The information from this survey will be used to measure and improve program and practitioner quality. Your responses will be kept confidential between the District Court ADR Office, MACRO, and the ADR partner organization (where applicable). Data from this survey will only be reported in the aggregate; individual responses and participant names will not be shared with the court, and this survey will not be placed in the case file. Thank you for your feedback.

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* 1. Date of ADR Session:

Date

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* 2. Case Number:

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* 3. Do you disagree or agree with the following?

  Strongly Disagree Disagree Neither Agree nor Disagree Agree Strongly Agree
a. We discussed all issues that brought us to court.
b. I was able to fully participate in my remote ADR process.
c. I felt heard by the other participant(s).
d. I understand the other participant's views better now than I did before the session.
e. The remote ADR process allowed me to resolve my issues in a timely manner.
f. The ADR practitioner helped clarify issues.
g. I am glad ADR services are available.
h. I would suggest this ADR process to others.
i. Overall, I was satisfied with the ADR session.

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* 4. I participated by (check all that apply):

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* 5. I participated in the process using (check all that apply):

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* 6. If you were to participate in an ADR session in the future, would you prefer remote ADR (through Zoom for Government or another videoconferencing platform) or in person face-to-face ADR?

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* 7. Please share any other comments regarding your experience:

Please provide the following information VOLUNTARILY.  It is used for statistical purposes only.  

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* 8. Mark all that apply:

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* 9. Age

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* 10. Mark all that apply: 

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* 11. Education (highest level achieved):

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* 12. Household Income

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* 13. Military status:

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* 14. ZIP Code:

T