Santa Clara — CV-5002*

Source: https://santaclara.courts.ca.gov/system/files/forms/cv-5002_rem.pdf

SUPERIOR COURT OF CALIFORNIA, COUNTY OF SANTA CLARA ADR EVALUATION/CIVIL DIVISION PLEASE MAIL WITHIN 10 DAYS OF THE COMPLETION OF THE ADR PROCESS TO: LAURIE MIKKELSEN, ADR ADMINISTRATOR SANTA CLARA COUNTY SUPERIOR COURT 191 N. FIRST STREET, SAN JOSÉ, CA, 95113 OR FAX TO 408-882-2595 OR EMAIL ADR@SCSCOURT.ORG

Case Name: Case No:

ADR Process: Mediation Neutral Evaluation Other (specify)

Neutral’s name:

Type of case: Banking Health Care Partnership Disputes Business/Contract Housing Personal Injury Civil Rights Intellectual Property Probate - Wills Construction Insurance Professional Negligence Defamation Labor - Employment Real Estate Disabilities Landlord/Tenant Securities Elder Issues/Abuse Medical Malpractice Tax Environment Neighborhood Other (specify)

You are: plaintiff plaintiff’s attorney defendant defendant’s attorney Other (specify)

Your phone number:

How did the case resolve? (Do not reveal confidential information): Direct result of the ADR process Resolution was unrelated to the ADR process Indirect result of the ADR process Case was not resolved Other (specify)

What was the effect of the ADR process on costs and court time? Reduced costs Increased costs By how much? (estimate) $ Reduced court time? Increased court time How many days? (estimate)

On a scale of 1 (very dissatisfied) to 5 (very satisfied) please rate: The ADR process: Appropriateness of the process for your dispute Fairness Opportunity to participate Satisfaction with outcome Would you use this process again? Yes No

The neutral: Neutrality Temperament Knowledge of the ADR process Knowledge of the subject matter of the dispute Would you use this neutral again? Yes No

Comments on any of the above matters or on administration of the ADR program:

ADR EVALUATION/CIVIL DIVISION

CV-5002 REV. 11/8/19