Swedes in Canada Project: Questionnaire

We really appreciate your time. Thank you for filling out the questionnaire.

Two options for your convenience:

Print the page and send your answers to Elinor Barr. Her contact information is at the bottom of the page.
Fill out this questionnaire now and click the Submit button at the bottom of the page to have it e-mailed directly to Elinor Barr. If you are interrupted and cannot continue filling in the form (or you want to keep a copy of your answers for your personal family history), simply click on the print button and this form and your answers will be printed out.

The Questionnaire

Please answer the questions below that apply to you, or that you feel comfortable with, either in English or Swedish. Read our Information Statement regarding your privacy.

Name:
Address:
E-mail:
Date of Birth:
Place of birth (town or village, parish, or län):
Name of Spouse:
Date and Place of Marriage:
Name/s of children: Date/place of birth/s:

Your Education/Training/Skills:
Your Employment:
Reason/s you left Sweden:
Did you speak English?	yes no
Date of Departure:
Date of arrival in Canada:
Means of Travel:
Did you come alone?
If not, who came with you?
Did you change or modify your name? Explain.
Have you experienced discrimination? Explain.
Is your stay permanent?
Naturalized/dual citizenship?
Have you maintained ties with Sweden? Explain.
Do you belong to Swedish organizations?
Non-Swedish organizations?
Religious affiliation?
Do your children speak Swedish?
Do you have any other comments?
(Please remember to click the button below to have your answers E-mailed to the Project Researcher)
This form will be working shortly. Please print your answers for the time being.
Your time and effort is very much appreciated. Thank you very much. Elinor Barr

Contact Information

Please forward to Elinor Barr
Postal Mail: Swedes in Canada project, 104 Ray Boulevard, Thunder Bay, Ontario, P7B 4C4
Fax: 1-807-344-8355
E-mail: pebarr@tbaytel.net

INFORMATION STATEMENT

Swedes in Canada project
23 January 2004

The information received will be used in one of two ways.
To provide the basis for understanding the experiences of Swedish people in Canada. In this case it will be used without naming people or providing identifying information.
To provide personal details and/or specific quotes. In this case, written permission will be required from the person who gave the information. Otherwise it will not be used.
After the project is completed, the research material will go to an archive. All information will then be open to the public, except that which has been designated to be kept private for a specified time period.
Please contact Elinor Barr if you have concerns about the Information Statement.