Getting started
Why are we conducting this survey?
The Survey on Health Care Access and Experiences - Primary, Emergency and Hospital Care (SHCAE-PEHC) aims to better understand how Canadians navigate the health care system, including any challenges or barriers they may face. The survey covers various topics such as access to and experiences with primary health care, emergency room care, hospital care, unmet health care needs, prescription costs, and insurance coverage.
Survey results may help Health Canada, the Public Health Agency of Canada, and provincial ministries of health in making informed decisions about the delivery of health care services and in developing and improving health care programs and policies to better serve the Canadian population.
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. Your provincial ministry of health and the Institut de la statistique du Québec for Quebec respondents may combine the information you provide with other survey 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
Household composition
Including yourself, how many people usually live in your household?
- Number of people
Including yourself, how many people [18] years of age or older usually live in your household?
- Number of people
Including yourself, are any people in your household currently serving as a full-time member (Regular or Reserve Force) of the Canadian Armed Forces?
Include members of the Regular Officer's Training Program (ROTP).
Exclude part-time members of the Canadian Armed Forces and civilian employees working for the Department of National Defence.
- Yes
- No
Respondent selection
Provide your first and last name.
- First name
- Last name
Geographic region
To determine which geographic region you live in, please provide your postal code.
- Postal code
In which province or territory do you currently live?
- Province or territory
- Alberta
- British Columbia
- Manitoba
- New Brunswick
- Newfoundland and Labrador
- Northwest Territories
- Nova Scotia
- Nunavut
- Ontario
- Prince Edward Island
- Quebec
- Saskatchewan
- Yukon
OR - Outside of Canada
Occupancy
Is this dwelling owned by a member of this household?
Would you say:
- Yes, owned, even if it is still being paid for
- No, rented, even if no cash rent is paid
Age
What is your date of birth?
- Year
- Month
- Day
What is your age?
- Age in years
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.
- Male
- Female
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.
- Male
- Female
- Or please specify
- Specify your gender
Main activity
The following question concerns your activities during the past 12 months.
During the past 12 months, was your main activity working at a job or business, looking for paid work, going to school, caring for children, household work, retired or something else?
If the main activity was "sickness" or "short-term illness", indicate the usual main activity.
- Working at a job or business
- Looking for paid work
- Going to school
- Caring for your children
- Household work
- Retired
- Maternity, paternity or parental leave
- Long term illness
- Volunteering or care-giving other than for your children
- Other
- Specify the main activity
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
Thinking about the amount of stress in your life, how would you describe most of your days?
Would you say:
- Not at all stressful
- Not very stressful
- A bit stressful
- Quite a bit stressful
- Extremely stressful
Life satisfaction
Using a scale of 0 to 10, where 0 means "Very dissatisfied" and 10 means "Very satisfied", how do you feel about your life as a whole right now?
- 0 – Very dissatisfied
- 1
- 2
- 3
- 4
- 5
- 6
- 7
- 8
- 9
- 10 – Very satisfied
Chronic conditions
Now a few questions about chronic pain. Chronic pain is defined as pain that persists or recurs for more than three months.
Do you live with chronic pain?
Include any pain that has persisted or has been recurring for at least three months, such as pain resulting from chronic migraine, cancer, arthritis, a surgery or injury, or another underlying disease or issue; or pain that has persisted or has been recurring for at least three months with no identifying causes.
- Yes
- No
Was this chronic pain diagnosed by a health professional?
- Yes
- No
The next question is about long-term mental health conditions, like depression, and neurodevelopmental conditions, like autism. These are conditions which are expected to last or have already lasted 6 months or more and that have been diagnosed by a health professional.
Have you been diagnosed by a health professional with any of the following long-term mental health or neurodevelopmental conditions?
Include only conditions you are currently experiencing that have lasted or are expected to last six months or more.
Select all that apply.
Do you have:
- A mood disorder
e.g., depression, bipolar disorder, mania or dysthymia - An anxiety disorder
e.g., phobia, panic disorder or generalized anxiety disorder - Obsessive-compulsive disorder (OCD)
- A personality disorder
e.g., borderline personality disorder, antisocial personality disorder - Schizophrenia or any other psychosis
- Post-traumatic stress disorder (PTSD)
- An eating disorder
e.g., anorexia, bulimia or binge eating disorder - Attention deficit disorder (ADD) or attention deficit hyperactivity disorder (ADHD)
- Autism, also known as autism spectrum disorder, autistic disorder, Asperger's disorder or pervasive developmental disorder
- Gambling disorder
- A substance use disorder
e.g., alcohol use disorder, cannabis dependence, opioid dependence - Other
- Specify the type of condition
- None of the above
The next question is about long-term health conditions. These are conditions which are expected to last or have already lasted 6 months or more and that have been diagnosed by a health professional.
Have you been diagnosed by a health professional with any of the following long-term health conditions?
Include only conditions that have lasted or are expected to last six months or more.
Select all that apply.
Do you have:
- Cancer
- Chronic blood disorder
e.g., sickle cell anemia, hemophilia - Diabetes
Include type 1, type 2, gestational or other types of diabetes. Select even if controlled by medication.
Exclude prediabetes. - High blood cholesterol
Select even if controlled by medication. - High blood pressure
Select even if controlled by medication. - Heart disease
e.g., angina, heart failure - Dementia
e.g., Alzheimer's disease, vascular dementia - Effects of a stroke
- Neurological disorder
e.g., amyotrophic lateral sclerosis (ALS) or Lou Gehrig's disease, multiple sclerosis (MS), Parkinson's disease, migraine - Fibromyalgia
- Chronic fatigue syndrome (CFS)
Include myalgic encephalomyelitis. - Eye disease
e.g., glaucoma, cataracts, macular degeneration, retinopathy, blindness, strabismus - Ear disease
e.g., hearing impairment, vestibulopathy - Asthma
- Chronic bronchitis, emphysema, or chronic obstructive pulmonary disease (COPD)
- Sleep apnea
- Bowel disorder
e.g., Crohn's disease, inflammatory bowel disease (IBD) - Liver disease
e.g., chronic hepatitis - Osteoporosis
- Arthritis
e.g., osteoarthritis or arthrosis, rheumatoid arthritis, gout, pseudogout
Exclude fibromyalgia. - Back problems
e.g., scoliosis, kyphosis, degenerative disk disease - Chronic kidney disease
Exclude kidney stones or infection. - Dermatological conditions
e.g., eczema, psoriasis - Celiac disease
- Other
- Specify the type of condition
- None of the above
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.
