Mediation Evaluation Form For Attorneys (ILND Western Division)

U.S. DISTRICT COURT NORTHERN DISTRICT OF ILLINOIS (WESTERN DIVISION) MEDIATION EVALUATION FORM --For Attorneys-- Please promptly fill out this form after the mediation conference and email it to the Clerk's Office, at adr@ilnd.uscourts.gov. No case identification will be associated with these responses for purposes other than program evaluation. Name of Mediator: Case Number: Date of Mediation: Type of Case: Number of mediations held: Outcome: Settled Partially settled Not settled Continued for further mediation You are the: Plaintiff's attorney Defendant's attorney Number of hours spent in mediation: Number of cases in which you have participated in mediation prior to this one: Overall, how helpful or detrimental was mediation in the resolution of this case? Very helpful Somewhat helpful It had little impact on the case Somewhat detrimental Very detrimental Did the mediator appear to have a bias? No bias Biased towards plaintiff Biased towards defendant The overall length of mediation was: Too long Too short About right Do you think the assignment of this case to mediation: Facilitated (or will facilitate) its early resolution Will increase time to resolution Will have no impact on time to resolution Do you think the assignment of this case to mediation: Has reduced (or will reduce) litigation costs to your client Will increase litigation costs to your client Will have no effect on costs to your client American LegalNet, Inc. www.FormsWorkFlow.com Please respond to the following: Strongly Disagree The mediator was well-prepared for the mediation: My client(s) and I understood the mediation process after it was explained: The mediator helped the parties generate options: The mediator effectively moved the parties toward settlement: The mediator was knowledgeable about the law in this case: The mediation helped narrow or clarify the issues involved in this case: Overall, I am satisfied with the mediation process: The process was fair to all parties: Overall, I am satisfied with what was accomplished in the mediation: Overall, I am satisfied with the agreement (if reached): Disagree Neutral Agree Strongly Agree If the case did not settle, why not? Would you be willing to use mediation again? Yes No Why or why not? American LegalNet, Inc. www.FormsWorkFlow.com Would you be willing to use this mediator again? Yes No Why or why not? Comments on the mediator or the mediation process: American LegalNet, Inc. www.FormsWorkFlow.com