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Deaf Client Feedback Form
Name
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Date of interpretation:
Date Format: MM slash DD slash YYYY
The name of the interpreter:
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Robin Anderson
Carl Boley
Lydia Harmon
Angel Kaehl
Melinda Kerr
Megan Pray
MaryAnne Thaldorf
Elise Turner
Matthew Waterhouse
Ruann Wood
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Location of interpretation:
Behaviors and Attitudes of the Assigned Interpreter (Please select yes or no)
Arrived on Time
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Dressed professionally/appropriately
Yes
No
Introduced themselves
Yes
No
Wore a VCI Badge
Yes
No
Friendly
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No
Polite and respectful
Yes
No
Interpreting Skills of the Assigned Interpreter (Please select yes or no)
My interpreter had clear signs
Yes
No
My interpreter had good facial expressions
Yes
No
My interpreter interpreted everything said
Yes
No
I understood my interpreter
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No
My interpreter understood me
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No
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