- Yes
- No
Primary health care
Now, here are some questions 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
When you consult with [this family doctor/this nurse practitioner/this other health professional], do you have to pay out-of-pocket for your consultation because they work in a private pay model?
Exclude any fees associated with medical notes for work or school, expedited blood work, prescription renewals, cosmetic procedures, travel medicine advice and vaccines, tests requested by employers or insurance companies and other services that are not covered by the universal health care system.
- Yes
- No
- Don't know
Some patients receive primary health care from a team of health professionals working together to provide coordinated services and care. In addition to family doctors and nurses, these teams could include social workers, dieticians and pharmacists, but do not include medical specialists (e.g., cardiologists, oncologists).
Are you a patient of a team of health professionals that work together to provide you with coordinated services and care?
Exclude care provided by teams of medical specialists (e.g., cardiologists, oncologists).
Depending on where you live, these teams might be called a Family Health Team, Family Medicine Group, Integrated Care Network or Primary Care Network.
- Yes
- No
- Don't know
Do you have to pay out-of-pocket for any of the services provided by the team of health professionals?
Exclude any fees associated with medical notes for work or school, expedited blood work, prescription renewals, cosmetic procedures, travel medicine advice and vaccines, tests requested by employers or insurance companies and other services that are not covered by the universal health care system.
- Yes
- No
- Don't know
Why do you not have a regular health care provider?
Select all that apply.
Would you say:
- Currently on a waitlist
- Do not need one in particular
- No one in the area is taking new patients
- There are no health care providers in the area
- You have not tried to find one
- You had one who left, retired or changed practice
- You moved to a new area
- You aged out of paediatric care
Paediatric care is health care for children and youth. - Other
- Specify the other reason you do not have a regular health care provider
When you contact your [family doctor's/nurse practitioner's/other health professional's/team of health professionals'] office during regular practice hours with a medical concern or question, not related to appointments, how often do you get an answer from someone that same day?
This could be by phone, through email or electronically.
Include contacts for issues such as test results or questions about referrals.
Exclude contacts to book appointments.
- Always
- Often
- Sometimes
- Rarely
- Never
- Your [family doctor/nurse practitioner/other health professional/team of health professionals] does not answer questions without an appointment
- Have not tried to contact your [family doctor/nurse practitioner/other health professional/team of health professionals] other than to make appointments
Are you able to get blood tests at your [family doctor's/nurse practitioner's/other health professional's/team of health professionals'] office?
Include situations where the tests are available in the same building.
- Yes
- No
- Don't know
Do you usually speak in English, in French or in another language with your [family doctor/nurse practitioner/other health professional/team of health professionals]?
Exclude the use of translation or interpretation services.
Would you say:
- English
- French
- English and French
- English and another language
- French and another language
- Another language
Is this the language you would like to speak with your [family doctor/nurse practitioner/other health professional/team of health professionals]?
- Yes
- No
What language would you like to speak with your [family doctor/nurse practitioner/other health professional/team of health professionals]?
Would you say:
- English
- French
- English and French
- English and another language
- French and another language
- Another language
You said your regular health care provider is another health professional. Do you have a family doctor or nurse practitioner?
- Yes, a family doctor
- Yes, a nurse practitioner
- No
Access to health care services
Now some questions about access to care at [your family doctor's office/your nurse practitioner's office/your other health professional's office/your team of health professionals' office/the nearest place for health care].
Does [your family doctor's office/your nurse practitioner's office/your other health professional's office/your team of health professionals' office/the nearest place for health care] offer care during the following times?
Include both in-person and virtual consultations such as over the telephone, by video, or written correspondence.
- During weekday evenings, e.g., 5:00 p.m. to 9:00 p.m. Monday to Friday
- Always
- Often
- Sometimes
- Rarely
- Never
- Don't know
- On Saturdays
- Always
- Often
- Sometimes
- Rarely
- Never
- Don't know
- On Sundays
- Always
- Often
- Sometimes
- Rarely
- Never
- Don't know
- On holidays
- Always
- Often
- Sometimes
- Rarely
- Never
- Don't know
In the past 12 months, did you experience difficulties getting care from [your family doctor's office/your nurse practitioner's office/your other health professional's office/your team of health professionals' office/the nearest place for health care] during weekday evenings (for example, 5:00 p.m. to 9:00 p.m. Monday to Friday)?
- Yes
- No
- Did not need care during that time
What type of difficulties did you experience when getting care from [your family doctor's office/your nurse practitioner's office/your other health professional's office/your team of health professionals' office/the nearest place for health care] during weekday evenings?
Select all that apply.
- Difficulty contacting [your family doctor's office/your nurse practitioner's office/your other health professional's office/your team of health professionals' office/the nearest place for health care]
- Waited too long to speak to someone
- Did not get adequate care
- Difficulty getting an appointment
- Care was not available at the time required
- Care was not available in preferred mode
e.g., in-person, virtually - Cost
Exclude any fees associated with medical notes for work or school, expedited blood work, prescription renewals, cosmetic procedures, travel medicine advice and vaccines, tests requested by employers or insurance companies, and other services that are not covered by the universal health care system. - Language problem
- Transportation problem
- Care was not sensitive to my cultural background and identity
- Care was not accessible
- Other
In the past 12 months, did you experience difficulties getting care from [your family doctor's office/your nurse practitioner's office/your other health professional's office/your team of health professionals' office/the nearest place for health care] during weekends or holidays?
- Yes
- No
- Did not need care during that time
What type of difficulties did you experience when getting care from [your family doctor's office/your nurse practitioner's office/your other health professional's office/your team of health professionals' office/the nearest place for health care] during weekends or holidays?
Select all that apply.
- Difficulty contacting [your family doctor's office/your nurse practitioner's office/your other health professional's office/your team of health professionals' office/the nearest place for health care]
- Waited too long to speak to someone
- Did not get adequate care
- Difficulty getting an appointment
- Care was not available at the time required
- Care was not available in preferred mode
e.g., in-person, virtually - Cost
Exclude any fees associated with medical notes for work or school, expedited blood work, prescription renewals, cosmetic procedures, travel medicine advice and vaccines, tests requested by employers or insurance companies, and other services that are not covered by the universal health care system. - Language problem
- Transportation problem
- Care was not sensitive to my cultural background and identity
- Care was not accessible
- Other
In the past 12 months, did you need any care during the middle of the night?
Include both in-person and virtual consultations such as over the telephone, by video, or written correspondence.
- Yes
- No
The last time you needed care during the middle of the night, where did you receive this care?
Include both in-person and virtual consultations such as over the telephone, by video, or written correspondence.
- A hospital emergency room
- A telephone health line
e.g., Health Links, Health Connect Ontario, Health811, Health-Line, TeleCare, Info-Santé, 988 - A virtual clinic, app or website
Include private clinics. - An in-person office or clinic
Include walk-in clinics and private clinics. - A community health centre [or CLSC]
- An urgent care clinic
- A nursing station
- A hospital outpatient clinic
- A pharmacy
Exclude visits that did not involve a consultation. - Other
- Specify the location
- Did not receive care
In the past 12 months, did you experience difficulties getting care during the middle of the night?
- Yes
- No
What type of difficulties did you experience when getting care during the middle of the night?
Select all that apply.
- Difficulty contacting [your family doctor's office/your nurse practitioner's office/your other health professional's office/your team of health professionals' office/the nearest place for health care]
- Waited too long to speak to someone
- Did not get adequate care
- Difficulty getting an appointment
- Care was not available at the time required
- Care was not available in preferred mode
e.g., in-person, virtually - Cost
Exclude any fees associated with medical notes for work or school, expedited blood work, prescription renewals, cosmetic procedures, travel medicine advice and vaccines, tests requested by employers or insurance companies, and other services that are not covered by the universal health care system. - Language problem
- Transportation problem
- Care was not sensitive to my cultural background and identity
- Care was not accessible
- Other
Proximity
The following question will ask you about your proximity to [your family doctor's office/your nurse practitioner's office/your other health professional's office/your team of health professionals' office/the nearest place for health care].
How do you usually get to [your family doctor's office/your nurse practitioner's office/your other health professional's office/your team of health professionals' office/the nearest place for health care]?
Is it by:
- A personal motor vehicle
Include as a driver or passenger in your vehicle or one belonging to friends or family. - Taxi or similar paid services
- Public transportation
e.g., bus, subway or train - Accessible transit
Include any accessible transportation service specifically designed for persons with disabilities or mobility issues, such as Para Transpo, Handi-Transit or Wheel-Trans. - Volunteer driver
Include drivers from charities or non-profit agencies.
Exclude rides from family or friends. - Cycling
- Walking
- Wheelchair or motorized cart
- Other
- Use virtual care only, no transportation required
On average, how much time do you spend travelling one way from your usual place of residence to [your family doctor's office/your nurse practitioner's office/your other health professional's office/your team of health professionals' office/the nearest place for health care]?
- Less than 15 minutes
- 15 minutes to less than 30 minutes
- 30 minutes to less than 1 hour
- 1 hour to less than 2 hours
- 2 hours or more
Primary health care use
The following questions are about non-urgent primary health care needs that you may have had in the past 12 months.
Primary health care is often the first point of entry to the Canadian health care system. It incorporates routine care, diagnosis, treatment and management of health problems, as well as health promotion and disease prevention.
In the past 12 months, did you consult a health care provider for a non-urgent primary health care need?
Non-urgent primary health care needs can include routine care such as check-ups and prescription refills as well as issues that need immediate care but are not emergencies, such as an infection, fever, headache, a sprained ankle, vomiting or problems with emotions, mental health or substance use.
Include both in-person and virtual consultations such as over the telephone, by video, or written correspondence.
Include consultations with pharmacists only if they were covered by your provincial health plan e.g., for vaccinations or the diagnosis of an illness'.
Exclude care provided by optometrists or dentists.
- Yes
- No
The next few questions are about the most recent time you consulted a health care provider for a non-urgent primary health care need in the past 12 months.
Thinking about the most recent time you needed non-urgent primary health care, did you consult your own [family doctor/nurse practitioner/other health professional/team of health professionals], or someone else?
Non-urgent primary health care needs can include routine care such as check-ups and prescription refills as well as issues that need immediate care but are not emergencies, such as an infection, fever, headache, a sprained ankle, vomiting or problems with emotions, mental health or substance use.
Include both in-person and virtual consultations such as over the telephone, by video, or written correspondence.
- Your own [family doctor/nurse practitioner/other health professional/team of health professionals]
- Someone else
The next few questions are about the most recent time you consulted a health care provider for a non-urgent primary health care need in the past 12 months.
Thinking about the most recent time you needed non-urgent primary health care, which of the following health care providers did you consult?
Include both in-person and virtual consultations such as over the telephone, by video, or written correspondence.
Was it a:
- Family doctor or general practitioner
- Nurse practitioner
Nurse practitioners are registered nurses with additional training. They can order tests, prescribe medications, and refer to specialists. They can also diagnose and help prevent and manage new illness and chronic disease. - Medical specialist
A medical specialist is a medical doctor certified to practice in a specified field.
e.g., dermatologist, cardiologist, oncologist, radiologist, psychiatrist, gynecologist
Exclude optometrists, dentists, pharmacists, family doctors and
general practitioners. - Other health professional
e.g., physiotherapist, psychologist, dietitian, pharmacist, social worker - Don't know
Where was [this family doctor or general practitioner/this nurse practitioner/this medical specialist/this other health professional/this health care provider] from?
Was it:
- The same office as your [family doctor/nurse practitioner/other health professional/team of health professionals]
- A different medical office or clinic
What type of consultation did you have with [your family doctor or general practitioner/your nurse practitioner/your other health professional/your team of health professionals/this family doctor or general practitioner/this nurse practitioner/this medical specialist/this health professional/this health care provider]?
Was it:
- In-person
- Over the telephone (voice only)
- Video on a phone, tablet or computer
- Written correspondence
e.g., email, text or instant messaging
How did you consult [your family doctor or general practitioner/your nurse practitioner/your other health professional/your team of health professionals/this family doctor or general practitioner/this nurse practitioner/this medical specialist/this health professional/this health care provider]?
Was it:
- A clinic, app, or website
Include private clinics. - A telephone health line
e.g., Health Links, Health Connect Ontario, Health811, Health-Line, TeleCare, Info-Santé, 988 - A pharmacy
Include pharmacist consultations only if they were covered by your provincial health plan e.g., for vaccinations or the diagnosis of an illness. - Other
- Specify the type of place
- Don't know
Still thinking of this most recent time, where did this consultation take place?
