* 1. Are you:

* 2. How many times have you used the mediation pilot in a civil lawsuit?

* 3. Number of parties (plaintiffs and defendants) in this case?

* 4. Is an insurance carrier involved in the process of resolving this case?

* 5. What is your assessment of the case's:

  Very High High Medium Low Very Low
Factual complexity
Legal complexity

* 6. What was the outcome of mediation?

* 7. Satisfaction with Mediation

How satisfied are you with:

  Highly Satisfied Satisfied Neutral Dissatisfied Highly Dissatisfield
The process of mediation:
The outcome of mediation:
The services provided by the mediator:

* 8. Comments/Suggestions:

* 9. Optional: