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Census 2006 - 2B (Long Form)

Part 1 – 2006 Census Questions

STEP A

CONFIDENTIAL WHEN COMPLETED

2.

Print your telephone number:

 

 

 

 

 

 

 

Area code

_______

Telephone number

______________

 

 

 

 

 

 

 

3.

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

 

 

 

No. and street or lot and concession

 

Apt. No.

 

 

 

 

 

_________________________________

 

______________

 

 

 

 

 

City, municipality, town, village, Indian reserve

 

Province / territory

 

 

 

 

 

_________________________________

 

______________

 

 

 

 

 

Postal code

 

 

 

 

 

 

 

_______   _______

 

 

1.  WHOM TO INCLUDE IN STEP B

  • 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 a prison), 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 STEP B

  • Persons who have their usual home at another address in Canada and who are staying here temporarily (for example, persons visiting or persons who have their secondary residence here, at this address);

  • Residents of another country visiting Canada (for example, on a business trip or on vacation);

  • Government representatives of another country and their family members.

3.

IF THERE IS NO ONE TO INCLUDE IN STEP B

 

circle

line, three arrows pointing right

 

If all persons staying at this address on May 16, 2006, usually live elsewhere in Canada or are 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.

 

Family Name                 Given Name

________________________________________________

Area code

Telephone number

______

______________

STEP B

1.

Including yourself, how many persons usually live here, at this address, as of May 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 person's spouse or common-law partner and by their children who usually live here. Continue with all other persons who usually live here.

     

 

 

FAMILY NAME

GIVEN NAME

 

 

 

 

 

Person 1

__________________________________________

 

 

 

 

Person 2

__________________________________________

 

 

 

 

Person 3

__________________________________________

 

 

 

 

Person 4

__________________________________________

 

 

 

 

Person 5

__________________________________________

 

 

 

 

Person 6

__________________________________________

 

 

 

 

Person 7

__________________________________________

 

 

 

 

Person 8

__________________________________________

 

 

 

 

Person 9

__________________________________________

 

 

 

 

Person 10

__________________________________________

 

 

 

 

STEP C

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 who has another home;

  • a person temporarily away.

 

 

 

 

 

 

circle

No

 

 

 

 

 

 

circle

Yes

arrow pointing right

Specify the name, the relationship and the reason.

 

 

 

 

 

 

Name(s)

 

______________________________

 

 

 

 

 

 

 

 

 

______________________________

 

 

 

 

Relationship / Reason

______________________________

 

 

 

 

 

______________________________

 

 

 


STEP D

1.

Is anyone listed in Step B a farm operator who produces at least one agricultural product intended for sale? (crops, livestock, milk, poultry, eggs, greenhouse or nursery products, Christmas trees, sod, honey, bees, maple syrup products, furs, etc.)

 

 

 

 

 

 

circle

No

arrow pointing right

Go to Step E

 

 

 

 

 

 

circle

Yes

 

 

 

 

 

 

 

2.

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

 

 

 

 

 

 

circle

No

 

 

 

 

 

 

 

 

circle

Yes

 

 

STEP E

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

1.

NAME

 

 

 

 

 

 

In the spaces provided, copy the names in the same order as in Step B. Then answer the following questions for each person.

 

 

 

 

 

 

PERSON 1

 

 

 

 

 

 

 

 

Family Name

 

 

 

 

 

 

 

 

______________________________

 

 

 

 

 

 

 

 

Given Name

 

 

 

 

 

 

 

 

 

______________________________

 

 

 

 

 

 

 

 

2.

SEX

 

 

 

 

 

 

circle

Male

 

 

 

 

 

 

 

 

circle

Female

 

 

 

 

 

 

 

3.

DATE OF BIRTH

 

 

 

 

 

 

 

Day

Month

Year

 

 

 

 

 

 

Example :

  1  3  

  0  2  

  1  9  5  0  

 

 

 

 

 

 

If exact date is not known, enter best estimate.

 

 

 

 

 

 

Date of birth

 

 

 

 

Day

Month

Year

 

 

 

_____     ______

________

 

 

4.

MARITAL STATUS

 

 

 

 

 

 

Mark one circle only.

 

 

 

 

 

 

circle

Never legally married (single)

 

 

 

 

 

 

circle

Legally married (and not separated)

 

 

 

 

 

 

circle

Separated, but still legally married

 

 

 

 

 

 

circle

Divorced

 

 

 

 

 

 

circle

Widowed

 

 

 

 

 

5.

Is this person living with a common-law partner? Common-law refers to two people of the opposite sex or of the same sex who live together as a couple but who are not legally married to each other.

 

 

 

 

 

 

circle

Yes

 

 

 

 

 

 

 

 

circle

No

 

6.  RELATIONSHIP TO PERSON 1

For each person usually living here, describe his/her relationship to Person 1.

 

 

 

 

 

Mark or specify one response only.

 

 

 

 

 

Stepchildren, adopted children and children of a common-law partner should be considered sons and daughters.

 

 

 

 

 

If none of the choices apply, use the "Other" box to indicate this person's relationship to Person 1.

 

 

 

 

 

Examples of "Other" relationships to Person 1:
•  cousin
•  niece or nephew
•  lodger's husband or wife
•  room-mate's son or daughter
•  employee
•  same-sex married spouse

 

 

 

 

 

PERSON 1

 

 

 

 

 

 

 

 

 

 

 

cercle

PERSON 1

 

 

 

 

 

 

 

PERSON 2

 

 

 

 

 

 

 

circle

Husband or wife of Person 1

 

 

 

circle

Opposite-sex common-law partner of Person 1

 

 

 

circle

Same-sex common-law partner of Person 1

 

 

 

circle

Son or daughter of Person 1

 

 

 

circle

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

 

 

 

circle

Grandchild of Person 1

 

 

 

circle

Father or mother of Person 1

 

 

 

circle

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

 

 

 

circle

Grandparent of Person 1

 

 

 

circle

Brother or sister of Person 1

 

 

 

circle

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

 

 

 

circle

Lodger or boarder

 

 

 

circle

Room-mate

 

 

 

Other— Specify

 

 

 

 

______________________________

 

 

 

 

______________________________

 

 

 

ACTIVITIES OF DAILY LIVING

7.

