Free AOC-236-003 - New Hampshire


File Size: 163.3 kB
Pages: 2
File Format: PDF
State: New Hampshire
Category: Probate
Author: MHP
Word Count: 391 Words, 2,549 Characters
Page Size: Letter (8 1/2" x 11")
URL

http://www.courts.state.nh.us/probate/pcforms/236.pdf

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Instructions

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The State of New Hampshire

COUNTY CASE TYPE
MEDIATOR
DATE OF MEDIATION
PROBATE COURT


MEDIATION QUESTIONNAIRE
I am: Petitioner/Plaintiff Attorney for Petitioner/Plaintiff Strongly Agree Respondent/Defendant Attorney for Respondent/Defendant Agree Not Sure Disagree Strongly Disagree

Select one response for each statement made below. 1. The mediator explained the mediation process clearly so that I knew what to expect during the mediation session. 2. The mediator was impartial and treated all parties equally. 3. The mediator gave me an opportunity to fully explain the dispute. 4. The mediator listened to and understood my perspectives. 5. The mediator was able to facilitate discussion successfully. 6. The mediator helped us explore different options to resolve the dispute. 7. Mediation saved time and/or money in this case. 8 Overall, I was satisfied with the way the mediator handled the case and the mediation process. 9. I would consider mediation for other matters. 10. I would use this mediator again or recommend him or her to others.

11.

Mediation had the following impact on this case: (Check all that apply.) settled the case clarified positions of the parties settled some of the issues no impact
significantly moved the case toward settlement
other
At what stage in the case did the mediation session take place? (Check all that apply.) before any discovery after depositions after interrogatories/document production before depositions after first trial date unsure

12.

AOC-236-003 (07/02)

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Date of Mediation: 13. I feel the case was referred to mediation: too early at about the right time too late

14.

If the mediation was not successful, which of the following reasons best explains why? too many legal issues mediator not helpful petitioner failed to participate poor incentive to settle respondent failed to participate insufficient authority to settle timing (mediation was too early or too late in the case) other

15.

What did the mediator do well during your mediation session?

What could the mediator have done better during the mediation session?

16.

What do you like about the mediation program?

How would you change the mediation program?

17.

Please provide any other comments you think would be helpful in evaluating the effectiveness and quality of the mediator or the mediation process.

Please place questionnaire in sealed envelope and give to mediator to be returned to court staff.
AOC-236-003 (07/02) Page 2 of 2

Form Completed!