Demographic survey for "A political medicine"

These questions are on the optional demographic survey given to interview participants. It takes less than ten minutes to complete. The researchers posted our survey answers here.

RACE

01. What race do people usually think you are?

  1. __

02. Are there times people think you are a different race?

  1. Yes
  2. No

03. Does your race matter to you very strongly, strongly, some, not much, or not at all?

  1. Not at all
  2. Not much
  3. Some
  4. Strongly
  5. Very strongly

04. Does your race affect your daily life very strongly, strongly, some, not much, or not at all?

  1. Not at all
  2. Not much
  3. Some
  4. Strongly
  5. Very strongly

05. Comments:

  1. __

LOCAL/OUT-OF-TOWN

06. During protests in Ferguson and Saint Louis, did other protesters consider you local or an out-of-towner?

  1. Local
  2. Out-of-town

07. Did you consider yourself local or an out-of-towner?

  1. Local
  2. Out-of-town

08. Did your local or out-of-town status matter to you very strongly, strongly, some, not much, or not at all?

  1. Not at all
  2. Not much
  3. Some
  4. Strongly
  5. Very strongly

09. Did your local or out-of-town status affect your daily life very strongly, strongly, some, not much, or not at all?

  1. Not at all
  2. Not much
  3. Some
  4. Strongly
  5. Very strongly

10. Comments:

  1. __

LANGUAGE/NATIONAL HERITAGE

11. Do you natively speak a language other than English?

  1. Yes
  2. No

12. Do members of your family natively speak a language other than English?

  1. Yes
  2. No

13. Do you have a nationality other than the United States?

  1. Yes
  2. No

14. Comments:

  1. __

GENDER

15. Does your gender affect your daily life very strongly, strongly, some, not much, or not at all?

  1. Not at all
  2. Not much
  3. Some
  4. Strongly
  5. Very strongly

16. Comments:

  1. __

AGE

17. Does your age affect your daily life very strongly, strongly, some, not much, or not at all?

  1. Not at all
  2. Not much
  3. Some
  4. Strongly
  5. Very strongly

18. Comments:

  1. __

INCOME/WEALTH/CREDIT

19. Does access to money affect your daily life very strongly, strongly, some, not much, or not at all?

  1. Not at all
  2. Not much
  3. Some
  4. Strongly
  5. Very strongly

20. Comments:

  1. __

OTHER

21. Use this space if you want to tell us something else about you (or how you appear) that affects your daily life very strongly or strongly:

  1. __

VERSION

This is version 1 of these questions (20 March 2015).

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