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Questionnaire No.
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Count yourself in! May 15, 2001
For over 300 years, the census has painted a picture of our people and the places in which we live. This census, on
May 15, 2001, will continue the tradition by providing information needed by community groups, businesses and
governments to develop plans for education and training, seniors’ housing, day care, fire protection, public transport,
and many other programs that are important to all of us.
As Canada’s national statistics agency, Statistics Canada uses census data for producing statistical tables, analytical
reports and for selecting samples or following up respondents for some of our surveys. These uses are strictly for
statistical purposes and no one outside of the agency can have access to your identifiable information.
By law, Statistics Canada must take a census every five years, and every household must fill in a census form. Also, by
law, Statistics Canada must protect the confidentiality of the personal information you provide. Our employees, including
census takers, are personally liable to fines or imprisonment should they break the confidentiality of your information.
Please complete your census form and mail it back on May 15, 2001.
Thank you for your cooperation.
Ivan P. Fellegi
Chief Statistician of Canada
This information is collected under the authority of the Statistics Act,
R.S.C. 1985, c. S-19, and must be provided by law.
STEP
A
CONFIDENTIAL WHEN COMPLETED
Begin here
?
by printing your address
No. and street or lot and concession
Apt. No.
City, town, village, Indian reserve
Province / territory
Postal code
Area code
Telephone number
℡
For information
and instructions
see the Guide
Call us
free of charge
1 800 591-2001
TTY/ TDD users call:
1 877 881-8301
WHOM TO INCLUDE IN
STEP
B
• EVERYONE WHO USUALLY LIVES HERE, AT THIS ADDRESS: including newborn babies
and room-mates;
• STUDENTS: students who return to live with their parents during the year should be included at their
parents’ address, even if they live elsewhere while attending school or working at a summer job;
• CHILDREN IN JOINT CUSTODY: children in joint custody who live here most of the time. Children
who spend equal time with each parent should be included in the home of the parent where they
are staying on May 15, 2001;
• ABSENT SPOUSES: spouses or common-law partners who live elsewhere while working or
studying but who return here periodically;
• LANDED IMMIGRANTS: landed immigrants who usually live at this address;
• REFUGEES: persons claiming refugee status and family members living here with them;
• PERSONS FROM ANOTHER COUNTRY WITH A WORK, STUDENT OR MINISTER’S PERMIT:
persons from another country who have an employment authorization, a student authorization or
a Minister’s permit, and family members living here with them;
• PERSONS IN INSTITUTIONS: persons who usually live here but are now in an institution (such
as a home for the aged, a hospital or a prison), if they have been there less than six months;
• PERSONS WITH NO OTHER HOME: persons staying here on May 15, 2001, who have no
usual home elsewhere.
FO
N
I
R
FO
DO NOT INCLUDE IN
N LY
O
N
IO
R M AT
STEP
B
• Persons who have their usual home at another address in Canada and who are staying here
temporarily (for example, persons visiting or persons who have their secondary residence
here, at this address);
• Residents of another country visiting Canada (for example, on a business trip or on vacation);
• Government representatives of another country or members of the Armed Forces of another
country and family members.
IF ALL PERSONS STAYING AT THIS
ADDRESS on May 15, 2001, have their
usual home elsewhere in Canada OR
are visitors, government or military
90.
representatives of another country,
mark this circle . . . . . . . . . . . . . . . . . . . 01 ih
Page 2
See the Guide or call 1 800 591-2001
8 a.m. to 9 p.m. May 1 to 31.
→
Do not complete this questionnaire.
Mail it in the enclosed postage-paid
envelope.
*2*
STEP
B
List below all persons who usually live here, at this address, as of May 15, 2001, even if
they are temporarily away. Don’t forget to include yourself!
Begin the list with an adult followed, if applicable, by that person’s spouse or common-law partner
and by their children who usually live here. Continue with all other persons who usually live here.
Children should be listed immediately after their parent(s).
Family name
Given name
Initial
Person 1
Person 2
LY
N
O
ION
T
A
RM
O
F
IN
FOR
Person 3
Person 4
Person 5
Person 6
Person 7
Person 8
Person 9
Person 10
If you need more space, use the “Comments” section on page 32.
STEP
C
Did you leave anyone out of Step B
because you were not sure the
person should be listed?
For example:
00.
ih No
01
ih Yes
Relationship
Reason
• a person living at this address who has
another home;
• a person temporarily away.
02
Name
Name
Relationship
the name,
→ Specify
the relationship and
Reason
the reason.
If you need more space, use the “Comments” section
on page 32.
STEP
D
STEP
E
*3*
Is anyone listed in Step B
a farm operator?
02
ih No
03
ih Yes
Copy the names from Step B
to Question 1, on the top of
the next page.
A farm operator makes the day-to-day management
decisions for a farm. Farms produce any of the
following agricultural products intended for sale:
• crops
• livestock
• poultry
• other agricultural products (greenhouse or
nursery products, Christmas trees, sod, honey,
maple syrup products, furs, eggs, milk, etc.)
IF MORE THAN SIX PERSONS LIVE HERE and you
do not have a second questionnaire to include them,
note this in the “Comments” section on page 32. A
Statistics Canada representative will contact you.
Page 3
P E R SO N 1
1 NAME
In the spaces provided, copy the names in the
Family name
same order as in Step B. Then answer the
following questions for each person.
Given name
NF
FOR I
2 SEX
Month
Initial
LY
N
O
N
TIO
A
M
R
O
01.
Given name
Initial
02.
01 ih Male
01 ih Male
02 ih Female
02 ih Female
3 DATE OF BIRTH
Day
P E R SO N 2
Family name
Date of birth
Date of birth
Year
Example: 2 3 0 2 1 9 5 4
If exact date is not known, enter best estimate.
4 MARITAL STATUS
Mark “ inh” one circle only.
Day
Month
Year
03
Day
04 ih Never legally married
04 ih Never legally married
(single)
05 ih Legally married
06 ih Separated, but still
(single)
05 ih Legally married
(and not separated)
06 ih Separated, but still
legally married
Common-law refers to two people of the opposite
sex or of the same sex who live together as a couple
but who are not legally married to each other.
07 ih Divorced
08 ih Widowed
08 ih Widowed
09 ih Yes
09 ih Yes
10 ih No
10 ih No
12 ih Husband or wife of
Person 1
For each person usually living here, describe
his /her relationship to Person 1.
Stepchildren, adopted children and children of
a common-law partner should be considered
sons and daughters.
legally married
07 ih Divorced
6 RELATIONSHIP TO PERSON 1
Mark “ inh” or specify one response only.
Year
03
(and not separated)
THIS PERSON LIVING WITH A
5 IS
COMMON-LAW PARTNER?
Month
13 ih Common-law partner
11
inh PERSON 1
(opposite-sex) of Person 1
14 ih Common-law partner
(same-sex) of Person 1
15 ih Son or daughter of
Person 1
16 ih Son-in-law or
daughter-in-law of Person 1
If none of the choices apply, use the “Other ”
box to indicate this person’s relationship
to Person 1.
17 ih Grandchild of Person 1
Examples of “Other ” relationships to Person 1:
• grandparent
• cousin
• niece or nephew
• lodger’s husband or wife
• room-mate’s daughter or son
• employee
19 ih Father-in-law or
18 ih Father or mother of
Person 1
mother-in-law of Person 1
20 ih Brother or sister of
Person 1
21 ih Brother-in-law or
sister-in-law of Person 1
22 ih Lodger or boarder
23 ih Room-mate
Other — Specify
24
Page 4
See the Guide or call 1 800 591-2001
8 a.m. to 9 p.m. May 1 to 31.
*4*
03.
04.
05.
06.
01 ih Male
01 ih Male
01 ih Male
01 ih Male
02 ih Female
02 ih Female
02 ih Female
02 ih Female
Date of birth
Day
Month
Date of birth
Year
03
Day
Month
Date of birth
Year
03
04 ih Never legally married
05 ih Legally married
(and not separated)
06 ih Separated, but still
legally married
Day
05 ih Legally married
(single)
05 ih Legally married
06 ih Separated, but still
(and not separated)
06 ih Separated, but still
legally married
legally married
07 ih Divorced
07 ih Divorced
07 ih Divorced
07 ih Divorced
08 ih Widowed
08 ih Widowed
08 ih Widowed
08 ih Widowed
09 ih Yes
09 ih Yes
09 ih Yes
09 ih Yes
10 ih No
10 ih No
10 ih No
10 ih No
NF
FOR I
15 ih Son or daughter of
16 ih Son-in-law or
LY
N
O
N
TIO
ORMA
15 ih Son or daughter of
Person 1
15 ih Son or daughter of
Person 1
16 ih Son-in-law or
daughter-in-law of Person 1
Year
04 ih Never legally married
(and not separated)
legally married
Month
03
(single)
(and not separated)
06 ih Separated, but still
Year
04 ih Never legally married
(single)
05 ih Legally married
Month
03
04 ih Never legally married
(single)
Day
Date of birth
15 ih Son or daughter of
Person 1
16 ih Son-in-law or
daughter-in-law of Person 1
Person 1
16 ih Son-in-law or
daughter-in-law of Person 1
daughter-in-law of Person 1
17 ih Grandchild of Person 1
17 ih Grandchild of Person 1
17 ih Grandchild of Person 1
17 ih Grandchild of Person 1
18 ih Father or mother of
18 ih Father or mother of
18 ih Father or mother of
18 ih Father or mother of
Person 1
Person 1
Person 1
Person 1
19 ih Father-in-law or
19 ih Father-in-law or
19 ih Father-in-law or
19 ih Father-in-law or
mother-in-law of Person 1
20 ih Brother or sister of
mother-in-law of Person 1
20 ih Brother or sister of
mother-in-law of Person 1
20 ih Brother or sister of
mother-in-law of Person 1
20 ih Brother or sister of
Person 1
Person 1
Person 1
Person 1
21 ih Brother-in-law or
21 ih Brother-in-law or
21 ih Brother-in-law or
21 ih Brother-in-law or
sister-in-law of Person 1
sister-in-law of Person 1
sister-in-law of Person 1
sister-in-law of Person 1
22 ih Lodger or boarder
22 ih Lodger or boarder
22 ih Lodger or boarder
22 ih Lodger or boarder
23 ih Room-mate
23 ih Room-mate
23 ih Room-mate
23 ih Room-mate
Other — Specify
24
*5*
Other — Specify
24
Other — Specify
24
Other — Specify
24
Page 5
ACTIVITIES OF DAILY LIVING
Does this person have any difficulty hearing,
7 seeing,
communicating, walking, climbing stairs,
bending, learning or doing any similar activities?
07.
08.
01 ih Yes, sometimes
01 ih Yes, sometimes
02 ih Yes, often
02 ih Yes, often
03 ih No
03 ih No
a physical condition or mental condition
8 Does
or health problem reduce the amount or the
LY
N
O
N
T I O 04 ih Yes, sometimes
A
M
R
O
kind of activity this person can do:
(a) at home?
NF
FOR I
(b) at work or at school?
(c) in other activities, for example, transportation
or leisure?
04 ih Yes, sometimes
05 ih Yes, often
05 ih Yes, often
06 ih No
06 ih No
07 ih Yes, sometimes
07 ih Yes, sometimes
08 ih Yes, often
08 ih Yes, often
09 ih No
09 ih No
10 ih Not applicable
10 ih Not applicable
11 ih Yes, sometimes
11 ih Yes, sometimes
12 ih Yes, often
12 ih Yes, often
13 ih No
13 ih No
SOCIOCULTURAL INFORMATION
present boundaries.
Born in Canada
Specify province
or territory
14
Born in Canada
Specify province
or territory
14
Born outside Canada
Specify country
■
Indicate more than one citizenship, if applicable.
“Canada, by naturalization” refers to the process
by which an immigrant is granted citizenship
of Canada, under the Citizenship Act.
this person now, or has this person ever
11 Isbeen,
a landed immigrant?
■
A “landed immigrant” is a person who has been
granted the right to live in Canada permanently by
immigration authorities.
what year did this person first become a
12 Inlanded
immigrant?
15
15
16 ih Canada, by birth
16 ih Canada, by birth
17 ih Canada, by naturalization
17 ih Canada, by naturalization
Other country — Specify
Other country — Specify
18
18
19 ih No
20 ih Yes
▼
10 Of what country is this person a citizen?
Born outside Canada
Specify country
Go to
Question 13
19 ih No
Go to
Question 13
20 ih Yes
Year
21
▼
■
was this person born?
9 Where
Specify one response only, according to
Year
21
If exact year is not known, enter best estimate.
Page 6
See the Guide or call 1 800 591-2001
8 a.m. to 9 p.m. May 1 to 31.
*6*
09.
10.
11.
12.
01 ih Yes, sometimes
01 ih Yes, sometimes
01 ih Yes, sometimes
01 ih Yes, sometimes
02 ih Yes, often
02 ih Yes, often
02 ih Yes, often
02 ih Yes, often
03 ih No
03 ih No
03 ih No
03 ih No
LY
N
O
N
TIO
ORMA
INF
R
O
F
04 ih Yes, sometimes
04 ih Yes, sometimes
04 ih Yes, sometimes
04 ih Yes, sometimes
05 ih Yes, often
05 ih Yes, often
05 ih Yes, often
05 ih Yes, often
06 ih No
06 ih No
06 ih No
06 ih No
07 ih Yes, sometimes
07 ih Yes, sometimes
07 ih Yes, sometimes
07 ih Yes, sometimes
08 ih Yes, often
08 ih Yes, often
08 ih Yes, often
08 ih Yes, often
09 ih No
09 ih No
09 ih No
09 ih No
10 ih Not applicable
10 ih Not applicable
10 ih Not applicable
10 ih Not applicable
11 ih Yes, sometimes
11 ih Yes, sometimes
11 ih Yes, sometimes
11 ih Yes, sometimes
12 ih Yes, often
12 ih Yes, often
12 ih Yes, often
12 ih Yes, often
13 ih No
13 ih No
13 ih No
13 ih No
Born in Canada
Specify province
or territory
14
Born in Canada
Specify province
or territory
14
Born outside Canada
Specify country
Born in Canada
Specify province
or territory
14
Born outside Canada
Specify country
Born in Canada
Specify province
or territory
14
Born outside Canada
Specify country
Born outside Canada
Specify country
15
15
15
15
16 ih Canada, by birth
16 ih Canada, by birth
16 ih Canada, by birth
16 ih Canada, by birth
17 ih Canada, by naturalization
17 ih Canada, by naturalization
17 ih Canada, by naturalization
17 ih Canada, by naturalization
Other country — Specify
Other country — Specify
Other country — Specify
Other country — Specify
20 ih Yes
19 ih No
20 ih Yes
Year
21
*7*
Go to
Question 13
19 ih No
20 ih Yes
Year
21
Go to
Question 13
19 ih No
Go to
Question 13
20 ih Yes
Year
21
▼
Go to
Question 13
18
▼
19 ih No
18
▼
18
▼
18
Year
21
Page 7
13.
this person speak English or French well
13 Can
enough to conduct a conversation?
■
Mark “ inh” one circle only.
language(s), other than English or French,
14 What
can this person speak well enough to conduct
■
01 ih English only
01 ih English only
02 ih French only
02 ih French only
03 ih Both English and French
03 ih Both English and French
04 ih Neither English nor French
04 ih Neither English nor French
05 ih None
05 ih None
LY
N
O
N
06
TIO
A
M
R
O
F
N
07
FOR I
a conversation?
What language does this person speak
15 (a) most
often at home?
■
14.
OR
OR
Specify other language(s)
Specify other language(s)
06
07
08
08
09 ih English
09 ih English
10 ih French
10 ih French
Other — Specify
(b) Does this person speak any other languages
on a regular basis at home?
Other — Specify
11
11
12 ih No
12 ih No
13 ih Yes, English
13 ih Yes, English
14 ih Yes, French
14 ih Yes, French
Yes, Other — Specify
is the language that this person first learned
16 What
at home in childhood and still understands?
■
If this person no longer understands the first
language learned, indicate the second language
learned.
Yes, Other — Specify
15
15
16 ih English
16 ih English
17 ih French
17 ih French
Other — Specify
18
Other — Specify
18
While most people in Canada view themselves as Canadians,
information on their ancestral origins has been collected
since the 1901 Census to capture the changing composition
of Canada’s diverse population. Therefore, this question
refers to the origins of the person’s ancestors.
which ethnic or cultural group(s) did this
17 To
person’s ancestors belong?
Specify as many groups
as applicable
For example, Canadian, French, English, Chinese,
Italian, German, Scottish, Irish, Cree, Micmac,
Métis, Inuit (Eskimo), East Indian, Ukrainian,
Dutch, Polish, Portuguese, Filipino, Jewish, Greek,
Jamaican, Vietnamese, Lebanese, Chilean,
Somali, etc.
Page 8
See the Guide or call 1 800 591-2001
8 a.m. to 9 p.m. May 1 to 31.
▼
■
Specify as many groups
as applicable
19
19
20
20
21
21
22
22
*8*
15.
16.
17.
18.
01 ih English only
01 ih English only
01 ih English only
01 ih English only
02 ih French only
02 ih French only
02 ih French only
02 ih French only
03 ih Both English and French
03 ih Both English and French
03 ih Both English and French
03 ih Both English and French
04 ih Neither English nor French
04 ih Neither English nor French
04 ih Neither English nor French
04 ih Neither English nor French
05 ih None
05 ih None
05 ih None
05 ih None
OR
OR
Specify other language(s)
OR
Specify other language(s)
OR
Specify other language(s)
Specify other language(s)
06
06
06
06
07
07
07
07
08
08
08
09
09
09 ih English
08
09 ih English
N LY
O
N
O
I
R M AT
O
F
N
I
ih English
ih English
FOR
10 ih French
10 ih French
Other — Specify
10 ih French
Other — Specify
10 ih French
Other — Specify
Other — Specify
11
11
11
11
12 ih No
12 ih No
12 ih No
12 ih No
13 ih Yes, English
13 ih Yes, English
13 ih Yes, English
13 ih Yes, English
14 ih Yes, French
14 ih Yes, French
14 ih Yes, French
14 ih Yes, French
Yes, Other — Specify
Yes, Other — Specify
Yes, Other — Specify
Yes, Other — Specify
15
15
15
15
16 ih English
16 ih English
16 ih English
16 ih English
17 ih French
17 ih French
17 ih French
17 ih French
Other — Specify
18
Other — Specify
18
Specify as many groups
as applicable
Other — Specify
18
Specify as many groups
as applicable
Other — Specify
18
Specify as many groups
as applicable
Specify as many groups
as applicable
19
19
19
19
20
20
20
20
21
21
21
21
22
22
22
22
*9*
Page 9
20.
Continue
with the next
question
O N LY
N
O
I
AT
FOR
M
INFOR
19 Is this person:
■
Mark “ inh” more than one or specify, if applicable.
This information is collected to support programs
that promote equal opportunity for everyone
to share in the social, cultural and economic
life of Canada.
American
Indian
03 ih Yes, Métis
04 ih Yes, Inuit
(Eskimo)
▼
02 ih Yes, North
Go to
Question
20
01 ih No
02 ih Yes, North
American
Indian
03 ih Yes, Métis
04 ih Yes, Inuit
(Eskimo)
05 ih White
06 ih Chinese
06 ih Chinese
07 ih South Asian (e.g.,
07 ih South Asian (e.g.,
East Indian, Pakistani,
Sri Lankan, etc.)
08 ih Black
East Indian, Pakistani,
Sri Lankan, etc.)
08 ih Black
09 ih Filipino
09 ih Filipino
10 ih Latin American
10 ih Latin American
11 ih Southeast Asian (e.g.,
11 ih Southeast Asian (e.g.,
Cambodian, Indonesian,
Laotian, Vietnamese, etc.)
12 ih Arab
Cambodian, Indonesian,
Laotian, Vietnamese, etc.)
12 ih Arab
13 ih West Asian (e.g., Afghan,
13 ih West Asian (e.g., Afghan,
Iranian, etc.)
14 ih Japanese
14 ih Japanese
15 ih Korean
15 ih Korean
Iranian, etc.)
Other — Specify
16
16
17 ih No
17 ih No
18 ih Yes, member of an Indian
18 ih Yes, member of an Indian
Band / First Nation
Specify Indian Band /
First Nation (for example,
Musqueam)
Band / First Nation
Specify Indian Band /
First Nation (for example,
Musqueam)
19
this person a Treaty Indian or a Registered
21 IsIndian
as defined by the Indian Act of Canada?
Go to
Question
20
05 ih White
Other — Specify
this person a member of an Indian
20 IsBand
/ First Nation?
Continue
with the next
question
▼
01 ih No
If “Yes’’, mark “ inh” the circle(s) that best describe(s)
this person now.
▼
■
19.
▼
this person an Aboriginal person, that is,
18 IsNorth
American Indian, Métis or Inuit (Eskimo)?
➤
19
➤
20 ih No
20 ih No
21 ih Yes, Treaty Indian or
21 ih Yes, Treaty Indian or
Registered Indian
Registered Indian
22 What is this person’s religion?
Indicate a specific denomination or religion even if
this person is not currently a practising member of
that group.
For example, Roman Catholic, Ukrainian Catholic,
United Church, Anglican, Lutheran, Baptist, Greek
Orthodox, Jewish, Islam, Buddhist, Hindu, Sikh, etc.
Page 10
See the Guide or call 1 800 591-2001
8 a.m. to 9 p.m. May 1 to 31.
Specify one denomination or
religion only
Specify one denomination or
religion only
22
22
23 ih No religion
23 ih No religion
*10*
Continue
with the next
question
01 ih No
Continue
with the next
question
American
Indian
03 ih Yes, Métis
04 ih Yes, Inuit
(Eskimo)
Go to
Question
20
04 ih Yes, Inuit
(Eskimo)
Go to
Question
20
04 ih Yes, Inuit
(Eskimo)
▼
02 ih Yes, North
American
Indian
03 ih Yes, Métis
▼
02 ih Yes, North
American
Indian
03 ih Yes, Métis
▼
02 ih Yes, North
Go to
Question
20
01 ih No
Continue
with the next
question
02 ih Yes, North
American
Indian
03 ih Yes, Métis
04 ih Yes, Inuit
(Eskimo)
▼
01 ih No
▼
Continue
with the next
question
24.
▼
01 ih No
23.
▼
22.
▼
21.
Go to
Question
20
05 ih White
05 ih White
05 ih White
05 ih White
06 ih Chinese
06 ih Chinese
06 ih Chinese
06 ih Chinese
07 ih South Asian (e.g.,
07 ih South Asian (e.g.,
07 ih South Asian (e.g.,
07 ih South Asian (e.g.,
East Indian, Pakistani,
Sri Lankan, etc.)
08 ih Black
East Indian, Pakistani,
Sri Lankan, etc.)
