2025 Survey: Health and Wellness in Santa Clara County Asian and Pacific Islander Communities

If you prefer to take the survey in a language other than English, please click your preferred language below if available. Clicking the link will take you to the survey in that language.

• Tagalog: Pindutin ito para sa survey sa Tagalog

• Vietnamese: Tiếng Việt – Nhấn vào đây để làm khảo sát bằng Tiếng Việt

• Korean: 한국어 – 설문조사를 한국어로 진행하려면 여기를 클릭하세요

• Chinese: 點此填寫中文問卷

• Tongan:
  Kapau ʻoku ke fiemaʻu ke fakafonu ʻa e sivi ʻi ha lea ʻe ʻikai ko e Pelelulu, kataki ʻo kiliki ʻa hoʻo lea ʻoku ke fiemaʻu ki lalo, kapau ʻoku ʻi ai. ʻOku ʻi ai ʻa e kiliki ʻi he lisi ʻe kake ki he sivi ʻi he lea ni.

• Chamorro:
  Si u ma preferi u fanhåyi i encuesta gi un otro na guinaiya siha siha na English, håfa-håyi i guinaiya siha na manpreferi mohon click gi ma abajo gi ma posible. Gi click gi i link, u fanhåyi i encuesta gi guinaiya na guinaiya.

• Fijian:
  Ke o vinakata mo vulica na taro ni vakatulewa ena vosa e sega ni Vosa Vakavalagi, yaco yani o kiliki na vosa o vinakata ena ruku ni te. Na kiliki i na link ena kauta yani vei iko ki na taro ni vakatulewa ena vosa oqo.

• Samoan:
  Afai e te fiafia e tali le suʻesuʻega i se gagana ese mai le Igilisi, kiliki le gagana e te fiafia i ai i lalo pe afai e avanoa. O le kiliki i le sootaga o le a ave oe i le suʻesuʻega i lena gagana.

The Asian Pacific Islander Community Health Worker Network in Santa Clara County is conducting a health assessment of Asian and Pacific Islander communities in the county. This assessment will help the network and funders understand the health needs of these groups. The information we gather from this survey will be used to strategically allocate resources, plan services, inform program development, and address health and social inequalities and disparities.

As part of this process, we are surveying people who meet the following criteria:

• Residents who live in Santa Clara County
• Ages 18 and older
• Identify from one or more API subgroups (see table below for more details)

Asian	Pacific Islander
Asian Indian Chinese Filipino Japanese Korean Vietnamese	Native Hawaiian Guamanian or Chamorro Samoan Pacific Islander Polynesian, such as Tahitian, Tongan, and Tokelauan Micronesian, such as Marshallese, Palauan, and Chuukese Melanesian, such as Fijian, Guinean, and Solomon Islander

Your responses will be anonymous and confidential. The survey does not ask for your name or any identifying information and no responses will be attributed to any particular individual. Your participation in this survey is completely voluntary. You can skip any questions or decline to participate at any point.

The survey should take approximately 15 minutes to complete.