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Census Questionnaire
Census of Population of Ireland, 1991

Census day -- Sunday 21 April, 1991
Central Statistics Office

Form A: For official use only

A.
County or county borough___
D.E.D. or ward___
Enumeration area no. ___
Townland ___
Town___
Street, etc.; no. / name of house ___

B.
Schedule no. ___

C.
[] 1 Private household in a conventional house
[] 2 Private household in a flat or bedsitter
[] 3 Private household in caravan, mobile home, etc.
[] 4 Non-private household
Name, if any ___

D.
Form D serial no.___

E.
Number of persons in the household
Persons___

Males ___
Females___

Part A - Details of individuals

Include every person, whether a family member, visitor, patient, employee, or other person, who passes the night of Sunday 21 April, 1991 in the household, institution or vessel or who arrives on the morning of Monday 22 April, 1991 not having been enumerated elsewhere.

Persons normally resident in the household, institution or vessel but absent on the night of Sunday 21 April, 1991 should not be included.

Q.1 Name and surname ___

Particulars with respect to the head of the household should be inserted on the first line.
Any adult member of a private household present on Census night can be returned as the head as the household members consider appropriate. Particulars for one person only should be entered on each line.

Q.2 Sex

Please insert check the appropriate box.

[] 1 Male
[] 2 Female

Q.3 Relationship to person listed on line 1____

Write as appropriate "Husband", "Wife", "Son", "Daughter", 'Visitor", "Patient", "Employee", etc. Write "Visitor" for a son, daughter, etc. who usually lives elsewhere.

Q.4 Date of birth ___

Use numbers: e.g., enter 14 February, 1956 as 14/2/56.

Day ___
Month___
Year___

[Questions Q.5 and Q.6 on marital status apply to persons born on or before 21 April, 1976]

Q.5 Was the person ever married?

Please check the appropriate box

[] 1 Yes
[] 2 No

[Proceed to Q.6 only if the person answered "Yes" to Q.5]

Q.6 What is the marital status of persons who were ever married?

Indicate the present actual marital status irrespective of the legal status. Please check the appropriate box.

[] 1 Widowed

Remarried following:
[] 2 Widowhood
[] 3 Dissolution of previous marriage (annulment or divorce)
[] 4 Married

Married but separated:
[] 5 Deserted
[] 6 Marriage annulled
[] 7 Legally separated
[] 8 Other separated
[] 9 Divorced in another country

Q.7 Place of birth ___

If born in Ireland, state the county. If born elsewhere, state the country.

Q.8 Religion ___

State the particular denomination. If none, write "None".

Q.9 Ability to speak the Irish language ___

Write "Irish Only", "Irish and English", "Read but cannot speak Irish", or leave blank as appropriate.

Q.10 Usual residence now ___

If the person usually lives at this address, write "Here". If not, write the usual address in full.

Q.11 Usual residence one year ago___

If the person's usual address one year ago was the same as the one given at Q.10, write "Same". If not, write in full the usual address at that time. For children now under one year old, write "Under 1". If the person lived outside Ireland (Republic) for a period of one year or more, please indicate:
Q.12 (a) The year of taking up residence in Ireland (Republic) ____

Q.13 (b) Country of previous residence___
Q.14 Means of travel to work, school or college

Indicate the usual means of travel to work or school by inserting a check mark in the appropriate box. If the person works at home (e.g. farmer, shopkeeper living on the premises, etc.), please insert a check mark in Box 11.

[] 1 On foot
[] 2 Bicycle
[] 3 School bus
[] 4 Other bus
[] 5 Train
[] 6 Motor cycle
[] 7 Motor car (driver)
[] 8 Motor car (passenger)
[] 9 Lorry, van
[] 10 Other means
[] 11 None

Q.15 Distance to work, school or college ___

State, to the nearest mile, the distance travelled from residence to place of work, school or college.

[Questions 16-24 relate to persons aged 15 years and over]

Education received [Q.16 and Q.17] (to be completed only for person's whose full-time education has ceased)

Q.16 State [the person's] age when full-time education ceased___

Q.17 What is the highest level of education (full-time or part-time) that was actually completed?

Insert a check mark in the appropriate box.

[] 1 No formal education
[] 2 Primary education
[] 3 Lower secondary (intermediate certificate, group certificate, "O" levels)

Upper secondary:
[] 4 Technical or vocational
[] 5 Leaving certificate
[] 6 Both technical/vocational course and leaving certificate

Third level:
[] 7 Sub-degree qualification
[] 8 Primary university degree
[] 9 Professional qualification (of degree status at least)
[] 10 Both a degree and a professional qualification
[] 11 Post-graduate degree

Q.18 Scientific or technological qualifications

If the person has such qualifications state: (a) the qualifications held; (b) the main subject(s) in which [they are] held.

