International Students Adaptation Survey (Focus on California)

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Participant Cosent-Letter

International student’s perceptions/opinions of America and their adaptability to American Society

To Project Participant:

You are invited to take part in a research project conducted by Siyu Chen and Erin Ramirez, graduate students at

California State University, Los Angeles. In this study we hope to learn more about adaptation practices and

assimilation of International Students to American Culture and Society. You were selected to participate in this

study because you are an international student at California State University, Los Angeles. We hope that our

research will lead us to finding out better ways for International Students to adapt and assimilate to American

Culture and Society more easily.

In this study we will be asking you to fill out a survey form with basic information about yourself (Age, Country of

Origin, Sex etc.) Once that form is completed, we will be asking you to filling out the paper work and the survey

process should take no longer than twenty (20) minutes.

There are no expected risks for this study. However, there could be a potential risk of loss of confidentiality. For

our study, your name will not be used. Only gender, age, country of origin will be used to identity your answers to

our study.

Reports resulting from this study will not identify you as a participant. All information gathered in this study will

remain confidential and be given out only with your permission or as required by law. After read this consent letter,

we will protect your information confidentiality. Your name will not be written on transcriptions and the information

form you fill out will be kept secretly. No research materials will be kept together so that no one can see the answers

you provided us. Transcriptions and information sheets must be kept for a minimum of three (3) years after the study

is conducted. All information will be kept in the office of Melissa Broeckelman-Post, PhD.

If you have any questions about this research at any time, please call Melissa Broeckelman-Post, Assistant Professor

at 323-343-4263 or write her at mbroeck@calstatela.edu.

Please read the letter carefully and agree voluntarily to participate in the study or not. If you choose not to take

part there will be no penalty or loss of benefits to which you are entitled. If you agree to take part, you are free to

withdraw from it at any time. Likewise, no penalty or loss of benefits to which you are otherwise entitled will occur.

Thank you for your cooperation.

Siyu Chen & Erin Ramirez / 02 - 16 - 2011

THIS PROJECT HAS BEEN REVIEWED BY THE CALIFORNIA STATE UNIVERSITY, LOS ANGELES

INSTITUTIONAL REVIEW BOARD FOR THE PROTECTION OF HUMAN SUBJECTS IN RESEARCH.

ADDITIONAL CONCERNS AND COMPLAINTS, OR QUESTIONS REGARDING YOUR RIGHTS AS A

RESEARCH PARTICIPANT, SHOULD BE DIRECTED TO THE DIRECTOR OF RESEARCH DEVELOPMENT

(Phone number: 323-343-3798).

less than 15	15-20	20-30	30-40	50-60
Older than 60

Asian	Pacific Islander	Latin	African	European
North American	South American	Australasian	Mixed Race	Other

Language(ELP)	High School	Certificate	BA	MA
PHD	Other

0-1 years	1-3 years	3-5 years	More than 5 years	More than 10 years
other

0	10	20	30	40
50	60	70	80	90
100

International Students Adaptation Survey (Focus on California)

Sex * (Required, Multiple choice)

Age * (Required, Multiple choice)

Ethnicity * (Required, Multiple choice)

Study Program * (Required, Multiple choice)

Major * (Required, Multiple choice)

Campus Location * (Required, Multiple choice)

Years in the U.S * (Required, Multiple choice)

PART 1 Adaptation Questions

I can easily integrate into American culture and society * (Required, Multiple choice)

I do not like to attend foreign student group meetings on campus. * (Required, Multiple choice)

I find it difficult to integrate into American culture and society. * (Required, Multiple choice)

I have more American friends than you have other international friends. * (Required, Multiple choice)

I easily assimilate into American culture. * (Required, Multiple choice)

I feel less confident when your expectations are not achieved. * (Required, Multiple choice)

I find it difficult to assimilate into American culture. * (Required, Multiple choice)

I feel unaccepted by American students. * (Required, Multiple choice)

I can easily absorb American culture. * (Required, Multiple choice)

I feel more comfortable conversing with American students than international students. * (Required, Multiple choice)

I feel uncomfortable conversing with American students. * (Required, Multiple choice)

I feel comfortable conversing with International students. * (Required, Multiple choice)

I feel more comfortable conversing with International students than American students. * (Required, Multiple choice)

I have the same common interests as American students. * (Required, Multiple choice)

My opinions about America are the same since coming to America. * (Required, Multiple choice)

My opinions about America have changed since coming to America. * (Required, Multiple choice)

PART 2

1 feel nervous in social situations. * (Required, Multiple choice)

In most social situations I feel tense and constrained. * (Required, Multiple choice)

When talking, my posture seems awkward and tense. * (Required, Multiple choice)

My voice sounds nervous when I talk with others. * (Required, Multiple choice)

I am relaxed when talking with others. * (Required, Multiple choice)

I try to make the other person feel good. * (Required, Multiple choice)

I try to make the other person feel important. * (Required, Multiple choice)

I try to be warm when communicating with another. * (Required, Multiple choice)

While I'm talking I think about how the other person feels. * (Required, Multiple choice)

1 am verbally and nonverbally supportive of other people. * (Required, Multiple choice)

1 like to be active in different social groups. * (Required, Multiple choice)

1 enjoy socializing with various groups of people. * (Required, Multiple choice)

1 enjoy meeting new people. * (Required, Multiple choice)

1 find it easy to get along with new people. * (Required, Multiple choice)

I do not "mix" well at social functions. * (Required, Multiple choice)

1 am aware of how intimate my disclosures are. * (Required, Multiple choice)

1 am aware of how intimate the disclosures of others are. * (Required, Multiple choice)

I disclose at the same level that others disclose to me. * (Required, Multiple choice)

1 know how appropriate my self-disclosures are. * (Required, Multiple choice)

When I self-disclose I know what 1 am revealing. * (Required, Multiple choice)

When speaking I have problems with grammar. * (Required, Multiple choice)

At times I don't use appropriate verb tense. * (Required, Multiple choice)

1 sometimes use one word when I mean to use another. * (Required, Multiple choice)

1 sometimes use words incorrectly. * (Required, Multiple choice)

I have difficulty pronouncing some words. * (Required, Multiple choice)

When I am anxious, 1 often make jokes. * (Required, Multiple choice)

1 often make jokes when in tense situations. * (Required, Multiple choice)

When I embarrass myself 1 often make a joke about it. * (Required, Multiple choice)

When someone makes a negative comment about me I respond with a witty comeback. * (Required, Multiple choice)

People think 1 am witty. * (Required, Multiple choice)

PART 3

I feel apprehensive. * (Required, Multiple choice)

I feel disturbed. * (Required, Multiple choice)

I am peaceful. * (Required, Multiple choice)

I feel relaxed. * (Required, Multiple choice)

I feel uneasy. * (Required, Multiple choice)

I feel self-assured. * (Required, Multiple choice)

I feel fearful. * (Required, Multiple choice)

I feel ruffled. * (Required, Multiple choice)

I am jumpy. * (Required, Multiple choice)

I feel composed. * (Required, Multiple choice)

I am insecure. * (Required, Multiple choice)

I feel satisfied. * (Required, Multiple choice)

I feel safe. * (Required, Multiple choice)

I feel flustered. * (Required, Multiple choice)

I am cheerful. * (Required, Multiple choice)

I feel happy. * (Required, Multiple choice)

I feel dejected. * (Required, Multiple choice)

I feel pleased. * (Required, Multiple choice)

I feel good. * (Required, Multiple choice)

I feel unhappy. * (Required, Multiple choice)

PART 4

Present a talk to a group of strangers. * (Required, Multiple choice)

Talk with an acquaintance. * (Required, Multiple choice)