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So instead of it being a series of questions which can seem culturally inappropriate for some American Indian communities, Ylioja said, The intake has been adapted to have a more conversational flow, asking permission to continue asking questions instead of just sort of hitting them with a barrage of questions right from the beginning. After several conversations with indigenous leaders in Montana, Ylioja says it was clear that American Indians wanted to work with people from their own community who could understand the cultural significance of sacred tobacco in their lives