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1. At what age were your child(ren) when adopted?
0-2 _______ 2-5 _______ 5-7 _______ 7+ ___X____
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 ____X___ Indian _______ Asian _______
Hispanic ___X_____ Other __Polynesian (Samoan/Tongan)_____________________________
4. How often did you or your child(ren) experience racism personally?
Daily _______ Weekly _______ Monthly _______ Yearly _______ Never ___X____(so far! But we live in Hawai'i and have a very accepting and ethnically mixed community)
5. How difficult is it for your child(ren) to face these prejudice experiences?
Very Difficult _______ Difficult _______ Moderately Difficult _______ Easy ___X____
6. Do you teach you child(ren) the history of their culture and stress the importance of maintaining their culture?
Daily _______ Weekly ____X___ Monthly _______ Yearly _______ Never _______
7. My Interracially adopted child(ren) have struggled with their cultural identity.
Strongly Agree _______ Agree _______ Disagree _______ Strongly Disagree __X_____
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.
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