MarinCounty Courts ADR Evaluation Form ADR Unit Marin County Courts - Superior P. O. Box 4988 San Rafael, CA 94913-4988 This form should be filled out and returned within 10 days of the resolution of the dispute to: Judge No. 1. Case name: PI/PD-Auto 2. Type of civil case PI/PD-Other 3. Date complaint filed Other (specify): Contract Date case resolved 4. Date of ADR assessment conference Amount in controversy (if any) 5. Number of parties 6. Plaintiff's Attorney Cross Complainant's Attorney 7. Defendant's Attorney NAM E NAME ADDRESS ADDRESS TELEPHONE NUMBER Cross Defendant's Attorney TELEPHONE NUMBER 8. How was case resolved (check appropriate boxes)? Verdict Settlement Dismissal Arbitration award Other (specify): IF THE CASE WAS SUBMITTED TO AN ADR PROCESS, PLEASE FINISH THIS FORM. YOUR RESPONSES WILL BE CONFIDENTIAL. 9. Dispute resolution process: Mediation Arbitration Neutral case evaluation Other (specify): 10. Neutral party's name, address, and telephone number: 11. How was case resolved? a. As a direct result of the ADR process. b. As an indirect result of the ADR process. c Settlement was unrelated to ADR process. 12. If the case did not resolve as a result of the ADR process, what benefit, if any, did you gain by participation in the ADR process? 13. Total fees charged to all parties by the neutral party: 14. The ADR process was scheduled within weeks of contacting the provider. 15. The ADR process commenced on It lasted hours and was completed on 16. How did you select the neutral party? ADR list Referral Advertising Prior experience Other (specify). 2000 (C) American LegalNet, Inc. ADR Evaluation Form 17. Place a number inside the box to indicate how you feel about this dispute process in terms of the following areas: Scales a. b. c. d. e. f. 1=Very satisfied 2=Satisfied 3=Neither satisfied nor dissatisfied 4=Dissatisfied 5=Very dissatisfied Permitted me to present the case in an appropriate manner. Allowed the legal issues to be addressed in an appropriate manner. Allowed the non-legal issues to be addressed in an appropriate manner. Provided the opportunity to participate in structuring the outcome of the case Provided a fair process. Reduced the cost of the case for my client. Overall, how do you feel about the dispute resolution process used for this case? g. 18. Do you think this dispute resolution process fit this particular case? Yes, the process was suitable No, the process was unsuitable Please explain why you came to this conclusion, being as specific as possible: 19. Would you be willing to consider using this dispute resolution process again? Yes No 20. Place a number inside the box to indicate how you feel about the neutral party who handled your case in this dispute resolution process in terms of the following areas: Scales 1=Very satisfied 2 =Satisfied 3=Neither satisfied nor dissatisfied a. Knowledge of the legal issues of your case. c. 5=Very dissatisfied Knowledge of the content area of your case. b. 4=Dissatisfied Neutrality and lack of bias. Skill in structuring and guiding the process. d. 21. Do you think this person fit this particular case? No, the person was unsuitable. Yes, the person was suitable. Please explain why you came to this conclusion, being as specific as possible: 22. Would you be willing to use this person again? Yes No 23 Please provide any other comments Elating to the dispute resolution process: 2000 (C) American LegalNet, Inc.