Widget:Survey/en

Hello, my name is _____________ and I am a volunteer with the Korean Resource Center in Los Angeles. We are conducting a survey in partnership with University of Southern California and University of California, Riverside and are asking questions about immigration policy of Korean Americans. All your information and responses will be confidential. You don’t have to answer any question you don’t want to and you can end it at any time. If you could spare some time for few questions, we would be very thankful. This won’t be longer than 7 minutes. (don’t wait for their response, proceed to questions. Stop if the voter tells you they don’t want to do it) If you have questions, I will provide you with a phone number for you to call to get more information. (If anyone has a question, please give KRC phone number and ask them to ask for Shawn 323-937-3718) Are you Mr Park? (Confirm name of the person as in the list) (If confirmed) Great, we will start with some information about you. (If not confirmed) Is Mr. Park available? If not, do you have time to take this survey? (If yes, proceed, if not, thank them and hang up) 

VAN ID or Name  

Memo   1. Please let me confirm your gender Female |    Male |  Other  2. Is your age ___? <input type="text" name="entry.4.single" value="" class="ss-q-short" id="entry_4">

<label class="ss-q-title" for="entry_5">3. What is the highest degree or level of school you have completed? <select name="entry.5.single" id="entry_5"> <option selected value="No Response">No Response <option value="Some school">1. Some schooling, no high school degree or GED <option value="High School">2. High School degree/GED <option value="College">3. College degree or higher <option value="No School">4. No schooling completed <label class="ss-q-title" for="entry_6">4. Please describe your occupation: <select name="entry.6.single" id="entry_5"> <option selected value="No Response">No Response <option value="Full-time">1. Employed full-time <option value="part-time">2. Employed part-time <option value="Homemaker">3. Homemaker <option value="Self-employed">4. Self-employed 5. Full-time student <option value="Retired">6. Retired <option value="Unemployed">7. Unemployed <option value="Other">8. Other

<label class="ss-q-title" for="entry_7">5. What is your total household income? <label class="ss-q-help" for="entry_7"> <select name="entry.7.single" id="entry_5"> <option selected value="No Response">No Response <option value="Less than 15000">Less than $15,000 Above $15,000 Above $50,000 Above $75,000 Above $100,000 Above $150,000 <label class="ss-q-title" for="entry_8">6. How many people are in your household (including yourself)? <label class="ss-q-help" for="entry_8"> <input type="text" name="entry.8.single" value="" class="ss-q-short" id="entry_8"> <label class="ss-q-title" for="entry_9">7. Which political party are you registered with? <label class="ss-q-help" for="entry_9"> <select name="entry.9.single" id="entry_5" size="1"> <option selected value="No Response">No Response <option value="Dem">Democrat <option value="Rep">Republican <option value="DST">Independent (Declined to State) <option value="Unknown">Unknown <label class="ss-q-title" for="entry_10">8. Were you born in the United States or some other country? <label class="ss-q-help" for="entry_10"> <select name="entry.10.single" id="entry_5"> <option selected value="No Response">No Response <option value="Korea">Korea <option value="US">U.S. <option value="Other">Other <label class="ss-q-title" for="entry_11">9. (If born elsewhere) When did you immigrate to the U.S.? <label class="ss-q-help" for="entry_11"> <select name="entry.11.single" id="entry_5"> <option selected value="No Response">No Response 5 years ago or more 10 years ago or more 15 years 20 years <label class="ss-q-title" for="entry_12">10. Apart from events such as weddings and funerals, how often do you attend religious services or participate in organizational activities? <label class="ss-q-help" for="entry_12"> <select name="entry.12.single" id="entry_5"> <option selected value="No Response">No Response <option value="2x+ Week">More than once a week <option value="1x Week">Once a week <option value="1x+ Month">Once or twice a month <option value="1x+ Week">A few times a year Never

At this time, we will ask you questions on your opinion. There is no right or wrong answers, but if you could answer how you feel about these next questions honestly, that would help us greatly.

11. The federal DREAM Act will give undocumented youth/students conditional immigration status to go to college which may lead to permanent legal status. Do you support or oppose this proposal? <label class="ss-q-help" for="entry_13"> <select name="entry.13.single" id="entry_5"> <option selected value="No Response">No Response Strongly Favor Favor No Opinion Oppose Strongly Oppose <option value="Don't know">Not Sure/Don’t understand the bill <label class="ss-q-title" for="entry_14">12. Family unification has long been a significant component of the U.S. immigration policy, and some petitions may take up to 8 years. Do you think the government should reduce the processing time of these petitions? Do you support or oppose this? <select name="entry.14.single" id="entry_5"> <option selected value="No Response">No Response Strongly Favor Favor No Opinion Oppose Strongly Oppose <option value="Don't know">Not Sure/Don’t understand the bill <label class="ss-q-title" for="entry_15">13. Local police authorities, such as city police and county sheriff, must share fingerprints of criminals with Immigration and Customs Enforcement Agency for deportation. Do you support or oppose this action? <select name="entry.15.single" id="entry_5"> <option selected value="No Response">No Response Strongly Favor Favor No Opinion Oppose Strongly Oppose <option value="Don't know">Not Sure/Don’t understand the bill

Now we want to ask you about some questions about government and civic participation in general. We are almost done with the survey and we only have few more questions left.

<label class="ss-q-title" for="entry_16">14. Have you ever contacted any government agencies, including city, county, state and federal, to receive assistance or to resolve a problem that you are having? <select name="entry.16.single" id="entry_5" size="1"> <option selected value="No Response">No Response <option value="Yes">Yes (Skip to #16) <option value="No">No <option value="Don't know">Not sure, can't remember <label class="ss-q-title" for="entry_17">15. If not, was it due to: <select name="entry.17.single" id="entry_5"> <option selected value="No Response">No Response <option value="Language">a. Limited English Proficiency <option value="Trust">b. Fear/Distrust of Government <option value="Information">c. Lack of information <option value="Process">d. Do not know the process <option value="Cost">e. Cost <option value="Transportation">f. Transportation <option value="Which one">g. Unsure which agency/office to contact <option value="Other">h. Other <label class="ss-q-title" for="entry_18">16. For Korean American voters, what could be a barrier in voting in an election? <select name="entry.18.single" id="entry_5"> <option selected value="No Response">No Response <option value="Language">a. English Language <option value="Information">b. Lack of knowledge on the issues or candidates <option value="Time">c. Time <option value="System">d. Lack of familiarity with the US system <option value="Polling Location">e. Cannot find polling place <option value="Health">f. Health <option value="Transportation">g. Transportation <option value="Forgot">h. Forgot <option value="Doesn't matter">i. Feel that my vote won’t matter <option value="Other">j. Other_______(please explain)

<label class="ss-q-title" for="entry_19">17. As you may know, California has had to make steep budget cuts to our state programs like public education and health and human services. Do you think that California should invest more in these programs to protect them from further cuts? <select name="entry.19.single" id="entry_5"> <option selected value="No Response">No Response Strongly Favor Favor No Opinion Oppose Strongly Oppose <option value="Don't know">Not Sure/Don’t understand the bill

<label class="ss-q-title" for="entry_20">18. Would you be willing to contribute more in taxes to restore the major cuts to these programs and improve them? <select name="entry.20.single" id="entry_5"> <option selected value="No Response">No Response Strongly Favor Favor No Opinion Oppose Strongly Oppose <option value="Don't know">Not Sure/Don’t understand the bill <label class="ss-q-title" for="entry_21">19. Do you think that big corporations should contribute more to prevent cuts to public programs? <select name="entry.21.single" id="entry_5"> <option selected value="No Response">No Response Strongly Favor Favor No Opinion Oppose Strongly Oppose <option value="Don't know">Not Sure/Don’t understand the bill <label class="ss-q-title" for="entry_22">20. Do you think that the wealthiest individuals (top 1% highest earning) in California should contribute more in taxes to prevent cuts to public programs? <select name="entry.22.single" id="entry_5"> <option selected value="No Response">No Response Strongly Favor Favor No Opinion Oppose Strongly Oppose <option value="Don't know">Not Sure/Don’t understand the bill

Now that completes the survey. Thank you very much for your time. Once again, if you have any questions about this survey please contact KRC. If you'd like more the results of the survey, we can send it to you via email. (get email address) <input type="text" name="entry.23.single" value="" class="ss-q-short" id="entry_23"> Thank you and have a nice day. <input type="submit" name="submit" value="Submit">