Evaluation Form

To give us your feedback, please use the interactive form below from your desktop or laptop, and click the 'Click to Send' button at the bottom of the form. We look forward to hearing from you!

*Case Name

	Strongly Disagree	Disagree	Agree	Strongly Agree
Case Management
*My case manager was responsive and informative:
*Scheduling was well-coordinated and efficient:
Additional arrangements were handled adeptly: (self-represented parties; parties atttending remotely)*
Comments:
Facility and Hospitality
*My client(s) and I were comfortable in the space:
*The facility was conducive to mediation:
*The staff was pleasant and helpful:
*We enjoyed the food and refreshments:
Comments:
Panel Member Effectiveness
*The mediator was thoroughly prepared and understood the issues in the case:

*The mediator facilitated constructive communication between the parties:

*The mediator was instrumental in resolving the case or making progress toward resolution:

Comments:
Anything else you would like us to know?

Will you recommend Resolution Remedies to others?	Yes	No
Would you like us to keep your evaluation confidential?	Yes	No
May we use your name as a reference?	Yes	No
Name (optional)