08 ih Black
East Indian, Pakistani,
Sri Lankan, etc.)
08 ih Black
East Indian, Pakistani,
Sri Lankan, etc.)
08 ih Black
09 ih Filipino
09 ih Filipino
09 ih Filipino
09 ih Filipino
10 ih Latin American
10 ih Latin American
10 ih Latin American
10 ih Latin American
11 ih Southeast Asian (e.g.,
11 ih Southeast Asian (e.g.,
11 ih Southeast Asian (e.g.,
11 ih Southeast Asian (e.g.,
Cambodian, Indonesian,
Laotian, Vietnamese, etc.)
12 ih Arab
Cambodian, Indonesian,
Laotian, Vietnamese, etc.)
12 ih Arab
Cambodian, Indonesian,
Laotian, Vietnamese, etc.)
12 ih Arab
Cambodian, Indonesian,
Laotian, Vietnamese, etc.)
12 ih Arab
13 ih West Asian (e.g., Afghan,
13 ih West Asian (e.g., Afghan,
13 ih West Asian (e.g., Afghan,
13 ih West Asian (e.g., Afghan,
Iranian, etc.)
14 ih Japanese
Iranian, etc.)
14 ih Japanese
Iranian, etc.)
14 ih Japanese
14 ih Japanese
15 ih Korean
15 ih Korean
15 ih Korean
15 ih Korean
N16LY
O
16
16
N
O
AT I
M
R
O
F
17 ih No
17 ih No
O R I N 17 ih No
F
18 ih Yes, member of an Indian
18 ih Yes, member of an Indian
18 ih Yes, member of an Indian
Other — Specify
Other — Specify
Band / First Nation
Specify Indian Band /
First Nation (for example,
Musqueam)
19
➤
Other — Specify
Band / First Nation
Specify Indian Band /
First Nation (for example,
Musqueam)
19
➤
Iranian, etc.)
Other — Specify
16
17 ih No
18 ih Yes, member of an Indian
Band / First Nation
Specify Indian Band /
First Nation (for example,
Musqueam)
19
➤
Band / First Nation
Specify Indian Band /
First Nation (for example,
Musqueam)
19
➤
20 ih No
20 ih No
20 ih No
20 ih No
21 ih Yes, Treaty Indian or
21 ih Yes, Treaty Indian or
21 ih Yes, Treaty Indian or
21 ih Yes, Treaty Indian or
Registered Indian
Registered Indian
Specify one denomination or
religion only
Registered Indian
Specify one denomination or
religion only
Registered Indian
Specify one denomination or
religion only
Specify one denomination or
religion only
22
22
22
22
23 ih No religion
23 ih No religion
23 ih No religion
23 ih No religion
*11*
Page 11
Questions 24 to 51 for each
23 Answer
person aged 15 and over.
Continue only
for each person
aged 15 and over.
MOBILITY
25.
Where did this person live 1 year ago, that is,
24 on
May 15, 2000?
Mark “ inh” one circle only.
For example:
• Saanich rather than Victoria (metropolitan area);
• St. Albert rather than Edmonton (metropolitan area);
• Laval rather than Montréal (metropolitan area).
FOR
01 ih Lived at the same
address as now
02 ih Lived at a different
address as now
02 ih Lived at a different
address in the same city,
town, village, township,
municipality or Indian
reserve
03 ih Lived in a different city,
04
address in the same city,
town, village, township,
municipality or Indian
reserve
03 ih Lived in a different city,
town, village, township,
municipality or Indian
reserve in Canada
Specify name of:
town, village, township,
municipality or Indian
reserve in Canada
Specify name of:
City, town, village, township,
municipality or Indian reserve
City, town, village, township,
municipality or Indian reserve
➤
04
➤
05
➤
Province / territory
N LY
O
N
O
M AT I
05
INFOR
26.
01 ih Lived at the same
Note:
For those who mark circle 03:
Please give the name of the city or town rather than
the metropolitan area of which it is a part.
Continue only
for each person
aged 15 and over.
06
➤
Province / territory
Postal code
➤
07 ih Lived outside Canada
Postal code
06
07 ih Lived outside Canada
Specify name of country
08
did this person live 5 years ago, that is,
25 Where
on May 15, 1996?
➤
09 ih Lived at the same
08
11 ih Lived in a different city,
➤
09 ih Lived at the same
address as now
10 ih Lived at a different
address in the same city,
town, village, township,
municipality or Indian
reserve
Mark “ inh” one circle only.
Note:
Specify name of country
address as now
10 ih Lived at a different
➤
address in the same city,
town, village, township,
municipality or Indian
reserve
11 ih Lived in a different city,
For those who mark circle 11:
Please give the name of the city or town rather than
the metropolitan area of which it is a part.
town, village, township,
municipality or Indian
reserve in Canada
Specify name of:
town, village, township,
municipality or Indian
reserve in Canada
Specify name of:
For example:
• Saanich rather than Victoria (metropolitan area);
• St. Albert rather than Edmonton (metropolitan area);
• Laval rather than Montréal (metropolitan area).
City, town, village, township,
municipality or Indian reserve
City, town, village, township,
municipality or Indian reserve
12
➤
13
➤
12
➤
13
➤
Province / territory
14 ih Lived outside Canada
Province / territory
14 ih Lived outside Canada
Specify name of country
15
Page 12
See the Guide or call 1 800 591-2001
8 a.m. to 9 p.m. May 1 to 31.
➤
Specify name of country
15
➤
*12*
Continue only
for each person
aged 15 and over.
Continue only
for each person
aged 15 and over.
Continue only
for each person
aged 15 and over.
N LY
O
N
IO
T
A
M
R
O
27. F O R IN F
28.
29.
01 ih Lived at the same
01 ih Lived at the same
address as now
02 ih Lived at a different
02 ih Lived at a different
address in the same city,
town, village, township,
municipality or Indian
reserve
03 ih Lived in a different city,
address in the same city,
town, village, township,
municipality or Indian
reserve
03 ih Lived in a different city,
address in the same city,
town, village, township,
municipality or Indian
reserve
03 ih Lived in a different city,
town, village, township,
municipality or Indian
reserve in Canada
Specify name of:
town, village, township,
municipality or Indian
reserve in Canada
Specify name of:
City, town, village, township,
municipality or Indian reserve
City, town, village, township,
municipality or Indian reserve
City, town, village, township,
municipality or Indian reserve
City, town, village, township,
municipality or Indian reserve
05
➤
04
➤
05
➤
Province / territory
➤
07 ih Lived outside Canada
09 ih Lived at the same
06
05
➤
08
➤
09 ih Lived at the same
06
➤
07 ih Lived outside Canada
05
➤
Province / territory
Postal code
06
08
➤
09 ih Lived at the same
Specify name of country
08
address as now
10 ih Lived at a different
address in the same city,
town, village, township,
municipality or Indian
reserve
11 ih Lived in a different city,
➤
09 ih Lived at the same
address as now
10 ih Lived at a different
➤
07 ih Lived outside Canada
Specify name of country
address in the same city,
town, village, township,
municipality or Indian
reserve
11 ih Lived in a different city,
➤
Postal code
address as now
10 ih Lived at a different
04
Province / territory
Specify name of country
address in the same city,
town, village, township,
municipality or Indian
reserve
11 ih Lived in a different city,
➤
07 ih Lived outside Canada
address as now
10 ih Lived at a different
➤
Postal code
Specify name of country
➤
04
Province / territory
Postal code
address in the same city,
town, village, township,
municipality or Indian
reserve
11 ih Lived in a different city,
town, village, township,
municipality or Indian
reserve in Canada
Specify name of:
town, village, township,
municipality or Indian
reserve in Canada
Specify name of:
town, village, township,
municipality or Indian
reserve in Canada
Specify name of:
town, village, township,
municipality or Indian
reserve in Canada
Specify name of:
City, town, village, township,
municipality or Indian reserve
City, town, village, township,
municipality or Indian reserve
City, town, village, township,
municipality or Indian reserve
City, town, village, township,
municipality or Indian reserve
12
➤
13
➤
12
➤
13
➤
Province / territory
14 ih Lived outside Canada
➤
*13*
12
➤
13
➤
Province / territory
14 ih Lived outside Canada
Specify name of country
15
address as now
02 ih Lived at a different
town, village, township,
municipality or Indian
reserve in Canada
Specify name of:
➤
08
02 ih Lived at a different
town, village, township,
municipality or Indian
reserve in Canada
Specify name of:
04
06
01 ih Lived at the same
address as now
address in the same city,
town, village, township,
municipality or Indian
reserve
03 ih Lived in a different city,
30.
01 ih Lived at the same
address as now
Continue only
for each person
aged 15 and over.
➤
➤
13
➤
Province / territory
14 ih Lived outside Canada
Specify name of country
15
12
Province / territory
14 ih Lived outside Canada
Specify name of country
15
➤
Specify name of country
15
➤
Page 13
Remember, these questions are only for persons aged 15 and over.
EDUCATION
31.
by this person (completed or not)?
01
Enter highest grade (1 to 13) for elementary and
secondary school only, excluding kindergarten.
Number (1 to 13)
of grades of
secondary or
elementary school
01
OR
In the case where the person has attended
secondary school in the province of Quebec,
include the total number of years of elementary
and secondary schooling.
many years of education has this person
27 How
completed at university?
■
Number of
completed years
at university
or attended kindergarten
only
03 ih None
04 ih Less than 1 year
(of completed courses)
05
▼
■
03 ih None
LY 04 ih Less than 1 year
N
O
N
(of completed courses)
IO
T
A
M
OR
many years of schooling has this person
28 How
ever completed at an institution other than
02 ih Never attended school
or attended kindergarten
only
05
Number (1 to 13)
of grades of
secondary or
elementary school
OR
02 ih Never attended school
▼
NF
FOR I
▼
■
▼
What is the highest grade of secondary
26 (high
school) or elementary school attended
32.
Number of
completed years
at university
06 ih None
06 ih None
a university, a secondary (high) school or
an elementary school?
07 ih Less than 1 year
07 ih Less than 1 year
Include years of schooling at community colleges,
technical institutes, CEGEPs (general and
professional), private trade schools or private
business colleges, diploma schools of nursing, etc.
08
(of completed courses)
08
▼
▼
Number of
completed years
at community
colleges, trade
schools, CEGEPs,
etc.
(of completed courses)
Number of
completed years
at community
colleges, trade
schools, CEGEPs,
etc.
In the past nine months (that is, since last
29 September),
was this person attending a
school, college or university?
Include attendance at elementary or secondary
schools, business or trade schools, community
colleges, technical institutes, CEGEPs, etc.,
for courses that can be used as credits towards
a certificate, diploma or degree.
09 ih No, did not attend in the
09 ih No, did not attend in the
past nine months
past nine months
10 ih Yes, full time
10 ih Yes, full time
11 ih Yes, part time, day or
11 ih Yes, part time, day or
evening
evening
Mark “ inh” one circle only.
Page 14
See the Guide or call 1 800 591-2001
8 a.m. to 9 p.m. May 1 to 31.
*14*
Remember, these questions are only for persons aged 15 and over.
33.
34.
OR
Number (1 to 13)
of grades of
secondary or
elementary school
01
OR
02 ih Never attended school
01
OR
02 ih Never attended school
or attended kindergarten
only
Number (1 to 13)
of grades of
secondary or
elementary school
O N LY
N
O
I
T
RMA
O
F
N
I
FOR
Number (1 to 13)
of grades of
secondary or
elementary school
OR
02 ih Never attended school
or attended kindergarten
only
▼
01
36.
