Survey #____________ Date__________________
University of California-Riverside
Research Working Group on Transnational Social Movements
(1) What is your gender? Check one.
o Female o Male o Other:_____________________________________________
(2) What is your sexual orientation? Check all that apply.
o Heterosexual o Homosexual oBisexual oQueer
o Other__________________________________________ o Decline to answer
(3) What is your current marital status? Check all that apply.
o Single o Separated oDivorced oWidower oMarried oCohabiting
(4) Do you currently have custody of one or more children aged 18 years or younger?
Check one. o No o Yes
(5) What year were you born? 19________
(6) What is your ethnicity or race? Check one.
o Black o Middle Eastern o South Asian
o Indigenous o Latino/Hispanic o East Asian
o White o Pacific Islander o Decline to answer
o Multiracial: Please specify ______________________________________________
o Other: Please specify___________________________________________________
(7) Which country were you born in? ___________________________
(8) Where do you currently live?
City _____________________ Country _________________________
(9) How religious do you consider yourself?
o Not Religious o Somewhat Religious o Very Religious
(10) Which of the following best describes your religious beliefs? Check one.
oProtestant oCatholic oBaptist oEvangelical
oOther Christian oBuddhist oJewish oIslamic
oAgnostic oAtheist oHindu oOther____________
(11) What is your current employment status? Check all that apply:
oEmployed full-time (at least 35 hours per week) oEmployed part-time
oEmployed on a temporary basis oSelf-employed
oUnemployed oRetired
oStudent oDependent on family income
oLive from investments or savings oVolunteer
(12) People sometimes describe themselves as belonging to the working class, the middle class, or the upper or lower class. In your current situation, how would you describe yourself? Check one.
o Upper class o Upper middle class o Lower middle class
o Working class o Lower class
(13) What is your approximate household annual income? ________________
(14) Please indicate the highest level of schooling you have completed.
oElementary oMiddle school/junior high oSome High school/No Degree oHigh school oSome college/no degree oAssociate’s Degree oBachelor’s Degree oSome graduate school/no degree o Master’s Degree oProfessional Degree oTechnical Degree o Doctoral Degree
(15) Beginning with primary (kindergarten) school, how many years of school have you completed? (total) _______________
(16) If you have an educational degree beyond high school, in what subject(s)? Check all that apply.
oAgriculture oEducation oNatural Sciences oSocial Sciences oArts oEngineering oMathematics oComputers oHealth oLaw/Legal Studies oBusiness/Administrative oLanguages/Linguistics/Literature oOther
II. Political Participation:
(17) How many earlier Social Forum meetings have you attended? Indicate the number of each kind that you have attended:
___Local; ___Regional; ____Thematic;____National;_____Polycentric;
_____ World (Global); oCheck this box if the USSF is your first Social Forum meeting.
(18) What are your reasons for attending the U.S. Social Forum? Check all that apply.
o Organize, plan actions, or carry out joint initiatives
o Network, meet people, or join a group
o Recruit new members
o Learn about the issues and share information
o Learn about other cultures or enjoy the cultural performances
oDocument it or cover the story
oWork oResearch oHelp with interpreting
oGet inspiration oFun or leisure oOther _____________
(19a) What are your organizational or group affiliations? For each of the organizations you are affiliated with, check the box that best applies:
oNone (I do not belong to any social organization or formal group).
ŕIf you answered “none” for question 19a, please skip to question 20.
(19b) What are your organizational or group affiliations? For each of the organizations you are affiliated with, check the box that best applies:
oLabor union(s)/organization(s) oNon-governmental organization(s)
oGovernment agency(ies) oCultural group(s)
oProfessional association(s) oPolitical party(ies)
oMedia organization(s) oSocial or recreational group(s)
oReligious institution(s)/movement(s)
oSocial movement or political organization
oOther (specify)_______________________________________________________________
(19c) Is at least one of the organizations that you checked for question 19b…
…engaged in political issues and funded solely by its members? oNo oYes
…international or engaged in an international campaign? oNo oYes
…one that you hold a leadership position or paid position within? oNo oYes
(19d) If you belong to a union, please answer the following questions. If you don't belong to a union, please skip to question 20.
…does your union belong to the AFL-CIO? oNo o Yes
...which union(s) do you belong to? ___________________________
...do you hold a leadership position within a union? oNo o Yes
...do you hold a staff position within a union? oNo o Yes
(20) Are you attending the USSF on behalf of OR planning to report on your experiences at the USSF to an organization or a group, such as those listed in 19b?
oNo o Yes
(21) In the last 12 months, how many public protests or demonstrations did you participate in? (total) _____
III. Political Opinions
(22) Which of the following best describes your political views?
oFar Left oLeft oCenter Left
oCenter oCenter Right oRight
oFar right oIndifferent oNot sure
(23) Do you consider yourself to be part of a global social movement?
oNo oYes
(24) Do you think we need to reform capitalism or abolish it? Check one.
o Reform it o Abolish it o Neither
(25) Out of the following, which level is most important for solving the majority of contemporary problems? Check one.
oCommunity oSub-national/state-level oNational
oInternational oGlobal
(26) Do you think it is a good or bad idea to have a democratic world government? Check one.
oGood idea, and it’s possible oGood idea, but not possible oBad idea
(27) In the long run, what do you think should be done about these existing global institutions (Check one for each institution):
The IMF (International Monetary Fund): The WTO (World Trade Organization):
o Reform o Abolish o Reform o Abolish
o Replace o Do Nothing o Replace o Do Nothing
The World Bank: The UN (United Nations):
o Reform o Abolish o Reform o Abolish
o Replace o Do Nothing o Replace o Do Nothing
(28) Do you favor a tax on international financial transactions that would be used to redistribute income from rich nations to poor nations (e.g., the Tobin tax proposal)? Check one.
oNo oYes oIndifferent
(29) Do you favor reparations for groups of people adversely affected by slavery, colonialism, and racism in order to ensure that they will have better opportunities? Check one.
oNo oYes oIndifferent
(30) Do you think that political parties and governments should use quotas to ensure that women are better represented within political institutions? Check one.
oNo oYes oIndifferent
(31) Do you support a woman’s right to abortion? Check one.
oYes, under all circumstances oSometimes (it depends on the circumstances)
oNo/never oIndifferent
(32) Do you support the idea of global citizenship? Check one.
oIt is a bad idea. oIt is a good idea, but it is not likely to ever exist.
o It is a good idea, and may exist someday. o I am already a global citizen.
IV. Movement Identification:
(33) Do you strongly identify with, or are you actively involved in, any social movements?
oNo oYes
ŕIf your answer to 33 was “no,” please skip to the end of the survey.
(34) Check all of the following movements with which you (a) strongly identify with and/or are actively involved in:
(a) strongly identify: (b) are actively involved in:
1. oAlternative media/culture oAlternative media/culture
2. oAnarchist oAnarchist
3. oAnti-corporate oAnti-corporate
4. oAnti-globalization oAnti-globalization
5. oAntiracism oAntiracism
6. oAlternative Globalization/Global Justice oAlternative Globalization/Global Justice
7. oAutonomous oAutonomous
8. oCommunist oCommunist
9. oDevelopment aid/Economic development oDevelopment aid/Economic development
10.oEnvironmental oEnvironmental
11.oFair Trade/Trade Justice oFair Trade/Trade Justice
12.oFood Rights/Slow Food oFood Rights/Slow Food
13.oGay/Lesbian/Bisexual/Transgender/Queer Rights oGay/Lesbian/Bisexual/Transgender/Queer Rights
14.oHealth/HIV oHealth/HIV
15.oHousing rights/anti-eviction/squatters oHousing rights/anti-eviction/squatters
16.oHuman Rights oHuman Rights
17.oIndigenous oIndigenous
18.oJobless workers/welfare rights oJobless workers/welfare rights
19.oLabor oLabor
20.oMigrant/immigrant rights oMigrant/immigrant rights
21.oNational Sovereignty/National Liberation oNational Sovereignty/National Liberation
22.oOpen-Source/Intellectual Property Rights oOpen-Source/Intellectual Property Rights
23.oPeace/Anti-war oPeace/Anti-war
24.oPeasant/Farmers/Landless/Land-reform oPeasant/Farmers/Landless/Land-reform
25.oReligious/Spiritual oReligious/Spiritual
26.oSocialist oSocialist
27.oWomen's/Feminist oWomen's/Feminist
28.oOther(s), Please list ___________________ oOther(s), Please list _______________________
___________________________________ ___________________________________
(35) Do you have any suggestions for improving the social forum? Please write below:
______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
We appreciate you taking the time to complete this survey. Please return it to the person who gave it to you when you are finished. Or to send the completed survey:
Institute for Research on World-Systems
College Building South
University of California-Riverside
Riverside, CA. 92521 USA