American Indian Community & Men’s Mental Health and Well-being Needs Survey
We are conducting a survey to help us better understand how the coronavirus (COVID-19) pandemic is affecting the physical, emotional, spiritual, and mental health of the Native American population in your community, especially men and boys. Your feedback is valuable to us and will help us come up with strategies to help understand and address the community's and men’s mental health and well-being needs.
Please note that this survey is anonymous, so feel free to be honest and open about your own experiences. It takes about 5-10 minutes to complete. If you have any questions, comments, and/or would like to get in contact with us, please reach out to either
Susan Gay, program coordinator, via email at sgay@spthb.org,
or
Idalmi Deleon, program assistant, via email at ideleon@spthb.org
. Thank you for participating!
1.
Please list the
city
and
state
where you are currently living:
2.
Are you a tribal member?
Yes
No
3.
What is your gender?
Male
Female
If other, please share
4.
According to the MentalHealth.gov website, “mental health refers to our emotional, psychological, and social well-being. It affects how we think, feel, and act.” Currently, which of the following have
the people in your community
experienced as a result of COVID-19?
Check all that apply.
Alcohol and substance use
Anger
Anxiety and panic attacks
Depression and hopelessness
Difficulty not being able to gather with family and friends or for cultural activities
Difficulty sleeping, such as insomnia
Domestic violence
Grief
Loneliness
Resiliency
Sexual abuse
Social connectedness/family bonding
Stress
Suicidal ideation (feelings or thoughts of suicide)
Trauma, such as post-traumatic stress disorder (PTSD)
If other, please share
5.
Could you share an example of how COVID-19 has affected
your community
?
6.
Currently, which of the following have
American Indian boys and men
in your community experienced as a result of COVID-19?
Check all that apply.
Alcohol and substance use
Anger
Anxiety and panic attacks
Depression and hopelessness
Difficulty not being able to gather with family and friends or for cultural activities
Difficulty sleeping, such as insomnia
Domestic violence
Grief
Loneliness
Resiliency
Sexual abuse
Social connectedness/family bonding
Stress
Suicidal ideation (feelings or thoughts of suicide)
Trauma, such as post-traumatic stress disorder (PTSD)
If other, please share
7.
Do you have an example of how COVID-19 has affected
the men and boys
of your community? If so, please tell us.
8.
How has COVID-19 affected
your life
? Please provide us with some examples if possible.
9.
What has been a source of
strength
that has helped you cope during the COVID-19 pandemic?
10.
Which of the following options do you think will help to address or improve the mental health and well-being needs of your community?
Check all that apply.
Work together with local agencies and businesses.
Disseminate brochures, flyers, etc. about available mental health resources in the community.
Host or sponsor virtual community events, such as talking circles, cultural activities, etc.
Host or sponsor trainings, workshops, or webinars for community members.
If other, please share
11.
Which of the following topics would you be interested in when it comes to providing trainings, workshops, or webinars
for your community
? Check all that apply.
Alcohol and substance use prevention
Anger management
Anxiety and panic attacks
Coping skills
Cultural activities and/or trainings
Domestic violence
Depression and hopelessness
Gambling addiction prevention
Grief
Parenting
Resiliency and trauma
Self-care
Stress management
Suicide prevention
If other, please share
12.
Which of the following topics would you be interested in when it comes to providing trainings, workshops, and webinars for the
AI men and boys
in your community?
Check all that apply.
Alcohol and substance use prevention
Anger management
Anxiety and panic attacks
Coping skills
Cultural activities and/or trainings
Domestic violence
Depression and hopelessness
Gambling addiction prevention
Grief
Job/career workshops
Parenting
Resiliency and trauma
Self-care
Social or group activities
Stress management
Suicide prevention
If other, please share
Thank you for your participation in this survey!
Current Progress,
0 of 12 answered
