Mediation Client Supreme Court Mediation Session Evaluation

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 to the citizens of the Commonwealth. This information may be shared with the mediator(s).

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* 1. Personal Information

Date

Name

Address

Street

City

State

ZIP

Phone Number

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* 2. I am (check one)

a party to the mediation

an attorney representing a party

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* 3. For this case, mediation was (check one):

very appropriate

somewhat appropriate

not at all appropriate

Comments

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* 4. Time

Total hours spent in the mediation session(s)

Number of sessions

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* 5. The mediation process was:

Extremely helpful

Very helpful

Somewhat helpful

Not so helpful

Not at all helpful

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* 6. Mediation ended with an agreement on:

all of the issues

some of the issues

none of the issues

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* 7. Would you use mediation again?

Yes

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* 8. Would you recommend mediation to others?

Yes