Posted by Jeff from bgp01107368bgs.wbrmfd01.mi.comcast.net (68.42.59.180) on Friday, July 05, 2002 at 3:55PM :
1. What is your ethnicity?
q Assyrian
q Chaldean
q Syriac
q Aramaean
q Arab
q Maronite
q Kurdish
q Turk
q Other __________________
2. What country were you born in?
q The Americas
q Canada
q Iraq
q Iran
q Turkey
q Syria
q Jordan
q Bet-Nahrain
q Europe ? All Countries
q Other _____________________
3. What language(s) do you speak? (Check all that apply)
q Aramaic (Syriac)
q Kurdish
q Turkish
q Farsi
q Arabic
q Armenian
q English
q Russian
q Other _____________________
4. Where do you currently live?
q Iraq
q Iran
q Syria
q Turkey
q Bet-Nahrain
q Kurdistan
q The Americas
o Michigan
o Detroit
o California
o Canada
q Europe
q Other _____________________
5. What is your political affiliation?
q Republican
q Democrat
q Independent
q Communist
q Other _____________________
6. What is your religious affiliation?
q Chaldean Catholic
q Assyrian Presbyterian Church
q Assyrian Evangelical Church
q Assyrian Gospel Church
q Assyrian Pentecostal Church
q Moslem
q Jewish
q Syriac Orthodox Church
q Maronite
q Other __________________
q None
7. What village do you associate with (if any)?
q Telkeppe
q Alqosh
q Batnaya
q Baqofa
q Karmales
q Telesqop
q Bartilla
q Bakhida
q Ankawa
q Harpout
q Araden
q Mardin
q Edessa (Urfa)
q Urmia
q Hakkari
q Erbil
q Dohuk
q Bet-Nahrain
q Other __________________
8. What education do you have?
q No formal schooling
q Home Schooled
q Elementary School
q Middle School
q High School Graduate
q College Graduate
9. What is your profession?
q Grocery Store Owner
q Doctor
q Lawyer
q Drug Dealer
q School Teacher
q Artist
q other
Are you laughing yet?
-- Jeff
-- signature .
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