Date Completed:     

Gender:                    Choose oneMaleFemale

Where did you move from?

Town:                     

Province:                  Choose oneOutside of CanadaOntarioQuebecNewfoundlandBritish ColumbiaSaskatchewanManitobaAlbertaNew BrunswickNova ScotiaPrince Edward IslandNorthwest TerritoriesYukon TerritoryNunavut

Where did you move to?

Town:                     

Province:                  Choose oneOutside of CanadaOntarioQuebecNewfoundlandBritish ColumbiaSaskatchewanManitobaAlbertaNew BrunswickNova ScotiaPrince Edward IslandNorthwest TerritoriesYukon TerritoryNunavut

When did you move?

Date of Move:         

How old is your family?

Spouse 1:                         Spouse 2:   

Child 1:                             Child 2:                 

Child 3:                             Child 4:       

Do you own or rent your home?

 Choose oneOwnRent

Where is your home located?

 Choose onein or near a cityin or near a town

Are there under or over 15,000 people living there?

 Choose oneOver 15,000 peopleUnder 15,000 people

Who introduced you to the new community for the very first time? (please select more than one, if necessary)

 Real Estate AgentSpouseRelativeColleagueFriendNeighbourSelfOther

for Other, please specify:

What were your estimated expenses of moving, including the renovations to your new place before moving in?

CAD

How many times have your family members moved throughout their life?

Spouse 1 

Spouse 2 

Children   

Which factors influenced the choice of your home location most? (Please, number as many as appropriate in order of preference with # 1 as the most desirable; if some are equally important use the same number more than once)

  live close to children and / or grandchildren

  live close to parents

  live close to friends

  live in a friendlier community

  live in a more multi-cultural neighbourhood

  live close to faith community

  live closer to elementary/secondary schools/college/university

  live closer to a medical centre and hospital

  live close to art and cultural activities

  live close to convenient shopping centre or main street downtown

  live close to own business or workplace

  live close to outdoor entertainment e.g. trails, bike paths, parks

  live conveniently near transportation routes

  live on a larger / smaller property

  live in a larger / smaller house

  live in a nicer / simpler home

Your Opinion

What are the reasons that made you decide to move? Please outline all of the reasons in as much detail as you can.

What are the steps on how you become acquainted, settled and involved in your new community?  Which differences did you have to get used to?  What obstacles did you have to over come? How long did it take you to start feeling ‘at home’? Which incidents, organization or people made you feel most ‘at home’? How did you and the other members feel during the whole process?  Again, please provide as much detail as possible.

Describe in detail how you and the other members of your family have let go of the former place and people. How did you feel throughout this process? Do you want to go back? If you have visited your former place how do you feel about it now?

If you were to move again soon what would you change to make the move better?

What recommendations about choosing a location and moving would you pass onto others?

Please note: When you submit this questionnaire you agree to sign it over to myCommunity CSS Canada. In appreciation we will send a myCommunity cap for each family member.