-271Appendix
CONROEHlUL
WHEN COMPLETED
This information is collected under the auUlority oi iha statistics
Aot (R.S.C. 1985, c. Sl9) and must be provided by law.
1991 Census Form 2B Questionnaire
OFFICE USE ONLY
Prov.
FED No.
J
EA No.
vfd
2B
Hhld No.
Form
type
No. of
persons
,
Quest. No.
:,
,
,
,
,‘;,
,
3
1
9
9
1
cl
TD
1nUD
CENSUS
OF
2nM
40FR
30DC
5aTR
CANADA
I
I
A Messagefrom the ChiefStatisticianof Canada
-
The informationcollected by the 1991 Censusis essential to planning
Canada’sfuture as we pre are for the twenty-first centu Your answers will
be kept strictly confidenba
.P - but when combined with xt e replies of all other
Canadians,they will providethe informationnecessaryfor a better understanding
of our country and our differentcommunities.The results of the census are
used in making informed decisions at a national, provincial and local level.
Your help is vrtal in this national endeavour.Please completeyour census
form by following the steps and mail it back on June 4.
Thank you for your co-operation.
IvanP.
Fekgi
Chiet Sfatistician of Canada
ziak
m
BEGINiHE.liE
by printingyouraddress
Apt No.
No. and street or lot and concession
I
Postal code
I
Province/territory
City, town, village, Indian reserve
I
.I
i”i”i”l.
I
rrymb,er,
muIl
Turn page and coritinue with STEP2 *
, ‘,
-272Appendix J
1991 Census Form ‘2B Questionnaire
&
m
-Continued
How to completethis questionnaire
To answer the questions:
Mark a circle..
._._.. ,. ,..._____.
.____.....
,....__.
,..._____. 0
OR Enter a number in a box
u
OR Print in a box..
_.
. _._.
_.
_.
If you require hel with any of the questions, use the Guide OR call us
free of charge. T I!e numbers to call are on page 28.
If all persons in this household are foreignresidents
(see below), mark here
_.
and do net complete this questionnaire.
Mail it in the enclosed postage-paid envelope.
Foreignresidents
are:
l government representatives of another country attached to the embassy,
high commission or other diplomatic body of that country in Canada,
and their families;
l members of the Armed Forces of another country who are stationed in
Canada, and their families;
l residents of another country visiting in Canada temporarily.
If all persons in this household are staying here temporarily andhave a
usual home somewhere else in Canada, enter the total number of persons
in this box..
and do netcomplete this questionnaire.
Mail it in the enclosed postage-paid envelope.
List lielow all personswho usuallylive here
as of Tuesday,June 4, 1991.
_.
BESURE
TOINCLUDE:
l
(Please see Guide for special situations.)
l
,,
BE6lNTHELISTWITH:
0
l
l
children, relatives, room-mates, boarders and live-in employees;
anyone temporarily away on June 4, including students away at school,
or a husband, wife or others working away from home;
anyone who stayed here overnight between June 3 and June 4, who
has no usual home somewhere else;
anyone who is now in an institution, such as a hospital, a home
for the aged or a prison, but only if that person was admitted after
December
4, 1990.
1
Don’t forget to include yourself!
If neither of the above applies begin
/ w~~~~~~ft
living here.
’
CONTfNUE
THELISTWITH:
I
l
l
l
l
I
the wife, husband or common-law
partner of Person 1;
never-married children of Person 1
(including adopted and stepchildren);
other relatives of Person 1 and
members of their families, if living
here;
persons not related to Person 1 and
members of their families, if living
here.
If you need more space, use the Comments section on page 28.
-274Appendix J
1991 Census Form 2B Questionnaire
-Continued
I
1. NAME
,Make sure you copy the names in the same order
as your list in Step 5.
Given
name
Initial
2. RELATlON8HIP TO PERSON 1
For each person living here, describe his/her relationship
to Person 1.
)2 0 Husband/wife of Person 1
11 @
Mark one circle only,
0 Common-lawpartner of
Person 1
EQ0 Son/daughter of Person I
13
PERSON1
If you mark the circle “Other”, use the box provided
to indicate this person’s relationship to Person 1.
15 0 Son-in-law/daughter-in-law of
Person 1
16 0 Grandchild of Person 1
Examples of “Other” persons dated to Person 1:
l cousin
l grandfather/grandmother
l son’s common-law partner
l nephew/niece
17 0
18 0
10 0
Examples bf “Other” persons not dated to Person 1:
l lodger’s husband/wife or common-law partner
l lodger’s son/daughter
/
l room-mate‘s son/daughter
l employee
IO 0
I1
0
Father/mother of Person I
Father-in-law/mother-in-law of
Person 1
Brother/sister of Person 1
Brother-in-law/sister-in-law of
Person 1
Lodger/boarder
12 0 Room-mate
0 Other - Speciw
417
I
IR
SUER
ISnA
160
I3 In
A
3. DATE OF SIRTH
Print day, month and year.
Example:
If this person was born on the
10th of February 1945, enter
Day
Month
Year
L!itlmti
17mmmn
Day
Month
Year
If exact date is not known, enter best estimate.
4. SEX
I6 0 Male
10 0 Female
I6 0 Male
12 0 Female
3. LEGAL MARITAL STATUS
10 0 Legally married (and not
separated)
11 0 Legally married and
separated
120 Divorced
120 Widowed
!4 0 Nevermarried (single)
20 0 Legally married (and not
separated)
21 0 Legally harried and
separated
22 0 Divorced
23 0 Widowed
in
24 0 Never married (single)XY
!5 0
Yes
25 0
Yes
!6 0
No
26 0
No
Mark one circle only.
L
_:
6. Is this person currently living with a common-law partner?
Page 4
-275Appendix
1991 Census Form 2B Questionnaire
J
- Continued
c
04 0
Son/daughter of Person I
04 ()
06 ()
Son/daughter of Person I
Person 1
Son-in-law/daughter-in-law
of
06 0
Son-in-law/daughter-in-law of
Person 1
OCi.O,Son-in.law/daughter-in-law of
Person 1
Grandchild of Person 1
06 0
Grandchifd of Person 1
06 0
Grandchild of Person 1
06 0
17 0
16 0
Father/mother of Person 1
of
Father-in-law/mother-in-law
Person 1
07 ()
06 0
07 0
Father/mother of Person 1
Father-in-law/mother-in-law
of.
06
0
Person 1
)9 0
IO 0
Brother/sister of Person f
Brother-in-law/sister-in-law
of
Person 1
09 0
Brother/sister of Person I
09 0
10 0
Person 1
Brother-in-law/sister-in-law
of
IO
II 0
Lodger/ boarder
11 0
Lodger/boarder
I2 0
Room-mate
12 0
Room-mate
14 0
16 0
Son/daughter of Person I
Person 1
Son-in-law/daughter-in-law
of
16 0
0
04 0
Other - Specij/
0
IIII
13
m
I6 0
160
A
Male
13
m
19 0
19 () Female
19 0
20 0
20 0
21 0
Legally married (and not
separated)
Legally married and
separated
22 () Divorced
23 0 Widowed
Other - Specify
160
A’
Male
Female
22 ()
Legally married (and not
separated)
Legally married and
separated
Divorced
Widowed
Never married (single)
21 ()
Son/daughter of Person I
Grandchild of Person 1
Father/mother of Person I
07 0
Father/mother of Person 1
Father-in-law/mother-in-law of
Person 1
06 0
Father-in-law/mother-in-law of
Person 1
Brother/sister of Person I
09 0
Brother/sister of Person 1
Brother-in-law/sister-in-law of
Person 1
10 0
Brother-in-law /sister-in-law of
Person 1
11 0
Lodger/ boarder
11 0
Lodger/boarder
12 0
Room-mate
12 0
()
0
0
Other - Sped@
13 In
160
A
13‘
Room-mate
Other - SpeciQ
m,
0
16OA
Male
160Male
16
19 0
Female
19 0
Female
20 0
Legally married (and not
separated)
20 0
21 0
21 0
22 0
23 0
Legally married and
separated
Divorced
Widowed
22 0
Legally married (and not
separated)
Legally married and
separated
Divorced
24 0
Never married (single)
23 0
24 0
Widowed
Never married (single)
24 0
Never married (single)
23 0
24 0
25 0
Yes
25 0
Yes
25 0
Yes
25 0
Yes
26 0
No
26 0
No
26 ()
No
26 0
No
I-.--r
\ rage 3
-276Appendix: J
1991 Census Form 2B Questionnhe
-Continued-
LANGUAGE
7. Can this person speak English or Frencfi well enough to
5 conduct a conversation?
Mark onecircleonly.
8. What language(s), otherthan Englishor French,can this
. person speak well enough to conduct a conversation?
01 0
02 0
03 0
04 0
English only
French only
Both English and French
Neither English nor French
05 0
None
OR
~ 01 0
02 0
03 0
0s 0
05 0
Specifyoth&.‘Eanguage(s)
067
English only
French only
Both English and French
Neither English nor French
None
OR
Specifyotherlanguage(s)
061
:
9. What language does this person speak mostoften at home?
.
09 0
10 0
English
French
Other - Specify
09 0
IO 0
English
French
Other - SpeciQ
10. What is the language that this person first learnedat home
I in childhoodand still understands?
12 0
13 0
English
French
Other - Specify
12 0
13 ()
English
French
Other - Specify
If thispersonno longerunderstands
the first language
learned,
indicatethe secondlanguage
learned.
PLACEOf GGtlH
11. Where was this person born?
’ Markor specifyoneonly, accordingto presentboundaries.
141
In Canada
15 0
16 0
17 0
18 0
19 0
20 0
Nfld.
P.E.I.
N.S.
N.B.
Que.
Ont.
0 Man.
0 Sask.
.23 0 Alta.
24 0 B.C.
25 0 Yukon.
26 0 ‘N.W.T.
15 0
16 0
21
22
Outaide
Canada
27 0
28 0
20 0
30 0
31 0
32 0
17 0
18 0
19 0
20
0
27 0
28 0
29 0
30 0
31 ()
32 0
United Kingdom
Italy
U.S.A.
West Germany
East Germany
Poland
Other - Specify
33)
II
Nfld.
P.E.I.
N.S.
N.B.
Que.
Ont.
21 ()
220
0
0
25 0
26 0
23
24
Gutside
Canada
II
3371
Page 6
In Canada
II
United Kingdom
II
Italy
U.S.A.
West Germany
East Germany
Poland
Other - Specify
Man.
Sask.
Alta.
B.C.
Yukon
N.W.T.
-277Appendix
1991 Census Form 2B Questionnaire
- Continued
i?iIJ
04 0
Neither English nix French
I
2
3
4
0
0
0
0
s0
OR
Specify other ianguage(s)
J
i-J
English only
French only
Both English and French
Neither’English nor French
I 0
120
130
140
English only
French only
Both English and French
Neither English nor French
11.0
12()
130
140
English only
French only
Both English and French
Neither English nor French
None
OR
Speciiy other language(s)
IS 0
None
OR
.
Specify”other language(s)
g0
None
OR
Specify other language(s)
16
I6
:
_:
I8
19 0
o0
English
French
Other - Specify
19 0
IO 0
II
English
French
Other - Specify
19 () English
IO 0 French
Other - Specify
English
FrenGh
Other - Spfciff
12 0
13 0
II
.,;
12 0
13 ()
English
French
.,
Other - Specify
12 0
13 0
English
French
Other 1 Specify
I
14
14
14,
_"
...
In Canada
In Canada
15 0
16 0
17 0
18 0
is 0
20
0
Nfld.
P.E.I.
N.S.
N.B.
Que.
Ont.
0
0
23 0
24 0
-25 0
28 0
21
22
Outside Canada
27 0
28 0
29 0
30 0
31 0
32 0
33,
._~
In Canada
United Kingdom
Italy
U.S.A.-.
West Germany
East Germany
Poland
Fher - Specify
Man.
Sask.
Alta.
B.C.
Yukon
N.W.T.
15 0
i6 ()
17 0
18
0
19 0
20
0
Nfld.
P.E.I.
N.S.
N.B.
Que.
Ont.
21 0 Man.
0 Sask.
23 () Alta.
24 0
B.C.
25 0
Yukon,
26 0
N.W.T.
22
15 0
is 0
17 0
18
19
20 0
Outside Canada
27 0
29 0
United Kingdom
Italy
29.0
USA.
30 0 West Germany
31 () East Germany
32 0 Poland
Other - Specify
0
0
Nfld.
P.E.I.
N.S.
N.B.
Que.
ant.
..;
:
0 Man.
0 Sask.
23 0 Alta.
24 0
B.C.
25 0 Yukon
26 () N.W.T.
21
22
Outside Canada
27 0 United Kingdom
28 0 Italy
29 0 U.S.A.
30 0 west Germany
31 0 East Germany
32 0 Poland
Other - Specify
331
^
I
Page7
-278Appendix J
1991 Census Form 2B Questionnaire
-Continued
CiTIZENSHIP
12. Of what country is this person a citizen?
’ Markmorethanonecircle,if applicable.
01 0
02 0
09 0
04 0
IMMI6RATION
13. Is this person now, or has this person ever been, a landed
. immigrant?
114.1
13.1
05 0
06 0
Canada, by birth
Canada, by naturalization
Same as country of birth
(other than Canada)
Other country
01 0
02 ()
09 0
No - 60 to Question 15
Yes - Continue with
Question 14
05 0
06 0
Yeq
14. In what year did this person first become a landed immigrant
in Canada?
If exactyear is not known,enterbestestimate.
ETHNIC
OWN
15. To which ethnic or cultural group(s) did this person’s ancestors
.
belong?
Markor specifyas manyas applicable.
Note:
Whilemostpeopleof Canadaview,themselves
as Canadian,
information
abouttheir ancestraloriginshasbeencollected
sincethe 1901 Censusto reflect the changingcomposition
of
the Canadian
population
and-is needed.to ensurethat everyone,
regardless
of his/her ethnicor culturalbackground,
hasequal
opportunttyt@sharefu//y in the economic,social,culturaland
politicallife of Canada:
Therefore,
thisquestion
refersto theorigins
of thisperson’sancestors.
See Guide.
Year
07pj-TJ-j
09 0
08 0
09 0
French
English
IO 0
11 0
German
Scottish
12 0
Italian
19 0
14 0
Irish
Ukrainian
0 Chinese
0 Dutch (Netherlands)
() Jewish
0 Polish
15 0
Chinese
16 0
17 0
18 0
Dutch (Netherlands)
Jewish
Polish
19OBlack
20 0 North American Indian
21 0 Metis
19 0
20 0
Black
North American Indian
French
09 () English
10 0 German
11 0 Scottish
12 0
13 0
14 0
15
16
17
19
23,
ltalian
Irish
Ukrainian
_
InuitlEskimo
Other ethnic
or cultural
group(s)
- Specify
24
16. Is this person a registered
Indianas defined by the Indian Act
of Canada?
25
21 () Metis
22 0 lnuit /Eskimo
, 23
0
No
25 ()
Yes, registered. Indian
25 0
SpecifyIndianBandor First
Nation
(forexample,
Musqveam)
2711
‘- ww@)
Other ethnicSpecrrV
or cultural
-,
24
25 0
See Guide.
Page 8
No - Go to tluestion 15
Yes - Continue with
tluestion 14
07pj-jl-J
22 0
Examples
of otherethnicor culturalgroupsare:
Portuguese,
Grhek,IndianfromIndia,Pakistani,Filipino,
b
Vietnamese,
Japanese,
Lebanese,
Haitian,etc.
04 0
Canada, by birth
Canada, by naturalization
Same as country of birth
(other than Canada)
Other country
271
No
Yes, registered Indian
Speci@IndianBandor Firs;
Nation
(forexample,
Musqueam,
f
-279Appendix
1991 Census Form 2B Questionnaire
i%J
[
8
a110 Canada, by birth
a120 Canada, by naturalization
a130 Same as country of birth
01 0
02 0
03 0
a140 Other country
04
a150
0
06 0
;i
I
i
(other than Canada)
-Continued
a
,,m
i
0
J
Canada, by birth
Canada, by naturalization
Same as country of birth
(other than Canada)
Other country
)18.)
01 0
02 0
03 0
,'
04
0
05
0
0
Canada, by birth
Canada, by naturalization
Same as country of birth
(other than Canada)
Other country
I
01 0
02 ()
03 0
No - Go to Guestion 15
Yes - CoMinue with
Question 14
05
0
06 0
No - 60 to Question 15
Yes - Continue with
Guestion 14
04
0
Canada,.by birth
Canada, by naturalization
Same as country of birth
(other than Canada)
Other country
.
a180
No - Go to Guestion 15
Yes - Continue with
Guestion 14
05
Year
No - 60 to Question 15
Yes - Continue with
Question 14
08
Year
Year ‘+
C
.:
-.
( r8 0
French
08 0
French
.08 0
French
08 0
French
( r9
English
09 0
English
09 0
English
09 0
English
German
Scottish
Italian
IO 0
II 0
12 0
German
Scottish
Italian
IO 0
II 0
12 0
German
Scottish
Italian
IO 0
II
12 0
German
Scottish
Italian
Irish
Ukrainian
Chinese
13 0
14 0
15 0
Irish
Ukrainian
Chinese
13 0
14’0
15 0
Irish
Ukrainian
Chinese
13 0
14 0
15 0
Irish
Ukrainian
Chinese
Dutch (Netherlands)
Jewish
Polish
18 0
17 0
18 0
Dutch (Netherlands)
Jewish
Polish
18 0
17 0
18 0
Dutch (Netherlands)
Jewish
Polish
18 0
17 0
18 0
Dutch (Netherlands)
Jewish
Polish
Black
North American Indian
M&is
19 0
20 0
21 0
Black
North American Indian
Metis
lOOBlack
20 0 North American Indian
21 0 M&is
190
20 0
Black .
North American-Indian
M&is
InuitlEskimo
22 0
InuitlEskimo
22 0
0
1IO 0
1II
0
I 12 0
113 0
114 0
115 0
118 0
117 0
118 0
119 0
20 0
21 0
22
0
Other ethnic or cultural
group(s) - SpeciQ
Other ethnic or cultural
group(s) -‘Specify,
:'y;,:r,
250
28
0
;
No
'
Yes, registered Indian
25 0
26 0
SpeciQ Indian Sand or First
Nation (for example, Musqueam)
2711
271
2371
241
No
25 0
Yes, registered Indian
26 0
Specify Indian Band or First
Nation (for example, Musqueam)
_
1
2711
21-o
InuitlEskimo
Other ethnic or cultural
group(s) - SpeciQ
..
_.
0
d 22 0
bj
InuitlEskimo
Other ethnic or cultural
group(s) - Specify
247
231
No
25 0
Yes, registered Indian
26 0
Specify lndian Band or First
Nation(for example, Musqueam)
No
Yes, registered Indian
Speciw lndian Band or Firs
Nation (for example, Musqueam
271
Page 9
-280Appendix J
1991 Census Fqrm 2B Questionnaire
- Continued
20.1
ltELI6ION
17. What is this person’s religion?
Indicate a specific denominationor reli ion even if this person
is not currently a practising member o9 that group.
For example, Roman Catholic, Ukrainian Catholic, United ‘Church,
Anglican, Presbyterian, Lutheran, Baptist, Pentecostal,
Greek Orthodox, Jewish, Mennonite,Jehovah’s Witnesses,
Salvation Army, Islam, Buddhist, Hindu, Sikh
ACTIVITYLIMITATIONS
3. Is this person limited in the kind or amount of activity that
he/she can do because of a long-term physical condition, mental
condition or health-problem: 4
See Guide.
Specifyonedenomination
or
religiononly
SpeciQonedenomination
or
religion
only
OlE
CrzI-
02 () No religion
92 0
At home?
At home?
03
() No, not limited
04 0 yes, limited
03 0
04 0
At schoolor at work?
At schoolor at work?
05 0 No, not limited
06 0 Yes, limited
07 () Not applicable
05
08
07
0
0
0
No religion
No, not limited
Yes, limited
No, not limited
Yes, limited
Not applicable j
In otheractivities,e.g., transporta- In otheractivities,e.g., transporta
tion to or from work, leisuretime tion to or from work, leisuretime
activities?
activities?
08
OS
19. Does this person have any long-term disabilities or handicaps?
See Guide.
0
()
loo
11 0
No, not limited
Yes, limited
08
OS
0
0
No, not limited
Yes, limited
100 No
No
Yes
11 0
Yes
Answer Questions 20 to 45 for each person aged 15 and over.
MOBILITY
20. Wheredidthis personlive 1 year ago,that is,on June4, 1990?
12
()
Lived at the same address
as now
12
0
Lived at the same address
as now
13
0
Lived in the same
province/territory, but at a
different address
ta 0
Lived in the same
province/territory, but at a
different address
14
0
Lived in a different
province/territory in Canada
14
Mark onecircleonly.
0
Lived in a different
province/territory in Canada
Printnameof province/
territory.
Printnameof province/
territory.
151
16 0
16 0
Lived outside Canada
171
I
PageIO
Lived outside Canada
Pint nameof country.
Printnameof country.
-281Appendix
1991 Census Form 2B Questionnaire
121.1
01 _
02
:
0
- Continued
122.1
Specify one denomination or
religion only
24.1
Specify one denomination or
religion only
Specify one denomination or
religion only
011
No religion
0
02
J
No religion
Specify one denomination or
religion onfy
011
4zIIYI
o2 0
02
No religion
0
No religion
At home?
03 0 No, not limited
04 0 Yes, limited
At home?
03 0 No, not limited
04 0
Yes, limited
At home?
33 0 No, not limited
~4 0 Yes, limited
At home?
03 0
No, not limited
04 0
Yes, limited
At school or at work?
05 0 No, not limited
06 0 Yes, limited
07 0 Not applicable
At
05
06
07
At school or at work?
OS 0 No, not limited
06 0 Yes, limited
07 0 Not applicable
At school or at work?
05 () No, not limited
06 0 Yes, limited
07 0 Not applicable
In-other activities, e.g., transporta
tion to or from work, leisure time
activities?
03 0 No, not limited
OB0 Yes, limited
In other activities, e.g., transportation to or from work, leisure time
activities?
03 0 No, not limited
09 0
Yes, limited
In other activities, e.g., transportation to or from work, leisure time
activities?
08 0 No, not limited
OS () Yes, limited
In other activities, e.g., transports
tion to or from work, leisure tim
activities?
08 0 No, not limited
09 0 Yes, limited
100
loo
11 0
100
Ii 0
loo
11 0
No
-. IrOYes
rg
school or at work?
0 No, not limited
0 Yes, limited
0 Not applicable
No
Yes‘
No
Yes
No
Yes
20 to 45 for each person aged 15 and over.
12
0
Lived at the same address
as now
12
0
Lived at the same address
as now
12 0
Lived-at the same address
as now
12
0
Lived at the same address
as now
13
0
Lived in the same
province/territory, but at a
different address
13
0
Lived in the same
province/territory, but at a
different address
13
0
Lived in the same
province/territory, but at a
different address
13 C
Lived in the same
province/territory, but at a
different address
14
0
Lived in a different
province/territory in Canada
Print name of province/
territory.
14 0
Lived in a different
province/territory in Canada
Print name of province/
territory.
14
0
Lived in a different
province/territory in Canada
Print name of province/
territow.
14
0
Lived outside Canada
Print name of country.
151
,i16
17
0
Lived outside Canada
Print name of country.
16
I
0
171
Lived outside Canada
Print name of country.
Lived in a different
province/territory in Canada
Print name of province/
territory.
I51
15
16
0
171
16
0
Lived outside Canada
Print name of country
171
Page 11
-282Appendix J
1991 Census Form 2B Questionnaire
-Continued
21. Did this person live at tliis-piesent address 5 years ago,
that is, on June 4, 1986?
22.
Where did this person live 5 yearsago,that is, on June 4, 1986?
-
Somelargecitiesare madeup of smallercitiesor towns
calledmq~:ipa!ities.Whereapplicable,distinguish
betweenthe
municipalityand the largecity, suchas AnjouandMontrtjal,
Scarborough
and Toronto,Burnabyand Vancouver,Saanich
and Victoria.
c;
125.1
pJ
Yes, lived at the same address
as now
Go to Guestion 23
No, lived at a diirent address
01
0
02
0
03 0
Lived in the same city, town,
village,township, municipalityor
Indian reserve
03 0
Lived in the saine city, towr
village,township, municipalityc
Indian reserve
0
Lived in a different city, town,
village,township, municipalii or
Indian reserve in Canada
Print below.
04 0
Lived in a different city, towr 1,
village,township, municipalityclr
Indian reserve in Canada
Print below.
01
0
02
0
Yes,.lived at the same addresS
as now
60 to Guestion 23
No, lived at a different addresS
.OR
04
‘MarkoneCircleonly.
OR
City, town, village, township,
municipality or Indian reserve
05
City, town,
municipality
I
County
051
(if known)
County
II
Province/territory
II
06 0
OR
Lived outside Canada
Print name of country.
07
village, township,
or4ndii
reserve
(if known)
Prcvi’nceAerritory
“. /
dil
06 0
Lived outside Canada
Print name of country.
1
1 071
23. For WOMEN’only:
How many children were ever bornto this person?
Countall childrenincludingthosewhomay ha@died‘$inCe
birth or whomay nowbe livingelsewhere.Donot include
stillbirths.
06 0
None
-
OR
09
q
IO
q
4 Number of children
06 0
None
’
OR
09
q
IO
q
11
0
.*:;
,
4 Number of children
EOUCATION
24. What is ttk?biihestgrade (or year) of secondary
(high school)
. or elementaryschool this person ever attended?
Enterhighestnumber(1 to !3) of gradesor years,excluding
kindergarten.
25. How many years of education has this person completed at
. university?‘:..
Page 12
4 Enter number (1 to 13) of
grades or- years of setondary and/or elementary
school
OR
,- ~ _
II 0 Never attended school or
attended kindergarten only
12 0
13
0
14
q
None
Less than 1 year (of completed
courses)
4 Number of completed
years at university
12 0
I3 0
14
q
4 Enter number (1 to 13) c,f
grades or years of set:ond&y and /or elementarY
school
OR
Never attended school or
attended kindergarten only
None
Less than -1 year (of completed
courses)
>
i Number of completed
years at university
-283Appendix
1991 Census Form 2B Questionnaire
J
-Continued
/
Yes, lived at the same addres
as now
60 to Question 23
0 No, lived at a dii~nt addres
01
0
02
0
0 Lived in the same city, towr
village,township, municipalityc
Indian reserve
OR
0 Lived in a different city, towr
village,tow&ship, municipalii c
Indian reserve in Canada
:, Print below.
03
0
04
0
City, town, village, township,
municipality or Indian reserve
Yes, lived at the same address
as now
60 to Question 23
fjo, lived at a different address
11 0
Lived in the same city, town,
village,township, municipalityor
Indian reserve
OR
Lived in a different city, town,
village,township, municipalityor
Indian reserve in Canada
Print below.
130
14
City, town, village, township,
municipality or Indian reserve
(if known)
County
(if known)
130
140
Yes, lived at the same addres!
as now
60 to Puestion 23
No, lived at a different addres
Lived in the same city, town
village, township, municipalityo
Indian reserve
OR
Lived in a different city, town
village,township, municipalitya
Indian reserve in Canada
Print below.
City, town, village, township,
.municipality or Indian reserve
)5r
Countv
(if known)
County
(if known)
Province/territory
Province I territory
1
n
i’-
0
Lived in the same city, town,
village,township, municipalityor
Indian reserve
OR
Lived in a dltferent city, town,
village,township, municipalityor
Indian reserve in Canada
Print below.
130
City, town, village, township,
municipality or Indian reserve
I
Province/territory
Province/territory
0
11 0
15
~~1
Countv
12
Yes, lived at the same address
as now
60 to Question 23
No, lived at a different address
I
OR
Lived outside Canada
Print name of country.
06 0
07
:o None
0
4 Number of children
09
q
4 Enter number (1 to 13) (
grades or years of se1
ondary and /or elemental
school
OR
0 Never attended school or
‘?- attended kindergarten only
10
q
II
0
OR
q
IL
?O None
go Less than 1 year (of complete
) courses) ‘,
4 Number of completed
years at university
12 0
13 0
14
r6 ()
OR
Lived outside Canada
Prinf name of country.
None
OR
4 Number of children
4 Enter number (1 to 13) o
grades or years of set
ondary and /or elementar)
school
OR
Never attended school or
attended kindergarten only
None
Less than 1 year (of completer
courses)
4 Number of completed
years at university
w 0
OR
Lived outside Canada
Prfht name of country.
171
.
08
?u;
OR
Lived outside Canada
Print name of country.
18 0
19Ll
IO
cl
11 0
12 0
t3 0
14 El
None
OR
18
0
4 Number of children
4 Number of children
4 Enter number (1 to 13) o
grades or years of set
CI;XI;~ and /or elementaq
OR
Never attended school or
attended kindergarten only
None
Less than 1 year (of cqmpletec
courses)
4 Number of completed
years at university
None
OR
IO
I-J
11 0
12 0
13 0
14
Ll
4 Enter number (1 to 13) I
grades or years of set
ondary and /or elemental
school
OR
Never attended school or
attended kindergarten only
None
Less than 1 year (of compleh
courses)
4 Number of completed
years at university
I,
-284-
Appendix J
1991 Census Form 2B Questionnaire
- Cotitinued
26. How many years of schooling has this person ever completed
. at an ‘in&tMion otherthana university, a secondary (high school)
or aD element8ry’school?
II 0
None
II 0
None
includeyearsof schooling
at communitycolleges,institutes
of technology,CEGEPs
(generalandprofessional),
private trade
schools
orprivatebusiness
colleges,
diploma
schools
of nursing,
etc.
120
Less than I year
(of completed courses)
120
Lessthan 1 year
(of kompleted courses)
4 Numberof completedyears
at community colleges,
trade schools,CEGEPs,etc.
Numberof completedyear5
at community colleges
trade schools,CEGEPs,etc
.-,
27. In the pastninemonths(that is, since last September); was
this person attending a school, college or university?
4.
14
0
Includeattendance
at elementary
or secondary
schools,business
r5 0
or tradeschools,communitycolleges,institutesof technology,
CECEPs,
etc., for courseswhichcanbe usedas creditstowards
t8 0
a certificate,diplomaor degree.
No, did not attend in past
nine months
t4 0
No, did not attend in past
, nine months
Yes, full time
15 0
Yes, full time
Yes, part time, day or
evening
18 0
Yes, part time, day or
evening
Mark onecircleonly.
26. What certificates, diplomas or degrees has this person ever
I
obtained?
Includeall qualifications
obtainedfromsecendary(high)schools,
or tradeschoolsandotherpostsecondary
educational
institutions.
Markas manycirclesas applicable.
17
0
None
Go to Puestior30.
17
18
0
Secondary/high school gradua
tion certificate or equivalent
38 0
Secondary/high school gradua
tion certificate or equivalent
19 0
Trades certificate or diploma
39 0
Trades certificate or diploma
Io 0
Other non-university certificatt
or diploma (obtained at commu
nity college, CEGEP,institute o
technology, etc.)
IO 0
Other non-university certificate
or diploma (obtained at commu
nity college, CEGEP,‘instituteo
technology, etc.)
II 0
Universitycertificate or diplom;
fn!Mw bachelor level
II 0
Universitycertificate or diploma
below bachelor level
0
Bachelor’s degree(s) (e.g., B.A.
B.Sc., LL.B.)
18 0
Bachelor’s degree(s) (e.g., B.A.
BSc., LL.B.)
I3 0
Universitycertificate or diplom;
above bachelor level
18 0
Universitycertificate or diplom
above bachelor level
14 () Master’s degree(s) (e.g., MA.
M.Sc., M.Ed.)
14 0
Master’s degree(s) (e.g., M.A.
M.Sc., M.M.)
15 0
Degree in medicine, dentistry
veterinarymedicineor optometr:
LMDCI,D.D.S., D.M.D., D.V.M.
bMDDj,
. .
15 0
i
Degree inmedfclne, dentistry
veterinarymedicineor optometr
b”Dt, D.D.S., D.M.D., D.V.M.
0
Earned doctorate (e.g., Ph.D.
D.Sc., D.M.)
18‘0
Earned doctorate (e.g., Ph.D
D.Sc., D.Ed.)
12
18
Page 14
0
None
60to flue&n 30
Appendix
1991 Census Form 2B Questionnaire
II 0
None
II 0
None
12 0
Less than I year
(of completed courses)
120
Less than 1 year
(of completed courses)
13
u
4 Numberof completedyears
at community colleges,
trade schools,CEGEPs,etc.
J
-Continued
4 Numberof completedyears
at community colleges,
trade schools,CEGEPs,etc.
0
20
3
u
14 0
No, did not attend in past
nine months
r4 0
No, did not attend in past
nine months
140
t5 0
Yes, full time
15 0
Yes, full time
15
16 0
Yes, part time, day or
evening
16 0
Yes, part time, day or
evening
160
None
60 to Question 30
17
None
60 to Puestion 30
17
18 0
Secondary/high school graduation certificate or equivalent
38 0
Secondary/ high school gradua.
tion certificate or equivalent
19 0
Trades certificate or diploma
39 0
0
Other non-university certificate
or diploma (obtained at community college, CEGEP,institute of
technology, etc.)
tt 0
0
I0
Less than 1 year
(of completed courses)
2
4 Numberof completedyears
at community colleges,
trade schools,CEGEPs,etc.
None
() Less than 1 year
(of completed courses)
3
4 Number of completedyears
at community colleges,
trade schools,CEGEPs,etc.
No, did not attend in past
nine months
40
Yes, full time
5
Yes, part time, day or
evening
60
0
No, did not attend in past
nine months
Yes, full time
Yes, part time, day or
evening
None
60 to Question 30
07
0
None
60 to Question 30
18 0
Secondary/high school gradua,
tion certificate or equivalent
08
0
Secondary/high school graduation certificate or equivalent
Trades certificate or diploma
19 0
Trades certificate or diploma
09
0
Trades certificate or diploma
IO 0
Other non-university certificate
.or diploma (obtained at commu
nity college, CEGEP,institute oi
technology, etc.)
IO
0
Other non-university certificatr!
or diploma (obtained at cornmu,
nity college, CEGEP,institute oi
technology, etc.)
1o 0. Other non-university certificate
or diploma (obtained at community college, CEGEP,institute of
technology, etc.)
Universitycertificate or diploma
bekw bachelor level
1t 0
Universitycertificate or diploma
below bachelor level
II 0
Universitycertificate or diplomaII
bebw bachelor level
I 0
Universitycertificate or diploma
below bachelor level
12 0
Bachelor’s degree(s) (e.g., B.A.,
B.Sc., LL.B.)
12
()
Bachelor’s degree(s) (e.g., B.A.
BSc., LL.B.)
12 0
Bachelor’s degree(s) (e.g., B.A.I
B.Sc., LL.B.)
12 0
Bachelor’s degree(s) (e.g., B.A.,
B.Sc., LL.B.)
t30
Universitycertificate or diploma
above bachelor level
13 0
Universitycertificate or diploma
above bachelor level
I3 0
Universitycertificate or diplomii
above bachelor level
13 0
Universitycertificate or diploma
above bachelor level
14 0
Master’s degree(s) (e.g., M.A.,
M.Sc., M.M.)
14 0
Master’s degree(s) (e.g., M.A.
MSc., M.Ed.)
14 0
Master’s degree(s) (e.g., M.A. (
M.Sc., M.M.)
14 0
Master’s degree(s) (e.g., M.A.,
MSc., M.Ed.)
15 0
Degree in medicine, dentistry, 15 0
veterinarymedicine or optometry
bMDDj,D.D.S., D.M.D., D.V.M.,
. .
Degree in medicine, dentistry
veterinarymedicineor optometr)
bMDDj,D.D.S., D.M.D., D.V.M.
. .
15 0
Degree in medicine, dentistry;
veterinarymedicineor optometq
btD&, D.D.S., D.M.D., D.V.M.
15
0
Earned doctorate (e.g., Ph.D.
D.Sc., D.M.)
16 0
Earned doctorate (e.g., Ph.D.,I
D.Sc., D.Ed.)
17
IO
16
0
0 Earned doctorate (e.g., Ph.D.,
D.Sc., D.Ed.)
16
0
0
None
0
Degree in medicine, dentistry
veterinarymedicineor optometry
bfDDi, D.D.S., D.M.D., D.V.M.,
60
Earned doctorate (e.g., Ph.D.,
D.Sc., D.Ed.)
Page 15
-286Appendix J
1991 Census Form 2B Questionnaire
- Continued
29. What was the major field of study or training of 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
37.1
Major field of study or training
Major field of study or training
D’F
‘It
OR
32 () This person’s highest qualifia
tion is a secondary/high schoc
graduation certificate.
OR
~2 0
This person’s highest qualifica
tion is a secondary/high school
graduation certificate.
WORK
g. Last week, how many hours did this person work (not including
volunteer work, housework, maintenance or repairs for his/her
own home)?
Include as -work:
l
working without pay in a family farm or business (e.g., assisting
in seeding, doing accounts);
l
working in his/her own business, farm or professional practice,
alone or in partnership;
l
working for wages, salary, tips or commission.
g. Last week, was this person on temporary lay-off or absent from
s his/her job or business?
Mark one circle only.
32. Last week, did this person have definite arrangements to start
. a new job within the next four weeks?
33. Did this person look for work during the past four weeks?
.
For example, did this person contact a CanadaEmployment
Centre, check with employers, place or answer newspaper ads!
Mark one circle only.
Page16
D3
l-l
~4 0
4 Number of hours
(to the nearest hour)
4 Number of hours
(to the nearest hour)
60 to guestion
36
60 to Question
36
OR
OR
None
04 0
Continue
withthe next
question
None
Continue
withthenext
D50 No
05 0
No
06 0
Yes, on temporaty lay-off fro1
a job to which this persa
expects to return
06 0
Yes, on temporary lay-off fron
a job to which this persor
expects to return
07 0
Yes, on vacation, ill, on strik
or locked out, or absentfor othc
reasons
07 0
Yes, on vacation, ill, on strike
or lockedout, or absentfor other
reasons
080 No
08() No
09 0
Yes
09 0
Yes
loo
No
60 to Question36
loo
No
11 0
Yes, looked for full-time worl
II 0
Yes, looked for full-time work
12 0
Yes, looked for part-time WOI
(less than 30 hours per wee
12 0
Yes, looked for part-time worl
(less than 30 hours per week
60 to Question
36
- 287.Appendix
1991 Census Form ZB Questionnaire
Major field of study or training
J
- Continued
Major field of study or training
Major field of study or training
Major field of study or training
)I
” I
I11
OR
OR
0 This person’s highest qualifice
bon is a secondarylhigh schor
graduation certificate.
OR
OR
12 0
This person’s highest qualific
tion ,is a secondary/high scha
graduation certificate.
02 0
This person’s highest qualifica
tion is a secondary/high schoo
graduation certificate.
13
4 Number of hours
(to the nearest hour)
60 to Question 36
03Ll
4 Number of hours
(to the nearest hour)
60 to Question 36
120
This person’s highest qualifica
tion is a secondary/high schoc
graduation certificate.
J
4 Number of hours
(to the nearest hour)
Go to Question 36
OR
I0
None
Continue with the next
question
OR
~4 0
4 Number of hours
(to the nearest hour)
60 to Ptiestion 36
OR
None
Continue with the next
question
oq 0
OR
None
Continue with the next
question
)4 0
None
Continue w&h the next
ques6on
a
.~.
..
-
io
No
D5 0
No
05 0
No
15 0
50
Yes, on temporary lay-off fror
a job to which this perso
expects to return
D6 0
Yes, on temporary layoff frc
a job to which this per.s
expects to return
06 0
Yes, on temporary lay-offfror
a job to which this perso
expects to return
16 () Yes, on temporary lay-off fror
a job to which this perso
expects to return
r0
Yes, on vacation, ill, on strik
or locked out, or abseht for othc
i reasons
07 ()
Yes, on vacation, ill, on stri
or locked out, or absentfor ott
reasons
07 ()
Yes, on vacation, ill, on strik
or lockedout, or absent for othr
reasons
17 0
Yes, on vacation, ill, on strik
or locked out, or absent for othc
reasons
B() No
06 0
No
06 0
No
36 0
No
B 0 Yes
09 0
Yes
09 O,Yes
B9 0
Yes
No
60 to Question 35
100
No
60 to tluestion 36
too
No
Yes, looked for full-time wo
tt 0
Yes, looked for full-time worl
II 0
Yes, looked.for parttjme WC
(less than 30 hours per wer
12
Yes, looked for part-time WOI
(less than 30 hours per weel
12
.
No
I.
90
No
60 to tluestion 36
100
i” 0
Yes, looked for full-time worl
it 0
2.0 Yes, looked for oart-tjme WOI
(less than 30 hours per wee1
12
0
0
60 to Puestk 35
0
Yes, looked for full-time worl
Yes, looked for part-time WOI
(less than 30 hours per wee1
Page 1’
-288Appendix J
1991 Census Form 2B Questionnaire
- Continued
34. Could this person have started work last week had a job been
7 available?
Markonecircle only.
43.(
11 0
12 ()
13 0
)4
0
K0
f6 0
35. When did this person last work, even for a few days (not including
s volunteer work, housework, maintenance or repairs for his/her
own home)?
Yes, could have started work
No, already had a job
No, temporary illness or
disability
No, personal or family
responsibilities
No, going to school
No, other reasons
In 1991
Continue with the next
questton
)80 In 1990
Continue with the next
question
1s 0 Before 1990
60 to Question 45
IO 0 Never worked in lifetime
60 to Question 45
)70
0
0
30
I
2
40
s0
60
7 0
18 0
19 0
o
0
Yes, could have started work
No, already had a job
No, temporary illness or
disability
No, personal or family
responsibilities
No, going to school
No, other reasons
In 1991
Continue with the next
questton
In 1990
Conttnue with the next
question
Before 1990
60 to Puestian 45
Never worked in lifetime
60 to Question 45
Me:
Questions
36 to 42 refer to thisperson’sjob or business
last week.
If thispersonheld.nojob last week,answerfor thejob of fongest
durationsinceJanuarv1, 1990. If thisoersonheldmorefh& one
joblastweek,answeriorthejobat whichhe/sheworkedthemosthours.
-36. For whom did this person work?
*
Name of firm, government
agency, etc.
Name of firm,
agency, etc.
I
Department,
branch,
section or plant
Department,
branch,
section or olant
division,
government
division,
I
/
37. What kind of business, industry or service was this?
Givefull description.
For example,wheatfarm, trapping,road
maintenance,
retailshoestore,secondaryschool,temporary
;helpagency,municipal
police.
Page 18
Kind of business,
or service
industry
Kind of business,
or service
industry
-2mAppendix
J
-
1991 Census Form 2B Questionnaire
-Continued
ig
146.1
147.1
() Yes, could have started work
2 0 No, already had a job
3 () No, temporary illness or
disability
4 0 No, personal or family
responsibilities
s 0 No, going to school
~6() No, other reasons
01 0
02 0
03 0
Yes, could have started work
No, already had a job
No, temporary illness or
’ disability
04 0
No, personal or family
responsibilities
05 0 No, going to school
03 0 No, other reasons
01
In 1991
Continue with the next
question
080 In 1990
Continue with the next
question
09 0 Before 1990
Go to Puestion 45
IO 0 Never worked in lifetime
60 to lluestion 45
070
I
170
18 0
130
o0
In 1991
Continue with the next
question
In 1990
Continue with the next
question
Before 1990
60 to Question 45
Name of firm, government
(I_
etc.
,
Name of firm, government
i__
etc.
Department,
ie&on or
,
Department,
i__
or
branch,
division,
branch,
plant
division,
04
0
05
0
0
06
148.1
Yes, could have started work
No, already had a job
No, temporary illness or
disability
No, personal or family
responsibilities
No, going to school
No, other reasons
01 0
02 0
03 0
Yes, could have started work
No, already had a job
No, temporary illness or
disability
04 0
No, personal or family
responsibilities
05 0 ho, going to school
06 0 No, other reasons
In 1991
Continue with the next
question
08 0 In 1990
Continue with the next
question
09 0 Before 1990
60 to Puestion 45
IO 0 Never worked in lifetime
60 to Question 45
070
Never worked in lifetime
60 to Question 45
plant
0
02 0
03 0
,
i
070
08 0
09 0
IO
0
In 1991
Continue with the next
questton
In 1990
Continue with the next
question
Before 1990
60 to Puettion 45
Never worked in lifetime
60 to Question 45
Name of firm, government
i__
etc.
:
Name of firm, government
i__
etc.
Department,
branch,
i_
or plant
,
,;,.I
division,
divisionS
Page 19
-290Appendix J
1991 Census Form 2B Questionnaire
-Continued
‘@
38. At what address did this person usually work?
If streetaddressis unknown,print the nameof the buildingor
neareststreetintersemion.
Somelargecitiesaremadeupof smaller
citiesor townscalledmunicipalities.
Whereapplicable,
distinguish
betweenthe municipalityandthe largecity, suchas Anjouand
Montreal,Scarborough
andToronto,Burnabyand Vancouver,
Saanichand Victoria.
1
01
() Worked at home
(including farms)
02
0
Worked outside Canada
02
03
0
Worked at the address
specified below
‘03
Street
‘01 0
address
0
0
Worked at home
(including farms)
Worked outside Canada r
Worked at the address
specified below
Street
address
::E
1
City,. town, village, township,
municipality or Indian rese.ve
City, town, Village, township,
municipality or Indian reserve
County
County
(if known)
(if known)
Province/territory
Province/territory
Postal code
Postal code
UIIUII
UIIUII
040
04 0
MrnrnI
9. What kindof work wasthis persondoing?
Kind of work
-05mmun
Kind of work
For example,medicallab technician,accountingclerk, manager
of civil engmeering
department,
secondaryschoolteacher,
supervisorof dataentry unit, foodprocessing
labourer,fishing
guide(If in the ArmedForces,give rank only.)
~~~
40. In this work, what were this person’s most important duties
or activities?
:
For example,analysingbloodsamples,veritjfinginvoices,
co-ordinating
civil engineering
projects,teachingmathematics,
organizingworkschedules
andmonitoring
dataentry systems,
cleaningvegetables,
guidingfishingparties
rage zu
Most important
~l.-
duties or activities
Most important
duties or activities
-291Appendix
1991 Census Form 2B Questionnaire
J
- Continued
53.)
31 0
Worked at home
(including farms)
11() Worked at home
(including farms)
33 0
Worked outside Canada
130
Worked at the address
specified below
Street address
130
33 0
II 0
Worked at home
(including farms)
01 0
Worked at home
(including farms)
Worked outside Canada
13 0
Worked outside Canada
03 0
Worked outside Canada
Worked at the address
specified below
-.
13 0
Worked at the address
specified below
03 0
Worked at the address
specified below
’
Street address
Street address
Street
City, town, village, township,
municipality or Indian reserve
EEI
City, town, village, township,
municipality or Indian reserve
City, town,
municipality
City, town,
municipality
County
County
village, township,
or Indian reserve
I
(if known)
(ii known)
address
village, township,
or Indian reserve
,
County (ii known)
County
(if known)
Province/territory
Provincelterritdry
Province ! territory
Province/territory
I
Postal code
I
Postal code
Postal code
Postal code
UIIUII
uIl1-1
UIIUII
urlurl
D4 El
I4 Cl
t4 0
~5mrnua )5mmun 15rnrnm
Kind of work
Kind of work
04 cl
Kind of work
Kind of work
.F
Most important
duties or activitie
Most important
duties or activities
Most important
duties or activities
Most important
I
duties or activities
t---I
4IIIl
lrul
4IIIl mn
1
CIIII UIII
4IIn
UIII
Page 21
-292Appendh
J
1991 Census Form 2B Questionnaire
- Continued.
Il. In this job, was this person mainly:
155.1
156.1
01 0 working for wages, salary,
tips or I?ommission?
01 0 working for wages, salary,
tips or commission?
60 to Question 43
02
0 working without pay for
his/her spouseor another
relativein a familyfarm or
business?
60 to Question 43
02
0 working without pay for
his/her spouseor another
relativein a family farmor
business?
60 to Question 43
03
60 to Question 43
0 self-employed
without paid 03 0 self-employed
without paid
help(aloneor inpartnership)?
help(aloneor inpartnership)?
Continue with the next
question
Colitinue with the next
question
04
0 self-employed
withpaidhelp
(aloneor in partnership)?
04
0 self-employed
with paidhelp
(aloneor in partnership)?
Continue with the next
question
Continue with the next
question
42. If self-employed,
wasthisperson’s
farmor business
incorporated? 050 No
.
060 Yes
05
0 No
06
0 Yes
43. In how manyweeksdid this personwork in 1990?
.
Includethoseweeksin whichthisperson:
l
was on vacation or sick leave with pay;
l
workedfull timeor part time;
l
workedfor wages,salary,tipsor commission; ,
l
wasself-employed
or an unpaidworkerin a familyfarm
or business.
07
0 None
60 to Question 45
44. Duringmostof thoseweeks,did this personwork full time or
. part time?
Markonecircleonly.
I‘age 22
07
0 None
60 to Question 45
OR
06
0
4 Number
of weeks
OR
06
Continue with ihe next
question
0
4 Number
of weeks
Continue with the next
question
0 Fulltime(30hoursor
moreperweek)
09 0 FUIItime(30hoursor
moreperweek)
09
IO 0 Parttime(lessthan
30 hoursperweek)
to 0 Parttime(lessthan
30 hoursperweek)
-293Appendix
1991 Census Form 2B Questionnaire
II
0 working for wages, salary
tips or commission?
working without pay fo
his/her spouseor anothe
relativein a family farm 0
business?
Go to Puestion 43
12 0
60 to Ouestion 43
13 0
self-employed
without pail
help(aloneor inpartnership)
self-employed
with‘paidhel
(aloneor in partnership)?
working without pay for
his/her spouseor another
relativein a familyfarm or
business?
60 to Puestion 43
~2
0 working without pay for
his/her spouseor another
relativein a familyfarmor
business?
Go to Puestion 43
13
02
0 working without pay for
his/her spouseor another
relative in a-familyfarm or
business?
60 to Question 43
Continue with the next
question
34
60 to Question 43
60 to Questton 43
() self-employed
without paid 03 0 self-employed
without paid 03 0 self-employed
without paid
help(aloneorinpartnership)?
help(aloneor inpartnership)?
help(aloneor inpartnership)?
Continue with the next
question
34 0
-Continued
110 workingfor wages,salary, ~10 workingfor wages,salary, o! 0 workingfor wages,salary,
tips or commission?
tips or commission?
tips or commission?
60 to Puestton 43
12 0
0 self-employed
withpaidhelp
(aloneor in partnership)?
Continue with the next
question
Continue with the next
question
04
0 self-employed
with paidhelp
(aloneor in partnership)?
Continue with the next
question
Continue with the next
question
04
0 self-employed
with paidhelp
(aloneor in partnership)?
Continue with the next
question
Continue wtth the next
questton
D5 0
No
D5 0
No
05 0
No
05 0
No
D6 0
Yes
D60
Yes
00 0
Yes
06 0
Yks
None
60 to Question 45
~7
None
60 to Question 45
07
None
60 to Puestion 45
07
07
0
0
OR
08
q
4 Number of weeks
J
0
OR
4 Number of weeks
D8
Continue with the next
question
0 None
60 to Puestion 45
OR
08
0
Continue with the next
question
4 Number of weeks
OR
08
El
Continue with the ?ext
question
99 0
Full time (30 hours or
more per week)
09
0
Full time (30 hours or
more per week)
09 0
IO 0
Part time (less than
30 hours per week)
IO
0
Part time (less than
30 hours per week)
IO
0
+ Number of weeks
Continue with the next
question
Full time (30 hours or
more per week)
09’0
Part time (less than
30 hours per week)
IO
0
Full time (30 hours or
more per week)
Part time (less than
30 hours per week)
Page23
-294Appendix J
1991 Census Form 2B Questionnaire
-Continued
INCOMEIN 1990
2
7
161.)
162.1
During the year ending December 31, 1990, did this person
receive any income or suffer any loss from the sources listed
below?
l
Answer “Yes“ or “No” for all sources.
l
If “Yes’: also enter the amount; in case of a loss, also
mark “Loss’:
l
Do not include Family Allow&)ces and Child Tax Credits.
l
Consult the .Guide for details.
(a) Totalwages and salaries includingcommissions, bonuses, tips,
etc., before any deductions
(b) Net incomefrom unincorporatednon-farmbusiness, professional
practice, etc., on own account or in partnership (gross
receipts minus eKpenses)
(c) Net farm self-employment income from agricultural operations
on own account or in partnership (gross receipts minus
expenses)
030
Yes.(I
05 0
No
060
Yes,-1
06 0
No
170
Yew-1
190
No
240
Yes.-1
26 0
No
030
04
07
0 Loss
05 0
No
060
Yes,-j
0 Loss 08 0
No
07
0 Loss
(d) OMA e SecurityPension
and6uaranteed
Incomegupplement
fromBederalgovernment
only(provincialincomesupplements
shouldbe reportedin (g))
(e) BenefitsfromCanadaor QuebecPensionPlan
(f) BenefitsfromUnemployment
Insurance(total benefitsbefore
tax deductions)
(g) Otherincomefromgovernmentsourcesincludingprovincial
incomesupplements
andgrantsand socialassistance,
e.g., veterans’pensions,workers’compensation,
welfare
payments(do not includeFamilyAllowancesandChildTax
Credits)
(h) Dividends
andintereston bonds,depositsandsavings
certificates,andotherinvestmentincome,e.g.,netrentsfrom
realestate,interestfrommortgages
16 0
LOSS
170
Yes,-1
190
No
240
Yes.-1
26 0
No
16 0
LOSS
25 0
LOSS
(i) Retirement
pensions,
superannuation
andannuities
(j) Othermoneyincome,e.g., alimony,scholarships
(k) TOTALINCOME
froma// of the abovesources
Page24
25 ()
LOSS
Turnthe pageandanswerthe questions
-295Appendix J
1991 Census Form 2B Questionnaire
Dollars
-Continued
Dollars
030
Yes;/-----jl
15 0
No
04 0
Loss
05 0
No
18 0
No
07 0
Loss
08 0
No
170
Yes.-]
190
No
180
LOSS
iso
No
Turn the page and answer
the questions
’
Dollars
030
Yesw[r---q
Cents
Dollars
Cents
03OYest/I
04 0
Lass
05 0
No
04 0
LOSS
05 0
No
04 0
LOSS
07 0
Loss
08 0
No
07 0
Loss
08 0
No
07 0
LOSS
190
No
18 0
LOSS
190
No
18 OLOSS
18 OLOSS
about this dwelling.
Page 25
Appendix J
-296-
1991 Census Form 2B Questionnaire
-Continued
muI
187.1
Ariswer hestiomH1. to.H8 abdut
this dwelling.
.. ,Family
!fJ. Print the name(s) of the person(s) who pay
. the rent or mortgage,taxes, electricity,etc.,
for this dwelling.
A dwelling
is a separate set of living quarters
with a j&ate entrancefrom the outside or
from a common hallway or stairway inside the
building. This entrance should not be through
someone else’s living quarters.
name
Given
,,rnI
m
04m0
05m0
,,rnI
name
::rj--/mi
Note: One of these persons should answer
Questions H2 to H8. If no one
living here makes such payments,
markhem..
_.
07 0
and answer these questions
yourself.
-H2. Is thisdwelling:
Mark one circle only.
08 0 owned by you or a member of this household
(even if it is still being paid for)?
09
H3. (a) Howmanyroomsaretherein this
dwelling?
0 rented (even if no cash rent is paid)?
4 Number of rooms
10
Include kitchen, bedrooms, finished rooms
in attic or basement, etc. Do not count
bathrooms, halls, vestibules and rooms
used solely for business purposes.
(b) Howmanyofthesemoms
ambedrooms?
4 Number of bedrooms
H4. Whenwasthisdwellingoriginallybuilt?
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. Is thisdwellingin needof anyrepairs?
(Do not include desirable remodelling or
additions.)
12
0 1920 or before
16 0 1971-l 980
1981-I985
13 0
1921-1945
17 0
14 0
1946-l 960
18 0 1986-l 990
15 0
1961-1970
19 0
1991
20
0 No,only regular
maintenance
is needed (painting; furnace cleaning, etc.)
21
0 Yes,minorrepairsare needed (missing or loose floor tiles, bricks or
shingles, defective steps, railing or siding, etc.)
22
0 Yes,majormpairsare needed (defective plumbing or electrical wiring,
structural repairs to walls, floors or ceilings, etc.)
-297-
1991 Census Form 2B Questionnaire
Appendix J
-Continued
7
1&8.1 Answer Questions-H6 to H8for 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 enter best estimate.
Note:If you are a farm operator living on the farm you operate,
markhere
_.
.:
OI 0
and go to Step 12.
H6. Forthisdweitin, whatarethe YEARLYpayments
. (tast12 months
Bfor:
(a) electricity?
02 0
03
None
Dollars
0 Included in
Cents
rent or other
payments
(b) oil, gas, coal, wood or other fuels?
05 0
06
0
OR
O4 I
F&
None
Included in
Dollars
Cents
Dollars
Cents
Dollars
Cents
rent or other
payments
(c) water and other municipal services?
06 0
OS
OR
None
() Included in
rent or other
payments
H7. ForRENTERS
only:
. What is the monthlycashrent paid for this dwelling?
H8. ForOWNERS
only,answerpart; (a) through(f):
’
(a) What are the total regular monthlymortgage or
II 0
(b) Are the proierty taxes (municipal and school)
included in the amount shown in part (a)?
OR
l2 m
%nth
Dollars
13 0
OR
l4 n
!kth
0 Yes - 60 ta port (d)
15
160
Cents
None
60to pelt(c)
loan payments for this dwelling?
7.
Rented without
payment of
cash rent
OR
.,‘.
‘._
io
(c) What are the estimated yearlyproperty taxes
(municipal and school)‘for this dwelling?
17 0
(d) If you were to sell this dwelling now, for how
much would you expect to sell it?
None
Dolbrs
Cents
Dollsrs
Cents
OR
Dollars
19n
(e) Is this dwelling part of a registered condominium?
0 Yes- Continue
withpart(f)
-6otoStep12
20
210No
(f) What are the monthlycondominium fees?
22 0
&
None
OR
23 1
ke&th
You have now completed your questionnaire. Please mail it today.
Thank you for your co-operation.
mm
If you have any comments, please enter them on the back cover.
I
OFFICEUSE ONLY
24
._
m
Coil.
I
I
250
4A
27 (7
DR
26 [7
Ref.
26 0
M&./Other
I
29 II
JIC-A
‘;O m
JIGB
.
0”“s
37
Appendix J
-298-
1991 Census Form 2B Questionnaire
-Concluded
If after reading the Guide you need further assistance, do not hesitate
to call our Telephone Assistance Service. It is available from 9 a.m. to
9 p.m. from Thursday, May 30 through Friday, June 7 (excluding Sunday).
If you live within the local calling area of the places listed below, dial
the number shown. In all other areas, dial l-800-287-1991 (no charge).
St. John’s (Nfld.)
.._..................._.. 772-1991
Halifax
..___..__........__._....__................ 426-i 991
Moncton..
_._.
851-l 991
Montreal
._._..............__...__.___............,.. 283-l 991
Ottawa __._. __ ._.._______.
__.___. ._.
__.951-l 991
Toronto
._._. 973-l 991
Winnipeg _. __._.
.________.
983-l 991
Regina ___.__........,,..........................._.___.. 780-7750
Edmonton _._..__._.._......_.._.....,.,........______._4954000
Vancouver
,666-i 991
For TDDlllY (Telecommunication Devices for the Deaf/Teletype Machines
only) - users call: l-800-287-5558 (no charge)
Page 28
PIB No.:
STCIP-PU-005
STWCOP-01503789