INFORMED CONSENT FORM TITLE: Ethnic Identity and Openness to Experience among Tibetan undergraduates This research aims

at drawing a comparison between the ethnic identity levels of Tibetan college going youth from different schooling backgrounds. It is also at tempting to draw a correlation between their ethnic identity levels and their op enness to experience. This study requires your answers that will be rated on 4 a nd 5 point Likert scales which will assess your ethnic identity and openness to experience levels. This research is a part of the course requirement for the master s level program i n M.Sc. Psychology (Clinical) at Christ University, Bangalore. Your results will be used solely for research purposes and your identity and responses will be ke pt confidential. For any further clarifications, you are free to contact the researcher, Tseyang Palzom who is a final year graduate student of Clinical Psychology at Christ Uni versity, Bangalore. Ph. No. 9742037012; Email: tseyangtseyang@gmail.com CONSENT TO PARTICIPATE I, Tenzin Chozin hereby give my consent to participate in the research study. I have read and understood all the information and acknowledge that the questions have been answered to my satisfaction. I understand that my participation in t his study is entirely voluntary and the information I provide will be used only for research purposes. I also understand that all data that is furnish will be k ept strictly confidential and destroyed after the completion of study. I underst and that I may withdraw from the study at any point without being penalised in a ny way. Ph. No. +919742710164 Date: 31st Dec 12 SOCIO- DEMOGRAPHIC DETAILS <Since Google Doc does not feature functional check boxes, kindly underline/high light to indicate your choice> NAME: Tenzin Chozin AGE: 21 GENDER: Female ETHNICITY- TIBETAN (yes) If other, please specify: NAME OF THE SCHOOL THAT YOU STUDIED: C.S.T. Mundgod ................................................................................. ............................................................... CURRENT LOCATION: BANGALORE (yes) If other, please specify: CURRENT EDUCATION (under graduate) : First Year ? Second Year ? Third Year Fourth Year ? SUBJECT(s) CURRENTLY STUDYING: B.com Tourism ................................................................................. ................................................................... GENERATIONAL STATUS: 1. Grandparents, parents and self were born in Tibet. I migrated to India

? 2. Grandparents and parents were born in Tibet. I was born in India ? 3. Grandparents were born in Tibet. My parents and I were born in India. ? HOW MANY YEARS HAVE YOU LIVED IN INDIA? Since Birth ................................................................................. ....................................................................

The Multigroup Ethnic Identity Measure (MEIM; Phinney, 1992) In this country, people come from many different countries and cultures, and the re are many different words to describe the different backgrounds or ethnic grou ps that people come from. Some examples of the names of ethnic groups are Indian , Tibetan, Nepali, Bangladeshi, Chinese and many others. These questions are about your ethnicity or your ethnic group and how you feel a bout it or react to it. Please fill in: In terms of ethnic group, I consider myself to be............... ............... Use the numbers below to indicate how much you agree with each statement. (4)Strongly Agree (3)Agree (2) Disagree (1) Strongly disagree Write a number after reading each statement.... 1- I have spent time trying to find out more about my ethnic group, such as its history, traditions, and customs. (3) 2- I am active in organisations or social groups that include mostly members of my own ethnic group. (3) 3- I have a clear sense of my ethnic background and what it means for me. (3) 4- I think a lot about how my life will be affected by my ethnic group membershi p. (4) 5- I am happy that I am a member of the group I belong to. (4) 6- I have a strong sense of belonging to my own ethnic group. (4) 7- I understand pretty well what my ethnic group membership means to me. (3) 8- In order to learn more about my ethnic background, I have often talked to oth er people about my ethnic group.(3) 9- I have a lot of pride in my ethnic group. (4) 10- I participate in cultural practises of my own group, such as special food, m usic, or customs. (3) 11- I feel a strong attachment towards my own ethnic group. (4) 12- I feel good about my cultural or ethnic background. (4) The Big Five Inventory (BFI; O.P. John, 1995) Here are a number of characteristics that may or may not apply to you. For examp le, do you agree that you are someone who likes to spend time with others? Pleas e write a number next to each statement to indicate the extent to which you agre e or disagree with that statement. ______________________________________________________________________________ Disagree Disagree Neither agree nor Agree Agree strongly a little disagree a little srongly 1 2 3 4 5 ______________________________________________________________________________

I see myself as someone who.... 1. Is talkative(1) 2. Tends to find fault in others (2) 3. Does a thorough job (4) 4. Is depressed, blue (4) 5. Is original, comes up with new ideas (3) 6. Is reserved (3) 7. Is helpful and unselfish with others (3) 8. Can be somewhat careless (4) 9. Is relaxed, handles stress well (4) 10. Is curious about many different things (4) 11. Is full of energy (1) 12. Starts quarrels with others (2) 13. Is a reliable worker (3) 14. Can be tense (3) 15. Is ingenious, a deep thinker (4) 16. Generates a lot of enthusiasm (3) 17. Has a forgiving nature (4) 18. Tends to be disorganised (3) 19. Worries a lot (5) 20. Has an active imagination (4) 21. Tends to be quiet (4) 22. Is generally trusting (4) 23. Tends to be lazy (3) 24. Is emotionally stable, not easily upset (1) 25. Is inventive (3) 26. Has an assertive personality (3) 27. Can be cold and aloof (4) 28. Perseveres until the task is finished (3) 29. Can be moody (4) 30. Values artistic, aesthetic experiences (5) 31. Is sometimes shy, inhibited (5) 32. Is considerate and kind to almost everyone (4) 33. Does things efficiently (4) 34. Remains calm in tense situations (5) 35. Prefers work that is routine (4) 36. Is outgoing, sociable (3) 37. Is sometimes rude to others (4) 38. Makes plans and follows through with them (4) 39. Gets nervous easily (5) 40. Likes to reflect, play with ideas (3) 41. Has few artistic interests (3) 42. Likes to cooperate with others(4) 43. Is easily distracted (4) 44. Is sophisticated in art, music, or literature (4) Please check: Did you write a number in front of each statement?