* 1. Are you Native American?

* 2. Do you live on or near the Red Lake, Leech Lake, or White Earth Reservations? 

* 3. Are you or a household member a veteran?

* 4. Has anyone in your household experienced Domestic Abuse, or been a victim of a crime?

* 5. Are you familiar with Anishinabe Legal Services or other civil legal aid programs?

* 6. Please check your yearly household income

* 7. How many people, including children, live in your household?

* 8. Now we are going to ask about your experience with Legal Aid or having a Civil Legal Problem.

Examples of civil legal problems are:  Consumer problems (Debt Collections) Education, Employment, Family Law (child custody, visitation, child support, orders for protection, etc), Juvenile Delinquency or Child Protection, Housing (evictions, foreclosures), Public Benefits, Individual Rights, Estate Planning (Power of attorney, Will, or Health Care Directive).

* 9. How many civil legal problems were experienced in your household during the previous 12 months?

* 10. Which civil legal problem(s) proved most troublesome to your household?

* 11. What actions did you or your household member take to resolve the most troublesome civil legal problems?

* 12. Have you accessed self help materials or resources, such as www.LawHelpMN.org ?

* 13. Have you accessed self help materials or resources, such as downloaded court or other legal forms?

* 14. Have you accessed self help materials or resources, such as completed an online interview for fillable Court or other Forms?

* 15. Have you accessed self help materials or resources, such as received an information  booklet or fact sheet?

* 16. Have you accessed self help materials or resources, such as participated in a Legal Clinic or Help Desk?

* 17. Have you accessed self help materials or online resources such as Minnesota Legal Advice Online?

* 18. Please select from the following list, TEN legal issues that you feel are most important in your community:

* 19. If you have other comments, please let us know in the box below.  Thanks for your time taking this survey, if you want to be entered for a chance to win a gift/gas card, please email info@alslegal.org with your contact information and subject line: Drawing Entry.  Miigwech!

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