Village Survey

Community

How many people lived in your household in the last year?

How many adults (18 or older)?

Rows	Answering Survey (Y/N)	Gender (M/F)	Alaska Native (Y/N)	What year was this person born?	How many years has this person lived in the community? (WL= Whole Life)
Adult 1
Adult 2
Adult 3
Adult 4
Adult 5
Adult 6
Adult 7

How many children (17 and younger)?

Rows	Gender (M/F)	What year was this person born?	How many years has this person lived in the community? (WL= Whole Life)
Child 1
Child 2
Child 3
Child 4
Child 5
Child 6
Child 7
Child 8
Child 9

Are you involved in paying the bills, for example water, fuel and electricity?

Do you have plumbing in your home?

If yes, do you have a flushing toilet?

If yes, do you have a working sink?

What is your source of water?

What is your source of heat?

Other

What foods do you typically get from *subsistence*?

What foods do you typically get from the *local store*?

What foods do you typically get from *mail orders* (such as Fred Meyers, Costco, Freight, Amazon, etc...)?

What foods do you typically get from *overland/mail transport*?

Does anyone in your household hunt/gather subsistence foods (game/fish/plants)?

If yes, who does the hunting/gathering (Y/N) and were they successful in the last year (Y/N)? Please link the IDs to the ones previously collected in Question 2 and 3. So, when talking about Adult 1, fill in the Adult 1 row.

Rows	ID#	Game/Success	Fish/Success	Plants/Success	Marine Mammals or Invertebrates/Success
Person 1
Person 2
Person 3
Person 4
Person 5
Person 6
Person 7
Person 8
Person 9
Person 10
Person 11
Person 12
Person 13
Person 14
Person 15
Person 16

Does your household have a working chest freezer?

Does your household have any working motorized vehicle?

Does your household have a working snow machine?

Does your household have a working ATV?

Does your household have a working truck/car?

Does the cost of gas influence your subsistence activities?

How does the cost of has influence your subsistence activities?

Would you be interested in using an electric vehicle?

If yes, circle all the electric vehicles that would interest you

What do you most often use to cook with?

If they do not mention propane, ask "Do you use propane?"

Are you satisfied with how renewable energy works in your community?

Why, or why not?

If the community could get more renewable energy, what would you like to see?

What do you see as the benefits of having more renewable energy?

First, we are going to ask you about your households' food, water and energy security. Remember, this survey is anonymous!

The responses to the questions below will be:
(1) Strongly Disagree (= low security)
(2) Disagree
(3) Neutral
(4) Agree
(5) Strongly Agree (= high security)

If any response is strongly disagree or disagree, see the follow-up questions below.

Food - F1

Rows	Score
There is typically food at the store

F2

Rows	Score
Food can typically be sent to us (by mail, cargo, etc..)

F3

Rows	Score
Subsistence foods are available at the time of the year when they should be

F4

Rows	Score
We can afford to get the food we need at the store

F5

Rows	Score
We can get the subsistence foods we need, by ourselves or from sharing by others

F6

Rows	Score
We can get food from the store or deliveries all year round

F7

Rows	Score
We can get enough subsistence foods year-round

F8

Rows	Score
The food selection at the store is what we want

F9

Rows	Score
The food selection available through deliveries is what we want

F10

Rows	Score
We can get the subsistence foods we want

F11

Rows	Score
The quality of our store foods is high

F12

Rows	Score
The quality of our subsistence foods is high

Water - W1

Rows	Score
There is typically water available to meet our drinking needs

W2

Rows	Score
There is typically water available to meet our sanitation needs (bathing, washing, toothbrushing, etc...)

W3

Rows	Score
Our household can use water indoors whenever we need to

W4

Rows	Score
We can afford to pay our water bill or have water hauled

W5

Rows	Score
Our household's plumbing works reliably. If there is no indoor plumbing, the washeteria works reliably.

W6

Rows	Score
We are able to get drinking water year-round

W7

Rows	Score
We can use the sink or toilet year-round. If there is no indoor plumbing, the washeteria can be used year-round.

W8

Rows	Score
We are happy with how we get our water

W9

Rows	Score
We are happy with the quality of the water we get

W10

Rows	Score
We are happy with our sanitation services

Energy-E1

Rows	Score
The fuel station typically has enough gas or propane for us

E2

Rows	Score
There is electricity available at our house

E3

Rows	Score
Heat for the house is available when we need it

E4

Rows	Score
We can afford the gas we need

E5

Rows	Score
We can afford the electricity we need

E6

Rows	Score
We can afford to heat our house

E7

Rows	Score
The supply of gas is reliable

E8

Rows	Score
The supply of electricity is reliable

E9

Rows	Score
During the winter our house is at a comfortable temperature

E10

Rows	Score
We can get the fuel we want (ie: heating oil, gas, propane)

E11

Rows	Score
I like the kind of heat used to heat my home

E12

Rows	Score
I am happy with the quality of the fuel in town

E13

Rows	Score
The electrical supply meets our needs

F1. You disagreed with the statement "there is typically food at the store". Why?

F2. You disagreed with the statement "Food can typically be sent to us (by mail, cargo, etc..)". Why?

F3. You disagreed with the statement "Subsistence foods are available at the time of the year when they should be". Why?

F4. You disagreed with the statement "We can afford to get the food we need at the store". Why?

F5. You disagreed with the statement "We can get the subsistence foods we need, by ourselves or from sharing by others". Why?

F6. You disagreed with the statement "We can get food from the store or deliveries all year round". Why?

F7. You disagreed with the statement "We can get enough subsistence foods year-round". Why?

F8. You disagreed with the statement "The food selection at the store is what we want". Why?

F9. You disagreed with the statement "The food selection available through deliveries is what we want". Why?

F10. You disagreed with the statement "We can get the subsistence foods we want". Why?

F11. You disagreed with the statement "The quality of our store foods is high". Why?

F12. You disagreed with the statement "The quality of our subsistence foods is high". Why?

W1. You disagreed with the statement "There is typically water available to meet our drinking needs". Why?

W2. You disagreed with the statement "There is typically water available to meet our sanitation needs (bathing, washing, toothbrushing, etc...)". Why?

W3. You disagreed with the statement "Our household can use water indoors whenever we need to". Why?

W4. You disagreed with the statement "We can afford to pay our water bill or have water hauled". Why?

W5. You disagreed with the statement "Our household's plumbing works reliably. If there is no indoor plumbing, the washeteria works reliably". Why?

W6. You disagreed with the statement "We are able to get drinking water year-round". Why?

W7. You disagreed with the statement "We can use the sink or toilet year-round. If there is no indoor plumbing, the washeteria can be used year-round". Why?

W8. You disagreed with the statement "We are happy with how we get our water". Why?

W9. You disagreed with the statement "We are happy with the quality of the water we get". Why?

W10. You disagreed with the statement "We are happy with our sanitation services". Why?

E1. You disagreed with the statement "The fuel station typically has enough gas or propane for us". Why?

E2. You disagreed with the statement "There is electricity available at our house". Why?

E3. You disagreed with the statement "Heat for the house is available when we need it". Why?

E4. You disagreed with the statement "We can afford the gas we need". Why?

E5. You disagreed with the statement "We can afford the electricity we need". Why?

E6. You disagreed with the statement "We can afford to heat our house". Why?

E7. You disagreed with the statement "The supply of gas is reliable". Why?

E8. You disagreed with the statement "The supply of electricity is reliable". Why?

E9. You disagreed with the statement "During the winter our house is at a comfortable temperature". Why?

E10. You disagreed with the statement "We can get the fuel we want (ie: heating oil, gas, propane)". Why?

E11. You disagreed with the statement "I like the kind of heat used to heat my home". Why?

E12. You disagreed with the statement "I am happy with the quality of the fuel in town". Why?

E13. You disagreed with the statement "The electrical supply meets our needs". Why?

So now we are going to talk about potential connections among food, water, and energy and community life. Like before we will go through a few questions and ask you to respond either with:
(1) Strongly Disagree (= no connection)
(2) Disagree
(3) Neutral
(4) Agree
(5) Strongly Agree (= high connection)

Rows	Score
N1. The amount of water available affects our ability to grow, process or prepare our food. Examples include cooking, canning, gardening, fish cleaning, etc...
N2. Our availability of water influences how often we do laundry or where we do laundry
N3. Our water choices are affected by the energy costs associated with water use
N4. The cost of gas, electricity or propane influence my food choices
N5. When I have access to nutritious food my health is better
N6. My health affects my ability to get the food I want
N7. Limited water affects my health

Of the three (food, water and energy), which do you feel MOST secure in?

Of the three (food, water and energy), which do you feel LEAST secure in?

What else influences your household's food, water and energy security?

How do food, water and energy affect other aspects of your household?

If you could improve food, water and energy security in your community what would you do?

How would you be affected if hydropower was no longer available for Cordova? Why or why not? How?

How would you be affected if the biomass program no longer exited in Tanana? Why or why not? How?

If the turbines stopped operating in Kongiganak would you be affected? Why or why not? How?

In the last year did any member of your household above the age of 16 earn money from a job or self employment?

Please link the IDs to the ones previously collected in Questions 2 and 3. So when talking about Adult 1 in questions 2, put down Adult 1. If someone has more than one job, put down the number of jobs they had (2 part time jobs = 2)

Rows	ID	Full Time	Part Time/Seasonal	Shift - Full Time	On Call, Varies	Shift - Part Time	No Job
Person 1
Person 2
Person 3
Person 4
Person 5
Person 6
Person 7
Person 8
Person 9
Person 10
Person 11
Person 12

Does your household receive any energy assistance such as Low-Income Home Energy Assistance Program (LIHEAP)?

Does your household receive food stamps or SNAP assistance?

Did your household use SNAP to purchase any equipment or fuel for subsistence?

Is there anything that we have missed? Is there anything you would like to talk more about?

Did members of your household use equipment like boats, snowmachines, or ATVs for subsistence activities?

Please identify which equipment you used and estimate how many weeks your household used the equipment each month.

Rows	Did you use this in the previous year?	Jan	Feb	Mar	Apr	May	Jun	Jul	Aug	Sep	Oct	Nov	Dec	On average, how many gallons a week of gas did you use when using this machine?
Boat	8
Snowmachine	9
ATV	10
Car or Truck	11
Generator at camp	12
Chainsaw	13

Please identify which equipment, if any, you used to harvest the following resources

Rows	Fish	Marine Mammals	Moose	Caribou	Small Land Mammals	Birds and Eggs	Plants and Berries	Wood
Boat	14	15	16	17	18	19	20	21
Snowmachine	22	23	24	25	26	27	28	29
ATV	30	31	32	33	34	35	36	37
Car or Truck	38	39	40	41	42	43	44	45
Generator at camp	46	47	48	49	50	51	52	53
Chainsaw	54	55	56	57	58	59	60	61

Village Survey

Background Questions

Renewable Energy And Your Community

Security Assessment

Community Specific Question

Economics

Optional - energy and equipment costs