DRO Mediation Satisfaction Survey

HARRIS COUNTY DOMESTIC RELATIONS OFFICE

Alternative Dispute Resolution Division

1310 Prairie Street, Houston, Texas 77002

Tel: (713) 274-7300
Mediation/Parent Conference Satisfaction Survey for Clients

Your feedback regarding services received from our office are important and will be reviewed to determine whether improvements are needed for future service delivery. Complete confidentiality will be maintained.
Which service did our office provide to you, please select one.*

MediationParent Conference
1. Was an agreement reached about your children?*

YesNoPartial
2. Do you think the agreement is likely to be good for your child(ren)?*

YesNoN/A
3. Did you have an opportunity to address the relevant issues?*

YesNo
4. Were you satisfied with the amount of time taken to handle your issues?*

YesNo
5. Do you think mediation/parent conference is a good way to design a mutually satisfactory parenting plan?*

YesNo
6. If domestic violence was present in your relationship, did the history of domestic violence affect your ability to use mediation/parent conference as a means to settle your case?*

YesNo
7. Would you consider mediation/parent conference to resolve conflicts involving your child(ren) at a later date?*

YesNo
8. May we contact you at a later date for follow-up to further evaluate the program?*

YesNo
- Name*
- Phone Number*
  Please enter a valid phone number.Format: (000) 000-0000.
- Email Address
- Cause Number
  (Optional)
- 9. Other comments/suggestions:
- Please verify that you are human*
- Should be Empty: