Dipali Venkataraman's Questionnaire Packet
Hi, and welcome to this website!  Thank you for filling out this questionnaire packet!  It will take about 10-15 minutes to complete and all responses are confidential and anonymous.  Just click on the link below (Questionnaire) to fill out the questionnaire and email back the completed form to  va_voom2379@yahoo.com.  Please read all instructions carefully, and print out the consent form for you to keep. 

There is one questionnaire in the whole packet regarding your
culture of origin. This may be the culture of your birth, the culture in which you have been raised, or one of many other  cultures.  If there is more than one, please pick the one that has influenced you the most and write it in the space provided.  If you identify as American, please only fill out the B items.  If you identify as anything else, please fill out both A and B items.   Thank you!



Questionna
ire
My Info:
Name: Dipali Venkataraman
Email: va_voom2379@yahoo.com