Integrated Business Statistics Program (IBSP)

This guide is designed to assist you as you complete the 2023 Annual Survey of Environmental Goods and Services. If you need more information, please call the Statistics Canada Help Line at the number below.

Your answers are confidential.

Statistics Canada is prohibited by law from releasing any information it collects which 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 information from this survey for statistical purposes.

Help Line: 1-877-949-9492

Table of contents

• Reporting instructions
• Definitions
• Reporting period information
• Activity sectors
• Total revenue
• Sales of goods
• Revenue from services

Reporting instructions

• Report dollar amounts rounded to the nearest Canadian dollar.
• When precise figures are not available, please provide your best estimates.
• Exclude federal, provincial and territorial sales taxes and excise duties and taxes.

For the purposes of this survey, clean technology can be considered to consist of any product, process, or service designed with the primary purpose of contributing to remediating or preventing any type of environmental damage.

Definitions

Legal Name

The legal name is one recognized by law, thus it is the name liable for pursuit or for debts incurred by the business or organization. In the case of a corporation, it is the legal name as fixed by its charter or the statute by which the corporation was created.

Modifications to the legal name should only be done to correct a spelling error or typo.

To indicate a legal name of another legal entity you should instead indicate it in question 3 by selecting 'Not currently operational' and then choosing the applicable reason and providing the legal name of this other entity along with any other requested information.

Operating Name

The operating name is a name the business or organization is commonly known as if different from its legal name. The operating name is synonymous with trade name.

Current main activity of the business or organization

The North American Industry Classification System (NAICS) is an industry classification system developed by the statistical agencies of Canada, Mexico and the United States. Created against the background of the North American Free Trade Agreement, it is designed to provide common definitions of the industrial structure of the three countries and a common statistical framework to facilitate the analysis of the three economies. NAICS is based on supply-side or production-oriented principles, to ensure that industrial data, classified to NAICS, are suitable for the analysis of production-related issues such as industrial performance.

The target entity for which NAICS is designed are businesses and other organizations engaged in the production of goods and services. They include farms, incorporated and unincorporated businesses and government business enterprises. They also include government institutions and agencies engaged in the production of marketed and non-marketed services, as well as organizations such as professional associations and unions and charitable or non-profit organizations and the employees of households.

The associated NAICS should reflect those activities conducted by the business or organizational unit(s) targeted by this questionnaire only, and which can be identified by the specified legal and operating name. The main activity is the activity which most defines the targeted business or organization's main purpose or reason for existence. For a business or organization that is for-profit, it is normally the activity that generates the majority of the revenue for the entity.

The NAICS classification contains a limited number of activity classifications; the associated classification might be applicable for this business or organization even if it is not exactly how you would describe this business or organization's main activity.

Please note that any modifications to the main activity through your response to this question might not necessarily be reflected prior to the transmitting of subsequent questionnaires and as a result they may not contain this updated information.

Glossary of Terms

3D

Three dimensional

Additives/ catalysts

Products that enhance the rate of a chemical reaction.

Adhesives

Adhesives or bioadhesives are made from natural polymeric materials that act as adhesives; e.g., a glue formed synthetically from biological monomers such as sugars.

Advanced batteries

Batteries incorporating materials that improve energy storage density, or reduce the weight and size, compared to traditional batteries e.g., nickel-hydride and lithium ion batteries.

Advanced insulation

Solutions for improving thermal insulation in new and existing buildings producing significant energy savings. Includes spray foam and other products that are alternatives to traditional forms of insulation.

Advanced thermostats

Advanced thermostats (also known as smart thermostats) maximize efficiency and off-peak energy usage to help save money and reduce emissions. Additionally, advanced thermostats incorporate other technologies such as sensors and Wi-Fi connectivity.

Aerodynamic device

An aerodynamic resistance or drag reduction technology that reduces fuel consumption.

Aircraft components using lightweight materials

A lightweight material is defined as having a higher strength to weight or stiffness to weight ratio. May also include, components that are made lighter when using the same material by changing how it is designed or manufactured e.g., through additive manufacturing / 3D printing.

Algae biodiesel

A type of biodiesel fuel made from algae oils.

Anaerobic digester

A mechanical chamber which breaks down organic material using micro-organisms (bacteria) in an oxygen-free environment to produce renewable energy (biogas) and other biomaterials.

Automobile components using lightweight materials

A lightweight material is defined as having a higher strength to weight or stiffness to weight ratio, compared to conventional materials. Alternatively, components may be made lighter when using the same material by changing how it is designed or manufactured e.g., through additive manufacturing or 3D printing.

Auxiliary power unit

An idling reduction technology that stores power when the engine is running and supplies it to the vehicle's electrical devices when the engine is off.

Biobutanol

A renewable fuel produced from corn, sugar beets, and other types of biomass.

Biochar

A solid material obtained from thermochemical conversion of biomass in an oxygen-limited environment. Biochar can be used for a wide range of applications such as a soil amendment, carbon sequestration, and a source of renewable energy.

Biochemicals

Synthesized chemicals made using vegetable oils derived from corn, soybean, canola, and corn starches. They can be made into solvents, lubricants, waxes, adhesives, acetic acid, succinic acid, glycerol and methanol without using traditional petroleum bases.

Biocrude

A feedstock used in a petroleum refinery that is derived from one or more renewable feedstocks replacing, in part, conventional crude oil.

Bioenergy

Renewable energy produced from biological materials.

Bioenergy feedstock planning and management

Ensuring a sustainable biomass supply from the forestry and agricultural sectors, as well as from other organic residues such as municipal solid waste and algae.

Bioenergy feedstock valuation

Services which focus on modelling, technologies and techniques that lower the costs and increase quantities of renewable feedstocks while maintaining and improving the quality of the product.

Biofuel

Biofuels are enhanced biomass-derived fuels that can take the form of a liquid such as ethanol or renewable diesel fuels, a gas such as biogas or syngas or a solid such as pellets or char.

Biogas

A combustible gas and type of biofuel produced by the decomposition of biological materials e.g., forestry residues and municipal waste, through anaerobic digestion or fermentation. Typical biogas consists of 50 to 60% methane and carbon dioxide.

Biohydrogen

Hydrogen produced biologically, most commonly by algae or bacteria, from both cultivation and waste organic materials.

Biomaterials

Materials derived from nature or synthesized in the laboratory using a variety of chemical approaches utilizing plant oils, sugars, or starches to create bioplastics, biofoams, biorubber, or reinforced biocomposites and biofibres.

Biopesticides

Pest management agents and chemicals derived from natural sources e.g., bacteria, fungi, viruses, plants, animals and minerals. They provide an alternative to synthetic chemicals and are used to control pest populations in crop production and other settings. Typically a biopesticide is target-specific and has little or no impact on non-target organisms and the environment.

Biopolymers

A non-petroleum based form of plastic derived from renewable biomass sources such as vegetable oil or corn starch.

Biosolvents

Bio-based agent for cleaning or degreasing parts, stripping paint or removing inks. Derived from agricultural crops e.g., corn, soybeans, citrus fruit skins or tree bark.

Biostimulants

A material which contains substances or microorganisms whose function is to stimulate natural processes in plant growth e.g., nutrient uptake, nutrient use efficiency, tolerance to abiotic stress, and crop quality. Biostimulants are a bio-based alternative to fossil-fuel based fertilizers.

BOMA

The Building Owners and Managers Association

CAN$

Canadian dollars

Carbon capture and sequestration technologies and storage

Technologies used to capture, transport and store carbon dioxide produced as the result of an industrial process, before its release to the atmosphere.

Cellulose filaments (CF)

Extracted from wood pulp fibres using a mechanical process that requires no chemicals or enzymes. CF are extremely strong, flexible and light, and has a unique bonding capacity that makes them an exceptional reinforcement additive for a wide range of products such as bioplastics, adhesives, as well as paints and other coatings.

Cellulosic Ethanol

Ethanol produced from cellulose e.g., the stringy fibre of a plant, typically from grasses, grains or wood.

Centrifuges

Machines or equipment that spin a vessel at high speeds to create separation of materials. Centrifugation can be used to recover solids from slurries, or to clarify liquids and solids.

Chipper

A machine used to mechanically reduce the size of feedstock wood material to a size suitable for further processing e.g., for producing wood pellets or as an input into another bio-manufacturing process.

CHP

Combined heat and power

Clean coal

Technology and processes that mitigate the emissions produced from the burning of coal for electrical power. Generally, to be considered "clean" the combustion should result in an emission intensity equal to or less than that produced by burning natural gas.

CNG

Compressed natural gas (CNG) is methane that is stored at a high pressure and can be used in place of gasoline. CNG may be found naturally above oil deposits or is collected from landfills or wastewater treatment plants e.g., biogas.

Coagulant

A material (iron or aluminum salts, e.g., aluminum sulphate, ferric sulphate, ferric chloride, polymers) added to a colloidal solution to remove suspended particles through coagulation. Often used in water treatment.

Combined heat and power and cogeneration

Combined heat and power (CHP) is a cogeneration system that involves the simultaneous production of electricity and heat from a single fuel source. It uses waste heat recovery technology to capture heat by-products to generate electricity. CHP is not a single technology but an integrated energy system that can be modified depending on the needs of the energy user.

Combined heat and power bioenergy systems

Combined heat and power (CHP) is a cogeneration system that involves the simultaneous production of electricity and heat from a single fuel source. It uses waste heat recovery technology to capture heat by-products to generate electricity. CHP is not a single technology but an integrated energy system that can be modified depending on the needs of the energy user. CHP bioenergy systems use a biomass fuel source instead of a fossil fuel source.

Composite materials

Materials consisting of strong, stiff fibres in a tough resin matrix and used to reduce weight for fuel efficiency purposes. Composite materials used in the aerospace industry include carbon and glass-fibre reinforced plastics and metals used in cabin components and functional components in the wings, engines or landing gear.

Compressed air

Compressed air energy storage (CAES) is a way to store energy by compressing air and storing it in underground caverns, depleted wells or aquifers.

Crop canopy sensors

A technology used in precision agriculture that uses visible light (VIS) and near infrared light (NIR) to determine plant nitrogen levels in a crop. This technology can assist in identifying specific areas of a field that require fertilization.

Cyber security

Services assisting utility companies with the protection of critical smart grid infrastructure assets from cyber security threats. Cyber security services protect data and access to all components of the smart grid. This includes threat detection and compliance management.

Desalination processes

Various technologies and processes used to remove salt from water.

Distillation tower

Equipment used to refine and separate purified products and aqueous streams during biofuel production.

DME

Dimethyl Ether

Double layer capacitor

Capacitors with enhanced cycle stability and extremely high power capability; very efficient energy storage capability compared to traditional capacitors and batteries.

Dryer

Equipment used to remove moisture from a liquid/solid mixture. Dryers vary in application and function e.g., rotating drum dryers, rotary dryers, flash dryers, fluidized bed dryers, spray dryers, conveyor dryers, tray dryers, thin-film dryers.

Efficient turbine

A fuel efficient turbine engine is one that uses less fuel to produce the same output e.g., either in the form of thrust for a jet engine or horsepower for a turboshaft engine. Engine weight is an important factor associated with the efficiency of the turbine.

Electric vehicle

A vehicle using a battery to store electrical energy that powers the motor.

Electro-deionization technologies

A process which combines semi-impermeable membrane technology with ion-exchange media to provide a high-efficiency demineralization process.

Emission control

Technologies that reduce the amount of air pollutants, including greenhouse gases, released into the atmosphere.

Energy efficiency

Energy efficiency is a way of managing and restraining the growth in energy consumption. Something is more energy efficient if it delivers more services for the same energy input, or the same services for less energy input.

Energy logs

A cleaner burning fuel than firewood and other densified fire logs.

Engine control module

Controls the engine's performance, fuel efficiency and emissions; monitors the operation of the vehicle; and troubleshoots mechanical problems.

Engineered wood products

A variety of products required in mass timber construction and design (i.e., cross laminated timber) that generally involve lamination and compression of multiple layers of smaller pieces of wood to create large panels. The process creates a very strong panel that meets the safety requirements needed to build tall structures.

Environmental employment

Positions that directly or indirectly contribute to preserving or restoring environmental quality. For example, this may include jobs related to the production of goods or provision of services that help to: protect ecosystems and biodiversity; reduce the use of energy, materials, and water consumption in manufacturing processes; lower the carbon expenditure of industrial processes, or; minimize or altogether avoid generation of waste and pollution.

Environmental measurement apparatus

Equipment or instruments that assist in data collection involving the assessment of chemical, physical, or biological factors in the environment.

Ethanol

A renewable alcohol fuel made from plant material e.g., corn, sugar cane or grasses.

FC

Fuel cell

Fluoridation

The addition of fluoride in a public water supply to reduce tooth decay.

Flywheel

A rotating mechanical device that is used to store rotational energy.

Foams

Foams or biofoams are biopolymers made from plant materials that are biodegradable and may be industrially composted at high temperatures. They are durable and suitable for long-term use in virtually all technical and packaging applications.

FTE

Full-time equivalent

Fuel cell vehicle FC stack

A fuel cell FC stack is an assembly of individual membrane electrode assemblies that use hydrogen and oxygen to produce electricity in a fuel cell vehicle.

GIS

Geographic Information System

GPS

Global Positioning System

Green building certification

A process administered by a recognized body that approves a construction project as environmentally responsible and resource-efficient throughout a structure's life-cycle.

Greywater reuse system

A system that collects greywater from showers and sinks, for the purpose of filtering and purifying, for further non-potable uses e.g., toilet flushing or irrigation. It consists of a tank, a pump, a disinfection additive such as chlorine and a filtration component.

Greensand filtration

A specialized filtration process that removes iron, manganese and hydrogen sulphide from water.

Hot dry rock (HDR)

A type of geothermal energy resource that uses heat recovered from dry subsurface rocks to generate electricity.

HVAC

Heating, ventilation, and air conditioning

Hybrids

Vehicles containing both an electric motor and an internal combustion engine (ICE). The electric motor uses batteries charged from the grid, and which may be re-charged through energy conversion mechanisms while in operation. The ICE uses traditional fuels, e.g., gasoline or diesel.

ICE

Internal combustion engine

Industrial design and related services

Refers to the design of energy efficient technologies and products for market, or part of a contracted service for industries such as transportation, aerospace, commercial energy projects, etc.

Intelligent traffic control

Optimizing the performance of traffic signals for real-time traffic conditions and improving traffic flow, resulting in a reduction in idling time, traffic congestion and emissions from vehicles at intersections.

ISO

International organization for standardization

Leak detection

A device that detects the presence of gases in an area, often as part of a safety system. This type of equipment is used to detect a gas leak and interface with a control system so a process can be automatically shut down. Gas detectors can be used to detect combustible, flammable and toxic gases, and oxygen depletion.

Li-ion

Lithium-ion battery

Livestock precision feeding technology

Technology consisting of animal-specific data collection and automated feeding systems to conserve livestock feed inputs.

LNG

Liquefied natural gas (LNG) is natural gas that has been converted to liquid form.

Low emitting burner

High-efficiency burners e.g., low NOx and low SOx burners, that minimize the amount of pollutants produced during combustion.

Low rolling resistance tire

Designed to reduce rolling resistance, or the energy lost from drag and friction of a tire rolling over a surface, to improve fuel efficiency in vehicles.

Management systems

Software systems that employ artificial intelligence or rules based on process knowledge to control energy distribution.

Mass timber design

Mass timber design companies design and construct complete buildings using large, prefabricated engineered wood products such as cross laminated timber or glue-laminated timber in place of steel.

Microgrid solutions

Services that design and develop comprehensive microgrid solutions for energy infrastructure projects. A microgrid is a local energy grid with control capability that can disconnect from the traditional grid and operate autonomously.

Micro/ ultrafiltration

Membrane technologies used to treat drinking water.

Micro-screening

A water treatment technology to remove suspended solids, micro pollutants and to increase the efficiency of downstream treatment systems.

Mixer

Industrial mixers are able to blend combinations of solids, gases and liquids. Mixing is usually completed in either single-phase or multi-phase formats.

Modelling services

The use of specially designed energy modelling software and other building data to simulate a variety of building details during construction or renovation projects. Used to optimize roof and wall construction, lighting and power densities, domestic hot water usage, and heating and ventilation systems. Modifying variables e.g., outdoor and indoor temperature, solar orientation, humidity, energy costs, construction materials, and occupant levels allow the energy modeller to come up with different scenarios to optimize a building's design and meet energy efficiency objectives.

Nano-crystalline cellulose

Nano-structures made from pure cellulose. They may be used in coating, papermaking, biocide dispersion, or in composite products.

Nanofiltration

Nanofiltration is a water-softening membrane technology that removes most organic compounds, nearly all viruses, most natural organic matter and a range of salts from water.

NaNiCl

Sodium-nickel chloride batteries

NaS

Sodium-sulphur batteries

NiCd

Nickel-cadmium battery

NiMH

Nickel-metal hydride battery

NOx

Nitrogen oxides

Nuclear energy

The energy that is released through a nuclear reaction or radioactive decay process.

Nuclear island

The part of the nuclear power plant that incorporates all equipment, systems, installation and control, heating and ventilation and other relevant hardware installed within the reactor and reactor auxiliary buildings. Steam generators that transfer heat from the primary circuit within the reactor to a secondary circuit for power generation are included in the nuclear island.

Nuclear reactor

The heart of a nuclear power plant in which nuclear fission may be initiated and controlled in a self-sustaining chain reaction to generate energy or produce useful radiation.

pH

Potential of hydrogen

Phasor measurement unit

A phasor measurement unit (PMU) is a device which measures the electrical waves on a power grid to monitor and control load and detect faults.

Powder metallurgy, coatings, polishing, anodizing for fuel efficiency

Surface treatments used to improve the finish, durability and corrosion resistance of many components. Also used for restorative maintenance e.g., secondary to fuel efficiency. Metal powders can be used in additive manufacturing which has the potential to make parts lighter (therefore improving fuel efficiency).

Pumped hydro

A system for generating hydroelectric power for peak periods by pumping water from a lower to an upper reservoir during low-demand/off-peak periods e.g., charging. When required, the water flows back from the upper to the lower reservoir to produce electricity e.g., discharging.

Pyrolysis

Pyrolysis is the transformation of a carbon-rich substance into one or more substances e.g., syngas or biochar, through heating in the absence of oxygen.

Pyrolysis oil

A renewable liquid fuel derived from woody biomass via fast pyrolysis process.

R-2000

Energy efficient homes rating

Renewable diesel

Diesel fuel substitute made from renewable materials such as vegetable oil, waste, cooking oil, animal fat, fish oil or cellulosic feedstocks consisting of agriculture and forest biomass. It can be used in all modern diesel engines without requiring engine modifications.

Reverse osmosis

A water treatment process that uses pressure to move a liquid through a membrane, thereby removing ions of salt, calcium and chlorine or larger molecules such as bacteria, urea and glucose.

RFID

Radio-frequency identification

Self-healing grids

A monitoring solution for a more efficient energy grid. A self-healing grid is a system comprised of sensors, automated controls and advanced software that utilizes real-time distribution data to detect and isolate faults and to reconfigure the distribution network to minimize service disruptions.

Shredder

Equipment used to cut, shear, tear, slice, or rip apart materials into smaller pieces typically in a strip or chip-like output shape. Shredders may be used to process forestry and agricultural biomass to convert it into a more useable form for further biofuel or biomaterial processing.

Smart grid

Adaptions to a conventional power grid, allowing two-way communications, control and automation capabilities to make it more reliable, flexible, efficient, clean, safe and customer-friendly.

Smart inverter

Inverters that enable the integration of distributed photovoltaic power generation into the power grid.

SOx

Sulphur oxides

Storage systems

Includes above and underground types of storage systems. The tanks can be used for storage, mixing, or as vessels for chemical processes.

Super-conducting magnetic energy storage

Energy storage using a magnetic field created by the flow of direct current in a superconducting coil kept below its superconducting critical temperature.

Sustainable forestry services

Sustainable forestry service companies are forestry service companies who have policies in place which ensure they carefully manage forest resources to preserve and maximize the value of every harvest. Sustainable forestry service companies are certified by one of the three independent, third-party forest management organizations in Canada (Canadian Standards Association, Forest Stewardship Council, and Sustainable Forestry Initiative). A certified sustainable forestry service company meets the Government of Canada’s forest management laws and regulations and verifies the company’s responsible forest management practices. Certified companies practice a number of forest restoration or sustainable forestry management techniques such as planting new trees after each harvest, selective logging by removing only certain, mature trees while preserving a balanced forest ecosystem (not clear cutting) and allowing more time in between harvests so trees can mature to their full potential.

