#1 Plain language that is easy to understand

#2 Different cultures have different rules of polite communication

#3 Read and write everything down, then repeat

#4 Make sure to be direct

#5 The need to ask questions

#6 It is OK to have informal conversations, chats to laugh at silly things

#7 Not everyone speaks English as a first language

#8 Be careful not to read too much into things

#9 Lags in response

#10 A sense of isolation

#11  Interruptions are permissible

#12  Style of communication