Census, England, Wales, and Scotland 1961
[Schedule]
[Note. This document combines information from the short form (E.90, W.90, and S.90) and the long form (E.10, W.10, and S.10). Questions are common across forms unless otherwise noted.]
Schedule [E.90, W.90, and S.90] - Prescribed by Regulations under the Census Act, 1920, as the form to be used for approximately nine tenths of the population in England (excluding Monmouthshire), Wales (including Monmouthshire), and Scotland, for the purpose of returns in respect of (a) Private Households, and (b) Other persons in respect of whom no other form of schedule is prescribed.
Schedule [E.10, W.10, and S.10] - Prescribed by Regulations under the Census Act, 1920, as the form to be used for approximately one tenth of the population in England (excluding Monmouthshire) , Wales (including Monmouthshire) , and Scotland, for the purpose of returns in respect of (a) Private Households, and (b) Other persons in respect of whom no other form of schedule is prescribed.
For enumerators' use
Census District No. ____
Enumeration District No. ____
Name and postal address of householder or other person responsible for making the return. ________
Before you answer each question, please read carefully the column heading and the notes for that column and the examples on the back of this form.
Please write in ink.
Include in this schedule all persons who are alive at midnight on Sunday, 23rd April, 1961 (Census night), and who spend the night in this household. If anyone who has not been enumerated elsewhere arrives the next day include him or her also.
A. Write in this column the names and surnames of all the persons to be included before you go on to the other columns (See Note 1).
Name and surname ________
B. Relationship to the head of the household.
Relationship to the head of household ____
C. If this dwelling is the person's usual address, write "here"
Usual address ________
D. Sex "M" or "F" and age in years at last birthday and completed months since then (See Note 3).
Years ____
Months ____
F. All married, widowed, or divorced women.
(ii) ____
H. Widowed or divorced women or women married more than once.
(i) ____
If born in Ireland, write "Northern Ireland" or "Irish Republic".
If born elsewhere, give the country of birth, e.g. Trinidad, Poland, or write "At Sea".
Country of birth ____
K. For persons not born in Great Britain or Northern Ireland (See note 8).
(b) If a citizen of the U.K. and Colonies state at (ii) whether citizen by birth, descent, naturalisation, registration, marriage, etc.
(c) For other persons state at (i) nationality, e.g. Italian, Polish, Yugoslav.
(i) ____
(ii) ____
X. [This question is only available in the Scotland Census Form]
(a) If able to speak Gaelic only, write "G".
(b) If able to speak English and Gaelic, write "G and E.
(c) For all children under age three and for persons unable to speak Gaelic, insert a dash (-)
[Language] ____
W. [This question is only available in the Wales Census Form]
(b) If able to speak English and Welsh, write "Both.
(c) For all children under age three and for persons unable to speak Welsh, insert a dash (-)
[Language] ____
[Questions N and O are only available in the long forms E.10, W.10, or S.10.]
(ii) If "yes" state at (ii) how many years ago he (she) moved to that address, (if he (she) has lived there since birth write "birth") See Note 11. ____
(iii) If "no" state at (iii) the full usual address on 23rd April 1960. See Note 2. ____
O. For all persons aged 15 and over
L. State how this household occupies its accommodation (house, flat, rooms, etc.) by writing "yes" at (a), (b), (c), (d), or (e), or by giving details at (f). (See note 9).
____ (b) By renting it with a farm, shop or other business premises
____ (c) By virtue of employment
____ (d) By renting it from the Council or New Town Corporation
____ (e) By renting it from another landlord - furnished or unfurnished
____ (f) In some other way - please give details
M. Has this household the use of the following in the building?
____ (a) Cold water tap
____ (b) Hot water tap
____ (c) Fixed bath
____ (d) Watercloset (in the building or attached to it)
Information to be given to the enumerator
____ Whether sharing stove and sink in shared dwelling
____ Number of rooms
____ Males
____ Females
Schedule No. ____
Declaration to be made by the head of the household or other person making the return
I declare that this schedule is correctly filled up to the best of my knowledge and belief
(Signature) ________
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[Examples of completed schedules are omitted.]
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[Parts II and III of the questionnaire are only available in the long forms E.10, W.10, or S.10.]
[For persons aged 15 and over]
P. Please repeat here the names of all persons aged 15 years or over in the same order as you have written them overleaf.
Q. Persons with qualifications in science and technology.
____ (i) Academic and / or professional qualifications held.
____ (ii) The main branch of science or technology in which the qualifications are held.
Fill in one of the sections R, S, or T for every person aged 15 and over.
- But if the person became unemployed or retired during the week fill in Section S;
- Not in employment but intending to get work, or wholly retired, fill in Section S;
- None of these, fill in Section T. See Note 14.
Ra. [Name and business of employer]
[Name and business] ____
(ii) If applicable write at (ii) "Apprentice", "Learner" (only if in skilled craft), "Articled pupil", "Student Apprentice", "Graduate Apprentice", or "Management Trainee". See note 22. ____
If the work is carried on mainly at home write "at home". For persons employed in this establishment, write "here".
[Work address] ____
(ii) If part-time state at (ii) the number of hours, excluding meal breaks, worked in this employment during the week ending 22nd April 1961. See Note 15. ____
[Last full-time employment] ____
Sf. [Out of work or wholly retired]
[Out of work or wholly retired] ____
Sg. [Name and business of last employer]
[Name and business of last employer] ____
[Last occupation] ____
[Status] ____
I declare that this schedule and the other _ schedules relating to this establishment is/are correctly filled up to the best of any knowledge and belief. (Signature) ________
Insert _ here the number of additional schedules; if only one schedule is used delete the words in italics. You need sign only the first of a series of schedules.
Information to be given to the enumerator.
____ Type of establishment
____ Number of rooms in a hotel or boarding house
____ Number of persons
____ Males
____ Females
Schedule No. ____