Individual Report Consumer Information

Introduction and Instructions

In support of the Canadian Government's systems of allowance for expatriate civilian and military employees, the Government Allowance Indexes Section of Statistics Canada has been assigned the responsibility for the computation of comparative indexes of retail prices and costs (Post Indexes) encountered by Canadian Government personnel stationed at foreign locations/posts.

The responsibility of employing departments for introducing indexes into compensation systems is described in the Foreign Services Directives (FSD 55), and the Military Foreign Service Instruction, for the Canadian Forces.

The information obtained from this survey will form the basis for establishing or adjusting your Post Living Allowance (PLA) payable under the Foreign Service Directive (FSD 55). Thus, it is important to you that the information you provide be as accurate as possible. In the separate price survey questionnaires, retail prices on a wide range of consumer goods and services are collected directly from those retail outlets used by Government employees.

This questionnaire should be completed by each Canada-based family or individual member of the mission. Your co-operation in ensuring that the necessary information is supplied a soon as possible will be appreciated.

The various questions have been grouped under eight sections:

Section A: General information relating to yourself, your family and the location at which you are stationed.

Section B: Purchasing Patterns: relative importance of supply sources (local versus imports, etc.).

Section C: Communications and Television Information

Section D: Transportation Information.

Section E: Domestic Help Costs.

Section F: Household Insurance Costs

Section G: Additional Information

The information reported should reflect your own purchasing practices. Please describe the experience of you and your family. Do not try to give answers representative of the post as a whole. Actual retail prices for your location are being collected separately through your Survey Co-ordinator.

Once you have completed Sections A to G, the questionnaire should be forwarded to the Survey Co-ordinator at your post who will, in turn, send it to Ottawa along with all other survey material required.

Statistics Canada is prohibited by law from publishing any statistics that would divulge information obtained from this survey that relates to any identifiable business/institution/individual without the previous written consent of that business/ institution/individual. The data reported on this questionnaire will be treated in confidence, used for statistical purposes and published in aggregate form only. The confidentiality provisions of the Statistics Act are not affected by either the Access to Information Act or any other Legislation.

Thank you for your co-operation.

Section A: General information

1. Name of Employee
2. Location, post or military establishment
3. Employing Department
4. Public Service classification or military rank
5. Number of years (months) at this location
6. Number of people living in your household
   • Adults
   • Children
   • Ages of children

Section B: Purchasing patterns

Important reminder: Base your estimates on quantity not cost

1) This section is used to establish the relative importance of the sources of supply used by you and your family to buy the items listed below for consumption at this post. Please estimate in percentage terms the quantity of purchases made from each source.

N.B. If you have been at this post more than one year you should report your experiences of the past 12 months only.

Instructions

• In the case of items not regularly consumed, do not enter any percentages and indicate accordingly under "comments".

• Where items are regularly consumed, Columns A to I must total 100% horizontally.

• In columns A and B, report the percentage of the total quantity of purchases made at local stores which are accessible to all consumers, regardless of the item's country of origin. In column A, report the percentage of local purchases made using the Currency of this country. In Column B, report the percentage of purchases made with other currencies, e.g., US Dollars. These secondary currencies should be specified.

• In columns C to E, report percentage of the total quantity of purchases made at local outlets which may have restricted access to specific groups. Include diplomatic stores, hard currency stores, embassy and/or military facilities that are located within driving distance of the post.

• Under "Supply Brought to Post" (column F), show the percentage of the total quantity of purchases for goods that were brought to this post from Canada or a previous posting. This column should include goods brought at the time of arrival and/or supplies purchased during trips to Canada.

• Exclude goods shipped from Canada for which additional freight, insurance or handling fees are incurred. Exclude purchases made while on trips at other locations. (See below.)

• In columns G to I, report the percentage of the total quantity of purchases for goods that were imported from other locations. Direct Importation refers, for the most part, to Export Houses such as Peter Justesen. Purchases made through the Internet should be included in these columns. Goods shipped from Canada that incurred additional costs such as freight, insurance or handling fees should be included in these columns.
  
  Name(s) of supplier(s) and percentages for each source of supply should be reported separately. The above types of imports should be supported by shipping bills, etc. in order to ensure all additional costs are reflected.
  
  Also include in these columns purchases at locations other than Canada while on trips and identify the location(s) of such purchases. (Supplier names are not required.)

Table 1 Items for consumption at this post

	Local retailers		Special outlets (e.g. US Commissary/PX, Embassy Commissaries)				Direct importation			Total	Comments
	A	B	C	D	E	F	G	H	I
	Local Currency Purchases %	Other Currency Purchases (Specify Currency) %	Specify Outlet %	Specify Outlet %	Specify Outlet %	Supply Brought To Post %	Specify Supplier Name %	Specify Supplier Name %	Specify Supplier Name %
Beef										= 100%
Pork										= 100%
Lamb										= 100%
Veal										= 100%
Cured Meat, e.g., Bacon, Sausage, etc.										= 100%
Poultry										= 100%
Fish, Fresh/Frozen										= 100%
Canned Meat/Fish										= 100%
Milk, Fresh (incl. UHT)										= 100%
Other Milk Products, e.g. Evaporated, etc.										= 100%
Dairy Products, e.g. Yogurt, Ice Cream										= 100%
Cheese										= 100%
Eggs										= 100%
Butter										= 100%
Margarine										= 100%
Other Fats and Oils e.g. Salad Oils Shortening, Mayonnaise, etc.										= 100%
Breakfast Cereals										= 100%
Cookies and Cake Mixes										= 100%
Rice										= 100%
Bread										= 100%
Pasta Noodles										= 100%
Flour										= 100%
Baby Cereals										= 100%
Sugar										= 100%
Spreads, e.g. Peanut Butter, Honey, etc.										= 100%
Relishes and Sauces, incl. Pickle, Worcester, etc.										= 100%
Coffee/Tea										= 100%
Soft Drinks										= 100%
Nuts										= 100%
Candy, incl. Chocolate Bar										= 100%
Potato Chips and Similar Products										= 100%
Spices										= 100%
Pet Food										= 100%
Canned Fruits and Vegetables (incl. Juices)										= 100%
Frozen Fruits and Vegetables										= 100%
Frozen Prepared Foods										= 100%
Fresh Fruit and Vegetables										= 100%
Personal Care Supplies and Toiletries										= 100%
Paper Products, Incl. Tissues, Toilet Paper, Hygiene Products										= 100%
Baby's Diapers (Disposable)										= 100%
Laundry Detergent										= 100%
Other Household Cleaning Supplies, incl. Bleach, Fabric Softener										= 100%
Paper Towels										= 100%
Other Household supplies, e.g. Light Bulbs, Insecticide, Food Wrap and Garbage Bags										= 100%
Medical and Pharmaceutical Products, (Non prescription)										= 100%
Books										= 100%
Magazines										= 100%
Newspapers										= 100%
Sporting Equipment										= 100%
Photographic Supplies and Equipment										= 100%
Toys and Games, Incl. Electronic										= 100%
Home Computer Hardware and Peripherals										= 100%
Home Computer Supplies Incl. Software										= 100%
CD's, Video Tapes and DVD's, exclude Rentals										= 100%
Women's Clothing										= 100%
Men's Clothing										= 100%
Children's Clothing										= 100%
Household Textiles										= 100%
Small Home Appliances										= 100%

2) Estimate your relative use (in percentage terms) of the following facilities for services:

N.B.: In the case of services not regularly used, do not enter any percentages but indicate by writing "N/A" across.

Table 2 Facilities for services

Service	Local Retail Facility		Military Facility (specify in Question 2a) %	Other Facility (specify in Question 2b) %	Total
	Local Currency %	Other Currency %
Admission to Movie Theatres					= 100%
Video/DVD Rentals					= 100%
Cable/Satellite Television Service					= 100%
Admission to Sports Events					= 100%
Admission to Performing Arts					= 100%
Dry Cleaning					= 100%
Barber Shop					= 100%
Beauty Shop					= 100%
Shoe Repairs					= 100%
Home Computer Service/Repairs					= 100%
Auto Service/Repairs (excl. Parts, see 4)					= 100%

2a) For items where use at "Military Facility" has been reported above, please specify the facility.

2b) For items where use at "Other Facility" has been reported above, please specify the facility.

3) Estimate your relative use (in percentage terms) of the following facilities for goods.

N.B.: In the case of goods not regularly consumed, do not enter any percentages but indicate by writing "N/A" across the row.

Table 3 Facilities for goods

Product	Local Retail Facility %		Local Special Arrangements (tax/duty free purchases) Specify in Question 3a %	Military Facility Specify in Question 3b %	Brought to Post (from Canada or previous post)%	Direct Importation (Include Duty Free Houses) Specify in Question 3c %	Total
	Local Currency %	Other Currency %
Motor Oil							= 100%
Gasoline							= 100%
Other Motoring Supplies, e.g. Tires, Batteries, etc.							= 100%
Liquor and Spirits							= 100%
Wine							= 100%
Beer							= 100%
Cigarettes							= 100%

3a) For items where "Special Arrangement (tax/duty free purchases)" have been reported above, please list the most important supplier for each type of good specified. Explain briefly the method used to access duty-free purchases and any limitations that may apply, (e.g. gas coupons, official requests) for reimbursement which must be made to the local government, etc.).

