(Evaluation by Student)
Date _____
/ _____ / _______
Interpreter’s
Name ________________________________
Student’s
Name ___________________________
Class ___________________________
We would like some feedback regarding the interpreting services provided for
your class(es). If you do NOT want this feedback form shown
to your interpreter, check the following box
. This feedback
should relate only to the above listed class(es).
Please return
this form to the DSS office in Gaiser Hall by _____ / _____ / _____
.
| Always | Most of the time | Sometimes | Never | |
| The interpreter arrives on time for the class. | ||||
| The interpreter’s clothes are appropriate for this class. | ||||
| The interpreter asks the teacher for repeats, if necessary. | ||||
| The interpreter fingerspells clearly. | ||||
| The interpreter signs clearly. | ||||
| The interpreter uses appropriate mouthing for me. | ||||
| The interpreter understands the information taught in this class well enough to provide satisfactory interpreting services for me. | ||||
| The interpreter uses signs that I suggest. | ||||
| The interpreter knows the signs for this class. | ||||
| The interpreter uses signs that I understand. | ||||
| The interpreter uses proper facial expressions and body language for me. | ||||
| The interpreter manages the room appropriately (checks for good lighting, sits where I can see clearly, etc.) |
I would like to have this interpreter again. YES NO
It would be helpful to me if the interpreter would…
_______________________________________________________
_______________________________________________________
_______________________________________________________
It would be helpful to me if the interpreter would not…
_______________________________________________________
_______________________________________________________
_______________________________________________________
Comments/Suggestions:
_______________________________________________________
_______________________________________________________
_______________________________________________________



