Census of Population of Ireland
Sunday 28 April, 2002
Central Statistics Office
House number and street/townland name ____
County code_ _
Enumeration area code _ _ _
ED code _ _ _
Street/townland code _ _ _ _ _
D number _ _ _
Form
Number of persons present
Females_ _
Total_ _
Absent persons_ _
H1 What type of accommodation does your household occupy?
A whole house or bungalow that is:
[] 1 Detached
[] 2 Semi-detached
[] 3 Terraced (including end of terrace)
A flat or apartment that is:
[] 4 In a purpose-built block of flats or apartments (including duplexes)
[] 5 Part of a converted or shared house (including bed-sits)
[] 6 In a commercial building (e.g. in an office building, or hotel, or over a shop)
A mobile or temporary structure:
[] 7 A caravan or other mobile or temporary structure
H2 What year was your house or other building containing your accommodation first built?
[] 1 Before 1919
[] 2 1919 - 1940 inclusive
[] 3 1941 - 1960 inclusive
[] 4 1961 - 1970 inclusive
[] 5 1971 - 1980 inclusive
[] 6 1981 - 1990 inclusive
[] 7 1991 - 1995 inclusive
[] 8 1996 or later
H3 What is the nature of occupancy of your household's accommodation?
[] 1 Owner occupied where loan or mortgage repayments are being made
[] 2 Owner occupied where no loan or mortgage repayments are being made
[] 3 Being purchased from a local authority (corporation, county or urban district council) under a tenant purchase scheme
[] 4 Rented from a local authority
[] 5 Rented unfurnished other than from a local authority
[] 6 Rented furnished or part furnished other than from a local authority
[] 7 Occupied free of rent (caretaker, company official, etc)
H4 If your accommodation is rented, how much rent does your household pay?
Check to indicate
[] 1 Per week
[] 2 Per month
[] 3 Per year
H5 How many rooms do you have for use only by your household?
- Do NOT count bathrooms, toilets, kitchenettes, utility rooms, consulting rooms, offices, shops, halls or landings, or rooms that can only be used for storage such as cupboards.
- Do count all other rooms for example kitchens, living rooms, bedrooms, conservatories you can sit in, and studies.
- If two rooms have been converted into one, count them as one room.
H6 Does your accommodation have central heating?
[] 1 Yes
[] 2 No
H7 What type of piped water supply does your accommodation have?
[] 1 Connection to a public main
[] 2 Connection to a group water scheme with a local authority source of supply
[] 3 Connection to a group water scheme with a private source of supply (e.g. borehole, lake, etc)
[] 4 Connection to other private source (e.g. well, lake, rain-water tank, etc.)
[] 5 No piped water supply
H8 What type of sewerage facility does your accommodation have
[] 1 Public sewerage scheme
[] 2 Individual septic tank
[] 3 Other
[] 4 No sewerage facility
H9 How many cars or vans are owned or are available for use by one or more members of your household?
[] 1 One
[] 2 Two
[] 3 Three
[] 4 Four
[] 5 Five or more
[] 6 None
H10 Does your household have a personal computer (PC)?
[] 2 No
H11 Does your household have access to the internet?
[] 1 Yes
[] 2 No
Persons present in the household on the night of Sunday 28 April
List every person who spent the night of Sunday 28 April in the household or who arrived the following morning not having been enumerated elsewhere. Include:
- all persons alive at midnight on Sunday April 28
- persons staying temporarily in the household
Do not include:
- babies born after midnight on Sunday 28 April
- anyone who is temporarily away from home on the night of Sunday 28 April. However, these persons should be listed as being absent in List 2 below.
- tudents who are away from home on the night of Sunday April 28; they should be listed as being absent in List 2 below.
[] 1: Persons present in the household on the night of Sunday 28 April
Person number: _ [between 1 and 6]
First name and surname ____
If there are more than 6 persons present in the household on the night of Sunday 28 April, please ask your Enumerator for a Continuation Form. Answer questions relating to person 7-12 on a Continuation Form available from your Enumerator.
