Mediation Assessment form

Mediation Assessment Form

  • Assessors Name
  • Mediators Name
  • How did the mediator ‘meet & greet’?
  • Mediator’s opening statement (confidentiality, the process including separate sessions, mediator’s role, impartiality, guidelines, authority, questions, safety, and legal).
  • Feedback on Introduction
  • How did the mediator manage the opening statements from parties (concerns, interests and record statements).
  • Summaries: How did the Mediator go reading back statements using reported speech?
  • List of Issues: Did the Mediator use neutral language, mutualised issues and capture all topics?
  • Feedback on Opening Statements, Summaries and List of Issues
  • Exploration: How did the Mediator conduct each item and encourage parties to speak to each other and on each agenda item
  • Feedback on Exploration
  • Option Generation: Facilitated the stage (options were not generated by the mediator and negotiations did not commence).
  • Feedback on Option Generation
  • Private Sessions: Did the Mediator give equal time to both parties, identify BATNAS/WATNAs and reality test?
  • Feedback on Private Sessions
  • Negotiation: Did the Mediator allow both parties to contribute, facilitate the discussion of options, test options and note areas of agreement?
  • Feedback on Negotiation
  • Outcome Statement: Did the Mediator use the parties words, include action items, future disputes, balanced, ethical and clearly note any impasses?
  • Feedback on Outcome Statement
  • Closing Statement: Did the Mediator congratulate parties, clarify confidentiality and encourage parties to come back to mediation at any time?
  • Feedback on Closing Statement
  • Overall comments/suggestions for improvement
  • Overall Assessment

  • To what extent would you assess the level of competency of the mediator?

Subscribe to the CRS Newsletter

Receive the latest news and updates from Conflict Resolution Service.

Thank you for subscribing to the e-newsletter.