Culture Shock Survey
Answers marked with a * are required.
 
1.

What country were you born and raised in?

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2.

What country did you immigrate to?

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3.

Before immigrating, did you know what culture shock was?

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4.

Did you have any expectations for how you would adjust to the new country?

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5.

When did you realize you were suffering from culture shock?

*
 
 
 
6.

What aspects of culture shock did you experience and how did they make you react? (What changes did you notice in yourself as a result ofthe culture shock?)

*
 
 
 
7.

Did you ever feel that your anger or aggression level wasexcessively high? 

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8.

Did you think about committing any crimes, even small and insignificant ones? This includes breaking laws in your new county or committing an act that would have been considered a crime in your home country but may or may not be legal in the new country.

*
 
 
 
9.

Did you commit any crimes? This includes illegallydownloading media, throwing trash in the streets, kicking an animal that got inyour way, vandalizing someone else’s property or other small and petty crimes.

*
 
 
 
10.

What crime did you commit? When (please provide the calendar year or how long you had been in your new country and your age at the time)? 

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11.

Were you arrested?

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12.

What part of your culture shock do you believe led you tocommit the crime?

*
 
 
 
13.

How did you feel after committing the crime?

*
 
 
 
 
 

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