Satisfaction Survey - Webinar: Language Services and Patient Safety

1. Default Section

Question Title

* 1. Please rate the overall quality of this webinar (Language Services and Patient Safety).

	5 - Excellent	4 - Good	3 - Average	2 - Poor	1 - Terrible
Overall presentation quality	Overall presentation quality 5 - Excellent	Overall presentation quality 4 - Good	Overall presentation quality 3 - Average	Overall presentation quality 2 - Poor	Overall presentation quality 1 - Terrible

Question Title

* 2. Amy Wilson-Stronks provided practical suggestions that may benefit my organization.

Strongly Agree

Agree

Disagree

Strongly Disagree

Question Title

* 3. Matthew Krathwohl and David Libby provided practical suggestions that may benefit my organization.

Strongly Agree

Agree

Disagree

Strongly Disagree

Question Title

* 4. Jonathan Levy of CyraCom provided practical suggestions that may benefit my organization.

Strongly Agree

Agree

Disagree

Strongly Disagree

Question Title

* 5. Do you currently provide language services?

Yes

Question Title

* 6. If so, how do you currently provide language services?

Bilingual staff

Telephonic interpretation

Family members of patient

On-site interpreters

Other (please specify)

Question Title

* 7. Please rate how often physicians and staff in your organization follow guidelines in consistently using language services from trained interpreters or staff.

	1 - Almost never	2 - Rarely	3 - Sometimes	4 - Often	5 - Almost always
Please choose	Please choose 1 - Almost never	Please choose 2 - Rarely	Please choose 3 - Sometimes	Please choose 4 - Often	Please choose 5 - Almost always

Question Title

* 8. How do you think engagement of physicians and staff can be improved?

Feedback by peers / other staff

Creating awareness about liability / malpractice risk

Improving reporting through medical records (compare language preference at admission to use of interpreters)

Strong emphasis by leadership

Other (please specify)

Question Title

* 9. Do you have a specific question regarding the content of this webinar that you would like one of the speakers to address? If so, please submit your question here and we will respond.

Please indicate below who you would like to answer the question. Multiple selections are possible.

Amy Wilson-Stronks

Matthew Krathwohl / David Libby

Jonathan Levy

Question(s)

Question Title

* 10. Contact Information

Name: *

Organization: *

Address:

City/Town:

State:

ZIP/Postal Code:

Country:

Email Address: *

Phone Number: *

Question Title

* 1. Please rate the overall quality of this webinar (Language Services and Patient Safety).

Question Title

* 2. Amy Wilson-Stronks provided practical suggestions that may benefit my organization.

Question Title

* 3. Matthew Krathwohl and David Libby provided practical suggestions that may benefit my organization.

Question Title

* 4. Jonathan Levy of CyraCom provided practical suggestions that may benefit my organization.

Question Title

* 5. Do you currently provide language services?

Question Title

* 6. If so, how do you currently provide language services?

Question Title

* 7. Please rate how often physicians and staff in your organization follow guidelines in consistently using language services from trained interpreters or staff.

Question Title

* 8. How do you think engagement of physicians and staff can be improved?

Question Title

* 9. Do you have a specific question regarding the content of this webinar that you would like one of the speakers to address? If so, please submit your question here and we will respond. Please indicate below who you would like to answer the question. Multiple selections are possible.

Question Title

* 10. Contact Information

* 9. Do you have a specific question regarding the content of this webinar that you would like one of the speakers to address? If so, please submit your question here and we will respond.

Please indicate below who you would like to answer the question. Multiple selections are possible.