Image copyright 2008 J. Vincent Nix


Questionnaire updated by  Vincent Nix on July 13, 2008 

The following information is being collected for statistical purposes only. 

These data are being collected for research that will add to a body of literature on social distance.  I have published one paper on this topic, and have written and presented several others. 

Here is the original paper (senior, undergratuate thesis at the University of Mississippi) -- Social distance and factors that affect its magnitude at a southern university --  that was later published in 1995.

Another paper -- Cyberstratification and social distance over the Internet: using the Bogardus Scale to measure prejudice among WWW users -- was based on the data that this particular Internet questionnaire collected while I was enrolled in a (Race/Class/Gender) course at the Washington State University. I was required to file a human-subjects approval form for the course research project. Analysis is limited therefore, to submissions of this questionnaire from the date of approval by the WSU IRB to the last date feasible before the course paper was due.  *note: this document references frequencies' and breakdowns' reports that are no longer available on the WSU server; interested readers may click here: FREQUENCY  BREAKDOWN

This Internet-based questionnaire has collected data since November 1993; eventually I will publish the results from data but my focus is elsewhere currently.


Please choose  your answer from the selections provided underneath the questions.

First Name:

Last Name:

E-Mail:

1. What is your biological sex?
Not Selected
Male
Female

2. What is your current educational level?
Not Selected
Elementary School
Junior High School
High School
College freshman
College sophomore
College Junior
College Senior
Graduate Student or Post-Graduate

3. What is your school/division?
Not Selected
I did not/do not plan to attend college
Liberal Arts
Business
Pharmacy
Law
Engineering
Education
Other

4. What is/has been the main source of funds for your education?
Not Selected
Family resources
Parents
Spouse
Scholarship
Grants
Work-study
Full-time job
Student Loans

5. What is the population of the area you call "home"?
Not Selected
under 1,000
1,000-5,000
5,001-49.999
50,000-149,999
150,000-499,999
500,000-999,999
1,000,000-1,999,999
2,000,000+

6. My home is located in a:
Not Selected
city
town 
rural area

7. Marital Status:
Not Selected
Married
Single

8. Are you a member of any Church/religious organization?
Not Selected
Yes
No

9. If you answered yes to the previous question, how often do you attend church/meetings?
Not Selected
Once a week, or more
Twice a month
Once a month
Less than once a month
Never
I said no to the previous question.

10. Which statement best describes your belief in God, or a Supreme Being?
Not Selected
Pray, ask guidance every day
Firm belief, important part of my life
Belief, but not really important to me
I am not sure
I do not believe in a Supreme Being

11. What is your ethnic heritage background?
Not Selected
African
Asian
European
Middle Eastern
Native American
Other (please type.)

12. Think of your home community. What proportion of your neighbors were of the same ethnic background as you?
Not Selected
All of my neighbors were of my ethnic background
Most neighbors were of my ethnicity
Some of my neighbors were of my ethnicity
Most neighbors were a different ethnicity
None of my neighbors were of my ethnicity

13. How much contact have you had in your lifetime with persons of a different racial or ethnic background than your own?
Not Selected
A great deal of contact
Some contact
Very little contact
No contact

14. What is the highest level of education completed by your father, or male guardian?
Not Selected
Grade school or less
Some High school
High school graduate
Some beyond high school
College graduate
Graduate/Professional school after college

15. What is the highest level of education completed by your mother, or female guardian?
Not Selected
Grade school or less
Some high school
High school graduate
Some beyond high school
College graduate
Graduate/professional school after college

16. How would you describe your father's occupation?
Not Selected
Blue collar
White collar

17. How would you describe your mother's occupation?
Not Selected
Blue collar
White collar

18. How would you rate your cross-cultural experiences?
Not Selected
Extremely positive
Generally positive
Somewhat positive
Somewhat negative
Generally negative
Extremely negative

19. Are you a U.S. citizen (including permanent residents?)
Not Selected
Yes
No

20 If yes to question number 19, do you have any friends who are not United States citizens?
Not Selected
Yes
No
I said no to the previous question.

21. (If a U.S. Citizen) How often do you have interaction with your non-U.S. citizen friends?
Not Selected
Often
Occasionally
Rarely
I do not have any friends who are U.S. Citizens
I am not a U.S. citizen.

22. As of your last birthday, what is your age?
Not Selected
12-17 years of age
18-20 years of age
21-25 years of age
26-30 years of age
31-35 years of age
36-40 years of age
41-50 years of age
51 or more years of age

23. What is your income level?
Not Selected
Less than $10,000 per year
$10,001 - $20,000 per year
$20,001 - $40,000 per year
$40,001 - $75,000 per year
$75,001 - $120,000 per year
$120,001 - $200,000 per year
$200,001 or more per year

24. Which Statement best describes your political beliefs?
Not Selected
Extremely Conservative
Conservative
Moderately conservative
Right down the middle
Moderately liberal
Liberal
Extremely Liberal

25. Please type your country of citizenship.

Please follow the Instructions carefully:
According to my first feelings (reactions), I would willingly admit members of each group into the following classifications (please think of each group as a whole, and not of the best representative, nor the worst representative of that group you have known):

1. Close kinship by marriage

2. Very close friends

3. As my neighbors

4. Into my work group

5. As a speaking acquaintance only

6. As visitors only to my country

7. Exclude from my country

 

Please select the statement that corresponds to your feeling in the drop down menu provided underneath each "out-group" name: (hint, use the 'TAB' key and your number pad for quick navigation).

African-American:

Anglo-American:

Asian-American:

African:

Buddhist:

Canadian:

Chicano:

Chinese:

Christian:

Cuban:

Dutch:

English:

French:

Filipino:

Gay:

German:

Greek:

Haitian:

Hispanic:

Hindu:

Indian:

Iranian:

Iraqi:

Irish:

Israeli:

Italian:

Japanese:

Jewish:

Korean:

Latino:

Lebanese:

Lesbian:

Malaysian:

Mexican:

Muslim:

Norwegian:

Pakistani:

Palestinian:

Portuguese:

Polish:

Romanian:

Russian:

Serb:

Scottish:

Spanish:

Swedish:

Taiwanese:

Taoist:

Turkish:

Vietnamese:

Yugoslavian:

Type comments here.