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1. At what age were your child(ren) when adopted?
0-2 _______ 2-5 ___X____ 5-7 _______ 7+ _______
2. What race are you and your significant other? (If other please explain.)
White ___X____ African American ______ Indian _______ Asian _______
Hispanic _______ Other ______________________________
3. What race is the child(ren) you have adopted? (If other please explain.)
White _______ African American _______ Indian _______ Asian _______
Hispanic ____X____ Other _______________________________
4. How often did you or your child(ren) experience racism personally?
Daily _______ Weekly _______ Monthly _______ Yearly ___X____ Never _______
5. How difficult is it for your child(ren) to face these prejudice experiences?
Very Difficult _______ Difficult _______ Moderately Difficult ___X____ Easy _______
6. Do you teach you child(ren) the history of their culture and stress the importance of maintaining their culture?
Daily _______ Weekly _______ Monthly _______ Yearly _______ Never _______ (at times)
7. My Interracially adopted child(ren) have struggled with their cultural identity.
Strongly Agree _______ Agree _______ Disagree ___X____ Strongly Disagree _______
8. Overall how do you feel your family has been effected by interracial adoption?
Positive ___X ___ ___ ___ ___ ___ Negative
9. If there are any other comments you would like to voice to help me in my research please do so here.
My HIspanic daughters had more problems from people who did not understand how they could have no father (single parent adoption) than how they could have a white mother.
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 Mother to Sissy - my Mayan Princess (over 25) - International Adoption
 Mother to Sassy - my Spanish Princess (over 25) - International Adoption
 Mother to Spiderman (age 6) - domestic open adoption of relative
 Grandmother to Pink Princess (age 3) - She rules my heart!
Retired from my job, but haven't quit working!
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