Indigenous Populations Health Awareness Survey
Help us understand health awareness and challenges within indigenous communities. Your responses are confidential and will support better health initiatives.
Full Name
*
First Name
Last Name
Age
*
Gender
*
Female
Male
Non-binary
Prefer not to say
Other
Community/Tribe Name
*
What is your highest level of education?
*
Please Select
No formal education
Primary school
Secondary school
High school
College/University
Other
How would you rate your current knowledge of health topics (such as nutrition, hygiene, disease prevention)?
*
1
2
3
4
5
Where do you usually get information about health? (Select all that apply)
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Community health workers
Local clinics/hospitals
Family or elders
School/education programs
Internet/social media
Radio/TV
Other
Please indicate how much you agree or disagree with the following statements about health practices in your community.
*
Rows
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Traditional health practices are important in my community.
1
2
3
4
5
Modern medicine is trusted by most people here.
6
7
8
9
10
There is enough information available about disease prevention.
11
12
13
14
15
People in my community are open to health education.
16
17
18
19
20
What are the biggest health challenges faced by your community? (Select all that apply)
*
Access to healthcare facilities
Clean water and sanitation
Nutrition and food security
Chronic diseases (e.g., diabetes, heart disease)
Infectious diseases
Mental health support
Health education
Other
What barriers prevent you or your community from accessing health services? (Select all that apply)
*
Distance to health facilities
Lack of transportation
Cost of services
Language barriers
Cultural beliefs
Lack of trust in health providers
Other
What suggestions do you have to improve health awareness and services in your community?
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