COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : : Index No. Calendar No. EVALUATION OF MEDIATION–ATTORNEYS : Plaintiff(s) Name of Case: -against- JUDICIAL SUBPOENA : Number of Hours in Session(s): : Mediator(s): : Date, Place of Mediation Session(s): Defendant(s) : .. ................ ....... .... ...... I am:. . _____plaintiff(s) .attorney. . . . . . . . . . . . . . . This. mediation resulted in: _____defendant(s) attorney ____ full settlement of case _____ partial settlement ____ no settlement of the case THE PEOPLE OF THE STATE OF NEW YORK TO For each question below, please circle the response that reflects your opinion, using the following key for your answers: 1=”Excellent!”; 2=”Good”; 3=”Adequate”; 4=”Poor”; 5=”Terrible!” GREETINGS: 1. How efficient was the procedure of court WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before referral and arranging the mediation session? 1 2 3 4 5 , the Honorable at the Court located at County of 2. in room How was the mediator at explaining mediation? , at 1 2 3 4 5 , on the day of , 20 o'clock in the noon, and at any recessed or adjourned date, to testify and give evidence as a witness in this action on the part of the 3. During the mediation session(s), how was the mediator at: a. Giving you opportunities to express your views? 1 2 3 4 5 Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to the partyUnderstanding this subpoena was issued for a needs in this dispute? and all damages sustained as a b. on whose behalf your client’s interests and maximum penalty of $50 1 2 3 4 5 result of your failure to comply. c. Treating you with fairness and respect? 1 2 3 4 5 Witness, Honorable County, day of 4. Court in How was the mediator at remaining neutral? , 20 , one of the Justices of the 1 2 3 4 5 5. How well were the legal issues of the case identified (Attorney must sign above and type name below) and discussed during the session? 1 2 3 4 5 Attorney(s) for 6. How was the mediator at allocating appropriate time for the mediation without rushing you to reach an agreement or dragging out the process? ____Moved too quickly 1 2 3 4 5 Office and P.O. Address ____ Moved too slowly ____Paced right Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : Index No. : Calendar No. : JUDICIAL SUBPOENA 7. If you reached full or partial agreement, Plaintiff(s) a. To what extent was the mediator responsible for it? -against- 1 2 3 4 5 : : b. To what extent do you think the mediation saved you money in resolving this case? : 1 2 3 4 5 Defendant(s) c. Please "guesstimate" how much money saved: : $ ...................................................... d. To what extent do you think the mediation saved you time in resolving this case? 1 2 3 4 5 THE PEOPLE OF THE STATE OF NEW YORK e. Please "guesstimate" how much time saved: hours of attorney time TO 8. If you reached full settlement, in your view, would the case have settled later without mediation? ___ yes ___ no GREETINGS: 9. If you reached only partial agreement, to what extent was the WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before mediator helpful in identifying possible areas of future agreement? 1 2 3 4 5 , the Honorable at the Court located at County of 10. From this experience, how satisfactory do you think mediation is to in room , on the day of , 20 , at o'clock in the noon, and at any recessed 1 2 3 4 5 or resolve other disputes in give evidence as a witness in this action on the part of the adjourned date, to testify and which you might be involved? 11. Overall, how would you rate the mediation process in your case? 1 2 3 4 5 Your failure to comply with ___Too High ___Too Low ___About Right 12. How appropriate was the fee? this subpoena is punishable as a contempt of court and will make you liable to the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a result of your failure it that the 13. How helpful wasto comply. mediator was a lawyer? ___Very ___Somewhat ___Not Witness, Honorable COMMENTS: Court in County, , one of the Justices of the day of , 20 (Attorney must sign above and type name below) Attorney(s) for THANK YOU!! Office and P.O. Address Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com