canadian community health survey (cchs) cycle … · canadian community health survey (cchs) cycle...

77
CANADIAN COMMUNITY HEALTH SURVEY (CCHS) CYCLE 2.2 NUTRITION Questionnaire Statistics Canada April, 2005 For information only

Upload: lykien

Post on 10-Apr-2018

218 views

Category:

Documents


4 download

TRANSCRIPT

CANADIAN COMMUNITY HEALTH SURVEY (CCHS) CYCLE 2.2 NUTRITION

Questionnaire

Statistics Canada

April, 2005

For info

rmat

ion o

nly

For info

rmat

ion o

nly

TABLE OF CONTENTS

CONTACT ........................................................................................................................................1

HOUSEHOLD...................................................................................................................................3

GENERAL HEALTH .........................................................................................................................9

PHYSICAL ACTIVITIES .................................................................................................................11

SEDENTARY ACTIVITIES .............................................................................................................13

CHILDREN’S PHYSICAL ACTIVITY..............................................................................................15

SELF-REPORTED HEIGHT AND WEIGHT...................................................................................18

VITAMIN AND MINERAL SUPPLEMENTS ...................................................................................21

VITAMIN AND MINERAL SUPPLEMENTS DETAIL......................................................................22

MEASURED HEIGHT AND WEIGHT.............................................................................................25

WOMEN’S HEALTH .......................................................................................................................33

FRUIT AND VEGETABLE CONSUMPTION..................................................................................35

CHRONIC CONDITIONS ...............................................................................................................41

SMOKING.......................................................................................................................................43

ALCOHOL.......................................................................................................................................45

FOOD SECURITY ..........................................................................................................................46

SOCIO-DEMOGRAPHIC CHARACTERISTICS ............................................................................51

LABOUR FORCE ...........................................................................................................................56

INCOME .........................................................................................................................................62

ADMINISTRATION.........................................................................................................................67

EXIT................................................................................................................................................71

iii

For info

rmat

ion o

nly

iv

For info

rmat

ion o

nly

Canadian Community Health Survey – Cycle 2.2 – Nutrition

CONTACT

Contact

CN_N01 INTERVIEWER: Record method of interview.

1 Telephone 2 Personal

(DK, R are not allowed)

CN_N02 INTERVIEWER: Have you made contact?

1 Yes 2 No (Go to CN_END)

(DK, R are not allowed)

CN_N03 Call the Interviewer Introduction block.

CN_END

Interviewer introduction

II_Q01 Hello, [I’m from / I’m calling from] Statistics Canada. My name is …INTERVIEWER: Introduce yourself using both your given and last names.

Press <Enter> to continue.

(DK, R are not allowed)

II_END

Initial contact

IC_R01 [I’m here / I’m calling] regarding the Canadian Community Health Survey. All information collected in this survey will be kept strictly confidential. INTERVIEWER: Press <Enter> to continue.

(DK, R are not allowed)

IC_END

Language of preference

LP_Q01 Would you prefer to be interviewed in English or in French? ADMD_LHH 1 English (Go to LP_END) 2 French (Go to LP_END) 3 Other (DK, R are not allowed)

1

For info

rmat

ion o

nly

Canadian Community Health Survey – Cycle 2.2 – Nutrition

LP_N02 INTERVIEWER: Select respondent’s preferred non-official language.

If necessary, ask: (What language would you prefer?)

3 Chinese 17 Cantonese 4 Italian 18 Hindi 5 Punjabi 19 Mandarin 6 Spanish 20 Persian (Farsi) 7 Portuguese 21 Russian 8 Polish 22 Ukrainian 9 German 23 Urdu 10 Vietnamese 24 Inuktitut 11 Arabic 25 Hungarian 12 Tagalog 26 Korean 13 Greek 90 Other - Specify 14 Tamil 15 Cree 16 Afghan

(DK, R are not allowed)

LP_C02 If LP_N02 <> 90 “Other – Specify”, go to LP_END.

LP_N02S INTERVIEWER: Specify.

________________________ (80 spaces)

(DK, R and null are not allowed)

LP_END

2

For info

rmat

ion o

nly

Canadian Community Health Survey – Cycle 2.2 – Nutrition

HOUSEHOLD

Survey introduction

INT_Q01 This survey will collect information on the nutrition of people in Canada. It includes questions on eating habits and on other factors that may relate to health and nutritional well-being.

INTERVIEWER: Press <Enter> to continue.

INT_Q02 This voluntary survey is conducted under the authority of the Statistics Act. All the information you provide will be kept strictly confidential and will be used for statistical purposes only. Your participation is essential if the results are to be accurate.

INTERVIEWER: Press <Enter> to continue.

Dwelling type

DW_C01 If CN_N01 = 2 then go to DW_N02.

DW_Q01 What type of dwelling do you live in? Is it a:DHHDDDWE INTERVIEWER: Read categories to respondent.

1 … single detached? 2 … double? 3 … row or terrace? 4 … duplex? 5 … low-rise apartment of fewer than 5 stories or a flat? 6 … high-rise apartment of 5 stories or more? 7 … institution? 8 … hotel; rooming/lodging house; camp? 9 … mobile home? 10 … other – Specify

DW_C01 IF DW_Q01 = 10, go to DW_N02S. Else go to DW_END.

DW_N02 INTERVIEWER: Select the dwelling type. DHHDDDWE 1 Single detached 2 Double 3 Row or terrace 4 Duplex 5 Low-rise apartment (fewer than 5 stories) or a flat 6 High-rise apartment (5 stories or more) 7 Institution 8 Hotel; rooming/lodging house; camp 9 Mobile home 10 Other – Specify

DW_C02 If DW_N02 = 10, go to DW_N02S. Else go to DW_END.

3

For info

rmat

ion o

nly

Canadian Community Health Survey – Cycle 2.2 – Nutrition

DW_N02S INTERVIEWER: Specify.

________________________ (80 spaces) (DK, R and null are not allowed)

DW_END

Tenure

TN_Q01 Is this dwelling owned by a member of this household?DHHD_OWN 1 Yes 2 No DK, R

TN_END

Number of bedrooms

BD_Q01 How many bedrooms are there in this dwelling?DHHD_BED INTERVIEWER: Enter “0” if no separate, enclosed bedroom.

|_|_| Number of bedrooms (MIN: 0) (MAX: 20)

If more than 10 is entered, pop up a soft edit with the following text:

“An unusual value has been entered. Please confirm.”

BD_END

Roster introduction

RS_R01 The next few questions will provide important basic information on the people in your household. INTERVIEWER: Press <Enter> to continue.

RS_END

Usual roster

USUAL What are the names of all persons who usually live here?

USUAL_END

Temp roster

RS_Q02 Is anyone staying here temporarily?

1 Yes 2 No (Go to RS_END) DK, R (Go to RS_END)

4

For info

rmat

ion o

nly

Canadian Community Health Survey – Cycle 2.2 – Nutrition

TEMP What are the names of all persons who are staying here temporarily?

RS_END

Other roster

RS_Q04 Are there any other persons who usually live here but are now away at school, in hospital, or somewhere else?

1 Yes 2 No (Go to RS_END) DK, R (Go to RS_END)

OTHER1 What are the names of the other people who live or stay here?

RS_END

Age

ANC_Q01 What is [respondent name]’s date of birth? DHHD_DOB DHHD_MOB DHHD_YOB

ANC_Q02 So [respondent name]’s age on [reference date] was [calculated age]. Is that correct?

INTERVIEWER: Date of birth is [text month of birth] [day of birth], [year of birth].

1 Yes 2 No, return and correct date of birth 3 No, collect age (Go to ANC_Q03) (DK, R are not allowed)

ANC_Q03 What is [respondent name]’s age?DHHD_AGE |_|_|_| Age in years (MIN: 0) (MAX: 130) (DK, R are not allowed)

ANC_END

Sex

SEX_Q01 INTERVIEWER: Enter [respondent name]’s sex. DHHD_SEX If necessary, ask: (Is [respondent name] male or female?)

1 Male 2 Female (DK, R are not allowed)

SEX_END

5

For info

rmat

ion o

nly

Canadian Community Health Survey – Cycle 2.2 – Nutrition

Marital status

MSNC_Q01 What is [respondent name]’s marital status? Is [he/she]: DHHD_MS INTERVIEWER: Read categories to respondent.

1 … married? 2 … living common-law? 3 … widowed? 4 … separated? 5 … divorced? 6 … single, never married? DK, R

MSNC_END

Education

ED_C01 If age is 13 years old or less, set ED_Q01 to 1 and ED_Q03 to 2.

ED_Q01 What is the highest grade of elementary or high school [respondent name]EDUD_1 ever completed?

1 Grade 8 or lower (Québec: Secondary II or lower) (Go to ED_Q03) 2 Grade 9 - 10 (Québec: Secondary III or IV, (Go to ED_Q03)

Newfoundland and Labrador: 1st year of secondary) 3 Grade 11 - 13 (Québec: Secondary V,

Newfoundland and Labrador: 2nd to 4th year of secondary) DK, R (Go to ED_Q03)

ED_Q02 Did [respondent name] graduate from high school (secondary school)? EDUD_2 1 Yes 2 No DK, R

ED_Q03 Has [respondent name] received any other education that could be counted EDUD_3 towards a degree, certificate or diploma from an educational institution?

1 Yes 2 No (Go to ED_END) DK, R (Go to ED_END)

ED_Q04 What is the highest degree, certificate or diploma [respondent name] has EDUD_4 obtained?

1 No post-secondary degree, certificate or diploma 2 Trade certificate or diploma from a vocational school or apprenticeship

training3 Non-university certificate or diploma from a community college, CEGEP,

school of nursing, etc. 4 University certificate below bachelor’s level 5 Bachelor’s degree 6 University degree or certificate above bachelor’s degree DK, R

ED_END

6

For info

rmat

ion o

nly

Canadian Community Health Survey – Cycle 2.2 – Nutrition

Canadian Forces

CAF_Q01 Is [respondent name] a full time member of the regular Canadian Armed Forces?

1 Yes 2 No (DK, R are not allowed)

CAF_END

Relationship

RNC_Q1 What is the relationship of: [respondent name] [(Age, text sex)] to: [respondent name]? [(Age, text sex)]

1 Husband/Wife 2 Common-law partner 3 Father/Mother (Go to RNC_Q2A) 4 Son/Daughter (Go to RNC_Q2B) 5 Brother/Sister (Go to RNC_Q2C) 6 Foster father/mother 7 Foster son/daughter 8 Grandfather/mother 9 Grandson/daughter 10 In-law 11 Other related 12 Unrelated DK, R

Detailed relationship

RNC_Q2A What is the relationship of: [respondent name] [(Age, text sex)] to: [respondent name]? [(Age, text sex)] Is that a: INTERVIEWER: Read categories to respondent.

1 ...birth [father/mother]? 2 …step [father/mother]? 3 …adoptive [father/mother]?

DK, R

RNC_Q2B What is the relationship of: [respondent name] [(Age, text sex)] to: [respondent name]? [(Age, text sex)] Is that a: INTERVIEWER: Read categories to respondent.

1 …birth [son/daughter]? 2 …step [son/daughter]? 3 …adopted [son/daughter]?

DK, R

7

For info

rmat

ion o

nly

Canadian Community Health Survey – Cycle 2.2 – Nutrition

RNC_Q2C What is the relationship of: [respondent name] [(Age, text sex)] to: [respondent name]? [(Age, text sex)]

Is that a: INTERVIEWER: Read categories to respondent.

1 …full [brother/sister]? 2 …half [brother/sister]? 3 …step [brother/sister]? 4 …adopted [brother/sister]? 5 …foster [brother/sister]?

DK, R

RNC_END

8

For info

rmat

ion o

nly

Canadian Community Health Survey – Cycle 2.2 – Nutrition

GENERAL HEALTH

GEN_BEG

GEN_R01 The rest of this survey deals with various aspects of [your/FNAME’s] health and nutritional well-being. By health, we mean not only the absence of disease or injury but also physical, mental and social well-being.

INTERVIEWER: Press <Enter> to continue.

GEN_C01 If current (age < 12), go to GEN_END.

GEN_Q01 I’ll start with a few questions concerning [your/FNAME’s] health in general. In GEND_01 general, would you say [your/his/her] health is: INTERVIEWER: Read categories to respondent.

1 … excellent? 2 … very good? 3 … good? 4 … fair?

5 … poor? DK, R

GEN_Q02A How satisfied are you with your life in general? GEND_02A INTERVIEWER: Read categories to respondent.

1 Very satisfied 2 Satisfied 3 Neither satisfied nor dissatisfied 4 Dissatisfied

5 Very dissatisfied DK, R

GEN_Q02B In general, would you say your mental health is: GEND_02B INTERVIEWER: Read categories to respondent.

1 … excellent? 2 … very good? 3 … good? 4 … fair?

5 … poor? DK, R

GEN_C07 If age < 15, go to GEN_Q010.

GEN_Q07 Thinking about the amount of stress in [your/his/her] life, would you say that GEND_07 most days are: INTERVIEWER: Read categories to respondent.

1 … not at all stressful? 2 … not very stressful? 3 … a bit stressful? 4 … quite a bit stressful? 5 … extremely stressful?

DK, R

9

For info

rmat

ion o

nly

Canadian Community Health Survey – Cycle 2.2 – Nutrition

GEN_Q010 How would you describe your sense of belonging to your local community? GEND_10 Would you say it is: INTERVIEWER: Read categories to respondent.

1 … very strong? 2 … somewhat strong? 3 … somewhat weak? 4 … very weak?

DK, R

GEN_END Go to next module.

10

For info

rmat

ion o

nly

Canadian Community Health Survey – Cycle 2.2 – Nutrition

PHYSICAL ACTIVITIES

PAC_BEG

PAC_C2 If proxy interview or age < 12, go to PAC_END.

PAC_R1 Now I’d like to ask you about some of your physical activities. To begin with, I’ll be dealing with physical activities not related to work, that is, leisure time activities.

INTERVIEWER: Press <Enter> to continue.

PAC_Q1 Have you done any of the following in the past 3 months, that is, from [date three months ago] to yesterday?

INTERVIEWER: Read categories to respondent. Mark all that apply.

PACD_1A 1 Walking for exercise PACD_1M 13 Downhill skiingor snowboarding

PACD_1B 2 Gardening or yard work PACD_1N 14 BowlingPACD_1C 3 Swimming PACD_1O 15 Baseball or

softballPACD_1D 4 Bicycling PACD_1P 16 TennisPACD_1E 5 Popular or social dance PACD_1Q 17 Weight-trainingPACD_1F 6 Home exercises PACD_1R 18 FishingPACD_1G 7 Ice hockey PACD_1S 19 VolleyballPACD_1H 8 Ice skating PACD_1T 20 BasketballPACD_1I 9 In-line skating or PACD_1Z 21 Soccer rollerblading PACD_1J 10 Jogging or running PACD_1U 22 Any otherPACD_1K 11 Golfing PACD_1V 23 No physical PACD_1L 12 Exercise class or aerobics activity

(Go to PAC_END)

DK, R (Go to PAC_END)

If “Any other” is chosen as a response, go to PAC_Q1VS. Otherwise, go to PAC_Q2.

PAC_Q1VS What was this activity? INTERVIEWER: Enter one activity only.

________________________ (80 spaces) DK, R

PAC_Q1X In the past 3 months, did you do any other physical activity for leisure? PACD_1W 1 Yes 2 No (Go to PAC_Q2) DK, R (Go to PAC_Q2)

PAC_Q1XS What was this activity? INTERVIEWER: Enter one activity only.

________________________ (80 spaces) DK, R

11

For info

rmat

ion o

nly

Canadian Community Health Survey – Cycle 2.2 – Nutrition

PAC_Q1Y In the past 3 months, did you do any other physical activity for leisure?PACD_1X 1 Yes 2 No (Go to PAC_Q2) DK, R (Go to PAC_Q2)

PAC_Q1YS What was this activity? INTERVIEWER: Enter one activity only.

________________________ (80 spaces) DK, R

Note: For each activity identified in PAC_Q1, ask PAC_Q2 and PAC_Q3.

PAC_E1 If “No physical activity” is chosen in PAC_Q1 with any other response, show pop- up edit as follows.

You cannot select “No physical activity” and another category. Please return and correct.

PAC_Q2 In the past 3 months, how many times did you [participate in identified PACD_2n activity]?

|_|_|_| Times (MIN: 1) (MAX: 99 for each activity except the following:

Walking: MAX = 270 Bicycling: MAX = 200 Other activities: MAX = 200) DK, R (Go to next activity)

PAC_Q3 About how much time did you spend on each occasion?PACD_3n 1 1 to 15 minutes 2 16 to 30 minutes. 3 31 to 60 minutes 4 More than one hour DK, R

PAC_END Go to next module.

12

For info

rmat

ion o

nly

Canadian Community Health Survey – Cycle 2.2 – Nutrition

SEDENTARY ACTIVITIES

SAC_BEG

SAC_C1 If (current age < 12) or (current age >= 18), go to SAC_END. Otherwise, go to SAC_R1.

SAC_R1 Now, a few additional questions about activities you do in your leisure time, that is, activities not at work or at school.

INTERVIEWER: Press <Enter> to continue.

SAC_Q1 In a typical week in the past 3 months, how much time did you usually SACD_1 spend on a computer, including playing computer games and using the Internet or World Wide Web?

INTERVIEWER: Do not include time spent at work or at school.

1 None 2 Less than 1 hour 3 From 1 to 2 hours

4 From 3 to 5 hours 5 From 6 to 10 hours 6 From 11 to 14 hours

7 From 15 to 20 hours 8 More than 20 hours

DK, R (Go to SAC_END)

SAC_Q2 In a typical week, how much time did you usually spend playing video SACD_2 games, such as SEGA, Nintendo and Playstation?

1 None 2 Less than 1 hour 3 From 1 to 2 hours

4 From 3 to 5 hours 5 From 6 to 10 hours 6 From 11 to 14 hours

7 From 15 to 20 hours 8 More than 20 hours

DK, R

SAC_Q3 In a typical week in the past 3 months, how much time did you usually spend SACD_3 watching television or videos?

1 None 2 Less than 1 hour 3 From 1 to 2 hours

4 From 3 to 5 hours 5 From 6 to 10 hours 6 From 11 to 14 hours 7 From 15 to 20 hours 8 More than 20 hours

DK, R

13

For info

rmat

ion o

nly

Canadian Community Health Survey – Cycle 2.2 – Nutrition

SAC_Q4 In a typical week, how much time did you usually spend reading, not SACD_4 counting at work or at school?

INTERVIEWER : Include books, magazines, newspapers, homework.

1 None 2 Less than 1 hour 3 From 1 to 2 hours

4 From 3 to 5 hours 5 From 6 to 10 hours 6 From 11 to 14 hours

7 From 15 to 20 hours 8 More than 20 hours

DK, R

SAC_END Go to next module.

14

For info

rmat

ion o

nly

Canadian Community Health Survey – Cycle 2.2 – Nutrition

CHILDREN’S PHYSICAL ACTIVITY

CPA_BEG

CPA_C1 If (age > 5 and age < 12) go to CPA_R1A. Otherwise, go to CPA_END

CPA_R1A Physical activity is any activity that increases your heart rate and makes you get out of breath some of the time. It can be done in sports, school activities, playing with friends, or walking to school.

INTERVIEWER: Press <Enter> to continue.

CPA_R1B Some examples of physical activity are running, brisk walking, rollerblading, biking, dancing, skateboarding, swimming, soccer, basketball, football and surfing.

For these next two questions, add up all the time you spend in physical activity each day.

INTERVIEWER: Press <Enter> to continue.

CPA_Q1 Over the past 7 days, on how many days were you physically active for a CPAD_1 total of at least 60 minutes per day? INTERVIEWER: Read categories to respondent.

1 None (zero days) 2 1 day 3 2 to 3 days 4 4 days or more DK, R

CPA_Q2 Over a typical or usual week, on how many days are you physically active CPAD_2 for a total of at least 60 minutes per day?

INTERVIEWER: Read categories to respondent.

1 None (zero days) 2 1 day 3 2 to 3 days 4 4 days or more DK, R

CPA_Q3 About how many hours a week do you usually take part in physical activity CPAD_3 (that makes you out of breath or warmer than usual):

… in your free time at school (for example, lunch)? INTERVIEWER: Read categories to respondent.

1 Never 2 Less than 1 hour per week 3 2 to 3 hours per week 4 4 to 6 hours per week 5 7 or more hours per week DK, R

15

For info

rmat

ion o

nly

Canadian Community Health Survey – Cycle 2.2 – Nutrition

CPA_Q4 About how many hours a week do you usually take part in physical activity CPAD_4 (that makes you out of breath or warmer than usual):

… in your class time at school? INTERVIEWER: Read categories to respondent.

1 Never2 Less than 1 hour per week3 2 to 3 hours per week4 4 to 6 hours per week5 7 or more hours per week DK, R

CPA_Q5 About how many hours a week do you usually take part in physical activityCPAD_5 (that makes you out of breath or warmer than usual):

… outside of school while participating in lessons or league or team sports?

1 Never 2 Less than 1 hour per week 3 2 to 3 hours per week 4 4 to 6 hours per week 5 7 or more hours per week DK, R

CPA_Q6 About how many hours a week do you usually take part in physical activity CPAD_6 (that makes you out of breath or warmer than usual):

… outside of school while participating in unorganized activities, either on your own or with friends?

1 Never 2 Less than 1 hour per week 3 2 to 3 hours per week 4 4 to 6 hours per week 5 7 or more hours per week DK, R

CPA_Q7 On average, about how many hours a day do you watch TV or videos or CPAD_7 play video games?

1 I don’t watch TV or videos or play video games 2 Less than 1 hour a day 3 1 to 2 hours a day 4 3 to 4 hours a day 5 5 to 6 hours a day 6 7 or more hours a day DK, R

16

For info

rmat

ion o

nly

Canadian Community Health Survey – Cycle 2.2 – Nutrition

CPA_Q8 On average, about how many hours a day do you spend on a computer, CPAD_8 playing games, e-mailing, chatting, surfing the Internet, etc.?

1 I don’t use a computer 2 Less than 1 hour a day 3 1 to 2 hours a day 4 3 to 4 hours a day 5 5 to 6 hours a day 6 7 or more hours a day

DK, R

CPA_END Go to next module.

17

For info

rmat

ion o

nly

Canadian Community Health Survey – Cycle 2.2 – Nutrition

SELF-REPORTED HEIGHT AND WEIGHT

AN1_BEG

AN1_D01 If (age >= 12 and interview is non-proxy) then, AreIs = ‘are’

You = ‘you’ DoDoes = ‘do’ Your = ‘your’ Else

AreIs = ‘is’ You = ^FNAME

DoDoes = ‘does’ Your = ^FNAME’s

AN1_C01 If (current age < 18), go to AN1_END. Else, if DOMEAS = 1, go to AN1_END. Otherwise, go to AN1_R07.

AN1_R07 Health and nutritional requirements are affected by a person’s size. Because of this, I would like to ask ^Your height and weight.

INTERVIEWER: Press <Enter> to continue.

AN1_Q07 How tall ^AreIs ^You without shoes on? HWTD_2

0 Less than 1’ / 12” (less than 29.2 cm.) (Go to AN1_Q08) 1 1’0” to 1’11” / 12” to 23” (29.2 to 59.6 cm.) (Go to AN1_Q07A)

2 2’0” to 2’11” / 24” to 35” (59.7 to 90.1 cm.) (Go to AN1_Q07B) 3 3’0” to 3’11” / 36” to 47” (90.2 to 120.6 cm.) (Go to AN1_Q07C) 4 4’0” to 4’11” / 48” to 59” (120.7 to 151.0 cm.) (Go to AN1_Q07D) 5 5’0” to 5’11” (151.1 to 181.5 cm.) (Go to AN1_Q07E) 6 6’0” to 6’11” (181.6 to 212.0 cm.) (Go to AN1_Q07F) 7 7’0” and over (212.1 cm. and over) (Go to AN1_Q08) DK, R (Go to AN1_Q08)

AN1_Q07A INTERVIEWER: Select the exact height. HWTD_2A 0 1’0” / 12” (29.2 to 31.7 cm.) 1 1’1” / 13” (31.8 to 34.2 cm.) 2 1’2” / 14” (34.3 to 36.7 cm.) 3 1’3” / 15” (36.8 to 39.3 cm.) 4 1’4” / 16” (39.4 to 41.8 cm.) 5 1’5” / 17” (41.9 to 44.4 cm.) 6 1’6” / 18” (44.5 to 46.9 cm.) 7 1’7” / 19” (47.0 to 49.4 cm.) 8 1’8” / 20” (49.5 to 52.0 cm.) 9 1’9” / 21” (52.1 to 54.5 cm.) 10 1’10” / 22” (54.6 to 57.1 cm.) 11 1’11” / 23” (57.2 to 59.6 cm.) DK, R

Go to AN1_Q08.

18

For info

rmat

ion o

nly

Canadian Community Health Survey – Cycle 2.2 – Nutrition

AN1_Q07B INTERVIEWER: Select the exact height. HWTD_2B 0 2’0” / 24” (59.7 to 62.1 cm.) 1 2’1” / 25” (62.2 to 64.7 cm.) 2 2’2” / 26” (64.8 to 67.2 cm.) 3 2’3” / 27” (67.3 to 69.8 cm.) 4 2’4” / 28” (69.9 to 72.3 cm.) 5 2’5” / 29” (72.4 to 74.8 cm.) 6 2’6” / 30” (74.9 to 77.4 cm.) 7 2’7” / 31” (77.5 to 79.9 cm.) 8 2’8” / 32” (80.0 to 82.5 cm.) 9 2’9” / 33” (82.6 to 85.0 cm.) 10 2’10” / 34” (85.1 to 87.5 cm.) 11 2’11” / 35” (87.6 to 90.1 cm.) DK, R

Go to AN1_Q08.

AN1_Q07C INTERVIEWER: Select the exact height. HWTD_2C 0 3’0” / 36” (90.2 to 92.6 cm.) 1 3’1” / 37” (92.7 to 95.2 cm.) 2 3’2” / 38” (95.3 to 97.7 cm.) 3 3’3” / 39” (97.8 to 100.2 cm.) 4 3’4” / 40” (100.3 to 102.8 cm.) 5 3’5” / 41” (102.9 to 105.3 cm.) 6 3’6” / 42” (105.4 to 107.9 cm.) 7 3’7” / 43” (108.0 to 110.4 cm.) 8 3’8” / 44” (110.5 to 112.9 cm.) 9 3’9” / 45” (113.0 to 115.5 cm.) 10 3’10” / 46” (115.6 to 118.0 cm.) 11 3’11” / 47” (118.1 to 120.6 cm.) DK, R

Go to AN1_Q08.

AN1_Q07D INTERVIEWER: Select the exact height. HWTD_2D 0 4’0” / 48” (120.7 to 123.1 cm.) 1 4’1” / 49” (123.2 to 125.6 cm.) 2 4’2” / 50” (125.7 to 128.2 cm.) 3 4’3” / 51” (128.3 to 130.7 cm.) 4 4’4” / 52” (130.8 to 133.3 cm.) 5 4’5” / 53” (133.4 to 135.8 cm.) 6 4’6” / 54” (135.9 to 138.3 cm.) 7 4’7” / 55” (138.4 to 140.9 cm.) 8 4’8” / 56” (141.0 to 143.4 cm.) 9 4’9” / 57” (143.5 to 146.0 cm.) 10 4’10” / 58” (146.1 to 148.5 cm.) 11 4’11” / 59” (148.6 to 151.0 cm.) DK, R

Go to AN1_Q08.

19

For info

rmat

ion o

nly

Canadian Community Health Survey – Cycle 2.2 – Nutrition

AN1_Q07E INTERVIEWER: Select the exact height. HWTD_2E

0 5’0” (151.1 to 153.6 cm.) 1 5’1” (153.7 to 156.1 cm.) 2 5’2” (156.2 to 158.7 cm.) 3 5’3” (158.8 to 161.2 cm.) 4 5’4” (161.3 to 163.7 cm.) 5 5’5” (163.8 to 166.3 cm.) 6 5’6” (166.4 to 168.8 cm.) 7 5’7” (168.9 to 171.4 cm.) 8 5’8” (171.5 to 173.9 cm.) 9 5’9” (174.0 to 176.4 cm.) 10 5’10” (176.5 to 179.0 cm.) 11 5’11” (179.1 to 181.5 cm.) DK, R

Go to AN1_Q08.

AN1_Q07F INTERVIEWER: Select the exact height. HWTD_2F

0 6’0” (181.6 to 184.1 cm.) 1 6’1” (184.2 to 186.6 cm.) 2 6’2” (186.7 to 189.1 cm.) 3 6’3” (189.2 to 191.7 cm.) 4 6’4” (191.8 to 194.2 cm.) 5 6’5” (194.3 to 196.8 cm.) 6 6’6” (196.9 to 199.3 cm.) 7 6’7” (199.4 to 201.8 cm.) 8 6’8” (201.9 to 204.4 cm.) 9 6’9” (204.5 to 206.9 cm.) 10 6’10” (207.0 to 209.5 cm.) 11 6’11” (209.6 to 212.0 cm.)

DK, R

Go to AN1_Q08.

AN1_Q08 How much ^DoDoes ^You weigh?HWTD_3 INTERVIEWER: Enter amount only.

|_|_|_| Weight (MIN: 1) (MAX: 575) DK, R (Go to AN1_END)

AN1_N09 INTERVIEWER: Was that in pounds or kilograms? HWTD_N4

1 Pounds 2 Kilograms

(DK, R are not allowed)

AN1_END Go to next module.

20

For info

rmat

ion o

nly

Canadian Community Health Survey – Cycle 2.2 – Nutrition

VITAMIN AND MINERAL SUPPLEMENTS

NSP_BEG

NSP_R01 Many people use vitamins and minerals to improve their diet. The next questions will deal with any vitamins and minerals that you may have taken recently. INTERVIEWER: Press <Enter> to continue.

NSP_Q01 In the past month, that is, from ^OneMonthAgo to yesterday, did you take VMSD_01 any vitamins or minerals?

1 Yes 2 No (Go to NSP_END)

DK, R (Go to NSP_END)

NSP_Q13 In the past month, how many different vitamin and mineral products did VMSD_13 you take?

I_I_I Number (MIN:1 MAX:40) DK, R (Go to NSP_END)

NSP_E13 An unusual number of vitamin and mineral supplements has been entered. Please confirm.

Trigger soft edit if NSP_Q13 > 10.

NSP_Q14 I would like to record the details of those vitamins and minerals to add to VMSD_14 your food intake. Do you have the bottle(s), tube(s) or box(es) available? INTERVIEWER: Ask respondent to get the bottle(s), tube(s) or box(es).

1 Yes 2 No

DK, R not permitted

NSP_END Go to next module.

21

For info

rmat

ion o

nly

Canadian Community Health Survey – Cycle 2.2 – Nutrition

VITAMIN AND MINERAL SUPPLEMENTS DETAIL

[Note: The Vitamin and Mineral Supplements Detail Module is asked for each different vitamin and mineral product reported for question NSP_Q13, up to a maximum of 10 times or until the respondent cannot provide the name of the product (Don't Know or Refusal for question NSD_Q2A).]

NSD_BEG

NSD_C1A If NSP_Q14 = 2, go to NSD_Q2A. Otherwise, go to NSD_Q1A.

NSD_Q1A Is a Drug Identification Number (DIN) available for ^TheNext product? VMDD_1A INTERVIEWER: If necessary, help the respondent to find the DIN on the bottle, tube

or box.

1 Yes 2 No (Go to NSD_Q2A)

DK, R not permitted

Note: If piNSP_Q13 = 1, ^TheNext = ‘this’. If piNSP_Q13 > 1, on the first occurrence, ^TheNext = ‘the first’. Otherwise, set ^TheNext = ‘the next’.

NSD_Q1B What is the DIN (drug identification number) of ^TheNext nutritional VMDD_1B supplement?

INTERVIEWER: Be sure to use eight digits (use leading zeros to fill the field if necessary e.g. 00012345). If respondent took more than 1 supplement, enter DINs starting with the one taken most often.

I_I_I_I_I_I_I_I_I Drug Identification Number DK, R not permitted

NSD_E1B No match found. Confirm DIN.

Note: Use DIN lookup table for this question. Trigger soft edit If NSP_Q1B <> (match in DIN table).

NSD_C2A If NSD_Q1B = (Match In DIN table), NSD_Q2A = (Supplement Name in the table). Go to NSD_N2. Else, ^TheNext = ‘this’. Go to NSD_Q2A.

NSD_N2 INTERVIEWER: Supplement name for DIN [Answer at NSD_Q1B] is [Answer in VMDD_N2 lookup table]. Please confirm.

1 Yes 2 No DK, R not permitted

NSD_C2B If NSD_N2 = Yes, NSD_Q2A = (Supplement Name in the table). Go to NSD_Q3 Else, ^TheNext = ‘this’. Go to NSD_Q2A.

22

For info

rmat

ion o

nly

Canadian Community Health Survey – Cycle 2.2 – Nutrition

NSD_Q2A What is the name of ^TheNext2 product?

_____________________________________________ (80 spaces)Go to NSD_Q2C DK, R (Go to NSD_END)

Note: If piNSP_Q13 = 1, ^TheNext2 = ‘this’. If piNSP_Q13 > 1, on the first occurrence, ^TheNext2 = ‘the first’. Else, if NSP_Q14 = 2, ^TheNext2 = ‘the next’. Otherwise, ^TheNext2 = ‘this’.

NSD_Q2C What is the concentration (strength) of the main ingredient(s)? INTERVIEWER: Enter the name and concentration (strength) of the main

ingredient(s). Do not list more than two ingredients. Example: Calcium 333 mg, Vitamin D 1000 IU.

_____________________________________________ (80 spaces) DK, R

NSD_Q3 In the past month, how often did you usually take this supplement? VMDD_3 INTERVIEWER: Enter number of times taken here and select the reporting period

on the next screen.

I_I_I_I Times (MIN:1 MAX:300) DK, R (Go to NSD_END)

NSD_N3 INTERVIEWER: Select the reporting period. VMDD_N3

1 Per day 2 Per week 3 Per month DK, R (Go to NSD_END)

NSD_E3A You reported ^NSD_Q3 times ^DyWkMo. Please confirm.

Trigger soft edit if (NSD_N3 = 1 and NSD_Q3 > 10) or (NSD_N3 = 2 and NSD_Q3 > 10) or (NSD_N3 = 3 and NSD_Q3 > 7)

Note: If NSD_N3 = 1, ^DyWkMo = per day

If NSD_N3 = 2, ^DyWkMo = per week If NSD_N3 = 3, ^DyWkMo = per month

NSD_E3B You reported ^NSD_Q3 times ^DyWkMo. This is an impossible value. Please return and correct.

Trigger hard edit if (NSD_N3 = 1 and NSD_Q3 > 40) or (NSD_N3 = 2 and NSD_Q3 > 200) or (NSD_N3 = 3 and NSD_Q3 > 400)

NSD_C4 If NSD_N3 = 1, go to NSD_Q5.

23

For info

rmat

ion o

nly

Canadian Community Health Survey – Cycle 2.2 – Nutrition

NSD_Q4 On the days that you took it, how many times did you usually take this VMDD_4 supplement?

I_I_I Times (MIN:1 MAX:99)

DK, R (Go to NSD_END)

NSD_E4 An unusual number has been entered. Please confirm.

Trigger soft edit if NSD_Q4 > 10.

NSD_Q5 How many pills or tablets, capsules or teaspoons did you usually take each VMDD_5 time? INTERVIEWER: Enter amount only.

I_I_I_I Number (MIN:1 MAX:999) DK, R (Go to NSD_END)

NSD_N6 INTERVIEWER: Select reporting unit. VMDD_N6

1 Tablet 2 Capsule 3 Teaspoon 4 Tablespoon 5 Drop 6 Injection 7 Other – Specify

DK, R not permitted

NSD_C6 If NSD_N6 = 7, go to NSD_S6. Otherwise, go to NSD_ END.

NSD_S6 INTERVIEWER: Specify.

_____________________________________________ (80 spaces)

DK, R not permitted NSD_END Go back to NSP module.

24

For info

rmat

ion o

nly

Canadian Community Health Survey – Cycle 2.2 – Nutrition

MEASURED HEIGHT AND WEIGHT

Main block

AN2_BEG

AN2_C1 If (current age) < 2, go to AN2_END.

AN2_C1A If (DOMEAS = 2) and (current age > 17) and AN1_Q7=R or AN1_Q8=R, go to AN2_END. (Refused self-report)

AN2_C1B If (current age) < 12, go to CBL_N1. Otherwise, if (current age) >= 12, go to PSS_N1.

Child block

CBL_N1 INTERVIEWER: Is respondent available to have measurements taken? MHWD_N1C

1 Yes 2 No DK, R not allowed

CBL_C1 If CBL_N1 = 1, go to PSS_N1. Otherwise, go to SRB_C1.

Possible block

PSS_N1 INTERVIEWER: Are there reasons why it is not possible to take any of theMHWD_N1 respondent’s measurements? (If it is possible to take at least one of the

measurements, answer No.)

1 Yes 2 No (Go to PSS_N3) DK, R not allowed

PSS_N2 INTERVIEWER: Select reasons why no measurements are possible. Mark all that apply.

MHWD_N2A 1 Unable to stand unassistedMHWD_N2B 2 In a wheelchair MHWD_N2C 3 Respondent is bedridden MHWD_N2D 4 Child too young to stand still MHWD_N2E 5 Interview setting is a problem (e.g., interview outdoors or in a public

place) MHWD_N2F 6 Safety concerns MHWD_N2G 7 Respondent has already refused to be measured MHWD_N2H 8 Other – Specify MHWD_N2I 9 Respondent unavailable MHWD_N2J 10 Equipment (e.g. unavailable, battery problem, respondent too heavy) MHWD_N2K 11 Telephone interview MHWD_N2L 12 Respondent is too tall

DK, R not allowed

25

For info

rmat

ion o

nly

Canadian Community Health Survey – Cycle 2.2 – Nutrition

PSS_C2 If (PSS_N2 <> 8), go to SRB_C1. Otherwise, go to PSS_S2.

PSS_S2 INTERVIEWER: Specify.

_____________________________________________ (80 spaces)

DK, R not allowed.

Go to SRB_C1.

PSS_N3 INTERVIEWER: Is the respondent too tall for you to measure height? MHWD_N3

1 Yes 2 No DK, R not allowed

PSS_N4A INTERVIEWER: Are there any articles of clothing or physical characteristics that MHWD_N4 could affect the accuracy of these measurements?

1 Yes 2 No (Go to PSS_END) DK, R not allowed

PSS_N4B INTERVIEWER: Select reasons affecting accuracy. Mark all that apply.

MHWD_N4A 1 Shoes or boots MHWD_N4B 2 Heavy sweater or jacket MHWD_N4C 3 Hairstyle MHWD_N4D 4 Hat MHWD_N4E 5 Jewellery MHWD_N4F 6 Other - Specify DK, R not allowed

PSS_C4BS If (PSS_N4B <> 6), go to PSS_END. Otherwise, go to PSS_S4B.

PSS_S4B INTERVIEWER: Specify.

_____________________________________________ (80 spaces)

DK, R not allowed

PSS_END If PSS_N3 = 1 (i.e. too tall), go to TTB_C1. Otherwise, go to INM_C1.

26

For info

rmat

ion o

nly

Canadian Community Health Survey – Cycle 2.2 – Nutrition

Too tall block

TTB_C1 If (current age > 17) and (DOMEAS = 2), go to IWB_R1. Otherwise, go to IWA_R1.

Introduction – Weight (A)

IWA_R1 Health and nutritional requirements are affected by a person’s size. Because of this, I would like to ask ^Your height and measure ^Your weight. (The measurement will not require any touching.)

INTERVIEWER: Press <Enter> to continue.

IWA_Q1 Do I have your permission to weigh ^You? MHWD_5A

1 Yes (Go to MSW_R1) 2 No

DK, R not allowed

IWA_END Go to SRH_Q1.

Introduction – Weight (B)

IWB_R1 Earlier I asked your height and weight. Scales often differ, and you would likely get different weights if you weighed yourself at home than if you were weighed at the doctor’s office or at the gym. Because of this, I would like to measure your weight with the same equipment we are using all across the country. (This measurement will not require any touching).

INTERVIEWER: Press <Enter> to continue.

IWB_Q1 Do I have your permission to weigh ^You? MHWD_5B

1 Yes (Go to MSW_R1) 2 No

DK, R not allowed

IWB_END Go to AN2_END.

27

For info

rmat

ion o

nly

Canadian Community Health Survey – Cycle 2.2 – Nutrition

Introduction – All measures

INM_C1 If (DOMEAS = 2) and (current age > 17), go to INM_R1B. Otherwise, go to INM_R1A.

INM_R1A Health and nutritional requirements are affected by a person’s size. Because of this, I would like to measure ^Your height and weight. (The measurements taken will not require any touching.)

INTERVIEWER: Press <Enter> to continue.

Go to INM_Q1.

INM_R1B Earlier I asked your height and weight. Scales often differ, and you would likely get different weights if you weighed yourself at home than if you were weighed at the doctor’s office or at the gym. Height also changes over time. Because of this, I would like to measure your height and weight with the same equipment we are using all across the country. (The measurements will not require any touching).

INTERVIEWER: Press <Enter> to continue.

INM_Q1 Do I have your permission to take these measurements? MHWD_5C

1 Yes (Go to MSW_R1) 2 No

DK, R not allowed

Go to SRB_C1.

Measure of weight

MSW_R1 First I will weigh ^You. INTERVIEWER: Press <Enter> to continue.

MSW_N1 INTERVIEWER: Record weight to the nearest 0.01 kg. If the scale does not MHWD_N6 work, or if for some other reason you cannot weigh the respondent, enter DK.

|_|_|_|.|_|_| Kilograms (MIN: 0.00) (MAX: 150) DK, R

MSW_C2 If MSW_N1 = DK, go to MSW_N2. Otherwise, go to MSW_END.

MSW_N2 Select the reason for not weighting the respondent. MHWD_N7

1 Scale not functioning properly (Go to MSW_END) 2 Other – Specify (Go to MSW_S2)

DK, R not allowed

MSW_S2 INTERVIEWER: Specify.

_____________________________________________ (80 spaces) DK, R not allowed

28

For info

rmat

ion o

nly

Canadian Community Health Survey – Cycle 2.2 – Nutrition

MSW_END If (current age > 17) and (DOMEAS = 2) (i.e. already did self-report) and PSS_N3=1 (i.e. too tall), go to AN2_END.

If (DOMEAS =1) and PSS_N3 = 1, go to SRH_Q1. If (DOMEAS =1) and PSS_N3 = 2 (i.e. not too tall), go to MSH_R1.

Measure of height

MSH_R1 Now I will measure ^Your height. INTERVIEWER: Press <Enter> to continue.

MSH_N1 INTERVIEWER: Record height to the nearest 0.5 cm.MHWD_N8

|_|_|_|.|_| Centimetres (MIN: 0.0) (MAX: 350.0) DK, R

Go to AN2_END.

Self-report block

SRB_C1 If (current age > 17) and (DOMEAS = 2) (already did self-report), go to AN2_END. Otherwise, go to INS_R1.

Introduction – Self-report

INS_R1 Health and nutritional requirements are affected by a person’s size. Because of this, I would like to ask ^Your height and weight.

INTERVIEWER: Press <Enter> to continue.

INS_Q1 Are you willing to tell me these measurements? MHWD_9

1 Yes 2 No (Go to AN2_END)

DK, R not allowed

Self-reported weight

SRW_Q1 How much ^DoDoes ^You weigh? HWTD_3 INTERVIEWER: Enter amount only.

|_|_|_| Weight (MIN: 1) (MAX: 575) DK, R (Go to SRH_Q1)

SRW_N1 INTERVIEWER: Was that in pounds or kilograms? HWTD_N4 1 Pounds 2 Kilograms DK, R are not allowed

29

For info

rmat

ion o

nly

Canadian Community Health Survey – Cycle 2.2 – Nutrition

Self-reported height

SRH_Q1 How tall ^AreIs ^You without shoes on?HWTD_2

0 Less than 1’ / 12” (less than 29.2 cm.) (Go to SRH_END) 1 1’0” to 1’11” / 12” to 23” (29.2 to 59.6 cm.) (Go to SRH_Q1A)

2 2’0” to 2’11” / 24” to 35” (59.7 to 90.1 cm.) (Go to SRH_Q1B) 3 3’0” to 3’11” / 36” to 47” (90.2 to 120.6 cm.) (Go to SRH_Q1C) 4 4’0” to 4’11” / 48” to 59” (120.7 to 151.0 cm.) (Go to SRH_Q1D) 5 5’0” to 5’11” (151.1 to 181.5 cm.) (Go to SRH_Q1E) 6 6’0” to 6’11” (181.6 to 212.0 cm.) (Go to SRH_Q1F) 7 7’0” and over (212.1 cm. and over) (Go to SRH_END) DK, R (Go to SRH_END)

SRH_Q1A INTERVIEWER: Select the exact height. HWTD_2A 0 1’0” / 12” (29.2 to 31.7 cm.) 1 1’1” / 13” (31.8 to 34.2 cm.) 2 1’2” / 14” (34.3 to 36.7 cm.) 3 1’3” / 15” (36.8 to 39.3 cm.) 4 1’4” / 16” (39.4 to 41.8 cm.) 5 1’5” / 17” (41.9 to 44.4 cm.) 6 1’6” / 18” (44.5 to 46.9 cm.) 7 1’7” / 19” (47.0 to 49.4 cm.) 8 1’8” / 20” (49.5 to 52.0 cm.) 9 1’9” / 21” (52.1 to 54.5 cm.) 10 1’10” / 22” (54.6 to 57.1 cm.) 11 1’11” / 23” (57.2 to 59.6 cm.) DK, R

Go to AN2_END.

SRH_Q1B INTERVIEWER: Select the exact height. HWTD_2B 0 2’0” / 24” (59.7 to 62.1 cm.) 1 2’1” / 25” (62.2 to 64.7 cm.) 2 2’2” / 26” (64.8 to 67.2 cm.) 3 2’3” / 27” (67.3 to 69.8 cm.) 4 2’4” / 28” (69.9 to 72.3 cm.) 5 2’5” / 29” (72.4 to 74.8 cm.) 6 2’6” / 30” (74.9 to 77.4 cm.) 7 2’7” / 31” (77.5 to 79.9 cm.) 8 2’8” / 32” (80.0 to 82.5 cm.) 9 2’9” / 33” (82.6 to 85.0 cm.) 10 2’10” / 34” (85.1 to 87.5 cm.) 11 2’11” / 35” (87.6 to 90.1 cm.) DK, R

Go to AN2_END.

30

For info

rmat

ion o

nly

Canadian Community Health Survey – Cycle 2.2 – Nutrition

SRH_Q1C INTERVIEWER: Select the exact height. HWTD_2C 0 3’0” / 36” (90.2 to 92.6 cm.) 1 3’1” / 37” (92.7 to 95.2 cm.) 2 3’2” / 38” (95.3 to 97.7 cm.) 3 3’3” / 39” (97.8 to 100.2 cm.) 4 3’4” / 40” (100.3 to 102.8 cm.) 5 3’5” / 41” (102.9 to 105.3 cm.) 6 3’6” / 42” (105.4 to 107.9 cm.) 7 3’7” / 43” (108.0 to 110.4 cm.) 8 3’8” / 44” (110.5 to 112.9 cm.) 9 3’9” / 45” (113.0 to 115.5 cm.) 10 3’10” / 46” (115.6 to 118.0 cm.) 11 3’11” / 47” (118.1 to 120.6 cm.) DK, R

Go to AN2_END.

SRH_Q1D INTERVIEWER: Select the exact height. HWTD_2D 0 4’0” / 48” (120.7 to 123.1 cm.) 1 4’1” / 49” (123.2 to 125.6 cm.) 2 4’2” / 50” (125.7 to 128.2 cm.) 3 4’3” / 51” (128.3 to 130.7 cm.) 4 4’4” / 52” (130.8 to 133.3 cm.) 5 4’5” / 53” (133.4 to 135.8 cm.) 6 4’6” / 54” (135.9 to 138.3 cm.) 7 4’7” / 55” (138.4 to 140.9 cm.) 8 4’8” / 56” (141.0 to 143.4 cm.) 9 4’9” / 57” (143.5 to 146.0 cm.) 10 4’10” / 58” (146.1 to 148.5 cm.) 11 4’11” / 59” (148.6 to 151.0 cm.) DK, R

Go to AN2_END.

SRH_Q1E INTERVIEWER: Select the exact height. HWTD_2E 0 5’0” (151.1 to 153.6 cm.) 1 5’1” (153.7 to 156.1 cm.) 2 5’2” (156.2 to 158.7 cm.) 3 5’3” (158.8 to 161.2 cm.) 4 5’4” (161.3 to 163.7 cm.) 5 5’5” (163.8 to 166.3 cm.) 6 5’6” (166.4 to 168.8 cm.) 7 5’7” (168.9 to 171.4 cm.) 8 5’8” (171.5 to 173.9 cm.) 9 5’9” (174.0 to 176.4 cm.) 10 5’10” (176.5 to 179.0 cm.) 11 5’11” (179.1 to 181.5 cm.) DK, R

Go to AN2_END.

31

For info

rmat

ion o

nly

Canadian Community Health Survey – Cycle 2.2 – Nutrition

SRH_Q1F INTERVIEWER: Select the exact height. HWTD_2F 0 6’0” (181.6 to 184.1 cm.) 1 6’1” (184.2 to 186.6 cm.) 2 6’2” (186.7 to 189.1 cm.) 3 6’3” (189.2 to 191.7 cm.) 4 6’4” (191.8 to 194.2 cm.) 5 6’5” (194.3 to 196.8 cm.) 6 6’6” (196.9 to 199.3 cm.) 7 6’7” (199.4 to 201.8 cm.) 8 6’8” (201.9 to 204.4 cm.) 9 6’9” (204.5 to 206.9 cm.) 10 6’10” (207.0 to 209.5 cm.) 11 6’11” (209.6 to 212.0 cm.) DK, R

AN2_END Go to next module.

32

For info

rmat

ion o

nly

Canadian Community Health Survey – Cycle 2.2 – Nutrition

WOMEN’S HEALTH

WHC_BEG

WHC_C01 If sex = male or age < 9, go to WHC_END. Otherwise, go to WHC_R01.

WHC_R01 Girls and women have different nutritional needs at different points in their lives, such as when pregnant or after menopause. For that reason, I need to ask you some questions about women’s health.

INTERVIEWER: Press <Enter> to continue.

WHC_C01 If age < 15, go to WHC_Q01. Otherwise, go to WHC_D02.

WHC_Q01 Have you begun having menstrual cycles (periods) yet?WHCD_01

1 Yes 2 No

DK, R

(Go to WHC_END)

WHC_D02 MaxAge = minimum of [current age] or 30.

WHC_Q02 At what age did you have your first period? WHCD_02 INTERVIEWER: Minimum is 0; maximum is ^MaxAge.

If respondent has never had a period, enter “0”.

|_|_| Age in years: (MIN: 0) (MAX: ^MaxAge) DK, R (Go to WHC_END)

WHC_E02A If WHC_Q02 > 19 trigger soft edit:

An unusual value has been entered. Please confirm.

WHC_E02B If WHC_Q02 <= current age, go to WHC_C03A. Otherwise, show pop-up edit as follows.

An impossible value has been entered. Please return and correct.

WHC_C03A If WHC_Q02 = 0, go to WHC_END. Otherwise, go to WHC_C03B.

WHC_C03B If age > 55, go to WHC_Q06. Otherwise, go to WHC_Q03.

WHC_Q03 Are you currently pregnant?WHCD_03

1 Yes (Go to WHC_END) 2 No

DK, R

33

For info

rmat

ion o

nly

Canadian Community Health Survey – Cycle 2.2 – Nutrition

WHC_Q04 Have you given birth in the past 5 years? WHCD_04 INTERVIEWER: Do not include stillbirths.

1 Yes 2 No (Go to WHC_Q06)

DK, R (Go to WHC_Q06)

WHC_Q05 Are you currently breastfeeding?WHCD_05

1 Yes (Go to WHC_Q08) 2 No

DK, R

WHC_Q06 Have your periods stopped?WHCD_06

1 Yes 2 No 3 Not sure, cycle irregular

DK, R

WHC_C08 If age > 50, go to WHC_END. Otherwise, go to WHC_Q08.

WHC_Q08 In the past month, did you take birth control pills, including for reasons WHCD_08 other than birth control?

1 Yes 2 No

DK, R

WHC_END Go to next module.

34

For info

rmat

ion o

nly

Canadian Community Health Survey – Cycle 2.2 – Nutrition

FRUIT AND VEGETABLE CONSUMPTION

FVC_BEG

FVC_C01 If (age < 6 months) go to FVC_END. Otherwise, go to FVC_R01.

FVC_R01 The next questions are about the foods you usually eat or drink. Think about all the foods you eat, both meals and snacks, at home and away from home.

INTERVIEWER: Press <Enter> to continue.

FVC_Q1A How often do you usually drink fruit juices such as orange, grapefruit or FVCD_1 tomato? (For example: once a day, three times a week, twice a month.) INTERVIEWER: Enter amount only.

l_l_l_l Times (MIN: 0) (MAX: 500) 0, DK (Go to FVC_Q2A) R (Go to FVC_END)

FVC_N1B INTERVIEWER: Select the reporting period. FVCD_1A 1 Per day 2 Per week 3 Per month 4 Per year

[Note: In head office processing, FVC_N1B will be set to 5 (never), if FVC_Q1A = 0.]

Edits and Notes:

DK, R are not allowed.

If the entered amount is more than 20 and the period is “Daily”, pop up a hard edit with the following text: “An impossible value has been entered. Please return and correct.”

If the entered amount is more than 5 and the period is “Daily”, pop up a soft edit with the following text: “An unusual value has been entered. Please confirm.”

If the entered amount is more than 90 and the period is “Weekly”, pop up a hard edit with the following text: “An impossible value has been entered. Please return and correct.”

If the entered amount is more than 10 and the period is “Weekly”, pop up a soft edit with the following text: “An unusual value has been entered. Please confirm.”

If the entered amount is more than 200 and the period is “Monthly”, pop up a hard edit with the following text: “An impossible value has been entered. Please return and correct.”

If the entered amount is more than 10 and the period is “Monthly”, pop up a soft edit with the following text: “An unusual value has been entered. Please confirm.”

35

For info

rmat

ion o

nly

Canadian Community Health Survey – Cycle 2.2 – Nutrition

If the entered amount is more than 12 and the period is “Yearly”, pop up a soft edit with the following text: “An unusual value has been entered. Please confirm.”

For the hard edits, include both FVC_Q1A and FVC_N1B in the INVOLVING statement so that both question identifiers appear in the bottom half of the edit pop- up screen.

FVC_Q2A Not counting juice, how often do you usually eat fruit? FVCD_2 INTERVIEWER: Enter amount only.

l_l_l_l Times (MIN: 0) (MAX: 500) 0 (Go to FVC_Q3A) DK, R (Go to FVC_Q3A)

FVC_N2B INTERVIEWER: Select the reporting period. FVCD_2A

1 Per day 2 Per week 3 Per month 4 Per year

[Note: In head office processing, FVC_N2B will be set to 5 (never), if FVC_Q2A = 0.]

Edits and Notes:

DK, R are not allowed.

If the entered amount is more than 20 and the period is “Daily”, pop up a hard edit with the following text: “An impossible value has been entered. Please return and correct.”

If the entered amount is more than 5 and the period is “Daily”, pop up a soft edit with the following text: “An unusual value has been entered. Please confirm.”

If the entered amount is more than 90 and the period is “Weekly”, pop up a hard edit with the following text: “An impossible value has been entered. Please return and correct.”

If the entered amount is more than 10 and the period is “Weekly”, pop up a soft edit with the following text: “An unusual value has been entered. Please confirm.”

If the entered amount is more than 200 and the period is “Monthly”, pop up a hard edit with the following text: “An impossible value has been entered. Please return and correct.”

If the entered amount is more than 10 and the period is “Monthly”, pop up a soft edit with the following text: “An unusual value has been entered. Please confirm.”

If the entered amount is more than 12 and the period is “Yearly”, pop up a soft edit with the following text: “An unusual value has been entered. Please confirm.”

36

For info

rmat

ion o

nly

Canadian Community Health Survey – Cycle 2.2 – Nutrition

For the hard edits, include both FVC_Q2A and FVC_N2B in the INVOLVING statement so that both question identifiers appear in the bottom half of the edit pop- up screen.

FVC_Q3A How often do you usually eat green salad? FVCD_3 INTERVIEWER: Enter amount only.

l_l_l_l Times (MIN: 0) (MAX: 500) 0 (Go to FVC_Q4A) DK, R (Go to FVC_Q4A)

FVC_N3B INTERVIEWER: Select the reporting period. FVCD_3A 1 Per day 2 Per week 3 Per month 4 Per year

[Note: In head office processing, FVC_N3B will be set to 5 (never), if FVC_Q3A = 0.]

Edits and Notes:

DK, R are not allowed.

If the entered amount is more than 20 and the period is “Daily”, pop up a hard edit with the following text: “An impossible value has been entered. Please return and correct.”

If the entered amount is more than 2 and the period is “Daily”, pop up a soft edit with the following text: “An unusual value has been entered. Please confirm.”

If the entered amount is more than 90 and the period is “Weekly”, pop up a hard edit with the following text: “An impossible value has been entered. Please return and correct.”

If the entered amount is more than 5 and the period is “Weekly”, pop up a soft edit with the following text: “An unusual value has been entered. Please confirm.”

If the entered amount is more than 200 and the period is “Monthly”, pop up a hard edit with the following text: “An impossible value has been entered. Please return and correct.”

If the entered amount is more than 5 and the period is “Monthly”, pop up a soft edit with the following text: “An unusual value has been entered. Please confirm.”

If the entered amount is more than 12 and the period is “Yearly”, pop up a soft edit with the following text: “An unusual value has been entered. Please confirm.”

For the hard edits, include both FVC_Q3A and FVC_N3B in the INVOLVING statement so that both question identifiers appear in the bottom half of the edit pop-up screen.

37

For info

rmat

ion o

nly

Canadian Community Health Survey – Cycle 2.2 – Nutrition

FVC_Q4A How often do you usually eat potatoes, not including French fries, fried FVCD_4 potatoes or potato chips? INTERVIEWER: Enter amount only.

l_l_l_l Times (MIN: 0) (MAX: 500) 0 (Go to FVC_Q5A) DK, R (Go to FVC_Q5A)

FVC_N4B INTERVIEWER: Select the reporting period. FVCD_4A 1 Per day 2 Per week 3 Per month 4 Per year

[Note: In head office processing, FVC_N4B will be set to 5 (never), if FVC_Q4A = 0.]

Edits and Notes:

DK, R are not allowed.

If the entered amount is more than 20 and the period is “Daily”, pop up a hard edit with the following text: “An impossible value has been entered. Please return and correct.”

If the entered amount is more than 2 and the period is “Daily”, pop up a soft edit with the following text: “An unusual value has been entered. Please confirm.”

If the entered amount is more than 90 and the period is “Weekly”, pop up a hard edit with the following text: “An impossible value has been entered. Please return and correct.”

If the entered amount is more than 10 and the period is “Weekly”, pop up a soft edit with the following text: “An unusual value has been entered. Please confirm.”

If the entered amount is more than 200 and the period is “Monthly”, pop up a hard edit with the following text: “An impossible value has been entered. Please return and correct.”

If the entered amount is more than 10 and the period is “Monthly”, pop up a soft edit with the following text: “An unusual value has been entered. Please confirm.”

If the entered amount is more than 12 and the period is “Yearly”, pop up a soft edit with the following text: “An unusual value has been entered. Please confirm.”

For the hard edits, include both FVC_Q4A and FVC_N4B in the INVOLVING statement so that both question identifiers appear in the bottom half of the edit pop-up screen.

38

For info

rmat

ion o

nly

Canadian Community Health Survey – Cycle 2.2 – Nutrition

FVC_Q5A How often do you usually eat carrots? FVCD_5 INTERVIEWER: Enter amount only.

l_l_l_l Times (MIN: 0) (MAX: 500) 0 (Go to FVC_Q6A) DK, R (Go to FVC_Q6A)

FVC_N5B INTERVIEWER: Select the reporting period. FVCD_5A

1 Per day 2 Per week 3 Per month 4 Per year

[Note: In head office processing, FVC_N5B will be set to 5 (never), if FVC_Q5A = 0.]

Edits and Notes:

DK, R are not allowed.

If the entered amount is more than 20 and the period is “Daily”, pop up a hard edit with the following text: “An impossible value has been entered. Please return and correct.”

If the entered amount is more than 2 and the period is “Daily”, pop up a soft edit with the following text: “An unusual value has been entered. Please confirm.”

If the entered amount is more than 90 and the period is “Weekly”, pop up a hard edit with the following text: “An impossible value has been entered. Please return and correct.”

If the entered amount is more than 10 and the period is “Weekly”, pop up a soft edit with the following text: “An unusual value has been entered. Please confirm.”

If the entered amount is more than 200 and the period is “Monthly”, pop up a hard edit with the following text: “An impossible value has been entered. Please return and correct.”

If the entered amount is more than 10 and the period is “Monthly”, pop up a soft edit with the following text: “An unusual value has been entered. Please confirm.”

If the entered amount is more than 12 and the period is “Yearly”, pop up a soft edit with the following text: “An unusual value has been entered. Please confirm.”

For the hard edits, include both FVC_Q5A and FVC_N5B in the INVOLVING statement so that both question identifiers appear in the bottom half of the edit pop-up screen.

39

For info

rmat

ion o

nly

Canadian Community Health Survey – Cycle 2.2 – Nutrition

FVC_Q6A Not counting carrots, potatoes, or salad, how many servings of other FVCD_6 vegetables do you usually eat? INTERVIEWER: Enter amount only.

l_l_l_l Servings (MIN: 0) (MAX: 500) 0 (Go to FVC_END) DK, R (Go to FVC_END)

FVC_N6B INTERVIEWER: Select the reporting period. FVCD_6A 1 Per day 2 Per week 3 Per month 4 Per year

[Note: In head office processing, FVC_N6B will be set to 5 (never), if FVC_Q6A = 0.]

Edits and Notes:

DK, R are not allowed.

If the entered amount is more than 20 and the period is “Daily”, pop up a hard edit with the following text: “An impossible value has been entered. Please return and correct.”

If the entered amount is more than 5 and the period is “Daily”, pop up a soft edit with the following text: “An unusual value has been entered. Please confirm.”

If the entered amount is more than 90 and the period is “Weekly”, pop up a hard edit with the following text: “An impossible value has been entered. Please return and correct.”

If the entered amount is more than 10 and the period is “Weekly”, pop up a soft edit with the following text: “An unusual value has been entered. Please confirm.”

If the entered amount is more than 200 and the period is “Monthly”, pop up a hard edit with the following text: “An impossible value has been entered. Please return and correct.”

If the entered amount is more than 10 and the period is “Monthly”, pop up a soft edit with the following text: “An unusual value has been entered. Please confirm.”

If the entered amount is more than 12 and the period is “Yearly”, pop up a soft edit with the following text: “An unusual value has been entered. Please confirm.”

For the hard edits, include both FVC_Q6A and FVC_N6B in the INVOLVING statement so that both question identifiers appear in the bottom half of the edit pop-up screen.

FVC_END

40

For info

rmat

ion o

nly

Canadian Community Health Survey – Cycle 2.2 – Nutrition

CHRONIC CONDITIONS

CCC_BEG

CCC_R071 Now I’d like to ask about certain chronic health conditions which [you/FNAME] may have. We are interested in “long-term conditions” which are expected to last or have already lasted 6 months or more and that have been diagnosed by a health professional.INTERVIEWER: Press <Enter> to continue.

CCC_Q071 [Do/Does] [you/FNAME] have:CCCD_071

... high blood pressure?

1 Yes 2 No

DK, R

CCC_Q101 [Do/Does] [you/FNAME] have:CCCD_101

... diabetes?

1 Yes 2 No (Go to CCC_Q121) DK, R (Go to CCC_Q121)

CCC_Q102 How old [were/was] [you/he/she] when this was first diagnosed? CCCD_102 INTERVIEWER: Maximum is [current age].

|_|_|_| Age in years (MIN: 0) (MAX: current age) DK, R

CCC_Q121 [Do/Does] [you/FNAME] have:CCCD_121

… heart disease?

1 Yes 2 No DK, R

CCC_Q131 [Do/Does] [you/FNAME] have: CCCD_131

… cancer?

1 Yes 2 No DK, R

41

For info

rmat

ion o

nly

Canadian Community Health Survey – Cycle 2.2 – Nutrition

CCC_Q141 (Remember, we’re interested in conditions diagnosed by a health CCCD_141 professional.)

[Do/Does] [you/FNAME] have intestinal or stomach ulcers?

1 Yes 2 No DK, R

CCC_Q171 [Do/Does] [you/FNAME] have: CCCD_171 … a bowel disorder such as Crohn’s Disease or colitis?

1 Yes 2 No DK, R

CCC_C401 If (current age > 49), go to CCC_Q401. Otherwise, go to CCC_Q901.

CCC_Q401 [Do/Does] [you/FNAME] have: CCCD_401 … osteoporosis?

1 Yes 2 No DK, R

CCC_Q901 [Do/Does] [you/FNAME] have any other long-term physical or mental health CCCD_901 condition that has been diagnosed by a health professional?

1 Yes 2 No (Go to CCC_END) DK, R (Go to CCC_END)

CCC_C901S If CCC_Q901 <> 1, go to CCC_END. Otherwise, go to CCC_Q901S.

CCC_Q901S INTERVIEWER: Specify.

________________________ (80 spaces) DK, R

CCC_END Go to next module.

42

For info

rmat

ion o

nly

Canadian Community Health Survey – Cycle 2.2 – Nutrition

SMOKING

SMK_BEG

SMK_C201 If (current age < 12) go to SMK_END.

SMK_R201 The next questions are about smoking. INTERVIEWER: Press <Enter> to continue.

SMK_Q201A In [your/his/her] lifetime, [have/has] [you/FNAME] smoked a total of 100 or SMKD_01A more cigarettes (about 4 packs)?

1 Yes 2 No

DK, R

SMK_C202 If SMK_Q201A = R, go to SMK_END. Otherwise, go to SMK_Q202.

SMK_Q202 At the present time, [do/does] [you/FNAME] smoke cigarettes daily, SMKD_202 occasionally or not at all?

1 Daily 2 Occasionally (Go to SMK_Q205B) 3 Not at all (Go to SMK_C205D) DK, R (Go to SMK_END)

Smokes daily (current)

SMK_Q204 How many cigarettes [do/does] [you/he/she] smoke each day now? SMKD_204 |_|_| Cigarettes (MIN: 1) (MAX: 99; warning after 60) DK, R

Go to SMK_END.

Smokes occasionally (current)

SMK_Q205B On the days that [you/FNAME] [do/does] smoke, how many cigarettes SMKD_05B [do/does] [you/he/she] usually smoke?

|_|_| Cigarettes (MIN: 1) (MAX: 99; warning after 60) DK, R

SMK_Q205C In the past month, on how many days [have/has] [you/he/she] smoked 1 or SMKD_05C more cigarettes?

|_|_| Days (MIN: 0) (MAX: 30) DK, R

SMK_C205D If SMK_Q201A <> 1 (has not smoked 100 or more cigarettes lifetime), go to SMK_ END.

Otherwise, go to SMK_Q205D.

43

For info

rmat

ion o

nly

Canadian Community Health Survey – Cycle 2.2 – Nutrition

Smokes not at all or smokes occasionally (current)

SMK_Q205D [Have/Has] [you/he/she] ever smoked cigarettes daily?SMKD_05D

1 Yes (Go to SMK_Q209A) 2 No

DK, R (Go to SMK_END)

SMK_C206A If SMK_Q202 = 2 (current occasional smoker), go to SMK_END.

Smokes not at all (current)

SMK_Q206A When did [you/he/she] stop smoking? Was it: SMKD_06A

INTERVIEWER: Read categories to respondent.

1 … less than one year ago? 2 … 1 year to less than 2 years ago? 3 … 2 years to less than 3 years ago? 4 … 3 or more years ago?

DK, R

Go to SMK_END.

Previously smoked daily (current occasionally or current Not at all)

SMK_Q209A When did [you/he/she] stop smoking daily? Was it: SMKD_09A INTERVIEWER: Read categories to respondent.

1 … less than one year ago? 2 … 1 year to less than 2 years ago? 3 … 2 years to less than 3 years ago? 4 … 3 or more years ago?

DK, R (Go to SMK_END)

SMK_C210 If SMK_Q202 = 2 (current occasional smoker), go to SMK_END.

Not at all (current)

SMK_Q210 Was that when [you/he/she] completely quit smoking? SMKD_10

1 Yes (Go to SMK_END) 2 No

DK, R (Go to SMK_END)

SMK_Q210A When did [you/he/she] stop smoking completely? Was it: SMKD_10A INTERVIEWER: Read categories to respondent.

1 … less than one year ago? 2 … 1 year to less than 2 years ago? 3 … 2 years to less than 3 years ago? 4 … 3 or more years ago?

DK, R

SMK_END Go to next module.

44

For info

rmat

ion o

nly

Canadian Community Health Survey – Cycle 2.2 – Nutrition

ALCOHOL

ALC_BEG

ALC_C1A If (current age < 12), go to ALC_END. Otherwise, go to ALC_R1.

ALC_R1 Now, some questions about [your/FNAME’s] alcohol consumption. When we use the word ‘drink’ it means:

- one bottle or can of beer or a glass of draft - one glass of wine or a wine cooler - one drink or cocktail with 1 and a 1/2 ounces of liquor.

INTERVIEWER: Press <Enter> to continue.

ALC_Q1 During the past 12 months, that is, from [date one year ago] to yesterday, ALCD_1 [have/has] [you/FNAME] had a drink of beer, wine, liquor or any other alcoholic

beverage?

12

Yes

No (Go to ALC_END) DK, R (Go to ALC_END)

ALC_Q2 During the past 12 months, how often did [you/he/she] drink alcoholic ALCD_2 beverages?

1234567

Less than once a month

Once a month

2 to 3 times a month

Once a week

2 to 3 times a week

4 to 6 times a week

Every day DK, R

ALC_Q3 How often in the past 12 months [have/has] [you/he/she] had 5 or more ALCD_3 drinks on one occasion?

123456

Never

Less than once a month

Once a month

2 to 3 times a month

Once a week

More than once a week DK, R

ALC_END Go to next module.

45

For info

rmat

ion o

nly

Canadian Community Health Survey – Cycle 2.2 – Nutrition

FOOD SECURITY

FSC_BEG

FSC_D010 If HhldSize = 1, then ^YouAndOthers =”you” ^YouAndOthers_C =”You” Else

^YouAndOthers =”you and other household members” ^YouAndOthers_C =”You and other household members”

Endif

If (OlderKids + YoungKids = 1), then ^ChildFName = ChildFName ^ChildWas = ChildFName + ”was”

^AnyChild = ChildFName ^AnyChilds = ChildFName + “ ’s” ^WasAnyChild = “was” + ChildFName

Else ^ChildFName = ”the children” ^ChildWas = ”The children were” ^AnyChild = “any of the children” ^AnyChilds = “any of the children’s” ^WasAnyChild = “were any of the children”

Endif

If (Adults + YoungAdults) = 1, then ^YouOtherAdults =”you” ^YouOtherAdults_C =”You” Else

^YouOtherAdults = ”you or other adults in your household” ^YouOtherAdults_C =”You or other adults in your household”

Endif

FSC_R010 The following questions are about the food situation for your household in the past 12 months. INTERVIEWER: Press <Enter> to continue.

FSC_Q010 Which of the following statements best describes the food eaten in your FSCD_010 household in the past 12 months, that is since ^CurrentMonthEng of last

year?INTERVIEWER: Read categories to respondent.

1 ^YouAndOthers_C always had enough of the kinds of food you wanted to eat.

2 ^YouAndOthers_C had enough to eat, but not always the kinds of food you wanted.

3 Sometimes ^YouAndOthers did not have enough to eat. 4 Often ^YouAndOthers didn’t have enough to eat.

DK, R (Go to FSC_END)

46

For info

rmat

ion o

nly

Canadian Community Health Survey – Cycle 2.2 – Nutrition

FSC_R020 Now I’m going to read you several statements that may be used to describe the food situation for a household. Please tell me if the statement was oftentrue, sometimes true, or never true for ^YouAndOthers in the past 12 months. INTERVIEWER: Press <Enter> to continue.

FSC_Q020 The first statement is : … ^YouAndOthers_C worried that food would run FSCD_020 out before you got money to buy more. Was that often true, sometimes true,

or never true in the past 12 months?

1 Often true 2 Sometimes true 3 Never true DK, R

FSC_Q030 The food that ^YouAndOthers bought just didn’t last, and there wasn’t any FSCD_030 money to get more. Was that often true, sometimes true, or never true in the

past 12 months?

1 Often true 2 Sometimes true 3 Never true DK, R

FSC_Q040 ^YouAndOthers_C couldn’t afford to eat balanced meals. In the past 12 FSCD_040 months was that often true, sometimes true, or never true?

1 Often true 2 Sometimes true 3 Never true DK, R

FSC_C050 If (OlderKids + YoungKids > 0), go to FSC_R050. Otherwise, go to FSC_C070.

FSC_R050 Now I’m going to read a few statements that may describe the food situation for households with children.

INTERVIEWER: Press <ENTER> to continue.

FSC_Q050 ^YouOtherAdults_C relied on only a few kinds of low-cost food to feed FSCD_050 ^ChildFName because you were running out of money to buy food. Was that

often true, sometimes true, or never true in the past 12 months?

1 Often true 2 Sometimes true 3 Never true DK, R

FSC_Q060 ^YouOtherAdults_C couldn’t feed ^ChildFName a balanced meal, because FSCD_060 you couldn’t afford it. Was that often true, sometimes true, or never true in

the past 12 months?

1 Often true 2 Sometimes true 3 Never true DK, R

47

For info

rmat

ion o

nly

Canadian Community Health Survey – Cycle 2.2 – Nutrition

FSC_C070 If [((FSC_Q020 or FSC_Q030 or FSC_Q040 or FSC_Q050 or FSC_Q060) <= 2) or (FSC_Q010 = 3 or 4)] and (OlderKids + YoungKids > 0) go to FSC_Q070.

Else if [((FSC_Q020 or FSC_Q030 or FSC_Q040 or FSC_Q050 or FSC_Q060) <= 2) or (FSC_Q010 = 3 or 4)] go to FSC_R080.

Otherwise, go to FSC_END.

FSC_Q070 ^ChildWas not eating enough because ^YouOtherAdults just couldn't FSCD_070 afford enough food. Was that often, sometimes, or never true in the past 12

months?

1 Often true 2 Sometimes true 3 Never true DK, R

FSC_R080 The following few questions are about the food situation in the past 12 months for you or any other adults in your household.

INTERVIEWER: Press <ENTER> to continue.

FSC_Q080 In the past 12 months, since last ^CurrentMonthEng did ^YouOtherAdults FSCD_080 ever cut the size of your meals or skip meals because there wasn’t enough

money for food?

1 Yes 2 No (Go to FSC_Q090) DK, R (Go to FSC_Q090)

FSC_Q081 How often did this happen? FSCD_081 1 Almost every month 2 Some months but not every month 3 Only 1 or 2 months DK, R

FSC_Q090 In the past 12 months, did you (personally) ever eat less than you felt you FSCD_090 should because there wasn't enough money to buy food?

1 Yes 2 No DK, R

FSC_Q100 In the past 12 months, were you (personally) ever hungry but didn't eat FSCD_100 because you couldn't afford enough food?

1 Yes 2 No DK, R

FSC_Q110 In the past 12 months, did you (personally) lose weight because you didn't FSCD_110 have enough money for food?

1 Yes 2 No DK, R

48

For info

rmat

ion o

nly

Canadian Community Health Survey – Cycle 2.2 – Nutrition

FSC_C120 If (FSC_Q070 = 1 or 2) or ((FSC_Q080 or FSC_Q090 or FSC_Q100 or FSC_Q110) = 1) go to FSC_Q120.

Otherwise, go to FSC_END.

FSC_Q120 In the past 12 months, did ^YouOtherAdults ever not eat for a whole day FSCD_120 because there wasn't enough money for food?

1 Yes 2 No (Go to FSC_C130)

DK, R (Go to FSC_C130)

FSC_Q121 How often did this happen? FSCD_121 1 Almost every month 2 Some months but not every month

3 Only 1 or 2 months DK, R

FSC_C130 If (OlderKids + YoungKids <> 0) go to FSC_R130. Otherwise, go to FSC_END.

FSC_R130 Now, a few questions on the food experiences for children in your household.INTERVIEWER: Press <ENTER> to continue.

FSC_Q130 In the past 12 months, did ^YouOtherAdults ever cut the size of ^AnyChilds FSCD_130 meals because there wasn't enough money for food?

1 Yes 2 No DK, R

FSC_Q140 In the past 12 months, did ^AnyChild ever skip meals because there wasn't FSCD_140 enough money for food?

1 Yes 2 No (Go to FSC_Q150) DK, R (Go to FSC_Q150)

FSC_Q141 How often did this happen? FSCD_141

1 Almost every month 2 Some months but not every month

3 Only 1 or 2 months DK, R

FSC_Q150 In the past 12 months, ^WasAnyChild ever hungry but you just couldn't FSCD_150 afford more food?

1 Yes 2 No DK, R

49

For info

rmat

ion o

nly

Canadian Community Health Survey – Cycle 2.2 – Nutrition

FSC_Q160 In the past 12 months, did ^AnyChild ever not eat for a whole day because FSCD_160 there wasn't enough money for food?

1 Yes 2 No DK, R

FSC_END End of module.

50

For info

rmat

ion o

nly

Canadian Community Health Survey – Cycle 2.2 – Nutrition

SOCIO-DEMOGRAPHIC CHARACTERISTICS

SDE_BEG

SDE_QINT Now some general background questions which will help us compare the health of people in Canada.

INTERVIEWER: Press <Enter> to continue.

SDE_Q1 In what country [were/was] [you/he/she] born?SDCD_1 1 Canada (Go to SDE_Q4) 2 China 11 Jamaica

3 France 12 Netherlands / Holland 4 Germany 13 Philippines 5 Greece 14 Poland 6 Guyana 15 Portugal 7 Hong Kong 16 United Kingdom 8 Hungary 17 United States 9 India 18 Vietnam 10 Italy 19 Sri Lanka 20 Other - Specify DK, R (Go to SDE_Q4)

SDE_C1S If SDE_Q1 <> 20, go to SDE_Q2. Otherwise, go to SDE_Q1S.

SDE_Q1S INTERVIEWER: Specify.

________________________ (80 spaces)

DK, R

SDE_Q2 [Were/Was] [you/he/she] born a Canadian citizen?SDCD_2 1 Yes (Go to SDE_Q4) 2 No DK, R (Go to SDE_Q4)

SDE_Q3 In what year did [you/he/she] first come to Canada to live? SDCD_3 INTERVIEWER: Minimum is [year of birth]; maximum is [current year].

|_|_|_|_| Year (MIN: year of birth) (MAX: current year) DK, R

SDE_E3 If SDE_Q3 >= year of birth or SDE_Q3 <= current year, go to SDE_Q4. Else, show pop-up edit as follows.

Year must be between ^Info.YearofBirth and ^Info.CurrentYear.

51

For info

rmat

ion o

nly

Canadian Community Health Survey – Cycle 2.2 – Nutrition

SDE_Q4 To which ethnic or cultural group(s) did [your/FNAME’s] ancestors belong? (For example: French, Scottish, Chinese, East Indian.)

INTERVIEWER: Mark all that apply.If “Canadian” is the only response, probe. If the respondent hesitates, do not suggest Canadian.

SDCD_4A 1 Canadian SDCD_4L 12 Polish SDCD_4B 2 French SDCD_4M 13 Portuguese SDCD_4C 3 English SDCD_4N 14 South Asian (e.g., East SDCD_4D 4 German Indian, Pakistani, Sri Lankan) SDCD_4E 5 Scottish SDCD_4T 15 Norwegian SDCD_4F 6 Irish SDCD_4U 16 Welsh SDCD_4G 7 Italian SDCD_4V 17 Swedish SDCD_4H 8 Ukrainian SDCD_4P 18 North American Indian SDCD_4I 9 Dutch SDCD_4Q 19 Métis (Netherlands) SDCD_4J 10 Chinese SDCD_4R 20 Inuit SDCD_4K 11 Jewish SDCD_4S 21 Other - Specify

DK, R

SDE_C4S If SDE_Q4 <> 21, go to SDE_Q5. Otherwise, go to SDE_Q4S.

SDE_Q4S INTERVIEWER: Specify.

________________________ (80 spaces)

DK, R

SDE_Q5 In what languages can [you/he/she] conduct a conversation? INTERVIEWER: Mark all that apply. If baby, mark the language(s) being learned.

SDCD_5A 1 English SDCD_5K 11 Persian (Farsi) SDCD_5B 2 French SDCD_5L 12 Polish SDCD_5C 3 Arabic SDCD_5M 13 Portuguese SDCD_5D 4 Chinese SDCD_5N 14 Punjabi SDCD_5E 5 Cree SDCD_5O 15 Spanish SDCD_5F 6 German SDCD_5P 16 Tagalog (Pilipino) SDCD_5G 7 Greek SDCD_5Q 17 Ukrainian SDCD_5H 8 Hungarian SDCD_5R 18 Vietnamese SDCD_5I 9 Italian SDCD_5T 19 Dutch SDCD_5J 10 Korean SDCD_5U 20 Hindi

SDCD_5V 21 Russian SDCD_5W 22 Tamil

SDCD_5S 23 Other - Specify DK, R

SDE_C5S If SDE_Q5 <> 23, go to SDE_Q5A. Otherwise, go to SDE_Q5S.

SDE_Q5S INTERVIEWER: Specify.

________________________ (80 spaces)

DK, R

52

For info

rmat

ion o

nly

Canadian Community Health Survey – Cycle 2.2 – Nutrition

SDE_Q5A What language [do/does] [you/he/she] speak most often at home? SDCD_5AA INTERVIEWER: If baby, mark the language being learned.

1 English 11 Persian (Farsi) 2 French 12 Polish 3 Arabic 13 Portuguese 4 Chinese 14 Punjabi 5 Cree 15 Spanish 6 German 16 Tagalog (Pilipino) 7 Greek 17 Ukrainian 8 Hungarian 18 Vietnamese 9 Italian 19 Dutch 10 Korean 20 Hindi

21 Russian 22 Tamil

23 Other - Specify DK, R

SDE_C5AS If SDE_Q5A <> 23, go to SDE_Q6. Otherwise, go to SDE_Q5AS.

SDE_Q5AS INTERVIEWER: Specify.

________________________ (80 spaces)

DK, R

SDE_Q6 What is the language that [you/FNAME] first learned at home in childhood and can still understand?

INTERVIEWER: Mark all that apply. If person can no longer understand the first language learned, mark the second.

If baby, mark the language(s) of parent.

SDCD_6A 1 English SDCD_6K 11 Persian (Farsi) SDCD_6B 2 French SDCD_6L 12 Polish SDCD_6C 3 Arabic SDCD_6M 13 Portuguese SDCD_6D 4 Chinese SDCD_6N 14 Punjabi SDCD_6E 5 Cree SDCD_6O 15 Spanish SDCD_6F 6 German SDCD_6P 16 Tagalog (Pilipino) SDCD_6G 7 Greek SDCD_6Q 17 Ukrainian SDCD_6H 8 Hungarian SDCD_6R 18 Vietnamese SDCD_6I 9 Italian SDCD_6T 19 Dutch SDCD_6J 10 Korean SDCD_6U 20 Hindi

SDCD_6V 21 Russian SDCD_6W 22 Tamil

SDCD_6S 23 Other - Specify DK, R SDE_C6S If SDE_Q6 <> 23, go to SDE_Q7. Otherwise, go to SDE_Q6S.

53

For info

rmat

ion o

nly

Canadian Community Health Survey – Cycle 2.2 – Nutrition

SDE_Q6S INTERVIEWER: Specify.

________________________ (80 spaces)

DK, R

SDE_Q7 People living in Canada come from many different cultural and racial backgrounds. [Are/Is] [you/he/she]: INTERVIEWER: Read categories to respondent. Mark all that apply.

SDCD_7A 1 …White?SDCD_7B 2 …Chinese? SDCD_7C 3 …South Asian (e.g., East Indian, Pakistani, Sri Lankan)? SDCD_7D 4 …Black? SDCD_7E 5 …Filipino?SDCD_7F 6 …Latin American? SDCD_7G 7 …Southeast Asian (e.g., Cambodian, Indonesian, Laotian, Vietnamese)? SDCD_7H 8 …Arab? SDCD_7I 9 …West Asian (e.g., Afghan, Iranian)? SDCD_7J 10 …Japanese? SDCD_7K 11 …Korean? SDCD_7L 12 …Aboriginal (North American Indian, Métis or Inuit)? SDCD_7M 13 Other - Specify DK, R

SDE_C7S If SDE_Q7 <> 13, go to SDE_C7B. Otherwise, go to SDE_Q7S.

SDE_Q7S INTERVIEWER: Specify.

________________________ (80 spaces) DK, R

SDE_C7B If SDE_Q7 = 12, go to SDE_Q7B. Otherwise, go to SDE_C8.

SDE_Q7B You indicated that [you/he/she] [is/are] aboriginal. [Are/Is] [you/he/she]: INTERVIEWER: Read categories to respondent. Mark all that apply. SDCD_7BA 1 …North American Indian? SDCD_7BB 2 …Métis? SDCD_7BC 3 …Inuit?

SDE_C8 If (current age < 5), go to SDE_END. Otherwise, go to SDE_Q8.

SDE_Q8 [Are/Is] [you/he/she] currently attending a school, college or university? SDCD_8

1 Yes 2 No (Go to SDE_END)

DK, R (Go to SDE_END)

54

For info

rmat

ion o

nly

Canadian Community Health Survey – Cycle 2.2 – Nutrition

SDE_Q9 [Are/Is] [you/he/she] enrolled as a full-time student or a part-time student? SDCD_9

1 Full-time 2 Part-time

DK, R

SDE_END Go to next module.

55

For info

rmat

ion o

nly

Canadian Community Health Survey – Cycle 2.2 – Nutrition

LABOUR FORCE

LBF_BEG

LBF_C01 If age < 15 or if age > 75, go to LBF_END. Otherwise, go to LBF_R01.

LBF_R01 The next few questions concern [your/FNAME’s] activities in the last 7 days. By the last 7 days, I mean beginning [date one week ago], and ending [date yesterday].

INTERVIEWER: Press <Enter> to continue.

Job attachment

LBF_Q01 Last week, did [you/FNAME] work at a job or a business? Please include LBFD_01 part-time jobs, seasonal work, contract work, self-employment, baby-sitting

and any other paid work, regardless of the number of hours worked.

1 Yes (Go to LBF_Q03) 2 No 3 Permanently unable to work (Go to LBF_R21) DK, R (Go to LBF_END)

LBF_Q02 Last week, did [you/FNAME] have a job or business from which LBFD_02 [you/he/she] [were/was] absent?

1 Yes 2 No (Go to LBF_Q11) DK, R (Go to LBF_END)

LBF_Q03 Did [you/he/she] have more than one job or business last week?LBFD_03 1 Yes 2 No DK, R

Go to LBF_C41A.

Job search – Last 4 weeks

LBF_Q11 In the past 4 weeks, did [you/FNAME] do anything to find work?LBFD_11 1 Yes (Go to LBF_R21) 2 No DK, R (Go to LBF_R21)

56

For info

rmat

ion o

nly

Canadian Community Health Survey – Cycle 2.2 – Nutrition

LBF_Q13 What is the main reason that [you/he/she] [are/is] not currently working at a LBFD_13 business?

1 Own illness or disability 2 Caring for - own children 3 Caring for - elder relatives 4 Pregnancy (Females only) 5 Other personal or family responsibilities 6 Vacation 7 School or educational leave 8 Retired 9 Believes no work available (in area or suited to skills) 10 Other - Specify DK, R

LBF_C13S If LBF_Q13 <> 10, go to LBF_C13. Otherwise, go to LBF_Q13S.

LBF_Q13S INTERVIEWER: Specify.

________________________ (80 spaces) DK, R

LBF_C13 If LBF_Q13 = 4, go to LBF_E13. Otherwise, go to LBF_R21.

LBF_E13 If Sex = male and LBF_Q13 = 4 (Pregnancy), show pop-up edit as follows:

A response of “Pregnancy” is invalid for a male respondent. Please return and correct.

Past job attachment

LBF_R21 Now some questions about jobs or employment which [you/FNAME] [have/has] had during the past 12 months, that is, from [date one year ago] to yesterday.

INTERVIEWER: Press <Enter> to continue.

LBF_Q21 Did [you/he/she] work at a job or a business at any time in the past 12 LBFD_21 months? Please include part-time jobs, seasonal work, contract work, self-

employment, baby-sitting and any other paid work, regardless of the number of hours worked.

1 Yes (Go to LBF_Q23) 2 No DK, R

LBF_C22 If LBF_Q11 = 1, go to LBF_Q71. Otherwise, go to LBF_Q22.

LBF_Q22 During the past 12 months, did [you/he/she] do anything to find work?LBFD_22 1 Yes (Go to LBF_Q71) 2 No (Go to LBF_END) DK, R (Go to LBF_END)

57

For info

rmat

ion o

nly

Canadian Community Health Survey – Cycle 2.2 – Nutrition

LBF_Q23 During that 12 months, did [you/he/she] work at more than one job or LBFD_23 business at the same time?

1 Yes 2 No DK, R

Absence / hours

LBF_C41A If LBF_Q02 = 1, go to LBF_Q41. Otherwise, go to LBF_R42.

LBF_Q41 What was the main reason [you/FNAME] [were/was] absent from work last LBFD_41 week?

1 Own illness or disability 2 Caring for - own children 3 Caring for - elder relatives 4 Maternity leave (Females only) 5 Other personal or family responsibilities 6 Vacation 7 Labour dispute (strike or lockout)

8 Temporary layoff due to business conditions (Employees only) 9 Seasonal layoff (Employees only) 10 Casual job, no work available (Employees only) 11 Work schedule (e.g., shift work) (Employees only) 12 Self-employed, no work available (Self-employed only) 13 Seasonal business (Excluding employees) 14 School or educational leave

15 Other - Specify DK, R

LBF_C41S If LBF_Q41 <> 15, go to LBF_C41B. Otherwise, go to LBF_Q41S.

LBF_Q41S INTERVIEWER: Specify.

________________________ (80 spaces)

DK, R

LBF_C41B If LBF_Q41 = 4, go to LBF_E41A. Otherwise, go to LBF_R42.

LBF_E41A If Sex = male and LBF_Q13 = 4 (Maternity Leave), show pop-up edit as follows:

A response of “Maternity Leave” is invalid for a male respondent. Please return and correct.

58

For info

rmat

ion o

nly

Canadian Community Health Survey – Cycle 2.2 – Nutrition

LBF_R42 The next questions are about [your/FNAME’s] ^CURRENT job or business. INTERVIEWER: ^Report Press <Enter> to continue.

Note: If LBF_Q01=1 or LBF_Q02 = 1, then ^CURRENT=”current”. Otherwise, ^CURRENT=”most recent”.

If LBF_Q03 = 1 or LBF_Q23 = 1 (more than 1 job) then ^Report = " Report on the job for which the number of hours worked per week is the greatest."

Otherwise, ^Report = "".

LBF_Q42 About how many hours a week [do/does/did] [you/FNAME] usually work at LBFD_42 [your/his/her] job or business? If [you/FNAME] usually [work/works/worked]

extra hours, paid or unpaid, please include these hours.

|_|_|_| Hours (MIN: 1) (MAX: 168; warning after 84) DK, R

LBF_Q44 Which of the following best describes the hours [you/FNAME] usually LBFD_44 [work/works/worked] at [your/his/her] job or business? INTERVIEWER: Read categories to respondent.

1 Regular - daytime schedule or shift (Go to LBF_C51) 2 Regular - evening shift 3 Regular - night shift 4 Rotating shift (change from days to evenings to nights) 5 Split shift 6 On call 7 Irregular schedule 8 Other - Specify DK, R (Go to LBF_C51)

LBF_C44S If LBF_Q44 <> 8, go to LBF_Q45. Otherwise, go to LBF_Q44S.

LBF_Q44S INTERVIEWER: Specify.

________________________ (80 spaces) DK, R

LBF_Q45 What is the main reason that [you/he/she] [work/works/worked] this LBFD_45 schedule?

1 Requirement of job / No choice 2 Going to school 3 Caring for - own children 4 Caring for - other relatives 5 To earn more money 6 Likes to work this schedule 7 Other - Specify DK, R

59

For info

rmat

ion o

nly

Canadian Community Health Survey – Cycle 2.2 – Nutrition

LBF_C45S If LBF_Q45 <> 7, go to LBF_C51. Otherwise, go to LBF_Q45S.

LBF_Q45S INTERVIEWER: Specify.

________________________ (80 spaces)

DK, R

Other job

LBF_C51 If LBF_Q03=1 or LBF_Q23=1, go to LBF_Q51. Otherwise, go to LBF_Q61.

LBF_Q51 You indicated that [you/FNAME] [have/has/had] more than one job. For how LBFD_51 many weeks in a row [have/has/did] [you/he/she] [worked/work] at more than

one job [([in the past 12 months])]? INTERVIEWER: Obtain best estimate.

|_|_| Weeks (MIN: 1) (MAX: 52) DK, R

LBF_Q53 About how many hours a week [do/does/did] [you/he/she] usually work at LBFD_53 [your/his/her] other job(s)? If [you/he/she] usually [work/works/worked] extra

hours, paid or unpaid, please include these hours. INTERVIEWER: Minimum is 1; maximum is [168 - LBF_Q42].

|_|_|_| Hours (MIN: 1) (MAX: 168 - LBF_Q42; warning after 30) DK, R

Note: If LBF_Q42 = 168, then maximum = 1. If LBF_Q42 = DK or R, then maximum = 168.

Weeks worked

LBF_Q61 During the past 52 weeks, how many weeks did [you/FNAME] do any work LBFD_61 at a job or a business? (Include paid vacation leave, paid maternity leave,

and paid sick leave.)

|_|_| Weeks (MIN: 1) (MAX: 52) DK, R

60

For info

rmat

ion o

nly

Canadian Community Health Survey – Cycle 2.2 – Nutrition

Looking for work

LBF_C71 If LBF_Q61 = 52, go to LBF_END. If LBF_Q61 = 51, go to LBF_Q71A.

LBF_Q71 Note: If LBF_Q61 was answered, use the second wording. Otherwise, use the LBFD_71 first wording.

During the past 52 weeks, how many weeks [were/was] [you/he/she] looking for work?

That leaves [52 - LBF_Q61] weeks. During those [52 - LBF_Q61] weeks, how many weeks [were/was] [you/he/she] looking for work? INTERVIEWER: Minimum is 0; maximum is [52 - LBF_Q61].

|_|_| Weeks (MIN: 0) (MAX: 52 - LBF_Q61) DK, R

Go to LBF_C72.

Note: If LBF_Q61 = DK or R, max of LBF_Q71 = 52.

LBF_Q71A That leaves 1 week. During that week, did [you/he/she] look for work?

1 Yes (make LBF_Q71 = 1) 2 No (make LBF_Q71 = 0) DK, R

LBF_C72 If either LBF_Q61 or LBF_Q71 are non-response, go to LBF_END. If the total number of weeks reported in LBF_Q61 and LBF_Q71 = 52, go to LBF_END.If LBF_Q61 and LBF_Q71 were answered, [WEEKS] = [52 - (LBF_Q61 + LBF_Q71)].

If LBF_Q61 was not answered, [WEEKS] = (52 - LBF_Q71).

LBF_Q72 That leaves [WEEKS] week[s] during which [you/he/she] [were/was] neither LBFD_72 working nor looking for work. Is that correct?

1 Yes (Go to LBF_END) 2 No DK, R (Go to LBF_END)

LBF_E72 You have indicated that [you/he/she] worked for [LBF_Q61] week[s] and that [you/he/she] [were/was] looking for work for [LBF_Q71] week[s], leaving [WEEKS] week[s] during which [you/he/she] [were/was] neither working nor looking for work. The total number of weeks must add to 52. Please return and correct.

LBF_END Go to next module.

61

For info

rmat

ion o

nly

Canadian Community Health Survey – Cycle 2.2 – Nutrition

INCOME

INC_BEG

INC_RINT There is a strong relationship between nutrition and income. Please be assured that, like all other information you have provided, these answers will be kept strictly confidential. INTERVIEWER: Press <Enter> to continue.

INC_Q1 Thinking about the total income for all household members, from which of the following sources did your household receive any income in the past 12 months?INTERVIEWER: Read categories to respondent. Mark all that apply.

INCD_1A 1 Wages and salariesINCD_1B 2 Income from self-employmentINCD_1C 3 Dividends and interest (e.g., on bonds, savings) INCD_1D 4 Employment insuranceINCD_1E 5 Worker’s compensationINCD_1F 6 Benefits from Canada or Quebec Pension PlanINCD_1G 7 Retirement pensions, superannuation and annuitiesINCD_1H 8 Old Age Security and Guaranteed Income SupplementINCD_1I 9 Child Tax Benefit INCD_1J 10 Provincial or municipal social assistance or welfare INCD_1K 11 Child supportINCD_1L 12 AlimonyINCD_1M 13 Other (e.g., rental income, scholarships)INCD_1N 14 None (Go to INC_Q3) DK, R (Go to INC_END)

INC_E1 If INC_Q1 = 14 (None) and any other response selected in INC_Q1, show pop-up edit as follows.

You cannot select “None” and another category. Please return and correct.

INC_E2 If (INC_Q1 <> 1 or 2) and (LBF_Q01 = 1 or LBF_Q02 = 1 or LBF_Q21 = 1), show pop-up edit as follows.

Inconsistent answers have been entered. Please confirm.

INC_C2 If more than one source of income is indicated, go to INC_Q2. Otherwise, go to INC_Q3. (INC_Q2 will be filled with INC_Q1 during processing.)

62

For info

rmat

ion o

nly

Canadian Community Health Survey – Cycle 2.2 – Nutrition

INC_Q2 What was the main source of income? INCD_2 1 Wages and salaries 2 Income from self-employment 3 Dividends and interest (e.g., on bonds, savings) 4 Employment insurance 5 Worker’s compensation 6 Benefits from Canada or Quebec Pension 7 Retirement pensions, superannuation and annuities 8 Old Age Security and Guaranteed Income Supplement 9 Child Tax Benefit 10 Provincial or municipal social assistance or welfare 11 Child support 12 Alimony 13 Other (e.g., rental income, scholarships) 14 None (category created during processing)

DK, R

INC_E3 If the response in INC_Q2 was not selected in INC_Q1, show pop up edit as follows.

The main source of income is not selected as one of the sources of income for all household members. Please return and correct.

INC_Q3 What is your best estimate of the total income, before taxes and deductions, INCD_3 of all household members from all sources in the past 12 months?

|_|_|_|_|_|_| Income (Go to INC_C4) (MIN: 0) (MAX: 500,000; warning after 150,000) 0 (Go to INC_END) DK, R (Go to INC_Q3A)

Note: In processing, responses reported to INC_Q3 are coded into the appropriate categories of INC_Q3A to INC_Q3G.

INC_Q3A Can you estimate in which of the following groups your household income INCD_3A falls? Was the total household income less than $20,000 or $20,000 or more?

1 Less than $20,000 2 $20,000 or more (Go to INC_Q3E) 3 No income (Go to INC_END) DK, R (Go to INC_END)

INC_Q3B Was the total household income from all sources less than $10,000 or INCD_3B $10,000 or more?

1 Less than $10,000 2 $10,000 or more (Go to INC_Q3D) DK, R (Go to INC_C4)

63

For info

rmat

ion o

nly

Canadian Community Health Survey – Cycle 2.2 – Nutrition

INC_Q3C Was the total household income from all sources less than $5,000 or $5,000 INCD_3C or more?

1 Less than $5,000 2 $5,000 or more DK, R

Go to INC_C4

INC_Q3D Was the total household income from all sources less than $15,000 or INCD_3D $15,000 or more?

1 Less than $15,000 2 $15,000 or more

DK, R

Go to INC_C4

INC_Q3E Was the total household income from all sources less than $40,000 or INCD_3E $40,000 or more?

1 Less than $40,000 2 $40,000 or more (Go to INC_Q3G) DK, R (Go to INC_C4)

INC_Q3F Was the total household income from all sources less than $30,000 or INCD_3F $30,000 or more?

1 Less than $30,000 2 $30,000 or more

DK, R

Go to INC_C4

INC_Q3G Was the total household income from all sources: INCD_3G INTERVIEWER: Read categories to respondent.

1 … less than $50,000? 2 … $50,000 to less than $60,000? 3 … $60,000 to less than $80,000? 4 … $80,000 or more?

DK, R

INC_C4 If age >= 15, go to INC_Q4. Otherwise, go to INC_END.

INC_Q4 What is your best estimate of [your/FNAME’s] total personal income, beforeINCD_4 taxes and other deductions, from all sources in the past 12 months?

|_|_|_|_|_|_| Income (Go to INC_END) (MIN: 0) (MAX: 500,000; warning after 150,000) 0 (Go to INC_END) DK, R (Go to INC_Q4A)

Note: In processing, responses reported to INC_Q4 are coded into the appropriate categories of INC_Q4A to INC_Q4G.

64

For info

rmat

ion o

nly

Canadian Community Health Survey – Cycle 2.2 – Nutrition

INC_Q4A Can you estimate in which of the following groups [your/FNAME’s] personalINCD_4A income falls? Was [your/his/her] total personal income less than $20,000 or

$20,000 or more?

1 Less than $20,000 2 $20,000 or more (Go to INC_Q4E) 3 No income (Go to INC_END) DK, R (Go to INC_END)

INC_Q4B Was [your/his/her] total personal income less than $10,000 or $10,000 or INCD_4B more?

1 Less than $10,000 2 $10,000 or more (Go to INC_Q4D) DK, R (Go to INC_END)

INC_Q4C Was [your/his/her] total personal income less than $5,000 or $5,000 or more?INCD_4C 1 Less than $5,000 2 $5,000 or more

DK, R

Go to INC_END.

INC_Q4D Was [your/his/her] total personal income less than $15,000 or $15,000 or INCD_4D more?

1 Less than $15,000 2 $15,000 or more

DK, R

Go to INC_END.

INC_Q4E Was [your/his/her] total personal income less than $40,000 or $40,000 or INCD_4E more?

1 Less than $40,000 2 $40,000 or more (Go to INC_Q4G) DK, R (Go to INC_END)

INC_Q4F Was [your/his/her] total personal income less than $30,000 or $30,000 or INCD_4F more?

1 Less than $30,000 2 $30,000 or more

DK, R

Go to INC_END.

65

For info

rmat

ion o

nly

Canadian Community Health Survey – Cycle 2.2 – Nutrition

INC_Q4G Was [your/his/her] total personal income: INCD_4G INTERVIEWER: Read categories to respondent.

1 … less than $50,000? 2 … $50,000 to less than $60,000?

3 … $60,000 to less than $80,000? 4 … $80,000 or more?

DK, R

INC_END Go to next module.

66

For info

rmat

ion o

nly

Canadian Community Health Survey – Cycle 2.2 – Nutrition

ADMINISTRATION

ADM_BEG

Health number

ADM_R01 Statistics Canada and your provincial ministry of health would like your Permission to link information collected during this interview. This includes linking your survey information to your past and continuing use of health services such as visits to hospitals, clinics and doctor’s offices.

INTERVIEWER: Press <Enter> to continue.

ADM_Q01 This linked information will be kept confidential and used only for SAMDDLNK statistical purposes. Do we have your permission?

1 Yes 2 No (Go to ADM_R04)

DK, R (Go to ADM_R04)

ADM_C3A If province = 10, [province] = [Newfoundland and Labrador] If province = 11, [province] = [Prince Edward Island] If province = 12, [province] = [Nova Scotia] If province = 13, [province] = [New Brunswick] If province = 24, [province] = [Quebec] If province = 35, [province] = [Ontario] If province = 46, [province] = [Manitoba] If province = 47, [province] = [Saskatchewan] If province = 48, [province] = [Alberta] If province = 59, [province] = [British Columbia] If province = 60, [province] = [Yukon] If province = 61, [province] = [Northwest Territories] If province = 62, [province] = [Nunavut]

ADM_Q03A (Having a provincial health number will assist us in linking to this other information.) [Do/Does] [you/she/he] have a(n) [province] health number?

1 Yes (Go to HN) 2 No

DK, R (Go to ADM_R04)

67

For info

rmat

ion o

nly

Canadian Community Health Survey – Cycle 2.2 – Nutrition

ADM_Q03B For which [province/territory] is [your/FNAME’s] health number?

10 Newfoundland and Labrador 11 Prince Edward Island

12 Nova Scotia 13 New Brunswick

24 Quebec 35 Ontario

46 Manitoba 47 Saskatchewan 48 Alberta 59 British Columbia 60 Yukon 61 Northwest Territories 62 Nunavut 88 Do not have a [provincial/territorial] health number (Go to ADM_R04) DK, R (Go to ADM_R04)

HN What is [your/FNAME’s] health number? INTERVIEWER: Enter a health number for [province]. Do not insert blanks, hyphens or commas between the numbers.

________________________ (8 - 12 spaces) DK, R

Data sharing – All provinces (excluding Quebec and the territories)

ADM_R04 Statistics Canada would like your permission to share the information collected in this survey with provincial ministries of health and Health Canada.INTERVIEWER: Press <Enter> to continue.

ADM_Q04 All information will be kept confidential and used only for statistical purposes. SAMDDSHR Do you agree to share the information provided?

1 Yes 2 No

DK, R

Data sharing – Quebec

ADM_R04 Statistics Canada would like your permission to share the information collected in this survey with provincial ministries of health, the « l’Institut de la Statistique du Québec » and Health Canada.

INTERVIEWER: Press <Enter> to continue.

ADM_Q04 All information will be kept confidential and used only for statistical purposes. SAMDDSHR Do you agree to share the information provided?

1 Yes 2 No

DK, R

68

For info

rmat

ion o

nly

Canadian Community Health Survey – Cycle 2.2 – Nutrition

Administration

ADM_N05 INTERVIEWER: Is this a fictitious name for the respondent? ADMD_N05

1 Yes 2 No (Go to ADM_N09)

DK, R (Go to ADM_N09)

ADM_N06 INTERVIEWER: Remind respondent about the importance of getting correct names. ADMD_N06 Do you want to make corrections to:

1 … first name only? 2 … last name only? (Go to ADM_N08) 3 … both names? 4 … no corrections? (Go to ADM_N09)

DK, R (Go to ADM_N09)

ADM_N07 INTERVIEWER: Enter the first name only. ADMD_N07 ________________________ (25 spaces) DK, R

ADM_C08 If ADM_N06 <> “both names”, go to ADM_N09.

ADM_N08 INTERVIEWER: Enter the last name only. ADMD_N08 ________________________ (25 spaces) DK, R

ADM_N09 INTERVIEWER: Was this interview conducted on the telephone or in person? ADMD_N09

1 On telephone 2 In person 3 Both

DK, R

ADM_C10 If (current age < 12), go to ADM_N12.

ADM_N10 INTERVIEWER: Was the respondent alone when you asked this health questionnaire? ADMD_N10 1 Yes (Go to ADM_N12)

2 No DK, R (Go to ADM_N12)

ADM_N11 INTERVIEWER: Do you think that the answers of the respondent were affected by ADMD_N11 someone else being there?

1 Yes 2 No

DK, R

69

For info

rmat

ion o

nly

Canadian Community Health Survey – Cycle 2.2 – Nutrition

ADM_N12 INTERVIEWER: Record language of interview ADMD_N12 1 English 14 Tamil 2 French 15 Cree 3 Chinese 16 Afghan 4 Italian 17 Cantonese 5 Punjabi 18 Hindi

6 Spanish 19 Mandarin 7 Portuguese 20 Persian 8 Polish 21 Russian 9 German 22 Ukrainian 10 Vietnamese 23 Urdu 11 Arabic 24 Inuktitut 12 Tagalog 90 Other – Specify

13 Greek

ADM_C12S If ADM_N12 <> 90, go to ADM_C13. Otherwise, go to ADM_N12S.

ADM_N12S INTERVIEWER: Specify

________________________ (80 spaces)

ADM_C13 If (5 < age < 12), go to ADM_N13. Otherwise, go to AMD_END.

ADM_N13 Was the child present and able to participate during most of the interview? ADMD_N13

1 Yes 2 No

DK, R

ADM_END

70

For info

rmat

ion o

nly

Canadian Community Health Survey – Cycle 2.2 – Nutrition

EXIT

Health number

Note: Carry over the Health Card number from the first interview if it is available and put it into PREVHN.

LNK_R01 Statistics Canada and your provincial ministry of health would like your permission to link information collected during this interview. This includes linking your survey information to your past and continuing use of health services such as visits to hospitals, clinics and doctor’s offices.

INTERVIEWER: Press <Enter> to continue.

LNK_Q01 This linked information will be kept confidential and used only for statistical SAMDDLNK purposes. Do we have your permission? SAMDDLK2

2 Yes 2 No (Go to LNK_END)

DK, R (Go to LNK_END)

LNK_C02 If valid PREVHN from first recall, go to LNK_Q02 Otherwise, go to LNK_C03A

LNK_Q02 From the first interview [your/FNAME’s] Health Number was reported as ^HN. Is that correct?

1 Yes (Go to LNK_END) 2 No

DK, R

LNK_C03A If province = 10, [province] = [Newfoundland and Labrador] If province = 11, [province] = [Prince Edward Island] If province = 12, [province] = [Nova Scotia] If province = 13, [province] = [New Brunswick] If province = 24, [province] = [Quebec] If province = 35, [province] = [Ontario] If province = 46, [province] = [Manitoba] If province = 47, [province] = [Saskatchewan] If province = 48, [province] = [Alberta] If province = 59, [province] = [British Columbia] If province = 60, [province] = [Yukon] If province = 61, [province] = [Northwest Territories] If province = 62, [province] = [Nunavut]

LNK_Q03A (Having a provincial health number will assist us in linking to this other information.) [Do/Does] [you/she/he] have a(n) [province] health number?

1 Yes (Go to HN) 2 No

DK, R (Go to LNK_END)

71

For info

rmat

ion o

nly

Canadian Community Health Survey – Cycle 2.2 – Nutrition

LNK_Q03B For which [province/territory] is [your/FNAME’s] health number?

10 Newfoundland and Labrador 11 Prince Edward Island

12 Nova Scotia 13 New Brunswick

24 Quebec 35 Ontario

46 Manitoba 47 Saskatchewan 48 Alberta 59 British Columbia 60 Yukon 61 Northwest Territories 62 Nunavut 88 Do not have a [provincial/territorial] health number (Go to LNK_END) DK, R (Go to LNK_END)

HN What is [your/FNAME’s] health number? IINTERVIEWER: Enter a health number for [province]. Do not insert blanks, hyphens or

commas between the numbers.

________________________ (8 - 12 spaces) DK, R

LNK_END

Data sharing – All provinces (excluding Quebec)

PS_Q01 Statistics Canada would like your permission to share the information collected in SAMDDSHR this survey with provincial ministries of health and Health Canada. SAMDDSH2

All information will be kept confidential and used only for statistical purposes.

Do you agree to share the information provided?

1 Yes 2 No

DK, R

72

For info

rmat

ion o

nly

Canadian Community Health Survey – Cycle 2.2 – Nutrition

Data sharing – Quebec

PS_Q01 Statistics Canada would like your permission to share the information collected in SAMDDSHR this survey with provincial ministries of health, the «l'Institut de la Statistique du SAMDDSH2 Québec» and Health Canada.

All information will be kept confidential and used only for statistical purposes.

Do you agree to share the information provided?

1 Yes 2 No

DK, R

PS_END

Appointment for second interview

APP_Q01 As part of this survey, you have been selected to participate in a brief follow up interview. This will take place in the next 3 to 10 days and will be conducted over the telephone. Can we schedule an appointment?

INTERVIEWER: If necessary, add: (The interview will consist only of the 24-hour food recall and is used to measure how much a person’s intake changes from day to day.)

1 Yes 2 No (Go to APP_END)

DK, R (Go to APP_END)

APP_R02 INTERVIEWER: Press <Shift+F11> to set an appointment with respondent. When finished, press <Enter> to continue.

APP_END

Possible future contact

PFC_R01 As part of this study, we may need to get in touch in the future.

INTERVIEWER: Press <1> to continue.

1 Continue

(DK, R are not allowed)

PFC_END

Thank you

TY_Q01 Thank you for your time.

INTERVIEWER: Press <Enter> to continue.

TY_END

73

For info

rmat

ion o

nly