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!

Question Title

1. How old are you? (Required.)

18 or under

18-24

25-34

35-44

45-54

55-64

65+

Question Title

2. What is your gender? (Required.)

Male

Female

Other (Please specify below)

Other

Question Title

3. Are you an Asian-American or Pacific Islander? (Required.)

Yes

Question Title

4. From which ethnic range do you come from? (Required.)

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!)

Question Title

5. Since how many generations has your family lived in the U.S.? (Required.)

First generation (You)

Second generation (Your parents)

Third generation (Your grandparents)

Fourth generation (Your great-grandparents)

More than four generations

Asian Community Issues Survey

Demographics

Question Title

* 1. How old are you? (Required.)

Question Title

* 2. What is your gender? (Required.)

Question Title

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

Question Title

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

Question Title

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

1. How old are you? (Required.)

2. What is your gender? (Required.)

3. Are you an Asian-American or Pacific Islander? (Required.)

4. From which ethnic range do you come from? (Required.)

5. Since how many generations has your family lived in the U.S.? (Required.)