UNITED STATES COURT OF APPEALS DISTRICT OF COLUMBIA CIRCUIT Office of Mediation Programs 333 Constitution Avenue, NW, Rooom 4726 Washington, DC 20001-2866 Phone: 202-216-7342 | Facsimile: 202-273-0331 APPELLATE MEDIATION PROGRAM ATTORNEY SURVEY Case Name: Case Number: Study Number: Mediator: Attorney For: Appellant/Petitioner Appellee/Respondent 1. Was an agreement reached through mediation? 2. Did you request mediation in this case? 3. Do you think mediation was an appropriate technique for this case? No Yes Yes No Yes No If not, why not? Yes No 4. Did your client attend any of the mediation sessions? 5. Did the mediator help you to better evaluate the merits of your appeal? Yes Comments: 6. Did the mediator help you narrow and/or clarify the issues? Yes No Comments: USCA Mediation Form AUGUST 2009 This form continues on page 2 American LegalNet, Inc. www.FormsWorkFlow.com No 7. Did the mediator have expertise in the legal issues involved in the case? Yes What impact did this have on efforts to reach settlement? 8. Overall, was the mediation process useful? Yes No Comments: 9. Comments/Suggestions: PLEASE PRINT AND MAIL THIS FORM TO THE ADDRESS ABOVE OR EMAIL TO AMY_WIND@CADC.USCOURTS.GOV. THANK YOU FOR YOUR COOPERATION. USCA Mediation Form AUGUST 2009 American LegalNet, Inc. www.FormsWorkFlow.com No