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Culture Shock Questionnaire 

Hello,
You are invited to participate in our survey [This is a culture shock questionnaire aims to investigate what is your perception for culture shock, what are the possible stages that most people have been through and how the culture shock will affect individual's feelings and performance.
Your participation in this study is completely voluntary. There are no foreseeable risks associated with this project. However, if you feel uncomfortable answering any questions, you can withdraw from the survey at any point. It is very important for us to learn your opinions. Your survey responses will be strictly confidential and data from this research will be reported only in the aggregate. Your information will be coded and will remain confidential. If you have questions at any time about the survey or the procedures, you may contact the email address specified below.
Your responds are highly appreciate,thank you very much for your time and support. Please start with the survey now by clicking on the Continue button below.

E-mail: [email protected]
 
 
This is a culture shock questionnaire aims to investigate what is your perception for culture shock, what are the possible stages that most people have been through and how the culture shock will affect individual's feelings and performance. Your responds are highly appreciated, thank you for your time.
* Gender
 
 
 
Age
 
 
 
* Nationality 
 
 
 
* If you are expatriate , please specify your nationality
   
 
 
 
Occupation
 
 
 
How long have you been staying/ stayed in the host country?
 
Less than a year
 
1-2 years
 
2-5 years
 
More than 5 years
 
All of my life
 
 
 
Why have you been to the host country?
 
Study
 
Work
 
Tourism
 
Medical reasons
 
Other ( please specify)
 
 
 
 
Part 1: Culture shock Perception
 
 
 
Have you ever heard about the culture shock?
 
Yes
 
No
 
Not sure