Customer Feedback Form

Here at PIE we strive to be the best, and meet the needs of all the clients we serve. We realize without you we would not exist. We recognize that you have some great ideas and we want you to share them with us.

Please complete the interpreter evaluation below in its entirity. By doing so, you will help us at PIE improve our level of service. Feel free to include comments or detailed remarks you would like to share. If you would like to discuss any matter concerning your experience with your interpreter today, please do not hesitate to contact us.
General Information
 
Your Name:   Company:
Address:
City:   State:  Zip:
Phone:  Email:
I am:   Deaf  Hard of Hearing  Hearing
Other interpreting agencies you use:   SLA   CIRS   PINS   BIS
May we share your comments with the interpreter?  Yes   No
May we use your comments in our various publications?  Yes   No
Interpreter Name:
Answer Key
E - Excellent, G - Good, A - Average, P - Poor
D - Definitely, P - Probably, N - Not Likely

General Observation
Arrived on time
Well Prepared
Appropriately Dressed
Placement of Interpreter
Familiar with Topic
Positive Attitude
Pleasant/Friendly
Accepted Feedback
Behaved Ethically
Satisfied your Needs
Pre-conferenced with you

Sign Language Use
Clear Signing
Clear Finger Spelling
Maintain Eye Contact
Voicing Skill
Receptive Skill
Use of Facial Expressions
Use of Vocabulary
Use of Grammar

English Use
Sign Language Use
Clarity of Voice
Tone of Voice
Speech Rate
Inflection
Use of Transitions
Use of Vocabulary
Use of Grammar

About You
I am Deaf
Other interpreting agencies you use
May we share your comments with the interpreter?
May we use your comments in our various publications? 

More About You & Us
I'll use PIE again
I'll use this Interpreter again
I'll recommend PIE to friends
I'll use PIE on business trips
Answer Key
E - Excellent, G - Good, A - Average, P - Poor
D - Definitely, P - Probably, N - Not Likely

Is there anything you would like to elaborate on regarding your experience with your interpreter(s)? Please explain any "A" or "P" ratings given in the previous section. Any and all feedback are greatly appreciated.