Feedback on Access Services
We welcome and encourage clients to send us feedback about the access services they received, so we can continually improve our customer experience. Please feel free to answer in ASL (links to videos), English, or Spanish. 
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Your Name
Your Email
Mobile/Phone/TTY/VP
A5 Interpreting Request Number (if available)
Date of Appointment
MM
/
DD
/
YYYY
Time of Appointment
Time
:
How did the scheduling of this interpreting need go? 
Did you feel informed and updated? 
Do you have any suggestions to improve scheduling of interpreters or other services?
If you would like to tell us about your experience with the interpreting or other services in your own words, please feel free to do that here. 

You also can answer the questions below for specific feedback. 
Thank you!
Did the interpreter/service provider for your event do anything that you would recommend others learn from? 
(Feedback about good service they provided.)
The Interpreter's/Service Provider's Name
You can write "don't know" if you do not remember.
Was the interpreter/service provider on time?
Clear selection
Was the interpreter's/service provider's attitude pleasant at your appointment?
Clear selection
Was the interpreter's/service provider's behavior professional?
Clear selection
Was the interpreter/service provider dressed appropriately?
Clear selection
How easy was it for you to understand the interpreter?
I could not understand the interpreter.
I understood the interpreter very easily.
Clear selection
How well did you feel the interpreter understood you?
The interpreter did not understand me.
The interpreter seemed to understand me very easily.
Clear selection
For this kind of meeting in the future, would you like to work with this interpreter/service provider again?
Clear selection
I would rate my overall satisfaction with the services as:
Clear selection
Do you want to be contacted by Bridges Oregon about this evaluation?
Clear selection
Additional Comments:
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