[devildogwife]

1. At what age were your child(ren) when adopted?
0-2 ____x___ 2-5 _______ 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 _______ Native American___x____ Asian _______

Hispanic ________ Other _______________________________

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

Daily _______ Weekly _______ Monthly _______ Yearly _______ Never __x_____

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

Very Difficult _______ Difficult _______ Moderately Difficult _______ Easy _______ NA-too young, doesn't apply yet

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

Daily ___x____ Weekly _______ Monthly _______ Yearly _______ Never _______

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

Strongly Agree _______ Agree _______ Disagree _______ Strongly Disagree _______///NA, still too young

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.