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.

Feedback Questions

1. On a scale of 1-5 (1 = low; 5 = high), how likely are you to use Rick Weiler again? 1 2 3 4 5



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? 1 2 3 4 5



4. How satisfied are you with the costs of the mediator?
   (1 = very dissatisfied; 2 = dissatisfied; 3 = neutral; 4 = satisfied; 5 = very satisfied) 1 2 3 4 5



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) 1 2 3 4 5



6. Did you resolve most of your issues as a result of the mediation? Yes No

Questions, comments, or other feedback: