Post-Mediation Survey

Questions marked with a * are required
Please take a moment to answer this brief survey. Most responses are completed in under four minutes. Your feedback is important to us.
1.Court File Number/Index number: (if known)
2.Court Location (County/Borough)
3.What kind of case was this?
4.What was your role?
5.Please select if you were:
6.Where was your mediation held? (Check all that apply)
7.Did you reach an agreement?
8.Do you think you made progress toward resolving your case?
9.Please share the name(s) of the mediators you worked with.
10.Please share your opinion about each statement below:
11.Is there anything else you would like to tell us about the mediator(s) or your experience with the mediation process?
12.Sometimes it is helpful for us to follow-up with participants a few months after their mediation. If you’re open to us contacting you in the future about this mediation, please share your contact information:
Thank you for completing the survey. To submit your response, please click the DONE button below.