Instructions: The questions that follow are for the purpose of collecting information about your historical background as well as more recent behaviors that may be related to your cultural identity. Choose the one answer that best describes you.
1. What language can you speak?
1. Asian only (e.g.‚ Chinese‚ Japanese‚ Korean‚ Vietnamese‚ etc.).2. Mostly Asian‚ some English.3. Asian and English about equally well (bilingual).4. Mostly English‚ some Asian.5. Only English.
2. What language do you prefer?
1. Asian only (e.g.‚ Chinese‚ Japanese‚ Korean‚ Vietnamese‚ etc.).2. Mostly Asian‚ some English.3. Asian and English about equally well (bilingual).4. Mostly English‚ some Asian.5. Only English.
3. How do you identify yourself?
1. Oriental2. Asian3. Asian American4. Chinese American‚ Japanese American‚ Korean American‚ etc.5. American
4. Which identification does (did) your mother use?
1. Oriental2. Asian3. Asian American4. Chinese American‚ Japanese American‚ Korean American‚ etc.5. American
5. Which identification does (did) your father use?
1. Oriental2. Asian3. Asian American4. Chinese American‚ Japanese American‚ Korean American‚ etc.5. American
6. What was the ethnic origin of the friends and peers you had‚ as a child up to age 6?
1. Almost exclusively Asians‚ Asian Americans‚ Orientals.2. Mostly Asians‚ Asian Americans‚ Orientals.3. About equally Asian groups and Anglo groups.4. Mostly Anglos‚ Blacks‚ Hispanics‚ or other non-Asian ethnic groups.5. Almost exclusively Anglos‚ Blacks‚ Hispanics‚ or other non-Asian ethnic groups.
7. What was the ethnic origin of the friends and peers you had‚ as a child from age 6 to 18?
1. Almost exclusively Asians‚ Asian Americans‚ Orientals.2. Mostly Asians‚ Asian Americans‚ Orientals.3. About equally Asian groups and Anglo groups.4. Mostly Anglos‚ Blacks‚ Hispanics‚ or other non-Asian ethnic groups.5. Almost exclusively Anglos‚ Blacks‚ Hispanics‚ or other non-Asian ethnic groups.
8. Whom do you now associate within the community?
1. Almost exclusively Asians‚ Asian Americans‚ Orientals.2. Mostly Asians‚ Asian Americans‚ Orientals.3. About equally Asian groups and Anglo groups.4. Mostly Anglos‚ Blacks‚ Hispanics‚ or other non-Asian ethnicgroups.5. Almost exclusively Anglos‚ Blacks‚ Hispanics‚ or other non-Asian ethnic groups.
9. If you could pick‚ whom would you prefer to associate with in the community?
1. Almost exclusively Asians‚ Asian Americans‚ Orientals.2. Mostly Asians‚ Asian Americans‚ Orientals.3. About equally Asian groups and Anglo groups.4. Mostly Anglos‚ Blacks‚ Hispanics‚ or other non-Asian ethnic groups.5. Almost exclusively Anglos‚ Blacks‚ Hispanics‚ or other non-Asian ethnic groups.
10. What is your music preference?
1. Only Asian music (e.g.‚ Chinese‚ Japanese‚ Korean‚ Vietnamese)2. Mostly Asian3. Equally Asian and English4. Mostly English5. English only
11. What is your movie preference?
1. Asian-language movies only2. Asian-language movies mostly3. Equally Asian and English English-language movies4. Mostly English-language movies only5. English-language movies only
12. What generation are you? (circle the generation that best applies to you:)
1. First generation =I was born in Asia or country other than the United States2. Second generation=I was born in the United States‚ either parent was born in Asia or country other than the United States3. Third generation = I was born in the United States‚ both parents were born in the United States‚ and all grandparents born in Asia or country other than the United States4. Fourth generation=I was born in the United States‚ both parents were born in the United States‚ and at least one grandparent born in Asia or country other than the United States and one grandparent born in the United States5. Fifth generation = I was born in the United States‚ both parents were born in the United States‚ and all grandparents also born in the United States6. Don’t know what generation best fits since I lack some information.
13. Where were you raised?
1. In Asia only2. Mostly in Asia‚ some in the United States3. Equally in Asia and the United States4. Mostly in the United States‚ some in Asia5. In the United States only
14. What contact have you had with Asia?
1. Raised 1 year or more in Asia2. Lived for less than 1 year in Asia3. Occasional visits to Asia4. Occasional communications (letters‚ phone calls‚ etc.) with people in Asia5. No exposure or communications with people in Asia
15. What is your food preference at home?
1. Exclusively Asian food2. Mostly Asian food‚ some American3. About equally Asian and American4. Mostly American food5. Exclusively American food
16. What is your food preference in restaurants?
1. Exclusively Asian food2. Mostly Asian food‚ some American3. About equally Asian and American4. Mostly American food5. Exclusively American food
17. Do you
1. read only an Asian language;2. read an Asian language better than English;3. read both Asian and English equally well;4. read English better than an Asian language; and5. read only English.
18. Do you
1. write only an Asian language;2. write an Asian language better than English;3. write both Asian and English equally well;4. write English better than an Asian language; and5. write only English.
19. If you consider yourself a member of the Asian group (Oriental‚ Asian‚ Asian American‚ Chinese American‚ etc.‚ whatever term you prefer)‚ how much pride do you have in this group?
1. Extremely proud2. Moderately proud3. Little proud
20. How would you rate yourself?
1. Very Asian2. Mostly Asian3. Bicultural4. Mostly Westernized5. Very Westernized
21. Do you participate in Asian occasions‚ holidays‚ traditions‚ etc.?
1. Nearly all2. Most of them3. Some of them4. A few of them5. None at all
22. Rate yourself on how much you believe in Asian values (e.g.‚ about marriage‚ families‚ education‚ work):
1 |
2 |
3 |
4 |
5 |
do not believe |
strongly believe in Asian values |
23. Rate yourself on how much you believe in American (Western) values:
1 |
2 |
3 |
4 |
5 |
do not believe |
strongly believe in Asian values |
24. Rate yourself on how well you fit when with other Asians of the same ethnicity:
1 |
2 |
3 |
4 |
5 |
do not fit |
fit very well |
25. Rate yourself on how well you fit when with other Americans who are non-Asian (Westerners):
1 |
2 |
3 |
4 |
5 |
do not fit |
fit very well |
26. There are many different ways in which people think of themselves.Which ONE of the following most closely describes how you view yourself?
1. I consider myself basically an Asian person (e.g.‚ Chinese‚ Japanese‚ Korean‚ Vietnamese). Even though I live and work in America‚ I still view myself basically as an Asian person.2. I consider myself basically as an American. Even though I have an Asian background and characteristics‚ I still view myself basically as an American.3. I consider myself as an Asian American‚ although deep down I always know I am an Asian.4. I consider myself as an Asian American‚ although deep down I view myself as an American first.5. I consider myself as an Asian American. I have both Asian and American characteristics‚ and I view myself as a blend of both.
N.-H. Trinh et al. (eds.)‚ Handbook of Mental Health and Acculturation in Asian American Families‚ Current Clinical Psychiatry‚ DOI 10.1007/978-1-60327-437-1_12‚ _ Humana Press‚ a part of Springer ScienceBusiness Media‚ LLC 2009