2000

Census questions as they appeared on the schedule or questionairre.

Questions Options Appearing on Schedule or Questionairre Instructions for the census questions Column/Question Number


Is this person Spanish/Hispanic/
Latino? Mark X in
the "No" box if not
Spanish/Hispanic/
Latino.

United States Census 2000. Form D-61B. U.S. Department of Commerce. Bureau of the Census. 2000? pp. 3

 No, not Spanish/Hispanic/Latino
Yes, Mexican, Mexican Am., Chicano
Yes, Puerto Rican
Yes, Cuban
Yes, other Spanish/Hispanic/Latino--__________ print group

 

 

 5

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

United States Census 2000. Form D-61B. U.S. Department of Commerce. Bureau of the Census. 2000? pp. 3

White
Black, African Am., or Negro
American Indian or Alaska Native--print name of enrolled or principal tribe ______________

Asian Indian
Chinese
Filipino
Japanese
Korean
Vietnamese
Native Hawaiian
Guamanian or Chamorro
Samoan
Other Pacific Islander--print race ___________
Other Asian--print race _________

 

 

 6

 

What is the person's ancestry or ethnic origin?

United States Census 2000. Form D-61B. U.S. Department of Commerce. Bureau of the Census. 2000? pp. 4

 ________________ (For example: Italian, Jamaican, African Am., Cambodian, Cape Verdean, Norwegian, Dominican, French Canadian, Haitian, Korean, Lebanese, Polish, Nigerian, Mexican, Taiwanese, Ukrainian, and so on.)   10

Does this person speak a language other than English at home?

United States Census 2000. Form D-61B. U.S. Department of Commerce. Bureau of the Census. 2000? pp. 4

 Yes
No 		  11a

What is the language?

United States Census 2000. Form D-61B. U.S. Department of Commerce. Bureau of the Census. 2000? pp. 4

_____________ (For example: Korean, Italian, Spanish, Vietnamese)

 

11b

How well does this person speak English?

United States Census 2000. Form D-61B. U.S. Department of Commerce. Bureau of the Census. 2000? pp. 4

 Very well
Well
Not well
Not at all		   11c

Where was this person born?

United States Census 2000. Form D-61B. U.S. Department of Commerce. Bureau of the Census. 2000? pp. 4

In the United States--Print name of state.

Outside the United States--Print name of foreign country, or Puerto Rico, Guam, etc.

  12

Is this person a citizen of the United States?

United States Census 2000. Form D-61B. U.S. Department of Commerce. Bureau of the Census. 2000? pp. 4

 Yes, born in the United States
Yes, born inPuerto Rico, Guam, the U.S. Virgin Islands, or Northern Marianas
Yes, born abroad of American parent or parents
Yes, a U.S. citizen by naturalization
No, not a citizen of the United States		   13

When did this person come to live in the United States?

United States Census 2000. Form D-61B. U.S. Department of Commerce. Bureau of the Census. 2000? pp. 4

Print the number in boxes.   14