Online Survey Software | Qualtrics Survey Solutions

Thank you for your interest in the Family Development Project. The following questions will help us to determine whether you are eligible for participation in one of our studies.

感谢您对我们家庭研究项目的兴趣。以下问题能够帮助我们决定您是否符合参与我们其中一项研究的条件。

How many children do you have between the ages of 0-13 years old?
您有几个年龄在0-13岁之间的子女？

Do you and your child/children's other parent both identify as Chinese or Chinese American?
您和您子女的另一位家长都认为自己是中国人，或美籍华裔吗？

Yes 是
No 否
Other (please explain below)
其他（请解释）______________

Please indicate your fluency in speaking the following languages
请注明您对以下几种语言的熟悉程度：

Please indicate your fluency in speaking the following languages
请注明您对以下几种语言的熟悉程度：
	Not proficient 不熟练	Somewhat proficient 有些熟练	Fluent 非常流利
Mandarin (普通话)	Not proficient 不熟练	Somewhat proficient 有些熟练	Fluent 非常流利
Cantonese (广东话)	Not proficient 不熟练	Somewhat proficient 有些熟练	Fluent 非常流利
English (英语)	Not proficient 不熟练	Somewhat proficient 有些熟练	Fluent 非常流利
Other (其他)	Not proficient 不熟练	Somewhat proficient 有些熟练	Fluent 非常流利

Please indicate the country where you were born:
请注明您出生的国家

Please indicate the country where your child/children's other parent was born:
请注明您子女的另一位家长出生的国家

Please indicate the city where you currently live.

请注明您目前居住的城市

Would you prefer to participate in an interview in Wellesley or in Boston Chinatown?
您更希望在Wellesley还是波士顿中国城参加采访？

Wellesley
Boston Chinatown (波士顿中国城)
Other