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SURVEY for Burmese Americans and Immigrants from Burma
Please take a moment to express your experience, hardships, and what you want to achieve
in the United States. This survey is anonymous.
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1. Please indicate your gender:
male
female
do not wish to mention
Clear selection
2. How old are you?
Under 12
12 to 18
19 to 24
25 to 34
35 to 44
45 to 54
55 to 64
Over 65
Clear selection
3. How long have you been living in the U.S.?
Your answer
4. Which cities have you lived in?
Your answer
5. Which city do you live in now?
Your answer
6. Please choose your education level
ESL
Elementary
Middle
High
College
Other:
Clear selection
7. Are you a student now?
yes
no
Clear selection
7. (a) If you are a student now, please list all the challenges at the school:
Your answer
7. (b) If you are NOT a student now, Did you go to school or university in the U.S.?
yes
no
Clear selection
7. (c) Do you need or want to go to school some more?
Your answer
7. (d) Please list all the reasons why you don’t or can’t go to school now:
Your answer
8. Have you already got a job?
yes
no
Clear selection
8. (a) If you have a job, please tell us how you got that job?
Your answer
8. (b) If you don’t have a job yet, please tell us what difficulties you have to get a job?
Your answer
9. What is (are) your goal(s) in the next ten years in the U.S.?
Your answer
10. What kind of resources or information would be helpful to improve your life in the U.S.?
Your answer
11. What do you want to ask for you / your family / your ethnic group / your community from the U.S. Government if opportunity is given?
Your answer
12. Are you active in the U.S. with your culture / ethnic group / community?
no
a little bit
sometimes
often
a lot
Clear selection
13. Any other comments about living in the USA you wish to share with us?
Your answer
14. How do you identify yourself in the US?
Refugee
Immigrant
Burmese American (You were born and raised in the US)
Asylee
none of the above
do not wish to answer
Clear selection
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