Membership TBU Form

** PLEASE KNOW THAT THIS DATA WILL ONLY BE USED FOR THE TRIBE **

RECREATIONAL SWIMMING

Do you or any of your family members ever swim or play in Lake Oroville, Feather River, Yuba River, or any streams/creeks past or present? (Generic location) Where did you/or do you go/swim in the water?

(duration) How long did you swim for each time?

(exposure) Did you swallow any water & how much?

(frequency) How often did you swim? (Which months & how many days per month)

(illness) Have you or your family noticed any illnesses after swimming?

FIRST CEREMONIAL & TRADITIONAL ACTIVITY

Do you or any of your family members use Lake Oroville, Feather River, Yuba River, or any streams/creeks past or present for traditional or ceremonial uses? (Generic location) Where did you/or do you do these ceremonial or traditional activities?

(duration) How long did you do this activity each time?

(exposure) Did you swallow any water during the activity & how much?

(frequency) How often did you do this activity? (Which months & how many days per month)

(illness) Have you or your family noticed any illnesses after doing this activity?

SECOND CEREMONIAL & TRADITIONAL ACTIVITY

Do you or any of your family members use Lake Oroville, Feather River, Yuba River, or any streams/creeks past or present for traditional or ceremonial uses? (Generic location) Where did you/or do you do these ceremonial or traditional activities?

(duration) How long did you do this activity each time?

(exposure) Did you swallow any water during the activity & how much?

(frequency) How often did you do this activity? (Which months & how many days per month)

(illness) Have you or your family noticed any illnesses after doing this activity?

FISHING & CONSUMPTION OF FISH

(location) Where did you do most of your fishing? (Please include creek names as well) Do you stand in the water while you fish, do you get wet at all?

(duration) When you fish, how long do you fish for each time?

(exposure) How much of each fish do you/did you eat? Identify how many fish meals you eat and how often.

(frequency) How often did you do you fish? (Which months & how many days per month)

(illness) Have you or your family noticed any illnesses after swimming?

HUNTING & CONSUMPTION OF OTHER ANIMALS THAT LIVE OR EAT ON LAKES, RIVERS, OR CREEKS

(location) Where did you do most of your capturing of other water animals? (Please include creek names) Also do you get in the water when you capture these animals (do you get wet at all?)

(duration) How long did you do this activity each time?

(exposure) How much of each animal do you/did you eat? Identify each animal you eat, how many servings and how often.

(frequency) How often did you do this activity? (Which months & how many days per month)