Social Indicators Arctic Survey 2014

Social Indicators in Coastal Alaska: Arctic Communities

Consent Form

CONSENT TO PARTICIPATE IN RESEARCH

You are asked to participate in a research study conducted by Stephen Braund & Associates for the U.S. Department of the Interior, the Bureau of Ocean Energy Management or BOEM for short. BOEM is responsible for managing offshore energy exploration and development. BOEM’s responsibilities include monitoring the impacts of development on North Slope residents and taking steps to reduce any impacts.

PURPOSE OF THE STUDY

The purpose of the Social Indicators Study is to measure the well-being of North Slope residents so that any impacts of offshore oil and gas exploration and development can be identified and mitigated.

PROCEDURES

Your participation in this research project is voluntary. The interview is anonymous and takes about 1 hour. We will pay you $50 for your participation. If we get to a question that you don’t wish to answer, just say “pass.”

POTENTIAL RISKS AND DISCOMFORTS

You may feel uncomfortable with some of the questions in this survey. We have placed the most sensitive questions in a self-administered part of the interview. We also use cue cards so that you can give your answers by selecting a letter indicating your response choice. As noted above, if we get to a question that you don’t wish to answer, just say “pass.” We will not identify you or your household.

ANTICIPATED BENEFITS TO SUBJECTS

The 1953 OCS Lands Act requires BOEM to monitor and assess, and if possible mitigate, impacts of resource development on the human environment. This study will produce baseline data to accomplish this legal requirement. It may help BOEM to avoid or reduce impacts of development. However, you should not expect to benefit directly from participation in this research. You are important to the goal of building an accurate picture of well-being on the North Slope. Are you willing to be interviewed?

► Yes ► No If NO, stop interview. If YES, read the Paperwork Reduction Act Statement.

Contact Information: Principal Investigator: Stephen R Braund, 308 G St, Suite 323, Anchorage, AK 99501, (907) 276-8222, srba@alaska.net .

Bureau of Ocean Energy Management or BOEM, 3801 Centerpoint Drive, Suite 500, Anchorage, AK 99503, Attention: Chris Campbell, Contract No. M11PC00032, (907) 334-5264, Chris.Campbell@boem.gov.

PAPERWORK REDUCTION ACT OF 1995 (PRA) STATEMENT: The PRA (44 U.S.C. 3501 et. seq.) requires us to inform you that we collect this information to obtain knowledge of subsistence issues in coastal Alaska communities and how they relate to future oil and gas drilling. Responses are voluntary. An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB Control Number. The number for this survey is 1010-NEW. Public reporting burden for this study is estimated to average 1 hour per response. You may direct comments regarding the burden estimate or any other aspect of this form to the Information Collection Clearance Officer, Bureau of Ocean Energy Management, Mail Stop HM-3127, 381 Elden Street, Herndon, VA 20170.

Social Indicators in Coastal Alaska: Arctic Communities

Contract No. M11PC00032

OMB Control Number 1010-NEW

Expiration Date: xx/xx/20xx

This questionnaire was compiled with direct involvement and input from the North Slope Management Board, an Iñupiaq review board the study team formed for this project that is comprised of representatives from the six study communities and the North Slope Borough. It correlates with the SLiCA survey and the international Arctic Social Indicator Project as noted in the supporting statement.

Stephen R. Braund & Associates

P.O. Box 1480

Anchorage, AK 99510

Under contract with

U.S. Department of the Interior

Bureau of Ocean Energy Management

Alaska OCS Region

Environmental Sciences Management Section

3801 Centerpoint Drive, Suite 500

Anchorage, Alaska 99503

For Additional Information about this Project

Principal Investigator: Stephen R. Braund, 308 G St, Suite 323, Anchorage, AK 99501, (907) 276-8222, srba@alaska.net .

Bureau of Ocean Energy Management or BOEM, 3801 Centerpoint Drive, Suite 500, Anchorage, AK 99503, Attention: Chris Campbell, Contract No. M11PC00032, (907) 334-5264, Chris.Campbell@boem.gov .

NA = not ascertained; INAP = inappropriate

SECTION A: SOCIAL INDICATORS OF ECONOMIC WELL-BEING

A1. I’d like to ask you about your hunting, fishing, trapping, and gathering activities in the past 12 months. (HAND R CARD ONE) Looking at this card, please tell me the letters of any of the activities you did in the last 12 months (ALSO CIRCLE APPROPRIATE LETTERS ON SEPARATE A1 SHEET):

1. YES 2. NO 9. NA

□ □ □ a. Captained a whaling crew?

□ □ □ b. WAS A Member of a whaling crew?

□ □ □ c. Skinned and butchered a seal?

□ □ □ d. Skinned and butchered a caribou?

□ □ □ e. Skinned and butchered another animal?

□ □ □ f. Helped whaling crews by cooking,

giving money or supplies, cutting meat?

□ □ □ g. Sewed skins, maDe parkas, kamiks or other

traditional clothing?

□ □ □ h. Made sleds or boats?

□ □ □ i. Hunted caribou, moose, or sheep?

□ □ □ j. Hunted seal or ugruk?

□ □ □ k. Hunted walrus?

□ □ □ l. Hunted waterfowl (E.G., DUCKS AND GEESE)?

□ □ □ m. Gathered eggs?

□ □ □ n. Fished?

□ □ □ o. Gathered greens, roots, or other plants?

□ □ □ p. Preserved meat or fish?

□ □ □ q. Trapped?

□ □ □ r. Picked berries?

□ □ □ s. Made Native or traditional handicrafts?

□ □ □ t. HUNTed WOLF OR WOLVERINE?

□ □ □ u. HUNTed POLAR BEAR?

□ □ □ v. HUNTed PTARMIGAN?

A2. In the past 12 months, during which months, if any, did you spend five or more days on the subsistence activities listed above?

OCT

SEP

AUG

JAN

FEB

MAR

APR

NOV

DEC

JUL

JUN

MAY

NO MONTHS

A3. Thinking about the subsistence activities of all the members of your household, how many walrus did your household members harvest in the past 12 months? (CONTINUE WITH OTHER SPECIES)

	SPECIES	NUMBER HARVESTED
A3a	Walrus
A3b	Polar bear
A3c	Bearded seal
A3d	Ringed seal
A3e	Eider
A3f	Caribou
A3g	Broad whitefish
A3h	Geese
A3i	White-fronted goose
A3j	Moose

A4. How many shares of bowhead did your household get from your
household’s participation in bowhead whale hunts in the past 12 months?

SHARES

A5. Think about all the meat and fish your household ate in the past 12 months. How much of this meat and fish was traditional food (e.g., nikipiaq): none, less than half, about half, or more than half?

SKIP TO Q.A8

□ 1. NONE  

□ 2. LESS THAN HALF

□ 3. ABOUT HALF

□ 4. MORE THAN HALF

□ 5. ALL

□ 8. DON'T KNOW

□ 9. NA

A6. Still thinking about all the meat and fish your household ate in the past 12 months, how much did members of your household harvest: none, less than half, about half, or more than half?

□ 1. NONE

□ 2. LESS THAN HALF

□ 3. ABOUT HALF

□ 4. MORE THAN HALF

□ 5. ALL

□ 8. DON'T KNOW

□ 9. NA

□ 0. INAP

A7. And still thinking about all the meat and fish your household ate in the past 12 months, how much of it did your household receive from other households: none, less than half, about half, or more than half?

□ 1. NONE

□ 2. LESS THAN HALF

□ 3. ABOUT HALF

□ 4. MORE THAN HALF

□ 5. ALL

□ 8. DON'T KNOW

□ 9. NA

□ 0. INAP

A8. (HAND R CARD TWO) Please tell me the number on this card that fits how satisfied you are with the amount of fish and game available locally?

□ 1. VERY SATISFIED

□ 2. SOMEWHAT SATISFIED

□ 3. NEITHER SATISFIED NOR DISSATISFIED

□ 4. SOMEWHAT DISSATISFIED

□ 5. VERY DISSATISFIED

□ 8. DON’T KNOW

□ 9. NA

A9. Using the same card, how satisfied are you with the opportunities to hunt and fish?

□ 1. VERY SATISFIED

□ 2. SOMEWHAT SATISFIED

□ 3. NEITHER SATISFIED NOR DISSATISFIED

□ 4. SOMEWHAT DISSATISFIED

□ 5. VERY DISSATISFIED

□ 8. DON’T KNOW

□ 9. NA

A10. Within the past 12 months, how many paid jobs or self-employment jobs did you have?

_______(NUMBER)

□ 99. NA

□ 00. INAP

A11. Thinking about all the paid jobs and self-employment jobs you had in the
last 12 months, how many weeks (out of a total 52 weeks) did you work on a job
in the last 12 months? Include weeks when you were employed but took
subsistence leave or vacation.

A12. And how many of these weeks, if any, did you work on a job associated with oil and gas exploration or development? By jobs associated with oil and gas development, I mean any jobs working for a company or organization that is part of the permitting, exploration, production, transportation, or servicing of oil or gas, including office jobs as well as field jobs, and including such jobs as subsistence coordinator, subsistence advisor, or marine mammal observer.

(IF 0 WEEKS, SKIP TO A14)

A13. Do you know how many of these weeks were on a job related to offshore petroleum exploration or development?

(ASK A14 and A15 ONLY IF WORKED AT MORE THAN ONE JOB)

A14. Of these (NUMBER) jobs, please answer the next set of questions thinking about the job you worked on for the most hours over the last 12 months.

□ 99. NA □ 00. INAP

A15. How many weeks did you work on this job?

(IF A12 IS GREATER THAN ZERO WEEKS)

A16. Was this a job in the oil and gas industry?

□ 1. YES

SKIP TO A18

□ 2. NO 

□ 8. DON’T KNOW 

□ 9. NA

□ 0. INAP

A17. Was this a job related to offshore petroleum exploration or production?

□ 1. YES

□ 2. NO

□ 8. DON’T KNOW

□ 9. NA

□ 0. INAP

A18. (HAND R CARD TWO) Please tell me the number on this card that fits how satisfied you were with this job.

□ 1. VERY SATISFIED

□ 2. SOMEWHAT SATISFIED

□ 3. NEITHER SATISFIED NOR DISSATISFIED

□ 4. SOMEWHAT DISSATISFIED

□ 5. VERY DISSATISFIED

□ 8. DON’T KNOW

□ 9. NA

A19. Using the same card, how satisfied are you with job opportunities in your community?

□ 1. VERY SATISFIED

□ 2. SOMEWHAT SATISFIED

□ 3. NEITHER SATISFIED NOR DISSATISFIED

□ 4. SOMEWHAT DISSATISFIED

□ 5. VERY DISSATISFIED

□ 8. DON’T KNOW

□ 9. NA

MONTHS

A20. In the last 12 months, how many months did you not have a wage job and
wanted one?

□ 99. NA □ 00. INAP

A21. If you could choose, which lifestyle would you prefer: working on a wage job, harvesting or processing your own food, or both?

□ 1. WORKING ON A WAGE JOB

□ 2. HARVESTING OR PROCESSING YOUR OWN FOOD

□ 3. BOTH

□ 8. DON’T KNOW

□ 9. NA

A22. (HAND R CARD TWO) Using Card Two, please tell me how satisfied you are with the combination of activities you do to make a living? (Examples of activities are your job, housework, subsistence, and raising your children)

□ 1. VERY SATISFIED

□ 2. SOMEWHAT SATISFIED

□ 3. NEITHER SATISFIED NOR DISSATISFIED

□ 4. SOMEWHAT DISSATISFIED

□ 5. VERY DISSATISFIED

□ 8. DON’T KNOW

□ 9. NA

A23. D4.(HAND R CARD THREE) Looking at the features on this card, which of the following does your household not have? Please just tell me the letters.

1. HAVE 2. NOT 8. DK 9. NA

HAVE

□ □ □ □ a. a FULL kitchen?

□ □ □ □ b. A BATH OR SHOWER?

□ □ □ □ c. an indoor flushing toilet?

□ □ □ □ d. hot running water?

□ □ □ □ e. central heating or electric storage

HEATERs?

□ □ □ □ f. a natural gas hook-up?

□ □ □ □ g. a place to sit outside

(e.g., a porch, balcony, terrace or garden)

□ □ □ □ h. a LANDLINE telephone OR CELL PHONE?

□ □ □ □ i. stove for cooking?

□ □ □ □ j. smoke detector?

□ □ □ □ k. ELECTRICITY?

□ □ □ □ l. generator?

□ □ □ □ m. carbon monoxide detector?

□ □ □ □ n. cold running water?

□ □ □ □ o. septic tank, sewer connection,

or sewage processor?

□ □ □ □ p. fire exit?

□ □ □ □ q. a view to check the weather?

□ □ □ □ r. a store room?

□ □ □ □ s. ICE CELLAR?

□ □ □ □ t. FREEZER?

□ □ □ □ u. REFRIGERATOR?

□ □ □ □ v. a place to cut meat and fish?

□ □ □ □ w. double glass windows?

□ □ □ □ x. A CONNECTION TO THE INTERNET?

□ □ □ □ y. TELEVISION?

□ □ □ □ z. AN ELECTRONIC GAMING UNIT/DEVICE?

A24. (HAND R CARD FOUR) Looking at the items on this card, did your house have any of these problems in the last 12 months? Please just tell me the letters.

1. YES 2. NO 8. DK 9. NA

□ □ □ □ a. too little space?

□ □ □ □ b. dampness?

□ □ □ □ c. mold or mildew?

□ □ □ □ d. water leaking from the ceiling from

condensation or melting?

□ □ □ □ e. frost on the windows?

□ □ □ □ f. draft from the doors or windows?

□ □ □ □ g. drafts from places other than doors &

WINdows?

□ □ □ □ h. cold floors?

□ □ □ □ i. generally cold?

□ □ □ □ j. stale air – inadequate ventilation?

□ □ □ □ k. shifting of house from active permafrost?

□ □ □ □ l. BROKEN DOORS, STAIRS, PIPES, OR WINDOWS DUE TO SHIFTING FROM PERMAFROST?

□ □ □ □ m. water that is not safe to drink,

at least at some times of the year?

□ □ □ □ n. FROZEN WATER LINE?

□ □ □ □ o. AIR VENT PLUGGED WITH ICE?

A25. How many people are currently living in your household?

PEOPLE

A26. How many of these people, if any, are on a housing waiting list?

PEOPLE

A27. (HAND R CARD TWO) Please tell me the number on this card that fits how satisfied you are with the quality of your housing.

□ 1. VERY SATISFIED

□ 2. SOMEWHAT SATISFIED

□ 3. NEITHER SATISFIED NOR DISSATISFIED

□ 4. SOMEWHAT DISSATISFIED

□ 5. VERY DISSATISFIED

□ 8. DON’T KNOW

□ 9. NA

A28. (HAND R CARD FIVE) For the last 12 months, please tell me the letter on this card that reflects an estimate of what you and other members of your household earned from the sales of carvings, skin clothing, furs, crafts, ivory and other similar goods.

□ A. $1,500 or under

□ B. $1,501 to $5,000

□ C. $5,001 to $8,000

□ D. $8,001 to $12,000

□ E. $12,001 to $16,000

□ F. $16,001 to $23,000

□ G. $23,001 to $28,000

□ H. $28,001 to $37,000

□ I. $37,001 to $50,000

□ J. Above $50,000

□ 99998. DON'T KNOW

□ 99999. NA

A29. Using the same card, please think about the total income you and other members of your household earned from self-employment, a small business, and payment as an expert, over the past 12 months. Please tell me the letter on this card that reflects your estimate of that income.

□ A. $1,500 or under

□ B. $1,501 to $5,000

□ C. $5,001 to $8,000

□ D. $8,001 to $12,000

□ E. $12,001 to $16,000

□ F. $16,001 to $23,000

□ G. $23,001 to $28,000

□ H. $28,001 to $37,000

□ I. $37,001 to $50,000

□ J. Above $50,000

□ 99998. DON'T KNOW

□ 99999. NA

A30. Using the same card, for the last 12 months, think about the total you and other members of your household earned in wages from an employer, before taxes. Please tell me the letter on this card that reflects your estimate of that income.

□ A. $1,500 or under

□ B. $1,501 to $5,000

□ C. $5,001 to $8,000

□ D. $8,001 to $12,000

□ E. $12,001 to $16,000

□ F. $16,001 to $23,000

□ G. $23,001 to $28,000

□ H. $28,001 to $37,000

□ I. $37,001 to $50,000

□ J. Above $50,000

□ 99998. DON'T KNOW

□ 99999. NA

A31. Using the same card, for the last 12 months, think about the total you and other members of your household received from government and other organizations. Please include pensions, dividend checks, public assistance, shareholder dividends, student financial aid, disaster relief. Please tell me the letter on this card that reflects your estimate of that income. (INTERVIEWER HELP RESPONDENT ADD THESE UP IF NECESSARY).

