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PARTICIPANT SURVEY (PRE-SESSION - ADR) District Court Day of Trial
Interviewer: Read the following Confidentiality Statement to the respondent before proceeding
Your participation in this survey is completely voluntary. You may choose to not answer any question, or stop the survey at any time. Your answers are confidential: they will not be shared with the other involved parties, the court, your attorney, or your mediator/settlement conference attorney.
Interviewer: Use the term [MEDIATION or SETTLEMENT CONFERENCE], based on which is being offered by the court today.
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Introductory/Office Matter |
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| C. Plaintiff v. Defendant: | | |
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| B. Name of person being interviewed | | |
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A. Participant and Case Information |
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2. Are you being represented by a lawyer?
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M. If no, did you consult with an lawyer before coming today? |
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N. Do you have anyone else with you today, such as a support person or advocate? |
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O. How personally affected [is this support person] or [are you] by the issues that brought you to court?
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P. How influential are [they] or [you] in any decisions made in regard to these issues?
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Q. Are you authorized to make decisions today about any possible agreement without checking with anyone else? |
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| R. If no, with whom do you have to check? | | |
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S. Have you ever been involved in another court cases? (check all that apply) |
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| W. If as a plaintiff or defendant, how many times in the past five years? | | |
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X. Prior to today’s Alternative Dispute Resolution session, have you ever been involved in any of the following processes? |
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AE. Did you see a case being tried today before coming here for (mediation) or a (settlement conference)? |
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AF. Who of the following, if any, talked to you about (mediation) or (settlement conferencing) since arriving today? (check all that apply) |
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AJ. Did you see the video about ADR in the courtroom? |
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AK. Using the following scale, express your agreement or disagreement with the following statements. We request your opinion, not that of your attorney if you have one.
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| AU. What results are you hoping to get from today's mediation / settlement conference? | | |
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AV. Have you done anything to prepare for today’s trial? |
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BB. Prior to today, have you had a conversation with the other person/people involved in this case to try to resolve these issues? |
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BG. For this case, have you already been involved in any of the following processes: |
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BN. Do you think you are: |
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| BP. How long have the issues that brought you to court been going on? | | |
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BQ. Have the police been called in regard to these issues? |
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| BR. If yes, how many times? | | |
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| BS. Over what time period were those calls made? (in months) | | |
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BV. Other than today’s court case, have other cases been filed related to the issues that brought you here today? (specify it's regarding the same issue with the same person) |
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BW. If yes, which types of cases? |
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CC. Using the following scale, express your agreement or disagreement with the following statements:
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C. Demographic Information |
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CV. Are you male or female? |
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| CX. How old were you on your last birthday? | | |
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| CY. How many people live in your household, including you? | | |
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CZ. What is your household income? |
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DN. Were you born in the United States? |
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| DO. If no, how long have you lived in the United States? | | |
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DP. What language(s) are spoken in your household? |
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| DQ. If a language other than, or in addition to English, specify language/s: | | |
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DR. How well do you think you speak English? |
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DS. Do you have a military background? |
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DT. Do you have any disabilities? |
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| DU. If yes, please specify: | | |
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DV. What is your relationship to the other party in this court case: |
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EK. What is your highest level of education completed? |
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| General Comments/Observations of the Researcher: | | |
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Who's teeth are showing right now because there's such a big smile from finishing this survey? |
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