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We are conducting a survey to help us better understand how the coronavirus (COVID-19) pandemic is affecting the physical, emotional, spiritual, and mental health of the Native American population in your community, especially men and boys. Your feedback is valuable to us and will help us come up with strategies to help understand and address the community's and men’s mental health and well-being needs.

Please note that this survey is anonymous, so feel free to be honest and open about your own experiences. It takes about 5-10 minutes to complete. If you have any questions, comments, and/or would like to get in contact with us, please reach out to either Susan Gay, program coordinator, via email at sgay@spthb.org, or Idalmi Deleon, program assistant, via email at ideleon@spthb.org. Thank you for participating!

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* 1. Please list the city and state where you are currently living:

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* 2. Are you a tribal member?

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* 3. What is your gender?

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* 4. According to the MentalHealth.gov website, “mental health refers to our emotional, psychological, and social well-being. It affects how we think, feel, and act.” Currently, which of the following have the people in your community experienced as a result of COVID-19? Check all that apply.

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* 5. Could you share an example of how COVID-19 has affected your community?

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* 6. Currently, which of the following have American Indian boys and men in your community experienced as a result of COVID-19? Check all that apply.

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* 7. Do you have an example of how COVID-19 has affected the men and boys of your community?  If so, please tell us.

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* 8. How has COVID-19 affected your life? Please provide us with some examples if possible.

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* 9. What has been a source of strength that has helped you cope during the COVID-19 pandemic?

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* 10. Which of the following options do you think will help to address or improve the mental health and well-being needs of your community? Check all that apply.

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* 11. Which of the following topics would you be interested in when it comes to providing trainings, workshops, or webinars for your community? Check all that apply.

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* 12. Which of the following topics would you be interested in when it comes to providing trainings, workshops, and webinars for the AI men and boys in your community? Check all that apply.

Thank you for your participation in this survey!
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