Report on Family Law Research in Nunavut

APPENDIX TWO: Survey Instrument, Household Survey

Questionnaire-Family Law Survey

Hello I am from Nunavut Department of Justice. We are doing a survey about families and family law in Nunavut.

We would like to ask you to complete this survey.

All your answers will be confidential. We will group the information you provide with information from lots of other people, and your name will not be associated with it. Also, if there is a question you do not want to answer, you are not required to answer it.

Your participation is essential if we are to get a good picture of families in Nunavut. Because we are a new government, we need statistics about our people that are relevant to our people in order to design services and laws that meet our families most important needs.

Consent to survey

We would also like to ask your permission to contact you at some time in the future-perhaps five years from now-to follow up on this information.

Thank you very much for participating.

SECTION-PROFILE OF RESPONDENT

We would like to start with some questions about yourself to help us place you demographically.

  1. How old are you? Age (yrs) 
  2. Male
    Female (interviewer please note)
  3. Are you an Inuk?
    • Yes   
    • No    
    If no, what is your ethnic background
  4. What is the highest level of formal education you have completed?
    • Some elementary school
    • Elementary School
    • Some high school
    • High School Diploma
    • Some college
    • College Diploma
    • Some apprenticeship or trades training
    • Trades Certification
    • Some university
    • University Degree
    • Graduate University Study
  5. What is your main source of income?
    • Full-time wage employment
    • Part-time wage employment
    • Income Support
    • Traditional activities (hunting, trapping, crafts)
    • Other family member provides family income (specify)
  6. What is your first language?
  7. What other languages do you speak?
  8. What is your place of birth?

SECTION-HOUSEHOLD MAKE-UP

We would like to ask some questions about the people living in your household today.

Can you give the first name of each person in your household?

How is that person related to you:

SECTION-CHILDREN (FEMALE RESPONDENT)

(Please do not count foster-children for this section)

  1. Have you ever raised step-children? By step-children we mean children from a former union of a spouse, or common law spouse?
    • Yes
      • How many have you raised?
    • No
  2. Excluding any step-children, have you ever adopted children in a process involving the courts?
    • Yes
      • How many have you raised?
    • No
  3. Excluding any step-children, have you ever adopted children by a custom adoption?
    • Yes
      • How many have you raised?
    • No
  4. Have you been a guardian of any children?
    • Yes   
      • How many have you raised?
    • No
    • How long did the guardianship last (answer for each child) (#mos, #yrs)
  5. Have you ever birthed a child?
    • Yes
      • How many have you raised?
    • No
    • Yes, and gave the child up for adoption
  6. Do you have any grandchildren?
    • Yes
      • How many?
    • No
  7. Starting with the oldest, what is the first name of each child you ever raised or birthed? Include those who may have died.
    • First Name
    • Age (yrs)
    • Sex (M/F)

    • First Name
    • How joined (Birth/Adopted/Step/Guard)
    • Age joined (yrs)

IF NO KIDS, PLEASE PASS TO THE SECTION ON MARRIAGE

REVIEW THE FOLLOWING QUESTIONS (part A, B, or C) FOR EACH CHILD

CHILD NAME:

1  Does (Child Name) live in your household all the time, part of the time, or not at all?

PART A - IF (CHILD NAME) LIVES IN THE HOUSEHOLD ALL OF THE TIME:

PART B-IF (CHILD NAME) DOES NOT LIVE IN THE HOUSEHOLD AT ALL:

PART C   IF (CHILD NAME) LIVES IN HOUSEHOLD PART OF THE TIME

PART D: WHERE (CHILD NAME) IS NOT LIVING WITH BOTH PARENTS.

(If one parent has died, or children are living with both parents, please move to E)

PART E: FOR ALL PARENTS (ANSWER ONLY ONCE FOR ALL CHILDREN)