Was it:
- An office or clinic
Include walk-in clinics and private clinics. - A community health centre [or CLSC]
- An urgent care clinic
- A nursing station
- A hospital outpatient clinic
- A hospital emergency room
- A pharmacy
Include pharmacist consultations only if they were covered by your provincial health plan e.g., for vaccinations or the diagnosis of an illness.
Exclude visits that did not involve a consultation. - Other
- Specify the type of place
Thinking about this most recent time, what was the purpose of this visit?
Select all that apply.
Was it:
- Consultation or treatment of a new health concern, illness or injury
e.g., an infection, sprained ankle, flu or problems with emotions, mental health or substance use
Was this:
Select all that apply.- A mental health condition
- A physical health condition
- Consultation or treatment of a chronic condition
A chronic condition usually develops slowly and has lasted or is expected to last six months or more.
Was this:
Select all that apply.- A chronic mental health condition
- A chronic physical health condition
- Medication or prescription refill
Was this:
Select all that apply.- A mental health condition
- A physical health condition
- Discuss the results of or request a medical test
e.g., blood tests, x-rays, ultrasounds, MRIs - A regular check-up or routine appointment
Include pre-natal care and follow-ups from previous consultations. - Referral to a specialist or other health professional
Was this:
Select all that apply.- A mental health condition
- A physical health condition
- Other
- Specify the purpose
How long did you have to wait between the time you requested care and when you consulted [your family doctor or general practitioner/your nurse practitioner/your other health professional/your team of health professionals/this family doctor or general practitioner/this nurse practitioner/this medical specialist/this health professional/this health care provider]?
Would you say:
- The same day
- The next day
- 2 to 3 days
- 4 to 6 days
- 1 week to less than 2 weeks
- 2 weeks to less than 1 month
- 1 month to less than 3 months
- 3 months to less than 6 months
- 6 months or more
How satisfied were you with the wait time?
Would you say:
- Very satisfied
- Satisfied
- Neither satisfied nor dissatisfied
- Dissatisfied
- Very dissatisfied
Was your life affected in any of the following ways as a result of waiting to consult [your family doctor or general practitioner/your nurse practitioner/your other health professional/your team of health professionals/this family doctor or general practitioner/this nurse practitioner/this medical specialist/this health professional/this health care provider]?
Select all that apply.
- Worry, anxiety, stress
- Pain
- Problems with activities of daily living
e.g., dressing, driving, preparing meals - Missed work or school
- Loss of income
- Increased dependence on family or friends
- Increased use of over-the-counter drugs
- Overall health deteriorated or condition got worse
- Personal relationships suffered
- Health problem improved
- Other
- Specify other way your life was affected
- Life was not affected as a result of the wait
Patient experience with primary care
Still thinking about this most recent time you consulted [your family doctor or general practitioner/your nurse practitioner/your other health professional/your team of health professionals/this family doctor or general practitioner/this nurse practitioner/this medical specialist/this health professional/this health care provider] for a non-urgent primary health care need, please indicate to what extent you agree or disagree with each statement.
- [Your family doctor or general practitioner/Your nurse practitioner/Your other health professional/Your team of health professionals/This family doctor or general practitioner/This nurse practitioner/This medical specialist/This health professional/This health care provider] treated you with courtesy and respect
- Strongly agree
- Somewhat agree
- Neither agree nor disagree
- Somewhat disagree
- Strongly disagree
- [Your family doctor or general practitioner/Your nurse practitioner/Your other health professional/Your team of health professionals/This family doctor or general practitioner/This nurse practitioner/This medical specialist/This health professional/This health care provider] spent enough time with you
- Strongly agree
- Somewhat agree
- Neither agree nor disagree
- Somewhat disagree
- Strongly disagree
- [Your family doctor or general practitioner/Your nurse practitioner/Your other health professional/Your team of health professionals/This family doctor or general practitioner/This nurse practitioner/This medical specialist/This health professional/This health care provider] explained things in a way that was easy to understand
- Strongly agree
- Somewhat agree
- Neither agree nor disagree
- Somewhat disagree
- Strongly disagree
- [Your family doctor or general practitioner/Your nurse practitioner/Your other health professional/Your team of health professionals/This family doctor or general practitioner/This nurse practitioner/This medical specialist/This health professional/This health care provider] involved you in care and treatment decisions
- Strongly agree
- Somewhat agree
- Neither agree nor disagree
- Somewhat disagree
- Strongly disagree
- [Your family doctor or general practitioner/Your nurse practitioner/Your other health professional/Your team of health professionals/This family doctor or general practitioner/This nurse practitioner/This medical specialist/This health professional/This health care provider] listened carefully to you
- Strongly agree
- Somewhat agree
- Neither agree nor disagree
- Somewhat disagree
- Strongly disagree
- [Your family doctor or general practitioner/Your nurse practitioner/Your other health professional/Your team of health professionals/This family doctor or general practitioner/This nurse practitioner/This medical specialist/This health professional/This health care provider] gave you an opportunity to ask questions or raise concerns about your care or recommended treatment
- Strongly agree
- Somewhat agree
- Neither agree nor disagree
- Somewhat disagree
- Strongly disagree
- [Your family doctor or general practitioner/Your nurse practitioner/Your other health professional/Your team of health professionals/This family doctor or general practitioner/This nurse practitioner/This medical specialist/This health professional/This health care provider] took into consideration your needs and personal situation
- Strongly agree
- Somewhat agree
- Neither agree nor disagree
- Somewhat disagree
- Strongly disagree
- [Your family doctor or general practitioner/Your nurse practitioner/Your other health professional/Your team of health professionals/This family doctor or general practitioner/This nurse practitioner/This medical specialist/This health professional/This health care provider] had all medical information they needed about you
- Strongly agree
- Somewhat agree
- Neither agree nor disagree
- Somewhat disagree
- Strongly disagree
Still thinking about this most recent time, did someone from [your family doctor or general practitioner's/your nurse practitioner's/your other health professional's/your team of health professionals'/this family doctor or general practitioner's/this nurse practitioner's/this medical specialist's/this health professional's/this health care provider's] office follow up with you regarding test results?
- Yes
- No
- There were no tests requested
Still thinking about this most recent time, indicate to what extent you agree or disagree with the following statement.
