Long-form questionnaire, 2006 census

8/9/2019 Long-form questionnaire, 2006 census

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Count yourself in!May 16, 20062B

Ce questionnaire est disponible en franais 1 877 594-2006

CONFIDENTIAL WHEN COMPLETED

3. Complete this section if there is no printed address in the address space above or if you livedat a different address on May 16, 2006.

No. and street or lot and concession

City, municipality, town, village, Indian reserve

Apt. No.

Province/ territory Postal code

2. Print your telephone number: Area code

CD CU CLDVR Line No. Forms 3 Questionnaire No.

of

VNProv.

031655

0301

Telephone number

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

A1. Complete your form either:

ON-LINE: at www.census2006.ca using the Internet Access Code printed above.Do not mail back your paper questionnaire.

ON PAPER: using a blue or black ballpoint pen.Please print using

ANY QUESTIONS?

Call us free ofcharge at1 877 594-2006

TTY/ TDDusers call1 888 243-0730

www.census2006.ca

C A P I T A L L E T T E R S .

COMPLETE YOUR FORM ON-LINE OR ON PAPER

2006 CENSUSCanadas 20thCensus since Confederation

OR

INTERNET ACCESS CODE

www.census2006 .ca

245 031 011 137 956

$"

Community groups, businesses and governments develop programs and services such as education, healthand other social and economic programs based on census data.The information is widely used in ourschools to teach children about our country. Information may also be used by Statistics Canada for selectingsamples or following up respondents for some of our surveys.

By law, Statistics Canada must take a census every five years and every household must fill in a censusform. Statistics Canada protects absolutely the confidentiality of your information. No one outside StatisticsCanada has access to your personal information without your consent. In question 53, your consent issought to make your census information available in 92 years for important historical and genealogical research.Its important for you and your community that you count yourself in by May 16.

Ivan FellegiChief Statistician of Canada

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1.WHOM TO INCLUDE IN

EVERYONE WHO USUALLY LIVES HERE, AT THIS ADDRESS, including newborn babies and room-mates;

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 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 16, 2006;

SPOUSES OR COMMON-LAW PARTNERS WHO LIVE ELSEWHERE while working or studying, but who

return here periodically;

LANDED IMMIGRANTS who usually live at this address;

Persons claiming REFUGEE STATUS and family members living here with them;

PERSONS FROM ANOTHER COUNTRY WITH A WORK OR STUDY PERMIT and family members living

here with them;

PERSONS who usually live here but are now IN AN INSTITUTION (such as a home for the aged, a hospital or aprison), IF THEY HAVE BEEN THERE LESS THAN SIX MONTHS;

PERSONS staying here on May 16, 2006, WHO HAVE NO USUAL HOME ELSEWHERE.

2.DO NOT INCLUDE IN

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 and their family members.

3. IF THERE IS NO ONE TO INCLUDE IN

iih If all persons staying at this address on May 16, 2006, usually live elsewhere in Canada orare visitors or government representatives of another country, mark this circle.

Please print your name and your usual telephone number below. Do not complete this questionnaire.Mail it in the enclosed postage-paid envelope.

Area code Telephone number

Family name Given name

STEP

B

STEP

B

STEP

B

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1. Is anyone listed in Step B a farm operator who produces at least one agricultural productintended for sale? (crops, livestock, milk, poultry, eggs, greenhouse or nursery products, Christmas trees,

sod, honey, bees, maple syrup products, furs, etc.)iih No Go to Step E iih Yes

2. Does this farm operator make the day-to-day management decisions related to the farm?

iih No iih Yes

STEP

D

Did you leave anyone out of Step B because you were not sure the person should be listed?

For example:

a person living at this address whohas another home;

a person temporarily away.

iih No

iih Yes Specify the name, therelationship and the reason.

STEP

C

STEP

B

Name(s)

Relationship/Reason

Person 1

Person 2

Person 3

Person 4

Person 5

Person 6

Person 7

Person 8

FAMILY NAME GIVEN NAME

Person 9

Person 10

1. Including yourself, how many persons usually live here, at this address, as ofMay 16, 2006? Include all persons who usually live here, even if they are temporarily away.

2. Including yourself, list below, using CAPITAL LETTERS, all persons who usually live here.Begin the list with an adult followed, if applicable, by that personsspouseorcommon-law partnerandby their children who usually live here. Continue with all other persons who usually live here.

Copy the names in Step B to Question 1, on top of page 4.Keep the same order.

If more than five persons live here, you will need an extra questionnaire; call 1 877 594-2006.

STEP

E

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Page 4

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Family name

Given name

Family name

Given name

1 NAMEIn the spaces provided, copy the names inthe same order as in Step B. Then answerthe following questions for each person.

PERSON 1 PERSON 2

2SEX

Date of birth

Day Month Year

Date of birth

Day Month Year

iih Never legally married (single)

iih Legally married (and not separated)

iih Separated, but still legally married

iih Divorced

iih Widowed




iih Divorced

iih Widowed

iih Yes

iih No

iih Yes

iih No

4 MARITAL STATUS

Mark n

inh one circle only.

iih Male

iih Female

iih Male

iih Female

6RELATIONSHIP TO

PERSON 1

For each person usually livinghere, describe his / her relationshipto Person 1.

Mark ninh or specify one response only.

Stepchildren, adopted children and childrenof a common-law partner should beconsidered sons and daughters.

If none of the choices apply, use theOther box to indicate this personsrelationship to Person 1.

Examples of Other relationships toPerson 1:

cousin

niece or nephew

lodgers husband or wife

room-mates son or daughter

employee

same-sex married spouse

ninh PERSON 1

iih Husband or wife of Person 1

iih Opposite-sex common-law partner ofPerson 1

iih Same-sex common-law partner ofPerson 1

iih Son or daughter of Person 1

iih Son-in-law or daughter-in-law of Person 1

iih Grandchild of Person 1

iih Father or mother of Person 1

iih Father-in-law or mother-in-law of Person 1

iih Grandparent of Person 1

iih Brother or sister of Person 1

iih Brother-in-law or sister-in-law of Person 1

iih Lodger or boarder

iih Room-mate

Other Specify

3 DATE OF BIRTH

If exact date is not known, enter bestestimate.

Day Month Year

Example: 1 3 0 2 1 9 5 0

5 Is this person living with acommon-law partner?Common-lawrefers to two people of theopposite sex or of the same sex who livetogether as a couple but who are not legallymarried to each other.

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iih Male

iih Female

iih Male

iih Female

iih Male

iih Female

Date of birth

Day Month Year

Date of birth

Day Month Year

Date of birth

Day Month Year

iih Yes

iih No

iih Yes

iih No

iih Yes

iih No










iih Room-mate

Other Specify










iih Room-mate

Other Specify










iih Room-mate

Other Specify




iih Divorced

iih Widowed




iih Divorced

iih Widowed




iih Divorced

iih Widowed

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7 Does this person have anydifficulty hearing, seeing,communicating, walking,climbing stairs, bending,learning or doing any similaractivities?

ACTIVITIES OF DAILY LIVING

8 Does a physical condition ormental condition or healthproblem reduce the amountor the kind of activity thisperson can do:

(a) at home?

(b) at work or at school?

(c) in other activities, for example,transportation or leisure?

iih Yes, sometimes

iih Yes, often

iih No

SOCIOCULTURAL INFORMATION

9 Where was this person born?Specify one response only, according topresent boundaries.

Born in Canada

iih Nfld.Lab. iih Manitoba

iih P.E.I. iih Sask.

iih N.S. iih Alberta

iih N.B. iih B.C.

iih Quebec iih Yukon

iih Ontario iih N.W.T.

iih Nunavut

Born outside Canada

Specify country

10 Of what country is thisperson a citizen?Indicatemore than onecitizenship, if applicable.

Canada, by naturalization refers to theprocess by which an immigrant is grantedcitizenship of Canada, under theCitizenshipAct.

iih Canada, by birth

iih Canada, by naturalization

Other country Specify

iih Yes, sometimes

iih Yes, often

iih No

iih Yes, sometimes iih No

iih Yes, often iih Not applicable

iih Yes, sometimes

iih Yes, often

iih No

iih Yes, sometimes

iih Yes, often

iih No



iih Yes, sometimes

iih Yes, often

iih No




iih Yes, sometimes

iih Yes, often

iih No

Born in Canada




iih N.B. iih B.C.



iih Nunavut

Born outside Canada

Specify country

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iih Yes, sometimes

iih Yes, often

iih No

iih Yes, sometimes

iih Yes, often

iih No

iih Yes, sometimes

iih Yes, often

iih No

iih Yes, sometimes

iih Yes, often

iih No



iih Yes, sometimes

iih Yes, often

iih No

iih Yes, sometimes

iih Yes, often

iih No



iih Yes, sometimes

iih Yes, often

iih No

iih Yes, sometimes

iih Yes, often

iih No



iih Yes, sometimes

iih Yes, often

iih No

Born in Canada




iih N.B. iih B.C.



iih Nunavut

Born outside Canada

Specify country

Born in Canada




iih N.B. iih B.C.



iih Nunavut

Born outside Canada

Specify country

Born in Canada




iih N.B. iih B.C.



iih Nunavut

Born outside Canada

Specify country

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Year

iih None

OR

Specify other language(s)

12 In what year did this personfirst become a landedimmigrant?

13 Can this person speakEnglish or French wellenough to conduct aconversation?

Mark ninh one circle only.

iih English only

iih French onlyiih Both English and French

iih Neither English nor French

14 What language(s), otherthan English or French,can this person speak wellenough to conduct aconversation?

15 (a) What language doesthis person speak mostoften at home?