□ A. $1,500 or under

□ B. $1,501 to $5,000

□ C. $5,001 to $8,000

□ D. $8,001 to $12,000

□ E. $12,001 to $16,000

□ F. $16,001 to $23,000

□ G. $23,001 to $28,000

□ H. $28,001 to $37,000

□ I. $37,001 to $50,000

□ J. Above $50,000

□ 99998. DON'T KNOW

□ 99999. NA

A32. Using the same card, for the last 12 months, please think about the total household income you and all other members of your household earned or received from other sources. Please tell me the letter on this card that reflects your estimate of that income.

□ A. $1,500 or under

□ B. $1,501 to $5,000

□ C. $5,001 to $8,000

□ D. $8,001 to $12,000

□ E. $12,001 to $16,000

□ F. $16,001 to $23,000

□ G. $23,001 to $28,000

□ H. $28,001 to $37,000

□ I. $37,001 to $50,000

□ J. Above $50,000

□ 999998. DON'T KNOW

□ 999999. NA

A33. Using the same card, for the last 12 months, please tell me the letter on this card that reflects an estimate of your total personal income, before taxes?

□ A. $1,500 or under

□ B. $1,501 to $5,000

□ C. $5,001 to $8,000

□ D. $8,001 to $12,000

□ E. $12,001 to $16,000

□ F. $16,001 to $23,000

□ G. $23,001 to $28,000

□ H. $28,001 to $37,000

□ I. $37,001 to $50,000

□ J. Above $50,000

□ 999998. DON'T KNOW

□ 999999. NA

A34. (HAND R CARD TWO) Please tell me the number on this card that fits how satisfied you are with your household income?

□ 1. VERY SATISFIED

□ 2. SOMEWHAT SATISFIED

□ 3. NEITHER SATISFIED NOR DISSATISFIED

□ 4. SOMEWHAT DISSATISFIED

□ 5. VERY DISSATISFIED

□ 8. DON’T KNOW

□ 9. NA

A35. Using the same card, how satisfied are you with the availability of goods in local stores?

□ 1. VERY SATISFIED

□ 2. SOMEWHAT SATISFIED

□ 3. NEITHER SATISFIED NOR DISSATISFIED

□ 4. SOMEWHAT DISSATISFIED

□ 5. VERY DISSATISFIED

□ 8. DON’T KNOW

□ 9. NA

A36. Using the same card, how satisfied are you with transportation to and from your community?

□ 1. VERY SATISFIED

□ 2. SOMEWHAT SATISFIED

□ 3. NEITHER SATISFIED NOR DISSATISFIED

□ 4. SOMEWHAT DISSATISFIED

□ 5. VERY DISSATISFIED

□ 8. DON’T KNOW

□ 9. NA

A37. Using the same card, how satisfied are you with the cost of living in your community?

□ 1. VERY SATISFIED

□ 2. SOMEWHAT SATISFIED

□ 3. NEITHER SATISFIED NOR DISSATISFIED

□ 4. SOMEWHAT DISSATISFIED

□ 5. VERY DISSATISFIED

□ 8. DON’T KNOW

□ 9. NA

A38. Using the same card, how satisfied are you with your standard of living? I mean goods and services which one can buy like housing, clothing, food, cars, vacation, travel. How satisfied are you, overall, with your standard of living?

□ 1. VERY SATISFIED

□ 2. SOMEWHAT SATISFIED

□ 3. NEITHER SATISFIED NOR DISSATISFIED

□ 4. SOMEWHAT DISSATISFIED

□ 5. VERY DISSATISFIED

□ 8. DON’T KNOW

□ 9. NA

A39. Is your household able to make ends meet, with great difficulty, some difficulty, fairly easily, or very easily?

□ 1. WITH GREAT DIFFICULTY

□ 2. SOME DIFFICULTY

□ 3. FAIRLY EASILY

□ 4. VERY EASILY

□ 8. DON’T KNOW

□ 9. NA

SECTION B: SOCIAL INDICATORS OF CULTURAL CONTINUITY

B1. I’d like to read a list of values that may be important to maintaining your identity. For each one, please tell me the number on this card (HAND R CARD SIX) that best fits your choice.

	1. VERY IMPORTANT	2. IMPORTANT	3. NOT VERY IMPORTANT	4. NOT AT ALL IMPORTANT	8. DK	9. NA
a. Use of Iñupiaq?
b. Sharing and helping?
c. Respect for others?
d. Cooperation?
e. Respect for Elders?
f. Love for Children?
g. Hard work?
h. Knowledge of your family tree?
i. Avoidance of conflict?
j. Respect for nature?
k. Spirituality?
l. Humor?
m. Family Roles?
n. Eating traditional or wild foods?
o. Hunting and Fishing?
p. Preserving of traditional or wild foods?

B2. Now I’d like to ask about the same list of values, but this time ask you to tell me how satisfied you are with the job your community is doing in promoting each of these values. For each one I read, please tell me the number on this card (HAND R CARD TWO) that best fits your choice.

	1. VERY SATISFIED	2. SOMEWHAT SATISFIED	3. NEITHER SATISFIED NOR DISSATISFIED	4. SOMEWHAT DISSATISFIED	5. VERY DISSATISFIED	8. DK	9. NA
a. Use of Iñupiaq?
b. Sharing and helping?
c. Respect for others?
d. Cooperation?
e. Respect for Elders?
f. Love for Children?
g. Hard work?
h. Knowledge of your family tree?
i. Avoidance of conflict?
j. Respect for nature?
k. Spirituality?
l. Humor?
m. Family Roles?
n. Eating traditional or wild foods?
o. Hunting and Fishing?
p. Preserving of traditional or wild foods?

