Canberra Office
Locked Bag 10
ABS House
Belconnen ACT 2616
45 Benjamin Way

Belconnen ACT 2617
www.abs.gov.au

Phone 1300 135 070
ABN 26 331 428 522

FOI Ref: 202122-45

e-mail: xxxxxxxxxxxxxxxxxxxxxxxxx@xxxxxxxxxxx.xxx.xx

Dear TS,
RE: YOUR FREEDOM OF INFORMATION REQUEST [FOI202122/45]
I refer to your request submitted 09/06/2022 for access to documents under the Freedom of Information Act
1982 (FOI Act) relating to:
This is a request to have the following information released as a Freedom of information request.
1. Sample copy of 2021 census paper form (as sent by post to  members of public) including all
instructions how to fill out the questionnaire
2. Sample copy of 2016 census paper form (as sent by post to members of public) including all
instructions how to fill out the questionnaire.
In the event, paper forms are not available , an online equivalent will also suffice. Please release this
in pdf format, even though questions asked are available on your website.
A copy of your full request can be found in Attachment A.
Response to Your Request
I am an authorised decision maker under section 23 of the FOI Act. The ABS has conducted a search for
documents relating to your request. I am able to notify you that 6 documents were identified that pertain to
your request. I have decided to grant access to 6 documents in full.
I have added a schedule of documents in Attachment B. The documents being released under FOI can be
found in Attachment C.

Decision and Reasons for Decision
I have taken the following into account in making my decision:
•  Email correspondence between yourself and the FOI team.
•  The content of the documents that fall in scope of your request.
•  The views of the document authors and other relevant facts.
•  The relevant provisions of the FOI Act.
•  Guidelines issued by the Australian Information Commissioner under s93A of the FOI Act.
Charges
There is no charge for this request.
Internal Review of the Decision
Section 54 of the FOI Act gives you the right to apply for an internal review of the decision by the ABS.
Additionally you may request a review of this decision by the Information Commissioner. Details of both
procedures involved in an application to review a decision are set out at Attachment D.
If you have any queries on this matter please contact the ABS FOI Contact Officer at
xxxxxxxxxxxxxxxxxxxx@xxx.xxx.xx.

Yours sincerely,

Michael Meagher
Program Manager
Risk, Planning and Policy Branch
Australian Bureau of Statistics
06/07/2022

Attachment A
    Basics
"T S"
09/06/2022 09:41 PM
<foi+request-9004-3b75abdc@righttokn
ow.org.au>
Send
To "FOI requests at ABS" <xxxxxxxxxxxxxxxxxxxx@xxx.xxx.xx>
cc
bcc
Subject
Freedom of Information request - Copy of 2021 census paper form
Protective Mark
DOCUMENT NOT YET CLASSIFIED
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management
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Freedom of Information\Requests\Valid\2021/22
******************************************************************************
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   CAUTION:  External email.  Do not click links or open attachments unless
you recognise the sender
   and know the content is safe
******************************************************************************
**********************
Dear Australian Bureau of Statistics,
This is a request to have the following information released as a Freedom of
information request.
1. Sample copy of 2021 census paper form (as sent by post to  members of
public) including all instructions how to fill out the questionnaire
2. Sample copy of 2016 census paper form (as sent by post to members of
public) including all instructions how to fill out the questionnaire.
In the event, paper forms are not available , an online equivalent will also
suffice. Please release this in pdf format, even though questions asked are
available on your website.

Yours faithfully,
T S
-------------------------------------------------------------------
Please use this email address for all replies to this request:
xxxxxxxxxxxxxxxxxxxxxxxxx@xxxxxxxxxxx.xxx.xx
Is xxxxxxxxxxxxxxxxxxxx@xxx.xxx.xx the wrong address for Freedom of
Information requests to Australian Bureau of Statistics? If so, please contact
us using this form:
https://www.righttoknow.org.au/change_request/new?body=abs
This request has been made by an individual using Right to Know. This message
and any reply that you make will be published on the internet. More
information on how Right to Know works can be found at:
https://www.righttoknow.org.au/help/officers
Please note that in some cases publication of requests and responses will be
delayed.
If you find this service useful as an FOI officer, please ask your web manager
to link to us from your organisation's FOI page.
-------------------------------------------------------------------

    Basics
Policy & Legislation Section WDB
10/06/2022 03:10 PM
Sent by Mark Haines
Send
To xxxxxxxxxxxxxxxxxxxxxxxxx@xxxxxxxxxxx.xxx.xx
cc
bcc xxxx.xxxxxx@xxx.xxx.xx@M365; xxxxxxx.xxxxxx@xxx.xxx.xx@M365;
angalea.turnbul @abs.gov.au@M365
Subject
Acknowledgement of your FOI request ABS reference: [FOI202122/45] [SEC=OFFICIAL]
Protective Mark
OFFICIAL
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    Caveat

management
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NATIONAL-CABINET
markers
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Freedom of Information\Requests\Valid\2021/22
Dear T S,
I refer to your application in which you seek access to documents under the Freedom of
Information Act 1982 (FOI Act) (ABS reference FOI 202122/45) regarding:

1. Sample copy of 2021 census paper form (as sent by post to members of public) including al
instructions how to fil  out the questionnaire.
2. Sample copy of 2016 census paper form (as sent by post to members of public) including al
instructions how to fil  out the questionnaire.
Your request was received by the ABS on 09/06/2022 and the 30 day statutory period for
processing your request commenced from the day after that date.
Please note, a sample copy of the 2016 Census Paper form is available on the ABS website.
Please see: 2016 Census Sample Household Form.pdf (abs.gov.au). Can you please confirm if
this satisfies point 2 of your request?
   It is ABS policy to impose charges consistent with section 29 of the FOI Act.  We we wil  inform
you of our decision in this respect once we have conducted a search for documents.

    Basics
"Mark Haines"
14/06/2022 09:35 AM
xxxx.xxxxxx@xxx.xxx.xx
Send
To "xxxxxxxxxxxxxxxxxxxx@xxx.xxx.xx" <xxxxxxxxxxxxxxxxxxxx@xxx.xxx.xx>
cc
bcc
Subject
FW: Acknowledgement of your FOI request ABS reference: [FOI202122/45] [SEC=OFFICIAL]
Protective Mark
OFFICIAL
Information
    Caveat

management
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NATIONAL-CABINET
markers
Categories
Freedom of Information\Requests\Valid\2021/22
-----Original Message-----
From: T S <xxxxxxxxxxxxxxxxxxxxxxxxx@xxxxxxxxxxx.xxx.xx>
Sent: Sunday, 12 June 2022 1:46 AM
To: Mark Haines <xxxx.xxxxxx@xxx.xxx.xx>
Subject: Re: Acknowledgement of your FOI request ABS reference: [FOI202122/45]
[SEC=OFFICIAL]
******************************************************************************
**********************
   CAUTION:  External email.  Do not click links or open attachments unless
you recognise the sender
   and know the content is safe
******************************************************************************
**********************
Dear Mark Haines,
                             Thank you for your reply. Please release the 2016
census form under  freedom of information even though it available on your
website.
In relation to the charges,  please waive the charges as it relates to  2021

census form which  is a very easily accessible document for the ABS.
Yours sincerely,
T S
-----Original Message-----
Dear T S,
I refer to your application in which you seek access to documents under
the Freedom of Information Act 1982 (FOI Act)(ABS reference FOI 202122/45)
regarding:
1. Sample copy of 2021 census paper form (as sent by post to members of
public) including all instructions how to fill out the questionnaire.
2. Sample copy of 2016 census paper form (as sent by post to members of
public) including all instructions how to fill out the questionnaire.
Your request was received by the ABS on 09/06/2022 and the 30 day
statutory period for processing your request commenced from the day after
that date.
Please note, a sample copy of the 2016 Census Paper form is available on
the ABS website. Please see: [1]2016 Census Sample Household Form.pdf
(abs.gov.au). Can you please confirm if this satisfies point 2 of your
request?
    It is ABS policy to impose charges consistent with section 29 of the
FOI Act.  We we will inform you of our decision in this respect once we
have conducted a search for documents.

Please don't hesitate to contact me if you have any questions or concerns
regarding this email.
Kind regards,
Mark Haines
Policy and Legislation Officer,
Risk, Planning, and Policy Branch | Australian Bureau of Statistics
(E) [2][ABS request email] (W) [3]
https://aus01.safelinks.protection.outlook.com/?url=http%3A%2F%2Fwww.abs.gov.a
u%2F&data=05%7C01%7Cfreedomofinformation%40abs.gov.au%7C808d940b8f88486e83
b808da4d957309%7C34cdb737c4fa4c219a3488ac2d721f88%7C1%7C0%7C637907601507714365
%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiL
CJXVCI6Mn0%3D%7C3000%7C%7C%7C&sdata=97MBF2A3Aul0JeO%2BEBwXz3urF02%2Bj0N7it
2HIS8d6%2Bg%3D&reserved=0
References
Visible links
1.
https://aus01.safelinks.protection.outlook.com/?url=https%3A%2F%2Fwww.abs.gov.
au%2Fausstats%2Fabs%40.nsf%2FLookup%2F2901.0Main%2520Features802016%2F%24FILE%
2F2016%2520Census%2520Sample%2520Household%2520Form.pdf&data=05%7C01%7Cfre
edomofinformation%40abs.gov.au%7C808d940b8f88486e83b808da4d957309%7C34cdb737c4
fa4c219a3488ac2d721f88%7C1%7C0%7C637907601507714365%7CUnknown%7CTWFpbGZsb3d8ey
JWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%3D%7C3000%7C%7C%
7C&sdata=K01eISDq6rUlS%2FV%2F2ETf%2BkoG1FzK70AaezrBwERymvE%3D&reserved
=0
2. mailto:[email address]
3.
https://aus01.safelinks.protection.outlook.com/?url=http%3A%2F%2Fwww.abs.gov.a
u%2F&data=05%7C01%7Cfreedomofinformation%40abs.gov.au%7C808d940b8f88486e83
b808da4d957309%7C34cdb737c4fa4c219a3488ac2d721f88%7C1%7C0%7C637907601507714365
%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiL
CJXVCI6Mn0%3D%7C3000%7C%7C%7C&sdata=97MBF2A3Aul0JeO%2BEBwXz3urF02%2Bj0N7it
2HIS8d6%2Bg%3D&reserved=0
-------------------------------------------------------------------
Please use this email address for all replies to this request:
xxxxxxxxxxxxxxxxxxxxxxxxx@xxxxxxxxxxx.xxx.xx

This request has been made by an individual using Right to Know. This message
and any reply that you make will be published on the internet. More
information on how Right to Know works can be found at:
https://aus01.safelinks.protection.outlook.com/?url=https%3A%2F%2Fwww.righttok
now.org.au%2Fhelp%2Fofficers&data=05%7C01%7Cfreedomofinformation%40abs.gov
.au%7C808d940b8f88486e83b808da4d957309%7C34cdb737c4fa4c219a3488ac2d721f88%7C1%
7C0%7C637907601507714365%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV
2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%3D%7C3000%7C%7C%7C&sdata=08ypra00ZABt%2
Bdtwix7%2F215oZ42iOhI6mhp020WUeBA%3D&reserved=0
Please note that in some cases publication of requests and responses will be
delayed.
If you find this service useful as an FOI officer, please ask your web manager
to link to us from your organisation's FOI page.
-------------------------------------------------------------------

    Basics
"Mark Haines"
20/06/2022 10:11 AM
xxxx.xxxxxx@xxx.xxx.xx
Send
To "xxxxxxxxxxxxxxxxxxxxxxxxx@xxxxxxxxxxx.xxx.xx"
<xxxxxxxxxxxxxxxxxxxxxxxxx@xxxxxxxxxxx.xxx.xx>
cc "xxxxxxxxxxxxxxxxxxxx@xxx.xxx.xx" <xxxxxxxxxxxxxxxxxxxx@xxx.xxx.xx>
bcc
Subject
RE: Acknowledgement of your FOI request ABS reference: [FOI202122/45] [SEC=OFFICIAL]
Protective Mark
OFFICIAL
Information
    Caveat

management
Personal privacy
Legal privilege
Legislative secrecy
NATIONAL-CABINET
markers
Categories
Freedom of Information\Requests\Valid\2021/22
Hello T S,
We have some questions regarding the scope of your request.
1. The ABS produces the Census in various languages including braille. Does
your request include all languages or only the English form?
2. The ABS has several forms within the Census. The household form is the main
form used but there are also personal forms. Your wording implies a singular
form, can you confirm which forms your request includes?
Since our last correspondence, we have found that the 2021 Census form is also
available on the ABS' website. That can be found here:
https://aus01.safelinks.protection.outlook.com/?url=https%3A%2F%2Fwww.abs.gov.
au%2Fcensus%2Fcensus-media-hub%2Fresources%2Feducation&data=05%7C01%7Cfree
domofinformation%40abs.gov.au%7C118d84762c09427af8db08da5251730c%7C34cdb737c4f
a4c219a3488ac2d721f88%7C1%7C0%7C637912807011861750%7CUnknown%7CTWFpbGZsb3d8eyJ
WIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%3D%7C3000%7C%7C%7
C&sdata=qPk6bScoCbUH3ixEgZuaCLo9%2F0iLBcGsCKTELYwIZd0%3D&reserved=0
Thank you,
Mark Haines
Policy and Legislation Officer,

Risk, Planning, and Policy Branch | Australian Bureau of Statistics

    Basics
Policy & Legislation Section WDB
23/06/2022 12:02 PM
Sent by Mark Haines
Send
To xxxxxxxxxxxxxxxxxxxxxxxxx@xxxxxxxxxxx.xxx.xx
cc
bcc
Notification: RE: Acknowledgement of your FOI request ABS reference: [FOI202122/45]
Subject
[SEC=OFFICIAL]
Protective Mark
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markers
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Freedom of Information\Requests\Valid\2021/22
Hel o T S,
I am just fol owing up on our message dated the 20th of June 2022. Could you kindly confirm the
scope of your request please.
Thank you
Mark Haines
Policy and Legislation Officer,
Risk, Planning, and Policy Branch | Australian Bureau of Statistics
(E)  xxxxxxxxxxxxxxxxxxxx@xxx.xxx.xx  (W)  www.abs.gov.au
"Mark Haines"
"Mark Haines"
20/06/2022 10:11:40 AM

-----Original Message-----
From: T S <xxxxxxxxxxxxxxxxxxxxxxxxx@xxxxxxxxxxx.xxx.xx>
Sent: Sunday, 26 June 2022 5:10 PM
To: Mark Haines <xxxx.xxxxxx@xxx.xxx.xx>
Subject: Re: Notification: RE: Acknowledgement of your FOI request ABS
reference: [FOI202122/45] [SEC=OFFICIAL]
******************************************************************************
**********************
   CAUTION:  External email.  Do not click links or open attachments unless
you recognise the sender
   and know the content is safe
******************************************************************************
**********************
Dear Mark Haines,
                               Thank you for your reply. My requests  include:
2016 and 2021  household forms as well as personal forms in English( including
instructions on how to fill them if any).
Please also release the above forms if available, in Portuguese.
Yours sincerely,
T S

    Basics
"Mark Haines"
05/07/2022 02:32 PM
xxxx.xxxxxx@xxx.xxx.xx
Send
To "xxxxxxxxxxxxxxxxxxxxxxxxx@xxxxxxxxxxx.xxx.xx"
<xxxxxxxxxxxxxxxxxxxxxxxxx@xxxxxxxxxxx.xxx.xx>
cc "xxxxxxxxxxxxxxxxxxxx@xxx.xxx.xx" <xxxxxxxxxxxxxxxxxxxx@xxx.xxx.xx>
bcc
Subject
RE: Notification: RE: Acknowledgement of your FOI request ABS reference: [FOI202122/45]
[SEC=OFFICIAL]
Protective Mark
OFFICIAL
Information
    Caveat

management
Personal privacy
Legal privilege
Legislative secrecy
NATIONAL-CABINET
markers
Categories
Freedom of Information\Requests\Valid\2021/22
Hello T S,
The ABS FOI decision maker would like to further clarify the scope of your
request. Can you confirm that you are seeking the documents as previously
linked but through an official FOI channel please?
Thank you,
Mark Haines
Policy and Legislation Officer,
Risk, Planning, and Policy Branch | Australian Bureau of Statistics

-----Original Message-----
From: T S <xxxxxxxxxxxxxxxxxxxxxxxxx@xxxxxxxxxxx.xxx.xx>
Sent: Sunday, 12 June 2022 1:46 AM
To: Mark Haines <xxxx.xxxxxx@xxx.xxx.xx>
Subject: Re: Acknowledgement of your FOI request ABS reference: [FOI202122/45]
[SEC=OFFICIAL]
******************************************************************************
**********************
   CAUTION:  External email.  Do not click links or open attachments unless
you recognise the sender
   and know the content is safe
******************************************************************************
**********************
Dear Mark Haines,
                             Thank you for your reply. Please release the 2016
census form under  freedom of information even though it available on your
website.
In relation to the charges,  please waive the charges as it relates to  2021
census form which  is a very easily accessible document for the ABS.
Yours sincerely,
T S

Attachment B

FOI 202122/45
Document
Release status
Exemptions applied
number
1
Fully Released
N/A
2
Fully Released
N/A
3
Fully Released
N/A
4
Fully Released
N/A
5
Fully Released
N/A
6
Fully Released
N/A

Attachment C Document 1
Census Personal Form
Census night is Tuesday, 9 August 2016
Why a Census?
The Census provides a
For ABS Use Only
snapshot of Australia’s
people and their housing.
It helps estimate Australia’s
population which is used to
distribute government funds
and plan services for your
community.
The Census is compulsory
The information is collected
under the authority of the
Census and Statistics
Act 1905. Penalties may
apply if you do not complete
What you need to do
the Census when directed.
•  Everyone in Australia must complete a Census form wherever they are on Census night –
Tuesday, 9 August 2016.
Confidentiality
•  Go online or use this form to record the person’s details on Census night.
The information you
provide is confidential to
•  Only use this form if you requested an additional form, or you are in accommodation such as  the ABS. It must not be
a hotel, hostel, hospital, nursing home, or staff or student quarters on Census night.
released in a way that will
•  Submit your response without delay.
identify an individual or
Complete the Census online
household. However, if you
agree at Question 54, your
•  Completing the Census online is fast, easy, secure, environmentally friendly, and helps to
information will be provided
reduce the cost of the Census to the community.
to the National Archives of
•  If you complete the Census online, do not mail back this form – please recycle.
Australia for release in 99
years. Read the Census
1
Go to
2
Select
3 Complete the
Privacy Statement at
census.abs.gov.au
census.abs.gov.au
Census and then
Complete my Census
select
Need help?
Go to census.abs.gov.au
or call 1300 214 531.
and then enter this login
If you are deaf, or have
Submit
a hearing or speech
impairment, contact us
through the National
Relay Service.
Or complete this paper form and return it without delay
How to write your answers
1  What is the address of this dwelling?
SAMPLE ONLY
Mark boxes like this:
Please use CAPITAL letters only
Use CAPITAL letters, use every box in
Apartment/Flat/Unit number
Street number
turn and only miss a box to leave a space
between words.
(if any)
D I E S E L
M
Street name (Examples: GRAHAM AVENUE, GEORGE STREET)
E C H A N I C
If you make a mistake in a box, draw a line
Suburb/Locality
through the box like this,
or
State/Territory
Postcode
Draw a line through the box and continue
writing like this:
S E R V I N G C
Property/Building name (if any)
I N G
C A R S
© Commonwealth of Australia 2016

Please use CAPITAL letters only.
02
2  Name of the person.
6  What is the person’s residential status in this
First or given name
dwelling?
•  For a person staying in accommodation such as a hotel, hostel,
boarding house, hospital, nursing home, or staff or student
quarters on the night of Tuesday, 9 August 2016, mark one of
the following.
Surname or family name
Guest
Go to 8
Patient
Go to 8
Inmate
Go to 8
Resident
Go to 8
Owner, proprietor or manager
Go to 8
Staff (e.g. porter, cook, teacher, warden)
Go to 8
Family of owner, proprietor, manager or staff
Go to 8
3  Is the person male or female?
Other
Go to 8
•  Mark one box, like this:
7  For a person living in, or visiting a private home
Male
on the night of Tuesday, 9 August 2016, mark
how he or she is related to Person 1/Person 2 (as
Female
shown on the Household Form):
•  Remember to mark the box like this:
4  What is the person’s date of birth or age?
Husband or wife of Person 1
De facto partner of Person 1
•  If date of birth not known, please give age.
Child of both Person 1 and Person 2
• Example: Day
Month Year
Child of Person 1 only
1 3 0 1 1 9 6 8
Child of Person 2 only
OR
Unrelated flatmate or co-tenant of Person 1
Other relationship to Person 1 (please specify)
4 8
Years
Day
Month Year
8  What is the person’s present marital status?
•  ‘Married’ refers to registered marriages.
OR
Never married
SAMPLE ONLY
Age
Widowed
Years
Divorced
Separated but not divorced
Married
9  Is the person of Aboriginal or Torres Strait
5  Is the dwelling in Question 1 a private home?
Islander origin?
•  For persons of both Aboriginal and Torres Strait Islander
No
Go to 6
origin, mark both ‘Yes’ boxes.
Yes
Go to 7
No
Yes, Aboriginal
Yes, Torres Strait Islander

Please use CAPITAL letters only.
03
10  Where does the person usually live?
12  Where did the person usually live five years ago
•  For persons who usually live in another country and who are
(at 9 August 2011)?
visiting Australia for less than one year, mark ‘Other country’.
•  If the person is less than five years old, leave blank.
•  For other persons, ‘usually live’ means the address at which
•  For persons who had no usual address on 9 August 2011,
the person has lived, or intends to live, for a total of six
write the address at which they were then living.
months or more in 2016.
•  Remember to mark the box like this:
•  For persons who have no usual address, write ‘NONE’ in the
‘Suburb/Locality’ box.
Same as in Question 10
•  For boarders at boarding school, write the address of the
Same as in Question 11
boarding school or college.
Elsewhere in Australia (please specify address)
Same as in Question 1
Apartment/Flat/Unit number (if any)
Street number
Elsewhere in Australia (please specify address)
Apartment/Flat/Unit number (if any)
Street number
Street name
Street name
Suburb/Locality
Suburb/Locality
State/Territory
Postcode
State/Territory
Postcode
Other country
Other country
13  Is the person an Australian citizen?
11
Yes, Australian citizen
  Where did the person usually live one year ago
No
(at 9 August 2015)?
•  If the person is less than one year old, leave blank.
•  For persons who had no usual address on 9 August 2015,
14  In which country was the person born?
write the address at which they were then living.
•  Remember to mark the box like this:
Same as in Question 10
Australia
Go to 16
Elsewhere in Australia (please specify address)
England
New Zealand
Apartment/Flat/Unit number (if any)
Street number
India
SAMPLE ONLY
Italy
Vietnam
Street name
Philippines
Other (please specify)
Suburb/Locality
15  In what year did the person first arrive in Australia
to live here for one year or more?
State/Territory
Postcode
Year
Other country
Will be in Australia less than one year

