Puget Sound is home to people from diverse cultures, some with long-held connections to the region and others who have arrived more recently. The Cultural Wellbeing Vital Sign tells us whether people feel satisfied with their ability to participate in and maintain cultural traditions. Cultural practices and knowledge systems are shaped by ecosystems and are critical to human wellbeing because they provide a sense of belonging, create the foundation for moral development, and define rules for social interaction. There is no question that many of the cultural traditions held by Puget Sound residents are dependent on the health of Puget Sound ecosystems.