▼
Number (1 to 13)
of grades of
secondary or
elementary school
▼
▼
01
35.
02 ih Never attended school
or attended kindergarten
only
or attended kindergarten
only
03 ih None
03 ih None
03 ih None
03 ih None
04 ih Less than 1 year
04 ih Less than 1 year
04 ih Less than 1 year
04 ih Less than 1 year
(of completed courses)
Number of
completed years
at university
05
Number of
completed years
at university
(of completed courses)
05
▼
05
(of completed courses)
▼
Number of
completed years
at university
▼
▼
05
(of completed courses)
Number of
completed years
at university
06 ih None
06 ih None
06 ih None
06 ih None
07 ih Less than 1 year
07 ih Less than 1 year
07 ih Less than 1 year
07 ih Less than 1 year
(of completed courses)
Number of
completed years
at community
colleges, trade
schools, CEGEPs,
etc.
08
Number of
completed years
at community
colleges, trade
schools, CEGEPs,
etc.
(of completed courses)
08
▼
08
(of completed courses)
▼
Number of
completed years
at community
colleges, trade
schools, CEGEPs,
etc.
▼
▼
08
(of completed courses)
Number of
completed years
at community
colleges, trade
schools, CEGEPs,
etc.
09 ih No, did not attend in the
09 ih No, did not attend in the
09 ih No, did not attend in the
09 ih No, did not attend in the
past nine months
past nine months
past nine months
past nine months
10 ih Yes, full time
10 ih Yes, full time
10 ih Yes, full time
10 ih Yes, full time
11 ih Yes, part time, day or
11 ih Yes, part time, day or
11 ih Yes, part time, day or
11 ih Yes, part time, day or
evening
*15*
evening
evening
evening
Page 15
Remember, these questions are only for persons aged 15 and over.
Include all qualifications obtained from secondary
(high) schools, or trade schools and other
postsecondary educational institutions.
38.
01 ih None
Go to
Question 32
02 ih Secondary (high) school
01 ih None
▼
■
37.
▼
certificates, diplomas or degrees has
30 What
this person ever obtained?
Go to
Question 32
02 ih Secondary (high) school
graduation certificate or
equivalent
graduation certificate or
equivalent
Mark “ inh” as many circles as applicable.
FOR
N
I
R
FO
O N LY03 ih Trades certificate or diploma
N
O
I
M AT
04 ih Other non-university
03 ih Trades certificate or diploma
04 ih Other non-university
certificate or diploma
(obtained at community
college, CEGEP, technical
institute, etc.)
certificate or diploma
(obtained at community
college, CEGEP, technical
institute, etc.)
05 ih University certificate or
05 ih University certificate or
diploma below bachelor
level
diploma below bachelor
level
06 ih Bachelor’s degree(s)
06 ih Bachelor’s degree(s)
(e.g., B.A., B.Sc., LL.B.)
07 ih University certificate or
(e.g., B.A., B.Sc., LL.B.)
07 ih University certificate or
diploma above bachelor
level
08 ih Master’s degree(s)
diploma above bachelor
level
08 ih Master’s degree(s)
(e.g., M.A., M.Sc., M.Ed.)
09 ih Degree in medicine,
(e.g., M.A., M.Sc., M.Ed.)
09 ih Degree in medicine,
dentistry, veterinary
medicine or optometry
(M.D., D.D.S., D.M.D.,
D.V.M., O.D.)
10 ih Earned doctorate
dentistry, veterinary
medicine or optometry
(M.D., D.D.S., D.M.D.,
D.V.M., O.D.)
10 ih Earned doctorate
(e.g., Ph.D., D.Sc., D.Ed.)
was the major field of study or training of
31 What
this person’s highest degree, certificate or
diploma (excluding secondary or high school
graduation certificates)?
For example, accounting, carpentry, civil engineering,
history, legal secretary, welding, etc.
Major field of study or training
11
See the Guide or call 1 800 591-2001
8 a.m. to 9 p.m. May 1 to 31.
Major field of study or training
11
OR
OR
12 ih This person’s highest
12 ih This person’s highest
qualification is a
secondary (high) school
graduation certificate
Page 16
(e.g., Ph.D., D.Sc., D.Ed.)
qualification is a
secondary (high) school
graduation certificate
*16*
Remember, these questions are only for persons aged 15 and over.
02 ih Secondary (high) school
01 ih None
Go to
Question 32
02 ih Secondary (high) school
graduation certificate or
equivalent
01 ih None
Go to
Question 32
02 ih Secondary (high) school
graduation certificate or
equivalent
03
04 ih Other non-university
04 ih Other non-university
certificate or diploma
(obtained at community
college, CEGEP, technical
institute, etc.)
03
04 ih Other non-university
certificate or diploma
(obtained at community
college, CEGEP, technical
institute, etc.)
Go to
Question 32
02 ih Secondary (high) school
graduation certificate or
equivalent
AT IO N O N LY
FO R IN FO RihMTrades
certificate or diploma
ih Trades certificate or diploma
03 ih Trades certificate or diploma
01 ih None
▼
Go to
Question 32
42.
▼
01 ih None
41.
▼
40.
▼
39.
graduation certificate or
equivalent
03 ih Trades certificate or diploma
04 ih Other non-university
certificate or diploma
(obtained at community
college, CEGEP, technical
institute, etc.)
certificate or diploma
(obtained at community
college, CEGEP, technical
institute, etc.)
05 ih University certificate or
05 ih University certificate or
05 ih University certificate or
05 ih University certificate or
diploma below bachelor
level
diploma below bachelor
level
diploma below bachelor
level
diploma below bachelor
level
06 ih Bachelor’s degree(s)
06 ih Bachelor’s degree(s)
(e.g., B.A., B.Sc., LL.B.)
07 ih University certificate or
07 ih University certificate or
diploma above bachelor
level
08 ih Master’s degree(s)
08 ih Master’s degree(s)
10 ih Earned doctorate
09 ih Degree in medicine,
10 ih Earned doctorate
08 ih Master’s degree(s)
09 ih Degree in medicine,
diploma above bachelor
level
08 ih Master’s degree(s)
(e.g., M.A., M.Sc., M.Ed.)
09 ih Degree in medicine,
dentistry, veterinary
medicine or optometry
(M.D., D.D.S., D.M.D.,
D.V.M., O.D.)
10 ih Earned doctorate
dentistry, veterinary
medicine or optometry
(M.D., D.D.S., D.M.D.,
D.V.M., O.D.)
10 ih Earned doctorate
(e.g., Ph.D., D.Sc., D.Ed.)
Major field of study or training
11
07 ih University certificate or
(e.g., M.A., M.Sc., M.Ed.)
(e.g., Ph.D., D.Sc., D.Ed.)
Major field of study or training
(e.g., B.A., B.Sc., LL.B.)
diploma above bachelor
level
dentistry, veterinary
medicine or optometry
(M.D., D.D.S., D.M.D.,
D.V.M., O.D.)
(e.g., Ph.D., D.Sc., D.Ed.)
11
07 ih University certificate or
(e.g., M.A., M.Sc., M.Ed.)
dentistry, veterinary
medicine or optometry
(M.D., D.D.S., D.M.D.,
D.V.M., O.D.)
06 ih Bachelor’s degree(s)
(e.g., B.A., B.Sc., LL.B.)
diploma above bachelor
level
(e.g., M.A., M.Sc., M.Ed.)
09 ih Degree in medicine,
06 ih Bachelor’s degree(s)
(e.g., B.A., B.Sc., LL.B.)
(e.g., Ph.D., D.Sc., D.Ed.)
Major field of study or training
11
Major field of study or training
11
OR
OR
OR
OR
12 ih This person’s highest
12 ih This person’s highest
12 ih This person’s highest
12 ih This person’s highest
qualification is a
secondary (high) school
graduation certificate
*17*
qualification is a
secondary (high) school
graduation certificate
qualification is a
secondary (high) school
graduation certificate
qualification is a
secondary (high) school
graduation certificate
Page 17
Remember, these questions are only for persons aged 15 and over.
PLACE OF BIRTH OF PARENTS
43.
44.
32 Where was each of this person’s parents born?
■
Mark “ inh” or specify country according to present
boundaries.
(a) Father
FOR
N
I
R
FO
Father
in Canada
N LY 01 ih Born
O
Born
outside Canada
N
O
I
T
A
Specify
country
M
02
(b) Mother
Father
01 ih Born in Canada
Born outside Canada
Specify country
02
Mother
03 ih Born in Canada
Mother
03 ih Born in Canada
Born outside Canada
Specify country
Born outside Canada
Specify country
04
04
05 ih None
05 ih None
06 ih Less than 5 hours
06 ih Less than 5 hours
07 ih 5 to 14 hours
07 ih 5 to 14 hours
08 ih 15 to 29 hours
08 ih 15 to 29 hours
09 ih 30 to 59 hours
09 ih 30 to 59 hours
10 ih 60 hours or more
10 ih 60 hours or more
11 ih None
11 ih None
12 ih Less than 5 hours
12 ih Less than 5 hours
13 ih 5 to 14 hours
13 ih 5 to 14 hours
14 ih 15 to 29 hours
14 ih 15 to 29 hours
15 ih 30 to 59 hours
15 ih 30 to 59 hours
16 ih 60 hours or more
16 ih 60 hours or more
17 ih None
17 ih None
18 ih Less than 5 hours
18 ih Less than 5 hours
19 ih 5 to 9 hours
19 ih 5 to 9 hours
20 ih 10 to 19 hours
20 ih 10 to 19 hours
21 ih 20 hours or more
21 ih 20 hours or more
HOUSEHOLD ACTIVITIES
Note:
Last week refers to Sunday, May 6 to Saturday,
May 12, 2001.
In Question 33, report all time spent on each activity,
even if two or more activities took place at the same
time. See the Guide for examples.
week, how many hours did this person
33 Last
spend doing the following activities:
■
(a) doing unpaid housework, yard work or
home maintenance for members of this
household, or others?
Some examples include: preparing meals,
washing the car, doing laundry, cutting the
grass, shopping, household planning, etc.
(b) looking after one or more of this person’s
own children, or the children of others,
without pay?
Some examples include: bathing or playing
with young children, driving children to sports
activities or helping them with homework,
talking with teens about their problems, etc.
(c) providing unpaid care or assistance to one
or more seniors?
Some examples include: providing personal care
to a senior family member, visiting seniors, talking
with them on the telephone, helping them with
shopping, banking or with taking medication, etc.
Page 18
See the Guide or call 1 800 591-2001
8 a.m. to 9 p.m. May 1 to 31.
*18*
Remember, these questions are only for persons aged 15 and over.
45.
46.
Father
47.
Father
01 ih Born in Canada
02
Father
01 ih Born in Canada
Born outside Canada
Specify country
01 ih Born in Canada
Born outside Canada
Specify country
02
Mother
02
04
Born outside Canada
Specify country
02
03 ih Born in Canada
Born outside Canada
Specify country
04
FOR
N
I
R
FO
01 ih Born in Canada
Mother
03 ih Born in Canada
Born outside Canada
Specify country
Father
Born outside Canada
Specify country
Mother
03 ih Born in Canada
48.
