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Community Survey

New Beginnings is dedicated to providing support, guidance, and resources to individuals navigating the difficult process of divorce, empowering them to find healing, clarity, and a positive path forward. We would like you to come on this journey with us. Your voice will help us design and tailor our programs to ensure the needs of our community are met. 

We need 8 minutes of your time to share your views. Please share this survey with your networks. We value your time and effort in completing this survey.

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* 1. What is your gender?

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* 2. Which State do you live in?

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* 3. Which race/ethnicity best describes you? (Please choose only one.)

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* 4. Do you identify as Muslim?

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* 5. What best describes your current situation? (select all that apply)

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* 6. How long have you been separated/divorced?

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* 7. Are you the primary carer of a child/children from the marriage?

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* 8. How do you best describe your marriage process

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* 9. How do you best describe your divorce process?

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* 10. How would you best describe your coping and healing journey following separation/divorce?

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* 11. How much did separation/divorce impact your mental health and wellbeing?

No impact at all Some impact Significantly impacted
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i We adjusted the number you entered based on the slider’s scale.

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* 12. How important is it to heal after separation/divorce?

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* 13. What primary supports did you lean on after your separation/divorce

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* 14. What kind of support did you get?

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* 15. How helpful was the support

Not at all helpful Somewhat helpful Extremely helpful
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i We adjusted the number you entered based on the slider’s scale.

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* 16. What are 3 things that have helped or are helping you move on in life?

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* 17. What are 3 things that hindered or are hindering your ability to move on in life?

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* 18. Are you aware of any Muslim divorce support programs in your community?

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* 19. Would you benefit from a Muslim divorce support programs?

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* 20. Please share the reason you don't think you will benefit from Muslim divorce support programs.

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* 21. What programs or services would be helpful for you to cope and heal better after separation/divorce?

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* 22. Would you be willing to share your experience in healing    after separation/divorce with us?  Note: we will always directly confirm with you prior to using any of your information.

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* 23. Please share your contact details

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* 24. Are you interested in receiving updates on upcoming programs or workshops from New Beginnings?

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* 25. Please provide best contact information.

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* 26. Any other comments or suggestions?

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