Getting started
Why are we conducting this survey?
This survey collects information to better understand the issues that impact the sexual and reproductive health of women aged 18 to 49 in Canada. Topics include menstruation, sexual health and behaviours, birth control, pregnancy intentions, as well as access and barriers to care for miscarriage, still birth, ectopic pregnancy and abortion. The survey also collects information about access to a regular health care provider, as well as gynaecological surgeries and procedures.
Even after agreeing to participate in the survey, you may choose not to answer specific questions where you feel uncomfortable providing a response.
Results from the survey will be used by researchers, all levels of government and other organizations to assess and inform equitable program and policy development to better support women's sexual and reproductive health.
Your information may also be used by Statistics Canada for other statistical and research purposes.
Although voluntary, your participation is important so that the information collected is as accurate and complete as possible.
Other important information
Authorization and confidentiality
Data are collected under the authority of the Statistics Act, Revised Statutes of Canada, 1985, Chapter S-19. Your information will be kept strictly confidential.
Record linkages
To enhance the data from this survey and to reduce the response burden, Statistics Canada will combine the information you provide with information from the tax data of all members of your household. Statistics Canada and your provincial ministry of health, and the Institut de la statistique du Québec for Quebec respondents, may also combine the information you provide with other surveys or administrative data sources.
Statistics Canada may also combine the information you provide with other survey or administrative data sources.
Contact us if you have any questions or concerns about record linkage:
Email: infostats@statcan.gc.ca
Telephone: 1-877-949-9492
Mail:
Chief Statistician of Canada
Statistics Canada
Attention of Director, Centre for Population Health Data
150 Tunney's Pasture Driveway
Ottawa, Ontario K1A 0T6
Demographics
Are you [FIRSTNAME] [LASTNAME]?
- Yes
- No
- No, my name has changed
What is your new name?
What is your date of birth?
What is your age?
Geographic region
In which province or territory do you currently live?
- Province or territory
OR
- Outside of Canada
To determine which geographic region you live in, provide your postal code.
- Postal code
Example: A9A 9A9
Including yourself, how many people usually live in your household?
Note: Press the help button (?) for additional information, including who to include and who not to include.
Sex and Gender
The following questions are about sex at birth and gender.
What was your sex at birth?
Sex refers to sex assigned at birth.
What is your gender?
Gender refers to current gender which may be different from sex assigned at birth and may be different from what is indicated on legal documents.
Is it:
- Male
- Female
- Or please specify
Please verify that all of the information is correct.
If all the information is correct, press the Next button.
To make changes, press the Previous button.
Your information
Sex assigned at birth: [Male/Female/Information not provided]
Gender: [Male/Female/Response/Information not provided]
Marital status
What is your marital status?
Is it:
- Married
For Quebec residents only, select the "Married" category if your marital status is "civil union".
- Living common law
Two people who live together as a couple but who are not legally married to each other.
- Never married (not living common law)
- Separated (not living common law)
- Divorced (not living common law)
- Widowed (not living common law)
Steady relationship
Are you currently in a steady relationship?
Sexual orientation
This question collects information on sexual orientation to inform programs that promote equal opportunity for everyone living in Canada to share in its social, cultural, and economic life.
What is your sexual orientation?
Sexual orientation refers to how a person describes their sexuality.
Would you say:
- Heterosexual (i.e., straight)
- Lesbian or gay
- Bisexual or pansexual
- Or please specify
- Specify your sexual orientation
General health
The following questions are about health. By health, we mean not only the absence of disease or injury but also physical, mental and social well-being.
In general, how is your health?
Would you say:
- Excellent
- Very good
- Good
- Fair
- Poor
In general, how is your mental health?
Would you say:
- Excellent
- Very good
- Good
- Fair
- Poor
Disability
Do you identify as a person with a disability?
A person with a disability is a person who has a long-term difficulty or condition, such as vision, hearing, mobility, flexibility, dexterity, pain, learning, developmental, memory or mental health-related impairments, that limit their daily activities inside or outside the home such as at school, work, or in the community in general.
Menstruation
This survey asks questions related to sexual behaviours, birth control and pregnancy, all of which are based on sex at birth.[ If specific questions are not relevant, they can be skipped./BLANK]
Menstruation can be an indication of reproductive health. The information provided will help inform guidelines, programs and policies.
At what age did you have your first menstrual period?
Menstruation is when blood and tissue from your uterus comes out of your vagina.
If exact age is not known, provide your best estimate.
- Age in years
OR
- I have never had a menstrual period
In the past 12 months, have you had a menstrual period?
Select "Yes" if you have had at least one menstrual period.
What is the main reason you have not had a menstrual period?
Was it:
- Pregnancy or breastfeeding
- Removal of the uterus or both ovaries
- Radiation or chemotherapy affecting the uterus or both ovaries
- Menopause
- Hormonal birth control
e.g., birth control pill, hormonal intrauterine device (IUD), injection
- Medication, hormones, or drugs
Exclude birth control.
- Excessive physical activity, stress, weight loss
- Other
- I don't know
Sexual behaviour and birth control
The next questions are about sexual behaviour. Understanding sexual behaviour can help inform the development of more equitable programs and policies related to birth control and pregnancy. Please be assured that, like all other information you have provided, these answers will be kept strictly confidential.
Have you ever had sex?
Include vaginal, oral or anal sex.
Note: Press the help button (?) for a list of support resources.
Who have you had sex with?
Please respond based on sex assigned at birth.
Include vaginal, oral or anal sex.
Select all that apply.
Was it:
Which of the following types of sex have you ever had?
Select all that apply.
Would you say:
- Vaginal
i.e., a penis in a vagina
- Oral
i.e., a mouth on the penis, vagina or anus
- Anal
i.e., a penis in an anus
How old were you the first time you had vaginal sex?
If exact age is not known, provide your best estimate.
How old were you the first time you had oral sex?
If exact age is not known, provide your best estimate.
How old were you the first time you had anal sex?
If exact age is not known, provide your best estimate.
How many sexual partners have you ever had?
Sexual partners are people who have sex together, whether just once, a few times or as regular partners.
Include vaginal, oral or anal sex.
Would you say:
- 1
- 2 to 4
- 5 to 9
- 10 to 14
- 15 or more
In the past 12 months, have you had sex?
Include vaginal, oral or anal sex.
Note: Press the help button (?) for a list of support resources.
In the past 12 months, who have you had sex with?
Respond based on sex assigned at birth.
Include vaginal, oral or anal sex.
Select all that apply.
Was it:
In the past 12 months, which of the following types of sex have you had?
Select all that apply.
Was it:
- Vaginal
i.e., a penis in a vagina
- Oral
i.e., a mouth on the penis, vagina or anus
- Anal
i.e., a penis in an anus
In the past 12 months, how many sexual partners have you had?
Sexual partners are people who have sex together, whether just once, a few times or as regular partners.
Include vaginal, oral or anal sex.
Would you say:
- 1
- 2 to 4
- 5 to 9
- 10 to 14
- 15 or more
The last time you had vaginal sex, did you or your partner use any of the following types of birth control?
Select all that apply.
Would you say:
- Rhythm or calendar method
e.g., tracking ovulation cycle
- Condoms
- Birth control pills
- Injection
e.g., Depo-Provera®
- Hormonal intrauterine device (IUD) such as Mirena® or Kyleena®
- Copper intrauterine device (IUD) also called a "Coil" or "Copper T"
- Hormonal implant such as NEXPLANON®
- Contraceptive patch or vaginal contraceptive ring
e.g., EVRA® patch, NuvaRing®
- Withdrawal or pulling out
- Vasectomy
i.e., a permanent surgical procedure to close or block the Vas Deferens, that is the tubes that carry sperm to penis
- Tubal sterilization, also known as having your "tubes tied", or hysterectomy
- Cervical cap or diaphragm
- Spermicide
e.g., jelly, foam or contraceptive sponge
OR
- None
OR
- I don't know
Since the last time you had vaginal sex, have you [changed the type of birth control you are using/started using birth control]?
Birth control
Birth control can be used for pregnancy prevention or for other health reasons. Are you currently using any of the following types of birth control?
Select all that apply.
Are you using:
- Rhythm or calendar method
e.g., tracking ovulation cycle
- Condoms
- Birth control pills
- Injection
e.g., Depo-Provera®
- Hormonal intrauterine device (IUD) such as Mirena® or Kyleena®
- Copper intrauterine device (IUD) also called a "Coil" or "Copper T"
- Hormonal implant such as NEXPLANON®
- Contraceptive patch or vaginal contraceptive ring
e.g., EVRA® patch, NuvaRing®
- Withdrawal or pulling out
- Vasectomy
i.e., a permanent surgical procedure to close or block the Vas Deferens, that is the tubes that carry sperm to penis
- Tubal sterilization, also known as having your "tubes tied", or hysterectomy
- Cervical cap or diaphragm
- Spermicide
e.g., jelly, foam or contraceptive sponge
OR
- None of the above
People may not be able to get birth control or access their preferred type of birth control. In the past 12 months, did any of the following reasons make it difficult for you to get birth control?
Select all that apply.
Would you say:
- Cost
- Lack of health care provider
- Getting an appointment or wait time too long
- Negative attitude of health care provider or previous negative experience
e.g., lack of respect, culturally appropriate care or a disagreement
- Lack of social support or worried about reaction of others
e.g., personal, family, cultural or religious values or beliefs
- Transportation
- Preferred type of birth control not available in area
- Concerns about privacy
- Side-effects, health concerns or medical concerns
- Other
OR
- No difficulties
OR
- I do not want to use birth control
Emergency birth control
The next few questions are about emergency birth control. Emergency birth control, sometimes known as the "morning after pill" is birth control that can be used after sex to lower the chance of becoming pregnant.
People may not use birth control, can forget to use birth control or forget to use it regularly.
In the past 12 months, have you needed emergency birth control?
Emergency birth control includes the "morning after pill" such as Plan B®.
Note: Press the help button (?) for more information or for a list of support resources.
In the past 12 months, did you use emergency birth control?
In the past 12 months, did you have any difficulties getting emergency birth control?
Would you say:
- Yes
- No
- I have not tried to get emergency birth control
Sexual behaviour and communication
Please think back to the past 12 months and indicate the answer that most applies to you in sexual situations with a partner. In these statements, "partner" refers to any sexual partners you had in or out of a relationship, in the past 12 months.
Note: Press the help button (?) for a list of support resources.
a. I am open with my partner about my sexual needs
- Strongly disagree
- Disagree
- Agree
- Strongly agree
b. I let my partner know if I want to have sex
- Strongly disagree
- Disagree
- Agree
- Strongly agree
c. It is easy for me to discuss sex with my partner
- Strongly disagree
- Disagree
- Agree
- Strongly agree
d. I refuse to have sex if I don't want to
- Strongly disagree
- Disagree
- Agree
- Strongly agree
e. I find myself having sex when I do not really want it
f. It is easy for me to say no if I don't want to have sex
- Strongly disagree
- Disagree
- Agree
- Strongly agree
Please think back to the past 12 months and indicate the answer that most applies to you in sexual situations with a partner. In these statements, "partner" refers to any sexual partners you had in or out of a relationship, in the past 12 months.
For partners who have been together for more than 12 months, consider the whole relationship.
Note: Press the help button (?) for a list of support resources.
a. I ask my partner if they practiced safe sex with other partners
- Strongly disagree
- Disagree
- Agree
- Strongly agree
b. I ask my partner about their sexual history
- Strongly disagree
- Disagree
- Agree
- Strongly agree
c. I ask my partner whether they have ever had a sexually transmitted infection or disease
- Strongly disagree
- Disagree
- Agree
- Strongly agree
Sexual health
Some people go through times when they are not interested in sex or find it difficult to enjoy sexual activities. The questions that follow are about some common difficulties that people experience.
In the past 12 months, how often have you had any of the following sexual health concerns?
a. Loss of pleasure
- Always
- Often
- Sometimes
- Rarely
- Never
b. Little interest in sex
- Always
- Often
- Sometimes
- Rarely
- Never
c. Difficulty with arousal
- Always
- Often
- Sometimes
- Rarely
- Never
d. Fear of sexual activity
- Always
- Often
- Sometimes
- Rarely
- Never
e. Pain or physical discomfort during or after intercourse or sexual activity
- Always
- Often
- Sometimes
- Rarely
- Never
Using a scale of 0 to 10 where 0 means "Very dissatisfied" and 10 means "Very satisfied", how do you feel about your sex life as a whole right now?
- 0 ─ Very dissatisfied
- 1
- 2
- 3
- 4
- 5
- 6
- 7
- 8
- 9
- 10 ─ Very satisfied
Pregnancy, pregnancy outcomes and access to care
Have you ever been pregnant?
Select "Yes" if you are currently pregnant or have had a live birth, abortion, stillbirth, miscarriage, ectopic or tubal pregnancy.
Note: Press the help button (?) for a list of support resources.
Have you ever given birth?
Select all that apply.
Would you say:
- Yes, vaginal
- Yes, caesarean
OR
- No, I have not given birth
Are you currently pregnant?
How many weeks pregnant are you?
- Less than 12 weeks
- 12 to less than 20 weeks
- 20 to less than 24 weeks
- 24 weeks or more
Please indicate to what extent the following statement describes your current situation.
It is important to me to avoid getting pregnant right now.
Would you say you:
- Strongly agree
- Agree
- Neither agree nor disagree
- Disagree
- Strongly disagree
In the past 5 years, have you been pregnant? Include pregnancies that resulted in a live birth, abortion, stillbirth, miscarriage, ectopic or tubal pregnancy.
Thinking of your [current/most recent] pregnancy, in the month that you became pregnant, which of the following statements best describes how birth control was being used? Pregnancies resulting in a live birth, abortion, stillbirth, miscarriage, ectopic or tubal pregnancy should be included.
Note: Press the help button (?) for more information or for a list of support resources.
In the month you became pregnant:
- Birth control was not used
- Birth control was used but not every time
- Birth control was always used and we thought it failed at least once
e.g., it broke, moved, came off, came out, or similar
- Birth control was always used and we did not think it had failed
For this question, think of when you first learned about your [current/most recent] pregnancy.
In terms of becoming a mother or a parent, for the first time or again, which of the following statements best describes your feelings about when this pregnancy happened?
Would you say:
- It was the right time
- It was later than you wanted
- It was sooner than you wanted
- It was the wrong time
- There would never be a right time
For your [current/most recent] pregnancy, thinking about the time just before you became pregnant, which of the following statements best describes your intentions about getting pregnant?
Would you say:
- You intended to get pregnant
- Your intentions to get pregnant kept changing
- You did not intend to get pregnant
For your [current/most recent] pregnancy, thinking about the time just before you became pregnant, which of the following statements best describes your feelings about having a baby?
Would you say you:
- Wanted to have a baby
- Had mixed feelings about having a baby
- Did not want to have a baby
Before your [current/most recent] pregnancy, which of the following statements best described your situation?
A partner could be a husband, wife, common-law partner or someone you have had sex with once or twice.
Would you say:
- You chose to become pregnant without a partner
- You and your partner had discussed getting pregnant together
- You and your partner never discussed having children together
What was the result of the discussion about pregnancy?
Was it:
- We agreed to get pregnant
- We had not agreed about getting pregnant
- We agreed to not get pregnant
In preparation for your [current/most recent] pregnancy, did you take any of the following actions before becoming pregnant?
Select all that apply.
Did you:
- Take prenatal vitamins
e.g., folic acid
- Seek health advice to prepare for pregnancy
e.g., from books or professionals
- Review or make changes to improve health
e.g., you or your partner stopped or reduced smoking, use of alcohol, cannabis or other drugs; you ensured healthy eating and exercise
- Track your monthly menstrual cycle to try to become pregnant
- Use fertility or ovulation testing products
- Use any fertility medications or treatments to help you get pregnant
- Take some other health-related action
- Specify other health-related action
OR
- I did not do anything in preparation for pregnancy
Sometimes a pregnancy does not result in a live birth. For example, a pregnancy may end in an abortion, a stillbirth, a miscarriage, or an ectopic or tubal pregnancy. Please be assured that, like all other information you have provided, these answers will be kept strictly confidential.