Mother
03 ih Born in Canada
Born outside Canada
Specify country
04
Born outside Canada
Specify country
04
N LY
O
N
O
M AT I
05 ih None
05 ih None
05 ih None
05 ih None
06 ih Less than 5 hours
06 ih Less than 5 hours
06 ih Less than 5 hours
06 ih Less than 5 hours
07 ih 5 to 14 hours
07 ih 5 to 14 hours
07 ih 5 to 14 hours
07 ih 5 to 14 hours
08 ih 15 to 29 hours
08 ih 15 to 29 hours
08 ih 15 to 29 hours
08 ih 15 to 29 hours
09 ih 30 to 59 hours
09 ih 30 to 59 hours
09 ih 30 to 59 hours
09 ih 30 to 59 hours
10 ih 60 hours or more
10 ih 60 hours or more
10 ih 60 hours or more
10 ih 60 hours or more
11 ih None
11 ih None
11 ih None
11 ih None
12 ih Less than 5 hours
12 ih Less than 5 hours
12 ih Less than 5 hours
12 ih Less than 5 hours
13 ih 5 to 14 hours
13 ih 5 to 14 hours
13 ih 5 to 14 hours
13 ih 5 to 14 hours
14 ih 15 to 29 hours
14 ih 15 to 29 hours
14 ih 15 to 29 hours
14 ih 15 to 29 hours
15 ih 30 to 59 hours
15 ih 30 to 59 hours
15 ih 30 to 59 hours
15 ih 30 to 59 hours
16 ih 60 hours or more
16 ih 60 hours or more
16 ih 60 hours or more
16 ih 60 hours or more
17 ih None
17 ih None
17 ih None
17 ih None
18 ih Less than 5 hours
18 ih Less than 5 hours
18 ih Less than 5 hours
18 ih Less than 5 hours
19 ih 5 to 9 hours
19 ih 5 to 9 hours
19 ih 5 to 9 hours
19 ih 5 to 9 hours
20 ih 10 to 19 hours
20 ih 10 to 19 hours
20 ih 10 to 19 hours
20 ih 10 to 19 hours
21 ih 20 hours or more
21 ih 20 hours or more
21 ih 20 hours or more
21 ih 20 hours or more
*19*
Page 19
Remember, these questions are only for persons aged 15 and over.
Continue
with the next
question
03 ih No
For example, did this person contact an employment
centre, check with employers, place or answer
newspaper ads, etc.?
Mark “ inh” one circle only.
this person have started a job last week
38 Could
had one been available?
Mark “ inh” one circle only.
did this person last work
39 When
for pay or in self-employment,
even for a few days?
Mark “ inh” one circle only.
05 ih Yes, on vacation, ill, on
strike or locked out, or
absent for other reasons
07 ih Yes
Go to
Question 39
09 ih Yes, looked for full-time
work
08 ih No
Go to
Question 39
09 ih Yes, looked for full-time
work
10 ih Yes, looked for part-time
10 ih Yes, looked for part-time
work (less than 30 hours
per week)
work (less than 30 hours
per week)
11 ih Yes, could have started
a job
11 ih Yes, could have started
a job
12 ih No, already had a job
12 ih No, already had a job
13 ih No, because of temporary
13 ih No, because of temporary
illness or disability
illness or disability
14 ih No, because of personal
14 ih No, because of personal
or family responsibilities
or family responsibilities
15 ih No, going to school
15 ih No, going to school
16 ih No, other reasons
16 ih No, other reasons
17 ih In 2001
18 ih In 2000
2000
20 ih Never
See the Guide or call 1 800 591-2001
8 a.m. to 9 p.m. May 1 to 31.
from a job to which this
person expects to return
07 ih Yes
19 ih Before
Page 20
Continue
with the next
question
04 ih Yes, on temporary lay-off
06 ih No
08 ih No
Go to
Question 40
Continue
with the
next
question
Go to
Question
51
17 ih In 2001
18 ih In 2000
19 ih Before
2000
20 ih Never
▼ ▼
■
02 ih None
06 ih No
▼ ▼
four weeks?
01
03 ih No
04 ih Yes, on temporary lay-off
Y
from a job to which this
L
N
O
person expects to return
N
O
I
T
A
M
05 ih Yes, on vacation, ill, on
FOR
N
strike or locked out, or
I
R
absent for other reasons
FO
this person look for paid work during the
37 Did
past four weeks?
■
Go to
Question 40
Mark “ inh” one circle only.
week, did this person have definite
36 Last
arrangements to start a new job within the next
■
02 ih None
▼
■
01
▼
week, was this person on temporary lay-off
35 Last
or absent from his / her job or business?
▼
Include:
• working for wages, salary, tips or commission;
• working in his / her own business, farm or professional
practice, alone or in partnership;
• working directly towards the operation of a family
farm or business without formal pay arrangements
(e.g., assisting in seeding, doing accounts).
Number of hours
(to the nearest hour)
Number of hours
(to the nearest hour)
▼
week, how many hours did this person
34 Last
spend working for pay or in self-employment?
50.
▼
49.
▼
LABOUR MARKET ACTIVITIES
Continue
with the
next
question
Go to
Question
51
*20*
Remember, these questions are only for persons aged 15 and over.
Continue
with the next
question
02 ih None
Continue
with the next
question
01
02 ih None
O N LY
N
O
I
T
A
M
R
03 ih No
F O R I N F03Oih No
03 ih No
Go to
Question 40
Continue
with the next
question
Number of hours
(to the nearest hour)
▼
Go to
Question 40
Number of hours
(to the nearest hour)
▼
01
54.
01
02 ih None
Go to
Question 40
▼
02 ih None
Go to
Question 40
Number of hours
(to the nearest hour)
▼
01
▼
▼
Number of hours
(to the nearest hour)
53.
▼
52.
▼
51.
Continue
with the next
question
03 ih No
04 ih Yes, on temporary lay-off
04 ih Yes, on temporary lay-off
04 ih Yes, on temporary lay-off
04 ih Yes, on temporary lay-off
from a job to which this
person expects to return
from a job to which this
person expects to return
from a job to which this
person expects to return
from a job to which this
person expects to return
05 ih Yes, on vacation, ill, on
strike or locked out, or
absent for other reasons
05 ih Yes, on vacation, ill, on
strike or locked out, or
absent for other reasons
05 ih Yes, on vacation, ill, on
strike or locked out, or
absent for other reasons
05 ih Yes, on vacation, ill, on
strike or locked out, or
absent for other reasons
07 ih Yes
07 ih Yes
07 ih Yes
07 ih Yes
08 ih No
Go to
Question 39
09 ih Yes, looked for full-time
work
08 ih No
Go to
Question 39
09 ih Yes, looked for full-time
work
08 ih No
Go to
Question 39
09 ih Yes, looked for full-time
work
08 ih No
▼
06 ih No
▼
06 ih No
▼
06 ih No
▼
06 ih No
Go to
Question 39
09 ih Yes, looked for full-time
work
10 ih Yes, looked for part-time
10 ih Yes, looked for part-time
10 ih Yes, looked for part-time
10 ih Yes, looked for part-time
work (less than 30 hours
per week)
work (less than 30 hours
per week)
work (less than 30 hours
per week)
work (less than 30 hours
per week)
11 ih Yes, could have started
a job
11 ih Yes, could have started
a job
11 ih Yes, could have started
a job
11 ih Yes, could have started
a job
12 ih No, already had a job
12 ih No, already had a job
12 ih No, already had a job
12 ih No, already had a job
13 ih No, because of temporary
13 ih No, because of temporary
13 ih No, because of temporary
13 ih No, because of temporary
illness or disability
illness or disability
illness or disability
illness or disability
14 ih No, because of personal
14 ih No, because of personal
14 ih No, because of personal
14 ih No, because of personal
or family responsibilities
or family responsibilities
or family responsibilities
or family responsibilities
16 ih No, other reasons
16 ih No, other reasons
16 ih No, other reasons
16 ih No, other reasons
17 ih In 2001
18 ih In 2000
19 ih Before
2000
20 ih Never
*21*
Continue
with the
next
question
Go to
Question
51
17 ih In 2001
18 ih In 2000
19 ih Before
2000
20 ih Never
Continue
with the
next
question
Go to
Question
51
17 ih In 2001
18 ih In 2000
19 ih Before
2000
20 ih Never
Continue
with the
next
question
Go to
Question
51
17 ih In 2001
18 ih In 2000
19 ih Before
2000
20 ih Never
▼ ▼
15 ih No, going to school
▼ ▼
15 ih No, going to school
▼ ▼
15 ih No, going to school
▼ ▼
15 ih No, going to school
Continue
with the
next
question
Go to
Question
51
Page 21
Remember, these questions are only for persons aged 15 and over.
Note:
Questions 40 to 48 refer to this person’s job or business
last week. If this person held no job last week, answer
for the job of longest duration since January 1, 2000. If
this person held more than one job last week, answer for
the job at which he / she worked the most hours.
40 For whom did this person work?
55.
56.
Name of firm, government
agency, etc.
01
Name of firm, government
agency, etc.
01
For self-employed persons, enter the name of
their business. If the business does not have a
name, enter the person’s name.
NF
FOR I
LYSection, plant, department, etc.
N
O
N
(if applicable)
TIO
A
M
R
O
02
kind of business, industry or service
41 What
was this?
Section, plant, department, etc.
(if applicable)
02
Kind of business, industry
or service
Kind of business, industry
or service
03
03
04
04
Please be specific. For example:
•
•
•
•
road maintenance
secondary school
municipal police
wheat farm
•
•
•
•
retail shoe store
temporary help agency
full-service garage
trapping
42 What was this person’s work or occupation?
Occupation
Please be specific. For example:
• legal secretary
• plumber
• fishing guide
• wood furniture assembler
• restaurant manager
• secondary school teacher
05
Occupation
05
(If in the Armed Forces, give rank.)
this work, what were this person’s main
43 Inactivities?
Please give details. For example:
• prepared legal
documents
• made wood furniture
products
• installed residential
plumbing
• managed operations of
a restaurant
• guided fishing parties
• taught mathematics
Page 22
See the Guide or call 1 800 591-2001
8 a.m. to 9 p.m. May 1 to 31.
Main activities
Main activities
06
06
07
07
*22*
Remember, these questions are only for persons aged 15 and over.
57.
58.
Name of firm, government
agency, etc.
01
Name of firm, government
agency, etc.
01
Section, plant, department, etc.
(if applicable)
02
59.
Name of firm, government
agency, etc.
01
Section, plant, department, etc.
(if applicable)
02
OR
F
N
I
FOR
Kind of business, industry
or service
60.
Name of firm, government
agency, etc.
01
Section, plant, department, etc.
(if applicable)
N L02Y
O
N
O
M AT I
Kind of business, industry
or service
Section, plant, department, etc.
(if applicable)
02
Kind of business, industry
or service
Kind of business, industry
or service
03
03
03
03
04
04
04
04
Occupation
05
Occupation
05
Main activities
Occupation
05
Main activities
Occupation
05
Main activities
Main activities
06
06
06
06
07
07
07
07
*23*
Page 23
Remember, these questions are only for persons aged 15 and over.
61.
01 ih working for wages, salary,
01 ih working for wages, salary,
tips or commission?
Mark “ inh” one circle only.
▼
tips or commission?
▼
44 In this job or business, was this person mainly:
62.
Go to Question 46
Go to Question 46
02 ih working without pay for
03 ih self-employed without
▼
his / her spouse or
another relative in a
family farm or business?
▼
LY02 ih working without pay for
N
O
N
his / her spouse or
AT I O
M
R
O
another relative in a
F
N
family farm or business?
FOR I
Go to Question 46
Go to Question 46
03 ih self-employed without
paid help (alone or
in partnership)?
paid help (alone or
in partnership)?
04 ih self-employed with
04 ih self-employed with
paid help (alone or
in partnership)?
paid help (alone or
in partnership)?
