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Census of Population of Ireland
Sunday 28 April, 2002
Central Statistics Office

For office use only

House number and street/townland name ____
County code_ _
Enumeration area code _ _ _
ED code _ _ _
Street/townland code _ _ _ _ _
D number _ _ _
Form

1 of _ _

Number of persons present

Males_ _
Females_ _
Total_ _

Absent persons_ _

Questions about the household

H1 What type of accommodation does your household occupy?

Check one box only
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?

The year in which first built even if the building was subsequently converted, extended or renovated.
[] 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?

One box only

[] 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.
Number of rooms _ _

H6 Does your accommodation have central heating?

Check "Yes" if [ther person has] central heating in some or all rooms, whether or not he/she uses it.

[] 1 Yes
[] 2 No

H7 What type of piped water supply does your accommodation have?

Check one box only

[] 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

Check one box only
[] 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?

Include any company car or van if available for private use. Check one box only

[] 1 One
[] 2 Two
[] 3 Three
[] 4 Four
[] 5 Five or more
[] 6 None

H10 Does your household have a personal computer (PC)?

[] 1 Yes
[] 2 No

H11 Does your household have access to the internet?

Check "Yes" if you have access to the internet in your home.

[] 1 Yes
[] 2 No

H12 Proceed to next page

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

Answer questions relating to each person present in the household on Sunday 28 April beginning on page 4.

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

List any household members who usually live at this address but who were absent on the night of Sunday 28 April. Include in particular students who are living away from home during term time who were not present 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

Person 1

1 What is your name? (Person 1)

First name and surname________

2 Sex

[] 1 Male
[] 2 Female

3 What is your relationship to Person 1?

Relationship question does not apply 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?

_ _/_ _/_ _ _ _ (day/month/year)

5. What is your place of birth?

Give the place of residence of your mother at the time of your birth, not the location of the hospital where you were born.
________If Ireland (including Northern Ireland), write in the county.
________If elsewhere abroad, write in the country.

6 What is your nationality?

If you have more than one nationality, please declare all of them.
[] 1 Irish
[] 2 Other nationality, write in________
[] 3 No nationality

7 Where do you usually live?

[] 1 Here at this address
[] 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?

Answer if aged 1 year or over.

[] 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?

Answer "Yes" if [the person is] age 1 or older and living in Ireland

[] 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?

Answer if aged 15 year or over. Check one box only.

[] 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?

Answer if [the person is] age 3 or older

[] 1 Yes
[] 2 No

If "Yes", do you speak Irish?
[] 1 Daily
[] 2 Weekly
[] 3 Less often
[] 4 Never

12 What is your religion?

Check one box only.

[] 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?

[] 1 Yes
[] 2 No

14 Do you have any of the following long-lasting conditions?

a) Blindness, deafness or a severe vision or hearing impairment?
[] 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?

[Answer (a) and (b) if aged 5 years or over]

(a) Learning, remembering or concentrating?
[] 1 Yes
[] 2 No
(b) Dressing, bathing or getting around inside the home?
[] 1 Yes
[] 2 No
[Answer (c) and (d) if aged 15 years or over]

(c) Going outside the home alone to shop or visit a doctor's surgery?
[] 1 Yes
[] 2 No
(d) Working at a job or business?
[] 1 Yes
[] 2 No

16 How do you usually travel to work, school or college?

Check one box only for the longest part, by distance, of your usual journey 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?

[] 1 Before 07:00
[] 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?

Write in distance to the nearest mile and journey time in minutes.
_ _ _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?

[] 1 Yes
[] 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?

Check one box only.

[] 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?

[] 1 Yes
[] 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?

Include problems which are due to old age.

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?

Check one box only

[] 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:

  • Working for payment or profit (Q24 box 1)
  • Unemployed (Q24 box 3)
  • retired (Q24 box 6)

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?

Your main job is the job in which you usually work(ed) the most hours

[] 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?

In all cases describe the occupation fully and precisely giving the full job title.

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?

If you have your own business, write the name of the business________

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?

If you are (were) self-employed answer in respect of your own business.
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:

  • as an employee
  • as a self-employed/ freelance
  • in your own/family business
  • on a community employment scheme or other employer scheme?

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

[] 1 Yes
[] 2 No

33 Were you actively looking for any kind of paid work in the last 4 weeks?

[] 1 Yes
[] 2 No

34 If a job had been available last week, could you have started it within 2 weeks?

[] 1 Yes
[] 2 No

35 Last week, were you waiting to start a job already obtained?

[] 1 Yes
[] 2 No

36 How many hours in total did you work last week?

Answer only if working for payment or profit.
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?

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)

37 Answer questions for Person 3 starting on the next page.

If there are only two persons present in the household on the night of 28 April, skip to page 22

Persons temporarily away from the household on the night of Sunday 28 April

Answer questions A1 to A8 for any household member who usually lives here at this address but who is not present on the night of Sunday 28 April. Include in particular students who are living away from home during term time who are not present at this address 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?

First name and surname________

A2 Sex

[] 1 Male
[] 2 Female

A3 What is the relationship of this person to person 1 on page 4?

Check one box only

[] 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?

_ _/_ _/_ _ _ _ (day/month/year)

A5 What is this person's current marital status?

Answer if aged 15 year or over. Check one box only.

[] 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?

Check one box only

[] 1 Less than 3 months
[] 2 3 months or more

A7 Was this person in the Republic of Ireland on Sunday 28 April?

[] 1 Yes
[] 2 No

A8 Is this person a student away at school or college?

[] 1 Yes
[] 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.