Thinking about your last pregnancy, how did the pregnancy end?
Note: Press the help button (?) for more information or for a list of support resources.
Was it:
- Live birth
- Abortion
i.e., the medical termination of an ongoing pregnancy
- Miscarriage
i.e., the spontaneous or natural loss of a pregnancy before 20 weeks of pregnancy
- Stillbirth
i.e., the loss of a pregnancy after 20 weeks of pregnancy but before the baby is born, can occur during pregnancy or during labour
- Ectopic or tubal pregnancy
i.e., any pregnancy outside the uterus or womb, like in the fallopian tube or abdomen
How many weeks pregnant were you when you experienced this [abortion/miscarriage/stillbirth/ectopic or tubal pregnancy]?
If unsure, provide your best estimate.
- Less than 12 weeks
- 12 to less than 20 weeks
- 20 to less than 24 weeks
- 24 weeks or more
- I don't know
How old were you when you experienced this [abortion/miscarriage/stillbirth/ectopic or tubal pregnancy]?
If exact age is not known, provide your best estimate.
Did you have any of the following types of care as part of the [abortion/miscarriage/stillbirth/ectopic or tubal pregnancy]?
Include both in-person and virtual consultations such as over the telephone or by video.
Select all that apply.
Would you say:
- Yes, medication to help pass pregnancy tissue[ or to terminate a pregnancy/BLANK]
e.g., Mifegymiso (Mifepristone and Misoprostol), CytotecTM (Misoprostol), Methotrexate, Potassium Chloride (KCl)
- Yes, [a procedural abortion or a surgical procedure/a surgical procedure]
e.g., manual vacuum aspiration (MVA), dilation and curettage (D&C), dilation and evacuation (D&E)
- Yes, other type of care
Where did you get the medication? Was it a:
For medications that you obtained from a pharmacy, report where they were prescribed.
- Hospital
- Specialized clinic
e.g., sexual health, birth control or abortion clinic
- Regular health care provider or walk-in clinic
Include both in-person and virtual consultations such as over the telephone or by video with your regular provider.
Include walk-in clinics, even if you have an appointment.
- Telemedicine or telehealth provider
A healthcare provider prescribes the medication over the phone or internet.
- Other
What type of facility did you use for the [procedural abortion or surgical procedure/surgical procedure]? Was it a:
- Hospital
- Specialized clinic
e.g., sexual health, birth control or abortion clinic
- Other
Did you have any of the following types of care as part of the [abortion/miscarriage/stillbirth/ectopic or tubal pregnancy]?
Include both in-person and virtual consultations such as over the telephone or by video.
Select all that apply.
Would you say:
- Yes, medication to help pass pregnancy tissue
e.g., Mifegymiso (Mifepristone and Misoprostol), CytotecTM (Misoprostol), Methotrexate, Potassium Chloride (KCl)
- Yes, a surgical procedure
e.g., manual vacuum aspiration (MVA), dilation and curettage (D&C), dilation and evacuation (D&E)
- Yes, other type of care
OR
- No, I did not have any type of care
Where did you get the medication? Was it a:
For medications that you obtained from a pharmacy, report where they were prescribed.
- Hospital
- Specialized clinic
e.g., sexual health, birth control or abortion clinic
- Regular health care provider or walk-in clinic
Include both in-person and virtual consultations such as over the telephone or by video with your regular provider.
Include walk-in clinics, even if you have an appointment.
- Telemedicine or telehealth provider
A healthcare provider prescribes the medication over the phone or internet.
- Other
What type of facility did you use for the surgical procedure? Was it a:
- Hospital
- Specialized clinic
e.g., sexual health, birth control or abortion clinic
- Other
Did you or someone else have to pay for any of the following expenses to get the [medication/procedural abortion or surgical procedure/surgical procedure/medication, procedural abortion or surgical procedure/medication or surgical procedure]?
Include costs covered by an organization, such as a charity, or costs that were or will be reimbursed.
Select all that apply.
Would you say:
- Yes, medication
- Yes, [a procedural abortion or a surgical procedure/a surgical procedure]
- Yes, transportation
- Yes, a place to stay
- Yes, meals
- Yes, childcare
- Yes, other costs
OR
- No, I did not have to pay for any of these expenses
OR
- I don't know
Approximately how much did the transportation cost?
