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* 1. Are you:

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* 2. How many times have you used the mediation pilot in a civil lawsuit?

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* 3. Number of parties (plaintiffs and defendants) in this case?

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* 4. Is an insurance carrier involved in the process of resolving this case?

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* 5. What is your assessment of the case's:

  Very High High Medium Low Very Low
Factual complexity
Legal complexity

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* 6. What was the outcome of mediation?

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* 7. Satisfaction with Mediation

How satisfied are you with:

  Highly Satisfied Satisfied Neutral Dissatisfied Highly Dissatisfield
The process of mediation:
The outcome of mediation:
The services provided by the mediator:

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* 8. Comments/Suggestions:

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* 9. Optional:

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