2011 Census Household Form – text version
This is a text-only version of the Household Form that was used in the 2011 Census The 2011 Census Household Form is divided into three sections: Census introduction, Instructions for completing the form, and Questions. The Form also requires a Census Form number to be filled in. The Census Form entry boxes are at the top right corner of the first page. Census Form Number is composed of 4 parts: a 7 digit number, a single digit check letter, a 4 digit number and a single digit check letter. Census IntroductionLeft-hand panel:Australian Bureau of Statistics: Census 100 years 1911–2011 8 August 2011 Why a Census?The Census is the only practical way to get information on how many people there are in each part of Australia, what they do and how they live.Collection authorityThe information asked for is collected under the authority of the Census and Statistics Act 1905. Your cooperation is sought in completing this form.ConfidentialityUnder the Census and Statistics Act 1905 the ABS must not release any information you provide in a way which would enable an individual's or household's data to be identified. The one exception is that if you agree at Question 60 then your information will be provided to the National Archives of Australia for release in 99 years time. Visit www.abs.gov.au/census for more information.Help availableFor more information about the Census, including details on each question and how to answer visit: www.abs.gov.au/census or phone the Census Inquiry Service. If you are deaf, hearing or speech impaired phone the National Relay Service. Always quote your Census Form Number shown at the top right of this page.Instructions for completing the formWhat you need to do
How to write your answers
QuestionsTO COMPLETE YOUR FORM ONLINE VISIT www.census.gov.au Please note this web link appeared in the 2011 Census Household Form and was only accessible for the duration of Census collection in 2011.FAST, SECURE, and EASY with ONLINE HELP AVAILABLE Question 1What is the address of this dwelling? Please use CAPITAL letters only. Requires written responses for the following fields: Apartment/Flat/Unit number (if any), Street number, Street name (Examples: GRAHAM AVENUE, GEORGE STREET), Suburb/locality, State/territory, Postcode, Property/building name (if any).Questions 2 to 51As mentioned in the 'What you need to do' section above, this single form can record details for up to 6 people within the same dwelling on Census Night. For questions 2 to 51, there is a column for each person to record the responses. The column labels are: Person 1 – The householder if present, otherwise any adult member of the household; Person 2 – The spouse or partner of 'Person 1', otherwise any person present in the household; Person 3 – Any other person present in the household; Person 4 – any other person present in the household; Person 5 – Any other person present in the household; and Person 6 – Any other person present in the household.Question 2Name of each person including visitors who spent the night of Tuesday 9 August 2011 in this dwelling:
Requires a written response for the following fields: First or given name, and Surname or family name. Question 3Is the person male or female?
Responses available are: Male, Female. Question 4What is the person's date of birth (or age at last birthday)?
Requires a written numerical response for the following fields: Day Month Year, or Age at last birthday. Question 5What is the person's relationship to Person 1/Person 2?
No response is required for Person 1. Responses available for Person 2 are: Husband or wife of Person 1, De facto partner of Person 1, Child of Person 1, Stepchild of Person 1, Brother or sister of Person 1, Unrelated flatmate or co-tenant of Person 1, and Other relationship to Person 1 - please specify. The response 'Other relationship to Person 1' requires a written response. Responses available for person 3 to person 6 are: Child of both Person 1 and Person 2, Child of Person 1 only, Child of Person 2 only, Brother or sister of Person 1, Unrelated flatmate or co-tenant of Person 1, and Other relationship to Person 1 - please specify. The response 'Other relationship to Person 1 - please specify' requires a written response. Question 6What is the person's present marital status?Married refers to registered marriages. Remember to mark box like this: a single dash across a box. Responses available are: Never married, Widowed, Divorced, Separated but not divorced, and Married. Question 7Is the person of Aboriginal or Torres Strait Islander origin?
Responses available are: No, Yes Aboriginal, and Yes Torres Strait Islander. Question 8Where does the person usually live?
Responses available are: The address shown on the front of this form, and Elsewhere in Australia - please specify address. The response 'Elsewhere in Australia - please specify an address' requires a written response to the following fields: Apartment/Flat/Unit number (if any), Street number, Street name, Suburb/locality, State/territory, Postcode, and Other country. Question 9Where did the person usually live one year ago at 9 August 2010?
Responses available are: Same as question 8, and Elsewhere in Australia - please specify address. The response 'Elsewhere in Australia - please specify address' requires a written response to the following fields: Apartment/Flat/Unit number (if any), Street number, Street name, Suburb/locality, State/territory, Postcode, and Other country. Question 10Where did the person usually live five years ago at 9 August 2006?
Responses available are: Same as question 8, Same as question 9, and Elsewhere in Australia - please specify address. The response 'Elsewhere in Australia - please specify address' requires a written response to the following fields: Apartment/Flat/Unit number (if any), Street number, Street name, Suburb/locality, State/territory, Postcode, and Other country. The response 'Other country - please specify' requires a written response. Question 11Is the person an Australian Citizen?
Responses available are: Yes Australian Citizen, and No. Question 12In which country was the person born?
Responses available are: Australia (go to question 14), England, New Zealand, Italy, Vietnam, India, Scotland, and 'Other - please specify'. The response 'Other - please specify' requires a written response. Question 13In what year did the person first arrive in Australia to live here for one year or more?
Responses available are: Year, and Will be in Australia for less than one year. For the response 'Year' a written numerical response is required. Question 14Was the person's father born in Australia or overseas?
Responses available are: Australia, and Overseas. Question 15Was the person's mother born in Australia or overseas?
Responses available are: Australia, and Overseas. Question 16Does the person speak a language other than English at home?
Responses available are: No English only (go to question 18), Yes Italian, Yes Greek, Yes Cantonese, Yes Arabic, Yes Mandarin, Yes Vietnamese, and 'Yes other - please specify'. The response 'Yes other - please specify' requires a written response. Question 17How well does the person speak English?
Responses available are: Very well, Well, Not well, and Not at all. Question 18What is the Person's ancestry?
Responses available are: English, Irish, Scottish, Italian, German, Chinese, Australian, and 'Other - please specify'. The response 'Other - please specify' requires a written response. Question 19What is the person's religion?
Responses available are: Catholic, Anglican Church of England, Uniting Church, Presbyterian, Buddhism, Greek Orthodox, Islam, Baptist, Lutheran, and 'Other - please specify'. The response 'Other - please specify' requires a written response. Question 20Does the person ever need someone to help with, or be with them for, self care activities?
Responses available are: Yes always, Yes sometimes, and No. Question 21Does the person ever need someone to help with or be with them for body movement activities?
Responses available are: Yes always, Yes sometimes, and No. Question 22Does the person ever need someone to help with or be with them for communication activities?
Responses available are: Yes always, Yes sometimes, and No. Question 23What are the reasons for the need for assistance or supervision shown in questions 20, 21 and 22?
Responses available are: No need for help or supervision, Short term health condition lasting less than six months, Long term health condition lasting six months or more, Disability lasting six months or more, Old or young age, Difficulty with English language, and Other cause. Question 24Is the person attending a school or any other educational institution?
Responses available are: No (go to question 26), Yes full-time student, and Yes part-time student. Question 25What type of educational institution is the person attending?
The responses to this questions are broken into the following four categories: Preschool, Infants/Primary school, Secondary school, Tertiary institution, and Other educational institution. Responses available for Pre-school are: Preschool. Responses available for Infants/Primary School are: Government, Catholic, Other Government. Responses available for Secondary School are: Government, Catholic, Other non-government. Responses available for Tertiary are: Technical or further educational institutional (including TAFE colleges), and University or other higher educational institution. Responses available for Other educational institution are: Other educational institution. Question 26 Only continue for persons aged 15 years or moreQuestion 27What is the highest year of primary or secondary school the person has completed?
Responses available are: Year 12 or equivalent, Year 11 or equivalent, Year 10 or equivalent, Year 9 or equivalent, Year 8 or below, and Did not go to school. Question 28Has the person completed any educational qualification (including a trade certificate)?
