Chinese Adoptee Survey

*
When is your birthday?
*
What is your gender?
Female
Male
Prefer not to say
I Prefer to Self Describe
Where were you born? (leave blank if unknown)
City
City
Province
Province
Country
Country
From where were you adopted (leave blank if unknown)
City
City
Province
Province
Country
Country
When were you adopted? (if exact date unknown revert to first day of month or year, whichever is is more accurate)
How old were you when you were adopted?
*
What is your current country of residence？
*
Who raised you? (Check all that apply）【多选题】
Father
Mother
Stepmother
Stepfather
Legal guardian
Other
What is your Parent A's racial or ethnic identity? (Select all that apply.)【多选题】
N/A
African-American/Black
East Asia
Hispanic/Latinx
Middle Eastern
American Indian/Alaskan Native
South Asian
Southeast Asian
White
Other
What is Parent A's educational background? (pick highest)
None
Primary school
Middle school
High school
Associate's Degree
Bachelor's Degree
Master's Degree
Professional Degree
Doctor's Degree
What is your Parent B's racial or ethnic identity? (Select all that apply.)【多选题】
N/A
African-American/Black
East Asia
Hispanic/Latinx
Middle Eastern
American Indian/Alaskan Native
South Asian
Southeast Asian
White
Other
What is Parent B's educational background? (pick highest)
None
Primary school
Middle school
High school
Associate's Degree
Bachelor's Degree
Master's Degree
Professional Degree
Doctor's Degree
List your siblings gender, age, and whether they were adopted. If none, leave blank
Ex: Male, 15, Yes
Sibling 1 (gender, age, adopted(yes/no))
Sibling 1 (gender, age, adopted(yes/no))
Sibling 2 (gender, age, adopted(yes/no))
Sibling 2 (gender, age, adopted(yes/no))
Sibling 3 (gender, age, adopted(yes/no))
Sibling 3 (gender, age, adopted(yes/no))
Sibling 4 (gender, age, adopted(yes/no))
Sibling 4 (gender, age, adopted(yes/no))
Sibling 5 (gender, age, adopted(yes/no))
Sibling 5 (gender, age, adopted(yes/no))
Sibling 6 (gender, age, adopted(yes/no))
Sibling 6 (gender, age, adopted(yes/no))
Sibling 7 (gender, age, adopted(yes/no))
Sibling 7 (gender, age, adopted(yes/no))
*
What your educational background? (pick highest)
None
Primary school
Middle school
High school
Associate's Degree
Bachelor's Degree
Master's Degree
Professional Degree
Doctor's Degree
If you have/ are studying for higher degree. What is your major? (list all)
*
Have you studied Chinese?
Yes
No (skip next two questions)
If you HAVE studied Chinese, for how many years have you studied?
If you HAVE studied Chinese, what is your language level?
Beginner
Elementary
Intermediate
Upper Intermediate
Advanced
Proficient
Native
If you HAVEN'T studied Chinese, do you want to?
Yes
No
Have you visited China? 
Yes
No (skip next question)
How many times have you visited China?  (less than a month) , Then fill out the table below: The year, how long was your stay, and reason. 
Ex: 2015, 2 weeks, homeland tour
1. Year, How long, Reason for Trip
1. Year, How long, Reason for Trip
2. Year, How long, Reason for Trip
2. Year, How long, Reason for Trip
3. Year, How long, Reason for Trip
3. Year, How long, Reason for Trip
4. Year, How long, Reason for Trip
4. Year, How long, Reason for Trip
5. Year, How long, Reason for Trip
5. Year, How long, Reason for Trip
6. Year, How long, Reason for Trip
6. Year, How long, Reason for Trip
7. Year, How long, Reason for Trip
7. Year, How long, Reason for Trip
If you have NOT visited China, do you plan on visiting China in the next 10 years?
Yes
No (skip next question)
If you have NOT visited China, but PLAN to, how long do you plan to stay?
Have you LIVED in China (meaning staying in one place for more than a month)?
Yes
No (skip next two questions)
If you HAVE LIVED in China, for how long?
Why did you live in China (Pick all that apply)【多选题】
Study
Work
Research
Travel
Other
If you have NOT lived in China, do you plan to live in China in the next 10 years?
Yes
No (skip next two questions)
If you DO PLAN on living in China (and have not yet lived in China), for how long do you plan to live in China?
Why do you plan to live in China (Pick all that apply, skip if you have already lived in China)【多选题】
Study
Work
Research
Travel
Other
Have you ever searched for your birth parents?
Yes
No (skip next question)
If you have searched for your birth parents have you found them?
Yes
No
If you have not searched for your birth parents, do you want to do a search?
Yes
No (skip next question)
Are there barriers that are preventing you from visiting/moving to China?
Yes (please indicate what)
No
I don't know
Are there any other comments about living or visiting China that you would like to provide?
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