WPI- IQP Survey
This survey will be used in part with a research study conducted by Worcester Polytechnic Institute (WPI) students for their Interactive Qualifying Project (IQP). The research study focuses on how Muslim-Americans are viewed in society.
What is your age?
What is your gender?
What is your ethnicity or nationality? (Choose as many that apply)
Asian, from Indian subcontinent
Asian or Pacific Islander
Are you a first generation immigrant?
Definition: The term first-generation refers to either to a person who has immigrated or has been naturalized, or who is a child of such an immigrant.
If yes, how old were you when you moved to the US?
Do you classify yourself as an American?
Yes, I do
No, I do not
Have you ever experienced Islamophobia, which is prejudice/discrimination/harassment because you are a Muslim?
Yes, I have
No, I have not
Do you feel that non-Muslim Americans would like to understand Islam and Muslims?
If yes to question 6, are you will to participate in an interview?
Yes, I am
No, I am not
If yes, please provide contact information below:
First and Last Name, Phone Number, Email
I, _________________ consent to having my answers provided in a WPI IQP research study.
I give permission for the data and quotes taken from the survey and interview to be used in this study.
I wish to keep my identification anonymous.
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