Welcome to the Coalition on Urban Indian Aging’s Native Urban Elder Needs Assessment Survey (NUENAS 1.0). To take the survey, use the button on the top of the page or visit NUENAS 1.0. This survey is the result of years of partnership between research organizations and those directly involved in urban Native Elder services. There are 137 questions covering topics such as physical, social, emotional, and mental health service quality; overall quality of life; unidentified needs; COVID-19 resources and care; and others. All of these questions are asked to provide data to support improvement of health equity, quality of life, and overall cultural responsiveness.


Who should take this survey?

If you are an American Indian or Alaska Native person over the age of 55* and living in an urban setting, this survey is for you.
*or the age your local health organization designates as an Elder

What is the purpose of the survey?

American Indian and Alaska Native people are often underrepresented in data collection. As a result, there is little information on the needs of this population and what areas of improvement are most important. This survey aims to create hard data points on the current state of health services for Native Elders, and the most pressing areas for improvement. The voice of urban Native Elders needs to be heard, and this survey hopes to help in that endeavor.

How do I take the survey?

The survey is currently available online through your urban Indian health provider only. We hope to provide the survey in a paper format once the concern for COVID-19 transmission is adequately addressed. The health and safety of our Native Elders is of the utmost concern. Please contact your local service provider to participate.

What languages is the survey available?

Currently the survey is only available in Standard American English.

Is the survey for all Native Elders?

It is for all urban Native Elders. This population includes American Indian and Alaska Native Elders who live in urban areas. It is open to federal- and state-recognized tribal members.

Why is it only for Elders in urban areas?

The urban population of Native people has a unique history. The Indian Relocation Act of 1956 moved many Native people off their reservation and placed them in urban centers, such as New York, Chicago, Los Angeles, Seattle, Denver, and other cities. Today, 71% of the total Native population resides outside reservation or Indian lands .

Despite this large number, only 1% of Indian Health Services’ total budget is designated for urban Indian health services. To increase this funding, hard data is needed around the current experience of urban Native Elders and their needs. This survey hopes to fill the gap and improve the health equity and services provided to urban Native Elders.

I work in an organization that provides services to urban Native Elders. How can I help?

Thank you for your work with this population. As the culture and knowledge bearers, our Elders are critical to the survival, revival, and thriving of their people.

Specific resources are currently being developed to aid in proctoring the survey for organizations. If you’d like to receive a notification when they are available, please email,  and we will add your name to the list of the first to be notified of new resources.

What if I have a question that isn’t listed here?

This portion of the page is a living document and, thus, is updated regularly. Please email your question to and we will respond and add it to this page.