(b) Does this person speakany other languageson a regular basisat home?

iiiih English

iih French

Other Specify

iih No

iih Yes, English

iih Yes, French

Yes, Other Specify

If exact year is not known,enter best estimate.

16 What is the language thatthis person first learnedat home in childhood andstill understands?

If this person no longer understands the firstlanguage learned, indicate the secondlanguage learned.

iih English

iih French

Other Specify

11Is this person now, or hasthis person ever been, alanded immigrant?

A landed immigrant (permanent resident)is a person who has been granted the rightto live in Canada permanently byimmigration authorities.

Year

iih None

OR


iih English only



iiiih English

iih French

Other Specify

iih No

iih Yes, English

iih Yes, French

Yes, Other Specify


iih English

iih French

Other Specify

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iih No Go to Question 13

iih Yes


iih Yes

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Year

iih None

OR


iih English only



iiiih English

iih French

Other Specify

iih No

iih Yes, English

iih Yes, French

Yes, Other Specify


iih English

iih French

Other Specify

Year

iih None

OR


iih English only



iiiih English

iih French

Other Specify

iih No

iih Yes, English

iih Yes, French

Yes, Other Specify


iih English

iih French

Other Specify

Year

iih None

OR


iih English only



iiiih English

iih French

Other Specify

iih No

iih Yes, English

iih Yes, French

Yes, Other Specify


iih English

iih French

Other Specify

Pag0309 $*


iih Yes


iih Yes


iih Yes

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The census has collected information on

the ancestral origins of the populationfor over 100 years to capture the compositionof Canadas diverse population.

18 Is this person an Aboriginalperson, that is, NorthAmerican Indian, Mtis orInuit (Eskimo)?

If Yes, mark ninh the circle(s) that bestdescribe(s) this person now.

iih No

iih Yes, North AmericanIndian

iih Yes, Mtis

iih Yes, Inuit (Eskimo)

Go to

Question

20

Continue with thenext question

19 Is this person:Mark ninh more than one or specify, ifapplicable.

This information is collected to supportprograms that promote equal opportunity foreveryone to share in the social, cultural andeconomic life of Canada.

iih White

iih Chinese

iih South Asian (e.g., East Indian,Pakistani, Sri Lankan, etc.)

iih Black

iih Filipino

iih Latin American

iih Southeast Asian (e.g., Vietnamese,Cambodian, Malaysian,Laotian, etc.)

iih Arab

iih West Asian (e.g., Iranian, Afghan, etc.)

iih Korean

iih Japanese

Other Specify

iih White

iih Chinese


iih Black

iih Filipino

iih Latin American


iih Arab


iih Korean

iih Japanese

Other Specify

Specify as many origins as applicableusing capital letters.


Page 10 0310

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17 What were the ethnicor cultural origins ofthis persons ancestors?

An ancestor is usually more distant thana grandparent.

For example, Canadian, English, French,Chinese, Italian, German, Scottish,East Indian, Irish, Cree, Mikmaq (Micmac),Mtis, Inuit (Eskimo), Ukrainian, Dutch,

Filipino, Polish, Portuguese, Jewish,Greek, Jamaican, Vietnamese, Lebanese,Chilean, Salvadorean, Somali, etc.

iih No


iih Yes, Mtis


Go to

Question

20


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iih White

iih Chinese


iih Black

iih Filipino

iih Latin American


iih Arab


iih Korean

iih Japanese

Other Specify

iih White

iih Chinese


iih Black

iih Filipino

iih Latin American


iih Arab


iih Korean

iih Japanese

Other Specify

iih White

iih Chinese


iih Black

iih Filipino

iih Latin American


iih Arab


iih Korean

iih Japanese

Other Specify




Page0311 $,

iih No


iih Yes, Mtis


Go to

Question

20

Continue with thenext question iih No


iih Yes, Mtis


Go to

Question

20

Continue with thenext question iih No


iih Yes, Mtis


Go to

Question

20


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20Is this person a memberof an Indian Band/ FirstNation?

21 Is this person a TreatyIndian or a RegisteredIndian as defined by theIndian Actof Canada?

22 Answer Questions 23 to 52for each person aged 15and over.

MOBILITY

23 Where did this personlive 1 year ago, that is, onMay 16, 2005?


Note:

For those who mark the third circle:

Please give the name of the city or townrather than the metropolitan area of whichit is a part.

For example:

Saanich rather than Victoria(metropolitan area);

St. Albert rather than Edmonton(metropolitan area);

Laval rather than Montral(metropolitan area).

iih No

iih Yes, member of an Indian Band/ FirstNation

Specify Indian Band/ First Nation(for example, Musqueam)

iih No

iih Yes, Treaty Indian or Registered Indian

Continue only for each personaged 15 years and over(born before May 16, 1991).

iih Lived at the same address as now

iih Lived at a different address in thesame city, town, village, township,municipality or Indian reserve

iih Lived in a different city, town, village,township, municipality or Indian reserve

in CanadaSpecify name of:

City, town, village, township, municipality orIndian reserve

Province/ territory

Postal code

iih Lived outside Canada

Specify name of country

iih No



iih No








Province/ territory

Postal code



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iih No



iih No








Province/ territory

Postal code



iih No



iih No








Province/ territory

Postal code



iih No



iih No








Province/ territory

Postal code



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24 Where did this personlive 5 years ago, that is, onMay 16, 2001?


Note:

For those who mark the third circle:

Please give the name of the city or townrather than the metropolitan area of whichit is a part.

For example:

Saanich rather than Victoria

(metropolitan area); St. Albert rather than Edmonton

(metropolitan area);


Remember, these questions are only for persons aged 15 and over.

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25 Where was each of thispersons parents born?(a) Father

Mark ninh or specify country according topresent boundaries.

(b) Mother

Mark ninh or specify country according topresent boundaries.

PLACE OF BIRTH OF PARENTS

Father

iih Born in Canada

Born outside CanadaSpecify country

Mother

iih Born in Canada


Father

iih Born in Canada


Mother

iih Born in Canada




iih Lived in a different city, town, village,township, municipality or Indian reservein Canada

Specify name of:


Province/ territory

Postal code






Specify name of:


Province/ territory

Postal code



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Father

iih Born in Canada


Mother

iih Born in Canada


Father

iih Born in Canada


Mother

iih Born in Canada


Father

iih Born in Canada


Mother

iih Born in Canada





Specify name of:


Province/ territory

Postal code






Specify name of:


Province/ territory

Postal code






Specify name of:


Province/ territory

Postal code



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28 Has this person completeda college, CEGEP, orother non-university

certificate or diploma?Mark ninh as many circles as applicable.

For example:

accounting technology

real estate agent

industrial engineering technology

iih Yes, certificate or diploma from

a program of less than 3 months

iih Yes, certificate or diploma from a programof 3 months to less than 1 year

iih Yes, certificate or diploma froma program of 1 to 2 years

iih Yes, certificate or diploma froma program of more than 2 years

iih No

29 Has this person completeda university degree,certificate or diploma?

Mark n

inh as many circles as applicable.

iih Yes, certificate or diploma belowbachelor level

iih Yes, bachelors degree (including LL.B.)

iih Yes, certificate or diploma abovebachelor level

iih Yes, masters degree

iih Yes, degree in medicine, dentistry,veterinary medicine or optometry

iih Yes, earned doctorate

iih No

College, CEGEP or other non-universitycertificate or diploma

University degree, certificate or diploma

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26 Has this person completeda secondary (high) schooldiploma or equivalent?

Examples of secondary (high) schoolequivalency certificates are GeneralEducational Development (GED) andAdult Basic Education (ABE).

EDUCATION

27

Has this person completed a

Registered Apprenticeshipor other trades certificateor diploma?

Mark ninh as many circles as applicable.

For example:

hairdressing

CNC machinist

iih Yes, Registered Apprenticeshipcertificate

iih Yes, other trades certificateor diploma

iih No

Registered Apprenticeship or tradescertificate or diploma

Secondary (high) school diplomaor certificate

iih Yes, secondary (high) school diploma

iih Yes, secondary (high) school equivalencycertificate

iih No






iih No







iih No





iih No





iih No

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iih No







iih No





iih No





iih No






iih No







iih No





iih No





iih No






iih No







iih No





iih No





iih No

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31 In what province, territoryor country did this personcomplete his / her highest

degree, certificate ordiploma?


32 Has this person attendeda school, college, CEGEPor university at any time

since September 2005?

Mark ninh as many circles as applicable.

30 What was the major fieldof study of the highestdegree, certificate or diplomathat this person completed?

Please be specific. For example:

automobile mechanics

civil engineering

dental technology

aircraft mechanics

medical laboratory technology

day-care

agricultural economics

Print in capital letters as follows:

C O M P U E T E N

G I

R

N E E R

E C H N O L

I N G T

O G Y

Major field of study of highest degree,certificate or diploma

OR

iih No certificateor diploma(higher thanhigh school)

Go toQuestion 32

In CanadaSpecify province or territory

OR

Outside CanadaSpecify country

iih Yes, attended elementary, junior highschool or high school

iih Yes, attended trade school, college,CEGEP or other non-universityinstitution

iih Yes, attended university

iih No, did not attend school at any timesince September 2005


OR







OR


Go toQuestion 32

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OR







OR







OR







OR


Go toQuestion 32


OR


Go toQuestion 32


OR


Go toQuestion 32

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33 Last week, how manyhours did this person spenddoing the followingactivities:

(a) doing unpaid housework, yardwork or home maintenance formembers of this household, orothers?

Some examples include: preparingmeals, washing the car, doing laundry,cutting the grass, shopping, householdplanning, etc.

(b) looking after one or more ofthis persons own children, orthe children of others,without pay?

Some examples include: bathing orplaying with young children, drivingchildren to sports activities or helpingthem with homework, talking withteens about their problems, etc.

