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5. If you presently do not belong to some Ukrainian organization: DID YOU AT ANY TIME BELONG? ___ YES ____ NO IF YES, TO WHICH? _______________________________________ Please indicate why you presently do not belong: _____ DON’T HAVE TIME _____ TOO FAR TO TRAVEL ASSOCIATED COSTS TOO HIGH NOT INTERESTED -------- DO NOT SPEAK UKRAINIAN _____ OTHER (PLEASE EXPLAIN) ___________________________ 6 . If you have children under 18 years of Age: DO THEY BELONG TO UKRAINIAN ORGANIZATIONS? _ Y E S __ NO DO THEY PARTICIPATE WILLINGLY? __ YES __ NO SO THAT THE ABOVE QUESTIONNAIRE CAN BE COMPILED INTO A MEANINGFUL SURVEY ANALYSIS, WE NEED THE FOLLOWING PERSONAL STATISTICS: SEX AGE MARITAL STATUS LANGUAGE AT HOME WORK OCCUPATION SOURCE OF INFORMATION ABOUT UKRAINIAN EVENTS □ FEMALE □ MALE П UNDER 21 □ 22-30 □ 31-40 □ 41-50 □ OVER 50 □ SINGLE □ MARRIED □ DIVORCED □ WIDOWED □ UKRAINIAN □ ENGLISH □ OTHER- □ FULL-TIME □ PART-TIME □ CURRENTLY NOT WORKING PLEASE STATE: □ CHURCH □ ORGANIZATIONS □ UKRAINIAN PRESS □ FRIENDS. RELATIVES (Optional) Name _________________________________________ Address _______________________________________ City __________________ State _____________ Zip Code THANK YOU FOR FILLING OUT THE ENTIRE QUESTIONNAIRE. PLEASE SEND TO: UNWLA — PANEL 108 SECOND AVENUE NEW YORK, NY 1003 7. Do you participate in the following Ukrainian events? YES NO DEMONSTRATIONS __________ ___________ PANELS __________ ___________ CONCERTS __________ ___________ FESTIVALS __________ _ ____________ DANCES __________ ___________ COMMEMORATIVE EVENTS __________ _ ____________ 8 . In your opinion what purpose should the Ukrainian community serve? Is it presently doing so? What role should Ukrainian organizations play to wards that e n d ? _________________________________ Видання C оюзу Українок A мерики - перевидано в електронному форматі в 2012 році . A рхів C У A - Ню Йорк , Н . Й . C Ш A.
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