Does Mediation Work?I. Effectiveness of ProgramA. Mediated OutcomesExit. What was the outcome of the mediation? [ ] 1 No agreements [ ] 2 Agreement on some but not all issues [ ] 3 Agreement on all issues Follow-up. If an agreement was not reached in mediation, how was the matter resolved? [ ] 1 Through a hearing [or other means; change as applicable] [ ] 2 Through an informal agreement or settlement [ ] 3 The concern was dropped [ ] 4 The concern remains outstanding B. Satisfaction with OutcomesExit, How satisfied are you with the outcome of the mediation? Follow-up. [ ] 1 Very dissatisfied [ ] 2 Somewhat dissatisfied [ ] 3 Somewhat satisfied [ ] 4 Very satisfied [If an agreement was reached, the following question may be used] Exit, How satisfied are you with the other participant’s fulfillment of any agreements reached in mediation? Follow-up. [ ] 1 Very dissatisfied [ ] 2 Somewhat dissatisfied [ ] 3 Somewhat satisfied [ ] 4 Very satisfied C. Durability of Mediated OutcomesFollow-up. If an agreement was reached in mediation, has it effectively addressed the issues? [ ] 1 No [ ] 2 Yes Follow-up. If an agreement was reached in mediation, have the provisions of the agreement been followed or implemented? [ ] 1 None of the provisions have been followed or implemented [ ] 2 Some (but not all) provisions have been followed or implemented [ ] 3 All provisions have been followed or implemented D. Impact on Relationship between ParticipantsExit, When you compare your situation before and after the mediation, how has Follow-up. mediation affected your relationship with the other participant(s)? [ ] 1 Mediation has harmed the relationship [ ] 2 Mediation has had little or no effect on the relationship [ ] 3 Mediation has improved the relationship Pre, How would you characterize the relationship among participants? Exit, Follow-up. [ ] 1 Very cooperative [ ] 2 Somewhat cooperative [ ] 3 Somewhat adversarial [ ] 4 Very adversarial Exit. The other person listened to my views. [ ] 1 Strongly agree [ ] 2 Agree [ ] 3 Disagree [ ] 4 Strongly disagree Exit. The other person learned something new about my point of view. [ ] 1 Strongly agree [ ] 2 Agree [ ] 3 Disagree [ ] 4 Strongly disagree Exit. I learned something new about the other person’s point of view. [ ] 1 Strongly agree [ ] 2 Agree [ ] 3 Disagree [ ] 4 Strongly disagree II. Mediation ProcessA. Appropriateness/UsefulnessExit, How productive or unproductive was mediation for this issue? Follow-up. [ ] 1 Mediation was very unproductive [ ] 2 Mediation was somewhat unproductive [ ] 3 Mediation was somewhat productive [ ] 4 Mediation was very productive B. Preparation Process and Materials[Could add specific questions re intake person, brochure, other printed material] Exit. Based on the information or materials provided by the mediator or mediation agency, how prepared or unprepared did you feel for the mediation? [ ] 1 Very unprepared [ ] 2 Somewhat unprepared [ ] 3 Somewhat prepared [ ] 4 Very prepared C. Fairness of Mediation ProcessExit. How satisfied were you with your opportunity to relate your issues and concerns during the mediation? [ ] 1 Very dissatisfied [ ] 2 Somewhat dissatisfied [ ] 3 Somewhat satisfied [ ] 4 Very satisfied Exit. How satisfied were you with how well you represented yourself in the mediation? [ ] 1 Very dissatisfied [ ] 2 Somewhat dissatisfied [ ] 3 Somewhat satisfied [ ] 4 Very satisfied Exit. How satisfied were you with your level of control over the process during mediation? [ ] 1 Very dissatisfied [ ] 2 Somewhat dissatisfied [ ] 3 Somewhat satisfied [ ] 4 Very satisfied Exit. How satisfied were you with your level of control over outcomes in mediation? [ ] 1 Very dissatisfied [ ] 2 Somewhat dissatisfied [ ] 3 Somewhat satisfied [ ] 4 Very satisfied Exit. Compared to other likely means of resolving this matter, how did mediation affect the time spent addressing this matter? [ ] 1 Mediation increased the time spent [ ] 2 No change in time spent [ ] 3 Mediation shortened the time spent [ ] 4 Don’t know III. Mediator PerformanceA. Skills of the MediatorExit. How well did the mediator understand your issues and concerns? [ ] 1 Understood not at all [ ] 2 Understood partially [ ] 3 Understood fully Exit. How respectful or disrespectful was the mediator toward you? [ ] 1 Very disrespectful [ ] 2 Somewhat disrespectful [ ] 3 Somewhat respectful [ ] 4 Very respectful Exit. Did you feel pressured by the mediator to reach an agreement? [ ] 1 Yes [ ] 2 No Exit. Focusing on the skills of the mediator, how satisfied were you with the performance of the mediator? [ ] 1 Very dissatisfied [ ] 2 Somewhat dissatisfied [ ] 3 Somewhat satisfied [ ] 4 Very satisfied Exit. Did the mediator offer specific suggestions for resolution? [ ] 1 No [ ] 2 Yes B. Knowledge of the Mediator [as applicable]Exit. How satisfied were you with the mediator’s knowledge of the topic(s) discussed? [ ] 1 Very dissatisfied [ ] 2 Somewhat dissatisfied [ ] 3 Somewhat satisfied [ ] 4 Very satisfied C. Impartiality of the MediatorExit. Concerning the impartiality of the mediator, how did you feel? [ ] 1 The mediator favored my party [ ] 2 The mediator favored the other party [ ] 3 The mediator was neutral, and favored neither party Exit. In case this evaluation has failed to cover them, what actions of the mediator—good or bad—were most important to you? IV. Overall AssessmentExit, Please provide any suggestions for improvement related to the mediation services Follow-up. you received. What could be done differently?
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