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STATE OF CALIFORNIA MADERA SUPERIOR COURT Family Court Services 760 North I Street, Suite 106 Madera, CA, 93637 PH #: 5596757810 FAX #: 5596738216 COURT REFERRAL: MEDIATION INTAKE / QUESTIONNAIRE
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How to fill out a mediation intake questionnaire:

01
Start by reading each question carefully and provide honest and accurate information. The mediator needs this information to understand your situation accurately.
02
If you come across a question that you don't understand or aren't sure how to answer, don't hesitate to ask the mediator for clarification. It's important to provide thorough and complete responses.
03
Double-check your answers for accuracy before submitting the questionnaire. Mistakes or missing information could affect the outcome of the mediation process.
04
Remember to treat all information shared in the questionnaire as confidential. This will help create a safe and open environment for mediation.
05
After completing the questionnaire, submit it according to the instructions provided by the mediator. This could involve sending it via email, uploading it to an online portal, or bringing it to your scheduled mediation session.

Who needs a mediation intake questionnaire?

01
Individuals or parties seeking mediation services may be required to fill out a mediation intake questionnaire. This could include people involved in legal disputes, conflicts within the workplace, family matters, or any other situation where mediation is sought as a means of resolution.
02
Both parties involved in the dispute may need to complete separate questionnaires, providing their perspectives and information relevant to the mediation process.
03
Mediators utilize these questionnaires to gain essential background information about the parties involved, the nature of the conflict, and any history that may affect the mediation process. This helps the mediator understand the context and dynamics of the situation before proceeding with the mediation session.
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Mediation intake questionnaire is a form used to collect information from parties involved in a mediation process.
All parties involved in the mediation process are required to file a mediation intake questionnaire.
The mediation intake questionnaire can be filled out by providing accurate and detailed information about the parties involved and the nature of the dispute.
The purpose of mediation intake questionnaire is to gather necessary information needed for the mediation process and to assess the parties' readiness for mediation.
Information such as contact details of the parties, brief description of the dispute, and any relevant documents must be reported on the mediation intake questionnaire.
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