The items included in Census questionnaires are selected only after a lengthy process of consultation with census users, discussion with a council of federal agency representatives established by the Bureau of the Budget, review by advisory panels of subject matter experts, and careful deliberation by the Bureau staff.

Neither the Bureau of the Census, nor any other Federal agency, is free to ask any question it chooses. Each question must conform to the guidelines established by Congress in the Federal Reports Act of 1942. Briefly, this act, which is administered by the Bureau of the Budget under its reports control program, has both a positive and negative or preventive side. The preventive side results in the avoidance of duplicate, unnecessary, or burdensome reports.

Equally as important, however, is the acts positive objective of insuring that the informational needs of government, and through it, of the public, are adequately met in the most efficient manner. Accordingly, each potential census question must be submitted to the Bureau of the Budget by the Census Bureau for approval and review to insure that the data obtained are valid and appropriate to the purpose intended. Questions are eligible for inclusion on the final census questionnaires only after they have gone through this formal clearance procedure. Final authority for determining which approved questions will be included is lodged with the Secretary of Commerce by Title 13 of the U.S. Code, the basic legislation governing the censuses.

In choosing questions, the Census Bureau decides which ones are most important by consulting people who need the statistics. The needs of government agencies receive top priority, but those of businessmen, labor groups, research workers, and others are also considered--often through the use of advisory committees. These committees, which average about a dozen members each and meet several times a year, are established by professional organizations such as the American Statistical Association, or by the Bureau itself, e.g., a committee of population specialists drawn largely from universities. The advisory committees provide an organized and regular channel of communication between the Bureau staff and professional experts. The committee members receive no salary from the Bureau. Their role is advisory, not decision-making.

In 1966, the Bureau also obtained suggestions and comments through intensive discussion with many individuals, organizations, and Federal agency representatives in a series of locally sponsored public meetings in 23 cities across the country. The Bureau necessarily relies on this organized and regular flow of information in evaluating users needs as a means for guiding future program development. Studies are made in an effort to determine both current uses and likely future needs for census data in existing local, State, and Federal programs. The questions which were proposed for 1970 are too numerous to present here fully. Many were ruled out as not being in the broad public interest, which is the first criterion for possible inclusion. Others were vetoed as too complex or too personal, as more appropriate for a National sample survey than the census, or for other equally relevant reasons. After the list was initially reduced, further cuts had to be made on a priority basis in order to remain within the limits of the available resources and to avoid imposing an unreasonable burden on the respondent.

Among the proposals rejected for one or more of the above-mentioned reasons were questions on exterior building material, amount of taxes paid, auto accidents, religion, union membership, ownership of musical instruments, smoking, multiple job holding, distance to shopping areas, stock ownership, and expected family size.

The final format of the 1970 census questionnaire represents a balance between meeting the needs of users for data to carry out program and research responsibilities and the cost to the citizen and the government resulting from a too complex and lengthy questionnaire. Figure 1 presents the questions contained in the questionnaire and indicates whether a particular question was asked on a 100-percent, 20-percent, 15- percent, or a 5-percent basis.

1. WHAT IS THE NAME OF EACH PERSON
who was living here on Wednesday, April 1, 1970 or who was staying or visiting here and had no other home?
Print names in this order:
Head of the household
Wife of head
Unmarried children, oldest first
Married children and their families
Other relatives of the head
Persons not related to the head
________
Last name
________
First name Middle Initial

"In Question 1 ... please list each person who was living here on Wednesday, April 1, 1970, or who was staying or visiting here and had no other home.

"LIST IN QUESTION 1: Family members living here, including babies still in the hospital; Relatives living here; Lodgers or boarders living here; Servants or hired hands living here; Other persons living here; College students who stay here while attending college, even if their parents live elsewhere; Persons who usually live here but are temporarily away (including children in boarding school below the college level); Persons with a home elsewhere but who stay here most of the week while working.

"DO NOT LIST IN QUESTION 1: Any person away from here in the Armed Forces; Any college student who stays somewhere else while attending college; Any person who usually stays somewhere else most of the week while working there; Any person away from here in an institution such as a home for the aged or mental hospital; Any person staying or visiting here who has a usual home elsewhere.

"Note: If everyone here is staying only temporarily and has a usual home elsewhere, please fill this circle O and give their names ... in the space for question 12. [Questions 9 to 12 were asked to ensure a complete count. We omit them below.] Do not answer any other questions. Mail back the form on Wednesday, April 1."

[All]
2. HOW IS EACH PERSON RELATED TO THE HEAD OF THIS HOUSEHOLD?
Fill one circle.
If "Other relative of head," also give exact relationship, for example, mother-in-law, brother,
niece, grandson, etc.
If "Other not related to head," also give exact relationship, for example, partner, maid, etc.
O Head of household
O Wife of head
O Son or daughter of head
O Other relative of head - Print exact relationship _
O Roomer, boarder, lodger
O Patient or inmate
O Other not related to head - Print exact relationship ____________________________
"If two or more unrelated people live together and share the rent, mark the first one you list Head of household. Mark the rest Other not related to head and print "partner" in the space. A stepchild or legally adopted child of the head should be marked Son or daughter."

[All]
3. SEX
Fill one circle
O Male
O Female
[All]
4. COLOR OR RACE
Fill one circle.
If "Indian (American)," also give tribe.
If "Other," also give race.
O White
O Negro or Black
O Indian (Amer.) Print tribe ____
O Japanese
O Chinese
O Filipino
O Hawaiian
O Korean
O Other - Print race __________
[On the questionnaires used in Alaska, the categories "Aleut" and "Eskimo" were substituted for "Hawaiian" and "Korean" in question 4.]

[All]
DATE OF BIRTH
5. Month and year of birth and age last birthday
Print
Month __________
Year ____________
Age ____________
"If the month or year of birth, or the age, is not known, give your best estimate."

6. Month of birth
Fill one circle
O Jan. - Mar.
O Apr. - June
O July - Sept.
O Oct. - Dec.
7. Year of birth
Fill one circle for first three numbers
O 186- O 192-
O 187- O 193-
O 188- O 194-
O 189- O 195-
O 190- O 196-
O 191- O 197-
Fill one circle for last number
O 0 O 5
O 1 O 6
O 2 O 7
O 3 O 8
O 4 O 9
[All]
8. WHAT IS EACH PERSON'S MARITAL STATUS?
Fill one circle
O Now married
O Widowed
O Divorced
O Separated
O Never married
"If the person's only marriage was annulled, mark Never married."

[All]
13a. Where was this person born? If born in hospital, give State or country where mother lived. If born outside U.S., see instruction sheet; distinguish Northern Ireland from Ireland (Eire).
O This State
OR _____________________
(Name of State or foreign country; or Puerto Rico, Guam, etc.)
"Mark the circle for This State if he now lives in the same State as he was born in. If born in a different State, print name of State. If born outside U.S., print name of country, U.S. possession, etc. Use international boundaries as now recognized by the U.S."

[Only on Form 1]
b. Is this person's origin or descent - (Fill one circle)
O Mexican O Central or South American
O Puerto Rican O Other Spanish
O Cuban O No, none of these
[Only on Form 2]
14. What country was his father born in?
O United States
OR _____________________
(Name of foreign country; or Puerto Rico, Guam, etc.)
[Only on Form 2]
15. What country was his mother born in?
O United States
OR ____________________
(Name of foreign country; or Puerto Rico, Guam, etc.)
[Only on Form 1]
16. For persons born in a foreign country -
a. Is this person naturalized?
O Yes, naturalized
O No, alien
O Born abroad of American parents
b. When did he come to the United States to stay?
O 1965 to 70 O 1950 to 54 O 1925 to 34
O 1960 to 64 O 1945 to 49 O 1915 to 24
O 1955 to 59 O 1935 to 44 O Before 1915
"Mark one circle in part and one circle in part b for persons born outside the 50 States, District of Columbia, Puerto Rico, Canal Zone, Guam, or Virgin Islands of U.S."

