Nepali Community Needs Assessment

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Nepal Seattle Society has been working with the CDC Foundation since June of 2021 to increase vaccination in our community. Through this project, we are also hoping to create an infrastructure to prepare for future issues like the pandemic. The data collected from this survey will be confidential and only be used for advocating for the needs of the Nepali community primarily residing in Washington.

Your participation in this survey is completely voluntary, and it will only take 3 minutes to fill this survey.

Privacy: All of the information will remain confidential and protected in the Nepal Seattle Society Database and will not be shared publicly.

Your Email (Optional)

Your Zipcode: *

What is your Age? *

<18

18-24

24-35

35-45

45-55

55-65

>65

What is your Gender? *

Male

Female

Prefer not to say

Other:

Do you have Health Insurance? *

Yes

Do you Have a Family Doctor or Primary HealthCare Provider that you Visit Regularly? *

Yes

Do you Take the Flu Shot Every Year? *

Yes

How many Doses of COVID Vaccine Did you Get? *

None

First Dose

Second Dose

First and Second Dose with Booster

Do you/your Family Have a Family History of Diabetes, Heart Attack, and Cancer? *

Yes

In the Last Week, How Many Times Did You Participate in Exercise ( Such as Jogging, Gym, Walking, Playing Sports, Weightlifting, Fitness Classes)? *

Everyday

2 to 3 Times

Once a Week

Never

What Type of Meal Do you Primarily Eat? *

Freshly Home Cooked

Restaurant Meal

Fast Food

PreCooked/Microwavable

How Much of Your Diet Consists of Vegetables and Non-Animal Products? *

90% or more

75%

50%

25%

Less than 25%

Do you Have Eating Disorders, Mood Swings, Anxiety Disorders or Obsessive-Compulsive DIsorders? *

Yes

Over the Last Two Weeks Have you Felt Bad About Yourself? *

Not at All

Occasionally

Several Days

Nearly Everyday

Do You Have Difficulty Expressing Your Health Concerns/ Experience Language Barriers During Your Clinic VIsits? *

Yes

Please Identify the Three Most Important Health Issues in Our Community. *

Aging Issues Such as Alzheimer's disease, Hearing Loss, Memory Loss or Arthritis

Diabetes

Heart Disease/Heart Attack

Infectious/Contagious Disease Such as Flu, Pneumonia, Food Poisioning

Mental Health Issues Such as Depression, Hopelessness, Anger etc.

Obesity/Overweight

Sexually Transmitted Infections

Required

Thank you for Filling Out Our Survey! Please Feel Free to Use this Section as General Comments and Feedback About this Process. If we Have Missed Any HealthCare Need in your Community Please Mention it Here As Well.

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