3b) For items where use of "Military Facility" have been reported above, please list the most important supplier for each type of good specified.

3c) For items where use of "Direct Importation" (including Duty Free Houses) have been reported above, please list the most important supplier for each type of good specified.

Section C: Communications and Television Information

Telephone Include both monthly residential and cellular telephone costs but exclude any costs that are reimbursed i.e., business calls, etc. and initial installation charges)

1a) Based on recent experience estimate the amount spent per month on local and long distance phone calls. Specify the currency.

(Please include copies of a minimum of 4 recent bills)

• Cost per month
  Residential service
• Cost per month
  Cellular service

1b) Of the total amount you and your family spent on telephone charges during the past 12 months estimate, in percentage terms, the relative importance of "local" versus "long distance" charges.

Internet (Residential Use: Exclude any costs that are reimbursed.)

2a) Indicate the type of provider used to obtain this service.

• Cable Service
• Telephone Line
• Other

2b) If telephone lines are used, are the costs for line usage reflected in 1a)

• Yes
• No

2c) Based on recent experience estimate the amount spent per month on use of the Internet excluding any telephone line charges. Specify the currency.

(Please include copies of a minimum of 4 recent bills)

2d) If service is not provided for a flat rate per month, estimate the number of hours that this service is used in a typical month.

• Hours per month
• Cost per hour

Postal Service

3a) For the amount spent on postal services, please estimate in percentage terms the relative importance of the regular local mail service versus international mail services.

3b) For the amount spent on International mail services, please estimate in percentage terms the relative importance of the regular mail system of this location versus the diplomatic bag or special services (i.e., for which Canadian postage is used) during the last 12 months.

Cable or satellite television services (Exclude any costs that are reimbursed.)

Indicate the type of service that is used in your domicile:

• Cablevision
• Satellite
• Service not used (Go to Section D)

Is this service supplied at no direct cost to you or your family?

• Yes (Go to Section D)
• No

4a) Based on recent experience estimate the amount spent per month on Cable or Satellite Television services. Exclude initial installation charges and pay per view costs.

4b) Indicate the number of English and French channels that are included in the package received for the costs shown above.

If the language of this country is either English or French, go to 4d.

4c) Indicate the number of channels broadcast in the language of this country that are viewed by members of this household. (Please include copies of recent bills)

4d) Indicate the number of channels broadcast in languages other than english, french or the language of this country that are viewed by members of this household.

4e) Indicate the number of channels where some of the programming is in the original English or French with other language subtitles. Exclude any included in 4b, 4c and 4d.

4f)  If English or French Pay per View service is available, indicate the cost to view a first run movie. Include all taxes, if applicable.

Section D: Transportation Information

Public transportation

1) Of the total amount spent by you and your family on local public transportation during a typical one month period, please estimate in percentage terms, the relative importance of the various types of public transportation used at the Post.

Public Transportation not used

or

• Taxi
• Municipal bus/street car
• Subway
• Other (e.g. Commuter trains, etc.) (Specify)

2) Does anyone in this household receive "commuting assistance"?

• Yes
• No (Go to 4)

If yes, is commuting assistance received in respect of:

• Personal motor vehicle? (Go to 4)
• Public transportation?

3) If commuting assistance is received for use of public transportation estimate the percentage of the monthly amount spent by you and your family for use of public transportation (excluding Commuting Assistance) which is spent on:

• Commuting use
• Other use

Private transportation

4) Does anyone in this household have an automobile at this Post?

• Yes
• No (Go to Section E)

If yes, is the automobile in question:

• Owned?
• Rented under FSD30? (Go to Section E)
• Other (specify)?

5) Please provide the following information for each car:

5a) Vehicle's Make/Model/Year

5b) Specify the annual licensing and registration costs for any of these vehicles) that were paid directly by a family member at the post, i.e., no costs that were reimbursed?

Automobile insurance

6) Complete if applicable

Insurance Coverage and Annual Premiums paid for:

1. Third Party Liability
   • Annual Premiums
   • Coverage
2. Collision
   • Annual Premiums
   • Deductible
   • Coverage
3. Other Physical Damage
   • Annual Premiums
   • Coverage
   • Specify type(s) of other physical damage insured against
4. Total ANNUAL PREMIUMS

Describe any discounts incorporated in annual premiums shown above:

1. In terms of "Accident-free driving record":
   N/A
   
   or
   
   No. of years without claim
   Discount (% or actual amount)

2. Any other type of discount (please explain)

Note: Please include a photocopy of your Vehicle Insurance policy.

Section E: Domestic Help Costs

If you employ domestic help, complete the following.

Instructions:

• Information should be provided in respect to part-time and other casual employees, as well as for any full-time domestics.

• Include "evening baby-sitters".

• The scale of pay and costs should be provided in the currency used to purchase these services. Specify, where applicable.

• Clearly indicate for each type of domestic help reported, the amount of "representational/hospitality allowance" or other type of allowance(s) received as full or partial reimbursement for domestic expenditures personally incurred (Question 8).

• If more than 6 servants are employed, a separate sheet providing a break-down of the information requested below should be attached.

• Do not include gratuities for Hair Services and Restaurant Meals.

1. Type of Service
2. Living In or Out?
3. Cash Wage
   Please report hourly rate or weekly rate in the currency used to pay these workers.
4. Frequency of service or hours worked (Specify hours worked)
   1. works every week (hours per week)
   2. works every 2 weeks (hours per week)
   3. works once a month (hours per month)
   4. Other (hours per period) (specify)
5. Annual wage outlay (specify currency)
6. Other typical annual expenses (specify currency)
   1. Social Security Tax
   2. Food Cost
   3. Transportation Cost
   4. Medical Expenses
   5. Clothing Expenses (e.g. uniforms, etc.)
   6. Other Expenses
7. Total annual cost in local currency (Q5 + Q6)
8. Annual reimbursement received as "representational or hospitality allowance" or other benefits (e.g., paid by Embassy, etc.)
9. Net annual expenditure personally incurred (Q7 – Q8)
10. If expenses have been reported in Question 6 (i.e., "Other Typical Annual Expenses"),please provide explanations (i.e., by custom or legal requirement, etc.)

Section F: Household Insurance Costs for Tenants

1) Is your personal property in your residence covered by household insurance?

• Yes
• No (Go to Section G)

2) Is this service supplied at no direct cost to you or your family?

• No
• Yes (Go to Section G)

3) Indicate whether coverage is for a single family unit or a multi-unit dwelling

• single family
• multi-unit

4) Indicate the approximate amount of insurance coverage you carry for your personal property including coverage for fire and theft, emergency living expenses and property temporarily removed from the tenancy. Coverage should not include damages resulting from major catastrophes such as earthquakes, tornadoes, etc., unless these are included at no extra charge.

• $50,000 CDN
• $75,000 CDN
• $100,000 CDN
• Other (specify)

5)
a) Indicate the annual premium for the coverage described above.

b) Indicate the deductible amount for this policy.

Note: Please include a photocopy of your Household Insurance policy.

6) Do you have supplementary insurance to cover major catastrophes such as earthquakes, tornadoes, etc.?

• Yes
• No (Go to Section G)

7) Indicate the annual premium for the supplementary coverage.
Note: Please include a photocopy of your Household Insurance policy.

Section G: Additional Information

1) Describe any unusual local cost of living problems faced by you and your family.

Certification

I certify that, to the best of my knowledge, the information provided in this document is true and accurate.

• Signature
• Date

Table 1 Fresh or frozen meats

Important:

Whenever possible, price the cut of meat described below, e.g., Blade Roast, Rump Roast, etc.

Where methods of cutting meat differ radically from those used in Canada and it is not possible to price specific cuts, please price by the general description, such as "Forequarter cut" or "Hindquarter cut", Loin , etc. In such instances comments will be particularly helpful.

Note: If organic products (including free range chickens) are priced, this must be noted in the Identification/Substitution/ Comments column.

Table 1

Item	Type	Specify Weight (kg. or lb.)	Price Specify Currency	Identification/Substitution/Comments
Beef kg. or lb. (Specify substitutions as necessary)	Blade or Chuck Roast			with bone or boneless
	Rump Roast			with bone or boneless
	Steak			T-Bone or Rib or Sirloin
	Ground Beef			regular hamburger or ground round
	Tenderloin (Fillet)
Pork kg. or lb. (Specify substitutions as necessary)	Loin Chops			with bone or boneless
	Tenderloin (Fillet)
	100% Pure Pork Sausage
Lamb kg. or lb.	Leg Roast, Hindquarter			with bone or boneless
	Loin Chops (with bone)
Veal kg. or lb.	Cutlets			with bone or boneless (scaloppini, etc.)
Chicken kg. or lb.	Whole, ready to cook			or Whole Turkey, if Chicken not available
	Chicken Breast			with bone or boneless or boneless, skinless
	Chicken Legs			Thighs or Drumsticks
Remarks Name of Store or Market City Signature of Price Collector Department Date

Table 2 Cured Meat and Fish

Table 2a Cured meat (First grade)

Item	Price Level	Specify Weight or quantity	Price Specify Currency	Brand and Description
Bacon, sliced 500 g. or lb.	Typical			side bacon or back bacon
	Alternate			side bacon or back bacon
Cooked Ham, sliced kg. or lb.	Typical			prepacked or sliced over the counter
	Alternate			prepacked or liced over the counter
Weiners (hot dogs) 500 g. or lb.	Typical			100% Beef or 100% Chicken
	Alternate			100% Beef or 100% Chicken
Remarks Name of Store or Market City Signature of Price Collector Department Date

List in order of importance the varieties of fish normally purchased. Describe and compare local varieties with Canadian types.
If Shrimp is reported, indicate size.

Table 2b Fish

Variety of Fish	Specify Weight or quantity	Price				If Other, specify
			Whole Fish or Fillet	Fresh or Frozen	Other
			Whole Fish or Fillet	Fresh or Frozen	Other
			Whole Fish or Fillet	Fresh or Frozen	Other
			Whole Fish or Fillet	Fresh or Frozen	Other
			Whole Fish or Fillet	Fresh or Frozen	Other
			Whole Fish or Fillet	Fresh or Frozen	Other
			Whole Fish or Fillet	Fresh or Frozen	Other
			Whole Fish or Fillet	Fresh or Frozen	Other
Remarks Name of Store or Market City Signature of Price Collector Department Date

Table 3 Groceries

Note: If organic products are priced this must be noted in the Brand and Description Column

Table 3a Groceries

Item	Price Level	Specify Weight or quantity	Price Specify Currency	Brand and Description
Canned Tuna (solid white/alabcore) in water 200 g. or 7 oz.	Typical
	Alternate
Canned Salmon 220 g. or 7¾ oz.	Typical			Pink/Sockeye/Red/Other
	Alternate			Pink/Sockeye/Red/Other
Milk, Fresh 2% M.F. (1st grade) (exclude empty bottle deposit) L., 2 L., 4 L. or 1 qt, 2 qt, 1 gal	Typical
	Alternate
Milk, U.H.T. 2% M.F. L	Typical
	Alternate
Yogurt, plain 175 ml/6 oz. or 500 ml/16 oz.	Typical
	Alternate
Yogurt, fruit 175 ml/6 oz. or 500 ml/16 oz.	Typical
	Alternate
Butter 500 g. or lb.	Typical			Salted/Unsalted
	Alternate			Salted/Unsalted
Margarine, Soft/Solid 500 g. or lb.	Typical			Premium Brand/Other
	Alternate			Premium Brand/Other
Eggs, Fresh (First Grade) dozen (12) Estimate Size	Typical			Small/Medium/Large/Extra Large
	Alternate			Small/Medium/Large/Extra Large
Orange Juice, Fresh pure 1 L. or 2 L.	Typical
	Alternate
Cheese, Cheddar type kg. or lb.	Typical			Mild/Medium/Old
	Alternate			Mild/Medium/Old
Cheese, Swiss type (e.g. Emmenthal) kg. or lb.	Typical
	Alternate
Cheese, Mozzarella kg. or lb.	Typical			Solid/Shredded
	Alternate			Solid/Shredded
Cheese, Philadelphia Cream 250 g or 8 oz.	Typical			soft/solid
	Alternate			soft/solid
Other Cheeses (specify type)
Cheese, Processed Slices, Plain 250 g or 8 oz.	Typical
	Alternate
Cooking Oil 1 L. or 35 fl oz.	Typical			Vegetable Oil/Canola Oil/Sunflower Oil/Other
	Alternate			Vegetable Oil/Canola Oil/Sunflower Oil/Other
Olive Oil, extra virgin 500 ml or 1 L.	BERTOLLI
	Alternate
Mayonnaise 750 ml or 32fl oz.	Typical
	Alternate
Salad Dressing, French or Italian 475 ml or 16 oz liq.	Typical
	Alternate
Breakfast Cereal 350 g or 12 oz. or 675 g or 24 oz.	CORN FLAKES (KELLOGG'S)
	RICE KRISPIES
	FRUIT LOOPS
	CHEERIOS (regular)
Baby Cereal, pre-cooked 250 g or 8 oz.	Typical
	Alternate
Baby Food, fruit, in jars 128 mL or 5 oz.	Typical
	Alternate
Cookies. plain (e.g. arrowroot, graham wafers, digestives) 450 g or 16 oz.	MCVITIES
	Alternate
Cookies, butter or shortbread 450 g or 16 oz.	WALKERS
	Alternate
Cookies, Chocolate Chip 400 g or 14 oz.	Typical
	Alternate
Biscuits 350 g or 12 oz.	OREOS
Bread, White, sliced 500 g or 20 oz.	Typical
	Alternate
Bread, Whole wheat, sliced 500 g or 20 oz.	Typical
	Alternate
Bread, Other type 500 g or 20 oz.	Baguette
	Croissants (package)
	Hamburger buns
Flour, 1st grade, general purpose 1 kg or 5 lbs.	Typical
	Alternate
Sugar, white, granulated 2 kg or 5 lbs.	Typical
	Alternate
Rice, plain, pre-cooked type (e.g. Uncle Ben's, Minute Rice) 500 g or 14 oz.	UNCLE BEN			Instant type (5 to 10 minute)/Converted type
	Alternate			Instant type (5 to 10 minute)/Converted type
Rice, plain, uncooked type 500 g or 14 oz.	BASMATI
	Alternate
Pasta (good quality) 500 g or lb.	BARILLA			Spaghetti/Macaroni
	DE CECCO			Spaghetti/Macaroni
	Alternate			Spaghetti/Macaroni
Cake Mix, white or gold, regular layer type 520 g or 18.25 oz.	Typical
	Alternate
Jam, Strawberry, pure 375 ml. or 12 fl oz.	Typical			or Orange Marmalade
	Alternate			or Orange Marmalade
Peanut Butter 500 g or 14 oz.	Typical			or Honey/Nutella
	Alternate			or Honey/Nutella
Tomato Ketchup 1 L or 35 fl oz.	HEINZ
	Alternate
Olives, stuffed, manzanilla 250 ml or 8 oz.	Typical			or Pickles, Dill
	Alternate			or Pickles, Dill
Worchestershire Sauce 284 ml or 10 fl oz.	LEA & PERRINS
	Alternate
Black Pepper, pure in tin or cardboard carton 113 g or 4 oz.	Typical			Ground/Whole grains or Table Salt
	Alternate			Ground/Whole grains or Table Salt
Coffee, regular ground, Good quality (excl. "Premium" brands) 500 g or 1 lb.	Typical			Regular/Decaffeinated
	Alternate			Regular/Decaffeinated
Coffee, Instant 200 g or 8 oz.	NESCAFE CLASSIC			Regular/Decaffeinated
	Alternate			Regular/Decaffeinated
Tea, Orange Pekoe Exclude herb or spice teas 25, 50 or 100 bags	LIPTON
	EARL GREY			TWININGS/Other
	Alternate
Canned Milk 385 ml or 15 oz.	Typical			Evaporated/Condensed
	Alternate			Evaporated/Condensed
Instant Coffee Creamer Powdered (jar) 250 g or 6 oz.	COFFEEMATE (unflavoured)
	Alternate
Remarks Name of Store or Market City Signature of Price Collector Department Date

Table 3b Groceries - Soft drinks

Soft Drinks, bottle (e.g. Coke, Pepsi, etc.) (excl. any can deposit)		Size	Coca Cola Products	Pepsi Products	Brand and Description
		2 L
		1.5 L
		1 L
		750 ml
		500 ml
Soft Drinks, cans (e.g. Coke, Pepsi, etc.) (excl. any can deposit) 355 ml	each	ml
	6	ml
	12	ml
	24	ml
Remarks Name of Store or Market City Signature of Price Collector Department Date

