Valley Medical Center self-assessment survey

Name


A red asterisk (*) indicates required questions.


  1. What is your unit at Valley Medical Center?

    *


  1. Do your peers and/or co-workers tell you that you are easy to understand when you give directions to others?*
    Yes
    No


  1. When you are giving verbal information with patients do you have them repeat back what you said?*
    Yes
    No


  1. Do you find speaking difficult when working with individuals or groups who speak another language?*
    Yes
    No


  1. When you deliver patient education does the patient ask you to repeat the information?*
    Yes
    No


  1. Do you enjoy speaking in front of groups or do you prefer speaking one on one?  *


  1. Do you feel confident and well prepared when you are teaching patients?
    *
    Yes
    No


  1. Do you seek support from your supervisor or colleagues when you need help with communication?*
    Yes
    No


  1. Do you believe your language skills can be improved by attending a training?*
    Yes
    No


  1. In order to assure that you are being understood when you communicate, do you ask clarifying questions to validate understanding?*
    Yes
    No


  1. When you are unable to understand someone, do you try different techniques to make sure you are understood?*
    Yes
    No





WA