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  5. Iranian Identity & Historical Memory Research Stud
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Exit Survey
 
 
I understand that I willfully choose to participate in this academic research study on Iranian identity and historical memory via the department of Anthropology at George Mason University and am of at least eighteen years of age and identify in some way as “Iranian”. My name, contact information and any other personally identifiable information are not required, and in any event will not be used or published.
 
I agree and consent.

 
 
 
Demographic Information
 
 
 
Age
   
 
 
 
Sex
   
 
 
 
Place of birth
   
 
 
 
Country of current residence
   
 
 
 
Religion (if any)
   
 
 
 
Immigration & Nationality
 
 
 
If you emigrated from Iran, please briefly describe how and at what age
   
 
 
 
Where were you educated, for the most part?