Developing a Self-Assessment Toolfor Culturally - Office of Minority ...

D. OTHER RELATED CLIENT SERVICES1. Which of the following are provided or assured by your agency in an effort to be more culturallyresponsive to your clients?MARK ALL THAT APPLY~ Scheduled days and hours of operation other than the usual 8 a.m. to 5 p.m. range~ Culturally friendly physical environment with interior design, pictures, posters, and artworkthroughout of diverse populations engaged in meaningful activity ~ Dietary options in cafeteria or food service areas that reflect the cultural beliefs and behaviors ofyour clients~ Facilities or services specifically intended to accommodate groups of diverse religious faiths~ Signage and directions translated and available in predominant languages of service population~ Signage in braille at critical points of service for the blind~ Print materials prepared in larger fonts for older and visually-impaired audiences~ Use of language identification cards to identify the language spoken by clients~ Handicapped access to all key entryways, exits, and service areas~ Services for the hearing impaired, including phones and personnel trained in American SignLanguage~ Publicly disseminated annual report or publication of agency’s efforts to provide culturally andlinguistically appropriate services~ Other, please specify _______________________________________~ None of the above2. Which of the following complementary or alternative healing practices are offered to your clients?MARK ALL THAT APPLY~ Acupuncture/acupressure~ Physical or occupational therapies~ Chiropractic therapies~ Herbal therapies~ Hydrotherapy~ Homeopathy~ Stress management and relaxation techniques (e.g., progress relaxation, deep breathing,hypnosis, biofeedback)~ Diet/nutrition~ Music, dance, or art therapies~ Other, please specify _______________________________________~ Don’t know~ None of the aboveCOSMOS Corporation, December 2003 13