(c) providing unpaid care orassistance to one or moreseniors?

Some examples include: providingpersonal care to a senior familymember, visiting seniors, talking withthem on the telephone, helping themwith shopping, banking or with takingmedication, etc.

HOUSEHOLD ACTIVITIES

iih None

iih Less than 5 hours

iih 5 to 14 hours

iih 15 to 29 hours

iih 30 to 59 hours

iih 60 hours or more

iih None


iih 5 to 14 hours

iih 15 to 29 hours

iih 30 to 59 hours


iih Noneiih Less than 5 hours

iih 5 to 9 hours

iih 10 to 19 hours


iih None


iih 5 to 14 hours

iih 15 to 29 hours

iih 30 to 59 hours


iih None


iih 5 to 14 hours

iih 15 to 29 hours

iih 30 to 59 hours



iih 5 to 9 hours

iih 10 to 19 hours



Note:

Last weekrefers to Sunday, May 7, to Saturday, May 13, 2006.

In Question 33, report all time spent on each activity, even if two or more activities took place at the same time.Visit www.census2006.ca or call 1 877 594-2006 for more information.

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iih None


iih 5 to 14 hours

iih 15 to 29 hours

iih 30 to 59 hours


iih None


iih 5 to 14 hours

iih 15 to 29 hours

iih 30 to 59 hours



iih 5 to 9 hours

iih 10 to 19 hours


iih None


iih 5 to 14 hours

iih 15 to 29 hours

iih 30 to 59 hours


iih None


iih 5 to 14 hours

iih 15 to 29 hours

iih 30 to 59 hours



iih 5 to 9 hours

iih 10 to 19 hours


iih None


iih 5 to 14 hours

iih 15 to 29 hours

iih 30 to 59 hours


iih None


iih 5 to 14 hours

iih 15 to 29 hours

iih 30 to 59 hours



iih 5 to 9 hours

iih 10 to 19 hours



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LABOUR MARKET ACTIVITIES

34 Last week, how many hoursdid this person spendworking for pay or inself-employment?

Please enter the total number of hoursworked for pay or in self-employment at all

jobs held last week.

Include:

working for wages, salary, tips orcommission;

working in his / her own business, farm orprofessional practice, alone or inpartnership;

working directly towards the operation of afamily farm or business without formal payarrangements (e.g., assisting in seeding,doing accounts).

35 Last week, was this personon temporary lay-off orabsent from his / her job

or business?


36 Last week, did this personhave definite arrangementsto start a new job within thenext four weeks?

iih No

iih Yes, on temporary lay-off from a job towhich this person expects to return

iih Yes, on vacation, ill, on strike orlocked out, or absent for otherreasons

iih No

iih Yes

iih No



iih No

iih Yes



Number of hours (to the nearest hour)

OR

iih None

Go toQuestion 40



OR

iih None

Go toQuestion 40


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iih No



iih No

iih Yes

iih No



iih No

iih Yes

iih No



iih No

iih Yes


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OR

iih None

Go toQuestion 40



OR

iih None

Go toQuestion 40



OR

iih None

Go toQuestion 40


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38 Could this person havestarted a job last weekhad one been available?


39 When did this personlast work for pay or inself-employment, evenfor a few days?


37 Did this person look forpaid work during thepast four weeks?

For example, did this person contact anemployment centre, check with employers,place or answer newspaper ads, etc.?


iih Yes, could have started a job

iih No, already had a job

iih No, because of temporary illnessor disability

iih No, because of personal or familyresponsibilities

iih No, going to school

iih No, other reasons










iih Yes, looked for full-time work

iih Yes, looked for part-time work(less than 30 hours per week)

iih In 2006

iih In 2005

iih Before 2005

iih Never Go to Question 51

Continue with thenext questionContinue with thenext question

Go toQuestion 51




iih In 2006

iih In 2005

iih Before 2005



Go toQuestion 51

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iih No Go to Question 39iih Yes, looked for full-time work


iih No Go to Question 39iih Yes, looked for full-time work


iih In 2006

iih In 2005

iih Before 2005



Go toQuestion 51

iih In 2006

iih In 2005

iih Before 2005



Go toQuestion 51

iih In 2006

iih In 2005

iih Before 2005



Go toQuestion 51

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42 What was this personswork or occupation?Please be specific. For example: legal secretary plumber fishing guide wood furniture assembler secondary school teacher

(If in the Armed Forces, give rank.)

43 In this work, what werethis persons mainactivities?

Please give details. For example: prepared legal documents installed residential plumbing guided fishing parties made wood furniture products taught mathematics

40 For whom did this personwork?

Print in capital letters as follows:

Name of firm, government agency, etc.

41 What kind of business,industry or service was this?Please give details. For example: new home construction primary school municipal police wheat farm

shoe store food wholesale car parts factory

Occupation

Main activities


Section, plant, department, etc. (if applicable)

Kind of business, industry or service

Remember, these questions are only for persons aged 15 and over.Note: Questions 40 to 48 refer to this persons job or business last week. If this person held no job last week, answer for the job of longestduration since January 1, 2005. If this person held more than one job last week, answer for the job at which he / she worked themost hours.

