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

Thank you for your assistance with this effort.

* 1. In which county do you live?

* 2. How old are you?

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

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

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

* 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)
Law Enforcement Harassment / FBI visit
Travel Delays / Border Profiling (SSSS on boarding pass, secondary screening, no-fly list)
Hate incident (name calling)
Hate crime (physical violence or threat of violence, vandalism)
Housing Discrimination (difficulty in purchasing or renting a place to live)
Immigration Delays (challenges obtaining citizenship status)
Workplace Discrimination (harassment of being fired / not being hired)
Other (please specify below)

* 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
Law Enforcement Harassment / FBI Visit
Travel Delays / Border Profiling
Hate Incident
Hate Crime
Housing Discrimination
Immigration Delays
Workplace Discrimination
Other (please specify below)

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

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

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