* 1. Case Information

Are you:

* 2. Mediation Process and Benefits

Please indicate how much you agree with each of the following statements:

  Strongly Agree Somewhat Agree Neutral Somewhat Disagree Strongly Disagree
The case moved toward resolution
Resulted in a fair/reasonable resolution of this case
The mediator treated all parties fairly
Improved communication between the parties

* 3. Satisfaction

How satisfied are you with:

  Highly Satisfied Satisfied Neutral Dissatisfied Highly Dissatisfied
The mediation process:
Outcome of mediation:
Services provided by the mediator (impartiality, fairness, neutrality):

* 4. Comments:

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