1. A little bit about your individual identity first please . . .

Like any identity, a national identity is dynamic. But it’s not the same as gender, cultural, spiritual or racial identity. In Canada in particular, with our history of cultural diversity, national identity cannot depend on ethnicity, language or cultural practices, but needs, instead, to identify key core values, ideals and priorities that are common to most Canadians. These shared core values may very well be more related to your relationships with your physical, social and economic environment than with your cultural history, language, religion, or ethnicity. Where do you live? What do you do for a living? What are the resources and services you depend on for your well-being and the well-being of your family and community?

The objective of this survey is to find out how the land that is Canada may have shaped you as an individual and informed your understanding of what it means to be a Canadian. What's important to you about being a Canadian? What role do you think Canada plays in the world?

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* 1. What is your first name?

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* 2. Age

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* 3. What is your gender?

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* 4. Marital Status

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* 5. Occupation

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* 6. Income

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* 8. What country did your ancestors come from?

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* 9. Where were you born?

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* 10. What province do you currently live in?

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* 11. What other provinces have you lived in as an adult? Select all that apply.

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* 12. Do you have children in your household?

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* 13. Do you have elderly parents or other relatives living with you?

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* 14. Do you or anyone in your household have a permanent disability or chronic illness that requires medical follow-up more often than annually?

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* 15. Do you rent or own the place where you live?

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* 16. What type of home do you live in?

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* 17. In what type of community do you currently live?

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* 18. About how long have you lived in this community?

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* 19. Do you self identify as:

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* 20. Which language is spoken at home?

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33% of survey complete.

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