UNITED STATES COURT OF APPEALS DISTRICT OF COLUMBIA CIRCUIT
Office of Mediation Programs 333 Constitution Avenue, NW, Rooom 4726 Washington, DC 20001-2866 Phone: 202-216-7342 | Facsimile: 202-273-0331
APPELLATE MEDIATION PROGRAM ATTORNEY SURVEY Case Name: Case Number: Mediator: Attorney For: 1. 2. 3. Appellant/Petitioner Appellee/Respondent Yes No Yes No No Study Number:
Was an agreement reached through mediation? Did you request mediation in this case? Yes
Do you think mediation was an appropriate technique for this case? If not, why not?
4. 5.
Did your client attend any of the mediation sessions?
Yes
No Yes No
Did the mediator help you to better evaluate the merits of your appeal? Comments:
6.
Did the mediator help you narrow and/or clarify the issues? Comments:
Yes
No
USCA Mediation Form AUGUST 2009
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7.
Did the mediator have expertise in the legal issues involved in the case?
Yes
No
What impact did this have on efforts to reach settlement?
8.
Overall, was the mediation process useful? Comments:
Yes
No
9.
Comments/Suggestions:
PLEASE PRINT AND MAIL THIS FORM TO THE ADDRESS ABOVE OR EMAIL TO [email protected]. THANK YOU FOR YOUR COOPERATION.
USCA Mediation Form AUGUST 2009
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