Questionnaire Text

United States 1960
United States 1970
United States 1980
United States 1990
United States 2000
United States 2005
United States 2010
United States 2015
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United States 1960 — source variable US1960A_RACE — Race
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P5. Is this person - White, Negro, American Indian, Japanese, Chinese, Filipino, Hawaiian, Part Hawaiian, Aleut, Eskimo, (etc.)?

_____ 


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United States 1970 — source variable US1970A_RACE — Race
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[All]
4. Color or race
Fill one circle.

If "Indian (American)," also give tribe.
If "Other," also give race.
[] White
[] Negro or Black
[] Indian (Amer.) Print tribe
____

[] Japanese
[] Chinese
[] Filipino
[] Hawaiian
[] Korean
[] Other - Print race
_____

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United States 1980 — source variable US1980A_RACE — Race
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4. Is this person --
Fill one circle.

[] White
[] Black or Negro
[] Japanese
[] Chinese
[] Filipino
[] Korean
[] Vietnamese
[] Asian Indian
[] Hawaiian
[] Guamanian
[] Samoan
[] Eskimo
[] Aleut
[] Other

____ Specify

[] Indian (Amer.)

____ Print tribe


[Fill the circle for the category with which the person most closely identifies. If you fill the Indian (American) or other circle, be sure to print the name of the specific Indian tribe or specific group.]

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United States 1990 — source variable US1990A_RACE — Race
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4. Race
Fill one circle for the race that the person considers himself/herself to be.

If Indian (Amer.), print the name of the enrolled or principal tribe.
If Other Asian or Pacific Islander (API), print one group, for example: Hmong, Fijian, Laotian, Thai, Tongan, Pakistani, Cambodian, and so on.
If Other race, print race.

[] White
[] Black or Negro
[] Indian (Amer.) (Print the name of the enrolled or principal tribe.)

____

[] Eskimo
[] Aleut


Asian or Pacific Islander (API)
[] Chinese
[] Filipino
[] Hawaiian
[] Korean
[] Vietnamese
[] Japanese
[] Asian Indian
[] Samoan
[] Guamanian
[] Other API

____

[] Other race (Print race)

____


[Fill one circle for the race each person considers himself/herself to be. If you fill the Indian (Amer.) circle, print the name of the tribe or tribes in which the person is enrolled. If the person is not enrolled in a tribe, print the name of the principal tribe(s). If you fill the Other API circle [under Asian or Pacific Islander (API)], only print the name of the group to which the person belongs. For example, the Other API category includes persons who identify as Burmese, Fijian, Hmong, Indonesian, Laotian, Bangladeshi, Pakistani, Tongan, Thai, Cambodian, Sri Lankan, and so on. If you fill the Other race circle, be sure to print the name of the race. If the person considers himself/herself to be White, Black or Negro, Eskimo or Aleut, fill one circle only. Please do not print the race in the boxes. The Black or Negro category also includes persons who identify as African-American, Afro-American, Haitian, Jamaican, West Indian, Nigerian, and so on. All persons, regardless of citizenship status, should answer this question.]

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United States 2000 — source variable US2000A_RACE — Race
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6. What is this person's race? Mark [X] one or more races to indicate what this person considers himself/herself to be.
[] White
[] Black, African Am., or Negro
[] American Indian or Alaska Native - Print name of enrolled or principal tribe.

____
____

[] Asian Indian
[] Chinese
[] Filipino
[] Japanese
[] Korean
[] Vietnamese
[] Other Asian - Print race.

____
____

[] Native Hawaiian
[] Guamanian or Chamorro
[] Samoan
[] Other Pacific Islander - Print race.

____
____

[] Some other race - Print race.

____
____


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United States 2005 — source variable US2005A_RACE — Race
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Note: Please answer both Questions 5 and 6.

