Pacific Islanders in the United States represent a distinct and rapidly growing population with ancestral ties to the indigenous people living in the Pacific Basin. Traditionally Pacific Islanders have been aggregated with Asians to form the broad Asian and Pacific Islander (API) category. Because of their relatively small numeric size, the social, economic and health status of Pacific Islanders is under-represented in national surveys. When they are combined within the broader ?Asian or Pacific Islander,? the health and SES of the larger established Asian populations tend to mask the patterns for Pacific Islanders. To overcome these data limitations the specific aims of the pilot study are: Aim 1: To investigate the health, well-being and healthcare utilization of Samoans and Tongans living in California; Aim 2: To describe the prevalence of health conditions for each racial and ethnic subgroup; and Aim 3: To learn systematically document data collection methods on Pacific Islanders. A random sample of 300 households, evenly divided between Samoans and Tongans is derived from church rosters for select census tracks in the Los Angeles County, and San Francisco County in California. Community partnership with the Samoan National Nurses Association and Taulama for Tongans is sought to assist with recruitment of participants and interviewers for the survey. A questionnaire will be administered based on select measures derived from the National Health Interview Survey, California Health Interview Survey, and National Survey on American Lives and will include survey modules to assess: (a) health condition and health behavior; (b) disability; (c) women?s and men?s health; (d) mental health and psychosocial factors; (e) health insurance; (f) healthcare utilization and access; (g) adolescent health; (h) key components of core health beliefs and health seeking behaviors and strategies among Samoan and Tongan immigrants and nationals. They will also help facilitate the recruitment of Pacific Island interviewers within the community. Descriptive statistics of the survey results will be presented to the APIAHF and disseminated among the NH&PI community. Several papers will be prepared for publication and the project findings will be used to leverage additional resources for a more comprehensive study on the health and healthcare of Native Hawaiian and Pacific Islanders. The micro-level data will be archived by at the University of Michigan, Institute for Social Research and a data user?s plan will be developed to support increasing the pipeline for Pacific Islander researchers.