1.  Names of Inmates.
  2.  Profesison, Trade or Occupation.
  3.  Place of Birth.
  4.  Religion.
  5.  Residence if out of limits.
  6.  Age next birth day.
  7.  Sex: Male.
  8.  Sex: Female.

  9.  Married or Single.
10.  Colored persons—Negroes.
11.  Indians if any.
12.  Residents.  Members.  M
13.  Residents.  Members.  F
14.  Residents.  Not Members.  M
15.  Residents.  Not Members.  F
16.  Members absent.  M
17.  Members absent.  F
18.  Deaf & Dumb.  M
19.  Deaf & Dumb.  F
20.  Blind.  M
21.  Blind.  F
22.  Lunatics.  M
23.  Lunatics.  F
24.  Attending School.  M
25.  Attending School.  F
26.  Births during the year 1851.  M
27.  Births during the year 1851.  F
28.  Deaths during year 1851.  N^o.  M
29.  Deaths during year 1851.  N^o.  F
30.  Deaths during year 1851.  Age and cause of Deaths.

31.  Houses.  Brick, Stone, Frame, Log, Shanty, or other kind of residence.
32.  Houses.  No. of Stories.
33.  Houses.  No. of families occupying.
34.  Houses.  Vacant.
35.  Houses.  Building.
36.  Shops, Stores, Inns, Taverns, &c.
37.  Public Buildings.
38.  Places of Worship.

39.  Information as to Mills, Facotires, &c., &c., their cost, power, produce, &c.
40.  Number of persons usually employed therein.
41.  General Remarks of the Enumerator.

1.  NOMS DES PERSONNES DANS LA MAISON.
2.  PROFFESSION, ETAT OU OCCUPATION.
3.  LIEU DE NAISSANCE.
4.  RELIGION.
5.  RESIDENCE ?I ELLE EST HORS DES LIMITES.
6.  Age au jour anniversaire de naissance suivant.
SEXE.
7.  Hommes.
8.  Femmes.

9.  Marié ou non marié.
...
41 columns total (both sides of two sheets), but few beyond the above appear to be used.

  1.  NAMES OF INMATES.
  2.  PROFESSION, TRADE, OR OCCUPATION.
  3.  PLACE OF BIRTH.
  4.  Married during the year.
  5.  RELIGION.
  6.  RESIDENCE, IF OUT OF LIMITS.
  7.  Age next birthday.
  8.  SEX.  Male.
  9.  SEX.  Female.
10.  Married or Single.
11.  Widowers.
12.  Widows.
13.  Colored Person, Mulatto or Indian.
14.  RESIDENTS.  Members of Family.  M.
15.  RESIDENTS.  Members of Family.  F.
16.  RESIDENTS.  Not Members.  M.
17.  RESIDENTS.  Not Members.  F.
18.  Members of Family Absent.  M.
19.  Members of Family Absent.  F.
20.  Deaf and Dumb.
21.  Blind.
22.  Lunatics or Idiots.
23.  Attending School within the year.  M.
24.  Attending School within the year.  F.
25.  Persons over 20, who cannot read or write.  M.
26.  Persons over 20, who cannot read or write.  F.
27.  Births in 1860.  M.
28.  Births in 1860.  F.
29.  DEATHS IN 1860.  No.  M.
30.  DEATHS IN 1860.  No.  F.
31.  DEATHS IN 1860.  Age and Cause of Death.
32.  HOUSES.  Brick, Stone, Frame, Log, &c.
33.  HOUSES.  No. of Stories.
34.  HOUSES.  No. of famililes living in house.
35.  HOUSES.  Vacant.
36.  HOUSES.  Being built.

Numbered in the order of visitation.
  1.  Vessels.
  2.  Shanties.
  3.  Dwelling houses in construction.
  4.  Dwelling houses uninhabited.
  5.  Dwelling houses inhabited.
  6.  Families

  7.  Names.
  8.  Sex.
  9.  Age.
10.  Born within last twelve months.
11.  Country or Province of Birth.
12.  Religion.
13.  Origin.
14.  Profession, Occupation or Trade.
15.  Married or widowed.
16.  Married within last twelve months.
17.  Going to school.
18.  Over 20 unable to read.
19.  Over 20 unable to write.
20.  Deaf and Dumb.
21.  Blind.
22.  Unsound mind.
23.  Dates of Operations and Remarks.

NUMBERED IN THE ORDER OF VISITAITON.
  1.  Vessels.
  2.  Shanties.
  3.  Houses in construction.
  4.  Houses uninhabited.
  5.  Houses inhabited.
  6.  Families.

  7.  NAMES.
  8.  SEX.
  9.  AGE.
10.  Born within last twelve months.
11.  Country of Province of Birth.
12.  RELIGION.
13.  ORIGIN.
14.  Profession, Occupation or Trade.
15.  Married or Widowed.
16.  Instruction.  Going to School.
17.  INFIRMITIES.  Deaf and Dumb.
18.  INFIRMITIES.  Blind.
19.  INFIRMITIES.  Unsound mind.
20.  Bates of Operations and Remarks.

NUMBERED IN THE ORDER OF VISITATION.
  1.  Vessels and Shanties.
  2.  Houses in construction.
  3.  Houses uninhabited
  4.  Houses inhabited.
  5.  Families.

  6.  NAMES.
  7.  Sex.
  8.  Age.
  9.  Married or Widowed.
10.  Relation to Head of Family.
11.  Country or Province of Birth.
12.  French Canadians.
13.  Place of Birth of Father.
14.  Place of Birth of Mother.
15.  RELIGION.
16.  Profession, Occupation or Trade.
17.  Employers.
18.  Wage Earner.
19.  Unemployed during week preceding Census.
20.  Employer to state average member of hands employed during year.

INSTRUCTION.
21.  Read.
22.  Write.

INFIRMITIES.
23.  Deaf and Dumb.
24.  Blind.
25.  Unsourn of Mind.

Numbered in the order of visitation.
  1.  Dwelling House.
  2.  Family or Household.

Personal Description.
  3.  Name of each person in family or household on 31st March, 1901.
  4.  Sex.
  5.  Colour.
  6.  Relationship to head of family of household.
  7.  Single, married, widowed or divorced
  8.  Month and date of birth.
  9.  Year of birth.
10.  Age at last birthday.

Citizenship, Nationality and Religion.
11.  Country or place of birth.  (If in Canada specify Province or Territory add "r" or "u" for rural or urban, as the case may be.)
12.  Year of immigration to Canada.
13.  Year of naturalization.
14.  Racial or Tribal origin.
15.  Nationality.
16.  Religion.

Principal Profession or Trade.
17.  Profession, occupation, trade or means of living of each person.  (If person has retired from profession or trade, add "r" for retired.)
18.  Living on own means.
19.  Employer.
20.  Employee.
21.  Working on own account.

Wage Earner.
22.  Working at trade in factory or in home. (Specify by "f" for factory and "h" for home, or both, as the case may be.)
23.  Months employed at trade in factory.
24.  Months employed at trade in home.
25.  Months employed in other occupation than trade in factory or home.
26.  Earning from occupation or trade $.
27.  Extra earnings.  (From other than chief occupation or trade), $.

Education and Languages of each person five years of age and over.
28.  Months at school in year.
29.  Can read.
30.  Can write.
31.  Can speak English.
32.  Can speak French.
33.  Mother tongue. (If spoken.)

Infirmities.  (If infirmity dates from childhood, add "from childhood.")
34a.  Deaf and dumb.
34b.  Blind.
34c.  Unsound mind.

NUMBERED IN THE ORDER OF VISITATION.
1.  Dwelling House.
2.  Family, household or institution.

RESIDENCE AND PERSONAL DESCRIPTION.
3.  Name of each person in family, household or institution.
4.  Place of habitation.  (Township or parish, city, town or village.  Range or concession and lot or cadastral numer if in township or parish.  Street and house number if in city, town or village. Or other description.)
5.  Sex.
6.  Relationship to head of family or household.
7.  Single, married, widowed, divorced or legally separated.
8.  Month of birth.
9.  Year of birth.
10.  Age at last birthday.

