Survey Interview Question:

U.S. ethnic code:

Submitted by: Administrator

1. ____White (Non Hispanic)
2. ____Cambodian, Laotian, or Vietnamese whose family immigrated after 1975
3. ____Other Asian or Pacific Islander
4. ____American Indian or Alaskan Native
5. ____Hispanic/Latin American
6. ____Black/African-American
Submitted by: Administrator