Evaluation of Mediation Session and Mediator

This information will be used to inform NVMS about your experience with mediation. With your help, we can ensure that our services serve clients in the best possible way.

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* 1. Contact Information

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* 2. Name of Mediator

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* 3. I am a/an

I. Session Evaluation

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

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* 5. Total hours spend in mediation session:

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* 6. Number of sessions

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* 7. The mediation process was

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* 8. Mediation ended with an agreement on:

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* 9. Would you use mediation again to resolve your dispute?

II. Mediator Evaluation

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* 10. The Mediator . . .

  Strongly disagree Disagree Agree Strongly agree N/A
clearly explained the mediation process and procedures.
made me feel heard.
created space for me to talk about issues that were important to me.
made me feel respected.
helped clarify issues.
encouraged us to come up with our own solutions.
did not take sides with either party. 
wrote our agreement clearly and accurately.
informed me that I could consult with an attorney.

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* 11. What was the most useful aspect of the process?

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* 12. What would you have liked to be done differently?

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* 13. How likely is it that you would recommend mediation to a friend or colleague?

NOT AT ALL LIKELY
EXTREMELY LIKELY

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* 14. How likely is it that you would recommend NVMS Conflict Resolution Center to a friend or colleague?

NOT AT ALL LIKELY
EXTREMELY LIKELY
0 of 14 answered
 

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