Questionnaire 2013_ANG - Institut de la statistique du Québec

Survey of Smoking Habits in Quebec
2013
QUESTIONNAIRE
Final English version
Institut de la statistique du Québec
Direction des statistiques de santé
December 2013
Content by section
QUESTIONNAIRE....................................................................................................................... 1
CONTENT BY SECTION............................................................................................................ 2
SECTION I – Selection of the participant..................................................................................... 3
SECTION II – Profile of smoking habits....................................................................................... 5
SECTION III – Protection against environmental and second-hand smoke ................................. 6
SECTION IV – Smoking habits of smokers (frequency and quantity)........................................... 6
SECTION V – Types of products used ........................................................................................ 6
SECTION VI – Supply mode ....................................................................................................... 6
SECTION VII – Contraband [Smuggled] cigarettes VIII ............................................................... 6
SECTION VIII – Use of tobacco products other than cigarettes................................................... 6
SECTION IX – Electronic cigarettes ............................................................................................ 6
SECTION X – Cessation ............................................................................................................. 6
SECTION XI – Participant’s social and demographical profile ..................................................... 6
Page 2
SECTION I – Selection of the participant
Introduction 1 : <SOIR >, my name is $I from Statistique Québec. We are conducting a study on the
presence of tobacco in your environment (exposure to second-hand smoke) for the ministère de la Santé.
First, let’s take a few minutes to draw a portrait of your home.
Introduction 2 : (Après sélection, si on s’adresse à la même personne que précédemment)
<SOIR >, my name is $I from Statistique Québec. We are conducting a study on the presence of tobacco
in your environment (exposure to secondhand smoke) for the ministère de la Santé.
Your participation is voluntary, but would be much appreciated as it will enable the Ministère to monitor the
evolution of the population’s habits and opinions regarding tobacco.
The information collected will be transmitted to the Ministère de la Santé et des Services sociaux and to
the Institut national de santé publique du Québec, except for your name, address and phone number. You
can provide your information to us with confidence, as it will be kept confidential and will only be used for
statistical purposes.To ensure the quality of the survey, my supervisor may listen in on the interview. With
your permission, we will start the interview.
The questionnaire takes only:
« Fumeur: 9 minutes »
« Non-Fumeurs: 6 minutes »
Introduction 3 : (Après sélection, si on s’adresse à une personne différente)
<SOIR >, my name is $I from Statistique Québec. We are conducting a study on the presence of tobacco in
your environment (exposure to secondhand smoke) for the ministère de la Santé. You have been randomly
chosen among the members of your household to answer a questionnaire lasting <IFTEM >.
«Fumeur: 9 minutes »
«Non-Fumeurs: 6 minutes »
Your participation is voluntary, but would be much appreciated as it will enable the Ministère to monitor the
evolution of the population’s habits and opinions regarding tobacco.
The information collected will be transmitted to the ministère de la Santé et des Services sociaux and to
the Institut national de santé publique du Québec, except for your name, address and phone number. You
can provide your information to us with confidence, as it will be kept confidential and will only be used for
statistical purposes. For quality assurance purposes, our conversation may be monitored by my
supervisor, but it will not be recorded.
Page 3
1. [Technical question removed from this version of the questionnaire]
2. [Technical question removed from this version of the questionnaire]
3. How many people 14 years of age or younger live in your home at least half of the time? (By
home, we mean a house or an apartment.)
0.
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
98.
99.
None
One
Two
Three
Four
Five
Six
Seven
Eight
Nine
Ten or more
Ne sait pas
Ne répond pas
4. Including yourself, can you tell me how many people aged 15 and over live in your home?
0.
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
98.
99.
None ...............................................................................................
One .................................................................................................
Two .................................................................................................
Three ..............................................................................................
Four ................................................................................................
Five .................................................................................................
Six...................................................................................................
Seven .............................................................................................
Eight ...............................................................................................
Nine ................................................................................................
Ten and more .................................................................................
Ne sait pas......................................................................................
Ne répond pas ................................................................................
5. [Technical question removed from this version of the questionnaire]
6. [Technical question removed from this version of the questionnaire]
SECTION II - Profil des habitudes d’usage du tabac
Page 4
SECTION II – Profile of smoking habits
(INTRO) The first questions are about cigarette smoking only, excluding the use of cigars and cigarillos. If
this applies to you, please include cigarettes that you buy ready-made, as well as those you make
yourself.
7. Have you smoked at least 100 cigarettes (4 cigarette packs) in your life?
Consigne à l'intervieweur : A person who smokes cigarettes is considered a smoker. A person who
exclusively smokes cigars and cigarillos is not considered a smoker.
1.
2.
8.
9.
Yes .......................................................................................... (Passer à la question <9>)
No
NSP
RF
Univers : Tous les répondants (même s’ils sont déclarés non fumeurs dans le tableau de sélection)
8. Have you ever smoked a whole cigarette?
1.
2.
8.
9.
Yes
No ............................................................................................ Passer à la question 12)
NSP ......................................................................................... (Passer à la question 12)
RF ............................................................................................ (Passer à la question 12)
Univers : Les répondants qui n'ont jamais fumé (i.e. qui n'ont pas fumé 100 cigarettes au cours de leur vie et qui ne fumaient pas au
moment de l'entrevue selon la personne qui a répondu aux questions de sélection).
9. At the present time, do you smoke cigarettes every day, occasionally or not at all?
[Interviewer : expliquer pendant la formation l’importance de cette question et l’importance de la
répéter telle quelle]
1.
2.
3.
8.
9.
Every day.................................................................................
Occasionaly .............................................................................
Not at all ..................................................................................
NSP..............................................................................................
RF ................................................................................................
Passer à la question <11>
Passer à la question <11>
Passer à la question <11>
Passer à la question <11>
Univers : Les répondants ayant fumé au moins 100 cigarettes au cours de leur vie ou ceux n’ayant pas fumé 100 cigarettes mais
ayant déjà fumé une cigarette au complet, ainsi que les personnes qui fumaient au moment de l’entrevue selon la
personne qui a répondu aux questions de sélection (Q5a=1 ou FUMEE in (1 3)).
Page 5
10. How old were you when you started smoking cigarettes daily?
98.
99.
____years................................................................................ .Passer à la question <12>
NSP
RF
Univers : Les répondants qui fument tous les jours
11. Have you ever smoked cigarettes daily?
1.
2.
8.
9.
Yes
No
NSP
RF
Univers : Les répondants qui ont déjà fumé au moins une cigarette et les fumeurs occasionnels.
ION III – Protection FTE
Page 6
SECTION III – Protection against environmental and second-hand smoke
12. Is smoking cigarettes allowed in your home?
[Use “house” or “dwelling” if clarifications are necessary]
1.
2.
8.
9.
Yes
No. ........................................................................................... (Passer à la question 16)
NSP
RF
Univers : Tous les répondants.
13. [Including both yourself and regular visitors], does anyone smoke inside your home every
day or almost every day?
[Use “house” or “dwelling” if clarifications are necessary]
[Formulation alternative pour les répondants qui ne vivent pas seuls : [Including both household members
and regular visitors…]
1.
2.
8.
9.
Oui
Non .......................................................................................... (Passer à la question 16)
NSP
RF
Univers : Répondants des ménages qui donnent la permission de fumer à l’intérieur du domicile.
14. Are there any restrictions against smoking cigarettes in your home?
1.
2.
8.
9.
Yes
No ............................................................................................... (Passer à la question 16)
NSP ............................................................................................ (Passer à la question 16)
RF ............................................................................................... (Passer à la question16)
Univers : Les ménages où au moins une personne fume dans la maison chaque jour ou presque chaque jour.
15. How is smoking restricted in your home?
[Read the categories to the respondent. Choose all the appropriate answers]
1.
2.
3.
4.
8.
9.
It is allowed to smoke in certain rooms only
It is forbidden to smoke around young children
It is allowed to smoke near open windows or under the stove fan
Autres (précisez)
NSP
RF
Univers : Les ménages où au moins une personne fume dans la maison chaque jour ou presque chaque jour et où il y a des
restrictions concernant la consommation de cigarettes dans la maison
Page 7
16. Over the last 30 days, have you been exposed to secondhand smoke every day or almost
every day in a car or other private vehicle?
1.
2.
8.
9.
Yes
No
NSP
RF
Univers : Tous les répondants.
17. Is smoking allowed inside your family car?
[Lorsque le répondant déclare vivre seul, l’expression « familial » est retirée]
[By « family car », we mean the vehicle you use most often to transport members of your family (for family
activities, daily transport (for example: to school), errands, trips etc]
1.
2.
3.
8.
9.
Yes
No .............................................................................................. (Passer à la question 20)
Ne s’applique pas ...................................................................... .(Passer à la question 20)
NSP
RF
Univers : Tous les répondants.
18. Are there any restrictions on smoking inside your family car?
[By “family car”, we mean the vehicle you use most often to transport members of your family (for family
activities, daily transport (for example: to school), errands, trips etc.]
[If the respondent reported that he/she lives alone, “family car” becomes “car”]
1.
2.
8.
9.
Yes
No ............................................................................................. (Passer à la question 20)
NSP. .......................................................................................... (Passer à la question 20)
RF .............................................................................................. (Passer à la question 20)
Univers : Les répondants qui donnent la permission de fumer à l’intérieur du véhicule familial.
Page 8
19. How is smoking restricted inside your family car?
[By « family car », we mean the vehicle you use most often to transport members of your family
(for family activities, daily transport (for example: to school), errands, trips etc.]
[Read answers to the participant. Check all the answers given
[Air conditioning and heating are considered as types of ventilation]
1.
2.
3.
4.
5.
Use not allowed in the presence of children under 18
Restriction on the number of cigarettes smoked
Permitted if the driver is alone
Permitted only if the ventilation, air conditioning or heating is running or if the window is
lowered
Other (specify)
Univers : Les répondants qui donnent la permission de fumer à l’intérieur du véhicule familial et qui indiquent que des restrictions
sont en place quant à la consommation de cigarettes dans le véhicule.
Page 9
SECTION IV – Smoking habits of smokers (frequency and quantity)
20. On average, how many cigarettes do you smoke per day during the weekend, that is, on
Saturdays and Sundays?
____
97.
98.
99.
cigarettes
Les than a cigarette
NSP
RF
Univers : Les fumeurs (selon Q9)
21. On average, how many cigarettes do you smoke per day during the week, that is Monday
through Friday?
____
97.
98.
99.
cigarettes
Less than cigarette
NSP
RF
Univers : Les fumeurs (selon Q9)
Page 10
SECTION V – Types of products used
22. Which brand of cigarettes do you currently smoke?
Carreras
1 LOOSE TOBACCO / ROLLYOUR-OWN (RYO) OR
HAND-ROLLED (Specify
brand)
2 ZIPLOC BAG [Includes the
different ways of naming
contraband cigarettes]
3 OTHER CONTRABAND
CIGARETTES / TOBACCO
Accord
Avanti
Azur
Bailey’s
Belmont
Belvedere
Benson & Hedges
Camel
Cameo
Canadian Classics
Craven A
Davidoff
Deal
Du Maurier
Dunhill
Export A
Gauloises
Gipsy
Gitanes
John Player Standard
Kool
La Quebecoise
Legend
Macdonald
Mark Ten
Marlboro
Matinée
Maximum
Medaillon
More
Nature American Spirit
Next
Northfield
Number 7
Pall Mall
Peter Jackson
Player’s
Québec Classique
Rooftop
Rothmans
Smoking
Studio
Super Slim
Suprême
Tremblay
Viceroy
Vogue
Winston
81 Autres (précisez)
82 Aucune marque précise
98 NSP
99 RF
Univers : Les fumeurs de cigarette (selon Q9)
Page 11
SECTION VI – Supply mode
23. Where do you usually get your cigarettes?
Consigne à l'intervieweur : Do you buy them, or does someone usually give them to you? Where do you
buy them? Who do you get them from?
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
98.
99.
I buy them at the grocery store/supermarket
I buy them at the convenience store/tobacconist
I buy them at the gas station
I buy them from a duty-free shop
I buy them in a discount store/big box store (Tigre Géant, Costco, etc)
I buy them from a friend or another person
I buy them by mail order
I buy them on the Internet
My brother or sister gives them to me
My mother or father gives them to me
A friend or someone else gives them to me
I get them from my mother, my father or siblings
I buy them on Indian reserves
Other (specify)
NSP
RF
Univers : Les fumeurs (selon Q9)
24. Since last November, have you noticed a change in the price of your cigarettes that you
usually buy?
1.
2.
7.
8.
9.
Yes
No ........................................................................................... Passez à Q26
Does not apply......................................................................... Passez à Q26
NSP ........................................................................................ Passez à Q26
NRP ........................................................................................ Passez à Q26
Univers : Fumeurs réguliers et occasionnels (selon Q9=1,2)
25. Have you noticed an increase or a decrease in the price of cigarettes?
1.
2.
8.
9.
A decrease ..............................................................................
An increase..............................................................................
NSP .........................................................................................
NRP .........................................................................................
Passez à Q25a
Passez à Q25b
Passez à Q26
Passez à Q26
Univers: Fumeurs réguliers et occasionnels qui ont remarqué un changement dans le prix des cigarettes achetées habituellement
Page 12
Q25a Per pack, how much did the price decrease?
[Choix de réponse est lu]
1.
2.
3.
8.
9.
Less than 50 cents ................................................................. Passez à Q26
Between 50 cents and one dollar ............................................ Passez à Q26
More than one dollar................................................................ Passez à Q26
NSP ......................................................................................... Passez à Q26
NRP ......................................................................................... Passez à Q26
Univers: Fumeurs réguliers et occasionnels qui ont remarqué une réduction dans le prix des cigarettes achetées habituellement
Q25b Per pack, how much did the price increase?
[Choix de réponse est lu]
1.
2.
3.
8.
9.
Less than 50 cents
Between 50 cents and one dollar
More than one dollar
NSP
NRP
Univers: Fumeurs réguliers et occasionnels qui ont remarqué une augmentation dans le prix des cigarettes achetées habituellement
Page 13
SECTION VII – Contraband [Smuggled] cigarettes
26. In your circle of family and friends, do you know anyone who's had the opportunity to buy
smuggled tobacco products over the last 3 months?
1.
2.
8.
9.
Yes
No
NSP
RF
Univers : Tous les répondants (sauf ceux qui ont déjà fait part d’un contact avec les cigarettes de contrebande).
27. Over the last 3 months, have you smoked smuggled cigarettes?
1.
2.
8.
9.
Yes
No .............................................................................................. Passer à la question 32
NSP .......................................................................................... Passer à la question 32
RF .............................................................................................. .Passer à la question 32
Univers : Les fumeurs de cigarettes (selon Q9)
28. During the last 3 months, has your consumption of smuggled cigarettes accounted for
more than half, half or less than half of the cigarettes you smoked?
1.
2.
3.
8.
9.
more than half
half
less than half
NSP (Continuer à Q29)
RF (Continuer à Q29)
Univers : Tous les répondants qui déclarent avoir fumé des cigarettes de contrebande
29. In most cases, where do you obtain these smuggled cigarettes?
[Read all choices. Only one answer is accepted. When we say “Where do you obtain these
cigarettes?”, we mean cigarettes that were bought by, offered or given to the participant]
1.
2.
3.
4.
5.
8.
9.
Friends or parents
A reseller
Directly on an Indian reserve
In a retail store
Autre (précisez)
NSP ......................................................................................... Passer à la question 31
RF ............................................................................................ Passer à la question 31
Univers : Tous les répondants qui déclarent avoir fumé des cigarettes de contrebande et qui ont répondus à Q28
Page 14
30. Most of the times, do you go get these cigarettes yourself or does someone deliver them at
your place?
Consigne à l'intervieweur : Read both answers
[Les choix de réponse sont lus]
1.
2.
3.
4.
8.
9.
I go get them myself
Someone delivers them to me
I set up a meeting place with the seller
Other (Specify)
NSP (continuer à Q31)
RF (continuer à Q31)
Univers : Tous les répondants qui déclarent avoir fumé des cigarettes de contrebande et qui donnent une réponse à Q29.
31. Most often, in what format do you get these smuggled cigarettes?
Consigne à l'intervieweur : Read all choices
1.
2.
3.
4.
5.
8.
9.
In a Ziploc bag of 200 cigarettes
In a carton containing packages
An individual pack
In a bag of tobacco (in bulk)
Other (specify)
NSP
RF
Univers : Tous les répondants qui déclarent avoir fumé des cigarettes de contrebande.
Page 15
SECTION VIII – Use of tobacco products other than cigarettes
32. In the last 30 days, did you smoke little cigars or cigarillos?
[Plain and flavoured products are included]]
[Real “Cuban style” cigars are excluded]
1.
2.
8.
9.
Yes
No. ........................................................................................... (Passer à la question 35)
NSP ......................................................................................... (Passer à la question 35
RF ............................................................................................ (Passer à la question 35)
Univers : Tous les répondants.
33. On the days you smoked little cigars or cigarillos, how many did you smoke on average?
___
97.
98.
99.
number of cigars or cigarillos
Less than one cigar or cigarillo
NSP
RF
Univers : Les répondants ayant fumé des cigares ou cigarillos au cours des 30 derniers jours.
34. What brand of little cigars or cigarillos do you currently smoke?
Backwoods
Bandit Corona
Blackstone
Bullseye
Cafe creme
Candlelight
Captain Black
Century Sam
Clubmaster
Cohiba
Colts
Copenhagen
Don Carbone
Hav-a-tampa
Honey T
Happy Hour by Prime Time
Mini by Colts
Mehari’s
More
Old Port
Panter
Phillies
Pinto
Pom Pom
Prime Time
Romeo y Julieta
Swisher Sweets
81 Autres (précisez)
82 Aucune marque précise
98 NSP
99 RF
Univers : Les fumeurs de petits cigares et cigarillos (selon Q32)
Page 16
SECTION IX – Electronic cigarettes
Electronic cigarette: Explanation for respondents who don’t know what an electronic cigarette is: It’s a
cylindrical device that looks like a cigarette. Instead of tobacco, it contains a mixture of water, mixed
flavours, and sometimes nicotine. When inhaled, the mixture contained in the electronic cigarette
vaporises.
35. Have you ever used an electronic cigarette, even if just a few puffs?
1.
2.
8.
9.
Yes
No ............................................................................................ (Passer à la question 39)
NSP ......................................................................................... (Passer à la question 39)
RF ............................................................................................ (Passer à la question 39)
Univers : Tous les répondants
36. In the last 30 days, did you use an electronic cigarette?
1.
2.
8.
9.
Yes
No ............................................................................................ (Passer à la question 39)
NSP ......................................................................................... (Passer à la question 39)
RF ............................................................................................ (Passer à la question 39)
Univers : Les répondants qui ont déjà utilisé une cigarette électronique.
37. In the last 30 days, how many days did you use an electronic cigarette?
0.
8.
9.
[max 30 days]
NSP
RF
Univers : ‘Les répondants qui ont utilisé une cigarette électronique au cours des 30 derniers jours.
Page 17
38. Where do you usually get your ELECTRONIC CIGARETTES?
(Do you usually buy them, or does someone give them to you? Where do you buy them? Who do
you get them from?)
01.
02.
03.
04.
05.
06.
07.
08.
09.
10.
11.
12.
13.
98.
99.
I buy them at the grocery store/supermarket
I buy them at the convenience store/tobacconist
I buy them at the gas station
I buy them from a duty-free shop
I buy them from a friend or another person
I buy them by mail order
I buy them on the Internet
My brother or sister gives them to me
My mother or father gives them to me
A friend or someone else gives them to me
I take them from my mother, my father or siblings
I buy them on Indian reserves
Other (specify)
NSP
RF
Univers : Ceux qui ont fumé des cigarettes électroniques au cours des 30 derniers jours
Source : ESUTC CA_Q10 (modifiée par représentants
Page 18
SECTION X – Cessation
fier le filtre et les passer a
39. Are you seriously considering quitting smoking within the next 6 months [for cigarillo-only
smokers: small cigars or cigarillos]?
1.
2.
8.
9.
Yes
No ............................................................................................ (Passer à la question 42)
NSP ......................................................................................... (Passer à la question 42)
RF ............................................................................................ (Passer à la question 42)
Univers : Les fumeurs (selon Q9) et les fumeurs de petits cigares et de cigarillos
40. Are you seriously considering quitting within the next 30 days]? [for cigarillo-only smokers:
small cigars or cigarillos]?
1.
Yes
2.
No
8.
NSP ......................................................................(Passer à la question 42 si QErreur !
Source du renvoi introuvable. in (8, 9))
9.
RF ...................................................................... (Passer à la question 42 si QErreur !
Source du renvoi introuvable. in (8, 9))
Univers : Les fumeurs actuels qui envisageaient d’arrêter de fumer au cours des 6 prochains mois. Les fumeurs exclusifs de cigares
et cigarillos répondent aussi à la formulation alternative.
41. How much would the following methods help you quit smoking [for cigarillo-only smokers:
small cigars or cigarillos]?
[Read all choices]
41a. Pharmacological aids such as patches, nicotine gum, lozenges, Zyban or Champix.
1.
2.
3.
4.
8.
9.
A lot
Some
Not much
Not at all
NSP
RF
41b. Monitoring by a health professional (such as a doctor, nurse or pharmacist).
1.
2.
3.
4.
8.
9.
A lot
Some
Not much
Not at all
NSP
RF
Page 19
41c. Monitoring by the specialists of nicotine addiction help centres, in the form of individual
or group help.
(Note: Nicotine addiction help centres offer free services to help quit smoking. Services are provided by
specialists, especially in CLSC)
1.
2.
3.
4.
8.
9.
A lot
Some
Not much
Not at all
NSP
RF
41d. Access to a phone help line (such as "iQUIT now".)
1.
2.
3.
4.
8.
9.
A lot
Some
Not much
Not at all
NSP
RF
41e. Access to a Website such as "iQUIT now" (www.iquitnow.qc.ca
1.
2.
3.
4.
8.
9.
A lot
Some
Not much
Not at all
NSP
RF
Univers : Les fumeurs actuels qui envisageaient sérieusement de cesser de fumer au cours des 6 prochains mois.
Page 20
SECTION XI – Participant’s social and demographical profile
This section contains some general questions. The information is collected for statistical purposes. Rest
assured that, like all other information you have provided, these answers will remain strictly confidential.
42. What language do you speak most often at home?
1
2
3
8
9
French
English
Other
NSP
RF
Univers : Tous les répondants.
43. What is the highest degree, certificate or diploma you have obtained?
[Read all choices if necessary]
[If the respondent’s degree, certificate or diploma seems to have been obtained in another country,
ask what would be its equivalent in the Québec education system]
1.
2.
3.
4.
5.
6.
7.
8.
9.
98.
99.
Elementary school (or less) (Grade 7 or less)
Some secondary school (Grade 8, 9, 10 or 11, incomplete classical education / rudiments
of Latin, syntax, logic, versification)
Secondary school diploma (graduated) (Grade 12, incomplete classical education /
literature, rhetoric, philosophy I)
Some college education / Trade school or vocational school diploma or certificate
Business college diploma
College or CEGEP diploma (completed classical education / philosophy II / Baccalauréat
ès arts / normal school)
Some university education
University degree, certificate, or diploma (e.g. university certificate, minor, major,
bachelor’s degree, graduate diploma, MBA, master’s degree, Ph.D., etc.)
Other
NSP
RP
Univers : Tous les répondants.
Page 21
44. Which situation best reflects the composition of your home (household)?
Consigne à l'intervieweur : Read all choices
1.
2.
3.
4.
5.
6.
7.
8.
9.
98.
99.
Person living alone
Couple without children living at home
Couple with children living at home
Single-parent family (with children of any age)
Couple without children living with other people
Couple with children living with other people
Relatives only (brothers and sisters, etc.)
Non-relatives only (roommates or co-residents)
Other (multiple families, roommates, etc.), specify
Ne sait pas
Ne répond pas
Univers : Tous les répondants
45. Which statement best describes your main occupation? Is it...?
Read all choices and have respondent specify, if need be.
[Main occupation has to be current occupation]
[Current occupation has to be at least 30 hours/week to be considered full-time. For self-employed /
workers, ask: in the last week]
1.
2.
3.
4.
5.
6.
7.
8.
9.
98.
99.
Full-time worker (include self-employed workers)
Part-time worker (less than 30 hours/week) (include self-employed workers)
Student
Retired
At home
On maternity/paternity leave
Person receiving employment insurance
Person receiving social aid
On disability or sick leave
Ne sait pas
Refus de répondre
Univers : Tous les répondants.
46. How old are you?
_ _ . (filtre 15 à max 97) ..................................................................... Passer à la question 48
8.
Ne sait pas
9.
Refus
Univers : Tous les répondants dont l’âge est inconnu après la section I
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47. Without tell us your exact age, can you indicate in what age group you belong?
1
2
3
4
5
6
7
8
9
15-19 ans
20-24 ans
25-34 ans
35-44 ans
45-54 ans
55-64 ans
65 ans et plus
Ne sait pas
Refus
Univers : Tous les répondants dont l’âge est inconnu après la section I et qui ne divulguent pas leur âge à Q46
48. Indicate the sex of the respondent
1
2
8.
9.
Woman
Man
Ne sait pas
Refus
Univers : Tous les répondants de sexe inconnu après la Section 1
49. Currently, how many phone numbers (different lines) can be used to reach your home,
including the phone lines of children and excluding cellular phones and pagers? Consigne
à l'intervieweur : Enter the number of lines, excluding those reserved exclusively for fax
machines. When a telephone line used exclusively as a fax line is used at the time of
interview, this must be considered valid. If there are more than 4 lines, ensure that they are
4 distinct lines within the residence)
1.
2.
3.
4.
5.
6.
7.
8.
9.
1 number only
2 numbers
3 numbers
4 numbers
5 numbers
6 numbers
7 numbers or more (indicate the exact number)
Ne sait pas
Refus
Univers : Tous les répondants.
50. For <2012>, what was approximately the total income of all household members from all
sources, before taxes and other deductions?
[Including income of roommates and intergenerational household members]
_ _ _ _ _ _ $........................................................................................ Passer à la question 51
8
Ne sait pas
9
Ne répond pas
Univers : Tous les répondants.
Page 23
51. Without disclosing the exact amount, could you indicate in which category you would place
your family’s annual income?
Consigne à l'intervieweur : Read all choices.
1
2
3
4
5
6
7
8
9
98
99
Less than 10 000 $
From 10 000 $ to less than
From 20 000 $ to less than
From 30 000 $ to less than
From 40 000 $ to less than
From 50 000 $ to less than
From 60 000 $ to less than
From 80 000 $ to less than
100 000 $ and more
Ne sait pas
Refus
20 000 $
30 000 $
40 000 $
50 000 $
60 000 $
80 000 $
100 000 $
Univers : Les répondants n’ayant pas divulgué leur revenu à Q50
52. Lastly, for statistical purposes, can you tell us your postal code?
98.
99.
AXA XAX ................................................................................. Passer à FIN
NSP
PR
Univers : Tous les répondants
53. Can you then tell us the first 3 digits of your postal code?
98.
99.
AXA
NSP
PR
Univers : Tous les répondants dont le code postal n’a pas été divulgué à Q52
Fin : This is the end of the questionnaire. On behalf of Statistique Québec, I thank you for your cooperation
End (not selected): I’m sorry, but no one in your household has been selected to take part in the survey.
Thank you for your time.
Page 24