Diane and all who have asked. I "transcribed" the questions on the long form
for the "Census-L" list I am on.
Here's the questions on the 2000 census long form: (I abbreviated them)
1. Name
2. Telephone number
3. Sex
4. Age and date of birth
5. Is this person spanish / Hispanic / Latino?
6. What is this person's race? (they list 15 options)
7. Marital Status
8. Attended school or college since Feb. 1, 2000? (select no, public school /
college, private school / college) If no, skip to 9
8b. What grade level?
9. Highest degree or level of school completed? (16 choices)
10. What is this person's ancestry or ethnic origin? (only 2 spaces)
11a. Does this person speak a language other than English at home? (no - skip
to 12)
11b. What is this language?
11c. How well does this person speak English? (4 choices)
12. Where was this person born? (in U.S. / outside U.S. - list country)
13. Is this person a Citizen of the U.S. (5 choices including "Yes born in
US, Yes born in Puerto Rico, Guam, etc; Yes, born abroad of American parent
or parents, Yes, by naturalization, No)
14. When did this person come to live in the United States?
15a. Did this person live in this house or apartment 5 years ago (on April 1,
1995)? (If the person is under 5, skip to #33, Yes, skip to 16, no - outside
US, skip to 16, No)
15b. Where did this person live 5 years ago? (Name of city, town or post
office)
Did this person live inside the limits of the city or town?
Name of County
Name of State
Zip Code
16. Does this person have any of the following long-lasting conditions?
a. Blindness, deafness or a severe vision or hearing impairment?
b. A condition that substantially limits one or more basic physical
activities such as walking, climbing stairs, reaching, lifting, or carrying?
17. Because of a physical, mental, or emotional condition lasting 6 months or
more, does this person have any difficulty in doing any of the following
activities?
a. Learning, remembering or concentrating?
b. Dressing, bathing or getting around inside the home?
c. (Answer if this person is 16 years old or over) Going outside the home
alone to shop or visit a doctor's office?
d. (Answer if this person is 16 years old or over) Working at a job or
business?
18. Was this person under 15 years of age on April 1, 2000? (Yes, skip to 33)
19a. Does this person have any of his/her own grandchildren under the age of
18 living in this house or apartment? (No, skip to 20a)
19b. Is this grandparent currently responsible for most of the basic needs of
any grandchild(ren) under the age of 18 who live(s) in this house or
apartment?
19c. How long has this grandparent been responsible for the(se)
grandchild(ren)?
20a. Has this person ever served on active duty in the U.S. Armed Forces,
military Reserves, or National Guard? (No - skip to 21)
20b. When did this person serve on active duty in the U.S. Armed forces?
(Mark each time period - 9 are listed from WWII to "April 1995 or later")
20c. In total, how many years of active-duty military service has this person
had?
21. Last week, did this person do ANY work for either pay or profit? (no -
skip to 25a)
22. At what location did this person work last week?
a. Address
b. Name of city, town or post office
c. Is the work location inside the limits of that city or town?
d. Name of county
e. Name of U.S. State or foreign country
f. Zip code
23a. How did this person usually get to work last week? (12 choices; worked
at home skip to 27; If "Car, truck, or van" is marked go to 23 b. otherwise,
24 a)
23b. How many people, including this person, usually rode to work in the car,
truck or van last week?
24a. What time did this person usually leave home to go to work last week?
24b. How many minutes did it usually take this person to get from home to
work last week?
Answer questions 25-26 for persons who did not work for pay or profit last
week. Others skip to 27
25a. Last week, was this person on a layoff from a job?
25b. Last week, was this person temporarily absent from a job or business?
25c. Has this person been informed that he or she will be recalled to work
within the next 6 months or been given a date to return to work?
25d. Has this person been looking for work during the last 4 weeks?
25e. Last week, could this person have started a job if offered one, or
returned to work if recalled?
26. When did this person last work, even for a few days?
27. Industry or employer (person's chief job activity or business last week)
a. For whom did this person work? (Name of company or other employer)
b. What kind of business or industry?
c. is this mainly (Mark one: Manufacturing, wholesale trade, retail trade,
other)
28. Occupation
a. What kind of work was this person doing?
b. What were this person's most important activities or duties?
29 Was this person (Mark one) Employee of a Private for profit, private for
non-profit, local Gov, state Gov, federal Gov, Self-employed in own not
incorporated business, self-employed in incorporated... working without pay
a. Last year, 1999, did this person work at a job or business at any time?
(No, skip to 31)
b. How many weeks did this person work in 1999 (count paid vacation, paid
sick leave, and military service)
c. During the weeks worked in 1999, how many hours did this person usually
work each week
31. Income in 1999. Mark yes for each income source received...and enter the
total amount received in 1999...
a. Wages, salary, commissions, bonuses, or tips from all jobs...
b. Self-employment income...
c. Interest, dividends, net rent income, royalty income...
d. Social Security or Railroad Retirement...
e. Supplemental Security Income (SSI)
f. Any public assistance or welfare payments...
g. Retirement, survivor, or disability pensions...
h. Any other sources of income...
32 What was this person's total income in 1999
33 is this house, apartment or mobile home: Owned/mortgage, Owned/free,
Rented, occupied without payment of cash rent
34 Which best describes this building? 11 choices
35 About when was this building first built?
36. When did this person move into this house, apartment or mobile home?
37. How many rooms do you have in this house (not counting bathrooms,
porches, balconies, foyers, halls or half-rooms)
38. How many bedrooms...
39. Do you have complete plumbing facilities...
40. Do you have complete kitchen facilities...
41. Is there telephone service available in this ...
42. Which fuel is used most for heating...
43. How many automobiles, vans and trucks of one ton capacity or less are
kept at home for use by members of your household?
44. Answer only if this is a one-family house or mobile home (others skip to
45)
a. Is there a business or medical office on this property
b. How many acres is this house or mobile home on?
c. In 1999, what were the actual sales of all agricultural products from this
property?
45. What are the annual costs of utilities and fuels for this house...
a. Electricity...
b. Gas...
c. Water and sewer...
d. Oil, coal, kerosene, wood, etc...
or
Included in rent or condominium fee.
or
No charge or these fuels not used
46 Answer only if you pay RENT for this house... (others skip to 47)
a. What is the monthly rent?
b. Does the monthly rent include any meals?
47. Answer questions 47a-53 if you or someone in this household owns or is
buying this house... (otherwise, skip to the questions for person 2)
a. Do you have a mortgage, deed of trust, contract to purchase or similar
debt on this property?
b. How much is your regular monthly mortgage...
c. Does you regular monthly mortgage payment include real estate taxes...
d. Does your regular monthly mortgage payment include fire, hazard or flood
insurance...
48a. Do you have a second mortgage or a home equity loan on this property?
b. How much is your regular monthly payment on all second or junior
mortgages...
49. What were the real estate taxes on this property last year
50. What was the annual payment for fire, hazzard and flood insurance...
51. What is the value of this property...
52. Answer only if this is a condominium... what is the monthly condominium
fee?
53. Answer only if this is a mobile home...
a. Do you have an installment loan or contract on this mobile home?
b. What was the total cost for installment loans, payments, personal property
taxes, site rent, registration fees, and license fees on this mobile home
last year...
CONTINUE WITH PERSON 2
(Same questions #1-33 for additional persons)
Joy Kersteter
joysmail(a)aol.com
WILKES in Greene Co IN