[Only on Form 2]
17. What language, other than English, was spoken in this person's home when he was a child? Fill one circle.
O Spanish O Other -
O French Specify ________
O German O None, English only
"If more than one language other than English was spoken, mark principal language."

[Only on Form 2]
18. When did this person move into this house (or apartment)?
Fill circle for date of last move.
O 1969 or 70 O 1965 or 66 O 1949 or earlier
O 1968 O 1960 to 64 O Always lived in this house or apartment
O 1967 O 1950 to 59
"Mark the date for the last time he moved into this particular house or apartment."

[Only on Form 2]
19a. Did he live in this house on April 1, 1965? If in college or Armed Forces in April 1965, report place of residence there.
O Born April 1965 or later }
O Yes, this house .............. } Skip to 20
O No, different house
"Mark Yes if he lived in this same house or apartment on April 1, 1965, even if he moved away and came back between then and now. Mark No if he lived in the same building but in a different apartment on April 1, 1965."

b. Where did he live on April 1, 1965?
(1) State, foreign country, U.S. possession, etc. _________
(2) County
__________
(3) Inside the limits of a city, town, village, etc.?
O Yes O No
(4) If "Yes," name of city, town, village, etc. __________

"If he lived somewhere else on April 1, 1965, give the address of his usual residence at that time.
Part (2)
For addresses in Louisiana, print the parish name.
For addresses in Alaska, print the borough name.
For addresses in independent cities, print the name of the city and word "city," for example "Baltimore city."
Part (3)
Mark Yes if you know that the address is now inside the limits of a city, town, village, or other
incorporated place, even if it was not inside the limits on April 1, 1965."

[Only on Form 2]
20. Since February 1, 1970, has this person attended regular school or college at any time? Count nursery school, kindergarten, and schooling which leads to an elementary school certificate, high school diploma, or college degree.
O No
O Yes, public
O Yes, parochial
O Yes, other private
"Do not count trade or business school, company training, or tutoring unless you think he could get credit for it at a regular school or college."

[All]
21. What is the highest grade (or year) of regular school he has ever attended?
Fill one circle. If now attending, mark grade he is in.
O Never attended school - Skip to 23
O Nursery school
O Kindergarten

Elementary through high school (grade or year)
1 2 3 4 5 6 7 8 9 10 11 12
O O O O O O O O O O O O

College (academic year)
1 2 3 4 5 6 or more
O O O O O O
"Mark the highest grade he attended even if he did not finish it. If he is still in school, mark the grade he is in now. If he skipped or repeated grades, mark the highest grade ever attended, regardless of how long it took to get there. If he finished high school, but did not go to college, mark 12. For college, mark the highest academic year attended."

[All]
22. Did he finish the highest grade (or year) he attended?
O Now attending this grade (or year)
O Finished this grade (or year)
O Did not finish this grade (or year)
"Mark Finished this grade (or year) only if he finished the entire grade or year shown in question 21."

[All]
23. When was this person born?
O Born before April 1956 - Please go on with questions 24 through 41.
O Born April 1956 or later - Please omit questions 24 through 41 and go to the next page for the next person.
[Only on Form 1]
24. If this person has ever been married -
a. Has this person been married more than once?
O Once O More than once
b. When did he get married? When did he get married for the first time?
____________________ ____________________
Month Year Month Year
"If exact dates of marriage are unknown, estimate as closely as possible."

c. If married more than once - Did the first marriage end because of the death of the husband (or wife)?
O Yes O No
[All]
25. If this is a girl or a woman - How many babies has she ever had, not counting still births? Do not count her stepchildren or children she has adopted.
1 2 3 4 5 6 7 8 9 10 11 12 or more None
O O O O O O O O O O O O O
"Count all the children the girl or woman has ever had, even if some of them have died or no longer live with her."

[Only on Form 2]
26. If this is a man -
a. Has he ever served in the Army, Navy, or other Armed Forces of the United States?
O Yes O No
"Mark Yes if he was ever on active duty in the Army, Navy, Air Force, Marine Corps, or Coast Guard, no matter how short a time he served. Count only active duty in National Guard or Reserves. Mark No if he had only civilian duty in the Armed Forces or merchant marine. Mark No if he was in the National Guard or Reserves, but was not called to active duty. Mark No if his only military service in the Armed Forces of another country."

b. Was it during - (Fill the circle for each period of service.)
Vietnam Conflict (Since Aug. 1964) ........................... O
Korean War (June 1950 to Jan. 1955) ..................... O
World War II (Sept. 1940 to July 1947) ................... O
World War I (April 1917 to Nov. 1918) ................... O
Any other time ........................................................... O
[Only on Form 1] 27a. Has this person ever completed a vocational training program?
For example, in high school; as apprentice; in school of business, nursing or trades; technical institute; or Armed Forces schools.
O Yes O No - Skip to 28
"Count only programs that he finished. Do no count courses which are not part of an organized program of study. Do not count training he got on-the-job, in company schools, in college after the second year, or by correspondence."

b. What was his main field of vocational training? Fill one circle.
O Business, office work
O Nursing, other health fields
O Trades and crafts (mechanic, electrician, beautician, etc.)
O Engineering or science technician; draftsman
O Agriculture or home economics
O Other field - Specify ________________
[Only on Form 1]
28a. Does this person have a health or physical condition which limits the kind or amount of work he can do at a job?
If 65 years old or over, skip to question 29.
O Yes
O No
"Health condition. This is a serious illness, or a serious handicap (impairment) affecting some part of the body or mind, which interferes with his ability to work at a job. Answer No for pregnancy, common colds, etc."

b. Does his health or physical condition keep him from holding any job at all?
O Yes
O No
c. If "Yes" in a or b - How long has he been limited in his ability to work?
O Less than 6 months O 3 to 4 years
O 6 to 11 months O 5 to 9 years
O 1 to 2 years O 10 years or more
QUESTIONS 29 THROUGH 41 ARE FOR ALL PERSONS BORN BEFORE APRIL 1956 INCLUDING HOUSEWIVES, STUDENTS, OR DISABLED PERSONS AS WELL AS PART-TIME OR FULL-TIME WORKERS.

[All]
29a. Did this person work at any time last week?
O Yes - Fill this circle if this person did full- or part-time work. (Count part-time work such as a Saturday job, delivering papers, or helping without pay in a family business or farm; and active duty in the Armed Forces.

O No - Fill this circle if this person did not work, or did only own housework, school work, or volunteer work. Skip to 30
"Mark Yes if he worked on any day Sunday through Saturday of last week.

Count as work
Work for someone else for wages, salary, piece rate, commission, tips, or payment "in kind"
Work in own business, professional practice, or farm
Any work in a family business or farm, paid or not
Any part-time work
Active duty in the Armed Forces

Do not count as work
Housework or yard work at own home
Unpaid volunteer work.
Work done as an inmate of an institution."

[All]
b. How many hours did he work last week (at all jobs)?
Subtract any time off and add overtime or extra hours worked.
O 1 to 14 hours O 40 hours
O 15 to 29 hours O 41 to 48 hours
O 30 to 34 hours O 49 to 59 hours
O 35 to 39 hours O 60 hours or more
"Give the actual number of hours he worked at all jobs last week, even if that was more or fewer hours than he usually works."

