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    Service Worker’s Name


    Interpreter's Name


    Date of Assignment:*

    Time of Assignment:*

    IWSO-LIS Service

    Please select that best represents your answer to each question.

    Overall, how would you rate the quality and professionalism of the IWSO-LIS services?

    ExcellentVery GoodGoodPoorVery Poor

    Please rate the response time to your request / enquiry for service.

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    Please rate the courtesy and helpfulness of IWSO Interpreters

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    Language Interpreter’s Performance (for internal use):

    Please check the box if the language interpreter fulfilled her / his responsibilities:
    Introduced her/himself and her/his agency to the service provider and the client.Appeared to interpret everything that was said by either party.Did not engage in any private conversation with you or the client.Appeared to be impartial throughout the session.Asked for clarification when needed.

    Comments and suggestions, including your opinion on how LIS can serve better:

    (Please note if there is something specific for the Interpreter)