Total revenue from vessel operations in CAN$:

Flow condition: If Q7 is equal to or greater than $6,000,000 or blank, go to Q8. Otherwise go to Q10. 

Business information

8. For the fiscal year ending in 2025/2026, of the vessels that were 15 gross tonnage and above, which of the following types of vessels were operated? 

If this business operated vessels that transport both passenger vehicles and commercial vehicles together, report them as passenger and all vehicle type ferries.

Exclude vessels that were owned and not operated, as well as private pleasure craft and fishing vessels.

Select all that apply.

• Barges
  Include deck, hopper or tank barges.
• Cargo ships
  Include solid cargo vessels; container ships; dry bulk, liquid bulk and breakbulk carriers; and roll-on-roll-off cargo vessels.
• Tankers
  Include oil, chemical, liquefied gas and product (gas or diesel) tankers.
• Passenger vessels
  Include day or overnight cruises and sightseeing vessels.
  Exclude ferries.
• Passenger and passenger vehicle ferries
  Exclude commercial vehicles.
• Passenger and all vehicle type ferries
  Include commercial and passenger vehicle roll-on-roll-off ferries.
• Passenger-only ferries
  Include water taxis.
  e.g., cyclists, pedestrians
• Research vessels
  Include seismic and fishing vessels.
• Tugboats or escort vessels
  Include vessels that assist in moving larger ships and barges at ports or in narrow waterways.
• Icebreakers
  Include those used to escort research vessels in icy waters.
• Offshore vessels
  Include supply vessels, workboats, cable-laying and floating platforms, and vessels used for production storage and offloading.
• Dredgers
  Include vessels used for excavation and maintenance of waterways, construction support or resource extraction.
• Buoy tenders
• Derricks or cranes
• Salvage vessels
• Diving vessels
• Dump vessels
• Floating dry docks
• Survey ships
• Patrol boats
• Other types of vessels operated
  • Specify the other types of vessels:

Display condition: Only vessel types that were selected in Q8 are displayed in Q9. If no vessel types were selected in Q8, display all vessel types.

9. For the fiscal year ending in 2025/2026, how many of each of the following types of vessels that were 15 gross tonnage and above did this business operate?

If this business operated vessels that transport both passenger vehicles and commercial vehicles together, only report them once, as passenger and all vehicle type ferries.

Exclude vessels that were owned and not operated, as well as private pleasure craft and fishing vessels. 

Number of vessels 15 GT and above

• Barges:
  Include deck, hopper or tank barges.
• Cargo ships:
  Include solid cargo vessels; container ships; dry bulk, liquid bulk and breakbulk carriers; and roll-on-roll-off cargo vessels.
• Tankers:
  Include oil, chemical, liquefied gas and product (gas or diesel) tankers.
• Passenger vessels:
  Include day or overnight cruises and sightseeing vessels.
  Exclude ferries.
• Passenger and passenger vehicle ferries:
  Exclude commercial vehicles.
• Passenger and all vehicle type ferries:
  Include commercial and passenger vehicle roll-on-roll-off ferries.
• Passenger-only ferries:
  Include water taxis.
  e.g., cyclists, pedestrians
• Research vessels:
  Include seismic and fishing vessels.
• Tugboats or escort vessels:
  Include vessels that assist in moving larger ships and barges at ports or in narrow waterways.
• Icebreakers:
  Include those used to escort research vessels in icy waters.
• Offshore vessels:
  Include supply vessels, workboats, cable-laying and floating platforms, and vessels used for production storage and offloading.
• Dredgers:
  Include vessels used for excavation and maintenance of waterways, construction support or resource extraction.
• Buoy tenders:
• Derricks or cranes:
• Salvage vessels :
• Diving vessels:
• Dump vessels:
• Floating dry docks:
• Survey ships:  
• Patrol boats:
• Other types of vessels operated:
• Total:

10. For the fiscal year ending in 2025/2026, has this business chartered in or leased any vessels for its operations?

Chartered in or leased: Process by which an individual or a business entity, called the lessee, rents a vessel from a shipowner (the lessor) for a specific voyage or period of time (also known as chartering in). This can be done by bareboat charter.

Exclude private pleasure craft and fishing vessels.

• Yes
  Please indicate the number of vessels that were chartered in or leased by this business.
  Number of vessels chartered in or leased:
• No
• Don't know

Flow condition: If Q7 is equal to or greater than $6,000,000 or blank, go to Q11, otherwise go to Q13. 

11. For the fiscal year ending in 2025/2026, was this business directly or indirectly owned or controlled by any other businesses?

Control: Having the authority or enough voting shares to make corporate decisions for the business.

• Yes
  • Where were those businesses located?
    Select all that apply.
    • Inside Canada
    • Outside Canada
      • What region is the majority owner or controller of this business located in? 
        Majority owner or controller: The business that has the greatest share of ownership or control of this business.
        • United States
        • Central America, the Caribbean, Mexico and South America
        • United Kingdom
        • Europe other than United Kingdom
          Include Eastern and Western Europe.
        • Australia
        • New Zealand
        • Asia and Oceania
          Exclude Australia and New Zealand.
        • Middle East and Africa
• No
• Don't know

12. For the fiscal year ending in 2025/2026, did this business own or control any other businesses engaged in foreign marine activities?

Control: Having the authority or enough voting shares to make corporate decisions for the business.

• Yes
  • Where were those businesses located?
    Select all that apply.
    • Inside Canada
    • Outside Canada
• No 
• Don't know

Type of operation

13. For the fiscal year ending in 2025/2026, was this business engaged in the transportation of commodities, cargo or freight, passengers or vehicles?

Commodities: Basic raw materials or bulk goods, usually transported in large quantities. These include a wide range of products, such as crude oil, natural gas, coal, iron ore, grains, chemicals and other bulk goods. These goods are usually transported in large quantities using specialized vessels.

Cargo or freight: Goods or freight, used as a general term, often regarding commercial inventory, can include any type of product or good, such as packaged goods, manufactured products, machinery and containers.

Passenger: A person carried on a vessel by the owner or operator in exchange for payment. 

Select all that apply.

• Commodities
• Cargo or freight
• Passengers or vehicles
  Include ferries, day or overnight cruises and sightseeing vessels.
  OR
• This business was not engaged in the transportation of commodities, cargo or freight, passengers or vehicles.
  e.g., drayage, research, construction, equipment
  • Please indicate the type of activities other than the transportation of commodities, cargo or freight, passengers or vehicles that this business was engaged in.
    Select all that apply.
    • Construction or industrial support
      Include vessels used as work platforms for construction, installation or industrial activities.
      Exclude the transport of goods between locations.
    • Offshore resource activities
      Include support services for offshore energy or resource development.
    • Dredging or seabed work
      Include dredging, excavation or seabed preparation.
    • Bunkering or lightering
      Include ship-to-ship fuel or cargo transfer.
      Exclude the transportation of fuel or cargo between ports.
    • Aquaculture or fisheries support
      Include servicing aquaculture or fishing operations. 
      Exclude the transport of fish or seafood to market.
    • Accommodation
      Include stationary or semi-stationary accommodation or support vessels (e.g., floatels).
      Exclude the transport of passengers or workers.
    • Towing
      Include towing or escorting vessels.
    • Icebreaking
      Include icebreaking or ice management services.
      Exclude ice navigation advice only.
    • Research activities
      Include scientific, technical or environmental research conducted using vessels or marine facilities (e.g., data collection, surveys, monitoring).
      Exclude commercial transportation or industrial operations.
    • Other activities
      • Specify other activities:

Sources of power

14. For the fiscal year ending in 2025/2026, which of the following sources of power were purchased for propulsion in vessel operations? 

Only report sources of power in vessel operations.

Include sources of power and propulsion for main engines.

Select all that apply.

• Fuel oil
  Include bunker C oil, diesel oil and gas oil.
  Please indicate the type of fuel oil that was purchased.
  Select all that apply.
  • Heavy fuel oil
    Please indicate the type of heavy fuel oil that was purchased.
    Select all that apply.
    • Bunker C oil
    • IFO380
    • VLSFO
  • Diesel oil
  • Gas oil
    OR
  • Don't know
• Gasoline
• Liquefied natural gas (LNG)
• Biodiesel or biofuel
• Hydrogen
• Ammonia
• Methanol
• Electric
  Include batteries.
• Green fuel sources
  Please indicate the type of green fuel that was purchased.
  Select all that apply.
  • E-LNG
  • Bio-LNG
  • Green ammonia
  • Green methanol
  • Green hydrogen
• Other sources of power
  • Specify the other sources of power for propulsion
    OR
• Don't know

Flow condition: If Q14= "Don't know", go to Q16. If Q7 is equal to or greater than $6,000,000 or blank, go to Q15. Otherwise, go to Q16.

