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Cultural Practices Survey

We know Native people are strong and have many ways of healing, through this survey we want to determine culturally appropriate tools to help those who are recovering or seeking help to recover from alcohol and drugs.

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* 1. Gender

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* 2. Tribal Affiliation

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* 3. Age

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* 4. Have you or anyone you know that has struggled with Substance Use Disorder (Drug Use)?

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* 5. Are you aware of the Medication Assisted Treatment (MAT) program with the Lassen Indian Health Center?

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* 6. Do you believe that abusing alcohol or drugs effect the tribal way of life?

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* 7. Do you or others in your community use pain medications other than as prescribed?

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* 8. Have you participated in a cultural ceremony/activity?

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* 9. What kind of tribal activities do you attend (at least once a year)? Check all that apply.

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* 10. Someone in my family or community attends cultural ceremonies/activities.

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* 11. I have helped prepare for a cultural ceremony/activity in my family or community

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* 12. I have shared a meal with community, offered food or fed my ancestors for cultural reasons

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* 13. I have talked to community members or other people to learn more about being Native American/Indigenous.

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* 14. I feel a strong attachment towards my Native American community or Tribe.

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* 15. If a traditional person, counselor or Elder who is knowledgeable about my culture, spoke to me about being Native American/Indigenous, I would listen to them carefully.

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* 16. When I am overwhelmed with my emotions, I look to my Native American/Indigenous culture or community for help

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* 17. I feel a strong connection to my ancestors and those that came before me

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* 18. In what areas do you feel the Lassen Indian Health Center can provide cultural services that supports and address the healing of the mind, body, and spirit?

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* 19. Would you like to learn more about the Medication Assisted Treatment program or Substance Use Disorder in Indian Country?  Or/and become involved in the discussion of Cultural Integration for Healing?  Please leave a name,  number and LIHC representative will follow-up

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* 20. Do you know anyone from either the Washoe, Pit River, Maidu, or Paiute tribes who holds traditional knowledge that would welcome to share their input. Please share their name and number

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* 21. If you would like a gift card. Please leave your name, number and/or address. Thank you for your participation, we appreciate your time. 

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