Questionnaire Text

Questionnaire form view entire document:  text  image

3.4. To which race or ethnic group would you say you / [the respondent] belong(s)?
[] Negro/black
[] East Indian
[] Chinese
[] White
[] Mixed
[] Other (specify) _____
[] Not stated

Questionnaire instructions view entire document:  text  image

Section 3 - Characteristics

Questions 3.1 - 3.10 which comprise Section 3 provide some basic characteristics about the individual and are to be answered for all members of the household.


5.40 Question 3.4 Race/Ethnic Origin
Read the alternatives on the questionnaire and score the relevant position. Accept the respondent's reply. If you feel that you are obviously being misled, do not contradict, but make a note in your Visitation Record.