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Confidentiality
Statistics act no.6, 1999
17(1) Despite any other law, no return or other information collected by Statistics South Africa for the purposes of official or other statistics that relates to an individual or a household may be disclosed to any person.
17(b) Any person who is involved in the collection of, or who may use, that information or data, must first take an oath of confidentiality.
18(e) and 18(g) Any officer of Statistics South Africa who wilfully discloses any data or information obtained in the course of such employment to a person not authorised to receive that information is guilty of an offence and liable on conviction to a fine not exceeding R10 000, or to imprisonment for a period not exceeding six months or to both such fine and such imprisonment.

For office use

This Questionnaire should be completed for all households living in housing units and collective living quarters including those located in institutions (for example, boarding schools, prisons, hospitals, etc.)

Completion of this questionnaire
First fill in the full name of the household head or acting head and the first name of all other persons to be counted. Read every question carefully. Look at the classifications where applicable and find the alternative that best applies to the response. For example, in question P-04 a grandchild belongs to category 09.

Who should be counted in Census 2001?
Every person young or old in South Africa on census night, 9 -- 10 October, should be counted in the household where s/he spent the night. Include non-citizens and visitors if they spent census night in the household.
Include: Babies born before midnight between 9 -- 10 October and household members who died after midnight between 9 -- 10 October 2001 as alive. (Census records the situation as at midnight between 9 -- 10 October as the reference point). Members of the household who are absent overnight, for example working, travelling or at an entertainment venue, are to be counted in the household if they return to it the next day, i.e. 10 October. Persons who stayed in institutions on census night are counted in those places. Domestic workers are counted as a separate household even if they live in the same household as the employer.

How to fill in the questionnaire
Write the codes in the appropriate boxes or dot the box.
Use a pencil. If you make a mistake, use a soft rubber to erase wrong dots, numbers or letters and write the correct answer.
Please write dots, numbers and letters clearly so that the scanning machine can read them. Always use capital letters.
For example, for a grandchild of head/acting head of household, write code [0] [9] in the box in column P-04 on the relevant line.
Make sure that all dots, numbers and letters stay inside the box.
[The original form gives an example of a dot entirely inside of a box and a dot partially inside/partially outside of a box. The dot entirely inside of the box is labeled as the correct version; the other is labeled as the incorrect version.]
For example
[1] [2] [3] [4] [5]
[6] [7] [8] [9] [10]
Do not leave spaces or use hyphens. For example, Cape Town should be written in this way:
[C] [A] [P] [E] [T] [O]
[W] [N] [ ] [ ] [ ] [ ]
Should you encounter any difficulties in the completion of the questionnaire, please contact ____ on ____ or phone the census hotline, toll free, on 0800 110248

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Section A: Information for persons in the household -- ask of everyone
[Section A of this form, each question has 10 answer rows for writing individual answers for up to 10 individuals in the household. Only the first is shown here, which is exactly the same as the other nine.]

P-00. Name

P-01. Person no

P-02. Date of birth

P-03. Sex

P-04. Relationship

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P-05. Marital status

P-05a. Spouse (If categories 1-4 in P-05)

P-06. Population group

P-07. Language

P-08. Religion

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P-09. Born in SA?

P-09a. Place of birth (If yes to P-09)

P-09b. Country of birth (If no to P-09)

Citizenship

Usually live

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P-12. Five years ago

P-12a. From where moved (If no to P-12)

P-12b. In which year (If no to P-12)

P-13. Disability

Mother alive

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Father alive

Present school attendance

[Ask of] ALL aged 5 years or more

P-17. Level of education

[Ask of] all persons with post-school qualifications

P-17a. Field of education (If categories 13-20 in P-17)

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Ask for all persons aged 10 years and older (born before 10 October 1991)

P-18. Any work in the 7 days before 10 October

Did not have any work

P-18a. Reason why not working (If no to P-18)

P-18b. Active steps (If no to P-18)

P-18c. Availability (If NO to P-18)

Had work

P-19. Work status (If YES to P-18)

P-19a. Business/company name (If yes to P-18)

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Ask for all persons aged 10 years and older (born before 10 October 1991) who had work

P-19b. Company/business activity (If yes to P-18)

P-19c. Occupation (If yes to P-18)

P-19d. Hours worked (If yes to P-18)

Place of work (If yes to P-18)

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Ask of women aged between 12 and 50 years (born between 1951 and 1989)

P-20. Total births

P-20a. Still living

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P-20b. Last child born

Ask of everyone

P-21. Travel to school or place of work

P-22. Income category

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Section B: Information on housing

H-23. Type of living quarters

H-23a. Type of housing unit

H-23b. More than one dwelling

H-24. Rooms

H-24a. Sharing 1 room

H-25. Tenure status

H-26. Piped water

H-26a. Source of water

H-27. Toilet facility

H-28. Energy/fuel

H-29. Household goods

H-29a. Access to telephone (If no to "telephone" and "cell-phone" in H-28)

H-30. Refuse or rubbish

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Information regarding the household

H-31. Anybody died

[The following question has five answer rows for writing up to five deceased individuals. Only the first is shown here, which is exactly the same as the other four.]

H-31a. Deceased (If yes to H-30)

Thank you for your co-operation.

For office use

Enumerator's name and signature (confirming that s/he has completed or checked the questionnaire)

Supervisor's name and signature (to indicate that s/he has checked enumerator's work)

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