Interpreter’s Name: ______________________________________
Language: ______________________________________________
Job#: __________________________________________________
Client/Location: _________________________________________
Job Type:
Medical
Community
Legal
Technical
Language Skills
Low
High
Interpreter spoke loudly, clearly and fluidly when interpreting into English:
1
2
3
4
5
_________________________________
Interpreter spoke loudly, clearly and fluidly in the foreign language:
1
2
3
4
5
_________________________________
Interpreter demonstrated knowledge of colloquial terminology and regionalisms
1
2
3
4
5
_________________________________
Interpreter demonstrated knowledge of technical, industry specific terminology
1
2
3
4
5
_________________________________
Interpretation
Introduction (Pre Session):
1
Use of 1st Person:
1
Positioning of Interpreter:
1
Strong Memory Skills:
1
Note-taking:
1
Reflected Tone & Emotion:
1
Cultural Brokering:
1
(If applicable) Responded well to:
 Challenge to interpretation: 1
 Mistake by interpreter:
1
Presentation
Arrival on time:
Adhered to Dress Code:
Name Badge worn:
Addressed client properly:
Customer Service:
Verified completion of job:
Obtained a signature:
Total Score:
1
1
1
1
1
1
1
2
2
2
2
2
2
2
3
3
3
3
3
3
3
4
4
4
4
4
4
4
5
5
5
5
5
5
5
_________________________________
_________________________________
_________________________________
_________________________________
_________________________________
_________________________________
_________________________________
2
2
3
3
4
4
5
5
_________________________________
_________________________________
2
2
2
2
2
2
2
3
3
3
3
3
3
3
4
4
4
4
4
4
4
5
5
5
5
5
5
5
_________________________________
_________________________________
_________________________________
_________________________________
_________________________________
_________________________________
_________________________________
_______________
Additional Comments: ______________________________________________________________________________
Evaluated by: ________________________________________________________ Date: ________________________