Serving the New York counties of Chemung: 607.734.9087, Schuyler: 607.535.6860, and Tompkins: 607.273.9347

Online Client Evaluation Form

Thank you for participating in the mediation process.  Please take a few minutes to complete the following evaluation form.  Your feedback helps us to continually improve the services we provide to the community.

Please complete the form below. We welcome your additional comments at the bottom of this form. Thank you.

Evaluation Form

Fields in bold are required.


(1 = Not at All, 6 = Completely)

Mediation helped me communicate with the other person.

Mediation helped me become clearer about the situation I face.

Mediation helped me understand the other person's point of view.

Mediation helped the other person(s) understand my point of view.

Mediation helped me decide the next steps that I have to take.

Participating in mediation will help me in future communication with others.

I will consider mediation for resolving future situations and/or recommend it to others.

CDRC staff interacted with me in a timely and respectful fashion.

During mediation, I reached one or more agreements but chose not to write them down


Please keep me informed about CDRC!





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