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Evaluation of Structured Mediation as an alternative dispute resolution process

 This is a sample Mediation Evaluation Form from U.S. Department of the Interior, Bureau of Reclamation

1. Was this the first time you were in mediation to resolve a dispute, complaint, grievance, or conflict?

Yes No

If yes, move on to question 3

2. How did the mediation process utilized this time compare to the dispute resolution process or forum with which you've previously been involved?


 agree
disagree
a. The mediation process was faster. 1 2 3 4 5
b. I was more satisfied with the results. 1 2 3 4 5
c. I communicated better with the other party(ies). 1 2 3 4 5
d. I would recommend mediation to others. 1 2 3 4 5

3. With respect to the mediation recently completed:


 agree
disagree
a. Most of my issues/concerns were resolved. 1 2 3 4 5
b. I understand the real issues better. 1 2 3 4 5
c. The other party (ies) understands my perspective better as a result of the mediation. 1 2 3 4 5
d. I understand the other party (ies) perspective better as a result of the mediation. 1 2 3 4 5
e. I feel the work environment (if applicable) has improved as a result of the mediation. 1 2 3 4 5
f. I am satisfied with the results of the mediation. 1 2 3 4 5
g. The mediators were fair and impartial. 1 2 3 4 5
h. The mediators helped everyone listen, communicate, and stay focused. 1 2 3 4 5
i. The mediators helped identify common and compatible interests of the parties. 1 2 3 4 5
j. The mediators helped keep discussions objective and rational. 1 2 3 4 5
k. The Department of the Interior should continue to make mediation available. 1 2 3 4 5
l. Whether the issues were resolved or not, this mediation was worth the time and effort 1 2 3 4 5
m. I recommend mediation to others in situations similar to the one addressed in this mediation. 1 2 3 4 5
n. I recommend mediation in appropriate workplace disputes, grievances, complaints. or conflicts. 1 2 3 4 5

4. What recommendations, if any, do you have for preventing nonproductive conflict and/or improving conflict resolution in your organization?

_________________________________________________________________

_________________________________________________________________

_________________________________________________________________

5. How much money or time, if any, would you estimate the government will save as a result of this mediation?

_________________________________________________________________

_________________________________________________________________

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6. In what ways, if any, is the work environment likely to improve as a result of this mediation?

_________________________________________________________________

_________________________________________________________________

_________________________________________________________________

7. What do you see as the advantages and disadvantages of the mediation process?

_________________________________________________________________

_________________________________________________________________

_________________________________________________________________

8. How could this mediation have been conducted (or structured) in a way that would have been more helpful in resolving the issues?

_________________________________________________________________

_________________________________________________________________

_________________________________________________________________

_____________________
Your Name and Title		 _____________________
Bureau/Office		 ________________
Date
_____________________
Month /Year of Mediation		 _____________________
Name of Mediator(s)
___________________________________
Name(s) of Other Party(ies)in the Mediation