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1. Where were you born?
   
 
 
 
2. What is your nationality?
   
 
 
 
3. How long have you lived in the United States?
 
Six months or less
 
More than a year
 
Five years or more
 
More than 10 years
 
 
 
4. What languages are spoken in your home?
   
 
 
 
5. Do you view the act of apologizing as an important one in your culture? Explain.
 
Yes
 
No
 
It depends on the situation
 
 
 
6. Explain or describe behavior that your culture would consider offensive and/or insulting.
   
 
 
 
7. Have you ever been in a situation where someone has offended you and your culture? If so, please explain further.
   
 
 
 
8.If you answered yes to the above question, what was done to rectify the situation?
   
 
 
 
 
 

 
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