[Singlemom619]

1. At what age were your child(ren) when adopted?
0-2 _______ 2-5 ___XXX____ 5-7 ___XXX____ 7+ _______

2. What race are you and your significant other? (If other please explain.)

White ___XXX____ African American ______ Indian _______ Asian _______

Hispanic _______ Other ______________________________

3. What race is the child(ren) you have adopted? (If other please explain.)
White _______ African American ___XXX____ Indian _______ Asian _______

Hispanic ________ Other ____Native American___________________________

4. How often did you or your child(ren) experience racism personally?

Daily _______ Weekly _______ Monthly ___XX____ Yearly _______ Never _______

5. How difficult is it for your child(ren) to face these prejudice experiences?

Very Difficult _______ Difficult _______ Moderately Difficult _______ Easy ___XX____

6. Do you teach you child(ren) the history of their culture and stress the importance of maintaining their culture?

Daily _______ Weekly __XX_____ Monthly __XX_____ Yearly _______ Never _______

7. My Interracially adopted child(ren) have struggled with their cultural identity.

Strongly Agree _______ Agree _______ Disagree ___XX____ Strongly Disagree _______

8. Overall how do you feel your family has been effected by interracial adoption?

Positive __XX_ ___ ___ ___ ___ ___ Negative