The Cheyenne and Arapaho Tribes' Tribal Historic Preservation Program is seeking your participation in the creation of a community-wide comprehensive historic preservation plan. This survey is designed to learn what historic preservation really means to you and how the Tribal Historic Preservation Office can better identify, preserve and protect places of importance for future generations.

Places and resources in our communities tell the story of who we are, where we come from and shape our future. Ceremonies, medicinal and traditional gatherings, and other activities are an important of the Tsistsistas and Hinonoei heritage. It is important that we seek your input in shaping how we protect these resources in our communities.

This survey is anonymous, however you may leave your name and contact information if you are interested in participating in future preservation efforts.

Thank you for your participation!

* 1. Gender

* 2. Age

* 3. Membership

  Cheyenne & Arapaho Cheyenne Arapaho Other
Enrolled member of

* 4. What town, village or community do you live in?

* 6. What ceremonies, traditions, and social and religious activities are important to you, your tribal community and future generations? Please select your top four choices.

* 7. What resources are important to you, your tribal community, and future generations? Please select your top four choices.

* 8. Why are these places, ceremonies/traditions, and resources important to you?

* 9. What are potential threats to places, ceremonies/traditions, and resources?

* 11. What types of animals, plants, or medicines are you gathering, or would gather, for traditional purposes?

* 12. How would you like to be informed about ongoing activities of the Tribal Historic Preservation Office? Please check all those that apply.

* 13. What sites would you like to see signage or other kinds of markers placed to identify that location and its historical or cultural significance?

* 14. The Tribal Historic Preservation Office will be creating educational materials for the community. What topics are you most interested in? Please check all those that apply.

* 15. What formats would you like to see these educational materials? Please check all those that apply.

* 16. If you are interested in getting involved with the Tribal Historic Preservation Office efforts, please share your contact information including:
Telephone Number

The Cheyenne and Arapaho Tribal Historic Preservation Office sincerely appreciates you taking the time to complete this survey.

If you have additional questions or comments, please contact:

Office of Planning and Development
Tribal Historic Preservation Office
Cheyenne & Arapaho Tribes
100 Red Moon Circle
P.O. Box 38
Concho, OK 73022
Phone| 405-422-7622
Fax| 405-422-1199