university of ottawagsg.uottawa.ca/data/census/archive-ref/2001_census_questionnaire_… · 2. 1....

32
2. 1. OFFICE USE ONLY For over 300 years, the census has painted a picture of our people and the places in which we live.This census, on May 15, 2001, will continue the tradition by providing information needed by community groups, businesses and governments to develop plans for education and training, seniors’ housing, day care, fire protection, public transport, and many other programs that are important to all of us. As Canada’s national statistics agency, Statistics Canada uses census data for producing statistical tables, analytical reports and for selecting samples or following up respondents for some of our surveys. These uses are strictly for statistical purposes and no one outside of the agency can have access to your identifiable information. By law, Statistics Canada must take a census every five years, and every household must fill in a census form.Also, by law, Statistics Canada must protect the confidentiality of the personal information you provide. Our employees, including census takers, are personally liable to fines or imprisonment should they break the confidentiality of your information. Please complete your census form and mail it back on May 15, 2001. Thank you for your cooperation. Ivan P. Fellegi Chief Statistician of Canada STEP A Begin here by printing your address No. and street or lot and concession Apt. No. City, town, village, Indian reserve Province / territory Postal code Area code Telephone number ? Ce questionnaire est disponible en français 1 800 591-2001 Count yourself in! May 15, 2001 For information and instructions see the Guide 1 800 591-2001 Call us free of charge TTY/ TDD users call: 1 877 881-8301 This information is collected under the authority of the Statistics Act, R.S.C. 1985, c. S-19, and must be provided by law. CONFIDENTIAL WHEN COMPLETED 2B Prov. FED EA VN CCD UD 3 1 FR Forms 3 Coll. TR 4 2 NH/S TD Questionnaire No. of VR Line No. Map Block No. Form type 3 No. of persons FOR INFORMATION ONLY

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Page 1: University of Ottawagsg.uottawa.ca/data/census/archive-ref/2001_census_questionnaire_… · 2. 1. OFFICE USE ONLY For over 300 years, the census has painted a picture of our people

2.

1.

OFFICE USE ONLY

For over 300 years, the census has painted a picture of our people and the places in which we live. This census, onMay 15, 2001, will continue the tradition by providing information needed by community groups, businesses andgovernments to develop plans for education and training, seniors’ housing, day care, fire protection, public transport,and many other programs that are important to all of us.

As Canada’s national statistics agency, Statistics Canada uses census data for producing statistical tables, analyticalreports and for selecting samples or following up respondents for some of our surveys. These uses are strictly forstatistical purposes and no one outside of the agency can have access to your identifiable information.

By law, Statistics Canada must take a census every five years, and every household must fill in a census form. Also, bylaw, Statistics Canada must protect the confidentiality of the personal information you provide. Our employees, includingcensus takers, are personally liable to fines or imprisonment should they break the confidentiality of your information.

Please complete your census form and mail it back on May 15, 2001.

Thank you for your cooperation.

Ivan P. FellegiChief Statistician of Canada

STEP

ABegin hereby printing your address

No. and street or lot and concession Apt. No.

City, town, village, Indian reserve Province / territory

Postal code Area code Telephone number

?

Ce questionnaire est disponible en français 1 800 591-2001

Count yourself in! May 15, 2001

For informationand instructionssee the Guide

1 800 591-2001

Call us free of charge

TTY/ TDD users call:1 877 881-8301

This information is collected under the authority of the Statistics Act,R.S.C. 1985, c. S-19, and must be provided by law. CONFIDENTIAL WHEN COMPLETED

2BProv. FED EA VN CCD

UD

31

FRForms 3

Coll.TR

42

NH/S

TDQuestionnaire No.

of

VR Line No.Map

Block No.Formtype

3

No. ofpersons

FOR INFORMATION ONLY

Page 2: University of Ottawagsg.uottawa.ca/data/census/archive-ref/2001_census_questionnaire_… · 2. 1. OFFICE USE ONLY For over 300 years, the census has painted a picture of our people

Page 2 See the Guide or call 1 800 591-20018 a.m. to 9 p.m. May 1 to 31.

*2*

WHOM TO INCLUDE IN

• EVERYONE WHO USUALLY LIVES HERE, AT THIS ADDRESS: including newborn babiesand room-mates;

• STUDENTS: students who return to live with their parents during the year should be included at theirparents’ address, even if they live elsewhere while attending school or working at a summer job;

• CHILDREN IN JOINT CUSTODY: children in joint custody who live here most of the time. Childrenwho spend equal time with each parent should be included in the home of the parent where theyare staying on May 15, 2001;

• ABSENT SPOUSES: spouses or common-law partners who live elsewhere while working orstudying but who return here periodically;

• LANDED IMMIGRANTS: landed immigrants who usually live at this address;

• REFUGEES: persons claiming refugee status and family members living here with them;

• PERSONS FROM ANOTHER COUNTRY WITH A WORK, STUDENT OR MINISTER’S PERMIT:persons from another country who have an employment authorization, a student authorization ora Minister’s permit, and family members living here with them;

• PERSONS IN INSTITUTIONS: persons who usually live here but are now in an institution (suchas a home for the aged, a hospital or a prison), if they have been there less than six months;

• PERSONS WITH NO OTHER HOME: persons staying here on May 15, 2001, who have nousual home elsewhere.

DO NOT INCLUDE IN

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

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

• Government representatives of another country or members of the Armed Forces of anothercountry and family members.

IF ALL PERSONS STAYING AT THISADDRESS on May 15, 2001, have theirusual home elsewhere in Canada ORare visitors, government or militaryrepresentatives of another country,mark this circle . . . . . . . . . . . . . . . . . . . 01 iih � Do not complete this questionnaire.

Mail it in the enclosed postage-paidenvelope.

90.

STEP

B

STEP

B

FOR INFORMATION ONLY

Page 3: University of Ottawagsg.uottawa.ca/data/census/archive-ref/2001_census_questionnaire_… · 2. 1. OFFICE USE ONLY For over 300 years, the census has painted a picture of our people

*3* Page 3

STEP

E

STEP

D

STEP

C

List below all persons who usually live here, at this address, as of May 15, 2001, even ifthey are temporarily away. Don’t forget to include yourself!

Begin the list with an adult followed, if applicable, by that person’s spouse or common-law partnerand by their children who usually live here. Continue with all other persons who usually live here.Children should be listed immediately after their parent(s).

If you need more space, use the “Comments” section on page 32.

Family name Given name Initial

Person 1

Person 2

Person 3

Person 4

Person 5

Person 6

Person 7

Person 8

Person 9

Person 10

Did you leave anyone out of Step Bbecause you were not sure theperson should be listed?

For example:

• a person living at this address who hasanother home;

• a person temporarily away.

02 iih No

01 iih Yes � Specify the name,the relationship andthe reason.

If you need more space, use the “Comments” sectionon page 32.

Relationship

Reason

Name

Is anyone listed in Step Ba farm operator?

02 iih No

03 iih Yes

A farm operator makes the day-to-day management decisions for a farm. Farms produce any of thefollowing agricultural products intended for sale:

• crops• livestock• poultry• other agricultural products (greenhouse or

nursery products, Christmas trees, sod, honey,maple syrup products, furs, eggs, milk, etc.)

Copy the names from Step Bto Question 1, on the top ofthe next page.

IF MORE THAN SIX PERSONS LIVE HERE and youdo not have a second questionnaire to include them,note this in the “Comments” section on page 32. AStatistics Canada representative will contact you.

STEP

B

Relationship

Reason

Name

00.

FOR INFORMATION ONLY

Page 4: University of Ottawagsg.uottawa.ca/data/census/archive-ref/2001_census_questionnaire_… · 2. 1. OFFICE USE ONLY For over 300 years, the census has painted a picture of our people

Page 4 See the Guide or call 1 800 591-20018 a.m. to 9 p.m. May 1 to 31.

*4*

PERSON 1 PERSON 2Family name

Given name Initial

Family name

Given name Initial

NAMEIn the spaces provided, copy the names in thesame order as in Step B. Then answer thefollowing questions for each person.

1

04 iih Never legally married(single)

05 iih Legally married(and not separated)

06 iih Separated, but stilllegally married

07 iih Divorced

08 iih Widowed

04 iih Never legally married(single)

05 iih Legally married(and not separated)

06 iih Separated, but stilllegally married

07 iih Divorced

08 iih Widowed

MARITAL STATUS

Mark “ inh” one circle only.

SEX

DATE OF BIRTH

Example:

If exact date is not known, enter best estimate.

IS THIS PERSON LIVING WITH ACOMMON-LAW PARTNER?

Common-law refers to two people of the oppositesex or of the same sex who live together as a couplebut who are not legally married to each other.

Date of birth

03

Date of birth

03

01 iih Male

02 iih Female

01 iih Male

02 iih Female

09 iih Yes

10 iih No

09 iih Yes

10 iih No

3

2

4

5

Day Month Year

45912032 Day Month Year Day Month Year

12 iih Husband or wife ofPerson 1

13 iih Common-law partner(opposite-sex) of Person 1

14 iih Common-law partner(same-sex) of Person 1

15 iih Son or daughter ofPerson 1

16 iih Son-in-law ordaughter-in-law of Person 1

17 iih Grandchild of Person 1

18 iih Father or mother ofPerson 1

19 iih Father-in-law ormother-in-law of Person 1

20 iih Brother or sister ofPerson 1

21 iih Brother-in-law orsister-in-law of Person 1

22 iih Lodger or boarder

23 iih Room-mate

24

Other — Specify

RELATIONSHIP TO PERSON 1For each person usually living here, describehis /her relationship to Person 1.

Mark “ inh” or specify one response only.

Stepchildren, adopted children and children ofa common-law partner should be consideredsons and daughters.

If none of the choices apply, use the “Other ”box to indicate this person’s relationshipto Person 1.

Examples of “Other ” relationships to Person 1:• grandparent• cousin• niece or nephew• lodger’s husband or wife• room-mate’s daughter or son• employee

11 inh PERSON 1

6

01. 02.FOR INFORMATION ONLY

Page 5: University of Ottawagsg.uottawa.ca/data/census/archive-ref/2001_census_questionnaire_… · 2. 1. OFFICE USE ONLY For over 300 years, the census has painted a picture of our people

*5* Page 5

04 iih Never legally married(single)

05 iih Legally married(and not separated)

06 iih Separated, but stilllegally married

07 iih Divorced

08 iih Widowed

Date of birth

03

01 iih Male

02 iih Female

09 iih Yes

10 iih No

Day Month Year

15 iih Son or daughter ofPerson 1

16 iih Son-in-law ordaughter-in-law of Person 1

17 iih Grandchild of Person 1

18 iih Father or mother ofPerson 1

19 iih Father-in-law ormother-in-law of Person 1

20 iih Brother or sister ofPerson 1

21 iih Brother-in-law orsister-in-law of Person 1

22 iih Lodger or boarder

23 iih Room-mate

24

Other — Specify

03.

04 iih Never legally married(single)

05 iih Legally married(and not separated)

06 iih Separated, but stilllegally married

07 iih Divorced

08 iih Widowed

Date of birth

03

01 iih Male

02 iih Female

09 iih Yes

10 iih No

Day Month Year

15 iih Son or daughter ofPerson 1

16 iih Son-in-law ordaughter-in-law of Person 1

17 iih Grandchild of Person 1

18 iih Father or mother ofPerson 1

19 iih Father-in-law ormother-in-law of Person 1

20 iih Brother or sister ofPerson 1

21 iih Brother-in-law orsister-in-law of Person 1

22 iih Lodger or boarder

23 iih Room-mate

24

Other — Specify

04.

04 iih Never legally married(single)

05 iih Legally married(and not separated)

06 iih Separated, but stilllegally married

07 iih Divorced

08 iih Widowed

Date of birth

03

01 iih Male

02 iih Female

09 iih Yes

10 iih No

Day Month Year

15 iih Son or daughter ofPerson 1

16 iih Son-in-law ordaughter-in-law of Person 1

17 iih Grandchild of Person 1

18 iih Father or mother ofPerson 1

19 iih Father-in-law ormother-in-law of Person 1

20 iih Brother or sister ofPerson 1

21 iih Brother-in-law orsister-in-law of Person 1

22 iih Lodger or boarder

23 iih Room-mate

24

Other — Specify

05.

04 iih Never legally married(single)

05 iih Legally married(and not separated)

06 iih Separated, but stilllegally married

07 iih Divorced

08 iih Widowed

Date of birth

03

01 iih Male

02 iih Female

09 iih Yes

10 iih No

Day Month Year

15 iih Son or daughter ofPerson 1

16 iih Son-in-law ordaughter-in-law of Person 1

17 iih Grandchild of Person 1

18 iih Father or mother ofPerson 1

19 iih Father-in-law ormother-in-law of Person 1

20 iih Brother or sister ofPerson 1

21 iih Brother-in-law orsister-in-law of Person 1

22 iih Lodger or boarder

23 iih Room-mate

24

Other — Specify

06.

FOR INFORMATION ONLY

Page 6: University of Ottawagsg.uottawa.ca/data/census/archive-ref/2001_census_questionnaire_… · 2. 1. OFFICE USE ONLY For over 300 years, the census has painted a picture of our people

Page 6 See the Guide or call 1 800 591-20018 a.m. to 9 p.m. May 1 to 31.

*6*

01 iih Yes, sometimes

02 iih Yes, often

03 iih No

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

07.

7ACTIVITIES OF DAILY LIVING

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

(a) at home?

(b) at work or at school?

(c) in other activities, for example, transportationor leisure?

04 iih Yes, sometimes

05 iih Yes, often

06 iih No

07 iih Yes, sometimes

08 iih Yes, often

09 iih No

10 iih Not applicable

11 iih Yes, sometimes

12 iih Yes, often

13 iih No

8

21

19 iih No Go toQuestion 13

20 iih Yes

16 iih Canada, by birth

17 iih Canada, by naturalization

Other country — Specify

18

Born in CanadaSpecify provinceor territory

14

Born outside CanadaSpecify country

15

Is this person now, or has this person everbeen, a landed immigrant?A “ landed immigrant” is a person who has beengranted the right to live in Canada permanently byimmigration authorities.

Of what country is this person a citizen?

Indicate more than one citizenship, if applicable.

“Canada, by naturalization” refers to the processby which an immigrant is granted citizenshipof Canada, under the Citizenship Act.

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

In what year did this person first become alanded immigrant?If exact year is not known, enter best estimate.

9�

12

10�

11�

Year

SOCIOCULTURAL INFORMATION

01 iih Yes, sometimes

02 iih Yes, often

03 iih No

08.

04 iih Yes, sometimes

05 iih Yes, often

06 iih No

07 iih Yes, sometimes

08 iih Yes, often

09 iih No

10 iih Not applicable

11 iih Yes, sometimes

12 iih Yes, often

13 iih No

21

19 iih No Go toQuestion 13

20 iih Yes

16 iih Canada, by birth

17 iih Canada, by naturalization

Other country — Specify

18

Born in CanadaSpecify provinceor territory

14

Born outside CanadaSpecify country

15

Year

FOR INFORMATION ONLY

Page 7: University of Ottawagsg.uottawa.ca/data/census/archive-ref/2001_census_questionnaire_… · 2. 1. OFFICE USE ONLY For over 300 years, the census has painted a picture of our people

*7* Page 7

01 iih Yes, sometimes

02 iih Yes, often

03 iih No

09.

04 iih Yes, sometimes

05 iih Yes, often

06 iih No

07 iih Yes, sometimes

08 iih Yes, often

09 iih No

10 iih Not applicable

11 iih Yes, sometimes

12 iih Yes, often

13 iih No

21

19 iih No Go toQuestion 13

20 iih Yes

16 iih Canada, by birth

17 iih Canada, by naturalization

Other country — Specify

18

Born in CanadaSpecify provinceor territory

14

Born outside CanadaSpecify country

15

Year

01 iih Yes, sometimes

02 iih Yes, often

03 iih No

10.

04 iih Yes, sometimes

05 iih Yes, often

06 iih No

07 iih Yes, sometimes

08 iih Yes, often

09 iih No

10 iih Not applicable

11 iih Yes, sometimes

12 iih Yes, often

13 iih No

21

19 iih No Go toQuestion 13

20 iih Yes

16 iih Canada, by birth

17 iih Canada, by naturalization

Other country — Specify

18

Born in CanadaSpecify provinceor territory

14

Born outside CanadaSpecify country

15

Year

01 iih Yes, sometimes

02 iih Yes, often

03 iih No

11.

04 iih Yes, sometimes

05 iih Yes, often

06 iih No

07 iih Yes, sometimes

08 iih Yes, often

09 iih No

10 iih Not applicable

11 iih Yes, sometimes

12 iih Yes, often

13 iih No

21

19 iih No Go toQuestion 13

20 iih Yes

16 iih Canada, by birth

17 iih Canada, by naturalization

Other country — Specify

18

Born in CanadaSpecify provinceor territory

14

Born outside CanadaSpecify country

15

Year

01 iih Yes, sometimes

02 iih Yes, often

03 iih No

12.

04 iih Yes, sometimes

05 iih Yes, often

06 iih No

07 iih Yes, sometimes

08 iih Yes, often

09 iih No

10 iih Not applicable

11 iih Yes, sometimes

12 iih Yes, often

13 iih No

21

19 iih No Go toQuestion 13

20 iih Yes

16 iih Canada, by birth

17 iih Canada, by naturalization

Other country — Specify

18

Born in CanadaSpecify provinceor territory

14

Born outside CanadaSpecify country

15

Year

FOR INFORMATION ONLY

Page 8: University of Ottawagsg.uottawa.ca/data/census/archive-ref/2001_census_questionnaire_… · 2. 1. OFFICE USE ONLY For over 300 years, the census has painted a picture of our people

Page 8 See the Guide or call 1 800 591-20018 a.m. to 9 p.m. May 1 to 31.

*8*

While most people in Canada view themselves as Canadians,information on their ancestral origins has been collectedsince the 1901 Census to capture the changing compositionof Canada’s diverse population. Therefore, this questionrefers to the origins of the person’s ancestors.

To which ethnic or cultural group(s) did thisperson’s ancestors belong?

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

Specify as many groupsas applicable

19

20

21

22

17�

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

Mark “ inh” one circle only.01 iih English only

02 iih French only

03 iih Both English and French

04 iih Neither English nor French

13�

13.

09 iih English

10 iih French

Other — Specify

11

12 iih No

13 iih Yes, English

14 iih Yes, French

Yes, Other — Specify

15

05 iih None

OR

Specify other language(s)

06

07

08

(a) What language does this person speakmost often at home?

(b) Does this person speak any other languageson a regular basis at home?

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

14�

15�

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

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

16 iih English

17 iih French

Other — Specify

18

16�

Specify as many groupsas applicable

19

20

21

22

01 iih English only

02 iih French only

03 iih Both English and French

04 iih Neither English nor French

14.

09 iih English

10 iih French

Other — Specify

11

12 iih No

13 iih Yes, English

14 iih Yes, French

Yes, Other — Specify

15

05 iih None

OR

Specify other language(s)

06

07

08

16 iih English

17 iih French

Other — Specify

18

�FOR INFORMATION ONLY

Page 9: University of Ottawagsg.uottawa.ca/data/census/archive-ref/2001_census_questionnaire_… · 2. 1. OFFICE USE ONLY For over 300 years, the census has painted a picture of our people

*9* Page 9

Specify as many groupsas applicable

19

20

21

22

01 iih English only

02 iih French only

03 iih Both English and French

04 iih Neither English nor French

15.

09 iih English

10 iih French

Other — Specify

11

12 iih No

13 iih Yes, English

14 iih Yes, French

Yes, Other — Specify

15

05 iih None

OR

Specify other language(s)

06

07

08

16 iih English

17 iih French

Other — Specify

18

Specify as many groupsas applicable

19

20

21

22

01 iih English only

02 iih French only

03 iih Both English and French

04 iih Neither English nor French

16.

09 iih English

10 iih French

Other — Specify

11

12 iih No

13 iih Yes, English

14 iih Yes, French

Yes, Other — Specify

15

05 iih None

OR

Specify other language(s)

06

07

08

16 iih English

17 iih French

Other — Specify

18

Specify as many groupsas applicable

19

20

21

22

01 iih English only

02 iih French only

03 iih Both English and French

04 iih Neither English nor French

17.

09 iih English

10 iih French

Other — Specify

11

12 iih No

13 iih Yes, English

14 iih Yes, French

Yes, Other — Specify

15

05 iih None

OR

Specify other language(s)

06

07

08

16 iih English

17 iih French

Other — Specify

18

Specify as many groupsas applicable

19

20

21

22

01 iih English only

02 iih French only

03 iih Both English and French

04 iih Neither English nor French

18.

09 iih English

10 iih French

Other — Specify

11

12 iih No

13 iih Yes, English

14 iih Yes, French

Yes, Other — Specify

15

05 iih None

OR

Specify other language(s)

06

07

08

16 iih English

17 iih French

Other — Specify

18

FOR INFORMATION ONLY

Page 10: University of Ottawagsg.uottawa.ca/data/census/archive-ref/2001_census_questionnaire_… · 2. 1. OFFICE USE ONLY For over 300 years, the census has painted a picture of our people

Page 10 See the Guide or call 1 800 591-20018 a.m. to 9 p.m. May 1 to 31.

*10*

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

If “Yes’’, mark “ inh” the circle(s) that best describe(s)this person now.

01 iih No Continuewith the nextquestion

02 iih Yes, NorthAmericanIndian

03 iih Yes, Métis

04 iih Yes, Inuit(Eskimo)

05 iih White

06 iih Chinese

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

08 iih Black

09 iih Filipino

10 iih Latin American

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

12 iih Arab

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

14 iih Japanese

15 iih Korean

Other — Specify

16

Is this person:

Mark “ inh” more than one or specify, if applicable.

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

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

Is this person a member of an IndianBand/First Nation?

17 iih No

18 iih Yes, member of an IndianBand /First NationSpecify Indian Band/First Nation (for example,Musqueam)

19

20 iih No

21 iih Yes, Treaty Indian orRegistered Indian

19�

20

21

18�

Go toQuestion20

19.

Specify one denomination orreligion only

22

23 iih No religion

What is this person’s religion?

Indicate a specific denomination or religion even ifthis person is not currently a practising member of that group.

For example, Roman Catholic, Ukrainian Catholic,United Church, Anglican, Lutheran, Baptist, GreekOrthodox, Jewish, Islam, Buddhist, Hindu, Sikh, etc.

01 iih No Continuewith the nextquestion

02 iih Yes, NorthAmericanIndian

03 iih Yes, Métis

04 iih Yes, Inuit(Eskimo)

05 iih White

06 iih Chinese

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

08 iih Black

09 iih Filipino

10 iih Latin American

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

12 iih Arab

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

14 iih Japanese

15 iih Korean

Other — Specify

16

17 iih No

18 iih Yes, member of an IndianBand /First NationSpecify Indian Band/First Nation (for example,Musqueam)

19

20 iih No

21 iih Yes, Treaty Indian orRegistered Indian

Go toQuestion20

20.

Specify one denomination orreligion only

22

23 iih No religion

22

FOR INFORMATION ONLY

Page 11: University of Ottawagsg.uottawa.ca/data/census/archive-ref/2001_census_questionnaire_… · 2. 1. OFFICE USE ONLY For over 300 years, the census has painted a picture of our people

*11* Page 11

01 iih No Continuewith the nextquestion

02 iih Yes, NorthAmericanIndian

03 iih Yes, Métis

04 iih Yes, Inuit(Eskimo)

05 iih White

06 iih Chinese

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

08 iih Black

09 iih Filipino

10 iih Latin American

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

12 iih Arab

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

14 iih Japanese

15 iih Korean

Other — Specify

16

17 iih No

18 iih Yes, member of an IndianBand /First NationSpecify Indian Band/First Nation (for example,Musqueam)

19

20 iih No

21 iih Yes, Treaty Indian orRegistered Indian

Go toQuestion20

21.

Specify one denomination orreligion only

22

23 iih No religion

01 iih No Continuewith the nextquestion

02 iih Yes, NorthAmericanIndian

03 iih Yes, Métis

04 iih Yes, Inuit(Eskimo)

05 iih White

06 iih Chinese

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

08 iih Black

09 iih Filipino

10 iih Latin American

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

12 iih Arab

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

14 iih Japanese

15 iih Korean

Other — Specify

16

17 iih No

18 iih Yes, member of an IndianBand /First NationSpecify Indian Band/First Nation (for example,Musqueam)

19

20 iih No

21 iih Yes, Treaty Indian orRegistered Indian

Go toQuestion20

22.

Specify one denomination orreligion only

22

23 iih No religion

01 iih No Continuewith the nextquestion

02 iih Yes, NorthAmericanIndian

03 iih Yes, Métis

04 iih Yes, Inuit(Eskimo)

05 iih White

06 iih Chinese

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

08 iih Black

09 iih Filipino

10 iih Latin American

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

12 iih Arab

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

14 iih Japanese

15 iih Korean

Other — Specify

16

17 iih No

18 iih Yes, member of an IndianBand /First NationSpecify Indian Band/First Nation (for example,Musqueam)

19

20 iih No

21 iih Yes, Treaty Indian orRegistered Indian

Go toQuestion20

23.

Specify one denomination orreligion only

22

23 iih No religion

01 iih No Continuewith the nextquestion

02 iih Yes, NorthAmericanIndian

03 iih Yes, Métis

04 iih Yes, Inuit(Eskimo)

05 iih White

06 iih Chinese

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

08 iih Black

09 iih Filipino

10 iih Latin American

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

12 iih Arab

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

14 iih Japanese

15 iih Korean

Other — Specify

16

17 iih No

18 iih Yes, member of an IndianBand /First NationSpecify Indian Band/First Nation (for example,Musqueam)

19

20 iih No

21 iih Yes, Treaty Indian orRegistered Indian

Go toQuestion20

24.

Specify one denomination orreligion only

22

23 iih No religion

FOR INFORMATION ONLY

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Page 12 See the Guide or call 1 800 591-20018 a.m. to 9 p.m. May 1 to 31.

*12*

09 iih Lived at the sameaddress as now

10 iih Lived at a differentaddress in the same city,town, village, township,municipality or Indianreserve

11 iih Lived in a different city,town, village, township,municipality or Indianreserve in CanadaSpecify name of:City, town, village, township,municipality or Indian reserve

12

Province / territory

13

14 iih Lived outside CanadaSpecify name of country

15

01 iih Lived at the sameaddress as now

02 iih Lived at a differentaddress in the same city,town, village, township,municipality or Indianreserve

03 iih Lived in a different city,town, village, township,municipality or Indianreserve in CanadaSpecify name of:City, town, village, township,municipality or Indian reserve

04

Province / territory

05

Postal code

06

07 iih Lived outside CanadaSpecify name of country

08

25.

Continue onlyfor each personaged 15 and over.

09 iih Lived at the sameaddress as now

10 iih Lived at a differentaddress in the same city,town, village, township,municipality or Indianreserve

11 iih Lived in a different city,town, village, township,municipality or Indianreserve in CanadaSpecify name of:City, town, village, township,municipality or Indian reserve

12

Province / territory

13

14 iih Lived outside CanadaSpecify name of country

15

01 iih Lived at the sameaddress as now

02 iih Lived at a differentaddress in the same city,town, village, township,municipality or Indianreserve

03 iih Lived in a different city,town, village, township,municipality or Indianreserve in CanadaSpecify name of:City, town, village, township,municipality or Indian reserve

04

Province / territory

05

Postal code

06

07 iih Lived outside CanadaSpecify name of country

08

26.

Answer Questions 24 to 51 for eachperson aged 15 and over.

Where did this person live 1 year ago, that is,on May 15, 2000?

Mark “ inh” one circle only.

Note:

For those who mark circle 03:Please give the name of the city or town rather thanthe 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).

MOBILITY

24

Where did this person live 5 years ago, that is,on May 15, 1996?

Mark “ inh” one circle only.

Note:

For those who mark circle 11:Please give the name of the city or town rather thanthe 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).

25

23 Continue onlyfor each personaged 15 and over.

FOR INFORMATION ONLY

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*13* Page 13

09 iih Lived at the sameaddress as now

10 iih Lived at a differentaddress in the same city,town, village, township,municipality or Indianreserve

11 iih Lived in a different city,town, village, township,municipality or Indianreserve in CanadaSpecify name of:City, town, village, township,municipality or Indian reserve

12

Province / territory

13

14 iih Lived outside CanadaSpecify name of country

15

01 iih Lived at the sameaddress as now

02 iih Lived at a differentaddress in the same city,town, village, township,municipality or Indianreserve

03 iih Lived in a different city,town, village, township,municipality or Indianreserve in CanadaSpecify name of:City, town, village, township,municipality or Indian reserve

04

Province / territory

05

Postal code

06

07 iih Lived outside CanadaSpecify name of country

08

27.

Continue onlyfor each personaged 15 and over.

09 iih Lived at the sameaddress as now

10 iih Lived at a differentaddress in the same city,town, village, township,municipality or Indianreserve

11 iih Lived in a different city,town, village, township,municipality or Indianreserve in CanadaSpecify name of:City, town, village, township,municipality or Indian reserve

12

Province / territory

13

14 iih Lived outside CanadaSpecify name of country

15

01 iih Lived at the sameaddress as now

02 iih Lived at a differentaddress in the same city,town, village, township,municipality or Indianreserve

03 iih Lived in a different city,town, village, township,municipality or Indianreserve in CanadaSpecify name of:City, town, village, township,municipality or Indian reserve

04

Province / territory

05

Postal code

06

07 iih Lived outside CanadaSpecify name of country

08

28.

Continue onlyfor each personaged 15 and over.

09 iih Lived at the sameaddress as now

10 iih Lived at a differentaddress in the same city,town, village, township,municipality or Indianreserve

11 iih Lived in a different city,town, village, township,municipality or Indianreserve in CanadaSpecify name of:City, town, village, township,municipality or Indian reserve

12

Province / territory

13

14 iih Lived outside CanadaSpecify name of country

15

01 iih Lived at the sameaddress as now

02 iih Lived at a differentaddress in the same city,town, village, township,municipality or Indianreserve

03 iih Lived in a different city,town, village, township,municipality or Indianreserve in CanadaSpecify name of:City, town, village, township,municipality or Indian reserve

04

Province / territory

05

Postal code

06

07 iih Lived outside CanadaSpecify name of country

08

29.

Continue onlyfor each personaged 15 and over.

09 iih Lived at the sameaddress as now

10 iih Lived at a differentaddress in the same city,town, village, township,municipality or Indianreserve

11 iih Lived in a different city,town, village, township,municipality or Indianreserve in CanadaSpecify name of:City, town, village, township,municipality or Indian reserve

12

Province / territory

13

14 iih Lived outside CanadaSpecify name of country

15

01 iih Lived at the sameaddress as now

02 iih Lived at a differentaddress in the same city,town, village, township,municipality or Indianreserve

03 iih Lived in a different city,town, village, township,municipality or Indianreserve in CanadaSpecify name of:City, town, village, township,municipality or Indian reserve

04

Province / territory

05

Postal code

06

07 iih Lived outside CanadaSpecify name of country

08

30.

Continue onlyfor each personaged 15 and over.

FOR INFORMATION ONLY

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Page 14 See the Guide or call 1 800 591-20018 a.m. to 9 p.m. May 1 to 31.

*14*

01

OR

02 iih Never attended schoolor attended kindergartenonly

06 iih None

07 iih Less than 1 year(of completed courses)

08

03 iih None

04 iih Less than 1 year(of completed courses)

05 Number ofcompleted yearsat university

32.

� Number (1 to 13)of grades ofsecondary orelementary school

Number ofcompleted yearsat communitycolleges, tradeschools, CEGEPs,etc.

09 iih No, did not attend in thepast nine months

10 iih Yes, full time

11 iih Yes, part time, day orevening

01

OR

02 iih Never attended schoolor attended kindergartenonly

What is the highest grade of secondary(high school) or elementary school attendedby this person (completed or not)?

Enter highest grade (1 to 13) for elementary andsecondary school only, excluding kindergarten.

In the case where the person has attendedsecondary school in the province of Quebec,include the total number of years of elementaryand secondary schooling.

26�

06 iih None

07 iih Less than 1 year(of completed courses)

08

How many years of schooling has this personever completed at an institution other thana university, a secondary (high) school oran elementary school?

Include years of schooling at community colleges,technical institutes, CEGEPs (general andprofessional), private trade schools or privatebusiness colleges, diploma schools of nursing, etc.

How many years of education has this personcompleted at university? 03 iih None

04 iih Less than 1 year(of completed courses)

05 Number ofcompleted yearsat university

27�

28�

31.

� Number (1 to 13)of grades ofsecondary orelementary school

Number ofcompleted yearsat communitycolleges, tradeschools, CEGEPs,etc.

In the past nine months (that is, since last September), was this person attending aschool, college or university?

Include attendance at elementary or secondaryschools, business or trade schools, communitycolleges, technical institutes, CEGEPs, etc.,for courses that can be used as credits towardsa certificate, diploma or degree.

Mark “ inh” one circle only.

2909 iih No, did not attend in the

past nine months

10 iih Yes, full time

11 iih Yes, part time, day orevening

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

FOR INFORMATION ONLY

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*15* Page 15

01

OR

02 iih Never attended schoolor attended kindergartenonly

06 iih None

07 iih Less than 1 year(of completed courses)

08

03 iih None

04 iih Less than 1 year(of completed courses)

05 Number ofcompleted yearsat university

33.

� Number (1 to 13)of grades ofsecondary orelementary school

Number ofcompleted yearsat communitycolleges, tradeschools, CEGEPs,etc.

09 iih No, did not attend in thepast nine months

10 iih Yes, full time

11 iih Yes, part time, day orevening

01

OR

02 iih Never attended schoolor attended kindergartenonly

06 iih None

07 iih Less than 1 year(of completed courses)

08

03 iih None

04 iih Less than 1 year(of completed courses)

05 Number ofcompleted yearsat university

34.

� Number (1 to 13)of grades ofsecondary orelementary school

Number ofcompleted yearsat communitycolleges, tradeschools, CEGEPs,etc.

09 iih No, did not attend in thepast nine months

10 iih Yes, full time

11 iih Yes, part time, day orevening

01

OR

02 iih Never attended schoolor attended kindergartenonly

06 iih None

07 iih Less than 1 year(of completed courses)

08

03 iih None

04 iih Less than 1 year(of completed courses)

05 Number ofcompleted yearsat university

35.

� Number (1 to 13)of grades ofsecondary orelementary school

Number ofcompleted yearsat communitycolleges, tradeschools, CEGEPs,etc.

09 iih No, did not attend in thepast nine months

10 iih Yes, full time

11 iih Yes, part time, day orevening

01

OR

02 iih Never attended schoolor attended kindergartenonly

06 iih None

07 iih Less than 1 year(of completed courses)

08

03 iih None

04 iih Less than 1 year(of completed courses)

05 Number ofcompleted yearsat university

36.

� Number (1 to 13)of grades ofsecondary orelementary school

Number ofcompleted yearsat communitycolleges, tradeschools, CEGEPs,etc.

09 iih No, did not attend in thepast nine months

10 iih Yes, full time

11 iih Yes, part time, day orevening

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

FOR INFORMATION ONLY

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Page 16 See the Guide or call 1 800 591-20018 a.m. to 9 p.m. May 1 to 31.

*16*

What certificates, diplomas or degrees hasthis person ever obtained?

Include all qualifications obtained from secondary(high) schools, or trade schools and otherpostsecondary educational institutions.

Mark “ inh” as many circles as applicable.

01 iih None Go toQuestion 32

02 iih Secondary (high) schoolgraduation certificate orequivalent

03 iih Trades certificate or diploma

04 iih Other non-universitycertificate or diploma(obtained at communitycollege, CEGEP, technicalinstitute, etc.)

05 iih University certificate ordiploma below bachelorlevel

06 iih Bachelor’s degree(s)(e.g., B.A., B.Sc., LL.B.)

07 iih University certificate ordiploma above bachelorlevel

08 iih Master’s degree(s)(e.g., M.A., M.Sc., M.Ed.)

09 iih Degree in medicine,dentistry, veterinarymedicine or optometry(M.D., D.D.S., D.M.D.,D.V.M., O.D.)

10 iih Earned doctorate(e.g., Ph.D., D.Sc., D.Ed.)

30�

37.

What was the major field of study or training ofthis person’s highest degree, certificate ordiploma (excluding secondary or high schoolgraduation certificates)?

For example, accounting, carpentry, civil engineering,history, legal secretary, welding, etc.

Major field of study or training

11

OR

12 iih This person’s highestqualification is asecondary (high) schoolgraduation certificate

31

01 iih None Go toQuestion 32

02 iih Secondary (high) schoolgraduation certificate orequivalent

03 iih Trades certificate or diploma

04 iih Other non-universitycertificate or diploma(obtained at communitycollege, CEGEP, technicalinstitute, etc.)

05 iih University certificate ordiploma below bachelorlevel

06 iih Bachelor’s degree(s)(e.g., B.A., B.Sc., LL.B.)

07 iih University certificate ordiploma above bachelorlevel

08 iih Master’s degree(s)(e.g., M.A., M.Sc., M.Ed.)

09 iih Degree in medicine,dentistry, veterinarymedicine or optometry(M.D., D.D.S., D.M.D.,D.V.M., O.D.)

10 iih Earned doctorate(e.g., Ph.D., D.Sc., D.Ed.)

38.

Major field of study or training

11

OR

12 iih This person’s highestqualification is asecondary (high) schoolgraduation certificate

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

FOR INFORMATION ONLY

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*17* Page 17

01 iih None Go toQuestion 32

02 iih Secondary (high) schoolgraduation certificate orequivalent

03 iih Trades certificate or diploma

04 iih Other non-universitycertificate or diploma(obtained at communitycollege, CEGEP, technicalinstitute, etc.)

05 iih University certificate ordiploma below bachelorlevel

06 iih Bachelor’s degree(s)(e.g., B.A., B.Sc., LL.B.)

07 iih University certificate ordiploma above bachelorlevel

08 iih Master’s degree(s)(e.g., M.A., M.Sc., M.Ed.)

09 iih Degree in medicine,dentistry, veterinarymedicine or optometry(M.D., D.D.S., D.M.D.,D.V.M., O.D.)

10 iih Earned doctorate(e.g., Ph.D., D.Sc., D.Ed.)

39.

Major field of study or training

11

OR

12 iih This person’s highestqualification is asecondary (high) schoolgraduation certificate

01 iih None Go toQuestion 32

02 iih Secondary (high) schoolgraduation certificate orequivalent

03 iih Trades certificate or diploma

04 iih Other non-universitycertificate or diploma(obtained at communitycollege, CEGEP, technicalinstitute, etc.)

05 iih University certificate ordiploma below bachelorlevel

06 iih Bachelor’s degree(s)(e.g., B.A., B.Sc., LL.B.)

07 iih University certificate ordiploma above bachelorlevel

08 iih Master’s degree(s)(e.g., M.A., M.Sc., M.Ed.)

09 iih Degree in medicine,dentistry, veterinarymedicine or optometry(M.D., D.D.S., D.M.D.,D.V.M., O.D.)

10 iih Earned doctorate(e.g., Ph.D., D.Sc., D.Ed.)

40.

Major field of study or training

11

OR

12 iih This person’s highestqualification is asecondary (high) schoolgraduation certificate

01 iih None Go toQuestion 32

02 iih Secondary (high) schoolgraduation certificate orequivalent

03 iih Trades certificate or diploma

04 iih Other non-universitycertificate or diploma(obtained at communitycollege, CEGEP, technicalinstitute, etc.)

05 iih University certificate ordiploma below bachelorlevel

06 iih Bachelor’s degree(s)(e.g., B.A., B.Sc., LL.B.)

07 iih University certificate ordiploma above bachelorlevel

08 iih Master’s degree(s)(e.g., M.A., M.Sc., M.Ed.)

09 iih Degree in medicine,dentistry, veterinarymedicine or optometry(M.D., D.D.S., D.M.D.,D.V.M., O.D.)

10 iih Earned doctorate(e.g., Ph.D., D.Sc., D.Ed.)

41.

Major field of study or training

11

OR

12 iih This person’s highestqualification is asecondary (high) schoolgraduation certificate

01 iih None Go toQuestion 32

02 iih Secondary (high) schoolgraduation certificate orequivalent

03 iih Trades certificate or diploma

04 iih Other non-universitycertificate or diploma(obtained at communitycollege, CEGEP, technicalinstitute, etc.)

05 iih University certificate ordiploma below bachelorlevel

06 iih Bachelor’s degree(s)(e.g., B.A., B.Sc., LL.B.)

07 iih University certificate ordiploma above bachelorlevel

08 iih Master’s degree(s)(e.g., M.A., M.Sc., M.Ed.)

09 iih Degree in medicine,dentistry, veterinarymedicine or optometry(M.D., D.D.S., D.M.D.,D.V.M., O.D.)

10 iih Earned doctorate(e.g., Ph.D., D.Sc., D.Ed.)

42.

Major field of study or training

11

OR

12 iih This person’s highestqualification is asecondary (high) schoolgraduation certificate

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

FOR INFORMATION ONLY

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Page 18 See the Guide or call 1 800 591-20018 a.m. to 9 p.m. May 1 to 31.

*18*

44.

Father

01 iih Born in CanadaBorn outside CanadaSpecify country

02

Mother

03 iih Born in CanadaBorn outside CanadaSpecify country

04

05 iih None

06 iih Less than 5 hours

07 iih 5 to 14 hours

08 iih 15 to 29 hours

09 iih 30 to 59 hours

10 iih 60 hours or more

11 iih None

12 iih Less than 5 hours

13 iih 5 to 14 hours

14 iih 15 to 29 hours

15 iih 30 to 59 hours

16 iih 60 hours or more

17 iih None

18 iih Less than 5 hours

19 iih 5 to 9 hours

20 iih 10 to 19 hours

21 iih 20 hours or more

43.

Note:Last week refers to Sunday, May 6 to Saturday,May 12, 2001.

In Question 33, report all time spent on each activity,even if two or more activities took place at the sametime. See the Guide for examples.

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

(a) doing unpaid housework, yard work orhome maintenance for members of thishousehold, or others?

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

(b) looking after one or more of this person’sown children, or the children of others,without pay?

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

(c) providing unpaid care or assistance to oneor more seniors?

Some examples include: providing personal careto a senior family member, visiting seniors, talkingwith them on the telephone, helping them withshopping, banking or with taking medication, etc.

33�

Father

01 iih Born in CanadaBorn outside CanadaSpecify country

02

Mother

03 iih Born in CanadaBorn outside CanadaSpecify country

04

Where was each of this person’s parents born?Mark “ inh” or specify country according to presentboundaries.

(a) Father

(b) Mother

32�

PLACE OF BIRTH OF PARENTSRemember, these questions are only for persons aged 15 and over.

HOUSEHOLD ACTIVITIES

05 iih None

06 iih Less than 5 hours

07 iih 5 to 14 hours

08 iih 15 to 29 hours

09 iih 30 to 59 hours

10 iih 60 hours or more

11 iih None

12 iih Less than 5 hours

13 iih 5 to 14 hours

14 iih 15 to 29 hours

15 iih 30 to 59 hours

16 iih 60 hours or more

17 iih None

18 iih Less than 5 hours

19 iih 5 to 9 hours

20 iih 10 to 19 hours

21 iih 20 hours or more

FOR INFORMATION ONLY

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*19* Page 19

45.

Father

01 iih Born in CanadaBorn outside CanadaSpecify country

02

Mother

03 iih Born in CanadaBorn outside CanadaSpecify country

04

05 iih None

06 iih Less than 5 hours

07 iih 5 to 14 hours

08 iih 15 to 29 hours

09 iih 30 to 59 hours

10 iih 60 hours or more

11 iih None

12 iih Less than 5 hours

13 iih 5 to 14 hours

14 iih 15 to 29 hours

15 iih 30 to 59 hours

16 iih 60 hours or more

17 iih None

18 iih Less than 5 hours

19 iih 5 to 9 hours

20 iih 10 to 19 hours

21 iih 20 hours or more

46.

Father

01 iih Born in CanadaBorn outside CanadaSpecify country

02

Mother

03 iih Born in CanadaBorn outside CanadaSpecify country

04

05 iih None

06 iih Less than 5 hours

07 iih 5 to 14 hours

08 iih 15 to 29 hours

09 iih 30 to 59 hours

10 iih 60 hours or more

11 iih None

12 iih Less than 5 hours

13 iih 5 to 14 hours

14 iih 15 to 29 hours

15 iih 30 to 59 hours

16 iih 60 hours or more

17 iih None

18 iih Less than 5 hours

19 iih 5 to 9 hours

20 iih 10 to 19 hours

21 iih 20 hours or more

47.

Father

01 iih Born in CanadaBorn outside CanadaSpecify country

02

Mother

03 iih Born in CanadaBorn outside CanadaSpecify country

04

05 iih None

06 iih Less than 5 hours

07 iih 5 to 14 hours

08 iih 15 to 29 hours

09 iih 30 to 59 hours

10 iih 60 hours or more

11 iih None

12 iih Less than 5 hours

13 iih 5 to 14 hours

14 iih 15 to 29 hours

15 iih 30 to 59 hours

16 iih 60 hours or more

17 iih None

18 iih Less than 5 hours

19 iih 5 to 9 hours

20 iih 10 to 19 hours

21 iih 20 hours or more

48.

Father

01 iih Born in CanadaBorn outside CanadaSpecify country

02

Mother

03 iih Born in CanadaBorn outside CanadaSpecify country

04

05 iih None

06 iih Less than 5 hours

07 iih 5 to 14 hours

08 iih 15 to 29 hours

09 iih 30 to 59 hours

10 iih 60 hours or more

11 iih None

12 iih Less than 5 hours

13 iih 5 to 14 hours

14 iih 15 to 29 hours

15 iih 30 to 59 hours

16 iih 60 hours or more

17 iih None

18 iih Less than 5 hours

19 iih 5 to 9 hours

20 iih 10 to 19 hours

21 iih 20 hours or more

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

FOR INFORMATION ONLY

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Page 20 See the Guide or call 1 800 591-20018 a.m. to 9 p.m. May 1 to 31.

*20*

01

02 iih None Continuewith the nextquestion

Number of hours(to the nearest hour)

Go toQuestion 40�

Last week, how many hours did this personspend working for pay or in self-employment?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).

01

02 iih None Continuewith the nextquestion

49.

Last week, did this person have definitearrangements to start a new job within the nextfour weeks?

Last week, was this person on temporary lay-offor absent from his /her job or business?Mark “ inh” one circle only.

Did this person look for paid work during thepast four weeks?

For example, did this person contact an employmentcentre, check with employers, place or answernewspaper ads, etc.?

Mark “ inh” one circle only.

Could this person have started a job last weekhad one been available?Mark “ inh” one circle only.

When did this person last workfor pay or in self-employment,even for a few days?Mark “ inh” one circle only.

35�

36�

37�

38�

39

34 Number of hours(to the nearest hour)

03 iih No

04 iih Yes, on temporary lay-offfrom a job to which thisperson expects to return

05 iih Yes, on vacation, ill, onstrike or locked out, orabsent for other reasons

06 iih No

07 iih Yes

08 iih No Go toQuestion 39

09 iih Yes, looked for full-timework

10 iih Yes, looked for part-timework (less than 30 hoursper week)

11 iih Yes, could have starteda job

12 iih No, already had a job

13 iih No, because of temporaryillness or disability

14 iih No, because of personalor family responsibilities

15 iih No, going to school

16 iih No, other reasons

17 iih In 2001

18 iih In 2000

19 iih Before2000

20 iih Never

��

Continuewith thenextquestion

Go toQuestion51

Go toQuestion 40

��

50.

03 iih No

04 iih Yes, on temporary lay-offfrom a job to which thisperson expects to return

05 iih Yes, on vacation, ill, onstrike or locked out, orabsent for other reasons

06 iih No

07 iih Yes

08 iih No Go toQuestion 39

09 iih Yes, looked for full-timework

10 iih Yes, looked for part-timework (less than 30 hoursper week)

11 iih Yes, could have starteda job

12 iih No, already had a job

13 iih No, because of temporaryillness or disability

14 iih No, because of personalor family responsibilities

15 iih No, going to school

16 iih No, other reasons

17 iih In 2001

18 iih In 2000

19 iih Before2000

20 iih Never

��

Continuewith thenextquestion

Go toQuestion51

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

�FOR INFORMATION ONLY

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*21* Page 21

01

02 iih None Continuewith the nextquestion

Number of hours(to the nearest hour)

Go toQuestion 40�

51.

03 iih No

04 iih Yes, on temporary lay-offfrom a job to which thisperson expects to return

05 iih Yes, on vacation, ill, onstrike or locked out, orabsent for other reasons

06 iih No

07 iih Yes

08 iih No Go toQuestion 39

09 iih Yes, looked for full-timework

10 iih Yes, looked for part-timework (less than 30 hoursper week)

11 iih Yes, could have starteda job

12 iih No, already had a job

13 iih No, because of temporaryillness or disability

14 iih No, because of personalor family responsibilities

15 iih No, going to school

16 iih No, other reasons

17 iih In 2001

18 iih In 2000

19 iih Before2000

20 iih Never

��

Continuewith thenextquestion

Go toQuestion51

01

02 iih None Continuewith the nextquestion

Number of hours(to the nearest hour)

Go toQuestion 40�

52.

03 iih No

04 iih Yes, on temporary lay-offfrom a job to which thisperson expects to return

05 iih Yes, on vacation, ill, onstrike or locked out, orabsent for other reasons

06 iih No

07 iih Yes

08 iih No Go toQuestion 39

09 iih Yes, looked for full-timework

10 iih Yes, looked for part-timework (less than 30 hoursper week)

11 iih Yes, could have starteda job

12 iih No, already had a job

13 iih No, because of temporaryillness or disability

14 iih No, because of personalor family responsibilities

15 iih No, going to school

16 iih No, other reasons

17 iih In 2001

18 iih In 2000

19 iih Before2000

20 iih Never

��

Continuewith thenextquestion

Go toQuestion51

�01

02 iih None Continuewith the nextquestion

Number of hours(to the nearest hour)

Go toQuestion 40�

53.

03 iih No

04 iih Yes, on temporary lay-offfrom a job to which thisperson expects to return

05 iih Yes, on vacation, ill, onstrike or locked out, orabsent for other reasons

06 iih No

07 iih Yes

08 iih No Go toQuestion 39

09 iih Yes, looked for full-timework

10 iih Yes, looked for part-timework (less than 30 hoursper week)

11 iih Yes, could have starteda job

12 iih No, already had a job

13 iih No, because of temporaryillness or disability

14 iih No, because of personalor family responsibilities

15 iih No, going to school

16 iih No, other reasons

17 iih In 2001

18 iih In 2000

19 iih Before2000

20 iih Never

��

Continuewith thenextquestion

Go toQuestion51

01

02 iih None Continuewith the nextquestion

Number of hours(to the nearest hour)

Go toQuestion 40�

54.

03 iih No

04 iih Yes, on temporary lay-offfrom a job to which thisperson expects to return

05 iih Yes, on vacation, ill, onstrike or locked out, orabsent for other reasons

06 iih No

07 iih Yes

08 iih No Go toQuestion 39

09 iih Yes, looked for full-timework

10 iih Yes, looked for part-timework (less than 30 hoursper week)

11 iih Yes, could have starteda job

12 iih No, already had a job

13 iih No, because of temporaryillness or disability

14 iih No, because of personalor family responsibilities

15 iih No, going to school

16 iih No, other reasons

17 iih In 2001

18 iih In 2000

19 iih Before2000

20 iih Never

��

Continuewith thenextquestion

Go toQuestion51

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

FOR INFORMATION ONLY

Page 22: University of Ottawagsg.uottawa.ca/data/census/archive-ref/2001_census_questionnaire_… · 2. 1. OFFICE USE ONLY For over 300 years, the census has painted a picture of our people

Page 22 See the Guide or call 1 800 591-20018 a.m. to 9 p.m. May 1 to 31.

*22*

56.

Name of firm, governmentagency, etc.

01

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

02

Kind of business, industryor service

03

04

Occupation

05

Main activities

06

07

Note:Questions 40 to 48 refer to this person’s job or businesslast week. If this person held no job last week, answerfor the job of longest duration since January 1, 2000. Ifthis person held more than one job last week, answer forthe job at which he /she worked the most hours.

For whom did this person work?

For self-employed persons, enter the name oftheir business. If the business does not have aname, enter the person’s name.

What kind of business, industry or servicewas this?

Please be specific. For example:

• road maintenance • retail shoe store• secondary school • temporary help agency• municipal police • full-service garage• wheat farm • trapping

What was this person’s work or occupation?

Please be specific. For example:

• legal secretary • wood furniture assembler• plumber • restaurant manager• fishing guide • secondary school teacher

(If in the Armed Forces, give rank.)

In this work, what were this person’s mainactivities?

Please give details. For example:

• prepared legal • made wood furnituredocuments products

• installed residential • managed operations ofplumbing a restaurant

• guided fishing parties • taught mathematics

40

41

42

43

55.

Name of firm, governmentagency, etc.

01

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

02

Kind of business, industryor service

03

04

Occupation

05

Main activities

06

07

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

FOR INFORMATION ONLY

Page 23: University of Ottawagsg.uottawa.ca/data/census/archive-ref/2001_census_questionnaire_… · 2. 1. OFFICE USE ONLY For over 300 years, the census has painted a picture of our people

*23* Page 23

57.

Name of firm, governmentagency, etc.

01

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

02

Kind of business, industryor service

03

04

Occupation

05

Main activities

06

07

58.

Name of firm, governmentagency, etc.

01

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

02

Kind of business, industryor service

03

04

Occupation

05

Main activities

06

07

59.

Name of firm, governmentagency, etc.

01

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

02

Kind of business, industryor service

03

04

Occupation

05

Main activities

06

07

60.

Name of firm, governmentagency, etc.

01

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

02

Kind of business, industryor service

03

04

Occupation

05

Main activities

06

07

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

FOR INFORMATION ONLY

Page 24: University of Ottawagsg.uottawa.ca/data/census/archive-ref/2001_census_questionnaire_… · 2. 1. OFFICE USE ONLY For over 300 years, the census has painted a picture of our people

Page 24 See the Guide or call 1 800 591-20018 a.m. to 9 p.m. May 1 to 31.

*24*

01 iih working for wages, salary,tips or commission?

Go to Question 46

02 iih working without pay forhis/her spouse oranother relative in afamily farm or business?

Go to Question 46

03 iih self-employed withoutpaid help (alone orin partnership)?

04 iih self-employed withpaid help (alone orin partnership)?

In this job or business, was this person mainly:

Mark “ inh” one circle only.

If self-employed, was this person’s farm orbusiness incorporated?

61.

05 iih No

06 iih Yes

44

45�

��

07 iih Worked at home(including farms)

Go to Question 48

08 iih Worked outside Canada

Go to Question 48

09 iih No fixed workplace address

Go to Question 47

10 iih Worked at the addressspecified below:

Specify complete address

Street address (see example)

11

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

12

Province / territory

13

Postal code

14

At what address did this person usually workmost of the time?

Example: 365 Laurier Ave. West

Number

Name

Type

Direction

If direction (e.g., North, South, East or West) is apart of the street address, please include it.If street address is unknown, specify the buildingor nearest street intersection.

Please give the name of the city or town rather thanthe 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 ofthe employer, please provide the address where thisperson actually works (e.g., school teachers shouldprovide the address of their school, not the addressof the school board).

➤ ➤➤➤

46�

��

01 iih working for wages, salary,tips or commission?

Go to Question 46

02 iih working without pay forhis/her spouse oranother relative in afamily farm or business?

Go to Question 46

03 iih self-employed withoutpaid help (alone orin partnership)?

04 iih self-employed withpaid help (alone orin partnership)?

62.

05 iih No

06 iih Yes

��

07 iih Worked at home(including farms)

Go to Question 48

08 iih Worked outside Canada

Go to Question 48

09 iih No fixed workplace address

Go to Question 47

10 iih Worked at the addressspecified below:

Specify complete address

Street address (see example)

11

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

12

Province / territory

13

Postal code

14

��

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

FOR INFORMATION ONLY

Page 25: University of Ottawagsg.uottawa.ca/data/census/archive-ref/2001_census_questionnaire_… · 2. 1. OFFICE USE ONLY For over 300 years, the census has painted a picture of our people

*25* Page 25

01 iih working for wages, salary,tips or commission?

Go to Question 46

02 iih working without pay forhis/her spouse oranother relative in afamily farm or business?

Go to Question 46

03 iih self-employed withoutpaid help (alone orin partnership)?

04 iih self-employed withpaid help (alone orin partnership)?

63.

05 iih No

06 iih Yes

��

07 iih Worked at home(including farms)

Go to Question 48

08 iih Worked outside Canada

Go to Question 48

09 iih No fixed workplace address

Go to Question 47

10 iih Worked at the addressspecified below:

Specify complete address

Street address (see example)

11

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

12

Province / territory

13

Postal code

14

��

01 iih working for wages, salary,tips or commission?

Go to Question 46

02 iih working without pay forhis/her spouse oranother relative in afamily farm or business?

Go to Question 46

03 iih self-employed withoutpaid help (alone orin partnership)?

04 iih self-employed withpaid help (alone orin partnership)?

64.

05 iih No

06 iih Yes

��

07 iih Worked at home(including farms)

Go to Question 48

08 iih Worked outside Canada

Go to Question 48

09 iih No fixed workplace address

Go to Question 47

10 iih Worked at the addressspecified below:

Specify complete address

Street address (see example)

11

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

12

Province / territory

13

Postal code

14

��

01 iih working for wages, salary,tips or commission?

Go to Question 46

02 iih working without pay forhis/her spouse oranother relative in afamily farm or business?

Go to Question 46

03 iih self-employed withoutpaid help (alone orin partnership)?

04 iih self-employed withpaid help (alone orin partnership)?

65.

05 iih No

06 iih Yes

��

07 iih Worked at home(including farms)

Go to Question 48

08 iih Worked outside Canada

Go to Question 48

09 iih No fixed workplace address

Go to Question 47

10 iih Worked at the addressspecified below:

Specify complete address

Street address (see example)

11

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

12

Province / territory

13

Postal code

14

��

01 iih working for wages, salary,tips or commission?

Go to Question 46

02 iih working without pay forhis/her spouse oranother relative in afamily farm or business?

Go to Question 46

03 iih self-employed withoutpaid help (alone orin partnership)?

04 iih self-employed withpaid help (alone orin partnership)?

66.

05 iih No

06 iih Yes

��

07 iih Worked at home(including farms)

Go to Question 48

08 iih Worked outside Canada

Go to Question 48

09 iih No fixed workplace address

Go to Question 47

10 iih Worked at the addressspecified below:

Specify complete address

Street address (see example)

11

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

12

Province / territory

13

Postal code

14

��

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

FOR INFORMATION ONLY

Page 26: University of Ottawagsg.uottawa.ca/data/census/archive-ref/2001_census_questionnaire_… · 2. 1. OFFICE USE ONLY For over 300 years, the census has painted a picture of our people

Page 26 See the Guide or call 1 800 591-20018 a.m. to 9 p.m. May 1 to 31.

*26*

01 iih Car, truck or van — asdriver

02 iih Car, truck or van — aspassenger

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

04 iih Walked to work

05 iih Bicycle

06 iih Motorcycle

07 iih Taxicab

08 iih Other method

18 iih Full time(30 hours or moreper week)

19 iih Part time(less than 30 hoursper week)

16 iih None Go toQuestion 51

OR

17

68.

Number of weeks�

09 iih English

10 iih French

Other — Specify

11

12 iih No

13 iih Yes, English

14 iih Yes, French

Yes, Other — Specify

15

01 iih Car, truck or van — asdriver

02 iih Car, truck or van — aspassenger

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

04 iih Walked to work

05 iih Bicycle

06 iih Motorcycle

07 iih Taxicab

08 iih Other method

18 iih Full time(30 hours or moreper week)

19 iih Part time(less than 30 hoursper week)

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

Mark “ inh” one circle only.

16 iih None Go toQuestion 51

OR

17

In how many weeks did this person workin 2000?

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.

How did this person usually get to work?

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

67.

Number of weeks�

49�

47

50�

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

(a) In this job, what language did this personuse most often?

(b) Did this person use any other languageson a regular basis in this job?

48�

09 iih English

10 iih French

Other — Specify

11

12 iih No

13 iih Yes, English

14 iih Yes, French

Yes, Other — Specify

15

FOR INFORMATION ONLY

Page 27: University of Ottawagsg.uottawa.ca/data/census/archive-ref/2001_census_questionnaire_… · 2. 1. OFFICE USE ONLY For over 300 years, the census has painted a picture of our people

*27* Page 27

01 iih Car, truck or van — asdriver

02 iih Car, truck or van — aspassenger

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

04 iih Walked to work

05 iih Bicycle

06 iih Motorcycle

07 iih Taxicab

08 iih Other method

18 iih Full time(30 hours or moreper week)

19 iih Part time(less than 30 hoursper week)

16 iih None Go toQuestion 51

OR

17

69.

Number of weeks�

09 iih English

10 iih French

Other — Specify

11

12 iih No

13 iih Yes, English

14 iih Yes, French

Yes, Other — Specify

15

01 iih Car, truck or van — asdriver

02 iih Car, truck or van — aspassenger

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

04 iih Walked to work

05 iih Bicycle

06 iih Motorcycle

07 iih Taxicab

08 iih Other method

18 iih Full time(30 hours or moreper week)

19 iih Part time(less than 30 hoursper week)

16 iih None Go toQuestion 51

OR

17

70.

Number of weeks�

09 iih English

10 iih French

Other — Specify

11

12 iih No

13 iih Yes, English

14 iih Yes, French

Yes, Other — Specify

15

01 iih Car, truck or van — asdriver

02 iih Car, truck or van — aspassenger

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

04 iih Walked to work

05 iih Bicycle

06 iih Motorcycle

07 iih Taxicab

08 iih Other method

18 iih Full time(30 hours or moreper week)

19 iih Part time(less than 30 hoursper week)

16 iih None Go toQuestion 51

OR

17

71.

Number of weeks�

�09 iih English

10 iih French

Other — Specify

11

12 iih No

13 iih Yes, English

14 iih Yes, French

Yes, Other — Specify

15

01 iih Car, truck or van — asdriver

02 iih Car, truck or van — aspassenger

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

04 iih Walked to work

05 iih Bicycle

06 iih Motorcycle

07 iih Taxicab

08 iih Other method

18 iih Full time(30 hours or moreper week)

19 iih Part time(less than 30 hoursper week)

16 iih None Go toQuestion 51

OR

17

72.

Number of weeks�

09 iih English

10 iih French

Other — Specify

11

12 iih No

13 iih Yes, English

14 iih Yes, French

Yes, Other — Specify

15

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

FOR INFORMATION ONLY

Page 28: University of Ottawagsg.uottawa.ca/data/census/archive-ref/2001_census_questionnaire_… · 2. 1. OFFICE USE ONLY For over 300 years, the census has painted a picture of our people

Page 28 See the Guide or call 1 800 591-20018 a.m. to 9 p.m. May 1 to 31.

*28*Turn the page and answer the questions about this dwelling.

09 iih Yes

10 iih No

11 iih Yes

12 iih No

13 iih Yes

14 iih No

15 iih Yes

16 iih No

01 iih Yes

02 iih No

During the year ending December 31, 2000, didthis person receive any income from thesources listed below?• Answer “Yes” or “No” for all sources.• If “ Yes”, also enter the amount; in case of a loss,

also mark “Loss”.• Do not include child tax benefits.

PAID EMPLOYMENT:(a) Total wages and salaries, including commissions,

bonuses, tips, etc., before any deductions

03 iih Yes

04 iih Loss05 iih No

06 iih Yes

07 iih Loss08 iih No

SELF-EMPLOYMENT:(b) Netfarmincome (grossreceiptsminusexpenses), including

grants and subsidies under farm-support programs,marketing board payments, gross insurance proceeds

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

73.

INCOME FROM GOVERNMENT:(d) Old Age Security Pension, Guaranteed Income

Supplement and Spouse’s Allowance from federalgovernment only (provincial income supplementsshould be reported in (g))

(e) Benefits from Canada or Quebec Pension Plan

(f) Benefits from Employment Insurance (total benefitsbefore tax deductions)

(g) Other income from government sources, suchas provincial income supplements and grants, theGST/ HST credit, provincial tax credits, workers’compensation, veterans’ pensions, welfare payments(Do not include child tax benefits.)

09 iih Yes

10 iih No

11 iih Yes

12 iih No

13 iih Yes

14 iih No

15 iih Yes

16 iih No

OTHER INCOME:(h) Dividends, interest on bonds, deposits and savings

certificates, and other investment income, such asnet rents from real estate, interest from mortgages

(i) Retirement pensions, superannuation and annuities,including those from RRSPs and RRIFs

(j) Other money income, such as alimony, child support,scholarships

TOTAL INCOME FROM ALL OF THE ABOVESOURCES

17 iih Yes

18 iih Loss19 iih No

20 iih Yes

21 iih No

22 iih Yes

23 iih No

24 iih Yes

25 iih Loss26 iih No

Dollars Cents�

��

��

��

��

51�

INCOME IN 2000

01 iih Yes

02 iih No

03 iih Yes

04 iih Loss05 iih No

06 iih Yes

07 iih Loss08 iih No

74.

17 iih Yes

18 iih Loss19 iih No

20 iih Yes

21 iih No

22 iih Yes

23 iih No

Dollars Cents�

��

��

��

��

Remember,

24 iih Yes

25 iih Loss26 iih No

FOR INFORMATION ONLY

Page 29: University of Ottawagsg.uottawa.ca/data/census/archive-ref/2001_census_questionnaire_… · 2. 1. OFFICE USE ONLY For over 300 years, the census has painted a picture of our people

*29* Page 29

09 iih Yes

10 iih No

11 iih Yes

12 iih No

13 iih Yes

14 iih No

15 iih Yes

16 iih No

Turn the page and answer the questions about this dwelling.

PERSON 3 PERSON 4 PERSON 5 PERSON 6Family name

Given name Initial

Family name

Given name Initial

Family name

Given name Initial

Family name

Given name Initial

01 iih Yes

02 iih No

03 iih Yes

04 iih Loss05 iih No

06 iih Yes

07 iih Loss08 iih No

75.

17 iih Yes

18 iih Loss19 iih No

20 iih Yes

21 iih No

22 iih Yes

23 iih No

Dollars Cents�

��

��

��

��

24 iih Yes

25 iih Loss26 iih No

09 iih Yes

10 iih No

11 iih Yes

12 iih No

13 iih Yes

14 iih No

15 iih Yes

16 iih No

01 iih Yes

02 iih No

03 iih Yes

04 iih Loss05 iih No

06 iih Yes

07 iih Loss08 iih No

76.

17 iih Yes

18 iih Loss19 iih No

20 iih Yes

21 iih No

22 iih Yes

23 iih No

Dollars Cents�

��

��

��

��

24 iih Yes

25 iih Loss26 iih No

09 iih Yes

10 iih No

11 iih Yes

12 iih No

13 iih Yes

14 iih No

15 iih Yes

16 iih No

01 iih Yes

02 iih No

03 iih Yes

04 iih Loss05 iih No

06 iih Yes

07 iih Loss08 iih No

77.

17 iih Yes

18 iih Loss19 iih No

20 iih Yes

21 iih No

22 iih Yes

23 iih No

Dollars Cents�

��

��

��

��

24 iih Yes

25 iih Loss26 iih No

09 iih Yes

10 iih No

11 iih Yes

12 iih No

13 iih Yes

14 iih No

15 iih Yes

16 iih No

01 iih Yes

02 iih No

03 iih Yes

04 iih Loss05 iih No

06 iih Yes

07 iih Loss08 iih No

78.

17 iih Yes

18 iih Loss19 iih No

20 iih Yes

21 iih No

22 iih Yes

23 iih No

Dollars Cents�

��

��

��

��

24 iih Yes

25 iih Loss26 iih No

this question is only for persons aged 15 and over.

FOR INFORMATION ONLY

Page 30: University of Ottawagsg.uottawa.ca/data/census/archive-ref/2001_census_questionnaire_… · 2. 1. OFFICE USE ONLY For over 300 years, the census has painted a picture of our people

Page 30 See the Guide or call 1 800 591-20018 a.m. to 9 p.m. May 1 to 31.

*30*

A dwelling is a separate set of living quarters with a private entrance from the outside or from acommon 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 contributesto such payments, mark “ inh” asmany circles as apply.

H2. Is this dwelling:

Mark “ inh” one circle only.

H3. (a) How many rooms arethere in this dwelling?

Include kitchen, bedrooms,finished rooms in attic orbasement, etc.

Do not count bathrooms,halls, vestibules and roomsused solely for businesspurposes.

(b) How many of theserooms are bedrooms?

H4. When was this dwellingoriginally built?

Mark the period in whichthe building was completed,not the time of any laterremodelling, additions orconversions. If year is notknown, give best estimate.

H5. Is this dwelling in needof any repairs?

Do not include desirableremodelling or additions.

79.

01 iih Person 1

02 iih Person 2

03 iih Person 3

04 iih Person 4

05 iih Person 5

06 iih Person 6

07 iih A person who is listed on another questionnaire forthis dwelling

08 iih A person who does not live here

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

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

12 Number of rooms

13 Number of bedrooms

14 iih 1920 or before 19 iih 1981-1985

15 iih 1921-1945 20 iih 1986-1990

16 iih 1946-1960 21 iih 1991-1995

17 iih 1961-1970 22 iih 1996-2001

18 iih 1971-1980

23 iih No, only regular maintenance is needed (painting, furnacecleaning, etc.)

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

25 iih Yes, major repairs are needed (defective plumbing orelectrical wiring, structural repairs to walls, floors orceilings, etc.)

STEP

F Answer Questions H1 to H8 about this dwelling.

FOR INFORMATION ONLY

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*31* Page 31

Answer Questions H6 to H8 for only the dwellingthat you now occupy, even if you own or rentmore than one dwelling. If the exact amount isnot known, please give best estimate.

Note: If you are a farm operator living on the farmyou operate, mark “ inh” here . . . . . . . . . . . . . . . . . .and go to Step G on next page.

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?

80.

01 iih

H7. For RENTERS only:� What is the monthly rent paid for

this dwelling?

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

(a) What are the total regular monthlymortgage or loan payments for thisdwelling?

(b) Are the property taxes (municipaland school) included in the amountshown in part (a)?

(c) What are the estimated yearlyproperty taxes (municipal andschool) for this dwelling?

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

(e) Is this dwelling part of a registeredcondominium?

(f) What are the monthly condominiumfees?

02 iih None

03 iih Included inrent or otherpayments OR

05 iih None

06 iih Included inrent or otherpayments OR

08 iih None

09 iih Included inrent or otherpayments OR

11 iih Rented withoutpayment ofcash rent OR

17 iih None OR

22 iih None OR

13 iih NoneGo to part (c) OR

04 peryear

Dollars Cents

07 peryear

Dollars Cents

10 peryear

Dollars Cents

12 permonth

Dollars Cents

14 permonth

Dollars Cents

15 iih Yes Go to part (d)

16 iih No

18 peryear

Dollars Cents

19

Dollars

20 iih Yes Continue with part (f)

21 iih No Go to Step G on next page

��

23 permonth

Dollars Cents

FOR INFORMATION ONLY

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PIB No.: STC/P-PU-005 STC/COP-015-03789Page 32 *32*

The confidentiality of your census questionnaire is protected by law. All StatisticsCanada employees have taken an oath of secrecy. Your personal census informationcannot be given to anyone outside Statistics Canada — not the police, not anothergovernment department, not another person. This is your right.

Your census questionnaire will be retained in accordance with legislative requirementsand will be stored securely. You can ask to see the information you gave aboutyourself on your 2001 Census questionnaire after November 2001. To do this, writeto the Privacy Coordinator, Statistics Canada, 25th Floor, R.H. Coats Building,Ottawa, Ontario K1A 0T6.

You have now completed your questionnaire. Please mail it today.

Thank you for your cooperation.

THE LAW PROTECTS WHAT YOU TELL US

STEP

G

COMMENTS

FOR INFORMATION ONLY