Table 3c Groceries

Item		Price Level	Specify Weight or quantity	Price Specify Currency	Brand and Description
Salted Peanuts, skinless 225 g or 8 oz		PLANTER's COCKTAIL
		Alternate
Chocolate bar, pure milk 40 g or 1½ oz 100 g or 3 ¾ oz		TOBLERONE
		MILKA / LINDT
		RITTER SPORT
		HERSHEY
		MARS / SNICKERS
		FERRERO ROCHER
		Alternate
Potato Chips, plain Bag of 200 g or 7 oz		Typical
		Alternate
PRINGLES Chips Regular flavour		200 g or 7 oz
DORITOS Chips		200 g or 7 oz
Adult Dog Food, canned, good quality 450 g / 200 g		DOG PEDIGREE
		DOG IAMS
		Alternate
Adult Cat Food, canned, good quality 450 g / 200 g		CAT WHISKAS
		CAT IAMS
		Alternate
Adult Dog Food, dry, good quality Bag of 2 kg or 5 lbs		DOG PEDIGREE
		DOG IAMS
		Alternate
Adult Cat Food, dry, good quality Box of 400 g		CAT WHISKAS
		CAT IAMS
		Alternate
Canned Soup 300 g or 10 oz liq.		CAMPBELL'S TOMATO			Condensed or Ready to serve
		CAMPBELL'S VEGETABLE			Condensed or Ready to serve
		Alternate			Vegetable, ready to serve or Dried Soup Vegetable
Canned Vegetables (Note: Specify drained weight if available in the Specify Weight or quantity column.)
Peas, medium size 425 g or 15 oz liq..		Typical
		Alternate
Corn 340 g or 12 oz liq.		Typical
		Alternate
Beans, green 425 g or 15 oz liq.		Typical			or Beans, Baked
		Alternate			or Beans, Baked
Tomatoes 800 g or 28 oz liq.		Typical
		Alternate
Juices
Tomato Juice in tins, glass or carton containers 1 L or 48 oz liq.		Typical			or V-8
		Alternate			or V-8
Orange Juice, from concentrate,in tins, glass or carton containers 1 L or 48 oz liq.		Typical
		Alternate
Apple Juice, Pure in tins, glass or carton containers 1 L ou 48 oz liq.		Typical
		Alternate
Canned Fruits (Note: Specify drained weight if available in the Specify Weight or quantity column.)
Peaches 425 g or 15 oz liq.		Typical			or Pears
		Alternate			or Pears
Pineapple, sliced 540 g or 19 oz liq.		Typical
		Alternate
Fruit Cocktail		Typical
		Alternate
Remarks Name of Store or Market City Signature of Price Collector Department Date

Table 4

Table 4 Frozen foods

Item	Price Level	Specify Weight or quantity	Price Specify Currency	Brand and Description
Vegetables 500 g or lb. (Exclude Potatoes) Indicate selections (At least 3)
Asparagus
Beans, Green or Yellow
Broccoli
Brussel Sprouts
Carrots
Cauliflower
Corn
Lima Beans
Mixed Vegetables
Peas
Peas and Carrots
Spinach
French Fried Potatoes, regular cut kg or 2 lb.	Typical
	Alternate
Frozen Orange Juice, concentrate 355 ml or 12½ fl oz.	Typical
	Alternate
Waffles 300 g or 11 oz.	EGGO
	Alternate
Egg or Spring Rolls 340 g or 12 oz.	Typical
	Alternate
Frozen Fish Sticks 350 g or 12 oz.	Typical
	Alternate
Frozen Pizza, All dressed 700 g or 25 oz.	Typical
	Alternate
Ice Cream 500 mL or 1 L	HÄAGEN DAZS
	BEN & JERRY'S
	Alternate
Remarks Name of Store or Market City Signature of Price Collector Department Date

Table 5

Important:
When items are sold per head, per bunch, each, etc., please estimate the weight, enter it in the Weight or quantity column and mark "E" beside it.

Note: If organic products are priced this must be noted in the Comments column.

Table 5 Fresh fruits and vegetables

Item	Specify Weight or quantity	Price Specify Currency	Comments
Vegetables
White potatoes			Old/in bags/New/loose
Carrots (top off)
Cooking onions			or Leeks
Green cabbage
Cauliflower
Broccoli			or Brussels Sprouts
Lettuce, head			Iceberg/Romaine
Tomatoes
Beans, string
Mushrooms
Celery stalks			or Celery Hearts
Cucumbers			regular/english
Green Peppers
Other fresh vegetables Specify
Fruits
Oranges
Grapefruits
Lemons			or Limes
Bananas
Apples, eating Granny Smith Gold/Red delicious Other
Pears			or Peaches
Avocados
Mangos			or Papayas
Pineapples
Grapes, eating			Red/Green/Blue
Other fresh fruits Specify
Name of Store or Market City Signature of Price Collector Department Date

Table 6

Table 6 Personal care supplies

Item	Price Level	Specify Weight or quantity	Price Specify Currency	Brand and Description
Toothpaste, standard dentifrice 100 ml or 100 cc	COLGATE TOTAL
	SENSODYNE
	Alternate
Mouthwash, oral antiseptic 350 ml or 12 liq oz.	Typical
	Alternate
Shaving cream, aerosol can 200 ml or 7 oz	Typical			cream/gel
	Alternate			cream/gel
Razor blades package of 5	SENSOR EXCEL
	MACH 3			Turbo
	FUSION
	Alternate			or Disposable Razors
Body Lotion 300 ml or 11 oz	LUBRIDERM
	JERGEN'S
	DOVE
	NIVEA
	Alternate
Nail Polish Remover 200 ml or 7 liq oz.	Typical
	Alternate
Sunscreen, waterproof, UVA/UVB SPF 30 200 ml or 7 liq oz.	Typical
	Alternate
Toilet soap, bath size 125 g or 5 oz.	PALMOLIVE
	FA
	DOVE
	IRISH SPRING
	PEARS
	NEUTROGENA
	Alternate
Toilet soap, Liquid 225 ml or 8 oz.	Typical
	Alternate
Shampoo, normal or regular formula (excl. premium types) 250 ml or 12 oz.	HEAD & SHOULDERS
	PANTENE
	PERT PLUS
	HERBAL ESSENCE
	L'OREAL
	Alternate
Deodorant stick, solid or gel 75 g or 2½oz.	Typical			or Roll-on
	Alternate			or Roll-on
Name of Store or Market City Signature of Price Collector Department Date

Table 7

Note: If ecological products are priced this must be noted in the brand and description Column.

Table 7 Paper, plastic, and foil supplies, light bulbs

Item	Price Level	Specify Weight or quantity	Price Specify Currency	Brand and Description
Toilet paper, white package of 4 rolls	Typical			number of sheets : Jumbo
	Alternate			number of sheets : Jumbo
Facial tissues 200 doubles (plain)	KLEENEX
	Alternate
Sanitary napkins, maxi-pads Box of 30	ALWAYS
	Alternate
Tampons, regular size Package of 30 to 40	TAMPAX
	Alternate
Disposable diapers Size No 2 (5 to 8 kg or 12 to 18 lbs) or Size No 3 (7 to 13 kg ou 16 to 28 lbs)	PAMPERS			No 2/No 3
	HUGGIES			No 2/No 3
	Alternate
Paper towels package of 2 rolls	Typical			number of sheets : Jumbo
	Alternate			number of sheets : Jumbo
Foil wrap, aluminum one roll (width: 30 cm or 12") (length: 7½ m or 25')	Typical	Width: Length:
	Alternate	Width: Length:
Plastic food wrap one roll (width: 30 cm or 12") (length: 30 m or 100')	Typical	Width: Length:		or Waxed Paper
	Alternate	Width: Length:		or Waxed Paper
Plastic garbage bags 60 to 70 L Pkg. of 10 bags	Typical			or Kitchen Garbage Bags (20 L)
	Alternate			or Kitchen Garbage Bags (20 L)
Light bulb 60 Watts, 2 bulbs	Typical			Standard incandescent  CFL – 60-watt equivalent
	Alternate			Standard incandescent  CFL – 60-watt equivalent
Remarks Name of Store or Market City Signature of Price Collector Department Date

Table 8

Note: If ecological products are priced this must be noted in the brand and description Column.

Table 8 Household supplies

Item	Price Level	Specify Weight or quantity	Price Specify Currency	Brand and Description
Laundry detergent powder (e.g. Tide) (Note: exclude HEF types) 2.4 kg or 84 oz.	Typical			or ULTRA (concentrated)
	Alternate			or ULTRA (concentrated)
Laundry detergent, liquid (Note: exclude HEF types) 1.45 L or 50 oz.	Typical
	Alternate
Dishwashing liquid detergent (e.g. Palmolive) 500 ml or 24 oz.	Typical
	Alternate
Automatic dishwasher detergent powder (e.g. Cascade) 1.4 kg or 49 oz.	Typical			or Tablets (number)
	Alternate			or Tablets (number)
Automatic dishwasher detergent liquid L or 35 oz.	Typical
	Alternate
Liquid Bleach (e.g. Javex) 3.6 L or gal.	Typical			thick or concentrated
	Alternate			thick or concentrated
Liquid Fabric Softener ULTRA 2 L or 48 oz.	Typical
	Alternate
Scouring Powder (e.g. Ajax) 400 g or 14 oz.	Typical			or Cream Cleanser (e.g. Vim)
	Alternate			or Cream Cleanser (e.g. Vim)
Liquid Toilet Bowl Cleaner 550 to 675 ml or 15 to 20 liq oz.	Typical
	Alternate
Liquid Glass Cleaner, with nozzle (e.g. Windex) 650 ml or 20 liq oz.	Typical
	Alternate
Insecticide, aerosol can (for house and garden) 350 g or 11 oz.	Typical
	Alternate
Remarks Name of Store or Market City Signature of Price Collector Department Date

Table 9

Table 9 Medical and pharmaceutical products
(Non prescription)

