Member of this household(Person serial no.: )

Which part of this unit of quarters is occupied by this household?How many living / dining rooms are for the exclusive use byyour household in this unit of quarters?If ‘No room for your exclusive use’ Does your householdhave any rooms shared with other households?(Repeat for : kitchens, bathrooms / toilets, bedrooms,other rooms, cocklofts and bedspaces)

Q1

Q3Q2

H1

H2

H3

1

2

3

4

5

6

7

8

9

H4

H5( H3 + H4 )

H6

H7

H8a

H10a

H10b

Answer box for H9

H9a(iii)

H9a

H9b

Form LF (E)

0

1

2

3

4

5

6

9

S

0

1

2

3

4

9

S

0

1

2

3

9

S

0

1

2

3

4

9

S

0

1

2

3

4

5

6

9

S

0

1

2

3

9

S

0

1

2

3

4

5

6

9

S

H9aH8b

H10a

H10a

H10b

H8b

H8a

H9b

H10b

H9b

1

Present status of quarters (vs assignment)

Occupancy of quarters

Result of final visit

Total number of persons

Type of household

Is this unit of quarters solely occupied by this household?

Name: Tel. No.:

Part 1 : QUARTERS INFORMATION

Part 2 : HOUSEHOLD INFORMATION

How many households are living here?

Same (in assignment list)

1 Owner-occupier, with mortgage payment or loan repayment

3 Sole tenant

4 Co-tenant

6 Sub-tenant

7 Provided by employer(including staff quarters)5 Main tenant

8 Rent free 9 N.A.

2 Owner-occupier, without mortgage payment and loan repayment

Unlisted / Attached

1 Domestic 2 Collective

1

2

Usually with persons living

Occasionally with persons living

1 Enumerated (never registered e-Questionnaire)

4 Enumerated (registerede-Questionnaire with field follow-up)

3

4

Can be used as residence but currently unoccupiedNon-residential use only

7 Non-contacted

8 Others

Split

Unsheltered accommodation

Merged (enumerated)

Vessel Licence number :

Merged (not enumerated)

Demolished / Construction in progress

Vacant land

(Stop)

(Stop)

(Stop)

‘Part 3 : PERSONAL INFORMATION’

‘Part 3 : PERSONAL INFORMATION’

If Q1 = ‘Vessel’ or H2 = ‘Collective’

May I have your name and contact telephone number, please?

If this is acontinuation form Go to ‘Part 3 : PERSONAL INFORMATION’

(Show Prompt Book) How many members are there in this household?

(Show Prompt Book) Apart from the above persons, were there anyother persons (e.g. visitors) who were here at 3 a.m. on 30 June?Please include persons listed in the Prompt Book.

Please remember to include andexclude those persons listed in the Prompt Book.

May I have their names, please? (Record answer in P0)Are there any other co-owners?May I know who the head of this household is? (Record answer in P1)

(Household head is the person acknowledged as such by other members of the household)

How many?

May I also have their names, please? (Record answer in P0)

Is there an outstanding mortgage or loan?

If ‘Yes’

If ‘Yes’

Is this accommodation owned or rented by this household?

Who owns this unit of quarters? May choose both ‘1’ & ‘2’

(Record answer in ‘Answer box for H9’ below)

(Show Prompt Book) What is the amount of rent your household has to pay for thisaccommodation in June? Please exclude electricity, water, gas and telephone fees.

(Record answer in ‘Answer box for H9’ below)

Are there any other co-owners?Who owns this unit of quarters?

If ‘Owned’

In the April to June quarter, what is the amount of rates and Government rent?In June, what is the amount of management fee?

If ‘Yes’

If ‘Rented’

If ‘Others’

If ‘No’

How many living / dining rooms, kitchens, bathrooms / toilets,bedrooms and other rooms are there in this unit of quarters?

1

2

3

4

Whole quarters

Rooms / Cubicles

Cocklofts

Bedspaces

5

6

9

Accommodation in non-residentialquarters with no area partitioned off for living purposeUnsheltered accommodation

N.A.living / dining

room kitchensbathrooms /

toilets bedroomsotherrooms cocklofts bedspaces

1

2 Not member of this household

(Also record answer in P1)

9 N.A.

In the April to June quarter, what is the amount of rates and Government rent?In June, what is the amount of management fee?

Do you have to pay rates, Government rent and management fee?

HK$

H9a(i) HK$

H9a(ii) HK$Less than

,Nil

N.A.Rates and Government rent:HK$ (second quarter)

Management fee:HK$ (June) ,

Nil

N.A.

,Nil

N.A.

,Nil

N.A.

Address :

ER QR HHN CF QRTYP

Census and Statistics DepartmentHong Kong Special Administrative Region

2011 Population CensusRESTRICTED WHEN ENTERED WITH DATA

ACCESSIBLE TO AUTHORISED PERSONS ONLY

(i) (Show Prompt Book) How much is the mortgage or loan payment for this unit of quarters in June? Please include all payments on first mortgage, second mortgage, payments on special loan schemes offered by the government or employer and other loans. (ii) How much of the above payment is paid by non-household member(s) directly to the financial institution(s)? (iii) For how many years will the longest mortgage or loan period of this unit of quarters still last?

RESTRICTED WHEN ENTERED WITH DATA

Specimen

Yes No

Yes No

Male Female

Year

Month

PassedNot Passed

HK / Not HK

N.A.

N.A.

Other Asian:please specify

(Show Prompt Book) Which ethnic group(s) do you belong to?

What is your nationality?

The mainland of China

Macao

Taiwan

Hong Kong

If ‘Chinese’

If ‘Chinese’

What is your nationality?

(Show Prompt Book) Are you a Hong Kong Permanent Resident, Hong Kong Non-permanent Resident or visitor?

For how many years have you been living in HK? Excluding any period of absence from HK for 6 consecutive months or more.

For how many years have you been living in HK? Excluding any period of absence from HK for 6 consecutive months or more.

If ‘Other nationalities’

White Black Others: please specify N.A.

Others

(If more than one household head record the relationship with the head with the smallest serial number)

Person serial number

What is your relationship to (name / identification of household head)?

Spouse’s serial number

Mother’s or father’s serial number

In what year and month were you born?

Where were you born?

(Show Prompt Book) Where is your usual accommodation in HK at present?

Asian

Sex

Record whether household head

Record whether owner of the flat

SECTION A PART 3 : PERSONAL INFORMATION

P0

P1

P2

P3

P4

P5

P6

P7

P9a

P12

P9b

P9c

P8

P10a

P11a

(1)

(01)

(69) (89) (92) (99)

(3)(2)

(11)

ChineseBangladeshiFilipinoIndian

(01)(41)(42)(43)

IndonesianJapaneseKoreanNepalese

(44)(45)(46)(47)

(9) N.A.

PakistaniSri-LankanThaiVietnamese

(48)(49)(50)(51)

(59)

(31)-(89)

(12)

(13)

1 2

1

1

1 3

(01) < 1 year(02) 1 - < 2 years

2 - < 3 years(03)： ：

(07) 6 - < 7 years

(08) 7 - < 8 years8 - < 9 years(09)

： ：(51) 50 years and

over

2

2

(i)

9

2

1 2

01 02 03 04 05 06

10 11 12 13 14 15

07 08 09

01 02 03 04 05 06

07 08 09 10 11 12 99

18 19 20

P8P8 P8

P8

P9cP9a

P10c

P9b

1

2

P13a

P13b

3

4

9

P13a

P18

P11b

P13a

P12

P11a

P11b

P10c

P11b

P13a

(1) Hong Kong Permanent Resident (3) Visitor holding Two-way Permit from the mainland of ChinaP13a P13a(2) Hong Kong Non-permanent Resident (4) Visitor holding other travel documentP13b P18

(ii)

2

Name / Identification of person

(01) Ownself

(02) Spouse(03) Son / Daughter

(04) Father / Mother

If reporting date of birth in Chinese reckoning

(For a person belonging to more than one ethnic group, record two major ethnic groups and specify other ethnic groups, where appropriate, in the box(ii).)

(Stop)(Stop)Here No fixed accommodation in HK

Another accommodation in HK

(05) Brother / Sister

(14) Live-in domestic helper / Chauffeur / Gardener(06)-(13),(15) Others : Please specify

Have you passed your birthday on 30 June?

(If reporting age only, please refer to the method of deriving year and month of birth in the Enumerator Manual and Coding Manual)

If ‘HK’, record ‘01’ ; if ‘Not HK’, record ‘11’P10b Where is your place of domicile?

If ‘HK’, record ‘01’ ; if ‘Not HK’, record ‘11’P10d Where is your place of domicile?

If ‘Visitor’ Are you holding Two-way Permit or other travel document?

‘7 years and over’ (code = 08 - 51)If ‘less than 7 years’ (code = 01 - 07)

P10b‘Chinese’ only P10a; otherwise(Show Prompt Book) Which ethnic group(s) do you belong to?

P10d‘Chinese’ only P10c; otherwise(Show Prompt Book) Which ethnic group(s) do you belong to?

RESTRICTED WHEN ENTERED WITH DATA

Specimen

Yes No

Yes No

Male Female

Year

Month

PassedNot Passed

HK / Not HK

N.A.

N.A.

1 2

1

1

1 3

(01) < 1 year(02) 1 - < 2 years

2 - < 3 years(03)： ：

(07) 6 - < 7 years

(08) 7 - < 8 years8 - < 9 years(09)

： ：(51) 50 years and

over

2

2

(i)

9

2

1 2

01 02 03 04 05 06

10 11 12 13 14 15

07 08 09

01 02 03 04 05 06

07 08 09 10 11 12 99

18 19 20

P8 P8

1

2

P13a

P13b

3

4

9

P13a

P18

(ii)

Yes No

Yes No

Male Female

Year

Month

PassedNot Passed

HK / Not HK

N.A.

N.A.

1 2

1

1

1 3

(01) < 1 year(02) 1 - < 2 years

2 - < 3 years(03)： ：

(07) 6 - < 7 years

(08) 7 - < 8 years8 - < 9 years(09)

： ：(51) 50 years and

over

2

2

(i)

9

2

1 2

01 02 03 04 05 06

10 11 12 13 14 15

07 08 09

01 02 03 04 05 06

07 08 09 10 11 12 99

18 19 20

P8 P8

1

2

P13a

P13b

3

4

9

P13a

P18

(ii)

Yes No

Yes No

Male Female

Year

Month

PassedNot Passed

HK / Not HK

N.A.

N.A.

1 2

1

1

1 3

(01) < 1 year(02) 1 - < 2 years

2 - < 3 years(03)： ：

(07) 6 - < 7 years

(08) 7 - < 8 years8 - < 9 years(09)

： ：(51) 50 years and

over

2

2

(i)

9

2

1 2

01 02 03 04 05 06

10 11 12 13 14 15

07 08 09

01 02 03 04 05 06

07 08 09 10 11 12 99

18 19 20

P8 P8

1

2

P13a

P13b

3

4

9

P13a

P18

(ii)

Yes No

Yes No

Male Female

Year

Month

PassedNot Passed

HK / Not HK

N.A.

N.A.

1 2

1

1

1 3

(01) < 1 year(02) 1 - < 2 years

2 - < 3 years(03)： ：

(07) 6 - < 7 years

(08) 7 - < 8 years8 - < 9 years(09)

： ：(51) 50 years and

over

2

2

(i)

9

2

1 2

01 02 03 04 05 06

10 11 12 13 14 15

07 08 09

01 02 03 04 05 06

07 08 09 10 11 12 99

18 19 20

P8 P8

1

2

P13a

P13b

3

4

9

P13a

P18

(ii)

(Stop) (Stop) (Stop) (Stop)

P1

P2

P3

P4

P5

P6

P7

P9a

P12

P9b

P9c

P8

P10a

P11a

P10c

P11b

3

P10b

P10d

RESTRICTED WHEN ENTERED WITH DATA

Specimen

District :

Hong Kong:

The mainland of China:

Macao:

Other places:

HereNot hereIf ‘Other place in HK’

If ‘Other place outside HK’

May I have the address?

If Q1 = ‘Vessel’

Where were you at 3 a.m. on 30 June?

Where were you at 3 a.m. on 30 June?

Where were you at 3 a.m. on 30 June?

Why do you usually NOT stay in Hong Kong?

Why do you usually NOT stay in Hong Kong?

(Show Prompt Book) In the second half of 2011, i.e. from 1 July 2011 to 31 December 2011, what is the total amount of time you expect to spend in Hong Kong?

(Show Prompt Book) What is your marital status at present?

(Show Prompt Book) What type of housing was it?

Can you hold a short conversation in other languages / dialects?

What was your address 5 years ago, i.e. June 2006?

What language / dialect do you usually speak at home?

For children born on or after 1 July 2006, put down ‘(9) N.A.’

(Show Prompt Book) In the second half of 2011, i.e. from 1 July 2011 to 31 December 2011, what is the total amount of time you expect to spend in Hong Kong?

(Show Prompt Book) In the first half of 2011, i.e. from 1 January 2011 to 30 June 2011, what were the respective amounts of time you spent in Hong Kong, the mainland of China, Macao and other places?

P23

P14a

P13a

P15a

P16

P17

(1)(2)

(1)

(1) (3)(2) (4)

(3)(4)

(01)(11)(12)(13)(14)

(31)(45)(41)-(44),(46)-(92)

(15)

(16)(19)

(i)

1

2

P21

9

1

2

7

9

9

9

4

5

63

1

2

3

4

9

9

1

2

3

4

5

1

2

3

4

P19P19

(1)(2)

(9)

P21

P21

P20b

(Please specify name of country or territory in the space for address.)

P14a

P13b

P15b

P14b

P14b

P16

P17

Never married(1) Now married(2) Widowed(3) Divorced(4) Separated(5)

P19

P21 If Q1 = ‘Vessel’ P21

P19 P19

If both P13a(i) and P14a = ‘1’ P16; otherwise P15a

If both P13b(i) and P14b = ‘1’ P17; otherwise P15b

If ‘(91) Mute person’ P23

If ‘(91) Mute person’

1

2

3

4

1 2 3 4 5

(9)

P18

P20b

P20a

P21

P22

P23

(ii)

(iii)

(iv)

4

(Show Prompt Book) In the first half of 2011, i.e. from 1 January 2011 to 30 June 2011, what were the respective amounts of time you spent in Hong Kong, the mainland of China, Macao and other places?

Working(2) Studying

(5) Others(9) N.A.

N.A.

N.A.

N.A.

N.A.

N.A.

N.A.

Others

N.A.

(9) N.A.

N.A.

(99) N.A.

(3) Retirement(4) Looking after family members / Engaged in household duty

Here or place not for accommodation in HKOther accommodation in HK

The mainland of China or MacaoOther countries or territories

(1) (3)(2) (4) (9) N.A.

Here or place not for accommodation in HKOther accommodation in HK

The mainland of China or MacaoOther countries or territories

Here or place not for accommodation in HKOther accommodation in HKThe mainland of China or Macao

(1)(2)(3)

Public rental housingSubsidized sale flatsPrivate residential flats (owned)

(4)(5)(6)

Private residential flats (rented)Private residential flats (others)Temporary housing

(7)(9)

OthersN.A.