Responses available are: No (go to question 32), No - still studying for first qualification (go to question 32), Yes - trade certificate/apprenticeship, and Yes - other qualification. Question 29What is the level of the highest qualification the person has completed?
Level of qualification requires a written response. Question 30What is the main field of study for the person's highest qualification completed?
Field of study requires a written response. Question 31Did the person complete this qualification before 1998?
Responses available are: Yes before 1998, and No 1998 or later. Question 32For each female how many babies has she ever given birth to?
Responses available are Number of babies and None. Requires a written numerical response to the number of babies or a mark box response to 'None'. Question 33What is the total of all wages/salaries, government benefits, pensions, allowances and other income the person usually receives.
The responses to this questions are structured with the dollar amount per week followed by the equivalent dollar value per year in parentheses. The dollar values are in ranges. Responses available are: 2,000 dollars or more per week (or 104,000 dollars or more per year), 1,500 to 1,999 dollars per week (or 78,000 to 103,000 dollars per year), 1,250 to $1,499 dollars per week (or 65,000 to 77,999 dollars per year), 1,000 to 1,249 dollars per week (or 52,000 to 64,999 dollars per year), 800 to 999 dollars per week (or 41,600 to 51,999 dollars per year), 600 to 799 dollars per week (or 31,200 to 41,599 dollars per year), 400 to 599 dollars per week (or 20,800 to 31,199 dollars per year), 300 to 399 dollars per week (or 15,600 to 20,799 dollars per year), 200 to 299 dollars per week (or 10,400 to 15,599 dollars per year), 1 to 199 dollars per week (or 1 to 10,399 dollars per year), Nil income, and Negative income. Question 34Last week did the person have a full-time or part-time job of any kind?
Responses available are: Yes worked for a payment or profit; Yes but absent on holidays, paid leave, on strike or temporarily stood down; Yes unpaid work in a family business (go to question 38); Yes other unpaid work (go to question 46); and No did not have a job (go to question 46). Question 35In the main job held last week, was the person: working for an employer or working in own business?
Responses available are: Working for an employer (go to question 38), and working in own business (go to question 36). Question 36Was the person's business Unincorporated, or Incorporated e.g. P t y L t d?
Responses available are: Unincorporated, and incorporated e.g. P t y L t d. Question 37Does the person's business employ people?
Responses available are: No - no employees, Yes 1 to 19 employees, and Yes 20 or more employees Question 38In the main job held last week, what was the person's occupation?
Response field Occupation requires a written response. Question 39What are the main tasks that the person usually performs in the occupation reported at Question 38?
Response field Tasks or duties requires a written response. Question 40For the main job held last week what was the employers business name?
Response field Business name requires a written response. Question 41For the main job held last week what was the person's workplace address?
Requires written responses to the following fields: Street number, Street name, Suburb/locality, State/territory, Postcode, Building/property name if any. Question 42Which best describes the industry or business of the employer at the location where the person works?
Responses available are: Manufacturing; Wholesaling; Retailing; Accommodation; Cafes, restaurants and take aways; Road freight transport; House construction; Health service; Community care service; and 'Other - please specify'. The response 'Other - please specify' requires a written response. Question 43What are the main goods produced or main services provided by the employer's business?
Response field 'Goods produced/services provided' requires a written response. Question 44Last week how many hours did the person work in all jobs?
Requires a written response for the response field 'Number of hours worked', or a mark box response to 'None'. Question 45How did the person get to work on Tuesday 9 August 2011?
Responses available are: Train, Bus, Ferry, Tram (including light rail), Taxi, Car as driver, Car as passenger, Truck, Motorbike or motor scooter, Bicycle, Walked only, Worked at home, Other, and Did not go to work. Question 46Did the person actively look for work at any time in the last four weeks?
Responses available are: No did not look for work (go to question 48), Yes looked for full-time work, and Yes looked for part-time work. Question 47If the person had found a job, could the person have started work last week?
Responses available are: Yes, could have started work last week; No, already had a job to go to; No, temporarily ill or injured; and No, other reason. Question 48In the last week did the person spend time doing unpaid domestic work for their household?
Responses available are: No did not do any unpaid domestic work in the last week, Yes less than 5 hours, Yes 5 to 14 hours, Yes 15 to 29 hours, Yes 30 hours or more. Question 49In the last two weeks did the person spend time providing unpaid care, help or assistance to family members or others because of a disability, a long term illness or problems related to old age?
Responses available are: No did not provide unpaid care help or assistance, and Yes provided unpaid care help or assistance. Question 50In the last two weeks did the person spend time looking after a child without pay?
Responses available are: No, Yes looked after my own child, and Yes looked after a child other than my own. Question 51In the last twelve months did the person spend any time doing voluntary work through an organisation or group?
Responses available are: No did not do voluntary work, and Yes did voluntary work. Please answer the following questions for this dwelling. Question 52Are there any persons who usually live in this dwelling who are absent on Census Night (Tuesday 9 August 2011)?
Responses available are: No, no-one absent (go to question 54); and Yes, someone absent (go to question 53). Question 53This question is broken into six further questions. Question 53 can record details for up to three people absent from the dwelling on Census Night.For each person absent complete the following questions:
Name of person who usually lives in this dwelling but was not here on the night of Tuesday 9 August 2011. Name of each person requires a written response for the following fields: First or given name, and Surname or family name. Is the person male or female?
Responses available are: Male and Female What is the person's date of birth (or age at last birthday)?
Requires a written numerical response for the following fields: Day, Month, Year, or age at last birthday in years. Is the person of Aboriginal or Torres Strait Islander origin?
Responses available are: No, Yes Aboriginal, and Yes Torres Strait Islander. Is the person a full-time student? Responses available: No, and Yes. What is the person's relationship to Person 1/Person 2?
Responses available are: Husband or wife of Person 1, De facto partner of Person 1, Child of both Person 1 and Person 2, Child of Person 1 only, Child of Person 2 only, Unrelated flatmate or co-tenant of Person 1, Other relationship to Person 1 - please specify. The response 'Other relationship to Person 1 - please specify' requires a written response. Question 54How many registered motor vehicles owned or used by residents of this dwelling were garaged or parked at or near this dwelling on Census Night (Tuesday 9 August 2011)?
Requires a written response for the number of motor vehicles field, or a mark the 'None' response box. Question 55How many bedrooms are there in this dwelling?
Requires a written response for the number of bedrooms in the dwelling field, or mark the 'None' response box. Question 56Is this dwelling Owned outright, Owned with a mortgage, Being purchased under a rent/buy scheme, Being rented, Being occupied rent free, Being occupied under a life tenure scheme, or Other?
Responses available are: Owned outright (go to question 59), Owned with a mortgage (go to question 58), Being purchased under a rent/buy scheme, Being rented, Being occupied rent free, Being occupied under a life tenure scheme, and Other. Question 57If this dwelling is being rented who is it rented from?
Responses available are: Real estate agent, Government Housing Authority/ Housing Department (Public Housing), Parent/other relative not in this dwelling, Other person not in this dwelling, Residential park (including caravans and marinas), Employer - Government (including Defence Housing Authority, Employer - private, Housing cooperative Community or Church group. Question 58How much does you household pay for this dwelling?
Responses available are: Dollars per week (numerical response required), or dollars per fortnight (numerical response required), or dollars per month (numerical response required), or mark the 'Nil payments' response box. Question 59Can the internet be accessed at this dwelling?
Responses available are: No internet connection; Yes, broadband connection including A D S L, Cable, Wireless and Satellite connections; Yes, dial-up connection including analog, modem and I S D N connections; and Other (include internet access through mobile phones etcetera). Question 60Does each person in this household agree to his/her name and address and other information on this form being kept by the National Archives of Australia and then made publicly available after 99 years?
PLEASE CHECK WITH EACH PERSON BEFORE ANSWERING - LEAVE BLANK FOR THOSE PERSONS WHOSE VIEWS ARE NOT KNOWN TO YOU. Responses are available for up to 6 persons. Responses available are: Yes agrees, and No does not agree. Question 61Finished?
A Signature box and a Date response box. Thank you for completing this form. Australian Statistician. |
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