SocIdentityForm - University of Wisconsin–Whitewater



Understanding Our Social Identities

|Identity |How important is|How apparent is |How highly |Ways in which this |Ways in which this |

|(specify in each category how you |this identity to|this identity to |regarded is |identity is |identity is negatively |

|identify yourself— for example, |you? |someone who only |this identity |positively viewed by |viewed by society/ |

|under “Sexual Identity,” |(1-10, ten is |sees you or does |by society as a|society/ |aspects of society? |

|heterosexual, homosexual, etc.) |high) |not know you |whole? (1-10, |aspects of society? | |

| | |well? (1-10, ten |ten is high) | | |

| | |is high) | | | |

|Race: | | | | | |

| | | | | | |

|Ethnicity: | | | | | |

| | | | | | |

|Social class: | | | | | |

| | | | | | |

|Gender: | | | | | |

| | | | | | |

|Sexual identity: | | | | | |

| | | | | | |

|Ability/Disability | | | | | |

|(able-bodied, with cerebral palsy,| | | | | |

|etc.): | | | | | |

| | | | | | |

|Spirituality/Religion, | | | | | |

|Membership in | | | | | |

|faith community: | | | | | |

| | | | | | |

|Occupation/Proposed | | | | | |

|occupation: | | | | | |

|Membership in social organization:| | | | | |

|Other: | | | | | |

| | | | | | |

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