Questionnaire Text

Questionnaire form view entire document: text image

11. What is your ethnic or cultural background?

Choose one section from A to D, then mark the appropriate box

A. White

[] 1. Irish
[] 2. Irish Traveler
[] 3. Any other White background

B. Black or Black Irish

[] 4. African
[] 5. Any other Black background

C. Asian or Asian Irish

[] 6. Chinese
[] 7. Any other Asian background

D. Other, including mixed background

[] 8. Other, write in description ____

Questionnaire instructions view entire document: text image

Appendix H. Detailed notes on the household form

[Question 11: What is your ethnic or cultural background?]

The responses to this question will facilitate a comparison of the demographic and socio-economic characteristics of the different ethnic and cultural groups living in Ireland.

The person should mark one box only.
If the person's ethnic/cultural background is not listed or if a person feels that the tick box options listed are not adequate, they should mark this box and write it in.

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