Does this person have any difficulty hearing, seeing, communicating, walking, climbing stairs, bending, learning or doing any similar activities?

 

 

 

 

 

 

circle

Yes, sometimes

 

 

 

 

 

 

circle

Yes, often

 

 

 

 

 

 

circle

No

 

 

 

 

8.

Does a physical condition or mental condition or health problem reduce the amount or the kind of activity this person can do:

 

 

 

 

 

 

(a)

at home?

 

 

 

 

 

 

 

circle

Yes, sometimes

 

 

 

 

 

 

 

circle

Yes, often

 

 

 

 

 

 

 

circle

No

 

 

 

 

 

 

(b)

at work or at school?

 

 

 

 

 

 

 

circle

Yes, sometimes

 

 

 

 

 

 

 

circle

Yes, often

 

 

 

 

 

 

 

circle

No

 

 

 

 

 

 

 

circle

Not applicable

 

 

 

 

 

 

(c)

in other activities, for example, transportation or leisure?

 

 

 

 

 

 

 

circle

Yes, sometimes

 

 

 

 

 

 

circle

Yes, often

 

 

 

 

 

 

circle

No

 

 

 

 

SOCIOCULTURAL INFORMATION

9.

Where was this person born?
Specify one response only, according to present boundaries.

 

 

 

 

 

 

Born in Canada

 

 

 

 

 

 

circle

Nfld.Lab.

circle

Manitoba

 

 

 

 

 

 

circle

P.E.I.

circle

Sask.

 

 

 

 

 

 

circle

N.S.

circle

Alberta

 

 

 

 

 

 

circle

N.B.

circle

B.C.

 

 

 

 

 

 

circle

Quebec

circle

Yukon

 

 

 

 

 

 

circle

Ontario

circle

N.W.T.

 

 

 

 

 

 

 

 

circle

Nunavut

 

 

 

 

 

Born outside Canada
Specify country

 

 

 

 

 

 

______________________________

 

 

 

 

 

10.

Of what country is this person a citizen?
Indicate more than one citizenship, if applicable.
"Canada, by naturalization" refers to the process by which an immigrant is granted citizenship of Canada, under the
Citizenship Act.

 

 

 

 

 

 

circle

Canada, by birth

 

 

 

 

 

 

circle

Canada, by naturalization

 

 

 

 

 

 

 

Other country — Specify

 

 

 

 

 

 

 

______________________________

 

 

 

 

 

11.

Is this person now, or has this person ever been, a landed immigrant? A "landed immigrant" (permanent resident) is a person who has been granted the right to live in Canada permanently by immigration authorities.

 

 

 

 

 

 

circle

No  arrow pointing right

Go to Question 13

 

 

 

 

 

 

 

circle

Yes

 

 

 

 

 

 

 

12.

In what year did this person first become a landed immigrant?

 

 

 

 

 

 

Year

__________

 

 

 

 

 

 

 

 

If exact year is not known, enter best estimate.

 

 

 

 

 

13.

Can this person speak English or French well enough to conduct a conversation?

 

 

 

 

 

 

Mark one circle only.

 

 

 

 

 

 

circle

English only

 

 

 

 

 

 

circle

French only

 

 

 

 

 

 

circle

Both English and French

 

 

 

 

 

 

circle

Neither English nor French

 

 

 

 

14.

What language(s), other than English or French, can this person speak well enough to conduct a conversation?

 

 

 

 

 

 

circle

None

 

 

 

 

 

 

OR

 

 

 

 

 

 

 

Specify other language(s)

 

 

 

 

 

 

 

 

______________________________

 

 

 

 

 

 

______________________________

 

 

 

 

 

15.

(a)

What language does this person speak most often at home?

 

 

 

 

 

 

 

circle

English

 

 

 

 

 

 

 

circle

French

 

 

 

 

 

 

 

 

Other — Specify

 

 

 

 

 

 

 

 

______________________________

 

 

 

 

 

 

(b)

Does this person speak any other languages on a regular basis at home?

 

 

 

 

 

 

 

circle

No

 

 

 

 

 

 

 

circle

Yes, English

 

 

 

 

 

 

 

circle

Yes, French

 

 

 

 

 

 

 

 

Yes, Other — Specify

 

 

 

 

 

 

 

 

______________________________

 

 

 

 

16.

What is the language that this person first learned at home in childhood and still understands?

 

 

 

 

 

 

If this person no longer understands the first language learned, indicate the second language learned.

 

 

 

 

 

 

circle

English  

 

 

 

 

 

 

circle

French

 

 

 

 

 

 

 

Other — Specify

 

 

 

 

 

 

 

______________________________

 

 

 

 

The census has collected information on the ancestral origins of the population for over 100 years to capture the composition of Canada's diverse population.

 

 

17.

What were the ethnic or cultural origins of this person's ancestors?

 

 

 

 

 

 

An ancestor is usually more distant than a grandparent.

 

 

 

 

 

 

For example, Canadian, English, French, Chinese, Italian, German, Scottish, East Indian, Irish, Cree, Mi'kmaq (Micmac), Métis, Inuit (Eskimo), Ukrainian, Dutch, Filipino, Polish, Portuguese, Jewish, Greek, Jamaican, Vietnamese, Lebanese, Chilean, Salvadorean, Somali, etc.

 

 

 

 

 

 

Specify as many origins as applicable using capital letters.

 

 

 

 

 

 

______________________________

 

 

 

 

 

 

______________________________

 

 

 

 

 

 

______________________________

 

 

 

 

 

 

______________________________

 

 

 

 

 

18.

Is this person an Aboriginal person, that is, North American Indian, Métis or Inuit (Eskimo)?

 

 

 

 

 

 

 

If "Yes", mark the circle(s) that best describe(s) this person now.

