What is your primary hospital?
Communication method used? (Check all that apply)
How many ER or overnight visits did you have?
Interpreter dressed appropriately?
Interpreter behaved professionally?
Interpreter understood me (you)?
Interpreter familiar with medical terms?
Interpreter asked for clarification when needed?
** can be with you or your doctor **
Were you happy with your interpreter(s)?
** Think about your overall experiences in the last 2 years, was it good (yes) or bad (no)?
Additional comments about your interpreting experience?
** It can be about lighting, scheduling, technical issues, new healthcare rules/issues, finger-spelling issues, etc. **
Do you know your communication rights and what law(s) they come from?
Do you identify as...
Highest education completed?
** Did you finish high school/college or whatever? **
Type what you see above (picture) into the text box here.