Wellness Survey

Wellness Survey 2017

Dear Tribal Citizens & Members of the Community,

Welcome to the Pinoleville Pomo Nation WELLNESS SURVEY 2017.

Pinoleville Nation Tribal Citizens and community members under the age of 13 years and over the age of 13 are being asked to complete this survey to help the Tribal Council to provide the basis for a Strategic Health Plan. Everyone’s experience and opinions are important.

There is no right or wrong answer. No individual will be identified. No names will be on the questionnaire. The two surveys are basically the same – please use the front of the survey to determine the right survey by age.

Everyone who completes and returns the survey will be entered in a raffle for a prize to be determined at a later date.

Whether or not you answer the questions will not affect any services you receive from the Pinoleville Pomo Nation. No names will ever be used. Completing the survey is voluntary.

We want to thank you for agreeing to participate in this survey. Please return the confidential survey in an enclosed, stamped envelope by April 1, 2017, or you have the option of dropping the survey off at the Tribal Office, or filling out the survey on line.  Please email back to itadmin@pinoleville-nsn.us.  Again, we appreciate your response and input to move forward.

Download 13 & Under Survey                                    Download Adult Survey

Call Lenora Steele, Self-Governance Director at 707-367-7504 if more information is needed,



Leona L. Williams, Tribal Chairperson

Angela James, Vice Chairperson

Jason Steele, Treasurer

Cassandra Steele, Secretary

Donald Williams, Member At Large

Veronica Timberlake, Member At Large

Andrew Stevenson, Member At Large