Other countries or territories

SECTION B

Cantonese

If ‘Yes’

(Record a maximum of three languages / dialects only)(Excluding language / dialect selected in P21)

Putonghua (Mandarin)HakkaChiu ChauFukien

Sze Yap(Toi Shan, San Wui,Hoi Ping, Yan Ping)

EnglishJapanese

Others: please specifyShanghaineseOther Chinese dialects

(01)(11)(12)(13)(14)

(31)(45)(41)-(44),(46)-(92)

(15)

(16)(19) (99) N.A.

CantonesePutonghua (Mandarin)HakkaChiu ChauFukien

Sze Yap(Toi Shan, San Wui,Hoi Ping, Yan Ping)

EnglishJapanese

Others: please specifyShanghaineseOther Chinese dialects

What are they?Any others?

Address :

HK / KLN / NT

6 months

5 - < 6 months

4 - < 5 months

3 - < 4 months

2 - < 3 months

1 - < 2 months

< 1 month

Complete absencefrom HK

1

2

3

4

5

6

7

8

9 N.A.

(Stop)

(Stop) (Stop)

(Stop)

RESTRICTED WHEN ENTERED WITH DATA

(iii)

(ii)

(i)Specimen

District :

Hong Kong:

The mainland of China:

Macao:

Other places:

P23

(i)

1

2

P21

9

1

2

7

9

9

9

4

5

63

1

2

3

4

9

9

1

2

3

4

5

1

2

3

4

P19

P19

If ‘(91) Mute person’

1

2

3

4

1 2 3 4

(ii)

(iii)

(iv)

6 months

5 - < 6 months

4 - < 5 months

3 - < 4 months

2 - < 3 months

1 - < 2 months

< 1 month

Complete absencefrom HK

1

2

3

4

5

6

7

8

9 N.A.

6 months

5 - < 6 months

4 - < 5 months

3 - < 4 months

2 - < 3 months

1 - < 2 months

< 1 month

Complete absencefrom HK

1

2

3

4

5

6

7

8

9 N.A.

6 months

5 - < 6 months

4 - < 5 months

3 - < 4 months

2 - < 3 months

1 - < 2 months

< 1 month

Complete absencefrom HK

1

2

3

4

5

6

7

8

9 N.A.

6 months

5 - < 6 months

4 - < 5 months

3 - < 4 months

2 - < 3 months

1 - < 2 months

< 1 month

Complete absencefrom HK

1

2

3

4

5

6

7

8

9 N.A.

N.A.

N.A.

N.A.

N.A.

N.A.

Others

N.A.

Address :

HK / KLN / NTDistrict :

Hong Kong:

The mainland of China:

Macao:

Other places:

P23

(i)

1

2

P21

9

1

2

7

9

9

9

4

5

63

1

2

3

4

9

9

1

2

3

4

5

1

2

3

4

P19

P19

If ‘(91) Mute person’

1

2

3

4

1 2 3 4

(ii)

(iii)

(iv)

N.A.

N.A.

N.A.

N.A.

N.A.

Others

N.A.

Address :

HK / KLN / NTDistrict :

Hong Kong:

The mainland of China:

Macao:

Other places:

P23

(i)

1

2

P21

9

1

2

7

9

9

9

4

5

63

1

2

3

4

9

9

1

2

3

4

5

1

2

3

4

P19

P19

If ‘(91) Mute person’

1

2

3

4

1 2 3 4

(ii)

(iii)

(iv)

N.A.

N.A.

N.A.

N.A.

N.A.

Others

N.A.

Address :

HK / KLN / NTDistrict :

Hong Kong:

The mainland of China:

Macao:

Other places:

P23

(i)

1

2

P21

9

1

2

7

9

9

9

4

5

63

1

2

3

4

9

9

1

2

3

4

5

1

2

3

4

P19

P19

If ‘(91) Mute person’

1

2

3

4

1 2 3 4

(ii)

(iii)

(iv)

N.A.

N.A.

N.A.

N.A.

N.A.

Others

N.A.

Address :

HK / KLN / NT

If Q1 = ‘Vessel’ P21

5

If Q1 = ‘Vessel’ P21

5

If Q1 = ‘Vessel’ P21

5

If Q1 = ‘Vessel’ P21

5

P14a

P13a

P15a

P16

P17

P13b

P15b

P14b

P19

P18

P20b

P21

P22

P20a

5

(Stop) (Stop) (Stop) (Stop)

(Stop) (Stop) (Stop) (Stop)

RESTRICTED WHEN ENTERED WITH DATA

(iii)

(ii)

(i) (i)

(iii)

(i)

(iii)

(ii)

(i)

(iii)

(ii) (ii)Specimen

Hong Kong

Study the full time course?

School attendance

Field of education:

Field of education:

If more than one

If place of study is in the mainland of China

(copy the school name from P23)

(Show Prompt Book) In the first half of 2011, where was your school / educational institution?

