Questionnaire Text

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[All]
4. COLOR OR RACE

Fill one circle.
If "Indian (American)," also give tribe.
If "Other," also give race.
[] White
[] Negro or Black
[] Indian (Amer.) Print tribe__________________
[] Japanese
[] Chinese
[] Filipino
[] Hawaiian
[] Korean
[] Other - Print race______________________

[On the questionnaires used in Alaska, the categories "Aleut" and "Eskimo" were substituted for "Hawaiian" and "Korean" in question 4.]