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Asking Questions - The Definitive Guide To Questionnaire Design ...

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416 APPENDIX B<br />

23. What racial/ethnic background do you consider yourself?<br />

American Indian or Alaskan Native . . . . . . . . . . . . 1<br />

Black/African American, not of Hispanic origin . . . 2<br />

White, not of Hispanic origin . . . . . . . . . . . . . . . . . 3<br />

Hispanic/Latino(a) . . . . . . . . . . . . . . . . . . . . . . . . . 4<br />

Asian or Pacific Islander . . . . . . . . . . . . . . . . . . . . 5<br />

Other (Please specify.) . . . . . . . . . . . . . . . . . . . . . . . 6<br />

Thank you very much for your assistance!<br />

Please return your completed questionnaire<br />

in the postage-paid envelope provided to:<br />

<strong>The</strong> University of Illinois at Chicago<br />

Survey Research Laboratory (M/C 336)<br />

Box 6905<br />

Chicago, IL 60680<br />

Your answers are completely anonymous. Please put the enclosed postcard in<br />

the mail at the same time as your questionnaire. In this way we will know that<br />

you have returned your questionnaire and will not bother you with a follow-up<br />

mailing.

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