Skip to content
Confederated tribes of Siletz Indians Food Access and Cultural Foods Survey
Confederated Tribes of Siletz Indians – Health Promotion Team Food Access & Cultural Foods Survey
Your answers will help us understand food access and support future programming. Answers are confidential and voluntary.
1.
The food that I/We bought just didn't last and I/we didn't have money to get more
Often true
Sometimes True
Never True
2.
I/We couldn't afford to eat balanced meals.
Often true
Sometimes true
Never true
3.
In the last 12 months, did you or other adults in your household ever cut the size of your meals or skip meals because there wasn't enough money for food?
Yes
No
If Yes, how often did this happen?
4.
In the last 12 months, did you ever eat less than you felt you should because there wasn't enough money for food?
Yes
No
5.
In the last 12 months, were you ever hungry but didn't eat becasue there wasn't enough money for food?
Yes
No
6.
In the past month, were you able to access traditional or cultural foods important to you or your family (such as salmon, venison, acorns, or other first foods)?
Often
Sometimes
Rarely
Never
7.
If not, what were the main reasons? (Check all that apply)
Not available locally
Too Expensive
No transportation
Gathering Restrictions
Don't know where to get them
Other (please specify)
8.
Are you able to particpate in the below activities
Gathering or foraging (berries, roots, plants)
Fishing (salmon, lamprey, shellfish, etc.)
Hunting (deer, elk, small game, etc.)
Acorn processing or nut harvesting
Camas or Root digging or roasting
Preserving or drying foods (smoking, canning, etc.)
Gardening or growing traditional foods
Other (please specify)
9.
What would help you access or use more traditional foods? (check all that apply)
More gathering events
Transportation support
Storage or preservation resources
Access to tools or equipment
Cooking or preservation workshops
Other (please specify)
If you leave your name and contact information on this form you will be entered into a raffle that is drawn quarterly. You do NOT have to leave your name.
10.
Name and contact for raffle, and resource outreach
You input helps support food sovereignty and cultural wellness for our community. Shu' 'aa-shi nin-la (Thank you) for your time!