In the last 2 years, have you or a family member had tuberculosis or been in close contact with someone who has? Choose… Yes No I don't know / skip
Do you have any physical or mental condition that needs social or health services? Choose… Yes No I don't know / skip
Have you ever stayed beyond your permitted time, studied or worked without permission in Canada? Choose… Yes No I don't know / skip
Have you ever been refused a visa or permit, denied entry, or ordered to leave any country? Choose… Yes No I don't know / skip
Have you applied to enter or stay in Canada before? Choose… Yes No I don't know / skip
Have you ever committed, been arrested, charged or convicted of any offence in any country? Choose… Yes No I don't know / skip
Have you served in any military, militia, civil defence or police unit? Choose… Yes No I don't know / skip
Have you been a member of a political party or group that used violence? Choose… Yes No I don't know / skip
If you answered yes to any question above, explain briefly