Check only One: African American ☐ American Indian ☐
Alaskan Native ☐ Pacific Islander ☐
Asian American ☐ Hispanic/Latino ☐

White/Off white/blue-eyed, brown-eyed/epicanthal fold, no epicanthal fold ☐

Other: YES ☐ NO ☐

Are you a First Homo-Sapien Inhabitant of Europe? YES ☐ NO ☐
Are you a Second Generation Homo-Sapien Inhabitant of your American home town?
      YES ☐ NO ☐ If yes: 1st, 2nd, 3rd, 4th, 5th generation

How long have you been separated from your people?
10,000 years ☐ 5,000 years ☐ three generations ☐
one year ☐ since dinner ☐

Which traditional garments do you wear?
reindeer moccasins ☐
four-winds hat ☐
gakti ☐
Carhartts ☐
feathered headdress ☐

Do you know how to ski? YES ☐ NO ☐
Can you ride a horse? YES ☐ NO ☐
Can you steal a horse? YES ☐ NO ☐
Have you ever butchered a reindeer? YES ☐ NO ☐
      Explain:
Have you ever ridden a reindeer? YES ☐ NO ☐
Do you play the drum? YES ☐ NO ☐

Do you sing weird songs without words in the woods?
YES ☐ NO ☐ I resist the urge ☐

Does your blood contain mtDNA subhaplogroup U5b?
YES ☐ NO ☐
Or mtDNA haplogroup V? YES ☐ NO ☐

Do you identify yourself as something old and discarded,
a scrap of clothing? YES ☐ NO ☐

Have you ever heard of a Noaide? YES ☐ NO ☐
Can you call a whale to shore? YES ☐ NO ☐
Do you really think you came from the Sun? YES ☐ NO ☐