Questionnaire Text

2022 ACS 1990 1% 1940 1% 1870 1%
2021 ACS 1980 1% 1930 1% 1860 1%
2016 ACS 1970 Form 2 Metro 1920 1% 1850 1%
2011 ACS 1970 Form 1 Metro 1910 1%
2006 ACS 1960 1% 1900 1%
2000 1% 1950 1% 1880 1%
top
2022 ACS
Questionnaire form view entire document:  text  image
1. Which best describes this building? Include all apartments, flats, etc., even if vacant
[ ] A mobile home
[ ] A one-family house detached from any other house
[ ] A one-family house attached to one or more houses
[ ] A building with 2 apartments
[ ] A building with 3 or 4 apartments
[ ] A building with 5 to 9 apartments
[ ] A building with 10 to 19 apartments
[ ] A building with 20-49 apartments
[ ] A building with 50 or more apartments
[ ] Boat, RV, van, etc.

top
2021 ACS
Questionnaire form view entire document:  text  image
1. Which best describes this building? Include all apartments, flats, etc., even if vacant
[ ] A mobile home
[ ] A one-family house detached from any other house
[ ] A one-family house attached to one or more houses
[ ] A building with 2 apartments
[ ] A building with 3 or 4 apartments
[ ] A building with 5 to 9 apartments
[ ] A building with 10 to 19 apartments
[ ] A building with 20-49 apartments
[ ] A building with 50 or more apartments
[ ] Boat, RV, van, etc.

top
2016 ACS
Questionnaire form view entire document:  text  image
1. Which best describes this building? Include all apartments, flats, etc., even if vacant
[ ] A mobile home
[ ] A one-family house detached from any other house
[ ] A one-family house attached to one or more houses
[ ] A building with 2 apartments
[ ] A building with 3 or 4 apartments
[ ] A building with 5 to 9 apartments
[ ] A building with 10 to 19 apartments
[ ] A building with 20-49 apartments
[ ] A building with 50 or more apartments
[ ] Boat, RV, van, etc.
Questionnaire instructions view entire document:  text  image
1. Mark only one category.

Count both occupied and vacant apartments in the house or building. Do not count stores or office space.

Detached means there is open space on all sides, or the house is joined only to a shed or garage. Attached means that the house is joined to another house or building by at least one wall that goes from ground to roof. An example of A one-family house attached to one or more houses is a house in a row of houses attached to one another, sometimes referred to as a townhouse.

A mobile home that has had one or more rooms added or built onto it should be considered as A one-family house detached from any other house. If only a porch or shed has been added to a mobile home, it should be considered as a mobile home.

Towable RVs, such as travel trailers or fifth-wheel trailers, should be considered as A mobile home. Self-propelling RVs or motorhomes should be considered as a Boat, RV, van, etc.


top
2011 ACS
Questionnaire form view entire document:  text  image
1. Which best describes this building? Include all apartments, flats, etc., even if vacant
[ ] A mobile home
[ ] A one-family house detached from any other house
[ ] A one-family house attached to one or more houses
[ ] A building with 2 apartments
[ ] A building with 3 or 4 apartments
[ ] A building with 5 to 9 apartments
[ ] A building with 10 to 19 apartments
[ ] A building with 20-49 apartments
[ ] A building with 50 or more apartments
[ ] Boat, RV, van, etc.
Questionnaire instructions view entire document:  text  image
1. Mark only one category.

Count both occupied and vacant apartments in the house or building. Do not count stores or office space.

Detached means there is open space on all sides, or the house is joined only to a shed or garage. Attached means that the house is joined to another house or building by at least one wall that goes from ground to roof. An example of A one-family house attached to one or more houses is a house in a row of houses attached to one another, sometimes referred to as a townhouse.

A mobile home that has had one or more rooms added or built onto it should be considered as A one-family house detached from any other house. If only a porch or shed has been added to a mobile home, it should be considered as a mobile home.

Towable RVs, such as travel trailers or fifth-wheel trailers, should be considered as A mobile home. Self-propelling RVs or motorhomes should be considered as a Boat, RV, van, etc.


top
2006 ACS
Questionnaire form view entire document:  text  image
1. Which best describes this building? Include all apartments, flats, etc., even if vacant
[ ] A mobile home
[ ] A one-family house detached from any other house
[ ] A one-family house attached to one or more houses
[ ] A building with 2 apartments
[ ] A building with 3 or 4 apartments
[ ] A building with 5 to 9 apartments
[ ] A building with 10 to 19 apartments
[ ] A building with 20-49 apartments
[ ] A building with 50 or more apartments
[ ] Boat, RV, van, etc.
Questionnaire instructions view entire document:  text  image
1. Mark only one category.

Count both occupied and vacant apartments in the house or building. Do not count stores or office space.

Detached means there is open space on all sides, or the house is joined only to a shed or garage. Attached means that the house is joined to another house or building by at least one wall that goes from ground to roof. An example of A one-family house attached to one or more houses is a house in a row of houses attached to one another, sometimes referred to as a townhouse.

A mobile home that has had one or more rooms added or built onto it should be considered as A one-family house detached from any other house. If only a porch or shed has been added to a mobile home, it should be considered as a mobile home.


top
2000 1%
Questionnaire form view entire document:  text  image
34. Which best describes this building? Include all apartments, flats, etc., even if vacant.
[] A mobile home
[] A one-family house detached from any other house
[] A one-family house attached to one or more houses
[] A building with 2 apartments
[] A building with 3 or 4 apartments
[] A building with 5 to 9 apartments
[] A building with 10 to 19 apartments
[] A building with 20 to 49 apartments
[] A building with 50 or more apartments
[] Boat, RV, van, etc.

top
1990 1%
Questionnaire form view entire document:  text  image
H2. Which best describes this building? Include all apartments, flats, etc., even if vacant.

[] A mobile home or trailer
[] A one-family house detached from any other house
[] A one-family house attached to one or more houses
[] A building with 2 apartments
[] A building with 3 or 4 apartments
[] A building with 5 to 9 apartments
[] A building with 10 to 19 apartments
[] A building with 20 to 49 apartments
[] A building with 50 or more apartments
[] Other

"Fill only one circle. Count all occupied and vacant apartments in the house or building. Do not count stores or office space. Detached means there is open space on all sides, or the house is joined only to a shed or garage. Attached means that the house is joined to another house or building by at least one wall that goes from ground to roof. An example of A one-family house attached to one or more houses is a row of houses attached to one another. A mobile home or trailer that has had one or more rooms added or built onto it should be counted as a one-family detached house; a porch or shed is not considered a room."

top
1980 1%
Questionnaire form view entire document:  text  image

H4. How many living quarters, occupied and vacant, are at this address?
[] One
[] 2 apartments or living quarters
[] 3 apartments or living quarters
[] 4 apartments or living quarters
[] 5 apartments or living quarters
[] 6 apartments or living quarters
[] 7 apartments or living quarters
[] 8 apartments or living quarters
[] 10 or more apartments or living quarters
[] This is a mobile home or trailer

"Mark only one circle. This address means the house or building number where your living quarters are located."


top
1970 Form 2 Metro
Questionnaire form view entire document:  text  image
[All]
A. How many living quarters, occupied and vacant, are at this address?
[] One
[] 2 apartments or living quarters
[] 3 apartments or living quarters
[] 4 apartments or living quarters
[] 5 apartments or living quarters
[] 6 apartments or living quarters
[] 7 apartments or living quarters
[] 8 apartments or living quarters
[] 9 apartments or living quarters
[] 10 or more apartments or living quarters
[] This is a mobile home or trailer
"Mark only one circle. This address means the house or building number where your living quarters are located.

top
1970 Form 1 Metro
Questionnaire form view entire document:  text  image
[All]
A. How many living quarters, occupied and vacant, are at this address?
[] One
[] 2 apartments or living quarters
[] 3 apartments or living quarters
[] 4 apartments or living quarters
[] 5 apartments or living quarters
[] 6 apartments or living quarters
[] 7 apartments or living quarters
[] 8 apartments or living quarters
[] 9 apartments or living quarters
[] 10 or more apartments or living quarters
[] This is a mobile home or trailer
"Mark only one circle. This address means the house or building number where your living quarters are located.

top
1960 1%
Questionnaire form view entire document:  text  image
[20% -- filled in by enumerator, not respondent]
H29. Number of units in structure
[] 1, detached
[] 1, attached
[] 2
[] 3-4
[] 5-9...................... If 5 or more -
[] 10-19.................. Fill items H20,
[] 20-49.................. H21, H22A, and
[] 50 or more.......... H22C in Questionnaire

top
1950 1%
Questionnaire form view entire document:  text  image
8. Relationship:

Enter relationship of person to head of household, as
Head
Wife
Daughter
Grandson
Mother-in-law
Lodger
Lodger's wife
Maid
Hired hand
Patient, etc.
Questionnaire instructions view entire document:  text  image
109. Item 8. Relationship to household head.-For the head of the household, that is, the person who is regarded as head by the members of the household, enter the word "Head." For other members of the household write "Wife," "Son-in-law," "Grandson," "Cousin," etc., according to the particular relationship that the person bears to the head of the household.