(a) ____
(b) ____

Q.19 Present status

Indicate the person's present principal status. Self-employed persons should insert a check mark in Box 1 by inserting a check mark in the appropriate box. Persons temporarily absent from work because of illness, holidays, etc., should insert a check mark in Box 1.

[] 1 At work
[] 2 Seeking regular work for first time
[] 3 Unemployed
[] 4 At school, student
[] 5 Home (i.e. domestic) duties
[] 6 Retired
[] 7 Unable to work owing to permanent sickness or disability
[] 8 Other (specify ___)

Q.20 Occupation ___

If at work, state here the usual principal occupation, giving a full description. If unemployed or retired, describe the principal occupation previously held. Persons described as farmers or farm workers should also state the area of the land currently/previously farmed. For students or persons at school state the type of school (secondary, community, vocational, university, etc.).

Q.21 Employment status

It at work, please check the appropriate box to indicate person's present employment status. If unemployed or retired, indicate the person's previous employment status.

[] 1 Self-employed, with paid employees
[] 2 Self-employed, without paid employees
[] 3 Employee
[] 4 Assisting relative (not receiving a fixed wage or salary)

Q.22 Employers and employer's business ___

For persons at work, if an employee, state name of employer (person, firm, company or public body) and nature of business carried on by the employer. If self-employed, state the nature of business carried on. If unemployed, state the name and nature of the business of last employer.

Q.23 Address if place of work, school or college ___

Give full and exact address where actually working or where attending school or college. If working from a fixed centre or depot, give that address. If working at home (e.g. farmer, shopkeeper living on premises), write "At Home". For persons with no fixed place of work (e.g., Commercial traveler), write "None".

Q.24 Farming activity

Is the person engaged at all in farming on own-account (on land owned or rented by the person)? If so, answer "Yes" if the area farmed is 1 acre or more, distinguishing whether farming is a principal or subsidiary activity. Otherwise, answer "No".

[] 1 Yes, principal activity
[] 2 Yes, part-time/subsidiary activity
[] 3 No

PART B - Household questions

[Questions 25-33 should be answered with respect to each private household. These questions need not be answered with respect to institutions or private households living in caravans or other mobile dwellings.]

Q.25 Nature of occupancy of house, flat or rooms

Insert a check mark in appropriate box

[] 1 Rented from local authority (corporation, county or urban district council)
[] 2 Rented unfurnished, other than from local authority
[] 3 Rented furnished or part furnished
[] 4 Being acquired from local authority under a purchase or vested cottage scheme
[] 5 Owner occupied where loan or mortgage repayments are being made
[] 6 Owner occupied where no loan or mortgage repayments are being made
[] 7 Occupied free of rent (caretaker, company official, etc.)

[If the person answered 1, 2, or 3 to Q.25]

Q.26 Rent

If the house, flat or rooms are rented, state the rent [amount] and indicate the period that applies by inserting a check mark in the appropriate box.

Pounds_______
Pence_________, per

[] 1 Week
[] 2 Two weeks
[] 3 Four weeks
[] 4 Month
[] 5 Two months
[] 6 Three months
[] 7 Six months
[] 8 Year

Q.27 Rooms ___

State the number of rooms occupied by the household (include kitchen but exclude kitchenette, scullery, bathroom, toilet, consulting room, office or shop).

Q.28 Year in which the house was built

Indicate the period when the house or other building containing the dwelling was built by inserting a check mark in the appropriate box. The year when [it was] first built is required even if subsequently converted, extended or renovated.

[] 1 Before 1919
[] 2 Between 1919 and 1940 inclusive
[] 3 Between 1941 and 1960 inclusive
[] 4 Between 1961 and 1970 inclusive
[] 5 Between 1971 and 1980 inclusive
[] 6 Between 1981 and 1985 inclusive
[] 7 1986 or later

Q.29 Water supply

Insert a check mark in appropriate box

Piped water supply:

[] 1 Connected to public main
[] 2 Connected to a group water scheme with a local authority source of supply
[] 3 Connected to a group water scheme with a private source of supply (e.g., borehole, lake, etc.)
[] 4 Connected to other private source (e.g., well, lake, rain-water tank, etc.)
[] 5 No piped water supply

Is there a water tap inside the building?
[] 1 Yes
[] 2 No

Q.30 Bath or shower (insert a check mark in appropriate box)

Has the household the use of a fixed bath or shower?

