1991 Census England H form for Private Households

To the Head or joint Heads or members of the Household aged 16 or over Please complete this form for all members of the household,including children, and have it ready for collection on Monday 22nd April. Your census enumerator will call to collect it then or soon afterwards and will help you with the form if you have any difficulties. The enclosed leaflet explains why the Census is necessary and how the information is used. Completion of the form is compulsory under the Census Act 1920. If you refuse to complete it, or give false information, you may have to pay a fine of up to £400. Your answers will be treated in strict confidence and used only to produce statistics. Names and addresses will not be put into the computer; only the postcode will be entered. The forms will be kept securely within my Office and treated as confidential for 100 years. Anyone using or disclosing Census information improperly will be liable to prosecution. For example, it would be improper for you to pass on to someone else information which you had been given in confidence by a visitor to enable you to complete the Census form. If any member of the household aged 16 or over does not wish you, or another member of the household, to see their information, please ask the enumerator for an individual form with an envelope. After completing the form, please sign the declaration on the last page. Thank you for your cooperation. P J Wormald Registrar General Office of Population Censuses and Surveys PO Box 100 Fareham PO 16 OAL Telephone: 0329 844444

Please read these instructions before filling in this form A Household: A household comprises either one person living alone or a group of people (not necessarily related) living at the same address with common housekeeping - that is, sharing at least one meal a day or sharing a living room or sitting room. People staying temporarily with the household are included. If there is more than one household in this building, answer for your household only. First answer questions H1 and H2 on this page and H3 to H5 on the back page about your household and the rooms which it occupies. When you have answered the household questions, answer the questions on the inside pages about each member of your household. If a member of the household is completing an Individual form please still enter their name and answer questions 5 and 6 on this form. Then complete Panel B and Panel C on the back page. Answer each question by ticking the appropriate box or boxes where they are provided. Please use ink or ballpoint pen.

To be completed by the Enumerator	H1 Rooms
Census District Enumeration District Form Number . . . Name Address . . Postcode ABS	Please count the number of rooms your household has for its own use. Do not count: small kitchens, under 2 metres (6 feet 6 inches) wide bathrooms toilets Do count: living rooms bedrooms kitchens at least 2 metres (6 feet 6 inches) wide all other rooms in your accommodation The total number of rooms is:
Panel A To be completed by the Enumerator and amended, if necessary, by the person(s) signing this form.	H2 Accommodation If box 7 or 8 in Panel A is ticked, tick one box below to show the type of accommodation which your household occupies.
Tick one box to show the type of accommodation which thishousehold occupies. A caravan or other mobile or temporary structure A whole house or bungalow that is detached semi-detached terraced (include end of terrace) Part of a converted or shared house, bungalow or flat separate entrance into the building shared entrance into the building	A one roomed flatlet with private bath or shower, WC and kitchen facilities One room or bedsit, not self-contained (to move from your room to bathroom, WC or kitchen facilities you have to use a hall, landing or stairway open to other household(s)). A self-contained flat or accommodation with 2 or more rooms, having bath or shower, WC and kitchen facilities all behind its own private door. 2 or more rooms, not self-contained (to move between rooms or to bathroom, WC or kitchen facilities you have to use a hall, landing or stairway open to other household(s)).