 

 

 

 

 

 

 

circle

No  arrow pointing right

Continue with the next question

 

 

 

 

 

 

 

circle

Yes, North American Indian

arrow pointing right

 

 

 

 

 

 

 

circle

Yes, Métis

Go to Question 20

 

 

 

 

 

 

circle

Yes, Inuit (Eskimo)

 

 

 

 

 

 

19.

Is this person:

 

 

 

 

 

 

Mark more than one or specify, if applicable.

 

 

 

 

 

 

This information is collected to support programs that promote equal opportunity for everyone to share in the social, cultural and economic life of Canada.

 

 

 

 

 

 

circle

White

 

 

 

 

 

 

circle

Chinese

 

 

 

 

 

 

circle

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

 

 

 

 

 

 

circle

Black

 

 

 

 

circle

Filipino

 

 

 

 

circle

Latin American

 

 

 

 

circle

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

 

 

 

 

circle

Arab

 

 

 

 

circle

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

 

 

 

 

circle

Korean

 

 

 

 

circle

Japanese

 

 

 

 

 

Other — Specify

 

 

 

 

 

______________________________

 

 

 

20.

Is this person a member of an Indian band/First Nation?

 

 

 

 

 

 

circle

No

 

 

 

 

 

 

 

 

circle

Yes, member of an Indian band/First Nation

 

 

down arrow

 

 

 

 

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

 

 

 

______________________________

 

 

21.

Is this person a Treaty Indian or a Registered Indian as defined by the Indian Act of Canada?

 

 

 

 

 

 

circle

No

 

 

 

 

 

 

circle

Yes, Treaty Indian or Registered Indian

 

 

 

 

 

 MOBILITY

23.

Where did this person live 1 year ago, that is, on May 16, 2005?

 

 

 

 

 

 

Mark one circle only.

 

 

 

 

 

 

Note:

 

For those who mark the third circle:

 

Please give the name of the city or town rather than the metropolitan area of which it is a part.

 

 

 

 

 

 

For example:
•  Saanich rather than Victoria (metropolitan area);
•  St. Albert rather than Edmonton (metropolitan area);
•  Laval rather than Montréal (metropolitan area).

 

 

 

 

 

 

circle

Lived at the same address as now

 

 

 

 

 

 

circle

Lived at a different address in the same city, town, village, township, municipality or Indian reserve

 

 

 

 

 

 

circle

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

 

 

down arrow

 

 

 

 

Specify name of:

 

City, town, village, township, municipality or Indian reserve

 

 

 

 

 

 

______________________________

 

 

 

 

 

 

______________________________

 

 

 

 

 

 

Province / territory

 

 

 

 

 

 

______________________________

 

 

 

 

 

 

Postal code

 

 

 

 

 

 

______     ______

 

 

 

 

 

 

circle

Lived outside Canada

 

 

down arrow

 

 

 

 

Specify name of country

 

 

 

______________________________

 

 

 

 

24.

Where did this person live 5 years ago, that is, on May 16, 2001?

 

 

 

 

 

 

Mark one circle only.

 

 

 

 

 

 

Note:

 

For those who mark the third circle:

 

Please give the name of the city or town rather than the metropolitan area of which it is a part.

 

 

 

 

 

 

For example:
•  Saanich rather than Victoria (metropolitan area);
•  St. Albert rather than Edmonton (metropolitan area);
•  Laval rather than Montréal (metropolitan area).

 

 

 

 

 

 

circle

Lived at the same address as now

 

 

 

 

 

 

circle

Lived at a different address in the same city, town, village, township, municipality or Indian reserve

 

 

 

 

 

 

circle

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

 

 

down arrow

 

 

 

 

Specify name of:

 

City, town, village, township, municipality or Indian reserve

 

 

 

 

 

 

______________________________

 

 

 

 

 

 

______________________________

 

 

 

 

 

 

Province / territory

 

 

 

 

 

 

______________________________

 

 

 

 

 

 

Postal code

 

 

 

 

 

 

______     ______

 

 

 

 

 

 

circle

Lived outside Canada

 

 

down arrow

 

 

 

 

Specify name of country

 

 

 

______________________________

 

 

 

 

 

PLACE OF BIRTH OF PARENTS

25.

Where was each of this person's parents born?

 

 

 

 

 

 

(a)

Father

 

 

 

 

 

 

Mark or specify country according to present boundaries.

 

 

 

 

 

Father

 

 

 

 

 

circle

Born in Canada

 

 

 

 

 

 

Born outside Canada
Specify country

 

 

 

 

 

 

______________________________

 

 

 

 

 

 

(b)

Mother

 

 

 

 

 

 

 

 

Mark or specify country according to present boundaries.

 

 

 

 

 

Mother

 

 

 

 

 

circle

Born in Canada

 

 

 

 

 

 

 

 

Born outside Canada
Specify country

 

 

 

 

 

 

 

 

______________________________

 

 

 

 

 

EDUCATION

26.

Has this person completed a secondary (high) school diploma or equivalent?

 

 

 

 

 

 

Examples of secondary (high) school equivalency certificates are General Educational Development (GED) and Adult Basic Education (ABE).

 

 

 

 

 

 

Secondary (high) school diploma or certificate

 

 

 

 

 

 

circle

Yes, secondary (high) school diploma

 

 

 

 

 

 

circle

Yes, secondary (high) school equivalency certificate

 

 

 

 

 

 

circle

No

 

 

 

 

 

27.

Has this person completed a Registered Apprenticeship or other trades certificate or diploma?

 

 

 

 

 

 

Mark as many circles as applicable.

 

 

 

 

 

 

For example:
•  hairdressing
•  CNC machinist

 

 

 

 

 

 

Registered Apprenticeship or trades certificate or diploma

 

 

 

 

circle

Yes, Registered Apprenticeship certificate

 

 

 

 

 

 

circle

Yes, other trades certificate or diploma

 

 

 

 

 

 

circle

No

 

 

 

 

 

28.

Has this person completed a college, CEGEP, or other non-university certificate or diploma?

 

 

 

 

 

 

Mark as many circles as applicable.

 

 

 

 

 

 

For example:
•  accounting technology
•  real estate agent
•  industrial engineering technology

 

 

 

 

 

 

College, CEGEP and other non-university certificate or diploma

 

 

 

 

circle

Yes, certificate or diploma from a program of less than 3 months

 

 

 

 

 

 

circle

Yes, certificate or diploma from a program of 3 months to less than 1 year

 

 

 

 

 

 

circle

Yes, certificate or diploma from a program of 1 to 2 years

 

 

 

 

circle

Yes, certificate or diploma from a program of more than 2 years

 

 

 

 

circle

No

 

 

 

 

 

29.

Has this person completed a university degree, certificate or diploma?

 

 

 

 

 

 

Mark as many circles as applicable.

 

 

 

 

 

 

University degree, certificate or diploma

 

 

 

 

circle

Yes, certificate or diploma below bachelor level

 

 

 

 

 

 

circle

Yes, bachelor's degree (including LL.B.)

 

 

 

 

 

 

circle

Yes, certificate or diploma above bachelor level

 

 

 

 

circle

Yes, master's degree

 

 

 

 

circle

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

 

 

 

 

circle

Yes, earned doctorate

 

 

 

 

circle

No

 

 

 

 

30.

What was the major field of study of the highest degree, certificate or diploma that this person completed?

 

 

 

 

 

 

Please be specific. For example:

•  automobile mechanics
•  civil engineering
•  dental technology
•  aircraft mechanics
•  medical laboratory technology
•  day-care
•  agricultural economics
•  COMPUTER ENGINEERING TECHNOLOGY

 

 

 

 

 

 

Major field of study of highest degree, certificate or diploma

 

 

 

 

______________________________

 

 

 

 

 

 

______________________________

 

 

 

 

 

 

______________________________

 

 

 

 

 

 

______________________________

 

 

 

 

 

 

OR

 

 

 

 


circle

No certificate or diploma (higher than high school)

arrow pointing right

Go to Question 32

 

 

 

 

 

31.

In what province, territory or country did this person complete his/her highest degree, certificate or diploma?

 

 

 

 

 

 

In Canada
Specify province or territory

 

 

 

 

 

 

______________________________

 

 

 

 

 

 

OR

 

 

Outside Canada
Specify country

 

 

 

 

______________________________

 

 

 

 

32.

Has this person attended a school, college, CEGEP or university at any time since September 2005?

 

 

 

 

 

 

Mark as many circles as applicable.

 

 

 

 

 

 

circle

Yes, attended elementary, junior high school or high school

 

 

 

 

 

 

circle

Yes, attended trade school, college, CEGEP or other non-university institution

 

 

 

 

 

 

circle

Yes, attended university

 

 

 

 

circle

No, did not attend school at any time since September 2005

 

 

 

 

 

HOUSEHOLD ACTIVITIES

Note:
Last week refers 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
.

 

 

33.

Last week, how many hours did this person spend doing the following activities:

 

 

 

 

(a)

doing unpaid housework, yard work or home maintenance for members of this household, or others?

 

 

 

 

 

 

 

Some examples include: preparing meals, washing the car, doing laundry, cutting the grass, shopping, household planning, etc.

 

 

 

 

 

 

 

circle

None

 

 

 

 

 

 

 

Less than 5 hours

 

 

 

 

 

 

 

circle

5 to 14 hours

 

 

 

 

 

 

 

circle

15 to 29 hours

 

 

 

 

 

 

 

circle

30 to 59 hours

 

 

 

 

 

 

 

circle

60 hours or more

 

 

 

 

 

 

(b)

looking after one or more of this person's own children, or the children of others, without pay?

 

 

 

 

 

 

 

Some examples include: bathing or playing with young children, driving children to sports activities or helping them with homework, talking with teens about their problems, etc.

 

 

 

 

 

 

 

circle

None

 

 

 

 

 

 

 

circle

Less than 5 hours

 

 

 

 

 

 

 

circle

5 to 14 hours

 

 

 

 

 

 

 

circle

15 to 29 hours

 

 

 

 

 

 

 

circle

30 to 59 hours

 

 

 

 

 

 

 

circle

60 hours or more

 

 

 

 

 

(c)

providing unpaid care or assistance to one or more seniors?

 

 

 

 

 

 

 

Some examples include: providing personal care to a senior family member, visiting seniors, talking with them on the telephone, helping them with shopping, banking or with taking medication, etc.

 

 

 

 

 

 

 

circle

None

 

 

 

 

 

 

 

circle

Less than 5 hours

 

 

 

 

 

 

 

circle

5 to 9 hours

 

 

 

 

 

 

 

circle

10 to 19 hours

 

 

 

 

 

 

 

circle

20 hours or more

 

 

 

 

 

LABOUR MARKET ACTIVITIES

34.

Last week, how many hours did this person spend working for pay or in self-employment?

 

 

 

 

 

 

Please enter the total number of hours worked for pay or in self-employment at all jobs held last week.

 

 

 

 

 

 

Include:

 

working for wages, salary, tips or commission;

 

working in his / her own business, farm or professional practice, alone or in partnership;

 

working directly towards the operation of a family farm or business without formal pay arrangements (e.g., assisting in seeding, doing accounts).

 

 

 

 

 

 

Number of hours (to the nearest hour)

 

 

 

 

 

 

__________  

arrow pointing right

Go to Question 40

 

 

 

 

 

OR

 

 

 

 

 

 

 

 

circle

None  

arrow pointing right

Continue with the next question

         

35.

Last week, was this person on temporary lay-off or absent from his / her job or business?

 

 

 

 

 

 

Mark one circle only.

 

 

 

 

 

 

circle

No

 

 

 

 

circle

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

 

 

 

 

circle

Yes, on vacation, ill, on strike or locked out, or absent for other reasons

 

 

 

 

36.

