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ADR Program Survey For Mediators And Report Of Payment ADR-16 - California
| ADR Program Survey For Mediators And Report Of Payment Form. This is a California form and can be used in ADR USDC Central Federal . |
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UNITED STATES DISTRICT COURT CENTRAL DISTRICT OF CALIFORNIA ADR PROGRAM SURVEY FOR MEDIATORS AND REPORT OF PAYMENT Case Name: Case Number: Name of Mediator: Purpose In accordance with the Alternative Dispute Resolution Act of 1998, the Court is requesting your assistant to evaluate the effectiveness of its ADR Program. Please take a few minutes to complete this survey regarding your experience with this mediation. Confidentiality The completed surveys are available only to the Court's ADR Program staff. Your responses will be used, in combination with the responses of others, to generate information concerning the value of the Court Mediation Panel and how it can be improved. Completing and Returning the Survey Please return the completed survey, with the Mediation Attendance Sheet and Confidentiality Agreement, to the ADR Program Office, U.S. Courthouse, 312 N. Spring Street, Room 909C, Los Angeles, California 90012, or by fax (213-894-5084). This survey is not to be filed with the Court. If you have any questions, please call the ADR Program Office at (213) 894-2993. Thank you. ADR-16 (01/12) ADR PROGRAM SURVEY FOR MEDIATORS and REPORT OF PAYMENT Page 1 of 3 American LegalNet, Inc. www.FormsWorkFlow.com UNITED STATES DISTRICT COURT CENTRAL DISTRICT OF CALIFORNIA ADR PROGRAM SURVEY FOR MEDIATORS AND REPORT OF PAYMENT Please check one response for each question below: 1. 2. 3. 4. 5. Did counsel seem to understand the process? Did the parties seem to understand the process? Were the attorneys well prepared for the process? Were the parties well prepared for the process? Was the mediation attended by an individual(s) who had full settlement authority? IF NOT, WHY NOT: N/A Yes In Part No 6. Did counsel submit mediation statements? If yes, were the statements useful? IF NOT, WHY NOT? Yes. Yes. No. No. 7. How much time did you spend: In pre-session phone conference and/or initial communication with the parties. In otherwise preparing for the session: In the actual session: In other contact (such as correspondence, follow-up calls). HOURS HOURS HOURS HOURS 8. Are you billing the parties for any of your time under General Order No.11-10, ยง 3.8. If yes, for how many hours? hours at $ per hour. Yes. No. ADR-16 (01/12) ADR PROGRAM SURVEY FOR MEDIATORS and REPORT OF PAYMENT Page 2 of 3 American LegalNet, Inc. www.FormsWorkFlow.com UNITED STATES DISTRICT COURT CENTRAL DISTRICT OF CALIFORNIA ADR PROGRAM SURVEY FOR MEDIATORS AND REPORT OF PAYMENT Please indicate which, if any, of the following occurred at the mediation: PLEASE CHECK ALL THAT APPLY: Resolved the disputed matter. Moved the parties towards settlement. Had little impact on the matter. Did not resolve and was detrimental to the resolution of the matter. The parties engaged in case planning (such as discovery or motions). Prompted the early exchange of documents. I helped the parties identify their underlying interests, needs and priorities (beyond positions.) Helped the parties bridge a communication gap. Helped the parties clarify or narrow issues. The parties explored resolutions that the Court could not order. I pointed out strengths and weaknesses to each side. I gave my opinion about settlement value. The mediation needed to occur earlier. The mediation needed to occur later. Additional Comments: YOUR COMMENTS AND SUGGESTIONS ABOUT THE ADR PROGRAM ARE APPRECIATED. ADR-16 (01/12) ADR PROGRAM SURVEY FOR MEDIATORS and REPORT OF PAYMENT Page 3 of 3 American LegalNet, Inc. www.FormsWorkFlow.com
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