Person number: _ [between 7 and 12]
First name and surname ____
[] 0: Persons temporarily away from the household on the night of Sunday 28 April
You must answer questions beginning on Page 22 for each usual resident listed here as being absent from the household on the night of Sunday 28 April.
Person number: _ [between 1 and 6]
First name and surname ____
If there are more than 6 usual residents absent on the night of Sunday 28 April, please ask your Enumerator for a Continuation Form.
Please answer questions for each person present in the household on the night of Sunday April 28 in the same order as listed in List 1 above beginning on Page 4
1 What is your name? (Person 1)
3 What is your relationship to Person 1?
Check one box only
[] 1 Husband or wife
[] 2 Partner
[] 3 Son or daughter
[] 4 Mother or father
[] 5 Son-in-law or daughter-in-law
[] 6 Mother-in-law or father-in-law
[] 7 Other related, write in relationship ____
[] 8 Unrelated (including foster children)
4. What is your date of birth?
5. What is your place of birth?
________If Ireland (including Northern Ireland), write in the county.
________If elsewhere abroad, write in the country.
6 What is your nationality?
[] 1 Irish
[] 2 Other nationality, write in________
[] 3 No nationality
7 Where do you usually live?
[] 2 Elsewhere in Ireland (including Northern Ireland), write in the county________
[] 3 Elsewhere abroad, write in the country________
8 Where did you usually live one year ago?
[] 1 Same as now
[] 2 Elsewhere in Ireland (including Northern Ireland), write in the county________
[] 3 Elsewhere abroad, write in the country________
9 Have you lived outside the Republic of Ireland for a continuous period of one year or more?
[] 1 Yes
[] 2 No
If "Yes" write in:
the year of last taking up residence in the Republic of Ireland _ _ _ _
the country of last previous residence________
10 What is your current marital status?
[] 1 Single (never married)
[] 2 Married (first marriage)
[] 3 Re-married (following widowhood)
[] 4 Re-married (following divorce/annulment)
[] 5 Separated (including deserted)
[] 6 Divorced
[] 7 Widowed
11 Can you speak Irish?
[] 1 Yes
[] 2 No
[] 2 Weekly
[] 3 Less often
[] 4 Never
12 What is your religion?
[] 1 Roman Catholic
[] 2 Church of Ireland
[] 3 Presbyterian
[] 4 Methodist
[] 5 Islam
[] 6 Other, write in your religion ____
[] 7 No religion
13 Are you a member of the Irish Traveler Community?
[] 2 No
14 Do you have any of the following long-lasting conditions?
[] 1 Yes
[] 2 No
b) A condition that substantially limits one or more basic physical activities such as walking, climbing stairs, reaching, lifting or carrying?
[] 1 Yes
[] 2 No
15 Because of a physical, mental or emotional condition lasting 6 months or more, do you have any difficulty on doing any of the following activities?
(a) Learning, remembering or concentrating?
[] 2 No
[] 2 No
(c) Going outside the home alone to shop or visit a doctor's surgery?
