ADR Follow-Up Mediation Survey

ADR Follow-Up Mediation Survey - Questions.docx

ADR Mediation Surveys

ADR Follow-Up Mediation Survey

OMB: 3255-0008

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U.S. Office of Special Counsel

Follow-Up Mediation Survey




Thank you for participating in our follow-up survey. Your feedback is important.


For the purpose of this survey, the word “mediation” refers to all interactions with the OSC ADR Unit.




1. Did your OSC mediation result in a settlement agreement?


Yes

No

N/A

Don’t Know


If YES:

If NO, N/A, or DON’T KNOW:


2. My understanding of the settlement when I signed it was correct.


Agree Strongly

Agree Somewhat

Neither

Disagree Somewhat

Disagree Strongly

N/A


Please explain your answer.

     

_____________________________________




2. My workplace situation improved because I went through mediation.


Agree Strongly

Agree Somewhat

Neither

Disagree Somewhat

Disagree Strongly

N/A


Please explain your answer.

     

_____________________________________


3. I am satisfied with the settlement.


Agree Strongly

Agree Somewhat

Neither

Disagree Somewhat

Disagree Strongly

N/A

3. I would use mediation in the future.


Agree Strongly

Agree Somewhat

Neither

Disagree Somewhat

Disagree Strongly

N/A


Please explain your answer.

     

_____________________________________









4. My workplace situation improved because I went through mediation.


Agree Strongly

Agree Somewhat

Neither

Disagree Somewhat

Disagree Strongly

N/A


Please explain your answer.

     

_____________________________________



5. I would use mediation in the future.


Agree Strongly

Agree Somewhat

Neither

Disagree Somewhat

Disagree Strongly

N/A



6. I would recommend mediation at OSC to a colleague or friend.


Agree Strongly

Agree Somewhat

Neither

Disagree Somewhat

Disagree Strongly

N/A




4. I would recommend mediation at OSC to a colleague or friend.


Agree Strongly

Agree Somewhat

Neither

Disagree Somewhat

Disagree Strongly

N/A






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