Please use CAPITAL letters only.
04
16  In which country was the person’s father born?
20  What is the person’s ancestry?
•  Remember to mark the box like this:
•  Provide up to two ancestries only.
•  Examples of ‘Other’: GREEK, VIETNAMESE, HMONG,
Australia
KURDISH, MAORI, LEBANESE, AUSTRALIAN SOUTH SEA
Other (please specify)
ISLANDER.
•  Remember to mark the box like this:
i Go to census.abs.gov.au for more information.
English
17  In which country was the person’s mother born?
Irish
Scottish
Australia
Italian
Other (please specify)
German
Chinese
Australian
Other ancestry 1 (please specify)
18  Does the person speak a language other than
English at home?
Other ancestry 2 (please specify)
•  Mark one box only.
•  If more than one language other than English, write the one
that is spoken most often.
•  Remember to mark the box like this:
No, English only
Go to 20
21  What is the person’s religion?
Yes, Mandarin
•  Answering this question is OPTIONAL.
Yes, Italian
•  Examples of ‘Other’: LUTHERAN, SALVATION ARMY,
JUDAISM, TAOISM, HUMANISM.
Yes, Arabic
•  Remember to mark the box like this:
Yes, Cantonese
No religion
Yes, Greek
Yes, Vietnamese
Catholic
Anglican (Church of England)
Yes, other (please specify)
Uniting Church
Presbyterian
SAMPLE ONLY
Buddhism
Islam
Greek Orthodox
Baptist
19  How well does the person speak English?
Hinduism
•  Remember to mark the box like this:
Other (please specify)
Very well
Well
Not well
Not at all

Please use CAPITAL letters only.
05
22  Does the person ever need someone to help with,  27  What type of educational institution is the person
or be with them for, self care activities?
attending?
•  For example: doing everyday activities such as eating,
•  Mark one box only.
showering, dressing or toileting.
•  Include secondary colleges and senior high schools under the
‘Secondary school’ category.
Yes, always
•  For external or correspondence students, mark the type of
Yes, sometimes
institution in which they are enrolled.
No
•  Remember to mark the box like this:
i Go to census.abs.gov.au for more information.
23  Does the person ever need someone to help with,
Preschool
or be with them for, body movement activities?
Infants/Primary school
•  For example: getting out of bed, moving around at home
Government
or at places away from home.
Catholic
Yes, always
Other non-government
Yes, sometimes
Secondary school
No
Government
Catholic
Other non-government
24  Does the person ever need someone to help with,
Tertiary institution
or be with them for, communication activities?
Technical or further educational institution (including
•  For example: understanding, or being understood by, others.
TAFE Colleges)
University or other higher educational institution
Yes, always
Other educational institution
Yes, sometimes
No
28  Is the person 15 years of age or more?
25  What are the reasons for the need for assistance
No, under 15 years
Go to 54
or supervision shown in Questions 22, 23 and 24?
Yes, 15 years or more
Go to 29
•  Mark all applicable reasons.
No need for help or supervision
29  What is the highest year of primary or secondary
Short-term health condition (lasting less than six months)
school the person has completed?
Long-term health condition (lasting six months or more)
•  Mark one box only.
Disability (lasting six months or more)
•  For people currently at school, mark the highest year of
schooling they have completed, not the year they are currently
SAMPLE ONLY
Old or young age
undertaking.
Difficulty with English language
•  Remember to mark the box like this:
Other cause
i Go to census.abs.gov.au for more information about year
equivalents.
Year 12 or equivalent
26  Is the person attending a school or any other
educational institution?
Year 11 or equivalent
•  Include preschool and external or correspondence students.
Year 10 or equivalent
No
Go to 28
Year 9 or equivalent
Yes, full-time student
Year 8 or below
Yes, part-time student
Did not go to school

Please use CAPITAL letters only.
06
30  Has the person completed any educational
35  What is the total of all income the person usually
qualification (including a trade certificate)?
receives?
•  Mark one box only.
• Mark one box only.
i Go to census.abs.gov.au for more information.
• Do not deduct: tax, superannuation contributions, amounts
salary sacrificed, or any other automatic deductions.
No
Go to 34
•  Include:
No, still studying for first qualification
Go to 34
Wages and salaries
-  Regular overtime
Yes, trade certificate/apprenticeship
-  Commissions and bonuses
Yes, other qualification
Government pensions, benefits and allowances
-  Age pension
-  Youth and student
-  Family tax benefit
allowances
-  Parenting payment
-  Carer allowance
31  What is the level of the highest qualification the
-  Disability support pension -  Any other government
person has completed?
-  Newstart allowance
pension/allowance
•  For example: TRADE CERTIFICATE, BACHELOR
Profit or loss from
DEGREE, ASSOCIATE DIPLOMA, CERTIFICATE II,
-  Unincorporated business/farm (e.g. sole traders,
ADVANCED DIPLOMA.
partnerships)
-  Rental properties
Level of qualification
Other income
-  Income from
-  Interest
superannuation
-  Dividends from shares
-  Private pensions
-  Workers’ compensation
-  Child support
-  Any other income
•  Information from this question provides an indication of living
standards in different areas.
i Go to census.abs.gov.au for more information.
32  What is the main field of study for the person’s
$3,000 or more per week
highest qualification completed?
$156,000 or more per year
•  For example: PLUMBING, HISTORY, PRIMARY SCHOOL
$2,000 - $2,999 per week
TEACHING, HAIRDRESSING, GREENKEEPING.
$104,000 - $155,999 per year
$1,750 - $1,999 per week
Field of study
$91,000 - $103,999 per year
$1,500 - $1,749 per week
$78,000 - $90,999 per year
$1,250 - $1,499 per week
$65,000 - $77,999 per year
$1,000 - $1,249 per week
33  Did the person complete this qualification before
$52,000 - $64,999 per year
1998?
$800 - $999 per week
$41,600 - $51,999 per year
•  Remember to mark the box like this:
SAMPLE ONLY
$650 - $799 per week
Yes, before 1998
$33,800 - $41,599 per year
No, 1998 or later
$500 - $649 per week
$26,000 - $33,799 per year
$400 - $499 per week
34  If female, how many babies has the person ever
$20,800 - $25,999 per year
given birth to?
$300 - $399 per week
$15,600 - $20,799 per year
•  Exclude adopted, foster and step children.
$150 - $299 per week
i Go to census.abs.gov.au for more information.
$7,800 - $15,599 per year
$1 - $149 per week
$1 - $7,799 per year
Number of babies
Nil income
None
Negative income

Please use CAPITAL letters only.
07
36  Last week, did the person have a job of any kind?
41  What are the main tasks that the person usually
•  Mark one box only.
performs in that occupation?
•  A ‘job’ means any type of work including casual, temporary,
•  Give full details.
part-time or full-time work, if it was for one hour or more.
•  For example: NURSING THE AGED, CLEANING HOUSES,
SELLING CLOTHING IN A DEPARTMENT STORE,
i Go to census.abs.gov.au for more information.
OPERATING AN ORE CRUSHER IN A PROCESSING
FACILITY.
Yes, worked for payment or profit
•  For managers, write the function managed. For example:
Yes, but absent on holidays, on paid leave, on strike, or
MANAGING CONSTRUCTION PROJECTS, MANAGING A
temporarily stood down
HOTEL, MANAGING HUMAN RESOURCES.
Yes, unpaid work in a family business
Go to 40
Tasks or duties
Yes, other unpaid work
Go to 48
No, did not have a job
Go to 48
37  In the main job held last week, was the person:
•  Mark one box only.
•  If the person had more than one job last week, then ‘main job’
refers to the job in which the person usually works the
42  For the main job held last week, what was the
most hours.
employer’s business name?
•  For all persons conducting their own business, including those
•  For self-employed persons, write the name of the person’s
with their own incorporated (e.g. Pty Ltd) company, as well as
business.
sole traders, partnerships and contractors, mark the second box.
•  For teachers, write the name of the school.
Working for an employer?
Go to 40
Business name
Working in own business?
Go to 38
38  Was the person’s business:
•  Mark one box only.
•  Incorporated means a limited liability company.
•  Remember to mark the box like this:
43  For the main job held last week, what was the
person’s workplace address?
Unincorporated?
•  For persons who usually worked from home, write the
Incorporated (e.g. Pty Ltd)?
home address.
•  For persons with no fixed place of work:
39  Does the person’s business employ people?
-  if the person usually travels to a depot to start work, write
the depot address;
•  Mark one box only.
-  otherwise write ‘NONE’ in ‘Suburb/Locality’ box.
•  Exclude owner/s of the business.
•  This information is used to calculate daytime populations and
No, no employees (other than owner/s)
to plan transport activities.
Yes, 1 - 19 employees
Street number
Yes, 20 or more employees
SAMPLE ONLY
40
Street name
In the main job held last week, what was the
person’s occupation?
•  Give full title.
•  For example: REGISTERED AGED CARE NURSE, HOUSE
Suburb/Locality
CLEANER, RETAIL SALES ASSISTANT, ORE CRUSHING
MACHINE OPERATOR.
•  For public servants, write occupation title and level. For
example: CUSTOMER SERVICE OFFICER APS5.
•  For armed services personnel, write rank and occupation.
State/Territory
Postcode
Occupation
Property/Building name (if any)

Please use CAPITAL letters only.
08
44  What best describes the industry or business of
48  Did the person actively look for work at any
the employer at the location where the
    time in the last four weeks?
person works?
•  Full-time work means 35 hours or more per week.
•  Examples for industry or business of the employer:
•  Examples of actively looking for work include:
SECONDARY SCHOOL EDUCATION, GOLD MINING, IT
CONSULTING SERVICE, DOMESTIC CLEANING SERVICE,
- writing, telephoning or applying to an employer for work;
APARTMENT CONSTRUCTION.
- having a job interview;
Industry or business of the employer
- checking or registering with an employment agency;
- taking steps to purchase or start own business;
- advertising or tendering for work;
- contacting friends or relatives in order to obtain work.
•  Remember to mark the box like this:
No, did not look for work
Go to 50
Yes, looked for full-time work
45  What are the main goods produced or main
Yes, looked for part-time work
services provided by the employer’s business?
•  Describe as fully as possible, using two words or more.
49  If the person had found a job, could the person
•  For example: PROVIDING EDUCATION TO SECONDARY
have started work last week?
SCHOOL STUDENTS, MINING GOLD ORE, PROVIDING
INFORMATION TECHNOLOGY ADVICE, HOUSE CLEANING,
Yes, could have started work last week
CONSTRUCTION OF RESIDENTIAL BUILDINGS.
Goods produced/services provided
No, already had a job to go to
No, temporarily ill or injured
No, other reason
50  In the last week did the person spend time doing
unpaid domestic work for their household?
46  Last week, how many hours did the person work
•  Include all housework, food/drink preparation and cleanup,
laundry, gardening, home maintenance and repairs, and
in all jobs?
household shopping and finance management.
•  Add any overtime or extra time worked and subtract any time off.
i Go to census.abs.gov.au for more information.
Hours worked
No, did not do any unpaid domestic work in the last week
None
Yes, less than 5 hours
47  How did the person get to work on Tuesday,
Yes, 5 to 14 hours
9 August 2016?
Yes, 15 to 29 hours
•  If the person used more than one method of travel to work,
Yes, 30 hours or more
mark all methods used.
Train
SAMPLE ONLY
Bus
51  In the last two weeks did the person spend time
Ferry
providing unpaid care, help or assistance to
Tram (including light rail)
family members or others because of a disability,
a long term health condition or problems related
Taxi
to old age?
Car – as driver
•  Recipients of Carer allowance or Carer payment should
Car – as passenger
state that they provided unpaid care.
Truck
•  Ad hoc help or assistance, such as shopping, should only
Motorbike or motor scooter
be included if the person needs this sort of assistance
because of his/her condition.
Bicycle
•  Do not include work done through a voluntary organisation
Walked only
or group.
Worked at home
No, did not provide unpaid care, help or assistance
Other
Yes, provided unpaid care, help or assistance
Did not go to work

Please use CAPITAL letters only.
09
52  In the last two weeks did the person spend time
looking after a child, without pay?
•  Only include children who were less than 15 years of age.
•  Mark all applicable responses.
•  Remember to mark the box like this:
i Go to census.abs.gov.au for more information.
No
Yes, looked after own child
Yes, looked after a child other than own child
53  In the last twelve months did the person spend
any time doing voluntary work through an
organisation or group?
•  Include voluntary work for sporting teams, youth groups, schools
or religious organisations.
•  Exclude work in a family business or paid employment.
•  Exclude work to qualify for a government benefit or to obtain an
educational qualification or due to a community/court order.
•  Remember to mark the box like this:
Thank you for your participation.
No, did not do voluntary work
Please return this completed
Yes, did voluntary work
form without delay.
54  Does the person agree to his/her name and
address and other information on this form being
kept by the National Archives of Australia and then
made publicly available after 99 years?
Australian Statistician
•  Answering this question is OPTIONAL.
•  A person’s name-identified information will not be kept by
the National Archives where a person does not agree or the
answer is left blank.
i Go to census.abs.gov.au for more information.
Yes, agrees
No, does not agree
SAMPLE ONLY
55  Finished?
•  Please make sure you have not missed any pages or questions.
•  Please sign here.
Signature
Day
Month Year

Field Staff Use Only
CCF
1
Office Use Only
DCC
TF
UO
1
1
1
2
3
SAMPLE ONLY

Document 2
Census Household Form
Census night is Tuesday, 9 August 2016
Why a Census?
The Census provides a
For ABS Use Only
snapshot of Australia’s
people and their housing.
It helps estimate Australia’s
population which is used to
distribute government funds
and plan services for your
community.
The Census is compulsory
The information is collected
under the authority of the
Census and Statistics
Act 1905. Penalties may
apply if you do not complete
the Census when directed.
What you need to do
•  Go online or use this form to record the details of all people, including visitors, who stay in
Confidentiality
this household on Census night – Tuesday, 9 August 2016.
The information you
•  Submit your responses without delay.
provide is confidential to
the ABS. It must not be
Complete the Census online
released in a way that will
•  More than 15 million people are expected to complete the Census online. It’s fast, easy,
identify an individual or
secure, environmentally friendly and reduces the cost of the Census to the community.
household. However, if you
•  If you complete the Census online, do not mail back this form – please recycle.
agree at Question 60, your
information will be provided
to the National Archives of
1
Go to
2
Select
3 Complete the
Australia for release in 99
census.abs.gov.au
Census and then
years. Read the Census
Complete my Census
select
Privacy Statement at
census.abs.gov.au
and then enter this login
Need help?
Go to census.abs.gov.au
Submit
or call 1300 214 531.
If you are deaf, or have
a hearing or speech
Or complete this form and return it in the Reply Paid envelope without delay impairment, contact us
through the National
•   If there are more than six people in this household on Census night, or you need a separate
Relay Service.
form for privacy reasons, call 1300 214 531 for additional forms.
How to write your answers
1  What is the address of this dwelling?
SAMPLE ONLY
Mark boxes like this:
Please use CAPITAL letters only
Use CAPITAL letters, use every box in
Apartment/Flat/Unit number
Street number
turn and only miss a box to leave a space
between words.
(if any)
D I E S E L
M
Street name (Examples: GRAHAM AVENUE, GEORGE STREET)
E C H A N I C
If you make a mistake in a box, draw a line
Suburb/Locality
through the box like this,
or
State/Territory
Postcode
Draw a line through the box and continue
writing like this:
S E R V I N G C
Property/Building name (if any)
I N G
C A R S
© Commonwealth of Australia 2016

02
Person 1
Person 2
The householder if present, otherwise
The spouse or partner of ‘Person 1’ if
Please use CAPITAL letters only.
any adult member of the household.
present, otherwise any person present.
2  Name of each person including visitors who
First or given name
First or given name
spent the night of Tuesday, 9 August 2016 in
this dwelling:
•  Include all adults, children, babies and visitors present.
•  Include any person who usually lives in this dwelling who
Surname or family name
Surname or family name
returned on Wednesday, 10 August 2016 without being
included on a form elsewhere.
•  For all other cases of persons away, please include
them in Questions 52 and 53 only.
3  Is the person male or female?
Male
Male
•  Mark one box for each person, like this:
Female
Female
4  What is the person’s date of birth or age?
Day
Month Year
Day
Month Year
•  If date of birth not known, please give age.
• Example: Day
Month Year
1 3 0 1 1 9 6 8
OR
OR
OR
Age
Age
4 8
Years
Years
Years
5  What is the person’s relationship to
No answer required for
Husband or wife of Person 1
Person 1/Person 2?
Person 1
De facto partner of Person 1
•  Examples of other relationships: SON-IN-LAW,
GRAND-DAUGHTER, UNCLE, BOARDER.
Child of Person 1
•  Remember to mark the box like this:
Stepchild of Person 1
Brother or sister of Person 1
Unrelated flatmate or
co-tenant of Person 1
Other relationship to Person 1
(please specify)
SAMPLE ONLY
6  What is the person’s present marital status?
Never married
Never married
•  ‘Married’ refers to registered marriages.
Widowed
Widowed
•  Remember to mark the box like this:
Divorced
Divorced
Separated but not divorced
Separated but not divorced
Married
Married
7  Is the person of Aboriginal or Torres Strait
No
No
Islander origin?
Yes, Aboriginal
Yes, Aboriginal
•  For persons of both Aboriginal and Torres Strait Islander
origin, mark both ‘Yes’ boxes.
Yes, Torres Strait Islander
Yes, Torres Strait Islander

03
Person 3
Person 4
Person 5
Person 6
Any other person present in the
Any other person present in the
Any other person present in the
Any other person present in
household.
household.
household.
the household.
First or given name
First or given name
First or given name
First or given name
Surname or family name
Surname or family name
Surname or family name
Surname or family name
Male
Male
Male
Male
Female
Female
Female
Female
Day
Month Year
Day
Month Year
Day
Month Year
Day
Month Year
OR
OR
OR
OR
Age
Age
Age
Age
Years
Years
Years
Years
Child of both Person 1 and
Child of both Person 1 and
Child of both Person 1 and
Child of both Person 1 and
Person 2
Person 2
Person 2
Person 2
Child of Person 1 only
Child of Person 1 only
Child of Person 1 only
Child of Person 1 only
Child of Person 2 only
Child of Person 2 only
Child of Person 2 only
Child of Person 2 only
Brother or sister of Person 1
Brother or sister of Person 1
Brother or sister of Person 1
Brother or sister of Person 1
Unrelated flatmate or
Unrelated flatmate or
Unrelated flatmate or
Unrelated flatmate or
co-tenant of Person 1
co-tenant of Person 1
co-tenant of Person 1
co-tenant of Person 1
Other relationship to Person 1
Other relationship to Person 1
Other relationship to Person 1
Other relationship to Person 1
(please specify)
(please specify)
(please specify)
(please specify)
SAMPLE ONLY
Never married
Never married
Never married
Never married
Widowed
Widowed
Widowed
Widowed
Divorced
Divorced
Divorced
Divorced
Separated but not divorced
Separated but not divorced
Separated but not divorced
Separated but not divorced
Married
Married
Married
Married
No
No
No
No
Yes, Aboriginal
Yes, Aboriginal
Yes, Aboriginal
Yes, Aboriginal
Yes, Torres Strait Islander
Yes, Torres Strait Islander
Yes, Torres Strait Islander
Yes, Torres Strait Islander

Please use CAPITAL letters only.
04
Person 1
Person 2
Person 3
Person 4
Person 5
Person 6
8  Where does the person usually live?
Same as in Question 1
Same as in Question 1
•  For persons who usually live in another country and who are
Elsewhere in Australia
Elsewhere in Australia
(please specify address)
(please specify address)
visiting Australia for less than one year, mark ‘Other country’.
•  For other persons, ‘usually live’ means the address at which
Apartment/Flat/Unit number (if any) Apartment/Flat/Unit number (if any)
the person has lived, or intends to live, for a total of six
months or more in 2016.
Street number
Street number
•  For persons who have no usual address, write ‘NONE’ in the
‘Suburb/Locality’ box.
Street name
Street name
•  For boarders at boarding school, write the address of the
boarding school or college.
•  Remember to mark the box like this:
Suburb/Locality
Suburb/Locality
State/Territory
Postcode
State/Territory
Postcode
Other country
Other country
9  Where did the person usually live one year ago
Same as in Question 8
Same as in Question 8
(at 9 August 2015)?
Elsewhere in Australia
Elsewhere in Australia
(please specify address)
(please specify address)
•  If the person is less than one year old, leave blank.
Apartment/Flat/Unit number (if any) Apartment/Flat/Unit number (if any)
•  For persons who had no usual address on 9 August 2015,
write the address at which they were then living.
Street number
Street number
•  Remember to mark the box like this:
Street name
Street name
Suburb/Locality
Suburb/Locality
State/Territory
Postcode
State/Territory
Postcode
Other country
Other country
10  Where did the person usually live five years ago
Same as in Question 8
Same as in Question 8
(at 9 August 2011)?
Same as in Question 9
Same as in Question 9
Elsewhere in Australia
Elsewhere in Australia
•  If the person is less than five years old, leave blank.
(please specify address)
(please specify address)
SAMPLE ONLY
•  For persons who had no usual address on 9 August 2011,
Apartment/Flat/Unit number (if any) Apartment/Flat/Unit number (if any)
write the address at which they were then living.
•  Remember to mark the box like this:
Street number
Street number
Street name
Street name
Suburb/Locality
Suburb/Locality
State/Territory
Postcode
State/Territory
Postcode
Other country
Other country