Item	Price Level	Specify Weight or quantity	Price Specify Currency	Brand and Description
Acetylsalicylic acid (ASA-aspirin) 100 tablets	Typical			325 mg or 500 mg tablets
	Alternate			325 mg or 500 mg tablets
Acetaminophen (non ASA analgesic e.g. Tylenol, Panadol) 100 tablets	Typical			325 mg or 500 mg tablets
	Alternate			325 mg or 500 mg tablets
Ibuprophen (e.g. Advil) 100 tablets	Typical			200 mg tablets
	Alternate			200 mg tablets
Antihistamine one a day type (e.g. Claritin, Hismanal, Seldane) pkg. of 12 tablets	Typical			or BENADRYL (4 to 6 hrs)
	Alternate
Cold remedies, capsules or tablets (e.g. Contact C) 6 to 12 hour type pkg. of 8 to 12	Typical
	Alternate
Vitamin C tablets 100 tablets	Typical			500 mg or 1000 mgtablets
	Alternate			500 mg or 1000 mg tablets
PHILLIPS MILK OF MAGNESIA USP 350 ml
ALKA-SELTZER tablets 24, 48 or 100 tablets	Typical
	Alternate
Preservation fluid for contact Lenses 240 ml or 7 oz.	Typical
	Alternate
Bandaids adhesive type (standard size 1.9 cm x 7.5 cm) pkg. of 25 to 30	Typical
	Alternate
Remarks Name of Store or Market City Signature of Price Collector Department Date

Table 10 Wine, Beer and Cigarettes

A. Full local retail price: In this column report prices for purchases made locally at full retail prices

B. Duty free or discount price: In this column report prices for purchases made locally at special diplomatic / discount prices or imported direct by staff at duty free or special discount prices. If imported, please ensure that invoices and other handling cost documents are submitted

Please price per bottle or per case whichever is typical for the particular outlet.

Table 10a Wine
Local and imported, standard quality wine, in bottle with cork.
Secify the brand and variety eg. Chablis, Riesling, Bordeaux Zinfandel etc. For imported varieties indicate the country of origin.

	A. Full Local Retail Price (specify currency)			B. Duty Free or Discount Price (specify currency)
	Name of Store or Market			Name of duty free outlet
	Number of bottles	Size of bottle	Price	Number of bottles	Size of bottle		Price
White wine (domestic)
Red wine (domestic)
White wine (imported)
Red wine (imported)
Signature of Price Collector City Department Date

Table 10b Beer, excluding deposit

	Name of Store or Market			Name of duty free outlet
	Number of bottles	Size of bottle	Price	Number of bottles	Size of bottle		Price
Domestic
Imported
Signature of Price Collector City Department Date

Table 10c Cigarettes
Price cigarettes even if you are a non smoker

	Name of Store or Market			Name of duty free outlet
	Package of 20 or 25	Price per package.	Price per carton (200)	Price per carton (200)	Price per thousand
Popular domestic brands	20/25
Popular imported brands	20/25
Signature of Price Collector City Department Date

Table 11 Recreation equipment

Table 11a Sports Equipment

Item	Price Level	Specify Weight or quantity	Price Specify Currency	Brand and Description
Golf balls, good quality package of 3 or 12	Typical
	Alternate
Tennis balls, e.g. Dunlop tin of 3 or 4	Typical
	Alternate
Soccer ball, synthetic blend,machine sewn, size 4 or 5 each	Typical
	Alternate
Dumbells, 2 kg, plastic coated pair	Typical
	Alternate
Ankle/Wrist weights, 1 kg, pair	Typical
	Alternate
Name of Store or Market Date

Table 11b Athletic running shoes

Item	Lowest Typical Price	Highest Typical Price	Most Frequently Found Prices					Comments
Athletic running shoes for men/ women, best quality, (e.g. Nike, Reebok, etc.) pair
Athletic running shoes for boys/girls, best quality, (e.g. Nike, Reebok, etc.) pair
Name of Store or Market Date

Table 11c Photographic Supplies and Services

Item	Price Level	Specify Weight or quantity	Price Specify Currency	Brand and Description
Digital Memory Card 2 Gb	Typical
	Alternate
Digital Memory Card 4 Gb	Typical
	Alternate
Digital Prints 10 x 15 cm (4” x 6”) Each
Remarks Signature of Price Collector City Department Date

Table 11d Electronic Games and Computer Equipment, Supplies and Service

Item	Price Level	Specify Weight or quantity	Price Specify Currency	Brand and Description
Electronic Games (Price the specific game sets and games requested. If not available, provide full details of substitutes priced.)
Wii Fit Control set with Balance Board	Each			or Wii Nunchuk accessory
Wii Game Most Recent Releases	Each
X-Box 360 control set, with 1 controller, no games	Each
X-Box 360 Game Most Recent Releases	Each
Sony Playstation 3 control set	Each
Sony Playstation 3 game Most Recent Releases	Each
Dry Cell Batteries D size	package of 2			Duracell/Duracell Ultra/Energizer/Energizer Max
Dry Cell Batteries AA size	package of 4			Duracell/Duracell Ultra/Energizer/Energizer Max
Computer Equipment, Supplies and Service (Price the specific items requested. If not available or newer models exist, provide full details of substitutes priced.)
Optical Mouse Each Specify Brand				Wired/Wireless
				Wired/Wireless
Wireless Network Router 2.4 GHZ, 54 MPS Each Specify Brand
WINDOWS VISTA Software, full package Each				Full/Upgrade/WINDOWS 7
Compact Discs with cases 650 MB to 700 MB package of 10	Typical			recordable/rewriteable
	Alternate			recordable/rewriteable
DVD 4.7 GB with cases package of 10	Typical			recordable/rewriteable
	Alternate			recordable/rewriteable
Labour rate per hour charged to the customer for repairs to home computers Price to install an internal hard drive Price for an initial set-up of a home computer Name of Store or Market Date Remarks Signature of Price Collector Department City

Table 11e Games

Item	Price Level	Specify Weight or quantity	Price Specify Currency	Brand and Description
Playing Cards, boxed set of plastic coated bridge cards (excl linen backed cards, sets including score pads, etc.) 2 Decks	Typical
	Alternate
Games (Engish or French)	Monopoly			Deluxe Edition
	Scrabble			Deluxe Edition
	Risk
	Clue
Name of Store or Market Date

Table 11f Music / Video

Item	Price Level		Specify Weight or quantity	Price Specify Currency		Brand and Description
Compact Disc recent releases Each	Typical
	Alternate
DVD, recent release Each	Typical
	Alternate
Name of Store or Market Date Remarks Signature of Price Collector Department City

Table 12 Motor operation cost

Note:

1. Where prices for oil and gasoline are quoted by a quart and a gallon indicate whether the measurement is imperial or U.S.
2. Duty free prices for gasoline must be included, where available, in addition to regular local retail prices.)
3. All prices for Auto Services and Parts requested below should relate to an automobile commonly used at the post (two years old, if possible).

Table 12

Gasoline (no-lead, if available) Specify Currency					Duty free / special discount price				Regular local retail price
			Specify unit of sale		coupons rebate other (specify below)				Most frequently used outlet		Other reasonably priced outlet
Cash price for regular gasoline Litre or gallon
Cash price for premium gasoline Litre or gallon
Specify type of service included with price indicated					Self serve price/Full service price				Self serve price/Full service price		Self serve price/Full service price
Name of outlet(s):
Automobile Services Specify Currency	Specify the make of automobile								Duty free / special discount price		Regular local retail price
Labour rate per hour charged to the customer for a major repair carried out by a skilled mechanic on the automobile indicated above
Oil change including oil filter, 4 litres of oil, and labour			Regular oil/Synthetic oil
Name of outlet and type of establishment (new car dealer or other type such as independent garage)									dealer/other		dealer/other
Parking charge for 1 hour parking in the centre of the city at a parking meter
Parking charge for 3 hour parking in the centre of the city in a covered or underground parking lot
Automobile Parts Specify Currency								Specify Unit of Sale	Duty free / special discount price		Regular local retail price
Standard spark plug, resistor or copper core for the most commonly sold brand each, not installed
Tires, radial - 175/70 SR 14, Price per pair include mounting on rim, but excluding balancing and valve prices.
Battery, 12 volt maintenance-free, 60amp/hour capacity (exclude trade-in allowance) each, installed
Anti-freeze / Coolant, permanent type, ethylene glycol 4 Litres, not installed
Motor oil, premium quality of viscosity commonly used at the post Litre or quart, not installed				Regular oil/ Synthetic oil
Name of outlet used for pricing auto parts
Comments Signature of Price Collector Department City Date

Table 13 Women's clothing

Important: Clothing prices should be collected from stores normally patronized by post employees. Please quote the price range for each of the items described below. Also, it would be helpful to include a sample of the most frequently found prices that represent the price levels usually purchased by post employees. According to local conditions, prices should be collected for items of materials usually worn at the post, e.g., cotton or cotton blends, wool or wool blends, synthetics, etc. In the Comments section, provide details of items priced where the material is not typically worn at the post, e.g. cashmere, alpaca, etc. Provide additional comments that would assist in establishing a representative average price for this outlet.

