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What is your age range?
 
15-24
 
25-34
 
35-44
 
45-54
 
55-64
 
65+
 
 
 
What is your ethnicity?
 
Chinanteco
 
Mixe
 
Mixteco
 
Nahua
 
Nahuatl/Mexica
 
Oaxaca Chontal
 
Purepechas
 
Totonacs
 
Triqui
 
Zapotec
 
Other, please specify
 
 
 
What languages do you speak?
 
Spanish
 
English
 
Other: Native language, please specify
 
 
 
How long have you been in the United States?
 
Less than 1 year
 
1-2 years
 
3-5 years
 
6-7 years
 
7-10 years
 
11+ years
 
 
 
What is your marital status?
 
Never married
 
Divorced
 
Widowed
 
Separated
 
Married
 
 
 
How many children do you have?
 
1
 
2
 
3
 
4 or more
 
 
 
Were you able to bring your family with you?
 
Yes
 
No
 
Some, please specify
 
 
 
How often are you able to contact your family?
 
Two or more times a week
 
Once a week
 
Once every two weeks
 
Once a month
 
Other
 
 
 
How do you contact your family?
 
My own cell phone
 
My own cell phone plus purchase of a calling card
 
My employer provides a phone
 
Social media: Facebook, Skype
 
Email
 
 
 
Do you feel lonely without your family?
 
Yes
 
No
 
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