FOR OFFICE USE ONLY
State of New Jersey
DATE RECEIVED:
ATTORNEY QUESTIONNAIRE
Statewide Civil, General Equity and Probate Mediation Program
DATE ENTERED - AOC:
DIRECTIONS: This form is to be completed by attorneys representing litigants in mediation at the conclusion of mediation.
CASE DOCKET NUMBER COUNTY
DID YOU REPRESENT THE PLAINTIFF OR THE DEFENDANT IN THIS CASE? DO YOU THINK THE MEDIATOR IN THIS CASE: yes yes no no
plaintiff
defendant
THE MEDIATOR FOR THIS CASE WAS SELECTED BY:
parties / attorneys
court / judge
gave you a full opportunity to convey your client's interests? was impartial?
yes yes
no no
was knowledgeable about the law relative to the case? understood the issues in this case?
WHAT IMPACT DID MEDIATION HAVE ON THIS CASE? settled the case settled some of the issues
moved the case significantly toward settlement clarified positions
added unnecessary steps increased tension
other _______________________
AT WHAT STAGE IN THE CASE DID THE MEDIATION SESSION TAKE PLACE? (Check all that apply) before any discovery after interrogatories and document production DO YOU THINK THIS CASE WAS REFERRED TO MEDIATION: too early at about the right time too late before depositions after depositions after experts' reports served after first trial date scheduled DO YOU THINK MEDIATION IN THIS CASE SAVED MONEY? yes no
DO YOU THINK MEDIATION IN THIS CASE SAVED TIME? yes no
WOULD YOU CONSIDER MEDIATION FOR OTHER MATTERS? yes no
DO YOU THINK THAT MEDIATION: yes no generally preserves the legal rights of clients? yes no generally results in equitable outcomes?
WHAT SUGGESTIONS DO YOU HAVE TO IMPROVE THE CIVIL MEDIATION PROGRAM?
PLEASE PROVIDE ANY OTHER COMMENTS YOU THINK WOULD BE HELPFUL IN EVALUATING THE EFFECTIVENESS AND QUALITY OF CIVIL MEDIATION.
PLEASE RETURN TO:
AOC - CIVIL PRACTICE DIVISION BOX 981 TRENTON, NJ 08625 FAX: 609 777-0844
Revised 03/04/2005, CN 10524-english
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