Include costs for yourself or other people that were with you.
Was it:
- Less than $20
- $20 to $99
- $100 to $300
- More than $300
- I don't know
Did you experience any of the following difficulties seeking care for the [abortion/miscarriage/stillbirth/ectopic or tubal pregnancy]?
Select all that apply.
Would you say:
- Cost
- Lack of information about how to access services
- Getting an appointment or wait time too long
- Negative attitude of health care provider or previous negative experience
e.g., lack of respect, culturally appropriate care or a disagreement
- Lack of social support or worried about reaction of others
e.g., personal, family, cultural or religious values or beliefs
- Transportation
- Not available in my area
- Getting childcare
- Getting time off work or school
- Concerns about privacy
- Side-effects, health concerns or medical concerns
- Personal safety or harassment
- Other difficulty
OR
- No difficulties
What province or territory did you live in when you had the [abortion/miscarriage/stillbirth/ectopic or tubal pregnancy]?
- Province or territory
OR
- Outside of Canada
Did you travel outside the province or territory you lived in to get care, medication or a procedure?
- Yes, to another province or territory
- Yes, outside of Canada
- No
Overall, how satisfied were you with the quality of the care you received?
Were you:
- Very satisfied
- Somewhat satisfied
- Neither satisfied nor dissatisfied
- Somewhat dissatisfied
- Very dissatisfied
Women may have an abortion, or may consider having an abortion, for different reasons. Thinking about the past 5 years, which of the following statements best describes your experience with abortion?
If you have had more than one experience with abortion in the past 5 years, refer to the last experience.
Note: Press the help button (?) for a list of support resources.
Would you say you:
- Have not been pregnant in the past 5 years
- Considered having an abortion but did not have one
- Had an abortion
- Have not considered getting an abortion
- Prefer not to answer
What was the reason you did not have an abortion?
Would you say:
- Could not access services and brought the pregnancy to term
- Too far along in the pregnancy
- Influence or pressure from others changed my decision
- Changed my mind
- My pregnancy ended in another way first
How many weeks pregnant were you when you experienced this abortion?
If unsure, provide your best estimate.
Was it:
- Less than 12 weeks
- 12 to less than 20 weeks
- 20 to less than 24 weeks
- 24 weeks or more
- I don't know
How old were you when you experienced this abortion?
If exact age is not known, provide your best estimate.
Which of the following types of care did you receive for the abortion?
If you sought services for abortion for more than one pregnancy, refer to the most recent time you sought services.
Include both in-person and virtual consultations such as over the telephone or by video.
Was it:
- Medication to help pass pregnancy tissue or to terminate a pregnancy
e.g., Mifegymiso (Mifepristone and Misoprostol), CytotecTM (Misoprostol), Methotrexate, Potassium Chloride (KCl)
- Procedural abortion or surgical procedure
e.g., manual vacuum aspiration (MVA), dilation and curettage (D&C), dilation and evacuation (D&E)
- Other type of care
Where did you get the medication? Was it a:
For medications that you obtained from a pharmacy, report where they were prescribed.
- Hospital
- Specialized clinic
e.g., sexual health, birth control or abortion clinic
- Regular health care provider or walk-in clinic
Include both in-person and virtual consultations such as over the telephone or by video with your regular provider.
Include walk-in clinics, even if you have an appointment.
- Telemedicine or telehealth provider
A healthcare provider prescribes the medication over the phone or internet.
- Other
What type of facility did you use for the procedural abortion or surgical procedure? Was it a:
- Hospital
- Specialized clinic
e.g., sexual health, birth control or abortion clinic
- Other
Did you or someone else have to pay for any of the following expenses to get the [medication, procedural abortion or surgical procedure/medication/procedural abortion or surgical procedure]?
Include costs covered by an organization, such as a charity, or costs that were or will be reimbursed.
Select all that apply.
Would you say:
- Yes, medication
- Yes, procedural abortion or surgical procedure
- Yes, transportation
- Yes, a place to stay
- Yes, meals
- Yes, childcare
- Yes, other costs
OR
- No, I did not have to pay for any of these expenses
OR
- I don't know
Approximately how much did the transportation cost?
