Literal question
<span class="em">Note</span>: Please answer <span class="ital">both</span> Questions 5 and 6.</p>
<p>5. Is this person Spanish/Hispanic/Latino?</p>
<div class="i1">Mark (X) the "No" box if not Spanish/Hispanic/Latino<br /><br />[] No, not Spanish/Hispanic/Latino<br />[] Yes, Mexican, Mexican Am., Chicano<br />[] Yes, Puerto Rican<br />[] Yes, Cuban<br />[] Yes, other Spanish/Hispanic/Latino. Print group ____</div><p>6. What is this person's race? Mark (X) one or more races to indicate what this person considers himself/herself to be</p>
<div class="i1">[] White<br />[] Asian Indian<br />[] Native Hawaiian <br />[] Black or African American<br />[] Chinese<br />[] Guamanian or Chamorro<br />[] American Indian or Alaska Native Print name of enrolled or principal tribe: _______<br />[] Filipino<br />[] Samoan<br />[] Japanese<br />[] Other Pacific Islander- Print race below _______<br />[] Korean<br />[] Some other race - Print race below _______<br />[] Vietnamese<br />[] Other Asian - Print race _______</div>
