| 1. |
Do you speak first when you see a patient, visitor, family member? |
YES |
NO |
| 2. |
Are you quick to smile at patients, visitors, family members? |
YES |
NO |
| 3. |
Do you introduce yourself, giving your first and last name clearly? |
YES |
NO |
| 4. |
Do you explain your role in an understandable way? |
YES |
NO |
| 5. |
Do you orient the patient to what will happen next? |
YES |
NO |
| 6. |
Do you make eye contact with the patient? |
YES |
NO |
| 7. |
Do you wear a visible and legible identification badge at chest
or collar level? |
YES |
NO |
| 8. |
Is your clothing neat and professional in appearance? |
YES |
NO |
| 9. |
Do patients see you following standard precautions? |
YES |
NO |
| 10. |
Are you conscientious about protecting patient confidentiality? |
YES |
NO |
| 11. |
Do you try to speak with the patient on the same physical level? |
YES |
NO |
| 12. |
Do you use the patient’s name at least once? |
YES |
NO |
| 13. |
Do you listen to the patient’s initial statement without interrupting? |
YES |
NO |
| 14. |
Is your clothing & work area free of flip or inappropriate messages? |
YES |
NO |
| 15. |
Do you stop any personal conversations when a patient approaches
you? |
YES |
NO |
| 16. |
Do you respond to requests with kindness? |
YES |
NO |
| 17. |
Do you give your undivided attention for the first 60 seconds? |
YES |
NO |
| 18. |
Do you find out what the patient needs before addressing your needs? |
YES |
NO |
| 19. |
Do you use courtesy words - please, thank you, you’re welcome? |
YES |
NO |
| 20. |
Do you ask your patient how he/she would like to be addressed? |
YES |
NO |
| 21. |
Do you speak your name slowly and clearly when you answer the telephone? |
YES |
NO |
| 22. |
Do you listen for the caller’s name at the outset of the call? |
YES |
NO |
| 23. |
Do you use the caller’s name at least once during the call? |
YES |
NO |
| 24. |
Do you refrain from making negative remarks about co-workers? |
YES |
NO |
| 25. |
Do you appear happy in your position? |
YES |
NO |
Give yourself 4 points for every "YES" answer. Scoring:
92-100 Impossible to score this high.
76-88 WOW!
60-72 Some fine tuning and you’re exceptional
Below 60 - Ouch! |
How To Use The First Impression Checklist:
- Ask job applicants to complete it, sign and date. Where an applicant
has answered "no" and the question is a standard in your organization,
you know the training will be needed. If an applicant answers
"yes", but doesn’t demonstrate the behavior(s) on the job, you
can pull the checklist from the personnel record and ask him/her
for an explanation.
- Use as a staff meeting exercise. Follow with a discussion about
which questions are the most important for your organization.
Build some consensus around a short list of behaviors that everyone
in the organization will use to create positive first impressions.
|