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ADR Program Paticipant Survey ADR-15 - California
| ADR Program Paticipant Survey 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 PARTICIPANT SURVEY Case Name: Case Number: Name of Mediator: Your Role: Plaintiff Defendant Third-Party Insurer Other: PLEASE DESCRIBE: Plaintiff(s)' Counsel Defendant(s)' Counsel Third-Party(s)' Counsel Insurer(s)' Counsel Purpose In accordance with the Alternative Dispute Resolution Act of 1998, the Court is requesting your assistance to evaluate the effectiveness of its ADR Program. Please take a few minutes to complete this survey regarding your experience with Mediation in this case. We are sending this survey to attorneys and parties on all sides. 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. We would like to provide feedback to the mediators on the Court Panel. If you prefer that your responses not be shared with the Mediator, please check the box to the right. Please do not share my responses with the Mediator. Completing and Returning the Survey Please return the completed survey 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-15 (01/12) ADR PROGRAM - PARTICIPANT SURVEY American LegalNet, Inc. www.FormsWorkFlow.com Page 1 of 4 UNITED STATES DISTRICT COURT CENTRAL DISTRICT OF CALIFORNIA ADR PROGRAM PARTICIPANT SURVEY 1. To what extent, if any, did the Mediation process increase the prospects for settlement? The case settled as a direct consequence of Mediation. Mediation improved the prospects for settlement. Mediation had no impact on the prospects for settlement. Mediation worsened prospects for settlement. This case was never a candidate for settlement. 2. Please indicate which, if any, of the following occurred during the Mediation process: Please check all that apply. The parties identified their underlying interests, needs and priorities (beyond their legal positions). The parties bridged a communication gap. The parties clarified, narrowed or eliminated issues. The parties gained better information upon which to base decisions in the case. The strengths and weaknesses of the respective legal positions were discussed. The costs and risks of litigating this case were analyzed. The Mediator gave an evaluation of the merits of the case. The Mediator gave an opinion about settlement value. Other: 3. How many hours did you spend: Preparing for the Mediation. In the Mediation. In other contact with the Mediator (such as correspondence and follow up calls). 4. Did the mediation increase or decrease any of the following? Increased Greatly Increased Somewhat No Effect Decreased Somewhat Decreased Greatly Don't Know a. Time to resolve the case b. Time I spent on the case. c. Quality of communication between the parties d. Quality of the relationship between the parties. 1 1 1 1 2 2 2 2 3 3 3 3 4 4 4 4 5 5 5 5 6 6 6 6 Question Nos. 5-6 are only for the Parties (if you are an attorney, skip to No. 7): 5. Were you given enough information to know what to expect the Mediation: If not, what would have been helpful to you? Yes No 6. How worthwhile was it for you to attend the Mediation? Very worthwhile. Somewhat worthwhile. Not worthwhile. ADR-15 (01/12) ADR PROGRAM - PARTICIPANT SURVEY American LegalNet, Inc. www.FormsWorkFlow.com Page 2 of 4 UNITED STATES DISTRICT COURT CENTRAL DISTRICT OF CALIFORNIA ADR PROGRAM PARTICIPANT SURVEY Question No. 7 is only for the Attorneys (if you are a party, skip to No. 8): 7. Do you think that the court saved time as a result of Mediation in this case? Yes No If yes, which of the following court events would have been likely to occur if the case had not gone through Mediation? Please check all that apply. Discovery motion. Summary Judgment Motion Other Motion (Describe: ) Judicial Settlement Conference Pretrial Conference Trial 8. Compared to the total litigation costs through settlement, judgment or other disposition (including attorneys' fees and other expenses, but excluding any settlement or judgment paid), what effect do you think participation in Mediation had, or will have, on your total litigation costs? No effect on costs. Decrease in costs: by approximately: $ Increase in costs: by approximately: $ 9. How much did you or your client pay the Mediator? $ The Mediator 10. For each item below, place a checkmark at the point on the scale that best reflects your view about the Mediator. a. With respect to getting the sides to engage in a meaningful discussion of issues, the Mediator was: Very Ineffective b. The Mediator was: A Poor Listener 1 2 3 4 5 A Good Listener 1 2 3 4 5 Very Effective c. The Mediator's treatment of the parties was: Very Biased 1 2 3 4 5 Very Fair d. The level of trust you had in the Mediator was: Very Low 1 2 3 4 5 Very High e. With respect to helping the parties settle the case, the Mediator was: Not Forceful Enough 1 2 3 4 5 Applied Too Much Pressure Excellent Page 3 of 4 f. Overall, the Mediator was: Terrible 1 ADR-15 (01/12) 2 3 4 5 ADR PROGRAM - PARTICIPANT SURVEY American LegalNet, Inc. www.FormsWorkFlow.com UNITED STATES DISTRICT COURT CENTRAL DISTRICT OF CALIFORNIA ADR PROGRAM PARTICIPANT SURVEY 11. Did the Mediator have an appropriate level of expertise in the subject matter of this case? Please check one: Subject matter expertise was not needed for this case. Yes, the Mediator did have an appropriate level of subject matter expertise. No, the Mediator did not have an appropriate level of subject matter expertise. 12. I would would not use this Mediator again. Overall Impressions of the Mediation 13. Overall, how satisfied were you with the outcome of the Mediation? Very satisfied. Somewhat dissatisfied. Somewhat satisfied. Very satisfied. 14. Overall, how satisfied were you with the Mediation process? Very satisfied. Somewhat dissatisfied. Somewhat satisfied. Very satisfied. Please explain: 15. Overall, did the benefits of being involved in the Mediation process outweigh the costs? Yes No Please explain: Additional Comments: YOUR COMMENTS AND SUGGESTIONS ABOUT THE ADR PROGRAM AND THE MEDIATOR ARE APPRECIATED. ADR-15 (01/12) ADR PROGRAM - PARTICIPANT SURVEY American LegalNet, Inc. www.FormsWor
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