Demographics 

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* 1. Tribal Tribe Organization name:

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* 2. Your name:

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* 3. Your position/title within the Tribe/Tribal organization:

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* 4. Are you a Tribal Elder/ Cultural Practitioner?

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* 5. Current mailing address:

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* 6. Are you completing this survey on behalf of: (Check all that apply)

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* 7. What kind of community do you reside in?

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* 8. Do you live in your traditional territory? 

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* 9. How long have you lived in the area where you currently reside?

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