[] 1 Yes
[] 2 No

If "Yes", is this bath or shower shared with another household?

[] 1 Yes
[] 2 No

Q.31 Sanitary facilities

Insert a check mark in appropriate box

[] 1 Flush toilet connected to public sewer
[] 2 Flush toilet connected to septic tank
[] 3 Chemical closet
[] 4 Dry closet
[] 5 No toilet or closet

Is the toilet or closet inside the building?
[] 1 Yes
[] 2 No
Is the toilet or closet shared with another household?
[] 1 Yes
[] 2 No

Q.32 Household heating in winter time

Indicate the principal method of heating the dwelling in winter time and also the principal fuel used. Check one box only.

Principal method of heating:

[] 1 Open fire only
[] 2 Open fire with water heating back boiler
[] 3 Open fire with back boiler central heating

Closed solid fuel appliances:

[] 4 Room heating only
[] 5 Room and water heating
[] 6 Central heating
[] 7 Electric central heating
[] 8 Oil fired central heating
[] 9 Gas fired central heating
[] 10 Dual system central heating
[] 11 Portable heaters
[] 12 Other

Principal type of fuel:

Solid fuel:
[] 1 Smokeless fuel (e.g., briquettes, anthracite/extracite)
[] 2 House (bituminous) coal
[] 3 Other solid fuel (e.g. turf, wood)
[] 4 Electricity
[] 5 Oil, including kerosene
[] 6 Natural gas
[] 7 Bottled gas, including bulk LPG
[] 8 Other

Q.33 State how many motor cars are used exclusively by persons usually resident in the household (include company cars kept at home). If none, insert "None".

Motor cars ___

To be completed by the head of household or other person responsible for making the return.

I declare that this return is correct and complete to the best of my knowledge and belief.

Signature ____

For official use only

F.

Building type

[] 1 Conventional house, containing one dwelling
[] 2 One dwelling building, partly non-residential
[] 3 Multi-dwelling building
[] 4 Caravan or other type of temporary dwelling
[] 5 Hospital, county home or geriatric centre
[] 6 Religious institution
[] 7 Boarding school
[] 8 Other residential institution: e.g., nurses' home, students' hostel
[] 9 Hotel, guesthouse, boarding house
[] 0 All other types of institutions and non-private households

G.

Dwelling code

[] 1
[] 2
[] 3

H.
To be completed by the enumerator

I hereby certify that this return is correct and complete to the best of my knowledge and belief.

Signature ____

Explanatory notes

Question 1: Name and surname

(i) Include every person, whether a member of the family, visitor, patient, employee or other person, who passes the night of Sunday 21 April, 1991 in the household or institution or who arrives on the morning of Monday 22 April, 1991 not having been enumerated elsewhere.
(ii) Persons normally resident in the household or institution but absent on the night of Sunday 21 April, 1991 should not be included.
(iii) Babies born after midnight on 21 April, 1991 should not be included. If a baby, born before midnight on that night has not yet been given a name, it will be sufficient to write "Baby".

Question 3: Relationship to the person listed on line 1

(i) Anyone in a private household whose usual residence is elsewhere should be described as "Visitor", whether or not related to the person listed on line 1.
(ii) For persons in hotels, hospitals or other institutions, write "Employee", "Guest", "Patient", "Inmate", etc. as appropriate.

Question 7: Place of birth

(i) Give the usual residence of [the child's] mother at time of birth, not the location of the hospital or the nursing home where [the child was] born.
(ii) If [the child was] born in any part of Ireland (including Northern Ireland), give the name of the county of birth.
(iii) If born outside Ireland, whether now resident in or visiting Ireland, state the country of birth.

Question 9: Ability to speak the Irish language

This question should be answered by persons aged three years and over. Leave blank for children under 3 years of age.

(i) Write "Irish only" for persons who can speak only Irish.
(ii) Write "Irish and English" for those who can speak Irish and English.
(iii) For persons who can read but cannot speak Irish, write "Read but cannot speak Irish".
(iv) Do not write anything opposite names of persons who can neither read nor speak Irish.

