Questionnaire Text

2022 ACS 2011 ACS 1970 Form 2 Metro 1950 1%
2021 ACS 2006 ACS 1970 Form 1 Metro 1880 1%
2016 ACS 1980 1% 1960 1% 1870 1%
top
2022 ACS
Questionnaire form view entire document:  text  image
4. What is Person X's age and what is Person X's date of birth? For babies less than 1 year old, do not write the age in months. Write 0 as the age.

Print numbers in boxes.
Age (in years) [ ][ ][ ]

Month [ ][ ]
Day [ ][ ]
Year of birth [ ][ ][ ][ ]

top
2021 ACS
Questionnaire form view entire document:  text  image
4. What is Person X's age and what is Person X's date of birth? For babies less than 1 year old, do not write the age in months. Write 0 as the age.

Print numbers in boxes.
Age (in years) [ ][ ][ ]

Month [ ][ ]
Day [ ][ ]
Year of birth [ ][ ][ ][ ]

top
2016 ACS
Questionnaire form view entire document:  text  image
4. What is Person X's age and what is Person X's date of birth? Please report babies as age 0 when the child is less than 1 year old.
Print numbers in boxes.

Age (in years)
[ ][ ][ ]

Month
[ ][ ]
Day
[ ][ ]
Year of birth
[ ][ ][ ][ ]
Questionnaire instructions view entire document:  text  image
4. For each person, print this person's age and month, day, and year of birth. Print the age at the last birthday. Do not round the age up if this person is close to having a birthday. If the exact age is not known, provide an estimate. Print "0" for babies less than 1 year old.

top
2011 ACS
Questionnaire form view entire document:  text  image
4. What is Person X's age and what is Person X's date of birth? Please report babies as age 0 when the child is less than 1 year old.
Print numbers in boxes.

Age (in years)
[ ][ ][ ]

Month
[ ][ ]
Day
[ ][ ]
Year of birth
[ ][ ][ ][ ]
Questionnaire instructions view entire document:  text  image
4. For each person, print this person's age and month, day, and year of birth. Print the age at the last birthday. Do not round the age up if this person is close to having a birthday. If the exact age is not known, provide an estimate. Print "0" for babies less than 1 year old.

top
2006 ACS
Questionnaire form view entire document:  text  image
2. What is this person's date of birth and what is this person's age?

Print numbers in boxes

Age (in years)[ ][ ][ ]
Month[ ][ ] Day[ ][ ]Year of Birth[ ][ ]

Questionnaire instructions view entire document:  text  image
2.
For each person, print the age at last birthday (print "00" for babies less than 1 year old). Also print the month, day, and year of birth.

top
1980 1%
Questionnaire form view entire document:  text  image
b. Month of birth
Print month and fill one circle.
[] Jan. - Mar.
[] Apr. - June
[] July - Sept.
[] Oct. - Dec.

top
1970 Form 2 Metro
Questionnaire form view entire document:  text  image
6. Month of birth
Fill one circle
[] Jan. - Mar.
[] Apr. - June
[] July - Sept.
[] Oct. - Dec.

top
1970 Form 1 Metro
Questionnaire form view entire document:  text  image
6. Month of birth
Fill one circle
[] Jan. - Mar.
[] Apr. - June
[] July - Sept.
[] Oct. - Dec.

top
1960 1%
Questionnaire form view entire document:  text  image
(P6) When was this person born?

Month ______________

Year ________________

top
1950 1%
Questionnaire form view entire document:  text  image
11. How old was he on his last birthday? (If under one year of age, enter month of birth as April, May, Dec., etc.)
Questionnaire instructions view entire document:  text  image
Item 11. Age last birthday

122. Item l l. Age at last birthday.-Enter the age of the person at his last birthday as of the date of your call. For persons 1 year old and over, this question calls for the age in completed years at last birthday.

123. Ages of infants.-The entry for children less than a year old should indicate the month of birth. For example, the entry for a child born in March, 1950, should be "March." It is permissible to abbreviate where necessary in entering the name of the month, for example "Dec." for December.


top
1880 1%
Questionnaire instructions view entire document:  text  image
Ages.?The exact age in figures will be inserted in column 6 whenever the same can be obtained; otherwise, the nearest approximation thereto. Children who, on the 1st day of June, 1880, were less than a year old, will have their age stated by the fractional part of the year, as (one month), 1/12; (three months), 3/12; (nine months), 9/12, etc. In all other cases months will be omitted.

top
1870 1%
Questionnaire form view entire document:  text  image
4. Age at last birthday. If under 1 year, give months in fractions, thus, 3/12.
Questionnaire instructions view entire document:  text  image
Ages.?The exact age, in figures, will be inserted in column 4, wherever the same can be obtained; otherwise, the nearest approximation thereto. Where the age is a matter of considerable doubt, the assistant marshal may make a note to that effect. Children, who, on the 1st of June, 1870, were less than a year old, will have their age stated by the fractional part of the year, as (one month) 1-12, (three months) 3-12, (nine months) 9-12, etc. In all other cases, months will be omitted. The age taken is the age at last birthday.