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2011
April
D
Dine Ba Hozho Coalition - 4/11
Dine Ba Hozho Coalition - 4/11
Thank you for taking 5 minutes to complete this online survey. Your responses help us accurately report to our federal funders, and your answers are not associated with your name or email.
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1. How long have you been involved with the Dine’ Ba’ Hozho Coalition, (including our previous name, Anti-Meth Task Force)? Note: Be sure to indicate months/years.
2. Our two main goals are: (1) increased
collaboration
surrounding health and wellness, and (2)
decreased drug and alcohol use among teens
in and around Shiprock. How well do our monthly meetings reflect each of these goals?
Not at all
Somewhat
Very much so
Collaboration
Decreased drug and alcohol use among teens
3. Do you support our meeting format? (Please write yes or no in the box, and any suggestions you might have.)
4. Are you aware that you can call or email the “core team” anytime with suggestions and comments?
Yes
No
5. Right now the “core team” votes on important decisions related to funding and changes in strategies. Do you support this system?
Yes
No
Unsure - would like more information
6. Positive Community Norms (MOST of Us®) is one strategy of the Coalition. Do you have enough information on how this initiative works?
Yes
Somewhat
No
7. Do you believe the larger community in Shiprock is favorable about having Positive Community Norms in the schools and in the community?
Yes
Somewhat
No
Need more information
8. Would your organization be willing to sign an updated “Memorandum of Understanding” so that we can formally show your support to our funders?
Yes
No
Unsure
9. Please check all that apply, to identify who you represent when you share your opinions at our meetings:
schools
private business
government (US or Tribal)
behavioral health
prevention
higher education
housing
senior citizens
youth
veterans
youth serving organization
employment support
health and wellness
medical
parents
law enforcement
Other
10. How much do you support having a “strategic planning” session with a facilitator from outside the Shiprock area?
Not at all
Somewhat
Very much so
Unsure - would like more information
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