Collective Community Advocacy: Policies that Perpetuate Systemic Racism (Survey)

You are invited to participate in a project titled Policies that Perpetuate Systemic Racism. The goal of this project is to understand lived experiences of people impacted by the following policies: (formerly titled) Zero Tolerance for Barbaric Cultural Practices Acts, Bill 21 (Quebec’s Secularization Bill) and Canada Child Benefit.

Your participation will help us understand the impact these policies have on different communities in Canada.

This survey is conducted by the Council of Agencies Serving South Asians (CASSA) as part of the “Policies that Perpetuate Systemic Racism” project. This project is trusteed by the Bangladeshi-Canadian Community Services (BCS) funded by Canada Race Relations Foundation.

To learn more about the project, please click here.

Question Title

* 1. What is your age (in years)?

18-24 years old

25-34 years old

35-49 years old

50-64 years old

65 years old and over

Prefer not to answer

Question Title

* 2. How would you describe your gender identity? Please select all that apply.

This information will help us in exploring the relationship between gender identity and the impact of these policies.

Man

Woman

Prefer not to answer

Non-binary

Other (please specify)

Question Title

* 3. Visible minorities, under Canada’s census, are defined as “persons, other than Aboriginal peoples, who are non-Caucasian in race or non-white in color.” Are you considered a visible minority in Canada?

Yes

Don’t know

Prefer not to answer

Question Title

* 4. What is your ethnic background? Select all that apply.

African (for example, African-Canadian descent, Ethiopia, Tanzania)

Caribbean (for example, Jamaica, Trinidad and Tobago)

East Asian (for example, China, Hong Kong, Japan, Taiwan)

European (for example, France, Germany)

Latin, Central and South American (for example, Nicaragua, Venezuela)

Middle Eastern (for example, Palestine, Iran, Iraq, Saudi Arabia)

South Asian (for example, Afghanistan, Indo-Caribbean, Tamil, Pakistan, Bangladesh, India, Sri Lanka)

Indigenous (Metis, Inuit, Cree, Ojibway etc)

Unsure

Other (please specify)

Question Title

* 5. What is your current religion, creed, or system of belief?

This information helps us assess the relationship between religion, creed, and systems of belief, and the impact of these policies.

Atheism

Buddhism

Christianity

Hinduism

Indigenous Spirituality

Islam

Judaism

Questioning

Sikhi

Spiritual, but not religious

No religion, creed, or spiritual affiliation

Prefer not to answer

Other (please specify)

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* 6. What is your total household income before taxes?

Less than $20,000 per year

$20,000 - $40,000 per year

$41,000 - $60,000 per year

$61,000 - $100,000 per year

Greater than $100,000 per year

Prefer not to answer

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* 7. What is your immigration status?

Citizen

Permanent Resident

International Student

Refugee Claimant

Asylum Seeker

Temporary Foreign Worker

Undocumented

Visitor

Prefer not to answer

Other (please specify)

Collective Community Advocacy: Policies that Perpetuate Systemic Racism (Survey)

Question Title

* 1. What is your age (in years)?

Question Title

* 2. How would you describe your gender identity? Please select all that apply. This information will help us in exploring the relationship between gender identity and the impact of these policies.

Question Title

* 3. Visible minorities, under Canada’s census, are defined as “persons, other than Aboriginal peoples, who are non-Caucasian in race or non-white in color.” Are you considered a visible minority in Canada?

Question Title

* 4. What is your ethnic background? Select all that apply.

Question Title

* 5. What is your current religion, creed, or system of belief? This information helps us assess the relationship between religion, creed, and systems of belief, and the impact of these policies.

Question Title

* 6. What is your total household income before taxes?

Question Title

* 7. What is your immigration status?

* 2. How would you describe your gender identity? Please select all that apply.

This information will help us in exploring the relationship between gender identity and the impact of these policies.

* 5. What is your current religion, creed, or system of belief?

This information helps us assess the relationship between religion, creed, and systems of belief, and the impact of these policies.