Radiology Technologist Skills Checklist

Candidate Self Assessment

Personal Information

*Please fill the email ID correctly for successful submission

Levels of Proficiency

1 = No Experience

2 = Perform Infrequently (less than three months within the last two years)

3 = Limited Experience (6 months to one year within the last two years)

4 = Perform Well (at least one year in the last two years)

General Radiology

CT

MRI

Nuclear Medicine

Ultra Sound

Radiation Therapy

Age Specific Competency

Instruction: Please check the boxes below for age specific competency skills for which you can provide expertise-nursing care.

A = Infancy 0-1 Years

B = Toddler 1-3 Years

C = Preschool 3-6 Years

D = Preschool 3-6 Years

E = Early Adulthood 19-45 Years

F = Middle Adulthood 45-60 Years

Experience With Age Groups: