Questionnaire Text

2017 ACS 2012 ACS 2007 ACS 2002 ACS
2016 ACS 2011 ACS 2006 ACS 2001 ACS
2015 ACS 2010 ACS 2005 ACS 2000 5%
2014 ACS 2009 ACS 2004 ACS 1990 5%
2013 ACS 2008 ACS 2003 ACS 1980 5%
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2017 ACS
Questionnaire form view entire document:  text  image

13. What is this person's ancestry or ethnic origin?

_______________________________

_______________________________

(For example: Italian, Jamaican, African Am., Cambodian, Cape Verdean, Norwegian, Dominican, French Canadian, Haitian, Korean, Lebanese, Polish, Nigerian, Mexican, Taiwanese, Ukrainian, and so on.)

Questionnaire instructions view entire document:  text  image

13. Print the ancestry group(s). Ancestry refers to the person's ethnic origin or descent, "roots," or heritage. Ancestry also may refer to the country of birth of the person or the person's parents or ancestors before their arrival in the United States. Answer this question for ALL persons, regardless of race, Hispanic origin, or place of birth.
Do not report a religious group as a person's ancestry.
Persons who have more than one origin and cannot identify with a single ancestry group may report two ancestry groups (for example, German, Irish).

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2016 ACS
Questionnaire form view entire document:  text  image

13. What is this person's ancestry or ethnic origin?

_______________________________

_______________________________

(For example: Italian, Jamaican, African Am., Cambodian, Cape Verdean, Norwegian, Dominican, French Canadian, Haitian, Korean, Lebanese, Polish, Nigerian, Mexican, Taiwanese, Ukrainian, and so on.)

Questionnaire instructions view entire document:  text  image

13. Print the ancestry group(s). Ancestry refers to the person's ethnic origin or descent, "roots," or heritage. Ancestry also may refer to the country of birth of the person or the person's parents or ancestors before their arrival in the United States. Answer this question for ALL persons, regardless of race, Hispanic origin, or place of birth.
Do not report a religious group as a person's ancestry.
Persons who have more than one origin and cannot identify with a single ancestry group may report two ancestry groups (for example, German, Irish).

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2015 ACS
Questionnaire form view entire document:  text  image

13. What is this person's ancestry or ethnic origin?

_______________________________

_______________________________

(For example: Italian, Jamaican, African Am., Cambodian, Cape Verdean, Norwegian, Dominican, French Canadian, Haitian, Korean, Lebanese, Polish, Nigerian, Mexican, Taiwanese, Ukrainian, and so on.)

Questionnaire instructions view entire document:  text  image

13. Print the ancestry group(s). Ancestry refers to the person's ethnic origin or descent, "roots," or heritage. Ancestry also may refer to the country of birth of the person or the person's parents or ancestors before their arrival in the United States. Answer this question for ALL persons, regardless of race, Hispanic origin, or place of birth.
Do not report a religious group as a person's ancestry.
Persons who have more than one origin and cannot identify with a single ancestry group may report two ancestry groups (for example, German, Irish).

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2014 ACS
Questionnaire form view entire document:  text  image

13. What is this person's ancestry or ethnic origin?

_______________________________

_______________________________

(For example: Italian, Jamaican, African Am., Cambodian, Cape Verdean, Norwegian, Dominican, French Canadian, Haitian, Korean, Lebanese, Polish, Nigerian, Mexican, Taiwanese, Ukrainian, and so on.)

Questionnaire instructions view entire document:  text  image

13.Print the ancestry group(s). Ancestry refers to the person's ethnic origin or descent, "roots," or heritage. Ancestry also may refer to the country of birth of the person or the person's parents or ancestors before their arrival in the United States. Answer this question for ALL persons, regardless of citizenship status.

Do not report a religious group as a person's ancestry.

Persons who have more than one origin and cannot identify with a single ancestry group may report two ancestry groups (for example, German, Irish).


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2013 ACS
Questionnaire form view entire document:  text  image

13. What is this person's ancestry or ethnic origin?

_______________________________

_______________________________

(For example: Italian, Jamaican, African Am., Cambodian, Cape Verdean, Norwegian, Dominican, French Canadian, Haitian, Korean, Lebanese, Polish, Nigerian, Mexican, Taiwanese, Ukrainian, and so on.)

Questionnaire instructions view entire document:  text  image

13.Print the ancestry group(s). Ancestry refers to the person's ethnic origin or descent, "roots," or heritage. Ancestry also may refer to the country of birth of the person or the person's parents or ancestors before their arrival in the United States. Answer this question for ALL persons, regardless of citizenship status.

Do not report a religious group as a person's ancestry.

Persons who have more than one origin and cannot identify with a single ancestry group may report two ancestry groups (for example, German, Irish).


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2012 ACS
Questionnaire form view entire document:  text  image

13. What is this person's ancestry or ethnic origin?

_______________________________

_______________________________

(For example: Italian, Jamaican, African Am., Cambodian, Cape Verdean, Norwegian, Dominican, French Canadian, Haitian, Korean, Lebanese, Polish, Nigerian, Mexican, Taiwanese, Ukrainian, and so on.)

Questionnaire instructions view entire document:  text  image

13.Print the ancestry group(s). Ancestry refers to the person's ethnic origin or descent, "roots," or heritage. Ancestry also may refer to the country of birth of the person or the person's parents or ancestors before their arrival in the United States. Answer this question for ALL persons, regardless of citizenship status.

Do not report a religious group as a person's ancestry.

Persons who have more than one origin and cannot identify with a single ancestry group may report two ancestry groups (for example, German, Irish).


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2011 ACS
Questionnaire form view entire document:  text  image

13. What is this person's ancestry or ethnic origin?

_______________________________

_______________________________

(For example: Italian, Jamaican, African Am., Cambodian, Cape Verdean, Norwegian, Dominican, French Canadian, Haitian, Korean, Lebanese, Polish, Nigerian, Mexican, Taiwanese, Ukrainian, and so on.)

Questionnaire instructions view entire document:  text  image

13.Print the ancestry group(s). Ancestry refers to the person's ethnic origin or descent, "roots," or heritage. Ancestry also may refer to the country of birth of the person or the person's parents or ancestors before their arrival in the United States. Answer this question for ALL persons, regardless of citizenship status.

Do not report a religious group as a person's ancestry.

Persons who have more than one origin and cannot identify with a single ancestry group may report two ancestry groups (for example, German, Irish).


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2010 ACS
Questionnaire form view entire document:  text  image

13. What is this person's ancestry or ethnic origin?

_______________________________

_______________________________

(For example: Italian, Jamaican, African Am., Cambodian, Cape Verdean, Norwegian, Dominican, French Canadian, Haitian, Korean, Lebanese, Polish, Nigerian, Mexican, Taiwanese, Ukrainian, and so on.)

Questionnaire instructions view entire document:  text  image

13.Print the ancestry group(s). Ancestry refers to the person's ethnic origin or descent, "roots," or heritage. Ancestry also may refer to the country of birth of the person or the person's parents or ancestors before their arrival in the United States. Answer this question for ALL persons, regardless of citizenship status.

Do not report a religious group as a person's ancestry.

Persons who have more than one origin and cannot identify with a single ancestry group may report two ancestry groups (for example, German, Irish).


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2009 ACS
Questionnaire form view entire document:  text  image

13. What is this person's ancestry or ethnic origin?

_______________________________

_______________________________

(For example: Italian, Jamaican, African Am., Cambodian, Cape Verdean, Norwegian, Dominican, French Canadian, Haitian, Korean, Lebanese, Polish, Nigerian, Mexican, Taiwanese, Ukrainian, and so on.)

Questionnaire instructions view entire document:  text  image

13.Print the ancestry group(s). Ancestry refers to the person's ethnic origin or descent, "roots," or heritage. Ancestry also may refer to the country of birth of the person or the person's parents or ancestors before their arrival in the United States. Answer this question for ALL persons, regardless of citizenship status.

Do not report a religious group as a person's ancestry.

Persons who have more than one origin and cannot identify with a single ancestry group may report two ancestry groups (for example, German, Irish).


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2008 ACS
Questionnaire form view entire document:  text  image

13. What is this person's ancestry or ethnic origin?

_______________________________

_______________________________

(For example: Italian, Jamaican, African Am., Cambodian, Cape Verdean, Norwegian, Dominican, French Canadian, Haitian, Korean, Lebanese, Polish, Nigerian, Mexican, Taiwanese, Ukrainian, and so on.)

Questionnaire instructions view entire document:  text  image

12.

Print the ancestry group(s). Ancestry refers to the person's ethnic origin or descent, "roots," or heritage. Ancestry also may refer to the country of birth of the person or the person's parents or ancestors before their arrival in the United States. Answer this question for ALL persons, regardless of citizenship status.

Persons who have more than one origin and cannot identify with a single ancestry group may report two ancestry groups (for example, German, Irish).

Do not report a religious group as a person's ancestry.


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2007 ACS
Questionnaire form view entire document:  text  image

13. What is this person's ancestry or ethnic origin?

_______________________________

_______________________________

(For example: Italian, Jamaican, African Am., Cambodian, Cape Verdean, Norwegian, Dominican, French Canadian, Haitian, Korean, Lebanese, Polish, Nigerian, Mexican, Taiwanese, Ukrainian, and so on.)

Questionnaire instructions view entire document:  text  image

12.Print the ancestry group(s). Ancestry refers to the person's ethnic origin or descent, "roots," or heritage. Ancestry also may refer to the country of birth of the person or the person's parents or ancestors before their arrival in the United States. Answer this question for ALL persons, regardless of citizenship status.

Persons who have more than one origin and cannot identify with a single ancestry group may report two ancestry groups (for example, German-Irish). Do not report a religious group as a person's ancestry.


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2006 ACS
Questionnaire form view entire document:  text  image

13. What is this person's ancestry or ethnic origin?

_______________________________

_______________________________

(For example: Italian, Jamaican, African Am., Cambodian, Cape Verdean, Norwegian, Dominican, French Canadian, Haitian, Korean, Lebanese, Polish, Nigerian, Mexican, Taiwanese, Ukrainian, and so on.)

Questionnaire instructions view entire document:  text  image

12.Print the ancestry group(s). Ancestry refers to the person's ethnic origin or descent, "roots," or heritage. Ancestry also may refer to the country of birth of the person or the person's parents or ancestors before their arrival in the United States. Answer this question for ALL persons, regardless of citizenship status.

Persons who have more than one origin and cannot identify with a single ancestry group may report two ancestry groups (for example, German-Irish). Do not report a religious group as a person's ancestry.


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2005 ACS
Questionnaire form view entire document:  text  image

13. What is this person's ancestry or ethnic origin?

_______________________________

_______________________________

(For example: Italian, Jamaican, African Am., Cambodian, Cape Verdean, Norwegian, Dominican, French Canadian, Haitian, Korean, Lebanese, Polish, Nigerian, Mexican, Taiwanese, Ukrainian, and so on.)

Questionnaire instructions view entire document:  text  image

12.Print the ancestry group(s). Ancestry refers to the person's ethnic origin or descent, "roots," or heritage. Ancestry also may refer to the country of birth of the person or the person's parents or ancestors before their arrival in the United States. Answer this question for ALL persons, regardless of citizenship status.

Persons who have more than one origin and cannot identify with a single ancestry group may report two ancestry groups (for example, German-Irish). Do not report a religious group as a person's ancestry.


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2004 ACS
Questionnaire form view entire document:  text  image

13. What is this person's ancestry or ethnic origin?

_______________________________

_______________________________

(For example: Italian, Jamaican, African Am., Cambodian, Cape Verdean, Norwegian, Dominican, French Canadian, Haitian, Korean, Lebanese, Polish, Nigerian, Mexican, Taiwanese, Ukrainian, and so on.)

Questionnaire instructions view entire document:  text  image

12.Print the ancestry group(s). Ancestry refers to the person's ethnic origin or descent, "roots," or heritage. Ancestry also may refer to the country of birth of the person or the person's parents or ancestors before their arrival in the United States. Answer this question for ALL persons, regardless of citizenship status.

Persons who have more than one origin and cannot identify with a single ancestry group may report two ancestry groups (for example, German-Irish). Do not report a religious group as a person's ancestry.


top
2003 ACS
Questionnaire form view entire document:  text  image

13. What is this person's ancestry or ethnic origin?

_______________________________

_______________________________

(For example: Italian, Jamaican, African Am., Cambodian, Cape Verdean, Norwegian, Dominican, French Canadian, Haitian, Korean, Lebanese, Polish, Nigerian, Mexican, Taiwanese, Ukrainian, and so on.)

Questionnaire instructions view entire document:  text  image

12.Print the ancestry group(s). Ancestry refers to the person's ethnic origin or descent, "roots," or heritage. Ancestry also may refer to the country of birth of the person or the person's parents or ancestors before their arrival in the United States. Answer this question for ALL persons, regardless of citizenship status.

Persons who have more than one origin and cannot identify with a single ancestry group may report two ancestry groups (for example, German-Irish). Do not report a religious group as a person's ancestry.


