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Interpreter Encounter Survey

For confidentiality purposes, we do not ask for  LEP patient / client name or information and would request you do not provide this information within the survey.

Thank you for taking the time to fill out this short survey.  Your opinion is incredibly valuable for us to evaluate our interpreters and ensure we are providing the best service possible.

Please rate the performance of the ARCH interpreter in the following areas? (1 low, 5 high)

 
1.

Introducing the role of the interpreter to both LEP client / patient and provider

      
      
  • Comment:

  • 500 characters left.
2.

Accuracy and completeness of interpretation

      
      
  • Comment:

  • 500 characters left.
3.

Ability to manage the flow of communication

      
      
  • Comment:

  • 500 characters left.
4.

Maintaining transparency by keeping either party ( provider or LEP client / patient ) in the loop when communicating with the other for clarification                                               

      
      
  • Comment:

  • 500 characters left.
5.

Promoting direct communication between parties and facilitating communication across cultural differences

      
      
  • Comment:

  • 500 characters left.
6.

Did the interpreter arrive on time?

Yes
No
7.

Was the interpreter wearing a badge?

Yes
No
8.

Please provide the location, date, time, and language provided?

 

350 characters left.
9.

Please provide the name and ID number, if known, for the interpreter who provided the interpreting services.

 

50 characters left.
10.

Please feel free to provide additional comments regarding our services.

 

1000 characters left.
11.

Please provide your contact information if you would like a follow up to your response.


First Name:
Last Name:
Company Name:
Work Phone:
Email Address:
emailaddress@xyz.com