B3. Using this card, please tell me how would you rate your ability to understand, speak, read, and write Iñupiaq? (HAND R CARD SEVEN) Just tell me the number that best describes your ability to:

	1. VERY WELL	2. RELATIVELY WELL	3. WITH EFFORT	4. A FEW WORDS	5. NOT AT ALL	9. NA
a. Understand?
b. Speak?
c. Read?
d. Write?

SECTION C: SOCIAL INDICATORS OF EDUCATION

C1. Now I’d like to ask about your education. I’d like to start by talking with you more about your traditional education. (HAND R CARD EIGHT) Looking at the items on this card, Which—if any—of these things did you learn how to do while you were growing up? Please just tell me the letters on the card.

1. YES	2. NO	9. NA
□	□	□	a. Serve on a whaling crew?
□	□	□	b. Hunt and Fish?
□	□	□	c. Hunt seal?
□	□	□	d. Drive a snowmachine?
□	□	□	e. Learn when the berries are ripe and where to find them?
□	□	□	f. Fix a snowmachine?
□	□	□	g. Read the weather?
□	□	□	h. Overnight on the land?
□	□	□	i. Name the different types of snow in Iñupiaq?
□	□	□	j. Skin and butcher a caribou?
□	□	□	k. Skin and butcher a seal?
□	□	□	l. Skin and butcher another animal?
□	□	□	m. Preserve meat and fish?
□	□	□	n. Take care of and sew skins?
□	□	□	o. Make sleds or boats?
□	□	□	p. Cook and prepare traditional or wild foods?
□	□	□	q. Learn the names of past generations of relatives?
□	□	□	r. Make traditional clothing?
□	□	□	s. Repair traditional clothing?
□	□	□	t. Learn stories passed on by your parents and grandparents?
□	□	□	u. Make Native or traditional arts and crafts?
□	□	□	v. Learn traditional dances and drumming?
□	□	□	w. Learn traditional songs?
□	□	□	x. Navigate at sea?
□	□	□	y. Take care of and handle a dog team?
□	□	□	z. Make and maintain an ice cellar?
□	□	□	aa. Protect land and resources?

C2. What is the highest level of schooling or training you have completed?

□ 02. LESS THAN ELEMENTARY/PRIMARY SCHOOL

□ 03. ELEMENTARY/PRIMARY SCHOOL

□ 04. SECONDARY/HIGH SCHOOL

□ 05. VOCATIONAL/TRADE SCHOOL/COLLEGE – ASSOCIATE DEGREE

□ 06. COLLEGE OR UNIVERSITY – BACHELOR’S, MASTER’S OR DOCTORAL DEGREE

□ 97. OTHER: ________________

□ 98. DK

□ 99. NA

C3. (HAND R CARD TWO) Please tell me the number on this card that fits how satisfied you are with the formal schooling and training you have received?

□ 1. VERY SATISFIED

□ 2. SOMEWHAT SATISFIED

□ 3. NEITHER SATISFIED NOR DISSATISFIED

□ 4. SOMEWHAT DISSATISFIED

□ 5. VERY DISSATISFIED

□ 8. DON’T KNOW

□ 9. NA

□ 0. INAP

C4. Using the same card, how satisfied are you with the quality of formal education in your community?

□ 1. VERY SATISFIED

□ 2. SOMEWHAT SATISFIED

□ 3. NEITHER SATISFIED NOR DISSATISFIED

□ 4. SOMEWHAT DISSATISFIED

□ 5. VERY DISSATISFIED

□ 8. DON’T KNOW

□ 9. NA

□ 0. INAP

C5. Do you have children enrolled in a K-12 school?

□ 1. YES

SKIP TO C7

□ 2. NO 

□ 8. DON’T KNOW 

□ 9. NA

□ 0. INAP

C6. At which of the following types of places do you have children enrolled in a K-12?

1. YES	2. NO	9. NA
□	□	□	a. In a North Slope Community?
□	□	□	b. Elsewhere in Alaska?
□	□	□	c. Outside Alaska?

C7. Do you volunteer in school-related events and activities?

□ 1. YES

□ 2. NO

□ 8. DON’T KNOW

□ 9. NA

□ 0. INAP

C8. (HAND R CARD TWO) Using the choices on this card, how satisfied are you with the teaching of traditional Iñupiaq values, skills, and language in local schools?

□ 1. VERY SATISFIED

□ 2. SOMEWHAT SATISFIED

□ 3. NEITHER SATISFIED NOR DISSATISFIED

□ 4. SOMEWHAT DISSATISFIED

□ 5. VERY DISSATISFIED

□ 8. DON’T KNOW

□ 9. NA

□ 0. INAP

SECTION D: SOCIAL INDICATORS OF HEALTH

D1. Now I’d like to ask you about your health. First of all, how would you describe your health in general: excellent, very good, good, fair, or poor?

□ 1. EXCELLENT

□ 2. VERY GOOD

□ 3. GOOD

□ 4. FAIR

□ 5. POOR

□ 9. NA

D2. (HAND R CARD TWO) Please tell me the number on this card that fits how satisfied you are with your health.

□ 1. VERY SATISFIED

□ 2. SOMEWHAT SATISFIED

□ 3. NEITHER SATISFIED NOR DISSATISFIED

□ 4. SOMEWHAT DISSATISFIED

□ 5. VERY DISSATISFIED

□ 8. DON’T KNOW

□ 9. NA

D3. Using the same card, how satisfied are you with the quality of health services in your community?

□ 1. VERY SATISFIED

□ 2. SOMEWHAT SATISFIED

□ 3. NEITHER SATISFIED NOR DISSATISFIED

□ 4. SOMEWHAT DISSATISFIED

□ 5. VERY DISSATISFIED

□ 8. DON’T KNOW

□ 9. NA

D4. (HAND R CARD NINE) Which of the illnesses listed on this card have affected your family (anyone you consider to be family)? Please just tell me the letters on the card.

1. YES 2. NO 9. NA

□ □ □ a. cancer

□ □ □ b. heart disease

□ □ □ c. lung disease

□ □ □ d. eye disease

□ □ □ e. mental illness

□ □ □ f. joint and bone diseases

□ □ □ g. arthritis

□ □ □ h. accidental injury

□ □ □ i. alcoholism or drug addiction

□ □ □ j. diabetes

□ □ □ k. obesity

D5. (HAND R CARD TWO) Using a number on this card, how satisfied are you with public safety services provided in your community?

□ 1. VERY SATISFIED

□ 2. SOMEWHAT SATISFIED

□ 3. NEITHER SATISFIED NOR DISSATISFIED

□ 4. SOMEWHAT DISSATISFIED

□ 5. VERY DISSATISFIED

□ 8. DON’T KNOW

□ 9. NA

I have a few questions that I would like to ask you to answer on your own using this self-administered questionnaire (HAND R SELF-ADMINISTERED QUESTIONNAIRE).

SELF-ADMINISTERED QUESTIONNAIRE

For this part of the interview you are asked to answer the following questions on the interview form yourself. Please answer the questions by placing an "X" mark in the box next to the response that you have chosen.

As with any part of the interview, you are free to choose not to participate in this self-administered part of the interview, or if you choose to participate you can skip any question that you do not wish to answer. As with any part of the interview, your responses during the interview are anonymous as neither your name, address or any other identifier will be attached to any of your responses.

When you have finished, please fold the papers in half, place them in the envelope, and then seal the envelope. The interviewer has pledged not to open the envelope. The person opening the envelope will not know who completed this form.

D6. Within the past 12 months, have you been a victim of:

1 2

YES NO

□ □ a. theft?

□ □ b. sexual assault?

□ □ c. domestic violence?

□ □ c. elder abuse?

□ □ d. other offenses?

D7. Are there any problems related to alcohol or drugs in your home today?

□ 1. YES, OFTEN

□ 2. YES, SOMETIMES

□ 3. NO, NEVER

Please continue on the next page.

D8. How much of the time in the last month have you felt like each of the items below? Please check one of the five answer categories for each item.

	1. ALL THE TIME	2. MOST OF THE TIME	3. SOME OF THE TIME	4. VERY SELDOM	5. NOT AT ALL	8. DON'T KNOW
a. Been a nervous person?	□	□	□	□	□	□
b. Felt calm and peaceful?	□	□	□	□	□	□
c. Felt downhearted and blue?	□	□	□	□	□	□
d. Been a happy person?	□	□	□	□	□	□
e. Felt so down that nothing could cheer you up?	□	□	□	□	□	□
f. Felt good about yourself?	□	□	□	□	□	□
g. Felt good about your life?	□	□	□	□	□	□
h. Known that there are people who care about you?	□	□	□	□	□	□

D9. People sometimes look to others for companionship, assistance, guidance or other types of support. Please check the box for each item that best fits how often each of the following types of support is available to you when you need it.

	1. ALL THE TIME	2. MOST OF THE TIME	3. SOME OF THE TIME	4. VERY SELDOM	5. NOT AT ALL	8. DON’T KNOW
a. Someone you can count on to listen to you when you need to talk.	□	□	□	□	□	□
b. Someone you can count on when you need advice.	□	□	□	□	□	□
c. Someone who shows you love and affection.	□	□	□	□	□	□
d. Someone to have a good time with.	□	□	□	□	□	□
e. Someone to confide in or talk about yourself and your problems.	□	□	□	□	□	□
f. Someone to get together with for relaxation.	□	□	□	□	□	□
g. Someone to do something enjoyable with.	□	□	□	□	□	□

That’s all the questions in this section. Please fold your completed self-administered questionnaire in half and put it in the envelope and seal it. Please tell me that you’re done.

SECTION E: SOCIAL INDICATORS OF PHYSICAL ENVIRONMENT

E1. (HAND R CARD TEN) Which of these activities did you do in the past 12 months? Please just tell me the letters of the activities you did.

1. YES 2. NO 9. NA

□ □ □ a. TAKE PART IN A NATIVE OR TRADITIONAL FESTIVAL?

□ □ □ b. Visit neighbors, friends or family?

□ □ □ c. Listen to or tell a NATIVE OR TRADITIONAL story?

□ □ □ d. GO SLEDDING OR SNOWBOARDING?

□ □ □ e. GO BIKING?

□ □ □ f. Go to sports events?

□ □ □ g. Participate in sports?

□ □ □ h. take part in a native OR TRADITIONAL dance?

□ □ □ i. take part in native OR traditional GAMES?

□ □ □ j. Go SNOWMACHINING or dog sledding?

□ □ □ k. Hike, Run, jog, or walk?

□ □ □ l. pLAY BASKETBALL?

□ □ □ m. SWIM?

□ □ □ n. Boat or kayak?

□ □ □ o. Be out in the country?

E2. (HAND R CARD ELEVEN) In your opinion, which of the following environmental problems, if any, exist in your region or community? Please tell me the letters on this card.

1. YES 2. NO 8. DK 9. NA

□ □ □ □ a. Pollution of local lakes and streams?

□ □ □ □ b. Pollution of offshore waters?

□ □ □ □ c. Pollution from industrial development in

THIS REGION?

□ □ □ □ d. Pollution from other countries?

□ □ □ □ e. Fish or animals that may be unsafe to eat?

□ □ □ □ f. Erosion of coastal areas or riverbanks?

□ □ □ □ g. Local contaminated sites?

□ □ □ □ h. Pollution from landfills?

□ □ □ □ i. DISPOSAL of hazardous waste?

□ □ □ □ j. DISPOSAL OF SEWAGE?

□ □ □ □ k. disruption of views and landscapes?

□ □ □ □ l. Climate change?

E3. In the past 12 months, have you avoided eating subsistence foods because you believe they are contaminated?

□ 1. YES

□ 2. NO

□ 8. DON’T KNOW

□ 9. NA

□ 0. INAP

E4. (HAND R CARD TWO) How satisfied are you with the health of the environment in your area?

□ 1. VERY SATISFIED

□ 2. SOMEWHAT SATISFIED

□ 3. NEITHER SATISFIED NOR DISSATISFIED

□ 4. SOMEWHAT DISSATISFIED

□ 5. VERY DISSATISFIED

□ 8. DON’T KNOW

□ 9. NA

E5. Using the same card, how satisfied are you with the quality of recreational facilities in this community?

□ 1. VERY SATISFIED

□ 2. SOMEWHAT SATISFIED

□ 3. NEITHER SATISFIED NOR DISSATISFIED

□ 4. SOMEWHAT DISSATISFIED

□ 5. VERY DISSATISFIED

□ 8. DON’T KNOW

□ 9. NA

SECTION F: SOCIAL INDICATORS OF LOCAL CONTROL

F1. I’d like to learn about your involvement in public affairs. Did you vote in the following elections:

1. YES 2. NO 8. DK 9. NA

□ □ □ □ a. City Council?

□ □ □ □ b. Tribal Council or Native Village?

□ □ □ □ c. Village Corporation?

□ □ □ □ d. Native Regional Corporation?

□ □ □ □ e. North Slope Borough?

□ □ □ □ f. ICAS?

□ □ □ □ g. State?

□ □ □ □ h. National?

F2. How knowledgeable would you say you are about politics in general: very knowledgeable, somewhat knowledgeable, not very knowledgeable, or not at all knowledgeable?

□ 1. VERY KNOWLEDGEABLE

□ 2. SOMEWHAT KNOWLEDGEABLE

□ 3. NOT VERY KNOWLEDGEABLE

□ 4. NOT AT ALL KNOWLEDGEABLE

□ 8. DON'T KNOW

□ 9. N A

F3. (HAND R CARD TWELVE) Choosing from the numbers on this card, how much do you agree or disagree with the following statement: So many people vote at a national election that it does not make any difference if I vote or not vote.

□ 1. COMPLETELY AGREE

□ 2. PARTLY AGREE

□ 3. PARTLY DISAGREE

□ 4. COMPLETELY DISAGREE

□ 8. DON'T KNOW

□ 9. N A

F4. (HAND R CARD THIRTEEN) Which of the following groups do you think are helping to meet your needs? Please just tell me the letters on this card.

1. MEETING 2. NOT 8. DK 9. NA

NEEDS MENTIONED

□ □ □ □ a. City Council?

□ □ □ □ b. Tribal Council or Native Village?

□ □ □ □ c. Village Corporation?

□ □ □ □ d. Native Regional Corporation?

□ □ □ □ e. North Slope Borough?

□ □ □ □ f. ICAS?

□ □ □ □ g. State government?

□ □ □ □ h. Federal government?

F5. How interested would you say that you are in politics in general: very interested, interested, or not interested?

1 2 3 8 9

VERY NOT

INTERESTED INTERESTED INTERESTED DK NA

□ □ □ □ □

F6. (HAND R CARD TWO) Please tell me the number on this card that fits how satisfied you are with the degree of influence that Iñupiaq people have on the management of natural resources like fish and caribou.

□ 1. VERY SATISFIED

□ 2. SOMEWHAT SATISFIED

□ 3. NEITHER SATISFIED NOR DISSATISFIED

□ 4. SOMEWHAT DISSATISFIED

□ 5. VERY DISSATISFIED

□ 8. DON’T KNOW

□ 9. NA

F7. Using the same card, how satisfied are you with the degree of influence that Iñupiaq people have on the management of natural resources like marine mammals?

□ 1. VERY SATISFIED

□ 2. SOMEWHAT SATISFIED

□ 3. NEITHER SATISFIED NOR DISSATISFIED

□ 4. SOMEWHAT DISSATISFIED

□ 5. VERY DISSATISFIED

□ 8. DON’T KNOW

□ 9. NA

F8. Using the same card, how satisfied are you with the degree of influence that Iñupiaq people have on the management of natural resources like oil, gas, and minerals?

□ 1. VERY SATISFIED

□ 2. SOMEWHAT SATISFIED

□ 3. NEITHER SATISFIED NOR DISSATISFIED

□ 4. SOMEWHAT DISSATISFIED

□ 5. VERY DISSATISFIED

□ 8. DON’T KNOW

□ 9. NA

F9. Using the same card, how satisfied are you with the degree of influence that Iñupiaq people have to reduce environmental problems in your area?

□ 1. VERY SATISFIED

□ 2. SOMEWHAT SATISFIED

□ 3. NEITHER SATISFIED NOR DISSATISFIED

□ 4. SOMEWHAT DISSATISFIED

□ 5. VERY DISSATISFIED

□ 8. DON’T KNOW

□ 9. NA

F10. Using the same card, please tell me the number on this card that fits how satisfied you are with the courts on the North Slope.

□ 1. VERY SATISFIED

□ 2. SOMEWHAT SATISFIED

□ 3. NEITHER SATISFIED NOR DISSATISFIED

□ 4. SOMEWHAT DISSATISFIED

□ 5. VERY DISSATISFIED

□ 8. DON’T KNOW

SECTION G: SOCIAL INDICATORS OF GLOBAL WELL-BEING

G1. We’ve talked about many different parts of your well-being, like health and jobs and the environment. (HAND R CARD TWO) Thinking about everything important to your well-being, how satisfied are you with the quality of life in this community?

□ 1. VERY SATISFIED

□ 2. SOMEWHAT SATISFIED

□ 3. NEITHER SATISFIED NOR DISSATISFIED

□ 4. SOMEWHAT DISSATISFIED

□ 5. VERY DISSATISFIED

□ 8. DON’T KNOW

□ 9. NA

G2. Using the same card, how satisfied are you with your life as a whole?

□ 1. VERY SATISFIED

□ 2. SOMEWHAT SATISFIED

□ 3. NEITHER SATISFIED NOR DISSATISFIED

□ 4. SOMEWHAT DISSATISFIED

□ 5. VERY DISSATISFIED

□ 8. DON’T KNOW

□ 9. NA

G3. Have you considered moving away from (COMMUNITY) in the last five years?

SKIP TO G5

□ 1. YES

□ 2. NO 

□ 8. DON'T KNOW

□ 9. NA

G4. Why have you considered moving away from (COMMUNITY)?

□ 98. DON'T KNOW

□ 99. NA

□ 00. INAP

G5. What are the reasons why you have chosen to remain in (COMMUNITY)?

□ 98. DON'T KNOW

□ 99. NA

□ 00. INAP

SECTION H: IMPACTS ON SUBSISTENCE ACTIVITIES

INTERVIEWER CHECKPOINT 1: SEE RESPONSES TO Q.A1

• RESPONDENT DIDN’T ENGAGE IN ONE OR MORE ACTIVITIES



SKIP TO CLOSING

• RESPONDENT ENGAGED IN ONE OR MORE ACTIVITIES



CONTINUE

H1. (HAND R CHECKED FORM SHOWING ACTIVITIES MENTIONED IN Q.A1) Looking at the subsistence activities you mentioned earlier, please tell me the letter of any of the activities in which you personally experienced impacts of oil industry activities in the last 12 months.

1. ENGAGED, NO IMPACT	2. ENGAGED, IMPACT	0. NO ACTIVITIES	9. NOT ASCERTAINED
□	□	□	□	a. Captained a whaling crew?
□	□	□	□	b. Was a member of a whaling crew?
□	□	□	□	c. Skinned and butchered a seal?
□	□	□	□	d. Skinned and butchered a caribou?
□	□	□	□	e. Skinned and butchered another animal?
□	□	□	□	f. Helped whaling crews by cooking, giving money or supplies, cutting meat?
□	□	□	□	g. Sewed skins, made parkas, kamiks or other traditional clothing?
□	□	□	□	h. Made sleds or boats?
□	□	□	□	i. Hunted caribou, moose, or sheep?
□	□	□	□	j. Hunted seal or ugruk?
□	□	□	□	k. Hunted walrus?
□	□	□	□	l. Hunted waterfowl (e.g., ducks and geese)?
□	□	□	□	m. Gathered eggs?
□	□	□	□	n. Fished?
□	□	□	□	o. Gathered greens, roots, or other plants
□	□	□	□	p. Preserved meat or fish?
□	□	□	□	q. Trapped?
□	□	□	□	r. Picked berries?
□	□	□	□	s. Made Native or traditional handicrafts?
□	□	□	□	t. Hunted wolf or wolverine?
□	□	□	□	u. Hunted polar bear?
□	□	□	□	v. Hunted ptarmigan?

INTERVIEWER CHECKPOINT 2:

• RESPONDENT DID NOT MENTION ANY AFFECTED ACTIVITIES, OR ADDITIONAL QUESTIONS COMPLETED FOR ALL MENTIONED ACTIVITIES 

SKIP TO CLOSING

• RESPONDENT MENTIONED AT LEAST ONE SUBSISTENCE ACTIVITY AFFECTED BY OIL INDUSTRY ACTIVITY



CONTINUE WITH SECTION I

SECTION I: IMPACTS ON SUBSISTENCE ACTIVITIES

ACTIVITY LETTER:

SHORTHAND NAME FOR ACTIVITY:

I1. Please describe what happened.

I2. When did an oil industry activity affect

SUBSISTENCE ACTIVITY? MONTH(S)

CAN’T REMEMBER NA

I3. Where were you when the oil industry activity

affected SUBSISTENCE ACTIVITY?

(PROBE FOR NEAREST NAMED PLACE)

I4. (Please describe the oil industry activity that affected SUBSISTENCE ACTIVITY).

I5. Could anyone have done something differently to avoid the experience or make it better?

SKIP TO NEXT EXPERIENCE OR CLOSING

1. YES 2. NO 

□ □



I6. Who could have done something differently?

I7. What could they have done differently?

CONTINUE WITH NEXT AFFECTED ACTIVITY OR CONTINUE TO CLOSING QUESTIONS

CLOSING

J1. Just a few more questions. First, how many adults live in your household?

J2. How many adults consider themselves to be Iñupiaq?

J3. (IF AT LEAST ONE IÑUPIAQ HH MEMBER)

Do you consider yourself to be Iñupiaq?

1. YES 2. NO

□ 16-24 □ 45-54

□ 25-34 □ 55-64

□ 35-44 □ 65 and older

□ □

J4. What is your age range?

J5. (OBSERVED GENDER)

1. MALE 2. FEMALE

□ □

Thank you! That is all the questions I have. Is there anything additional you would like me to write down?