The "Asians Don't Do Therapy" Survey
Required Required Question(s)
Required

Which of the following do you consider yourself?

Asian
Amerasian
Asian American
American
American with an Asian background
All of the above
None of the above
Other  
  • Comment:

  • 500 characters left.
Required

What is your ethnic background?
(Choices are listed alphabetically.)

Cambodian
Chinese
Filipino
Hmong
Indian
Japanese
Korean
Laotian
Thai
Vietnamese
Other  
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  • 500 characters left.
Required

How old are you?

15-20 21-29 30-39 40-49 50-59 60-69 70+     
    
Required

Who in your family first lived in the United States?

Me
My parents
My grandparents
My great-grandparents
My great-great-grandpare-
nts
My great-great-great-gra-
ndparents, or earlier
I don't know.
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  • 500 characters left.
Required

How culturally diverse was the area you grew up in?

Not diverse A littler diverse Somewhat diverse Very diverse        
       
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How "traditionally Asian" do you consider yourself?

 Very traditional Somewhat traditional A little bit traditional Not traditional  
Culture  
Language  
Personal philosophy  
Overall  
Work ethic  
Food  
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  • 500 characters left.

Have you ever felt like an "outsider" because of your multicultural background?

Yes
No
  • Comment:

  • 500 characters left.

Have you ever felt "very different" from everyone else, but not necessarily because of your multicultural background?

Yes
No
  • Comment:

  • 500 characters left.

How much do you feel your multicultural background contributes positively to the following:

 Not at all A little Somewhat Very positively  
Your success at work  
How you are treated by others  
How you feel about yourself  
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  • 500 characters left.

What other comments or experiences would you like to share?

 

  • 1000 characters left.

Contact and Credits

 

If you would like to be credited for any of your comments in the survey, please provide your name.
(First-name-only or an alias are acceptable.)

 

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Do you have more to say on these or related topics?

Provide your name and contact information below, and you will be contacted within the week to be scheduled for a follow-up conversation. Thank you!

First Name:
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Email Address:
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