Substance Abuse in American Muslim Communities: An exploration of the problem and possible solutions
The Institute for Social Policy and Understanding and the Stanford Muslim Mental Health Lab are conducting a national study on substance addiction in American Muslim communities using focus groups and interviews. We are seeking research participants who are 18 years of age and older and are either recovering from an addiction or have a family member who is currently struggling with or used to struggle with an addiction.

Your responses are confidential and will only be accessed by the research team.

For any questions regarding this form or this study please contact Taimur Kouser at tkouser@ispu.org
Email *
By submitting this form I am agreeing to the possibility of being contacted by the Private Investigator (PI) of the study and/or the researchers to partake in an individual interview for up to one hour. *
Required
Demographic Information 
Full Name *
Email  *
Phone Number *
Please confirm that you are currently a resident of the United States *
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What state do you currently reside in? *
Were you born in the United States of America? *
Do you identify as Muslim? *
Please select your current age group *
Gender *
Ethnicity  *
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