Please Send Me Your Feedback
Every mediation is a unique experience. One of my goals is to learn something from each session I conduct. I would greatly appreciate it if
you could take a moment to complete and return this online feedback form. Thank you.
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Your name:
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Case Name:
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Feedback Questions
1.    On a scale of 1-5 (1 = low; 5 = high), how likely are you to use Rick Weiler again?
2.    Would you recommend Rick Weiler to others?
Yes:
No:
3.    On a scale of 1-5 (1 = low; 5 = high), how would you rate the mediator's skill and ability?
4.    How satisfied are you with the costs of the mediator?
    (1=very dissatisfied; 2=dissatisfied; 3=neutral; 4=satisfied; 5=very satisfied)
5.   How do you rate your overall satisfaction with the mediation process and the result obtained by the parties?
   (1=very dissatisfied; 2=dissatisfied; 3=neutral; 4=satisfied; 5=very satisfied)
6.  Did you resolve most of your issues as a result of the mediation?
Yes:
No:
Questions, comments, or other feedback:
Feedback Survey Questions adapted from International Mediation Institute.