Post Mediation Survey

Questions marked with a * are required
Please take a moment to answer this brief survey. Your feedback is important to us.
Please indicate Court File Number/Index Number:
Please indicate case type:
Indicate whether you were:
What was your role:
Did you reach an agreement?
If you did not reach an agreement, do you think you made progress?
If more than one Mediator, was the co-mediation experience positive?
Please share your opinion about each statement below:
Strongly Disagree
No Opinion/ Not Applicable
Strongly Agree
The Mediator(s) clearly explained how mediation works.
The Mediator(s) were neutral and fair.
I was able to explain my point of view and how I felt.
The Mediator(s) listened to me and understood my concerns.
The Mediator(s) helped me see the other party's point of view.
The Mediator(s) helped me understand my own goals, options, or resources.
I was encouraged to come up with my own solutions.
I would recommend this Mediator(s) to others
I would recommend mediation to others.
Is there anything else you would like to tell us about the Mediator(s) or your experience?
May we contact you within 6 months to follow up?
If yes, please provide your contact Information below: