Native Voice Network: Community Survey

The Native Voice Network (NVN) was recently created to support a national network of American Indian people interested in advocating for issues on a local, statewide and national level.

One aspect of the NVN is to create a database to send information about events, issues or other items of interest to you. We also need to understand how to best engage with our American Indian community members on the important issues facing our communities.

Your responses, through participating in this survey, will provide us information necessary to help further develop the NVN and to assure we are meeting your interests. We are interested in what issues you think are most important and which ones you would like to be involved in. We will also ask basic demographic information, and questions about your thoughts on a membership organization.

Basic contact information for you is necessary for us to stay in contact with you. That is why we ask that you fill out each question regarding how you would like to be contacted for future participation and information regarding the Native Voice Network (NVN).

Please note survey information will be compiled and shared with the Marguerite Casey Foundation – who will use this information to build a national membership organization for families.

Question Title

* 1. Please share the following contact information with us. Please provide, at a minimum, one way for us to follow up with you.

First Name: *

Last Name: *

Address:

Address 2:

City/Town: *

State: *

ZIP: *

Email Address:

Home Phone:

Cell Phone:

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* 2. Tribal Affiliation(s)

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* 3. How do you prefer to be contacted regarding Native issues of importance to you? (check all that apply)

Text Message

U.S. Mail

Facebook

Twitter

Other (please specify)

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* 4. Are you a registered voter?

Yes

Unsure / Don’t know

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* 5. What is your age? (OPTIONAL)

Under 12 years old

12-17 years old

18-24 years old

25-34 years old

35-44 years old

45-54 years old

55-or older

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* 6. What is your approximate average household income? (OPTIONAL)

$0-$24,999

$25,000-$49,999

$50,000-$74,999

$75,000-$99,999

$100,000-$124,999

$125,000+

Question Title

* 1. Please share the following contact information with us. Please provide, at a minimum, one way for us to follow up with you.

Question Title

* 2. Tribal Affiliation(s)

Question Title

* 3. How do you prefer to be contacted regarding Native issues of importance to you? (check all that apply)

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* 4. Are you a registered voter?

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* 5. What is your age? (OPTIONAL)

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* 6. What is your approximate average household income? (OPTIONAL)

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* 7. How many people currently live in your household? (OPTIONAL)