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Tel: 802-254-3920 (V/TTY)
Video Phone: 802-275-0104 (VP)
Toll Free: 800-639-1519 (V/TTY)
Email: VIRS@sover.net
Fax: 802-258-9564

Request an Interpreter Emergency: How to get an Interpreter when VIRS is closed

Evaluation Form for Deaf and Hard of Hearing People:

Date:

Name (optional):

Email:

Address:

City/Town:

Zip Code:

How many times have you called the Vermont Interpreter Referral Service?

one time 2—4 times 5—10 times
more than 10 times

Why did you call?:

1. I needed an interpreter.

yes no

2. I need help explaining to someone else about interpreters and who should pay. (advocacy)

yes no

3. I needed an interpreter for a Community Fund event. (wedding, funeral, family party, etc.)

yes no

Who told you about the Vermont Interpreter Referral Service?

VR Office
VCIL
friend
read a brochure
read in phone book
State agency
other, please state:

Did you understand the VIRS Staff person clearly?

yes no

Do you feel satisfied with VIRS?

yes no

Did VIRS help find interpreters?

yes no

Comments:

 

 

If you would rather download the evaluation form and send it to VIRS, click the pdf button below.

Click on pdf icon to download evaluation form. (8K)

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