Needs Assessment Survey: Amish Culture and Way of Life

Please take a few minutes to complete the following survey. The survey answers are rated on a scale of 1 - 5 (1 = Poor; 2 = Fair; 3 = Good; 4 = Very Good; and 5 = Excellent). The information you provide will help in assessing the staffs’ knowledge and understanding of the Amish culture and heighten the ability to focus on necessary learning essentials in order to enhance the care we provide to the Amish population. Thank you, Laura Rafeld, RN, MSN

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  1. Please rate your knowledge and understanding of Amish roots and history that stretch back to the sixteenth-century.
    1 2 3 4 5


  1. Please rate your knowledge and understanding of Amish customs and beliefs (i.e. Obedience, humility, and simplicity).
    1 2 3 4 5


  1. Please rate your knowledge and understanding of Amish survival as the Amish become involved in cultural compromises regarding today's modernizations (i.e. Electricity, transportation, cuisine, dress, holidays, health issues, language and family dynamics).
    1 2 3 4 5


  1. Please rate your knowledge and understanding of Amish social organization (i.e. Gender roles, gatherings, and interaction with others, weddings, funerals, education, religion and excommunication).
    1 2 3 4 5


  1. Please rate your knowledge and understanding of Amish employment and economic traditions (i.e. Land, industry, financials, politics and government).
    1 2 3 4 5


  1. Any additional Comments:




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