Mediation Feedback Form

1. Organisation

2. Date of Mediation

3. Mediator

Value of the mediation process to you
Please rate the following aspects of Mediation below:

4. Did the mediation meet your expectations?

Fully In part No

5. Did the mediation have a positive impact on your personal wellbeing?

Yes Somewhat No

6. Has the mediation had a positive impact on your ability to manage the situation that was addressed?

Yes Somewhat No

Professional Expertise
Please rate the following aspects of Mediation below:

7. How well did the mediator understand your situation?

Very well Well A little bit Not at all

8. How well did the mediator manage the process?

Very well Well A little bit Not at all

9. How did you find the pace of the session?

About right Too slow Too rushed

10. (Optional) What did you find most useful/helpful with the mediation process?

11. Do you have any comments or suggestions that would help improve our mediation service?

12. How likely are you to recommend The People Catalyst mediation service

Very likely Likely Not at all

13. We would love it if you would leave us a testimonial

14. Please enter your name (or feel free to use a made up name, if you prefer)

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