Kind of business, industry or service

Occupation

Main activities

A B C C NO E T

E

C

P R O D

L I M I T E

U C T

D

S

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R

For self-employed persons, enter the nameof their business. If the business does nothave a name, enter the persons name.


Section, plant, department, etc. (if applicable)

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Kind of business, industry or service Kind of business, industry or service Kind of business, industry or service

Occupation Occupation Occupation

Main activities Main activities Main activities

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46 At what address did thisperson usually work mostof the time?

Example: 365 Laurier Ave. West

Number

Name

TypeDirection

If direction (e.g., North, South, East or West)is a part of the street address, pleaseinclude it.

If street address is unknown or if theaddress is a post office box, specify thebuilding or nearest street intersection.Do not give a post office box number.

Please give the name of the city or townrather than the metropolitan area of which itis a part.

For example:

Saanich rather than Victoria(metropolitan area);

St. Albert rather than Edmonton(metropolitan area);


If the address of work is different than theaddress of the employer, please provide theaddress where this person actually works(e.g., school teachers should provide theaddress of their school, not the address ofthe school board).

44 In this job or business, wasthis person mainly:Mark ninh one circle only.

45 If self-employed, was thispersons farm or businessincorporated?

iih working for wages, salary, tips orcommission?

Go to Question 46

iih working without pay for his / her spouseor another relative in a family farm orbusiness?

Go to Question 46

iih self-employed without paid help(alone or in partnership)?

iih self-employed with paid help(alone or in partnership)?

iih No

iih Yes

iih Worked at home (including farms)

Go to Question 48

iih Worked outside Canada

Go to Question 48

iih No fixed workplace address

Go to Question 47

iih Worked at the address specified below:

Specify complete address

Street address (see example)


Province/ territory

Postal code


Go to Question 46


Go to Question 46



iih No

iih Yes



Go to Question 48


Go to Question 48


Go to Question 47





Province/ territory

Postal code

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Go to Question 46


Go to Question 46



iih No

iih Yes


Go to Question 46


Go to Question 46



iih No

iih Yes


Go to Question 46


Go to Question 46



iih No

iih Yes



Go to Question 48


Go to Question 48


Go to Question 47





Province/ territory

Postal code


Go to Question 48


Go to Question 48


Go to Question 47





Province/ territory

Postal code


Go to Question 48


Go to Question 48


Go to Question 47





Province/ territory

Postal code

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48 (a) In this job, whatlanguage did this personuse most often?

(b) Did this person use anyother languages ona regular basis inthis job?

47 How did this person usuallyget to work?If this person used more than one method oftransportation, mark the one used formost of the travel distance.

iih Car, truck or van as driver

iih Car, truck or van as passenger

iih Public transit (e.g., bus, streetcar,subway, light-rail transit, commutertrain, ferry)

iih Walked to work

iih Bicycle

iih Motorcycle

iih Taxicab

iih Other method

iih English

iih French

Other Specify

iih No

iih Yes, English

iih Yes, French

Yes, Other Specify




iih Walked to work

iih Bicycle

iih Motorcycle

iih Taxicab

iih Other method

iih English

iih French

Other Specify

iih No

iih Yes, English

iih Yes, French

Yes, Other Specify


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iih Walked to work

iih Bicycle

iih Motorcycle

iih Taxicab

iih Other method

iih English

iih French

Other Specify

iih No

iih Yes, English

iih Yes, French

Yes, Other Specify




iih Walked to work

iih Bicycle

iih Motorcycle

iih Taxicab

iih Other method

iih English

iih French

Other Specify

iih No

iih Yes, English

iih Yes, French

Yes, Other Specify




iih Walked to work

iih Bicycle

iih Motorcycle

iih Taxicab

iih Other method

iih English

iih French

Other Specify

iih No

iih Yes, English

iih Yes, French

Yes, Other Specify


Page0331 $@

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50 During most of thoseweeks, did this person workfull time or part time?

Mark n

inh one circle only.

iih Full time (30 hours or more per week)

iih Part time (less than 30 hours per week)

INCOME IN 2005

51 To save time, each person can give Statistics Canada permission to use the income information alreadyavailable in his / her income tax files instead of answering Question 52. This option is only available for persons who filed a tax return for the year ending December 31, 2005.

Please note that your income tax information will be used for statistical purposes only.

Does this person give Statistics

Canada permission to usethe income information alreadyavailable in his / her incometax files for the year endingDecember 31, 2005?


49 In how many weeks didthis person work in 2005?Please enter the total number of weeksworked for pay or in self-employment at all

jobs held in 2005.

Includethose weeksin which this person:

wason vacationorsick leave with pay;

workedfull timeorpart time;

worked forwages, salary, tipsorcommission;

wasself-employed;

worked directly towards the operation of afamily farm or businesswithout formalpay arrangements.



Page 32 0332

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iih None

OR

Number of weeks

Go toQuestion 51

iih None

OR

Number of weeks

Go toQuestion 51

iih Yes Person 1 agrees.Go to Question 53

iih No Continue with Question 52

iih Yes Person 2 agrees.

Go to Question 53


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Page0333 $B

iih None

OR

Number of weeks

Go toQuestion 51

iih None

OR

Number of weeks

Go toQuestion 51

iih None

OR

Number of weeks

Go toQuestion 51

iih Yes Person 3 agrees.Go to Question 53



Go to Question 53



Go to Question 53


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PAID EMPLOYMENT:

(a) Total wages and salaries,including commissions, bonuses,tips, taxable benefits, researchgrants, royalties, etc., beforeany deductions

SELF-EMPLOYMENT:

(b) Net farm income (gross receiptsminus expenses), including grantsand subsidies under farm-supportprograms, marketing boardpayments, gross insuranceproceeds

(c) Net non-farm income fromunincorporated business,professional practice, etc.(gross receipts minus expenses)

52 During the year ending December 31, 2005, did this person receive any income from the sourceslisted below?AnswerYesorNo for all sources. If Yes, alsoenter the amount; in case of a loss, also mark Loss.

(f) Benefits from Canada or QuebecPension Plan

INCOME FROM GOVERNMENT:(d) Child benefits, such as child tax

benefits, family allowances(federal, provincial and territorial)

(e) Old Age Security Pension,Guaranteed Income Supplement,Allowance and Allowance for theSurvivor from federal governmentonly (provincial income supplementsshould be reported in (h))

(g) Benefits from EmploymentInsurance (total benefits beforetax deductions)


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ih Yes

$ .00ih No

ih Yes

$ .00

ih Lossih No

ih Yes

$ .00

ih Lossih No

ih Yes

$ .00ih No

ih Yes

$ .00ih No

ih Yes

$ .00ih No

ih Yes

$ .00ih No

ih Yes

$ .00ih No

ih Yes

$ .00

ih Lossih No

ih Yes

$ .00

ih Lossih No

ih Yes

$ .00ih No

ih Yes

$ .00ih No

ih Yes

$ .00ih No

ih Yes

$ .00ih No

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Page0335 $D

ih Yes

$ .00ih No

ih Yes

$ .00ih No

ih Yes

$ .00ih No

ih Yes

$ .00

ih Lossih No

ih Yes

$ .00

ih Lossih No

ih Yes

$ .00

ih Lossih No

ih Yes

$ .00

ih Lossih No

ih Yes

$ .00

ih Lossih No

ih Yes

$ .00

ih Lossih No

ih Yes

$ .00ih No

ih Yes

$ .00ih No

ih Yes

$ .00ih No

ih Yes

$ .00ih No

ih Yes

$ .00ih No

ih Yes

$ .00ih No

ih Yes

$ .00ih No

ih Yes

$ .00ih No

ih Yes

$ .00ih No

ih Yes

$ .00ih No

ih Yes

$ .00ih No

ih Yes

$ .00ih No

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Turn the page and answer thequestions about this dwelling.Page 36 0336

Visit www.census2006.caor call 1 877 594-20068 a.m. to 9 p.m. May 1 to 31. $E

(h) Other income from government

sources, such as provincial incomesupplements and grants, theGST/ QST/ HST credit, provincialtax credits, workers compensation,veterans pensions, welfarepayments

OTHER INCOME:(i) Dividends, interest on bonds,

deposits and savings certificates,and other investment income,such as net rents from real estate,interest from mortgages. Do not

include capital gains/ losses.

(j) Retirement pensions,superannuation and annuities,including those from RRSPs andRRIFs. Do not include withdrawalsfrom a pension plan or RRSP.

(k) Other money income, such asalimony, child support,scholarships

TOTAL INCOME in 2005 fromall sources

INCOME TAX PAID on 2005income (federal, provincialand territorial)

iih Yes

iih No

iih Yes

iih No

53 The Statistics Actguarantees the confidentiality of your census information. Only if you mark YES to this question will your personal information be made public, 92 years after the 2006Census. If you mark NO or leave the answer blank, your personal information will never bemade publicly available.

Does this person agree to makehis / her 2006 Census informationavailable for public release in 2098(92 years after the census)?

The following question is for all persons who usually live here including those lessthan 15 years old. If you are answering on behalf of other people, please consult

each person.

ih Yes

$ .00ih No

ih Yes

$ .00ih No

ih Yes

$ .00

ih Lossih No

ih Yes

$ .00

ih Lossih No

ih Yes

$ .00ih No

ih Yes

$ .00ih No

ih Yes

$ .00ih No

ih Yes

$ .00ih No

ih Yes

$ .00

ih Lossih No

ih Yes

$ .00

ih Lossih No

$ .00 $ .00

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Family name

Given name

Family name

Given name

Family name

Given name

PERSON 3 PERSON 4 PERSON 5

iih Yes

iih No

iih Yes

iih No

iih Yes

iih No

Page$F

The following question is for all persons who usually live here including those lessthan 15 years old. If you are answering on behalf of other people, please consult

each person.

