Client Survey & Feedback Form - Mediation

Name:
Company/Organisation:
Building Disputes Tribunal Reference:
Name of Mediator:
Date of Mediation:
What was the Nature of your Dispute?
How did you find out about our service?
OUR SUPPORT TEAM
Our people were courteous and helpful?
Yes, Very
Yes
Not Sure
No
No, Not at all
A timely response was provided
Yes, Very
Yes
Not Sure
No
No, Not at all
My overall experience was
Very Positive
Positive
Satisfactory
Unsatisfactory
Very Unsatisfactory
Our People were Knowledgable
Yes, Very
Yes
Not Sure
No
No, Not at all
Additional comments in relation to our support team:
THE MEDIATOR
If you were to be involved in another dispute in the future, how likely would you be to request us to appoint this mediator again, on a scale of 1-5 (1=low and 5=high)
1
2
3
4
5
Why would you either request or not request this person to be nominated as Mediator?
On a scale of 1-5 (1=low and 5=high), how would you rate the Mediator's skill and ability?
1
2
3
4
5
If you perceive the Mediator's skills made a decisive difference in the outcome, which particular skills were they?
Additional Comments in Relation to the Mediator:
THE MEDIATION PROCESS
Was this your first experience with the mediation process?
Yes
No
Would you choose Mediation as a dispute resolution process again in the future?
Yes
No
Maybe
How do you rate your overall satisfaction with the Mediation process and the result obtained by the parties?
Very Satisfied
Satisfied
Neutral
Dissatisfied
Very Dissatisfied
If you were either dissatisfied or very dissatisfied please explain why:
Did you resolve your issues and reach settlement as a result of the Mediation?
Yes
No
If Not - Did you resolve MOST of your issues as a result of the Mediation?
Yes
No
Independently of whether the Mediation resulted in a resolution, what did you find to be worthwhile about participating in Mediation?
If you wouldn't use Mediation again in the future, why not?
Would you consider the Mediation to be value for money?
Yes
No
Maybe
If No, what would you consider to be a reasonable cost for Mediation and why?
Would you recommend the Building Disputes Tribunal to friends/colleagues who found themselves involved in a dispute?
Yes
No
Maybe
If you are not sure or would not recommend the Building Disputes Tribunal please explain why:
Additional Comments in Relation to the Mediation Process:

An Authorised Nominating Authority
under section 65 of the Construction Contracts Act 2002