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  1. Surveys
  2. 2017
  3. February
  4. T
  5. Transracial Adoption
0%
Questions marked with a * are required Exit Survey
 
 
* Were you adopted by age one?
 
Yes
 
No
 
Don't Know
 
 
 
* Are you the same race or ethnicity of at least one of your adoptive parents?
 
Yes
 
No
 
 
 
* I am...
 
Male
 
Female
 
 
 
* What race do you identify as (Select all that apply)?
 
Caucasian/White
 
Black/African American
 
Native American
 
Asian
 
Hispanic/Latino
 
Other
 

 
 
 
* Have you met your birth parents? If so, at what age?
 
Yes
 
No

 
 
 
* What race is your biological father (Select all that apply)?
 
Caucasian/White
 
African American/Black
 
Native American
 
Asian
 
Hispanic or Latino
 
Don't Know

 
 
 
* What is the race of your biological mother (Select all that apply)?
 
Caucasian/White
 
African American/Black
 
Native American
 
Asian
 
Hispanic or Latino
 
Don't Know

 
 
 
* What is the race of your adoptive father (Select all that apply)?
 
Caucasian/White
 
African American/Black
 
Native American
 
Asian
 
Hispanic or Latino
 
N/A

 
 
 
* What is the race of your adoptive mother (Select all that apply)?
 
Caucasian/White
 
African American/Black
 
Native American
 
Asian
 
Hispanic or Latino
 
N/A

 
 
 
* How old are you?
 
18-20
 
21-30
 
31-40
 
41-50
 
51-60
 
61-70
 
71+
 
 
 
* What do you believe your adoptive family's socioeconomic status (SES) was?
 
Lower Class
 
Middle Class
 
Upper Class
 
 
 
* What is your annual income?
 
$0-$14,999
 
$15,000-$29,999
 
$30,000-$44,999
 
$45,000-$59,999
 
$60,000-$74,999
 
$75,000-$99,999
 
$100,000+
 
 
 
* How many individuals resided in your home during your childhood?
   
 
 
 
* How many bedrooms did your home have?
   
 
 
* Which complexion best matches:
Yourself
 
 
* Which complexion best matches:
Your adoptive mother
 
 
* Which complexion best matches:
Your adoptive father
 
 
These questions are about your ethnicity or your ethnic group and how you feel about it or react to it.  Please indicate how much you agree or disagree with each statement.
Strongly Agree Agree Neutral Disagree Strongly Disagree
* I have spent time trying to find out more about my ethnic group, such as its history, traditions, and customs.
* I am active in organizations or social groups that include mostly members of my own ethnic group
* I have a clear sense of my ethnic background and what it means for me.
* I think a lot about how my life will be affected by my ethnic group membership.
* I am happy that I am a member of the group I belong to.
* I have a strong sense of belonging to my own ethnic group.
* I understand pretty well what my ethnic group membership means to me.
* In order to learn more about my ethnic background, I have often talked to other people about my ethnic group.
* I have a lot of pride in my ethnic group.
* I participate in cultural practices of my own group, such as special food, music, or customs.
* I feel a strong attachment towards my own ethnic group.
* I feel good about my cultural or ethnic background.
 
 
 
This last section is divided into seven sections containing statements of phrases for which people often use to describe themselves, their lives, and their experiences.  For each statement, please indicate which choice best represents your opinion.

Please note this section is:
"Adapted and reproduced by special permission of the Publisher, Psychological Assessment Resources, Inc (PAR), 16204 North Florida Avenue, Lutz, Florida 33549 from the Measures of Psychosocial Development Gwen A Hawley, PhD, Copyright 1980, 1984,1988 by PAR. Furthe reproduction is prohibited without permission of PAR."
 
 
Which choice best represents your opinion:
Not at all like you Not much like you Somewhat like you Like you Very much like you
* Calm, relaxed, easy going
* Stick to the tried and tested
* Have worked out my basic beliefs about such matters as occupations, sex, family, politics, religion, etc
* Bored
* Self-sufficient; stand on my own two feet
* Easily distracted; can't concentrate
* Warm and understanding
* Life has passed me by
* Good things never last
* Seek out new projects and undertakings
Not at all like you Not much like you Somewhat like you Like you Very much like you
* Not sure of my basic convictions
* Like taking care of people and things
* Easily embarrassed
* Eager to learn and develop my skills
* Prefer doing most things alone
* Believe in the basic dignity of all people
 
 
Which choice best represents your opinion:
Not at all like you Not much like you Somewhat like you Like you Very much like you
* Generally trust people
* Can't seem to get going
* Clear vision of what I want out of life
* Younger generation is going to the dogs
* Make my own decisions
* Give up easily
* Share my most private thoughts and feelings with those close to me
* Full of regret
* It's a cold, cruel world
* Insist on setting goals and planning in advance
Not at all like you Not much like you Somewhat like you Like you Very much like you
* A bundle of contradictions
* Involved in service to others
* Can't be myself
* Industrious, hardworking
* Keep my feelings to myself
* Believe in the overall wholeness of life
 
 
Which best represents your opinion:
Not at all like you Not much like you Somewhat like you Like you Very much like you
* Optimistic, hopeful
* Tend to delay or avoid action
* Stand up for what I believe, even in the face of adversity
* Not getting anywhere or accomplishing anything
* Do things my own way, though others may disagree
* Feel inferior to others in most respects
* Others share their most private thoughts and feelings with me
* Wish I'd lived my life differently
* Others let me down
* Like to get things started
Not at all like you Not much like you Somewhat like you Like you Very much like you
* Wide gap between the person I am and the person I want to be
* Absorbed in the creative aspects of life
* Stubborn; obstinate
* Competent, capable worker
* No one seems to understand me
* Life is what it should have been
 
 
Which best represents your opinion:
Not at all like you Not much like you Somewhat like you Like you Very much like you
* Good things are worth waiting for
* Cruel, self-condemning conscience
* Found my place in the world
* Self-absorbed; self-indulgent
* Independent; do what I want
* Do only what is necessary
* Comfortable in close relationships
* A "has been"
* Generally mistrust others
* Like to experiment and try new things
Not at all like you Not much like you Somewhat like you Like you Very much like you
* Uncertain about what I'm going to do with my life
* Deep interest in guiding the next generation
* Very self-conscious
* Proud of my skills and abilities
* Emotionally distant
* Life has meaning
 
 
Which best represents your opinion:
Not at all like you Not much like you Somewhat like you Like you Very much like you
* Generous
* Inhibited; restrained
* Others see me pretty much as I see myself
* Uninvolved in life
* Neither control, nor am controlled by others
* Can't do anything well
* Willing to give and take in my relationships
* Life is a thousand little disgusts
* Pessimistic; little hope
* A real "go-getter"
Not at all like you Not much like you Somewhat like you Like you Very much like you
* Haven't found my place in life
* Doing my part to build a better world
* Uptight; can't let go
* Stick to a job until it is done
* Avoid commitment to others
* Feel akin to all humankind- past, present, and future
 
 
Which best represents your opinion:
Not at all like you Not much like you Somewhat like you Like you Very much like you
* Trustworthy; others trust me
* Passive; not aggressive
* Appreciate my own uniqueness and individuality
* Stagnating
* Control my own life
* Lack ambition
* Others understand me
* No hope for solutions to the world's problems
* People take advantage of me
* Adventuresome
Not at all like you Not much like you Somewhat like you Like you Very much like you
* A mystery-even to myself
* Trying to contribute something worthwhile
* Uncertain; doubting
* Take pride in my work
* Many acquaintances; no real friends
* Would not change my life if I could live it over
 
 
Which best represents your opinion:
Not at all like you Not much like you Somewhat like you Like you Very much like you
* Trust my basic instincts
* Overwhelmed with guilt
* Content to be who I am
* Vegetating, merely existing
* Feel free to be myself
* Without my work, I'm lost
* There when my friends need me
* Humankind is hopeless
* On guard lest I get stung
* Aggression helps me get ahead
Not at all like you Not much like you Somewhat like you Like you Very much like you
* In search of my identity
* Finding new avenues of self-fulfillment
* Easily swayed
* Productive; accomplish much
* Wary of close relationships
* Satisfied with my life, work, and accomplishments