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				Your name: Would you like your name changed if published? yes no Age: Occupation: Birthplace: Residence: Mother's Birthplace: Maternal Grandmother's Birthplace: Maternal Grandfather's Birthplace: Father's Birthplace: Paternal Grandmother's Birthplace: Paternal Grandfather's Birthplace: Do you feel that new immigrants to North America should assimilate into the mainstream? Would your parents object to you dating or marrying a person who was of a different race than you? What do you think of affirmative action and racial quotas in the workplace? What do you think of signs on businesses that don't have any English on them? Have you ever been discriminated against because of your race or the color of your skin? Tell us about it. Has anything, relating to race, happened lately that really bothered you? What is the most unusual thing you've ever eaten? Where were you when you ate it? What is your favorite "ethnic" food? Where do you live and where have you traveled where the culture was the most different from your own? Do you feel that you are in touch with your culture of origin? Have you ever traveled back to the homeland(s) of your ancestors? Why not, if you haven't? What percentage of your friends are able to speak a language other than English? In brief, describe your idea of a perfect world. Do you or did you ever wish that you were of another race? If so, why? Do you feel uncomfortable if you are a minority in a room full of people who are all of one race? Are you physically attracted to people of a different race? If so, why do you think you are? How did you feel about responding to this questionnaire? Thank you for taking the time to answer our questionnaire.  Responding to the questionnaire does not necessarily mean that your answers will be published. Responses chosen for publication may be edited for clarity. All submissions become property of Urban Mozaik Magazine. Home