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2002 ACS
Questionnaire form view entire document:  text  image

13. What is this person's ancestry or ethnic origin?

_______________________________

_______________________________

(For example: Italian, Jamaican, African Am., Cambodian, Cape Verdean, Norwegian, Dominican, French Canadian, Haitian, Korean, Lebanese, Polish, Nigerian, Mexican, Taiwanese, Ukrainian, and so on.)

Questionnaire instructions view entire document:  text  image

12.Print the ancestry group(s). Ancestry refers to the person's ethnic origin or descent, "roots," or heritage. Ancestry also may refer to the country of birth of the person or the person's parents or ancestors before their arrival in the United States. Answer this question for ALL persons, regardless of citizenship status.

Persons who have more than one origin and cannot identify with a single ancestry group may report two ancestry groups (for example, German-Irish). Do not report a religious group as a person's ancestry.


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2001 ACS
Questionnaire form view entire document:  text  image

13. What is this person's ancestry or ethnic origin?

_______________________________

_______________________________

(For example: Italian, Jamaican, African Am., Cambodian, Cape Verdean, Norwegian, Dominican, French Canadian, Haitian, Korean, Lebanese, Polish, Nigerian, Mexican, Taiwanese, Ukrainian, and so on.)

Questionnaire instructions view entire document:  text  image

12.Print the ancestry group(s). Ancestry refers to the person's ethnic origin or descent, "roots," or heritage. Ancestry also may refer to the country of birth of the person or the person's parents or ancestors before their arrival in the United States. Answer this question for ALL persons, regardless of citizenship status.

Persons who have more than one origin and cannot identify with a single ancestry group may report two ancestry groups (for example, German-Irish). Do not report a religious group as a person's ancestry.


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2000 5%
Questionnaire form view entire document:  text  image

10. What is this person's ancestry or ethnic origin?
[ ][ ][ ][ ][ ][ ][ ][ ][ ][ ][ ][ ][ ][ ][ ]
[ ][ ][ ][ ][ ][ ][ ][ ][ ][ ][ ][ ][ ][ ][ ]

(For example: Italian, Jamaican, African Am., Cambodian, Cape Verdean, Norwegian, Dominican, French Canadian, Haitian, Korean, Lebanese, Polish, Nigerian, Mexican, Taiwanese, Ukrainian, and so on.)

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1990 5%
Questionnaire form view entire document:  text  image

13. What is this person’s ancestry or ethnic origin?

(See instruction guide for further information.)

______________________________________________________________

(For example: German, Italian, Afro-Amer., Croatian, Cape Verdean, Dominican, Ecuadorean, Haitian, Cajun, French Canadian, Jamaican, Korean, Lebanese, Mexican, Nigerian, Irish, Polish, Slovak, Taiwanese, Thai, Ukranian, etc.)

Print the ancestry group. Ancestry refers to the person’s ethnic origin or descent, roots, or heritage. Ancestry also may refer to the country of birth of the person or the person’s parents or ancestors before their arrival in the United States. Allpersons, regardless of citizenship status, should answer this question. Persons who have more than one origin and cannot identify with a single ancestry group may report two ancestry groups (for example, German-Irish). Be specific. For example, print whether West Indian, Asian Indian, or American Indian. West Indian includes persons whose ancestors came from Jamaica, Trinidad, Haiti, etc. Distinguish Cape Verdean from Portuguese; French Canadian from Canadian; and Dominican Republic from Dominica Island. A religious group should not be reported as a person’s ancestry.

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1980 5%
Questionnaire form view entire document:  text  image


14. What is this person's ancestry? If uncertain about how to report ancestry, see instruction guide.

_______________________________________________________________________
(For example: Afro-Amer., English, French, German, Honduran, Hungarian, Irish, Italian, Jamaican, Korean, Lebanese, Mexican, Nigerian, Polish, Ukrainian, Venezuelan, etc.)

"Print the ancestry group with which the person identifies. Ancestry (or origin or descent ) may be viewed as the nationality group, the lineage, or the country in which the person or the person's parents or ancestors were born before their arrival in the United States. Persons who are of more than one origin and who cannot identify with a single group should print their multiple ancestry (for example, German - Irish). Be specific; for example, if ancestry is "Indian," specify whether American Indian, Asian Indian, or West Indian. Distinguish Cape Verdean from Portuguese, and French Canadian from Canadian. A religious group should not be reported as a person's ancestry."