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Sign Language Interpreter Evaluation Form for a Deaf/Hard of Hearing Client

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. We would like to know if you were satisfied with the interpreter you have worked with. 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 4 digit extension)

Was the interpreter on time?


Was the interpreter dressed appropriately (right) for the assignment?


Did the interpreter have a good attitude?


Did you understand the interpreter and did the interpreter understand you?




Would you use this interpreter again?




 

Thank you for your time in completing this form.

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