Mediation Program

Eastern District of New York

Questionnaire for Attorneys in Mediated Cases

Our records indicate that you recently represented a client in a case referred

to mediation authorized by EDNY Local Rule 83.11. To evaluate the performance

of our Mediators, we need to know the views of those who have participated in the

mediation session. This questionnaire asks about your experience in the case

identified below. Your responses are confidential and will not be known to the court,

other attorneys, the mediator, or the parties.

Please answer all questions with reference to the following case only:

________________________ v. _____________________________

Docket Number: __________________________________________

Type of case _____________________________________________

Mediator ________________________________________________

Mediation Session date (s) __________________________________

If you were not present at the mediation session in this case, please provide any

information to help us contact the correct attorney and return the blank questionnaire

in the enclosed envelop.

Attorney name:	________________________________________

Firm name:	_________________________________________

Address:	_________________________________________

__________________________________________

Telephone: __________________________________________

Fax:	__________________________________________

________________________________________

Mediator Evaluation Questionnaire for Attorneys in Mediated Cases

December 2000

Mediator Evaluation

Page 2

1. Overall, how helpful or detrimental was the mediation in the resolution of

this case?

Please check one response.

(__) 1. Very helpful.

(__) 2. Somewhat helpful.

(__) 3. It had little impact on the case.

(__) 4. Somewhat detrimental.

(__) 5. Very detrimental.

2. Was your client present at the mediation session (s)?

(__) 1. Yes.

(__) 2. No.

3. Was a Mediation Statement submitted on behalf or your client prior to the

first session?

(__) 1. Yes

(__) 2. No

4. Was a settlement worked out at the mediation session (s)?

(__) 1. Yes

(__) 2. No

5. Approximately how many hours did the mediation session (s) last?

____ hours

Mediator Evaluation

Page 3

6. How do you rate the Mediator on each of the following points:

Poor Fair Good Very Excellent

Good

1 2 3 4 5

Knowledge of the law __ __ __ __ __

Preparation __ __ __ __ __

Fairness and Impartiality __ __ __ __ __

Creative Problem Solver __ __ __ __ __

Comments ______________________________________________

_______________________________________________________

7. Was the Mediator effective in getting the parties to engage in meaningful

discussion of this case?

_____ yes

_____ no

Explain ___________________________________________________

__________________________________________________________

8. Check which of the following skills the Mediator possessed:

(a)	ability to listen actively.	(__)

(b)	ability to analyze problems, identify and separate the issues involved and frame these issues for solution or decision making. (__)

(c)	ability to use clear neutral language in speaking. (__)

Mediator Evaluation

Page 4

(d)	sensitivity to strongly felt values of the participants, including gender, ethnic, and cultural differences. (__)

(e)	ability to deal with complex factual materials. (__)

(f)	presence and persistence. Ability to create and maintain control of a diverse group of disputants. (__)

(g)	ability to earn trust and maintain acceptability. (__)

(h)	ability to screen out non-mediatable issues. (__)

(i)	ability to help parties to invent creative options. (__)

(j)	ability to help parties assess their non-settlement alternatives.

(__)

(k)	ability to help the parties assess their own informed choices.

(__)

9. Would you recommend this Mediator?

Not at all Reluctantly Somewhat Highly 1 2 3 4

__ __ __ __

Any comments or suggestions you may have about the Mediator or the mediation program or its application to this case are welcome. Please use the back of this page.

THANK YOU.

Please return this questionnaire to:

Brenna B. Mahoney, Chief Deputy for Court Operations

United States District Court, Eastern District of New York

225 Cadman Plaza East

Brooklyn, NY 11201

brenna_mahoney@nyed.uscourts.gov

Phone: (718) 613-2331 Fax: (718)613-2333