Form 1 Questionnaire

Generic Clearance for Census Bureau Field Tests and Evaluations

Attachment 1-Census Household Survey

2025 Census Household Survey

OMB: 0607-0971

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Centurion II (Alpha Preview)
Census Household Survey -- [email protected]

Attachment 1: Census Household Survey
Online Questionnaire
Through this document:
DateFormatException is a placeholder for the reference date
for the survey
The address will also be filled in several places in questions
along with a person’s name.
For example,
On DateFormatException, will you be living or staying at ?
Will be presented to respondents as:
On 3/20/2025, will you be living or staying at 123 Main Street?
Similarly,
How is related to ? Is ‘s….
If there are two people on the roster named Joe and Mary. This
question will be presented to the respondent as:
How is Mary related to Joe? Is Mary Joe’s…

Centurion II (Alpha Preview)
Census Household Survey -- [email protected]

Centurion II (Alpha Preview)
Census Household Survey -- [email protected]

Centurion II (Alpha Preview)
Census Household Survey -- [email protected]

Centurion II (Alpha Preview)
Census Household Survey -- [email protected]

Centurion II (Alpha Preview)
Census Household Survey -- [email protected]

Centurion II (Alpha Preview)
Census Household Survey -- [email protected]

Centurion II (Alpha Preview)
Census Household Survey -- [email protected]

Centurion II (Alpha Preview)
Census Household Survey -- [email protected]

Centurion II (Alpha Preview)
Census Household Survey -- [email protected]

Centurion II (Alpha Preview)
Census Household Survey -- [email protected]

Centurion II (Alpha Preview)
Census Household Survey -- [email protected]

Centurion II (Alpha Preview)
Census Household Survey -- [email protected]

Centurion II (Alpha Preview)
Census Household Survey -- [email protected]

Centurion II (Alpha Preview)
Census Household Survey -- [email protected]

Centurion II (Alpha Preview)
Census Household Survey -- [email protected]

Centurion II (Alpha Preview)
Census Household Survey -- [email protected]

Centurion II (Alpha Preview)
Census Household Survey -- [email protected]

Centurion II (Alpha Preview)
Census Household Survey -- [email protected]

Centurion II (Alpha Preview)
Census Household Survey -- [email protected]

Centurion II (Alpha Preview)
Census Household Survey -- [email protected]

Centurion II (Alpha Preview)
Census Household Survey -- [email protected]

Centurion II (Alpha Preview)
Census Household Survey -- [email protected]

Centurion II (Alpha Preview)
Census Household Survey -- [email protected]

Centurion II (Alpha Preview)
Census Household Survey -- [email protected]

Centurion II (Alpha Preview)
Census Household Survey -- [email protected]

Centurion II (Alpha Preview)
Census Household Survey -- [email protected]

Centurion II (Alpha Preview)
Census Household Survey -- [email protected]

Centurion II (Alpha Preview)
Census Household Survey -- [email protected]

Centurion II (Alpha Preview)
Census Household Survey -- [email protected]

Centurion II (Alpha Preview)
Census Household Survey -- [email protected]

Centurion II (Alpha Preview)
Census Household Survey -- [email protected]

Centurion II (Alpha Preview)
Census Household Survey -- [email protected]

Centurion II (Alpha Preview)
Census Household Survey -- [email protected]

Centurion II (Alpha Preview)
Census Household Survey -- [email protected]

Centurion II (Alpha Preview)
Census Household Survey -- [email protected]

Centurion II (Alpha Preview)
Census Household Survey -- [email protected]


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