5. Is this person Spanish/Hispanic/Latino?

Mark (X) the "No" box if not Spanish/Hispanic/Latino

[] No, not Spanish/Hispanic/Latino
[] Yes, Mexican, Mexican Am., Chicano
[] Yes, Puerto Rican
[] Yes, Cuban
[] Yes, other Spanish/Hispanic/Latino. Print group ____

6. What is this person's race? Mark (X) one or more races to indicate what this person considers himself/herself to be

[] White
[] Asian Indian
[] Native Hawaiian
[] Black or African American
[] Chinese
[] Guamanian or Chamorro
[] American Indian or Alaska Native Print name of enrolled or principal tribe: _______
[] Filipino
[] Samoan
[] Japanese
[] Other Pacific Islander- Print race below _______
[] Korean
[] Some other race - Print race below _______
[] Vietnamese
[] Other Asian - Print race _______

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United States 2010 — source variable US2010A_RACE — Race
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Note: Please answer BOTH Question 5 about Hispanic origin and Question 6 about race. For this survey, Hispanic origins are not races.


6. What is Person 1's race? Mark (X) one or more boxes.

[] White
[] Black
[] African Am. or Negro
[] American Indian or Alaska Native
Print name of enrolled or principal tribe ____
[] Asian Indian
[] Japanese
[] Native Hawaiian
[] Chinese
[] Korean
[] Guamanian or Chamorro
[] Filipino
[] Vietnamese
[] Samoan
[] Other Asian Print race: ____
[] Other Pacific Islander Print race, for example, for example, Hmong, Laotian, Fijian, Tongan, and so on: ____
Thai, Pakistani, Cambodian, and so on. ____
[] Some other race Print race. ____


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United States 2015 — source variable US2015A_RACE — Race
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Note: Please answer BOTH Question 5 about Hispanic origin and Question 6 about race. For this survey, Hispanic origins are not races.

6. What is Person X's race? Mark (X) one or more boxes.

[] White
[] Black or African Am.
[] American Indian or Alaska Native. Print name of enrolled or principal tribe. ________
[] Asian Indian
[] Japanese
[] Chinese
[] Korean
[] Filipino
[] Vietnamese
[] Other Asian. Print race, for example, Hmong, Laotian, Thai, Pakistani, Cambodian, and so on._______
[] Native Hawaiian
[] Guamanian or Chamorro
[] Samoan
[] Other Pacific Islander. Print race, for example, Fijian, Tongan, and so on. _________
[] Some other race. Print race. ________
Questionnaire instructions view entire document:  text  image
Answer person questions 1 through 6 for the first five people listed on pages 2,3, and 4 of the questionnaire.

Please answer both Question 5 about Hispanic origin and Question 6 about race. For this survey, Hispanic origins are not races.

6. Mark all boxes for the appropriate races.
The concept of race, as used by the Census Bureau, reflects self-identification by individuals according to the race or races with which they identify.
The instruction before question 5, "For this survey, Hispanic origins are not races" reflects the federal government's treatment of Hispanic origin and race as separate and distinct concepts. People who identify their origin as Hispanic, Latino, or Spanish may be of any race.
People may choose to provide two or more races either by marking two or more race response boxes, by providing multiple write-in responses, or by some combination of marking boxes and writing in responses.
If you mark the "American Indian or Alaska Native" box, also print the name of the tribe(s) in which the person is enrolled. If the person is not enrolled in a tribe, print the name of the person's enrolled or principle tribe(s) in the space provided (for example, Navajo nation, Blackfeet Tribe, Muscogee (Creek) nation, Mayan, Doyon, native Village of Barrow Inupiat Traditional Government, and so on).
If you mark the "Other Asian" box, print the name of the specific Asian group(s) in the space provided (for example, Pakistani, Cambodian, Hmong, Laotian, Bangladeshi, and so on.)
If you mark the "Other Pacific Islander" box, print the name of the specific Pacific Islander group(s) in the space provided (for example, Tongan, Fijian, Marshallese, Palauan, Tahitian, Papua New Guinean, and so on.)
If you mark the "Some other race" box, print the race(s) or group(s) in the space provided.
This question should be answered by all persons.