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Exit Survey
 
 
I am a:
 
Male
 
Female
 
Other
 
 
 
 
I fall in this age range:
 
13-16
 
16-19
 
20-24
 
25-29
 
above 30
 
 
 
My ethnic background is:
 
East / South-East Asian
 
South Asian
 
East European
 
French
 
Arab
 
African
 
Latin American
 
Aboriginal
 
Caribbean
 
Other
 
 
 
 
Check that applies: 
 
I immigrated to Canada MORE than 20 years ago
 
I immigrated to Canada MORE than 10 years ago
 
I immigrated to Canada MORE than 5 years ago
 
I immigrated to Canada LESS than 5 years ago
 
I was BORN in Canada
 
 
 
Family structure involves:
 
Mother + father + siblings
 
Mother + father
 
Father + siblings
 
Mother + siblings
 
Father only
 
Mother only
 
Step-parents (one parent or both)
 
Foster parents (adopted)
 
Not applicable
 
Other
 
 
 
 
What kind of educational institution do you currently attend?
 
Public high school
 
Islamic high school
 
Private high school
 
Home school
 
College
 
University
 
Not applicable (working/dropped out)
 
 
 
Do you experience difficulty in adapting to Canadian society?
 
Always
 
Often
 
Sometimes
 
Never
 
 
 
Do you feel a part of Canadian society, that is, do you feel like you belong in Canada?
 
Definitely
 
Not always; sometimes
 
Not sure
 
Never
 
 
 
How often do you pray?
 
5 times daily
 
3-4 times daily
 
1-3 times daily
 
Never
 
 
 
Where do you pray most often?
 
At the mosque
 
At home
 
At my educational institute
 
At my workplace
 
Not applicable