Post Mediation Evaluation Form

Thank you for your interest in presenting in our bi‑weekly mediation webinar series. Please complete all sections accurately. Your proposal will be reviewed based on relevance, clarity, and potential benefit to attendees.

DC Mediation & Dispute Resolution Institute

Post-Mediation Evaluation Form

Section A: Case Information

Case Name:

Case Number:

Date(s) of Mediation:

Mediator Name(s):

Type of Dispute:

Family / Parenting
Employment
Commercial / Contract
Community
Property / Land
Personal Injury

Section B: Your Role

Party
Attorney
Representative / Advocate

If you were a party, were you represented by an attorney?
Yes No

Section C: Your Mediation Experience

Statement	Excellent	Somewhat Helpful	Poor
The mediator clearly explained the mediation process and what to expect.
I had a full and fair opportunity to express what was important to me.
The mediator understood my concerns and interests.
The mediator treated me with respect.
The mediator treated all participants fairly and impartially.
The mediator helped me better understand the other party’s perspective.
The mediator helped generate options for resolving the dispute.
The mediator appropriately managed the discussion and emotions.

Overall, I am satisfied with the mediator’s services.
True Somewhat Not at all

Section G: Open-Ended Feedback

Things I found most helpful:

Things that could be improved:

Additional comments:

Optional Demographic Information

Zip Code:

Age Range:

Primary Language(s) Spoken: