Miccosukee Tribe of Indians of Florida Community Survey Question Title * 1. What is your age? Question Title * 2. How do you identify? Male Female Other Question Title * 3. Is English your first language? Yes No Question Title * 4. How do you currently receive information from the Tribe? (please select all that apply) Email Phone call Postal mail Text Message Facebook Instagram Twitter Posters Website Newsletter Flyers Billboard Community event Local radio station Local Television Other (please specify) Question Title * 5. How do you like to receive information? (Please select on the scale below, with 1 being don't like at all to 5 being like a lot.) 1=Don't Like 2 3= Neutral 4 5=Like A Lot Email Email 1=Don't Like Email 2 Email 3= Neutral Email 4 Email 5=Like A Lot Phone call Phone call 1=Don't Like Phone call 2 Phone call 3= Neutral Phone call 4 Phone call 5=Like A Lot Postal mail Postal mail 1=Don't Like Postal mail 2 Postal mail 3= Neutral Postal mail 4 Postal mail 5=Like A Lot Text Message Text Message 1=Don't Like Text Message 2 Text Message 3= Neutral Text Message 4 Text Message 5=Like A Lot Facebook Facebook 1=Don't Like Facebook 2 Facebook 3= Neutral Facebook 4 Facebook 5=Like A Lot Instagram Instagram 1=Don't Like Instagram 2 Instagram 3= Neutral Instagram 4 Instagram 5=Like A Lot Twitter Twitter 1=Don't Like Twitter 2 Twitter 3= Neutral Twitter 4 Twitter 5=Like A Lot Posters Posters 1=Don't Like Posters 2 Posters 3= Neutral Posters 4 Posters 5=Like A Lot Newsletter Newsletter 1=Don't Like Newsletter 2 Newsletter 3= Neutral Newsletter 4 Newsletter 5=Like A Lot Website Website 1=Don't Like Website 2 Website 3= Neutral Website 4 Website 5=Like A Lot Newpaper Newpaper 1=Don't Like Newpaper 2 Newpaper 3= Neutral Newpaper 4 Newpaper 5=Like A Lot Flyers Flyers 1=Don't Like Flyers 2 Flyers 3= Neutral Flyers 4 Flyers 5=Like A Lot Billboards Billboards 1=Don't Like Billboards 2 Billboards 3= Neutral Billboards 4 Billboards 5=Like A Lot Local Television Local Television 1=Don't Like Local Television 2 Local Television 3= Neutral Local Television 4 Local Television 5=Like A Lot Community event Community event 1=Don't Like Community event 2 Community event 3= Neutral Community event 4 Community event 5=Like A Lot Local Radio Local Radio 1=Don't Like Local Radio 2 Local Radio 3= Neutral Local Radio 4 Local Radio 5=Like A Lot Other (specify below): Other (specify below): 1=Don't Like Other (specify below): 2 Other (specify below): 3= Neutral Other (specify below): 4 Other (specify below): 5=Like A Lot Other (please specify) Question Title * 6. Do you receive flyers from the Tribe? Yes No Not Sure Question Title * 7. Do you read the flyers from the Tribe? All the time Sometimes Never I don't receive the flyers Question Title * 8. Do you know about all the services provided by the Tribe? Yes No Not Sure Question Title * 9. What days are the health clinic open to the community? Monday through Friday Monday through Saturday Monday through Sunday Not Sure Question Title * 10. What hours are the health clinic open to the community? 8:00 a.m. - 4:30 p.m. 7:00 a.m. - 5:00 p.m. 8:00 a.m. - 11:00 p.m. 7:00 a.m. - 7:00 p.m. Not Sure Next
