Example patient race and ethnicity questionnaire we want to make sure that we identify and address each patients needs and ensure that all patients get the best care possible were going to ask you some questions so that we can provide our patients with appropriate and high quality care. The questions of race ethnicity the race and ethnicity questions in research design have been discussed and debated for many years two important issues in the debate are a should the esp race question even be asked and b if so what is the best way to word these questions to gain some true objective or subjective measure . 5 examples of survey demographic questions susan e defranzo march 13 2012 capturing a respondents ethnicity or race is another common demographic question a persons ethnicity or culture may influence his her responses to survey questions answers may be influenced by the respondents experiences with the survey topic. 2016 census of population questions long form national household survey statistics canada will not ask questions on income but rather use information already available from the canada revenue agency step a step a question identifier 1 what is your telephone number. How to ask demographic survey questions about race and ethnicity if you choose to include this type of question be sure to ask about race and ethnicity separately race refers to a populations physical characteristics while ethnicity refers to groups that share a sense of identity history cultural roots and oftentimes geography
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