Census 2000 Dress Rehearsal Questionnaire

The United States Census Bureau is carrying out dress rehearsals this month for the upcoming Census 2000. The three places involved in the dress rehearsal are Sacramento, California, 11 counties in the Columbia, South Carolina area, and the Menominee Reservation in Wisconsin. Questionnaires were mailed in late March and earlier this month for "Census Day," April 18, 1998. Results will be tallied by December and the Bureau will then be better prepared for the next decennial census day, April 1, 2000.

The information on this form is requested on every person in the country, although about 17% of the households are sent a longer questionnaire which contains more in-depth questions.

The biggest change in this decennial census questionnaire is that the question about race allows multiple boxes to be checked for those who consider themselves to be multi-racial.

Below are the questions from the first two pages of the dress rehearsal form from Sacramento, California. Additional pages are simply additional pages for additional members of the household. Brackets, "[ ]," indicate a fully closed box.

United States
Census 2000
Dress Rehearsal

This is the official form for all the people at this address. It is quick and easy, and your answers are protected by law. Complete the census and help your community get what it needs - today and in the future!

Start Here

1) If possible, this form should be filled out by one of the people here who owns, is buying, or rents this house or apartment. A black or blue pen is preferred.

Is this house, apartment, or mobile home - Mark [X] ONE box.

[ ] Owned by you or someone in this household with a mortgage or loan?

[ ] Owned by you or someone in this household free and clear (without a mortgage or loan)?

[ ] Rented for cash rent?

[ ] Occupied without payment of cash rent?

2) If this house or apartment is a vacation or seasonal home or a temporary residence for your household, please call the Census Bureau at 1-888-XXX-XXX before you fill out this form. The telephone call is free.

3) How many people were living or staying in this house or apartment on April 18, 1998?

Number of people

BE SURE TO INCLUDE anyone who is:

• a foster child, roomer, or housemate
• staying here on April 18, 1998 and has no other permanent place to stay
• staying here most of the time while working even if he or she has another place to live

DO NOT INCLUDE anyone who:

• is living away while attending college
• was in a correctional facility, nursing home, or mental hospital on April 18, 1998
• is in the Armed Forces and living somewhere else
• lives or stays at another place most of the time

-> Next, please turn the page and answer questions for each person living or staying here on April 18, 1998. Start with Person 1 on the next page.

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Person 1

1) What is this person's name? Print the name of one of the people living here who owns, is buying, or rents this house or apartment. If there is no such person, start with any adult living or staying here.

Last Name

First Name             MI

    

2) What is this person's telephone number? We may call this person if we don't understand an answer.

Area Code + Number

    

3) What is this person's sex? Mark [X] ONE box.

[ ] Male      [ ] Female

4) What is this person's age and what is this person's date of birth?
Print numbers in boxes

Age on April 18, 1998      Month      Day      Year of Birth

    

-> NOTE: Please answer BOTH Questions 5 and 6.

5) Is this person Spanish/Hispanic/Latino? Mark [X] the "No" box if not Spanish/Hispanic/Latino.

[ ] No, not Spanish/Hispanic/Latino	[ ] Yes, Puerto Rican
[ ] Yes, Mexican, Mexican Am., Chicano	[ ] Yes, Cuban
[ ] Yes, other Spanish/Hispanic/Latino - Print group.

    

6) What is this person's race? Mark [X] one or more races to indicate what this person considers himself/herself to be.

[ ] White
[ ] Black, African Am., or Negro
[ ] American Indian or Alaska Native - Print name of enrolled or principal tribe

[ ] Asian Indian	[ ] Japanese	[ ] Native Hawaiian
[ ] Chinese	[ ] Korean	[ ] Guamainian or Chamorro
[ ] Filipino	[ ] Vietnamese	[ ] Samoan
[ ] Other Asian - Print Race		[ ] Other Pacific Islander - Print Race
[ ] Some other race - Print race

-> If more people live here, continue with Person 2

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Click here for an 80k scanned image of the "Person 1" page.

Visit the Census Bureau's Census 2000 site for more information about the upcoming census and visit my Census category of Net Links for additional census information and 1990 data.

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