French Language Training Program
Evaluation Questionnaire
GENERAL INFORMATION
- Why did you choose this training program?
To improve my existing French language skills
To learn how to communicate better at work
To facilitate my work with patients/clients
Personal interest
Other, please specify:
- Please check your employee or health professional category.
Doctor, dentist, pharmacist
Nurse
Health Care Aide
Audiologist, speech pathologist
Physiotherapist, occupational therapist
Paramedic
Medical Technologist- laboratory, diagnostic imaging
Administration: manager, administrative support, logistical support, technical support, maintenance.
Social Worker
Other, please specify:
3. I am: FemaleMale
4. In which type of health facility do you work (primarily or most often)?
Hospital
Community Health centre or organization
Mental Health centre or organization
Rehabilitation centre or organization
Long-Term Care facility
Public Health agency or organization
Home Care agency or organization
Family Health Team
Other, please specify:
5. How long have you been taking French language training?
Less than 1 year
1 to 3 years
3 to 5 years
More than 5 years
6.How many French language training courses have you taken?
1 to 3
3 to 5
More than 5
7. Please specify the frequency, length and type of courses you have taken.
Number of hours and times per week:
Total number of hours:
Classroom, videoconference, audioconference, etc.:
8.Please specify the level of your most recent French language course.
Intermediate
Advanced
Maintenance
Refresher
9.Please rate your level of satisfaction with the course (1 = unsatisfactory, 5 = excellent).
1 / 2 / 3 / 4 / 5Content
Material
Teacher
Site
FRENCH LANGUAGE PROFICIENCY
10.In general, what is your proficiency level in French?
Excellent
Very good
Good
Fair
Poor
None
Comments:
11. To what extent can you provide health care services in French?
Very easily
Easily
Fairly easily
With difficulty
Cannot provide services in French
Comments:
12. Since starting your French language training, to what extent have you improved your proficiency in French?
Significant improvement
Some improvement
Little to no improvement
Comments:
13. Check the areas where you have noticed some improvement after taking this course.
At patients’ bedside
During intake assessment
Giving simple instructions
Over the telephone
Patient consultation/treatment
Relaying information between patients and colleagues
Less reliance on others
Reduced delays
Increased confidence
Other, please specify:
14.Since you first started French language training, how confident do you feel about your ability to interact effectively in French in your workplace?
Feel much more confident
Feel somewhat more confident
Do not feel more confident
Comments:
15. Since you first started French language training, to what extent are you more willing to provide services in French in your workplace?
Much more willing
Somewhat more willing
Not more willing
Comments:
FRENCH LANGUAGE SERVICES
16.How often do you wear a badge (i.e. pin or lanyard) to let people know you can speak French?
Always
Often
Seldom
Never
Comments:
17. In which language do you address patients during a first visit?
Always and mostly in English
In English and French
Always and mostly in French
In the patient’s language
Comments:
18. How often have you dealt with a French-speaking patient who started the conversation in French and ended it in English?
Very often
Often
Fairly often
Rarely
Very rarely
Comments:
19. Since you first started French language training, to what extent do you speak French in your workplace (with patients and colleagues)?
Much more often
More often
Somewhat more often
Not more often
Less often
Comments:
20.To what extent do your supervisors encourage you to provide services in French?
Always Often Rarely
Comments:
21.What would be most helpful to you to improve and maintain your French language proficiency?
Thank you for your cooperation!
Participant’s name:
Agency/Organization:
Position:
Please forward your completed questionnaire to Jean Carrière by e-mail: