cryp youth health & wellness survey 2014 - nb3f · pdf filecryp youth health &...

Hello! As a youth, your input in today’s survey will help the Cheyenne River Youth Project (CRYP)better understand what health and wellness activities are most beneficial to youth health andhappiness.

YOUR PARTICIPATION IS VOLUNTARY and YOUR IDENTITY IS PROTECTEDPlease keep in mind your participation in the survey is voluntary and you may stop your participationat any time. Your participation is also anonymous, meaning your responses cannot be linked to you.You will not be rewarded or punished for consenting or declining to participate in today’s survey.

HOW DATA WILL BE STORED & USEDCRYP will store survey responses in a secure electronic database. CRYP will use survey responses toimprove organization offerings and practices, seek funding and report to funders. A summary offindings may be released but will not identify you or other respondents.

THANK YOU for taking the time to complete this survey. It should take you about 15-20 minutes. Onceyou’ve completed the survey please follow the directions of the person giving you the survey.

FOR MORE INFORMATIONPlease contact Julie Garreau (Executive Director) or Tammy Eagle Hunter (Health & WellnessCoordinator) at the Cheyenne River Youth project at 605-964-8200 for more information about thissurvey and/or how data from the survey will be used and maintained.

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CRYP Youth Health & Wellness Survey 2014

Survey Consent

* 1. Please select whether or not you choose to consent to this survey.

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This series of questions will ask you about your personal feelings and practices regarding yourphysical health.


Physical Health & Fitness

2. How would you rate your overall physical health?Poor Fair Good Very Good Excellent

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3. How would you rate your overall happiness?Poor Fair Good Very Good Excellent

4. Over the past 7 days, how many days did you engage in vigorous physical activity (exercise that leavesyou out of breath or at least a 5 on a scale of 1-10, e.g. running, elliptical, weight lifting, kickboxing, dancing)?

0 days

1 day

2 days

3 days

4 days

5 days

6 days

7 days

5. Over the past 7 days, how many minutes of moderate to vigorous physical activity did you do per day?(exercise that leaves you out of breath or at least a 5 on a scale of 1-10, e.g. running, elliptical, weight lifting,kickboxing, dancing)

0 minutes per day

30 minutes per day

45 minutes per day

60 minutes per day

More than 60 minutes per day

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6. The purpose of this question is to understand your experiences with the CRYP health and wellnessprogram. Please rate your experiences below.

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Yes Mostly Neither yes nor no Somewhat No

I get the education andtraining I need fromCRYP to lead ahealthier, happier life

I get the education andtraining I need fromCRYP to be physicallyhealthier

I have a wellness plan atCRYP that helps merealize my health andfitness goals

I need more support todevelop my health andfitness goals

CRYP has introducedme to new sports andwellness activities

CRYP offers enoughfitness activities

CRYP should offer morefitness activities

CRYP helps meenhance my skills in myareas of interest inhealth and wellness

My self-esteem is higherbecause I participate inCRYP health andwellness activities

My health has improvedbecause I participate inCRYP health andwellness activities

CRYP health andwellness activitiesenhance my leadershipskills

CRYP health andwellness activities helpme grow my socialnetworks

CRYP health andwellness activitiesimprove my involvementin healthy extra-curricular activities

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CRYP health andwellness has taught mehow to properly usefitness equipment

CRYP health andwellness helps meincorporate theiractivities into myindividual wellness goals

"Healthy bucks”increase myparticipation in healthand wellness activities

An incentive plan isimportant to increasingmy participation inhealth and wellnessactivities





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7. The purpose of this question is to ask about your knowledge and beliefs about physical wellness. Pleaserate your knowledge and beliefs below.


I understand what itmeans for me to bephysically healthy

I need more informationon how I can bephysically healthy

Physical fitness is a lifelong practice

Physical fitness is afamily activity

I want a wellness planthat includes my family




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8. The CRYP would like to know what fitness and health activities youth most want access to at CRYP.Please rank the top seven activities you want. "1" means the activity you want most, "2" meaning the activityyou want second most, "3" meaning the activity you want third most, etc.

1 2 3 4 5 6 7

Exercise classes (e.g.Yoga, Pilates,Kickboxing, Weightlifting,Zumba, Spinning)

Native dancing (e.g.grass, jingle)

Swimming

Walking & Hiking Club

5K Races

Personal Trainer

Wrestling

Karate

Tennis

Education classes (e.g.Nutrition 101, HealthyCooking, Gardening)

Sauna

Sweat Lodge

Other (please specify)

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9. What areas of fitness do you feel you can teach other youth about? (Please select all that apply)

Walking

Basketball

Swimming

Running

Native dancing (e.g. grass, jingle)

Weightlifting

Wrestling

Gardening

Sweat Lodge

Other (please specify):

10. CRYP would like to develop a “Fit College” curriculum for youth to help them live healthier and happierlives by participating in a variety of wellness workshops or classes. What topics and/or activities do you thinkshould be included in the Fit College curriculum? (Please select all that apply)

Holistic Health (physical, mental, spiritual)

Diabetes 2 prevention

Cheyenne River practices of health and wellness

How to gather & harvest local plants

How to hunt

How to cook healthy meals

How to grow a garden

How to properly use fitness equipment

How to build and practice a wellness plan




Diet/food Choices

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This series of questions will ask you about food and diet choices you make.

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11. During the past 7 days, how many times per day did you:

Never 1 time per day 2 times per day 3 times per day4 or more times per

day

Drink fruit juice (do notcount kool aid, sportsdrinks or other fruitflavored drinks)

Eat fruit (do not countcanned fruit or fruit juice)

Eat vegetables (do notcount cannedvegetables)

Eat green salad

Eat whole grains (e.g.brown rice, oatmeal)

Eat wild meat (e.g. deer,elk, buffalo, moose)

Eat wild berries, plantsor roots (e.g.chokecherries,dandelions, turnips)

Drink pop/soda

Drink diet pop/soda

Eat fried food

Eat fast food

Eat chips

Eat candy (e.g. suckers,chocolate bars)



Diet/food Choices

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12. Over the past 7 days, I ate breakfast

*If you selected "Never," please tell us why here:

Never

Some days

Most days

Every day

13. Over the past 7 days, I ate lunch


Never

Some days

Most days

Every day

14. Over the past 7 days, I ate dinner


Never

Some days

Most days

Every day

15. Over the past 7 days, I ate breakfast at

Home

School

Cheyenne River Youth Project

Take Out

I don't eat breakfast


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16. Over the past 7 days, I ate lunch at

Home

School


Take Out

I don't eat lunch


17. Over the past 7 days, I ate dinner at

Home

School


Take Out

I don't eat dinner



This series of questions will ask you about your knowledge and beliefs about food and access tofood.


Knowledge & Beliefs about Food & Food Access

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18. Please rate your knowledge of the following items:

Yes Most of the time Somewhat No

I know how to readnutritional labels

I know how to cookmeals

I know how to grow agarden

I know how to hunt wildgame

19. Please tell us how often you eat the following types of food.

All of the time Most of the time Some of the time None of the time Don't know

The food I eat is locallygrown

The food I eat isimported (comes fromoutside the Reservation)

The food I eat is fresh(not canned, frozen orpre-cooked)

The food I eat is pre-packaged (e.g. canned,frozen, pre-cooked)

20. Please answer yes, no, or don't know to the following statements:

Yes No Don't know

I have a balanced diet offruit, vegetables andmeat

I wish I had more accessto whole, fresh foods

If fresh foods were moreaccessible, I would eatmore

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21. Please indicate whether or not you would like to learn about the following topics.I want to learn...

Yes No Don't know

How to cook fresh,healthy food

Where my food comesfrom

How to garden

How to hunt wild game

How to gather andharvest local plants

About my ancestors'food practices (e.g.harvesting plants,hunting)


22. Please tell us how important you believe each statement is.

Not importantSomewhatimportant

Neither importantnor unimportant Important Very important

It is important to knowwhere our food comesfrom

It is important for theCheyenne River tribe tocreate a local andholistic food system forits citizens

It is important to thefuture of the CheyenneRiver people to have alocal and holistic foodsystem



Knowledge & Beliefs of Diabetes12

This series of questions will ask you about your knowledge of and beliefs about diabetes.

23. Please rate the following statements regarding your understanding of diabetes:

Yes Mostly Somewhat No

I know the differencebetween type 1 and type2 diabetes

I know the causes oftype 2 diabetes

I know how to preventtype 2 diabetes

Type 2 diabetes is aserious illness

Type 2 diabetes is ahuge health issue in mycommunity

24. Have you ever been told by a healthcare professional that you are borderline diabetic?

Yes

No

Don't know

25. Have you ever been told by a healthcare professional that you have diabetes?

Yes

No

Don't know

26. If you were told by a healthcare professional that you have diabetes, what type of diabetes did they sayyou have?

Type 1 Diabetes

Type 2 Diabetes

I don't know

This question does not apply to me.

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27. Do the following people in your family have diabetes?

Yes No Don't know

Mother

Father

Siblings

Maternal Grandma

Maternal Grandpa

Paternal Grandma

Paternal Grandpa


This series of questions will ask about your background.


Background

28. How old are you?

29. What grade are you in?

30. What is your sex?

31. I self-identify as (please check all that apply):

Cheyenne River Sioux

White

Hispanic

African American

Other Tribal Nation (please specify):

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32. For most of the year I live in:

Bridger, SD

Cherry Creek, SD

Dupree, SD

Eagle Butte, SD

Green Grass, SD

Iron Lightning, SD

Isabel, SD

La Plant, SD

North Bridger, SD

North Eagle Butte, SD

Red Scaffold, SD

Swiftbird, SD

Thunder Butte, SD

Timber Lake, SD

Whitehorse, SD

Other (please specify)

33. How tall are you without your shoes on?Feet

Inches

34. How much do you weigh without your shoes on?Pounds

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35. What is the highest level of school your mother completed?

Did not graduate from high school

High School Diploma

GED

Some college (did not graduate)

Trade or vocational training (e.g. beauty school, heavy equipment operator)

Two-year degree (graduated from community or tribal college)

Four-year degree (Bachelor’s Degree)

Master’s Degree

Doctorate Degree

I don’t know

36. What is the highest level of school your father completed?

Did not graduate from high school

High School Diploma

GED

Some college (did not graduate)

Trade or vocational training (e.g. beauty school, heavy equipment operator)

Two-year degree (graduated from community or tribal college)

Four-year degree (Bachelor’s Degree)

Master’s Degree

Doctorate Degree

I don’t know

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