[Only on Form 2]
c. Where did he work last week?
If he worked in more than one place, print where he worked most last week.
If he travels about in his work or if the place does not have a numbered address, see instruction sheet.
(1) Address (Number and street name) ______________
(2) Name of city, town, village, etc.

(3) Inside the limits of this city, town, village, etc.?
O Yes
O No
(4) County
(5) State ______________________
(6) Zip Code ____________________

"For a person who travels about in his work or who works in more than one place -- If he usually checks in or out at the same place every day, give the address of that place. If he does not check in or out at the same place, give the address of the place where he worked the most hours last week.

"Give the exact address of the location or branch where he works if his employer operates in more than one location (such as a grocery store chain or public school system). When you cannot give the number or street name, print the name of the building, if any, or the name of the company for which he works."

[Only on Form 2]
d. How did he get to work last week? Fill one circle for chief means used on the last day he worked at the address given in 29c.
O Driver, private auto O Taxicab
O Passenger, private auto O Walked only
O Bus or streetcar O Worked at home
O Subway or elevated O Other means -- Specify ¯
O Elevated ______
After completing question 29d, skip to question 33.
"Mark Worked at home for a person who worked on a farm where he lives or in an office or shop in his home."

[All]
30. Does this person have a job or business from which he was temporarily absent or on layoff last week?
O Yes, on layoff
O Yes, on vacation, temporary illness, labor dispute, etc.
O No
"Mark No if he works only during certain seasons or is "on call" to work when needed."

[All]
31a. Has he been looking for work during the past 4 weeks?
O Yes O No - Skip to 32
"Mark Yes if he tried to get a job or to start a business or profession at any time in the past four weeks; for example, if he registered at an employment office, went for a job interview, or did anything toward starting a business. Mark Yes if he was waiting to hear from places he had applied to or registered with within the past four weeks."

b. Was there any reason why he could not take a job last week?
O Yes, already has a job
O Yes, because of this person's temporary illness
O Yes, for other reasons (in school, etc.)
O No, could have taken a job
"Mark Yes, already has a job if he was on layoff or was expecting to report to a job within 30 days. Mark Yes, because of this person's temporary illness if he expects to be able to work within 30 days. Mark Yes, for other reasons for reasons such as going to school or taking care of children."

[All]
32. When did he last work at all, even for a few days?
O In 1970 O 1964 to 1967 O 1959 or earlier } Skip
O In 1969 O 1960 to 1963 O Never worked } to 36
O In 1968
"Look at the instruction for 29a to see what work means. Mark Never worked if he: (1) never worked at any kind of job or business, either full or part-time, (2) never did any unpaid work in a family business or farm, and (3) never served in the Armed Forces."

[All]
33-35. Current or most recent job activity
Describe clearly this person's chief job activity or business last week, if any. If he had more than one job, describe the one at which he worked the most hours. If this person had no job or business last week, give information for last job or business since 1960.

[All]
33. Industry
a. For whom did he work? If now on active duty in the Armed Forces, print "AF" and skip to question 36.
_______________________
(Name of company, business, organization, or other employer)

"If he worked for company, business, or government agency, print the name of the company, not the name of his supervisor. If he worked for a person or a small business that has no company name, print the name of the person he worked for."

b. What kind of business or industry was this?
Describe activity at location where employed.
_______________________
(For example: Junior high school, retail supermarket, dairy farm, TV and radio service, auto assembly plant, road construction)

"Write two or more words to tell what the business, industry, or person named in 33a does. Write what it makes or what it sells or what service it gives. Some examples of acceptable answers are shown on the Census form and here."
Acceptable Unacceptable
Cattle ranch Ranch
Wholesale grocery store Grocery store
Retail gas station Oil company
Metal furniture manufacturing Furniture company
If a company does more than one thing (like make household electrical appliances and electric generators) describe only the major activity at the place where he works. If, however, he works at a warehouse, repair shop, etc., that is part of and used only by a larger organization, give the major activity of the larger organization; for example, department store warehouse - report department store."

c. Is this mainly - (Fill one circle)
O Manufacturing O Retail trade
O Wholesale trade O Other (agriculture, construction, service, government, etc.)
"Mark Manufacturing if the factory, plant, mill, etc. makes things, even if it also sells them. Mark Wholesale trade if a business does not make things but buys them to sell to stores or other companies. Mark Retail trade if the business mostly sells things (not services) to individuals. Mark Other if the main purpose of the employer is not making or selling things. Some examples of "Other" are services, such as those given by hotels, dry cleaners, repair shops, schools, and banks. Farming and building houses, bridges, roads, are also examples of "Other" kinds of businesses."

[All]
34. Occupation
a. What kind of work was he doing?
_______________________
(For example: TV repairman, sewing machine operator, spray painter, civil engineer, farm operator, farm hand, junior high English teacher)

"Write two or more words to tell the kind of work he does. If he is a trainee, apprentice, or helper, write that down too. See examples of acceptable answers on the Census form and here.
Acceptable Unacceptable
Sales clerk Clerk
Carpenter's helper Helper
Practical nurse Nurse
b. What were his most important activities or duties?
_______________________
(For example: Types, keeps account books, files, sells cars, operates printing press, cleans buildings, finishes concrete)

"Write the most important things that he does on the job. Some examples are shown on the Census form."

c. What was his job title?
_______________

"Print his job title (what his employer calls his job). If he has no job title, print None."

[All]
35. Was this person - (Fill one circle)
Employee of private company, business, or
individual, for wages, salary, or commissions .............. O
Federal government employee ................................... O
State government employee ....................................... O
Local government employee (city, county, etc.) ......... O
Self-employed in own business,
professional practice, or farm -
Own business not incorporated ................................... O
Own business incorporated ......................................... O
Working without pay in family business or farm ............ O
"If he was an employee of a private non-profit organization, mark the first circle. Mark Local government employee for a teacher in a local public school."

[Only on Form 1]
36. In April 1965, what State did this person live in?
O This State
OR ____________
(Name of State or foreign country; or Puerto Rico, etc.)
"Mark This State if he now lives in the same State as he did in April 1965."

[All]
37. In April 1965, was this person - (Fill three circles)
a. Working at a job or business (full or part-time)?
O Yes O No
b. In the Armed Forces?
O Yes O No
c. Attending college?
O Yes O No
"If he had two or more activities during the same period, mark Yes for each of these activities."

[Only on Form 1]
38. If "Yes" for "Working at a job or business" in question 37 -
Describe this person's chief activity or business in April 1965.

a. What kind of business or industry was this?
________________________
b. What kind of work was he doing (occupation)?
________________________
________________________

c. Was he -
An employee of a private company or government agency ..... O
Self-employed or unpaid family worker ................................. O [All]
39a. Last year (1969), did this person work at all, even for a few days?
O Yes O No - Skip to 41
b. How many weeks did he work in 1969, either full-time or part-time?
Count paid vacation, paid sick leave, and military service.
O 13 weeks or less O 40 to 47 weeks
O 14 to 26 weeks O 48 to 49 weeks
O 27 to 39 weeks O 50 to 52 weeks
"Look at the instruction for question 29a to see what work means. Count every week in which he did any work at all, even for a few hours."

