Tribal Member Survey! Please enable JavaScript in your browser to complete this form. – Step 1 of 5 All survey answers will remain completely confidential and won’t be linked to Tribal ID/Numbers. Tribal Member ID/Number * Raffle winners will need to pick up their prize if they win. We are gathering data for Tribal members working with Washington state. Next The purpose of this survey is to gather more information from Tribal members in Washington State regarding denials of benefits such as SNAP, TANF, etc. Some of these questions were included in the Annual Tribal survey, however, we are trying to identify some of the specific challenges Tribal members are experiencing when they try to access state benefits. Start Do you receive SNAP benefits? * YES NO Do you receive food benefits from a USDA Foods Program (aka Commodities)? * YES NO Do you receive WIC benefits? * YES NO Do you receive TANF benefits? * YES NO If getting TANF benfits, are you considered * A one or two parent household A child only case Do you live in Grays Harbor, Thurston, or Lewis counties? * YES NO If you do not live in one of these counties, do you live in the state of Washington? * YES NO If you do not receive SNAP benefits, did you apply but not qualify? * YES NO For SNAP: If you applied and did not qualify, what was the reason you were given? * GWE benefits put me over income Employment made my income too high to qualify My family size did not qualify Other: For SNAP: Other * If you do not receive TANF benefits, did you apply but not qualify? * YES NO For TANF: If you applied and did not qualify, what was the reason you were given? * GWE benefits put me over income Employment made my income too high to qualify My family size did not qualify Other: For TANF: Other * How did you apply for state services (SNAP, TANF, WIC, etc)? * On-Line In person at a state office If yes, did you ever speak with a real person? * YES NO If yes, do you know what office they worked out of? If you do, please list the office below, you may list a county instead of a specific office. * If yes, what county did you apply in? * Do you know if you qualify and how to apply for these benefits? * YES NO Do you know how to access state benefits such as SNAP, TANF, etc.? * YES NO Next You may remain anonymous but if you are willing to share specific details about your experience accessing state services, please include your contact details below. The following are not required: Name Phone Email Next Mark X here: * Clear Signature NOTE: After clicking on the Submit Now button, please wait for the Thank you message to load for confirmation of successful submission!!! Submit now!
