Communication Access – Delaware Hospitals 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? Alfred I. Dupont (also known as A.I. or Nemours) Bayhealth Christiana Care Beebe Healthcare St. Francis Healthcare Nanticoke Health Services State of Delaware (Delaware Hospital for the Chronically Ill or Delaware Psychiatric Center) Veteran's Administration (Military) Other Delaware Hospital (not listed) 2. Communication method used? (Check all that apply) Hospital staff interpreter (hearing) Video Remote Interpreting (VRI) - also similar to telehealth interpreting Interpreter (hearing) from outside hospital (meaning not work for hospital) Deaf AND Hearing ASL Interpreters (meaning CDI, Certified Deaf Interpreter used) Other 3. How many ER or overnight visits did you have? 1 2 3 4 5 or more 0 (outpatient care/service) 4. Interpreter on time? Yes No 5. Interpreter dressed appropriately? Yes No 6. Interpreter behaved professionally? Yes No 7. Understood interpreter? Yes No Most of the time Half of the time 8. Interpreter understood me (you)? Yes No Most of the time Half of the time 9. Interpreter familiar with medical terms? Yes No 10. Interpreter asked for clarification when needed?** can be with you or your doctor ** Yes No 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)? Yes 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? Yes No 14. Do you identify as... Deaf Hard of Hearing DeafBlind Late Deafened 15. Highest education completed?** Did you finish high school/college or whatever? ** High School College (2 or 4 year - Associates or Bachelor's degree) Graduate School (Masters or Doctoral degree) Vocational/Trade School 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.' Time is Up! Time's up