CITIZENSHIP, NATIONALITY AND RELIGION.
11.  Country or place of birth. (If in Canada specify province or territory.)
12.  Year of immigration to Canada, if an immigrant.
13.  Year of naturalization, if formally an alien.
14.  Racial or tribal origin.
15.  Nationality.
16.  Religion.

PROFESSION, OCCUPAITON, TRADE OR MEANS OF LIVING.
17.  Chief occupation or trade.
18.  Employment other than at chief occupation or trade, if any.
19.  Employer.
20.  Employee.
21.  Working on own account. (See instructions.)

WAGE EARNERS.
22.  State where person employed, as "on farm", "in woolen mill", "at foundry shop", "in drug store", etc.
23.  Weeks employed in 1910 at chief occupation or trade.
24.  Weeks employed in 1910 at other than chief occupation or trade, if any.
25.  Hours of working time per week at chief occupation.
26.  Hours of working time per week at other occupation, if any.
27.  Total earnings in 1910 from chief occupation of trade.
28.  Total earnings in 1910 from other than chief occupation or trade, if any.
29.  Rate of earnings per hour when employed by the hour — Cents.

INSURANCE HELD AT DATE—
30.  Upon life. $
31.  Against accident or sickness. $
32.  Cost of insurance in census year. $

EDUCATION AND LANGUAGE OF EACH PERSON FIVE YEARS OF AGE AND OVER.
33.  Months at school in 1910.
34.  Can read.
35.  Can write.
36.  Language commonly spoken.

Cost of education in 1910 for persons over 16 years of age at college, convent or university. $

INFIRMITIES
Blind
Deaf and dumb.
Crazy or lunatic.
Idiotic or silly.

NUMBERED in the order of visitation.
  1.  Dwelling house.
  2.  Family, household or institution.

NAME AND RESIDENCE.
  3.  NAME of each person in family, household or institution.

PLACE OF ABODE.
(In rural localities give parish, section, township, range and meridian.  In cities, towns and villages give street and number of dwelling.
  4.  Parish or township.
  5.  Municipality.

TENURE AND CLASS OF HOME
  6.  Home owned or rented.
  7.  If rented, give rent paid per month.
  8.  Class of house. (See instructions).
  9.  Materials of construction. (See instructions).
10.  Rooms occupied by this family.

PERSONAL DESCRIPTION
11.  Relationship to head of family or household.
12.  Sex.
13.  Single, married, widowed, divorced or legally separated.
14.  Age at last birthday.

NATIVITY.
Country of place of birth of this person and of parents of this person.  If born in Canada give province.  If Foreign born give Country.  (See instructions).
15.  PERSON.
16.  FATHER.
17.  MOTHER.

CITIZENSHIP
18.  Year of immigration to Canada.
19.  Year of Naturalization.
20.  NATIONALITY.  (Country to which this person owes allegiance)

RACE, LANGUAGE AND RELIGION.
21.  Racial or tribal origin.
22.  Can speak English.
23.  Can speak French.
24.  Language other than English or French spoken as Mother tongue.
25.  Religious body, Denomination or Community to which this person adheres or belongs.

EDUCATION
26.  Can read.
27.  Can write.
28.  Months at school since Sept. 1, 1920.

PROFESSION, OCCUPATION, AND EMPLOYMENT.
29.  Chief occupation or trade. (Be specific, give as definite information as possible).
30.  Employer "E".  Employee or Worker "W".  Working on own account "O.A."
31.  "a" If "Employer " state principal product.  "b" If "Employee" state where employed as "farm" "cotton mill" "foundry" "grocer", etc.  "e" If on "own account" State nature of work.
32.  Total earnings in past 12 months (Since June 1, 1920).
33.  If an employee, were you out of work June first 1921.
34.  Number of weeks unemployed in the past 12 months. (Since June 1, 1920).
35.  Number of weeks unemployed since June 1st, 1920, because of illness.