1. Cultural Competence,Sensitivity, and Effectiveness in Delivering Healthcare

We are pleased that you participated in a Foothills AHEC Healthtecdl educational program. Please take the time to fill out this evaluation survey, so that we can improve future programs.

For continuing education certificate, and/or certificate of completion, an evaluation is required. Continuing education certificates will be mailed to the participants.

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* 1. Please provide your name, mailing address and email address so that we may identify registrants that complete the evaluation survey for continuing education certificates and/or certificates of completion. We will send reminder emails to those that do not complete the evaluation survey.

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* 2. Please indicate your professional degree.

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* 3. Name of Employer

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* 4. County Of Employment

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* 5. If you checked Social Worker please provide the last 4 digits of your SSN. Please indicate if your are MSW/ MFT/ LPC/ School Counselor/ or Other.

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* 6. If your are a student, please provide the name of your institution.

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* 7. Did you participate in the AHEC/Healthtecdl program from your organization's facilities?

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* 8. If yes, were there other individuals who viewed the presentation with you?

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* 9. If yes, number according to ethnicity and gender

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* 10. If yes, please provide the names and email addresses of these people, so we may have a complete record of participants.

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* 11. Please rate the following aspects of the program content:

  Strongly Disagree Disagree Neutral Agree Strongly Agree
Activity met the stated objectives.
Be able to identify cultural variations within the Hispanic/non-English speaking community that may directly affect clinical care.
Be able to identify and improve less than standard practices when providing language services to Limited English Proficient (LEP) patients.
Be able to provide Effective Communication to all Limited English Proficient (LEP) patients in the health care settings.
Be able to identify interpreters and provide necessary training for competency.

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* 12. Post Test Question Section One (Multiple-Choice)

1) What does LEP stand for?
a. Little English Patient
b. Limited English Patient
c. Limited English Proficient

2) What are some of the elements of effective Healthcare communication?
a. Interpreters and Language Line
b. Signage and Document Translation
c. Deaf Talk Device and Communication Package
d. All of the Above

3) In an interpreting session, the interpreter should be positioned
a. Next to the clinician, facing the patient
b. Behind the patient, facing the clinician
c. Beside the patient, slightly behind and facing the clinician

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* 13. Post- Test Questions Section Two
Please answer True or False

  True False
A family member should not be used for interpreting clinical information.
Cultural competence means to really listen to the patient, to find out and learn about the patient's beliefs of health and illness.
Cultural competence is obtaining cultural information and then applying that knowledge.
cultural awareness allows healthcare professionals to see the entire picture and improves the quality of care and health outcomes.

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* 14. How Would you rate the quality of instruction?

  Strongly Disagree Disagree Neutral Agree Strongly Agree
Instructional materials were well organized.
Instructional methods illustrated the concepts well.
If slides were presented, they will be useful reference.
References and resources provided will assist me.

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* 15. How would you rate the quality of the presentation?

  Strongly Disagree Disagree Neutral Agree Strongly Agree
Presenter was clear and to the point.
Presenter demonstrated mastery of the topic.
Methods used to present the materials held my attention.
Presenter was responsive to questions.

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* 16. Based on this activity, do you plan to make changes to your practice/organization?

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* 17. What one thing would you recommend that we change to improve content and/or presentation?

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* 18. Please rate the following aspects of the distance-based network.

  Very satisfied Satisfied Neutral Dissatisfied Very Dissatisfied
Ease of access to program.
Quality of the video/slides.
Quality of the audio.
Degree of interactivity.

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* 19. Please describe any difficulties that you encountered in participating in the program from your location.

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* 20. What one thing would you recommend that we change to the distance based aspect of the program?

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* 21. How did you hear about this program?

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