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* 1. How do you identify:

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* 2. Where were you born?

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* 3. What is your age?

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* 4. What is your level of education?

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* 5. I identify as:

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* 6. What activities are you involved in at the Masjid?

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* 7. Diversity is defined as recognizing and supporting a multitude of differing backgrounds/identities – cultures, races, ethnicities, socioeconomic statuses, ages, physical abilities, and the like. In what ways, if at all, do you feel our community recognizes and supports the needs of our diverse Muslim ummah?

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* 8. What are some ways we could work to better recognize and support the needs of our diverse Muslim ummah?

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* 9. To be inclusive means to intentionally act in such a way that does not leave any part or group out – all individuals are given opportunity to actively participate and have voice/feel heard. In what ways, if at all, do you see our community working to be inclusive?

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* 10. In what ways, if at all, could our community work to be more inclusive?

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* 11. Leadership is responsible for leading community members by means of a clear mission and vision as well as through their assigned responsibilities as defined by the organization. In what ways, if at all, does community leadership show that they value and respect diversity and inclusion through their assigned responsibilities?

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* 12. In what ways, if at all, could leadership better show that they value and respect diversity and inclusion?

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* 13. Have you ever had a negative experience? If this has happened to you within our community, we sincerely regret that you have had this experience. What, if anything, do you feel we could do as a community to help prevent these types of issues now and in the future? (Please only provide positive ways to work to prevent such issues, and not personal information about a particular event.)

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* 14. In order to create positive change within any community, it takes a group of individuals with many differing talents and ideas. Do you have ideas about specific activities to address difficult topics? Please share.

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