I received health care that was sensitive to my cultural background and identity from [my family doctor or general practitioner/my nurse practitioner/my other health professional/my team of health professionals/this family doctor or general practitioner/this nurse practitioner/this medical specialist/this health professional/this health care provider].
This is health care that makes the patient feel they are respected, safe and can trust the health care provider.
Include how you were treated based on age, sex, gender, sexual orientation, ethnicity, Indigenous identity, race, language, accent, religion or spirituality, disability, or other factors.
Would you say:
- Strongly agree
- Agree
- Neither agree nor disagree
- Disagree
For which reasons do you feel you did not receive health care that was sensitive to your cultural background and identity?
Would you say:
Select all that apply.- Your ethnicity or culture
- Your Indigenous identity
- Your race or skin colour
- Your language
- Your accent
- Your religion or spirituality
- Your age
- Your sex
Refers to sex assigned at birth. - Your gender
Refers to an individual's personal and social identity as a man, woman, or non-binary person. - Your sexual orientation
Refers to how a person describes their sexuality. - A disability
- Other
- Specify the other reason you disagree
- Don't know
- Strongly disagree
For which reasons do you feel you did not receive health care that was sensitive to your cultural background and identity?
Would you say:
Select all that apply.- Your ethnicity or culture
- Your Indigenous identity
- Your race or skin colour
- Your language
- Your accent
- Your religion or spirituality
- Your age
- Your sex
Refers to sex assigned at birth. - Your gender
Refers to an individual's personal and social identity as a man, woman, or non-binary person. - Your sexual orientation
- Refers to how a person describes their sexuality.
- A disability
- Other
- Specify the other reason you strongly disagree
- Don't know
Overall, how would you rate the quality of this consultation?
- Excellent
- Very good
- Good
- Fair
- Poor
Primary health care - difficulties in the past 12 months
The next questions are about your experiences and difficulties accessing the non-urgent primary health care you needed in the past 12 months.
In the past 12 months, how many times have you consulted a health care provider for a non-urgent primary health care need?
Non-urgent primary health care needs can include routine care such as check-ups and prescription refills as well as issues that need immediate care but are not emergencies, such as an infection, fever, headache, a sprained ankle, vomiting or problems with emotions, mental health or substance use.
Include both in-person and virtual consultations such as over the telephone, by video, or written correspondence.
Exclude consultations with optometrists or dentists.
- Never
- Once
- 2 to 4 times
- 5 to 9 times
- 10 or more times
During the past 12 months, did you have a need for non-urgent primary health care?
- Yes
- No
In the past 12 months, did you experience any of the following difficulties getting the non-urgent primary health care you needed?
Primary health care is often the first point of entry to the Canadian health care system. It incorporates routine care, diagnosis, treatment and management of health problems, as well as health promotion and disease prevention.
Select all that apply.
- Appointment cancelled or deferred by health care provider
- Difficulty getting an appointment
- Waited too long between booking appointment and visit
- Did not get adequate information or advice
- Overall health deteriorated or condition got worse
- Lack of First Nations, Métis or Inuit traditional medicines, healing or wellness practices
- Lack of availability of culturally appropriate health services
- Service not available in the official language of your choice
- Service not available at time required
- Service not available in the area
- Service not available in preferred mode
e.g., in-person, virtually - Difficulties related to virtual care technology
e.g., not comfortable with technology, connectivity issues, no access to required tools - Other
- Specify the type of difficulty
- Did not experience any difficulties getting non-urgent primary health care
In the past 12 months, did you do any of the following because of difficulties getting the non-urgent primary health care you needed?
Select all that apply.
Did you:
- Seek medical care from a different health professional or location
Include care from public or private providers located in your province, outside of your province or outside of Canada.
What type of place was this?
Select all that apply.- An in-person office or clinic other than your regular provider's office
Include walk-in clinics and private clinics. - A virtual clinic, app, or website
Include private clinics. - A community health centre [or CLSC]
- An urgent care clinic
- A nursing station
- A hospital outpatient clinic
- A hospital emergency room
- A consultation with a pharmacist
- A telephone health line
e.g., Health Links, Health Connect Ontario, Health811, Health-Line, TeleCare, Info-Santé, 988 - Ambulance or paramedic services
- Other
- Specify the type of place
- An in-person office or clinic other than your regular provider's office
- Increase the use of over-the-counter drugs
- Modify or extend existing medications while waiting for care
- Increase the use of alcohol, cannabis or drugs
- Use traditional medicines
- Seek medical information through the Internet
- Seek advice or care from family or friends
- Other
- Specify the action taken
- None of the above
Did you have to pay out-of-pocket for the non-urgent primary health care you sought elsewhere?
Exclude any fees associated with medical notes for work or school, expedited blood work, prescription renewals, cosmetic procedures, travel medicine advice and vaccines, tests requested by employers or insurance companies, and other services that are not covered by the universal health care system.
- Yes
- No
Emergency health care use
The next questions are about your use and experience of emergency departments for your own health.
Is there a hospital emergency room in your community?
- Yes
- No
In the past 12 months, how many times have you visited a hospital emergency room about your own health? If you do not remember, give your best estimate.
Number of emergency room visits
The next few questions are about the most recent time you visited a hospital emergency room about your own health in the past 12 months.
In the past 12 months, [when you went to the emergency room about your own health/thinking of the most recent time you went to the emergency room about your own health], what was the main reason for the visit?
- An accident or injury
Include head injuries, broken bones, cuts, or sprains. - Abdominal or pelvic pain
- Back pain
- A heart problem
e.g., chest pains, heart attack, heart failure - A stroke
- A respiratory problem or infection
e.g., chronic obstructive pulmonary disease (COPD), chronic bronchitis, pneumonia - A urinary or kidney condition or infection
- A condition related to the digestive system
- A gynecological condition
- A neurological condition
- Suicidal thoughts or attempt
- Substance use or overdose
- Another mental health condition
- Other
- Specify the reason
[When you went to the emergency room about your own health/Thinking of the most recent time you went to the emergency room about your own health], was it for a condition that you thought could have been treated at [your family doctor's office/your nurse practitioner's office/your other health professional's office/your team of health professionals' office/the nearest place for health care]?
- Yes
- No
Was this visit to the emergency room caused by a condition that worsened because you did not receive regular care from a health professional?
- Yes
- No
Still thinking of this most recent time, do you think the visit to the emergency room could have been avoided had you had access to social support and services provided in the community?
