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Native Hawaiian and Pacific Islanders in Central Valley Community Needs Assessment

This survey is being conducted by the Central Valley Pacific Islander Alliance (CVPIA).

Purpose: This survey will be used to inform how Pacific Islander-serving organizations, leaders, and advocates can better support and elevate our Native Hawaiian and Pacific Islander communities living in Central Valley, California. The Central Valley includes the following counties: Sacramento, San Joaquin, Stanislaus, Tuolumne, Merced, Mariposa, Madera, Fresno, Kings, Tulare, and Kern.

This survey will take about 10 to 15 minutes to complete.

There will be two sections:

A. The first section will ask about your demographics. Any and all information you provide will not be used to identify you. Your responses will help us gather information about our overall Central Valley NHPI population characteristics.

B. The second section will ask about your experiences living in Central Valley and about any information or resources you would like for yourself and/or your household.

About The Central Valley Pacific Islander Alliance:

CVPIA is a social justice organization dedicated to serving and advocating for Native Hawaiian and Pacific Islander communities living in the Central Valley of California. CVPIA aims to cultivate a safe space for all NHPI identities through meaningful relationship-building, delivering culturally relevant information, and distributing resources.

VISION
A thriving Central Valley Native Hawaiian and Pacific Islander community rooted in our cultures and guided by our ancestors.

MISSION
Weave a trusted and sustainable network of NHPI organizations and community members to serve, empower, and advocate for our growing Central Valley village.
A. Demographics: This section is about you, so we can learn more about our population characteristics in the Central Valley.
1.What is your LAST NAME, FIRST NAME and PREFERRED EMAIL if you would like to learn more about CVPIA programs and upcoming events.
2.Is someone helping you to complete this survey?
3.How long have you lived in the Central Valley?
4.What do you enjoy about living in the Central Valley? Please choose all that apply.
5.What is your self-identifying ethnicity? (Example: CHamorro, Fijian, Kanaka Maoli, Samoan, Tongan, or multiethnic)
6.Please select your age range.
7.What gender do you identify with?
8.What is your sexual orientation?
9.What is your marital status?
10.What language(s) do you speak at home?
11.How well do you speak English? 
12.How many people live in your household (including yourself)?
13.How many people in your household are 5 years and younger, if any?
14.How many people in your household are 6 to 17 years of age, if any?
15.How many people in your household are 18 to 54 years of age, if any?
16.How many people in your household are 55 years and older, if any?
17.Do you or anyone in your household smoke? This includes any tobacco, vaping, and/or marijuana products. This information will be confidential and not used to identify you.
18.Do you or anyone in your household have the following health conditions? Select all that apply. This information will be confidential and not used to identify you.
19.What is your highest level of education completed, either in the United States or your home country?
20.What work do you currently do to earn income(s)? If you have multiple jobs, please include all of them. 
21.Have you or anyone in your household currently or previously served in the United States military or military from your home island country?
22.What is the total annual income from all sources for yourself and/or immediate family? (For example, if you are living with many family members, and you are 18+ years and single, you will only count your own total income. If you are living with many family members, and you are 18+ years with a spouse, you will only count you and your spouse's total incomes.)
23.What is your zip code? This helps us to identify regional needs for information and resources.
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