Cultural Competency Survey (Moule, 2011)

Directions:  Use the following key to assess your level of competence for each of the statements below. 
U         Unfamiliar        The information is totally new to me.
AW      Awareness       I have heard about it, but I don’t know its full scope, such as its principle 
                                    components, applications, and modifications.
K         knowledge        I know enough about this to write or talk about it.  I know what it is, but I’m not
                                    ready to use it.  I need practice and feedback.
AP       Application       I am ready to apply or have applied this information in my own work and/or life.
F          Facilitation       I am ready to work with other people to help them learn this. I feel confident
                                    enough to demonstrate and/or teach this to others, yet I know that my learning is
                                    a lifelong process.

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* 1. I am aware of the problem of language, images, and situations that suggest that most members of a racial or ethnic group are the same (e.g. “All Asians are good at math.”

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* 2. I substitute factual and meaningful information for ethnic clichés. For instance, I avoid using terms and adjectives that reinforce racial and ethnic stereotypes.

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* 3. I try to address stereotypical statements when I hear them used by others.

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* 4. I avoid patronizing and tokenism of any racial or ethnic group (e.g. “One of my best friends is Black.”

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* 5. I understand the histories of oppressed groups (Native American, African American, Latino/Chicano, Asian/Pacific American) in the United States.

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* 6. I thoughtfully view books and films to see if all groups are fairly represented.

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* 7. I am aware of how my membership in different groups influences the power that I possess, and I am aware of how to constructively use that power.

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* 8. I understand racial identity development. I know how to evaluate personal attitudes, emotions, and actions around my own racism and prejudices.

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* 9. For White individuals: I am conscious of my racial identity development and its relationship to racial oppression in the United States. I think critically about what it means to be of Color in this country.

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* 10. For Individuals of Color: I am conscious of my racial identity development and its relationship to racial oppression in the United States. I think critically about what it means to be of Color in this country.

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* 11. I understand the concept of levels of curriculum reform (contributions/additive, transformation, social action. See Banks & Banks, 2001.

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* 12. Please click your grade, etc.

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* 13. Please indicate your gender below.

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