Customer Feedback Form
Please provide feedback on our service:
Thank you for choosing ADR Options for your ADR needs. We want to continue to provide high quality services to our clients and invite your response to this brief questionnaire.
RATE OUR PERFORMANCE FOR THE FOLLOWING SERVICES PROVIDED BY ADR OPTIONS. SELECT THE NUMBER THAT BEST REPRESENTS YOUR EXPERIENCE.
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Required fields
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Case Administrator:
Select One
Roseann Biederman
Michael Carney
Suzanne McMaster
Genevieve Toll
Other
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Mediator/Arbitrator:
5=Excellent 1=Poor
Case Administration
5
4
3
2
1
Speed, service and friendliness of case administrator
Periodic notification of status during scheduling process
Your comments on Case Administration:
5=Excellent 1=Poor
Mediation/Arbitration Process
5
4
3
2
1
Knowledge and preparation of Mediator/Arbitrator
The conduct and equitable manner in which the Mediator/Arbitrator presided
Effectiveness/fairness of mediation/arbitration process
Your comments on your case
(and are there any other mediators/arbitrators you would use?)
5=Excellent 1=Poor
General
5
4
3
2
1
Overall appearance of the facility
Willingness to return to ADR Options
Willingness to use the same mediator/arbitrator
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Did you receive good value for the price
Yes
No
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Would you recommend ADR Options to others
Yes
No
Any other general comments?
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Name: (Full Name)
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E-mail:
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Phone Number:
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May we share your comments with the mediator/arbitrator?
Yes
No
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Required fields
