PART A: CULTURAL & SOCIAL BACKGROUND
1. When were you born? MONTH January February March April May June July August September October November December select YEAR 1900 1901 1902 1903 1904 1905 1906 1907 1908 1909 1910 1911 1912 1913 1914 1915 1916 1917 1918 1919 1920 1921 1922 1923 1924 1925 1926 1927 1928 1929 1930 1931 1932 1933 1934 1935 1936 1937 1938 1939 1940 1941 1942 1943 1944 1945 1946 1947 1948 1949 1950 1951 1952 1953 1954 1955 1956 1957 1958 1959 1960 1961 1962 1963 1964 1965 1966 1967 1968 1969 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 select
2. In which country were you born? COUNTRY > Other Afghanistan Albania Algeria Andorra Angola Antigua and Barbuda Argentina Armenia Australia Austria Azerbaijan Bahamas, The Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Brazil Brunei Bulgaria Burkina Faso Burma Burundi Côte d'Ivoire Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Colombia Comoros Congo (Brazzaville) Congo (Kinshasa) Costa Rica Croatia Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador England Equatorial Guinea Eritrea Estonia Ethiopia Faroe Islands Fiji Finland France Gabon Gambia, The Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guatemala Guinea Guinea-Bissau Guyana Haiti Holy See Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Isle of Man Israel Italy Ivory Coast Jamaica Japan Jordan Kazakhstan Kenya Kiribati Korea, North Korea, South Kosovo Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macedonia Macedonia, the former Yugoslav Republic of Madagascar Madeira Malawi Malaysia Maldives Mali Malta Marshall Islands Mauritania Mauritius Mexico Micronesia Moldova Monaco Mongolia Montenegro Morocco Mozambique Namibia Nauru Nepal Netherlands Netherlands Antilles New Zealand Nicaragua Niger Nigeria Norway Oman Pakistan Palau Palestine Panama Papua New Guinea Paraguay Peru Philippines Poland Portugal Qatar Romania Russia Rwanda Saint Kitts and Nevis Saint Lucia Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Scotland Senegal Serbia Serbia and Montenegro Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa Spain Sri Lanka Sudan Suriname Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Tarawa Island Thailand Togo Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States Uruguay Uzbekistan Vanuatu Venezuela Vietnam Virgin Island Yemen Zambia Zimbabwe select
3. To what extent do you identify with the dominant (or mainstream) culture of the country in which you were born?
4. To what extent do you identify with a minority, regional, or sub-culture of the country in which you were born?
5. Do you currently reside in a different country than the one in which you were born (to live, work, or attend school)?
If YES, answer the following questions. If NO, skip to question 6.
a. In which country do you currently reside? COUNTRY > Other Afghanistan Albania Algeria Andorra Angola Antigua and Barbuda Argentina Armenia Australia Austria Azerbaijan Bahamas, The Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Brazil Brunei Bulgaria Burkina Faso Burma Burundi Côte d'Ivoire Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Colombia Comoros Congo (Brazzaville) Congo (Kinshasa) Costa Rica Croatia Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador England Equatorial Guinea Eritrea Estonia Ethiopia Faroe Islands Fiji Finland France Gabon Gambia, The Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guatemala Guinea Guinea-Bissau Guyana Haiti Holy See Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Isle of Man Israel Italy Ivory Coast Jamaica Japan Jordan Kazakhstan Kenya Kiribati Korea, North Korea, South Kosovo Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macedonia Macedonia, the former Yugoslav Republic of Madagascar Madeira Malawi Malaysia Maldives Mali Malta Marshall Islands Mauritania Mauritius Mexico Micronesia Moldova Monaco Mongolia Montenegro Morocco Mozambique Namibia Nauru Nepal Netherlands Netherlands Antilles New Zealand Nicaragua Niger Nigeria Norway Oman Pakistan Palau Palestine Panama Papua New Guinea Paraguay Peru Philippines Poland Portugal Qatar Romania Russia Rwanda Saint Kitts and Nevis Saint Lucia Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Scotland Senegal Serbia Serbia and Montenegro Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa Spain Sri Lanka Sudan Suriname Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Tarawa Island Thailand Togo Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States Uruguay Uzbekistan Vanuatu Venezuela Vietnam Virgin Island Yemen Zambia Zimbabwe select
b. When did you move to that country? MONTH January February March April May June July August September October November December select YEAR 1900 1901 1902 1903 1904 1905 1906 1907 1908 1909 1910 1911 1912 1913 1914 1915 1916 1917 1918 1919 1920 1921 1922 1923 1924 1925 1926 1927 1928 1929 1930 1931 1932 1933 1934 1935 1936 1937 1938 1939 1940 1941 1942 1943 1944 1945 1946 1947 1948 1949 1950 1951 1952 1953 1954 1955 1956 1957 1958 1959 1960 1961 1962 1963 1964 1965 1966 1967 1968 1969 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 select
c. If YES, to what extent do you identify with the dominant culture of that country?
d. If YES, to what extent would you like to reside in that country permanently?
6. In how many countries have you lived for more than a month?
7. In how many countries have you traveled?
8. To what extent do you consider yourself to be a member of each of the following "racial" categories? a. Asian
b. Black or African
c. Hispanic or Latino
d. Native American or other Indigenous
e. Pacific Islander
f. White or Caucasian
g. Other
9. To what extent do you consider yourself a "racial" minority in the country in which you reside?
10. To what extent do you consider yourself to be bi-cultural or multi-cultural?
11. Was your native language (or one of your native languages), an official or dominant language of the country in which you reside?
12. To what extent do you consider yourself to be a member of each of the following religious categories? a. Protestant Christian
b. Roman Catholic
c. Eastern Orthodox Christian
d. Jewish
e. Buddhist
f. Taoist
g. Hindu
h. Muslim
i. Sikh
j. Indigenous
k. Other
l. No religious group
13. How often do you currently participate in religious services or perform religious rituals?
Every day 2 or more times a week Once a week 2-3 times a month Once a month 7-11 times a year 3-6 times a year 1 or 2 times a year Less than once a year Never
14. To what extent do you believe in the existence of a Supreme Being (such as God or Jehovah or Allah or Great Spirit)?
15. Were you raised by a single parent at least part of your childhood?
16. Were you at least partly raised by a parent who was not your biological parent?
17. Think of the parents who raised you the most. How many of them were born in the country in which you currently reside?
18. Think of the grandparents that you know or knew the best. How many of them were born in the country in which you currently reside?
19. How often were there major conflicts between your parents while you were growing up (before you were 18)?
20. Did your parents get a divorce while you were growing up (before you were 18)?
21. Think of the father who raised you the most.
a. To what extent was he emotionally warm to you while you were growing up?
b. To what extent did he set firm limits for you while you were growing up?
22. Think of the mother who raised you the most.
a. To what extent was she emotionally warm to you while you were growing up?
b. To what extent did she set firm limits for you while you were growing up?
23. How many brothers do you have (or have you had)?
24. How many sisters do you have (or have you had)?
25. How many biological or adopted children do you have (or have you had)?
26. Are you currently a student? NO YES PART-TIME YES FULL-TIME
a. If YES, at which school or university?
b. If YES, are you an international student?
27. What level of formal education have you already achieved?
No formal education Some primary school Completed primary school Some high school or secondary school Completed high school or secondary school Attended post-secondary technical school Some undergraduate college or university Graduated from undergraduate college or university Some post-graduate education Masters level degree (MA, MS, MBA, MEd, etc) Doctoral level degree (PhD, MD, JD, etc)
28. What level of education do you plan to achieve?
29. Think of the father (biological, adopted, foster, or step) who raised you the most. What level of education did he have? No formal education Some primary school Completed primary school Some high school or secondary school Completed high school or secondary school Attended post-secondary technical school Some undergraduate college or university Graduated from undergraduate college or university Some post-graduate education Masters level degree (MA, MS, MBA, MEd, etc) Doctoral level degree (PhD, MD, JD, etc)
30. Think of the mother (biological, adopted, foster, or step) who raised you the most. What level of education did she have?
31. Are you currently employed (by others or self-employed) for pay?
NO YES PART-TIME YES FULL-TIME
32. Are you retired from previous employment (in other words, are you a pensioner)?
33. Think of the mother who raised you the most – to what extent was she employed for pay during your childhood?
34. Think of the father who raised you the most – to what extent was he employed for pay during your childhood?
35. Have you served in the military?
NO YES IN THE PAST YES CURRENTLY
36. Where do you currently reside? In the home of parents or other relatives older than you In a house or apartment not the home of parents or other relatives older than you In a college residence hall Other -- explain
37. How many children are currently living with you at least part-time?
38. To what extent did you live in rural areas (away from cities) while you were growing up (before age 18)?
