Workforce Survey 2021-2022 – Spotlight on Mental Health

Peer Program (please select all that apply)

Peer Support Worker

CIF (Consumer Initiative Fund)

Peer Led Workshops (FAN)

Therapeutic Volunteer Program (TVP)

Voices and Visions Support Group

Last Name

First Name

Year of Birth

Month of Birth

Day of Birth

Gender

1 = Male

2 = Female

3 = Unspecified

9 = Prefer not to report

Marital Status

1 = Married or equivalent

2 = Single

9 = Prefer not to report

Number of Dependents (fill in 99 for Prefer not to report)

Language Spoken

2 = English Only

3 = French Only

6 = English and French

9 = Not a federal official language

Indigenous Identity

1 = Yes

2 = No

9 = Prefer not to report

Immigrant

1 = Yes

2 = No

9 = Prefer not to report

Immigration Year (if Immigrant = Yes)

Visible Minority

1 = Yes

2 = No

9= Prefer not to report

Education Level

5 = High School (Secondary V) Diploma or equivalent

6 = Some post-secondary training

8 = College, CEGEP, or other non-university certificate or diploma

9 = University certificate or diploma

13 = Less than High School

15 = Other

99 = Prefer not to report

If Education Level is 'Other' Fill-in

Previous Employment

1 = Unemployed

2 = Employed

3 = Self-Employed

6 = Not in labour force

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