THE 2011 UK CENSUS

(My comments are italicized and in parentheses; I’ve only typed up one person’s lot of questions.)

Household questions

H1. Who usually lives here? (Tick all that apply)

__ Me, this is my permanent or family home

__ Family members including partners, children, and babies born on or before 27 March 2011

__ Students and/or schoolchildren who live away from home during term time

__ Housemates, tenants, or lodgers

__ People who usually live outside the UK who are staying in the UK for 3 months or more

__ People who work away from home within the UK, or are members of the armed forces, if this is their permanent or family home

__ People who are temporarily outside the UK for less than 12 months

__ People staying temporarily who usually live in the UK but do not have another UK address, for example, relatives, friends

__ Other people who usually live here, including anyone temporarily away from home

OR __ No-one usually lives here, for example this is a second address or holiday home (if this applies, go to H4)

H2. Counting everyone you included in question H1, how many people usually live here?

H3. Starting with yourself, list the names of all the people counted in question H2 including children, babies, and lodgers.

H4. Apart from everyone counted in question H2, who else is staying overnight here on 27 March 2011? These people are counted as visitors. Remember to include children and babies. (Tick all that apply)

__ People who usualy live somewhere else in the UK, for example, boy/girlfriends, friends, relatives

__ People staying here because it is their second address, for example, for work. Their permanent or family home is elsewhere

__ People who usually live outside the UK who are staying in the UK for less than 3 months

__ People here on holiday

OR __ There are no visitors staying overnight here on 27 March 2011 (If this applies, go to H6)

H5. Counting only the people included in question H4, how many visitors are staying overnight here on 27 March 2011?

H6. How are members of this household related to each other?

• Name of Person 1: First Name _________ Last Name ____________
• Name of Person 2: First Name _________ Last Name ____________

How is Person 2 related to Person 1?

__ Husband or wife

__ Same-sex civil partner

__ Partner

__ Son or daughter

__ Step-child

__ Brother or sister

__ Step-brother or step-sister

__ Mother or father

__ Step-mother or step-father

__ Grandchild

__ Grandparent

__ Relation – other

__ Unrelated (including foster child)

(It then asks how person 3 is related to person 1 and person 2, and so on through person 6).

H7. What type of accommodation is this?

• A whole house or bungalow that is:

__ Detached

__ Semi-detached

__ Terraced (including end-terrace)

• A flat, maisonette, or apartment that is:

__ in a purpose-built block of flats or tenement

__ part of a converted or shared house (including bedsits)

__ in a commercial building (for example, in an office building, hotel, or over a shop)

• A mobile or temporary structure:

__ a caravan or other mobile or temporary structure

H8. Is this household’s accommodation self-contained?

(This means that all the rooms, including the kitchen, bathroom, and toilet, are behind a door that only this household can use)

__ Yes, all the rooms are behind a door that only this household can use

__ No

H9. How many rooms are available for use only by this household?

Do NOT count: bathrooms, toilets, halls or landings, rooms that can only be used for storage such as cupboards

Count all other rooms, for example: kitchens, living rooms, utility rooms, bedrooms, studies, conservatories

If two rooms have been converted into one, count them as one room

H10. How many of these rooms are bedrooms?

H11. What type of central heating does this accommodation have?

Tick all that apply, whether or not you use it.

Central heating is a central system that generates heat for multiple rooms

__ No central heating

__ Gas

__ Electric (including storage heaters)

__ Oil

__ Solid fuel (for example wood, coal)

__ Other central heating

H12. Does your household own or rent this accommodation?

__ Owns outright (go to H14)

__ Owns with a mortgage or loan (go to H14)

__ Part owns and part rents (shared ownership)

__ Rents (with or without housing benefit)

__ Lives here rent free

H13. Who is your landlord?

__ Housing association, housing co-operative, charitable trust, registered social landlord

__ Council (local authority)

__ Private landlord or letting agency

__ Employer of a household member

__ Relative or friend of a household member

__ Other

H14. In total, how many cars or vans are owned, or available for use, by members of this household?

Include any company cars or vans available for private use

__ None

__ 1

__ 2

__ 3

__ 4 or more, write in number __

Individual questions, Person 1 start here

1. What is your name?

(You get 17 characters for your first name, and 17 characters for your last name; it doesn’t ask anywhere on the form for middle names.)

