PACIFIC ASSOCIATION OF FIRST NATIONS WOMEN - Indigenous Women Rise Survey
2017 Dundas Street, Vancouver, B.C. 604-872-1849

The Association of First Nations Women is seeking participants for our upcoming Mental Health & Wellness program,

sponsored by VCH Aboriginal Health Strategic Initiatives!

Please fill in your information below so we can stay in touch and invite you to attend.

Thank you!

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* 1. What is your first name?

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* 2. What is your last name?

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* 3. What is your phone number?

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* 4. At what email address would you like to be contacted?

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* 5. Which time of the day works best for you to attend programs?

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* 6. Which of the following programs would you attend? (check as many as interest)

Traditional Teachings - matriarch teachings, drumming & singing, coming of age ceremonies, sweat lodge teachings

Cedar Teachings - learn to weave robes and aprons

Arts & Crafts - Bead work, moccasin making, regalia making, drum making

10 week Grief and Grieving Support Group

Healing Circles to Support Sobriety

Yoga & Meditation

Art Therapy

Healthy Cooking Sessions

Language - Ojibway

Language - Cree

Other (please specify)

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* 7. Which day of the week works best for you to attend?

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* 8. What might prevent you from attending programs at PAFNW

Transportation

Child care

Working during the day

Not available in evenings

Other (please specify)

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* 1. What is your first name?

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* 2. What is your last name?

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* 3. What is your phone number?

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* 4. At what email address would you like to be contacted?

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* 5. Which time of the day works best for you to attend programs?

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* 6. Which of the following programs would you attend? (check as many as interest)

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* 7. Which day of the week works best for you to attend?

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* 8. What might prevent you from attending programs at PAFNW

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* 9. Do you have any other comments, questions, or concerns?