CTUIR Community Health Priorities

Yellowhawk Tribal Health Center conducted a Community Health Assessment (CHA) in 2015 to the Yellowhawk service population 18 years and older. In May 2016, Yellowhawk staff has been in the process of sharing these results with the community.

In this brief questionnaire we would like to hear your opinion on some of the health priority areas as highlighted in the Community Health Assessment (CHA) that was previously shared with you. If you have not seen the CHA or would like to review further, please click here and see pages 90-97.

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* 1. Please rate the following health issues according to High, Medium, or Low impact on your community's health.

	High	Medium	Low
Health Care: Access, Coverage, Utilization	Health Care: Access, Coverage, Utilization High	Health Care: Access, Coverage, Utilization Medium	Health Care: Access, Coverage, Utilization Low
Diabetes	Diabetes High	Diabetes Medium	Diabetes Low
High Blood Pressure/Heart Disease	High Blood Pressure/Heart Disease High	High Blood Pressure/Heart Disease Medium	High Blood Pressure/Heart Disease Low
Overweight/Obesity	Overweight/Obesity High	Overweight/Obesity Medium	Overweight/Obesity Low
Tobacco Use	Tobacco Use High	Tobacco Use Medium	Tobacco Use Low
Alcohol Use	Alcohol Use High	Alcohol Use Medium	Alcohol Use Low
Drug Use	Drug Use High	Drug Use Medium	Drug Use Low
Suicide	Suicide High	Suicide Medium	Suicide Low
Safety	Safety High	Safety Medium	Safety Low
Mental Health	Mental Health High	Mental Health Medium	Mental Health Low
Nutrition	Nutrition High	Nutrition Medium	Nutrition Low
Physical Activity	Physical Activity High	Physical Activity Medium	Physical Activity Low
Cancer	Cancer High	Cancer Medium	Cancer Low

Other (please specify)

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* 2. Please rank the health topics in order of (least = 1) to (highest = 13) priority.

Alcohol Use

Suicide

Drug Use

Nutrition

Overweight/Obesity

Tobacco Use

Mental Health

Diabetes

Safety

Cancer

Health Care: Access, Coverage, Utilization

Physical Activity

High Blood Pressure

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* 3. Please briefly explain why you chose the first priority ranked above.

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* 4. Please briefly explain why you chose the second priority ranked above.

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* 5. Please briefly explain why you chose the third priority ranked above.

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* 6. Are you a CTUIR community member (you do not need to be an enrolled member)?

Yes

Other (please specify)

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* 7. Do you identify as American Indian?

Yes

Other (please specify)

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* 8. Are you a CTUIR Tribal Member ?

Yes

Other (please specify)

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* 9. Please provide a phone number and/or email if we may follow-up with you regarding your responses. Thank you.

Name

Email Address

Phone Number