2. What is your sex?

__ Male

__ Female

3. What is your date of birth?

4. On 27 March 2011, what is your legal marital or same-sex civil partnership status?

__ Never married and never registered a same-sex civil partnership

__ Married

__ Separated, but still legally married

__ Divorced

__ Widowed

__ In a registered same-sex civil partnership

__ Separated, but still legally in a same-sex civil partnership

__ Formerly in a same-sex civil partnership which is now legally dissolved

__ Surviving partner from a same-sex civil partnership

5. Do you stay at another address for more than 30 days a year?

__ No (go to 7)

__ Yes, write in other UK address below

__ Yes, outside the UK, write in country

6. What is that address?

__ Armed forces base address

__ Another address when working away from home

__ Student’s home address

__ Student’s term time address

__ Another parent or guardian’s address

__ Holiday home

__ Other

7. Are you a schoolchild or student in full-time education?

__ Yes

__ No (go to 9)

8. During term time, do you live:

__ at the address on the front of the questionnaire?

__ at the address in question 5? (go to 43)

__ at another address? (go to 43)

9. What is your country of birth?

__ England (go to 13)

__ Wales (go to 13)

__ Scotland (go to 13)

__ Northern Ireland (go to 13)

__ Republic of Ireland

__ Elsewhere, write in the current name of the country (you get 17 characters)

10. If you were not born in the United Kingdom, when did you most recently arrive to live here?

Month/Year:

11. If you arrived before 27 March 2010, go to 13

If you arrived on or after 27 March 2010, go to 12

12. Including the time you have already spent here, how long do you intend to stay in the United Kingdom?

__ Less than 6 months

__ 6 months or more but less than 12 months

__ 12 months or more

13. How is your health in general?

__ Very good

__ Good

__ Fair

__ Bad

__ Very bad

14. Do you look after, or give any help or support to family members, friends, neighbours, or others because of either:

• long-term physical or mental ill-health/disability?
• problems related to old age?

Do not count anything you do as part of your paid employment

__ No

__ Yes, 1-19 hours a week

__ Yes, 20-49 hours a week

__ Yes, 50 or more hours a week

15. How would you describe your national identity?

Tick all that apply

__ English

__ Welsh

__ Scottish

__ Northern Irish

__ British

__ Other, write in (you get 17 characters)

16. What is your ethnic group?

Choose one section from A to E, then tick one box to best describe your ethnic group or background

• A: White

__ English/Welsh/Scottish/Northern Irish/British

__ Irish

__ Gypsy or Irish Traveller

__ Any other White background, write in (you get 17 characters)

• B: Mixed/multiple ethnic groups

__ White and Black Caribbean

__ White and Black African

__ White and Asian

__ Any other Mixed/multiple ethnic background, write in (you get 17 characters)

• C: Asian/Asian British

__ Indian

__ Pakistani

__ Bangladeshi

__ Chinese

__ Any other Asian background, write in (you get 17 characters)

• D: Black/African/Caribbean/Black British

__ African

__ Caribbean

__ Any other Black/African/Caribbean background, write in (you get 17 characters)

• E: Other ethnic group

__ Arab

__ Any other ethnic group, write in (you get 17 characters)

17. This question is intentionally left blank, go to 18

(This question is for Wales only, asking the Welsh if they speak Welsh, and if so how well).

18. What is your main language?

__ English, go to 20

__ Other, write in (including British Sign Language)

19. How well can you speak English?

__ Very well

__ Well

__ Not well

__ Not at all

20. What is your religion?

This question is voluntary.

__ No religion

__ Christian (including Church of England, Catholic, Protestant, and all other Christian denomiations)

__ Buddhist

__ Hindu

__ Jewish

__ Muslim

__ Sikh

__ Any other religion, write in (you get 17 characters)

21. One year ago, what was your usual address?

If you had no usual address one year ago, state the address where you were staying.

__ The address on the front of this questionnaire

__ Student term time/ boarding school address in the UK, write in term time address below

__ Another address in the UK, write in below

__ Outside the UK, write in country.

22. What passports do you hold?

Tick all that apply

__ United Kingdom

__ Irish

__ Other, write in

__ None

23. Are your day-to-day activities limited because of a health problem or disability which has lasted, or is expected to last, at least 12 months?

__ Yes, limited a lot

__ Yes, limited a little

__ No

24. If you are aged 16 or over, go to 25.

If you are aged 15 or under, go to 43.

25. Which of these qualifications do you have?

Tick every box that applies if you have any of the qualifications listed.

If your UK qualification is not listed, tick the box that contains its nearest equivalent.

If you have qualifications gained outside the UK, tick the ‘Foreign qualifications’ box and the nearest UK equivalents (if known).

