Cultural Competence assessment

1. Download and complete the following Cultural Competence assessment (attached below). Have attached the completed form 

2 Answer the following 3 questions in the submission text box

  1. How would you define cultural competency and why is this an important topic to learn about?
  2. Have you ever thought about what knowledge you need to have and how this shapes your ability to interact with diverse others? why or why not?
  3. Was this activity eye-opening? why or why not?


cultural backgrounds.

them on others.

spoken English in the United States.

abbreviation for Lesbian, Gay, Bisexual, Pansexual, Transgender, Genderqueer, Queer, Intersex, Agender, Asexual, and Ally community).


result in a negative impact on others.

privilege and/or marginalization.



across culture or families.

makers for services and support.

same-gender parents; grandparents as caretakers; non-binary family members, close friends, and loved ones).

disorder and a communication difference.

the decision to seek intervention.


of English.

I understand that the use of a foreign accent or limited English skill is not a reflection of:

I understand how culture can affect child-rearing practices such as the following:

the future

I understand the impact of culture on:



or traditions

medical treatment

I understand how cultural norms may influence social communication in many ways, including:

to questions value of play

This tool was developed to heighten your awareness of how you view the influence of cultural and linguistic factors. NOTE: There is no answer key; however, you should regularly review and reflect upon areas that you rated as 3, 4, or 5.

Ratings: 1 : Strongly Agree 2 : Agree 3 : Unsure 4 : Disagree 5 : Strongly Disagree

Although several sources were consulted in the development of this checklist, the following document inspired its design: Goode, T. D. (2002). Promoting cultural and linguistic competence self-assessment checklist for personnel providing services and supports in early intervention and childhood settings (Rev. ed.). National Center for Cultural Competence, Georgetown University Center for Child and Human Development, University Center for Excellence in Developmental Disabilities Education, Research & Service.


American Speech-Language-Hearing Association. (2021). Cultural competence check-in: Self-reflection. multicultural/self-reflection-checklist.pdf.

Copyright 2021 American Speech-Language-Hearing Association. All rights reserved.


__1_ I am aware of and acknowledge the influence of others’

_1__ I am aware of my beliefs and value systems and do not impose

__1_ I believe that it is acceptable to use a language other than

_2__ I accept all levels of acculturation into the dominant culture.

_1__ I am inclusive of individuals who are LGBTQIA+ (the common

_1__ I know how to use pronouns that reflect all genders—binary and

_1__ I know that not all genders align with sex assigned at birth.

_1__ I take responsibility for my comments or behavior that may

_1__ I recognize that not all groups experience equal degrees of

_2__ I am driven to respond to others’ insensitive comments or be-

_1__ I do not knowingly participate in insensitive comments or behav-

__2_ I am aware that the roles of family members may differ within or

_3__ I recognize family members and other designees as decision

__2_ I am inclusive of all family structures (e.g., divorced parents;

__1_ I understand the difference between a communication

__1_ I understand that views of the aging process may influence

_3__ I understand that there are several American English

__4_ I recognize that all English speakers use at least one dialect

_1__ Reduced intellectual capacity __2_ The ability to communicate clearly and effectively

_1__ Discipline __1_ Dressing __2_ Toileting __2_ Feeding

_3__ Self-help skills __3_ Expectations for

_2__ Communication

_2__ Access to health care

_1__ Education _2__ Family roles _2__ Religion/faith-based

__1_ Gender roles __3_ Alternative medicine __1_ Customs, practices,

_3__ Perception of time __3_ Use of AAC _2__ Views on wellness _2__ Views on (dis)ability __1_ The value of Western

_1__ Employment

__1_ Eye contact __1_ Interpersonal space __1_ Use of gestures _3__ Comfort with silence __1_ Turn-taking

__1_ Topics of conversation _2__ Asking and responding

_1__ Greetings _1__ Interruptions _1__ Use of humor __1_ Decision-making roles _2__ Directness

_1__ Play, including the

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