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1. Part One: Case Information

This confidential evaluation is only available to the Program's oversight committee. Your responses will be used to evaluate the mediation program, track quality, and assist in redesigning program procedures. Other staff and trial judges do not see specific evaluations.

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* 1. Case Name:

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* 2. Case Number:

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* 3. Name of Neutral:

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* 4. What is your relationship to the case?

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