Case Evaluation - Give us Feedback

Thank you for choosing Resolution Remedies to assist you in resolving your case. 
We appreciate your confidence in the services that we provide.

 

It would be greatly appreciated if you would spend a few moments to provide us with your feedback regarding your ADR experience with Resolution Remedies.  If you would like your comments to remain confidential, please be assured that they will be held in the strictest confidence.

 

Please do not hesitate to contact me if you have any questions or concerns that you would like to share with me personally. Your courtesy and cooperation are greatly appreciated.

 

Very truly yours,

 

Cherie Sinclair, Case Manager and Executive Director

Resolution Remedies

 

CASE NAME:  
PANEL MEMBER:      Date:
On a scale of 1 to 5, please select the number that reflects your experience in the above - mentioned matter. 
Very Poor  -  Poor  -  Good  -  Very Good  -  Excellent

How would you rate the scheduling of this matter?: 1       2       3       4       5
Comments:
How would you rate the service you received from the staff? 1       2       3       4       5
Comments:
How would you rate the conference facility? 1       2       3       4       5
Comments:
How would you rate the effectiveness of the panel member? 1       2       3       4       5
Comments:
Overall, did you receive what you expected from this experience?  1       2       3       4       5
Comments:

How may we improve our service?
First Name: (desired but not required) Last Name:
May we use your name as a reference? Yes       No
Would you prefer to have your evaluation designated confidential Yes       No
Note: We completely respect your privacy. Any information you send to us will be held in the strictest confidence; we will not sell, give, or otherwise divulge anything about you to anyone.
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