Please use CAPITAL letters only.
Person 1
Person 2
Person 3
Person 4
05
Person 5
Person 6
Same as in Question 1
Same as in Question 1
Same as in Question 1
Same as in Question 1
Elsewhere in Australia
Elsewhere in Australia
Elsewhere in Australia
Elsewhere in Australia
(please specify address)
(please specify address)
(please specify address)
(please specify address)
Apartment/Flat/Unit number (if any) Apartment/Flat/Unit number (if any) Apartment/Flat/Unit number (if any) Apartment/Flat/Unit number (if any)
Street number
Street number
Street number
Street number
Street name
Street name
Street name
Street name
Suburb/Locality
Suburb/Locality
Suburb/Locality
Suburb/Locality
State/Territory
Postcode
State/Territory
Postcode
State/Territory
Postcode
State/Territory
Postcode
Other country
Other country
Other country
Other country
Same as in Question 8
Same as in Question 8
Same as in Question 8
Same as in Question 8
Elsewhere in Australia
Elsewhere in Australia
Elsewhere in Australia
Elsewhere in Australia
(please specify address)
(please specify address)
(please specify address)
(please specify address)
Apartment/Flat/Unit number (if any) Apartment/Flat/Unit number (if any) Apartment/Flat/Unit number (if any) Apartment/Flat/Unit number (if any)
Street number
Street number
Street number
Street number
Street name
Street name
Street name
Street name
Suburb/Locality
Suburb/Locality
Suburb/Locality
Suburb/Locality
State/Territory
Postcode
State/Territory
Postcode
State/Territory
Postcode
State/Territory
Postcode
Other country
Other country
Other country
Other country
Same as in Question 8
Same as in Question 8
Same as in Question 8
Same as in Question 8
Same as in Question 9
Same as in Question 9
Same as in Question 9
Same as in Question 9
Elsewhere in Australia
Elsewhere in Australia
Elsewhere in Australia
Elsewhere in Australia
(please specify address)
(please specify address)
(please specify address)
(please specify address)
SAMPLE ONLY
Apartment/Flat/Unit number (if any) Apartment/Flat/Unit number (if any) Apartment/Flat/Unit number (if any) Apartment/Flat/Unit number (if any)
Street number
Street number
Street number
Street number
Street name
Street name
Street name
Street name
Suburb/Locality
Suburb/Locality
Suburb/Locality
Suburb/Locality
State/Territory
Postcode
State/Territory
Postcode
State/Territory
Postcode
State/Territory
Postcode
Other country
Other country
Other country
Other country

Please use CAPITAL letters only.
06
Person 1
Person 2
Person 3
Person 4
Person 5
Person 6
11  Is the person an Australian citizen?
Yes, Australian citizen
Yes, Australian citizen
No
No
12  In which country was the person born?
Australia
Go to 14
Australia
Go to 14
•  Remember to mark the box like this:
England
England
New Zealand
New Zealand
India
India
Italy
Italy
Vietnam
Vietnam
Philippines
Philippines
Other (please specify)
Other (please specify)
13  In what year did the person first arrive in Australia
to live here for one year or more?
Year
Year
•  For example, for arrival in 1987 write: 1 9 8 7
Will be in Australia less
Will be in Australia less
than one year
than one year
14  In which country was the person’s father
Australia
Australia
born?
Other (please specify)
Other (please specify)
15  In which country was the person’s mother
Australia
Australia
born?
Other (please specify)
Other (please specify)
16  Does the person speak a language other than
No, English only
Go to 18
No, English only
Go to 18
English at home?
Yes, Mandarin
Yes, Mandarin
•  Mark one box only.
Yes, Italian
Yes, Italian
•  If more than one language other than English, write the one
SAMPLE ONLY
that is spoken most often.
Yes, Arabic
Yes, Arabic
Yes, Cantonese
•  Remember to mark the box like this:
Yes, Cantonese
Yes, Greek
Yes, Greek
Yes, Vietnamese
Yes, Vietnamese
Yes, other (please specify)
Yes, other (please specify)
17  How well does the person speak English?
Very well
Very well
•  Remember to mark the box like this:
Well
Well
Not well
Not well
Not at all
Not at all

Please use CAPITAL letters only.
Person 1
Person 2
Person 3
Person 4
07
Person 5
Person 6
Yes, Australian citizen
Yes, Australian citizen
Yes, Australian citizen
Yes, Australian citizen
No
No
No
No
Australia
Go to 14
Australia
Go to 14
Australia
Go to 14
Australia
Go to 14
England
England
England
England
New Zealand
New Zealand
New Zealand
New Zealand
India
India
India
India
Italy
Italy
Italy
Italy
Vietnam
Vietnam
Vietnam
Vietnam
Philippines
Philippines
Philippines
Philippines
Other (please specify)
Other (please specify)
Other (please specify)
Other (please specify)
Year
Year
Year
Year
Will be in Australia less
Will be in Australia less
Will be in Australia less
Will be in Australia less
than one year
than one year
than one year
than one year
Australia
Australia
Australia
Australia
Other (please specify)
Other (please specify)
Other (please specify)
Other (please specify)
Australia
Australia
Australia
Australia
Other (please specify)
Other (please specify)
Other (please specify)
Other (please specify)
No, English only
Go to 18
No, English only
Go to 18
No, English only
Go to 18
No, English only
Go to 18
Yes, Mandarin
Yes, Mandarin
Yes, Mandarin
Yes, Mandarin
Yes, Italian
Yes, Italian
Yes, Italian
Yes, Italian
SAMPLE ONLY
Yes, Arabic
Yes, Arabic
Yes, Arabic
Yes, Arabic
Yes, Cantonese
Yes, Cantonese
Yes, Cantonese
Yes, Cantonese
Yes, Greek
Yes, Greek
Yes, Greek
Yes, Greek
Yes, Vietnamese
Yes, Vietnamese
Yes, Vietnamese
Yes, Vietnamese
Yes, other (please specify)
Yes, other (please specify)
Yes, other (please specify)
Yes, other (please specify)
Very well
Very well
Very well
Very well
Well
Well
Well
Well
Not well
Not well
Not well
Not well
Not at all
Not at all
Not at all
Not at all

Please use CAPITAL letters only.
08
Person 1
Person 2
Person 3
Person 4
Person 5
Person 6
18  What is the person’s ancestry?
English
English
•  Provide up to two ancestries only.
Irish
Irish
•  Examples of ‘Other’: GREEK, VIETNAMESE, HMONG,
Scottish
Scottish
KURDISH, MAORI, LEBANESE, AUSTRALIAN SOUTH SEA
Italian
Italian
ISLANDER.
German
German
•  Remember to mark the box like this:
Chinese
Chinese
i Go to census.abs.gov.au for more information.
Australian
Australian
Other ancestry 1 (please specify)
Other ancestry 1 (please specify)
Other ancestry 2 (please specify)
Other ancestry 2 (please specify)
19  What is the person’s religion?
No religion
No religion
•  Answering this question is OPTIONAL.
Catholic
Catholic
•  Examples of ‘Other’: LUTHERAN, SALVATION ARMY,
Anglican (Church of England)
Anglican (Church of England)
JUDAISM, TAOISM, HUMANISM.
Uniting Church
Uniting Church
•  Remember to mark the box like this:
Presbyterian
Presbyterian
Buddhism
Buddhism
Islam
Islam
Greek Orthodox
Greek Orthodox
Baptist
Baptist
Hinduism
Hinduism
Other (please specify)
Other (please specify)
SAMPLE ONLY
20  Does the person ever need someone to help with,
Yes, always
Yes, always
or be with them for, self care activities?
Yes, sometimes
Yes, sometimes
•  For example: doing everyday activities such as eating,
No
No
showering, dressing or toileting.
21  Does the person ever need someone to help with,
Yes, always
Yes, always
or be with them for, body movement activities?
Yes, sometimes
Yes, sometimes
•  For example: getting out of bed, moving around at home
No
No
or at places away from home.
22  Does the person ever need someone to help with,
Yes, always
Yes, always
or be with them for, communication activities?
Yes, sometimes
Yes, sometimes
•  For example: understanding, or being understood by, others.
No
No

Please use CAPITAL letters only.
Person 1
Person 2
Person 3
Person 4
09
Person 5
Person 6
English
English
English
English
Irish
Irish
Irish
Irish
Scottish
Scottish
Scottish
Scottish
Italian
Italian
Italian
Italian
German
German
German
German
Chinese
Chinese
Chinese
Chinese
Australian
Australian
Australian
Australian
Other ancestry 1 (please specify)
Other ancestry 1 (please specify)
Other ancestry 1 (please specify)
Other ancestry 1 (please specify)
Other ancestry 2 (please specify)
Other ancestry 2 (please specify)
Other ancestry 2 (please specify)
Other ancestry 2 (please specify)
No religion
No religion
No religion
No religion
Catholic
Catholic
Catholic
Catholic
Anglican (Church of England)
Anglican (Church of England)
Anglican (Church of England)
Anglican (Church of England)
Uniting Church
Uniting Church
Uniting Church
Uniting Church
Presbyterian
Presbyterian
Presbyterian
Presbyterian
Buddhism
Buddhism
Buddhism
Buddhism
Islam
Islam
Islam
Islam
Greek Orthodox
Greek Orthodox
Greek Orthodox
Greek Orthodox
Baptist
Baptist
Baptist
Baptist
Hinduism
Hinduism
Hinduism
Hinduism
Other (please specify)
Other (please specify)
Other (please specify)
Other (please specify)
SAMPLE ONLY
Yes, always
Yes, always
Yes, always
Yes, always
Yes, sometimes
Yes, sometimes
Yes, sometimes
Yes, sometimes
No
No
No
No
Yes, always
Yes, always
Yes, always
Yes, always
Yes, sometimes
Yes, sometimes
Yes, sometimes
Yes, sometimes
No
No
No
No
Yes, always
Yes, always
Yes, always
Yes, always
Yes, sometimes
Yes, sometimes
Yes, sometimes
Yes, sometimes
No
No
No
No

Please use CAPITAL letters only.
10
Person 1
Person 2
Person 3
Person 4
Person 5
Person 6
23  What are the reasons for the need for assistance
No need for help or
No need for help or
or supervision shown in Questions 20, 21 and 22?
supervision
supervision
•  Mark all applicable reasons.
Short-term health condition
Short-term health condition
(lasting less than six months)
(lasting less than six months)
•  Remember to mark the box like this:
Long-term health condition
Long-term health condition
i Go to census.abs.gov.au for more information.
(lasting six months or more)
(lasting six months or more)
Disability (lasting six months
Disability (lasting six months
or more)
or more)
Old or young age
Old or young age
Difficulty with English
Difficulty with English
language
language
Other cause
Other cause
24  Is the person attending a school or any other
No
Go to 26
No
Go to 26
educational institution?
Yes, full-time student
Yes, full-time student
•  Include preschool and external or correspondence students.
Yes, part-time student
Yes, part-time student
25  What type of educational institution is the
Preschool
Preschool
person attending?
Infants/Primary school
Infants/Primary school
•  Mark one box only.
Government
Government
•  Include secondary colleges and senior high schools under the
Catholic
Catholic
‘Secondary school’ category.
Other non-government
Other non-government
•  For external or correspondence students, mark the type of
Secondary school
institution in which they are enrolled.
Secondary school
Government
Government
•  Remember to mark the box like this:
Catholic
Catholic
i Go to census.abs.gov.au for more information.
Other non-government
Other non-government
Tertiary institution
Tertiary institution
Technical or further
Technical or further
educational institution
educational institution
(including TAFE Colleges)
(including TAFE Colleges)
University or other higher
University or other higher
educational institution
educational institution
Other educational
Other educational
institution
institution
26
Only continue for persons aged 15 years or more
27
SAMPLE ONLY
What is the highest year of primary or secondary
Year 12 or equivalent
Year 12 or equivalent
school the person has completed?
Year 11 or equivalent
Year 11 or equivalent
•  Mark one box only.
Year 10 or equivalent
Year 10 or equivalent
•  For people currently at school, mark the highest year of
Year 9 or equivalent
schooling they have completed, not the year they are currently
Year 9 or equivalent
undertaking.
Year 8 or below
Year 8 or below
i Go to census.abs.gov.au for more information about year
Did not go to school
Did not go to school
equivalents.
28  Has the person completed any educational
No
Go to 32
No
Go to 32
qualification (including a trade certificate)?
No, still studying for first
No, still studying for first
•  Mark one box only.
qualification
Go to 32
qualification
Go to 32
i Go to census.abs.gov.au for more information.
Yes, trade certificate/
Yes, trade certificate/
apprenticeship
apprenticeship
Yes, other qualification
Yes, other qualification

Please use CAPITAL letters only.
Person 1
Person 2
Person 3
Person 4
11
Person 5
Person 6
No need for help or
No need for help or
No need for help or
No need for help or
supervision
supervision
supervision
supervision
Short-term health condition
Short-term health condition
Short-term health condition
Short-term health condition
(lasting less than six months)
(lasting less than six months)
(lasting less than six months)
(lasting less than six months)
Long-term health condition
Long-term health condition
Long-term health condition
Long-term health condition
(lasting six months or more)
(lasting six months or more)
(lasting six months or more)
(lasting six months or more)
Disability (lasting six months
Disability (lasting six months
Disability (lasting six months
Disability (lasting six months
or more)
or more)
or more)
or more)
Old or young age
Old or young age
Old or young age
Old or young age
Difficulty with English
Difficulty with English
Difficulty with English
Difficulty with English
language
language
language
language
Other cause
Other cause
Other cause
Other cause
No
Go to 26
No
Go to 26
No
Go to 26
No
Go to 26
Yes, full-time student
Yes, full-time student
Yes, full-time student
Yes, full-time student
Yes, part-time student
Yes, part-time student
Yes, part-time student
Yes, part-time student
Preschool
Preschool
Preschool
Preschool
Infants/Primary school
Infants/Primary school
Infants/Primary school
Infants/Primary school
Government
Government
Government
Government
Catholic
Catholic
Catholic
Catholic
Other non-government
Other non-government
Other non-government
Other non-government
Secondary school
Secondary school
Secondary school
Secondary school
Government
Government
Government
Government
Catholic
Catholic
Catholic
Catholic
Other non-government
Other non-government
Other non-government
Other non-government
Tertiary institution
Tertiary institution
Tertiary institution
Tertiary institution
Technical or further
Technical or further
Technical or further
Technical or further
educational institution
educational institution
educational institution
educational institution
(including TAFE Colleges)
(including TAFE Colleges)
(including TAFE Colleges)
(including TAFE Colleges)
University or other higher
University or other higher
University or other higher
University or other higher
educational institution
educational institution
educational institution
educational institution
Other educational
Other educational
Other educational
Other educational
institution
institution
institution
institution
Only continue for persons aged 15 years or more
SAMPLE ONLY
Year 12 or equivalent
Year 12 or equivalent
Year 12 or equivalent
Year 12 or equivalent
Year 11 or equivalent
Year 11 or equivalent
Year 11 or equivalent
Year 11 or equivalent
Year 10 or equivalent
Year 10 or equivalent
Year 10 or equivalent
Year 10 or equivalent
Year 9 or equivalent
Year 9 or equivalent
Year 9 or equivalent
Year 9 or equivalent
Year 8 or below
Year 8 or below
Year 8 or below
Year 8 or below
Did not go to school
Did not go to school
Did not go to school
Did not go to school
No
Go to 32
No
Go to 32
No
Go to 32
No
Go to 32
No, still studying for first
No, still studying for first
No, still studying for first
No, still studying for first
qualification
Go to 32
qualification
Go to 32
qualification
Go to 32
qualification
Go to 32
Yes, trade certificate/
Yes, trade certificate/
Yes, trade certificate/
Yes, trade certificate/
apprenticeship
apprenticeship
apprenticeship
apprenticeship
Yes, other qualification
Yes, other qualification
Yes, other qualification
Yes, other qualification

Please use CAPITAL letters only.
12
Person 1
Person 2
Person 3
Person 4
Person 5
Person 6
29  What is the level of the highest qualification the
Level of qualification
Level of qualification
person has completed?
•  For example: TRADE CERTIFICATE, BACHELOR DEGREE,
ASSOCIATE DIPLOMA, CERTIFICATE II, ADVANCED
DIPLOMA.
30  What is the main field of study for the person’s
Field of study
Field of study
highest qualification completed?
•  For example: PLUMBING, HISTORY, PRIMARY SCHOOL
TEACHING, HAIRDRESSING, GREENKEEPING.
31  Did the person complete this qualification before
Yes, before 1998
Yes, before 1998
1998?
No, 1998 or later
No, 1998 or later
•  Remember to mark the box like this:
32  For each female, how many babies has she ever
given birth to?
Number of babies
Number of babies
•  Exclude adopted, foster and step children.
None
None
i Go to census.abs.gov.au for more information.
33  What is the total of all income the person
$3,000 or more per week
$3,000 or more per week
$156,000 or more per year
usually receives?
$156,000 or more per year
$2,000 - $2,999 per week
$2,000 - $2,999 per week
• Mark one box only.
$104,000 - $155,999 per year
$104,000 - $155,999 per year
• Do not deduct: tax, superannuation contributions, amounts
$1,750 - $1,999 per week
$1,750 - $1,999 per week
$91,000 - $103,999 per year
salary sacrificed, or any other automatic deductions.
$91,000 - $103,999 per year
•  Include:
$1,500 - $1,749 per week
$1,500 - $1,749 per week
$78,000 - $90,999 per year
Wages and salaries
$78,000 - $90,999 per year
-  Regular overtime
$1,250 - $1,499 per week
$1,250 - $1,499 per week
-  Commissions and bonuses
$65,000 - $77,999 per year
$65,000 - $77,999 per year
Government pensions, benefits and allowances
$1,000 - $1,249 per week
$1,000 - $1,249 per week
-  Age pension
-  Youth and student
$52,000 - $64,999 per year
$52,000 - $64,999 per year
-  Family tax benefit
allowances
$800 - $999 per week
-  Parenting payment
-  Carer allowance
$800 - $999 per week
$41,600 - $51,999 per year
$41,600 - $51,999 per year
SAMPLE ONLY
-  Disability support pension -  Any other government
-  Newstart allowance
pension/allowance
$650 - $799 per week
$650 - $799 per week
$33,800 - $41,599 per year
Profit or loss from
$33,800 - $41,599 per year
-  Unincorporated business/farm (e.g. sole traders,
$500 - $649 per week
$500 - $649 per week
partnerships)
$26,000 - $33,799 per year
$26,000 - $33,799 per year
-  Rental properties
$400 - $499 per week
$400 - $499 per week
Other income
$20,800 - $25,999 per year
$20,800 - $25,999 per year
-  Income from
- Interest
$300 - $399 per week
superannuation
-  Dividends from shares
$300 - $399 per week
$15,600 - $20,799 per year
-  Private pensions
-  Workers’ compensation
$15,600 - $20,799 per year
-  Child support
-  Any other income
$150 - $299 per week
$150 - $299 per week
$7,800 - $15,599 per year
$7,800 - $15,599 per year
•  Information from this question provides an indication of living
standards in different areas.
$1 - $149 per week
$1 - $149 per week
$1 - $7,799 per year
$1 - $7,799 per year
i Go to census.abs.gov.au for more information.
Nil income
Nil income
Negative income
Negative income

Please use CAPITAL letters only.
Person 1
Person 2
Person 3
Person 4
13
Person 5
Person 6
Level of qualification
Level of qualification
Level of qualification
Level of qualification
Field of study
Field of study
Field of study
Field of study
Yes, before 1998
Yes, before 1998
Yes, before 1998
Yes, before 1998
No, 1998 or later
No, 1998 or later
No, 1998 or later
No, 1998 or later
Number of babies
Number of babies
Number of babies
Number of babies
None
None
None
None
$3,000 or more per week
$3,000 or more per week
$3,000 or more per week
$3,000 or more per week
$156,000 or more per year
$156,000 or more per year
$156,000 or more per year
$156,000 or more per year
$2,000 - $2,999 per week
$2,000 - $2,999 per week
$2,000 - $2,999 per week
$2,000 - $2,999 per week
$104,000 - $155,999 per year
$104,000 - $155,999 per year
$104,000 - $155,999 per year
$104,000 - $155,999 per year
$1,750 - $1,999 per week
$1,750 - $1,999 per week
$1,750 - $1,999 per week
$1,750 - $1,999 per week
$91,000 - $103,999 per year
$91,000 - $103,999 per year
$91,000 - $103,999 per year
$91,000 - $103,999 per year
$1,500 - $1,749 per week
$1,500 - $1,749 per week
$1,500 - $1,749 per week
$1,500 - $1,749 per week
$78,000 - $90,999 per year
$78,000 - $90,999 per year
$78,000 - $90,999 per year
$78,000 - $90,999 per year
$1,250 - $1,499 per week
$1,250 - $1,499 per week
$1,250 - $1,499 per week
$1,250 - $1,499 per week
$65,000 - $77,999 per year
$65,000 - $77,999 per year
$65,000 - $77,999 per year
$65,000 - $77,999 per year
$1,000 - $1,249 per week
$1,000 - $1,249 per week
$1,000 - $1,249 per week
$1,000 - $1,249 per week
$52,000 - $64,999 per year
$52,000 - $64,999 per year
$52,000 - $64,999 per year
$52,000 - $64,999 per year
$800 - $999 per week
$800 - $999 per week
$800 - $999 per week
$800 - $999 per week
$41,600 - $51,999 per year
$41,600 - $51,999 per year
$41,600 - $51,999 per year
$41,600 - $51,999 per year
SAMPLE ONLY
$650 - $799 per week
$650 - $799 per week
$650 - $799 per week
$650 - $799 per week
$33,800 - $41,599 per year
$33,800 - $41,599 per year
$33,800 - $41,599 per year
$33,800 - $41,599 per year
$500 - $649 per week
$500 - $649 per week
$500 - $649 per week
$500 - $649 per week
$26,000 - $33,799 per year
$26,000 - $33,799 per year
$26,000 - $33,799 per year
$26,000 - $33,799 per year
$400 - $499 per week
$400 - $499 per week
$400 - $499 per week
$400 - $499 per week
$20,800 - $25,999 per year
$20,800 - $25,999 per year
$20,800 - $25,999 per year
$20,800 - $25,999 per year
$300 - $399 per week
$300 - $399 per week
$300 - $399 per week
$300 - $399 per week
$15,600 - $20,799 per year
$15,600 - $20,799 per year
$15,600 - $20,799 per year
$15,600 - $20,799 per year
$150 - $299 per week
$150 - $299 per week
$150 - $299 per week
$150 - $299 per week
$7,800 - $15,599 per year
$7,800 - $15,599 per year
$7,800 - $15,599 per year
$7,800 - $15,599 per year
$1 - $149 per week
$1 - $149 per week
$1 - $149 per week
$1 - $149 per week
$1 - $7,799 per year
$1 - $7,799 per year
$1 - $7,799 per year
$1 - $7,799 per year
Nil income
Nil income
Nil income
Nil income
Negative income
Negative income
Negative income
Negative income

