Census Household Form

Person 1

All fields must be completed for each person. Please enter only true information.
If you cannot fill out a question, please contact our help hotline: 1300 ABS.

Family Name: This field is incorrect.

Given Name: This field is incorrect.

Gender: -- Please Select Gender -- Male Female Other Prefer Not To Say This field is incorrect.

Date of Birth:

Country of Birth: -- Please Select A Country -- Australia New Zealand Fiji Solomon Islands Papua New Guinea Philippines China India USA Italy Other This field is incorrect.

What year did you arrive in Australia? This field is incorrect.

Other languages: This field is incorrect.

How well do you speak English? -- Please Select -- Very Well Well Average Not Well Not at All This field is incorrect.

What is the highest level of secondary school completed? -- Please Select -- Year 12 Year 11 Year 10 Year 9 Year 8 Year 7 Did Not Go To High School This field is incorrect.

What is the highest qualification you have received? -- Please Select -- Trade Certificate Cert. I Cert. II Cert. III Cert. IV Bachelor's Degree Associate Diploma Masters PhD No Higher Qualification This field is incorrect.

What is the main field of study of your highest qualification? This field is incorrect.

Person 2

All fields must be completed for each person. Please enter only true information.
If you cannot fill out a question, please contact our help hotline: 1300 ABS.

Family Name: This field is incorrect.

Given Name: This field is incorrect.

Gender: -- Please Select Gender -- Male Female Other Prefer Not To Say This field is incorrect.

Date of Birth:

Country of Birth: -- Please Select A Country -- Australia New Zealand Fiji Solomon Islands Papua New Guinea Philippines China India USA Italy Other This field is incorrect.

What year did you arrive in Australia? This field is incorrect.

Other languages: This field is incorrect.

How well do you speak English? -- Please Select -- Very Well Well Average Not Well Not at All This field is incorrect.

What is the highest level of secondary school completed? -- Please Select -- Year 12 Year 11 Year 10 Year 9 Year 8 Year 7 Did Not Go To High School This field is incorrect.

What is the highest qualification you have received? -- Please Select -- Trade Certificate Cert. I Cert. II Cert. III Cert. IV Bachelor's Degree Associate Diploma Masters PhD No Higher Qualification This field is incorrect.

What is the main field of study of your highest qualification? This field is incorrect.

Person 3

All fields must be completed for each person. Please enter only true information.
If you cannot fill out a question, please contact our help hotline: 1300 ABS.

Family Name: This field is incorrect.

Given Name: This field is incorrect.

Gender: -- Please Select Gender -- Male Female Other Prefer Not To Say This field is incorrect.

Date of Birth:

Country of Birth: -- Please Select A Country -- Australia New Zealand Fiji Solomon Islands Papua New Guinea Philippines China India USA Italy Other This field is incorrect.

What year did you arrive in Australia? This field is incorrect.

Other languages: This field is incorrect.

How well do you speak English? -- Please Select -- Very Well Well Average Not Well Not at All This field is incorrect.

What is the highest level of secondary school completed? -- Please Select -- Year 12 Year 11 Year 10 Year 9 Year 8 Year 7 Did Not Go To High School This field is incorrect.

What is the highest qualification you have received? -- Please Select -- Trade Certificate Cert. I Cert. II Cert. III Cert. IV Bachelor's Degree Associate Diploma Masters PhD No Higher Qualification This field is incorrect.

What is the main field of study of your highest qualification? This field is incorrect.

The Dwelling

Please provide accurate information about the dwelling where the people stayed on Census night.
You may choose multiple Energy Source types. If you need help with any section, call 1300 ABS.

Type of Dwelling: -- Please Select -- Detached House Semi-detached House Apartment Retirement Village Caravan Houseboat Boat Tent Other This field is incorrect.

Is this dwelling: -- Please Select -- Owned Outright Owned with Mortgage Rented Rent-free Other This field is incorrect.

Internet Access: -- Please Select -- Fibre to the House Fibre to the Curb Fibre to the Node Fixed Wireless ADSL Mobile Broadband No Internet This field is incorrect.

Average monthly internet download (GB): This field is incorrect.

Number of Bedrooms: This field is incorrect.

Questionnaire

Please share your experience with this form.
Your feedback helps improve future Census design. You may provide a contact if follow-up is needed. Feel free to contact the ABS on: 1300 ABS.

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Any other comments?