NHSC COVID-19 Student Response Survey

Please only complete the survey one time. If you have already done the survey please do not do it again. We are seeking to connect you with the resources you need in a timely fashion.

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* 1. What is your First and last Name?

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* 2. Please provide your contact information: best E-mail address, Phone number, Facebook messenger name.

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* 3. Which Community do you reside in?

New Town

White Shield

Twin Buttes

Parsahll

Four Bears

Garrison

Minot

Mandaree

Other (please specify)

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* 4. Are you in need of a referral for food/ meal assistance?

Yes

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* 5. Are you in need of a medical or mental health referral?

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* 6. Do you have internet access at home?

Yes

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* 7. Do you have a laptop, or desktop computer at home?

Yes

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* 8. Do you have access to the MYnhsc student portal for course content?

Yes

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* 9. Do you have access to NHSC Webmail?

Yes

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* 10. With the initiative to move all courses to distance or online please select the method that would work best for you to continue classes this semester.

Mynhsc Student Portal

E-mail Assignments

Hybrid - some online, video conferencing

U.S. Mail Correspondence

Text Assignments