Background Survey

Have you actively sought information about your ethnic or racial background (e.g., through family discussions, cultural events, or personal research)?

• Yes

• No

• Not Sure

Do you feel a strong sense of belonging to your ethnic or racial group?

• Always

• Often

• Sometimes

• Rarely

• Never

How often do you participate in cultural practices or traditions related to your ethnic or racial background?

• Frequently

• Occasionally

• Rarely

• Never

To what extent does your ethnic or racial background influence your personal identity and daily life?

• A great deal

• Somewhat

• Very little

• Not at all

How do you think others perceive your ethnic or racial identity?

• Positively

• Negatively

• Neutrally

• Unsure

Have you experienced discrimination or prejudice based on your ethnic or racial background?

• Yes

• No

• Not Sure

If you have experienced discrimination, how do you typically cope with it? (Select all that apply)

• Discuss with family or friends

• Engage in cultural activities

• Seek support from community organizations

• Other

How proud are you of your ethnic or racial background?

• Very proud

• Moderately proud

• Slightly proud

• Not proud

• Indifferent

Does your ethnic or racial identity influence your motivation and engagement in school?

• Positively

• Negatively

• No influence

• Unsure

Are you interested in learning more about your ethnic or racial heritage?

• Yes

• No

• Maybe