Social support and services may include housing support, home care, counselling or therapy, or physiotherapy.
- Yes
- No
Before going to the emergency room, did you try to seek medical care from any of the following?
Select all that apply.
- [Your family doctor's office/Your nurse practitioner's office/Your other health professional's office/Your team of health professionals' office/The nearest place for health care]
- A telephone health line
e.g., Health Links, Health Connect Ontario, Health811, Health-Line, TeleCare, Info-Santé, 988 - A virtual clinic, app or website
Include private clinics. - An in-person office or clinic
Include walk-in clinics and private clinics. - A community health centre [or CLSC]
- An urgent care clinic
- A nursing station
- A hospital outpatient clinic
- A pharmacy
Exclude visits that did not involve a consultation. - Other
- Specify where you sought care
- Did not try to seek medical care from another source
Still thinking of this most recent time, what was the main reason you decided to visit the emergency room instead of seeking care from another health care service provider, e.g., [your family doctor’s office/your nurse practitioner’s office/your other health professional’s office/your team of health professionals’ office/the nearest place for health care] or a walk-in clinic?
- You needed immediate care
- You felt you would get care faster
- A health care provider told you to go to the emergency room
- There was nowhere else to go
e.g., health care provider's office or clinic was closed - Other
How did you get to the emergency room?
- Ambulance
- A personal motor vehicle
Include as a driver or passenger in your vehicle or one belonging to friends or family. - Taxi or similar paid services
- Public transportation
e.g., bus, subway or train - Accessible transit
Include any accessible transportation service specifically designed for persons with disabilities or mobility issues, such as Para Transpo, Handi-Transit or Wheel-Trans. - Volunteer driver
Include drivers from charities or non-profit agencies.
Exclude rides from family or friends. - Cycling
- Walking
- Wheelchair or motorized cart
- Other
Still thinking of this most recent time, how much time did you spend travelling one way to the emergency room?
- Less than 15 minutes
- 15 minutes to less than 30 minutes
- 30 minutes to less than 1 hour
- 1 hour to less than 2 hours
- 2 hours or more
What was the main reason you used ambulance services?
- It was an emergency
- It was not an emergency but could not get to the hospital by yourself
- It was not an emergency but thought that the wait time would be shorter in the emergency room
- Other
Still thinking of this most recent time, overall, how satisfied were you with the time you waited for the ambulance to arrive?
Would you say:
- Very satisfied
- Satisfied
- Neither satisfied nor dissatisfied
- Dissatisfied
- Very dissatisfied
How long did you have to wait with the paramedics before you were admitted to the emergency room?
- Less than 30 minutes
- 30 minutes to less than 1 hour
- 1 hour to less than 2 hours
- 2 hours to less than 4 hours
- 4 hours to less than 8 hours
- 8 hours or more
- Don't know
Still thinking of this most recent time, how much time passed between when you were registered at the emergency room and when the emergency room visit ended?
A visit may end with leaving the emergency room, being admitted to the hospital, or transferring to another facility.
- Less than 30 minutes
- 30 minutes to less than 1 hour
- 1 hour to less than 2 hours
- 2 hours to less than 4 hours
- 4 hours to less than 8 hours
- 8 hours or more
- Don't know
What happened at the end of this emergency room visit?
- You were admitted to the hospital
- You were transferred to a different hospital or health care facility
- You were discharged
- You decided to leave before consulting a health care provider
- Other
- Specify what happened
Still thinking of this most recent time, before you left the emergency room, did a health care provider review with you all your prescribed medications, including those you were taking before your emergency room visit?
- Yes
- No
- Did not take any medications
Before you left the emergency room, did a doctor, nurse or other health care provider talk with you about follow-up care?
- Yes
- No
- Did not need follow-up care
Still thinking of this most recent time, before you left the emergency room, did you receive information on what symptoms to watch for after leaving the emergency room?
Select all that apply.
- Yes, written information
e.g., on paper or in a pamphlet - Yes, electronic or digital information
e.g., by e-mail or a link to a website - Yes, verbal information
OR - No information provided
In the past 12 months, did you ever go to the emergency room and find that it was closed?
- Yes
What did you do?
Select all that apply.- Went to an emergency room at a different hospital
- Went to [your family doctor's office/your nurse practitioner's office/your other health professional's office/your team of health professionals' office/the nearest place for health care]
- Went to an in-person office or clinic other than [your family doctor's office/your nurse practitioner's office/your other health professional's office/your team of health professionals' office/the nearest place for health care]
Include walk-in clinics and private clinics. - Went to an urgent care clinic
- Went to a nursing station
- Went to a hospital outpatient clinic
- Went to a community health centre [or CLSC]
- Went to a pharmacy
Exclude visits that did not involve a consultation. - Accessed a virtual clinic, app or website
Include private clinics. - Called a telephone health line
e.g., Health Links, Health Connect Ontario, Health811, Health-Line, TeleCare, Info-Santé, 988 - Other
OR - Did not get care elsewhere
- No
Patient experience with emergency care
Thinking about the most recent time you went to the hospital emergency room, please indicate to what extent you agree or disagree with each statement.
Include all staff that you interacted with during your visit, e.g., doctors, nurses, pharmacists, orderlies, technicians and social workers.
- The emergency room staff treated you with courtesy and respect
- Strongly agree
- Somewhat agree
- Neither agree nor disagree
- Somewhat disagree
- Strongly disagree
- The emergency room staff spent enough time with you
- Strongly agree
- Somewhat agree
- Neither agree nor disagree
- Somewhat disagree
- Strongly disagree
- The emergency room staff explained things in a way that was easy to understand
- Strongly agree
- Somewhat agree
- Neither agree nor disagree
- Somewhat disagree
- Strongly disagree
- The emergency room staff involved you in care and treatment decisions
- Strongly agree
- Somewhat agree
- Neither agree nor disagree
- Somewhat disagree
- Strongly disagree
- The emergency room staff listened carefully to you
- Strongly agree
- Somewhat agree
- Neither agree nor disagree
- Somewhat disagree
- Strongly disagree
- The emergency room staff gave you an opportunity to ask questions or raise concerns about your care or recommended treatment
- Strongly agree
- Somewhat agree
- Neither agree nor disagree
- Somewhat disagree
- Strongly disagree
- The emergency room staff took into consideration your needs and personal situation
- Strongly agree
- Somewhat agree
- Neither agree nor disagree
- Somewhat disagree
- Strongly disagree
Overall, how satisfied were you with the care you received during this emergency room visit?
Would you say:
- Very satisfied
- Satisfied
- Neither satisfied nor dissatisfied
- Dissatisfied
- Very dissatisfied
Overall, how would you rate the quality of this emergency room visit?
- Excellent
- Very good
- Good
- Fair
- Poor
Hospital stays
Now some questions about overnight stays in the hospital.
In the past 12 months, have you been admitted for at least one night in a hospital?
Exclude hospital visits that only took place in the emergency department, a rehabilitation centre, or care such as day surgeries or chemotherapy.
- Yes
- No
The next few questions are about the most recent time you were admitted as an overnight patient at a hospital in the past 12 months.
Thinking of the most recent time, how many nights did you spend in the hospital?
Exclude nights spent in the emergency department or rehabilitation centres.
If exact number of nights is not known, enter best estimate.
Number of nights
The most recent time you were admitted to the hospital as an overnight patient, were you admitted from the emergency room?
- Yes
- No
The most recent time you were admitted to the hospital as an overnight patient, what was the main reason for this hospitalization?
- [Giving birth]
- An accident or injury
- Joint issues
e.g., knee or hip problems - Cancer
- A heart issue or condition
e.g., chest pains, heart attack, heart failure - A stroke
- A respiratory condition
e.g., COPD, chronic bronchitis, pneumonia - A urinary or kidney condition
- A condition related to the digestive system
- [A gynecological condition]
- A neurological condition
- Suicidal thoughts or attempt
- Substance use or overdose
- Other mental health condition
- Other
- Specify the reason for the hospitalization
Was this overnight hospital stay related to the emergency room visit you reported earlier?
- Yes
- No
Did you have surgery during this hospital stay?
- Yes
- No
Thinking of the most recent time you were admitted to the hospital as an overnight patient, did a health care provider review all of your prescription medications with you before you left the hospital, including those you were taking before your hospitalization?
- Yes
- No
Thinking of the most recent time you were admitted to the hospital as an overnight patient, did a health care provider talk to you about follow-up care before you left the hospital?
- Yes
- No
Thinking of the most recent time you were admitted as an overnight patient, did you receive information on what symptoms or health problems to watch for when you left the hospital?
Select all that apply.
- Yes, written information
e.g., on paper or in a pamphlet - Yes, electronic or digital information
e.g., by e-mail or a link to a website - Yes, verbal information
OR - No instructions provided
Did a health care provider discuss or recommend any of the following to help you manage your condition after you left the hospital?
Include all recommendations discussed even if you did not receive them.
Select all that apply.
- Medications
Include prescriptions, medications and over-the-counter drugs. - Home care services
- Mental health services
- Rehabilitation therapy
e.g., physiotherapy, occupational, speech or massage therapy - Medical supplies or equipment
e.g., ostomy supplies, catheters, needles, CPAP machine - Mobility aids
e.g., wheelchair, cane, or walker - Adaptive equipment
e.g., shower chair, grabber, or sock aid - Other
OR - None of the above
After you left the hospital, which of the following items recommended to you by a health care provider did you receive to help you manage your condition?
Select all that apply.
- Medications
Include prescriptions, medications and over-the-counter drugs. - Home care services
- Mental health services
- Rehabilitation therapy
e.g., physiotherapy, occupational, speech or massage therapy - Medical supplies or equipment
e.g., ostomy supplies, catheters, needles, CPAP machine - Mobility aids
e.g., wheelchair, cane, or walker - Adaptive equipment
e.g., shower chair, grabber, or sock aid - Other
OR - None of the above
Other than what was recommended to you before you left the hospital, did you request any services or equipment to help manage your health condition at home?
e.g., home care services, grab bars or a walker
- Yes
- No
Did you receive any of the services or equipment that you requested?
- Yes
- No
Health care barriers
The next question is about your experiences during consultations with health professionals.
In the past 12 months, did you feel that you were discriminated against in a health care setting for any of the following reasons?
Select all that apply.
- Your Indigenous identity
- Your race, ethnicity or culture
- Your gender
- Your age
- Your weight
- Your religion
- Your language
- Your sexual orientation
- A physical disability
- Something else related to your physical appearance
Include discrimination on the basis of hair style or colour, clothing, jewelry, tattoos and other physical characteristics.
Exclude discrimination on the basis of skin colour or weight. - Your socioeconomic status
- A mental health condition
e.g., depression, anxiety disorder, substance use - Your lifestyle
Include smoking, vaping, drug use, alcohol or cannabis consumption, sedentary activity. - Your beliefs
- Other
- Specify the reason
- Did not experience any of the above
Unmet health care needs
The next questions are about your experiences with unmet health care needs.
During the past 12 months, was there ever a time when you felt that you needed health care, but you did not receive it?
- Yes
- No
During the past 12 months, what type of care did you need but not receive?
Select all that apply.
Was it:
- Consultation or treatment of a new health concern, illness or injury
e.g., an infection, sprained ankle, flu or problems with emotions, mental health or substance use
Was this:
Select all that apply.- A mental health condition
- A physical health condition
- Consultation or treatment of a chronic condition
A chronic condition usually develops slowly and has lasted or is expected to last six months or more.
Was this:
Select all that apply.- A chronic mental health condition
- A chronic physical health condition
- Medication or prescription refill
Was this:
Select all that apply.- A mental health condition
- A physical health condition
- Discuss the results of or request a medical test
e.g., blood tests, x-rays, ultrasounds, MRIs - A regular check-up or routine appointment
Include pre-natal care and follow-ups from previous consultations. - Referral to a specialist or other health professional
Was this:
Select all that apply.- A mental health condition
- A physical health condition
- Dental care or oral health care
Exclude braces or other orthodontic treatment. - Other
- Specify the other type of care needed but not received
What are the reasons why you didn't get the care you needed during the past 12 months?
Select all that apply.
Was it because:
- Care not available in the area
- Care not available at the time required
e.g., doctor busy, away from office or no longer at that practice, inconvenient hours - Do not have a regular health care provider
- Waiting time too long
- Appointment was cancelled
- Felt would receive inadequate care
- Felt would experience discrimination
- Cost
- Language problem
- Decided not to seek care
- Doctor didn't think it was necessary
- Transportation problem
- Did not know where to seek care
- Other
- Specify the reason
For what reason did you feel you would experience discrimination?
Select all that apply.
Would you say:
- Your Indigenous identity
- Your race, ethnicity or culture
- Your gender
- Your age
- Your weight
- Your religion
- Your language
- Your sexual orientation
- A physical disability
- Something else related to your physical appearance
Include discrimination on the basis of hair style or colour, clothing, jewelry, tattoos and other physical characteristics.
Exclude discrimination on the basis of skin colour or weight. - Your socioeconomic status
- A mental health condition
e.g., depression, anxiety disorder, substance use - Your lifestyle
Include smoking, vaping, drug use, alcohol or cannabis consumption, sedentary activity. - Your beliefs
- Other
- Specify the reason
Prescription cost
In the past 12 months, did you have any prescriptions for medication?
Include any medications that were prescribed to you even if you did not fill them.
- Yes
- No
In the past 12 months, did you do any of the following because of the cost of your prescription medication?
Select all that apply.
- Not fill or collect a prescription medication
- Skip doses of your medication
- Reduce the dosage of your medication
- Delay filling a prescription
OR - None of the above
Insurance coverage
The next question is about your access to health insurance.
Do you have insurance that covers all or part of the cost of your prescription medications?
Include coverage from your own plan or someone else's.
e.g., private, government, Non-Insured Health Benefits (NIHB), employer-paid plans
- Yes
Is it :
Select all that apply.- A government-sponsored plan
- An employer-sponsored benefit plan
- A plan sponsored through an association such as a union, trade association or student organization
- Other, such as your own private plan purchased from an insurance company
- No
- Don't know
Out-of-pocket expenses
The next few questions are about any out-of-pocket or direct expenses you may have had because of your health care needs.
In the past 12 months, what was the approximate non-reimbursable out-of-pocket cost for your prescription medications?
Exclude amounts for which you have been or will be reimbursed by any insurance or government program.
- $0
- $1 to $49
- $50 to $99
- $100 to $249
- $250 to $499
- $500 to $749
- $750 to $999
- $1,000 to $4,999
- $5,000 to $9,999
- $10,000 or more
- Don't know
In the past 12 months, did you have any non-reimbursable out-of-pocket costs for any of the following services?
Include both in-person and virtual consultations such as over the telephone, by video or written correspondence.
Select all that apply.
- Eye care
- Dental care
- Home care
- Mental health services
- Rehabilitation therapy
e.g., physiotherapy, occupational, speech or massage therapy - Diagnostic services
e.g., MRI - Surgical services
- Medical supplies
e.g., ostomy supplies, catheters, needles, CPAP machine, diabetes supplies - Mobility aids
e.g., wheelchair, cane or walker - Adaptive equipment
e.g., shower chair, grabber or sock aid
OR - None of the above
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 describe this person now.
- No, not First Nations, Métis or Inuk (Inuit)
OR - Yes, First Nations (North American Indian)
- Yes, Métis
- Yes, Inuk (Inuit)
Sociodemographic characteristics
The following question collects information 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
- Specify other group
Place of birth, immigration and citizenship
Where were you born?
Specify place of birth according to present boundaries.
- Born in Canada
- Born outside Canada
Are you a Canadian citizen?
- Yes, a Canadian citizen by birth
- Yes, a Canadian citizen by naturalization
- Canadian citizen by naturalization refers to an immigrant who was granted Citizenship of Canada under the Citizenship Act.
- No, not a Canadian citizen
Are you a landed immigrant or permanent resident?
A landed immigrant or permanent resident is a person who has been granted the right to live in Canada permanently by immigration authorities.
- No
- Yes
In what year did you first become a landed immigrant or a permanent resident?
If exact year is not known, enter best estimate.
- Year of immigration
Language
Can you speak English or French well enough to conduct a conversation?
- English only
- French only
- Both English and French
- Neither English nor French
What language do you speak most often at home?
- English
- French
- Other
- Specify other language
What is the language that you first learned at home in childhood and still understand?
If you no longer understand the first language learned, indicate the second language learned.
- English
- French
- Other
- Specify other language
Sexual orientation
What is your sexual orientation?
Sexual orientation refers to how a person describes their sexuality.
- Heterosexual (i.e., straight)
- Lesbian or gay
- Bisexual or pansexual
- Or please specify
- Specify your sexual orientation
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 provincial or territorial health number?
- Yes
- No
For which province or territory is your health number?
If you do not have a Canadian health number, select "No Canadian health number" from the drop down.
- Province or territory
- Alberta
- British Columbia
- Manitoba
- New Brunswick
- Newfoundland and Labrador
- Northwest Territories
- Nova Scotia
- Nunavut
- Ontario
- Prince Edward Island
- Quebec
- Saskatchewan
- Yukon
- Does not have a Canadian health number
What is your health number?
Enter a health number for [Newfoundland and Labrador/Prince Edward Island/Nova Scotia/New Brunswick/Quebec/Ontario/Manitoba/Saskatchewan/Alberta/British Columbia/Yukon/the Northwest Territories/Nunavut]. In [Newfoundland and Labrador/Prince Edward Island/Nova Scotia/New Brunswick/Quebec/Ontario/Manitoba/Saskatchewan/Alberta/British Columbia/Yukon/the Northwest Territories/Nunavut], the health number is made up of [twelve numbers/eight numbers/ten numbers/nine numbers/four letters followed by eight numbers/ten numbers. Do not include the two letters at the end for green health cards/nine numbers, beginning with 002 or 003/one letter followed by seven numbers]. Do not insert blanks, hyphens or commas between the numbers.
[Note: In Manitoba, health numbers of a family's members can be listed on the same card. Be sure to capture your health number if there is more than one on the card./Note: In British Columbia, residents may have a combined driver's license and health card. If you have a combined card, the health number is on the back above the barcode.]
- Health number
To avoid duplication of surveys, Statistics Canada may enter into agreements to share the data from this survey with provincial ministries of health [and the Institut de la statistique du Québec]. [The Institut de la statistique du Québec and provincial/Provincial] ministries of health may make the data available to local health authorities.
Data shared with your ministry of health [and the Institut de la statistique du Québec] may also include identifiers such as name, address, telephone number and health number. Local health authorities would receive only survey responses and the postal code.
These organizations have agreed to keep the data confidential and use it only for statistical purposes.
Do you agree to share the data you provided?
- Yes
- No
To reduce the number of questions in this questionnaire, Statistics Canada will use information from 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]?
- Yes
- No