This document contains a 36-item self-assessment checklist for personnel providing services to children with disabilities and their families to evaluate their cultural competency. The checklist addresses topics like physical environment and materials, communication styles, and attitudes/values. It is meant to increase awareness of diversity and how to create a culturally competent environment. There are no right answers but frequently selecting "rarely/never" may indicate low cultural competence. The goal is to incorporate principles of diversity and cultural competence.