Questionnaire Text

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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.]