Last week, did this person have definite arrangements to start a new job within the next four weeks?

 

 

 

 

 

 

circle

No

 

 

 

 

circle

Yes

 

 

 

37.

Did this person look for paid work during the past four weeks?

 

 

 

 

 

 

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

 

 

 

 

 

 

Mark one circle only.

 

 

 

 

 

 

circle

No

arrow pointing right

Go to Question 39

 

 

 

 

circle

Yes, looked for full-time work

 

 

 

 

circle

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

     

38.

Could this person have started a job last week had one been available?

 

 

 

 

 

 

Mark one circle only.

 

 

 

 

 

 

circle

Yes, could have started a job

 

 

 

 

circle

No, already had a job

 

 

 

 

circle

No, because of temporary illness or disability

 

 

 

 

circle

No, because of personal or family responsibilities

 

 

 

 

circle

No, going to school

 

 

 

 

circle

No, other reasons

 

 

 

39.

When did this person last work for pay or in self-employment, even for a few days?

 

 

 

 

 

 

Mark one circle only.

 

 

 

 

 

 

circle

In 2006

arrow pointing right

Continue with the next question

 

 

 

 

circle

In 2005

arrow pointing right

Continue with the next question

 

 

 

 

circle

Before 2005

arrow pointing right

Go to Question 51

 

 

 

 

circle

Never

arrow pointing right

Go to Question 51

     

Note: Questions 40 to 48 refer to this person's job or business last week.
If this person held no job last week, answer for the job of longest duration since January 1, 2005. If this person held more than one job last week, answer for the job at which he / she worked the most hours.

 

40.

For whom did this person work?

 

 

 

 

 

 

For self-employed persons, enter the name of their business. If the business does not have a name, enter the person's name.

 

 

 

 

 

 

Print in capital letters as follows:

 

 

 

 

 

 

Name of firm, government agency, etc.

 

 

 

______________________________

 

 

 

______________________________

 

 

 

______________________________

 

 

 

______________________________

 

 

 

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

 

 

 

______________________________

 

 

 

______________________________

   

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

 

 

 

Kind of business, industry or service

 

 

 

______________________________

 

 

 

______________________________

 

 

 

______________________________

 

42.

What was this person's work 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.)

 

 

 

Occupation

 

 

 

 

 

 

______________________________

 

 

 

 

 

 

______________________________

 

 

 

 

 

 

______________________________

 

 

 

 

 

43.

In this work, what were this person's main activities?

 

 

 

 

 

 

Please give details. For example:

 

prepared legal documents
installed residential plumbing
guided fishing parties
made wood furniture products
taught mathematics

 

 

 

 

 

 

Main activities

 

 

 

 

 

 

______________________________

 

 

 

 

 

 

______________________________

 

 

 

 

 

 

______________________________

 

 

 

 

 

44.

In this job or business, was this person mainly:

 

 

 

 

 

 

Mark one circle only.

 

 

 

 

 

 

circle

working for wages, salary, tips or commission?  arrow pointing right  Go to Question 46

 

 

 

 

 

 

circle

working without pay for his / her spouse or another relative in a family farm or business?  arrow pointing right  Go to Question 46

 

 

 

 

 

 

circle

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

 

 

 

 

 

 

circle

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

       

45.

If self-employed, was this person's farm or business incorporated?

 

 

 

 

 

 

circle

No

 

 

 

 

 

 

circle

Yes

 

 

 

 

 

46. 

At what address did this person usually work most of the time?

 

 

 

 

 

 

Example:

365 Laurier Ave. West

 

 

 

 

 

 

 

 

 

Number

four arrows pointing up

 

 

 

 

Name

 

 

 

 

Type

 

 

 

 

Direction

 

 

 

 

 

 

 

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

 

 

 

 

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

 

 

 

 

 

 

Please give the name of the city or town rather than the metropolitan area of which it is a part.

 

 

 

 

 

 

For example:
•  Saanich rather than Victoria (metropolitan area);
•  St. Albert rather than Edmonton (metropolitan area);
•  Laval rather than Montréal (metropolitan area).

 

 

 

 

 

 

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

 

 

 

 

 

 

circle

Worked at home (including farms)  arrow pointing right  Go to Question 48

 

 

 

 

 

 

circle

Worked outside Canada  arrow pointing right  Go to Question 48

 

 

 

 

 

 

circle

No fixed workplace address  arrow pointing right  Go to Question 47

 

 

 

 

 

 

circle

Worked at the address specified below:

 

 

 

 

 

Specify complete address

 

 

 

Street address (see example)

 

 

 

______________________________

 

 

 

______________________________

 

 

 

______________________________

 

 

 

City, town, village, township, municipality or Indian reserve

 

 

 

______________________________

 

 

 

______________________________

 

 

 

Province / territory

 

 

 

______________________________

 

 

 

Postal code

 

 

 

______   ______

 

 

 

47.

How did this person usually get to work?

 

 

 

 

 

 

If this person used more than one method of transportation, mark the one used for most of the travel distance.

 

 

 

 

 

 

circle

Car, truck or van — as driver

 

 

 

 

circle

Car, truck or van — as passenger

 

 

 

 

circle

Public transit (e.g., bus, streetcar, subway, light-rail transit, commuter train, ferry)

 

 

 

 

circle

Walked to work

 

 

 

 

circle

Bicycle

 

 

 

 

circle

Motorcycle

 

 

 

 

circle

Taxicab

 

 

 

 

circle

Other method

 

 

 

48.

(a)

In this job, what language did this person use most often?

 

 

 

 

 

 

 

circle

English

 

 

 

 

 

 

 

circle

French

 

 

 

 

 

 

 

 

Other — Specify

 

 

 

 

 

 

 

 

 

______________________________

 

 

 

 

 

 

 

(b)

Did this person use any other languages on a regular basis in this job?

 

 

 

 

 

 

 

circle

No

 

 

 

 

 

 

 

 

circle

Yes, English

 

 

 

 

 

 

 

 

circle

Yes, French

 

 

 

 

 

 

 

 

 

Yes, Other — Specify

 

 

 

 

 

 

 

 

 

______________________________

 

 

 

 

 

 

49.

In how many weeks did this person work in 2005?

 

 

 

 

 

 

Please enter the total number of weeks worked for pay or in self-employment at all jobs held in 2005.

 

 

 

Include those weeks in which this person:

 

was on vacation or sick leave with pay;

 

worked full time or part time;

 

worked for wages, salary, tips or commission;

 

was self-employed;

 

worked directly towards the operation of a family farm or business without formal pay arrangements.

 

 

 

circle

None  arrow pointing right  Go to Question 51

 

 

 

OR

 

 

 

______  arrow pointing left  Number of weeks

 

 

 

 

 

50.

During most of those weeks, did this person work full time or part time?

 

 

 

 

 

 

Mark one circle only.

 

 

 

 

 

 

circle

Full time (30 hours or more per week)

 

 

 

 

 

 

circle

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 already available 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 use the income information already available in his / her income tax files for the year ending December 31, 2005?

 

 

 

circle

Yes  arrow pointing right  Person 1 agrees. Go to Question 53

 

 

 

 

 

 

circle

No  arrow pointing right  Continue with Question 52

 

 

 

 

 

 

52.

During the year ending December 31, 2005, did this person receive any income from the sources listed below?

 

 

 

 

 

Answer "Yes" or "No" for all sources. If "Yes", also enter the amount; in case of a loss, also mark "Loss".

 

 

 

 

PAID EMPLOYMENT:

 

 

(a)

Total wages and salaries, including commissions, bonuses, tips, taxable benefits, research grants, royalties, etc., before any deductions

 

 

 

 

 

circle

Yes  arrow pointing right $  ___   ______   ______  .00

 

 

 

 

circle

No

 

 

 

 

SELF EMPLOYMENT:

 

 

 

 

(b)

Net farm income (gross receipts minus expenses), including grants and subsidies under farm-support programs, marketing board payments, gross insurance proceeds

 

 

 

 

 

circle

Yes  arrow pointing right $___   ______   ______  .00

 

 

 

 

 

circle

No  

 

 

 

 

 

 

 

 

 

circle

Loss  

 

 

 

 

 

 

 

 

 

 

(c)

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

 

 

 

 

circle

Yes  arrow pointing right $___   ______   ______  .00

 

 

 

 

 

circle

No  

 

 

 

 

circle

Loss

 

 

 

 

INCOME FROM GOVERNMENT:

 

 

(d)

Child benefits, such as child tax benefits, family allowances (federal, provincial and territorial)

 

 

 

 

 

circle

Yes  arrow pointing right $  ___   ______   ______  .00

 

 

 

 

circle

No

 

 

 

 

(e)

Old Age Security Pension, Guaranteed Income Supplement, Allowance and Allowance for the Survivor from federal government only (provincial income supplements should be reported in (h))

 

 

 

 

 

circle

Yes  arrow pointing right $  ___   ______   ______  .00

 

 

 

 

 

circle

No

 

 

 

(f)

Benefits from Canada or Quebec Pension Plan

 

 

 

 

circle

Yes  arrow pointing right $  ___   ______   ______  .00

 

 

 

 

circle

No

 

 

 

(g)

Benefits from Employment Insurance (total benefits before tax deductions)

 

 

 

 

circle

Yes  arrow pointing right $  ___   ______   ______  .00

 

 

 

 

circle

No

 

 

 

(h)

Other income from government sources, such as provincial income supplements and grants, the GST/QST/HST credit, provincial tax credits, workers' compensation, veterans' pensions, welfare payments

 

 

 

 

circle

Yes  arrow pointing right $  ___   ______   ______  .00

 

 

 

 

circle

No

 

 

 

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.

 

 

 

 

 

circle

Yes  arrow pointing right $  ___   ______   ______  .00

 

 

 

 

 

circle

No  

 

 

 

 

circle

Loss

 

 

 

 

(j)

Retirement pensions, superannuation and annuities, including those from RRSPs and RRIFs.
Do not include withdrawals from a pension plan or RRSP.

 

 

 

 

 

circle

Yes  arrow pointing right $  ___   ______   ______  .00

 

 

 

 

 

circle

No

 

 

 

(k)

Other money income, such as alimony, child support, scholarships

 

 

 

 

circle

Yes   $  ___   ______   ______  .00

 

 

 

 

circle

No

 

 

 

 

 

TOTAL INCOME in 2005 from all sources

 

 

 

 

 

circle

Yes  arrow pointing right $  ___   ______   ______  .00

 

 

 

 

 

circle

No

 

 

 

 

 

circle

Loss

 

 

 

 

 

INCOME TAX PAID on 2005 income (federal, provincial and territorial)

 

 

 

 

right arrow

   $  ___   ______   ______  .00

 

 

 

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

 

 

 

 

 

53.

The Statistics Act guarantees 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 2006 Census. If you mark "NO" or leave the answer blank, your personal information will never be made publicly available.

 

 

 

 

 

 

Does this person agree to make his / her 2006 Census information available for public release in 2098 (92 years after the census)?

 

 

 

 

circle

Yes

 

 

 

 

 

 

circle

No

 

 

 

 

 

STEP F

Answer Questions H1 to H8 about this dwelling.

 

 

 

 

 

A dwelling is a separate set of living quarters with a private entrance from the outside or from a common hallway or stairway inside the building. This entrance should not be through someone else's living quarters.

 

 

 

 

 

H1.

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

 

 

 

 

 

 

If more than one person contributes to such payments, mark as many circles as apply.

 

 

 

 

 

 

circle

Person 1

 

 

 

 

 

 

 

 

circle

Person 2

 

 

 

 

 

 

 

 

circle

Person 3

 

 

 

 

 

 

 

 

circle

Person 4

 

 

 

 

 

 

 

 

circle

Person 5

 

 

 

 

 

 

circle

A person who is listed on another questionnaire for this dwelling

 

 

 

 

 

 

circle

A person who does not live here

 

 

 

 

 

H2.

Is this dwelling:

 

 

 

 

 

 

Mark one circle only.

 

 

 

 

 

 

circle

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

 

 

 

 

 

 

circle

rented (even if no cash rent is paid)?

 

 

 

 

 

H3.

(a)

How many rooms are there in this dwelling?

 

 

 

 

 

 

Include kitchen, bedrooms, finished rooms in attic or basement, etc.

 

 

 

 

 

 

Do not count bathrooms, halls, vestibules and rooms used solely for business purposes.

 

 

 

 

 

 

______  left arrow  Number of rooms

 

 

 

 

 

 

(b)

How many of these rooms are bedrooms?

 

 

 

 

 

 

______  left arrow  Number of bedrooms

 

 

 

 

 

H4.

When was this dwelling originally built?

 

 

 

 

 

 

Mark the period in which the building was completed, not the time of any later remodelling, additions or conversions. If year is not known, give best estimate.

 

 

 

 

 

 

circle

1920 or before

 

 

 

 

 

 

 

 

circle

1921-1945

 

 

 

 

 

 

 

 

circle

1946-1960

 

 

 

 

 

 

 

 

circle

1961-1970

 

 

 

 

 

 

 

 

circle

1971-1980

 

 

 

 

 

 

circle

1981-1985

 

 

 

 

 

 

circle

1986-1990

 

 

 

 

 

 

circle

1991-1995

 

 

 

 

 

 

 

 

circle

1996-2000

 

 

 

 

 

 

 

 

circle

2001-2006

 

 

 

 

 

 

 

H5.

Is this dwelling in need of any repairs?

 

 

 

 

 

 

Do not include desirable remodelling or additions.

 

 

 

 

 

 

circle

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

 

 

 

 

 

 

circle

Yes, minor repairs are needed (missing or loose floor tiles, bricks or shingles, defective steps, railing or siding, etc.)

 

 

 

 

 

 

circle

Yes, major repairs are needed (defective plumbing or electrical wiring, structural repairs to walls, floors or ceilings, etc.)

 

 

 

 

 

 

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

 

 

 

 

 

Note:

If you or anyone in this dwelling is a farm operator living on the farm you or they operate, mark here  arrow pointing right  circle  and go to Step G on next page.

 

 

 

 

 

H6.

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

 

 

 

 

(a)

electricity?

 

 

 

 

circle

None

 

 

 

 

circle

Included in rent or other payments

 

 

 

 

OR

    

$ ___   ______  .00 per year

 

 

 

 

(b)

oil, gas, coal, wood or other fuels?

 

 

 

 

circle

None

 

 

 

 

circle

Included in rent or other payments

 

 

 

 

OR

    

$ ___   ______  .00 per year

 

 

 

 

c)

water and other municipal services?

 

 

 

 

circle

None

 

 

 

 

circle

Included in rent or other payments

 

 

 

 

OR

    

$ ___   ______  .00 per year

 

 

 

H7.

For RENTERS only:

 

 

 

 

What is the monthly rent paid for this dwelling?

 

 

 

 

circle

Rented without payment of cash rent

 

 

 

 

OR

    

$ ___   ______  .00 per month

 

 

 

 

H8.

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

 

 

 

 

(a)

What are the total regular monthly mortgage or loan payments for this dwelling?

 

 

 

 

 

circle

None  arrow pointing right  Go to part (c)

 

 

 

 

 

OR    $  ___   ______  .00 per month

 

 

 

 

(b)

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

 

 

 

 

 

circle

Yes  arrow pointing right  Go to part (d)

 

 

 

 

 

 

circle

No

 

 

 

 

 

(c)

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

 

 

 

 

 

 

circle

None

 

 

 

 

 

 

OR    $  ___   ______  .00 per year

 

 

 

 

(d)

If you were to sell this dwelling now, for how much would you expect to sell it?

 

 

 

 

 

    

$  ___   ______   ______  .00

 

 

 

 

(e)

Is this dwelling part of a registered condominium?

 

 

 

 

 

circle

Yes  arrow pointing right  Continue with part (f)

 

 

 

 

 

 

circle

No   arrow pointing right  Go to Step G on next page

 

 

 

 

 

(f)

What are the monthly condominium fees?

 

 

 

 

 

 

circle

None

 

 

 

 

 

 

OR    $  ___   ______  .00 per month

 

 

 

STEP G

You have now completed your questionnaire.

 

INTERNET QUESTIONS AND TELEPHONE INTERVIEW QUESTIONS


(only those that differ from the paper questionnaire)

Telephone interview questions

Step A

Could you provide me with a phone number, including the area code, in case we need to contact you regarding your census questionnaire?

Step A

Could you please give me your address, starting with your civic number, street name or lot and concession?
Do you have an apartment or unit number?
What is your city, municipality, town, village or Indian reserve?
In which province or territory do you live?
What is your postal code?

Step B

I need to make a list of all persons who usually live here, at this address, as of May 16, 2006, even if they are/were temporarily away. Including yourself, how many persons usually live here, at this address, as of May 16, 2006?

Step B

We will begin with your name then followed by another adult who lives here. If applicable, this should be your spouse or common-law partner, followed by your children who usually live here. Then continue with all other persons who usually live here. Please start by giving your family name.

Step B

As of May 16, 2006, the persons living at your address are:

As of May 16th, 2006, does or did any of the following situations apply to anyone in the household?

Is there anyone in the household who has his or her usual home at another address in Canada and who is staying here temporarily (for example, a person visiting or a person who has his or her secondary residence here, at this address)?

square  No

square  Yes

Is there anyone in the household who is a resident of another country visiting Canada (for example, on a business trip or on vacation)?

square  No

square  Yes

Is there anyone in the household who is a government representative of another country or a member of his or her family?

square   No

square  Yes

Step B

Could you please give me the name of the person or persons who are staying here temporarily and have their usual home at another address in Canada; or are residents of another country visiting Canada; or are government representatives of another country and their family members?

Step B

You have indicated that all persons staying at this address on May 16, 2006 are staying here temporarily and have their usual home at another address in Canada; or are residents of another country visiting Canada; or are government representatives of another country or a member of their family. Could you please give me again your name and telephone number at your permanent address?

Step B

As of May 16, 2006, the persons living at your address are:

Did you leave anyone out because you were not sure the person should be included?
For example:
•  a person living at this address who has another home;
•  a person temporarily away.

square  No 

 

square  Yes

Step C

What is this person's name, relationship to you and the reason why you are not sure if this person should be included?
Name
Relationship / Reason

Age confirmation

I would like to confirm the age of everyone in your household.
On May 16, 2006:
•  you were (age calculation) years old
 Person name was (age calculation) years old

Farm dwelling

H5(a). Are you or is anyone in this dwelling, a farm operator living on the farm you or they operate?

square  No 

 

square  Yes

Total income

The TOTAL INCOME in 2005 for Person name, from all sources, as calculated by the system is $X.
If you disagree with the total amount, please provide the correct amount.

 

Internet questions

Step A

1.

Enter your telephone number.

 

 

 

 

 

Area code    Telephone number
Example: 555 555-5555

 

 

 

 

 

two boxes, a line, one box

 

 

 

 

Step A

2.

Enter your address as of May 16, 2006.

 

 

 

 

 

No. and street or lot and concession
Example: 123 Main Street or lot 22, Concession 1

Apartment number

 

 

 

 

_____________________________________

______________

 

 

 

 

City, municipality, town, village, Indian reserve

Province/territory

 

 

 

 

_____________________________________

______________

 

 

 

 

Postal code
Example: M4J 4N8

 

 

 

 

              

three boxes   three boxes

 

 

 

 

 

Step A

2.

Please verify that the address below is your current address as of May 16, 2006. You can change your address information in the fields below.

 

 

 

 

No. and street or lot and concession
Example: 123 Main Street or lot 22, Concession 1

Apartment number

 

 

 

 

_____________________________________

______________

 

 

 

 

City, municipality, town, village, Indian reserve

Province/territory

 

 

 

 

_____________________________________

______________

 

 

 

 

Postal code
Example: M4J 4N8

 

 

 

 

              

three boxes   three boxes

 

 

 

 

Step B

 

 

1.

Including yourself, how many persons are staying here, at this address, as of May 16, 2006?

 

 

 

 

Include all persons, even if they are temporarily away.

 

 

   box

 

Number of persons:

 

 

Step B

 

 

2.

Including yourself, list below all persons who are staying here, at this address, as of May 16, 2006.

 

 

 

 

Begin the list with an adult followed, if applicable, by that person's spouse or common-law partner and by their children who stay here. Continue with all other persons who stay here.

 

 

 

 


Example:

  

Family name
  Doe

   

Given name
   Jane

 

 

 

 

 

Person 1:

two boxes

 

 

 

 

Step B

 

 

3.

As of May 16, 2006, the persons staying at this address are:

 

 

 

 

(a)

Is there anyone above who has his or her usual home at another address in Canada and who is staying here temporarily (for example, a person visiting or a person who has his or her secondary residence here, at this address)?

 

 

 

 

 

square  No

 

 

 

 

 

square  Yes

 

 

 

 

(b)

Is there anyone above who is a resident of another country visiting Canada (for example, on a business trip or on vacation)?

 

 

 

 

 

square  No

 

 

 

 

 

square  Yes

 

 

 

 

(c)

Is there anyone above who is a government representative of another country?

 

 

 

 

 

square  No

 

 

 

 

 

square  Yes

 

 

Step B

 

 

4.

Please indicate which persons below are:

 

 

 

 

staying here temporarily and have their usual home at another address in Canada; or

 

 

 

residents of another country visiting Canada; or

 

 

 

 

government representatives of another country and their family members.

Step B

 

 

5.

You have indicated that all persons staying at this address on May 16, 2006 are:

 

 

 

 

staying here temporarily and have their usual home at another address in Canada; or

 

 

 

residents of another country visiting Canada; or

 

 

 

 

government representatives of another country and their family members.

 

 

 

 

Please specify your name and usual telephone number below.

     

 

Family name

______________________

 

 

 

 

Given name

______________________

 

 

 

 

Telephone number including area code

______________________

Step C

As of May 16, 2006, the persons living at your address are:

Did you leave anyone out because you were not sure the person should be included?
For example:
•  a person living at this address who has another home;
•  a person temporarily away.

square  No 

 

square  Yes

Step C

Specify the name, the relationship and the reason why you are not sure if that (those) person(s) should be included in this questionnaire.

Name(s)

______________________

 

 

Relationship / Reason

______________________

 

 

Age confirmation
On May 16, 2006:

          Person name is (age calculation) years old

Farm dwelling

 

 

 

H5

(a).

Are you or is anyone in this dwelling, a farm operator living on the farm you or they operate?

 

 

 

 

 

square  No

 

 

 

 

 

square  Yes

Total income

 

 

 

 

 

TOTAL INCOME in 2005 from all sources
(calculated by the system)

 

 

 

 

 

square  Yes

box .00

 

 

 

 

 

 

square  No

 

 

 

 

 

 

 

square  Loss

box .00

 

 

Summary of income in 2005

This is a summary of the income amounts reported for all household members aged 15 and over.

Please review to make sure that the amounts are correct.

Name of person

(a)

Wages and salaries

$ X

(b)

Net farm self-employment income

$ X

(c)

Net non-farm self-employment income

$ X

(d)

Child benefits

$ X

(e)

OAS/GIS benefits

$ X

(f)

CPP/QPP benefits

$ X

(g)

Employment Insurance (EI) benefits

$ X

(h)

Other income from government sources

$ X

(i)

Investment income

$ X

(j)

Pension income

$ X

(k)

Other money income

$ X

Total income in 2005 for all sources

$ X

Income tax paid on 2005 income

$ X