[All]
40. Earnings in 1969 - Fill parts a, b, and c for everyone who worked any time in 1969 even if he had no income. (If exact amount is not known, give best estimate.)

a. How much did this person earn in 1969 in wages, salary, commissions, bonuses, or tips from all jobs? (Before deductions for taxes, bonds, dues, or other items.)
$ ____________.00 OR O None
(Dollars only)
b. How much did he earn in 1969 from his own nonfarm business, professional practice, or partnership? (Net after business expenses. If business lost money, write "Loss" above amount.)
$ ____________.00 OR O None
(Dollars only)
c. How much did he earn in 1969 from his own farm? (Net after operating expenses. Include earnings as a tenant farmer or sharecropper. If farm lost money, write "Loss" above amount.)
$ ____________.00 OR O None
(Dollars only)
"Enter the amount or fill the None circle in a, b, and c. Part 40a includes "sick leave" pay. Part 40a excludes military bonuses, reimbursement for business expenses, and pay "in kind." The owner of an unincorporated nonfarm business should include his net earnings in part 40b. If the business or farm is incorporated, his earnings should be included in part 40a."

[All]
41. Income other than earnings in 1969 - Fill in parts a, b, and c.
(If exact amount is not known, give best estimate.) "Enter the amount or fill the None circle in a, b, and c."

a. How much did this person receive in 1969 from Social Security or Railroad Retirement?
$ ____________.00 OR O None
(Dollars only)
"Social Security or Railroad Retirement - include U.S. Government payments to retired persons, to dependents of deceased insured workers, or to disabled workers. Include "Medicare" premiums; exclude receipts."

b. How much did he receive in 1969 from public assistance or welfare payments?
Include aid for dependent children, old age assistance, general assistance, aid to the blind or totally disabled. Exclude separate payments for hospital or other medical care.
$ ____________.00 OR O None
(Dollars only)
"Public assistance or public welfare payments - include amounts received from Federal, State, or local public programs. Exclude private welfare payments."

c. How much did he receive in 1969 from all other sources?
Include interest, dividends, veterans' payments, pensions, and other regular payments.
(See instruction sheet.)
$ ____________.00 OR O None
(Dollars only)
"Interest, dividends - include amounts received or credited to your account.
Veterans' payments - include money paid for service-connected disabilities, to survivors of deceased veterans, for education and on-the-job training subsistence allowances, and for 'refunds' on 'GI' insurance premiums.
Retirement pensions - include amounts paid by former private employers and by unions, and amounts paid by Federal, State, county, or other governmental agencies.
Other regular payments - include such periodic income as net rental income, unemployment insurance benefits, workmen's compensation, private welfare payments, alimony or child support, Armed Forces allotments, and regular contributions from persons who are not members of your household.
Exclude receipts from the sale or personal property, capital gains, lump-sum insurance or inheritance payments, or pay 'in kind.'"

[1970 Housing questions.]

"If you live in an apartment building and you do not know the answers to questions H14, H15, H16, and H25, ask the person who runs your building (for example, the manager, rental agent, superintendent, janitor, etc.).

[All]
A. How many living quarters, occupied and vacant, are at this address?
O One
O 2 apartments or living quarters
O 3 apartments or living quarters
O 4 apartments or living quarters
O 5 apartments or living quarters
O 6 apartments or living quarters
O 7 apartments or living quarters
O 8 apartments or living quarters
O 9 apartments or living quarters
O 10 or more apartments or living quarters
O 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.

[All -- this question filled out by enumerators, not respondents; for IPUMS purposes, the only significant distinctions are between occupied, vacant, and group quarters units.]
B. Type of unit or quarters
Occupied
O First form
O Continuation
Vacant
O Regular
O Usual residence elsewhere
Group quarters
O First form
O Continuation
For a vacant unit, also fill C, D, A, H2 to H8, and H10 to H12

[All -- this question filled out by enumerators, not respondents]
C. Vacancy status
Year round --
O For rent
O For sale only
O Rented or sold, not occupied
O Held for occasional use
O Other vacant
O Seasonal
O Migratory

[All -- this question filled out by enumerators, not respondents]
D. Months vacant
O Less than 1 month
O 1 up to 2 months
O 2 up to 6 months
O 6 up to 12 months
O 1 year up to 2 years
O 2 years or more
[All]
H1. Is there a telephone on which people in your living quarters can be called?
O Yes What is the number? _________________
O No Phone number
"Mark Yes and enter telephone number, even if the telephone is in another apartment or building."

[All]
H2. Do you enter your living quarters --
O Directly from the outside or through a common or public hall?
O Through someone else's living quarters?
"Mark the second circle only if you must go through someone else's living quarters to get to your own."

[All]
H3. Do you have complete kitchen facilities?
Complete kitchen facilities are a sink with piped water, a range or cook stove, and a refrigerator.
O Yes, for this household only
O Yes, but also used by another household
O No complete kitchen facilities for this household
"The kitchen sink, stove, and refrigerator do not have to be in the same room. Also used by another household means that someone else who lives in the same building, but is not a member of your household, also uses the equipment. Mark this circle also if the occupants of living quarters now vacant would also use the equipment."

[All]
H4. How many rooms do you have in your living quarters?
Do not count bathrooms, porches, balconies, foyers, halls, or half-rooms.
O 1 room O 6 rooms
O 2 rooms O 7 rooms
O 3 rooms O 8 rooms
O 4 rooms O 9 rooms or more
O 5 rooms
"Count only whole rooms used for living purposes, such as living rooms, dining rooms, kitchens, bedrooms, finished recreation rooms, family rooms, etc. Do not count kitchenettes, strip or pullman kitchens; utility rooms; or unfinished attics, basements, or other space used for storage."

[All]
H5. Is there hot and cold piped water in this building?
O Yes, hot and cold piped water in this building
O No, only cold piped water in this building
O No piped water in this building
"Mark hot water even if you have it only part of the time."

[All]
H6. Do you have a flush toilet?
O Yes, for this household only O Yes, but also used by another household
O No flush toilet
"See instructions for H3 for meaning of Also used by another household."

[All]
H7. Do you have a bathtub or shower?
O Yes, for this household only.
O Yes, but also used by another household
O No bathtub or shower
"See instructions for H3 for meaning of Also used by another household."

[All]
H8. Is there a basement in this building?
O Yes
O No, build on a concrete slab
O No, build in another way (include mobile homes and trailers)
"A house has a basement if there is enclosed space in which persons can walk upright under all or part of the building. A house on a concrete slab has no basement and no air or crawl space below it. A house built in another way is one directly on the ground or resting on a foundation or posts to provide crawl space."

[All]
H9. Are your living quarters -
O Owned or being bought by you or by someone else in this household? Do not include cooperatives and condominiums here.
O A cooperative or condominium which is owned or being bought by you or by someone else in your household?
O Rented for cash rent?
O Occupied without payment of cash rent?
"Owned or being bought means that the living quarters are owned outright or are mortgaged. Also mark Owned or being bought if the living quarters are owned but the land is rented. Mark Rented for cash rent if any money rent is paid. Rent may be paid by persons who are not members of your household. Occupied without payment of cash rent includes, for example, a parsonage, a house or apartment provided free of rent by the owner, or a house or apartment occupied by a janitor or caretaker in exchange for services."

[All]
H10a. Is this building a one-family house?
O Yes, a one-family house
O No, a building for 2 or more families or a mobile home or trailer
b. If "Yes" -- Is this house on a place of 10 acres or more, or is any part of this property used as a commercial establishment or medical office?
O Yes, 10 acres or more
O Yes, commercial establishment or medical office
O No, none of the above
"A commercial establishment is easily recognized from the outside; for example, a grocery store or barber shop. A medical office is a doctor's or dentist's office regularly visited by patients. If your house is on a place of 10 acres or more and also contains a commercial establishment or medical office, mark Yes, 10 acres or more."

[All]
H11. If you live in a one-family house which you own or are buying --
What is the value of this property; that is, how much do you think this property (house and lot) would sell for if it were for sale?
If this house is on a place of 10 acres or more, or if any part of this property is used as a commercial establishment or medical office, do not answer this question.
O Less than $5,000
O $5,000 to $7,499
O $7,500 to $9,999
O $10,000 to $12,499
O $12,500 to $14,999
O $15,000 to $17,499
O $17,500 to $19,999
O $20,000 to $24,999
O $25,000 to $34,999
O $35,000 to $49,999
O $50,000 or more
"Include the value of the house, the land it is on, and any other structures on the same property. If the house is owned but the land is rented, estimate the combined value of the house and the land."

[All]
H12. Answer this question if you pay rent for your living quarters.

"Report the rent agreed to or contracted for, even if the furnishings, utilities, or services are included."

a. If rent is paid by the month --
What is the monthly rent?
Write amount here $ ____________.00 (Nearest dollar)
and
Fill one circle
O Less than $30
O $30 to $39
O $40 to $49
O $50 to $59
O $60 to $69
O $70 to $79
O $80 to $89
O $90 to $99
O $100 to $119
O $120 to $149
O $150 to $199
O $200 to $249
O $250 to $299
O $300 or more
"If you pay rent by the month, write in the amount of rent and fill one circle."

b. If rent is not paid by the month -
What is the rent, and what period of time does it cover?
$ ____________.00 per ______________________________
(Nearest dollar) (Week, half-month, year, etc.)

"If rent is not paid by the month, answer both parts of b. For example, $20 per week, $1,500 per year, etc."

[All]
H13. Answer question H13 if you pay rent for your living quarters.
In addition to the rent entered in H12, do you also pay for -

"If exact costs are not known, estimate as closely as possible. Report amounts even if bills are unpaid or are paid by someone else. If the bills include utilities or fuel used also by another apartment or a business establishment, estimate the amounts for your own living quarters. If gas and electricity are billed together, enter the combined amount on the electricity line and bracket ({) the two utilities."

a. Electricity?
O Yes, average monthly cost is $___________________.00
O No, included in rent Average monthly cost
O No, electricity not used
b. Gas?
O Yes, average monthly cost is $___________________.00
O No, included in rent Average monthly cost
O No, gas not used
c. Water?
O Yes, yearly cost is $____________.00
O No, included in rent or no charge (Yearly cost)
d. Oil, coal, kerosene, wood, etc.?
O Yes, yearly cost is $____________.00
O No, included in rent (Yearly cost)
O No, these fuels not used
[All]
H14. How are your living quarters heated?
Fill one circle for the kind of heat you use most.
O Steam or hot water system
O Central warm air furnace with ducts to the individual rooms, or central heat pump
O Built-in electric units (permanently installed in wall, ceiling, or baseboard)
O Floor, wall, or pipeless furnace
O Room heaters with flue or vent, burning gas, oil, or kerosene
O Room heaters without flue or vent, burning gas, oil, or kerosene (not portable)
O Fireplaces, stoves, or portable room heaters of any kind

In some other way--Describe ____________________

O None, unit has no heating equipment
"This question refers to the type of heating equipment and not to the fuel used. A heat pump is sometimes known as a reverse cycle system. A floor, wall, or pipeless furnace delivers warm air to the room right above the furnace or to the room(s) on one or both sides of the wall in which the furnace is installed. These furnaces do not have ducts leading to other rooms. Any heater that you plug into an electric outlet should be counted as a portable room heater -- not a built-in electric unit."

[All]
H15. About when was this building originally built?
Mark when the building was first constructed, not when it was remodeled, added to, or converted.
O 1969 or 1970 O 1950 to 1959
O 1965 to 1968 O 1940 to 1949
O 1960 or 1964 O 1939 or earlier
[All]
H16. Which best describes this building?
Include all apartments, flats, etc., even if vacant.
O A one-family house detached from any other house
O A one-family house attached to one or more houses
O A building for 2 families
O A building for 3 or 4 families
O A building for 5 to 9 families
O A building for 10 to 19 families
O A building for 20 to 49 families
O A building for 50 or more families
O A mobile home or trailer
Other -- Describe____________________
"Count all occupied and vacant living quarters in the house or building, but not 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 which goes from ground to roof."

[All]
H17. Is this building --
O On a city or suburban lots? - Skip to H19
O On a place of less than 10 acres?
O On a place of 10 acres or more?
"A city or suburban lot is usually located in a city, a community, or any built-up area outside a city or community, and is not larger than the house and yard. All living quarters in apartment buildings, including garden-type apartments in the city or suburbs, are considered on a city or suburban lot. A place is a farm, ranch, or any other property, other than a city or suburban lot, on which this residence is located."

[All]
H18. Last year, 1969, did sales of crops, livestock, and other farm products from this place amount to --
O Less than $50 (or None) O $2,500 to $4,999
O $50 to $249 O $5,000 to $9,999
O $250 to $2,499 O $10,000 or more
"Fill the circle for the total (gross) amount of money received from the sales of crops, livestock, and other farm products produced on this place during the calendar year 1969."

[Only on Form 2]
H19. Do you get water from --
O A public system (city water department, etc.) or private company?
O An individual well?
O Some other source (a spring, creek, river, cistern, etc.)?
"If a well provides water for six or more houses or apartments, mark a public system. If a well provides water for five or fewer houses or apartments, mark an individual well."

[Only on Form 2]
H20. Is this building connected to a public sewer?
O Yes, connected to public sewer
O No, connected to septic tank or cesspool
O No, use other means
"A public sewer is operated by a government body or a private organization. A septic tank or cesspool is an underground tank or pit used for disposal of sewage."

[Only on Form 2]
H21. How many bathrooms do you have?
A complete bathroom is a room with flush toilet, bathtub or shower, and wash
basin with piped water.
A half bathroom has at least a flush toilet or bathtub or shower, but does not have
all the facilities for a complete bathroom.
O No bathroom, or only a half bathroom
O 1 complete bathroom
O 1 complete bathroom, plus half bath(s)
O 2 complete bathrooms
O 2 complete bathrooms, plus half bath(s)
O 3 or more complete bathrooms
[Only on Form 2]
H22. Do you have air-conditioning?
O Yes, 1 individual room unit
O Yes, 2 or more individual room units
O Yes, a central air-conditioning system
O No
"Count only equipment with a refrigeration unit to cool the air. Mark an individual room unit for air conditioners which are installed in a window or in an outside wall and are used to cool one or more rooms. Mark a central system for a central installation which cools the entire house or apartment."

[Only on Form 2]
H23. How many passenger automobiles are owned or regularly used by members of your household?
Count company cars kept at home.
O None
O 1 automobile
O 2 automobiles
O 3 automobiles or more
"Do not count cars permanently out of working order. Also do not count taxicabs, pickups, or larger trucks."

[Only on Form 1]
H24a. How many stories (floors) are in this building?
O 1 to 3 stories
O 4 to 6 stories
O 7 to 12 stories
O 13 stories or more
"Do not count a basement as a story."

b. If 4 or more stories --
Is there a passenger elevator in this building?
O Yes O No
"Do not count elevators used only for freight."

[Only on Form 1]
H25. "Gas from underground pipes is piped in from a central system such as a public utility company or a municipal government. Bottled, tank, or LP gas is stored in tanks which are refilled or exchanged when empty. Other fuel includes any fuel not separately listed, for example, purchased steam, fuel briquettes, waste material, etc."

a. Which fuel is used most for cooking?
Gas... Coal or coke........ O
From underground pipes serving the neighborhood........ O Wood.................. O
Bottled, tank, or LP...................................................... O Other fuel............ O
Electricity.......................................................................... O No fuel used........ O
Fuel oil, kerosene, etc........................................................ O

b. Which fuel is used most for house heating?
Gas... Coal or coke........ O
From underground pipes serving the neighborhood...... O Wood.................. O
Bottled, tank, or LP..................................................... O Other fuel............ O
Electricity........................................................................ O No fuel used........ O
Fuel oil, kerosene, etc...................................................... O

c. Which fuel is used most for water heating?
Gas... Coal or coke........ O
From underground pipes serving the neighborhood........O Wood.................. O
Bottled, tank, or LP..................................................... O Other fuel............ O
Electricity........................................................................ O No fuel used........ O
Fuel oil, kerosene, etc...................................................... O

[Only on Form 1]
H26. How many bedrooms do you have?
Count rooms used mainly for sleeping even if used also for other purposes.
O No bedroom O 3 bedrooms
O 1 bedroom O 4 bedrooms
O 2 bedrooms O 5 bedrooms or more
[Only on Form 1]
H27.
"Mark the Yes circle whether you own the appliance or it is provided as part of the equipment in your living quarters. Do not count coin-operated equipment or appliances in storage."

a. Do you have a clothes washing machine?
O Yes, automatic or semi-automatic
O Yes, wringer or separate spinner
O No
b. Do you have a clothes dryer?
O Yes, electrically heated
O Yes, gas heated
O No
c. Do you have a dishwasher (built-in or portable)?
O Yes O No
d. Do you have a home food freezer which is separate from your refrigerator?
O Yes O No
[Only on Form 1]
H28a. Do you have a television set? Count only sets in working order.
O Yes, one set
O Yes, two or more sets
O No
b. If "Yes" -- Is any set equipped to receive UHF broadcasts, that is, channels 14 to 83?
O Yes O No
"Count any set equipped to receive UHF (ultra high frequency) broadcasts, even if there are no such broadcasts in your area. Include sets that can be tuned directly to channels 14 to 83 and sets that receive UHF broadcasts by means of a converter. Also include sets that receive UHF broadcasts through a community antenna (CATV) or master antenna."

[Only on Form 1]
H29. Do you have a battery-operated radio?
Count car radios, transistors, and other battery-operated sets in working order or needing only a new battery for operation.
O Yes O No
"A battery-operated radio is one that can be run on batteries and does not need to be plugged into an electric socket. Include batter-operated sets owned by any member of the household."

[Only on Form 1]
H30. Do you (or any member of your household) own a second home or other living quarters which you occupy sometime during the year?
O Yes O No
"Do not count vacation trailers, tents, or boats. Also do not count second homes used only for investment purposes."

ENDNOTES:

1 FOSDIC=Film Optical Sensing Device for Input to Computers. FOSDIC forms have small circles which respondents have to fill in with a Number 2 lead pencil.

FACSIMILE OF THE 1970 CENSUS QUESTIONNAIRE PAGE SHOWING THE 100-PERCENT HOUSING QUESTIONS
HOUSEHOLD QUESTIONS

HA. How many housing units, occupied or vacant, are there in this structure?
O 1 unit. detached from any other unit
O 1 unit. attached to one.or more other units
O 2 units
O 3 or 4 unit
O S to 9 unit
O 10 to 19 unit
O 20 to 49 units
O 5O or more unit
O Mobile home or trailer


H1. Is there a telephone on which people who live here can be called?
O Yes ------> What is the number?
O No
_______ (Phone number)

H2. Do you enter your living quarters --
O Directly from the outside or through a common or public hill?
O Through someone else's living quarters?


H3. Do you have cooking facilities? (Include a range, stove, or portable cooking facilities if used regularly in the preparation of meals.)
O Yes. for this household only
O Yes. but also used by another household
O No cooking facilities


H4. How many rooms do you have In your living quarters? (Count bedrooms, kitchen, living room, etc. but not the bathroom.)
0 1 room O 6 rooms
O 2 rooms O 7 rooms
O 3 rooms O 8 rooms
O 4 rooms O 9 rooms or more
0 5 rooms


H5. Is there hot and cold piped water in this structure?

O Yes. hot and cold piped water in this structure
O No. only cold piped water in this structure
O No piped water in this structure


H6. Is there a flush toilet in this structure?
O Yes. for this household only
O Yes. but also used by another household
O No flush toilet


H7. It there a bathtub or shower in this structure?
O Yes. for this household only
O Yes. but also used by another household
O No bathtub or shower


H8. Is your housing unit -
O Owned or being bought by you of someone else in this household (Include all housing units that are owned or being bought. ??? Do not inlude cooperatives or condominiums here)
O A cooperative or condominium which is owned or being bought by you or someone else in this household?
O Rented for cash rent?
O Occupied without payment of cash rent?


H9a. Is this building a one-family house?
O Yes. a one-family house
O No. a building for 2 or more families or a mobile home or trailer (Skip to H11)


H9b. If "YES" - Is this home on a place of 3 cuerdas or more, or it any part of this property used as a commercial establishment or medical office?
O Yes. 3 cuerdas or more
O Yes, commercial establishment or medical office
O No. none of these


H10. If you live in a one-family home which you own or are buying--
What is the value of this property: that is, how much do you think this property (house and land) would sell for if it were for sale? (If land is rented, estimate the value of the land and combine it with the value of the house.
O Less than $500
O $500 to $999
O $1,000 to $1,999
O $2,000 to $2,999
O $3,000 to $4,999
O $5,000 to $7,499
O $7,500 to $9,999
O $10,000 to $14,999
O $15,000 to $19,999
O $20,000 to $29,999
O $30,000 or more


H11. Answer this question if you pay rent for your housing unit.
a. If you pay rent by the month-
What is your monthly rent?
Write the amount here -->___________.00

AND
Fill one circle here
O Less than $10
O $10 to $19
O $20 to $29
O $30 to $39
O $40 to $49
O $50 to $59
O $60 to $69
O $70 to $79
O $80 to $89
O $90 to $99
O $100 to $119
O $120 to $149
O $150 to $199
O $200 or more
b. If you do not pay monthly rent-
What is your rent, and what period of time does it cover?

$________________.00 per ________________________
(Nearest dollar) (Week, half month, year)
.00

FOR CENSUS TAKER'S USE ONLY

a4. Black |a5. Serial
number | number
0 O O O 0 O O O 0
1 O O O 1 O O O 1
2 O O O 2 O O O 2
3 O O O 3 O O O 3
4 O O O 4 O O O 4
5 O O O 5 O O O 5
6 O O O 6 O O O 6
7 O O O 7 O O O 7
8 O O O 8 O O O 8
9 O O O 9 O O O 9

C. Type of housing unit or living quarters

Occupied
O First form
O Continuation

Vacant
O Regular
O Usual residence elsewhere

Group Quarters
O First form
O Continuation


For vacant housing units also answer questions D, E, A, H2 to H7, and H9 to H11.


D. Vacancy status-
Year round
O For rent
O For sale only
O Rented or sold. not occupied
O For occasional use
O Other vacant


E. Months vacant
O Less than 1 month
O From 1 to 2 months
O From 2 to 6 months
O From 6 to 12 months
O From 1 year to 2 years
O 2 years or more


====================================================================
FACSIMILE OF THE 1970 CENSUS QUESTIONNAIRE PAGE SHOWING THE SAMPLE HOUSING QUESTIONS

Ask questions H12 to H14 if housing unit it owned or being bought.

H12. Is the owner of the housing unit also owner of the land or does he rent the land?
O Owner or buying the land
O Pays rent for the land
O Does not pay rent for use of the land

H13. If the land is rented-
What is the monthly rent for the land?
$________________.00
(nearest dollar)

H14. It there a mortgage on this property?
O Yes
O No

Ask question H15 if rented for cash.

H15. In addition to the rent (entered in H11), do you also pay for-

a. Electricity?
O Yes, average monthly cost is $_______________.00
O No, included in rent
O No, electricity not used

b. Gas?
O Yes, average monthly cost is $_______________.00
O No. induded in rent
O No, gas not used

c. Water?
O Yes, yearly cost is $_______________.00
O No. included in rent or no charge

d. Oil, kerosene, charcoal, wood, etc.?
O Yes, yearly cost is $_______________.00
O No, included in rent
O No. these fuels not used

H16. Location and type of toilet
O Flush toilet inside structure
O Flush toilet outside structure, for this household only
O Flush toilet outside structure, also used by another household
O Privy
O No flush toilet or privy

H17. Location of piped water
O Inside structure
O Outside structure, on property
O Outside structure. on street, road, or highway
O No piped water

H18. Does this housing unit have a kitchen sink with piped water?
O Yes
O No

H19. What type of refrigerator do you have?
O Mechanical (electric or gas)
O Ice
O No refrigerator

H20. Type of cooking facilities.
O Range or cookstove
O Portable cooking facilities
O No cooking facilities

H21. Location of cooking facilities.
O In this structure
O In another structure
O Outdoors
O No cooking facilities

H22. Which fuel is used most for cooking?
O Wood
O Charcoal
O Utility gas
O Bottled or tank gas
O Electricity
O Kerosene, fuel oil, etc.
O Other fuel
O No fuel used

H23. How many bedrooms are there in this housing unit?
(Count the rooms used mainly for sleeping even if used for other purposes.)
O No bedrooms
O 1 bedroom
O 2 bedrooms
O 3 bedrooms
O 4 bedrooms
O 5 bedrooms or more

H24. Type of construction.
Masonry walls (poured concrete, concrete blocks, stone, ornamental blocks, etc.)
O With concrete slab roof
O With wood frame roof
Wood frame walls
O With masonry foundation, poured concrete, etc.
O With wood base foundation
O Other type of construction

H25. About when was this structure originally built?
Mark when this structure was constructed for the first time, not when it was remodeled, added to, etc.)
O 1969 or 1970
O 1965 to 1968
O 1960 to 1964
O 1950 to 1959
O 1940 10 1949
O 1939 or earlier

H26. Determine from the Address Register- is this house on a farm?
O Yes, on a farm (Skip to H28)
O No, not on a farm

H27. If not on a farm-
Do you produce any fruits or vegetables or keep any livestock on this place for home consumption?
O Yes
O No

H28. Does this housing unit have electric lighting?
O Yes
O No

H29. What means do you use to obtain water for your housing unit?
O Public system
O Individual well
O Cistern, tanks, or drums
O Irrigation canal
O Spring or other source (river, etc)

H30. Is this structure connected to a public sewer?
O Yes
O No, use septic tank
O No, use other means

H31. Do you have a television set?
(Count sets in working order)
O 1 set
O 2 or more sets
O None

H32a. Do you have a radio? (Include car radio)
O 1 or more
O None (skip to H33)

H32b. Is any of these battery-operated?
O Yes
O No

H33. How many passenger cars are owned or used regularly by members of this household?
O None
O 1 automobile
O 2 or more automobiles

H34. Condition of this housing unit--
Original construction adequate
O Sound
O Deteriorating
O Dilapidated
O Original construction inadequate


====================================================================
FACSIMILE OF THE POPULATION QUESTIONS ON THE 1970 CENSUS QUESTIONNAIRES
(Questions on this page appeared on both the 80-percent and 20-percent questionnaires)
PERSON QUESTIONS

P1. WHAT IS THE NAME OF EACH PERSON who was living here on Wednesday, April 1. 1970 or who was staying or visiting here and had no other home?
Print names in this order:
Head of the household
Wife of head
Unmarried children, oldest first
Married children and their families
Other relatives of the head
Persons not related to the head
Last name ______________________________
First name ______________________________
Middle initial ____


P2. HOW IS EACH PERSON RELATED TO THE HEAD OF THIS HOUSEHOLD?
Fill one circle.
It "Other relative of head," also give exact relationship, for example, mother-in-law, brother, niece, grandson, etc.
It "Other not related to head," also give exact relationship, for example, partner, roomer's wife, maid, boarder's daughter, etc.
O Head of household
O Wife of head
O Son or daughter of head
O Other relatives of head - Print exact relationship _____________________
O Roomer, boarder, lodger
O Patient or inmate
O Other not related to head- Print exact relationship _____________________


P3. SEX
Fill one circle
O Male
O Female


DATE OF BIRTH

P4. Month and year of birth and age last birthday
Print
Month _____ Year _____ Age _____

P5. Month of birth
Fill one circle
O January-March
O April-June
O July-September
O October-December

P6. Yeor of birth
Fill one circle for first three numbers
O 186-
O 187-
O 188-
O 189-
O 190-
O 191-
O 192-
O 193-
O 194-
O 195-
O 196-
O 197-
Fill one circle for last number
O 0
O 1
O 2
O 3
O 4
O 5
O 6
O 7
O 8
O 9

P7. MARITAL STATUS
Is this person now-
O Married?
O Consensually married?
O Widowed?
O Divorced?
O Separated?
O Single?


RESPONDENT INSTRUCTIONS FOR POPULATION QUESTIONS 1 TO 7
Question 1. If you are not sure about whether to list a person,???
Question 2. If two or more unrelated people live together and share the rent, mark the first one you list "Head of the household." Mark the best "Other not related to head" and print "partner" in the space.
A stepchild or legally adopted child of the head should be marked "son or daughter of the head."
Question 4. If the month or year of birth, or the age, is not known give your best answer.
Questions 5, 6. If you are not sure how to fill the circles, look at the examples shown above.
Question 7. ???


====================================================================
FACSIMILE OF THE POPULATION QUESTIONS ON THE 1970 CENSUS QUESTIONNAIRES
(Questions on this page appeared only on the 20-percent questionnaires)

Name of person on line (1) of page 2
Last name ________________________ First name ________________________ Initial ______

P12. Where was this person born?
It born in a hospital, give residence of the mother, not location of hospital
If born in Puerto Rico, mark the circle, or write the name of the monicipio. If born outside of Puerto Rico, give State or territory of tha United States or foreign country.
O This mtinicipio
Other: __________________________________
(Municipio, State, territory, or foreign country)

P13. Where was his father born?
O P.R.
Other: __________________________________
(Municipio, State, territory, or foreign country)

P14. Where was his mother born?
O P.R.
Other: __________________________________
(Municipio, State, territory, or foreign country)

P15. Does this person know how to read and write? (in any language)
O Yes
O No

P16. Can this person speak English?
O Yes
O No

P17. When did this person move into this house (or apartment)?
(Mark circle for date of last move.) .
O 1969 or 1970
O 1968
O 1967
O 1965 or 1966
O 1960 to 1964
O 1950 to 1959
O 1949 or earlier
O Always lived here

P18a. Was this person living here on April 1, 1965?
(If in college or Armed Forces in April 1965, report place of residence there.)

O Born in April 1965 or later (Skip to 19)
O Yes, in this house (Skip to 18c)
O No, in another house.

P18b. Where did he live on April 1, 1965?
OUTSIDE OF PUERTO RICO:
(1)__________________________________
(State, territory, or foreign country)

IN PUERTO RICO:
(2)__________________________________
(Municipio, barrio)

(3) Inside the limits of a city, town or village?
O Yes
O No
(4)__________________________________
(Name of city, town or village)

P18c. During the last 5 years, did he live in the United States at any time for 6 months or more?
O Yes
O No (Skip to 19)

P18d. What year did he return to Puerto Rico last time?
O 1965
O 1966
O 1967
O 1968
O 1969 or 1970

P18e. How long did he live in the United States (the last time)?
O 6 months to one year
O One or two years
O Three or four years
O Five years or more

P18f. When he lived in the United States, was he -
(Mark the appropriate circles)
O Working at a job or business (full or part-time)
O In the Armed Forces
O Attending school or college
O Doing something else (housework, retired, etc.)


P19. Since February 1,1970, has this person attended regular school or college at any time?
O No
O Yes, public school or college
O Yes, parochial school or college
O Yes, other private school


P20. What is the highest grade (or year) of regular school he has ever attended?
(If now attending, mark grade he is in)
O Never attended school (Skip to 22)
O Nursery school
O Kindergarten

Elementary through high school:
O O O O O O O O O O O O
1 2 3 4 5 6 7 8 9 10 11 12

College or university (Academic year)
O O O O O O
1 2 3 4 5 6 or more


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FACSIMILE OF THE POPULATION QUESTIONS ON THE 1970 CENSUS QUESTIONNAIRES
(Questions on this page appeared only on the 20-percent questionnaires)

P21. Did he finish the highest grade (or year) he attended?
O Now attending this grade
O Finished this grade
O Did not finish this grade


P22. When was this person born?
O Before April 1956
O Born April 1956 or later (Interview next person)


P23. If this is a girl or woman-
How many babies has she ever had, not counting stillbirths, stepchildren, or adopted children?

O O O O O O O O O O O O 0
1 2 3 4 5 6 7 8 9 10 11 12 or more None


P24. If this person is a man-
Has he at some time served in the Army, Navy, or other Armed Forces of the United States?
O Yes
O No

(Fill the circle for each period of service)
O Vietnam conflict (Since Aug. 1964)
O Korean War (June 1950 to Jan. 1955}
O World War II (Sept. 1940 to July 1947)
O World War 1 (April 1917 to Nov. 1918)
O Any other time


P25a. Has this person ever completed a vocational training program? (For example, in high school; as apprentice; in school of business, nursing, or industrial; technical institute, or Armed Forces schools).
O Yes
O No (Skip to 26)

P25b. What was his main field of training? (Fill one circle)
O Business, office work
O Nursing, other health field
O Trades and crafts (mechanic, electrician, barber, etc.)
O Engineering, draftsman
O Agriculture or home economics
O Other field -
(Specify)__________________________________

P26a. Did, this person work at any time last week? Include part-time work such as a Saturday job, home needlework, or helping without pay in a family business or farm, and active duty in the Armed Forces. Do not include own housework.
O Yes (Continue with 26b)
O No (Skip to 27)

P26b. How many hours did this person work last week? (at all jobs)
O 1 to 14 hours
O 15 to 29 hours
O 30 to 34 hours
O 35 to 39 hours
O 40 hours
O 41 to 48 hours
O 49 to 59 hours
O 60 hours or more

P26c. Where did he work last week? (If he worked at more than one place, indicate the place where he worked most last week.)
(1) Address - Number and street name
__________________________________
(2) Name of city, town, village, etc.
__________________________________
(3) Inside the limits of this city, town, village, etc.?
O Yes
O No
(4) Barrio __________________________________
(5) Municipio __________________________________
(6) Zip code __________________________________

P26d. What means of transportation did he use to get to work? (Mark the most recently used one.)
O Driver, private car
O Taxi
O Passenger, private car
O Walked only
O Bus
O Worked at home
O Public car
O Ferry boat
O Other means
Specify __________________________________


P27. Does this person have a job or business from which he was temporarily absent or on layoff last week?
O Yes, on layoff
O Yes, on vacation, temporary illness, labor dispute, etc.
O No


P28a. Has he been looking for work during the past 4 weeks?
O Yes
O No (Skip to 29)

P28b. Was there any reason why he could not take a job last week?
O Yes, already has a job
O Yes, due to this person's illness
O Yes, for other reasons
O No could have taken a job


P29. When did he last work at all, even for a few days?
O In 1970
O In 1969
O In 1968
O 1964-1967
O 1960-1963
O 1959 or earlier (Skip to 35)
O Never worked (Skip to 35)


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FACSIMILE OF THE POPULATION QUESTIONS ON THE 1970 CENSUS QUESTIONNAIRES
(Questions on this page appeared only on the 20-percent questionnaires)

30-32. Show in questions 30-32 this person's job or business during the last week. If he had no job or business last week, give information for most recent job or business since 1960.


P30a. For whom did he work?
______________________________________________
(Name of company, buiinea. organization, or other employer)

O Now serving in the Armed Forces (Skip to 33)

P30b. What kind of business or industry was this?
______________________________________________
(For example: Junior high school, retail supermarket. TV and radio service, dairy farm, sugar mill, etc)

P30c. Is this business or industry mainly -
O Manufacturing
O Wholesale trade
O Retail trade
O Other (agriculture, construction, government, service, etc.)


P31a. What kind of work was he doing?
______________________________________________
(For example: TV repairman, seamstress, civil engineer. farm operator, junior high school English teacher, etc.)

P31b. What were the most important activities or duties?
______________________________________________
(For example: Types, keeps account books, filing, selling cars, janitor, bricklayer, etc.)


P32. Class of worker: Mark from the information in 30-31. or ask if not clear.
O Employee of private company, business, or individual. for wages, salary, or commissions
O Employee of Federal government
O Employee of Commonwealth government
O Employee of municipal qovernment
Self-employed, in own business, farm, etc?
O Own business not incorporated
O Own business incorporated
O Work without pay in a family business or farm


P33a. During last year (1969), did this person work at all, even for a few days?
O Yes
O No (Skip to 35)

P33b. How many weeks did he work in 1969, either full-time or part-time?
(Count paid vacation, paid sick leave, and military service.)
O 13 weeks or less
O 14 to 26 weeks
O 27 to 39 weeks
O 40 to 47 weeks
O 48 to 49 weeks
O 50 to 52 weeks


P34a. How much did this person earn during 1969 in wages, salary, commissions, bonuses, or tips from all jobs?
(Before deductions for taxes, etc)
$__________________.00
(Nearest dollar)

O None

P34b. How much did he earn in 1969 from his own business. professional practice, or partnership?
(Net amount after Operating expenses.)
$__________________.00
(Nearest dollar)

O None

P34c. How much did he earn in 1969 from-his own farm?
(Net amount after operating expenses.)
$__________________.00
(Nearest dollar)

O None

P35a. How much did this person-receive in 1969 from Social Security or retirement?
$__________________.00
(Nearest dollar)

O None

P35b. How much money did he receive in 1969 from public assistance or welfare payments?
(Include aid to minors. old age assistance, general assistance, aid to the blind or totally disabled. Exclude separate payments for hospital or other medical care.)
$__________________.00
(Nearest dollar)

O None

P35c. How much did he receive in 1969 from other sources?
(Include interests, dividends, veterans' payments, pensions and other regular payments.)
$__________________.00
(Nearest dollar)

O None