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* What approach do you use to make sure patients from diverse backgrounds understand instructions?
   
 
 
 
* What approach do you use to improve patient adherence to treatment?
   
 
 
 
* Hang in there! We have just a few more questions about patient care. The next set of questions asks about languages differences that you may experience.

Do you have interpreters available for non-English speaking patients?
 
Yes
 
No
 
 
 
* Please specify which languages. (Select all that apply.)
 
Chinese
 
French
 
German
 
Greek
 
Italian
 
Japanese
 
Polish
 
Portuguese
 
Spanish or Spanish Creole
 
Other (please specify)
 

 
 
 
* Below you will find a list of strategies that we have heard others use to communicate with patients who have language barriers. Please select all that you currently use. (select all that apply)
 
Use a member of your staff to interpret
 
Employ an interpreter
 
Hire an interpreter service
 
Ask the patient’s family/friend to interpret
 
Try to work through the encounter
 
Use visual aids
 
Other (please specify)
 

 
 
 
* Among all of the different approaches we have asked you about related to providing culturally appropriate patient education, what are the 1 or 2 approaches that you have found most successful in your work?
   
 
 
 
* What is the greatest challenge you face in providing culturally competent care?
   
 
 
 
* Please list any resources (organizations, websites, training programs, etc.) that you have found especially helpful in providing culturally competent care.
   
 
 
 
* What is your age?
 
18 to 24
 
25 to 30
 
31 to 40
 
41 to 50
 
51 to 60
 
61 to 70
 
Older than 70
 
 
 
* What is your race? (Check all that apply.)
 
White
 
Black or African American
 
American Indian or Alaska Native
 
Asian or Pacific Islander

 
 
 
* Are you Hispanic or Latino(a)?
 
Yes
 
No
 
 
 
* Are you fluent in any languages other than English? (Please specify.)
   
 
 
 
* Please share any additional comments.
   
 
 
 
* As a final question, we would like to know if you are interested in a follow-up interview.

We are looking to interview healthcare extenders on their tips and strategies for working with patients from culturally diverse backgrounds. We will provide an additional honorarium. Can we contact you?
 
Yes
 
No
 
 
 
Thanks for taking the time to complete this questionnaire. In order to receive your $25 Amazon gift card and be entered into the raffle for the iPad, please fill in the following contact information. We will also use this information to contact you about an interview if you indicated that you would like to participate.
 
 
 
* Phone : 
 
 
 
* Zip Code
   
 
 
 
* What is the best way to contact you?
 
E-mail
 
Phone
 
Other
 
 
 
 
* When is the best time to contact you?
   
 
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