| General Information |
| 1- State/ Country of Residence: |
| 2- Since when are you a resident of this state/ country? since birth <2 years 2-5 years 5-10 years >10 years |
| 3- Religion: |
| 4- Previous religion (in case you have changed your religion): |
| 5- Gender: Male Female |
| 6- Age: <15 15-19 20-24 25-29 30-34 35-39 40-44 45-49 >50 |
| 7- Education (last degree/ qualification obtained): Some High school College Degree Undergraduate certificate Bachelor Degree Master Degree PhD/Doctorate |
| 8- Native Language(s): |
| 9- How do you rate your economic status? Above average income Average income Low income |
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| Questions |
| 1- As a member of a Muslim minority, how much discrimination do you feel regarding the following items? |
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Very low |
Low |
Moderate |
High |
Very high |
| Educational Attainment |
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Medical Treatmentss |
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| Law & Juridical Equality |
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| Occupation Tenures |
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| Safety and Security |
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| Governmental Services |
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| 2- As a member of a Muslim minority, rate your home national society regarding the following items. |
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Very low |
Low |
Moderate |
High |
Very high |
| Home Community supports harmony |
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| The role of the ethnic home community broadcasting |
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| All communities have equal access to services, benefits and opportunities available in society |
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| Multicultural/ multilingual public sector is maintained, including schooling at all levels |
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| 3- As a member of a Muslim minority, how much do you think the following items have been achieved in your national society? |
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Very low |
Low |
Moderate |
Much |
Very much |
| Access to the labour market |
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| Political participation |
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| Becoming nationals |
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| Protection from discrimination |
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| Income equality |
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| Native Language Attainment (language of state you live in) |
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| Intermarriage between people of races, religions, languages, etc. |
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| Religious indigenization in social, political and economic aspects of life |
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| Islamic School or Mixed school (respecting Islamic differences) |
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| Possibility of Islamic media broadcasting |
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| Respect and recognition of Islamic legislation for Muslims in all aspects of life |
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| Respect to civil law, unless it is against or controversial in Islamic law, such as Hijab |
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| 4- As a member of a Muslim minority, what do you think of the following social approaches toward Muslim minorities by governments? |
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Very low |
Low |
Indifferent |
Much |
Very much |
| Segregation: Discrimination based on religion |
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| Assimilation: Deemphasising religious and cultural differences |
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| Integration: Ignoring individual’s religious background/ establishing a religion-free society |
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| Multiculturalism: Respecting different religions |
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| Dual Citizenship: Parallel attention to individual’s civilian and religious allegiances |
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| 5- How essential are the following items to you as a member of a Muslim minority? |
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Very low |
Low |
Indifferent |
Much |
Very much |
| Religious education (Quran, Prophet’s life, etc.) |
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| Interaction and communication with other Muslims |
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| Observing Islamic rules and ceremonies |
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| Consultation with religious experts in business, marriage, rearing children, education, etc. |
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| Attending to current issues like terrorism, Islam and women’s rights, Islam and human rights, etc. |
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| Participating in social/global campaigns in support of the oppressed, to enhance public health, to fight against corruption and injustice, etc. |
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| Trading religious goods and services |
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| Establishing Islamic business environment, including Islamic banking and commerce |
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| Islamic donation(Infaq), Zakah, Sadaghah, etc. |
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| Getting information about social, political and economic currents in the Muslim world (Palestine, Afghanistan, Africa, etc.) |
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| 6- In your opinion, what are the three main issues for Muslims in non-Muslim countries? |
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| 7- In your opinion, what are the three most important issues for Muslim families in non-Muslim countries? |
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| 8- As a Muslim minority, do you have a religious need or concern which was not referred to in this questionnaire? If so, please explain them. |
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