Syngas

Syngas, also called synthesis gas, is an intermediate product produced by gasification from biomass feedstocks. Syngas can then be converted into hydrogen, a variety of chemicals, fertilizers and liquid fuels, or used to generate electricity.

Thermal storage systems

Encompasses a wide range of technologies that allow thermal energy to be collected and stored for later use. Storage mediums include water, bedrock, deep aquifers, and phase-change materials.

Traffic management

Improving the flow of traffic through the use of data and design.

UAV/drone

An unmanned aerial vehicle (UAV) or drone is an aircraft designed to fly without a human operator on board. They are equipped with video and multispectral cameras, GPS receivers and advanced data collection and sensor technologies to perform agriculture-related monitoring.

UV

Ultraviolet

Ultrasonic detection

Ultrasonic-level measurement devices employ sound waves for detection of liquid levels.

Variable rate technology

Instrumentation and equipment used for varying the rates of application of fertilizer, pesticides and seeds as it moves across a field.

Vehicle emission monitoring

Technologies such as catalytic converters, exhaust gas recirculation, engine monitoring sensors, computer controls and feedback systems that aid in the reduction of greenhouse gases, volatile organic compounds, carbon monoxide and oxides of nitrogen.

Vehicle fleet management and logistics

Support services comprised of consulting, tools, products, and software designed for companies with fleets of commercial vehicles or trucks (excluding rentals) that help optimize fleet operations such as communication, tracking and routing, maintenance, and management of fuel consumption.

Washer

Refers to the washing step of biofuel refining where impurities are adsorbed using a material such as magnesium silicate. Purified biodiesel liquid is then separated from the solid dry wash adsorbent and filtered, resulting in clarified biodiesel.

Yield Sensors

Sensors used to aid the monitoring of yields within a field.

Reporting period information

Report information for this establishment's 12-month fiscal period (normal business year) ending between April 1st, 2023 and March 31st, 2024. Please indicate the reporting period covered by this questionnaire.

Activity sectors

Report goods manufactured as part of an environmental service provided under Service provider, and include the sales of related machinery, equipment, and products.

Total revenue

Total revenue is the sum of the value of sales (before royalties, taxes and other charges) and all other revenues, except contributions from owners.

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

Include:

• sales of all goods and services
• other operating revenue
• non-operating revenue.

Report in Canadian dollars.

Sales of goods

Report domestic and export sales of selected environmental goods or clean technology goods.

Include (where applicable):

• sales (domestic sales and export sales) of goods manufactured at a Canadian location
• sales of goods manufactured outside Canada and imported for sale

Exclude:

• federal, provincial and territorial sales taxes
• excise duties and taxes
• subsidies

Some goods listed may be used for more than one of the environmental functions listed. Report sales under the environmental function category that best reflects the ultimate use of your product.

Sales of environmental goods are defined as revenues derived from the sale of goods (cash or credits) falling within a business's ordinary activities. Sales should be reported net of excise and federal, provincial or territorial sales taxes.

For the purposes of this survey, clean technology can be considered to consist of any product, process, or service designed with the primary purpose of contributing to remediating or preventing any type of environmental damage.

Revenue from services

Report domestic and international revenues of selected environmental services or clean technology services.

Include (where applicable):

• revenues from goods sold as part of a service delivered (related machinery, products and equipment)
• domestic and international sales of services provided from a Canadian location.

Exclude:

• federal, provincial and territorial sales taxes
• excise duties and taxes
• subsidies

Sales of environmental and clean technology services are defined as amounts derived from the provision of environmental and clean technology services falling within a business's ordinary activities. Sales should be reported net of excise and federal, provincial or territorial sales taxes.

For the purposes of this survey, clean technology can be considered to consist of any product, process, or service designed with the primary purpose of contributing to remediating or preventing any type of environmental damage.

Thank you for your participation.

Form 91Q

Confidential when completed.

This information is collected under the authority of the Statistics Act. R.S.C., 1985, c. S-19

Control use

SSID

• Prov.
• CD No.
• CU No.
• VR Line No.

Contact person

Office Use Only

Result of interview

1. Completed questionnaire
2. Incomplete questionnaire

Section I — Address or Exact Location of This Dwelling

Transcribe from the Assignment List (Form 1B)

• Street and No. or lot and concession
• Apt. No.
• City, town, village
• Province/territory
• Postal Code
• AD

Section II — Verification of Dwelling

Interviewer check item:
1. Is there a dwelling (a set of living quarters with a private entrance) at the address listed above?

1. Yes; Continue with Question 2
2. No; What is located at this address?
   3. Business or professional office of some sort (e.g., dentist office, gas station); Continue with Question 2
   4. Dwelling under construction; Continue with Question 2
   5. Dwelling demolished; Continue with Question 2
   6. Empty lot; Continue with Question 2
   7. Could not locate address; End interview
   8. Apartment no longer used as a separate dwelling; Continue with Question 2
   9. Other – Specify; End interview

Read script: refer to Form 91R
2. On Census Test Day, Tuesday, May 14, was there a single set of living quarters at this address, or was there more than one?

1. None; End interview
2. One; Continue with Question 3
3. More than one; Did each have a private entrance?
   4. Yes; Go to Question 3 and complete a separate questionnaire for each dwelling
   5. No; Go to Question 3

Interviewer check item:
3. Identify person contacted.

• Family name
• Given name and initial(s)

1. Occupant
2. Neighbour
3. Superintendent or building manager
4. Other; Specify

Section III — Dwelling Occupancy Status on May 14, 2024

4. Was someone living in the dwelling on Census Test Day?

1. Yes; Continue with Question 5
2. No; Go to Question 6
3. Don't know; End interview and find another contact

• If the dwelling is now occupied but the occupancy on May 14, 2024 is unknown, check "Don't know".
• Only check "Yes" or "No" based on the occupancy on Census Test Day, Tuesday, May 14, 2024.

5. On Census Test Day, were they living in the dwelling on a temporary or occasional basis, or was it their usual home?
A temporary or occasional basis would include such things as staying at a summer home or a second home.

1. Temporary – Specify; Go to Question 15
2. Usual Home; Go to Question 17
3. Don't know; Go to Question 17

6. Is the dwelling generally occupied on a temporary or occasional basis, or is it someone's usual home?
A temporary or occasional basis would include such things as a summer home or a second home.

1. Temporary – Specify; Go to Question 15
2. Usual Home; Continue with Question 7
3. Don't know; Continue with Question 7

7. Were the usual residents temporarily away, or staying outside of Canada on Census Test Day, Tuesday, May 14?
Temporarily away includes being away on business, at a summer home, on vacation, or at school.

1. Yes – Specify; Go to Question 17
2. No; Continue with Question 8
3. Don't know; Continue with Question 8

Section IV— Interview A — Dwelling Unoccupied on May 14, 2024

8. Was anyone living in the dwelling at any time between May 1st and Census Test Day, Tuesday, May 14?

1. Yes; Continue with Question 9
2. No; Go to Question 11
3. Don't know; Go to Question 11

9. Were they living in this dwelling on a temporary or occasional basis, or was it their usual home?
A temporary or occasional basis would include such things as staying at a summer home or a second home.

1. Temporary; Go to Question 15
2. Usual home; Continue with Question 10
3. Don't know; Go to Question 11

10. Could you tell me when these former occupants moved out of the dwelling?

1. On or before May 13, 2024; Continue with Question 11
2. On or after May 14, 2024; Return to Question 4, and obtain information about the dwelling for Census Test Day. Use a new questionnaire if necessary.
3. Don't know; Continue with Question 11

Interviewer check item:
11. Is the person being interviewed an occupant of the dwelling listed in SECTION I?

1. Yes; Continue with Question 12
2. No; Go to Question 13

12. On what date did your household move into this dwelling?

1. On or before May 14, 2024; Return to Question 4, and obtain information about the dwelling for Census Test Day. Use a new questionnaire if necessary.
2. On or after May 15, 2024; Go to Question 15
3. Don’t know; Go to Question 15

13. Is someone currently living in the dwelling?

1. Yes; Continue with Question 14
2. No; Go to Question 15
3. Don't know; Go to Question 15

14. On what date did the current occupant(s) move into the dwelling?

1. On or before May 14, 2024; Return to Question 4, and obtain information about the dwelling for Census Test Day. Use a new questionnaire if necessary.
2. On or after May 15, 2024; Continue with Question 15
3. Don't know; Continue with Question 15

15. Was this dwelling suitable for year-round occupancy on Census Test Day, Tuesday, May 14?
That is, did it have a source of heat or power, and provide complete shelter from the elements?

1. Yes; Continue with Question 16
2. No; Continue with Question 16
3. Don't know; Continue with Question 16

16. Was this dwelling under construction or major renovation on Census Test Day, Tuesday, May 14?

1. Yes; End interview and complete Question 24 and Question 25
2. No; End interview and complete Question 24 and Question 25
3. Don't know; End interview and complete Question 24 and Question 25

Section V — Interview B — Dwelling Occupied on May 14, 2024

17. How many persons were living in the dwelling on Census Test Day, Tuesday, May 14?

Include:

• All persons who had their main residence at this address on May 14, 2024, including newborn babies, roommates and persons who were temporarily away,
• Canadian citizens, landed immigrants (permanent residents), persons asking for refugee status (asylum seekers), persons from another country with a work or study permit and family members living here with them,
• Persons who were staying at this address temporarily on May 14, 2024 who had no main residence elsewhere.

Exclude:

• Visitors who had their main residence elsewhere in Canada,
• Government representatives of another country or members of the Armed Forces of another country and their families,
• Residents of another country visiting Canada, for example, on a business trip or on vacation.

1. number of persons; Continue with Question 18
   If "00" persons (meaning ALL persons living in this dwelling are in the "Exclude" group) End interview and complete Question 24 and Question 25
2. Don't know; Continue with Question 18

18. When did these people move into this dwelling?

1. On or before May 14, 2024; Go to Question 21
2. On or after May 15, 2024; Continue with Question 19
3. Don't know; Go to Question 23

19. Did anyone live in the dwelling prior to these people?

1. Yes; Continue with Question 20
2. No; Return to Question 4, and obtain information about the dwelling for Census Test Day. Use a new questionnaire if necessary.
3. Don't know; Go to Question 23

20. When did these former occupants move out of this dwelling?

1. On or before May 13, 2024; Return to Question 4, and obtain information about the dwelling for Census Test Day. Use a new questionnaire if necessary
2. On or after May 14, 2024; Return to Question 17 and obtain information for the May 14 occupants
3. Don't know; Go to Question 23

21. Do these people still live in the dwelling?

1. Yes; Go to Question 23
2. No; Continue with Question 22
3. Don't know; Go to Question 23

22. When did these people move out of the dwelling?

1. On or before May 13, 2024; Return to Question 4, and obtain information about the dwelling for Census Test Day. Use a new questionnaire if necessary.
2. On or after May 14, 2024; Go to Question 23
3. Don't know; Go to Question 23

23. For each person usually living in the dwelling on Census Test Day, Tuesday, May 14, what is their approximate age?

Interviewer instructions:
Refer to Question 17 to obtain the total number of persons.
If Question 17 has no response or the number of persons is "00" or more than "06", End interview and complete Question 24 and Question 25.