110. Nonrelative of head.-For persons not related to the household head) enter a term such as "Lodger," "Partner," "Chauffeur," "Maid," "Hired man," "Employee," "Ward," "Foster child," etc. If you cannot find a specific term, enter "Lodger."

For lodgers, and for maids, hired hands, chauffeurs, etc., who may have relatives living with them in their employer's home, enter the relationship of the relatives to the lodger, maid, or hired hand. As examples, a lodger and his wife should be listed as "Lodger" and "Lodger's wife"; and a maid and her daughter, living in the home of the maid's employer, should be listed as "Maid" and "Maid's daughter."

111. Partners.-If two or more persons who are not related by blood,, marriage, or adoption share one dwelling unit as partners, write "Head" for one and "Partner" for the other(s).


top
1950 1%
Questionnaire form view entire document:  text  image
e. Hotel, large rooming house, institution, military installation, etc. (name, type, line numbers of residents)
Questionnaire instructions view entire document:  text  image
Special types of living quarters

84. Item e-Hotel, large rooming house, institution, military installation, etc.-If you are enumerating the population of a hotel, a large rooming house, an institution, a military installation, etc., enter the full name of the place in the space provided.

In the space provided for "Type," enter the kind of place, such as "Hotel," "YMCA," "Army camp." If it is an institution, indicate the kind of person cared for and the kind of agency which operates the institution. For example: "State mental hospital," "Private home for the aged," "County poor farm," "Private nursing home," "State prison."

For each place, enter also the numbers of the lines which you use on that schedule for persons enumerated at the place.

Paragraph 89 shows a list of the kinds of places for which entries should be made in item e.

89. Special types of living quarters to be described in item e.-Following is a list of the types of places for which entries must be made under "Hotel, large rooming house, institution, military installation, etc.," in the heading of the schedule:


a. Institutions:

1.Correctional and penal institutions:
Federal prisons.-
Include: Penitentiaries, reformatories, correctional institutions, prison farms and camps, and detention headquarters operated by the Federal Government.

State prisons.-

Include: Prisons, penitentiaries, reformatories, prison farms and camps operated by State governments.

Jails.-

Include: Jails, workhouses, penitentiaries, prison farms and camps, and police station detention cells or lockups operated by county and city governments.
Public schools for juvenile delinquents.-
Include: Training, parental, or industrial schools operated by Federal, State, county, or city governments.

Private schools for juvenile delinquents.-
Include: Private schools for delinquents such as, "House of the Good Shepherd," "Boys Town," etc.

Detention homes.-
Include: State, local, and private detention and receiving homes.
2. Mental institutions:
Federal mental hospitals.-

Include: Hospitals for mental diseases (including Veterans' Administration neuropsychiatric hospitals) and hospitals for the treatment of alcoholics and drug addicts operated by the Federal Government.

State and local mental hospitals.-
Include: Hospitals for mental diseases, and hospitals for the treatment of alcoholics and drug addicts operated by State, county, and city governments.

Private mental hospitals.-
Include: Private hospitals and sanatoriums for mental diseases and private hospitals for the treatment of alcoholics and drug addicts.
Public homes and schools for mentally handicapped.-
Include: Homes and training schools for mental defectives, and homes, training schools, colonies, and villages for epileptics, operated by Federal, State, county, and city governments.

Private homes and schools for mentally handicapped.-
Include: Private homes and training schools for mental defectives. Also include homes, training schools, colonies, and villages for epileptics.
3. Homes for the aged and needy:

Federal and State homes for the aged and needy.

Local homes for the aged and needy.-
Include: Homes for the aged and needy, almshouses, poor farms, soldiers' and sailors' homes, etc., operated by county and city governments. Include homes providing care for both adults and children.
Nonprofit private homes for the aged and needy.-
Include: fraternal or religious homes for the aged and needy and those operated by nonprofit associations. Include homes providing care for both adults and children.

Commercial homes f or the aged.-
Include: Commercial boarding homes for the aged and needy. Include homes providing care for both adults and children.
Public homes for neglected and dependent children.-

Include: Orphan homes or asylums and children's homes operated by State, county, and city governments. Exclude foster-family homes.

Private homes for neglected and dependent children.-
Include: Private orphan homes or asylums and children's homes. Exclude foster-family homes.

Maternity homes for unmarried mothers.-
Include: Private maternity homes for unmarried mothers, such as "Florence Crittenton Homes," "Phyllis Wheatley Homes," and Salvation Army Homes. Also include any maternity homes of this type operated by State, county, or city governments.
4.Homes and hospitals for the chronically ill or handicapped:

Federal tuberculosis hospitals.-
Include: Tuberculosis hospitals, including Veterans' Administration tuberculosis hospitals, operated by the Federal Government.

State and local tuberculosis hospitals.-
Include: Tuberculosis hospitals and sanatoriums operated by State, county, and city governments.

Private tuberculosis hospitals.-
Include: Private tuberculosis hospitals and sanatoriums.

Chronic hospitals.-
Include: Chronic hospitals, cancer hospitals, and homes for incurables.

Public homes and schools for physically handicapped.-
Include: Homes and schools for the blind, for the deaf, and for the crippled, operated by Federal, State, county, and city governments.

Private homes and schools for physically handicapped.-
Include: Private homes and schools for the blind, for the deaf, and for the crippled.

Nursing, convalescent, and rest homes.-
Include: All nursing, convalescent, and rest homes. The homes are usually small (frequently fewer than 10 or 15 beds) and provide bed, board, and nursing care. In some cases such places may actually provide convalescent care, in others care is provided for elderly chronic patients.

b. Other special types of living quarters:

1. Nurses' homes.
2. Convents and monasteries.
3. Dormitories for workers.
4. Crew quarters on inland vessels.
5. Military installations.
6. College dormitories fraternity houses, and lodging houses devoted to students.
7. General hospitals.
8. Hotels, missions, "flophouses," etc.
9. Large lodging houses, residential clubs.
10. MCA YWCA, YMHA, YWHA.
11. Summer camps, tent camps, trailer camps, tourist courts, and motels.
12. School dormitories in schools below college level.

top
1940 1%
Questionnaire form view entire document:  text  image
8. Relationship of this person to the head of the household, as wife, daughter, father, mother-in-law, grandson, lodger, lodger?s wife, servant, hired hand, etc..
Questionnaire instructions view entire document:  text  image
447. Column 8. Relationship of This Person to the Head of the Household.-For the head of the household, that is, the person who is regarded as the head by the members of the house, whether husband or father, wife, widow, or unmarried person of either sex, write the word "Head" in this column. For other members of the household write wife, son, daughter, father, mother, grandson, daughter-in-law, aunt, nephew, lodger, boarder, servant, hired hand, etc., according to the particular relationship that the person bears to the head of the household. (See illustrative example.)

448. For lodgers, and for servants, hired hands, chauffeurs, etc., who may have relatives living with them in their employer's home, enter the relationship of the relatives to the lodger, servant, or hired hand. As examples, a lodger and his wife should be listed in col. 8 as "lodger" and "lodger's wife"; and a servant and her daughter, living in the home of the servant's employer, should be listed as "servant" and "servant's daughter."

449. Occupants of an institution, prison, school, etc., living in the institutional building or buildings, should be designated as officer, inmate, patient, pupil, etc.; and in the case of the chief officer, his title should be used, as superintendent, warden ,principal, etc., instead of the word "Head." Enter the prisoner's number in col. 8 for an inmate of a penal institution that identifies its prisoners by number; enter "prisoner" for a prisoner not identified by number.

450. For hotel households (see par. 425), enter the term that describes the relation of the person to the hotel, as manager, cashier, bellboy, housekeeper, guest, etc.

451. If two or more persons who are not related by blood or marriage share a common dwelling unit as partners, write head for one and partner for the other or others.


top
1940 1%
Questionnaire form view entire document:  text  image
State ________, Incorporated place ________. Ward of city _________; Unincorporated place [Name of unincorporated place having 100 or more inhabitants] _______________________. Enumeration District NO.___________. Supervisor?s District NO.__________. County _______________. Township or other division of county ________________________. Block Nos. ___________; Institution [Name of institution and lines on which entries are made] _________________________________.
Questionnaire instructions view entire document:  text  image
427. Institutional Households.-The officials, employees, and inmates of an institution who live in the institution building or buildings make up one household. But if any officer or employee and his family, if any, live in separate quarters (a detached house or structure containing no inmates), they should be returned as a separate household. Note the instructions to identify institutions (par. 410).

top
1930 1%
Questionnaire form view entire document:  text  image
__________________. Institution [Insert name of institution, and indicate the lines on which the entries are made] _________________________________.
Questionnaire instructions view entire document:  text  image
125. Institutional families.-The officials and inmates of an institution who live in the institution building or buildings form one family. But any officers or employees who sleep in detached houses or separate dwellings containing no inmates should be returned as separate families.

top
1920 1%
Questionnaire form view entire document:  text  image
Name of institution [Insert name of institution, if any, and indicate the lines on which the entries are made] _______________________________________.
Questionnaire instructions view entire document:  text  image

top
1910 1%
Questionnaire form view entire document:  text  image
Name of institution, _____________________.
Questionnaire instructions view entire document:  text  image
89. Name of institution.?If you are enumerating the population of an institution, such as a prison, jail, almshouse, or asylum, enter the full name of the institution in the place indicated at the head of the schedule. In case only a portion of the total number of persons enumerated on that sheet of the schedule are in the institution, indicate the line on which the names of the inmates of the institution appear, as "Jefferson County Almshouse, lines 25 to 69, inclusive."

top
1900 1%
Questionnaire form view entire document:  text  image
Name of institution, _____________________.
Name of incorporated city, town, or village within the above-named division, ___________.
Questionnaire instructions view entire document:  text  image
86. Name of institution.?Wherever an institution, such as a prison, jail, almshouse, hospital, asylum, college, convent, or other establishment containing a resident population, is to be enumerated, the full name and title of the institution should be written on the line provided therefor at the head of the sheet, and all persons having their usual places of abode in such institution, whether officers , attendants, inmates, or persons in confinement, should then be entered consecutively on the schedules.

top
1880 1%
Questionnaire form view entire document:  text  image
1. Dwelling houses numbered in order of visitation.
Questionnaire instructions view entire document:  text  image
DWELLING HOUSES

In column No. 1 of this schedule is to be entered the number of the dwelling house in the order of visitation. A dwelling house, for the purpose of the census, means any building or place of abode, of whatever character, material or structure, in which any person is at the time living, whether in a room above a warehouse or factory, a loft above a stable or a wigwam on the outskirts of a settlement, equally with a dwelling house in the usual, ordinary sense of that term. Wholly uninhabited dwellings are not to be taken notice of.


top
1870 1%
Questionnaire form view entire document:  text  image
1. Dwelling houses and number in order of visitation.
Questionnaire instructions view entire document:  text  image
Dwelling houses.?By "dwelling house" is meant a house standing alone, or separated by walls from other houses in a block. Only such buildings are to be reckoned as dwelling houses as have been used as the entire habitation of a family. But houses only temporarily uninhabited are to be returned and numbered in order. In that case a dash, thus (?), will be drawn through column No. 2, and the remaining spaces on the line be left blank. Hotels, poorhouses, garrisons, asylums, jails, and similar establishments, where the inmates live habitually under a single roof, are to be regarded as single dwelling houses for the purposes of the census. The character of such establishments should be written longitudinally in the column.

top
1860 1%
Questionnaire form view entire document:  text  image
1. Dwelling houses and number in order of visitation.
Questionnaire instructions view entire document:  text  image
1. Dwelling houses unnumbered.-- Under heading 1, insert in numerical order the number of dwelling houses occupied by free inhabitants, as they are visited. The first house you enter is to be No. 1, the second No. 2, and so on to the last house in your subdivision. The numbering of houses is to be continuously maintained, without regard to minor divisions, from the first to the last house included in your work, so that your last entry will express the whole number of dwelling houses in your subdivision. By "dwelling house" is meant a separate tenement, inhabited or uninhabited, and may contain one or more families under one roof. Where several tenements are in one block with walls to separate them, having different entrances, they are each to be numbered separately, but where not so divided they are to be enumerated as one house. Houses which are tenantable but without inhabitants, are to be returned and numbered, but represented as unoccupied, in column 3, while no number is to be entered in column No. 2. If a house is used partly for a store or other purpose and partly for a dwelling, it is to be numbered as a dwelling house. Hotels, poor houses, garrisons, hospitals, asylums, jails, penitentiaries and establishments of kindred character, are to be numbered, and if they consist of a group of several houses, each is to be numbered separately, while you will use particular care to write longitudinally in the column the designation or description of the house, and specify particularly and clearly whether it or they be poor house, hotel, hospital, etc.

top
1850 1%

No questionnaire text is available for this sample.