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Mahalo for agreeing to participate in a brief survey about Waipa Foundation. We are hoping to understand the impacts that Waipa has had over the time that it has been in operation. Your responses will be kept confidential and put together as part of a group. You will be given the choice at the end to allow us to quote what you have shared in our report. If you have any questions about the impact study or would like the findings shared with you, please contact Aukahi Austin Seabury (808)224-7130 aukahiaustin@gmail.com or the Waipā Foundation.

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* 1. Name

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* 2. Age

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* 3. Gender

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* 4. Zipcode

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* 5. Ethnicities (Please enter all that apply)

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* 6. Are you Native Hawaiian?

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* 7. How did you first come in contact with Waipa Foundation?

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* 8. How long have you been connected with Waipa?

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* 9. What events, activities, or relationships have you participated in with Waipa? (Mark ALL that apply)

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* 10. What years were you at Waipa? (Check all that apply)

Please rate how true each of the following statements are for you:

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* 11. I feel a strong sense of belonging in (or connection to) my community

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* 12. I have a sense of kuleana (responsibility) to the people in my community

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* 13. I feel that I have kuleana to mālama (take care of) the `āina (land & resources) where I live

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* 14. I feel hopeful about the future of our community

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* 15. I think of Waipa as a leader in 'āina-based community building

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* 16. How much has Waipa made it easier to get poi or locally grown food?

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* 17. How much has Waipa inspired you to eat more locally grown food?

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* 18. How much has Waipa inspired you to grow, catch, or gather your own food?

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* 19. How much has Waipa impacted life for you and your 'ohana

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* 20. Describe the impacts Waipa has had on you and your 'ohana, the land, and/or the community

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* 21. What are three words you would use to describe Waipa?

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* 22. If you could say anything to the staff and volunteers at Waipa, what would you want them to know?

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