Party Evaluation

Exit Survey

Place of work

Was the mediation process easy to understand?

Yes

No

Other

Comments:

Was your participation in the mediation voluntary?

Yes

No

Other

Comments

Did the mediators act in the following ways? (Select all that apply)?

The mediators were impartial

The mediators were non-blaming

The mediators helped us identify & evaluate a variety of constructive opinions

The mediators listened carefully

The mediators remained calm

The mediators acted professionally

Comments

Did you reach an agreement?

Yes. A full agreement in writing

Yes. A partial agreement in writing

Yes. A verbal agreement

No. I have a better understanding of the issues & the relationship has improved

No. I didn't reach an agreement

Comments (If an agreement was not reached please provide the reasons why.

How satisfied are you with the outcome of mediation?

Are there any further comments?

Whilst still respecting your confidentiality & right to anonymity we may wish to use your feedback in materials promoting mediation. Do you agree to this?

Yes

No