Your Background
1. What is your racial/ethnic identity?
        African American/Black
        Asian/Pacific Islander American
        Hispanic/Latino/a
        Native American
        White/Caucasian
        Other
2. If your racial/ethnic identity is "Other," then please specify. 
3. What is your sex?
        Female
        Male
4. What is your age? 
5. Are you a citizen of the United States?
        Yes
        No
6. If you are not a citizen of the United States, then please specifiy your nationality. 
7. What is your social class?
        lower class
        working class
        lower middle class
        middle class
        upper middle class
        upper class
        ruling class
8. What is your sexual preference?
        Bisexual
        Gay
        Heterosexual/Straight
        Lesbian
        Transgendered

Black-White Relations Survey
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