Mediation Assessment Form

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Assessors Name
Mediators Name
How did the mediator 'meet & greet'?*
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).*
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).*
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?*
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?*
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*
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).*
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?*
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?*
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?*
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?*
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?*
To what extent would you assess the level of competency of the mediator?