Medical College of Georgia Administrative Policies and Procedures
Office of Primary Responsibility: Vice President for Legal Affairs
No. 1.4.30

Exhibit "B"

MEDIATION SURVEY

Thank you for recently participating in a mediation through the Medical College of Georgia Mediation Program. The Committee on Alternative Dispute Resolution, which oversees the Mediation Program, would like to know your thoughts on how the mediation worked, so that we can improve our program even further. Your cooperation is appreciated.

Do you believe that the mediation was helpful?

What aspects of it did you like and dislike?

Have the issues which led you to mediation originally been resolved to your satisfaction?

Please give us any suggestions you have for the Mediation Program.

Again, thank you for taking the time to help us improve our service.