[] 2 No
[] 2 No
16 How do you usually travel to work, school or college?
[] 1 On foot
[] 2 Bicycle
[] 3 Bus, minibus or coach
[] 4 Train or DART
[] 5 Motorcycle or scooter
[] 6 Driving a car
[] 7 Passenger in a car
[] 8 Lorry or van
[] 9 Other means
[] 10 Work mainly at or from home
[] 11 Not applicable
17 What time do you usually leave home to go to work, school or college?
[] 2 07:00 - 07:30
[] 3 07:31 - 08:00
[] 4 08:01 - 08:30
[] 5 08:31 - 09:00
[] 6 09:01 - 09:30
[] 7 After 9:30
[] 8 Not applicable
18 What distance is your journey from home to work, school or college and how long does it usually take?
_ _ _Miles
_ _ _Minutes
19 If you are aged younger than age 15, skip to Q37
[Questions 20-26 apply to people aged 15 and over]
20 Have you ceased your full-time education?
[] 2 No
If "Yes", write in the age at which it ceased_ _
21 What is the highest level of education (full-time or part-time) which you have completed to date?
[] 1 No formal education
[] 2 Primary education
Second level
[] 3 Lower secondary: Junior/Intermediate/Group Certificate, "O" Levels/GCSEs, NCVA Foundation Certificate, Basic Skills Training Certificate, or equivalent
[] 4 Upper secondary:
Leaving certificate (including Applied and Vocational Programmes), "A" Levels, NCVA Level 1 Certificate or equivalent
[] 5 Technical or vocational qualification: completed apprenticeship, NCVA Level 2/3 Certificate, NCEA Foundation Certificate, Teagasc certificate/diploma or equivalent
[] 6 Both upper secondary and technical or vocational qualification
Third level
[] 7 Non degree: National Certificate, Diploma NCEA/Institute of Technology, or equivalent
[] 8 Primary degree (Third level Bachelor degree)
[] 9 Professional qualification (of degree status at least)
[] 10 Both degree and a professional qualification
[] 11 Postgraduate certificate or diploma
[] 12 Postgraduate degree (Masters)
[] 13 Doctorate (PhD)
22 Do you hold any third level qualification(s) which you attained after completing 2 or more years of study?
[] 2 No
If "Yes", please indicate the main subject area(s) in which qualification (s) is held.
Check all boxes that apply.
[] 1 Education
[] 2 Art (including fine arts, performing arts, graphic and audio visual arts, design)
[] 3 Humanities (including languages, literature, history, archaeology, philosophy, theology)
[] 4 Social sciences/business/law (including economics and journalism)
[] 5 Life sciences/medical laboratory science
[] 6 Physical sciences/chemistry
[] 7 Mathematics/statistics
[] 8 Computing/information technology
[] 9 Engineering/architecture
[] 10 Agriculture/forestry/fishery/veterinary
[] 11 Medicine/dentistry/ nursing/associated medical disciplines/ social services
[] 12 Tourism/hotel and catering/ sports and leisure/transport services/ environmental protection/security services
[] 13 Other
23 Do you provide regular unpaid personal help for a friend or family member with a long-term illness, health problem or disability?
Personal help includes help with basic tasks such as feeding or dressing.
[] 1 Yes, 1-14 hours a week
[] 2 Yes, 15-28 hours a week
[] 3 Yes, 29-42 hours a week
[] 4 Yes, 43 or more hours a week
[] 5 No
24 How would you describe your present principal status?
[] 1 Working for payment or profit
[] 2 Looking for first regular job
[] 3 Unemployed
[] 4 Student or pupil
[] 5 Looking after home/family
[] 6 Retired from employment
[] 7 Unable to work due to permanent sickness or disability
[] 8 Other, write in ____
25 If you are:
Answer the following questions about your main job or your last main job if you are not currently employed. Otherwise skip to Q32.
26 Do (did) you work as an employee or are (were) you self-employed in your main job?
[] 1 Employee
[] 2 Self-employed, with paid employees
[] 3 Self-employed, without paid employees
[] 4 Assisting relative (not receiving a fixed wage or salary)
27 What is (was) your occupation in your main job?
Use precise terms such as: "Retail store manager", "Building contractor", "Printing machine operator", "Secondary teacher", "Electrical engineer", or "Builders laborer".
Do NOT use general terms such as: "Manager", "Contractor", "Machine operator, Teacher", "Engineer", or "Laborer". Civil servants and local government employees should state their grade (e.g., "Clerical officer"). Garda or Army [should] state their rank (e.g., "Garda sergeant"). Teachers should state the brach of teaching (e.g., "Primary teacher"). Clergy and religious orders should give a full description (e.g., "Nun registered general nurse").
Write your main occupation________
If a farmer or farm worker, write the size of the farm:
_ _ _ _ Acres or _ _ _ _ hectares
28 If you are retired, skip to Q32
29 What is (was) the full name of the organization you work(ed) for in your main job?
30 What is (was) the full address at which you actually work(ed)? ________
31 What is (was) the business of your employed at the place where you work(ed) in your main job?
Describe the main product or service provided by your employer.
For example, making computers, repairing cars, secondary education, food wholesale, making pharmaceuticals, contract cleaning, software development and support.
_______
Is (was) the business of your employer mainly?
[] 1 Manufacturing
[] 2 Wholesale trade
[] 3 Retail trade
[] 4 Other (agriculture, building, services, government, etc)
32 In the week ended Sunday 28 April did you do any work, either full-time or part-time, for payment or profit:
Check "Yes" for any paid work, including casual or temporary work, even if only for one hour.
Check "Yes" if you were away from work ill, on holiday, on maternity leave or temporarily laid off.
Check "Yes" if you worked, paid or unpaid in your own/family business
If "Yes", skip to Q36
[] 2 No
33 Were you actively looking for any kind of paid work in the last 4 weeks?
[] 2 No
34 If a job had been available last week, could you have started it within 2 weeks?
[] 2 No
35 Last week, were you waiting to start a job already obtained?
[] 2 No
36 How many hours in total did you work last week?
Answer to the nearest whole hour.
_ _ Hours
37 Answer questions for Person 2 starting on the next page
If there is only one person present in the household on the night of 28 April, skip to page 22
[Questions on pages 7, 8, and 9 (with the exceptions of questions 3 and 37) are not included here because they are asked of Person 1 and repeated verbatim for Person 2]
3 What is your relationship to Person 1?
[] 1 Husband or wife
[] 2 Partner
[] 3 Son or daughter
[] 4 Mother or father
[] 5 Son-in-law or daughter-in-law
[] 6 Mother-in-law or father-in-law
[] 7 Other related, write in relationship ________
[] 8 Unrelated (including foster children)
37 Answer questions for Person 3 starting on the next page.
Persons temporarily away from the household on the night of Sunday 28 April
[Questions A1 through A8 were asked of absent persons 1 to 6].
Absent person 1
A1 What is this person's name?
[] 2 Female
A3 What is the relationship of this person to person 1 on page 4?
[] 1 Husband or wife
[] 2 Partner
[] 3 Son or daughter
[] 7 Other related, write in relationship ____
[] 8 Unrelated (including foster children)
A4 What is this person's date of birth?
A5 What is this person's current marital status?
[] 1 Single (never married)
[] 2 Married (including re-married)
[] 5 Separated (including deserted)
[] 6 Divorced
[] 7 Widowed
A6 How long altogether is this person away for?
[] 1 Less than 3 months
[] 2 3 months or more
A7 Was this person in the Republic of Ireland on Sunday 28 April?
[] 2 No
A8 Is this person a student away at school or college?
[] 2 No
If there are more than 6 persons temporarily absent from the household on the night of Sunday 28 April, please ask your Census Enumerator for a Continuation Form.
Declaration to be signed by the household after completing the census form
Before signing the declaration please check:
- That you have completed the household questions on page 2.
- That in List 1 on page 3, you have accounted for all persons (including visitors) who spent the night of Sunday 28 April in the household (if there are more than 6 persons present, please complete a Continuation Form).
- That you have answered all questions which should have been answered for each person who spent the night of Sunday 28 April in the household (pages 4-21).
- That in List 2 on page 3, you have accounted for any household member who was temporarily away from the household on the night of Sunday 28 April (if there are more than 6 absent persons, please complete a Continuation Form).
- That you have answered all questions on pages 22-23 for any household member temporarily away from the household on the night of Sunday 28 April.
- That no person has been double counted on the form.
Declaration to be completed by the person responsible for completing the form
I declare that this form is correct and completed to the best of knowledge and belief.
Signature ________
You have now completed the Census Form.
Thank you for your co-operation.