05 ih No
05 ih No
■
06 ih Yes
06 ih Yes
what address did this person usually work
46 At
most of the time?
07 ih Worked at home
07 ih Worked at home
(including farms)
(including farms)
▼
■
Go to Question 48
Go to Question 48
Direction
If direction (e.g., North, South, East or West) is a
part of the street address, please include it.
If street address is unknown, specify the building
or nearest street intersection.
Please give the name of the city or town rather than
the metropolitan area of which it is a part.
For example:
• Saanich rather than Victoria (metropolitan area);
• St. Albert rather than Edmonton (metropolitan area);
• Laval rather than Montréal (metropolitan area).
09 ih No fixed workplace address
▼
09 ih No fixed workplace address
Go to Question 48
▼
Name
Type
08 ih Worked outside Canada
▼
08 ih Worked outside Canada
Go to Question 48
▼
➤
➤
➤
➤
Example: 365 Laurier Ave. West
Number
▼
self-employed, was this person’s farm or
45 Ifbusiness
incorporated?
Go to Question 47
Go to Question 47
10 ih Worked at the address
10 ih Worked at the address
specified below:
specified below:
Specify complete address
Specify complete address
Street address (see example)
Street address (see example)
11
➤
11
City, town, village, township,
municipality or Indian reserve
12
➤
City, town, village, township,
municipality or Indian reserve
12
Province / territory
If the address of work is different than the address of
the employer, please provide the address where this
person actually works (e.g., school teachers should
provide the address of their school, not the address
of the school board).
Page 24
See the Guide or call 1 800 591-2001
8 a.m. to 9 p.m. May 1 to 31.
13
➤
➤
➤
Province / territory
13
Postal code
14
➤
➤
Postal code
14
➤
*24*
Remember, these questions are only for persons aged 15 and over.
Go to Question 46
02 ih working without pay for
03 ih self-employed without
02 ih working without pay for
Go to Question 46
03 ih self-employed without
Go to Question 46
02 ih working without pay for
his / her spouse or
another relative in a
family farm or business?
▼
Go to Question 46
tips or commission?
Go to Question 46
his / her spouse or
another relative in a
family farm or business?
▼
his / her spouse or
another relative in a
family farm or business?
01 ih working for wages, salary,
tips or commission?
▼
▼
Go to Question 46
02 ih working without pay for
01 ih working for wages, salary,
tips or commission?
▼
01 ih working for wages, salary,
tips or commission?
66.
▼
01 ih working for wages, salary,
65.
his / her spouse or
another relative in a
family farm or business?
▼
64.
▼
63.
Go to Question 46
03 ih self-employed without
Go to Question 46
03 ih self-employed without
paid help (alone or
in partnership)?
paid help (alone or
in partnership)?
paid help (alone or
in partnership)?
paid help (alone or
in partnership)?
04 ih self-employed with
04 ih self-employed with
04 ih self-employed with
04 ih self-employed with
paid help (alone or
in partnership)?
paid help (alone or
in partnership)?
paid help (alone or
in partnership)?
paid help (alone or
in partnership)?
FOR
06 ih Yes
06 ih Yes
06 ih Yes
06 ih Yes
07 ih Worked at home
07 ih Worked at home
07 ih Worked at home
07 ih Worked at home
(including farms)
(including farms)
(including farms)
(including farms)
09 ih No fixed workplace address
▼
▼
09 ih No fixed workplace address
Go to Question 47
08 ih Worked outside Canada
Go to Question 48
Go to Question 48
Go to Question 47
09 ih No fixed workplace address
▼
Go to Question 48
▼
08 ih Worked outside Canada
Go to Question 48
▼
Go to Question 48
09 ih No fixed workplace address
Go to Question 48
▼
08 ih Worked outside Canada
▼
08 ih Worked outside Canada
Go to Question 48
▼
Go to Question 48
▼
05 ih No
▼
05 ih No
▼
05 ih No
▼
05 ih No
N LY
O
N
O
I
T
A
INFORM
Go to Question 47
Go to Question 47
10 ih Worked at the address
10 ih Worked at the address
10 ih Worked at the address
10 ih Worked at the address
specified below:
specified below:
specified below:
specified below:
Specify complete address
Specify complete address
Specify complete address
Specify complete address
Street address (see example)
Street address (see example)
Street address (see example)
Street address (see example)
11
➤
11
City, town, village, township,
municipality or Indian reserve
12
➤
➤
12
➤
*25*
➤
13
➤
12
➤
11
➤
13
➤
12
➤
➤
Province / territory
13
Postal code
14
➤
City, town, village, township,
municipality or Indian reserve
Province / territory
Postal code
14
➤
City, town, village, township,
municipality or Indian reserve
Province / territory
Postal code
14
11
City, town, village, township,
municipality or Indian reserve
Province / territory
13
➤
➤
Postal code
14
➤
Page 25
Remember, these questions are only for persons aged 15 and over.
67.
If this person used more than one method of
transportation, mark the one used for most of
the travel distance.
01 ih Car, truck or van — as
driver
02 ih Car, truck or van — as
■
02 ih Car, truck or van — as
passenger
LY03 ih Public transit (e.g., bus,
N
O
N
streetcar, subway, light-rail
AT I O
M
transit, commuter train,
R
O
F
ferry)
N
I
FOR
04 ih Walked to work
In this job, what language did this person
48 (a) use
most often?
01 ih Car, truck or van — as
driver
passenger
03 ih Public transit (e.g., bus,
streetcar, subway, light-rail
transit, commuter train,
ferry)
04 ih Walked to work
05 ih Bicycle
05 ih Bicycle
06 ih Motorcycle
06 ih Motorcycle
07 ih Taxicab
07 ih Taxicab
08 ih Other method
08 ih Other method
09 ih English
09 ih English
10 ih French
10 ih French
Other — Specify
(b) Did this person use any other languages
on a regular basis in this job?
Other — Specify
11
11
12 ih No
12 ih No
13 ih Yes, English
13 ih Yes, English
14 ih Yes, French
14 ih Yes, French
Yes, Other — Specify
many weeks did this person work
49 Inin how
2000?
■
■
Mark “ inh” one circle only.
Go to
Question 51
OR
17
Number of weeks
18 ih Full time
(30 hours or more
per week)
19 ih Part time
(less than 30 hours
per week)
Page 26
See the Guide or call 1 800 591-2001
8 a.m. to 9 p.m. May 1 to 31.
16 ih None
Go to
Question 51
OR
17
▼
During most of those weeks, did this person
50 work
full time or part time?
16 ih None
▼
Include those weeks in which this person:
• was on vacation or sick leave with pay;
• worked full time or part time;
• worked for wages, salary, tips or commission;
• was self-employed;
• worked directly towards the operation of a family
farm or business without formal pay arrangements.
15
▼
15
Yes, Other — Specify
▼
47 How did this person usually get to work?
68.
Number of weeks
18 ih Full time
(30 hours or more
per week)
19 ih Part time
(less than 30 hours
per week)
*26*
Remember, these questions are only for persons aged 15 and over.
69.
70.
01 ih Car, truck or van — as
71.
01 ih Car, truck or van — as
driver
01 ih Car, truck or van — as
driver
02 ih Car, truck or van — as
03 ih Public transit (e.g., bus,
03 ih Public transit (e.g., bus,
driver
02 ih Car, truck or van — as
passenger
streetcar, subway, light-rail
transit, commuter train,
ferry)
01 ih Car, truck or van — as
driver
02 ih Car, truck or van — as
passenger
72.
02 ih Car, truck or van — as
passenger
03 ih Public transit (e.g., bus,
streetcar, subway, light-rail
transit, commuter train,
ferry)
passenger
03 ih Public transit (e.g., bus,
streetcar, subway, light-rail
transit, commuter train,
ferry)
streetcar, subway, light-rail
transit, commuter train,
ferry)
04 ih Walked to work
04 ih Walked to work
04 ih Walked to work
04 ih Walked to work
05 ih Bicycle
05 ih Bicycle
05 ih Bicycle
05 ih Bicycle
06 ih Motorcycle
06 ih Motorcycle
06 ih Motorcycle
06 ih Motorcycle
07 ih Taxicab
07 ih Taxicab
07 ih Taxicab
07 ih Taxicab
08 ih Other method
08 ih Other method
08 ih Other method
08 ih Other method
09 ih English
09 ih English
09 ih English
09 ih English
10 ih French
10 ih French
10 ih French
10 ih French
YOther — Specify
L
N
O
11
11
11
ON
I
T
A
RM
O
F
N
I
12 ih No
12 ih No
12 ih No
OR
F
13 ih Yes, English
13 ih Yes, English
13 ih Yes, English
14 ih Yes, French
Yes, Other — Specify
Yes, Other — Specify
16 ih None
Go to
Question 51
16 ih None
OR
(30 hours or more
per week)
19 ih Part time
(less than 30 hours
per week)
*27*
Number of weeks
18 ih Full time
(30 hours or more
per week)
19 ih Part time
(less than 30 hours
per week)
14 ih Yes, French
Yes, Other — Specify
Go to
Question 51
16 ih None
17
Number of weeks
18 ih Full time
(30 hours or more
per week)
19 ih Part time
(less than 30 hours
per week)
Go to
Question 51
OR
17
▼
18 ih Full time
17
13 ih Yes, English
OR
▼
Number of weeks
12 ih No
15
16 ih None
OR
▼
▼
17
Go to
Question 51
11
Yes, Other — Specify
15
▼
15
▼
15
14 ih Yes, French
Other — Specify
▼
14 ih Yes, French
Other — Specify
▼
Other — Specify
Number of weeks
18 ih Full time
(30 hours or more
per week)
19 ih Part time
(less than 30 hours
per week)
Page 27
Remember,
INCOME IN 2000
(i)
Retirement pensions, superannuation and annuities,
including those from RRSPs and RRIFs
(j)
Other money income, such as alimony, child support,
scholarships
TOTAL INCOME FROM ALL OF THE ABOVE
SOURCES
See the Guide or call 1 800 591-2001
8 a.m. to 9 p.m. May 1 to 31.
10 ih No
11 ih Yes
11 ih Yes
12 ih No
12 ih No
13 ih Yes
13 ih Yes
14 ih No
14 ih No
15 ih Yes
15 ih Yes
16 ih No
16 ih No
17 ih Yes
17 ih Yes
18 ih Loss
20 ih Yes
20 ih Yes
21 ih No
22 ih Yes
22 ih Yes
23 ih No
23 ih No
24 ih Yes
24 ih Yes
25 ih Loss
▼
▼
▼
▼
18 ih Loss
19 ih No
21 ih No
26 ih No
▼
09 ih Yes
10 ih No
19 ih No
07 ih Loss
08 ih No
▼
07 ih Loss
08 ih No
09 ih Yes
06 ih Yes
▼
06 ih Yes
04 ih Loss
05 ih No
▼
▼
04 ih Loss
05 ih No
▼
OTHER INCOME:
(h) Dividends, interest on bonds, deposits and savings
certificates, and other investment income, such as
net rents from real estate, interest from mortgages
03 ih Yes
▼
(g) Other income from government sources, such
as provincial income supplements and grants, the
GST/ HST credit, provincial tax credits, workers’
compensation, veterans’ pensions, welfare payments
(Do not include child tax benefits.)
03 ih Yes
▼
(f) Benefits from Employment Insurance (total benefits
before tax deductions)
02 ih No
Cents
▼
(e) Benefits from Canada or Quebec Pension Plan
02 ih No
▼
INCOME FROM GOVERNMENT:
(d) Old Age Security Pension, Guaranteed Income
Supplement and Spouse’s Allowance from federal
government only (provincial income supplements
should be reported in (g))
Dollars
01 ih Yes
▼
(c) Net non-farm income from unincorporated business,
professional practice, etc. (gross receipts minus
expenses)
Cents
▼
SELF-EMPLOYMENT:
(b) Net farm income (gross receipts minus expenses), including
grants and subsidies under farm-support programs,
marketing board payments, gross insurance proceeds
Dollars
▼
OR
F
N
I
FOR
01 ih Yes
PAID EMPLOYMENT:
(a) Total wages and salaries, including commissions,
bonuses, tips, etc., before any deductions
Page 28
N LY
O
N
O
M AT I
▼
•
Answer “Yes” or “No” for all sources.
If “ Yes”, also enter the amount; in case of a loss,
also mark “ Loss”.
Do not include child tax benefits.
▼
•
•
▼
sources listed below?
74.
▼
■
73.
▼
the year ending December 31, 2000, did
51 During
this person receive any income from the
26 ih No
Turn the page and answer the questions about this dwelling.
25 ih Loss
*28*
P E R SO N 3
P E R SO N 4
Family name
P E R SO N 5
Family name
Given name
Initial
P E R SO N 6
Family name
Given name
Initial
Family name
Given name
Initial
Given name
Initial
this question is only for persons aged 15 and over.
02 ih No
03 ih Yes
03 ih Yes
03 ih Yes
03 ih Yes
09 ih Yes
10 ih No
11 ih Yes
11 ih Yes
11 ih Yes
11 ih Yes
▼
10 ih No
▼
10 ih No
▼
10 ih No
12 ih No
13 ih Yes
13 ih Yes
13 ih Yes
13 ih Yes
▼
12 ih No
▼
12 ih No
▼
12 ih No
14 ih No
15 ih Yes
15 ih Yes
15 ih Yes
15 ih Yes
▼
14 ih No
▼
14 ih No
▼
14 ih No
16 ih No
17 ih Yes
17 ih Yes
17 ih Yes
17 ih Yes
18 ih Loss
19 ih No
20 ih Yes
21 ih No
22 ih Yes
22 ih Yes
22 ih Yes
22 ih Yes
▼
21 ih No
▼
21 ih No
▼
21 ih No
23 ih No
24 ih Yes
24 ih Yes
24 ih Yes
24 ih Yes
*29*
25 ih Loss
26 ih No
25 ih Loss
26 ih No
▼
23 ih No
▼
23 ih No
▼
23 ih No
26 ih No
25 ih Loss
Turn the page and answer the questions about this dwelling.
▼
18 ih Loss
19 ih No
20 ih Yes
▼
20 ih Yes
▼
20 ih Yes
18 ih Loss
19 ih No
▼
18 ih Loss
▼
16 ih No
▼
16 ih No
▼
16 ih No
19 ih No
07 ih Loss
08 ih No
▼
▼
▼
09 ih Yes
06 ih Yes
07 ih Loss
08 ih No
04 ih Loss
05 ih No
▼
▼
09 ih Yes
06 ih Yes
07 ih Loss
08 ih No
04 ih Loss
05 ih No
▼
07 ih Loss
08 ih No
09 ih Yes
06 ih Yes
▼
06 ih Yes
04 ih Loss
05 ih No
▼
04 ih Loss
05 ih No
▼
02 ih No
▼
02 ih No
▼
02 ih No
26 ih No
Cents
▼
Dollars
01 ih Yes
▼
Cents
▼
Dollars
01 ih Yes
▼
Cents
▼
Dollars
01 ih Yes
▼
Cents
▼
Dollars
01 ih Yes
N LY
O
N
O
M AT I
▼
FOR
N
I
R
FO
78.
▼
77.
▼
76.
▼
75.
25 ih Loss
Page 29
STEP
Answer Questions H1 to H8 about this dwelling.
F
A dwelling is a separate set of living quarters with a private entrance from the outside or from a
common hallway or stairway inside the building. This entrance should not be through someone
else’s living quarters.
79.
H1.
■
Who pays the rent or mortgage,
taxes, electricity, etc., for this
dwelling?
If more than one person contributes
to such payments, mark “ inh” as
many circles as apply.
H2.
Is this dwelling:
Mark “ inh” one circle only.
H3.
Include kitchen, bedrooms,
finished rooms in attic or
basement, etc.
Do not count bathrooms,
halls, vestibules and rooms
used solely for business
purposes.
Person 1
02 ih
Person 2
03 ih
Person 3
04 ih
Person 4
05 ih
Person 5
06 ih
Person 6
07 ih
A person who is listed on another questionnaire for
this dwelling
08 ih
A person who does not live here
10 ih
owned by you or a member of this household
(even if it is still being paid for)?
11 ih
rented (even if no cash rent is paid)?
12
▼
(a) How many rooms are
there in this dwelling?
01 ih
Number of rooms
NF
FOR I
LY
N
O
N
TIO
ORMA
(b) How many of these
H4.
Page 30
Number of bedrooms
14 ih
1920 or before
19 ih
1981-1985
15 ih
1921-1945
20 ih
1986-1990
16 ih
1946-1960
21 ih
1991-1995
17 ih
1961-1970
22 ih
1996-2001
18 ih
1971-1980
Is this dwelling in need
of any repairs?
23 ih
No, only regular maintenance is needed (painting, furnace
cleaning, etc.)
Do not include desirable
remodelling or additions.
24 ih
Yes, minor repairs are needed (missing or loose floor tiles,
bricks or shingles, defective steps, railing or siding, etc.)
25 ih
Yes, major repairs are needed (defective plumbing or
electrical wiring, structural repairs to walls, floors or
ceilings, etc.)
When was this dwelling
originally built?
Mark the period in which
the building was completed,
not the time of any later
remodelling, additions or
conversions. If year is not
known, give best estimate.
H5.
13
▼
rooms are bedrooms?
See the Guide or call 1 800 591-2001
8 a.m. to 9 p.m. May 1 to 31.
*30*
Answer Questions H6 to H8 for only the dwelling
that you now occupy, even if you own or rent
more than one dwelling. If the exact amount is
not known, please give best estimate.
Note: If you are a farm operator living on the farm
you operate, mark “ inh” here . . . . . . . . . . . . . . . . . .
and go to Step G on next page.
H6.
■
80.
01 ih
For this dwelling, what are the YEARLY
payments (last 12 months) for:
(a) electricity?
LY
N
O
N
AT I O
M
R
O
NF
F O R I(b) oil, gas, coal, wood or other fuels?
02 ih None
Dollars
03 ih Included in
rent or other
payments
OR
05 ih None
Dollars
rent or other
payments
OR
Dollars
What is the monthly rent paid for
this dwelling?
payment of
cash rent
Dollars
OR
(a) What are the total regular monthly
mortgage or loan payments for this
dwelling?
13 ih None
(b) Are the property taxes (municipal
and school) included in the amount
shown in part (a)?
15 ih Yes
(d) If you were to sell this dwelling now,
for how much would you expect to
sell it?
(e) Is this dwelling part of a registered
condominium?
(f)
per
month
Dollars
Go to part (c) OR
Cents
12
For OWNERS only, answer
parts (a) through (f):
(c) What are the estimated yearly
property taxes (municipal and
school) for this dwelling?
Cents
per
month
14
Go to part (d)
16 ih No
Dollars
17 ih None
OR
Cents
per
year
18
Dollars
19
20 ih Yes
21 ih No
Continue with part (f)
Go to Step G on next page
What are the monthly condominium
fees?
Dollars
22 ih None
*31*
per
year
10
11 ih Rented without
▼
■
OR
Cents
For RENTERS only:
▼▼
H8.
per
year
08 ih None
rent or other
payments
■
Cents
07
09 ih Included in
H7.
per
year
04
06 ih Included in
(c) water and other municipal services?
Cents
OR
23
Cents
per
month
Page 31
STEP
G
You have now completed your questionnaire. Please mail it today.
Thank you for your cooperation.
COMMENTS
NF
FOR I
LY
N
O
N
TIO
A
M
R
O
THE LAW PROTECTS WHAT YOU TELL US
The confidentiality of your census questionnaire is protected by law. All Statistics
Canada employees have taken an oath of secrecy. Your personal census information
cannot be given to anyone outside Statistics Canada — not the police, not another
government department, not another person. This is your right.
Your census questionnaire will be retained in accordance with legislative requirements
and will be stored securely. You can ask to see the information you gave about
yourself on your 2001 Census questionnaire after November 2001. To do this, write
to the Privacy Coordinator, Statistics Canada, 25th Floor, R.H. Coats Building,
Ottawa, Ontario K1A 0T6.
Page 32
PIB No.: STC/P-PU-005
STC/COP-015-03789
*32*
Français au verso
Prov.
OFFICE
USE ONLY
FED
EA
VN
CCD
2A
FR
UD
VR Line No.
Map
Block No.
Form
type
No. of
persons
Questionnaire No.
TD
1
LY
N
O
2
N
O
I
T
RMA
O
F
IN
R
O
F
of
Forms 3
2.
3
NH/S
1
1.
TR
4
Count yourself in! May 15, 2001
For over 300 years, the census has painted a picture of our people and the places in which we live. This census, on
May 15, 2001, will continue the tradition by providing information needed by community groups, businesses and
governments to develop plans for education and training, seniors’ housing, day care, fire protection, public transport,
and many other programs that are important to all of us.
As Canada’s national statistics agency, Statistics Canada uses census data for producing statistical tables, analytical
reports and for selecting samples or following up respondents for some of our surveys. These uses are strictly for
statistical purposes and no one outside of the agency can have access to your identifiable information.
By law, Statistics Canada must take a census every five years, and every household must fill in a census form. Also, by
law, Statistics Canada must protect the confidentiality of the personal information you provide. Our employees, including
census takers, are personally liable to fines or imprisonment should they break the confidentiality of your information.
Please complete your census form and mail it back on May 15, 2001.
Thank you for your cooperation.
Ivan P. Fellegi
Chief Statistician of Canada
This information is collected under the authority of the Statistics Act,
R.S.C. 1985, c. S-19, and must be provided by law.
STEP
A
CONFIDENTIAL WHEN COMPLETED
Begin here
by printing your address
No. and street or lot and concession
City, town, village, Indian reserve
Postal code
Apt. No.
Province / territory
Area code
Telephone number
?
℡
For information
and instructions
see page 6
Call us
free of charge
1 800 591-2001
TTY/ TDD users call:
1 877 881-8301
WHOM TO INCLUDE IN
STEP
B
• EVERYONE WHO USUALLY LIVES HERE, AT THIS ADDRESS: including newborn babies
and room-mates;
• STUDENTS: students who return to live with their parents during the year should be included at their
parents’ address, even if they live elsewhere while attending school or working at a summer job;
• CHILDREN IN JOINT CUSTODY: children in joint custody who live here most of the time. Children
who spend equal time with each parent should be included in the home of the parent where they
are staying on May 15, 2001;
• ABSENT SPOUSES: spouses or common-law partners who live elsewhere while working or
studying but who return here periodically;
• LANDED IMMIGRANTS: landed immigrants who usually live at this address;
• REFUGEES: persons claiming refugee status and family members living here with them;
• PERSONS FROM ANOTHER COUNTRY WITH A WORK, STUDENT OR MINISTER’S PERMIT:
persons from another country who have an employment authorization, a student authorization or
a Minister’s permit, and family members living here with them;
• PERSONS IN INSTITUTIONS: persons who usually live here but are now in an institution (such
as a home for the aged, a hospital or a prison), if they have been there less than six months;
• PERSONS WITH NO OTHER HOME: persons staying here on May 15, 2001, who have no
usual home elsewhere.
FOR
N
I
R
FO
N LY
O
N
O
M AT I
DO NOT INCLUDE IN
STEP
B
• Persons who have their usual home at another address in Canada and who are staying here
temporarily (for example, persons visiting or persons who have their secondary residence
here, at this address);
• Residents of another country visiting Canada (for example, on a business trip or on vacation);
• Government representatives of another country or members of the Armed Forces of another
country and family members.
IF ALL PERSONS STAYING AT THIS
ADDRESS on May 15, 2001, have their
usual home elsewhere in Canada OR
are visitors, government or military
90.
representatives of another country,
mark this circle . . . . . . . . . . . . . . . . . . . 01 ih
See page 6 or call 1 800 591-2001
8 a.m. to 9 p.m. May 1 to 31.
2
→
Do not complete this questionnaire.
Mail it in the enclosed postage-paid
envelope.
*2*
STEP
B
List below all persons who usually live here, at this address, as of May 15, 2001, even if
they are temporarily away. Don’t forget to include yourself!
Begin the list with an adult followed, if applicable, by that person’s spouse or common-law partner
and by their children who usually live here. Continue with all other persons who usually live here.
Children should be listed immediately after their parent(s).
Family name
Given name
Initial
Person 1
Person 2
Person 3
LY
N
O
ION
T
A
RM
O
F
IN
FOR
Person 4
Person 5
Person 6
Person 7
Person 8
Person 9
Person 10
If you need more space, use the “Comments” section on page 6.
STEP
C
Did you leave anyone out of Step B
because you were not sure the
person should be listed?
Name
Relationship
For example:
Reason
• a person living at this address who has
another home;
• a person temporarily away.
00.
02
ih No
01
ih Yes
Name
Relationship
the name
→ Specify
the relationship and
Reason
the reason.
If you need more space, use the “Comments” section
on page 6.
STEP
D
STEP
E
*3*
A farm operator makes the day-to-day management
decisions for a farm. Farms produce any of the
following agricultural products intended for sale:
• crops
• livestock
• poultry
• other agricultural products (greenhouse or
nursery products, Christmas trees, sod, honey,
maple syrup products, furs, eggs, milk, etc.)
Is anyone listed in Step B
a farm operator?
02
ih No
03
ih Yes
IF MORE THAN SIX PERSONS LIVE HERE and you
do not have a second questionnaire to include them,
note this in the “Comments” section on page 6. A
Statistics Canada representative will contact you.
Copy the names from Step B
to Question 1, on the top of
the next page.
3
1
2
Family name
In the spaces provided, copy the names in the
same order as in Step B. Then answer the
following questions for each person.
SEX
NFO
I
R
FO
3 DATE OF BIRTH
Day
Example:
ION
T
A
RM
6
Initial
01.
Given name
Initial
02.
01 ih Male
01 ih Male
02 ih Female
02 ih Female
Date of birth
Month
Date of birth
Year
Day
23 02 1 954
MARITAL STATUS
Month
Year
IS THIS PERSON LIVING WITH A
COMMON-LAW PARTNER?
Common-law refers to two people of the opposite
sex or of the same sex who live together as a couple
but who are not legally married to each other.
Day
Month
Year
03
03
04 ih Never legally married
04 ih Never legally married
(single)
05 ih Legally married
(and not separated)
06 ih Separated, but still
legally married
07 ih Divorced
Mark “ inh” one circle only.
5
Family name
Given name
Y
ONL
If exact date is not known, enter best estimate.
4
P E R SO N 2
P E R SO N 1
NAME
(single)
05 ih Legally married
(and not separated)
06 ih Separated, but still
legally married
07 ih Divorced
08 ih Widowed
08 ih Widowed
09 ih Yes
09 ih Yes
10 ih No
10 ih No
12 ih Husband or wife of
RELATIONSHIP TO PERSON 1
For each person usually living here, describe
his /her relationship to Person 1.
Person 1
13 ih Common-law partner
11
Mark “ inh” one circle only.
inh PERSON 1
(opposite-sex) of Person 1
14 ih Common-law partner
(same-sex) of Person 1
15 ih Son or daughter of
Stepchildren, adopted children and children of
a common-law partner should be considered
sons and daughters.
Person 1
16 ih Son-in-law or
daughter-in-law of Person 1
17 ih Grandchild of Person 1
If you mark the circle “Other ”, use the box
provided to indicate this person’s relationship
to Person 1.
18 ih Father or mother of
Person 1
19 ih Father-in-law or
Examples of “Other ” relationships to Person 1:
• grandparent
• cousin
• niece or nephew
• lodger’s husband or wife
• room-mate’s daughter or son
• employee
mother-in-law of Person 1
20 ih Brother or sister of
Person 1
21 ih Brother-in-law or
sister-in-law of Person 1
22 ih Lodger or boarder
23 ih Room-mate
24 ih Other — Specify
7
■
WHAT IS THE LANGUAGE THAT THIS PERSON
FIRST LEARNED AT HOME IN CHILDHOOD
AND STILL UNDERSTANDS?
If this person no longer understands the
first language learned, indicate the second
language learned.
See page 6 or call 1 800 591-2001
8 a.m. to 9 p.m. May 1 to 31.
4
25 ih English
25 ih English
26 ih French
26 ih French
27 ih Other — Specify
27 ih Other — Specify
*4*
P E R SO N 3
P E R SO N 4
Family name
P E R SO N 5
Family name
Given name
Initial
03.
P E R SO N 6
Family name
Given name
Initial
Family name
Given name
04.
Initial
05.
Given name
06.
01 ih Male
01 ih Male
01 ih Male
01 ih Male
02 ih Female
02 ih Female
02 ih Female
02 ih Female
Date of birth
Day
Month
Date of birth
Year
Day
Month
Date of birth
Year
Initial
Day
Month
Date of birth
Year
Day
Month
Year
03
03
03
03
04 ih Never legally married
04 ih Never legally married
04 ih Never legally married
04 ih Never legally married
(single)
05 ih Legally married
(and not separated)
06 ih Separated, but still
legally married
07 ih Divorced
(single)
05 ih Legally married
(and not separated)
06 ih Separated, but still
legally married
07 ih Divorced
(single)
05 ih Legally married
(and not separated)
06 ih Separated, but still
legally married
07 ih Divorced
08 ih Widowed
08 ih Widowed
08 ih Widowed
08 ih Widowed
09 ih Yes
09 ih Yes
09 ih Yes
09 ih Yes
10 ih No
10 ih No
10 ih No
10 ih No
(single)
05 ih Legally married
(and not separated)
06 ih Separated, but still
legally married
07 ih Divorced
LY
N
O
ION
T
A
RM
O
F
IN
FOR
15 ih Son or daughter of
15 ih Son or daughter of
15 ih Son or daughter of
Person 1
16 ih Son-in-law or
daughter-in-law of Person 1
17 ih Grandchild of Person 1
Person 1
16 ih Son-in-law or
daughter-in-law of Person 1
17 ih Grandchild of Person 1
Person 1
16 ih Son-in-law or
daughter-in-law of Person 1
17 ih Grandchild of Person 1
18 ih Father or mother of
18 ih Father or mother of
18 ih Father or mother of
19 ih
20 ih
21 ih
22 ih
Person 1
Father-in-law or
mother-in-law of Person 1
Brother or sister of
Person 1
Brother-in-law or
sister-in-law of Person 1
Lodger or boarder
19 ih
20 ih
21 ih
22 ih
Person 1
Father-in-law or
mother-in-law of Person 1
Brother or sister of
Person 1
Brother-in-law or
sister-in-law of Person 1
Lodger or boarder
19 ih
20 ih
21 ih
22 ih
Person 1
Father-in-law or
mother-in-law of Person 1
Brother or sister of
Person 1
Brother-in-law or
sister-in-law of Person 1
Lodger or boarder
15 ih Son or daughter of
Person 1
16 ih Son-in-law or
daughter-in-law of Person 1
17 ih Grandchild of Person 1
18 ih Father or mother of
Person 1
19 ih Father-in-law or
mother-in-law of Person 1
20 ih Brother or sister of
Person 1
21 ih Brother-in-law or
sister-in-law of Person 1
22 ih Lodger or boarder
23 ih Room-mate
23 ih Room-mate
23 ih Room-mate
23 ih Room-mate
24 ih Other — Specify
24 ih Other — Specify
24 ih Other — Specify
24 ih Other — Specify
25 ih English
25 ih English
25 ih English
25 ih English
26 ih French
26 ih French
26 ih French
26 ih French
27 ih Other — Specify
27 ih Other — Specify
27 ih Other — Specify
27 ih Other — Specify
*5*
5
Reasons why we ask the questions
STEP
F
You have now completed your
questionnaire. Please mail it today.
Step A asks for your address so that we can keep track
of every dwelling we count. We use your telephone
number to call you for any information you may have
forgotten to include in your questionnaire.
Thank you for your cooperation.
Comments
Steps B and C help you to decide who should be
included and who should not be included in the
questionnaire. They tell us that we have counted
everyone we need to count and that we have not
counted anyone twice.
LY
N
O
ION
T
A
RM
O
F
N
I
FOR
?
Step D tells us if someone in your household operates
a farm. It also ensures that we count all farms for
the Census of Agriculture.
Question 1 asks for the name of each person in the
household so that no one is left out or counted twice.
Names are not entered into the census database.
Questions 2 to 6 ask about the people living in each
household. From these questions we can learn about
the living arrangements of people living in Canada,
family size, the number of children living with one parent
or two parents, and the number of people who live
alone. This information is used for planning social
programs, such as Old Age Security and the Child Tax
Benefit. It is also used by towns and cities to plan a
variety of services such as day-care centres, schools
and senior citizens’ homes.
Instructions
Question 7 – For a person who has learned two
languages at the same time in early childhood, report
the language this person spoke most often at home
before starting school. Report two languages only if
they were used equally often and are still understood
by this person.
For a child who has not yet learned to speak, report
the language spoken most often to this child at home.
Report two languages only if they are spoken equally
often so that the child learns both languages at the
same time.
Question 7 asks for the language first learned at home
in childhood and still understood. These data are used to
establish the size of the various language groups. This
information is used to implement programs that protect
the rights of Canadians under the Canadian Charter
of Rights and Freedoms. It also helps to determine the
need for language training and services in English
or French.
℡
The law protects what you tell us
Census Help Line
Call 1 800 591-2001 if:
• you need help completing your questionnaire;
• you have difficulty answering a question and you
need clarification;
• you would like more information about what
happens to your questionnaire;
• you or a member of your household would prefer
to fill in a separate questionnaire.
The confidentiality of your census questionnaire is
protected by law. All Statistics Canada employees have
taken an oath of secrecy. Your personal information
cannot be given to anyone outside Statistics Canada –
not the police, not another government department, not
another person. This is your right.
Your census questionnaire will be retained in accordance
with legislative requirements and will be stored securely.
You can ask to see the information you gave about
yourself on your 2001 Census questionnaire after
November 2001. To do this, write to the Privacy
Coordinator, Statistics Canada, 25 th Floor, R.H. Coats
Building, Ottawa, Ontario K1A 0T6.
TTY/ TDD users only, call 1 877 881-8301.
The Census Help Line is a free service and is
available from May 1 to May 31 between 8 a.m.
and 9 p.m.
PIB No.: STC/P-PU-005
STC/COP-015-03789
6
*6*