What were the modes of transport you usually use to go to school / educational institution? (In the first half of 2011)

P25

P25

What was the highest class / level of education you have completed at that time?

state Local / Non-local (distance-learning / jointly-organised) / Other non-local programmes

What was the major field of study in the highest class / level of education you havecompleted?

Full time (including AM & PM session)

Distance-learning course

P23

P24a

(i)

(i)

In what class / level were you studying?

Will you study full time course in the next academic year?

In the first half of 2011, what was yourmajor field of study?

Was it a full time, part time or distance-learning course? (In the first half of 2011)

(ii)

(iii)

(iv)

(1)(3)

(2)(9)

1 2 3 9

1 P24a

2 P24b

3 P24b

4 P27

5 P24b

9

P27

01

(1)

(2)(3)

P24a

P24bP24b

(ii)

P25

P26

P24b

(01)

Shenzhen Area(04)Donggua / Huizhou / Jiangmen / Panyu / Shunde / Zhongshan / Zhuhai Area

(05)

Guangzhou Area(06)Other areas in GuangdongProvince

(07)

Shanghai(08)Beijing(09)Fujian Province(10)Other Provinces(11) (99)

Private car / Passenger vanMotorcycleGoods vehicle / VanTaxiFerry / VesselMTR – (including Disneyland Resort Line /Island Line / Kwun Tong Line / Tseung Kwan O Line /Tsuen Wan Line / Tung Chung Line)MTR – Airport ExpressMTR – (including East Rail Line / Ma On Shan Rail Line)MTR – West Rail Line

(01)(02)

(05)(04)(03)

(06)

(07)(08)(09)

MTR – Light Rail(10)

Green minibusRed minibusFranchised busFeeder busResidential coach serviceTramPeak tramSchool bus / School vanBicycleOn foot onlyOthers: please specify

(11)(12)

(15)(14)(13)

(16)(17)(18)(19)

N.A.

(20)(21)(99)

MacaoTaiwanCanadaAustraliaU.K.U.S.A.Other countriesor territories

(12)(13)(14)(15)(16)(17)(18)

(ii)

(iii)

(ii)

(iv)

Class / Level: (i)

Class / Level: (i)

P27

99

04 1205 13 06 1407 1508 1609 1710 1811

6

Local / Non-local (distance-learning / jointly-organised) /Other non-local programmes Name of school:

Local / Non-local (distance-learning / jointly-organised) /Other non-local programmes Name of school:

(Show Prompt Book) In the first half of 2011, have you attended a schoolor educational institution?

Yes No

Yes NoUncertain

Part time

N.A.

P23(iv)Otherwise

For local:

state Local / Non-local (distance-learning / jointly-organised) / Other non-local programmes

please give school name

For local: please give school name

Completed

(i) What was the highest class / level you attained?

Skip, mark ‘9’ N.A.

What was your major field of study?

Did you complete that class / level?

(ii)

(iii)

(iv)

P23(iv)

(4)

(5)P27

P24b

For programmes of craft / post-secondary or higher level,

If ‘no schooling’, record ‘ ’

Otherwise

Not completed

For local:

state Local / Non-local (distance-learning / jointly-organised) / Other non-local programmes

P2701

For persons who had completed pre-primary, primary, secondary education course or project Yi-jin, record ‘02-33’ If ‘no schooling’, record ‘01’

For programmes of craft / post-secondary or higher level,

If the school name was provided in P23

If the school name was not provided in P23

If place of study is in Hong Kong

please give street name with house number or estate name of the school

Please give one with longest distance travelled first.

please give school name and street name with house number or estate name of the school

N.A.

N.A.

N.A.

P27

P27

What was the highest class / level of education you have completed at that time?

state Local / Non-local (distance-learning / jointly-organised) / Other non-local programmes

What was the major field of study in the highest class / level of education you have completed?

(i)

(ii)For local: please give school name

For persons who had completed pre-primary, primary, secondary education course or project Yi-jin, record ‘02-33’ If ‘no schooling’, record ‘01’

For programmes of craft / post-secondary or higher level,

Address :

HK / KLN / NT

RESTRICTED WHEN ENTERED WITH DATA

(i)

(iii)

(ii)

For programmes of craft / post-secondary or higher level,

please give school name

Name of school:

Yes No／

TPU-SB

DC-CA-DNSpecimen

Hong Kong

Study the full time course?

School attendance

Class / Level:

1 2 3 9

1 P24a

2 P24b

3 P24b

4 P27

5 P24b

9

01

Yes No／ Yes No／ Yes No／ Yes No／

(ii)

(iii)

(ii)

(iv)

Class / Level: (i) Class / Level: (i)Class / Level: (i)Class / Level: (i)

(i)

P27

99

04 1205 13 06 1407 1508 1609 1710 1811 N.A.

N.A.

Hong Kong

Study the full time course?

School attendance

Class / Level:

1 2 3 9

1 P24a

2 P24b

3 P24b

4 P27

5 P24b

9

01

(ii)

(iii)

(ii)

(iv)

(i)

P27

99

04 1205 13 06 1407 1508 1609 1710 1811 N.A.

N.A.

Hong Kong

Study the full time course?

School attendance

Class / Level:

1 2 3 9

1 P24a

2 P24b

3 P24b

4 P27

5 P24b

9

01

(ii)

(iii)

(ii)

(iv)

Field of education: Field of education: Field of education: Field of education:

Field of education: Field of education: Field of education: Field of education:

(i)

P27

99

04 1205 13 06 1407 1508 1609 1710 1811 N.A.

N.A.

Hong Kong

Study the full time course?

School attendance

Class / Level:

1 2 3 9

1 P24a

2 P24b

3 P24b

4 P27

5 P24b

9

01

(ii)

(iii)

(ii)

(iv)

(i)

P27

99

04 1205 13 06 1407 1508 1609 1710 1811 N.A.

N.A.

P23

P24a

P25

P26

P24b

7

Address :

HK / KLN / NT

Address :

HK / KLN / NT

Address :

HK / KLN / NT

Address :

HK / KLN / NT

RESTRICTED WHEN ENTERED WITH DATA

Local / Non-local (distance-learning / jointly-organised) /Other non-local programmes Name of school:

Local / Non-local (distance-learning / jointly-organised) /Other non-local programmes Name of school:

Local / Non-local (distance-learning / jointly-organised) /Other non-local programmes Name of school:

Local / Non-local (distance-learning / jointly-organised) /Other non-local programmes Name of school:

Local / Non-local (distance-learning / jointly-organised) /Other non-local programmes Name of school:

Local / Non-local (distance-learning / jointly-organised) /Other non-local programmes Name of school:

Local / Non-local (distance-learning / jointly-organised) /Other non-local programmes Name of school:

Local / Non-local (distance-learning / jointly-organised) /Other non-local programmes Name of school:

Name of school: Name of school: Name of school: Name of school:

(iii)(iii)(iii)

(i)(i)(i)

(ii)(ii)(ii)

(i)

(iii)

(ii)

TPU-SB

DC-CA-DN

TPU-SB

DC-CA-DN

TPU-SB

DC-CA-DN

TPU-SB

DC-CA-DNSpecimen

What was the main action taken to seek work?

N.A.(99)

Were you seeking work during the 30-day period from 1 June to 30 June?

Yes

No

Yes

No

Yes

No

Yes

No

Yes

No

N.A.

N.A.

Why were you not available?

Why did you not seek work?

Did you have a job or business in the week from 24 June to 30 June?

Did you perform any work without pay in your family’s business in the weekfrom 24 June to 30 June?

Were you readily available for work in the week from 24 June to 30 June?If you have other obligations, such as doing housework or preparing forexaminations and not able to work immediately, you are regarded as not readily available for work.

P27

P28

P29

P30

P31

P33

P34

P35 (Show Prompt Book) Were you an employer, self-employed or an employee?

P36a In what industry was the business establishment you worked for?

P37

P36b What industry were you / your family’s business engaged in?

P32

12

Engaged in household duties(2)Attendance at educational institutions (3)Pregnancy(4)Retirement / Old age(5)In correctional institutions, psychiatric hospitals, infirmaries and convalescent hospitals

(6)

Permanent sickness / Disability(7)

Seek work directly with employerPlace or answer advertisementsSeek work with private employment agency

(1)

(2)

Seek work with Labour Department / public employment agency

(4)

(3)

Seek work with friends or relativesCheck with prospective employer at work place or usual assembly placesSearch job through Internet recruitment websites

(5)(6)

Others: please specify(8)

(7)

Other reasons: please specify(8)

Believe no work available Apart from the above reason, please give the most appropriate reason amongst “(02)-(09)”.Have you ever sought any jobs in recent 3 years?

(01)

Wait to take up new job(02)Start business at subsequent date(03)Expect to return to original job(04)Want to take rest / No motive to work / No financial need(05)Engaged in household duties(06)Retirement / Old age(07)

If answer of (ii) is

‘Yes’, code = ‘01’

‘No’, code= answer of (i)

Cannot meet job requirement(08)Other reasons: please specify(09)

N.A.(9)

N.A.(9)

N.A.(9)

Temporarily sickness (1) P32

P35

12

N.A.9

9

9

N.A.

Other reasons:

Other reasons:

Others:

9

N.A.9

N.A.9

N.A.9

N.A.99

P35

12

P36b

SECTION C : No need to complete for persons born on or after 1 July 1996

12

P34

P42b

12

P32

1

01

(i)

(i)

(ii)

(iii)

(ii)

0203

070809

040506

678

32

45

P32

P42b

P42b

P36b

P37

P36a

P42b

EmployeeOutworker

(1)(2) Self-employed (hawker)

Employer

Unpaid family workerSelf-employed (others)

(3)(4)(5)(6)

What was the title of your job?(i)

What were the main tasks or duties you had to perform in that job?(ii)

What skill, educational or professional qualifications were requiredby that job?

(iii)

P42b

21

34

65

78

43

56

21

P42b

P36b

P36a

8

(Show Prompt Book) Did you perform any work for pay or profit in the weekfrom 24 June to 30 June? Please include any work of one hour or over.

(i)

(ii)

RESTRICTED WHEN ENTERED WITH DATA

Specimen

Yes

No

Yes

No

Yes

No

Yes

No

Yes

No

N.A.

