ABAZ/ABKHAZ AND CIRCASSIAN (ADYGHE) CENSUS POPULATION
ATTENTION! INFORMATION ONLY OF ONE MEMBER OF THE FAMILY IS TRANSFERRED!
Email address *
The World Census of the Abkhaz-Adyghe (Circassian) Diaspora
1. First name *
Your answer
2. Surname *
Your answer
3. Year of birth *
MM
/
DD
/
YYYY
4. Country of residence *
5. City of residence *
Required
6. Profession *
Required
7. Position *
Required
8. The number of members in your family *
Select a numeric value
9. National affiliation of your family members
The answer at all points below is required. If your family does not have any of these nationalities, fill in the box "no one"
Abazin / Asheua *
How many family members belong to this nationality. Be sure to include a number (number) or fill in the box "none"
Captionless Image
Abkhaz / Apsua *
How many family members belong to this nationality. Be sure to include a number (number) or fill in the box "none"
Captionless Image
Circassian / Adyge *
How many family members belong to this nationality. Be sure to include a number (number) or fill in the box "none"
Captionless Image
Other (specify nationality) *
Be sure to include a number (number) or fill in the box "none"
10. Your native language *
Required
11. Dialect
Select the name that you want to enter in the "other"
12. How many people in the family own their native language
ATTENTION: The answer in all points below is mandatory!
If your family does not own one of these languages, just fill in the box "no one"
Abazin language (abaza bizshva) *
Be sure to include a number (number) or fill in the box "none"
The Abkhaz language (ausua byshshua, ausshya) *
Be sure to include a number (number) or fill in the box "none"
The Adyghe language (adygabez) *
Be sure to include a number (number) or fill in the box "none"
Circassian / Adyge *
Be sure to include a number (number) or fill in the box "none"
Ubykh language (a-t°axə) *
Be sure to include a number (number) or fill in the box "none"
Other *
Be sure to include a number (number) or fill in the box "none"
13. Assess the level of knowledge of your native language by family members
Write in your own words who and how well knows the language (answer at will)
Your answer
14. What are the names of your family members?
First name (in brackets year of birth). Answer at will
Your answer
How to contact you?
Any additional contact information
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service