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Deaf and Hard of Hearing Interpreting Services, Inc.

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Customer Evaluation Form

Name of Sign Language Interpreter:
Date of Service: (12/12/2008)
Job Number: #


1) Were you satisfied with the sign language interpreter as follows:

a) Punctuality Yes No
b) Professional Appearance Yes No
c) Courtesy/Professionalism Yes No
If no to any of the above, please explain?


2) When the deaf person signs, is the interpreter’s message clear and coherent? Yes No

3) Would you recommend this sign language interpreter for future assignments? Yes No

4) Do you have any additional comments?

Your Name (Optional)
Name of Organization/School/Agency


You may also print this form and fax it to 212-647-1099.

Everything you write on this evaluation form will be kept CONFIDENTIAL!!!

  © 2008 Deaf and Hard of Hearing Interpreting Services, Inc.