Black Mesa Community Survey
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1a.  Gender
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1b.  Age 
2. Marital Status 
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3. Race/Ethnicity
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4. Education
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5. How many individuals are in your home?
6. How many generations are in your household?
7a. How many school aged children are in your household
7b. If you do have school aged children in your household, what school will/are they attending?
8. What is the primary language in your household?
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9. What is your total household income
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10. Which best describes your employment status?
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11. Are you or anyone in your household a veteran?
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12. Do you currently
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13. Is your home 
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14. What type of structure is your home?
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15. Does your home currently have the following
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16. Does your home have the following utilities and/or heating source?
17a. Do you have an existing agricultural crop?
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17b. If yes, what type(s)?
18a. Do you currently have a garden that cultivates food? 
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18b. If no, would this be of some interest for your household?
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18c. If a garden would be of interest, are there any barriers preventing you from growing a small garden?
19. Do you currently have livestock?
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20a. Are you awaiting grazing reissuance?
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20b. If yes, who would hold the permit?
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21a. What commercial services would you like to see in Black Mesa?
21b. If other, identify services
22. Where are you currently accessing shopping services? 
23. How far do you have to travel for commercial/shopping/retail?
24. What types of activities do you engage in for recreation?
25a.  What would you like to see in Black Mesa?
25b. If other, what activity would like to see? 
25c. If a walking trail was built, would you use it?
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25d. Why or why not?
26a. If Black Mesa provided a community cemetery, would you use it?
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26b. If no, why not? 
26c. Do you have a family Burial Site? 
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26d. Location of Family Burial Site 
27. Would you support a cultural center in Black Mesa that offered space/classes/programs focused on cultural preservation?
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28a. If cultural center was established in Black Mesa, what types of cultural practices/traditions would you like to see in the program?
28b. Explain if Other is checked.
29. What do you feel is a tradition, practice, or teaching that need be revitalized/preserved?
30. How do we improve the quality of livestock? (Sheep/Cattle/Horse) What are some Traditional teachings from livestock ownerships? Penned livestock?
31a. Do your feel the COVID-19 pandemic impacted your ability to use land for cultural and traditional practices?
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31b. If yes, how? Please explain
32. Do you feel the COVID-19 pandemic has impacted your ability to use land (community) for cultural or traditional practices? If yes, how?
33. How has the Peabody mine closure impacted your life?
34. How has issues related to NPL impacted your life?
35. Are there any other impacts you are concerned about?
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