Culture Shock
If you consent to the information in this survey and the information you are sharing. The information is anonymous and will only be used for research purposes and I will not use your name. Please check this box and move forward if you consent. If you'd like to see the whole consent form please email me at Roger2@sting.graceland.edu
Yes
No
1. Do you feel strain from effort to adapt?
Most of the Time
Occasionally
Not at all
Do you feel anxious or awkward when meeting local people?
Most of the Time
Occasionally
Not at all
How often do you miss your family and friends back home?
Most of the Time
Occasionally
Not at all
When talking to people, can you make sense of their gestures or facial expressions?
Most of the Time
Occasionally
Not at All
Do you feel generally accepted by the local people in new culture?
No
Not Sure
Yes
Do you feel uncomfortable if people stare at you when you go out?
Very Comfortable
Slightly Uncomfortable
Not at all
Do you feel uncomfortable to escape from your new environment altogether?
Most of the Time
Occasionally
Not at all
When you go shopping, do you feel that people may be trying to cheat you?
Most of the Time
Occasionally
Not at all
Do you ever feel confused about your role or identity in the new culture?
Most of the Time
Occasionally
Not at all
Are you finding it an effort to be polite to your hosts?
Most of the Time
Occasionally
Not at all
Have you found things in your new environment shocking or disgusting?
Many Things
A Few Things
None
Do you ever feel helpless or powerless when trying to cope with the new culture?
Most of the Time
Occasionally
Not at all
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