The following is a survey which enables attorneys to provide input regarding a specific mediation experience in this Court. The survey is only available to members of the Bar who are registered users of the CM/ECF System in the Southern District of Florida.

Feedback from this survey will be reviewed by the Ad Hoc Committee on Court Annexed Mediation for the Southern District of Florida.

Thank you for taking the time to provide feedback about the Mediation Program.

* 1. Please indicate your name, bar #, and telephone number below. [Required]

* 2. Case Number

* 3. Did the case mediated settle AT the mediation?

* 4. If the case mediated did NOT settle AT the mediation, did it settle within 45 days of the mediation?

* 5. If yes to question number 3, did the mediation process contribute to the ultimate settlement?

* 6. Was the mediator in your case selected by the parties or Court Appointed?

* 7. If the parties selected the mediator, was the mediator on the Court’s list of certified mediators?

* 8. Please indicate whether you strongly disagree, disagree, neither agree nor disagree, agree, or strongly agree with each of the following statements:

In this case, the mediator:

  Strongly Disagree Disagree Neither Agree Nor Disagree Agree Strongly Agree
assisted in the identification of issues and exploration of alternatives
acted with impartiality
maintained an appropriate demeanor - was patient, dignified, and courteous - during the mediation process
preserved confidentiality
did not make substantive decisions for any party
refrained from offering a personal or professional opinion intended to coerce the parties, unduly influence the parties, decide the dispute, or direct a resolution of any issue

* 9. If you "strongly disagreed" with or have any other comments on any of the preceding statements, please explain:

* 10. On a 1 to 10 scale, with 1 being "totally ineffective" and 10 being "extraordinarily effective" how would you rate the effectiveness of mediator in this case?

* 11. Would you use again or recommend others use the mediator in in this case?

* 12. Are you satisfied with the effectiveness of the Southern District of Florida's Court Annexed Mediation procedures as contained in the Local Rules?

* 13. What changes, if any, would you recommend be made to the Southern District of Florida's Court Annexed Mediation procedures as contained in the Local Rules? Please explain the reason for each recommend change.

* 14. Would you like to speak about your mediation experience with a member of the Court's Ad Hoc Committee on Court Annexed Mediation?