"Basic" Questions you can expect to find on your 2010 Census Form: 1. HOW MANY PEOPLE WERE LIVING OR STAYING IN THIS HOUSE, APARTMENT, OR MOBILE HOME ON APRIL 1, 2010? (Numer of People = xx) (Mark all that apply: children such as newborn babies or foster children, relatives such as adult children, cousins or in-laws, nonrelatives such as roomates or live-in babysitters, people staying here temporarily, no additional people) (Mark "X" One Box: Owned by you or someone in this household with a mortgage or loan - include home equity loans-? Owned by you or someone in this household free and clear - without a mortgage or loan -? Rented? Occupied without payment or rent?) (We may call if we do not understand an answer.) (Fill out Name Boxes: Last Name, First Name, Middle Initial.) (Mark "X" ONE Box: male, female) PLEASE REPORT BABIES AS AGE 0 WHEN THE CHILD IS LESS THAN 1 YEAR OLD. PRINT NUMBERS IN BOXES. ("Age on April 1, 2010", Month/Day/Year of Birth) ("No, not of Hispanic, Latino or Spanish Origin", "Yes, Mexican Am., Chicano", "Yes, Puerto Rican", "Yes, Cuban", or "Yes, another Hispanic, Latino or Spanish Origin --- Print origin, for example Argentinian, Columbian, Dominican, Nicaraguan, Salvadoran, Spaniard, and so on".) (Mark "X" one or more boxes: White; Black, African Am., or Negro; American Indian or Alaska Native --- Print Name of Enrolled or Principal Tribe; Asian Indian; Chinese; Filipino; Other Asian; Japanese; Korean; Vietnamese; Native Hawaiian; Guamanian or Chamorro; Samoan; Other Pacific Islander --- Print Race, for example, Figan, Tongan, and so on; Some other Race --- Print Race) 10. DOES PERSON 1 SOMETIMES LIVE OR STAY SOMEWHERE ELSE? ("NO" OR "YES --- MARK "X" WITH ALL THAT APPLY: In college, In the military, At a seasonal or second residence, For child custody, In jail or prison, In a nursing home, For another reason." "IF MORE PEOPLE WERE COUNTED IN QUESTION 1, CONTINUE WITH PERSON 2."
2. WERE THERE ANY ADDITIONAL PEOPLE STAYING HERE APRIL 1, 2010 THAT YOU DID NOT INCLUDE ON QUESTION 1?
3. IS THIS HOUSE, APARTMENT OR MOBILE HOME ---
4. WHAT IS YOUR TELEPHONE NUMBER?
5. PLEASE PROVIDE INFORMATION FOR EACH PERSON LIVING HERE. START WITH A PERSON LIVING HERE WHO OWNS OR RENTS THIS HOUSE, APARTMENT OR MOBILE HOME. IF THE OWNER OR RENTER LIVES SOMEWHERE ELSE, START WITH ANY ADULT LIVING HERE. THIS WILL BE PERSON 1.
6. WHAT IS PERSON 1'S SEX?
7. WHAT IS PERSON 1'S AGE AND WHAT IS PERSON 1'S DATE OF BIRTH?
8. IS PERSON 1 OF HISPANIC, LATINO OR SPANISH ORIGIN?
9. WHAT IS PERSON 1'S RACE?