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Party Evaluation Form. This is a Alabama form and can be use in Appellate Mediation Program Appellate.
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Tags: Party Evaluation, 16, Alabama Appellate, Appellate Mediation Program
(Form 16)
Date:__________________
Appellate Mediation Program
Party Evaluation
Mediator: _________________________________________________________________________________
Type of Case: [ ] _______________________________________________________________________
Other (specify): ____________________________________________________________________________
Your responses will serve as a guide to the appellate mediation office about changes or improvements that need
to be made to the program. Your responses are confidential and will not be part of the appellate court file.
I am the: ____Appellant
____Appellee
____Other (specify)_____________________________________
How did the case resolve?
____Full resolution
____Partial resolution
____No resolution
____Other (specify) _________________________________________________________________________
On a scale of 1(very dissatisfied) to 5 (very satisfied) please rate:
The mediation process:
____Appropriateness of the process for your dispute
____Confidentiality
____Fairness
____Satisfaction with outcome
____Opportunity to participate
Would you use this process again? ____Yes
____No
On a scale of 1(very dissatisfied) to 5 (very satisfied) please rate:
The mediator (name): ____________________________
____Impartiality
____Knowledge of the appellate process
____Temperament
____Knowledge of the subject matter
On a scale of 1(very dissatisfied) to 5 (very satisfied) please rate:
Program administration:
____Efficiency (scheduling, etc.)
____Courtesy and cooperation
____Paperwork
____Mandatory participation
Comments on the above, including suggestions for program improvements:
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
NOTE: PLEASE COMPLETE THIS FORM AT THE TIME MEDIATION IS COMPLETED
AND RETURN TO APPELLATE MEDIATOR IN A SEALED ENVELOPE.
(Revised 10/04)
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