Developing a Self-Assessment Toolfor Culturally - Office of Minority ...
Developing a Self-Assessment Toolfor Culturally - Office of Minority ...
Developing a Self-Assessment Toolfor Culturally - Office of Minority ...
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7. Please indicate, if you know, the percentage <strong>of</strong> your employed staff, contractors, and partnershipmembers who are conversationally fluent in languages other than English that are spoken by yourclients. (Your best estimate is fine.)Actual EstimatedRecord Percentage % ~ ~If reporting the actual percentage, what is the source used for your response? ~ Don’t know8. Do your management information systems allow for linking client information with information on any<strong>of</strong> the following for performance assessments and QI activities?MARK ALL THAT APPLY~ Staff information~ Contractor information~ Partnership member information~ Other, please specify _______________________________________~ Don’t know~ None <strong>of</strong> the above9. Please indicate the size <strong>of</strong> your agency’s employed staff by marking the appropriate box. (Your bestestimate is fine.)~ Fewer than 50~ 50–99~ 100–499~ 500–999~ 1,000–5,000~ Greater than 5,000~ Don’t know10. Please indicate the number <strong>of</strong> contractors your agency is currently working with by marking theappropriate box. (Your best estimate is fine.)~ Fewer than 50~ 50–99~ 100–499~ 500–999~ 1,000–5,000~ Greater than 5,000~ Don’t know11. Please indicate the number <strong>of</strong> partners your agency is currently working with. (Your best estimate is fine.)~ Fewer than 50~ 50–99~ 100–499~ 500–999~ 1,000–5,000~ Greater than 5,000~ Don’t knowCOSMOS Corporation, December 2003 6