Display condition: Only sources of power that were selected in Q14 are displayed in Q15. If no sources of power were selected in Q14, display "Fuel oil", "Gasoline", "Liquefied natural gas (LNG)", "Biodiesel or biofuel", "Hydrogen", "Ammonia", "Methanol", "Electric", "Green fuel sources", and "Other sources of power".

15. For the fiscal year ending in 2025/2026, what percentage of this business's total vessel propulsion fuel spending was attributable to each propulsion fuel or power source?

If exact values are not available, please provide your best estimate.

Percentages should be rounded to whole numbers, and the total should equal to 100%.

Percentage of propulsion fuel purchased

• Fuel oil:
• Heavy fuel oil:
• Bunker C oil:
• IFO380:
• VLSFO:
• Diesel oil:
• Gas oil:
• Gasoline:
• Liquefied natural gas (LNG):
• Biodiesel or biofuel:
• Hydrogen:
• Ammonia:
• Methanol:
• Electric:
• Green fuel source:
• E-LNG:
• Bio-LNG :
• Green ammonia:
• Green methanol:
• Green hydrogen:
• Other source of power:
• Total:

 16. Over the next five years, does this business plan to modify the source of power or fuel type used in its vessels? 

e.g., switching from diesel to biodiesel, installing shore power connection equipment on the vessel, changing technology to take advantage of environmentally friendly fuels or to improve efficiency

• Yes
  What source of power or fuel type does this business plan to use?
  Source of power or fuel type:
• No
• Don't know

Flow condition: If Q7 is equal to or greater than $6,000,000 or blank, go to Q17. Otherwise, go to Q19. 

Shore power stations

17. For the fiscal year ending in 2025/2026, did this business's vessels use shore power stations in Canada? 

Shore power station: The source of the power used by the vessel while docked at port, allowing access to landside electrical power. Shore power alleviates the unnecessary use of fuel, which would otherwise be used to power vessels while in port. 

Exclude vessels that use the power of terminals for propulsion.

• Yes
  • Please indicate the quantity of electricity purchased and expenditures at shore power stations in Canada.
    • Quantity purchased in kWh:
    • Electricity expenditures in CAN$:
      If the exact value is not available, please provide your best estimate.
• No
• Don't know

Flow condition: If Q7 is equal to or greater than $6,000,000 or blank, go to Q18. Otherwise, go to Q19. 

Revenue from vessel operations

18. Based on this business's reported revenue from vessel operations, please provide a breakdown of this revenue for the fiscal year ending in 2025/2026. 

Include revenue from the transportation of commodities, cargo, freight, passengers or vehicles; revenue from the towing of commodities or log booms; chartering or leasing; cost compensation from parent companies; revenue from on-vessel sales and concessions; and water transport subsidies.

Please report in Canadian dollars.

If exact values are not available, please provide your best estimate.

If no revenue was earned for an activity, please report "0" where applicable.

Revenue CAN$

Vessel operating revenue

• Transport and towing of commodities, cargo or freight:
• Transport of passengers:
  Include sightseeing vessels and ferries.
  Exclude revenue from concessions and food and beverage sales when not included in the cost of the trip fare.
• Charter or lease of owned Canadian-registered vessels to other operators:
  Include chartered or leased non-duty paid Canadian-registered vessels and chartered or leased foreign-registered vessels under a coasting trade licence.
• Water transport subsidies:

Other water transportation revenue

• Towing, docking or turning of self-propelled vessels:
• Other water transportation revenue:

Revenues from other marine activities of a commercial nature, non-transportation

• Construction or industrial support:
• Offshore resource exploration and development activities:
• Dredging and seabed work:
• Bunkering and lightering:
• Aquaculture and fisheries support:
• Accommodation and support vessels:
• Icebreaking:
• Other commercial marine activities that do not have a transportation component:

Revenue from activities incidental to water transportation

• Terminal and cargo handling services:
  Include terminal operations, stevedoring, yarding and storage related to cargo movement.
• Logistics and agency services:
  Include freight forwarding, customs brokerage, and vessel and cargo agency fees.
• Vessel and cargo delay charges:
  Include demurrage charges and detention charges.
• Marine support and emergency services:
  Include marine salvaging, emergency response and specialized marine support services.

Other sources of revenue

• Other sources of revenue incidental to water transportation activities:
  Include vessel dispatching and voyage planning services, transportation equipment rental (excluding vessels), and standby and availability fees.
• Other sources of revenue from transportation activities:
  Include railway transportation, trucking, etc.
• Other sources of revenue not related to transportation:
  Include concrete aggregates, production of construction materials, etc.
• Other sources of revenue related to on-vessel sales and concessions:
  Include rooms, food and beverages, souvenirs or other non-food items.

Total:

Flow condition: If Q7 is less than $6,000,000, go to Q19. Otherwise, go to Q20. 

Total revenue 

19. Based on this business's reported revenue from vessel operations, please provide a breakdown of this revenue for the fiscal year ending in 2025/2026.

Include revenue from the transportation of commodities, cargo, freight, passengers or vehicles; revenue from the towing of commodities or log booms; chartering or leasing; cost compensation from parent companies; revenue from on-vessel sales and concessions; and water transport subsidies.

Please report in Canadian dollars.

If exact values are not available, please provide your best estimate.

If no revenue was earned for an activity, please report "0" where applicable.

• Vessel operating revenue:
  Include the transport and towing of commodities, cargo or freight, the transport of passengers, and the charter or lease of owned Canadian-registered vessels to other operators.
• Other water transportation revenue:
  Include the towing, docking or turning of self-propelled vessels, and other water transportation revenue.
• Revenues from other marine activities of a commercial nature:
  Exclude transportation. 
  Include construction or industrial support, offshore resource exploration and development activities, dredging and seabed work, bunkering and lightering, aquaculture and fisheries support, accommodation and support vessels, icebreaking, and other commercial marine activities that do not have a transportation component.
• Revenue from activities incidental to water transportation:
  Include terminal and cargo handling services, logistics and agency services, vessel and cargo delay charges, and marine support and emergency services.
• Other sources of revenue:
  Include other sources of revenue incidental to water transportation activities, other sources of revenue from transportation activities, other sources of revenue not related to transportation, and on-vessel sales and concessions.
• Total revenue:

Vessel operating expenses

20. What were this business's total vessel operating expenses for the fiscal year ending in 2025/2026?

Include vessel operating costs, vessel maintenance and repairs, insurance and other fees, terminal and office expenses, non-transportation expenses, other transportation expenses and depreciation. 

Please report in Canadian dollars. 

If exact values are not available, please provide your best estimate.

Enter "0" if this business did not incur any expenses.

• Total vessel operating expenses in CAN$:

Flow condition: If Q7 is equal to or greater than $6,000,000 or blank, go to Q21. Otherwise, go to Q22. 

21. Based on this business's reported expenses from vessel operations, please provide the breakdown of these expenses for the fiscal year ending in 2025/2026.

Please report in Canadian dollars.

If exact values are not available, please provide your best estimate.

If no expenses were incurred, please report "0" where applicable.

Vessel operating costs

• Vessel crew remuneration:
  Include gross payroll and mandatory and non-mandatory contributions. 
  Exclude contractors.
• Sources of power for propulsion:
  Include non-refundable taxes.
  e.g., fuel oil, gasoline, liquefied natural gas (LNG)
• Vessel maintenance and repairs:
  Include allocation for the ship's survey, annual overhaul, lay-up or fit out; lubricating oil (inclusive of non-refundable taxes); and remuneration for maintenance crew who are not on the vessel.
• Bareboat charter or lease hired in Canada:
• Bareboat charter or lease hired abroad:
• Food and provisions:
• Communication expenses:
  e.g., radar, radio, satellite, computer, cellular phone

Insurance and other fees

• Insurance:
  Include hull and machinery insurance, third-party liability insurance, and cargo insurance. 
  e.g., package freight policy premiums
• Berthage and port dues:
  e.g., wharfage, anchorage, buoyage and dockage
• Pilotage:
• Canal and seaway tolls:
• Coast guard fees:
• Waste disposal expenses:
• Purchased towage or escort services:

Terminal and office expenses

• Office and terminal employee remuneration:
  Include gross payroll and mandatory and non-mandatory contributions.
• Demurrage:
  Include fees charged when a vessel, container or cargo remains at a port, terminal or berth beyond the allowed free time for loading or unloading, because of delays while under the control of the terminal or port.
  e.g., a vessel is billed for demurrage when the cargo cannot be unloaded within the agreed-upon time because of terminal congestion

Non-transportation expenses

• Corporate taxes paid at the federal, provincial and municipal levels:

Other expenses

• Other transportation expenses:
  Include railway transportation, trucking, etc.
• Other purchased transport:
  e.g., transportation services purchased from a third party, transportation of crew or other cargos in support of business operations
• Depreciation:
  Include vessels and floating equipment.

Total expenditures:

Flow condition: If Q7 is less than $6,000,000, go to Q22. Otherwise, go to Q23. 

22. Based on this business's reported expenses from vessel operations, please provide the breakdown of these expenses for the fiscal year ending in 2025/2026.

Please report in Canadian dollars.

If exact values are not available, please provide your best estimate.

If no expenses were incurred, please report "0" where applicable.

• Vessel operating costs:
  Include vessel crew remuneration, sources of power for propulsion, lubricating oil, vessel maintenance and repairs, boat charter or lease hired in Canada or abroad, food and provisions, and communication expenses. 
  e.g., radar, radio, satellite, computer, cellular phone
• Insurance and other fees:
  Include insurance, berthage and port dues, pilotage, canal and seaway tolls, coast guard fees, inspection fees, waste disposal expenses, and purchased towage or escort services.
• Terminal and office expenses:
  Include office and terminal employee remuneration and demurrage.
  e.g., a vessel is billed for demurrage when the cargo cannot be unloaded within the agreed-upon time because of terminal congestion
• Non-transportation expenses:
  Include corporate taxes paid at the federal, provincial and municipal levels.
• Other expenses:
  Include other transportation expenses, other purchased transport and depreciation.
  e.g., transportation services purchased from a third party, transportation of crew or other cargos in support of business operations
• Total expenditures:

Employment

23. As of this business's peak season for the fiscal year ending in 2025/2026, how many people worked for this business's vessel operations, by type of occupation and by number of Canadian citizens or permanent residents and non-permanent residents?

Include all employees who received a T4 working for this business's vessel operations, whether full-time, part-time, seasonal or temporary. 
Exclude contract workers.

Canadian citizen: A person described as a citizen under the Citizenship Act. This means a person who is Canadian by birth (either born in Canada or born outside Canada to a Canadian citizen who was either born in Canada or granted citizenship) or has applied for a grant of citizenship and has received Canadian citizenship. 

Permanent resident: A person who has legally immigrated to Canada but is not yet a Canadian citizen.

Non-permanent resident: A person from another country with a usual place of residence in Canada and who has a work or study permit or who has claimed refugee status (asylum claimant), including individuals employed under the Temporary Foreign Worker (TFW) Program or other temporary work permit programs.

Enter "0" if this business did not have employees in one of the occupation types.

• Number of Canadian citizens and permanent residents  
  • Deck officers:
    e.g., captains, chief officers, second or third officers
  • Engineering officers:
    e.g., chief engineers, second or third engineers
  • Deck crew:
    e.g., seafarers
  • Engine crew:
    e.g., oilers, motor persons, wipers, electricians
  • Stewards and catering:
    e.g., cooks, stewards
  • Dock and warehouse:
    e.g., longshorepersons, cargo handlers, forklift operators
  • Office and administration:
    e.g., shipping clerks, logistics coordinators, port agents
  • Other:
    e.g., pilots, tug operators, compliance or environmental officers, customer service agents, clerks, pursers, attendants, industrial electricians, trainees
  • Total number of employees:
• Number of non-permanent residents 
  • Deck officers:
    e.g., captains, chief officers, second or third officers
  • Engineering officers:
    e.g., chief engineers, second or third engineers
  • Deck crew:
    e.g., seafarers
  • Engine crew:
    e.g., oilers, motor persons, wipers, electricians
  • Stewards and catering:
    e.g., cooks, stewards
  • Dock and warehouse:
    e.g., longshorepersons, cargo handlers, forklift operators
  • Office and administration:
    e.g., shipping clerks, logistics coordinators, port agents
  • Other:
    e.g., pilots, tug operators, compliance or environmental officers, customer service agents, clerks, pursers, attendants, industrial electricians, trainees
  • Total number of employees:
• Total number of employees in each occupation
  • Deck officers:
    e.g., captains, chief officers, second or third officers
  • Engineering officers:
    e.g., chief engineers, second or third engineers
  • Deck crew:
    e.g., seafarers
  • Engine crew:
    e.g., oilers, motor persons, wipers, electricians
  • Stewards and catering:
    e.g., cooks, stewards
  • Dock and warehouse:
    e.g., longshorepersons, cargo handlers, forklift operators
  • Office and administration:
    e.g., shipping clerks, logistics coordinators, port agents
  • Other:
    e.g., pilots, tug operators, compliance or environmental officers, customer service agents, clerks, pursers, attendants, industrial electricians, trainees
  • Total number of employees:

Flow condition: If "number of Canadian citizens and permanent residence" or "number of non-permanent residents" are greater than 0, go to Q24. Otherwise, go to Q25. 

24. For the employees reported in the "other" category in question 23, please specify the other type of occupation.

• Other occupations of the Canadian citizens and permanent residents:
• Other occupations of the non-permanent residents:

Flow condition: If Q7 is equal to or greater than $6,000,000 or blank, go to Q25. Otherwise, go to Q26. 

25. As of this business's peak season for the fiscal year ending in 2025/2026, was this business experiencing labour shortages or job vacancies?

Labour shortages: Difficulties finding qualified workers.

Job vacancies: Unfilled positions.

Select all that apply.

• Labour shortages
  • Please select the occupations in which this business was experiencing labour shortages.
    Labour shortages: Difficulties finding qualified workers.
    Select all that apply.
    • Deck officers
      e.g., captains, chief officers, second or third officers
    • Engineering officers
      e.g., chief engineers, second or third engineers
    • Deck crew
      e.g., seafarers
    • Engine crew
      e.g., oilers, motor persons, wipers, electricians
    • Stewards or catering
      e.g., cooks, stewards
    • Dock and warehouse
      e.g., longshorepersons, cargo handlers, forklift operators
    • Office and administration
      e.g., shipping clerks, logistics coordinators, port agents

    • Other occupations
      e.g., pilots, tug operators, compliance or environmental officers, customer service agents, clerks, pursers, attendants, industrial electricians, trainees

      • Specify the other occupations:

      OR

    • None of the above

• Job vacancies

  • Please select the occupations in which this business was experiencing job vacancies.
    Job vacancies: Unfilled positions. 
    Select all that apply.
    • Deck officers
      e.g., captains, chief officers, second or third officers
    • Engineering officers
      e.g., chief engineers, second or third engineers
    • Deck crew
      e.g., seafarers
    • Engine crew
      e.g., oilers, motor persons, wipers, electricians
    • Stewards or catering
      e.g., cooks, stewards
    • Dock and warehouse
      e.g., longshorepersons, cargo handlers, forklift operators
    • Office and administration
      e.g., shipping clerks, logistics coordinators, port agents

    • Other occupations
      e.g., pilots, tug operators, compliance or environmental officers, customer service agents, clerks, pursers, attendants, industrial electricians, trainees

      • Specify the other occupations:

      OR

    • None of the above

  OR

• This business did not experience labour shortages or job vacancies

Flow condition: If Q13 is "commodities" or "cargo or freight", go to Q26. Otherwise, go to Q28.

Commodities, cargo and freight transported

26. For the fiscal year ending in 2025/2026, please select all types of commodities, cargo or freight that this business transported. 

Commodities: Basic raw materials or bulk goods, usually transported in large quantities. These include a wide range of products, such as crude oil, natural gas, coal, iron ore, grains, chemicals and other bulk goods. These goods are usually transported in large quantities using specialized vessels.

Cargo or freight: Goods or freight, used as a general term, often regarding commercial inventory, can include any type of product or good, such as packaged goods, manufactured products, machinery and containers.

Select all that apply.

• Containerized freight
• Dry bulk cargo
• Liquid bulk cargo
• Project or breakbulk cargo
• General cargo
• Other types of commodities, cargo or freight
  • Specify the other types of commodities, cargo or freight transported:

Display condition: Only types of commodities, cargo or freight selected in Q26 are displayed in Q27. If no types of commodities, cargo or freight was selected, display all categories in Q27.

27. For the fiscal year ending in 2025/2026, please report how much of each of the following types of commodities, cargo or freight was transported by this business. 

If exact numbers are not available, please provide your best estimate.

• Please report the total twenty-foot equivalent units (TEUs) of containerized freight transported by this business.
  • TEUs of containerized freight transported:
    OR
  • Don't know
• Please report the total tonnage of containerized freight transported by this business.
  • Tonnage of containerized freight transported:
    OR
  • Don't know
• Please report the total tonnage of dry bulk cargo transported by this business.
  • Tonnage of dry bulk cargo transported:
    OR
  • Don't know
• Please report the total tonnage of liquid bulk cargo transported by this business.
  • Tonnage of liquid bulk cargo transported:
    OR
  • Don't know
• Please report the total tonnage of project or breakbulk cargo transported by this business.
  • Tonnage of project or breakbulk cargo transported:
    OR
  • Don't know
• Please report the total tonnage of general cargo transported by this business.
  • Tonnage of general cargo transported:
    OR
  • Don't know
• Please report the total tonnage of other types of commodities, cargo or freight transported by this business.
  • Tonnage of commodities, cargo or freight transported:
    OR
  • Don't know

Flow condition: If "Passenger or vehicles" is selected in Q13, go to Q28. Otherwise, go to Q30. 

Ferry and passenger services 

28. For the fiscal year ending in 2025/2026, please indicate the types of services related to passengers and vehicles provided by this business.

Select all that apply.

• Ferry services
  Include shuttle services.
  • Please indicate the types of ferry services that were offered by this business.
    Select all that apply.
    • Passenger and passenger vehicle ferries
      Exclude commercial vehicles.
    • Passenger and all vehicle type ferries
      Include commercial and passenger vehicle roll-on-roll-off ferries.
    • Passenger-only ferries
      Include water taxis.
      e.g., cyclists, pedestrians
• Passenger services
  Include day or overnight cruises and sightseeing vessels.
  Exclude ferry services.

• Other types of services

  • Specify the other types of passenger and vehicle transportation services provided:

  OR

• None of the above

Flow condition: If Q7 is equal to or greater than $6,000,000 or blank and "Passenger or vehicles" is selected in Q13 and "none of the above" was NOT selected in Q28, go to Q29. Otherwise go to Q30.

Display condition: Only services related to passengers and vehicles selected in Q28 are displayed in Q29. If no type of services related to passengers and vehicles was selected in Q28, display "Ferry services", "Passenger services", and "Other types of services" in Q29.

29. For the fiscal year ending in 2025/2026, please report the number of tickets sold and the number of trips related to ferry and passenger services provided by this business.

Ticket: A ticket is a legal document or electronic record that confirms payment and entitles a person or entity to transport between specified locations.

Trip: A trip starts with the embarkation of ticket holders and ends when those ticket holders disembark the vessel. In the case of passenger services, in-transit stops are not considered disembarkation. Therefore, the final disembarkation point is considered the end of the trip. 

If exact numbers are not available, please provide your best estimate.

• Number of tickets sold
  • Ferry services:
    Include shuttle services.
  • Passenger and passenger vehicle ferries:
    Exclude commercial vehicles.
  • Passenger and all vehicle type ferries:
    Include commercial and passenger vehicle roll-on-roll-off ferries.
  • Passenger-only ferries:
    Include water taxis.
    e.g., cyclists, pedestrians
  • Passenger services:
    Include day or overnight cruises and sightseeing vessels.
    Exclude ferry services.
  • Other types of services:
  • Total:
• Number of trips
  • Ferry services:
    Include shuttle services.
  • Passenger and passenger vehicle ferries:
    Exclude commercial vehicles.
  • Passenger and all vehicle type ferries:
    Include commercial and passenger vehicle roll-on-roll-off ferries.
  • Passenger-only ferries:
    e.g., cyclists, pedestrians
  • Passenger services:
    Include day or overnight cruises and sightseeing vessels.
    Exclude ferry services.
  • Other types of services:
  • Total: 

Obstacles

30. Please indicate to what extent this business experienced each of the following obstacles during its fiscal year ending in 2025/2026.

• Drayage scheduling uncertainty
  Drayage: The short-distance, truck-based transport of shipping containers and cargo, usually connecting ports, rail yards or warehouses within the same urban area.
  • Not an obstacle
  • Minor obstacle
  • Moderate obstacle
  • Major obstacle
  • Don't know
• Seafarer shortages
  • Not an obstacle
  • Minor obstacle
  • Moderate obstacle
  • Major obstacle
  • Don't know
• Labour challenges at ports or terminals
  • Not an obstacle
  • Minor obstacle
  • Moderate obstacle
  • Major obstacle
  • Don't know
• Delays because of regulatory requirements
  e.g., inspection, permits
  • Not an obstacle
  • Minor obstacle
  • Moderate obstacle
  • Major obstacle
  • Don't know
• Delays at ports because of other factors
  • Not an obstacle
  • Minor obstacle
  • Moderate obstacle
  • Major obstacle
  • Don't know
• Supply chain interruptions
  • Not an obstacle
  • Minor obstacle
  • Moderate obstacle
  • Major obstacle
  • Don't know
• Economic uncertainty and inflation
  • Not an obstacle
  • Minor obstacle
  • Moderate obstacle
  • Major obstacle
  • Don't know
• Irregular water level
  • Not an obstacle
  • Minor obstacle
  • Moderate obstacle
  • Major obstacle
  • Don't know
• Weather-related cancellations
  • Not an obstacle
  • Minor obstacle
  • Moderate obstacle
  • Major obstacle
  • Don't know
• Extreme weather events
  • Not an obstacle
  • Minor obstacle
  • Moderate obstacle
  • Major obstacle
  • Don't know
• Other
  • Not an obstacle
  • Minor obstacle
  • Moderate obstacle
  • Major obstacle
  • Don't know

The annual Government Finance Statistics (GFS) program is a principal data source for the estimation of the government sector on a System of National Accounts (SNA) basis. However, there are key differences between these two programs in how they compile their government sector estimates. This note highlights some of the notable differences between SNA and GFS methodologies, concepts, and coverage.

Within the SNA, there are two primary programs that release data on the government sector: the Income and Expenditure Accounts (IEA) and the Financial and Wealth Accounts (FWA). Estimates within the IEA include revenues and expenditures within the GDP and current and capital accounts. The FWA starts with the capital account from IEA and tracks the financial flows for the government sector through the financial account and other change in assets account, ending with positions in the balance sheet for assets and liabilities.

The sequence of accounts within the SNA are fully consistent (within and across sectors) and balanced, and include transactions with residents and non-residents (outside Canada). As such, some of the differences noted below are to maintain the consistency within the sequence. The GFS is also a consistent set of accounts but with a narrower focus on the accounting consistency within government sectors.

In September 2026, questions measuring the Labour Market Indicators were added to the Labour Force Survey as a supplement.
Questionnaire flow within the collection application is controlled dynamically based on responses provided throughout the survey. Therefore, some respondents will not receive all questions, and there is a small chance that some households will not receive any questions at all. This is based on their answers to certain LFS questions.

Labour Market Indicators

ENTRY_Q01 / EQ 1 - From the following list, please select the household member that will be completing this questionnaire on behalf of the entire household.

AIG_Q01 / EQ 2 - Are you aware of Generative AI tools used for generating human-like text, images, computer code and more?

1. Yes, I am aware and have a good understanding of their use
2. Yes, I am aware and have some understanding of their use
3. Yes, I am aware, but do not have a good understanding of their use
4. No, I have never heard of them

AIG_Q02 / EQ 3 - How familiar are you with Generative AI tools in terms of how they could be applied to your current work?

1. Familiar with Generative AI tools, but they have no applicability to your work
2. Not familiar at all
3. Somewhat familiar
4. Moderately familiar
5. Very familiar

AIG_Q03 / EQ 4 - In the last 12 months, did you use any of the following AI or automation technologies as part of your main job or business?

1.  Generative AI tools
2. Natural language processing
3. Voice recognition software
4. Machine learning
5. Other
6. None of the above

AIG_Q04 / EQ 5 - Currently, how often do you use Generative AI tools as part of your main job or business?

1. Daily
2. A few times a week
3. A few times a month
4. A few times a year

AIG_Q05 / EQ 6 - Currently, for what proportion of tasks do you use Generative AI tools as part of your main job or business?

1. For almost all tasks
2. For most tasks
3. For some tasks
4. For almost no tasks

AIG_Q06 / EQ 7 - Currently, how often do you use Generative AI tools outside of work?

1. Daily
2. A few times a week
3. A few times a month
4. A few times a year
5. Never

AIG_Q07 / EQ 8 - What are the reasons why you are not using Generative AI tools as part of your main job or business?

1. No interest
2. Lack of access to AI tools
3. Too difficult to integrate into your existing workflow
4. Lack of skills or knowledge
5. Lack of structured training from your employer
6. No dedicated time during work hours for informal training
7. Company or organisational policy
8. Security, privacy or ethical concerns with using AI
9. Few or no incentives and rewards
10. Other
11. Generative AI tools have no applicability to your work