Feedback Request Form for Mediation Advocate/Advisor

This Feedback Request will take just a few minutes to complete.

Every IMI Certified Mediation Advocate/Advisor has attained a high standard of professional competency in the role of client representative/advocate in a mediation. On completion of each mediation, the advocate/advisor will invite the participants to complete this Feedback Request Form, in relation to their performance as a client representative/advisor during the mediation.

Your feedback will:

  • Help future users to have more information about working with this advocate/advisor
  • Provide the advocate/advisor with an opportunity to know your perception of the mediation process on this occasion, how effective (s)he was, and why, and
  • Enable the advocate/advisor’s Peer Reviewer to prepare the Feedback Digest, which is a professional requirement of all IMI Certified Mediation Advocates/Advisors.

You may complete this Feedback Request Form in handwriting or electronic form and send it to the advocate/advisor’s Reviewer (the mediation advocate/advisor should provide you with an address for the Reviewer) or to the advocate/advocate directly, for forwarding to the Reviewer. The advocate/advisor will express a preference. As the Feedback Digest is prepared by the mediation advocate/advisor’s Reviewer, it should contain an objective and independent summary of the content of previously-submitted forms.  The Feedback Digest may be relied upon by other parties in the future in deciding whether to appoint this advocate/advisor, so please try to be as fair and helpful as possible in providing your comments.  Please try not to be influenced unduly by the outcome of your mediation but to focus on the advocate/advisor him/herself and on any particular contributions that (s)he may have made that you found to be especially important.

The mediation advocate/advisor’s task is a challenging/important one. In your responses, please try to appreciate this and to be specific and constructive as possible.  It would be helpful if you could include your name and details on the last page so that you can be contacted by the Reviewer in the unlikely event that clarification is needed.  Please be assured that your information, and any information about the advocate/advisor, will remain confidential and will not be provided to third parties.

Mediation Advocate Feedback Request