Communication Access Survey

SURVEY ON COMMUNICATION ACCESS TO HEALTH CARE

Delaware Association of the Deaf (DAD) wants to see if hospitals in Delaware are meeting YOUR communication needs.  We want to see if we can improve communication access for the Deaf community in hospitals.  Please look back to your experience with hospitals in the last 2 years.  Please do not include routine office visits to your doctor (i.e. physical, flu shots). 

No personal information is collected or shared.

The goal is statistics, numbers to use with hospitals.  Your help will be appreciated. 

 

1. 


What is your primary hospital?

2. 


Communication method used? (Check all that apply)

3. 


How many ER or overnight visits did you have?

4. 


Interpreter on time?

5. 


Interpreter dressed appropriately?

6. 


Interpreter behaved professionally?

7. 


Understood interpreter?

8. 


Interpreter understood me (you)?

9. 


Interpreter familiar with medical terms?

10. 


Interpreter asked for clarification when needed?
** can be with you or your doctor **

11. 


Were you happy with your interpreter(s)?
** Think about your overall experiences in the last 2 years, was it good (yes) or bad (no)?

12. 


Additional comments about your interpreting experience?
** It can be about lighting, scheduling, technical issues, new healthcare rules/issues, finger-spelling issues, etc. **

13. 


Do you know your communication rights and what law(s) they come from?

14. 


Do you identify as...

15. 


Highest education completed?
** Did you finish high school/college or whatever? **

16. 


Your name (optional)?

17. 


Your email address (optional)?
** Your email will not be shared with anyone else.  DAD may want to follow up with you more (i.e. clarifications).  **

Robot check

Type what you see above (picture) into the text box here.

18. 


Finished?  Now click 'submit.'