These are the questions. They can be foudn as a pdf file on the website of the Office for National Statistics.
Office for National Statistics
2011 Census
Household questions
H1 Who usually lives here?
? 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
? No-one usually lives here, for example, this is a second address or
holiday home
H2 Counting everyone you included in 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.
If a member of this household has requested an Individual Questionnaire, tick
the box beside their name and leave blank the Individual questions 1 to 43 for
that person
? Yourself (Person 1) First name Last name
? Person 2 First name Last name
? Person 3 First name Last name
? Person 4 First name Last name
? Person 5 First name Last name
? Person 6 First name Last name
If there are more than six people, complete the entire questionnaire online or
contact us to get a Continuation Questionnaire.
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.
? People who usually 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
? There are no visitors staying overnight here on 27 March 2011
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? If
members are not related, tick the ?Unrelated? box.
Using the same order you used in question H3, write the name of everyone
who usually lives here at the top of each column. Remember to include
children, babies and people who have requested an Individual Questionnaire.
Tick a box to show the relationship of each person to each of the other
members of this household.
? Person 1 First name Last name
? 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)
Boxes available for completion for up to six people
- If there are more than six people, contact us to request a
Continuation Questionnaire
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
? No
H9 How many rooms are available for use only by this household?
H10 How many of these rooms are bedrooms?
H11 What type of central heating does this accommodation have?
? 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
? Owns with a mortgage or loan
? 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?
? None
? 1
? 2
? 3
? 4 or more, write in number
Individual questions
1 What is your name?
? First name
? Last name
2 What is your sex?
? Male
? Female
3 What is your date of birth?
? Day
? Month
? Year
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
? 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
8 During term time, do you live:
? at the address on the front of this questionnaire?
? at the address in question 5?
? at another address?
9 What is your country of birth?
? England
? Wales
? Scotland
? Northern Ireland
? Republic of Ireland
? Elsewhere, write in the current name of country
10 If you were not born in the United Kingdom, when did you most
recently arrive to live here?
Do not count short visits away from the UK
? 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?
? 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?
? English
? Welsh
? Scottish
? Northern Irish
? British
? Other, write in
16 What is your ethnic group?
A. White
? English / Welsh / Scottish / Northern Irish / British
? Irish
? Gypsy or Irish Traveller
? Any other White background, write in
B. Mixed / multiple ethnic groups
? White and Black Caribbean
? White and Black African
? White and Asian
? Any other Mixed / multiple ethnic background, write in
C. Asian / Asian British
? Indian
? Pakistani
? Bangladeshi
? Chinese
? Any other Asian background, write in
D. Black / African / Caribbean / Black British
? African
? Caribbean
? Any other Black / African / Caribbean background, write in
E. Other ethnic group
? Arab
? Any other ethnic group, write in
17 This question is intentionally left blank go to 18
18 What is your main language?
? English
? 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 denominations)
? Buddhist
? Hindu
? Jewish
? Muslim
? Sikh
? Any other religion, write in
21 One year ago, what was your usual address?
? 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
? Same as Person 1
22 What passports do you hold?
? 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?
? 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:
? working as an employee?
? on a government sponsored training scheme?
? self-employed or freelance?
? working paid or unpaid for your own or your family?s business?
? away from work ill, on maternity leave, on holiday or temporarily laid
off?
? doing any other kind of paid work?
? 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:
? 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
? No, have never worked
32 Answer the remaining questions for your main job or, if not working, your
last main job.
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?
35 Briefly describe what you do (did) in your main job.
36 Do (did) you supervise any employees?
? Yes
? No
37 At your workplace, what is (was) the main activity of your employer
or business?
38 In your main job, what is (was) the name of the organisation you work
(worked) for?
Write in the business name
Or tick:
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?
Write in the address. If you work at or from home, on an offshore installation,
or have no fixed workplace, tick one of the boxes below
? Mainly work at or from home
? Offshore installation
? No fixed place
41 How do you usually travel 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 Persons 2 ? 6
If there are no more people in this household, go to the Visitor questions on
the back page
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?
? First name
? Last name
V2 What is this person?s sex?
? Male
? Female
V3 What is this person?s date of birth?
? Day
? Month
? Year
V4 What is this person?s usual UK address?
Or:
Outside the UK, write in country
Questions repeated for Visitors B and C
Now go to the Declaration on the front page
Declaration
This questionnaire has been completed to the best of my knowledge and
belief.
? Signature
? Date
? Telephone number