SUPREME COURT OF NEVADA
SETTLEMENT PROGRAM SURVEY—PARTICIPANT
Your responses will be used to improve the Settlement Program. Only Settlement Program staff
will view specific survey forms. Settlement Judges and other court staff may receive summaries of
the information provided on the survey forms. No identifying information will be released.
Your Name: ______________________________________ Phone Number: __________
Case Name: _______________________________________ Case Number: ____________
Name of Settlement Judge: ____________________________________________________
1. Please rate the settlement judge on the following factors:
OUTSTANDING GOOD FAIR UNSATISFACTORY
Impartiality
Mediation Skills
Management of the Process
Professionalism
Listening Skills/Allowing all
participants to speak
Explanation of the Mediation
Process
Explanation and Assurance of
Confidentiality in the Process
Set a Positive Tone for the
Mediation
2. Please indicate your level of agreement with the following statements:
STRONGLY
AGREE
SOMEWHAT
AGREE
SOMEWHAT
DISAGREE
STRONGLY
DISAGREE
I was prepared to attend
the session and knew what
to expect.
I understood the mediation
process and the role of the
settlement judge.
I had an opportunity to
explain my position.
I gained a better
understanding of the other
side’s concerns.
I gained a better overall
understanding of the
issues.
Overall, the process was
beneficial.
3. Please rate the following based on your experience with the settlement program:
OUTSTANDING
GOOD FAIR UNSATISFACTORY
N/A
*
Helpfulness/Knowledge
Of Program Staff
Information on
Program Website
Use of Program Forms
Overall Satisfaction
with the Program
4. Please feel free to add any additional comments regarding your experience:
*
Not Applicable or Did Not Use.