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Community Assessment 2026
Please complete this questionnaire to help us understand community needs and improve services. Your responses are confidential and will only be used in aggregate form.
Section A: About You
1.
Your name (optional):
2.
Tribal affiliation
Nez Perce
Nez Perce Descendant
Other Tribe
Non-Native
3.
Marital status:
Single
Married
Divorced
Widowed
Other
4.
Level of education:
Less than high school
High school diploma/GED
Some college
Associate degree
Bachelor’s degree
Graduate degree
Other
5.
To the best of your knowledge is your combined family income?
Below Poverty L Level Guidelines
At Poverty Level Guidelines
Above Poverty Level Guidelines
Idaho 2025 Federal Poverty Guidelines (100% FPL)
Family Size
Poverty Guideline ($)
1
15,060
2
20,440
3
25,820
4
31,200
5
36,580
6
41,960
6.
Relationship to child(ren):
Parent/Guardian
Foster Parent
Grandparent
Other
7.
Primary caregiver(s) in home:
One
Two
Multi-generational
Other
8.
Number of children living in your home (list ages):
(0–2 years)
(3–5 years)
(6–13 years)
(14–17 years)
9.
Languages spoken at home (check all that apply):
English
Nez Perce/Nimiipuutímt
Spanish
Other
10.
Preferred language for communication:
English
Nez Perce
Other
11.
Preferred method of communication:
Phone
Text
Email
Printed notes
Social media
12.
Do you have internet access at home?
Yes
No
Section B: Family Home & Community
13.
Community where you live:
Lapwai
Kamiah
Kooskia
Orofino
Lewiston
Other
14.
Housing status:
Own
Rent
Live with family/friends
Temporary/Shelter
Homeless
15.
Previously homeless?
Yes
No
Duration
16.
Type of housing:
House
Apartment
Mobile home
Other
17.
Do you have reliable utilities (water, electricity, heat)?
Yes
No
18.
Do you feel safe in your neighborhood?
Yes
No
Sometimes
19.
Do you use tribal or community resources (food pantry, WIC, TANF)?
Yes
No
20.
What transportation options are available to you?
Personal vehicle
Tribal transit
Public transit
Carpool
Walk
Section C: Work/School/Training & Transportation
21.
Parent/guardian work or school schedules (check all):
Day shift
Evening
Night
Rotating
Seasonal
School/Training
Unemployed
Caregiving at home
22.
Do you need childcare outside Head Start hours?
Yes
No
23.
If yes, what times?
Early morning
Late afternoon
Full-day
Weekend
Emergency drop-in
Friday care
24.
Do you have reliable transportation for work/school?
Yes
No
25.
How far do you travel for work or school?
Miles
26.
Do transportation issues affect your ability to access services?
Yes
No
Section D: Health, Dental, Behavioral Health & Nutrition
27.
Access to medical care:
Easy
Somewhat easy
Difficult
28.
Access to dental care:
Easy
Somewhat easy
Difficult
29.
Access to behavioral health care:
Easy
Somewhat easy
Difficult
30.
Barriers to care (check all):
Cost
Availability/providers
Wait times
Transportation
Childcare
Insurance
Cultural fit
Other
31.
Do you have health insurance?
Yes
No
32.
Where do you usually go for medical care?
Nimiipuu Health
Tri-State Health
Pullman Regional Hospital
Clearwater Valley Hospital
Gritman Medical Center
St. Joseph Medical Center
Other Clinic
33.
Where do you usually go for dental care?
Nimiipuu Health
Other clinic
34.
How often does your family worry about food running out?
Never
Sometimes
Often
Prefer not to answer
Section E: Special Services & Supports
35.
Does your child have an Individualized Family Service Plan (IFSP)/Individualized Education Program (IEP) or diagnosed condition requiring services?
Yes
No
36.
If yes, what type(s):
37.
Are services easy to access?
Easy
Somewhat
Difficult
38.
Is your child in foster care?
Yes
No
39.
Have you needed emergency housing or assistance in the past year?
Yes
No
Section F: Education & Culture
40.
Are you satisfied with available early education options (including Head Start)?
Very satisfied
Satisfied
Neutral
Dissatisfied
Very dissatisfied
41.
Which cultural supports would you value most for your child?
Nez Perce language
Cultural activities
Elders-in-classroom
Seasonal teachings
Other
42.
Would you like to participate in classroom cultural activities?
Yes
No
Maybe
Section G: Community Barriers & Family Needs
43.
What are the biggest barriers your family faces?
Transportation
Housing
Employment
Childcare
Health care
Drug treatment and prevention
Other
44.
How safe do you feel do you feel with law enforcement in your community?
100% Safe
50% Safe
Unsafe
unsure
45.
What services would help your family most?
Food assistance
Housing support
Job training
Mental health services
Drug treatment and prevention
Other
Section H: Open-Ended
46.
What are your top concerns for your child’s health, education, or development?