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State of New Jersey LITIGANT QUESTIONNAIRE Lemon Law Mediation
For office use only
Date Received: Date Entered-AOC: Docket No.:
DIRECTIONS: This form is to be completed by the litigant at the conclusion of mediation.
Did you participate in mediation as or on behalf of the plaintiff or defendant? Plaintiff Defendant Did you have full authority to enter into a settlement in the mediation of the case? Yes No The mediator for this case was selected by: Parties / Attorneys Do you think the mediator in this case: Gave you full opportunity to convey your clients interests? Was knowledgeable about the law relative to the case? Understood the issues in this case? Was impartial? Did you feel pressured to reach an agreement in mediation? No Yes, by the other side
Court / Judge
Yes Yes Yes Yes
No No No No
Yes, by the mediator Yes by time or money constraints
What impact did mediation have on this case? settled the case moved the case significantly toward settlement settled some of the issues added unnecessary steps other Do you think the mediation in this case saved money? Yes Do you think mediation in this case saved time? Yes Would you recommend mediation to a friend? Yes
clarified positions increased tension
No
No
No
Please use this space to add any other comments about your experience in mediation.
PLEASE RETURN TO: Civil Practice Division Box 981 Trenton, NJ 08625 FAX: (609) 777-0844
Revised 8/2006, CN 10829-English
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