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African-American Names Questionnaire

The following questions appeared on the questionnaire used to gather names for the book.

1. Please tell us about yourself.

First name

Middle name

Last name (optional)

—Male  — Female

Street address (optional)

City, state, ZIP Code

Phone/e-mail (optional)                                              

Year born (optional):

2. Is your first name your birth name?  — Yes  — No  

If No, what was your original name?

3. Please tell the story behind your name (origin, meaning, why your name was selected, etc.).

4. Name three African Americans who were role models in your life or whom you would choose as role models for today’s children.