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Ethnicity & Language Screeners
Updated over 4 months ago

These multi-choice options provide a range of common racial and ethnic categories while also allowing respondents to specify if their identity does not fit neatly into any of the provided options.

  1. What is your ethnic background?

    • African

    • Asian

    • Caucasian/White

    • Hispanic/Latino/Latina

    • Native American/Indigenous

    • Pacific Islander

    • Middle Eastern

    • Mixed/Multiracial

    • Other (please specify)

  2. Which racial or ethnic group do you identify with?

    • White

    • Black or African American

    • Asian

    • Native American or Alaska Native

    • Native Hawaiian or Other Pacific Islander

    • Hispanic or Latino/Latina

    • Middle Eastern or North African

    • Multiracial

    • Other (please specify): ________________

Please add a Short Answer Question after

"If you have chosen Others in the previous questions, please specify"


1. What languages do you speak at home?

  • English

  • Spanish

  • Mandarin Chinese

  • Hindi

  • Arabic

  • French

  • Russian

  • Portuguese

  • Bengali

  • German

  • Japanese

  • Punjabi

  • Others

2. Which languages are you fluent in?

  • English

  • Spanish

  • Mandarin Chinese

  • Hindi

  • Arabic

  • French

  • Russian

  • Portuguese

  • Bengali

  • German

  • Japanese

  • Punjabi

  • Others

Don't forget to tick the "Multiple selections allowed" option when setting up these questions!

3. What is your primary language?

  • English

  • Spanish

  • Mandarin Chinese

  • Hindi

  • Arabic

  • French

  • Russian

  • Portuguese

  • Bengali

  • German

  • Japanese

  • Punjabi

  • Others

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