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

Post-Interview Script for LPHA DirectorThat concludes the questions we have for you about your agency. However, we arerequesting that you recommend other individuals in your agency who can provide additionalinformation on your clients and staff by completing two questionnaires.As explained earlier, we will contact the individuals you recommend by mailing a packagethat includes information on obtaining the appropriate questionnaire and instructions forcompleting and submitting the form. Options for returning the completed questionnaire includeInternet web site submission, electronic mail, facsimile, and postal mail.We would like you to recommend at least two individuals in your agency whose roles andresponsibilities appropriately match the topics covered in each questionnaire, as indicated in thetopical description that was enclosed with the letter. You may recall that one questionnairerequires knowledge of programs and practices aimed at your general clientele, and the otherrequires knowledge of programs and practices related to your staff.Although the focus of both questionnaires is on health care services provided to members ofdiverse cultural groups, each questionnaire is divided into sections that cover specific topicswithin the broader inquiry. Depending on the structure of your agency, it may be appropriate fordifferent individuals to complete certain sections or questions of one questionnaire, therebygreatly reducing individual time and effort. Please recommend a primary contact responsible forthe receipt and completion of each questionnaire (this person could either complete the entirequestionnaire or delegate certain sections to other individuals who are knowledgeable aboutparticular topical sections).COSMOS Corporation, December 2003 10