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PARTICIPANT SURVEY (POST-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: If the case is resolved in mediation, complete sections A-C now. If the case is not resolved in mediation, complete A now, and B - C after the case is disposed. Please use the term MEDIATION or SETTLEMENT CONFERENCE, depending on which was being offered by the court today.
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Introductory/Office Matter |
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| D. Plaintiff v. Defendant: | | |
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| C. Name of person being interviewed | | |
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A. Participant's Opinions |
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1. Using the following scale, please express your agreement or disagreement with the following statements: ****(if you're at a Community Mediation Center and have their evaluation form, skip the ****questions)
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| BB. 2a. If there was a FULL agreement, how did you reach that agreement? | | |
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| BC. 2b. If there was a PARTIAL agreement, how did you reach agreement on the points you agreed on, AND why do you think you didn't agree on the others? | | |
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| BD 2c. If NO agreement was reached, why do you think you didn't come to an agreement? | | |
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Interviewer: If settlement was reached, keep going. If respondents are returning to court, stop here, and ask the rest after that process is complete |
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B. Participant’s Experience |
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BF 3. Do you think the issues that brought you to court today are resolved? |
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4. Was there a recognition of responsibility or an apology? (Check all that apply) |
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BN. 5. Do you think you are: |
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6. Using the following scale, express your agreement or disagreement with the following statements:
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CO. 7. Using the following scale, express your agreement or disagreement with the following statements:
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C. Costs: direct (fees) and indirect (missed work) |
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| CV. 8. On how many days did you participate in legal, mediation, or other activities for this court case, including today? | | |
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| CW. 8a. Approximately how many hours did you spend in these activities? | | |
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| CX. 8b. How many days have you had to take off work for this case? | | |
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| CY. 8c. If you needed to take unpaid absences for this court case, how much do you estimate you lost in wages/salary? | | |
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CZ. 8d. Is there any possibility of you losing your job due to time lost for this court case? |
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DA. 8e. Is there any possibility of you being otherwise penalized at work (losing privileges, priority for choosing shifts, etc), due to time lost for this court case? |
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| DB. 9. If you are represented by an attorney, what is your total estimated cost for attorney fees for this situation? | | |
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DC. 10. If you care for dependents (children or other dependents), did you require any added help with care in order to participate in legal or mediation activities for this situation? |
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| DD. 10a. If yes, about how many total hours of additional care did you require to attend these activities? | | |
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| DE. 10b. In total, how much did it cost you to have added care to attend these activities (do not include care costs that you would normally incur): | | |
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| DF. General Comments / Observations made by the Researcher | | |
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