2 THIS FORM MUST BE RETURNED TO THE FIG POLICY UNIT BY FRIDAY 20TH APRIL 2012 FALKLAND ISLANDS CENSUS 2012 HOUSEHOLD ADDRESS ESSENTIAL INFORMATION • • • • • • This is the official form for all the people at this address. It is quick and easy, and your answers are protected by law. Complete the Census and assist If you require any further information or assistance to complete your form please telephone 28422 or 28429 between 0815—1145 and 1315—1615 Monday to Friday or visit the Census Help Centre at the West Store Café between Monday 16th and Wednesday 18th April between 1500 and 1900. Government in planning the longterm development of the Islands. CENSUS FORM NUMBER (For Internal Policy Unit use only) Your answers should relate to the date of the Census, i.e. Sunday 15th April Completion of a Census form is compulsory. If a person refuses to complete a Census form, or deliberately gives false information, a criminal offence is committed and the person may be liable to a fine or a civil penalty. All of the information you supply in this form will be treated confidentially. The address of the household and your names will not be published in any Census report. Only official enumerators will have access to completed Census forms. After analysis, Census returns will be sealed and retained in the Government Archives for at least 100 years, after which time they may be made available for public inspection. COMPLETING THE FORM • Part 1 (Household) should be completed for all Households. • Details should also be completed for all persons who form part of the household on Census night. • Include in Part 2 persons who normally form part of the household even if they are temporarily absent on Census night (e.g. overseas on holiday or business, or attending education or training). • Include in Part 3 persons in the household who usually live outside the Falklands and are only temporarily visiting the Islands (less than 3 months). • DO NOT INCLUDE Members of the UK Armed Forces currently serving in the Islands or their dependents. FI Census 2012 1 REMEMBER –ANSWERS SHOULD RELATE TO CENSUS NIGHT, SUNDAY 15th APRIL 2012 Census forms should be returned by the 20th of April 2012 COMPLETION OF THE FORM Every household must complete Part 1 of the form (relating to the Household). Each member of the household must also complete Part 2 of the form (or have someone complete this form for them). INCLUDE in PART 2: All persons who normally form part of the household on Census night. Those persons who normally form part of the household but are temporarily absent from the household on Census night (for example Camp children attending Stanley House, or persons temporarily overseas on holiday, on business, or for education or training purposes). INCLUDE IN PART 3: Temporary Visitors to the Falkland Islands who normally live elsewhere (those persons visiting on holiday or for other reasons who will be in the Islands for less than 3 months) who are present in the household on Census night. Their details should not be included in Part 2 (Personal Questions). DO NOT INCLUDE: Persons staying temporarily with the Household on Census night who are members of the UK Armed Forces currently serving in the Falkland Islands or their dependents. If you have any questions or require any guidance in order to complete the form, please contact the Policy Unit on 28422 or 28429, or visit the dedicated help centre detailed on the front page of this form. HOUSEHOLD QUESTIONS There are 14 household questions each starting with the letter H which relate to the household to which the form is sent. A household means either one person living alone or a group of two or more persons (who may or may not be related to each other) living, or staying temporarily, at the same address sharing or participating in common housekeeping. The Householder - A householder means a person aged 16 years or over who is head, joint head, or acting head of a household who is resident in the Falkland Islands on Census night. Why are these questions asked? - The answers to these questions provide an indication of the size of homes, the cost of housing and the extent of overcrowding. This information will help Government to assess housing need and plan for the future. The kind of place a person calls home, the number of vehicles a person owns, and the number of household appliances they have are very closely related to that person’s standard of living. PERSONAL QUESTIONS Why are these questions asked? Name, Address, Date of Birth and Relationship - these details are required so that enumerators can check that all relevant persons have been included in the Census. The Census report will not publish a person’s name or address. Knowing how many men, women and children of different ages are located in different parts of the Falkland Islands helps in working out the need for education and health services. Country of birth, citizenship and national identity - an understanding of the origins of all the people who call the Falklands home is essential in developing policies and services which reflect the needs of society. Language spoken at home - knowing which other languages are spoken at home and how well English is spoken helps in planning for education resources for teaching English. Jobs and work - information on how many people are working or looking for work tells us a lot about what is happening in society and the economy. Information on unpaid work helps to measure the contribution of such activities to society and the economy. Income – information on income provides an indication of living standards and, along with information on the cost of housing, helps to determine the affordability of housing in the Islands. FI Census 2012 2 THIS FORM MUST BE RETURNED TO THE FIG POLICY UNIT BY FRIDAY 20TH APRIL 2012 PART 1 - HOUSEHOLD This part of the form should be completed by the householder i.e. the head, joint head or acting head of a household in the Falkland Islands on Census night. If an accommodation is unoccupied, the owner must still complete this first section entitled ‘household’. Please write answers in BLOCK CAPITALS using BLUE or BLACK pen. x Please mark boxes with a cross -----------------------------------------------------------H) Mark the space that best describes the type of accommodation your household occupies: A HOUSE that is: [ ]Detached [ ]Semi Detached [ ]Terraced A FLAT, MAISONETTE or APARTMENT that is: [ [ [ [ ]In a purpose built block of flats ]Part of a converted or shared house ]A converted outbuilding ]In a commercial building (for example in an office building, or hotel, or over a shop) H1) How many bedrooms are there in your accommodation? That is, if you were to put your house up for sale, how many bedrooms would you say there were? bedrooms H2) How old is your accommodation? If you do not know the exact age of your accommodation then you should estimate the age and put a cross in the appropriate box. The Brewster Houses were built in 1983-84; the Jersey Estate Houses in 1989; and the East Stanley Development began in 1998. [ ]0-5 years [ ]6-10 years [ ]11-30 years [ ]Greater than 30 years The following questions relating to the cost of accommodation and utilities seek to find out to what extent housing is affordable. H3) A) Do you or someone in your household own or rent your accommodation? [ ]Own outright (free and clear of any mortgage or loan) Go to question H4. [ ]Own with a mortgage. Go to question H3 part B below. [ ]Rent. Go to question H3 part C below. [ ]Live here rent free. Go to question H4 on page 4. In a MOBILE or TEMPORARY STRUCTURE that is: [ ]A mobile home or portacabin adapted for permanent use [ ]A caravan [ ]In any other mobile or temporary stucture Other, such as yacht etc (please state) B) If paying a mortgage in respect of the property your household occupies, how much is paid ANNUALLY in respect of mortgage repayments on this property? [ [ [ [ ]Less than £1,000 ]£3,001-£5,000 ]£7,001-£9,000 ]£11,001 or more [ ]£1,000-£3,000 [ ]£5,001-£7,000 [ ]£9,001-£11,000 If paying a mortgage, please now go to Question H4 on page 4 Are you civilian support personnel at MPC or other military sites in the Falklands or are you and all members of your household normally resident overseas and only temporarily residing in the Islands (for less than 3 months)? [ ]No – Go to question H1 [ ]Yes – If yes, you do not need to complete the remaining household questions. Please now go to Part P on page 6 and read the instructions before continuing. C) If paying rent, how much does the household pay to the owner (or to their agent) for this dwelling ANNUALLY? [ [ [ [ ]Less than £1,000 ]£3,001-£5,000 ]£7,001-£9,000 ]£11,001 or more [ ]£1,000-£3,000 [ ]£5,001-£7,000 [ ]£9,001-£11,000 If paying rent please answer H3 Part D: D) Does this rent include any meals? [ ]Yes FI Census 2012 [ ]No 3 REMEMBER –ANSWERS SHOULD RELATE TO CENSUS NIGHT, SUNDAY 15th APRIL 2012 H4) What is the MAIN fuel used for heating in your accommodation? [ ]Kerosene [ ]Electricity [ ]Peat B) Kerosene, Oil, Peat, Coal, Wood etc [ [ [ [ [ [ ]Diesel Oil [ ]Gas [ ]Other (please state) ] Less than £750 [ ]£750 - £1,000 ]£1,000 - £1,250 [ ]£1,251 - £1,500 ]£1,501 - £1,750 [ ]£1,751 - £2,000 ]£2,001 or more [ ]Included in rent ]No charge or these fuels not used C) Gas [ [ [ [ [ H5) What is the MAIN fuel used for cooking in your accommodation? [ ]Kerosene [ ]Electricity [ ]Peat [ ]Diesel Oil [ ]Gas [ ]Other (please state) ]Less than £100 [ ]£100-£300 ]£301-£500 [ ]£501-£700 ]£701-£900 [ ]£901-£1,100 ]£1,101 or more [ ]Included in rent ]No charge or gas not used H8) Is your accommodation wholly or partially provided with central heating? Central heating is defined as a system for heating a room or rooms by radiators or air vents connected by pipes or ducts to a central source of heat, such as a boiler. It includes: gas, oil or solid fuel central heating, night storage heaters, warm air heating and underfloor heating. If you have central heating available indicate this WHETHER OR NOT you use it. H6) What is the MAIN source of electrical power for your household's accommodation? [ ]NONE of the accommodation has central heating [ ]SOME of the accommodation (i.e. some living areas) has [ ]Stanley Power Station (Power Station Diesel Generators and central heating Sand Bay Wind Farm) [ ]ALL of the accommodation (i.e. all living areas) have central [ ]Wind [ ]Diesel Oil (i.e. Private generator) [ ]Settlement generator heating H9) In your opinion accommodation: H7) What is the ANNUAL cost of electricity and fuel (for heating and cooking) for your household's accommodation? If you have lived here less than a year, please estimate the annual cost. ]Less than £750 ]£1,000 - £1,250 ]£1,501 - £1,750 ]£2,001 or more the [ ]Fairly Good standard of your [ ]Not Good H10) In your opinion is the accommodation suitable for the basic needs of the household? [ ]Yes A) Electricity [ [ [ [ [ ]Good is [ ]No [ ]£750 - £1,000 [ ]£1,251 - £1,500 [ ]£1,751 - £2,000 [ ]Included in rent FI Census 2012 4 THIS FORM MUST BE RETURNED TO THE FIG POLICY UNIT BY FRIDAY 20TH APRIL 2012 H11) Do you or another person in this household (excluding temporary visitors) own or rent/lease a second home in the Falkland Islands? Please mark all the boxes that apply to this second home. If more than one second home is owned or rented, please place a number in the box to represent how many homes are owned or rented in each category. [ ]No, or only property outside of the Falkland Islands—go to question H12 below [ ]Yes and it is/they are: [ ]In Stanley and [ ]Owned, for personal use (e.g. second home/holiday home) [ ]Owned and rented out [ ]Rented/leased by you as a tenant [ ]In Camp and [ ]Owned, for personal use (e.g. second home/holiday home) [ ]Owned and rented out [ ]Rented/leased by you as a tenant H12) A) How many motor vehicles are owned or available for use by members of your household? Do not count any vehicle that is not currently in working order, vehicles that belong to visitors, vehicles that this household borrows occasionally from another household, vehicles that can be used ONLY for work. Company cars that are available for personal use should be counted. [ ]None - Go to question H13 [ ]One or more - Please answer part B below B) Place a number in the box to represent how many vehicles are available for use in each category? [ [ [ [ H13) Please indicate which of the appliances listed below are available in your household's accommodation. Do not include anything that is disconnected or broken. Place a number in the box to represent how many of each of the appliances below are available for use in your house. [ [ [ [ [ [ [ [ [ [ [ [ [ [ [ [ [ [ [ ]Computer ]Telephone (Landline) ]Mobile telephone ]2 metre radio ]Fridge ]Deep Freeze ]Fridge/Freezer ]Washing machine ]Dishwasher ]Television Set ]Cable/satellite television (Paid Subscription) ]DVD player ]Digital Television Recorder ] Blu-Ray Player ] MP3 Player (e.g. i-Pod) ] Tablet Computer (e.g. i-Pad) ] Smoke alarm ] Carbon monoxide detector ] Fire extinguisher H14) Does the Household have access to the internet at this address? [ ]Yes [ ]No ]Car or van or other 2 wheel drive vehicle ]Four wheel drive vehicle ]Motorcycle or quad bike ]Other (Please state number and type of vehicle below) FI Census 2012 5 REMEMBER –ANSWERS SHOULD RELATE TO CENSUS NIGHT, SUNDAY 15th APRIL 2012 Person 1 – householder or joint householder Part 2 - Personal Questions P1) What is the person’s full name? A) Answers in Part 2 are required of every person who normally forms part of the household. Include in Part 2: Persons who normally form part of the household including any children and those who are temporarily absent (for example Camp children staying at Stanley House or persons absent from the Islands on holiday or attending school or training). Last Name/Family Name B) Forenames (Include all names, do not use initials) Any newly born baby, even if still in hospital (in the Islands or overseas). C) What is the person’s sex? Do not include in Part 2: Persons who are staying overnight in the household on Census night who usually live outside the Falkland Islands and are temporary visitors (e.g. people visiting the Islands on holiday or for other reasons who are will be present in the Islands for less than three months). These people should be included in Part 3. [ ]Male [ ]Female What is the person’s date of birth? Print numbers in boxes Members of the UK Armed Forces currently serving in the Falkland Islands, or their dependents. Day P How many persons should be included in Part 2 (as detailed above)? Please place number of persons to be P2) Present Marital Status Year of birth For the avoidance of doubt, even if the person is living apart from their spouse he or she is "married" unless there has been a formal end to the marriage by Decree Absolute or Annulment. included in the box below: If the number in this box is zero, please go to Part 3 on page 18 and read the instructions before continuing. If there aren’t sufficient sections in ‘Part 2-Personal Questions’ to include details for all persons included in the box above, please contact the Policy Unit by telephoning 28422 or 28429 or by emailing [email protected] to obtain additional Person forms. The householder or joint householder should first complete the personal questions headed Person 1. They should then complete the details for Person 2, Person 3 etc. until details have been completed for all members of the household (unless any person aged 16 years or over in the household completes Part 2 of the form in respect of themselves). ——————————----————————————————- Month [ [ [ [ [ [ [ ]Never Married ]Married ]Married but permanently separated ]Cohabiting ]Divorced and not now married ]Widow or Widower ]Other (please state) P3) Where was this person on Census night? [ ]At the address at the front of this form [ ]Elsewhere in the Falkland Islands [ ]Outside the Falkland Islands FI Census 2012 6 REMEMBER –ANSWERS SHOULD RELATE TO CENSUS NIGHT, SUNDAY 15th APRIL 2012 P4) What is this person's usual address? For children and students who live away from home during term time (i.e. Camp children living at Stanley House or those at college or university overseas), the address on the front of the Census form should be regarded as their usual address. [ ]The Address on the front of this form [ ]Elsewhere - Please write full address below - DO NOT use PO Box number C) Did the person arrive in the Falkland Islands within 6 months of birth? [ ]Yes Go to part D [ ]No Go to Question P7 D) Was the person born outside the Falkland Islands for medical reasons? [ ]Yes [ ]No P5) A) Where was this person normally resident TEN YEARS AGO? P7) How long has the person been resident in the Falkland Islands? Periods of temporary absence (such as overseas [ [ [ [ trips for medical treatment, holidays or business) should be ignored when calculating the duration of a person's residence. ]Stanley Go to Question P6 ]Camp Go to Question P6 ]Overseas Please answer P5 part B ]Person less than 10 years old Go to Question P6 B) Has this person returned to the Falkland Islands after an absence of more than ten years? Do not count any times during their absence in which they may have returned temporarily for holidays etc. [ ]No Go to Question P6 [ ]Yes - If Yes please state how long they were away [ [ [ [ ]2 years or less ]3 to 5 years ]6 to 10 years ]More than 10 years P8) Which of the following immigration categories applies to this person? If you are unsure which immigration category below applies to this person, further assistance can be obtained by telephoning the Customs and Immigration Department on 27340 or by emailing [email protected] Years [ ]Holder of a Visitor’s Permit [ ]Exempt from immigration control by reason of employment P6) Country of Birth A) Was this person born in the Falkland Islands? with UK Ministry of Defence or another part of UK Government (or is the spouse/dependent of such a person) [ ]Yes Go to Question P7 [ ]No Answer Parts B and C B) Where was the person born? If the person was born in a country other than those stated below, please state the person' s country of birth. If the name of the country has changed since the person was born there, the most modern or present name should be given. [ ]United Kingdom (the UK consists of the countries of England, Wales, Scotland and Northern Ireland but does not include the Channel Islands, the Isle of Man or the Republic of Ireland (Eire). [ ]St Helena [ [ [ [ ]Work Permit Holder ]Temporary Residence Permit Holder ]Permanent Residence Permit Holder ]Falkland Islander/Falkland Islands Status Holder – If a Falkland Islander/Falkland Islands Status Holder, does this person have a Falkland Islands Status stamp in their passport? [ ]No Go to Question P9 [ ]Yes – If yes please state the number on [ ]Chile this stamp below Other country (please state) FI Census 2012 7 REMEMBER –ANSWERS SHOULD RELATE TO CENSUS NIGHT, SUNDAY 15th APRIL 2012 P12) Religion. Answering this question is voluntary P9) What is the person's Citizenship? If this person holds more than one citizenship, please state the one which they consider to be their MAIN citizenship [ ]British Citizen [ ]British Overseas Territories Citizen [ ]Citizen of another country - Please state below What is the person's religion? [ ]No religion [ ]Buddhist [ ]Sikh P10) National Identity. National Identity is not necessarily related to the place a person was born or their citizenship, but is more the cultural group they most closely identify with. For example, a person may have been born in the UK but consider themselves a Falkland Islander. P13) Employment A) What is this person's employment status? [ [ [ [ How would this person describe their national identity? [ ]Falkland Islander [ ]British [ ]St Helenian [ ]Chilean [ ]Other - please state below [ ]Christian [ ]Jewish [ ]Hindu [ ]Muslim [ ]Any other religion -please state below ]Employed Go to part B ]Unemployed Go to question P14 on Page 10 ]Not working for other reasons Go to question P14 on Page 10 ]Retired and not working Go to question P15 on Page 10 B) Does this person work as an employee or are they self-employed? Please answer the following question about your MAIN job (your MAIN job is the job in which you usually work the most hours). P11) Does this person speak a language other than English at home? If the person is too young to talk answer no. [ ]No Go to Question P12 [ ]Yes - Please state which language below [ ]Employee [ ]Self Employed with employees [ ]Self Employed without employees C) In this job, what is the person’s main occupation? For example, administrative manager, clerk, book-keeper, restaurant/hotel manager or worker, cleaner, farm manager, farmer, agriculture worker, fisherman, computer operator, cook, waitress, barperson, shop assistant, tour guide, plumber, carpenter, builder, journalist etc. If in doubt please state person's job title or main role and type of work undertaken. B) How well does this person speak English? In respect of FIG employees just state job title. [ ]Very well [ ]Not well Please state the person’s main occupation. [ ]Well [ ]Not at all FI Census 2012 8 REMEMBER –ANSWERS SHOULD RELATE TO CENSUS NIGHT, SUNDAY 15th APRIL 2012 D) In terms of the job above, which economic activity is the person working in? F) In this person's secondary job, what is their occupation? For example, administrative manager, clerk, book- [ ]Public keeper, restaurant/hotel manager or worker, cleaner, farm manager, farmer, agricultural worker, fisherman, computer operator, cook, waitress, barperson, shop assistant, tour guide, plumber, carpenter, builder, journalist etc. Service (FIG) – If Public Service (FIG), please state Department/Section below If in doubt please state person's job title or main role and type of work undertaken. In respect of FIG employees just write job title [ [ [ [ ]Agriculture ]Fishing ]Construction ]Mining and Please state this person's secondary occupation Quarrying including oil and gas exploration activities [ [ [ [ [ [ [ [ [ [ [ G) In terms of the job above, which economic activity is the person working in? ]Electricity, Water and Gas ]Wholesale and Retail Trade ]Hospitality (hotels, restaurants, pubs etc) ]Transport and Storage ]Communication ]Financing ]Insurance ]Real Estate ]Business Services ]Community, Social and Personal Services ]Other Please state below [ ]Public [ [ [ [ [ ]Yes If yes, please answer the following questions: In this job does this person work as an employee or are they self employed? [ ]An employee [ ]Self Employed with employees [ ]Self Employed without employees ]Agriculture ]Fishing ]Construction ]Mining and Quarrying including oil and gas exploration activities E) Does the person have a secondary or part-time occupation in addition to their main occupation? [ ]No Go to part I on Page 10 Service (FIG) – If Public Service (FIG), please state Department/Section below [ [ [ [ [ [ [ [ [ [ [ ]Electricity, Water and Gas ]Wholesale and Retail Trade ]Hospitality (hotels, restaurants, pubs etc) ]Transport and Storage ]Communication ]Financing ]Insurance ]Real Estate ]Business Services ]Community, Social and Personal Services ]Other Please state below FI Census 2012 9 REMEMBER –ANSWERS SHOULD RELATE TO CENSUS NIGHT, SUNDAY 15th APRIL 2012 H) Does this person undertake any regular paid employment in addition to the two jobs mentioned above? Only include employment undertaken on a regular basis. Do B) If a job were available, would the person be able to start straight away? not include casual or ad hoc employment [ ]Yes [ ]No [ ]No Please answer Part I [ ]Yes If you answer yes, please list the additional job or jobs below and then answer part I C) Is the person doing any of the following? Mark a cross in all boxes that apply to this person. [ ]Household work, cooking, repairs, gardening etc. for their own household [ ]Looking after a child who is a member of their household [ ]Looking after a member of their household who is ill or has a disability [ ]Looking after a child (who does NOT live in their household) on an unpaid basis [ ]Helping someone who is ill or has a disability (who does NOT live in their household) on an unpaid basis [ ]Other helping or voluntary (unpaid) work for or through any organisation or group [ ]Attending or studying for 20 hours or more per week at school or any other place I) Please state the total number of paid hours the person normally works per week in all jobs. Complete if employed or [ ]Attending or studying for less than 20 hours per week at school or any other place self employed. [ ]None of these Number of hours normally worked per week. P15) Income What is this person's total ANNUAL Income? Hours per week Please go to question P15. P14) Not employed If the person is not employed, please answer the following questions. A) Is the person actively seeking any kind of paid work? For example by looking at job advertisements, writing, phoning or applying in person to an employer, in contact with the FIG Training Unit to look for a job or advice in finding a job, contacting friends or relatives for help in finding a job, placing an advertisement about a job, taking steps to set up own business. [ ]Yes Please answer Parts B and C [ ]No Go to Part C Include all income that this person themselves got before tax or before anything was taken out of it. Include wages, salaries, commissions, bonuses etc, paid from all jobs, income from self employment or a business the person owns or works in, interest, dividends, rent, other investments, pensions, student grant payments, social welfare payments, child allowance, child support payments, or any other sources of income. THIS INFORMATION WILL REMAIN CONFIDENTIAL. INFORMATION IN THE CENSUS REPORT RELATING TO INCOME WILL REFER TO THE NUMBER OF PEOPLE IN EACH INCOME BRACKET AND THE AVERAGE INCOME. [ [ [ [ [ [ [ [ ]£1 - £5000 ]£10001 - £15000 ]£20001 - £25000 ]£30001 - £35000 ]£40001 - £45000 ]£50001 - £55000 ]£60001 - £65000 ]£70001 - £75000 FI Census 2012 [ ]£5001 - £10000 [ ]£15001 - £20000 [ ]£25001 - £30000 [ ]£35001 - £40000 [ ]£45001 - £50000 [ ]£55001 - £60000 [ ]£65001 - £70000 [ ]£75001 or more 10 REMEMBER –ANSWERS SHOULD RELATE TO CENSUS NIGHT, SUNDAY 15th APRIL 2012 P16) Education P17) Health Has the person obtained any of the following qualifications? Please mark a cross in the box next to all A) Not counting anything done as part of paid employment, does this person look after or give help or any support to family members, friends, neighbours, or others because of long-term physical or mental ill-health or disability, or problems related to old age? qualifications the person has obtained. If the qualification is not stated below, please mark its nearest equivalent. If you are unsure of its nearest equivalent, please state the name of the qualification in the 'Other qualifications' space provided below. Do not include any qualifications not yet awarded. [ ]No qualifications [ ]1-4 O Levels/CSEs/GCSEs (any grades), Entry Level, [ ]No Go to part B [ ]Yes - If yes please indicate the total time spent on this activity in a typical week in the space below Foundation Diploma [ ]NVQ Level 1, Foundation GNVQ, Basic Skills [ ]5+ O Levels (passes)/CSEs (grade 1)/GCSEs (grades A*-C), School Certificate, 1 A Level/2-3 AS Levels/VCEs, Higher Diploma [ ]NVQ Level 2, Intermediate GNVQ, City and Guilds Craft, BTEC First/General Diploma, RSA Diploma [ ]Apprenticeship [ ]2+ ALevels/VCEs, 4+AS Levels, Higher School Certificate, Progression/Advanced Diploma [ ]NVQ Level 3, Advanced GNVQ, City and Guilds Advanced Craft, ONC, OND, BTEC National Diploma, RSA Advanced Diploma [ ]Degree (for example, BA, BSc) [ ]Higher degree (for example MA, PhD, PGCE) [ ]NVQ Level 4-5, HNC, HND, RSA Higher Diploma, B) Including problems due to old age, does this person have any long-term illness, health problem or disability which limits their daily activities or the work they can do? [ ]No Go to part C [ ]Yes - If yes, how does this person rate their disability? [ ]Minor [ ]Medium [ ]Major C) Does this person smoke cigarettes? BTEC Higher Level [ ]Professional qualifications (for example teaching, nursing, accountancy etc) [ ]Other vocational/work-related qualifications please state below hours [ ]No Go to Part D [ ]Yes - If yes, please indicate the total number per day [ ]5 or Less [ ]11-20 [ ]31-40 [ ]6-10 [ ]21-30 [ ]41 or more D) Does this person drink alcohol? [ ]Other qualifications please state below [ ]No Go to P18 on Page 12 [ ]Yes - If yes, how many units per week? (1 bottle of beer = 1.5 units, 1 shot of spirits = 1 unit, 1 small glass of wine = 1.5 units): [ ]5 or Less [ ]11-15 [ ]21-30 FI Census 2012 [ ]6-10 [ ]15-20 [ ]31 or more 11 REMEMBER –ANSWERS SHOULD RELATE TO CENSUS NIGHT, SUNDAY 15th APRIL 2012 Person 2 P18) Clock Change Policy This question does not form part of the Official Census but we are using this opportunity to gather the Community’s views. As such, answering the following question is voluntary. During 2011, on a trial basis the clocks did not go back to Local mean-time (i.e. clocks were not put back one hour in April, as had been the normal practice), and the Falkland Islands remained on summer-time throughout winter (GMT-4 hours). FIG would like to seek the views of the Community in relation to future clock-change policy. P1) What is the person’s full name? A) Last Name/Family Name B) Out of the following options, which would this person prefer? Please mark only one box. Forenames (Include all names, do not use initials) [ ] Remain on Summer Time all year round, i.e. as was practised in 2011 (Local Mean +1/GMT-3 hrs). This gives an extra hour of evening daylight all year round, but means that it is dark until around 8am in mid-Winter. The Falkland Islands would be 3 hours behind the UK in FI Summer time, and 4 hours behind the UK in FI Winter (when the UK is on British Summer Time (GMT+1)). C) What is the person’s sex? [ ]Male [ ]Female What is the person’s date of birth? Print numbers in boxes [] Remain on Winter Time (Local Mean/GMT-4 hours) all year round. The Falklands would be 4 hours behind the UK time in the FI Summer (GMT-4), but 5 hours behind the UK in the Winter due to the UK going to Daylight Saving (British SummerTime/GMT+1) between the last Sunday in March until the last Sunday in October every year. Day Month Year of birth P2) Present Marital Status [ ] Return to changing the clocks twice yearly as has been regular practice in the past. The Falklands would be on Local Mean +1 hour (Daylight Saving Time/GMT-3) in the FI Summer giving an extra hour of evening daylight in the Summer. In Winter the Falklands would be on Local Mean/GMT-4. The Falklands would be 3 hours behind the UK in FI Summer Time, but 5 hours behind the UK in Winter due to the UK going to Daylight Saving (British SummerTime/GMT+1) between the last Sunday in March until the last Sunday in October every year. [] No Preference [] Prefer not to answer this question For the avoidance of doubt, even if the person is living apart from their spouse he or she is "married" unless there has been a formal end to the marriage by Decree Absolute or Annulment. [ [ [ [ [ [ [ ]Never Married ]Married ]Married but permanently separated ]Cohabiting ]Divorced and not now married ]Widow or Widower ]Other (please state) Are there more people living here who normally form part of the household and who were counted in the box at the start of Part 2? If yes, please continue with Person 2. If no, please go to Part 3 on page 18. P3) Where was this person on Census night? [ ]At the address at the front of this form [ ]Elsewhere in the Falkland Islands [ ]Outside the Falkland Islands FI Census 2012 12 REMEMBER –ANSWERS SHOULD RELATE TO CENSUS NIGHT, SUNDAY 15th APRIL 2012 P4) What is this person's usual address? For children and students who live away from home during term time (i.e. Camp children living at Stanley House or those at college or university overseas), the address on the front of the Census form should be regarded as their usual address. [ ]The Address on the front of this form [ ]Elsewhere - Please write full address below - DO NOT use PO Box number C) Did the person arrive in the Falkland Islands within 6 months of birth? [ ]Yes Go to part D [ ]No Go to Question P7 D) Was the person born outside the Falkland Islands for medical reasons? [ ]Yes [ ]No P5) A) Where was this person normally resident TEN YEARS AGO? P7) How long has the person been resident in the Falkland Islands? Periods of temporary absence (such as overseas [ [ [ [ trips for medical treatment, holidays or business) should be ignored when calculating the duration of a person's residence. ]Stanley Go to Question P6 ]Camp Go to Question P6 ]Overseas Please answer P5 part B ]Person less than 10 years old Go to Question P6 B) Has this person returned to the Falkland Islands after an absence of more than ten years? Do not count any times during their absence in which they may have returned