1. Number of persons

Obtain the age group for each person. If the age of a person is unknown, a best guess is acceptable. If it’s unclear which category to choose, read the age groups out loud to the respondent for clarification.

End interview and complete Question 24 and 25.

Section VI — Classification of Dwelling

Interviewer:
To be completed by interviewer upon completion of interview.

24. What is the "dwelling type" of the dwelling listed in Section I? Mark one circle only.
For a list of dwelling types and their definitions refer to page 6.

1. Single-detached house
2. Semi-detached house
3. Row house
4. Apartment or flat in a duplex
5. Apartment in a building that has five or more storeys
6. Apartment in a building that has fewer than five storeys
7. Other single-attached house
8. Mobile home
9. Other movable dwelling

25. Is the dwelling listed in Section l suitable for year round occupancy?
That is, does it have a source of heat or power, and provide complete shelter from the elements?

1. Yes
2. No
3. Don't know

Section VII — Situations in the Field

Interviewer check item:
Check all that apply. Explain situations in Section VIII - Comments.

1. "No dwelling exists" or "Could not locate address" - explain the situation
2. More than one dwelling at the same address – explain the situation & write down the exact number of dwellings at this address
3. Two addresses describe the same dwelling (i.e. AD=01) – write down the SSID for each dwelling
4. Only one of the two addresses associated with the dwelling is listed on the Assignment List, Form 1B, you will conduct one interview for the entire dwelling (i.e. AD=02) – write the other address associated with the dwelling
5. Dwelling is a business or collective dwelling with a private dwelling at the address – explain the situation
6. Refusal by the occupant
7. Refusal by NON-occupant
8. Received a completed Form 2A during DCS
9. Other – explain the situation

Section VIII — Comments

(Space for comments)

Private dwelling type codes - Definitions

1. Single-detached house

A single dwelling not attached to any other dwelling or structure (except its own garage or shed).

A single-detached house has open space on all sides, and has no dwellings either above it or below it.

A mobile home fixed permanently to a foundation should be coded as a single-detached house. (See Code 8.)

2. Semi-detached house

One of two dwellings attached side by side (or back to back) to each other, but not attached to any other dwelling or structure (except its own garage or shed). A semi-detached house has no dwellings either above it or below it and the two units, together, have open space on all sides.

3. Row house

One of three or more dwellings joined side by side (or occasionally side to back), such as a townhouse or garden home, but not having any other dwellings either above it or below. If townhouses are attached to high-rise buildings, assign Code 3 to each townhouse.

4. Apartment or flat in a duplex

One of two dwellings, located one above the other. If duplexes are attached to triplexes or other duplexes or to other non-residential structures (e.g., a store), assign Code 4 to each apartment or flat in the duplexes.

5. Apartment in a building that has five or more storeys

A dwelling unit in a high-rise apartment building which has five or more storeys. Also included are apartments in a building that has five or more storeys where the first floor and/or second floor are commercial establishments.

6. Apartment in a building that has fewer than five storeys

A dwelling unit attached to other dwelling units, commercial units, or other non-residential space in a building that has fewer than five storeys.

7. Other single-attached house

A single dwelling that is attached to another building and that does not fall into any of the other categories, such as a single dwelling attached to a non-residential structure (e.g., store or church) or occasionally to another residential structure (e.g., apartment building).

8. Mobile home

A single dwelling, designed and constructed to be transported on its own chassis and capable of being moved to a new location on short notice. It may be placed temporarily on a foundation pad and may be covered by a skirt.

A mobile home must meet the following two conditions:

• It is designed and constructed to be transported on its base frame (or chassis) in one piece.
• The dwelling can be moved on short notice. This dwelling can be easily relocated to a new location, because of the nature of its construction, by disconnecting it from services, attaching it to a standard wheel assembly and moving it without resorting to significant renovations and reconstructions.

9. Other movable dwelling

A single dwelling, other than a mobile home, used as a place of residence, but capable of being moved on short notice, such as a tent, recreational vehicle, travel trailer, houseboat or floating home.

Private dwelling type codes — Chart

Is this dwelling attached to another dwelling or structure (other than its own garage or shed)?

• No
  Can this dwelling be moved on short notice?
  • No: Code 1
  • Yes
    Is this dwelling designed and constructed to be transported on its own frame (i.e., mobile home)?
    • No: Code 9
    • Yes: Code 8
• Yes
  Does this dwelling have any other dwelling(s) above or below it?
  • No
    Is this dwelling in a building that has more than two dwellings attached side by side or back to back?
    • No
      Is this dwelling attached to only one other dwelling side by side or back to back (i.e., semi-detached)?
      • No: Code 7
      • Yes: Code 2
    • Yes: Code 3
  • Yes
    Is this dwelling in a building that has five or more storeys?
    • No
      Are there exactly two dwellings in this building?
      • No: Code 6
      • Yes: Code 4
    • Yes: Code 5

Final outcome code

Preparations for the 2026 Census have begun, and Statistics Canada is seeking your participation in this important test. Census information is important for you and your community and is used to plan services that support employment, schools, public transportation and hospitals. By law, all residents living in facilities and establishments that were selected for the 2024 Census Test must be counted. The information is collected under the authority of the Statistics Act and is kept strictly confidential. The information you provide may be used by Statistics Canada for other statistical and research purposes or may be combined with other survey or administrative data sources.

Confidential when completed

Section I - Identification

• Survey Specific Identifier (SSID)
• Crew leader district (CLD)
• Block No.
• Crew leader name
• Name of collective dwelling
• Address
• Maximum occupancy
• Collective dwelling type code
• Total usual residents (URs)
• Number of private dwellings attached
• Contact name
• Contact telephone number
• Contact address
• Contact email

Complete only if final outcome code is '324' (Cancelled)

• Private dwelling
• Business or establishment that does not provide overnight accommodation
• Incorrect address
• Demolished
• Duplicate

Comments

Section 2 Collective dwelling type code and auxiliary questions

Select one collective dwelling type and answer the corresponding questions.

Hospital (10)

A1) Is this facility licensed as a hospital?

• Yes
• No

A2) What services are provided at this facility? (Mark one only.)

• Short-term care
• Long-term care
• Both short-term and long-term care

Long-term care home or residence for older adults (20)

B1) Select the most applicable:

• Long-term care home – A facility that provides 24-hour nursing care or personal care. Residents receive help for most or all daily activities.
• Residence for older adults – A facility where residents pay rent, and may pay additional fees if assisted living or support services are required. This facility does not provide 24-hour nursing or personal care e.g., retirement home or assisted living home.
• Both long-term care home and residence for older adults

Note: If no care and service is provided to residents, the facility should be enumerated as a private dwelling.

Residential care facility related to disabilities, mental health, addiction, etc. (30)

C1) Is this facility for? (Mark all that apply.)

• Primarily children or minors
• Persons with physical challenges or disabilities
• Persons with psychological disabilities
• Persons with developmental disabilities
• Persons with an addiction
• Persons with other disabilities – specify:

Shelter (40)

D1) Who is this facility for? (Mark one only.)

• Persons lacking a fixed address, such as homeless persons
• Victims of domestic violence or abuse
• Persons released from custody or on conditional release
• Refugees and asylum seekers
• Other – specify:

Correctional or custodial facility including municipal detachments (50)

E1) What type of facility is this? (Mark one only.)

• Federal correctional facility
• Provincial or territorial detention centre or custodial facility
• Young offenders' facility
• Temporary lock-up (e.g., police holding cell)

Lodging or rooming house (60)

Religious establishment (70)

Hutterite colony (80)

Establishment with temporary accommodation services (90)

F1) What type of establishment is this? (mark one only.)

• Hotel, motel or tourist establishment
• Campground or park
• Other establishment with temporary accommodation services such as a YMCA/YWCA, Ronald McDonald House or hostel

Other establishment (91)

G1) What type of establishment is this? (mark one only.)

• Residence for school or training centre
• Commercial vessel
• Government vessel
• Military base
• Work camp
• Other type of establishment

Section 3 Occupancy of residents

Complete only for collective dwelling types 60 and 8

Under the authority of the Statistics Act, Statistics Canada is hereby requesting the following information which will be used solely for statistical and research purposes and will be protected in accordance with the provisions of the Statistics Act and any other applicable law. This is a mandatory request for data.

• Youth crime and justice
  • Intensive Rehabilitative Custody and Supervision (IRCS) information

Date: February 2024

Program manager: Director, Centre for Special Business Projects
Director General, Agriculture, Energy and Environment Statistics

Reference to Personal Information Bank (PIB):

In accordance with the Privacy Act, Statistics Canada is submitting a new institutional personal information bank (PIB) to describe any personal information about individuals that work for, own or operate businesses, non-profits and other organizations as volunteers, employees, and/or primary decision-makers, collected in surveys or acquired administrative data for use in Statistics Canada's Economic and Environmental Statistics programs operating under the authority of the Statistics Act. The following PIB is proposed for review and registration as an amendment to StatCan PPU 116, Sociodemographic Information on Business Primary Decision Makers.

Sociodemographic Information on Business Owners, Primary Decision Makers, Employees and Volunteers
Description: This bank describes personal information that relates to individuals that work for, own or operate businesses, non-profits and other organizations as volunteers, employees, and/or primary decision-makers, collected in surveys or acquired administrative data for use in Statistics Canada's Economic and Environmental Statistics programs operating under the authority of the Statistics Act. Personal information may include gender, sexual and gender diversity, First Nations (North American Indian), Métis, or Inuk (Inuit), visible minority, persons with a disability, citizenship and immigration status, education and age.

Class of Individuals: Business owners, primary decision makers, employees and volunteers of non-profits and other organizations or businesses that are included in Statistics Canada's Economic and Environmental Statistics programs.

Purpose: The personal information is used to produce statistical data that help provide insight into various gaps in the economy for a variety of minority groups, and serves to inform evidence-based decisions on funding and support for specific groups of businesses, non-profits or other organizations. Personal information is collected pursuant to the Statistics Act (Sections 3, 7, 8).

Consistent Uses: When collected directly and with informed consent, identifiable sociodemographic personal information may be shared with provincial and territorial statistical agencies and other government organizations that have demonstrated a requirement to use the data, and as permitted under the provisions of Sections 11 or 12 of the Statistics Act.

Retention and Disposal Standards: Information is retained until it is no longer required for statistical purposes and then it is destroyed.

RDA Number: 2007/001

Related Record Number: To be assigned by Statistics Canada

TBS Registration: To be assigned by TBS

Bank Number: StatCan PPU 166

Description of statistical activity:

Under the authority of the Statistics Act^Footnote1, Statistics Canada will be conducting the 2023 Survey on Financing and Growth Support of Small and Medium Enterprises (SFGSME), which will be the 10th cycle since 1999.

Funded by federal and provincial government bodies such as Innovation, Science and Economic Development Canada (ISED), Business Development Bank of Canada (BDC), Global Affairs Canada (GAC), and Export Development Canada (EDC), the SFGSME will be collected every three years and is designed to determine the types of financing used by small and medium enterprises^Footnote2. The data collected through this voluntary business survey will be used to produce statistical information on the characteristics and financing activities of small and medium enterprises, including the sociodemographic composition of their owners and primary decision makers.

Specifically, the 2023 SFGSME will ask new questions (marked "(new)" below) about the sociodemographic characteristics of both the primary decision maker^Footnote3 and ownership of the enterprise, in addition to the continued collection of sociodemographic information collected in previous cycles, including:

• Primary Decision Maker:
  • Role
  • Age
  • Education
  • Language learned at home
  • Years of experience in managing or owning a business
  • Years residing in Canada
  • Place of birth
• Ownership (percentage only):
  • Women
  • Non-binary persons (new)
  • Indigenous persons
  • Persons from a visible minority group other than Indigenous persons
  • Persons with a disability
  • Members of the same family
  • Persons who are 2SLGBTQ+ (new)

Majority ownership will be attributed to enterprises for which the share of ownership belonging to a particular demographic is greater than 50 percent.

The respondent will be instructed that the questionnaire should be completed by the owner or a person knowledgeable about the business operations (e.g., president, chairperson of the board of director, or general manager) who would be able to report on the financing activities and characteristics of the enterprise. In some cases, the respondent for the organization might not be the owner or primary decision maker, and may not have the requested information about their sociodemographic characteristics. As such, all sociodemographic questions include the response options, "Prefer not to say" and "Don't know" and the respondent is instructed to answer these questions to the best of their knowledge.

Reason for supplement:

While the Generic Privacy Impact Assessment (PIA) addresses most of the privacy and security risks related to statistical activities conducted by Statistics Canada, this supplement was conducted due to the combination of potentially sensitive sociodemographic information about owners and primary decision makers of businesses, such as sexual and gender diversity, Indigenous identity, ethnicity, and disability, that may be collected by proxy from the business survey respondent. As is the case with all PIAs, Statistics Canada's privacy framework ensures that elements of privacy protection and privacy controls are documented and applied.

Necessity and Proportionality

The collection and use of personal information for the SFGSME can be justified against Statistics Canada's Necessity and Proportionality Framework:

1. Necessity: Sociodemographic information is required to address the need for more disaggregated data on the characteristics of owners and primary decision makers in small and medium Canadian enterprises. Some of the need for this data is attributed to programs that aim to support strategies for these underrepresented populations.

Questions on women ownership contribute to an understanding of the gender disparities associated to financing outcomes in Small and Medium Enterprises (SMEs). For example, the information collected by SFGSME on financing for women-owned businesses provides valuable data that supports the Women Entrepreneurship Strategy (WES) and its goal in increasing women-owned business's access to financing, networks and expertise they need to start up, scale up and access new markets. The Women Entrepreneurship Strategy includes gender equality programs that support women-owned businesses, such as the Women Entrepreneurship Loan Fund, WES Ecosystem Fund and, WES Inclusive Women Venture Capital Initiative.

Questions on 2SLGBTQ+ and non-binary persons ownership provide a comprehensive view of the socio demographic populations of SMEs and provide insights on their financing activities to support programs such as the 2SLGBTQI+ Entrepreneurship Program, which invests in entrepreneurs who identify as 2SLGBTQI+ and helps address systemic barriers in starting and growing their business.

Questions on ownership by indigenous and other visible minorities support the understanding of financing activities to these underrepresented populations. SFGSME provides valuable insights to programs that aim to provide access to capital, financing, and business opportunities to Indigenous-owned businesses such as the Indigenous Entrepreneur Startup Program and the Aboriginal Entrepreneurship Program, and to black Canadian business owners through the Black Entrepreneurship Program.

Questions on ownership by persons with disabilities provides programs such as the Entrepreneurs with Disabilities Program with data on the characteristics on financing for this population and supports decision making when allocating financial capital in facilitating entrepreneurs with disabilities with access to a network of business professionals, services, and other resources.
Questions on ownership by members of the same family contribute to the understanding of decision-making process in family entrepreneurship as the economic behaviour these businesses may differ from other SMEs in regard to growth activities, sources of funding, and succession planning.

Notably, Innovation, Science and Economic Development Canada is expected to use the aggregated and non-identifiable information produced by the SFGSME to study the availability of financing to SMEs and recommend policy changes to assist businesses. Other government departments are expected to use this information to develop national and regional programs and for policy planning. Businesses are expected to use this information for market analysis or to compare the performance of the enterprise with the performance of enterprise of a similar size within the same industry. Industry associations are expected to use the information for industry performance measurement and market development, and suppliers of financing for SMEs are expected to use the information to determine gaps in their services.

Ultimately, the sociodemographic information will help policymakers address potential inequalities and disparities that disproportionately affect underrepresented population groups; it will be critical to support evidence-based program evaluation, and continued evidence-based development of the programs highlighted above and beyond, and may lead to the potential development of new program streams geared towards specific groups of entrepreneurs.

Some examples of reports and studies undertaken using SFGSME data on SMEs Ownership demographics completed by ISED or Statistics Canada include:

• Financing of women-owned small and medium-sized enterprises in Canada
• A Comparison of the Performance of Female-Owned and Male-Owned Small and Medium-Sized Enterprises (canada.ca)
• SME Profile: Ownership demographics statistics 2022 (canada.ca)
• SME Profile: Ownership demographics statistics (canada.ca)

2. Effectiveness - Working assumptions: The questions requesting the sociodemographic information were drafted in collaboration with Statistics Canada's Harmonized Content^Footnote4 team to meet the needs of this business survey. These questions are designed to collect information on ownership and primary decision maker characteristics that can lead to the production of statistical information to gain better insights on the experiences of various population groups.

Although the sociodemographic information about the primary decision maker will be associated with an identifiable individual, the information about the ownership will only request the percentage of owners that identify as women, non-binary, 2SLGBTQ+, Indigenous, various racialized groups, members of the same family, and people living with disabilities in order to disaggregate data related to Canadian businesses whose owners belong to underrepresented groups. As such, the effectiveness of the information about owners may be limited, as it may be a proxy response, for which the accuracy cannot be validated^Footnote5.

3. Proportionality: Without the collection of the sociodemographic information, data gaps in the profiles of business owners and primary decision makers and their financing activities may persist, leaving policymakers without the information required to make effective policies. Collecting this data allows for participation monitoring in order to create baseline metrics of participation by underrepresented groups, which will be used to better understand their participation in Canadian enterprises. This, in turn, is expected to lead to the implementation of evidence-based policies in the financial environment and encourage further participation of underrepresented population groups.

Many of the programs that will use this aggregated and non-identifiable information will do so with the aim of addressing inequalities and disparities affecting underrepresented population groups, allowing for more widespread and equitable participation in enterprise financing opportunities across all population groups, fostering future generations of entrepreneurs and business owners to provide Canada with a robust network of diverse enterprises. As such, the collection of the new sociodemographic information is considered proportional to the potential benefits.

4. Alternatives: Direct collection from the individuals in the organization through additional screening questions. While understanding the privacy principle of direct collection, wherein personal information should be collected directly from the individual, in this statistical non-administrative context, ensuring direct collection will limit the response rate and compromise the program's ability to produce statistics about these minority groups that comply with Statistics Canada's quality guidelines. Additionally, this method is more burdensome on survey respondents, as it would necessitate the added collection of information about each of the owners when there is more than one, whereas the planned collection only requests the sociodemographic characteristics of owners by percent.

Linking the sociodemographic variables from other surveys or administrative files. Statistics Canada's only linkable dataset that contains these types of variables is the Census of Population, and only a portion of Canadians were asked to respond to the long-form questionnaire where these questions were asked. As such, the linkage rate would similarly be too low to meet Statistics Canada's quality guidelines.

As such, the selected method was identified as being the most efficient way to meet the need for the sociodemographic information while remaining the least privacy intrusive, as only the minimal amount of identifiable information is being collected.

Mitigation factors:

The overall risk of harm to the survey respondents has been deemed acceptable with existing Statistics Canada safeguards that are described in Statistics Canada's Generic Privacy Impact Assessment, such as the following measures:

• Statistics Canada does not publish any information that could allow the identification of any individuals. Additional suppressions will be performed on outputs to ensure any risk of re-identifiability is mitigated.
• Respondents have the option not to participate in the survey and can select the response "Don't know" or "Prefer not to answer" for all questions about aggregate sociodemographic characteristics of owner(s) in their organization.As such, the respondent may choose to answer these questions to the best of their knowledge or not.
• Sociodemographic information is collected only in the context of the business. Statistics Canada will not attempt to re-identify any individuals from the personal information collected.
• Information will be disseminated at the business level only (i.e., results will pertain to businesses owned by different sociodemographic groups, not about the sociodemographic groups themselves).
• Respondents are informed that they may provide the information but request that their survey responses not be shared outside of Statistics Canada by mailing a written letter of objection to the Chief Statistician of Canada specifying the organization(s) with which they do not want Statistics Canada to share their data, in which case their responses will be withheld from data sharing with the specified organization(s).^Footnote6

Conclusion:

This assessment concludes that the overall risk of harm to the survey respondents or other data subjects has been deemed acceptable with the identified mitigations and existing Statistics Canada safeguards described in Statistics Canada's Generic Privacy Impact Assessment

Getting started

Why are we conducting this survey?

Thank you for taking the time to participate in the 2024 Census Test. The information you provide is converted into statistics used by communities, businesses, and governments to plan services and make informed decisions about employment, schools, public transportation and hospitals.

Preparations for the 2026 Census have begun, and Statistics Canada is seeking your participation in this important test.

The answers are collected under the authority of the Statistics Act and kept strictly confidential. By law, every facility and establishment must complete a 2024 Census Test questionnaire.

Statistics Canada makes use of existing sources of information such as immigration, income tax and benefits data to ensure the least amount of burden is placed on respondents.

The information that you provide may be used by Statistics Canada for other statistical and research purposes or may be combined with other survey or administrative data sources.

Make sure you count the residents into Canada's statistical portrait, and complete the census test questionnaire today.

Thank you.

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

All responses and personal information are strictly confidential and protected by law. The information provided cannot be given to anyone outside of Statistics Canada without your consent. Statistics Canada will use this information from this survey for statistical purposes only.

Record linkages

The information provided may be used by Statistics Canada for other statistical and research purposes or may be combined with other surveys or administrative data sources.

Facility and contact information

1. Verify or provide the facility name and correct where needed.

• Facility name

2. Is this the civic address of this facility?

Note: If the address below is missing or incomplete, please answer "No" and provide the complete address.

• Yes
• No
  • Please enter the correct civic address of this facility.
    • Civic Number
    • Suffix
    • Street Name
    • Type
    • Direction
    • City
    • Province/territory

3. Verify or provide the following information of the designated contact person for this facility and correct where needed.

Note: The designated contact person is the person who should receive this questionnaire, but 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 (Zone Improvement Plan) code
  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)

Dwelling type definitions

The 2024 Census Test for the Census of Population counts people living in both Collective and Private Dwellings. This questionnaire will ask for information about persons residing at this facility, as well as any persons living in Private Dwellings that share the same civic address as this facility.

A Collective Dwelling is a dwelling of a commercial, institutional, or communal nature in which a person or group of persons reside or could reside. The Collective Dwelling must provide care or service, or common facilities shared by the occupants, such as a kitchen, dining room or bathroom. Examples include long-term care homes, residences for older adults, lodging or rooming houses, correctional facilities, group homes, hotels, motels, tourist establishments, hospitals, staff residences, military bases, and work camps.

A Private Dwelling is a separate set of living quarters that shares the same civic address as the Collective Dwelling but has a different apartment or unit number. The Private Dwelling must have a private entrance from either outside the building or from a common hall, lobby, vestibule, or stairway inside the building and cannot be accessed through another person's living quarters.

Residents of the dwelling do not receive any care or services provided by the facility.

Collective Dwelling types

1. Which of the following best describes this facility?

• Hospital
  • If selected, go to Question 4.
    • Is this facility licensed as a hospital?
      • Yes
      • No
• Long-term care home or residence for older adults
  • Select the most applicable:
    • Long-term care home

      A facility that provides 24-hour nursing care or personal care. Residents receive help for most or all daily activities.

    • Residence for older adults

      A facility where residents pay rent, and may pay additional fees if assisted living or support services are required. This facility does not provide 24-hour nursing or personal care e.g., retirement home or assisted living home.

    • Both long-term care home and residence for older adults
    • No care or services are provided to residents
      • If selected, go to Question 6.
• Residential care facility, related to disabilities, mental health, addiction, etc.
  • This facility is for:
    Select all that apply.
    • Primarily children or minors
    • Persons with psychological disabilities
    • Persons with an addiction
    • Persons with physical challenges or disabilities
    • Persons with developmental disabilities
    • Persons with other disabilities
      • Specify
• Shelter
  • This facility is primarily for:
    • Persons lacking a fixed address, such as homeless persons
    • Persons released from custody or on conditional release
    • Victims of domestic violence or abuse
    • Refugees and asylum seekers
    • Other
      • Specify
• Correctional or custodial facility including municipal detachments
  • What type of facility is this?
    • Young offenders' facility
    • Temporary lock-up (e.g., police holding cell)
    • Provincial or territorial detention centre, or custodial facility
    • Federal correctional facility
• Lodging or rooming house
  • If selected, exit survey.
• Religious establishment
• Hutterite colony
  • If selected, exit survey.
• Establishment with temporary accommodation services
  • What type of establishment is this?
    • Hotel, motel or tourist establishment
    • Campground or park
    • Other establishment with temporary accommodation services such as a YMCA/YWCA, Ronald McDonald House or hostel
• Other establishment
  • What type of establishment is this?
    • Residence for school or training centre
    • Military base
    • Commercial vessel
    • Work camp
    • Government vessel
    • Other type of establishment
• None of the above
  • If selected, go to Question 2.

Go to Question 5, unless otherwise specified.

You previously selected "None of the above". The following questions will help determine if this establishment should be included in this questionnaire or not.

2. Does this establishment allow for a person or a group of persons to stay overnight?

• Yes
  • Does this establishment provide care, service, or shared amenities?

    Include any medical service, health care or personal care that is provided by the facility. Shared amenities include access to a common kitchen, dining room or bathroom.
    Exclude services not provided by the establishment (e.g., Uber, SkipTheDishes, Hello Fresh, etc.).

    • Yes
    • No
      • If no, go to Question 6.
• No
  • If no, go to Question 6.

3. Based on the answers provided, this facility must be included in the 2024 Census Test. Which of the following options best describes the primary purpose of this facility?

• Hospital
  • If selected, go to Q4.
    • Is this facility licensed as a hospital?
      • Yes
      • No
• Long-term care home or residence for older adults
  • Select the most applicable:
    • Long-term care home

      A facility that provides 24-hour nursing care or personal care. Residents receive help for most or all daily activities.

    • Residence for older adults

      A facility where residents pay rent, and may pay additional fees if assisted living or support services are required. This facility does not provide 24-hour nursing or personal care e.g., retirement home or assisted living home.

    • Both long-term care home and residence for older adults
• Residential care facility, related to disabilities, mental health, addiction, etc.
  • This facility is for:
    Select all that apply.
    • Primarily children or minors
    • Persons with psychological disabilities
    • Persons with an addiction
    • Persons with physical challenges or disabilities
    • Persons with developmental disabilities
    • Persons with other disabilities
      • Specify
• Shelter
  • This facility is primarily for:
    • Persons lacking a fixed address, such as homeless persons
    • Persons released from custody or on conditional release
    • Victims of domestic violence or abuse
    • Refugees and asylum seekers
    • Other
      • Specify
• Correctional or custodial facility including municipal detachments
  • What type of facility is this?
    • Young offenders' facility
    • Temporary lock-up (e.g., police holding cell)
    • Provincial or territorial detention centre, or custodial facility
    • Federal correctional facility
• Lodging or rooming house
  • If selected, exit survey.
• Religious establishment
• Hutterite colony
  • If selected, exit survey.
• Establishment with temporary accommodation services
  • What type of establishment is this?
    • Hotel, motel or tourist establishment
    • Campground or park
    • Other establishment with temporary accommodation services such as a YMCA/YWCA, Ronald McDonald House or hostel
• Other establishment
  • What type of establishment is this?
    • Residence for school or training centre
    • Military base
    • Commercial vessel
    • Work camp
    • Government vessel
    • Other type of establishment
      • Specify
• Go to Q5, unless otherwise specified.

4. What services are provided at this hospital?

• Short-term care
• Long-term acute care
  • Is there also a care home for older adults at this facility?
    • Yes
    • No
• Both short-term care and long-term acute care
  • Is there also a care home for older adults at this facility?
    • Yes
    • No

Maximum capacity

5. What is the maximum number of persons who could stay overnight?

If the number of persons is unknown, enter your best estimate.

• Maximum number
  • If 0, go to Question 6.
• Go to Question 7, unless otherwise specified.

Operation status

6. Based on the answers provided, this establishment either does not allow for persons to stay overnight or does not provide care, service, nor shared amenities and as a result does not meet the requirements for this questionnaire.

Select the option that best describes the operational status.

• Seasonal operations
  • When did this establishment close for the season?

    Example: YYYY-MM-DD

  • When does this establishment expect to resume operations?

    Example: YYYY-MM-DD

• Temporarily inactive
  • When did this establishment become temporarily inactive?

    Example: YYYY-MM-DD

  • When does this establishment expect to resume operations?

    Example: YYYY-MM-DD

  • Why is this establishment temporarily inactive?
• Ceased operations
  • When did this establishment cease operations?

    Example: YYYY-MM-DD

  • Why did this establishment cease operations?
    • Bankruptcy
    • Liquidation
    • Dissolution
    • Other
      • Specify the other reasons why operations ceased
• Private dwelling
  • When did this establishment become a private dwelling?

    Example: YYYY-MM-DD

• Other
  • Specify
• Go to Question 26, unless otherwise specified.

Resident information

The census counts people at the place where they usually live.

7. How many persons live at this facility and consider it to be their main residence?

Include persons:

• whose main residence is at this facility, even if they are temporarily away
• who do not have a residence elsewhere
• who have been living at this facility for more than six months (i.e., moved in or were admitted before November 14, 2023)
• who are live-in employees (e.g., staff, managers, and owners).

Exclude persons:

• who live in a private dwelling attached to this facility
• who are residents of another country visiting Canada.

• Number of persons
  • If 0, go to Question 8.
  • If greater than 20, go to Question 9.
  • If 1 to 20, go to Question 10.

8. Is there anyone staying at this address temporarily and has their main residence elsewhere?

• Yes
• No
• Go to Question 24, unless otherwise specified.

To complete the 2024 Census Test, Statistics Canada requires that you provide the following information for the residents who live at this facility.

This information includes:

• first name and last name
• date of birth, gender, and sex at birth
• legal marital status
• person living with a partner
• languages.

By law, residents living in facilities and establishments that were selected for the 2024 Census Test must be counted. Participation is required under the authority of the Statistics Act. The administrator of the Collective Dwelling is required to provide the information and Statistics Canada is authorized to collect it. The information are collected under the authority of the Statistics Act and are kept strictly confidential.

9. How will you provide this information for each resident?

• Electronic questionnaire

  Provide the information for each resident online

• Template provided by Statistics Canada

  Provide the residents’ information in the downloadable Collective Template (Excel, 87 KB)

  • If selected, go to Question 23.
• This facility's administrative records

  Attach your facility's records that contains the residents' information

  • If selected, go to Question 23.

10. List the persons whose main residence is at this facility.

• First name
• Last name

After 2 hours of inactivity, the session will time out and the information may not be accessible. If the questionnaire cannot be completed in one session, save the information by pressing the Save and finish later button at the bottom left of any page when prompted to enter information. The session can be resumed at another time.

11. Select from the options below to provide information about each resident.

12. What is this person's unit or room number?

• Unit/room number

Demographic information

13. What is this person's date of birth?

If exact date is not known, enter best estimate.

• Day
• Month
• Year

Example: 1974

14. What is this person's gender?

Gender refers to an individual's personal and social identity as a man (or a boy), woman (or a girl), or a person who is not exclusively a man (or a boy) or a woman (or a girl), for example, non-binary, agender, gender fluid, queer, or Two-Spirit.

• Man or boy
• Woman or girl
• Non-binary person

15. What was this person's 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

16. What is this person's status at this facility?

• Resident (e.g., client, tenant, patient)
• Roommate, lodger or boarder
• Employee (e.g., staff, manager, owner)
• Employee's family member
• Other status
  • Specify other status

17. What is the relationship between this person and any other persons living in the same unit or room?

• Lives alone
• Lives with a spouse or partner
• Lives with others, excluding spouse or partner

18. What is this person's marital status?

• Never legally married
• Legally married (and not separated)
• Separated, but still legally married
• Divorced
• Widowed

19. Is this person living with a partner?

Living with a partner refers to two people who live together as a couple and who are not married, regardless of the duration of the relationship.

• Yes
• No

Languages for this person

20. Can this person speak English or French well enough to conduct a conversation?

• English only
• French only
• Both English and French
• Neither English nor French

21 a. What language(s) does this person speak on a regular basis at home?

• English
• French
• Other language(s)
  • Specify language 1
  • Specify language 2
  • Specify language 3
  • Specify any other language(s)

21 b. Of these languages, which one does this person speak most often at home?

Indicate more than one language only if they are spoken equally at home.

• English
• French
• Other language
  • Specify language based on answers given to question 21 a

22. What is the language that this person first learned at home in childhood and still understands?

If the person no longer understands the first language learned, indicate the second language learned.

• English
• French
• Other language
  • Specify other language

File containing information about residents

After 2 hours of inactivity, the session will time out and the information may not be accessible. If the questionnaire cannot be completed in one session, save the information by pressing the Save and finish later button at the bottom left of any page when prompted to enter information. The session can be resumed at another time.

23. Provide the information for all residents whose main residence is at this facility using the template.

Select the link to download the Collective Template (Excel, 87 KB), then provide the information about the residents. Save the template and attach below.

To attach files

• Press the Attach files button.
• Choose the file to attach. Multiple files can be attached.

Note

• Each file must not exceed 5 MB.
• The attachments combined must not exceed 50 MB.
• The name and size of each file attached will be displayed on the page.

Private Dwellings at this facility

As part of the Canadian Census of Population, Statistics Canada is also collecting information about Private Dwellings that share the same address as your facility.

A Private Dwelling:

• is a separate set of living quarters that shares the same civic address as the collective dwelling but has a different apartment or unit number
• must have a private entrance from either outside the building or from a common hall, lobby, vestibule, or stairway inside the building and cannot be accessed through another person's living quarters.

Residents of the Private Dwelling do not receive any care or services provided by the facility.

24. Are there any Private Dwellings that share this address with this facility?

• Yes
  • Number of dwellings
  • If 0, go to Question 26.
• No
• If no, go to Question 26.

25. Provide the information for each Private Dwelling.

• Unit/Apartment number

  Is this dwelling occupied or unoccupied?

  • Occupied
    • Number of occupants
  • Unoccupied

Feedback

26. Do you have any comments about this questionnaire?

Please use this section if you have concerns, suggestions or comments to make about

• the steps to follow or the content of this questionnaire (e.g., a question that was difficult to understand or to answer)
• the characteristics of the online questionnaire (e.g., the navigation, the online help, the design, the format, the size of the text)
• any technical issues encountered.
  • Enter your comments

Français au verso

• Prov.
• CD
• CU
• VR line No.
• CLD
• Questionnaire No.
• FR
• UR
• EM
• TR

Complete your census questionnaire:

• Please print using CAPITAL LETTERS.
• Mark circles with "x".

Any questions?

• www.census.gc.ca
• Call us free of charge at 1-833-835-2024
• TTY: 1-833-830-3109

Confidential when completed

This information is collected under the authority of the Statistics Act, R.S.C. 1985, c. S-19.

Step A

1. What is your telephone number?

• Ext.

2. What is the address where you received this questionnaire?

• Number (and suffix, if applicable)
  (e.g., 302, 151 B, 16 1/2)
• Street name, street type (e.g., DR = Drive), direction (e.g., N = North)
• Apartment, unit or room
• City, municipality, town, village or First Nations reserve
• Province or territory
• Postal code

3. What is the mailing address of this dwelling, if different from above?
(e.g., Rural Route, PO Box, General Delivery)

Step B

What is your name?

• Family name(s)
• Given name(s)

The following questions refer to your situation on May 14, 2024.

Step C

If you are:

• a Canadian citizen
• a landed immigrant (permanent resident)
• a person who has claimed refugee status (asylum seeker) in Canada or their family member
• a person from another country with a work or study permit or their family member

Continue with step D

If you are:

• a resident of another country visiting Canada, for example, on vacation or on a business trip
• a government representative of another country

Mark "x" the circle
STOP HERE and see instructions in step E on page 6.

Step D

Is this your main residence?

• Yes
  • Continue with question 1. a) on the next page
• No, but I have no other residence in Canada
  • Continue with question 1. a) on the next page
• No, it is somewhere else in Canada
  • Specify complete address
    • Number (and suffix, if applicable) (e.g., 302, 151 B, 16 1/2)
    • Street name, street type (e.g., DR = Drive), direction (e.g., N = North)
    • Apartment, unit or room
    • City, municipality, town, village or First Nations reserve
    • Province or territory
    • Postal code
    • Telephone number

STOP HERE.

You should be included on the household questionnaire for the above address. See instructions in step E on page 6.

1. a) Is there any other address in Canada where someone may include you on the census form for that household?

For example, at the home of a parent, relative or friend, or a place where you live while working, or a vacation home.

• No
  • Go to question 2.
• Yes
  • Specify complete address
    • Number (and suffix, if applicable) (e.g., 302, 151 B, 16 1/2)
    • Street name, street type (e.g., DR = Drive), direction (e.g., N = North)
    • Apartment or unit
    • City, municipality, town, village or First Nations reserve
    • Province or territory
    • Postal code
    • Telephone number

1. b) Please give the name of another adult (if any) living at this other address.

• Family name(s)
• Given name(s)
• No other adult

2. What are your date of birth and age?

If exact date of birth is not known, enter best estimate. For children less than 1 year old, enter 0 for age.

• Day
• Month
• Year
• Age

3. What is your gender?

Gender refers to an individual's personal and social identity as a man (or a boy), a woman (or a girl), or a person who is not exclusively a man (or a boy) or a woman (or a girl), for example, non-binary, agender, gender fluid, queer or Two-Spirit.

• Man or boy
• Woman or girl
• Non-binary person

4. 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

5. What is your status here (at the address you entered on the front cover)?

Mark "x" or specify one response only.

• Resident (e.g., client, tenant, patient)
• Roommate, lodger or boarder
• Employee (e.g., staff, manager, owner)
• Employee's family member
• Other status — specify:

6. What is your marital status?

Mark "x" one circle only.

• Never legally married
• Legally married (and not separated)
• Separated, but still legally married
• Divorced
• Widowed

7. Are you living with a partner?

Living with a partner refers to two people who live together as a couple and who are not married, regardless of the duration of the relationship.

• Yes
• No

8. Can you speak English or French well enough to conduct a conversation?

Mark "x" one circle only.

• English only
• French only
• Both English and French
• Neither English nor French

9. a) What language(s) do you speak on a regular basis at home?

• English
• French
• Other language(s) — specify:

If you indicate only one language in question 9. a), go to question 10.

9. b) Of these languages, which one do you speak most often at home?

Indicate more than one language only if they are spoken equally at home.

• English
• French
• Other language — specify:

10. What is the language that you first learned at home in childhood and still understand?

If this person no longer understands the first language learned, indicate the second language learned.

• English
• French
• Other language — specify:

The following questions collect information in accordance with the Canadian Charter of Rights and Freedoms to support education programs in English and French in Canada.

11. Is this dwelling located in Quebec?

• No
  • Continue with question 12.
• Yes
  • Go to question 15.

12. Did you do any of your primary or secondary schooling in French in Canada (including immersion)?

Mark "x" one circle only.

• Yes (previously or currently attending)
• No
  • Go to step E

13. In which type of program was this schooling in French done?

• A regular French program in a French-language school
• A French immersion program in an English-language school
  • Go to step E
• Both types of programs
• Other program — specify:

14. For how many years did you attend a regular French program in a French-language school in Canada?

• Number of years in primary schooling (including kindergarten and middle school)
  • Number of years
    • Go to step E
• Number of years in secondary schooling
  • Number of years
    • Go to step E

15. Did you do any of your primary or secondary schooling in an English-language school in Canada (including French immersion)?

Mark "x" one circle only.

• Yes (previously or currently attending)
• No
  • Go to step E

16. For how many years did you do your schooling in an English-language school in Canada (including French immersion)?

• Number of years in primary schooling (including kindergarten)
  • Number of years
• Number of years in secondary schooling
  • Number of years

Step E

You have now completed your questionnaire.

Please see instructions on the envelope.

Thank you for your cooperation.

The law protects what you tell us

The confidentiality of your responses is protected by law. All Statistics Canada employees have taken an oath of secrecy. Your personal information cannot be given to anyone outside Statistics Canada without your consent. This is your right.

Reasons why we ask the questions

Steps A to D and question 1 are used to collect contact information and determine who should be included on the questionnaire. They help us ensure that we have counted everyone we need to count and that no one is counted twice.

Questions 2 to 7 provide information about the demographic characteristics of people in Canada. This information is used by all levels of government to make important decisions, such as planning community services and social programs, including Old Age Security and the Canada Child Benefit. It is also used by municipalities to plan a variety of services, such as child care, schools, hospitals and emergency services.

Questions 8 to 10 are used to provide a profile of the linguistic diversity of Canada's population. This information is used to estimate the need for services in English and French, and to better understand the current state and the evolution of Canada's various language groups, including official languages, Indigenous languages and other non-official languages.

Questions 11 to 16 collect information in accordance with the Canadian Charter of Rights and Freedoms to support education programs in English and French in Canada.

Comments

Please use the space provided below if you have concerns, suggestions or comments to make about:

• the steps to follow or the content of this questionnaire (for example, a question that was difficult to understand or to answer)
• the characteristics of the questionnaire (for example, the design, the format, the size of the text).

Complete online: www.census.gc.ca

Ce questionnaire est disponible en français (1-833-739-2024)

Secure access code

• Prov.
• CD
• CU
• VR line No.
• CLD
• Forms 3
• Questionnaire No.

Complete your census questionnaire:

• Online: at www.census.gc.ca by using the secure access code printed above.
• or
  • On paper: please print using CAPITAL LETTERS.

Any questions?

• www.census.gc.ca
• Call us free of charge at 1-833-835-2024
• TTY: 1-833-830-3109

Confidential when completed

This information is collected under the authority of the Statistics Act, R.S.C. 1985, c. S-19.

Step A

1. What is your telephone number?

2. What is the address of this dwelling?

• Number (and suffix, if applicable)
  (e.g., 302, 151 B, 16 1/2)
• Street name, street type (e.g., DR = Drive), direction (e.g., N = North)
• Apartment or unit
• City, municipality, town, village or First Nations reserve
• Province or territory
• Postal code

3. What is the mailing address of this dwelling, if different from above?

(e.g., Rural Route, PO Box, General Delivery)

Step B

1. Including yourself, how many persons usually live at this address on May 14, 2024?

Include: all persons who have their main residence at this address, even if they are temporarily away.

See the instructions on page 3 (joint custody, students, landed immigrants, secondary residence, etc.).

• Number of persons

2. Including yourself, list all persons who usually live here on May 14, 2024.

Important: Begin the list with an adult followed, if applicable, by that person's spouse or partner and by their children. Continue with all other persons who usually live at this address.

• Person 1: Family name(s), Given name(s)
• Person 2: Family name(s), Given name(s)
• Person 3: Family name(s), Given name(s)
• Person 4: Family name(s), Given name(s)
• Person 5: Family name(s), Given name(s)
• Person 6: Family name(s), Given name(s)
• Person 7: Family name(s), Given name(s)
• Person 8: Family name(s), Given name(s)
• Person 9: Family name(s), Given name(s)
• Person 10: Family name(s), Given name(s)

Step C

Did you leave anyone out of step B because you were not sure the person should be listed?

For example, a student, a child in joint custody, a person temporarily away, a person who lives here temporarily, a resident from another country with a work or study permit, a refugee claimant, etc.

• No
• Yes
  • Please refer to the instructions on page 3 to determine if this person should be listed.
    If they should be listed, please add them to step B.

Step D

Copy the names in step B to question 1, at the top of page 4.

Keep the same order.

If more than six persons live here, you will need an extra questionnaire; call 1-833-739-2024.

1. Whom to include in Step B
   • All persons who have their main residence at this address on May 14, 2024, including newborn babies, roommates and persons who are temporarily away
   • Canadian citizens, landed immigrants (permanent residents), persons who have claimed refugee status (asylum seekers), persons from another country with a work or study permit and family members living here with them
   • Persons staying at this address temporarily on May 14, 2024 who have no main residence elsewhere.
2. Where to include persons with more than one residence
   • Children in joint custody should be included in the home of the parent where they live most of the time. Children who spend equal time with each parent should be included in the home of the parent with whom they are staying on May 14, 2024.
   • Students who return to live with their parents during the year should be included at their parents' address, even if they live elsewhere while attending school or working at a summer job.
   • Spouses or partners temporarily away who stay elsewhere while working or studying should be listed at the main residence of their family, if they return periodically.
   • Persons in an institution for less than six months (for example, in a home for the aged, a hospital or a prison) should be listed at their usual residence.

If this address is:

• a secondary residence (for example, a cottage) for all persons who stayed here on May 14, 2024 (all these persons have their main residence elsewhere in Canada), mark this circle. Print your name and your telephone number. Do not answer other questions.
• a dwelling occupied only by residents of another country visiting Canada (for example, on vacation or on a business trip), mark this circle. Print your name and your telephone number. Do not answer other questions.
• the home of a government representative of another country (for example, an embassy or a high commission) and family members, mark this circle. Print your name and your telephone number. Do not answer other questions.

• Name
• Telephone number

Mail this questionnaire in the enclosed envelope today.

1. Name

In the spaces provided, copy the names in the same order as in step B. Then answer the following questions for each person.

Person 1

• Family name
• Given name

The following questions refer to each person's situation on May 14, 2024, unless otherwise specified.

2. What are this person's date of birth and age?

If exact date of birth is not known, enter best estimate. For children less than 1 year old, enter 0 for age.

• Day
• Month
• Year
• Age

3. What is this person's gender?

Gender refers to an individual's personal and social identity as a man (or a boy), a woman (or a girl), or a person who is not exclusively a man (or a boy) or a woman (or a girl), for example, non-binary, agender, gender fluid, queer or Two-Spirit.

• Man (boy)
• Woman (girl)
• Or please specify this person's gender:

4. What was this person's 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

5. What is the relationship of this person to Person 1?

Cohabiting refers to two people who live together as a couple and who are not married, regardless of the duration of the relationship.

Person 1

• No answer required for Person 1

Person 2

• Married spouse of Person 1
• Cohabiting partner of Person 1
• Child of Person 1 and another person living at this address
• Child of Person 1 only (mark if no other legal parent of this person lives at this address)
• Stepchild of Person 1
• Parent of Person 1
• Grandchild of Person 1
• Spouse or partner of child of Person 1
• Parent of spouse or partner of Person 1
• Sibling of Person 1
• Foster child of Person 1
• Roommate, lodger or boarder of Person 1
• Other relationship — specify:

Persons 3-6

• Married spouse of Person 1
• Cohabiting partner of Person 1
• Child of Person 1 and Person 2
• Child of Person 1 and another person living at this address
• Child of Person 1 only (mark if no other legal parent of this person lives at this address)
• Stepchild of Person 1
• Parent of Person 1
• Grandchild of Person 1
• Spouse or partner of child of Person 1
• Parent of spouse or partner of Person 1
• Sibling of Person 1
• Foster child of Person 1
• Roommate, lodger or boarder of Person 1
• Other relationship — specify:

Questions 6. and 7. are asked only for persons aged 15 years and older (born before May 14, 2009).

6. Is this person currently married or living with a partner?

If this person is widowed, divorced, legally separated or in the process of legally separating from their married spouse, and has not repartnered, mark "No".

Living with a partner refers to two people who live together as a couple and who are not married, regardless of the duration of the relationship.

• No
• Yes, currently married
  • Go to question 8.
• Yes, currently living with a partner

7. a) Has this person ever been married?

• No
  • Go to question 8.
• Yes

7. b) Is this person separated, divorced or widowed from their most recent marriage?

• Separated but still married
• Divorced
• Widowed

8. Can this person speak English or French well enough to conduct a conversation?

Mark "x" one circle only.

• English only
• French only
• Both English and French
• Neither English nor French

9. a) What language(s) does this person speak on a regular basis at home?

• English
• French
• Other language(s) — specify:

If this person indicates only one language in question 9. a), go to question 10.

9. b) Of these languages, which one does this person speak most often at home?

Indicate more than one language only if they are spoken equally at home.

• English
• French
• Other language — specify:

10. What is the language that this person first learned at home in childhood and still understands?

If this person no longer understands the first language learned, indicate the second language learned.

• English
• French
• Other language — specify:

The following questions collect information in accordance with the Canadian Charter of Rights and Freedoms to support education programs in English and French in Canada.

11. Is this dwelling located in Quebec?

• No
  • Continue with question 12.
• Yes
  • Go to question 15.

12. Did this person do any of their primary or secondary schooling in French in Canada (including immersion)?

Mark "x" one circle only.

• Yes (previously or currently attending)
• No
  • Go to step E

13. In which type of program was this schooling in French done?

• A regular French program in a French-language school
• A French immersion program in an English-language school
  • Go to step E
• Both types of programs
• Other program — specify:

14. For how many years did this person attend a regular French program in a French-language school in Canada?

• Number of years in primary schooling (including kindergarten and middle school)
  • Number of years
    • Go to step E
• Number of years in secondary schooling
  • Number of years
    • Go to step E

15. Did this person do any of their primary or secondary schooling in an English-language school in Canada (including French immersion)?

Mark "x" one circle only.

• Yes (previously or currently attending)
• No
  • Go to step E

16. For how many years did this person do their schooling in an English-language school in Canada (including French immersion)?

• Number of years in primary schooling (including kindergarten)
  • Number of years
• Number of years in secondary schooling
  • Number of years

Step E

Comments

Please use the space provided below if you have concerns, suggestions or comments to make about:

• the steps to follow or the content of this questionnaire (for example, a question that was difficult to understand or to answer)
• the characteristics of the questionnaire (for example, the design, the format, the size of the text).

Step F

If more than six persons live here, you will need an extra questionnaire; call 1-833-739-2024.

You have now completed your questionnaire. Please mail it today. If you have lost the return envelope, please mail the questionnaire to:

Statistics Canada
PO BOX 99994 STN FED-GOVT
Ottawa, ON K1A 9Z4

Thank you for your cooperation.

Reasons why we ask the questions

Steps A to C and question 1 are used to collect contact information and determine who should be included on the questionnaire. They help us ensure that we have counted everyone we need to count and that no one is counted twice.

Questions 2 to 7 provide information about the demographic characteristics of people in Canada. This information is used by all levels of government to make important decisions, such as planning community services and social programs, including Old Age Security and the Canada Child Benefit. It is also used by municipalities to plan a variety of services, such as child care, schools, hospitals and emergency services.

Questions 8 to 10 are used to provide a profile of the linguistic diversity of Canada's population. This information is used to estimate the need for services in English and French, and to better understand the current state and the evolution of Canada's various language groups, including official languages, Indigenous languages and other non-official languages.

Questions 11 to 16 collect information in accordance with the Canadian Charter of Rights and Freedoms to support education programs in English and French in Canada.

The law protects what you tell us

The confidentiality of your responses is protected by law. All Statistics Canada employees have taken an oath of secrecy. Your personal information cannot be given to anyone outside Statistics Canada without your consent. This is your right.