General Community Survey

General Community Survey

This survey is designed to better understand the cultural experiences, needs, and challenges faced by American Indian communities. It focuses on key areas such as tribal identity, cultural practices, language preservation, connections to elders, and the impact of historical trauma. The responses will help inform programs that support cultural preservation, community resilience, and better healthcare access for Native Americans. We appreciate you taking the time to complete this survey!
Demographics
What city/zip code do you live in?*
Do you identify as American Indian/Alaskan Native/Indigenous?*
I was born and/or raised hereI was part of American Indian relocationI moved here for work and/or other opportunitiesI do not live in San FranciscoOther
If other, please state here
Tribal Identity and Connection
What is your tribal/Indigenous identity?*
Are you able to regularly participate in cultural events or ceremonies that make you feel connected to your tribal/Indigenous identity?*
Ex: Powwow or Rounddance
How important is it to you to maintain a strong sense of your tribal/Indigenous identity?*

1

2

3

4

5

1 is Not at all, 5 is Very
Cultural Practices
How often do you practice traditional ceremonies or rituals?*

1

2

3

4

5

1 is Not at all, 5 is Very
How important is it to you to learn about your tribal/Indigenous home land and traditions?*

1

2

3

4

5

1 is Not at all, 5 is Very
Do you have access to elders or cultural knowledge keepers within your community?*
Language and Cultural Knowledge
How important is it to you to pass on your tribal/Indigenous language and traditions to future generations?*

1

2

3

4

5

1 is Not at all, 5 is Very
Do you speak a tribal/Indigenous language? If so, which one? *
If not, do you want to learn your language?*
Do you have access to language classes or cultural education programs?*
Community and Social Issues
How important is it to maintain strong community ties with your tribal/Indigenous identity? *

1

2

3

4

5

1 is Not at all, 5 is Very
If not, why?
Do you feel that your community is supportive of your cultural practices?*
What are the biggest challenges facing your tribal/Indigenous community today?*
Put example responses
Historical Trauma and Resilience
How do you feel the impacts of historical trauma affect your community today? *

1

2

3

4

5

1 is not at all, 5 is significantly
What coping mechanisms do you use to deal with the effects of colonization?*
put example responses
What aspects of your culture help you to build resilience?*
put example responses
Healthcare and Access to Traditional Healing
Do you have access to traditional/Indigenous healing within your healthcare services?*
Examples: Native therapist, Native doctor, Native dentist, Medicine person
Have you ever felt uncomfortable or misunderstood when seeking healthcare due to your cultural background?*
Examples: discrimination against your name or appearance
What could be done to improve access to traditional healing services for tribal/Indigenous communities?*
Should be Empty:

General Community Survey

Demographics

Tribal Identity and Connection

Cultural Practices

Language and Cultural Knowledge

Community and Social Issues

Historical Trauma and Resilience

Healthcare and Access to Traditional Healing