Mediation Skills Feedback Sheet

Mediator__________________________   Case_________________________    

Date___________

For each category, 0 means very poor, 10 means very good, and NA means not applicable. The overall rating is not intended to weight the rating of each element equally.

 

Setting up process / opening statement:

 

 

 

 

 

Eliciting important facts:

 

 

 

 

 

Displaying empathy and developing trust:

 

 

 

 

 

Demonstrating even-handedness:

 

 

 

 

 

Assisting in generating options:

 

 

 

 

 

Assisting in generating agreements:

 

 

 

 

 

Dealing with difficult situations, e.g., emotional outbursts, “dirty tricks”:

 

 

 

 

 

Managing interactions, including caucuses:

 

 

 

 

 

Promoting “fair” outcomes:

 

 

 

 

 

Promoting “value-creating” joint-gain outcomes:

 

 

 

 

 

Adhering to ethical standards:

 

 

 

 

 

Overall rating:

 

 

 

 

 

© John Lande 1996. Permission to copy granted if copyright notice is retained for credit.