Differences of Abilities and U.S. Muslims Survey
Arab and Muslim Women’s Research and Resource Institute (AMWRRI)

The Milwaukee Muslim Women’s Coalition (MMWC)



There are many issues of concern that our community has yet to address, and the stigma of differences of ability is one of the pressing ones. AMWRRI and the MMWC are partnering on this very important topic. AMWRRI has created a survey to understand the experiences and needs of Muslims who have differences of abilities or who are caregivers for individuals with differences of abilities. We define differences of ability as any chronic health condition (including physical, intellectual, mental, emotional, or addiction condition) that affects an individual’s ability to do everyday activities related to mobility, communication, work, etc. Currently, there is a serious lack of knowledge of Muslim's experiences, the barriers they face, and needs they might have. Our project seeks to understand the weight of cultural beliefs about differences of abilities and to explore ways of influencing cultures by spurring dialogues with our Islamic scholars and Imams and healthcare/social service professionals. Our goal is to bring down barriers experienced by Milwaukee Muslim women (and, through them, the community at large). We will have public events to raise awareness, and we will also have a web-based space for people to exchange resources and ideas with each other.

This is an anonymous survey. You will not be asked to disclose your name or contact information.



The survey is led by Dr. Enaya Othman, president of AMWRRI. Dr. Othman is also Assistant Professor and Director of the Arabic and Cultural Studies Program at Marquette University. This project is being supported by grants from Marquette University and the Wisconsin Humanities Council. If you have any questions about this survey or project, you may contact Dr. Enaya Othman at info@amwrri.org or 414 288-5761; you may also contact Jeana Abromeit, AMWRRI Project Director and Secretary/Treasurer at jabromeit0620@sbcglobal.net
1. In what city and state do you currently live?
Your answer
2.In what country were you born? *
Your answer
3. If you immigrated to the U.S., what year did you immigrate to the U.S.? *
Your answer
4. How do you identify yourself in terms of your national background? *
Your answer
5. If you immigrated to the U.S. what was your reason(s)? Check all that apply.
6.What is your gender? *
7. What is your age? *
8. What describes your marital/relationship status? *
9. Do you have children *
10. How many of your children are:
1
2
3
4
5
5+
Female
Male
11.If you have any female children, what are their current ages?
Your answer
12. If you have any male children what are their current ages?
Your answer
13.What is the highest degree or level of education you have completed? *
14. Are you currently employed/self- employed? *
15. How many hours per week do you USUALLY work at your job?
16. What is your job title?
Your answer
17. Do you have any of the following differences of abilities? Check all that apply. *
Required
18. Please indicate which of the following differences of abilities the individuals you care for have. Check all that apply. (If you are not a caregiver, skip to Question # 21.)
Person 1
Person 2
Person 3
Physical: Amputation, stroke, cerebral palsy, blindness, deafness, heart conditions, etc.
Chronic Illness: Seizures, diabetes, kidney disease, arthritis, etc.
Learning Differences: Problems with and use of listening, speaking, reading, writing, reasoning, or mathematical skills such as attention deficit disorder and Autism spectrum disorder (ASD).
Intellectual Differences: Characterized by significant limitations both in intellectual functioning and adaptive behaviors. The condition originates before the age of 18. E.g. Down syndrome, fetal alcohol syndrome, etc.
Speech and Language: Differences may result from hearing loss, cerebral palsy, learning differences, and/or physical conditions like stroke. E.g. articulation, voice disorders, stuttering, aphasia, etc.
Mental Health: Depression, anxiety, post-traumatic stress disorder, schizophrenia, bipolar, etc.
Addiction: Drugs, alcohol, etc.
19. What are the ages of the Muslim individuals with a difference of ability who you care for?
Your answer
20. For the past 12 months, what has been the living arrangement of the individual(s) with a difference of ability for whom you care for?"
Person 1
Person 2
Person 3
We live together
The individual lives independently
The individual lives in a group home
Other
21. Which of the following factors do you think caused your difference of ability or the difference of ability of the individual who you care for? Check all that apply. *
Required
22. What are the biggest external challenges related to the difference of ability that you or the person you care for have faced? Check all that apply. *
Required
23.What are the biggest internal challenges related to the difference of ability that you or the person you care for have faced? Check all that apply.
24. To deal with these challenges, what are some strategies you’ve used that work for you? Select all that apply. *
Required
25. Have you or the person you care for experienced prejudice, negative remarks, or discrimination because of the difference of ability? *
26. Do you think being an Arab or Muslim was a factor in how you or the person you care for was negatively treated?
Your answer
27. What kind of discrimination, negative remarks, or prejudice have you or the person you care for experienced? Check all that apply.
28. From your experience, do you think the Muslim community has any expectations of you, as a caregiver?
29. How do you think the Muslim community perceives differences of abilities, in general? Check all that apply. *
Required
30.How do you think broader U.S. society perceives differences of abilities? Check all that apply. *
Required
31. In your opinion, what, if any, are the challenges that females with differences of abilities face, compared to males with the same differences of abilities? *
32. Please explain your answer to question #31 below: *
Your answer
33. As a person with a different of ability or as a caregiver, what additional support or help do you need the most? Please identify your top 3 needs. *
Required
If you would like to be interviewed or added to our mailing list please email our research team at info@amwrri.org or call 414-288-5761. Thank you very much for completing this survey. Your responses will help make a difference in people’s lives and the communities in which we live. This project is funded in part by a grant from the Wisconsin Humanities Council, with funds from the National Endowment for the Humanities. Any views, findings, conclusions or recommendations expressed in this project do not necessarily represent those of the National Endowment for the Humanities. The Wisconsin Humanities Council supports and creates programs that use history, culture, and discussion to strengthen community life for everyone in Wisconsin. If there is anything else you would like to tell us, please share in the space below.
Your answer
Submit
Never submit passwords through Google Forms.
This form was created inside of University of Minnesota Twin Cities. Report Abuse