Feedback Feedback is very important to us. It tells us what we are doing well and where we need to improve. It also lets us know how you are getting on after mediation and about your views on the mediation process as a whole.All questions must be answered but you do not have to provide your name or email address. If you choose to provide an email address, a copy of the form will be emailed to you when you submit it.Name First Last Email Please enter your email address if you wish to receive a copy of the completed form.Date Date Format: DD slash MM slash YYYY 1. The mediation process was clearly explained to me from the start*Strongly agreeAgreeUnsureDisagreeStrongly disagreeFurther comments2. The service was timely and responded promptly to my needs*Strongly agreeAgreeUnsureDisagreeStrongly disagreeFurther comments3. I felt comfortable that confidentiality was respected at all times*Strongly agreeAgreeUnsureDisagreeStrongly disagreeFurther comments4. The mediator... (please tick any of the boxes that you agree with, and/or provide feedback below)* was impartial made me feel relaxed and comfortable helped us to identify and consider a number of constructive options listened to us carefully remained calm and professionalFurther comments5. Following mediation my understanding of the other person has improved*Strongly agreeAgreeUnsureDisagreeStrongly disagreeFurther comments6. Following mediation process the other person's understanding of me has improved*Strongly agreeAgreeUnsureDisagreeStrongly disagreeFurther comments7. I feel more able to deal with any differences which might arise in future with the same or a different person*Strongly agreeAgreeUnsureDisagreeStrongly disagreeFurther comments8. Your website contains useful information*Strongly agreeAgreeUnsureDisagreeStrongly disagreeFurther comments9.My solicitor did all they could to ensure mediation succeeded*YesNoI'm not sureI didn't instruct a solicitorPlease add any comment you have about the involvement of any solicitor10. Mediation was beneficial at least in part*Strongly agreeAgreeUnsureDisagreeStrongly disagreePlease give any information in support of your answer11. Mediation was quicker than the alternatives*Strongly agreeAgreeUnsureDisagreeStrongly disagreeFurther comments12. Mediation was less expensive than the alternatives*Strongly agreeAgreeUnsureDisagreeStrongly disagreeFurther comments13. What might have improved mediation for you?*14. I would recommend Start Mediation*AgreeDisagree15. I am willing to write you an anonymous testimonial for your website*YesNoTestimonial:16. Any further comments
