National Indian Education Study (NIES) 2009 Reports Focus Groups

Appendix F

DEMOGRAPHIC SURVEY

Please answer the following questions by circling the number corresponding to the correct answer or by filling in the appropriate blanks.

1. Please indicate your gender.

1. Male

2. Female

02. What is the month and year of your birth?

____ ____ MONTH 19 ____ ____ YEAR

03. Are you Hispanic or Latino? Circle one or more as appropriate.

1 No, I am not Hispanic or Latino.

2 Yes, I am Mexican, Mexican American, or Chicano.

3 Yes, I am Puerto Rican or Puerto Rican American.

4 Yes, I am Cuban or Cuban American.

5 Yes, I am from another Hispanic or Latino background.

04. Which of the following best describes you? Circle one or more as appropriate.

1 White

2 Black or African American

3 Asian

4 American Indian or Alaska Native (Tribal affiliations(s)): __________________________

__________________________

5 Native Hawaiian or other Pacific Islander

05. What is your current position?

1 Primary or Secondary School Educator

2 Primary or Secondary School Administrator

3 Tribal Policy Maker

4 Other (specify: ________________________________________________________________)

06. How long have you been in this position?

_________ years

07. Which of the following classifications best represents your institution?

1 Public school

2 BIE school

3 College or university

4 Other (specify: _______________________________________________________________)

08. Are you the parent or guardian of an American Indian or Alaska Native child who currently attends one of the above- mentioned schools?

1 Yes

2 No

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