Khmer Culture – How Do Cambodians Define and Perceive Their Culture?

What is this survey about...

I am conducting a survey research on Khmer culture and would like to seek your cooperation to answer some questions. The broad goal of this research program is to explore how Cambodians in Cambodia and Australia, France and the USA define and perceive their culture. There are no right or wrong answers. Please answer the questions according to your individual opinion. The results of the survey will only be used for the purpose of research, and we will keep the results strictly confidential.

Research Ethics Approval has been granted from the Psychology Research Ethics Committee of Brunel University on 22 March 2012.


The Department of Psychology at Brunel University requires that all persons who participate in psychology studies give their consent to do so. Please read the following and mark the appropriate box it if you agree with the statement.

I freely and voluntarily consent to be a participant in the research project entitled "Khmer Culture – How Do Cambodians Define and Perceive Their Culture?" to be conducted at Brunel University, with Christoph Bader as principal investigator and Prof. Robin Goodwin as supervisor.

Specifically, I have been told that I will be asked to fill out questionnaires about my culture, values, beliefs, personality and perception of culture. The session should take no longer than 20 minutes to complete. I have been told that my responses will be kept strictly confidential. I also understand that if at any time during the session I feel unable or unwilling to continue, I am free to leave without negative consequences. That is, my participation in this study is completely voluntary, and I may withdraw from this study at any time.

My withdrawal would not result in any penalty, academic or otherwise. My name will not be linked with the research materials, as the researchers are interested in the definition and perception of Khmer culture in general -- not the participant´s individual's definition and perception in particular. I have been given the opportunity to ask questions regarding the procedure, and my questions have been answered to my satisfaction. I have been informed that if I have any general questions about this project, or ethical issues relating to the project, I should feel free to contact Christoph Bader at If I have any concerns or complaints regarding the way in which the research is or has been conducted I may contact Professor Taeko Wydell, Chair of the Psychology Research Ethics Committee, at

Question Title

* 1. I have read and understand the above and consent to participate in this study. My signature is not a waiver of any legal rights AND I'm over the age of 18.