• Name of Store
  (Please use a separate form for each store normally patronized by post employees)
• Indicate the type of store
  • Discount:
    Economy type Outlet
  • Moderate:
    Mid Range type Outlet
  • Expensive:
    Exclusive type outlet
  • Other (specify)
• Most similar Ottawa establishment

Table 13

Article		Specify Currency									Comments
		Lowest Typical Price		Highest Typical Price	Most Frequently Found Prices
Panty hose, sheer legs, conventional fit, exclude support hose or high fashion design
Ladies Briefs Low rise, cotton blend, solid colour
Blouse, plain shirt style solid colour
Slacks, woven, casual type, solid colour
Jeans, Levi's or like quality
Skirt, woven, plain solid colour
Sweater or	Cardigan style
	Pullover style
Remarks Signature of Price Collector Department City Date

Table 14 Men's clothing

Important: Clothing prices should be collected from stores normally patronized by post employees. Please quote the price range for each of the items described below. Also, it would be helpful to include a sample of the most frequently found prices that represent the price levels usually purchased by post employees. According to local conditions, prices should be collected for items of materials usually worn at the post, e.g., cotton or cotton blends, wool or wool blends, synthetics, etc. In the Comments section, provide details of items priced where the material is not typically worn at the post, e.g. cashmere, alpaca, etc. Provide additional comments that would assist in establishing a representative average price for this outlet.

• Name of Store
  (Please use a separate form for each store normally patronized by post employees)
• Indicate the type of store
  • Discount:
    Economy type Outlet
  • Moderate:
    Mid Range type Outlet
  • Expensive:
    Exclusive type outlet
  • Other (specify)
• Most similar Ottawa establishment

Table 14

Article			Specify Currency									Comments
			Lowest Typical Price		Highest Typical Price	Most Frequently Found Prices
Slacks, dress type
Jeans, Levi's or like quality
Socks, dress type, wool and nylon blend, solid colour Exclude knee length socks
Briefs, combed cotton, polyester or nylon blend, double front, solid colour
Shirt, business type, long sleeve, white or solid colour, well made	or	Cotton
		Polyester/Cotton
Sports jacket, off the rack, type commonly worn at the post Specify: Blazer Tweed jacket Safari jacket Other
Remarks Signature of Price Collector Department City Date

Table 15 Children's clothing

Important: Clothing prices should be collected from stores normally patronized by post employees. Please quote the price range for each of the items described below. Also, it would be helpful to include a sample of the most frequently found prices that represent the price levels usually purchased by post employees. According to local conditions, prices should be collected for items of materials usually worn at the post, e.g., cotton or cotton blends, wool or wool blends, synthetics, etc. In the Comments section, provide details of items priced where the material is not typically worn at the post, e.g. cashmere, alpaca, etc. Provide additional comments that would assist in establishing a representative average price for this outlet.

• Name of Store
  (Please use a separate form for each store normally patronized by post employees)
• Indicate the type of store
  • Discount:
    Economy type Outlet
  • Moderate:
    Mid Range type Outlet
  • Expensive:
    Exclusive type outlet
  • Other (specify)
• Most similar Ottawa establishment

For Children ages 8 to 10

Article	Specify Currency							Comments
	Lowest Typical Price		Highest Typical Price	Most Frequently Found Prices
Jeans, blue denim, for boys or girls, straight cut, good quality (exclude designer styles)
Sweater, pullover type, for boys or girls, synthetic blend, long sleeve
Sweatshirt, for boys or girls, long sleeve
T-shirt, for boys or girls
Socks for girls, nylon and acrylic blends solid colours								knee high/anklets
Shoes for boys front lace uppers, synthetic soles and treads								dress/casual
Remarks Signature of Price Collector Department City Date

Table 16 Household furnishings and equipment

Important: Prices should be collected from stores normally patronized by post employees. Please quote the most frequently found prices that represent the price levels usually purchased by post employees. Provide additional comments that would assist in establishing a representative average price for this outlet.

Home Furnishings

• Name of Store
  (Please use a separate form for each store normally patronized by post employees)
• Indicate the type of store
  • Discount:
    Economy type Outlet
  • Moderate:
    Mid Range type Outlet
  • Expensive:
    Exclusive type outlet
  • Other (specify)
• Most similar Ottawa establishment

Table 16a Home furnishings

Article			Indicate the thread count, e.g. 180, 200	Most Frequently Found Prices				Comments
Pillowcases (exclude designer, embroidered or other specialty types)	Two	Regular size						or King Size
Duvet Cover, exclude Sets, polyester/cotton blend (exclude designer, embroidered or other specialty types)		Twin
		Queen
Bath towel, (55 cm x 115 cm approximately) medium weight, solid colour, (exclude bath sheets)

Household Equipment

Name of Store or Market

Table 16b Household Equipment

Article	Lowest Typical Price		Highest Typical Price	Most Frequently Found Prices				Comments
Electric Iron, steam/dry type, temperature control, spray applicator
Electric Hand Mixer without bowls two beaters
Electric Hairdryer, hand held
Screwdriver, flat blade, medium size Exclude sets and multi function screwdrivers
Hammer, claw type (570 g)
Remarks Signature of Price Collector Department City Date

Household and Personal Care Services

Dry cleaning services

Cash and carry service only

• Most frequently used shop
  • Name of outlet
  • Clean and press man's suit (2 piece)
    Price (specify currency)
  • Clean and press woman's street dress (wool or synthetic fabric only) plain tailored style without pleats
    Price (specify currency)
• 1st Alternative shop
  • Name of outlet
  • Clean and press man's suit (2 piece)
    Price (specify currency)
  • Clean and press woman's street dress (wool or synthetic fabric only) plain tailored style without pleats
    Price (specify currency)
• 2nd Alternative shop
  • Name of outlet
  • Clean and press man's suit (2 piece)
    Price (specify currency)
  • Clean and press woman's street dress (wool or synthetic fabric only) plain tailored style without pleats
    Price (specify currency)

Shoe repair service

Specify currency

• Most frequently used shop
  • Name of outlet
  • Replacement of leather half soles on one pair of men's dress shoes
    Price (specify currency)
  • Replacement of lifts on one pair of women's dress shoes (lifts should be rubber or composition 1 cm.)
    Price (specify currency)
• 1st Alternative shop
  • Name of outlet
  • Replacement of leather half soles on one pair of men's dress shoes
    Price (specify currency)
  • Replacement of lifts on one pair of women's dress shoes (lifts should be rubber or composition 1 cm.)
    Price (specify currency)
• 2nd Alternative shop
  • Name of outlet
  • Replacement of leather half soles on one pair of men's dress shoes
    Price (specify currency)
  • Replacement of lifts on one pair of women's dress shoes (lifts should be rubber or composition 1 cm.)
    Price (specify currency)

Hair services

Please obtain prices or rates charged by the type of establishment customarily patronized by members of staff. Where possible attach a printed price list. Specify currency.

Men's

• Most frequently used shop
  • Name of outlet
  • Regular hair cut (no extras)
    • Price without tip
    • Tip
  • Hairstyling
    (Shampoo, cut and blow dry)
    • Price without tip
    • Tip
• 1st Alternative shop
  • Name of outlet
  • Regular hair cut (no extras)
    • Price without tip
    • Tip
  • Hairstyling
    (Shampoo, cut and blow dry)
    • Price without tip
    • Tip
• 2nd Alternative shop
  • Name of outlet
  • Regular hair cut (no extras)
    • Price without tip
    • Tip
  • Hairstyling
    (Shampoo, cut and blow dry)
    • Price without tip
    • Tip

Women's

• Most frequently used shop
  • Name of outlet
  • Shampoo and cut and blow dryshort hair standard
    • Price without tip
    • Tip
  • Shampoo and styleshort to medium length hair
    • Price without tip
    • Tip
• 1st Alternative shop
  • Name of outlet
  • Shampoo and cut and blow dryshort hair standard
    • Price without tip
    • Tip
  • Shampoo and styleshort to medium length hair
    • Price without tip
    • Tip
• 2nd Alternative shop
  • Name of outlet
  • Shampoo and cut and blow dryshort hair standard
    • Price without tip
    • Tip
  • Shampoo and styleshort to medium length hair
    • Price without tip
    • Tip

Remarks
Signature of Price Collector
Department
City
Date

Reading material

Paperback novels

Standard size, Best Sellers only, exclude hardcovers, short story or special collections editions

• Title of book
• Author
• Number of pages
• Price
• Store

International magazines

• "Time"
  • Single copy newstand price
  • Annual Subscription price
• "Newsweek"
  • Single copy newstand price
  • Annual Subscription price
• "Paris Match"
  • Single copy newstand price
  • Annual Subscription price
• "The Economist"
  • Single copy newstand price
  • Annual Subscription price
• "L'Express"
  • Single copy newstand price
  • Annual Subscription price
• Other (specify)
  • Single copy newstand price
  • Annual Subscription price

Newspapers

Cost of an English or French Language Newspaper regularly purchased at the post. Newstand weekday price. (Exclude weekend or special editions).

• Local papers
  Specify commonly purchased local papers
• Language
  • english
  • french
• Format
  • tabloid
  • regular
• Price
• Comments

International Papers

• Price
  • "International Herald Tribune"
  • "Le Monde"
  • "The Times" (London)
  • “USA Today”
  • "Le Figaro"
  • Other(specify)

Remarks
Signature of Price Collector
Department
City
Date

Communications

Private residential telephone service

The following section pertains to a private residential telephone line and one push button telephone only. (If this type of phone is not commonly used at the post, or if residential telephones are not available, please provide description or explanation under "Comments") Please submit a typical monthly telephone bill with prices as well as photocopies of related information (re: zoning sytems, etc.) from the telephone book wherever possible. If unit charge system is in effect, please describe fully.

1. Local telephone charges

• Price (Specify currency)
• Comments

a) Basic monthly line rental charge including one standard push button telephone

b) Number of local calls included in basic rate reported in a) above:
Unlimited or calls/month (specify)

c) Charge for each additional local call (per call)

d) Any other charges not covered above (please specify)

e) If tax should be included, over and above the local fees already reported, please indicate the percentage of tax that applies or tax, if any, already included in rates above.

2. Long distance charges three minute call from the post to Ottawa from a private residential telephone

• Price (Specify currency)
• Comments

a) Direct dial rate or most favourable rate available for a 3 minute call made between 8pm and midnight (20:00 to 24:00) on a weekend evening.

b) Direct dial rate or most favourable rate available for a 3 minute call made between 9am and 5pm (09:00 to 17:00) on a week day.

c) If tax should be included, over and above the local fees already reported, please indicate the percentage of tax that applies or tax, if any, already included in rates above.

Postage

• Price (Specify currency)
• Comments

Domestic Postage

Price for domestic postage of one standard size letter weighing 30 g by first class mail

International Postage

Price for international postage of one standard size letter, weighing 20 g by air mail to Ottawa

Remarks
Signature of Price Collector
Department
City
Date

Movies, video rentals sports admissions and performing arts

Movie theatre admission

• Frequently used theatre patronized by Canadians
  Name of theatre
  • Adult evening admission
    (First run film, regular duration viewing, good cinema, include tax, if any)
    • Regular price or range
    • Discount price or range
    • Discount available (specify) number of day(s)/week
• Alternate movie theatre patronized by Canadians
  Name of theatre
  • Adult evening admission
    (First run film, regular duration viewing, good cinema, include tax, if any)
    • Regular price or range
    • Discount price or range
    • Discount available (specify) number of day(s)/week

DVD rental

• Most frequently used outlet
  • Week day overnight rental for most full length films
    • Cost / each for members
    • Cost / each for non members
  • Weekend rental for most full length films
    • Cost / each for members
    • Cost / each for non members
  • Membership Cost
    Duration and number of films included
    • Membership Cost (specify per year, life time etc.)
    • Includes (number of films)
• Alternative outlet used by Canadians
  • Week day overnight rental for most full length films
    • Cost / each for members
    • Cost / each for non members
  • Weekend rental for most full length films
    • Cost / each for members
    • Cost / each for non members
  • Membership Cost
    Duration and number of films included
    • Membership Cost (specify per year, life time etc.)
    • Includes (number of films)
• If above does not apply at this post please describe arrangements used by majority of Canadians for obtaining video cassette films and specify costs involved, if any

Sports Admissions

Typical events (soccer, baseball, football, horse racing , hockey etc.)

• Specify event
  • Adult admission (include tax, if any)
    • Lowest Typical Price
    • Highest Typical Price
    • Most Popular Price
  • Professional or amateur

Performing Arts Admissions

• Specify performance
  • Adult admission (include tax, if any)
    • Lowest Typical Price
    • Highest Typical Price
    • Most Popular Price
  • Professional or amateur

Remarks
Signature of Price Collector
Department
City
Date

Local Transportation

Transportation type

Price (specify currency)

Taxi

a) Regular minimum charge (exclude special rates such as rush hour rates, etc.)
Please specify the distance included in the minimum charge (in kilometres or miles)

b) Fare for each additional kilometer/mile

c) Customary tip

Note: In those cases where only non-metered cabs are available, please indicate the cost of a "typical" trip and associated distance in addition to trip origin and destination:

• Price
• Distance (in kilometres or miles)
• Origin
• Destination

Municipal bus

Minimum fare, single adult ticket, purchased in advance for use outside rush hour periods.

Monthly pass, unlimited usage.

Subway

Minimum fare, single adult ticket, purchased in advance for use outside rush hour periods.

Monthly pass, unlimited usage.

Suburban commuter train

Fare for a one way journey of approximately 16 km (10 miles) single adult ticket purchased in advance.

Monthly pass, unlimited usage.

Remarks
Signature of Price Collector
Department
City
Date

Meal rate survey

Instructions for menu collection

The choice of menus should reflect typical establishments frequented by visitors to the mission and by post personnel for Breakfast, Lunch and Dinner. Exclude room service or catering menus. Exclude establishments used solely for representational purposes. Where Actual and Reasonable receipts are required for Daily Meal Rates, e.g. Breakfast, submit menus for establishments frequented by post personnel only. These will be used for Post Index purposes only. Where clubs (business, social, sport) are used by post personnel, include menus from these establishments. These, also, will be used for Post Index purposes only.

Daily Meal Rates for each meal will be based on averages of acceptable establishments using the following criteria:
Breakfast from Hotel or Restaurants: North American, Continental, Buffet
Lunch from Restaurants: Soup or Juice + Sandwiches, Hamburger or other typical lunch selection e.g. pasta + light Dessert + Coffee or Tea.
Dinner from Hotel and Restaurants: Soup or Salad + Main Course of Meat, Chicken or Fish + Dessert + Coffee or Tea
(Where oriental menus are selected: Egg or Spring Rolls + Main Dish + Dessert + Coffee or Tea)

For this location a minimum of 12 menus are required. If Menus are not in English or French, translations must be provided.

Follows are the establishments accepted by the Foreign Meal Rates Committee for inclusion in the current Daily Meal Rates and/or the Post Index from the last submission by the mission. Please submit menus from these establishments and any additional menus required to meet the above requirements. Include all relevant information requested below.

• Name of Establishment
• Type of Restaurant
  • Restaurant
  • Hotel
  • Club
• Type of Meal
  • Breakfast
  • Lunch
  • Dinner
• Currency of Menu Prices
• Taxes not included in Menus Prices (percentage)
• Tips or Service Charges not included in Menu Prices (percentage)
• Daily Specials (if available) Include all taxes and service charges
  • Lunch
  • Dinner

Signature of menu collector
Minimum
City
Date

Table 17 Liquors and Liqueurs

A. Full local retail price: In this column report prices for purchases made locally at full retail prices

B. Duty free or discount price: In this column report prices for purchases made locally at special diplomatic / discount prices or imported direct by staff at duty free or special discount prices. If imported, please ensure that invoices and other handling cost documents are submitted.

Please price per bottle or per case whichever is typical for the particular outlet.

Table 17a Liquor

Liquor	A. Full Local Retail Price (specify currency)			B. Duty Free or Discount Price (specify currency)
	Name of Store or Market			Name of Store or Market
	Number of bottles	Size of bottle	Price	Number of bottles	Size of bottle	Price
Canadian Rye Whiskey
Crown Royal
Canadian Club
Other Specify
Scotch
Johnnie Walker Red
Johnnie Walker Black
Other Specify
Gin
Beefeaters
Other Specify
Vodka
Smirnoff
Absolut
Other Specify
Rum
Bacardi White Dry
Other Specify
Cognac
Henessey
Courvoisier V.S.
Other Specify
Liqueurs
Drambuie
Baileys Original Irish Cream
Other Specify
Signature of Price Collector Department City Date

Automobile insurance

Insurance should be for a two year old, four or six cylinder privately owned automobile customarily driven to and from work less than 16 kilometres (10 miles) one way with all drivers over 25 years of age and with no more than two (2) drivers in the household.

Please bear in mind that the car you select to help you price the related automobile insurance premiums should be of a make and model typically used by the average family at the post (e.g. Rolls-Royce and like automobiles are not acceptable)

Instructions for Pricing Purposes

1. Contact an agent of the insurance company that is being used by the majority of staff at the post to obtain premium quotes for the exact specifications as shown above.

2. Quote rates for "coverage" equivalent to that specified for each type of policy requested in the following questions. If the coverage does not represent costs at your post, attach an explanatory note providing information as to:

   1. the minimum coverage required by local law at your post;

   2. customary coverage "typically carried" by the average Canadian family at the post;

   3. related insurance premiums reported under these conditions.

3. The following price schedule is divided into two sections:
   
   Section A: Annual insurance premiums to be paid where the principal operator of the car has a "clear" driving record (i.e. accident free) for three (3) years.
   
   Section B: Annual insurance premiums to be paid where the principal operator of the car has a "clear" driving record (i.e. accident free) for five (5) years.
   
   In a large number of countries, Insurance Companies will offer special discounts which depend on the number of years a "Clear"driving record is maintained. Please report these safe driver discounts, where applicable. In a case of a post where such discounts are non-existant, please specify by writing "N/A" under the "Safe Driver Discount" column and report "full annual premium quotes".

4. In those cases where Insurance Premiums vary for individual rating areas within the Metropoitan area, a separate "Automobile Insurance Price Schedule" should be provided for each rating area where Canada-based staff reside. Please attach an explanatory note regarding the zoning system for those various rating areas.

5. The insurance premiums should be reported on an "annual" basis. For those posts at which insurance is purchased on a semi-annual basis or otherwise, please ensure that insurance premiums reported are adjusted to an annual basis.

6. If most employees at the post do not normally carry "collision insurance" and/or "other physical damage insurance" because of their very high costs, some explanatory note should be provided.

Annual Automobile Insurance

Note: Please carefully read all pricing instructions and definition of car to be used for pricing purposes before contacting any insurance company representative.

1. Make/Model/Year of car for which premiums are provided below (should be a two year old automoblile)

Table 18 Annual Automobile Insurance

Type of policy	With clear driving record for 3 years					With clear driving record for 5 years					2b) Describe type of inclusions covered under 3rd party liability: Bodily injury or death Damage to property of others Other 3rd party coverage normally taken out at the post (specify)
	Full annual premium	-	Safe driver discount	=	Premium after discount	Full annual premium	-	Safe driver discount	=	Premium after discount
2. Third Party Liability (coverage: $500,000 CDN)		-		=			-		=
3. Collision (employee's auto) (coverage: $250 CDN deductible)		-		=			-		=
4. Other Physical Damage (comprehensive, fire, theft, etc.) (coverage: $50 CDN deductible)		-		=			-		=
5. Total Annual Premium for coverage described in 2+3+4		-		=			-		=		3b) Check box if no minimum coverage is required for collision insurance No minimum required 3c) Check box if most Canadian employees do not carry collision insurance No collision insurance
If a detailed breakdown cannot be made available above from any insurance company in use at the post, please complete question 6.
6. All inclusive or All risk (includes both liability and physical damage)
Coverage: 3rd party liability: $500,000 CDN											4b) Describe types of inclusions covered under "Other physical damage": Comprehensive or Fire, Theft Other (specify)
Collision: $250 CDN deductible Comprehensive Accident: $250 CDN deductible benefits		-		=			-		=
Remarks: If the coverage does not represent costs at your post, provide an explanatory note regarding: a) the minimum required by local law and, b) customary coverage typically carried by the average Canadian family as well as the related premiums. Name of Insurance Company which provided the above information Name of Price collector Department City Date

Cable / Satellite television service and household insurance

Cable / Satellite television service

A) Provide the monthly cost for basic cable/satellite service. Exclude initial installation costs and Pay per View channels. Comparisons will be done on a cost for english/french channels only. Include all taxes, if applicable.

• Basic Monthly Subscription Cost
• Number of English Channels
• Number of French Channels

B) If extended basic service is available, provide the additional monthly cost for this service. Indicate the number of additional English or French channels included in this service. Exclude Pay per View channels. Include all taxes, if applicable.

• Extended Monthly Subscription Cost
• Number of English Channels
• Number of French Channels

C) Indicate the number of channels where some of the programming is in the original English or French with other language subtitles. Exclude any included in A and B.

• Number of Channels

D) If English or French channels are available by Pay per View service only, indicate the monthly subscription cost and the normal cost to view a first run movie. Include all taxes, if applicable. Exclude special Events.

• Basic Monthly Subscription Cost
• Pay per View Movie fee

If the above does not apply at this post please describe arrangements used by majority of Canadians for obtaining cable/satellite service and specify costs involved, if any

Household insurance for tenants

Contact an agent of the insurance company that is being used by the majority of staff at the post to obtain rates for all of the specifications as shown below. Indicate whether coverage is for single family unit or multi-unit dwelling. Coverage should include the following:

1. Fire and Other Perils: for personal property, emergency living expenses, property temporarily removed from the tenancy.
2. Theft Perils: Theft from within the tenancy, property temporarily removed from the tenancy.

Coverage should not include damages resulting from major catastrophies such as earthquakes, tornados, etc., unless these are included at no extra charge.

• single family
• multi-unit

1. Premium for coverage of goods valued at $50,000 Cdn
2. Premium for coverage of goods valued at $75,000 Cdn
3. Premium for coverage of goods valued at $100,000 Cdn
   including a deductible amount of $200.00 Cdn

Remarks
Signature of Price Collector
Department
City
Date

Table 19 Household maintenance and repairs

Table 19a Household repairs

Article/Service	Price Level		Price Specify Currency	Name of Establishment			Comments
Plumbing:	Typical
Minimum cost of a service call (e.g. repair leaking faucet)	Alternate
Television:	Typical
Minimum cost of a service call	Alternate
Washing Machine:	Typical
Minimum cost of a service call	Alternate
Name of Store or Market Remarks Signature of Price Collector Department City Date

Table 19b Maintenance

Article/Service	Price Level		Specify quantity	Price Specify Currency		Brand and Description
White Paint, interior latex, good quality 4 L or 1 gallon (specify Imperial or U.S. gallon)	Typical
	Alternate
Name of Store or Market Remarks Signature of Price Collector Department City Date

Bank service fees and vehicle registration and licensing

Table 20 Bank Service Fees

Indicate the fees requested from banking institutions where a local accounts are held but the client has not subscribed to any monthly plans, i.e., pay as you go

Table 20 Bank service fees

Specify the name of the Institution	Most frequently used bank	1st Alternative bank	2nd Alternative bank
Transfers: Local Bank cost for incoming transfers from other institutions ($3000 CDN equivalent)
Cheques: Fee to process a cheque (from a regular chequing account) without a monthly plan
Fee to certify a cheque
Fee charged for an NSF cheque
Drafts: Cost of currency draft in local currency ($1,000 CDN equivalent)
Safety Deposit Boxes Monthly rental fee for a safety deposit box (smallest size)
Automatic Bank Machines Fee for cash withdrawal at a bank machine from a local account held by that bank
Local Currency Fee to convert $1000 CDN or equivalent to local currency

Vehicle Registration and Licensing

Registration and licensing fees for a first vehicle are normally covered through provision of reciprocal diplomatic or other terms of employment arrangements such that individual Canada based employees incur no personal expense for these costs. (FSD 30) Where second vehicles are concerned, the situation may vary depending on the mission. To ensure that these expenditures are properly treated in Post Index calculations, the cost of applicable registration and licensing fees is required as well as a brief description outlining the circumstances under which employees would be personally responsible for these costs.

Are registration and licensing fees for the first vehicle always provided at no direct cost to Canada-based staff:

• No
• Yes

If No, provide details including fee structures for registration and licensing:

• Registration
• License

Are registration and licensing fees for additional vehicles always provided at no direct cost to Canada-based staff:

• No
• Yes

If No, provide details including fee structures for registration and licensing:

• Registration
• License

Signature of Price Collector
Department
City
Date

Retail sales taxes, value added taxes or service taxes

All applicable taxes paid by CBS are reflected in the Post Index. Canada-based staff (CBS) may be exempt from paying these taxes, either by deduction at the point of purchase or through rebate systems. It is essential that the following information be provided to ensure these circumstances are accurately reflected in the Post Index. This form must be signed by the Head of Mission or designate when completed. If this information is available in an existing document, a copy should be submitted.

Documentation provided

• Yes
• No (Complete the following)

If any tax exemptions are available, explain the process, including:

Are tax exemptions available at point of purchase?

• No
• Yes

Is there a minimum amount for any one item before an exemption/rebate may be applied?

• No
• Yes (Indicate amount in Local Currency)

Is there a minimum total amount to be accumulated before an exemption/rebate may be applied?

• No
• Yes (Indicate amount in Local Currency)

Is there an annual maximum rebate that may be claimed?

• No
• Yes (Indicate amount in Local Currency)

Provide any relevant details

If none of the CBS at this missions take advantage of tax exemptions, provide details

Indicate the rate of tax for each category of expenditure listed below, if any. Note exclusions or exceptions within each category. Indicate if CBS are eligible to claim an exemption from sales, value added or service taxes. (see example). If the following table does not provide the necessary information to clarify the situation, include additional information, as required.

Table 21 Rate of tax for each category of expenditure

Category	Tax Rate (%)	Tax Exemption Eligibility (Yes / No)		Exclusions
Example: Telephone Service	7%	√ Yes	No	Line Rental
Food Purchased from Stores		Yes	No
Confectioneries: (Candy, Chips, Soft Drinks, etc.)		Yes	No
Pet Food		Yes	No
Household and Personal Care Supplies		Yes	No
Non Prescription Medicines		Yes	No
Tobacco and Alcohol Products		Yes	No
Sports Equipment, Photographic Supplies, Toys, Games, Computer Hardware and Software, Music CD's, DVDs		Yes	No
Gasoline		Yes	No
Automobile Parts		Yes	No
Services: Automobile or Computer Repairs		Yes	No
Clothing, Linens		Yes	No
Dry Cleaning, Shoe Repair Services		Yes	No
Hair Cutting Services		Yes	No
Reading Material (Books and Magazines)		Yes	No
Household Services: Telephone, Cablevision, Internet, Postage		Yes	No
Admissions to Cinemas		Yes	No
DVD Rentals		Yes	No
Admissions to Sporting and Entertainment Events		Yes	No
Restaurant Meals		Yes	No
Insurance: Auto or Household		Yes	No
I certify that, to the best of my knowledge, the information provided in this document is true and accurate. Signature Date