Gender
Age
1. What is your race/ethnicity?
2. Have you ever visited a country or culture different from your own?
3. Have you ever lived in a country or culture different from your own?
4. Have you ever taken a course on cultural diversity?
5. Are you bilingual?
6. Have you ever taken a language course other than your own?
7. Have you studied or read extensively about a culture besides your own?
8. Do you have friends who are of a culture besides your own?
9. Have you ever attended an event of an ethnicity other than your own?
10. Have you ever visited a doctor of a different ethnicity than your own?
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