Mediation Client Supreme Court Mediator(s) Evaluation

Thank you for taking the time to complete this survey. This information will be used to inform the court system and the mediator(s) about your experience with mediation. With your help, we can ensure that quality mediation services continue to be available for the citizens of the Commonwealth.

Please rate your mediator(s) on the following:

Question Title

* 1. Mediator Information

Mediator A First and Last Name

Mediator A Certification Number

(Optional) Mediator B First and Last Name

(Optional) Mediator B Certification Number

Question Title

* 2. The mediator...

	Poor	Unsatisfactory	Adequate	Good	Very Good	N/A
explained the mediation process and procedures	explained the mediation process and procedures Poor	explained the mediation process and procedures Unsatisfactory	explained the mediation process and procedures Adequate	explained the mediation process and procedures Good	explained the mediation process and procedures Very Good	explained the mediation process and procedures N/A
provided useful information	provided useful information Poor	provided useful information Unsatisfactory	provided useful information Adequate	provided useful information Good	provided useful information Very Good	provided useful information N/A
was a good listener	was a good listener Poor	was a good listener Unsatisfactory	was a good listener Adequate	was a good listener Good	was a good listener Very Good	was a good listener N/A
allowed me to talk about issues that were important to me	allowed me to talk about issues that were important to me Poor	allowed me to talk about issues that were important to me Unsatisfactory	allowed me to talk about issues that were important to me Adequate	allowed me to talk about issues that were important to me Good	allowed me to talk about issues that were important to me Very Good	allowed me to talk about issues that were important to me N/A
was respectful	was respectful Poor	was respectful Unsatisfactory	was respectful Adequate	was respectful Good	was respectful Very Good	was respectful N/A
helped clarify issues	helped clarify issues Poor	helped clarify issues Unsatisfactory	helped clarify issues Adequate	helped clarify issues Good	helped clarify issues Very Good	helped clarify issues N/A
encouraged us to come up with our own solutions	encouraged us to come up with our own solutions Poor	encouraged us to come up with our own solutions Unsatisfactory	encouraged us to come up with our own solutions Adequate	encouraged us to come up with our own solutions Good	encouraged us to come up with our own solutions Very Good	encouraged us to come up with our own solutions N/A

Mediation Client Supreme Court Mediator(s) Evaluation

Question Title

* 1. Mediator Information

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* 2. The mediator...

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* 3. The mediator informed me I could consult an attorney.

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* 4. The mediator was neutral.

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* 5. The mediator wrote our agreement clearly and accurately.

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* 6. Share any comments on the mediation process and/or the mediator(s):

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* 7. Please enter your ZIP code.