Copy of Survey of Persons Completing Mediation

Please take a few minutes to complete this survey to help improve the court’s mediation services. Once you have completed the survey please put it in the envelope provided to you and seal it. Your answers to this survey are confidential.

	Strongly Agree	Agree	Neutral	Disagree	Strongly Disagree
The mediation was at a time relatively convenient for me.	The mediation was at a time relatively convenient for me. Strongly Agree	The mediation was at a time relatively convenient for me. Agree	The mediation was at a time relatively convenient for me. Neutral	The mediation was at a time relatively convenient for me. Disagree	The mediation was at a time relatively convenient for me. Strongly Disagree
The mediator treated me with respect.	The mediator treated me with respect. Strongly Agree	The mediator treated me with respect. Agree	The mediator treated me with respect. Neutral	The mediator treated me with respect. Disagree	The mediator treated me with respect. Strongly Disagree
I did not understand the process that we were to follow.	I did not understand the process that we were to follow. Strongly Agree	I did not understand the process that we were to follow. Agree	I did not understand the process that we were to follow. Neutral	I did not understand the process that we were to follow. Disagree	I did not understand the process that we were to follow. Strongly Disagree
I learned something new about the other party during the mediation.	I learned something new about the other party during the mediation. Strongly Agree	I learned something new about the other party during the mediation. Agree	I learned something new about the other party during the mediation. Neutral	I learned something new about the other party during the mediation. Disagree	I learned something new about the other party during the mediation. Strongly Disagree
I was not well prepared for the mediation process.	I was not well prepared for the mediation process. Strongly Agree	I was not well prepared for the mediation process. Agree	I was not well prepared for the mediation process. Neutral	I was not well prepared for the mediation process. Disagree	I was not well prepared for the mediation process. Strongly Disagree
I was ablel to do a good job representing my point of view.	I was ablel to do a good job representing my point of view. Strongly Agree	I was ablel to do a good job representing my point of view. Agree	I was ablel to do a good job representing my point of view. Neutral	I was ablel to do a good job representing my point of view. Disagree	I was ablel to do a good job representing my point of view. Strongly Disagree
The mediatior treated both of us equally.	The mediatior treated both of us equally. Strongly Agree	The mediatior treated both of us equally. Agree	The mediatior treated both of us equally. Neutral	The mediatior treated both of us equally. Disagree	The mediatior treated both of us equally. Strongly Disagree
We were able to put the needs of the children first.	We were able to put the needs of the children first. Strongly Agree	We were able to put the needs of the children first. Agree	We were able to put the needs of the children first. Neutral	We were able to put the needs of the children first. Disagree	We were able to put the needs of the children first. Strongly Disagree
I learned how to negotiate more successfully with the other party.	I learned how to negotiate more successfully with the other party. Strongly Agree	I learned how to negotiate more successfully with the other party. Agree	I learned how to negotiate more successfully with the other party. Neutral	I learned how to negotiate more successfully with the other party. Disagree	I learned how to negotiate more successfully with the other party. Strongly Disagree
The mediation process was not fair to me	The mediation process was not fair to me Strongly Agree	The mediation process was not fair to me Agree	The mediation process was not fair to me Neutral	The mediation process was not fair to me Disagree	The mediation process was not fair to me Strongly Disagree
I did not feel safe during hte mediation session(s)	I did not feel safe during hte mediation session(s) Strongly Agree	I did not feel safe during hte mediation session(s) Agree	I did not feel safe during hte mediation session(s) Neutral	I did not feel safe during hte mediation session(s) Disagree	I did not feel safe during hte mediation session(s) Strongly Disagree
Overall, I am satisfied with the mediation process	Overall, I am satisfied with the mediation process Strongly Agree	Overall, I am satisfied with the mediation process Agree	Overall, I am satisfied with the mediation process Neutral	Overall, I am satisfied with the mediation process Disagree	Overall, I am satisfied with the mediation process Strongly Disagree
The mediation included new ideas for resolving our disagreement.	The mediation included new ideas for resolving our disagreement. Strongly Agree	The mediation included new ideas for resolving our disagreement. Agree	The mediation included new ideas for resolving our disagreement. Neutral	The mediation included new ideas for resolving our disagreement. Disagree	The mediation included new ideas for resolving our disagreement. Strongly Disagree
I had difficulty participating because an interpreter was not present	I had difficulty participating because an interpreter was not present Strongly Agree	I had difficulty participating because an interpreter was not present Agree	I had difficulty participating because an interpreter was not present Neutral	I had difficulty participating because an interpreter was not present Disagree	I had difficulty participating because an interpreter was not present Strongly Disagree
I had difficulty participating because of physical barriers	I had difficulty participating because of physical barriers Strongly Agree	I had difficulty participating because of physical barriers Agree	I had difficulty participating because of physical barriers Neutral	I had difficulty participating because of physical barriers Disagree	I had difficulty participating because of physical barriers Strongly Disagree

Strongly Agree

Agree

Neutral

Disagree

Strongly Disagree

The mediation was at a time relatively convenient for me.

The mediation was at a time relatively convenient for me. Strongly Agree

The mediation was at a time relatively convenient for me. Agree

The mediation was at a time relatively convenient for me. Neutral

The mediation was at a time relatively convenient for me. Disagree

The mediation was at a time relatively convenient for me. Strongly Disagree

The mediator treated me with respect.

The mediator treated me with respect. Strongly Agree

The mediator treated me with respect. Agree

The mediator treated me with respect. Neutral

The mediator treated me with respect. Disagree

The mediator treated me with respect. Strongly Disagree

I did not understand the process that we were to follow.

I did not understand the process that we were to follow. Strongly Agree

I did not understand the process that we were to follow. Agree

I did not understand the process that we were to follow. Neutral

I did not understand the process that we were to follow. Disagree

I did not understand the process that we were to follow. Strongly Disagree

I learned something new about the other party during the mediation.

I learned something new about the other party during the mediation. Strongly Agree

I learned something new about the other party during the mediation. Agree

I learned something new about the other party during the mediation. Neutral

I learned something new about the other party during the mediation. Disagree

I learned something new about the other party during the mediation. Strongly Disagree

I was not well prepared for the mediation process.

I was not well prepared for the mediation process. Strongly Agree

I was not well prepared for the mediation process. Agree

I was not well prepared for the mediation process. Neutral

I was not well prepared for the mediation process. Disagree

I was not well prepared for the mediation process. Strongly Disagree

I was ablel to do a good job representing my point of view.

I was ablel to do a good job representing my point of view. Strongly Agree

I was ablel to do a good job representing my point of view. Agree

I was ablel to do a good job representing my point of view. Neutral

I was ablel to do a good job representing my point of view. Disagree

I was ablel to do a good job representing my point of view. Strongly Disagree

The mediatior treated both of us equally.

The mediatior treated both of us equally. Strongly Agree

The mediatior treated both of us equally. Agree

The mediatior treated both of us equally. Neutral

The mediatior treated both of us equally. Disagree

The mediatior treated both of us equally. Strongly Disagree

We were able to put the needs of the children first.

We were able to put the needs of the children first. Strongly Agree

We were able to put the needs of the children first. Agree

We were able to put the needs of the children first. Neutral

We were able to put the needs of the children first. Disagree

We were able to put the needs of the children first. Strongly Disagree

I learned how to negotiate more successfully with the other party.

I learned how to negotiate more successfully with the other party. Strongly Agree

I learned how to negotiate more successfully with the other party. Agree

I learned how to negotiate more successfully with the other party. Neutral

I learned how to negotiate more successfully with the other party. Disagree

I learned how to negotiate more successfully with the other party. Strongly Disagree

The mediation process was not fair to me

The mediation process was not fair to me Strongly Agree

The mediation process was not fair to me Agree

The mediation process was not fair to me Neutral

The mediation process was not fair to me Disagree

The mediation process was not fair to me Strongly Disagree

I did not feel safe during hte mediation session(s)

I did not feel safe during hte mediation session(s) Strongly Agree

I did not feel safe during hte mediation session(s) Agree

I did not feel safe during hte mediation session(s) Neutral

I did not feel safe during hte mediation session(s) Disagree

I did not feel safe during hte mediation session(s) Strongly Disagree

Overall, I am satisfied with the mediation process

Overall, I am satisfied with the mediation process Strongly Agree

Overall, I am satisfied with the mediation process Agree

Overall, I am satisfied with the mediation process Neutral

Overall, I am satisfied with the mediation process Disagree

Overall, I am satisfied with the mediation process Strongly Disagree

The mediation included new ideas for resolving our disagreement.

The mediation included new ideas for resolving our disagreement. Strongly Agree

The mediation included new ideas for resolving our disagreement. Agree

The mediation included new ideas for resolving our disagreement. Neutral

The mediation included new ideas for resolving our disagreement. Disagree

The mediation included new ideas for resolving our disagreement. Strongly Disagree

I had difficulty participating because an interpreter was not present

I had difficulty participating because an interpreter was not present Strongly Agree

I had difficulty participating because an interpreter was not present Agree

I had difficulty participating because an interpreter was not present Neutral

I had difficulty participating because an interpreter was not present Disagree

I had difficulty participating because an interpreter was not present Strongly Disagree

I had difficulty participating because of physical barriers

I had difficulty participating because of physical barriers Strongly Agree

I had difficulty participating because of physical barriers Agree

I had difficulty participating because of physical barriers Neutral

I had difficulty participating because of physical barriers Disagree

I had difficulty participating because of physical barriers Strongly Disagree

Copy of Survey of Persons Completing Mediation

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* 1. Party Status

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* 2. Representation

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* 3. Please state your agreement or disagreement with the following statements about your experience with mediation.

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* 4. What was MOST Helpful about the mediation?

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* 5. What was LEAST Helpful about the mediation?

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* 6. Sex

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* 7. Age

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* 8. Total monthly household income (this includes all income sources including child support) before taxes:

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* 9. Race - Check ALL that apply to you.

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* 10. Are you Spanish/Hispanic/Latino?