PROBATE COURT PILOT MEDIATION PROGRAM

PARTICIPANT REPORT and EVALUATION

County:	Date:

Type Party: (Check all that apply)

Petitioner	Guardian ad litem	Personal Representative

Respondent	Beneficiary (Estate)	Trustee

Atty for Petitioner	Beneficiary (Trust)	Mediator

Atty for Respondent	Atty for Other:

Issues Mediated:

Issues Resolved Through Mediation:

For the following questions, please check the appropriate box.

Strongly Agree	Agree	No

Opinion	Disagree	Strongly Disagree
This process was helpful.
This was a worthwhile use of my time.

I felt I was fairly treated.
The cost for mediation was reasonable considering the results obtained.

I had the opportunity to express my views.

I felt the outcome was acceptable.
Comments:

FORM #317PC 08/2007

PROBATE MEDIATION PROGRAM

PROBATE COURT PILOT MEDIATION PROGRAM

Winkie Clark

2007-08-23

SCJD