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40 questions
Are you right handed?
yes
no
Is English your first language?
Yes
No
Do one or more of your parents have a college degree?
yes
no
Do the Band-Aids at mainstream stores blend in with or match your skin tone.
yes
no
Do you rely, or have relied, primarily on public transportation?
Yes
No
Have attended previous schools with people you felt were like yourself?
Yes
no
Do you constantly feel unsafe walking alone at night?
yes
no
Does your household employ help as servants, gardeners, etc.?
yes
no
Are you able to move through the world without fear of sexual assault?
yes
no
Did you study the culture of your ancestors in elementary school?
yes
no
Do you often feel that your parents are too busy to spend time with you?
yes
no
Were you ever made fun of or bullied for something you could not change or was beyond your control?
yes
no
Has your family ever left your homeland or entered another country not of your own free will?
yes
no
Would you ever think twice about calling the police when trouble occurs?
yes
no
Does your family own a computer?
yes
no
Have you ever been able to play a significant role in a project or activity because of a talent you gained previously?
yes
no
Can you show affection for your romantic partner in public without fear of ridicule or violence?
yes
no
Have you ever had to skip a meal or were hungry because there was not enough money to buy food?
yes
no
Do you feel respected for your academic performance?
yes
no
Do you have a physically visible disability?
yes
no
Do you have an invisible illness or disability?
yes
no
Were you ever discouraged from an activity because of race, class, ethnicity, gender, disability, or sexual orientation?
yes
no
Have you ever tried to change your appearance, mannerisms, or behavior to fit in more?
yes
no
Have you ever been profiled by someone else using stereotypes?
yes
no
Do you feel good about how your identities are portrayed by the media?
yes
no
Have you ever been accepted for something you applied to because of your association with a friend or family member?
yes
no
Does your family have health insurance?
yes
no
Have you ever been spoken over because you could not articulate your thoughts fast enough?
yes
no
Has someone ever spoken for you when you did not want them to do so?
yes
no
Has there ever been substance abuse in your household?
yes
no
Do you come from a single-parent household?
yes
no
Do you live in an area with crime and drug activity?
yes
no
Does someone in your household suffer from or has someone suffered from mental illness?
yes
no
Have you been a victim of sexual harassment?
yes
no
Have you ever felt uncomfortable about a joke related to your race, religion, ethnicity, gender, disability, or sexual orientation but felt unsafe to confront the situation?
yes
no
Have you ever been asked to speak on behalf of a group of people who share an identity with you?
yes
no
Can you make mistakes and not have people attribute your behavior to flaws in your racial or gender group?
yes
no
Have you always assumed you’ll go to college?
yes
no
Do you have more than fifty books in your household?
yes
no
Have your parents ever told you that you can be anything you want to be?
Yes
no
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