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

12. Which of the following describes the reasons for providing your interpretation services program?MARK ALL THAT APPLY~ Federal requirement~ State requirement~ Required by the local board of health or other governing body~ Client demands~ Other, please specify _________________________________________________~ Not applicable~ None of the above~ Declined13. Which of the following activities or programs does your agency use to address concerns aboutculturally insensitive or discriminatory treatment, or difficulty in accessing services, or denial ofservices?MARK ALL THAT APPLY~ A formal grievance process~ Cultural navigators~ Ombudsmen personnel~ Systematic reminders/notices to staff promoting non-discriminatory practice~ Other, please specify _______________________________________________~ None of the above~ Don’t know~ DeclinedBegin Post-Interview Script.COSMOS Corporation, December 2003 9