 and the parties to this dispute. Case:* Mediator* Date of Mediation* Administration Comments* Mark out of 0* 00000 Venue Comments* Mark out of 0* 00000 The Mediator Comments* Mark out of 0* 00000 Would you consider the use of the same mediator again?* Yes No Were you satisfied with the handling of confidential issues?* Yes No About you Name* Firm/Company* 