Please use CAPITAL letters only.
14
Person 1
Person 2
Person 3
Person 4
Person 5
Person 6
34  Last week, did the person have a job of any kind?
Yes, worked for payment
Yes, worked for payment
or profit
or profit
•  Mark one box only.
•  A ‘job’ means any type of work including casual, temporary,
Yes, but absent on holidays,
Yes, but absent on holidays,
on paid leave, on strike, or
on paid leave, on strike, or
part-time or full-time work, if it was for one hour or more.
temporarily stood down
temporarily stood down
•  Remember to mark the box like this:
Yes, unpaid work in a family
Yes, unpaid work in a family
i
business
business
Go to census.abs.gov.au for more information.
Go to 38
Go to 38
Yes, other unpaid work
Yes, other unpaid work
Go to 46
Go to 46
No, did not have a job
No, did not have a job
Go to 46
Go to 46
35  In the main job held last week, was the person:
Working for an employer?
Working for an employer?
•  Mark one box only.
Go to 38
Go to 38
•  If the person had more than one job last week, then ‘main job’
Working in own business?
Working in own business?
refers to the job in which the person usually works the
Go to 36
Go to 36
most hours.
•  For all persons conducting their own business, including those
with their own incorporated (e.g. Pty Ltd) company, as well as
sole traders, partnerships and contractors, mark the
second box.
36  Was the person’s business:
Unincorporated?
Unincorporated?
•  Mark one box only.
Incorporated (e.g. Pty Ltd)?
Incorporated (e.g. Pty Ltd)?
•  Incorporated means a limited liability company.
37  Does the person’s business employ people?
No, no employees
No, no employees
•  Mark one box only.
(other than owner/s)
(other than owner/s)
•  Exclude owner/s of the business.
Yes, 1 - 19 employees
Yes, 1 - 19 employees
Yes, 20 or more employees
Yes, 20 or more employees
38  In the main job held last week, what was the
Occupation
Occupation
person’s occupation?
•  Give full title.
•  For example: REGISTERED AGED CARE NURSE, HOUSE
CLEANER, RETAIL SALES ASSISTANT, ORE CRUSHING
MACHINE OPERATOR.
•  For public servants, write occupation title and level.
For example: CUSTOMER SERVICE OFFICER APS5.
•  For armed services personnel, write rank and occupation.
39  What are the main tasks that the person usually
Tasks or duties
Tasks or duties
performs in that occupation?
SAMPLE ONLY
•  Give full details.
•  For example: NURSING THE AGED, CLEANING HOUSES,
SELLING CLOTHING IN A DEPARTMENT STORE,
OPERATING AN ORE CRUSHER IN A PROCESSING
FACILITY.
•  For managers, write the function managed. For example:
MANAGING CONSTRUCTION PROJECTS, MANAGING A
HOTEL, MANAGING HUMAN RESOURCES.
40  For the main job held last week, what was the
Business name
Business name
employer’s business name?
•  For self-employed persons, write the name of the
person’s business.
•  For teachers, write the name of the school.

Please use CAPITAL letters only.
Person 1
Person 2
Person 3
Person 4
15
Person 5
Person 6
Yes, worked for payment
Yes, worked for payment
Yes, worked for payment
Yes, worked for payment
or profit
or profit
or profit
or profit
Yes, but absent on holidays,
Yes, but absent on holidays,
Yes, but absent on holidays,
Yes, but absent on holidays,
on paid leave, on strike, or
on paid leave, on strike, or
on paid leave, on strike, or
on paid leave, on strike, or
temporarily stood down
temporarily stood down
temporarily stood down
temporarily stood down
Yes, unpaid work in a family
Yes, unpaid work in a family
Yes, unpaid work in a family
Yes, unpaid work in a family
business
Go to 38
business
Go to 38
business
Go to 38
business
Go to 38
Yes, other unpaid work
Yes, other unpaid work
Yes, other unpaid work
Yes, other unpaid work
Go to 46
Go to 46
Go to 46
Go to 46
No, did not have a job
No, did not have a job
No, did not have a job
No, did not have a job
Go to 46
Go to 46
Go to 46
Go to 46
Working for an employer?
Working for an employer?
Working for an employer?
Working for an employer?
Go to 38
Go to 38
Go to 38
Go to 38
Working in own business?
Working in own business?
Working in own business?
Working in own business?
Go to 36
Go to 36
Go to 36
Go to 36
Unincorporated?
Unincorporated?
Unincorporated?
Unincorporated?
Incorporated (e.g. Pty Ltd)?
Incorporated (e.g. Pty Ltd)?
Incorporated (e.g. Pty Ltd)?
Incorporated (e.g. Pty Ltd)?
No, no employees
No, no employees
No, no employees
No, no employees
(other than owner/s)
(other than owner/s)
(other than owner/s)
(other than owner/s)
Yes, 1 - 19 employees
Yes, 1 - 19 employees
Yes, 1 - 19 employees
Yes, 1 - 19 employees
Yes, 20 or more employees
Yes, 20 or more employees
Yes, 20 or more employees
Yes, 20 or more employees
Occupation
Occupation
Occupation
Occupation
Tasks or duties
Tasks or duties
Tasks or duties
Tasks or duties
SAMPLE ONLY
Business name
Business name
Business name
Business name

Please use CAPITAL letters only.
16
Person 1
Person 2
Person 3
Person 4
Person 5
Person 6
41  For the main job held last week, what was the
Street number
Street number
person’s workplace address?
•  For persons who usually worked from home, write the
home address.
Street name
Street name
•  For persons with no fixed place of work:
  -  if the person usually travels to a depot to start work, write
the depot address;
Suburb/Locality
Suburb/Locality
  -  otherwise write ‘NONE’ in ‘Suburb/Locality’ box.
•  This information is used to calculate daytime populations
and to plan transport activities.
i Go to census.abs.gov.au for more information.
State/Territory
Postcode
State/Territory
Postcode
Property/Building name (if any)
Property/Building name (if any)
42  What best describes the industry or business of
Industry/business of the employer
Industry/business of the employer
the employer at the location where the person
works?
•  Examples for industry or business of the employer:
SECONDARY SCHOOL EDUCATION, GOLD MINING,
IT CONSULTING SERVICE, DOMESTIC CLEANING
SERVICE, APARTMENT CONSTRUCTION.
i Go to census.abs.gov.au for more information.
43  What are the main goods produced or main
Goods produced/services provided Goods produced/services provided
services provided by the employer’s business?
•  Describe as fully as possible, using two words or more.
•  For example: PROVIDING EDUCATION TO SECONDARY
SCHOOL STUDENTS, MINING GOLD ORE, PROVIDING
INFORMATION TECHNOLOGY ADVICE, HOUSE CLEANING,
CONSTRUCTION OF RESIDENTIAL BUILDINGS.
44  Last week, how many hours did the person
work in all jobs?
Hours worked
Hours worked
•  Add any overtime or extra time worked and subtract any time off.
None
None
45  How did the person get to work on Tuesday,
Train
Train
SAMPLE ONLY
9 August 2016?
Bus
Bus
•  If the person used more than one method of travel to work,
Ferry
Ferry
mark all methods used.
Tram (including light rail)
Tram (including light rail)
•  Remember to mark the box like this:
Taxi
Taxi
Car – as driver
Car – as driver
Car – as passenger
Car – as passenger
Truck
Truck
Motorbike or motor scooter
Motorbike or motor scooter
Bicycle
Bicycle
Walked only
Walked only
Worked at home
Worked at home
Other
Other
Did not go to work
Did not go to work

Please use CAPITAL letters only.
Person 1
Person 2
Person 3
Person 4
17
Person 5
Person 6
Street number
Street number
Street number
Street number
Street name
Street name
Street name
Street name
Suburb/Locality
Suburb/Locality
Suburb/Locality
Suburb/Locality
State/Territory
Postcode
State/Territory
Postcode
State/Territory
Postcode
State/Territory
Postcode
Property/Building name (if any)
Property/Building name (if any)
Property/Building name (if any)
Property/Building name (if any)
Industry/business of the employer
Industry/business of the employer Industry/business of the employer Industry/business of the employer
Goods produced/services provided Goods produced/services provided Goods produced/services provided Goods produced/services provided
Hours worked
Hours worked
Hours worked
Hours worked
None
None
None
None
Train
Train
Train
Train
SAMPLE ONLY
Bus
Bus
Bus
Bus
Ferry
Ferry
Ferry
Ferry
Tram (including light rail)
Tram (including light rail)
Tram (including light rail)
Tram (including light rail)
Taxi
Taxi
Taxi
Taxi
Car – as driver
Car – as driver
Car – as driver
Car – as driver
Car – as passenger
Car – as passenger
Car – as passenger
Car – as passenger
Truck
Truck
Truck
Truck
Motorbike or motor scooter
Motorbike or motor scooter
Motorbike or motor scooter
Motorbike or motor scooter
Bicycle
Bicycle
Bicycle
Bicycle
Walked only
Walked only
Walked only
Walked only
Worked at home
Worked at home
Worked at home
Worked at home
Other
Other
Other
Other
Did not go to work
Did not go to work
Did not go to work
Did not go to work

Please use CAPITAL letters only.
18
Person 1
Person 2
Person 3
Person 4
Person 5
Person 6
46  Did the person actively look for work at any
No, did not look for work
No, did not look for work
time in the last four weeks?
Go to 48
Go to 48
•  Full-time work means 35 hours or more per week.
Yes, looked for full-time work
Yes, looked for full-time work
•  Examples of actively looking for work include:
Yes, looked for part-time work
Yes, looked for part-time work
- writing, telephoning or applying to an employer for work;
- having a job interview;
- checking or registering with an employment agency;
- taking steps to purchase or start own business;
- advertising or tendering for work;
- contacting friends or relatives in order to obtain work.
47  If the person had found a job, could the person
Yes, could have started work
Yes, could have started work
have started work last week?
last week
last week
•  Remember to mark the box like this:
No, already had a job to go to
No, already had a job to go to
No, temporarily ill or injured
No, temporarily ill or injured
No, other reason
No, other reason
48  In the last week did the person spend time doing
No, did not do any unpaid
No, did not do any unpaid
unpaid domestic work for their household?
domestic work in the last week
domestic work in the last week
•  Include all housework, food/drink preparation and cleanup,
Yes, less than 5 hours
Yes, less than 5 hours
laundry, gardening, home maintenance and repairs, and
Yes, 5 to 14 hours
Yes, 5 to 14 hours
household shopping and finance management.
Yes, 15 to 29 hours
Yes, 15 to 29 hours
i Go to census.abs.gov.au for more information.
Yes, 30 hours or more
Yes, 30 hours or more
49  In the last two weeks did the person spend time
No, did not provide unpaid
No, did not provide unpaid
providing unpaid care, help or assistance to family
care, help or assistance
care, help or assistance
members or others because of a disability, a long
term health condition or problems related to
Yes, provided unpaid care,
Yes, provided unpaid care,
help or assistance
help or assistance
old age?
•  Recipients of Carer allowance or Carer payment should
state that they provided unpaid care.
•  Ad hoc help or assistance, such as shopping, should only
be included if the person needs this sort of assistance
because of his/her condition.
•  Do not include work done through a voluntary organisation
or group.
50  In the last two weeks did the person spend time
No
No
SAMPLE ONLY
looking after a child, without pay?
Yes, looked after own child
Yes, looked after own child
•  Only include children who were less than 15 years of age.
Yes, looked after a child
Yes, looked after a child
•  Mark all applicable responses.
other than own child
other than own child
51  In the last twelve months did the person spend
No, did not do voluntary work
No, did not do voluntary work
any time doing voluntary work through an
organisation or group?
Yes, did voluntary work
Yes, did voluntary work
•  Include voluntary work for sporting teams, youth groups,
schools or religious organisations.
•  Exclude work in a family business or paid employment.
•  Exclude work to qualify for a government benefit or to
obtain an educational qualification or due to a community/
court order.

Please use CAPITAL letters only.
Person 1
Person 2
Person 3
Person 4
19
Person 5
Person 6
No, did not look for work
No, did not look for work
No, did not look for work
No, did not look for work
Go to 48
Go to 48
Go to 48
Go to 48
Yes, looked for full-time work
Yes, looked for full-time work
Yes, looked for full-time work
Yes, looked for full-time work
Yes, looked for part-time work
Yes, looked for part-time work
Yes, looked for part-time work
Yes, looked for part-time work
Yes, could have started work
Yes, could have started work
Yes, could have started work
Yes, could have started work
last week
last week
last week
last week
No, already had a job to go to
No, already had a job to go to
No, already had a job to go to
No, already had a job to go to
No, temporarily ill or injured
No, temporarily ill or injured
No, temporarily ill or injured
No, temporarily ill or injured
No, other reason
No, other reason
No, other reason
No, other reason
No, did not do any unpaid
No, did not do any unpaid
No, did not do any unpaid
No, did not do any unpaid
domestic work in the last week
domestic work in the last week
domestic work in the last week
domestic work in the last week
Yes, less than 5 hours
Yes, less than 5 hours
Yes, less than 5 hours
Yes, less than 5 hours
Yes, 5 to 14 hours
Yes, 5 to 14 hours
Yes, 5 to 14 hours
Yes, 5 to 14 hours
Yes, 15 to 29 hours
Yes, 15 to 29 hours
Yes, 15 to 29 hours
Yes, 15 to 29 hours
Yes, 30 hours or more
Yes, 30 hours or more
Yes, 30 hours or more
Yes, 30 hours or more
No, did not provide unpaid
No, did not provide unpaid
No, did not provide unpaid
No, did not provide unpaid
care, help or assistance
care, help or assistance
care, help or assistance
care, help or assistance
Yes, provided unpaid care,
Yes, provided unpaid care,
Yes, provided unpaid care,
Yes, provided unpaid care,
help or assistance
help or assistance
help or assistance
help or assistance
No
No
No
No
SAMPLE ONLY
Yes, looked after own child
Yes, looked after own child
Yes, looked after own child
Yes, looked after own child
Yes, looked after a child
Yes, looked after a child
Yes, looked after a child
Yes, looked after a child
other than own child
other than own child
other than own child
other than own child
No, did not do voluntary work
No, did not do voluntary work
No, did not do voluntary work
No, did not do voluntary work
Yes, did voluntary work
Yes, did voluntary work
Yes, did voluntary work
Yes, did voluntary work

20
52  Were there any people away on the night of Tuesday,
No, no-one away
Go to 54
9 August 2016 who usually live in this dwelling?
•  ‘Usually live’ means the person has lived, or intends to live, at this address for
Yes, someone away
Go to 53
a total of six months or more in 2016.
53 For each person away, complete the following questions:
Name of each person
First or given name
First or given name
First or given name
who usually lives in this
dwelling but was away on
Tuesday, 9 August 2016.
Surname or family name
Surname or family name
Surname or family name
Is the person male or
Male
Male
Male
female?
Female
Female
Female
•  Mark one box for each
person away.
What is the person’s date  Day Month Year
Day
Month Year
Day
Month Year
of birth or age?
•  If date of birth not known,
please give age. Example:
Day Month Year
OR
OR
OR
1 3 0 1 1 9 6 8
Age
Age
Age
OR
Years
Years
Years
4 8
Years
Is the person of
No
No
No
Aboriginal or Torres Strait
Islander origin?
Yes, Aboriginal
Yes, Aboriginal
Yes, Aboriginal
•  For persons of both
Yes, Torres Strait Islander
Yes, Torres Strait Islander
Yes, Torres Strait Islander
Aboriginal and Torres Strait
Islander origin, mark both
‘Yes’ boxes.
Is the person a full-time
No
No
No
student?
Yes
Yes
Yes
What is the person’s
Husband or wife of
Husband or wife of
Husband or wife of
relationship to
Person 1
Person 1
Person 1
Person 1/Person 2?
De facto partner of
De facto partner of
De facto partner of
Person 1
Person 1
Person 1
•  Examples of other
Child of both Person 1
Child of both Person 1
Child of both Person 1
relationships: SON-IN-LAW,
and Person 2
and Person 2
and Person 2
GRAND-DAUGHTER,
Child of Person 1 only
Child of Person 1 only
Child of Person 1 only
UNCLE, BOARDER.
SAMPLE ONLY
Child of Person 2 only
Child of Person 2 only
Child of Person 2 only
Unrelated flatmate or
Unrelated flatmate or
Unrelated flatmate or
co-tenant of Person 1
co-tenant of Person 1
co-tenant of Person 1
Other relationship to Person 1
Other relationship to Person 1
Other relationship to Person 1
(please specify)
(please specify)
(please specify)
Please answer the following questions for this dwelling
54  How many registered motor vehicles owned or used by residents of this
dwelling were garaged or parked at or near this dwelling on the night of
Tuesday, 9 August 2016?
Motor vehicles
•  Include vans and company vehicles kept at home.
None
•  Exclude motorbikes and motor scooters.

21
55  How many bedrooms are there in this dwelling?
Number of bedrooms
•  If the dwelling is a bedsitter, mark the ‘None’ box like this:
None
Owned outright?
Go to 59
56  Is this dwelling:
Owned with a mortgage?
Go to 58
•  Include owners of caravans, manufactured homes or houseboats in
Being purchased under a
‘Owned with a mortgage’ or ‘Owned outright’ regardless of whether or not
shared equity scheme?
Go to 58
the site is owned.
Being rented?
•  Include leaseholds and loan and licence agreements in ‘Being occupied
under a life tenure scheme’.
Being occupied rent free?
•  Remember to mark the box like this:
Being occupied under a life tenure scheme?
Other?
Real estate agent
57  If this dwelling is being rented, who is it rented from?
Government Housing Authority/Housing
•  For all state/territory specific Government housing authorities, mark
Department (Public Housing)
second box.
Parent/other relative not in this dwelling
•  Some examples of Government housing authorities are: Housing NSW,
Department of Health and Human Services (Vic.), Department of Housing
Other person not in this dwelling
and Public Works (Qld), Department of Housing (WA), Housing SA,
Residential park (including caravan parks and marinas)
Housing Tasmania, Department of Housing (NT), Housing ACT, Aboriginal
housing authorities.
Employer – Government (including Defence
Housing Authority)
•  Remember to mark the box like this:
Employer – Private
Housing co-operative; Community or Church Group
58  How much does your household pay for this dwelling?
$
0 0
•  Include rent and mortgage repayments and site fees if the dwelling is
,
.
per week
a caravan or manufactured home in a caravan park or manufactured
OR
home estate.
$
•  Exclude water rates, council rates, repairs, maintenance and other fees.
. 0 0
,
per fortnight
•  If no payments, please mark the ‘Nil payments’ box like this:
OR
$
. 0 0
,
per month
Nil payments
59  Does any member of this household access the internet
Yes
from this dwelling?
No
•  Include internet access using desktop/laptop computers, mobile or smart
phones, tablets, music or video players, gaming consoles, smart TVs etc.
•  Include internet access through any type of connection including ADSL,
fibre, cable, wireless, satellite and mobile broadband (3G/4G).
60  Does each person agree to his/her name and address and other information on this form being kept by the
National Archives of Australia and then made publicly available after 99 years?
SAMPLE ONLY
•  Answering this question is OPTIONAL.
•  A person’s name-identified information will not be kept by the National Archives where a person does not agree or the answer is left blank.
•  Please check with each person before answering – leave blank for those persons whose views are not known to you.
i Go to census.abs.gov.au for more information.
Person 1
Person 2
Person 3
Person 4
Person 5
Person 6
Yes, agrees
Yes, agrees
Yes, agrees
Yes, agrees
Yes, agrees
Yes, agrees
No, does not agree
No, does not agree
No, does not agree
No, does not agree
No, does not agree
No, does not agree
61  Finished?
•  Please check that the answers to Question 60 accurately reflect the view, where known, of each person in the household.
•  Please make sure you have not missed any pages or questions.
•  Please sign here.
Day
Month Year
Signature
Thank you for your participation. Please return this completed form in the Reply Paid envelope without delay.
Australian Statistician

Field Staff Use Only
CCF
1
Office Use Only
DCC
TF
UO
1
1
1
2
3
SAMPLE ONLY

Document 3
YOUR MOMENT TO MAKE A DIFFERENCE
Census
night
Your Census Login below.
Keep this safe and save the date.
August 9
Dear Resident,
Please complete the Census on Tuesday, 9 August 2016.
The Census is your moment to make a difference and help shape Australia’s future.
Just follow the simple instructions below.
Go to
Select
Complete the
census.abs.gov.au
Census and
Complete my Census
then select
and then enter this Login
Submit
If you can’t go online, please call 1300 820 275 to request a paper form now. You’ll need the 12 digit
Census Login above.
If you are deaf, or have a hearing or speech impairment, please contact us through the National
Relay Service.
Thanks for playing your part.
Yours sincerely,
Duncan Young
Program Manager
Census of Population and Housing
Australian Bureau of Statistics
All responses are kept strictly confidential by law.
The Census Privacy Statement is available at census.abs.gov.au
For more information
  census.abs.gov.au
1300 214 531

Document 4
It’s time to complete your Census – online form open now
Dear Resident(s)
This letter provides instructions on how to complete your Census.
The information you provide is used to inform important decisions about transport, schools, health care,
infrastructure and business. It also helps plan local services for individuals, families and communities.
Your participation is important. You can complete your online form now by fol owing these steps:
1
2
3
GO TO
ENTER
COMPLETE
www.census.abs.gov.au
this Census number
the form
and this temporary password
and click
Start your Census
Submit
The Census is compulsory*. It asks questions about everyone staying at this address on the night of
Tuesday 10 August 2021, including visitors and babies.
We will contact you by letter or in person if you have not submitted your form by Thursday 12 August 2021.
Need help?
Go to www.census.abs.gov.au/help. If you can’t complete your Census online, call our 24-hour automated
service on 1800 130 250 to request a paper form.
Thank you for taking part.

Chris Libreri
General Manager, Census Division
*See the 2021 Census Privacy Statement at www.census.abs.gov.au/privacy
The ABS collects your information and keeps that information confidential under the authority of the Census and Statistics Act 1905.
For more information
www.census.abs.gov.au
1800 512 441

HELP IN OTHER LANGUAGES
For more information visit www.census.abs.gov.au or call the Translating and Interpreting Service (TIS
National) on 131 450.
Arabic
(Translating and ةيهفشلاو ةيريرحتلا ةمجرتلا ةمدخب لصتا وأ www.census.abs.gov.au ةرايزب لّضفت ،تامولعملا نم ديزملل
.131 450 مقرلا ىلع Interpreting Service - TIS National)
Burmese
ပိုု�မိုု�သိုရှိိုလိုု�သောသိာ အချျက််အလိုက််မိုျာ�က်ု� ဝက််ဘ််ဆို�ုက်် www.census.abs.gov.au တွွင််ကြက်ည့်််ရှုုပိုါ သို� ်မိုဟု�တွ်
ဘ်ာသိာပြပိုန််နှိင််စက်ာ�ပြပိုန််ဌာာန် (Translating and Interpreting Service - TIS National) ဖု�န််� 131 450 က်ု�သောချ်ပိုါ။
Dari
(Translating and یهافش و یريرحت ینامجرت تامدخ هب اي هدرک نديد www.census.abs.gov.au تياسبيو زا رتشيب تامولعم یارب
.دينک نوفلت 131 450 هرامش Interpreting Service - TIS National)
Greek
Για περισσότερες πληροφορίες, επισκεφθείτε τον ιστότοπο www.census.abs.gov.au ή καλέστε την Υπηρεσία
Μεταφράσεων και Διερμηνείας (Translating and Interpreting Service - TIS National) στον αριθμό 131 450.
Italian
Per maggiori informazioni visita www.census.abs.gov.au o chiama il Servizio di traduzione e interpretariato
(Translating and Interpreting Service - TIS National) al numero 131 450.
Korean
더 자세한 정보가 필요하시면, www.census.abs.gov.au를 참고하시거나, 통번역서비스 (Translating and
Interpreting Service - TIS National, 전화번호 131 450 번)로 전화하시기 바랍니다.
Punjabi
ਵਧੇਰੇ ਜਾਣਕਾਰੀ ਲਈ www.census.abs.gov.au ‹ਤੇ ਜਾਓ ਜਾਂ 131 450 ‹ਤੇ ਅਨੁਵਾਦ ਅਤੇ ਦੁਭਾਸ਼ੀਆ ਸੇਵਾ (ਟ਼ੀ.ਆਈ.ਐਸ ਨੈਸਨਲ)
(Translating and Interpreting Service - TIS National) ਨੂੰ ਫ਼ੋਨ ਕਰੋ।
Simplified Chinese
要获取更多信息，请访问网站 www.census.abs.gov.au 或拨打 131 450, 联系口笔译服务署(Translating and
Interpreting Service - TIS National)。
Spanish
www.census.abs.gov.au o llame al Servicio de Traductores e Intérpretes TIS National (Translating and
Interpreting Service - TIS National) en el 131 450.
Tamil
மேலதிக தகவல்களுக்கு www.census.abs.gov.au ஐ பாருங்கள் அல்லது மோழிமபயர்ப்பு
ேற்றுே் உரரமபயர்ப்பு மேரவ (Translating and Interpreting Service - TIS National) ஐ 131 450 இல்
அரையுங்கள்.
Thai
สำำ�หรัับข้้อมููลเพิ่่�มูเติ่มู โปรัดไปที่่� www.census.abs.gov.au หรัือโที่รัห�หน่่วยบรั่ก�รัแปลและล่�มู (Translating and Interpreting
Service - TIS National) ที่่�หมู�ยเลข้ 131 450.
Traditional Chinese
查詢詳情，請瀏覽www.census.abs.gov.au或致電131 450，聯絡翻譯和傳譯服務中心 (Translating and
Interpreting Service - TIS National)。
Turkish
Daha fazla bilgi için www.census.abs.gov.au adresine gidin veya 131 450 numaralı telefondan Sözlü ve Yazılı
Çeviri Hizmetlerini (Translating and Interpreting Service - TIS National) arayın.
Vietnamese
Để có thêm thông tin, hãy vào trang www.census.abs.gov.au hoặc gọi Dịch vụ Thông Biên dịch (Translating
and Interpreting Service - TIS National) ở số 131 450.

Document 5
Census Household Form
Census night is Tuesday 10 August 2021
For ABS use only
Complete your Census online
1 Go to www.census.abs.gov.au
It’s time to complete your Census.
2 Select  Start your Census
Census night is Tuesday 10 August 2021. Everybody at this address
on Census night must be included on this Census form, including
visitors and babies.
3 Enter your Census number
The information you provide is used to make many important
decisions about things like transport, schools, health care and
infrastructure. It also helps plan services for individuals, families
and communities.
4 Enter your temporary password
This information is collected under the authority of the Census and
Statistics Act 1905. Go to www.census.abs.gov.au or page two of
this form to find out more.
OR
Thank you for taking part.
Complete this paper form
and return it in the Reply Paid
SAMPLEenvelope without delay.
Chris Libreri
Census General Manager
How to write your answers
1 What is the address of this dwelling?
Please use
•  Use a blue or black pen only.
CAPITAL letters only.
•  Mark response boxes, like this:
Apartment/Flat/Unit number
Street number (examples: 1-9, LOT 37)
•  Use CAPITAL letters and
(if any)
only use one letter per box. N  S  W
Street name (examples: GRAHAM AVENUE, GEORGE STREET)
•  Remember to leave a space
between words, like this:
  D I E S E L
M E
Suburb/Locality
C H A N I C
• If you make a mistake, draw a line
through the box, like this:
State/Territory
Postcode
OR draw a line through the box and
continue writing, like this:
Property/Building name (if any)
S E R V I N G C I
N G
C A R S
All responses are kept strictly confidential. To see our Privacy Policy, go to www.census.abs.gov.au/privacy
For more information, go to     www.census.abs.gov.au
© Commonwealth of Australia 2021

02
Frequently Asked Questions
Census night is Tuesday 10 August 2021
What is the Census?
Do I have to complete the Census?
The Census is a snapshot of Australia’s people
Yes, the Census is compulsory. Everyone in
and housing, and tells the story of how we are
Australia on Tuesday 10 August 2021 must be
changing. It is used to estimate Australia’s
included on a Census form. This information is
population, distribute government funds, and
collected under the authority of the Census
plan services for communities right around
and Statistics Act 1905.
Australia.
Go to www.census.abs.gov.au/privacy to find
This form asks questions about health, education,
out more about why the Census is compulsory.
cultural background, employment and living
situations. This information helps make sure
Is my information confidential?
the right services are available to individuals,
Yes, the information you provide is confidential.
families and communities, where and when
The ABS is legally required to keep data secure
they are needed.
and not release information in a way that will
Go to www.census.abs.gov.au to find out more
identify any individual, household or business.
about why the Census is important.
Your data is protected by the secrecy provisions
of the Census and Statistics Act 1905.
Go to www.census.abs.gov.au/privacy to find out
Who do I include on the form?
more about how we keep your information secure.
Make sure every person who stayed at this
address on Census night is included on this
What if there are more than six people
form, including visitors and babies.
staying on Census night?
We collect information based on a specific
If there are more than six people at this address
date to give us the most accurate snapshot.
on Census night, the easiest way to complete
The Census collects information on everyone
your Census is online.
SAMPLE
in Australia, including people from overseas.
Alternatively, to request an extra paper form
go to www.census.abs.gov.au/paper-form or
What if I want a separate form for privacy
cal  our 24-hour automated paper form request
reasons?
service on 1800 130 250. You will need the
To request an extra form to complete your Census
Census number from the front of this form.
separately from other household members, go to
www.census.abs.gov.au/paper-form or call
What if no one is home on Census night?
our 24-hour automated paper form request
If this address is unoccupied on Census night,
service on 1800 130 250. You will need the
please go to www.census.abs.gov.au or call
Census number from the front of this form.
us on 1800 512 441 to let us know.
Need more help?
Help is available at www.census.abs.gov.au/help
There is a range of information and self-service options
to help you complete your Census.
If you’d prefer to speak to someone, you can call us on 1800 512 441.

03
All people must complete their Census where they spent Census night
2 Who spent the night of Tuesday 10 August 2021
Me
in this dwelling?
Spouse/partner
• If no one is home on Census night, please go to
www.census.abs.gov.au to let us know.
Adult family members (including adult children,
parents, siblings and extended family members)
• Mark all that apply, like this:
Babies, children and teenagers
Unrelated housemates, flatmates or boarders
Visitors or friends who spent the night of
Tuesday 10 August 2021 in this dwelling
3 In total, how many people spent the night of
Tuesday 10 August 2021 in this dwelling?
Number of people present
• Include any person who usually lives in this dwelling who
returned on Wednesday 11 August 2021 without being
i  If there are more than six people present, please
included on a form elsewhere (for example, shift workers).
complete your form online or call our automated
paper form request service on 1800 130 250. You will
need the Census number from the front of this form.
4 Who was away on the night of Tuesday 10 August
People away on holiday, including people who
2021, but usually lives in this dwelling?
are overseas
• ‘Usually lives’ means the person has lived, or intends to live,
People away for work, in hospital or away for
at this address for a total of six months or more in 2021.
another reason overnight or longer
• Mark all that apply, like this:
People staying with relatives or friends
Students away at boarding school
Children in shared care arrangements staying
elsewhere on Tuesday 10 August 2021
OR
No one away
SAMPLE
5 In total, how many people were away on the night
of Tuesday 10 August 2021?
Number of people away
OR
No one away
  For each person away, please complete Questions 58
i and 59 only. Remember that each person away will
also need to complete a Census form for where they
were in Australia on Census night.
Please read this before continuing
The next section asks about people who were present on Census night (people included in Questions 2 and 3).
The order people are listed in helps us work out household and family relationships for the people who
were present on Census night. To make it easier for you to answer later questions, please ensure that:
Person 1 is the householder if present,
otherwise any adult member of the household.
People 2–6 can be any other person present including spouses, partners,
adult family members, teenagers, children, babies, housemates or visitors.

04
Person 1
Person 2
Please use CAPITAL letters only.
The householder if present,
The spouse or partner of
otherwise any adult member   ‘Person 1’ if applicable, otherwise
of the household.
any other person present.
6 Name of each person including visitors who
spent the night of Tuesday 10 August 2021 in
First or given name
First or given name
this dwelling:
•  Include all adults, children, babies and visitors.
•  Include any person who usually lives in this dwelling
Surname or family name
Surname or family name
who returned on Wednesday 11 August 2021 without
being included on a form elsewhere.
• For all other cases of people away, please include
them in Questions 58 and 59 only.
7 Is the person:
Male
Male
•  Mark box, like this:
Female
Female
i Go to www.census.abs.gov.au/questions for more
Non-binary sex
Non-binary sex
information.
8 What is the person’s date of birth and age?
Day
Month Year
Day
Month Year
•  If date of birth is not known, please give age.
• Example: Day
Month Year
1 8 0 3 1 9 9 3
Age
Age
AND
AND
Age
Years
Years
AND
2 8 Years
9 What is the person’s relationship to
No answer required for
Husband or wife of
Person 1/Person 2?
Person 1
Person 1
•  Examples of other relationships: SON-IN-LAW,
De facto partner of
GRAND-DAUGHTER, UNCLE, BOARDER.
Person 1
•  Mark one box, like this:
Child of Person 1
SAMPLEStepchild of Person 1
Brother or sister of
Person 1
Unrelated flatmate or
co-tenant of Person 1
Other relationship to Person 1
(please specify)
10 What is the person’s current marital status?
Never married
Never married
•  ‘Married’ refers to registered marriages.
Widowed
Widowed
•  Mark one box, like this:
Divorced
Divorced
Separated but not
Separated but not
divorced
divorced
Married
Married
11 Is the person of Aboriginal or Torres Strait
No
No
Islander origin?
Yes, Aboriginal
Yes, Aboriginal
•  For people of both Aboriginal and Torres Strait Islander
Yes, Torres Strait Islander
Yes, Torres Strait Islander
origin, mark both ‘Yes’ boxes.

05
Person 3
Person 4
Person 5
Person 6
Any other person present
Any other person present
Any other person present
Any other person present
in the household.
in the household.
in the household.
in the household.
First or given name
First or given name
First or given name
First or given name
Surname or family name
Surname or family name
Surname or family name
Surname or family name
Male
Male
Male
Male
Female
Female
Female
Female
Non-binary sex
Non-binary sex
Non-binary sex
Non-binary sex
Day
Month Year
Day
Month Year
Day
Month Year
Day
Month Year
Age
Age
Age
Age
AND
AND
AND
AND
Years
Years
Years
Years
Child of both Person 1
Child of both Person 1
Child of both Person 1
Child of both Person 1
and Person 2
and Person 2
and Person 2
and Person 2
Child of Person 1 only
Child of Person 1 only
Child of Person 1 only
Child of Person 1 only
Child of Person 2 only
Child of Person 2 only
Child of Person 2 only
Child of Person 2 only
SAMPLE
Brother or sister of
Brother or sister of
Brother or sister of
Brother or sister of
Person 1
Person 1
Person 1
Person 1
Unrelated flatmate or
Unrelated flatmate or
Unrelated flatmate or
Unrelated flatmate or
co-tenant of Person 1
co-tenant of Person 1
co-tenant of Person 1
co-tenant of Person 1
Other relationship to Person 1
Other relationship to Person 1
Other relationship to Person 1
Other relationship to Person 1
(please specify)
(please specify)
(please specify)
(please specify)
Never married
Never married
Never married
Never married
Widowed
Widowed
Widowed
Widowed
Divorced
Divorced
Divorced
Divorced
Separated but not
Separated but not
Separated but not
Separated but not
divorced
divorced
divorced
divorced
Married
Married
Married
Married
No
No
No
No
Yes, Aboriginal
Yes, Aboriginal
Yes, Aboriginal
Yes, Aboriginal
Yes, Torres Strait Islander
Yes, Torres Strait Islander
Yes, Torres Strait Islander
Yes, Torres Strait Islander

Please use CAPITAL letters only.
06
Person 1
Person 2
Person 3
Person 4
Person 5
Person 6
12 Where does the person usually live?
Same as in Question 1
Same as in Question 1
•  For people who usually live in another country and who are
Elsewhere in Australia
Elsewhere in Australia
visiting Australia for less than one year, mark ‘Other country’.
(please specify address)
(please specify address)
•  For other people, ‘usually live’ means the address at which
Apartment/Flat/Unit number
Apartment/Flat/Unit number
the person has lived, or intends to live, for a total of six
(if any)
(if any)
months or more in 2021.
Street number
Street number
•  For people who have no fixed or return address (for example,
due to family conflict or eviction), write ‘NONE’ in the
‘Suburb/Locality’ box.
Street name
Street name
•  For boarders at boarding school, write the address of the
boarding school or college.
•  Mark box, like this:
Suburb/Locality
Suburb/Locality
State/Territory
Postcode
State/Territory
Postcode
Other country
Other country
13 Where did the person usually live one year
Same as in Question 12
Same as in Question 12
ago (at 10 August 2020)?
Elsewhere in Australia
Elsewhere in Australia
•  If the person is less than one year old, leave blank.
(please specify address)
(please specify address)
•  For people who had no usual address on 10 August 2020,
Apartment/Flat/Unit number
Apartment/Flat/Unit number
write the address at which they were then living.
(if any)
(if any)
•  Mark box, like this:
Street number
Street number
Street name
Street name
Suburb/Locality
Suburb/Locality
SAMPLE
State/Territory
Postcode
State/Territory
Postcode
Other country
Other country
14 Where did the person usually live five years
Same as in Question 12
Same as in Question 12
ago (at 10 August 2016)?
Same as in Question 13
Same as in Question 13
•  If the person is less than five years old, leave blank.
Elsewhere in Australia
Elsewhere in Australia
(please specify address)
(please specify address)
•  For people who had no usual address on 10 August 2016,
write the address at which they were then living.
Apartment/Flat/Unit number
Apartment/Flat/Unit number
•  Mark box, like this:
(if any)
(if any)
Street number
Street number
Street name
Street name
Suburb/Locality
Suburb/Locality
State/Territory
Postcode
State/Territory
Postcode
Other country
Other country

Please use CAPITAL letters only.
Person 1
Person 2
Person 3
Person 4
07
Person 5
Person 6
Same as in Question 1
Same as in Question 1
Same as in Question 1
Same as in Question 1
Elsewhere in Australia
Elsewhere in Australia
Elsewhere in Australia
Elsewhere in Australia
(please specify address)
(please specify address)
(please specify address)
(please specify address)
Apartment/Flat/Unit number
Apartment/Flat/Unit number
Apartment/Flat/Unit number
Apartment/Flat/Unit number
(if any)
(if any)
(if any)
(if any)
Street number
Street number
Street number
Street number
Street name
Street name
Street name
Street name
Suburb/Locality
Suburb/Locality
Suburb/Locality
Suburb/Locality
State/Territory
Postcode
State/Territory
Postcode
State/Territory
Postcode
State/Territory
Postcode
Other country
Other country
Other country
Other country
Same as in Question 12
Same as in Question 12
Same as in Question 12
Same as in Question 12
Elsewhere in Australia
Elsewhere in Australia
Elsewhere in Australia
Elsewhere in Australia
(please specify address)
(please specify address)
(please specify address)
(please specify address)
Apartment/Flat/Unit number
Apartment/Flat/Unit number
Apartment/Flat/Unit number
Apartment/Flat/Unit number
(if any)
(if any)
(if any)
(if any)
Street number
Street number
Street number
Street number
Street name
Street name
Street name
Street name
Suburb/Locality
Suburb/Locality
Suburb/Locality
Suburb/Locality
SAMPLE
State/Territory
Postcode
State/Territory
Postcode
State/Territory
Postcode
State/Territory
Postcode
Other country
Other country
Other country
Other country
Same as in Question 12
Same as in Question 12
Same as in Question 12
Same as in Question 12
Same as in Question 13
Same as in Question 13
Same as in Question 13
Same as in Question 13
Elsewhere in Australia
Elsewhere in Australia
Elsewhere in Australia
Elsewhere in Australia
(please specify address)
(please specify address)
(please specify address)
(please specify address)
Apartment/Flat/Unit number
Apartment/Flat/Unit number
Apartment/Flat/Unit number
Apartment/Flat/Unit number
(if any)
(if any)
(if any)
(if any)
Street number
Street number
Street number
Street number
Street name
Street name
Street name
Street name
Suburb/Locality
Suburb/Locality
Suburb/Locality
Suburb/Locality
State/Territory
Postcode
State/Territory
Postcode
State/Territory
Postcode
State/Territory
Postcode
Other country
Other country
Other country
Other country

Please use CAPITAL letters only.
08
Person 1
Person 2
Person 3
Person 4
Person 5
Person 6
15 Is the person an Australian citizen?
Yes, Australian citizen
Yes, Australian citizen
•  Mark one box, like this:
No
No
16 In which country was the person born?
Australia
Go to 18
Australia
Go to 18
•  Mark one box, like this:
England
England
New Zealand
New Zealand
India
India
Philippines
Philippines
Vietnam
Vietnam
Italy
Italy
Other (please specify)
Other (please specify)
17 In what year did the person first arrive in
Australia to live for one year or more?
Year
Year
Will be in Australia for
Will be in Australia for
•  For example, for arrival in 1987 write: 1 9 8 7
less than one year
less than one year
18 In which country was the person’s father born?
Australia
Australia
•  If the person does not know their birth father, and
Other (please specify)
Other (please specify)
has a second parent, please include the country of
birth of the second parent here.
•  If the person has same-sex parents, include the
country of birth of one of the two parents here.
19 In which country was the person’s mother born?
Australia
Australia
•  If the person does not know their birth mother, and
Other (please specify)
Other (please specify)
has a second parent, please include the country of
SAMPLE
birth of the second parent here.
•  If the person has same-sex parents, include the
country of birth of one of the two parents here.
20 Does the person use a language other than
No, English only Go to 22
No, English only Go to 22
English at home?
Yes, Mandarin
Yes, Mandarin
•  If more than one language other than English, write
Yes, Arabic
Yes, Arabic
the one that is used most often.
Yes, Cantonese
Yes, Cantonese
•  Include use of sign languages (for example, AUSLAN)
Yes, Vietnamese
Yes, Vietnamese
in the ‘please specify’ option.
•  Include use of Aboriginal or Torres Strait Islander
Yes, Italian
Yes, Italian
languages in the ‘please specify’ option.
Yes, Greek
Yes, Greek
•  Mark one box, like this:
Yes, other language (please specify) Yes, other language (please specify)
21 How well does the person speak English?
Very well
Very well
•  Mark one box, like this:
Well
Well
Not well
Not well
Not at all
Not at all

Please use CAPITAL letters only.
Person 1
Person 2
Person 3
Person 4
09
Person 5
Person 6
Yes, Australian citizen
Yes, Australian citizen
Yes, Australian citizen
Yes, Australian citizen
No
No
No
No
Australia
Go to 18
Australia
Go to 18
Australia
Go to 18
Australia
Go to 18
England
England
England
England
New Zealand
New Zealand
New Zealand
New Zealand
India
India
India
India
Philippines
Philippines
Philippines
Philippines
Vietnam
Vietnam
Vietnam
Vietnam
Italy
Italy
Italy
Italy
Other (please specify)
Other (please specify)
Other (please specify)
Other (please specify)
Year
Year
Year
Year
Will be in Australia for
Will be in Australia for
Will be in Australia for
Will be in Australia for
less than one year
less than one year
less than one year
less than one year
Australia
Australia
Australia
Australia
Other (please specify)
Other (please specify)
Other (please specify)
Other (please specify)
Australia
Australia
Australia
Australia
Other (please specify)
Other (please specify)
Other (please specify)
Other (please specify)
SAMPLE
No, English only Go to 22
No, English only Go to 22
No, English only Go to 22
No, English only Go to 22
Yes, Mandarin
Yes, Mandarin
Yes, Mandarin
Yes, Mandarin
Yes, Arabic
Yes, Arabic
Yes, Arabic
Yes, Arabic
Yes, Cantonese
Yes, Cantonese
Yes, Cantonese
Yes, Cantonese
Yes, Vietnamese
Yes, Vietnamese
Yes, Vietnamese
Yes, Vietnamese
Yes, Italian
Yes, Italian
Yes, Italian
Yes, Italian
Yes, Greek
Yes, Greek
Yes, Greek
Yes, Greek
Yes, other language (please specify) Yes, other language (please specify) Yes, other language (please specify) Yes, other language (please specify)
Very well
Very well
Very well
Very well
Well
Well
Well
Well
Not well
Not well
Not well
Not well
Not at all
Not at all
Not at all
Not at all

Please use CAPITAL letters only.
10
Person 1
Person 2
Person 3
Person 4
Person 5
Person 6
22 What is the person’s ancestry?
English
English
•  Provide up to two ancestries only.
Irish
Irish
•  Examples of ‘Other ancestry’: CROATIAN, SERBIAN,
Scottish
Scottish
FILIPINO, TAMIL, SINHALESE, HMONG, MAORI,
Chinese
Chinese
PITCAIRN, AUSTRALIAN SOUTH SEA ISLANDER.
Italian
Italian
•  Mark box, like this:
German
German
i Go to www.census.abs.gov.au/questions for more
information.
Aboriginal
Aboriginal
Torres Strait Islander
Torres Strait Islander
Australian
Australian
Other ancestry 1 (please specify) Other ancestry 1 (please specify)
Other ancestry 2 (please specify) Other ancestry 2 (please specify)
23 What is the person’s religion?
No religion
No religion
•  Answering this question is OPTIONAL.
Catholic
Catholic
•  Examples of ‘Other’: LUTHERAN, SALVATION ARMY,
JUDAISM, TAOISM, ATHEISM.
Anglican (Church of England)
Anglican (Church of England)
•  Mark one box, like this:
Uniting Church
Uniting Church
Islam
Islam
Buddhism
Buddhism
Presbyterian
Presbyterian
SAMPLE
Hinduism
Hinduism
Greek Orthodox
Greek Orthodox
Baptist
Baptist
Other (please specify)
Other (please specify)
24 Does the person ever need someone to help with,
Yes, always
Yes, always
or be with them for, self-care activities?
Yes, sometimes
Yes, sometimes
•  For example: doing everyday activities such as eating,
No
No
showering, dressing or toileting.
25 Does the person ever need someone to help with,
Yes, always
Yes, always
or be with them for, body movement activities?
Yes, sometimes
Yes, sometimes
•  For example: getting out of bed, moving around at home
No
No
or at places away from home.
26 Does the person ever need someone to help with,
Yes, always
Yes, always
or be with them for, communication activities?
Yes, sometimes
Yes, sometimes
•  For example: understanding, or being understood by, others.
No
No

Please use CAPITAL letters only.
Person 1
Person 2
Person 3
Person 4
11
Person 5
Person 6
English
English
English
English
Irish
Irish
Irish
Irish
Scottish
Scottish
Scottish
Scottish
Chinese
Chinese
Chinese
Chinese
Italian
Italian
Italian
Italian
German
German
German
German
Aboriginal
Aboriginal
Aboriginal
Aboriginal
Torres Strait Islander
Torres Strait Islander
Torres Strait Islander
Torres Strait Islander
Australian
Australian
Australian
Australian
Other ancestry 1 (please specify) Other ancestry 1 (please specify) Other ancestry 1 (please specify) Other ancestry 1 (please specify)
Other ancestry 2 (please specify) Other ancestry 2 (please specify) Other ancestry 2 (please specify) Other ancestry 2 (please specify)
No religion
No religion
No religion
No religion
Catholic
Catholic
Catholic
Catholic
Anglican (Church of England)
Anglican (Church of England)
Anglican (Church of England)
Anglican (Church of England)
Uniting Church
Uniting Church
Uniting Church
Uniting Church
Islam
Islam
Islam
Islam
Buddhism
Buddhism
Buddhism
Buddhism
Presbyterian
Presbyterian
Presbyterian
Presbyterian
SAMPLE
Hinduism
Hinduism
Hinduism
Hinduism
Greek Orthodox
Greek Orthodox
Greek Orthodox
Greek Orthodox
Baptist
Baptist
Baptist
Baptist
Other (please specify)
Other (please specify)
Other (please specify)
Other (please specify)
Yes, always
Yes, always
Yes, always
Yes, always
Yes, sometimes
Yes, sometimes
Yes, sometimes
Yes, sometimes
No
No
No
No
Yes, always
Yes, always
Yes, always
Yes, always
Yes, sometimes
Yes, sometimes
Yes, sometimes
Yes, sometimes
No
No
No
No
Yes, always
Yes, always
Yes, always
Yes, always
Yes, sometimes
Yes, sometimes
Yes, sometimes
Yes, sometimes
No
No
No
No

Please use CAPITAL letters only.
12
Person 1
Person 2
Person 3
Person 4
Person 5
Person 6
27 What are the reasons for the need for
No need for assistance
No need for assistance
assistance or supervision shown in
Short-term health condition
Short-term health condition
Questions 24, 25 and 26?
(lasting less than six months)
(lasting less than six months)
•  Mark all that apply, like this:
Long-term health condition
Long-term health condition
(lasting six months or more)
(lasting six months or more)
Disability (lasting six months
Disability (lasting six months
or more)
or more)
Old or young age
Old or young age
Difficulty with English
Difficulty with English
language
language
Other reason
Other reason
28 Has the person been told by a doctor or nurse
Arthritis
Arthritis
that they have any of these long-term health
Asthma
Asthma
conditions?
Cancer (including remission)
Cancer (including remission)
•  Include health conditions that have lasted or are
Dementia (including
Dementia (including
expected to last for six months or more.
Alzheimer’s)
Alzheimer’s)
•  Include health conditions that:
Diabetes (excluding
Diabetes (excluding
- may recur from time to time, or
gestational diabetes)
gestational diabetes)
- are controlled by medication, or
Heart disease (including
Heart disease (including
- are in remission.
heart attack or angina)
heart attack or angina)
•  Mark all that apply, like this:
Kidney disease
Kidney disease
i Go to www.census.abs.gov.au/questions for more
Lung condition (including
Lung condition (including
information.
COPD or emphysema)
COPD or emphysema)
Mental health condition
Mental health condition
(including depression or
(including depression or
anxiety)
anxiety)
Stroke
Stroke
Any other long-term
Any other long-term
health condition(s)
health condition(s)
No long-term health
No long-term health
condition
condition
SAMPLE
29 Is the person attending a school or other
No
Go to 31
No
Go to 31
education institution?
Yes, full-time student
Yes, full-time student
•  Include preschool, online, external or correspondence study.
Yes, part-time student
Yes, part-time student
30 What type of education institution is the
Preschool
Preschool
person attending?
Primary school
Primary school
•  Include preschool, early childhood education and
Government
Government
centre-based day care providers. This should be
marked as ‘Preschool’.
Catholic
Catholic
•  Include secondary colleges and senior high schools
Other non-government
Other non-government
under the ‘Secondary school’ category.
Secondary school
Secondary school
•  For external, online or correspondence students, mark
the type of institution in which they are enrolled.
Government
Government
•  Mark one box, like this:
Catholic
Catholic
Other non-government
Other non-government
Tertiary
Tertiary
Vocational education
Vocational education
(including TAFE and
(including TAFE and
private training providers)
private training providers)
University or other
University or other
higher education
higher education
Other education institution
Other education institution

Please use CAPITAL letters only.
Person 1
Person 2
Person 3
Person 4
13
Person 5
Person 6
No need for assistance
No need for assistance
No need for assistance
No need for assistance
Short-term health condition
Short-term health condition
Short-term health condition
Short-term health condition
(lasting less than six months)
(lasting less than six months)
(lasting less than six months)
(lasting less than six months)
Long-term health condition
Long-term health condition
Long-term health condition
Long-term health condition
(lasting six months or more)
(lasting six months or more)
(lasting six months or more)
(lasting six months or more)
Disability (lasting six months
Disability (lasting six months
Disability (lasting six months
Disability (lasting six months
or more)
or more)
or more)
or more)
Old or young age
Old or young age
Old or young age
Old or young age
Difficulty with English
Difficulty with English
Difficulty with English
Difficulty with English
language
language
language
language
Other reason
Other reason
Other reason
Other reason
Arthritis
Arthritis
Arthritis
Arthritis
Asthma
Asthma
Asthma
Asthma
Cancer (including remission)
Cancer (including remission)
Cancer (including remission)
Cancer (including remission)
Dementia (including
Dementia (including
Dementia (including
Dementia (including
Alzheimer’s)
Alzheimer’s)
Alzheimer’s)
Alzheimer’s)
Diabetes (excluding
Diabetes (excluding
Diabetes (excluding
Diabetes (excluding
gestational diabetes)
gestational diabetes)
gestational diabetes)
gestational diabetes)
Heart disease (including
Heart disease (including
Heart disease (including
Heart disease (including
heart attack or angina)
heart attack or angina)
heart attack or angina)
heart attack or angina)
Kidney disease
Kidney disease
Kidney disease
Kidney disease
Lung condition (including
Lung condition (including
Lung condition (including
Lung condition (including
COPD or emphysema)
COPD or emphysema)
COPD or emphysema)
COPD or emphysema)
Mental health condition
Mental health condition
Mental health condition
Mental health condition
(including depression or
(including depression or
(including depression or
(including depression or
anxiety)
anxiety)
anxiety)
anxiety)
Stroke
Stroke
Stroke
Stroke
Any other long-term
Any other long-term
Any other long-term
Any other long-term
health condition(s)
health condition(s)
health condition(s)
health condition(s)
No long-term health
No long-term health
No long-term health
No long-term health
condition
condition
condition
condition
SAMPLE
No
Go to 31
No
Go to 31
No
Go to 31
No
Go to 31
Yes, full-time student
Yes, full-time student
Yes, full-time student
Yes, full-time student
Yes, part-time student
Yes, part-time student
Yes, part-time student
Yes, part-time student
Preschool
Preschool
Preschool
Preschool
Primary school
Primary school
Primary school
Primary school
Government
Government
Government
Government
Catholic
Catholic
Catholic
Catholic
Other non-government
Other non-government
Other non-government
Other non-government
Secondary school
Secondary school
Secondary school
Secondary school
Government
Government
Government
Government
Catholic
Catholic
Catholic
Catholic
Other non-government
Other non-government
Other non-government
Other non-government
Tertiary
Tertiary
Tertiary
Tertiary
Vocational education
Vocational education
Vocational education
Vocational education
(including TAFE and
(including TAFE and
(including TAFE and
(including TAFE and
private training providers)
private training providers)
private training providers)
private training providers)
University or other
University or other
University or other
University or other
higher education
higher education
higher education
higher education
Other education institution
Other education institution
Other education institution
Other education institution

Please use CAPITAL letters only.
14
Person 1
Person 2
Person 3
Person 4
Person 5
Person 6
31 Only continue for people aged 15 years or more
32 What is the highest year of primary or
Year 12 or equivalent
Year 12 or equivalent
secondary school the person has completed?
Year 11 or equivalent
Year 11 or equivalent
•  For people currently at school, mark the highest year of
schooling they have completed, not the year they are
Year 10 or equivalent
Year 10 or equivalent
currently undertaking.
•  Mark one box, like this:
Year 9 or equivalent
Year 9 or equivalent
Year 8 or below
Year 8 or below
Did not go to school
Did not go to school
33 Has the person completed any educational
No
Go to 37
No
Go to 37
qualification?
No, still studying for first
No, still studying for first
•  Include certificate, diploma or degree in ‘Yes, other
qualification
Go to 37
qualification
Go to 37
qualification’.
•  Mark one box, like this:
Yes, trade certificate/
Yes, trade certificate/
apprenticeship
apprenticeship
Yes, other qualification
Yes, other qualification
34 What is the level of the highest qualification
Level of qualification
Level of qualification
the person has completed?
•  For example: TRADE CERTIFICATE, BACHELOR DEGREE,
ASSOCIATE DIPLOMA, CERTIFICATE II, ADVANCED
DIPLOMA.
SAMPLE
35 What is the main field of study for the
Field of study
Field of study
person’s highest qualification completed?
•  For example: PLUMBING, PRIMARY SCHOOL TEACHING,
ACCOUNTING, HAIRDRESSING, PSYCHOLOGY, HOSPITALITY.
•  If the person has two qualifications of the same level,
completed at the same time (for example, double degrees),
select the qualification considered the most important to
them.
36 Did the person complete this qualification
Yes, before 1998
Yes, before 1998
before 1998?
No, 1998 or later
No, 1998 or later
•  Mark one box, like this:
37 For each female, how many babies has she
ever given birth to?
Number of babies
Number of babies
•  Exclude adopted, foster and step children.
None
None
i Go to www.census.abs.gov.au/questions for more
information.

Please use CAPITAL letters only.
Person 1
Person 2
Person 3
Person 4
15
Person 5
Person 6
Only continue for people aged 15 years or more
Year 12 or equivalent
Year 12 or equivalent
Year 12 or equivalent
Year 12 or equivalent
Year 11 or equivalent
Year 11 or equivalent
Year 11 or equivalent
Year 11 or equivalent
Year 10 or equivalent
Year 10 or equivalent
Year 10 or equivalent
Year 10 or equivalent
Year 9 or equivalent
Year 9 or equivalent
Year 9 or equivalent
Year 9 or equivalent
Year 8 or below
Year 8 or below
Year 8 or below
Year 8 or below
Did not go to school
Did not go to school
Did not go to school
Did not go to school
No
Go to 37
No
Go to 37
No
Go to 37
No
Go to 37
No, still studying for first
No, still studying for first
No, still studying for first
No, still studying for first
qualification
Go to 37
qualification
Go to 37
qualification
Go to 37
qualification
Go to 37
Yes, trade certificate/
Yes, trade certificate/
Yes, trade certificate/
Yes, trade certificate/
apprenticeship
apprenticeship
apprenticeship
apprenticeship
Yes, other qualification
Yes, other qualification
Yes, other qualification
Yes, other qualification
Level of qualification
Level of qualification
Level of qualification
Level of qualification
SAMPLE
Field of study
Field of study
Field of study
Field of study
Yes, before 1998
Yes, before 1998
Yes, before 1998
Yes, before 1998
No, 1998 or later
No, 1998 or later
No, 1998 or later
No, 1998 or later
Number of babies
Number of babies
Number of babies
Number of babies
None
None
None
None

Please use CAPITAL letters only.
16
Person 1
Person 2
Person 3
Person 4
Person 5
Person 6
38 What is the total of all income the person
$3,500 or more per week
$3,500 or more per week
usually receives?
$182,000 or more per year
$182,000 or more per year
• Do not deduct: tax, superannuation contributions, amounts
$3,000   -  $3,499 per week
$3,000   -  $3,499 per week
salary sacrificed, or any other automatic deductions.
$156,000   - $181,999 per year
$156,000   - $181,999 per year
•  Include:
$2,000   -  $2,999 per week
$2,000   -  $2,999 per week
Wages and salaries
$104,000   -  $155,999 per year
$104,000   -  $155,999 per year
-  Regular overtime
$1,750 - $1,999 per week
$1,750 - $1,999 per week
-  Commissions and bonuses
$91,000   -  $103,999 per year
$91,000   -  $103,999 per year
Government pensions, benefits and allowances
-  Age Pension
-  Youth and student
$1,500 - $1,749 per week
$1,500 - $1,749 per week
-  Family Tax Benefit
allowances
$78,000 - $90,999 per year
$78,000 - $90,999 per year
-  Parenting Payment
-  Carer Allowance
$1,250 - $1,499 per week
$1,250 - $1,499 per week
-  Disability Support
-  Any other government
$65,000 - $77,999 per year
$65,000 - $77,999 per year
Pension
pension, benefit or
-  JobSeeker Payment
allowance
$1,000   -  $1,249 per week
$1,000   -  $1,249 per week
$52,000 - $64,999 per year
$52,000 - $64,999 per year
Profit or loss from
-  Unincorporated business/farm (for example, sole traders,
$800 - $999 per week
$800 - $999 per week
partnerships)
$41,600   -  $51,999 per year
$41,600   -  $51,999 per year
-  Rental properties
$650 - $799 per week
$650 - $799 per week
Other income
$33,800 - $41,599 per year
$33,800 - $41,599 per year
-  Income from
- Interest
superannuation
-  Dividends from shares
$500 - $649 per week
$500 - $649 per week
-  Private pensions
-  Workers compensation
$26,000   -  $33,799 per year
$26,000   -  $33,799 per year
-  Child support
-  Any other income
$400   -  $499 per week
$400   -  $499 per week
•  Mark one box, like this:
$20,800 - $25,999 per year
$20,800 - $25,999 per year
•  Information from this question provides an indication of
$300   -  $399 per week
$300   -  $399 per week
living standards in different areas.
$15,600 - $20,799 per year
$15,600 - $20,799 per year
$150 - $299 per week
$150 - $299 per week
$7,800 - $15,599 per year
$7,800 - $15,599 per year
$1   -  $149 per week
$1   -  $149 per week
$1   -  $7,799 per year
$1   -  $7,799 per year
$0 or nil income
$0 or nil income
Negative income
Negative income
SAMPLE
39 Last week, did the person have a job of any kind?
Yes, worked for payment
Yes, worked for payment
•  A ‘job’ means any type of work including casual,
or profit
Go to 40
or profit
Go to 40
temporary, part-time or full-time work, if it was for one
Yes, but absent on holidays,
Yes, but absent on holidays,
hour or more.
on paid leave, on strike, or
on paid leave, on strike, or
•  Mark one box, like this:
temporarily stood down
temporarily stood down
Go to 40
Go to 40
i Go to www.census.abs.gov.au/questions for more
information.
Yes, unpaid work in a
Yes, unpaid work in a
family business
Go to 43
family business
Go to 43
Yes, other unpaid work
Yes, other unpaid work
Go to 51
Go to 51
No, did not have a job
No, did not have a job
Go to 51
Go to 51
40 In the main job held last week, was the person:
Working for an employer
Working for an employer
•  If the person had more than one job last week, then
Go to 43
Go to 43
‘main job’ refers to the job in which the person usually
Working in own business
Working in own business
works the most hours.
•  For all people conducting their own business, including
those with their own incorporated (e.g. Pty Ltd) company,
as well as sole traders, partnerships and contractors, mark
‘Working in own business’.
•  Mark one box, like this:

Please use CAPITAL letters only.
Person 1
Person 2
Person 3
Person 4
17
Person 5
Person 6
$3,500 or more per week
$3,500 or more per week
$3,500 or more per week
$3,500 or more per week
$182,000 or more per year
$182,000 or more per year
$182,000 or more per year
$182,000 or more per year
$3,000   -  $3,499 per week
$3,000   -  $3,499 per week
$3,000   -  $3,499 per week
$3,000   -  $3,499 per week
$156,000   - $181,999 per year
$156,000   - $181,999 per year
$156,000   - $181,999 per year
$156,000   - $181,999 per year
$2,000   -  $2,999 per week
$2,000   -  $2,999 per week
$2,000   -  $2,999 per week
$2,000   -  $2,999 per week
$104,000   -  $155,999 per year
$104,000   -  $155,999 per year
$104,000   -  $155,999 per year
$104,000   -  $155,999 per year
$1,750 - $1,999 per week
$1,750 - $1,999 per week
$1,750 - $1,999 per week
$1,750 - $1,999 per week
$91,000   -  $103,999 per year
$91,000   -  $103,999 per year
$91,000   -  $103,999 per year
$91,000   -  $103,999 per year
$1,500 - $1,749 per week
$1,500 - $1,749 per week
$1,500 - $1,749 per week
$1,500 - $1,749 per week
$78,000 - $90,999 per year
$78,000 - $90,999 per year
$78,000 - $90,999 per year
$78,000 - $90,999 per year
$1,250 - $1,499 per week
$1,250 - $1,499 per week
$1,250 - $1,499 per week
$1,250 - $1,499 per week
$65,000 - $77,999 per year
$65,000 - $77,999 per year
$65,000 - $77,999 per year
$65,000 - $77,999 per year
$1,000   -  $1,249 per week
$1,000   -  $1,249 per week
$1,000   -  $1,249 per week
$1,000   -  $1,249 per week
$52,000 - $64,999 per year
$52,000 - $64,999 per year
$52,000 - $64,999 per year
$52,000 - $64,999 per year
$800 - $999 per week
$800 - $999 per week
$800 - $999 per week
$800 - $999 per week
$41,600   -  $51,999 per year
$41,600   -  $51,999 per year
$41,600   -  $51,999 per year
$41,600   -  $51,999 per year
$650 - $799 per week
$650 - $799 per week
$650 - $799 per week
$650 - $799 per week
$33,800 - $41,599 per year
$33,800 - $41,599 per year
$33,800 - $41,599 per year
$33,800 - $41,599 per year
$500 - $649 per week
$500 - $649 per week
$500 - $649 per week
$500 - $649 per week
$26,000   -  $33,799 per year
$26,000   -  $33,799 per year
$26,000   -  $33,799 per year
$26,000   -  $33,799 per year
$400   -  $499 per week
$400   -  $499 per week
$400   -  $499 per week
$400   -  $499 per week
$20,800 - $25,999 per year
$20,800 - $25,999 per year
$20,800 - $25,999 per year
$20,800 - $25,999 per year
$300   -  $399 per week
$300   -  $399 per week
$300   -  $399 per week
$300   -  $399 per week
$15,600 - $20,799 per year
$15,600 - $20,799 per year
$15,600 - $20,799 per year
$15,600 - $20,799 per year
$150 - $299 per week
$150 - $299 per week
$150 - $299 per week
$150 - $299 per week
$7,800 - $15,599 per year
$7,800 - $15,599 per year
$7,800 - $15,599 per year
$7,800 - $15,599 per year
$1   -  $149 per week
$1   -  $149 per week
$1   -  $149 per week
$1   -  $149 per week
$1   -  $7,799 per year
$1   -  $7,799 per year
$1   -  $7,799 per year
$1   -  $7,799 per year
$0 or nil income
$0 or nil income
$0 or nil income
$0 or nil income
Negative income
Negative income
Negative income
Negative income
SAMPLE
Yes, worked for payment
Yes, worked for payment
Yes, worked for payment
Yes, worked for payment
or profit
Go to 40
or profit
Go to 40
or profit
Go to 40
or profit
Go to 40
Yes, but absent on holidays,
Yes, but absent on holidays,
Yes, but absent on holidays,
Yes, but absent on holidays,
on paid leave, on strike, or
on paid leave, on strike, or
on paid leave, on strike, or
on paid leave, on strike, or
temporarily stood down
temporarily stood down
temporarily stood down
temporarily stood down
Go to 40
Go to 40
Go to 40
Go to 40
Yes, unpaid work in a
Yes, unpaid work in a
Yes, unpaid work in a
Yes, unpaid work in a
family business
Go to 43
family business
Go to 43
family business
Go to 43
family business
Go to 43
Yes, other unpaid work
Yes, other unpaid work
Yes, other unpaid work
Yes, other unpaid work
Go to 51
Go to 51
Go to 51
Go to 51
No, did not have a job
No, did not have a job
No, did not have a job
No, did not have a job
Go to 51
Go to 51
Go to 51
Go to 51
Working for an employer
Working for an employer
Working for an employer
Working for an employer
Go to 43
Go to 43
Go to 43
Go to 43
Working in own business
Working in own business
Working in own business
Working in own business

Please use CAPITAL letters only.
18
Person 1
Person 2
Person 3
Person 4
Person 5
Person 6
41 Was the person’s business:
Unincorporated
Unincorporated
•  Incorporated means a limited liability company.
Incorporated (e.g. Pty Ltd)
Incorporated (e.g. Pty Ltd)
•  Mark one box, like this:
42 Does the person’s business employ people?
No, no employees
No, no employees
(other than owner/s)
(other than owner/s)
•  Exclude owner(s) of the business.
•  Mark one box, like this:
Yes, 1 - 19 employees
Yes, 1 - 19 employees
Yes, 20 or more employees
Yes, 20 or more employees
43 In the main job held last week, what was
Occupation
Occupation
the person’s occupation?
•  Give full title.
•  For example: REGISTERED AGED CARE NURSE, HOUSE
CLEANER, RETAIL SALES ASSISTANT, ORE CRUSHING
MACHINE OPERATOR.
•  For public servants, write occupation title and level.
For example: CUSTOMER SERVICE OFFICER APS5.
•  For armed services personnel, write rank and occupation.
44 What are the main tasks that the person
Tasks or duties
Tasks or duties
usually performs in that occupation?
•  Give full details.
•  For example: NURSING THE AGED, CLEANING HOUSES,
SELLING CLOTHING IN A DEPARTMENT STORE, OPERATING
AN ORE CRUSHER IN A PROCESSING FACILITY.
•  For managers, write the function managed. For
example: MANAGING CONSTRUCTION PROJECTS,
MANAGING A HOTEL, MANAGING HUMAN RESOURCES.
45 For the main job held last week, what was
Business name
Business name
the employer’s business name?
•  For self-employed people, write the name of their
business.
SAMPLE
•  For teachers, write the name of the school.
46 What best describes the industry or business
Industry/business of the employer
Industry/business of the employer
of the employer at the location where the
person works?
•  Examples for industry or business of the employer:
SECONDARY SCHOOL EDUCATION, GOLD MINING,
IT CONSULTING SERVICE, DOMESTIC CLEANING SERVICE,
APARTMENT CONSTRUCTION.
47 What are the main goods produced or main
Goods produced/services provided
Goods produced/services provided
services provided by the employer’s business?
•  Describe as fully as possible, using two words or more.
•  For example: PROVIDING EDUCATION TO SECONDARY
SCHOOL STUDENTS, MINING GOLD ORE, PROVIDING
INFORMATION TECHNOLOGY ADVICE, HOUSE CLEANING,
CONSTRUCTION OF RESIDENTIAL BUILDINGS.

Please use CAPITAL letters only.
Person 1
Person 2
Person 3
Person 4
19
Person 5
Person 6
Unincorporated
Unincorporated
Unincorporated
Unincorporated
Incorporated (e.g. Pty Ltd)
Incorporated (e.g. Pty Ltd)
Incorporated (e.g. Pty Ltd)
Incorporated (e.g. Pty Ltd)
No, no employees
No, no employees
No, no employees
No, no employees
(other than owner/s)
(other than owner/s)
(other than owner/s)
(other than owner/s)
Yes, 1 - 19 employees
Yes, 1 - 19 employees
Yes, 1 - 19 employees
Yes, 1 - 19 employees
Yes, 20 or more employees
Yes, 20 or more employees
Yes, 20 or more employees
Yes, 20 or more employees
Occupation
Occupation
Occupation
Occupation
Tasks or duties
Tasks or duties
Tasks or duties
Tasks or duties
Business name
Business name
Business name
Business name
SAMPLE
Industry/business of the employer Industry/business of the employer Industry/business of the employer
Industry/business of the employer
Goods produced/services provided Goods produced/services provided Goods produced/services provided
Goods produced/services provided

Please use CAPITAL letters only.
20
Person 1
Person 2
Person 3
Person 4
Person 5
Person 6
48 For the main job held last week, what was
Street number
Street number
the person’s workplace address?
•  For people with no fixed place of work:
Street name
Street name
  -  if the person usually travels to a depot to start work,
write the depot address
  -  otherwise, write ‘NONE’ in the ‘Suburb/Locality’ box.
•  This information is used to calculate daytime
Suburb/Locality
Suburb/Locality
populations and to plan transport activities.
State/Territory
Postcode
State/Territory
Postcode
Property/Building name (if any) Property/Building name (if any)
49 How did the person get to work on
Train
Train
Tuesday 10 August 2021?
Bus
Bus
•  If the person used more than one method of travel to
Ferry
Ferry
work, mark all that apply, like this:
Tram (including light rail)
Tram (including light rail)
Taxi or ride-share service
Taxi or ride-share service
Car – as a driver
Car – as a driver
Car – as a passenger
Car – as a passenger
Truck
Truck
Motorbike or motor scooter
Motorbike or motor scooter
Bicycle
Bicycle
Walked only
Walked only
Other
Other
Worked at home
Worked at home
Did not go to work
Did not go to work
SAMPLE
50 Last week, how many hours did the person
work in all jobs?
Hours worked
Hours worked
•  Add any overtime or extra time worked and subtract
None
None
any time off.
51 Did the person actively look for work at
No, did not look for
No, did not look for
any time in the last four weeks?
work
Go to 53
work
Go to 53
•  Full-time work means 35 hours or more per week.
Yes, looked for full-time
Yes, looked for full-time
•  Examples of actively looking for work include:
work
work
-  writing, telephoning or applying to an employer for work
- having a job interview
Yes, looked for part-time
Yes, looked for part-time
- checking or registering with an employment agency
work
work
- taking steps to purchase or start a business
- advertising or tendering for work
- contacting friends or relatives in order to obtain work
- answering an advertisement for a job.
52 If the person had found a job, could the
Yes, could have started
Yes, could have started
work last week
work last week
person have started work last week?
No, already had a job to go to
No, already had a job to go to
•  Mark one box, like this:
No, temporarily ill or injured
No, temporarily ill or injured
No, other reason
No, other reason

Please use CAPITAL letters only.
Person 1
Person 2
Person 3
Person 4
21
Person 5
Person 6
Street number
Street number
Street number
Street number
Street name
Street name
Street name
Street name
Suburb/Locality
Suburb/Locality
Suburb/Locality
Suburb/Locality
State/Territory
Postcode
State/Territory
Postcode
State/Territory
Postcode
State/Territory
Postcode
Property/Building name (if any) Property/Building name (if any) Property/Building name (if any) Property/Building name (if any)
Train
Train
Train
Train
Bus
Bus
Bus
Bus
Ferry
Ferry
Ferry
Ferry
Tram (including light rail)
Tram (including light rail)
Tram (including light rail)
Tram (including light rail)
Taxi or ride-share service
Taxi or ride-share service
Taxi or ride-share service
Taxi or ride-share service
Car – as a driver
Car – as a driver
Car – as a driver
Car – as a driver
Car – as a passenger
Car – as a passenger
Car – as a passenger
Car – as a passenger
Truck
Truck
Truck
Truck
Motorbike or motor scooter
Motorbike or motor scooter
Motorbike or motor scooter
Motorbike or motor scooter
Bicycle
Bicycle
Bicycle
Bicycle
Walked only
Walked only
Walked only
Walked only
Other
Other
Other
Other
Worked at home
Worked at home
Worked at home
Worked at home
Did not go to work
Did not go to work
Did not go to work
Did not go to work
SAMPLE
Hours worked
Hours worked
Hours worked
Hours worked
None
None
None
None
No, did not look for
No, did not look for
No, did not look for
No, did not look for
work
Go to 53
work
Go to 53
work
Go to 53
work
Go to 53
Yes, looked for full-time
Yes, looked for full-time
Yes, looked for full-time
Yes, looked for full-time
work
work
work
work
Yes, looked for part-time
Yes, looked for part-time
Yes, looked for part-time
Yes, looked for part-time
work
work
work
work
Yes, could have started
Yes, could have started
Yes, could have started
Yes, could have started
work last week
work last week
work last week
work last week
No, already had a job to go to
No, already had a job to go to
No, already had a job to go to
No, already had a job to go to
No, temporarily ill or injured
No, temporarily ill or injured
No, temporarily ill or injured
No, temporarily ill or injured
No, other reason
No, other reason
No, other reason
No, other reason

Please use CAPITAL letters only.
22
Person 1
Person 2
Person 3
Person 4
Person 5
Person 6
53 Has the person ever served in the Australian
No
No
Defence Force?
•  Include Royal Australian Navy, Australian Army, Royal
Regular Service
Regular Service
Australian Air Force, Second Australian Imperial Force,
Yes, current service
Yes, current service
National Service and NORFORCE.
Yes, previous service
Yes, previous service
•  Exclude service for non-Australian defence forces.
•  Mark all that apply, like this:
Reserves Service
Reserves Service
i Go to www.census.abs.gov.au/questions for more
Yes, current service
Yes, current service
information.
Yes, previous service
Yes, previous service
54 In the last twelve months did the person spend
No, did not do unpaid
No, did not do unpaid
any time doing unpaid voluntary work for an
voluntary work
voluntary work
organisation or group?
Yes, did unpaid voluntary
Yes, did unpaid voluntary
•  Include unpaid voluntary work for sporting teams,
work
work
youth groups, schools or religious organisations.
•  Exclude work in a family business or paid employment.
•  Exclude work to qualify for a government benefit,
to obtain an educational qualification or due to a
community/court order.
•  Mark one box, like this:
55 In the last week did the person spend time doing
No, did not do any unpaid
No, did not do any unpaid
unpaid domestic work for their household?
domestic work in the last
domestic work in the last
week
week
•  Include all housework, food/drink preparation and
clean-up, laundry, gardening, home maintenance and
Yes, less than 5 hours
Yes, less than 5 hours
repairs, household shopping and finance management.
Yes, 5 - 14 hours
Yes, 5 - 14 hours
•  Mark one box, like this:
Yes, 15 - 29 hours
Yes, 15 - 29 hours
Yes, 30 hours or more
Yes, 30 hours or more
SAMPLE
56 In the last two weeks did the person spend
No, did not provide unpaid
No, did not provide unpaid
care, help or assistance
care, help or assistance
time providing unpaid care, help or assistance
to family members or others because of a
Yes, provided unpaid
Yes, provided unpaid
disability, a long-term health condition or
care, help or assistance
care, help or assistance
problems related to old age?
•  People who receive Carer Allowance or Carer Payment
should mark ‘Yes, provided unpaid care, help or assistance’.
•  Occasional help or assistance, such as shopping, should
only be included if the person needs this type of assistance
because of their condition.
•  Do not include work done through a voluntary organisation
or group.
•  Mark one box, like this:
57 In the last two weeks did the person spend
No
No
time looking after a child, without pay?
Yes, looked after own child
Yes, looked after own child
•  Only include children who were less than 15 years of age.
Yes, looked after a child
Yes, looked after a child
•  Mark all that apply, like this:
other than own child
other than own child

Please use CAPITAL letters only.
Person 1
Person 2
Person 3
Person 4
23
Person 5
Person 6
No
No
No
No
Regular Service
Regular Service
Regular Service
Regular Service
Yes, current service
Yes, current service
Yes, current service
Yes, current service
Yes, previous service
Yes, previous service
Yes, previous service
Yes, previous service
Reserves Service
Reserves Service
Reserves Service
Reserves Service
Yes, current service
Yes, current service
Yes, current service
Yes, current service
Yes, previous service
Yes, previous service
Yes, previous service
Yes, previous service
No, did not do unpaid
No, did not do unpaid
No, did not do unpaid
No, did not do unpaid
voluntary work
voluntary work
voluntary work
voluntary work
Yes, did unpaid voluntary
Yes, did unpaid voluntary
Yes, did unpaid voluntary
Yes, did unpaid voluntary
work
work
work
work
No, did not do any unpaid
No, did not do any unpaid
No, did not do any unpaid
No, did not do any unpaid
domestic work in the last
domestic work in the last
domestic work in the last
domestic work in the last
week
week
week
week
Yes, less than 5 hours
Yes, less than 5 hours
Yes, less than 5 hours
Yes, less than 5 hours
Yes, 5 - 14 hours
Yes, 5 - 14 hours
Yes, 5 - 14 hours
Yes, 5 - 14 hours
Yes, 15 - 29 hours
Yes, 15 - 29 hours
Yes, 15 - 29 hours
Yes, 15 - 29 hours
Yes, 30 hours or more
Yes, 30 hours or more
Yes, 30 hours or more
Yes, 30 hours or more
SAMPLE
No, did not provide unpaid
No, did not provide unpaid
No, did not provide unpaid
No, did not provide unpaid
care, help or assistance
care, help or assistance
care, help or assistance
care, help or assistance
Yes, provided unpaid
Yes, provided unpaid
Yes, provided unpaid
Yes, provided unpaid
care, help or assistance
care, help or assistance
care, help or assistance
care, help or assistance
No
No
No
No
Yes, looked after own child
Yes, looked after own child
Yes, looked after own child
Yes, looked after own child
Yes, looked after a child
Yes, looked after a child
Yes, looked after a child
Yes, looked after a child
other than own child
other than own child
other than own child
other than own child

Please use CAPITAL letters only.
24
58 Were there any people away on the night of Tuesday
10 August 2021 who usually live in this dwelling?
No, no one away
Go to 60
• ‘Usually live’ means the person has lived, or intends to live, at this
address for a total of six months or more in 2021.
Yes, someone away
Go to 59
• Include people counted as away in Questions 4 and 5.
59 For each person away, complete the following questions
Remember that each person away will also need to complete a Census form for where they were in Australia on Census night.
Name of each person
First or given name
First or given name
First or given name
who usually lives in this
dwelling, but was away on
Tuesday 10 August 2021.
Surname or family name
Surname or family name
Surname or family name
Is the person:
Male
Male
Male
•  Mark box, like this:
Female
Female
Female
Non-binary sex
Non-binary sex
Non-binary sex
What is the person’s date
Day
Month Year
Day
Month Year
Day
Month Year
of birth and age?
•  If date of birth is not known,
please give age. Example:
Day
Month Year
AND
AND
AND
1 8 0 3
1 9 9 3
Age
Age
Age
Age
AND
Years
Years
Years
2 8 Years
Is the person of Aboriginal
No
No
No
or Torres Strait Islander
Yes, Aboriginal
Yes, Aboriginal
Yes, Aboriginal
origin?
SAMPLE
Yes, Torres Strait Islander
Yes, Torres Strait Islander
Yes, Torres Strait Islander
•  For people of both Aboriginal
and Torres Strait Islander origin,
mark both ‘Yes’ boxes.
Is the person a full-time
No
No
No
student?
Yes
Yes
Yes
What is the person’s
Husband or wife of
Husband or wife of
Husband or wife of
relationship to
Person 1
Person 1
Person 1
Person 1/Person 2?
De facto partner of
De facto partner of
De facto partner of
Person 1
Person 1
Person 1
•  Examples of other relationships:
SON-IN-LAW, GRAND-
Child of both Person 1
Child of both Person 1
Child of both Person 1
DAUGHTER, UNCLE, BOARDER.
and Person 2
and Person 2
and Person 2
Child of Person 1 only
Child of Person 1 only
Child of Person 1 only
Child of Person 2 only
Child of Person 2 only
Child of Person 2 only
Unrelated flatmate or
Unrelated flatmate or
Unrelated flatmate or
co-tenant of Person 1
co-tenant of Person 1
co-tenant of Person 1
Other relationship to Person 1
Other relationship to Person 1
Other relationship to Person 1
(please specify)
(please specify)
(please specify)

25
Please answer the following questions for this dwelling
60 How many registered motor vehicles owned or used by
residents of this dwelling were garaged or parked at or near
Number of motor vehicles
this dwelling on the night of Tuesday 10 August 2021?
•  Include vans and company vehicles kept at home.
None
•  Exclude motorbikes, motor scooters and heavy vehicles.
61 How many bedrooms are there in this dwelling?
•  If the dwelling is a bedsitter or studio, mark the ‘None’ box like this:
Number of bedrooms
None
62 Is this dwelling:
Owned outright
Go to 65
•  Include owners of caravans, manufactured homes or houseboats
Owned with a mortgage
Go to 64
in ‘Owned with a mortgage’ or ‘Owned outright’ regardless of
whether or not the site is owned.
Purchased under a
•  A shared equity scheme is a government or not-for-profit scheme –
shared equity scheme
Go to 64
assisting people on lower incomes to buy a home by sharing up to
Rented
30% of the ownership.
Occupied rent free
•  Life tenure schemes are a common arrangement in retirement
villages. Include leaseholds, loan and license agreements in
Occupied under a life tenure scheme
Go to 65
‘Occupied under a life tenure scheme’.
Other
63 Who is this dwelling being rented from?
Real estate agent
•  For all state/territory specific government housing authorities,
Government Housing Authority/Housing
mark ‘Government Housing Authority/Housing Department (Public
Department (Public Housing)
Housing)’.
Community housing provider
•  Some examples of government housing authorities are: DCJ Housing
(NSW), HousingVic, Department of Housing and Public Works (Qld),
Parent or other relative not in this dwelling
Department of Communities (WA), Housing SA, Housing Tasmania,
Other person not in this dwelling
Department of Local Government, Housing and Community
Development (NT), Housing ACT, Aboriginal housing authorities.
Manager of a residential park (including caravan
parks and manufactured home estates)
•  Community housing providers are not-for-profit organisations that
provide affordable rental housing to people on lower incomes. This
Employer – government (including Defence
includes housing co-operatives.
Housing Australia)
Employer – private
64
SAMPLE
How much does your household pay for this dwelling?
$
•  Include rent and mortgage repayments and site fees if the
. 0 0
,
per week
dwelling is a caravan or manufactured home in a caravan park or
OR
manufactured home estate.
$
•  Exclude water rates, council rates, repairs, maintenance, body
. 0 0
,
per fortnight
corporate and other fees.
OR
•  If no payments, please mark the ‘$0 or nil payments’ box like
$
this:
. 0 0
,
per month
$0 or nil payments
65
    Does each person agree to their name, address and other information on this form being kept by the
National Archives of Australia and then made publicly available after 99 years?
• Answering this question is OPTIONAL.
•  A person’s name-identified information will not be kept by the National Archives where a person does not agree or the answer is left blank.
•  Information provided to the National Archives will include answers to all questions on the form including Question 28 (long-term health conditions).
• Please check with each person before answering – leave blank for those people whose views are not known to you.
i Go to www.census.abs.gov.au/questions for more information.
Person 1
Person 2
Person 3
Person 4
Person 5
Person 6
Yes, agrees
Yes, agrees
Yes, agrees
Yes, agrees
Yes, agrees
Yes, agrees
No, does not agree
No, does not agree
No, does not agree
No, does not agree
No, does not agree
No, does not agree
66 Finished?
•  Please make sure you have not missed any pages or questions.
•  Please sign here.
Day
Month Year
Signature
Thank you for your participation. Please return this completed form in the Reply Paid envelope without delay.

Thank you for taking part.
Need help to complete your Census?
We are here to help – online, in person or over the phone.
Go to www.census.abs.gov.au/help for frequently asked questions,
self-service options, and information about getting help in person.
You can also call us on 1800 512 441.
National Relay Service
Language support
If you are deaf, hard of hearing and/or
To access in-language support, you can
have a speech impairment, you can contact
contact the Translating and Interpreting
us through the National Relay Service.
Service (TIS National) on 131 450.
If you complete the Census online, please recycle this paper form.
SAMPLE
FIELD STAFF USE ONLY
OFFICE USE ONLY
RAS
ASC
HOM
DCC
RAS
CCF
FOM
RGH
TRN
CCF
QA
INC
U15
QA
NAH
UNO
DFA number
HOM
PFR
COM
QA
Record number
REF
For more information, go to     www.census.abs.gov.au
© Commonwealth of Australia 2021

Document 6
Census Personal Form
Census night is Tuesday 10 August 2021
For ABS use only
Complete your Census online
1 Go to www.census.abs.gov.au
It’s time to complete your Census.
Census night is Tuesday 10 August 2021. Every person in Australia
2 Select  Start your Census
on Census night must be included on a Census form.
The information you provide is used to make many important decisions
3 Enter your Census number
about things like transport, schools, health care and infrastructure. It
also helps plan services for individuals, families and communities.
You will be completing this form if you are:
• staying in accommodation such as a hotel, hospital, nursing
home or staff/student quarters, or
4 Enter your temporary password
• in a household of more than six people.
This information is collected under the authority of the Census and
Statistics Act 1905. Go to www.census.abs.gov.au or page two of
this form to find out more.
OR
Thank you for taking part.
Complete this paper form
and return it without delay.
SAMPLE
Chris Libreri
Census General Manager
How to write your answers
1 What is the address of this dwelling?
Please use
•  Use a blue or black pen only.
CAPITAL letters only.
•  Mark response boxes, like this:
Apartment/Flat/Unit number
Street number (examples: 1-9, LOT 37)
•  Use CAPITAL letters and
(if any)
only use one letter per box. N  S  W
Street name (examples: GRAHAM AVENUE, GEORGE STREET)
•  Remember to leave a space
between words, like this:
  D I E S E L
M E
Suburb/Locality
C H A N I C
• If you make a mistake, draw a line
through the box, like this:
State/Territory
Postcode
OR draw a line through the box and
continue writing, like this:
Property/Building name (if any)
S E R V I N G C I
N G
C A R S
All responses are kept strictly confidential. To see our Privacy Policy, go to www.census.abs.gov.au/privacy
For more information, go to     www.census.abs.gov.au
© Commonwealth of Australia 2021

Please use CAPITAL letters only.
02
Census Personal Form
Census night is Tuesday 10 August 2021
What is the Census?
2  Name of the person.
The Census is a snapshot of Australia’s people
First or given name
and housing, and tells the story of how we are
changing. It is used to estimate Australia’s
population, distribute government funds, and
plan services for communities right around
Surname or family name
Australia.
This form asks questions about health, education,
cultural background, employment and living
situations. This information helps make sure
the right services are available to individuals,
families and communities, where and when
3 Is the person:
they are needed.
•  Mark box, like this:
Go to www.census.abs.gov.au to find out more
i Go to www.census.abs.gov.au/questions for more
about why the Census is important.
information.
Male
Do I have to complete the Census?
Female
Yes, the Census is compulsory. Everyone in
Non-binary sex
Australia on Tuesday 10 August 2021 must be
included on a Census form. This information
4
is collected under the authority of the Census
  What is the person’s date of birth and age?
and Statistics Act 1905.
•  If date of birth is not known, please give age.
• Example: Day
Month Year
Go to www.census.abs.gov.au/privacy to find
out more about why the Census is compulsory.
1 8 0 3 1 9 9 3
SAMPLE
AND
Is my information confidential?
Age
Yes, the information you provide is confidential.
2 8
The ABS is legally required to keep data secure
Years
and not release information in a way that will
Day
Month Year
identify any individual, household or business.
Your data is protected by the secrecy provisions
of the Census and Statistics Act 1905.
AND
Go to www.census.abs.gov.au/privacy to find out
Age
more about how we keep your information secure.
Years
Need more help?
5 Is the dwelling in Question 1 a private home?
Help is available at www.census.abs.gov.au/help
•  A private home is a self-contained dwelling intended
There is a range of information and self-service
for long-term residential use.
options to help you complete the Census.
No
Go to 6
If you’d prefer to speak to someone, you can
Yes
Go to 7
call us on 1800 512 441.
For more information, go to    www.census.abs.gov.au or call    1800 512 441

Please use CAPITAL letters only.
03
6 What is the person’s residential status in this

10 Where does the person usually live?
dwelling?
•  For people who usually live in another country and who
•  For a person staying in accommodation such as a hotel,
are visiting Australia for less than one year, mark ‘Other
hostel, boarding house, hospital, nursing home, or staff or
country’.
student quarters on the night of Tuesday 10 August 2021,
•  For other people, ‘usually live’ means the address at
mark one of the following.
which the person has lived, or intends to live, for a total of
six months or more in 2021.
Guest
Go to 8
•  For people who have no fixed or return address (for
Patient
Go to 8
example, due to family conflict or eviction), write ‘NONE’
in the ‘Suburb/Locality’ box.
Inmate
Go to 8
•  For boarders at boarding school, write the address of the
boarding school or college.
Resident
Go to 8
•  Mark box, like this:
Owner, proprietor or manager
Go to 8
Same as in Question 1
Staff (e.g. porter, cook, teacher, warden)
Go to 8
Elsewhere in Australia (please specify address)
Family of owner, proprietor, manager or staff
Go to 8
Apartment/Flat/Unit number Street number
(if any)
Other
Go to 8
Street name
7 For a person living in, or visiting a private home
on the night of Tuesday 10 August 2021, mark
how they are related to Person 1/Person 2 (as
shown on the Household Form):
Suburb/Locality
Husband or wife of Person 1
De facto partner of Person 1
Child of both Person 1 and Person 2
State/Territory
Postcode
Child of Person 1 only
Child of Person 2 only
Other country
Unrelated flatmate or co-tenant of Person 1
Other relationship to Person 1 (please specify)

11 Where did the person usually live one year
SAMPLE
ago (at 10 August 2020)?
•  If the person is less than one year old, leave blank.
•  For people who had no usual address on 10 August 2020,
write the address at which they were then living.
8 What is the person’s current marital status?
•  Mark box, like this:
•  ‘Married’ refers to registered marriages.
Same as in Question 10
•  Mark one box, like this:
Elsewhere in Australia (please specify address)
Never married
Apartment/Flat/Unit number Street number
Widowed
(if any)
Divorced
Street name
Separated but not divorced
Married
9 Is the person of Aboriginal or Torres Strait
Suburb/Locality
Islander origin?
•  For people of both Aboriginal and Torres Strait
Islander origin, mark both ‘Yes’ boxes.
State/Territory
Postcode
No
Yes, Aboriginal
Yes, Torres Strait Islander
Other country

Please use CAPITAL letters only.
04

12 Where did the person usually live five years

16 In which country was the person’s father born?
ago (at 10 August 2016)?
•  If the person does not know their birth father, and
•  If the person is less than five years old, leave blank.
has a second parent, please include the country of
•  For people who had no usual address on 10 August 2016,
birth of the second parent here.
write the address at which they were then living.
•  If the person has same-sex parents, include the
•  Mark box, like this:
country of birth of one of the two parents here.
Australia
Same as in Question 10
Other (please specify)
Same as in Question 11
Elsewhere in Australia (please specify address)
Apartment/Flat/Unit number Street number
(if any)

17 In which country was the person’s mother born?
Street name
•  If the person does not know their birth mother, and
has a second parent, please include the country of
birth of the second parent here.
•  If the person has same-sex parents, include the
Suburb/Locality
country of birth of one of the two parents here.
Australia
Other (please specify)
State/Territory
Postcode
Other country

18 Does the person use a language other than

13 Is the person an Australian citizen?
English at home?
•  If more than one language other than English, write
•  Mark one box, like this:
the one that is used most often.
Yes, Australian citizen
•  Include use of sign languages (for example, AUSLAN)
No
in the ‘please specify’ option.
•  Include use of Aboriginal or Torres Strait Islander

14 In which country was the person born?
languages in the ‘please specify’ option.
SAMPLE
•  Mark one box, like this:
•  Mark one box, like this:
No, English only
Go to 20
Australia
Go to 16
Yes, Mandarin
England
Yes, Arabic
New Zealand
Yes, Cantonese
India
Yes, Vietnamese
Philippines
Yes, Italian
Vietnam
Yes, Greek
Italy
Yes, other language (please specify)
Other (please specify)

15 In what year did the person first arrive in
Australia to live for one year or more?

19 How well does the person speak English?
•  Mark one box, like this:
•  For example, for arrival in 1987 write: 1 9 8 7
Very well
Well
Year
Not well
Will be in Australia for less than one year
Not at all

Please use CAPITAL letters only.
05

20 What is the person’s ancestry?

22 Does the person ever need someone to help with,
•  Provide up to two ancestries only.
or be with them for, self-care activities?
•  Examples of ‘Other ancestry’: CROATIAN, SERBIAN,
•  For example: doing everyday activities such as
FILIPINO, TAMIL, SINHALESE, HMONG, MAORI, PITCAIRN,
eating, showering, dressing or toileting.
AUSTRALIAN SOUTH SEA ISLANDER.
•  Mark box, like this:
Yes, always
i Go to www.census.abs.gov.au/questions for more
Yes, sometimes
information.
No
English
Irish

23 Does the person ever need someone to help with,
Scottish
or be with them for, body movement activities?
Chinese
•  For example: getting out of bed, moving around at
Italian
home or at places away from home.
German
Yes, always
Aboriginal
Yes, sometimes
Torres Strait Islander
No
Australian
Other ancestry 1 (please specify)

24 Does the person ever need someone to help with,
or be with them for, communication activities?
•  For example: understanding, or being understood by, others.
Other ancestry 2 (please specify)
Yes, always
Yes, sometimes
No

21 What is the person’s religion?

25
•  Answering this question is OPTIONAL.
What are the reasons for the need for assistance or
supervision shown in Questions 22, 23 and 24?
•  Examples of ‘Other’: LUTHERAN, SALVATION ARMY,
SAMPLE
JUDAISM, TAOISM, ATHEISM.
•  Mark all that apply, like this:
•  Mark one box, like this:
No need for assistance
No religion
Short-term health condition (lasting less than six months)
Catholic
Long-term health condition (lasting six months or more)
Anglican (Church of England)
Disability (lasting six months or more)
Uniting Church
Islam
Old or young age
Buddhism
Difficulty with English language
Presbyterian
Other reason
Hinduism
Greek Orthodox
Baptist
Other (please specify)

Please use CAPITAL letters only.
06
26 Has the person been told by a doctor or nurse

27 Is the person attending a school or other
that they have any of these long-term health
education institution?
conditions?
•  Include preschool, online, external or correspondence
•  Include health conditions that have lasted or are
study.
expected to last for six months or more.
•  Mark one box, like this:
•  Include health conditions that:
     - may recur from time to time, or
No
Go to 29
  - are controlled by medication, or
Yes, full-time student
  - are in remission.
•  Mark all that apply, like this:
Yes, part-time student
i Go to www.census.abs.gov.au/questions for more
information.
Arthritis

28 What type of education institution is the person
attending?
Asthma
•  Include preschool, early childhood education and centre-
based day care providers. This should be marked as
Cancer (including remission)
‘Preschool’.
Dementia (including Alzheimer’s)
•  Include secondary colleges and senior high schools under
the ‘Secondary school’ category.
Diabetes (excluding gestational diabetes)
•  For external, online or correspondence students, mark
the type of institution in which they are enrolled.
Heart disease (including heart attack or angina)
•  Mark one box, like this:
Kidney disease
Preschool
Primary school
Lung condition (including COPD or emphysema)
Government
Mental health condition (including depression or anxiety)
Catholic
Stroke
Other non-government
Any other long-term health condition(s)
Secondary school
SAMPLE
No long-term health condition
Government
Catholic
Other non-government
Tertiary
Vocational education (including TAFE and private
training providers)
University or other higher education
Other education institution

Please use CAPITAL letters only.
07

29 Is the person 15 years of age or more?
32 What is the level of the highest qualification
•  Mark one box, like this:
the person has completed?
•  For example: TRADE CERTIFICATE, BACHELOR DEGREE,
No, under 15 years
Go to 56
ASSOCIATE DIPLOMA, CERTIFICATE II, ADVANCED
DIPLOMA.
Yes, 15 years or more
Go to 30
Level of qualification

30 What is the highest year of primary or secondary
school the person has completed?
•  For people currently at school, mark the highest year of
schooling they have completed, not the year they are
currently undertaking.
•  Mark one box, like this:
33 What is the main field of study for the
person’s highest qualification completed?
Year 12 or equivalent
•  For example: PLUMBING, PRIMARY SCHOOL TEACHING,
Year 11 or equivalent
ACCOUNTING, HAIRDRESSING, PSYCHOLOGY, HOSPITALITY.
•  If the person has two qualifications of the same level, completed
Year 10 or equivalent
at the same time (for example, double degrees), select the
qualification considered the most important to them.
Year 9 or equivalent
Field of study
Year 8 or below
Did not go to school
31 Has the person completed any educational
qualification?
•  Include certificate, diploma or degree in ‘Yes, other
34 Did the person complete this qualification
qualification’.
before 1998?
•  Mark one box, like this:
•  Mark one box, like this:
SAMPLE
No
Go to 35
Yes, before 1998
No, still studying for first qualification
Go to 35
No, 1998 or later
Yes, trade certificate/apprenticeship
Yes, other qualification

35 If female, how many babies has the person
ever given birth to?
• Exclude adopted, foster and step children.
i Go to www.census.abs.gov.au/questions for more
information.
Number of babies
None

Please use CAPITAL letters only.
08

36 What is the total of all income the person

37 Last week, did the person have a job of any kind?
usually receives?
•  A ‘job’ means any type of work including casual, temporary,
• Do not deduct: tax, superannuation contributions, amounts
part-time or full-time work, if it was for one hour or more.
salary sacrificed, or any other automatic deductions.
•  Mark one box, like this:
Include:
i Go to www.census.abs.gov.au/questions for more
Wages and salaries
information.
-  Regular overtime
-  Commissions and bonuses
Yes, worked for payment or profit
Go to 38
Government pensions, benefits and allowances
Yes, but absent on holidays, on paid leave, on strike, or
-  Age Pension
-  Youth and student
temporarily stood down
Go to 38
-  Family Tax Benefit
allowances
Yes, unpaid work in a family business
Go to 41
-  Parenting Payment
-  Carer Allowance
-  Disability Support
-  Any other government
Yes, other unpaid work
Go to 49
Pension
pension, benefit or
No, did not have a job
Go to 49
-  JobSeeker Payment
allowance
Profit or loss from
-  Unincorporated business/farm (for example, sole

38 In the main job held last week, was the person:
•  If the person had more than one job last week, then
traders, partnerships)
‘main job’ refers to the job in which the person usually
-  Rental properties
works the most hours.
Other income
-  Income from
-  Interest
•  For all people conducting their own business, including
superannuation
-  Dividends from shares
those with their own incorporated (e.g. Pty Ltd) company,
-  Private pensions
-  Workers compensation
as well as sole traders, partnerships and contractors, mark
-  Child support
-  Any other income
‘Working in own business’.
•  Mark one box, like this:
•  Mark one box, like this:
•  Information from this question provides an indication of
Working for an employer
Go to 41
living standards in different areas.
Working in own business
$3,500 or more per week
$182,000 or more per year

39 Was the person’s business:
$3,000   -  $3,499 per week
$156,000   -  $181,999 per year
•  Incorporated means a limited liability company.
$2,000   -  $2,999 per week
•  Mark one box, like this:
$104,000   -  $155,999 per year
Unincorporated
$1,750   -  $1,999 per week
$91,000   -  $103,999 per year
Incorporated (e.g. Pty Ltd)
SAMPLE
$1,500   -  $1,749 per week
$78,000 - $90,999 per year

40 Does the person’s business employ people?
$1,250   -  $1,499 per week
•  Exclude owner(s) of the business.
$65,000   -  $77,999 per year
•  Mark one box, like this:
$1,000   -  $1,249 per week
No, no employees (other than owner/s)
$52,000   -  $64,999 per year
Yes, 1 - 19 employees
$800 - $999 per week
$41,600   -  $51,999 per year
Yes, 20 or more employees
$650   -  $799 per week
$33,800 - $41,599 per year

41 In the main job held last week, what was the
$500   -  $649 per week
person’s occupation?
$26,000   -  $33,799 per year
•  Give full title.
$400   -  $499 per week
•  For example: REGISTERED AGED CARE NURSE, HOUSE
$20,800 - $25,999 per year
CLEANER, RETAIL SALES ASSISTANT, ORE CRUSHING
$300   -  $399 per week
MACHINE OPERATOR.
$15,600   -  $20,799 per year
•  For public servants, write occupation title and level.
For example: CUSTOMER SERVICE OFFICER APS5.
$150   -  $299 per week
$7,800 - $15,599 per year
•  For armed services personnel, write rank and occupation.
$1   -  $149 per week
Occupation
$1   -  $7,799 per year
$0 or nil income
Negative income

Please use CAPITAL letters only.
09

42 What are the main tasks that the person usually
46 For the main job held last week, what was the
performs in that occupation?
person’s workplace address?
•  Give full details.
•  For people with no fixed place of work:
•  For example: NURSING THE AGED, CLEANING HOUSES,
- if the person usually travels to a depot to start work,
SELLING CLOTHING IN A DEPARTMENT STORE,
write the depot address
OPERATING AN ORE CRUSHER IN A PROCESSING FACILITY.
- otherwise, write ‘NONE’ in the ‘Suburb/Locality’ box.
•  For managers, write the function managed. For example:
•  This information is used to calculate daytime populations
MANAGING CONSTRUCTION PROJECTS, MANAGING A
and to plan transport activities.
HOTEL, MANAGING HUMAN RESOURCES.
Tasks or duties
Street number
Street name
Suburb/Locality

43 For the main job held last week, what was the
employer’s business name?
•  For self-employed people, write the name of their
business.
State/Territory
Postcode
•  For teachers, write the name of the school.
Business name
Property/Building name (if any)

44 What best describes the industry or business of
47 How did the person get to work on
the employer at the location where the person
Tuesday 10 August 2021?
works?
•  If the person used more than one method of travel to
•  Examples for industry or business of the employer:
work, mark all that apply, like this:
SECONDARY SCHOOL EDUCATION, GOLD MINING,
SAMPLE
IT CONSULTING SERVICE, DOMESTIC CLEANING SERVICE,
Train
APARTMENT CONSTRUCTION.
Bus
Industry/business of the employer
Ferry
Tram (including light rail)
Taxi or ride-share service
Car – as a driver
Car – as a passenger

45
Truck
What are the main goods produced or main
services provided by the employer’s business?
Motorbike or motor scooter
•  Describe as fully as possible, using two words or more.
Bicycle
•  For example: PROVIDING EDUCATION TO SECONDARY
Walked only
SCHOOL STUDENTS, MINING GOLD ORE, PROVIDING
INFORMATION TECHNOLOGY ADVICE, HOUSE CLEANING,
Other
CONSTRUCTION OF RESIDENTIAL BUILDINGS.
Worked at home
Goods produced/services provided
Did not go to work

Please use CAPITAL letters only.
10

48 Last week, how many hours did the person

52 In the last twelve months did the person
work in all jobs?
spend any time doing unpaid voluntary work
•  Add any overtime or extra time worked and subtract any
for an organisation or group?
time off.
•  Include unpaid voluntary work for sporting teams, youth
groups, schools or religious organisations.
Hours worked
•  Exclude work in a family business or paid employment.
None
•  Exclude work to qualify for a government benefit,
to obtain an educational qualification or due to a
community/court order.

49 Did the person actively look for work at any
•  Mark one box, like this:
    time in the last four weeks?
No, did not do unpaid voluntary work
•  Full-time work means 35 hours or more per week.
•  Examples of actively looking for work include:
Yes, did unpaid voluntary work
-  writing, telephoning or applying to an employer for work
- having a job interview

53 In the last week did the person spend time doing
- checking or registering with an employment agency
unpaid domestic work for their household?
- taking steps to purchase or start a business
- advertising or tendering for work
•  Include all housework, food/drink preparation and
clean-up, laundry, gardening, home maintenance and
- contacting friends or relatives in order to obtain work
repairs, household shopping and finance management.
- answering an advertisement for a job.
•  Mark one box, like this:
No, did not look for work
Go to 51
No, did not do any unpaid domestic work in the last week
Yes, looked for full-time work
Yes, less than 5 hours
Yes, looked for part-time work
Yes, 5 - 14 hours
Yes, 15 - 29 hours

50 If the person had found a job, could the person
Yes, 30 hours or more
have started work last week?
•  Mark one box, like this:

Yes, could have started work last week
54 In the last two weeks did the person spend
time providing unpaid care, help or assistance
No, already had a job to go to
to family members or others because of a
disability, a long-term health condition or
No, temporarily ill or injured
problems related to old age?
SAMPLE
No, other reason
•  People who receive Carer Allowance or Carer Payment
should mark ‘Yes, provided unpaid care, help or assistance’.
•  Occasional help or assistance, such as shopping, should
51 Has the person ever served in the Australian
only be included if the person needs this type of
Defence Force?
assistance because of their condition.
•  Include Royal Australian Navy, Australian Army, Royal
•  Do not include work done through a voluntary organisation
Australian Air Force, Second Australian Imperial Force,
or group.
National Service and NORFORCE.
•  Mark one box, like this:
•  Exclude service for non-Australian defence forces.
•  Mark all that apply, like this:
No, did not provide unpaid care, help or assistance
i Go to www.census.abs.gov.au/questions for more
Yes, provided unpaid care, help or assistance
information.
No

55 In the last two weeks did the person spend
time looking after a child, without pay?
Regular Service
•  Only include children who were less than 15 years of age.
Yes, current service
•  Mark all that apply, like this:
Yes, previous service
No
Reserves Service
Yes, looked after own child
Yes, current service
Yes, looked after a child other than own child
Yes, previous service

Please use CAPITAL letters only.
11

56 Does the person agree to their name, address
and other information on this form being kept by
the National Archives of Australia and then made
publicly available after 99 years?
• Answering this question is OPTIONAL.
• A person’s name-identified information will not be kept
by the National Archives where a person does not agree
or the answer is left blank.
•  Information provided to the National Archives will
include answers to all questions on the form including
Question 26 (long-term health conditions).
i Go to www.census.abs.gov.au/questions for more
information.
Yes, agrees
No, does not agree
57 Finished?
•  Please make sure you have not missed any pages or questions.
•  Please sign here.
Signature
Thank you for your participation.
Please return this completed form
Day
Month Year
without delay.
SAMPLE

Attachment D
INFORMATION ON RIGHTS OF REVIEW

1.    INTERNAL REVIEW OF DECISION
If you disagree with our decision you have the right to apply for an internal review under section
54 of the FOI Act.
Application for a review of the decision must be made within 30 days of receipt of this letter.
No particular form is required but it would assist the decision-maker if you set out in the
application the grounds on which you consider that the decision should be reviewed.
Application for an internal review of the decision should be e-mailed to
xxxxxxxxxxxxxxxxxxxx@xxx.xxx.xx or posted to:
ABS FOI Contact Officer
Policy  and  Legislation  Section
Australian Bureau of  Statistics
Locked Bag 10
BELCONNEN ACT 2617

2.    AUSTRALIAN INFORMATION COMMISSIONER REVIEW OF DECISION
Section 54L of the Act gives you the right to seek a review of the decision from the Information
Commissioner.  An application for review must be made within 60 days of receiving the decision.
Application for an Information Commissioner review of the decision should be e-mailed to
xxxxx@xxxx.xxx.xx or posted to:
Director of FOI Dispute Resolution
GPO Box 5218
SYDNEY  NSW  2001

3.    COMPLAINTS TO THE INFORMATION COMMISSIONER
Section 70 of the Act provides that a person may complain to the Information Commissioner
about action taken by an agency in the exercise of powers or the performance of functions
under the Act.
A complaint to the Information Commissioner must be in writing and identify the agency the
complaint is about.  It should be e-mailed to xxxxx@xxxx.xxx.xx or posted to:
Director of FOI Dispute Resolution
GPO Box 5218
SYDNEY  NSW  2001
The Information Commissioner may decline to investigate the complaint in a number of
circumstances, including that you did not exercise your right to ask the agency, the
Information Commissioner, a court or tribunal to review the decision.

Document Outline