N.A.

12

P35

12

9

9

N.A.

Other reasons:

Other reasons:

Others:

9

N.A.9

N.A.9

N.A.9

N.A.99

P35

12

P36b

12

P34

P42b

12

P32

1

01

(i)

(i)

(ii)

(iii)

(ii)

0203

070809

040506

678

32

45

P42b

21

34

65

78

43

56

21

P42b

P36b

P36a

Yes

No

Yes

No

Yes

No

Yes

No

Yes

No

N.A.

N.A.

12

P35

12

9

9

N.A.

Other reasons:

Other reasons:

Others:

9

N.A.9

N.A.9

N.A.9

N.A.99

P35

12

P36b

12

P34

P42b

12

P32

1

01

(i)

(i)

(ii)

(iii)

(ii)

0203

070809

040506

678

32

45

P42b

21

34

65

78

43

56

21

P42b

P36b

P36a

Yes

No

Yes

No

Yes

No

Yes

No

Yes

No

N.A.

N.A.

12

P35

12

9

9

N.A.

Other reasons:

Other reasons:

Others:

9

N.A.9

N.A.9

N.A.9

N.A.99

P35

12

P36b

12

P34

P42b

12

P32

1

01

(i)

(i)

(ii)

(iii)

(ii)

0203

070809

040506

678

32

45

P42b

21

34

65

78

43

56

21

P42b

P36b

P36a

Yes

No

Yes

No

Yes

No

Yes

No

Yes

No

N.A.

N.A.

12

P35

12

9

N.A.9N.A.9 N.A.9 N.A.9

9

N.A.

Other reasons:

Other reasons:

Others:

9

N.A.9

N.A.9

N.A.9

N.A.99

P35

12

P36b

12

P34

P42b

12

P32

1

01

(i)

(i)

(ii)

(iii)

(ii)

0203

070809

040506

678

32

45

P32P32 P32 P32

P42b

21

34

65

78

43

56

21

P42b

P36b

P36a

P27

P28

P29

P30

P31

P33

P34

P35

P36a

P37

P36b

P32

9RESTRICTED WHEN ENTERED WITH DATA

Specimen

If more than one

The mainland of China:

(i)

,

HK $

Nil HK$

(ii)

,

HK $

Nil HK$

(iii)

,

HK $

Nil HK$

(iv)

,

HK $

Nil HK$

(v)

,

HK $

Nil HK$

(vi)

,

HK $

Nil HK$

Yes

No

HK $

HK$ ,,

,

P39

P40 (Show Prompt Book) What were your earnings, including housingallowance, from your main employment in June?

P41 Did you have other employment during the 30-day period from 1 Juneto 30 June?

P42a What were your earnings from all other employment in June?

P42b What were your earnings from all employment, including housing allowanceand earnings from other employment, in June?

P43 (Show Prompt Book) Did you have any other cash incomes in June? For example, rent, dividend and interest, comprehensive social security allowance, old age allowance.

P38 (Show Prompt Book) Where is your place of work?

What are the modes of transport you usually use to go to work?

01

dividend and interest(ii)

comprehensive social security assistance(iii)

regular / monthly pensions(iv)

social security allowance (old age allowance, disabilityallowance)

(v)

regular contribution (excluding mortgage payment paid directlyto the financial institutions) from persons outside the household (local or abroad), education grants (excluding loans), contribution from charities, other social security receipts, etc.

(vi)

P40

P40

P43

P43

(01)

(02)(03)

(12)

(99)

(13)(14)

(15)(04) ﹣(05) ﹣

(06) ﹣(07) ﹣(08) ﹣(09) ﹣(10) ﹣(11)

(11)(12)(13)(14)(15)(16)(17)(18)(19)(20)(21)(99)

(01)(02)(03)(04)(05)(06)

(07)(08)(09)(10)

﹣

Please give district, street name with house number and building name.

Please give one with longest distance travelled first.

rent income (from land, properties or vehicles, etc.)(i)

If ‘Yes’ How much?

02

03

04

05

06

07

08

09

10

11

12

13

14

15

99

9

1

2

P42a

(i)

(iii)

(ii)

Address:

Building:

HK /KLN / NT

10

Hong Kong (with fixedplace of work)

Hong Kong (no fixed place of work) Here in this accommodation

Shenzhen AreaDongguan / Huizhou / Jiangmen / Panyu / Shunde / Zhongshan / Zhuhai Area Guangzhou AreaOther areas in Guangdong ProvinceShanghaiBeijingFujian ProvinceOther Provinces

TaiwanMacao

Hong Kong (with fixed place of work)

(Need not give floor number and flat number)

Other countriesor territoriesMarine

N.A.

Green minibusRed minibusFranchised busFeeder busResidential coach serviceTramPeak tramCompany bus / vanBicycleOn foot onlyOthers: please specifyN.A.

N.A.

Private car / Passenger vanMotorcycleGoods vehicle / VanTaxiFerry / VesselMTR – (including Disneyland Resort Line / Island Line / Kwun Tong Line / Tseung Kwan O Line /Tsuen Wan Line / Tung Chung Line)MTR – Airport ExpressMTR – (including East Rail Line / Ma On Shan Rail Line)MTR – West Rail LineMTR – Light Rail

Nil N.A.