0337

Turn the page and answer thequestions about this dwelling.

ih Yes

$ .00ih No

ih Yes

$ .00ih No

ih Yes

$ .00ih No

ih Yes

$ .00

ih Lossih No

ih Yes

$ .00

ih Lossih No

ih Yes

$ .00

ih Lossih No

ih Yes

$ .00ih No

ih Yes

$ .00ih No

ih Yes

$ .00ih No

ih Yes

$ .00ih No

ih Yes

$ .00ih No

ih Yes

$ .00ih No

ih Yes

$ .00

ih Lossih No

ih Yes

$ .00

ih Lossih No

ih Yes

$ .00

ih Lossih No

$ .00 $ .00 $ .00

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A dwellingis a separate set of living quarters with aprivate entrancefrom the outside or from a common hallwayor stairway inside the building.This entrance should not be through someone elses living quarters.

Answer Questions H1 to H8 about this dwelling.STEP

F

H1. Who pays the rent or mortgage, taxes,electricity, etc., for this dwelling?

If more than one person contributes to suchpayments, markinhas many circles as apply.

iih Person 1

iih Person 2

iih Person 3

iih Person 4

iih Person 5

iih A person who is listed on another questionnaire forthis dwelling

iih A person who does not live here

H2. Is this dwelling:

Markinhone circle only.

iih owned by you or a member of this household(even if it is still being paid for)?

iih rented (even if no cash rent is paid)?

H3. (a) How many rooms are there in thisdwelling?

Includekitchen, bedrooms, finished roomsin attic or basement, etc.

Do not countbathrooms, halls, vestibulesand rooms used solely for businesspurposes.

(b) How many of these rooms arebedrooms?

H4. When was this dwelling originally built?

Mark the period in which the building wascompleted, not the time of any laterremodelling, additions or conversions. If yearis not known, give best estimate.

iih 1920 or before iih 1981-1985

iih 1921-1945 iih 1986-1990

iih 1946-1960 iih 1991-1995

iih 1961-1970 iih 1996-2000

iih 1971-1980 iih 2001-2006

H5. Is this dwelling in need of any repairs?

Do not include desirable remodelling oradditions.

iih No, only regular maintenance is needed (painting,furnace cleaning, etc.)

iih Yes, minor repairs are needed (missing or loosefloor tiles, bricks or shingles, defective steps, railingor siding, etc.)

iih Yes, major repairs are needed (defective plumbingor electrical wiring, structural repairs to walls, floorsor ceilings, etc.)

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Number of rooms

Number of bedrooms

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Answer Questions H6 to H8 for only the dwelling that you now occupy, even if you own or rent more than onedwelling. If the exact amount is not known, please give best estimate.

Note: If you or anyone in this dwelling is a farm operatorliving on the farm you or they operate,mark inhhere iih and go toStep Gon next page.

H7. For RENTERS only:

What is the monthly rent paid for this dwelling?

H6. For this dwelling, what are the YEARLY payments (last 12 months) for:

(a) electricity?

(b) oil, gas, coal, wood or other fuels?

(c) water and other municipal services?

H8. For OWNERS only, answer parts (a) through (f):

(a) What are the total regular monthly mortgage orloan payments for this dwelling?

(b) Are the property taxes (municipal and school)included in the amount shown in part (a)?

(c) What are the estimated yearly property taxes(municipal and school) for this dwelling?

(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) What are the monthly condominium fees?

Page0339 $H

iih None

iih Included in rent or other payments

OR $ .00 per year

iih None


OR $ .00 per year

iih None


OR $ .00 per year

iih Rented without payment of cash rent

OR $ .00 per month

iih None

OR $ .00 per month

iih Yes

iih No

iih None

OR $ .00 per year

. 00iih Yes

iih No

iih None

OR $ .00 per month

Go to part (d)

Go to part (c)

Go to Step G on next page

Continue with part (f)

$

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If more than five persons live here,you will need an extra questionnaire;call 1 877 594-2006.

You have now completed yourquestionnaire. Please mail it today.

Thank you for your cooperation.

STEP

GCOMMENTS

The confidentiality of your census responses is protected by law. All Statistics Canadaemployees have taken an oath of secrecy.Your personal census information cannotbe given to anyone outside Statistics Canada without your consent. This is your right.

Your census information will be retained in accordance with legislative requirements andwill be stored securely.You can ask to see the information about yourself on your 2006Census questionnaire after November 2006 To do this write the Privacy Coordinator

THE LAW PROTECTS WHAT YOU TELL US

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Long-form questionnaire, 2006 census

Documents

Transcript of Long-form questionnaire, 2006 census