Skip to content
Interpretation feedback
*
1.
What is your role?
(Required.)
Parent/guardian
School personnel
*
2.
What is your home language?
(Required.)
*
3.
For what kind of event did you receive interpretation services?
(Required.)
Individual Education Plan (IEP) or 504 meeting
Disciplinary
Family teacher conference
School or district online webinar
School or district in-person event
Other
4.
The interpreter was present at the start of the meeting.
Yes
No
5.
The interpreter was present for the entire meeting.
Yes
No
6.
The interpreter introduced themselves to all participants and briefly explained their role, if applicable.
Yes
No
7.
If applicable, the interpreter communicated that information from the meeting would remain confidential.
Yes
No
8.
I know how to request an interpreter when needed.
Strongly agree
Agree
Neutral or not applicable
Disagree
Strongly disagree
9.
It is easy to request an interpreter when needed.
Strongly agree
Agree
Neutral or not applicable
Disagree
Strongly disagree
10.
It seemed as though the interpreter was interpreting everything that was communicated.
Strongly agree
Agree
Neutral or not applicable
Disagree
Strongly disagree
11.
Any technology used during the meeting functioned well.
Strongly agree
Agree
Neutral or not applicable
Disagree
Strongly disagree
12.
Do you have any additional comments you would like to share with us?
13.
If you would like someone to follow up with you about your interpretation experience
, please include your name and contact information. (optional)
Name
Email Address
Phone Number