CDRC Mediation Evaluation Form

CDRC Mediation Evaluation Form
General Instructions: For each question, please mark a number from 1 to 7 that most accurately reflects your opinion. You will notice that some of the questions are similar to one another. Please sumply answer each question independently, without reference to any of the other questions.

Important: If a particular question does not apply to your mediation, simply mark "NA". Even if you did not reach agreement, please try to answer as many questions as possible.
1 Not at all234 Somewhat567 AbsolutelyN/A
1 Not at all234 Somewhat567 AbsolutelyN/A
1 Not at all234 Somewhat567 Very much soN/A
1 Not at all234 Somewhat567 AbsolutelyN/A
1 Extremely negative234 Neither negative nor positive567 Extremely positiveN/A
1 Not at all happy234 Somewhat happy567 Perfectly happyN/A
1 Not at all fair234 Somewhat fair567 Perfectly fairN/A
1 Not at all happy234 Somewhat happy567 Perfectly happyN/A
1 Not at all234 Somewhat567 AbsolutelyN/A
1 Not at all234 Somewhat567 DefinitelyN/A
1 Not at all234 Somewhat567 AbsolultelyN/A
1 Not fair at all234 Somewhat fair567 Perfectly fairN/A
1 Not at all234 Somewhat567 AbsolutelyN/A
1 Extremely negative234 Neither negative nor positive567 Extremely positive
1 It negatively affected my relation with the other party/parties234 It did not affect my relationship with the other party/parties567 It positively affected my relationship with the other party/partiesN/A
Comments:
Should be Empty: