ARCHIVED — ORDERS IN COUNCIL

Warning This Web page has been archived on the Web.

Archived Content

Information identified as archived is provided for reference, research or recordkeeping purposes. It is not subject to the Government of Canada Web Standards and has not been altered or updated since it was archived. Please contact us to request a format other than those available.

Vol. 144, No. 34 — August 21, 2010

STATISTICS CANADA

2011 Census of Population

P.C. 2010-1077 August 12, 2010

Her Excellency the Governor General in Council, on the recommendation of the Minister of Industry, pursuant to subsections 19(1) and 21(1) of the Statistics Act (see footnote a), hereby repeals Order in Council P.C. 2010-792 of June 17, 2010, fixes May 2011 as the month in which a census of population shall be taken by Statistics Canada and prescribes the questions to be asked in the 2011 Census of Population, as set out in the annexed schedule.

SCHEDULE

STEP A

CONFIDENTIAL WHEN COMPLETED

1. Print your telephone number: (_____) - _____-___________

2. Complete this section if there is no printed address in the address space above or if the printed address does not correspond to this dwelling.

No. and street or lot and concession ___________________________

Apt. no. _______________

City, municipality, town, village, Indian reserve ______________________

Province/territory _________________

Postal code ________________

STEP B

1. How many persons usually live at this address as of May 10, 2011, including yourself? Include all persons who have their main residence at this address, even if they are temporarily away.

See the instructions on page 3 (joint custody, students, permanent residents, secondary residence, etc.).

Number of persons ________

2. Including yourself, list below all persons who usually live here. Begin the list with an adult followed, if applicable, by that person’s spouse or common-law partner and by their children. Continue with all other persons who usually live at this address.

FAMILY NAME

GIVEN NAME

Person 1

   

Person 2

   

Person 3

   

Person 4

   

Person 5

   

Person 6

   

Person 7

   

Person 8

   

Person 9

   

Person 10

   

1. WHOM TO INCLUDE IN STEP B

  • All persons who have their main residence at this address on May 10, 2011, including newborn babies, room-mates and persons who are temporarily away;
  • Canadian citizens, permanent residents (landed immigrants), persons asking for refugee status (refugee claimants), persons from another country with a work or study permit and family members living here with them;
  • Persons staying at this address temporarily on May 10, 2011 who have no main residence elsewhere.

2. WHERE TO INCLUDE PERSONS WITH MORE THAN ONE RESIDENCE

  • CHILDREN IN JOINT CUSTODY should be included in the home of the parent where they live most of the time. Children who spend equal time with each parent should be included in the home of the parent with whom they are staying on May 10, 2011.
  • STUDENTS who return to live with their parents during the year should be included at their parents’ address, even if they live elsewhere while attending school or working at a summer job.
  • SPOUSES OR COMMON-LAW PARTNERS TEMPORARILY AWAY who stay elsewhere while working or studying should be listed at the main residence of their family, if they return periodically.
  • PERSONS IN AN INSTITUTION for less than six months (for example, in a home for the aged, a hospital or a prison) should be listed at their usual residence.

IF THIS ADDRESS IS:

  • a SECONDARY RESIDENCE (such as a cottage) for ALL PERSONS who stayed here on May 10, 2011 (all these persons have their main residence elsewhere in Canada), mark this circle. Print your name, your telephone number and your main residence address at the bottom of this page. Do not answer other questions.
  • a DWELLING OCCUPIED ONLY BY RESIDENTS OF ANOTHER COUNTRY VISITING CANADA (for example, on vacation or on a business trip), mark this circle. Print your name, your telephone number and your country of residence at the bottom of this page. Do not answer other questions.
  • the HOME OF A GOVERNMENT REPRESENTATIVE OF ANOTHER COUNTRY (for example, embassy or high commission) and family members, mark this circle. Print your name, your telephone number and the country that you represent at the bottom of this page. Do not answer other questions.

Name _______________________

Telephone number (_____) - ______ - _________

No. and street, city, province or territory/country

_______________________________________

_______________________________________

STEP C

Did you leave anyone out of Step B because you were not sure the person should be listed? (For example, a person living at this address who has another home, a person temporarily away, etc.)

  • No
  • Yes —> Specify the name, the relationship and the reason.

Name(s) and relationship ___________________________________

Reason _________________________________________________

STEP D

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

  • No —> Go to Step E
  • Yes

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

  • No
  • Yes

STEP E

Copy the names in Step B to Question 1, at the top of pages 4 to 7.

Keep the same order.

1. NAME

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

PERSON 1

Family name _________________________________

Given name _________________________________

2. SEX

  • Male
  • Female

3. DATE OF BIRTH AND AGE

Day

Month

Year

Age

Example:

23

0 2

1 9 7 4

3 7

If exact date is not known, enter best estimate.

For children under the age of 1, enter 0.

Day

 

Month

 

Year

 

Age

 

4. MARITAL STATUS

Mark one circle only.

  • Never legally married
  • Legally married (and not separated)
  • Separated, but still legally married
  • Divorced
  • Widowed

5. Is this person living with a common-law partner?

Common-law refers to two people who live together as a couple but who are not legally married to each other.

  • Yes
  • No

6. RELATIONSHIP TO PERSON 1

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

Mark or specify one response only.

Adopted children should be considered sons and daughters.

Children in joint custody should be included in the home of the parent where they live most of the time.

Children who spend equal time with each parent should be included in the home of the parent with whom they are staying on May 10, 2011.

For all children, please consider the relationship to Person 1 and Person 2.

If none of the choices apply, specify this person’s relationship to Person 1 under “Other”.

Examples of “Other” relationships to Person 1:

• brother-in-law or sister-in-law • niece or nephew • grandfather or grandmother • room-mate’s son or daughter • lodger’s husband or wife • employee • etc.

PERSON 1

  • PERSON 1

PERSON 2

  • Opposite-sex husband or wife of Person 1
  • Opposite-sex common-law partner of Person 1
  • Same-sex married spouse of Person 1
  • Same-sex common-law partner of Person 1
  • Son or daughter of Person 1 only
  • Son-in-law or daughter-in-law of Person 1
  • Grandchild of Person 1
  • Father or mother of Person 1
  • Father-in-law or mother-in-law of Person 1
  • Brother or sister of Person 1
  • Foster child
  • Room-mate, lodger or boarder
    Other — Specify

_________________________________

_________________________________

PERSON 3, etc.

  • Son or daughter of both Persons 1 and 2
  • Son or daughter of Person 1 only
  • Son or daughter of Person 2 only
  • Son-in-law or daughter-in-law of Person 1
  • Grandchild of Person 1
  • Father or mother of Person 1
  • Father-in-law or mother-in-law of Person 1
  • Brother or sister of Person 1
  • Foster child
  • Room-mate, lodger or boarder
    Other — Specify

_________________________________

_________________________________

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

Mark one circle only.

  • English only
  • French only
  • Both English and French
  • Neither English nor French

8. (a) What language does this person speak most often at home?

  • English
  • French
    Other — Specify

_________________________________

_________________________________

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

  • No
  • Yes, English
  • Yes, French
    Yes, Other — Specify

_____________________________________

_____________________________________

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

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

  • English
  • French
    Other — Specify

_________________________________

_________________________________

If you are answering on behalf of other people, please consult each person.

10. This question is for all persons listed on the questionnaire.

Only if you mark “YES” to this question will your census responses and family history be part of the historical record of Canada. A “YES” means your census responses will be available to family members and historical researchers, 92 years after the 2011 Census, in 2103.

If you mark “NO” or leave the answer blank, your census responses will never be made available to future generations.

Does this person agree to make his or her 2011 Census information available in 2103 (92 years after the census)?

  • Yes
  • No

EXPLANATORY NOTE

(This note is not part of the Order.)

The Order repeals Order in Council P.C. 2010-792 of June 17, 2010, fixes May 2011 as the month in which Statistics Canada will conduct the 2011 Census of Population and prescribes the questions to be asked in the 2011 Census of Population.

[34-1-o]

Footnote a
R.S., c. S-19