Include costs for yourself and other people that were with you.
Was it:
- Less that $20
- $20 to $99
- $100 to $300
- More than $300
- I don't know
What province or territory did you live in when you [considered having an abortion/had the abortion]?
- Province or territory
OR
- Outside of Canada
Did you travel outside the province or territory you lived in to get care, medication or a procedure?
- Yes, to another province or territory
- Yes, outside of Canada
- No
Overall, how satisfied were you with the quality of the care you received?
Were you:
- Very satisfied
- Somewhat satisfied
- Neither satisfied nor dissatisfied
- Somewhat dissatisfied
- Very dissatisfied
Did you experience any of the following difficulties when seeking care for the abortion?
Select all that apply.
Would you say:
- Cost
- Lack of information about how to access services
- Getting an appointment or wait time too long
- Negative attitude of health care provider or previous negative experience
e.g., lack of respect, culturally appropriate care or a disagreement
- Lack of social support or worried about reaction of others
e.g., personal, family, cultural or religious values or beliefs
- Transportation
- Not available in my area
- Getting childcare
- Getting time off work or school
- Concerns about privacy
- Side-effects, health concerns or medical concerns
- Personal safety or harassment
- Other difficulty
OR
- No difficulties
Surgeries and medical procedures
The following questions are about surgeries or medical procedures you may have had
Have you ever had any of the following surgeries or medical procedures?
Select all that apply.
Have you had:
- Removal of uterus
- Removal of one ovary
- Removal of both ovaries
- Endometrial ablation
- Removal of fibroids
- Removal of one fallopian tube
- Removal of both fallopian tubes
- Tying of the fallopian tubes also known as having your "tubes tied"
- Mastectomy, lumpectomy, breast reconstruction, reduction or augmentation
- Surgery for pelvic organ prolapse
- Surgery for urinary incontinence
OR
- None of the above
At what age did you have your uterus removed?
If exact age is not known, provide your best estimate.
At what age did you have your second ovary removed?
If exact age is not known, provide your best estimate.
At what age did you have your second fallopian tube removed?
If exact age is not known, provide your best estimate.
At what age did you have your fallopian tubes tied?
If exact age is not known, provide your best estimate.
Healthcare
Now, here is a question about primary health care. This type of health care is often delivered by family doctors or nurse practitioners.
Do you have a regular health care provider? By this, we mean a primary health care professional that you can consult with when you need care or advice for your health.
Select "Yes, another health professional" if you receive regular care from locums.
- Yes, a family doctor
- Yes, a nurse practitioner
- Yes, another health professional
- Specify the other health professional
- No
In the past 5 years, did you feel that you were discriminated against in a health care setting for any reason?
Discrimination is an action or a decision that treats a person or a group badly for reasons such as their race, religion, age, sex, gender, marital status, or disability. These reasons are protected under the Canadian Human Rights Act.
Indigenous Identity
Are you First Nations, Métis or Inuk (Inuit)?
First Nations (North American Indian) includes Status and Non-Status Indians.
If "Yes", select the responses that best describes this person now.
- No, not First Nations, Métis or Inuk (Inuit)
OR
- Yes, First Nations (North American Indian)
- Yes, Métis
- Yes, Inuk (Inuit)
The following question collects information in accordance with the Employment Equity Act and its Regulations and Guidelines to support programs that promote equal opportunity for everyone to share in the social, cultural, and economic life of Canada.
Select all that apply.
Are you:
- White
- South Asian
e.g., East Indian, Pakistani, Sri Lankan
- Chinese
- Black
- Filipino
- Arab
- Latin American
- Southeast Asian
e.g., Vietnamese, Cambodian, Laotian, Thai
- West Asian
e.g., Iranian, Afghan
- Korean
- Japanese
- Other
Education
What is the highest certificate, diploma or degree that you have completed?
- Less than high school diploma or its equivalent
- High school diploma or a high school equivalency certificate
- Trades certificate or diploma
- College, CEGEP or other non-university certificate or diploma (other than trades certificates or diplomas)
- University certificate or diploma below the bachelor's level
- Bachelor's degree
e.g., B.A., B.A. (Hons), B.Sc., B.Ed., LL.B.
- University certificate, diploma or degree above the bachelor's level
Administrative Information
To enhance the data from this survey and to minimize the reporting burden for respondents, Statistics Canada will combine your responses with information from the tax data of all members of your household. [Statistics Canada, the provincial ministry of health and the Institut de la statistique du Québec/Statistics Canada and the provincial ministry of health] may also add information from other surveys or administrative sources.
Having a provincial or territorial health number will assist us in linking to this other information. Do you have a [PROVINCE] health number?
For which province or territory is your health number?
If you do not have a Canadian health number, select "Does not have a Canadian health number" from the drop-down list.
What is your health number?
Enter a health number for [PROVINCE]. In [PROVINCE], the health number is made up of [DIGITS]. Do not insert blanks, hyphens or commas between the numbers.
[Note: In Manitoba, health numbers of families can be listed on the same card. Be sure to capture the intended respondent's health number if there is more than one on the card./Note: In British Columbia, residents may have a combined driver's license and health card. If the respondent has a combined card, the health number is on the back above the barcode./BLANK]
[To avoid duplication of surveys, Statistics Canada has signed agreements to share the data from this survey with provincial ministries of health. Provincial ministries of health may make the data available to local health authorities.
Data shared with your ministry of health may also include identifiers such as name, address, telephone number and health number. Local health authorities would receive only survey responses and the postal code. /
To avoid duplication of surveys, Statistics Canada has signed agreements to share data from this survey with provincial ministries of health and the Institut de la statistique du Québec. The Institut de la statistique du Québec and provincial ministries of health may make this data available to local health authorities.
Data shared with your ministry of health or the Institut de la statistique du Québec may also include identifiers such as name, address, telephone number and health number. Local health authorities would receive only survey responses and the postal code.]
These organizations have agreed to keep the data confidential and use it only for statistical purposes.
Do you agree to share the data you provided?
To reduce the number of questions in this questionnaire, Statistics Canada will use information from your tax forms submitted to the Canada Revenue Agency. With your consent Statistics Canada will share this information from your tax forms with [provincial ministries of health and the Institut de la statistique du Québec/provincial ministries of health].
These organizations have agreed to keep the information confidential and to use it only for statistical and research purposes.
Do you give Statistics Canada permission to share your tax information with [provincial ministries of health and the Institut de la statistique du Québec/provincial ministries of health]?
Resources
Thank you for completing the Canadian Sexual and Reproductive Health Survey.
[Contact information for some resources that may help support you or someone you know is available.
While you may wish to use these services, please note Statistics Canada is not affiliated with any of these organizations./Some resources are provided that may help support you or someone you know.
While you may wish to use these services, please note Statistics Canada is not affiliated with any of these organizations.]
Resources list
Baby’s Breath
Provides support for parents experiencing all sudden and unexpected infant deaths and stillbirth
https://www.babysbreathcanada.ca/
Telephone: 1-800-363-7437
Parent Orphelins (Quebec residents)
Provides support for parents grieving due to pregnancy and infant loss
Telephone: 514-686-4880
https://parentsorphelins.org/en/
Access line for Action Canada for Sexual Health and Rights
The Access Line is a 7-day a week toll-free, confidential phone and text line. It is available for questions about sexual health, pregnancy options, abortion, and safer sex. They provide information and make referrals to sexual health providers.
https://www.actioncanadashr.org/call-access-line-1-888-642-2725
Canadian Mental Health Association (National)
Provides advocacy, programs and resources that help to prevent mental health problems and illnesses and support recovery and resilience
https://cmha.ca/find-info/mental-health/
Telephone: 1-833-456-4566
Telephone: 1-866-277-3553 (in Quebec)
Government of Canada (Family violence resources and services in your area)
Links for family violence resources and services in your area
https://www.canada.ca/en/public-health/services/health-promotion/stop-family-violence/services.html
Suicide Crisis Helpline
A national network of existing distress, crisis and suicide prevention line services
https://988.ca/
Telephone: 9-8-8
Text: 9-8-8
