The dwelling
To be completed by the person aged 16 or over who is responsible for the accommodation.
Confirm by observation where possible.
What type of accommodation does this household occupy?
Tick one box only. If the household occupies more than one structure, describe the principal one.
Tenure verified against rate roll.
Does your household own or rent this accommodation?
Tick one box only.
Multiple marks permitted here.
Which of these amenities are available for the sole use of this household?
Tick all that apply. Do not count amenities shared with another household at the same address.
Household roster
List every person who usually lives here, beginning with the person who answers this form.
Check against doorstep count before departure.
Persons present on the night of 30 June
Enumerator: transcribe from the doorstep card. Amend in red and initial any correction.
| No. | Name as given | Relationship to person 1 | Age last birthday | Present |
|---|---|---|---|---|
| 01 | Marguerite Halloway | — | 52 | Yes |
| 02 | Ines Halloway | Spouse or partner | 49 | Yes |
| 03 | Terrell Halloway | Son | 17 | Yes |
| 04 | Bess Okonjo | Lodger | 31 | Away — sea service |
Was anyone staying here on the reference night who is not listed above?
Include visitors, overnight guests and any person with no other usual address.
Visitor block — skipped when B2 = 02.
Where does each visitor usually live?
Tick all that apply across all visitor slips issued at this address.
Work & travel
Answer for person 1. Repeat on the continuation leaf for each further person aged 16 or over.
One mark only. Query any blank.
In the week before 30 June, what was this person doing?
If more than one applies, tick the first that does, reading down the left column then the right.
Journey block. Skipped for 53 / 54.
How does this person usually travel to their place of work?
Tick the method used for the longest part of the journey by distance.
Which qualifications has this person completed?
Tick all that apply. Include qualifications gained outside the territory.
Language of the household
Language questions are voluntary. A refusal must be recorded in the margin, not left blank.
Voluntary. Do not press the respondent.
Which languages are spoken in this household at least weekly?
Tick all that apply, then write in any language not listed.
Certification
The return is not valid until signed by the responsible person and countersigned by the enumerator.
30 · VI
Declaration
I declare that the particulars entered on this schedule are true to the best of my knowledge and belief, and that no person usually resident here has been knowingly omitted.