Post Mediation Survey {RI-ADR011} | Pdf Fpdf Docx | California

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Post Mediation Survey {RI-ADR011} | Pdf Fpdf Docx | California

Post Mediation Survey {RI-ADR011}

This is a California form that can be used for Arbitration within Local County, Riverside.

Alternate TextLast updated: 3/28/2018

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Superior Court of California, Riverside County Post-Mediation Survey RI-ADR011 All mediation participants, including non-parties, may submit surveys. Your responses will help the court improve its Alternative Dispute Resolution (ADR) programs and will be included in statistical reports. Trial judges and non-ADR court staff do not see specific evaluations. Court staff will not show this survey to your mediator without permission (see Question 11). Please send your completed form to the ADR Director as follows: Riverside County Superior Court, Historic Courthouse 4050 Main Street, Riverside, CA 92501 E-mail: ADRDirector@riverside.courts.ca.gov Case Name: Case Number: Mediator222s Name: Date(s) of Mediation: Case type: Personal Injury Business Real Property Other: Amount in controversy: $0 - 25,000 $25,000 - $50,000 $50,000 - $100,000 over $100,0 00 (Specify): You are: Plaintiff Plaintiff222s attorney Defendant Defendant222s attorney Insurance Representative Other 1. Did the c ase settle at the mediation session? Yes No Partially 2. How would you rate this mediation experience in general? Excellent Good Satisfacto ry Bad 3. How many mediation sessions occurred? Total number of hours: 4. IF THE CASE FULLY OR PARTIALLY SETTLED AT THE MEDIATION SESSION: a. How satisfied are you with the settlement agreement? Very satisfied Satisfied Not satisfied b. How was the case resolved? As a direct result of the mediation. As an indirect result of the mediation. Resolution was unrelated to the mediation. 5. IF THE CASE DID NOT SETTLE AT THE MEDIATION SESSION: a. Did/will the mediation help you reach an agreement later? Yes No Maybe b. Are you sat isfied with the outcome (not settling)? Yes No Somewhat c. Why didn222t the case settle? Check all that apply: An essential person did not participate or was not prepared. Timing: Parties lacked essential information Motions were pending Other The opposing side222s lack of cooperation. Arbitration or trial is m ore appropriate than mediation in this case. The mediator lacked sufficient skills or expertise. Other (Explain): Approved for Optional Use Riverside Superior Court RI - ADR011 (Rev. 06/01 /16) Page 1 of 2 American LegalNet, Inc. www.FormsWorkFlow.com 6. Were any of the following avoided because of the mediation? (Check all that apply): Deposition(s) (#) Discovery motion(s) # Other motions 7. The mediation reduced increased your side222s total costs in resolving this case by: Under $1000 $1000 - $2500 $2500 - $5000 $5000 - $10,000 $10,000 - $25,000, Other: (Consider attorneys fees, expert witness fees and other costs associated with litigation.) 8. The mediation reduced increased the number of court days needed to resolve this case by: 0 275 day 1 226 2 days 3 226 5 days 5 226 10 days more than 10 days (#) (Consider the number of court days saved/added for motions, hearings, settlement conferences and trial.) 9. On a scale of 1 to 5, with 1 being the lowest level and 5 being the highest level, please indicate your satisfaction by rating the following statements: N/A or Disagree Agree Don222t Know 1 2 3 4 5 a. This mediation process was fair to all parties. b. This mediation process allowed me/my client to fully express our concerns. c. Communication between the parties/attorneys improved. d. I/my client felt unduly pressured by the mediator to reach an agreement. (1=did not feel pressured; 5= did feel pressured) e. The mediator understood the key issues and concerns. f. If the case didn222t settle or didn222t fully settle: The mediation helped the parties resolve, narrow or eliminate some issues. g. The mediator has charged a fair amount for his/her services. h. The mediator has provided adequate notice of all fees and costs. i. I would recommend this mediator to others. j. I would use mediation again to resolve future disputes. 10. Rate the quality of overall service from court staff concerning Court - Ordered Mediation: Excellent Good Satisfactory Bad Don222t know 11. May court staff give your mediator a copy of this survey? Yes No Additional Comments: Tha nk you for your feedback. You may contact the ADR Director with additional comments. Approved for Optional Use Riverside Superior Court RI - ADR011 (Rev. 06/01 /16) Page 2 of 2 American LegalNet, Inc. www.FormsWorkFlow.com

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