Interpreting
Resources
Satisfaction Survey
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Deaf Service Center, Inc.
Interpreting and Community
Resources
5830 North High Street
Worthington, OH 43085-3959
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Deaf Services Center is pleased to have provided you with interpreting services. Please take a few minutes to answer this survey below and give it back to us quickly. Your feedback helps us improve our services we provide to you. Thank you. |
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Your Name: _____________________________ Country you live: ______________________
(Optional)
RACE: ________________________________________________________________
(Optional)
Today's Date: ___________________________________________________________
Interpreter's name: ________________________________________________________
Date & Time of Assignment: _________________________________________________ |
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PLEASE CIRCLE ONE |
| Interpreter on time? |
Yes No |
| Interpreter stay until finish? |
Yes No |
| Interpreter act professional with you? |
Yes No |
| Interpreter understand you? |
Yes No |
| You understand interpreter? |
Yes No |
Additional Comments: ___________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________ |
Thank you for taking the time to fill out this survey. Company and individual names are held strictly confidential. These surveys will only be used to evaluate interpreting services. You may put this in our "Client Satisfaction Survey" box at our main office OR fax it to us at (614) 841-4909 OR mail it to us at: Interpreting Resources, Deaf Services Center, Inc. 5830 North High Street, Worthington OH 43085. |
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