Free Foreclosure Mediation - Housing Counselor Questionnaire - New Jersey

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State of New Jersey HOUSING COUNSELOR QUESTIONNAIRE Foreclosure Mediation

DIRECTIONS: This form is to be completed by the housing counselor at the conclusion of mediation.

Date of Mediation

Name of Mediator

County

Case Docket Number

FDo you think the mediator in this case: Gave the parties the full opportunity to convey their interests? Understood the issues in this case? Was impartial? What impact did mediation have on this case? settled the case moved the case significantly toward settlement settled some of the added unnecessary steps issues other Do you think mediation in this case saved the homeowner money? Yes No Would you recommend mediation in these cases? Yes No Please use this space to add any other comments about your experience in mediation.

Yes Yes Yes

No No No

clarified positions increased tension

PLEASE RETURN TO: Civil Practice Division Box 981 Trenton, NJ 08625 FAX: (609) 777-0844

Revised 04/28/2009, CN 10728-English

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