Cultural Competence Self-Assessment Checklist Form
Evaluate your cultural competence with this self-assessment checklist. Please respond honestly to each statement to reflect your current attitudes and behaviors.
I recognize and value cultural differences in my interactions with others.
*
1
2
3
4
5
I actively seek to learn about cultures other than my own.
*
1
2
3
4
5
I adapt my communication style to be respectful of cultural differences.
*
1
2
3
4
5
I am aware of my own cultural biases and how they may affect my interactions.
*
1
2
3
4
5
Cultural Competence Behaviors
*
Rows
Never
Rarely
Sometimes
Often
Always
I consider cultural context when making decisions.
1
2
3
4
5
I avoid making assumptions based on stereotypes.
6
7
8
9
10
I seek feedback to improve my cultural competence.
11
12
13
14
15
How comfortable are you discussing cultural differences in a group setting?
*
Not Comfortable
1
2
3
4
Very Comfortable
5
1 is Not Comfortable, 5 is Very Comfortable
Which area do you feel is your strongest aspect of cultural competence?
*
Please Select
Awareness of biases
Knowledge of other cultures
Communication skills
Adaptability
Seeking feedback
Other
I am open to changing my perspective when presented with new cultural information.
*
1
2
3
4
5
I seek opportunities to collaborate with people from different cultural backgrounds.
*
1
2
3
4
5
Please share any additional thoughts on your cultural competence journey.
Submit Self-Assessment
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