AMRDC

Dear respected participant, Assalamu Alaikum wa Rahmatu Allahi wa Barakatuh

AMRDC is looking forward to publishing "Muslims of North Texas" early 2023 in sha Allah. The book will cover three main areas:
1) Accurate narrative of the history of every institution that ever existed in North Texas
2) Highlight the major contributions of North Texas Muslims to the society we live in
3) Show the true composition of the North Texas Muslim community through a demographic study

This form is meant to help us satisfy item #3.
Your cooperation is essential for the successful completion of this unique research. Please answer as many questions as you can and as accurately as possible. JAK

I am at or received this survey through the mailing list of (select name from the list please):

If you did not get this survey from a specific Mosque or through its mailing list (was forwarded to you by a friend for instance), please choose "Some other way" instead of a specific Masjid name.

==> (1) Gender, Age, Marital Status, & Children <==

1) What are the two centers you frequent most?

Center 1	Center 2

2) What is your gender?

Male

Female

3) What is your age group?

[Less than 18]

[18-29]

[30-49]

[50-64]

[Over 64 Years]

4) What is your marital status

Single

Married

Widowed

Divorced

Separated

The following two questions are TO BE ANSWERED BY HEAD OF HOUSEHOLD ONLY. If it is not you, please have the head of your household fill out the survey

5) How many of your children are (Please indicate the count as 1, 2, 3, ...) ? (TO BE ANSWERED BY HEAD OF HOUSEHOLD ONLY)

Under 6 years	6 - 18 years	Over 18 years

6) How many of your children are attending (Please indicate the count as 1, 2, 3, …) ? (TO BE ANSWERED BY HEAD OF HOUSEHOLD ONLY)

Islamic school	Private school	Public school	Charter school	Home schooling	College / University

==> (2) Education & Employment <== ==> (3) Ethnicity & Residency <==

14) What is your country of birth?

15) What is the country of origin for?

Father	Mother

16) If not born in the US, when did you come to America?

17) When did you come to North Texas?

Year	Born in North Texas

19) If you are naturalized citizen, you decided to stay in the US?

By Choice

Was Difficult to Leave

Had No Other Choice

20) Legal status: I am a

US Citizen

Green Card Holder

On Student Visa

On Work Visa

Refugee

Other

==> (4) Political & Civic Engagement <== ==> (5) Other Questions <==

35) If you are a revert/convert, when did you embrace Islam?

36) What is the zip code where you live?