Cultural CompetencyCultural Competency Self-AssessmentThis resource was adapted from "Cultural Competency Self-Assessment Checklist," from the Refugee Assistance Program Workers website (rapworkers.com). This cultural competency self-assessment will allow you to identify your assets and weaknesses as a leader. By doing so, you will be able to gain insight into how you can improve your own self-leadership skills. Read each entry in the categories of Awareness, Knowledge, Skills, Physical Environment, Materials, and Resources and Values and Attitudes. For each entry (row), place a number “1” in the column that corresponds with your selection (Never, Sometimes/Occasionally, Fairly Often/Pretty Well, and Always/Very Well). You will only have one selection per entry (row). The Excel spreadsheet will tally up your results and provide you with a total for each category. This self-assessment is not a test and will not have a right or wrong answer. The self-assessment should only be used as a tool to help you identify areas of strength and areas that might need further development. CategoriesDescriptionsNeverSometimes/ OccassionallyFairly Often/ Pretty WellAlways/ Very WellAwarenessValue divesityMy perspective on human differences is that they are positive and should be celebrated. Know myselfI have a clear and positive viewpoint of my own ethnic, racial, and cultural identity. Share my cultureI have clear awareness and undestanding of the need to be prepared to share my own culture if I desire to learn more about others. Be aware of discomfortI am aware of personal discomfort when I engage ethnicities, language, sexual orientation, religious, or races outside of my own. Check my assumptionsI am intentionally aware of assumptions I hold true about people from cultures outside of my own. Check my stereotypesI have personal strategies to counteract harmful stereotypes that arise. Reflect on how my culture informs my judgmentI acknowledge awareness of my cultural perspective and its influence on my judgment as to what is "normal," appropriate, or "superior" values, behaviors, and communication styles. Accept ambiguityI can experience anxiety when placed in cross-cultural situations.Be curiousI intentionally place myself in situations and places where I can create relationships and learn about differences. Awareness Totals0000CategoriesDescriptionsNeverSometimes/ OccassionallyFairly Often/ Pretty WellAlways/ Very WellKnowledgeGain from my mistakesI am aware that I will make mistakes. I will also choose to learn from them. Assess the limits of my knowledgeI am aware of limited knowledge of certain cultural groups; however, I am committed to creating opportunities to increase this knowledge. Acknowledge the importance of differenceI am aware that differences in ethnicity, race, and culture are vital parts of an individual's identity. Understand the influence of culturesI am aware that cultures can change over time and that an ...

1. Cultural CompetencyCultural Competency Self-AssessmentThis
resource was adapted from "Cultural Competency Self-
Assessment Checklist," from the Refugee Assistance Program
Workers website (rapworkers.com). This cultural competency
self-assessment will allow you to identify your assets and
weaknesses as a leader. By doing so, you will be able to gain
insight into how you can improve your own self-leadership
skills.
Read each entry in the categories of Awareness, Knowledge,
Skills, Physical Environment, Materials, and Resources and
Values and Attitudes.
For each entry (row), place a number “1” in the column that
corresponds with your selection (Never,
Sometimes/Occasionally, Fairly Often/Pretty Well, and
Always/Very Well). You will only have one selection per entry
(row).
The Excel spreadsheet will tally up your results and provide you
with a total for each category.
This self-assessment is not a test and will not have a right or
wrong answer. The self-assessment should only be used as a
tool to help you identify areas of strength and areas that might
need further development.
CategoriesDescriptionsNeverSometimes/ OccassionallyFairly
Often/ Pretty WellAlways/ Very WellAwarenessValue
divesityMy perspective on human differences is that they are
positive and should be celebrated. Know myselfI have a clear
and positive viewpoint of my own ethnic, racial, and cultural
identity. Share my cultureI have clear awareness and
undestanding of the need to be prepared to share my own
culture if I desire to learn more about others. Be aware of
discomfortI am aware of personal discomfort when I engage

2. ethnicities, language, sexual orientation, religious, or races
outside of my own. Check my assumptionsI am intentionally
aware of assumptions I hold true about people from cultures
outside of my own. Check my stereotypesI have personal
strategies to counteract harmful stereotypes that arise. Reflect
on how my culture informs my judgmentI acknowledge
awareness of my cultural perspective and its influence on my
judgment as to what is "normal," appropriate, or "superior"
values, behaviors, and communication styles. Accept ambiguityI
can experience anxiety when placed in cross-cultural
situations.Be curiousI intentionally place myself in situations
and places where I can create relationships and learn about
differences. Awareness
Totals0000CategoriesDescriptionsNeverSometimes/
OccassionallyFairly Often/ Pretty WellAlways/ Very
WellKnowledgeGain from my mistakesI am aware that I will
make mistakes. I will also choose to learn from them. Assess
the limits of my knowledgeI am aware of limited knowledge of
certain cultural groups; however, I am committed to creating
opportunities to increase this knowledge. Acknowledge the
importance of differenceI am aware that differences in
ethnicity, race, and culture are vital parts of an individual's
identity. Understand the influence of culturesI am aware that
cultures can change over time and that an individual's
attachments to cultures can vary from person to person. Commit
to lifelong cultural learningI am commited to being a lifelong
learner of cultural competencies and cultural changes.Know my
limitationsI am aware of potential gaps in my knowledge and
choose to develop and increase my capacity for personal
assessment in those areas.Intercultural and intracultural
differencesI am aware that intercultural and intracultural
differences exist, and I am committed to increasing my
awareness response to these differences. Point of referene to
assess appropriate behaviorI acknowledge an awareness to
culture. All individuals have their own "culture" and I have my
own. I choose to regard other points of view, not just my own as

3. a point of reference to assess appropriate and inappropriate
behaviors. Knowledge
Totals0000CategoriesDescriptionsNeverSometimes/
OccassionallyFairly Often/ Pretty WellAlways/ Very
WellSkillsSituational adaptabilityI look for opportunities to
respectfully engage and interact with others who are different
than me.Cross-cultural communication aptitudeI am adept at
changing my style of communication to communicate
effectively with those whose views and method of
communicating is different than mine. Pursue opportunities to
broaden crosscultural skillsI look for ways and individuals to
challenge me to enhance my cross-cultural skills.Diversity
engagementI actively look for ways to get involved in
initiatives that increase understanding among members of
diverse groups.Cross-cultural respectMy behaviors tell others
that I respect the cultures and beliefs of others.Relational
adaptabilityI am adept in relationship building and can easily
build relationships with those who are different than
me.Awareness of within-group differencesI understand within-
group differences and that the behavior of one individual i s not
generalizable to the entire cultural group.Skills
Totals0000CategoriesDescriptionsNeverSometimes/
OccassionallyFairly Often/ Pretty WellAlways/ Very
WellPhysical Environment, Materials, and
ResourcesWorkshpace awarenessI include décor in my
workspace that is representative of the culture and ethnic
backgrounds of my internal and external customers.Multimedia
resource awarenessThe multimedia resources that I use in my
work reflect the culture and ethnic backgrounds of my internal
and external customers.Verbal communication awarenessIn
instances in which I interact with internal and external
customers whose English proficiency is limited, I keep in mind
that the ability to effectively communicate in English is in no
way representative of their ability to effectively communicate in
their primary language.Written communication awareness When
possible, I make sure that all written communication is provided

4. in the primary language of internal and external
customers.Physical Environment, Materials, and Resources
Totals0000CategoriesDescriptionsNeverSometimes/
OccassionallyFairly Often/ Pretty WellAlways/ Very
WellValues and AttitudesPersonal values awarenessI make it a
point to not impose my values that are in contrast to those from
other cultures or ethnic groups.Observational awarenessWhen I
observe others engaging in behaviors that reflect prejudice,
bias, and are culturally insensitive, I intercede.Value
acceptanceI accept others even when their values differ from
mine.Diversity skills advancementI seek to improve myself
through professional development and training to enhance my
knowledge and skills in supporting and serving diverse
groups.Values and Attitudes Totals0000
2
Rokeach Values Survey
Developed by Milton Rokeach in 1973, the purpose of the
Rokeach Values Survey is to classify human values and help
individuals better understand what is important to them. Values
themselves are not seen, instead one can see the behaviors
associated with what people value.
There are two types of values in this survey:
· Terminal Values: Terminal values represent desired end states.
Something a person would like to achieve in his/her own
lifetime. Examples would be true friendship, mature love,
national security, world peace, salvation, a comfortable life.
Terminal values are achievable items.
· Instrumental Values: Instrumental values represent “modes of
behavior.” In other words, a means of achieving your terminal
values. (Think of these values as instruments by which you
accomplish your terminal values). Examples include ambition,
love, self-control, politeness, honesty, independence. The focus
of instrumental values is on acting in a manner to achieve the

5. value.
Complete a Rokeach Values Survey for yourself by ranking the
Rokeach values listed in the table below in order of importance.
Focus on only one set of values at a time.
· Ranking Terminal Values: Begin by focusing only on the list
of terminal values. Select the value that is most important to
you. As you go through the list of terminal values, rank each
value from most to least importance for you with 1 being most
important and 18 being least important to you. Work through
the list of terminal values until all terminal values are assigned
a ranking.
· Ranking Instrumental Values: When you have finished ranking
your terminal values, proceed to the list of instrumental values,
and rank each in the same way your terminal values with a
ranking of 1 for the most important instrumental value, and 18
for the least important instrumental value.
Once you have completed ranking all 18 terminal values and all
18 instrumental values, make sure to make note of both your top
values in each category. You will utilize this data in the Topic 2
Self-Reflection Essay.
Rokeach Values Survey
Terminal Values
Rank
Instrumental Values
Rank
A World at Peace (Free of War and Conflict)
Ambitious (Hard-Working, Aspiring)
Family Security (Taking Care of Loved Ones)
Broadminded (Open-Minded)
Freedom (Independence, Free Choice)

6. Capable (Competent, Effective)
Equality (Brotherhood, Equal Opportunity for All)
Cheerful (Lighthearted, Joyful)
Self-Respect (Self-Esteem)
Clean (Neat, Tidy)
Happiness (Contentedness)
Courageous (Standing Up for Your Beliefs)
Wisdom (A Mature Understanding of Life)
Forgiving (Willing to Pardon Others)
National Security (Protection From Attack)
Helpful (Working for The Welfare of Others)
Salvation (Saved, Eternal Life)
Honest (Sincere, Truthful)
True Friendship (Close Companionship)
Imaginative (Daring, Creative)
A Sense of Accomplishment (A Lasting Contribution)
Independent (Self-Reliant, Self Sufficient)
Inner Harmony (Freedom From Inner Conflict)

7. Intellectual (Intelligent, Reflective)
A Comfortable Life (A Prosperous Life)
Logical (Consistent, Rational)
Mature Love (Sexual and Spiritual Intimacy)
Loving (Affectionate, Tender)
A World of Beauty (Beauty of Nature and the Arts)
Obedient (Dutiful, Respectful)
Pleasure (An Enjoyable Leisurely Life)
Polite (Courteous, Well-Mannered)
Social Recognition (Respect, Admiration)
Responsible (Dependable, Reliable)
An Exciting Life (A Stimulating Active Life)
Self-Controlled (Restrained, Self-Discipline)
This resource was adapted from The Nature of Human Values,
by Milton Rokeach, published by The Free Press (1973).
Copyright 1973 by The Free Press, a division of Macmillan
Publishing Co., Inc.

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