Superior Court of the District of Columbia Multi-Door Dispute Resolution Division MEDIATION SURVEY FORM TO BE COMPLETED BY ATTORNEY Please fill out this form promptly after the mediation conference and return it to the Multi-Door Division case manager. Name of mediator: Case Name: I Are you the: 0 plaintiffs 0 attorney defendant’s attorney Outcome: or-rot settled Date of Conference: 0 continued 0 0 other’s attorney settled, praecipe filed settled, praecipe to follow Type of Case (contract, personal injury, etc.): Mediator’s level of 0 participation: 0 Low Medium 0 High Your comments are important, particularly in i s a c s of a "poor" rating. We would appreciate your nt n e elaborating as much as possible on the other side of this form. Thank you. Please rate the following: l-Poor 1. How well did the mediator explain the mediation process 0 to all parties? 2-Fair 3-Good 4-Very Good 5 - Excellent 0 0 0 0 2. Were you able to fully present your client’s case? 0 0 0 0 0 3. How well did the mediator understand the factual issues involved in the case? 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4. How well did the mediator understand the legal issues involved in the case? 5. How well did the mediator ask appropriate questions to understand the facts of the case? 6. How well did the mediator clarify the key issues and interests of each party? 0 2001 © American LegalNet, Inc. Pae rate the following: l s e l-Poor 2-Fair 3-Good 5 - Excellent 4-Very Good 7. How well did the mediator help the parties to consider realistic options to settle the case? 0 0 0 0 8. How well was the mediator able to help resolve impasses between the parties? 0 0 0 0 9. How appropriate was the mediator’s non-verbal communication? 0 0 0 0 0 10. Overall, how satisfied were you that the mediator was impartial and treated both sides fairly? 0 0 0 0 11. Overall, how satisfied were you wih the PROCESS of mediation? 0 0 0 0 0 12. Overall, how satisfied were you with the OUTCOME of the mediation? 0 0 0 0 0 13. Overall, how satisfied were you with the MEDIATOR? 0 0 0 0 0 14. Do you think the assignment of this case to mediation played a part, or will play a part, in its early resolution? Yes 0 No Do you believe a different form of ADR would have been more effective? If so, what type and why? Yes 0 No0 Were you satisfied with the way the Division’s check-in process and staff worked in this case? Yes 0 No 15. 16 0 0 If not, why? Additional Comments: 2001 © American LegalNet, Inc.