Asian Community Issues Survey

Demographics

Hello! This is a short multiple-choice survey about the issues in your community. Please answer these questions as truthfully as you can and share this with your friends and family, thank you!

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* 1. How old are you?

18 or under

18-24

25-34

35-44

45-54

55-64

65+

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* 2. What is your gender?

Male

Female

Other (Please specify below)

Other

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* 3. Are you an Asian-American or Pacific Islander?

Yes

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* 4. From which ethnic range do you come from?

Bengali

Caucasian/Caucasus (e.g. Armenian, Azerbaijani, Georgian)

Central Asian (e.g. Afghan, Kazakh, Kyrgyz, Turkmen)

Chinese (Han, Hui, Zhuang)

Indian (Hindi, Marathi, Mera)

Japanese

Korean

Middle Eastern (e.g. Arab, Iranian, Emirati, Iraqi, Qatari, Turk)

Mongol

Native Hawaiian and Pacific Islander (e.g. Chuukese, Palauan, Tokelauan, Tongan)

North Asian (e.g. Buryat, Yakut)

Pakistani (e.g. Pashtun, Punjabi, Urdu)

South Asian except Indian (e.g. Baloch, Chhetri, Marathi, Maldivians, Ngalop, Tamil)

Southeast Asian (e.g. Filipino, Indonesian, Kachin, Khmer, Lao, Malay, Thai, Vietnamese)

Taiwanese

Tibetan

Other (please specify below)

Other (please specify!)

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* 5. Since how many generations has your family lived in the U.S.?

First generation (You)

Second generation (Your parents)

Third generation (Your grandparents)

Fourth generation (Your great-grandparents)

More than four generations