1-3 Name, sex and date of birth of people to be included	Person No. 1	Person No. 2
Important: please read the notes before answering the questions. In answering the rest of the questions please include: every person who spends census night (21-22 April) in this household, including anyone staying temporarily. any other people who are usually members of the household but on census night are absent on holiday, at school or college, or for any other reason, even if they are being included on another census form elsewhere. anyone who arrives here on Monday 22nd April who was in Great Britain on the Sunday and who has not been included as present on another census form. any newly born baby born before the 22nd April, even if still in hospital. If not yet given a name, write BABY and the surname. Write the names in BLOCK CAPITALS starting with the head or a joint head of household.	Name and surname   Sex Male   1 Female   2 Date of birth Day Month Year	Name and surname   Sex Male   1 Female   2 Date of birth Day Month Year
4 Marital status	Single (never married) 1 Married (first marriage) 2 Re-married 3 Divorced (decree absolute) 4 Widowed 5	Single (never married) 1 Married (first marriage) 2 Re-married 3 Divorced (decree absolute) 4 Widowed 5
On the 21 st April what is the person's marital status? If separated but not divorced, please tick 'Married (first marriage)' or 'Re-married' as appropriate. Please tick one box.
5 Relationship in household		Relationship to Person No.1
Please tick the box which indicates the relationship of each person to the person in the first column. A step child or adopted child should be included as the son or daughter of the step or adoptive parent. Write in relationship of 'Other relative' - for example, father, daughter-in-law, niece, uncle, cousin. Write in position in household of an'Unrelated'person for example, boarder, housekeeper, friend, flatmate, foster child.		Husband or wife 1 Living together as a couple 2 Son or daughter 3 Other relative please specify   Unrelated please specify
6 Whereabouts on night of 21-22 Apri1 1991	At this address, out on night work or travelling to this address 0 Elsewhere in England, Scotland or Wales 1 Outside Great Britain 2	At this address, out on night work or travelling to this address 0 Elsewhere in England, Scotland or Wales 1 Outside Great Britain 2
Please tick the appropriate box to indicate where the person was on the night of 21-22 April 1991.
7 Usual address	This address 1 Elsewhere If elsewhere, please write the person's usual address and postcode below in BLOCK CAPITALS   Postcode .. .. .. .. ... . ..	This address 1 Elsewhere If elsewhere, please write the person's usual address and postcode below in BLOCK CAPITALS   Postcode . . . . . . .
If the person usually lives here, please tick 'This address'. If not, tick 'Elsewhere' and write in the person's usual address. For students and children away from home during term time, the home address should be taken as the usual address. For any person who lives away from home for part of the week, the home address should be taken as the usual address. Any person who is not a permanent member of the household should be asked what he or she considers to be his or her usual address.
8 Term time address of students and schoolchildren	Not a student or schoolchild This address 1 Elsewhere If elsewhere, please write the person's usual address and postcode below in BLOCK CAPITALS   Postcode . . . . . . . .	Not a student or schoolchild This address 1 Elsewhere If elsewhere, please write the person's usual address and postcode below in BLOCK CAPITALS   Postcode . . . . . . . .
If not a student or schoolchild, please tick first box. For a student or schoolchild who lives here during term time, tick 'This address'. If he or she does not live here during term time, tick 'Elsewhere' and write in the current or most recent term time address.
9 Usual address one year ago	Same as question 7 1 Different Child under one 3 If different, please write the person's address and postcode on the 21st April below in BLOCK CAPITALS   Postcode . . . . . . . .	Same as question 7 1 Different Child under one 3 If different, please write the person's address and postcode on the 21st April below in BLOCK CAPITALS   Postcode . . . . . . . .
If the person's usual address one year ago (on the 21st April 1990) was the same as his or her current usual address (given in answer to question 7), please tick 'Same'. If not, tick 'Different' and write in the usual address one year ago. If everyone on the form has moved from the same address, please write the address in full for the first person and indicate with an arrow that this applies to the other people on the form. For a child born since the 21st April 1990, tick the 'Child under one'box.
10 Country of birth	England 1 Scotland 2 Wales 3 Northern Ireland 4 Irish Republic 5 Elsewhere If elsewhere, please write in the present name of the country	England 1 Scotland 2 Wales 3 Northern Ireland 4 Irish Republic 5 Elsewhere If elsewhere, please write in the present name of the country
Please tick the appropriate box. If the'Elsewhere' box is ticked, please write in the present name of the country in which the birthplace is now situated.
11 Ethnic group	White 0 Black-Caribbean 1 Black-African 2 Black-Other please describe Indian 3 Pakistani 4 Bangladeshi 5 Chinese 6 Any other ethnic group please describe	White 0 Black-Caribbean 1 Black-African 2 Black-Other please describe Indian 3 Pakistani 4 Bangladeshi 5 Chinese 6 Any other ethnic group please describe
Please tick the appropriate box. If the person is descended from more than one ethnic or racial group, please tick the group to which the person considers he/she belongs, or tick the 'Any other ethnic group' box and describe the person's ancestry in the space provided.
12 Long-term illness	Yes, has a health problem which limits activities 1 Has no such health problem 2	Yes, has a health problem which limits activities 1 Has no such health problem 2
Does the person have any long-term illness, health problem or handicap which limits his/her daily activities or the work he/she can do? Include problems which are due to old age.
Answers to the remaining questions are not required for any person under 16 years of age (born after 21st April 1975)
13 Whether working, retired, looking after the home etc last week
Which of these was the person doing last week? Please read carefully right through the list and tick all the descriptions that apply. Casual or temporary work should be counted at boxes 1,2,3 or 4. also tick boxes 1,2,3or 4 if the person had a job last week but was off sick, on holiday, temporarily laid off or on strike. Boxes 1,2,3 and 4 refer to work for pay or profit but not to unpaid work except in a family business. Working for an employer is part time (box 2) if the hours worked, excluding any overtime and mealbreaks, are usually 30 hours or less per week Include any person wanting a job but prevented from looking by holiday or temporary sickness.   Do not count training given or paid for by an employer.	Was working for an employer full time (more than 30 hours per week) 1 Was working for an employer part time (one hour or more a week) 2 Was self-employed, employing other people 3 Was self-employed, not employing other people 4 Was on a government employment or training scheme 5 Was waiting to start a job he/she had already accepted 6 Was unemployed and looking for a job 7 Was at school or in other full time education 8 Was unable to work because of long term sickness or disability 9 Was retired from paid work 10 Was looking after the home or family 11 Other Please specify	Was working for an employer full time (more than 30 hours per week) 1 Was working for an employer part time (one hour or more a week) 2 Was self-employed, employing other people 3 Was self-employed, not employing other people 4 Was on a government employment or training scheme 5 Was waiting to start a job he/she had already accepted 6 Was unemployed and looking for a job 7 Was at school or in other full time education 8 Was unable to work because of long term sickness or disability 9 Was retired from paid work 10 Was looking after the home or family 11 Other Please specify
A Did the person have a paid job last week (any of the boxes 1,2,3 or 4 ticked at question 13)? B Has the person had a paid job within the last 10 years?	YES   Answer questions 14, 15, 16, 17 and 18 about the main job last week, then go on to question 19 No   Answer B	YES   Answer questions 14, 15, 16, 17 and 18 about the main job last week, then go on to question 19 No   Answer B
14 Hours worked per week
How many hours per week does or did the person usually work n his or her main job?	Number of hours worked per week	Number of hours worked per week
15 Occupation
Please give the full title of the person's present or last job and describe the main things he/she does or did in the job. At a, give the full title by which the job is known, for example: 'packing machinist'; 'poultry processor'; 'jig and tool fitter'' 'supervisor of typists'; 'accounts clerk'' rather than general titles like 'machinist'; 'process worker'; 'supervisor' or 'clerk'. Give rank or grade if the person has one. At b, write down the main things the person actually does or did in the job. If possible ask him/her to say what these things are and write them down. Armed Forces- enter 'commissioned officer' or 'other rank' as appropriate at a, and leave b blank. Civil servants- give grade at a and discipline or specialism, for example: 'electrical engineer'; 'accountant'; 'chemist'; 'administrator' at b.	a Full job title b Main things done in job	a Full job title b Main things done in job
16 Name and business of employer (if self-employed give the name and nature of the person's business)
At a, please give the name of the employer. Give the trading name if one is used. Do not use abbreviations. At b, describe clearly what the employer (or the person if self-employed) makes or does (or did). Armed Forces - write 'Armed Forces' at a and leave b blank. For a member of the Armed Forces of a country other than the UK-add the name of the country. Civil Servants- give name of Department at a and write 'Government Department' at b. Local Government Officers- give name of employing authority at a and department in which employed at b.	a Name of employer b Description of employer's business	a Name of employer b Description of employer's business
17 Address of place of work
Please give the full address of the person's place of work. For a person employed on a site for a long period, give the address of the site. For a person not working regularly at one place who reports daily to a depot or other fixed address, give that address. For a person not reporting daily to a fixed address, tick box 1. For a person working mainly at home, tick box 2. Armed Forces- leave blank.	Please write full address and postcode of workplace below in BLOCK CAPITALS   Postcode . . . . . . . . No fixed place   1 Mainly at home   2	Please write full address and postcode of workplace below in BLOCK CAPITALS   Postcode . . . . . . . . No fixed place   1 Mainly at home   2
19 Degrees, professional and vocational qualifications
Has the person obtained any qualifications after reaching the age of 18 such as: -degrees, diplomas, HNC, HND, -nursing qualifications -teaching qualifications (see * below), -graduate or corporate membership of professional institutions, -other professional, educational or vocational qualifications? Do not count qualifications normally obtained at school such as GCE, CSE, GCSE, SCE and school certificates. If box 2 is ticked, write in all qualifications even if they are not relevant to the person's present job or if the person is not working. Please list the qualifications in the order in which they were obtained. If more than three, please enter in a spare column and link with an arrow. *For a person with school teaching qualifications, give the full title of the qualifications, such as 'Certificate of Education' and the subject(s) which the person is qualified to teach. The subject 'education' should then only be shown if the course had no other subject specialisation.	NO- no such qualifications   1 YES- give details   2 1 Title Subject(s) Year Institution 2 Title Subject(s) Year Institution 3 Title Subject(s) Year Institution	NO- no such qualifications   1 YES- give details   2 1 Title Subject(s) Year Institution 2 Title Subject(s) Year Institution 3 Title Subject(s) Year Institution

H3 Tenure Does your household - that is, you and any people who usually live here with you - have the use of: a A bath or shower? YES- for use only by this household   1 YES- for use also by another household   2 NO- no bath or shower available   3 a A flush toilet (WC) with entrance inside the building? YES- for use only by this household   0 YES- for use also by another household   1 NO- flush toilet with outside entrance only   2 NO- no flush toilet with outside entrance only   3   c Central heating in living rooms and bedrooms (including night storage heather, warm air or under-floor heating), whether actually used or not? YES- all living rooms and bedrooms centrally heated   1 YES- some (not all) living rooms and bedrooms centrally heated   2 NO- no living rooms or bedrooms centrally heated   3

Panel B Was there anyone else (such as a visitor) here on the night of 21-22 April whom you have not included because there was no room on the form No Yes   If yes ticked, please ask the Enumerator for another form Have you left anyone out because you were not sure whether they should be included on the form? No Yes     If yes ticked, please give their names and the reason why you were not sure about including them. Name Reason   Name Reason   Name Reason

H5 Cars and vans Please tick the appropriate box to indicate the number of cars and vans normally available for use by you or members of your household (other than visitors). Include any car or van provided by employers if normally available for use by you or members of your household, but exclude vans used only for carrying goods. None   0 One   1 Two   2 Three or more   3

Panel C Before you sign the form, will you please check: that all questions which should have been answered have been answered for every member of your household that you have included everyone who spent the night of 21-22 April in your household that you have included everyone who usually lives here but was away from home on the night of 21-22 April that no visitors, boarders or newly born children, even if still in hospital, have been missed It would help the Enumerator to be able to telephone you if there is a query on, or an omission from, your form. If you have no objection, please write your telephone number here. Telephone number Declaration This form is correctly completed to the best of my knowledge and belief. Signature(s)     Date April 1991