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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 Introduction

Left-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 authority

The information asked for is collected under the authority of the Census and Statistics Act 1905. Your cooperation is sought in completing this form.

Confidentiality

Under 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 available

For 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 form

What you need to do

  • Use this form to record the details of all people (including visitors) who spend the night in your dwelling on Census Night, Tuesday, 9 August 2011.
  • Your Collector will return between 10 August and 28 August to collect your form.
  • On one form you can record details of six people. If you need more forms, refer to the help available section below.
  • If someone in your household wants a separate Census form for privacy reasons, just ask the Collector for a Personal Form and a Privacy Envelope or phone the Census Inquiry Service. Refer to the help available section below.

How to write your answers

  • Use a black or blue pen.
  • Mark boxes like this: A single dash across a box
  • Start numbers in the first box. In the example each digit of 321 is written within each box with number 3 in the first box.
  • Write in CAPITAL letters and keep each letter within one box. In the example, each letter of AUSTRALIA is written as a capital letter, and each letter is within one box starting from the first box.
  • Use every box in turn and only miss a box to leave a space between words. In the example, the written response PRIMARY SCHOOL TEACHER only has an empty box between the words PRIMARY and SCHOOL and an empty box between the words SCHOOL and TEACHER.
  • If you make a mistake in a mark box, draw a line through the box like this: box is marked with a forward slash.
  • Draw a line through the box and rewrite letters like this: each letter of the word TEACHNGING is written inside each box with a horizontal line drawn through the boxes that contain the first N and G to make the correction.
  • Please answer all the questions for every person, unless the form asks you not to.
  • If you do not know an answer, give the best answer you can.

Questions

TO 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 1

What 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 51

As 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 2

Name of each person including visitors who spent the night of Tuesday 9 August 2011 in this dwelling:
  • Record details for all adults, children, babies and visitors present.
  • Include any person who usually lives in this dwelling who returned on Wednesday 10 August 2011 without having been counted elsewhere.
  • For all other cases of persons absent please include them in questions 52 and 53 only.

Requires a written response for the following fields: First or given name, and Surname or family name.

Question 3

Is the person male or female?
  • Mark one response for each person. Remember to mark box like this: a single dash across a box.

Responses available are: Male, Female.

Question 4

What is the person's date of birth (or age at last birthday)?
  • Example for date of birth 23 May 1970: In the example digits 2 and 3 are written in each of the boxes allocated for day, 0 and 5 are written in each of the boxes allocated for month, and 1 9 7 and 0 are written in the boxes allocated for year.
  • If date of birth not known, give age at last birthday.
  • Example for age at last birthday: 41 years. In the example the digits 4 and 1 are written in the boxes allocated for years with number 4 in the first box.

Requires a written numerical response for the following fields: Day Month Year, or Age at last birthday.

Question 5

What is the person's relationship to Person 1/Person 2?
  • Examples of other relationships: SON-IN-LAW, GRAND-DAUGHTER, UNCLE, BOARDER.
  • Remember to mark box like this: a single dash across a box.

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 6

What 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 7

Is the person of Aboriginal or Torres Strait Islander origin?
  • For persons of both Aboriginal and Torres Strait Islander origin, mark both responses: Yes Aboriginal, and Yes Torres Strait Islander.

Responses available are: No, Yes Aboriginal, and Yes Torres Strait Islander.

Question 8

Where does the person usually live?
  • For persons who usually live in another country and who are visiting Australia for less than one year, mark response: Other country.
  • For other persons 'usually live' means that address at which the person has lived or intends to live for a total of six months or more in 2011.
  • For persons who now have no usual address, write 'NONE' in the Suburb/Locality response box.
  • For boarders at boarding school, write the address of the school or college.
  • Remember to mark box like this: a single dash across a box.

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 9

Where did the person usually live one year ago at 9 August 2010?
  • If the person is less than one year old, leave blank.
  • For persons who had no usual address on 9 August 2010, give the address at which they were then living.
  • Remember to mark box like this: a single dash across a box.

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 10

Where did the person usually live five years ago at 9 August 2006?
  • If the person is less than 5 years old, leave blank.
  • For persons who had no usual address on 9 August 2006, give the address at which they were then living.
  • Remember to mark box like this: a single dash across a box.

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 11

Is the person an Australian Citizen?
  • Remember to mark box like this: a single dash across a box.

Responses available are: Yes Australian Citizen, and No.

Question 12

In which country was the person born?
  • Remember to mark box like this: a single dash across a box.

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 13

In what year did the person first arrive in Australia to live here for one year or more?
  • For example, for arrival in 1974 digits 1 9 7 4 are each written in a box with number 1 in the first box.

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 14

Was the person's father born in Australia or overseas?
  • Remember to mark box like this: a single dash across a box.

Responses available are: Australia, and Overseas.

Question 15

Was the person's mother born in Australia or overseas?
  • Remember to mark box like this: a single dash across a box.

Responses available are: Australia, and Overseas.

Question 16

Does the person speak a language other than English at home?
  • Mark one box only.
  • If more than one language other than English, write the one that is spoken most often.
  • Remember to mark box like this: a single dash across a box.

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 17

How well does the person speak English?
  • Remember to mark box like this: a single dash across a box.

Responses available are: Very well, Well, Not well, and Not at all.

Question 18

What is the Person's ancestry?
  • Provide up to two ancestries only.
  • Examples of 'Other - please specify' are GREEK, VIETNAMESE, HMONG, DUTCH, KURDISH, MAORI, LEBANESE, AUSTRALIAN SOUTH SEA ISLANDER.
  • Remember to mark box like this: a single dash across a box.
  • Visit www.abs.gov.au/censushelp for more information. Please note this web link appeared in the 2011 Census Household Form and was only accessible for the duration of Census collection in 2011.

Responses available are: English, Irish, Scottish, Italian, German, Chinese, Australian, and 'Other - please specify'. The response 'Other - please specify' requires a written response.

Question 19

What is the person's religion?
  • Answering this question is OPTIONAL.
  • Examples of 'Other - please specify' are SALVATION ARMY, HINDUISM, JUDAISM, HUMANISM.
  • If no religion, mark the No religion box.
  • Remember to mark box like this: a single dash across a box.

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 20

Does the person ever need someone to help with, or be with them for, self care activities?
  • For example: doing everyday activities such as eating, showering, dressing or toileting.
  • Visit www.abs.gov.au/censushelp for more information. Please note this web link appeared in the 2011 Census Household Form and was only accessible for the duration of Census collection in 2011.

Responses available are: Yes always, Yes sometimes, and No.

Question 21

Does the person ever need someone to help with or be with them for body movement activities?
  • For example: getting out of bed, moving around at home or at places away from home.

Responses available are: Yes always, Yes sometimes, and No.

Question 22

Does the person ever need someone to help with or be with them for communication activities?
  • For example: understanding, or being understood by, others.

Responses available are: Yes always, Yes sometimes, and No.

Question 23

What are the reasons for the need for assistance or supervision shown in questions 20, 21 and 22?
  • Mark all applicable reasons.
  • Remember to mark box like this: a single dash across a box.

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 24

Is the person attending a school or any other educational institution?
  • Include pre-school and external or correspondence students.

Responses available are: No (go to question 26), Yes full-time student, and Yes part-time student.

Question 25

What type of educational institution is the person attending?
  • Mark one box only.
  • Include external or correspondence students.
  • Include secondary and senior high schools under the Secondary School category.
  • Remember to mark box like this: a single dash across a box.
  • Visit www.abs.gov.au/censushelp for more information about year equivalents. Please note this web link appeared in the 2011 Census Household Form and was only accessible for the duration of Census collection in 2011.

