AMEMSA Civil Rights Survey
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AMEMSA Civil Rights Survey

This survey is brought to you by the Arab Film Festival (AFF), the Council on American-Islamic Relations (CAIR), the Islamic Center of Northern California (ICCNC), the Islamic Networks Group (ING), 3rd i's South Asian Film Festival and ZAWAYA with the support of the Asian American Pacific Islanders in Philanthropy (AAPIP). Our intention is to reach a diverse cross section of the African, Arab, Middle Eastern, Muslim, Sikh and South Asian (AAMEMSSA) community to understand our shared experiences with civil rights violations in a post-9/11 context.

We encourage you to be open and honest as you respond to these questions. Your identity will be kept confidential but the aggregate data will be shared with community leaders, members, funders, as well as, policy makers to help them understand how they can better serve our communities.

For further information or questions, call (408) 986-9874 or e-mail info@sfba.cair.com

Thank you for your assistance with this effort.

1. In which county do you live?

In which county do you live? a. San Francisco b. Marin County c. San Mateo	d. Alameda e. Contra Costa f. Santa Clara	g. Santa Cruz h. Solano County
Other (please specify)

2. How old are you?

How old are you? a. Under 18

b. 18 - 29

c. 30 - 39

d. 40 - 49

e. 50 - 65

f. 65 +

3. Which religion do you identify with and/or practice, if any at all?

Which religion do you identify with and/or practice, if any at all? a. Christian b. Muslim c. Sikh	d. Hindu e. Buddhist f. Jewish	g. None
Other (please specify)

4. Which ethnic group do you identify with, if any at all?

Which ethnic group do you identify with, if any at all? a. Arab b. Middle Eastern	c. South Asian d. South East Asian	e. African American f. African
Other (please specify)

5. How long have you been in the United States?

How long have you been in the United States? a. Less than five years

b. Five to ten years

c. Ten to fifteen years

d. Over Fifteen years

6. Approximately how many times, in total, have you experienced the following civil rights violations? if never skip to Question 10.

	Never	1 - 5 times	6 - 10 times	10+ times
School Bullying (name calling, harassment, physical violence)	*Approximately how many times, in total, have you experienced the following civil rights violations? if never skip to Question 10. School Bullying (name calling, harassment, physical violence) Never	School Bullying (name calling, harassment, physical violence) 1 - 5 times	School Bullying (name calling, harassment, physical violence) 6 - 10 times	School Bullying (name calling, harassment, physical violence) 10+ times
Law Enforcement Harassment / FBI visit	Law Enforcement Harassment / FBI visit Never	Law Enforcement Harassment / FBI visit 1 - 5 times	Law Enforcement Harassment / FBI visit 6 - 10 times	Law Enforcement Harassment / FBI visit 10+ times
Travel Delays / Border Profiling (SSSS on boarding pass, secondary screening, no-fly list)	Travel Delays / Border Profiling (SSSS on boarding pass, secondary screening, no-fly list) Never	Travel Delays / Border Profiling (SSSS on boarding pass, secondary screening, no-fly list) 1 - 5 times	Travel Delays / Border Profiling (SSSS on boarding pass, secondary screening, no-fly list) 6 - 10 times	Travel Delays / Border Profiling (SSSS on boarding pass, secondary screening, no-fly list) 10+ times
Hate incident (name calling)	Hate incident (name calling) Never	Hate incident (name calling) 1 - 5 times	Hate incident (name calling) 6 - 10 times	Hate incident (name calling) 10+ times
Hate crime (physical violence or threat of violence, vandalism)	Hate crime (physical violence or threat of violence, vandalism) Never	Hate crime (physical violence or threat of violence, vandalism) 1 - 5 times	Hate crime (physical violence or threat of violence, vandalism) 6 - 10 times	Hate crime (physical violence or threat of violence, vandalism) 10+ times
Housing Discrimination (difficulty in purchasing or renting a place to live)	Housing Discrimination (difficulty in purchasing or renting a place to live) Never	Housing Discrimination (difficulty in purchasing or renting a place to live) 1 - 5 times	Housing Discrimination (difficulty in purchasing or renting a place to live) 6 - 10 times	Housing Discrimination (difficulty in purchasing or renting a place to live) 10+ times
Immigration Delays (challenges obtaining citizenship status)	Immigration Delays (challenges obtaining citizenship status) Never	Immigration Delays (challenges obtaining citizenship status) 1 - 5 times	Immigration Delays (challenges obtaining citizenship status) 6 - 10 times	Immigration Delays (challenges obtaining citizenship status) 10+ times
Workplace Discrimination (harassment of being fired / not being hired)	Workplace Discrimination (harassment of being fired / not being hired) Never	Workplace Discrimination (harassment of being fired / not being hired) 1 - 5 times	Workplace Discrimination (harassment of being fired / not being hired) 6 - 10 times	Workplace Discrimination (harassment of being fired / not being hired) 10+ times
Other (please specify below)	Other (please specify below) Never	Other (please specify below) 1 - 5 times	Other (please specify below) 6 - 10 times	Other (please specify below) 10+ times

Other (please specify)

7. When did the civil rights violations noted above occur?

	Within the last year	Within the last five years	Within last eleven years	Pre 9/11
School Bullying	*When did the civil rights violations noted above occur? School Bullying Within the last year	School Bullying Within the last five years	School Bullying Within last eleven years	School Bullying Pre 9/11
Law Enforcement Harassment / FBI Visit	Law Enforcement Harassment / FBI Visit Within the last year	Law Enforcement Harassment / FBI Visit Within the last five years	Law Enforcement Harassment / FBI Visit Within last eleven years	Law Enforcement Harassment / FBI Visit Pre 9/11
Travel Delays / Border Profiling	Travel Delays / Border Profiling Within the last year	Travel Delays / Border Profiling Within the last five years	Travel Delays / Border Profiling Within last eleven years	Travel Delays / Border Profiling Pre 9/11
Hate Incident	Hate Incident Within the last year	Hate Incident Within the last five years	Hate Incident Within last eleven years	Hate Incident Pre 9/11
Hate Crime	Hate Crime Within the last year	Hate Crime Within the last five years	Hate Crime Within last eleven years	Hate Crime Pre 9/11
Housing Discrimination	Housing Discrimination Within the last year	Housing Discrimination Within the last five years	Housing Discrimination Within last eleven years	Housing Discrimination Pre 9/11
Immigration Delays	Immigration Delays Within the last year	Immigration Delays Within the last five years	Immigration Delays Within last eleven years	Immigration Delays Pre 9/11
Workplace Discrimination	Workplace Discrimination Within the last year	Workplace Discrimination Within the last five years	Workplace Discrimination Within last eleven years	Workplace Discrimination Pre 9/11
Other (please specify below)	Other (please specify below) Within the last year	Other (please specify below) Within the last five years	Other (please specify below) Within last eleven years	Other (please specify below) Pre 9/11

Other (please specify)

8. Following your most recent experience, how did you respond? (select all that apply)

Following your most recent experience, how did you respond? (select all that apply) a. Called police b. Reported to advocacy organization (e.g. Sikh coalition, CAIR, ACLU, etc.) c. Filed complaint with government agency (e.g. EEOC, DFEH, etc.) d. Filed lawsuit	e. Sought to mediate it yourself f. Reported to community leaders (e.g. at your mosque, temple, etc.) g. Did nothing
Other (please specify)

9. In your opinion, what additional resources would have helped you respond to the civil rights violations you experienced?

In your opinion, what additional resources would have helped you respond to the civil rights violations you experienced? a. Free legal aid b. Better information about civil rights	c. Community support groups d. Diversity education for the violating entity
Other (please specify)

10. If you have never experienced a civil rights violation, what additional resources do you think would be helpful in addressing these ongoing issues?

If you have never experienced a civil rights violation, what additional resources do you think would be helpful in addressing these ongoing issues? a. Stronger advocacy to elected officials b. Media coverage	c. "Know your rights" workshops d. Alliance building
Other (please specify)

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