Questions 10 and 11: Usual residence now; Usual residence one year ago

(i) If an address in any part of Ireland (including Northern Ireland) is given, make sure that the county of residence is stated. In addition, if the address is in a town, the name of the town should be given. If it is in a rural area, the townland name should be given. In every case, the full address should be given.
(ii) If the address is outside Ireland, state the country of usual residence.
(iii) For school children who are away from home during term-time, the home address rather than the term-time address should be regarded as the usual residence.
(iv) For students at University, etc., who are away from home during term-time, the term-time address should be regarded as the usual residence.
(v) For persons, temporarily in hospitals and other institutions, give the home address.
(vi) For persons with no settled address, write "None".

Questions 12 and 13: Previous residence in another country

(i) These questions should be answered for all persons who are now usually resident in Ireland (Republic) and who previously lived elsewhere for a continuous period of 12 months or more; or who were brought to live here before their first birthday.
(ii) At question 13, please distinguish Northern Ireland separately.

Question 14: Means of travel to work, school, or college

Questions 14 and 15 should be answered with respect to any person who is at work or who is attending school, university, etc. full-time. Leave blank for other persons (e.g., those engaged in home duties, retired persons, children not yet in school). Particulars given should relate to the outward journey.

(i) If the person regularly uses some means of transport to a fixed place of work or to school, the principal means of transport (e.g., bus, train, motor car, motor cycle, bicycle, lorry, van) should be indicated.
(ii) If the person walks to work or school, indicate "On foot".
(iii) If the person uses more than one means of transport to work or school, indicate only the means by which the longest distance is travelled.
(iv) If the person uses different means of transport on different days, indicate the means used most often.
(v) For persons working daily from a fixed centre or depot, such as certain transport workers, indicate the means of transport to this centre or depot.
(vi) For school children, etc., resident in schools and colleges, indicate "None".

Question 15: Distance traveled to work, school, or college

(i) For persons working daily from a fixed centre or depot, indicate the distance travelled from residence to this centre or depot.
(ii) For persons with no regular place of work (such as sales representatives, road workers and others who do not work at or from a fixed centre or depot), write "None".

[Questions 16-24 relate to persons aged 15 years and over]

Question 17: Education received (highest level of education completed)

Persons who received their education when institutional arrangements were different to those currently in place or who were not educated in Ireland should select an equivalent option.

(i) Box 2 should be selected for a person who has attended some form of specialized education. Schooling for handicapped children should be taken as having the equivalent to Primary.
(ii) Box 2 should be selected for a person who has attended Primary level only. Moreover, without sitting for the Intermediate Certificate, Group Certificate or '0', box 2 should be selected for a person who attended a second level school but dropped out Levels.
(iii) A person who sat for the Intermediate Certificate, Group Certificate results achieved or '0' (but no higher level) should select box 3 irrespective of the Levels.
(iv) Completing an apprenticeship should be regarded as equivalent to completing a technical or vocational education at the second level, and box 4 should be selected. However, if the apprenticeship was completed in addition to the Leaving Certificate, then Box 6 should be selected.
(v) A person who sat for the Leaving Certificate (but who completed no further course) should select box 5 irrespective of the results achieved.
(vi) A person who attempted a third level course but did not obtain the certificate, diploma or degree in question should select the appropriate box for the upper secondary level.
(vii) A sub-degree qualification at the third level (i.e., box 7) should be selected for a person who obtained a certificate/diploma (not equivalent to a university degree) from a course for which the entry requirement was the completion of the upper secondary level to a certain minimum standard.
(viii) A post-graduate degree refers to a degree at the masters or higher level. A person with a post-graduate diploma such as the higher diploma in education (but without a masters or higher-level degree) should select box 8 for Census purposes.

Question 18: Scientific or technological qualifications

This question should be answered for persons who hold one or more qualifications of the type listed below in a branch of science or technology, including natural sciences, engineering, medical sciences, agricultural sciences and social sciences, but excluding commerce, domestic science and nursing.

(a) Qualifications: the qualification(s) held should be stated at (a). See examples below:
Certificate, diploma, associateship or degree awarded by an educational institution (e.g. university, national council for educational awards, city and guilds, department of education, graduate or corporate membership of a professional institution, etc.) following at least one year of full-time study (or equivalent part-time study) after the leaving certificate or its equivalent.

Examples of entry at (a):
National Certificate (NCEA); City and Guilds Technician Certificate; National Diploma (NCEA); College Technician Diploma; A. R. C. Sc. I.; A. I. M. L. S.; Grad. I. E. E.; Grade 1 Mech. E.; B. Sc.; B. E. ; M. E.; Ph.D.; B.A. (Mathematics); B. Soc. Sc.; M.S.; B.Ch.; B.A. 0.; M. Econ. Sc.; M.I.E.I.; M.I.C.I.; M.R.I.C.; M.I. Mech. E.; A. Inst. P.; F.I.M.L.S.; M. I. Biol.

(b) Main branch
The main branch of science or technology in which the qualification(s) are held should be stated at (b), i.e. Agriculture; Horticulture; Veterinary Science; Physics; Medicine; Dentistry; Pharmacy; Biochemistry; Mathematical Physics; Architecture; Mechanical Engineering; Applied Biology; Applied Chemistry; Electronics; Geography; Sociology; Economics; etc.

Question 19: Present status

(i) Self-employed persons should insert a check mark in box 1.
(ii) Persons temporarily absent from work because of illness, holidays, etc. should insert a check mark in box 1.
(iii) Apprentices who are in employment and who also attend technical schools or colleges of technology should insert a check mark in box 1.
(iv) Full-time students who are in part-time employment should insert a check mark in box 4.

Question 20: Occupation

(i) If at work, state the usual principal occupation: i.e., that by which the living is mainly earned.
(ii) If unemployed or retired, describe the principal occupation previously held.
(iii) In all cases, describe the occupation fully and precisely using any special name by which the job is known and stating the type of work done. The following are examples of the types of occupational descriptions which should be used: "Hosiery machine operator", "Dock laborer", "Gas fitter", "Ticket checker", "Woodworking machinist", "Builder's laborer", "Electrical fitter", "Goods checker", "Sound technician", "Civil engineer", "Garage foreman", "Radio mechanic", "Laboratory technician", "Electrical engineer", "Site foreman", "Motor mechanic".
General terms such as "Machine operator", "Technician", "Laborer", "Engineer", "Fitter", "Foreman", "Checker", "Mechanic" should not be used alone.
(iv) For civil servants and local government employees, the grade should be stated. For Army or Garda personnel, the rank should be stated.
(v) For teachers, the branch of teaching should be stated: i.e., "Primary teacher", "Vocational teacher", etc.
(vi) For clergy and members of religious orders engaged in teaching or other service, a full description should be given, such as "Christian brother, primary teacher", "Nun, general hospital nurse", etc.

Question 22: Employer and employer's business

This question should be answered in respect of each person aged 15 years or over who is at work or unemployed.

(a) For a person at work:
(i) If an employee, state the name of the employer (whether person, firm, company or public body) and the nature of the business carried on
by the employer.
(ii) If self-employed, state the nature of the business carried on.
(b) For an unemployed person, state the name and nature of the business of the last employer. The nature of the business carried on should be described in full, indicating the type of goods made or dealt with or type of service rendered. For example, use descriptions such as "Shirt factory [worker]", "Shoe manufacturer", "Cattle dealer", "Wholesale tea merchant", "Import agent (textiles)". Descriptions such as "Factory worker", "Manufacturer", "Dealer", "Merchant", "Agent" should not be used alone.

Question 23: Address of workplace, school, or college

This question should be answered with respect to each person, aged 15 years or over, who is at work, at school, or at college. Give full and exact address where [the person is] actually working or where [the person is] attending school or college. The address where [the person] working is required rather than the headquarters or head office of an employer, if this is different.

(i) For persons who work from a fixed centre or depot, give that address.
(ii) For persons who work mainly at home (i.e. farmer, shopkeeper living on premises, etc.), write "At home".
(iii) For persons with no fixed place of work (such as sales representatives, road workers and others who do not work at or from a fixed centre or depot), write "None".

Question 24: Farming activity

This question should be answered by all persons aged 15 years and over. Farming activity covers raising all categories of livestock, including intensive pig and poultry production. It also includes horticulture and the growing of all crops.

(i) Box 1 should be chosen in all cases where the person's present status (Q.19) is "At work" and the principal occupation (Q.20) is "Farmer".
(ii) Box 2 should be chosen in all other cases, where the person is engaged in farming on [his/her] own account. It should include cases where farming is undertaken as a subsidiary occupation or part-time activity, even when the person's present status (Q.19) is other than "At work" (i.e. "Retired", "Home duties", etc.)
(iii) A person not engaged in farm work on [his/her] own-account should choose box 3. In particular, a person engaged in farming but only on behalf of others (i.e. working solely as an employee or assisting a relative), should choose this box.

Question 32: Household heating in winter time

Central heating means two or more rooms heated by a single fuel burning appliance and associated heat distribution system (e.g. radiators) or, in the case of electricity, permanently wired heating units. Portable heaters include stand-alone electric, oil, and gas heater.