Refugee communities face cultural and structural barriers to healthcare that existing validated survey tools do not fully capture. This project develops a comprehensive, culturally responsive survey instrument designed specifically for refugee populations. Using validated survey development methods, an environmental scan, a modified Delphi process, translation protocols, and cognitive interviewing, the research team—through shared decision-making with a resettlement agency and current refugees—co-created a multilingual tool addressing access, speed, cultural relevance, and behavioral factors influencing care. The resulting instrument provides actionable data to support community organizations and service providers in improving equitable access to care for refugee communities.