Native and Indigenous Community Survey

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This survey is intended for Alaska Native (AI/AN) and Indigenous people and their families who live in the Tri-State area. A history of behavioral health services is not required to participate. Additionally, a Tribal card is not required to participate.

We are interested in gaining a better understanding of the behavioral and mental health services that are
available for AI/AN and Indigenous people in the so-called Tri-State area, as well as their priorities for services.
Participation will take about 10 minutes. The survey is ANONYMOUS, which means that no one will be able to link your name with your answers so your responses will be private and will not be shared. There are no right or wrong answers. We are grateful for your time and participation today.

If you have questions about this survey, please contact our Co-Director by email at ariel@urbanindigenouscollective.org.

BY ANSWERING THE QUESTIONS BELOW, YOU ARE CONSENTING TO PARTICIPATE IN THIS
SURVEY.

If you do not wish to continue, close out of the window to exit.

Below is the consent documentation for participating in this survey. You may also access this document and/or keep it for your records by visiting uic.city/forum-consent21 .

Do you identify as an American Indian, Alaska Native, Native Hawaiian, or person Indigenous to North, South, or Central Americas, or the Caribbean? *

Yes

Please type your initials and the date. This will serve as an electronic signature and your agreement to participate in this survey for the purposes in the document above. If you would like to withdraw your consent at any time after finishing the survey, please don't hesitate to contact our team! *

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