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Sign Language Interpreter Evaluation Form
for an Agency/Business

The Statewide Interpreter Referral Service of the Nebraska Commission for the Deaf and Hard of Hearing wants to make sure you are getting the highest professional service possible. Please assist us in submitting this form. This evaluation will be placed in the interpreter's permanent file. Interpreter's are allowed to see what is put in their individual files.

Information received from the submission of forms that are posted on the Nebraska Commission for the Deaf and Hard of Hearing (NCDHH) web site, is used for business use only. Information collected through the submission of forms will not be resold for commercial use, all information will be kept confidential.

Entries marked with an * is required information.

(month/date/year)


(include address and city)

(beginning time to ending time)

(include 4 digit extension)

Did the interpreter arrive at the agreed upon time?


Was the interpreter dressed appropriately for the assignment?


Did the interpreter act in a professional manner?


Did you feel that the interpreter communicated the information accurately?


Did the interpreter contact you before the assignment to confirm the clarity of their policies and rates?


Would you use this interpreter again?




 

Thank you for your time in completing this form.

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