Filipino-American Community Survey 2008, San Diego, CA
Answers marked with a * are required.
1.
Filipino-American Community Survey 2008
Thank you for agreeing to complete this survey. The purpose of this survey is to learn about San Diego’s Filipino/Filipino-American community priorities – as defined by the community. If you would like to know the survey results - please fill out question 8 completely. [NOTE: By completing this survey, your name will be entered in an “Opportunity Drawing” at a special event on Saturday, May 24th, 2008 at Kimball Park in National City. The prize is 2 roundtrip air tickets to the Philippines (Manila). If you do not wish to be entered in the drawing, please write “no drawing” at the top of the survey and your name will not be entered. Please see question 8 for further information.] Again, thank you for your time and participation.
1.
Today's Date:
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2.
Gender
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Male
Female
3.
Residential Zip Code
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4.
Employer/School Zip Code
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5.
Age Group
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13-17 yrs.
18-29 yrs.
30-44 yrs.
45-59 yrs.
60+ yrs.
6.
What Do You Consider Yourself?
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Filipino/Filipino-American
Filipino/Filipino- American “Mix” (example: Filipino/Caucasian, Filipino/Mexican,Filipino/African American, etc.)
None of the Above
7.
What generation do you consider yourself?
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First Generation (born outside U.S./spent a large part of your life outside U.S.)
1.5 Generation (born outside U.S./came to the U.S. by age 6 years)
Second generation (born in U.S. and spent large part of life in U.S. – includes U.S. military families stationed outside U.S.)
Third generation (at least one parent is second generation)
Fourth generation (at lease one grand parent is second generation)
8.
What do you want for San Diego’s Filipino Community? Please choose 3 from the list below or add your own in the space(s) labeled “other”. Categories are listed in alphabetical order.
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“Clearinghouse”* for Information, Research, and Resources on and for San Diego’s Filipino community. (*organization that collects and disseminates information)
Community Service Programs that are Sensitive to the Needs of Filipinos What kind? (Examples: problem gambling treatment, immigration/citizenship assistance, crime prevention, etc.)
Economic Development/Opportunities for Filipino Owned Businesses/Organizations
Filipino American Contributions to be included in American History Curriculum
Filipino Community Center
Filipino Culture & Language Programs
Filipinos to have a Voice in Politics/Political Process.
Full Benefits for the Filipino Veterans (aka Filipino American Veterans Equity Act)
Health Promotion/Education Programs that are Culturally Sensitive to the Mental and Physical Health Needs of Filipinos.
More Filipinos to be Elected/Appointed to Public Offices, Commissions and Committees.
More Research that Focus on Filipino Issues, Trends, etc.
Respect for Filipino people.
Youth Programs that are sensitive to the needs of Filipino American Youth (18 years and younger) - (Examples: suicide prevention, gang prevention, alcohol and drug prevention, career exploration, academic assistance, help applying for college, sports, summer activities, etc.)
Comments or Other
9.
Please Provide us with your contact information
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Name
Email Address
Contact Phone # (including area code)
Street Address
Zip Code
REMINDER: By completing this survey, your name will be entered in an “Opportunity Drawing” at a special event on Saturday, May 24th, 2008 - to win 2 roundtrip air tickets to the Philippines (Manila) and/or a Laptop Computer.
GENERAL CONDITIONS: YOU MUST BE PRESENT TO WIN. If you are under 18 years old – and your name is drawn as winner of the prize, you must have parent/guardian written consent for the prize, and agree to be your chaperone during the trip. The winner accepts responsibility for all federal, state and local taxes and fees in connection with the prize. Entrants agree to be bound by these rules. By entering, participants release and hold harmless the survey/event organizers, affiliates, directors, officers, prize suppliers, employees and agents from any and all liability or any injuries, loss or damage of any kind arising from or in connection with this contest or acceptance or use of prize. Age: You must be at least 14 years of age to enter with parent/guardian consent; 18 years without consent.
Thank you very much!
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