Hello! The India Association of St. Louis is conducting an important survey to learn about the experience of hate incidents in the Indian community. Your response will be very helpful in identifying interest in this significant topic. Please respond (only if you are over the age of 18 years).  Personal information is confidential.  
  
Thank you for your interest, attention, and time.
 

* 1. Hate incidents can occur in several forms as listed below.  Please indicate the degree of severity you perceive associated with each. Use the scale below where 1 = Not serious at all, and 5 = Extremely serious

  1- Not serious at all 2 3 4 5- Extremely Serious
Bodily injury
Vandalism
Stalking
Displaying racist symbols
Pushing/shoving
Spitting
Threatening/bullying

* 2. In the last three years have you, or a member of your family, personally experienced any of the following hate incidents?

  Yes No
Bodily injury
Vandalism
Stalking
Displaying racist symbols
Pushing/shoving
Spitting
Threatening/bullying

* 3. How interested will you be in participating in India Association’s efforts to develop community educational workshops/seminars focusing on the following in addressing hate crimes/incidents?

Degree of Interest

  Low Medium High
Learning about hate crime/bias incidents
Community Awareness          
Lobbying
Victim support
Advocacy
Cultural Sensitivity presentations/public speaking
Organizing events

* 4. What is your community affiliation?

  Yes No
Is your country of Origin India? 
Are you a member of India Association?

* 5. How many years have you been in the United States?

* 6. What is your immigration status?

* 7. What is your highest level of education?

* 8. To what extent do you know how your child is doing socially at school?

* 9. Please let us know that you are excited about participating/attending events on hate incidents in the Indian Community by providing the following (Optional)

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