Nil N.A.

HK$

RESTRICTED WHEN ENTERED WITH DATA

HK $

P42a

HK $

P42b

(For other cash income of persons aged below 15, they should be put under other cash income of household head.)

Specimen

(i)

,

HK $

Nil HK$

(ii)

,

HK $

Nil HK$

(iii)

,

HK $

Nil HK$

(iv)

,

HK $

Nil HK$

(v)

,

HK $

Nil HK$

(vi)

,

HK $

Nil HK$

Yes

No

HK $

HK$ ,,

,

01

P40

02

03

04

05

06

07

08

09

10

11

12

13

14

15

99

9

1

2

P42a

P43 P43 P43 P43

(i)

(iii)

(ii)

Address:

Building:

HK /KLN / NT

Hong Kong (with fixed place of work)

N.A.

Nil N.A.

Nil N.A.

HK$

(i)

,

HK $

Nil HK$

(ii)

,

HK $

Nil HK$

(iii)

,

HK $

Nil HK$

(iv)

,

HK $

Nil HK$

(v)

,

HK $

Nil HK$

(vi)

,

HK $

Nil HK$

Yes

No

HK $

HK$ ,,

,

01

P40

02

03

04

05

06

07

08

09

10

11

12

13

14

15

99

9

1

2

P42a

(i)

(iii)

(ii)

Address:

Building:

HK /KLN / NT

Hong Kong (with fixed place of work)

N.A.

Nil N.A.

Nil N.A.

HK$

(i)

,

HK $

Nil HK$

(ii)

,

HK $

Nil HK$

(iii)

,

HK $

Nil HK$

(iv)

,

HK $

Nil HK$

(v)

,

HK $

Nil HK$

(vi)

,

HK $

Nil HK$

Yes

No

HK $

HK$ ,,

,

01

P40

02

03

04

05

06

07

08

09

10

11

12

13

14

15

99

9

1

2

P42a

(i)

(iii)

(ii)

Address:

Building:

HK /KLN / NT

Hong Kong (with fixed place of work)

N.A.

Nil N.A.

Nil N.A.

HK$

(i)

,

HK $

Nil HK$

(ii)

,

HK $

Nil HK$

(iii)

,

HK $

Nil HK$

(iv)

,

HK $

Nil HK$

(v)

,

HK $

Nil HK$

(vi)

,

HK $

Nil HK$

Yes

No

HK $

HK$ ,,

,

01

P40

02

03

04

05

06

07

08

09

10

11

12

13

14

15

99

9

1

2

P42a

(i)

(iii)

(ii)

Address:

Building:

HK /KLN / NT

Hong Kong (with fixed place of work)

N.A.

Nil N.A.

Nil N.A.

HK$

HK $

P42a

HK $

P42b

HK $

P42a

HK $

P42b

HK $

P42a

HK $

P42b

HK $

P42a

HK $

P42b

P39

P40

P41

P42aP42b

P43

P38

11

RESTRICTED WHEN ENTERED WITH DATA

Specimen

NFC IND/FU

This page is not part of the questionnaire

Census reference moment : 3 a.m. on 30 June 2011 [Please mark the appropriate box with ‘ ’ ( i.e. ) ]

IND/FU ACE CE CK CE CS MC

Number ofpersons

enumeratedInterview ended at Completed (COM)

1

1

1

1

1

1

1

1

2

2

2

2

2

2

2

3

3

3

3

3

3

3

Non-contacted (NC)

Result

Incomplete (INC)Interview started atDate#No. of visits

1st visit

2nd visit

3rd visit

4th visit

5th visit

6th visit

7th visit

SAQ issued

:

:

:

:

:

:

:

:

:

:

:

:

:

:

:

:

# Record the day of visit. No need to write down month and year.

1. Result of visit

4. Enumerator’s remarks 5. ACE’s remarks ( Date: / /2011 )

VC EF

VC EF

VC EF

VC EF

VC EF

Q. No. PSN Editing details Result

12

Sheet No.

Total No.

3. No. of questionnaires of this household

NEC ATC

Others

EF

VC

ACC

H7 H9 P7 P8H10

P9 P10 P12 P13P11

P14 P15 P24 P36P23

P37 P40 P43P42

CodingAddress Skipping

Q3 H3 H5 H6H4

6. Checker’s remarks ( Date: / /2011 )

RESTRICTED WHEN ENTERED WITH DATA

8. Other remarks:

1 2 3 4 5 (Please specify below) 9

7. Enumerator/Checker observations

2. Information on questionnaire completion [Please mark the appropriate box with ‘ ’ if the collected information meets the following conditions]

1 2 3 4 5

Part I – Quarters Information

Part II – Household Information

Part III – Personal InformationPSN

Q1 = 7, 8, 9 Q2 = 3, 4

H1 = 7, 8

Section A : P7 = 2

Section A : P17 = 3, 4

Section A : P18 = 1, 2, 3, 4

Section C (persons born on or after 1 July 1996)

Specimen