Background information
Please take a moment to tell us a bit about yourself. This will help us look for trends and patterns in the survey data. All individual information will be kept strictly confidential
1. Please describe your occupation/job
2. Which reservation do you live on?
3. Are you a tribal member of the above-named reservation?
Yes
No
4. What is your gender?
Female
Male
Non-binary
Prefer not to answer
5. What is your age?
18-25
26-35
36-45
46-55
56-65
Over 65
6. Please describe your level of schooling
K-6
7-9
10-12
College
Number of years of college (if applicable)
Appendix vii – Survey/Questionnaire Template A-63
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