Monacan Indian Nation Housing Assessment
Household Screener
Email *
How would you prefer to be contacted about important Tribal information? Email (must provide valid email address), Online Services (Monacan website or social media platforms), or Mail (must provide valid and current mailing address). *
Respondent's Age Group *
Respondent's ethnic/racial affiliation(s). Mark all that apply. *
Tribal Affiliation *
If Enrolled, please specify which Tribe or Nation.
County of Residence *
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