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 more

Question 27

What is the highest year of primary or secondary school the person has completed?
  • Mark one box only.
  • For persons who have returned after a break to complete their schooling, mark the highest year completed when they last left.
  • Visit www.abs.gov.au/censushelp for more information about year equivalents. Please note this web link appeared in the 2011 Census Household Form and was only accessible for the duration of Census collection in 2011.

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 28

Has the person completed any educational qualification (including a trade certificate)?
  • Mark one box only.
  • Visit www.abs.gov.au/censushelp for more information on the treatment of AQF or vocational certificates. Please note this web link appeared in the 2011 Census Household Form and was only accessible for the duration of Census collection in 2011.

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 29

What is the level of the highest qualification the person has completed?
  • For example: TRADE CERTIFICATE, BACHELOR DEGREE, ASSOCIATE DIPLOMA, CERTIFICATE II, ADVANCED DIPLOMA.

Level of qualification requires a written response.

Question 30

What is the main field of study for the person's highest qualification completed?
  • For example PLUMBING, HISTORY, PRIMARY SCHOOL TEACHING, HAIRDRESSING, GREENKEEPING.

Field of study requires a written response.

Question 31

Did the person complete this qualification before 1998?
  • Remember to mark box like this: a single dash across a box.

Responses available are: Yes before 1998, and No 1998 or later.

Question 32

For each female how many babies has she ever given birth to?
  • Include live births only.
  • Exclude adopted, foster and step children.
  • Visit www.abs.gov.au/censushelp for more information. Please note this web link appeared in the 2011 Census Household Form and was only accessible for the duration of Census collection in 2011.

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 33

What is the total of all wages/salaries, government benefits, pensions, allowances and other income the person usually receives.
  • MARK ONE BOX ONLY.
  • Do not deduct tax, superannuation contributions, health insurance, amounts salary sacrificed, or any other automatic deductions.
  • Include the following:
    • Pensions/Allowances: family tax benefit, parenting payment, unemployment benefits, Newstart allowance, rent assistance, pensions, student allowances, maintenance (child support), workers' compensation, any other pensions/allowances.
    • Other income: interest, dividends, rents (exclude expenses of operation), business/farm income (exclude expenses of operation), income from superannuation, any other income.
    • Wages/salaries: regular overtime, commissions and bonuses.
  • Information from this question provides an indication of living standards in different areas.
  • Visit www.abs.gov.au/censushelp for more information. Please note this web link appeared in the 2011 Census Household Form and was only accessible for the duration of Census collection in 2011.

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 34

Last week did the person have a full-time or part-time job of any kind?
  • Mark one box only.
  • A job means any type of work including casual, temporary or part-time work, if it was for one hour or more.
  • Remember to mark box like this: a single dash across a box.
  • Visit www.abs.gov.au/censushelp for more information. Please note this web link appeared in the 2011 Census Household Form and was only accessible for the duration of Census collection in 2011.

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 35

In the main job held last week, was the person: working for an employer or working in own business?
  • Mark one box only.
  • If the person had more than one job last week, the main job refers to the job in which the person usually works the most hours.
  • For all persons conducting their own business including those with their own incorporated (e.g. P t y L t d) company as well as sole traders, partnerships and contractors, mark the second box.

Responses available are: Working for an employer (go to question 38), and working in own business (go to question 36).

Question 36

Was the person's business Unincorporated, or Incorporated e.g. P t y L t d?
  • Mark one box only.
  • Incorporated means a limited liability company.

Responses available are: Unincorporated, and incorporated e.g. P t y L t d.

Question 37

Does the person's business employ people?
  • Mark one box only.

Responses available are: No - no employees, Yes 1 to 19 employees, and Yes 20 or more employees

Question 38

In the main job held last week, what was the person's occupation?
  • Give full title.
  • For example: CHILDCARE AIDE, MATHS TEACHER, PASTRY COOK, TANNING MACHINE OPERATOR, APPRENTICE TOOLMAKER, SHEEP AND WHEAT FARMER.
  • For public servants provide official designation and occupation.
  • For armed services personnel provide rank and occupation.

Response field Occupation requires a written response.

Question 39

What are the main tasks that the person usually performs in the occupation reported at Question 38?
  • Give full details.
  • For example: LOOKING AFTER CHILDREN AT A DAY CARE CENTRE, TEACHING SECONDARY SCHOOL STUDENTS, MAKING CAKES AND PASTRIES, OPERATING LEATHER TANNING MACHINE, LEARNING TO MAKE AND REPAIR TOOLS AND DIES, RUNNING A SHEEP AND WHEAT FARM.
  • For managers provide main activities managed.

Response field Tasks or duties requires a written response.

Question 40

For the main job held last week what was the employers business name?
  • For self employed persons write name of business.
  • For teachers write name of school.

Response field Business name requires a written response.

Question 41

For the main job held last week what was the person's workplace address?
  • For persons who usually worked from home, write the home address.
  • For persons with no fixed place of work:
    • if the person usually travels to a depot to start work, write the depot address;
    • otherwise write 'NONE' in the suburb/locality box.
  • This information is used to calculate daytime populations and to plan transport activities.
  • Visit www.abs.gov.au/censushelp for more information. Please note this web link appeared in the 2011 Census Household Form and was only accessible for the duration of Census collection in 2011.

Requires written responses to the following fields: Street number, Street name, Suburb/locality, State/territory, Postcode, Building/property name if any.

Question 42

Which best describes the industry or business of the employer at the location where the person works?
  • Mark one box only.
  • Examples of 'Other - please specify' are: REPAIRS AND MAINTENANCE, EDUCATION, AGRICULTURE, FINANCE, TELECOMMUNICATIONS SERVICE.
  • Remember to mark box like this: a single dash across a box.
  • Visit www.abs.gov.au/censushelp for more information. Please note this web link appeared in the 2011 Census Household Form and was only accessible for the duration of Census collection in 2011.

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 43

What are the main goods produced or main services provided by the employer's business?
  • Describe as fully as possible, using two words or more.
  • For example: WHEAT AND SHEEP, BUS CHARTER, HEALTH INSURANCE, PRIMARY SCHOOL EDUCATION, CIVIL ENGINEERING CONSULTANCY SERVICE, HOUSE BUILDING, STEEL PIPES.

Response field 'Goods produced/services provided' requires a written response.

Question 44

Last week how many hours did the person work in all jobs?
  • Add any overtime or extra time worked and subtract any time off.
  • Remember to mark box like this: a single dash across a box.

Requires a written response for the response field 'Number of hours worked', or a mark box response to 'None'.

Question 45

How did the person get to work on Tuesday 9 August 2011?
  • If the person used more than one method of travel to work, mark all methods used.
  • Remember to mark box like this: a single dash across a box.

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 46

Did the person actively look for work at any time in the last four weeks?
  • Examples of looking for work include: Being registered with Centrelink as a job seeker; Checking or registering with any other employment agency; Writing, telephoning or applying in person to an employer for work; or Advertising for work.

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 47

If the person had found a job, could the person have started work last week?
  • Remember to mark box like this: a single dash across a box.

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 48

In the last week did the person spend time doing unpaid domestic work for their household?
  • Include all housework, food/drink preparation and clean-up, laundry, gardening, home maintenance and repairs, and household shopping and finance management.
  • Visit www.abs.gov.au/censushelp for more information. Please note this web link appeared in the 2011 Census Household Form and was only accessible for the duration of Census collection in 2011.

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 49

In 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?
  • Recipients of Carer Allowance or Carer Payment should state that they provided unpaid care.
  • Ad hoc help or assistance such as shopping should only be included if the person needs this sort of assistance because of his/her condition.
  • Do not include work done through a voluntary organisation or group.

Responses available are: No did not provide unpaid care help or assistance, and Yes provided unpaid care help or assistance.

Question 50

In the last two weeks did the person spend time looking after a child without pay?
  • Only include children who were less than 15 years of age.
  • Mark all applicable responses.

Responses available are: No, Yes looked after my own child, and Yes looked after a child other than my own.

Question 51

In the last twelve months did the person spend any time doing voluntary work through an organisation or group?
  • Exclude anything you do as a part of your paid employment or to qualify for a Government benefit.
  • Exclude working in a family business.

Responses available are: No did not do voluntary work, and Yes did voluntary work.
Please answer the following questions for this dwelling.

Question 52

Are there any persons who usually live in this dwelling who are absent on Census Night (Tuesday 9 August 2011)?
  • 'Usually live' means that address at which the person has lived, or intends to live, for a total of six months or more in 2011.
  • Remember to mark box like this: a single dash across a box.

Responses available are: No, no-one absent (go to question 54); and Yes, someone absent (go to question 53).

Question 53

This 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:
  • Remember to mark box like this: a single dash across a box.

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?
  • Mark one box for each person absent.

Responses available are: Male and Female

What is the person's date of birth (or age at last birthday)?
  • Example for date of birth 23 May 1970: In the example digits 2 and 3 are written in each of the boxes allocated for day, 0 and 5 are written in each of the boxes allocated for month, and 1 9 7 and 0 are written in the boxes allocated for year.
  • If birthday is not known give age at last birthday.
  • Example for age at last birthday 41 years. In the example the digits 4 and 1 are written in the boxes allocated for years with number 4 in the first box.

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?
  • For persons of both Aboriginal and Torres Strait Islander origin, mark both 'Yes' boxes.

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?
  • Examples of other relationships: SON-IN-LAW, GRAND-DAUGHTER, UNCLE, BOARDER.

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 54

How 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)?
  • Include vans and company vehicles kept at home.
  • Exclude motor bikes and motor scooters.

Requires a written response for the number of motor vehicles field, or a mark the 'None' response box.

Question 55

How many bedrooms are there in this dwelling?
  • If the dwelling is a bed-sitter mark the 'None' box like this: a single dash across a box.

Requires a written response for the number of bedrooms in the dwelling field, or mark the 'None' response box.

Question 56

Is 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?
  • Include owners of caravans, manufactured homes or houseboats regardless of whether or not the site is owned.
  • Remember to mark box like this: a single dash across a box.

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 57

If this dwelling is being rented who is it rented from?
  • For all state/territory specific government housing authorities, mark the second box. Some examples of government housing authorities are: New South Wales Department of Housing, Office of Housing (Victoria), Department of Communities Housing and Homelessness Services (Queensland), South Australian Housing Trust, Department of Housing (Western Australia), Housing Tasmania, Territory Housing (Northern Territory), Australian Capital Territory Housing, Aboriginal Housing Authorities.
  • Remember to mark box like this: a single dash across a box.

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 58

How much does you household pay for this dwelling?
  • Include rent and mortgage repayments and site fees if the dwelling is a caravan or manufactured home in a caravan park or manufactured home estate.
  • Exclude water rates, council rates, repairs, maintenance and other fees.
  • Do not include cents.
  • If no payments please mark the 'Nil payments' box like this: a single dash across a box.

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 59

Can the internet be accessed at this dwelling?
  • Include any internet service regardless of whether or not paid for by the household.
  • If more than one type of internet connection in dwelling, mark most frequently used type.
  • Remember to mark box like this: a single dash across a box.

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 60

Does 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?
  • Answering this question is optional.
  • A person's name-identified information will not be kept where a person does not agree or the answer is left blank.
  • Visit www.abs.gov.au/censushelp for more information. Please note this web link appeared in the 2011 Census Household Form and was only accessible for the duration of Census collection in 2011.

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 61

Finished?
  • Please check the answers to question 60 accurately reflect the view, where known, of each person in the household.
  • Please make sure you have not missed any pages or questions.
  • Please sign here.

A Signature box and a Date response box.

Thank you for completing this form. Australian Statistician.

2011 reference & information

2011 Census Household Form – text version

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