__ 1-4 O levels/CSEs/GCSEs (any grades), Entry Level, Foundation Diploma

__ NVQ Level 1, Foundation GNVQ, Basic Skills

__ 5+ O levels (passes)/CSEs (grade 1)/GCSEs (grades A* – C), School Certificate, 1 A level/ 2 – 3 AS levels / VCEs, Higher Diploma

__ NVQ Level 2, Intermediate GNVQ, City and Guilds Craft, BTEC First/General Diploma, RSA Diploma

__ Apprenticeship

__ 2+ A levels/VCEs, 4+ AS levels, Higher School Certificate, Progression/Advanced Diploma

__ NVQ Level 3, Advanced GNVQ, City and Guilds Advanced Craft, ONC, OND, BTEC National, RSA Advanced Diploma

__ Degree (for example BA, BSc), Higher degree (for example MA, PhD, PGCE)

__ NVQ Level 4 – 5, HNC, HND, RSA Higher Diploma, BTEC Higher Level

__ Professional qualifications (for example teaching, nursing, accountancy)

__ Other vocational/work-related qualifications

__ Foreign qualifications

__ No qualifications

26. Last week, were you:

Tick all that apply.

Include any paid work, including casual or temporary work, even if only for one hour.

__ working as an employee? Go to 32.

__ on a government sponsored training scheme? Go to 32.

__ self-employed or freelance? Go to 32.

__ working paid or unpaid for your own or your family’s business? Go to 32.

__ away from work ill, on maternity leave, on holiday, or temporarily laid off? Go to 32.

__ doing any other kind of paid work? Go to 32.

__ none of the above

27. Were you actively looking for any kind of paid work during the last four weeks?

__ Yes

__ No

28. If a job had been available last week, could you have started it within two weeks?

__ Yes

__ No

29. Last week, were you waiting to start a job already obtained?

__ Yes

__ No

30. Last week, were you:

Tick all that apply

__ retired (whether receiving a pension or not)?

__ a student?

__ looking after home or family?

__ long-term sick or disabled?

__ other

31. Have you ever worked?

__ Yes, write in the year that you last worked. Go to 32.

__ No, have never worked. Go to 43.

32. Answer the remaining questions for your main job or, if not working, your last main job.

Your main job is the job in which you usually work (worked) the most hours.

33. In your main job, are (were) you:

__ an employee?

__ self-employed or freelance without employees?

__ self-employed with employees?

34. What is (was) your full and specific job title?

For example, PRIMARY SCHOOL TEACHER, CAR MECHANIC, DISTRICT NURSE, STRUCTURAL ENGINEER.

Do not state your grade or pay band.

(You get 34 spaces for this one).

35. Briefly describe what you do (did) in your main job.

(Another 34 spaces).

36. Do (did) you supervise any employees?

Supervision involves overseeing the work of other employees on a day-to-day basis.

__ Yes

__ No

37. At your workplace, what is (was) the main activity of your employer or business?

For example, PRIMARY EDUCATION, REPAIRING CARS, CONTRACT CATERING, COMPUTER SERVICING.

If you are (were) a civil servant, write GOVERNMENT.

If you are (were) a local government officer, write LOCAL GOVERNMENT and give the name of your department within the local authority.

(You get 51 spaces for this one).

38. In your main job, what is (was) the name of the organisation you work (worked) for?

If you are (were) self-employed in your own organisation, write in the business name.

(You get 34 spaces for this one).

__ No organisation, for example, self-employed, freelance, or work (worked) for a private individual.

39. If you had a job last week, go to 40.

If you didn’t have a job last week, go to 43.

40. In your main job, what is the address of your workplace?

If you work at or from home, on an offshore installation, or have no fixed workplace, tick one of the boxes below.

If you report to a depot, write in the depot address.

(Blank for address).

OR __ Mainly work at or from home

__ Offshore installation

__ No fixed place

41. How do you usually travel to work?

Tick one box only.

Tick the box for the longest part, by distance, of your usual journey to work.

__ Work mainly at or from home

__ Underground, metro, light rail, tram

__ Train

__ Bus, minibus, or coach

__ Taxi

__ Motorcycle, scooter, or moped

__ Driving a car or van

__ Passenger in a car or van

__ Bicycle

__ On foot

__ Other

42. In your main job, how many hours a week (including paid and unpaid overtime) do you usually work?

__ 15 or less

__ 16-30

__ 31-48

__ 49 or more

43. There are no more questions for Person 1.

Go to questions for Person 2.

OR If there are no more people in this household, go to the visitor questions on the back page.

OR If there are no visitors staying here overnight, go to the Declaration on the front page.

Visitor questions

V. How many visitors did you include in question H5?

__ 1 to 3 – answer questions V1 to V4 below for each visitor.

__ 4 or more – answer questions V1 to V4 below for the first three visitors then go to www.census.gov.uk or call 0300 0201 101 to request a Continuation Questionnaire.

Visitor A

V1. What is this person’s name?

V2. What is this person’s sex?

__ Male

__ Female

V3. What is this person’s date of birth?

V4. What is this person’s usual UK address?

OR, __ Outside the UK, write in country

THE END