temporarily for holidays etc. [ ]No Go to Question P6 [ ]Yes - If Yes please state how long they were away [ [ [ [ ]2 years or less ]3 to 5 years ]6 to 10 years ]More than 10 years P8) Which of the following immigration categories applies to this person? If you are unsure which immigration category below applies to this person, further assistance can be obtained by telephoning the Customs and Immigration Department on 27340 or by emailing [email protected] Years [ ]Holder of a Visitor’s Permit [ ]Exempt from immigration control by reason of employment P6) Country of Birth A) Was this person born in the Falkland Islands? with UK Ministry of Defence or another part of UK Government (or is the spouse/dependent of such a person) [ ]Yes Go to Question P7 [ ]No Answer Parts B and C B) Where was the person born? If the person was born in a country other than those stated below, please state the person' s country of birth. If the name of the country has changed since the person was born there, the most modern or present name should be given. [ ]United Kingdom (the UK consists of the countries of England, Wales, Scotland and Northern Ireland but does not include the Channel Islands, the Isle of Man or the Republic of Ireland (Eire). [ ]St Helena [ [ [ [ ]Work Permit Holder ]Temporary Residence Permit Holder ]Permanent Residence Permit Holder ]Falkland Islander/Falkland Islands Status Holder – If a Falkland Islander/Falkland Islands Status Holder, does this person have a Falkland Islands Status stamp in their passport? [ ]Chile [ ]No Go to Question P9 [ ]Yes – If yes please state the number on this stamp below Other country (please state) FI Census 2012 13 REMEMBER –ANSWERS SHOULD RELATE TO CENSUS NIGHT, SUNDAY 15th APRIL 2012 P12) Religion. Answering this question is voluntary P9) What is the person's Citizenship? If this person holds more than one citizenship, please state the one which they consider to be their MAIN citizenship [ ]British Citizen [ ]British Overseas Territories Citizen [ ]Citizen of another country - Please state below What is the person's religion? [ ]No religion [ ]Buddhist [ ]Sikh [ ]Christian [ ]Jewish [ ]Hindu [ ]Muslim [ ]Any other religion -please state below P10) National Identity. National Identity is not necessarily related to the place a person was born or their citizenship, but is more the cultural group they most closely identify with. For example, a person may have been born in the UK but consider themselves a Falkland Islander. How would this person describe their national identity? [ ]Falkland Islander [ ]British [ ]St Helenian [ ]Chilean [ ]Other - please state below Is Person 2 under 16 years old? [ ]No Go to Question P13 [ ]Yes – You do not need to complete any more details for Person 2. If there are more persons living here, please contact the Policy Unit for additional person forms. If there are no further persons in the household, as counted in the box at the start of Part 2, please go to Part 3 on page 18. P13) Employment A) What is this person's employment status? P11) Does this person speak a language other than English at home? If the person is too young to talk answer no. [ [ [ [ ]Employed Go to part B ]Unemployed Go to question P14 on Page 10 ]Not working for other reasons Go to question P14 on Page 10 ]Retired and not working Go to question P15 on Page 10 B) Does this person work as an employee or are they self-employed? Please answer the following question about your [ ]No Go to Question P12 [ ]Yes - Please state which language below MAIN job (your MAIN job is the job in which you usually work the most hours). B) How well does this person speak English? C) In this job, what is the person’s main occupation? For example, administrative manager, clerk, book-keeper, restaurant/hotel manager or worker, cleaner, farm manager, farmer, agriculture worker, fisherman, computer operator, cook, waitress, barperson, shop assistant, tour guide, plumber, carpenter, builder, journalist etc. [ ]Very well [ ]Not well [ ]Well [ ]Not at all [ ]Employee [ ]Self Employed with employees [ ]Self Employed without employees If in doubt please state person's job title or main role and type of work undertaken. In respect of FIG employees just state job title. Please state the person’s main occupation. FI Census 2012 14 REMEMBER –ANSWERS SHOULD RELATE TO CENSUS NIGHT, SUNDAY 15th APRIL 2012 D) In terms of the job above, which economic activity is the person working in? F) In this person's secondary job, what is their occupation? For example, administrative manager, clerk, book- [ ]Public keeper, restaurant/hotel manager or worker, cleaner, farm manager, farmer, agricultural worker, fisherman, computer operator, cook, waitress, barperson, shop assistant, tour guide, plumber, carpenter, builder, journalist etc. Service (FIG) – If Public Service (FIG), please state Department/Section below If in doubt please state person's job title or main role and type of work undertaken. In respect of FIG employees just write job title [ [ [ [ ]Agriculture ]Fishing ]Construction ]Mining and Please state this person's secondary occupation Quarrying including oil and gas exploration activities [ [ [ [ [ [ [ [ [ [ [ G) In terms of the job above, which economic activity is the person working in? ]Electricity, Water and Gas ]Wholesale and Retail Trade ]Hospitality (hotels, restaurants, pubs etc) ]Transport and Storage ]Communication ]Financing ]Insurance ]Real Estate ]Business Services ]Community, Social and Personal Services ]Other Please state below [ ]Public [ [ [ [ [ ]Yes If yes, please answer the following questions: In this job does this person work as an employee or are they self employed? [ ]An employee [ ]Self Employed with employees [ ]Self Employed without employees ]Agriculture ]Fishing ]Construction ]Mining and Quarrying including oil and gas exploration activities E) Does the person have a secondary or part-time occupation in addition to their main occupation? [ ]No Go to part I on Page 10 Service (FIG) – If Public Service (FIG), please state Department/Section below [ [ [ [ [ [ [ [ [ [ [ ]Electricity, Water and Gas ]Wholesale and Retail Trade ]Hospitality (hotels, restaurants, pubs etc) ]Transport and Storage ]Communication ]Financing ]Insurance ]Real Estate ]Business Services ]Community, Social and Personal Services ]Other Please state below FI Census 2012 15 REMEMBER –ANSWERS SHOULD RELATE TO CENSUS NIGHT, SUNDAY 15th APRIL 2012 H) Does this person undertake any regular paid employment in addition to the two jobs mentioned above? Only include employment undertaken on a regular basis. Do B) If a job were available, would the person be able to start straight away? not include casual or ad hoc employment [ ]Yes [ ]No [ ]No Please answer Part I [ ]Yes If you answer yes, please list the additional job or jobs below and then answer part I C) Is the person doing any of the following? Mark a cross in all boxes that apply to this person. [ ]Household work, cooking, repairs, gardening etc. for their own household [ ]Looking after a child who is a member of their household [ ]Looking after a member of their household who is ill or has a disability [ ]Looking after a child (who does NOT live in their household) on an unpaid basis [ ]Helping someone who is ill or has a disability (who does NOT live in their household) on an unpaid basis [ ]Other helping or voluntary (unpaid) work for or through any organisation or group [ ]Attending or studying for 20 hours or more per week at school or any other place I) Please state the total number of paid hours the person normally works per week in all jobs. Complete if employed or [ ]Attending or studying for less than 20 hours per week at school or any other place self employed. [ ]None of these Number of hours normally worked per week. P15) Income What is this person's total ANNUAL Income? Hours per week Please go to question P15. P14) Not employed If the person is not employed, please answer the following questions. A) Is the person actively seeking any kind of paid work? For example by looking at job advertisements, writing, phoning or applying in person to an employer, in contact with the FIG Training Unit to look for a job or advice in finding a job, contacting friends or relatives for help in finding a job, placing an advertisement about a job, taking steps to set up own business. [ ]Yes Please answer Parts B and C [ ]No Go to Part C Include all income that this person themselves got before tax or before anything was taken out of it. Include wages, salaries, commissions, bonuses etc, paid from all jobs, income from self employment or a business the person owns or works in, interest, dividends, rent, other investments, pensions, student grant payments, social welfare payments, child allowance, child support payments, or any other sources of income. THIS INFORMATION WILL REMAIN CONFIDENTIAL. INFORMATION IN THE CENSUS REPORT RELATING TO INCOME WILL REFER TO THE NUMBER OF PEOPLE IN EACH INCOME BRACKET AND THE AVERAGE INCOME. [ [ [ [ [ [ [ [ ]£1 - £5000 ]£10001 - £15000 ]£20001 - £25000 ]£30001 - £35000 ]£40001 - £45000 ]£50001 - £55000 ]£60001 - £65000 ]£70001 - £75000 FI Census 2012 [ ]£5001 - £10000 [ ]£15001 - £20000 [ ]£25001 - £30000 [ ]£35001 - £40000 [ ]£45001 - £50000 [ ]£55001 - £60000 [ ]£65001 - £70000 [ ]£75001 or more 16 REMEMBER –ANSWERS SHOULD RELATE TO CENSUS NIGHT, SUNDAY 15th APRIL 2012 P16) Education P17) Health Has the person obtained any of the following qualifications? Please mark a cross in the box next to all A) Not counting anything done as part of paid employment, does this person look after or give help or any support to family members, friends, neighbours, or others because of long-term physical or mental ill-health or disability, or problems related to old age? qualifications the person has obtained. If the qualification is not stated below, please mark its nearest equivalent. If you are unsure of its nearest equivalent, please state the name of the qualification in the 'Other qualifications' space provided below. Do not include any qualifications not yet awarded. [ ]No qualifications [ ]1-4 O Levels/CSEs/GCSEs (any grades), Entry Level, [ ]No Go to part B [ ]Yes - If yes please indicate the total time spent on this activity in a typical week in the space below Foundation Diploma [ ]NVQ Level 1, Foundation GNVQ, Basic Skills [ ]5+ O Levels (passes)/CSEs (grade 1)/GCSEs (grades A*-C), School Certificate, 1 A Level/2-3 AS Levels/VCEs, Higher Diploma [ ]NVQ Level 2, Intermediate GNVQ, City and Guilds Craft, BTEC First/General Diploma, RSA Diploma [ ]Apprenticeship [ ]2+ ALevels/VCEs, 4+AS Levels, Higher School Certificate, Progression/Advanced Diploma [ ]NVQ Level 3, Advanced GNVQ, City and Guilds Advanced Craft, ONC, OND, BTEC National Diploma, RSA Advanced Diploma [ ]Degree (for example, BA, BSc) [ ]Higher degree (for example MA, PhD, PGCE) [ ]NVQ Level 4-5, HNC, HND, RSA Higher Diploma, B) Including problems due to old age, does this person have any long-term illness, health problem or disability which limits their daily activities or the work they can do? [ ]No Go to part C [ ]Yes - If yes, how does this person rate their disability? [ ]Minor [ ]Medium [ ]Major C) Does this person smoke cigarettes? BTEC Higher Level [ ]Professional qualifications (for example teaching, nursing, accountancy etc) [ ]Other vocational/work-related qualifications please state below hours [ ]No Go to Part D [ ]Yes - If yes, please indicate the total number per day [ ]5 or Less [ ]11-20 [ ]31-40 [ ]6-10 [ ]21-30 [ ]41 or more D) Does this person drink alcohol? [ ]Other qualifications please state below [ ]No Go to P18 on Page 12 [ ]Yes - If yes, how many units per week? (1 bottle of beer = 1.5 units, 1 shot of spirits = 1 unit, 1 small glass of wine = 1.5 units): [ ]5 or Less [ ]11-15 [ ]21-30 FI Census 2012 [ ]6-10 [ ]15-20 [ ]31 or more 17 REMEMBER –ANSWERS SHOULD RELATE TO CENSUS NIGHT, SUNDAY 15th APRIL 2012 P18) Clock Change Policy Part 3 - Visitor Questions This question does not form part of the Official Census but we are using this opportunity to gather the Community’s views. As such, answering the following question is voluntary. During 2011, on a trial basis the clocks did not go back to Local mean-time (i.e. clocks were not put back one hour in April, as had been the normal practice), and the Falkland Islands remained on summer-time throughout winter (GMT-4 hours). FIG would like to seek the views of the Community in relation to future clock-change policy. Out of the following options, which would this person prefer? Please mark only one box. Answers in Part 3 are required of every person who is staying in the household on Census night, who usually lives outside the Falkland Islands and is only visiting the Islands temporarily on holiday or for other reasons, for a period of less than 3 months. Are there any temporary visitors as described above staying overnight in the household on census night? [ ]No [ ] has been completed in the household section (part 1) and for all those people who are in the household on Census night (except any members of the Armed Forces currently serving in the Falkland Islands and their dependents). Remain on Summer Time all year round, i.e. as was practised in 2011 (Local Mean +1/GMT-3 hrs). This gives an extra hour of evening daylight all year round, but means that it is dark until around 8am in mid-Winter. The Falkland Islands would be 3 hours behind the UK in FI Summer time, and 4 hours behind the UK in FI Winter (when the UK is on British Summer Time (GMT+1)). Thank you for completing your Census form. Please return it to the FIG Policy Unit in the addressed prepaid envelope supplied by the 20th April. [] Remain on Winter Time (Local Mean/GMT-4 hours) all year round. The Falklands would be 4 hours behind the UK time in the FI Summer (GMT-4), but 5 hours behind the UK in the Winter due to the UK going to Daylight Saving (British SummerTime/GMT+1) between the last Sunday in March until the last Sunday in October every year. [ ] Return to changing the clocks twice yearly as has been regular practice in the past. The Falklands would be on Local Mean +1 hour (Daylight Saving Time/GMT-3) in the FI Summer giving an extra hour of evening daylight in the Summer. In Winter the Falklands would be on Local Mean/GMT-4. The Falklands would be 3 hours behind the UK in FI Summer Time, but 5 hours behind the UK in Winter due to the UK going to Daylight Saving (British SummerTime/GMT+1) between the last Sunday in March until the last Sunday in October every year. [] No Preference [] Prefer not to answer this question Are there more people living here who normally form part of the household and who were counted in the box at the start of Part 2? If yes, please contact the Policy Unit for additional person forms by telephoning 28422 or 28429 or by emailing [email protected]. If no, please go to Part 3. If no, then please check that you have entered all details correctly and that all required information [ ]Yes If yes, please answer the question below and then complete the details for all temporary visitors V How many persons should be included in Part 3 (as detailed in above)? Please place number of persons to be included in the box below: If there is a number greater than 4 in the box above, the householder will need to contact the FIG Policy Unit to obtain additional visitor forms. The contact details for the Policy Unit are available on the front of this form. The householder or joint householder should first complete the visitor questions headed Visitor 1. They should then complete the details for Visitor 2, Visitor 3 etc. until details have been completed for all temporary visitors in the household (unless any visitor aged 16 years or over in the household completes Part 3 of the form in respect of themselves). ——————————----————————————————- FI Census 2012 18 REMEMBER –ANSWERS SHOULD RELATE TO CENSUS NIGHT, SUNDAY 15th APRIL 2012 Visitor 1 Visitor 2 V1) What is the person’s full name? V1) What is the person’s full name? Last Name/Family Name Last Name/Family Name Forenames (Include all names, do not use initials) Forenames (Include all names, do not use initials) V2) What is the person’s sex? V2) What is the person’s sex? [ ]Male [ ]Male [ ]Female [ ]Female V3) What is the person’s date of birth? Print numbers in boxes V3) What is the person’s date of birth? Print numbers in boxes Day Day Month Year of birth Month Year of birth V4) What is this person’s usual country of residence? (please state below) V4) What is this person’s usual country of residence? (please state below) Are there more visitors living here counted in the box at the beginning of Part 3. If yes please continue answering questions in respect of Visitor 2. Are there more visitors living here counted in the box at the beginning of Part 3. If yes please continue answering questions in respect of Visitor 3. If no, then please check that the details for household have been completed correctly, and information has been completed for all those people are in the household on Census night (except If no, then please check that the details for household have been completed correctly, and information has been completed for all those people are in the household on Census night (except the that who the that who any members of the Armed Forces currently serving in the Falkland Islands and their dependents). any members of the Armed Forces currently serving in the Falkland Islands and their dependents). Thank you for completing this Census form. Please return it to the Policy Unit in the pre-paid envelope provided by the 20th of April 2012. Thank you for completing this Census form. Please return it to the Policy Unit in the pre-paid envelope provided by the 20th of April 2012. FI Census 2012 19 REMEMBER –ANSWERS SHOULD RELATE TO CENSUS NIGHT, SUNDAY 15th APRIL 2012 Visitor 3 Visitor 4 V1) What is the person’s full name? V1) What is the person’s full name? Last Name/Family Name Last Name/Family Name Forenames (Include all names, do not use initials) Forenames (Include all names, do not use initials) V2) What is the person’s sex? V2) What is the person’s sex? [ ]Male [ ]Male [ ]Female [ ]Female V3) What is the person’s date of birth? Print numbers in boxes V3) What is the person’s date of birth? Print numbers in boxes Day Day Month Year of birth Month Year of birth V4) What is this person’s usual country of residence? (please state below) V4) What is this person’s usual country of residence? (please state below) Are there more visitors living here counted in the box at the beginning of Part 3. If yes please continue answering questions in respect of Visitor 4. Are there more visitors living here counted in the box at the beginning of Part 3. If yes please contact the FIG Policy Unit to request additional Visitor forms by If no, then please check that the details for household have been completed correctly, and information has been completed for all those people are in the household on Census night (except the that who any members of the Armed Forces currently serving in the Falkland Islands and their dependents). Thank you for completing this Census form. Please return it to the Policy Unit in the pre-paid envelope provided by the 20th of April 2012. telephoning 28422 or [email protected]. 28429 or by emailing If no, then please check that the details for household have been completed correctly, and information has been completed for all those people are in the household on Census night (except the that who any members of the Armed Forces currently serving in the Falkland Islands and their dependents). Thank you for completing this Census form. Please return it to the Policy Unit in the pre-paid envelope provided by the 20th of April 2012. FI Census 2012 20
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