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Mediation Questionnaire AOC-236-003 - New Hampshire
| Mediation Questionnaire Form. This is a New Hampshire form and can be used in Other Probate Court Statewide . |
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The State of New Hampshire COUNTY CASE TYPE MEDIATOR DATE OF MEDIATION PROBATE COURT MEDIATION QUESTIONNAIRE I am: Petitioner/Plaintiff Attorney for Petitioner/Plaintiff Strongly Agree Respondent/Defendant Attorney for Respondent/Defendant Agree Not Sure Disagree Strongly Disagree Select one response for each statement made below. 1. The mediator explained the mediation process clearly so that I knew what to expect during the mediation session. 2. The mediator was impartial and treated all parties equally. 3. The mediator gave me an opportunity to fully explain the dispute. 4. The mediator listened to and understood my perspectives. 5. The mediator was able to facilitate discussion successfully. 6. The mediator helped us explore different options to resolve the dispute. 7. Mediation saved time and/or money in this case. 8 Overall, I was satisfied with the way the mediator handled the case and the mediation process. 9. I would consider mediation for other matters. 10. I would use this mediator again or recommend him or her to others. 11. Mediation had the following impact on this case: (Check all that apply.) settled the case clarified positions of the parties settled some of the issues no impact significantly moved the case toward settlement other At what stage in the case did the mediation session take place? (Check all that apply.) before any discovery after depositions after interrogatories/document production after first trial date before depositions unsure Page 1 of 2 American LegalNet, Inc. www.FormsWorkFlow.com 12. AOC-236-003 (07/02) Date of Mediation: 13. I feel the case was referred to mediation: too early at about the right time too late 14. If the mediation was not successful, which of the following reasons best explains why? too many legal issues mediator not helpful petitioner failed to participate poor incentive to settle respondent failed to participate insufficient authority to settle timing (mediation was too early or too late in the case) other 15. What did the mediator do well during your mediation session? What could the mediator have done better during the mediation session? 16. What do you like about the mediation program? How would you change the mediation program? 17. Please provide any other comments you think would be helpful in evaluating the effectiveness and quality of the mediator or the mediation process. Please place questionnaire in sealed envelope and give to mediator to be returned to court staff. AOC-236-003 (07/02) Page 2 of 2 American LegalNet, Inc. www.FormsWorkFlow.com
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