This document contains a 33-question survey about racism and ethnicity developed by Nao Binita Devi from Manipur, India. The survey asks respondents to indicate whether they agree or disagree with statements related to their ethnic or racial identity and perceptions of other groups. It also asks respondents to provide some demographic information and their views on how to reduce racism and ethnic conflict in society. The purpose of the survey is to understand individuals' experiences and beliefs regarding these issues.

1. RACISM/ETHNIC QUESTIONNAIRE DEVELOPED BY NAOREM
BINITA DEVI (FROM KAKCHING,MANIPUR).
NBD (naorem binita devi)
E-Mail:binitaji@yahoo.co.in or binitadevi@hotmail.com or naorembd@gmail.com
M-9612155464, Address: Kakching khongnang lam teiba pareng,kakching,Manipur.
SOCIO-DEMOGRAPHIC VARIABLES
Please fill up the following statement:
Name : --------------------------------------------------
Age : --------------------------------------------------
Community : Meitei=1/Muslim=2/Naga=3/Kuki=4/Nepali=5/Punjabi=6/Tamil=7

2. Mizo=8/others=9,( if you belong to others identify and write=--------------)
( )
Religion : Hinduism=1/Islam=2/Christian=3/Buddhism=4/Sikkism=5/ others=6
( )
Sex : Male=1/ Female=2
( )
Place of birth : Village=1/ Town=2/Rural=3/Urban=4/ others=5
( )
Category : ST=1/SC=2/OBC=3/ General=4/ others=5
( )
Marital Status : Married=1/ Unmarried=2
( )
Educational
Qualification : Matriculate=1/Intermediate=2/Graduate=3/Post-Graduate=4/
M.phil=5/Ph.D.=6/ others=6
( )
Present
Residence : Village=1/Rural=2/Urban=3/Others=4
( )
Occupation : Govt.Servant=1/Private=2/Self-Finance=3/ Others=4
( )
Family Structure: Nuclear=1/Joint=2/Others=3. ( )
INSTRUCTIONS:
Some statements (Total=33) are given in the following pages followed by ‘Yes’, or
‘No’ responses. These statements are based on racism and ethnicity. Please read carefully the
definition of racism and ethnicity and give the answer for the following statements and choose one
answer either ‘yes’ or ‘No’ by giving star mark (*) in the front of the response to which you feel.
Please try to respond all the statements. There is no time limit but try to finish as soon as possible.
Racism: The term ‘race’ or ‘racial group’ usually refers to the concept of dividing human into
populations or groups on the basis of various sets of characteristics. The most widely used human

3. racial categories are based on visible traits (especially skin colour, cranial or facial features and hair
texture), and self-identification.
Ethnicity: It is related concept to race. It represents social groups with a shared history, sense of
identity, geography and cultural roots which may occur despite racial differences. They may see
themselves as British, Asian, Indian, Punjabi, etc., at different times and in different circumstances.
Migration: Migration includes people move for different reasons across different spaces. A migrant
can be a person who moves to another city or town within a nation, a refuge who crosses an
international border to escape religious or political persecution, a jobseeker who moves to another
country for better economic opportunities, a slave who is forcibly moved, or a person displayed by
war or natural disaster. Migration occurs under different conditions.
Now please answer the following questions:
1. I belonged to one racist/ethnic group.
Yes ( ) NO ( )
2. I have very good relation with other racist/ethnic group.
Yes ( ) NO ( )
3. Sometimes I feel that my ethnic group is more superior than other.
Yes ( ) NO ( )
4. I think that racism/ethnicity conflict bring health problems to one’s society.
Yes ( ) NO ( )
5. I did good work for the welfare of inferior ethnic/racist group in one’s society.
Yes ( ) NO ( )
6. I accept that racism/ethnic group is socially constructed.
Yes ( ) NO ( )
7. Religion is a major factor in shaping one’s racism/ethnic group.
Yes ( ) NO ( )
8. Language is a role in shaping in one’s racist/ethnic group.
Yes ( ) NO ( )
9. I have observed many trauma of racism/ethnic group crisis in one’s society.

4. Yes ( ) NO ( )
10. Sometimes I have negative attitude towards the ethnic/racist group.
Yes ( ) NO ( )
11. I think that there is a solution for racist/ethnic crisis in one’s society.
Yes ( ) NO ( )
12. I feel that past racist/ethnic crisis has a more vulnerable causal factor in the future crisis in
one’s society.
Yes ( ) NO ( )
13. I prefer to live together different racist/ethnic group under one roof.
Yes ( ) NO ( )
14. Sometimes I feel that due to negative feeling from other racist/ethnic group enhance you to
make your own group separate from other.
Yes ( ) NO ( )
15. I think that racism/ethnic group is a major role in the integration of one’s society.
Yes ( ) NO ( )
16. I behave aggressive attitude to other racism/ethnic group if they did not respect my self-
identity.
Yes ( ) NO ( )
17. Sometimes I feel that I can suppress the Superior racist/ethnic group after integrating your
inferior group.
Yes ( ) NO ( )
18. I like to have an open-minded thought regarding the racism/ethnic group.
Yes ( ) NO ( )
19. My parents belong to different ethnic/racist group.
Yes ( ) NO ( )
20. Sometimes I feel that racism/ethnic have a narrow-mindedness regarding one’s culture,
language, religion and self-identity.

5. Yes ( ) NO ( )
21. I feel that people think that their racism/ethnicity is best one among the other in the world.
Yes ( ) NO ( )
22. I have seen any effect of racism/ethnic crisis in one’s society.
Yes ( ) NO ( )
23. I feel afraid of superior racism/ethnic group in one’s society.
Yes ( ) NO ( )
24. I feel good when you work among the different racist/ethnic group.
Yes ( ) NO ( )
25. I think that awareness of one’s racist/ethnic can remove racist/ethnic hatred feeling toward
one another.
Yes ( ) NO ( )
26. I think that racism/ethnic has human right issue in one’s society.
Yes ( ) NO ( )
27. I think that migration has also a problem in racist/ethnic conflict in one’s society.
Yes ( ) NO ( )
28. I feel that you have been discriminated from the superior racist/ethnic group.
Yes ( ) NO ( )
29. I think that prejudgment toward another ethnic group is a problem in one’s society.
Yes ( ) NO ( )
30. I think that effects of racists/ethnic group are anxiety, depression, aggression etc.
Yes ( ) NO ( )

6. 31. I feel that different ethnic group existing in one’s society is good for the cultural exchange to
each other.
Yes ( ) NO ( )
32. I like to be only one ethnic group in one’s society for the development of its value in the
world.
Yes ( ) NO ( )
33. I like to be multi-ethnic groups in one’s society for the development of common cultural
platform to reduce the tension in the world.
Yes ( ) NO ( )
After having answered all the statements either Yes or No, Please give opinion regarding
the racism/ethnicity and how to reduce the racism/ethnicity crisis in the world.(about 100
words).