Eval_form_Test Home Eval_form_Test ODR Service Evaluation Form LEA* What is the name of your school district or charter school?Role* Parent Family Member LEA staff Advocate Parent attorney LEA attorney Other What is your role in this dispute?Service* IEP Facilitation Mediation Resolution Meeting Facilitation Due Process Hearing Hearing Officer Settlement Conference What service offered by ODR did you use?Case number What is the case file number? (optional)IEP Facilitation InstructionsIEP Facilitation is a voluntary process where a neutral, trained facilitator assists the IEP team with communication and problem solving during the IEP meeting. Questions in the first sections are related on a scale from 1 (Poor) to 5 (Excellent)IEP Facilitation - Question 1Please rate the IEP Facilitator on the following characteristics.Knowledge of the Process Poor Fair Good Very Good Excellent N/A Courteousness Poor Fair Good Very Good Excellent N/A Understanding of the disagreement between parties Poor Fair Good Very Good Excellent N/A IEP Facilitation - Question 2Based on your experiences with this case, please rate the ability of the IEP Facilitator to:Effectively communicate Poor Fair Good Very Good Excellent N/A resolve conflicts, as needed. Poor Fair Good Very Good Excellent N/A productively engage the team. Poor Fair Good Very Good Excellent N/A IEP Facilitation - Question 3Based on your experiences with this case, please rate the ability of the IEP Facilitator to:build relationships among IEP team members. Poor Fair Good Very Good Excellent N/A Allow the team members to be heard. Poor Fair Good Very Good Excellent N/A provide the opportunity for the IEP team members to resolve conflicts if they arise during the meeting. Poor Fair Good Very Good Excellent N/A Did the IEP Facilitation process lead to a completed IEP that was developed with input from all team members? Yes No How would you rate your level of satisfaction with the results of the IEP Facilitation? Poor Fair Good Very Good Excellent N/A How would you rate your overall experience with the IEP Facilitation process? Poor Fair Good Very Good Excellent N/A Please rate your overall experience with the coordination services provided by ODR. Poor Fair Good Very Good Excellent N/A What suggestions do you have to improve the IEP Facilitation process?Would you like ODR to contact you about this evaluation? Yes No MediationMediation is a voluntary process that brings parties together with a mediator who facilitates communication between the parties in an effort to reach agreement about the issues in dispute. Questions in the first sections are rated on a scale from 1 (Poor) to 5 (Excellent). Where a question does not apply, please select "Not Applicable."What is the date of your service? MM slash DD slash YYYY What is the name of your Mediator?*Please choose a mediatorMary Thomas-BrumeGeral PowersOkima Williams AmayaEllen J. DeBenedettiJanice G. SeidenfeldMax WaldConstance LyttleJudy TobeJean LuparielloJean M. BeiseckerBarbara FoxmanThomas J. FrostNancy G. GiacominiLou Ann GrayJane RiglerBarry P. FellClymer BardsleyVicki McGinleyPlease rate the following characteristics of the mediatorCourteous. Poor Fair Good Very Good Excellent N/A Responsiveness. Poor Fair Good Very Good Excellent N/A Knowledge of the process. Poor Fair Good Very Good Excellent N/A Efficiency. Poor Fair Good Very Good Excellent N/A Understanding the disagreement between parties. Poor Fair Good Very Good Excellent N/A Effective communication. Poor Fair Good Very Good Excellent N/A Based on your experience with this case, please rate the ability of the mediator to:promote a positive relationship between the family and school. Poor Fair Good Very Good Excellent N/A focus on mutual problem solving. Poor Fair Good Very Good Excellent N/A provide time to address questions. Poor Fair Good Very Good Excellent N/A allow both parties to feel heard. Poor Fair Good Very Good Excellent N/A reach agreement in a single session. Poor Fair Good Very Good Excellent N/A provide the opportunity for both parties to resolve conflicts as they arise. Poor Fair Good Very Good Excellent N/A Did the mediation process resolve the issues and eliminate the need for a due process hearing? Yes No How would you rate the timeliness of scheduling the mediation meeting? Poor Fair Good Very Good Excellent N/A How would you rate your overall experience with the mediation process? Poor Fair Good Very Good Excellent N/A Please rate your overall experience with the coordination services provided by ODR. Poor Fair Good Very Good Excellent N/A What suggestions do you have to improve the mediation process?Would you like ODR to contact you about this evaluation? Yes No Resolution Meeting FacilitationResolution meetings are an optional service provided to parties and involve a process with a neutral, trained facilitator who assists the parent and school in discussions about the issues and facts identified in the due process complaint. Questions in the first sections are rated on a scale of 1 (Poor) to 5 (Excellent). Where a question does not apply, please select "Not Applicable."What is the date of this service? MM slash DD slash YYYY What is the name of your Facilitator?*Please choose a facilitatorMary Thomas-BrumeGeral PowersOkima Williams AmayaEllen J. DeBenedettiJanice G. SeidenfeldMax WaldConstance LyttleJudy TobeJean LuparielloJean M. BeiseckerBarbara FoxmanThomas J. FrostNancy G. GiacominiLou Ann GrayJane RiglerBarry P. FellClymer BardsleyVicki McGinleyPlease rate the following characteristics of the facilitator:Responsiveness. 1-Poor 2-Fair 3-Good 4-Very Good 5-Excellent 6-Not Applicable Effective communication. 1-Poor 2-Fair 3-Good 4-Very Good 5-Excellent 6-Not Applicable Courteousness. 1-Poor 2-Fair 3-Good 4-Very Good 5-Excellent 6-Not Applicable Understanding the disagreement between parties. 1-Poor 2-Fair 3-Good 4-Very Good 5-Excellent 6-Not Applicable Knowledge of the Process. 1-Poor 2-Fair 3-Good 4-Very Good 5-Excellent 6-Not Applicable Efficiency. 1-Poor 2-Fair 3-Good 4-Very Good 5-Excellent 6-Not Applicable Based on your experience with this case, please rate the ability of the facilitator to:reach agreement in a single session. 1-Poor 2-Fair 3-Good 4-Very Good 5-Excellent 6-Not Applicable provide time to address the questions. 1-Poor 2-Fair 3-Good 4-Very Good 5-Excellent 6-Not Applicable allow both parties to feel heard. 1-Poor 2-Fair 3-Good 4-Very Good 5-Excellent 6-Not Applicable build relationships among parties. 1-Poor 2-Fair 3-Good 4-Very Good 5-Excellent 6-Not Applicable encourage cooperation over an adversarial relationship. 1-Poor 2-Fair 3-Good 4-Very Good 5-Excellent 6-Not Applicable focus on mutual problem solving. 1-Poor 2-Fair 3-Good 4-Very Good 5-Excellent 6-Not Applicable help the parent and school work productively to resolve the dispute. 1-Poor 2-Fair 3-Good 4-Very Good 5-Excellent 6-Not Applicable Did the resolution meeting process resolve the issues and eliminate the need for a due process hearing? Yes No How would you rate the overall experience with the resolution meeting process? 1-Poor 2-Fair 3-Good 4-Very Good 5-Excellent 6-Not Applicable Please rate your overall experience with the coordination services provided by ODR. 1-Poor 2-Fair 3-Good 4-Very Good 5-Excellent 6-Not Applicable What suggestions do you have to improve the resolution meeting process?Would you like ODR to contact you about this evaluation? First Choice Second Choice Third Choice Due Process HearingA due process hearing is a legal proceeding in front of a hearing officer, who acts as a judge, to resolve disagreements between a school and parent about the identification, evaluation, educational placement, and the child's right to a Free and Appropriate Public Education (FAPE). Questions in the first sections are rated on a scale of 1 (Poor) to 5 (Excellent). Where a question does not apply, please select "Not Applicable."What is the name of your Hearing Officer?*Please choose a Hearing OfficerJoy Waters FlemingBrian Jason FordJames GerlMichael (Jake) McElligottCharlie JelleyCathy SkidmoreCheryl CutronaPlease rate the hearing officer on the following characteristics of hearing management:Understanding of the disagreement between parties. 1-Poor 2-Fair 3-Good 4-Very Good 5-Excellent 6-Not Applicable Allow both parties to be heard. 1-Poor 2-Fair 3-Good 4-Very Good 5-Excellent 6-Not Applicable Efficiency. 1-Poor 2-Fair 3-Good 4-Very Good 5-Excellent 6-Not Applicable Schedule in a timely manner. 1-Poor 2-Fair 3-Good 4-Very Good 5-Excellent 6-Not Applicable Courteousness. 1-Poor 2-Fair 3-Good 4-Very Good 5-Excellent 6-Not Applicable Effective Communication. 1-Poor 2-Fair 3-Good 4-Very Good 5-Excellent 6-Not Applicable Knowledge of the process. 1-Poor 2-Fair 3-Good 4-Very Good 5-Excellent 6-Not Applicable Responsiveness. 1-Poor 2-Fair 3-Good 4-Very Good 5-Excellent 6-Not Applicable Based on your experience on this case, please rate the technical quality of the written decision:Accurately state the issues to be resolved. 1-Poor 2-Fair 3-Good 4-Very Good 5-Excellent 6-Not Applicable Accurately stated the applicable law. 1-Poor 2-Fair 3-Good 4-Very Good 5-Excellent 6-Not Applicable Analysis of the decision was clearly written. 1-Poor 2-Fair 3-Good 4-Very Good 5-Excellent 6-Not Applicable Accurately state the position of each party. 1-Poor 2-Fair 3-Good 4-Very Good 5-Excellent 6-Not Applicable Overall decision was clearly written. 1-Poor 2-Fair 3-Good 4-Very Good 5-Excellent 6-Not Applicable How would you rate the overall experience with the due process hearing? 1-Poor 2-Fair 3-Good 4-Very Good 5-Excellent 6-Not Applicable Please rate your overall experience with the coordination services provided by ODR. 1-Poor 2-Fair 3-Good 4-Very Good 5-Excellent 6-Not Applicable What suggestions do you have to improve the due process hearing procedures?Would you like ODR to contact you about this evaluation? Yes No Hearing Officer Settlement ConferenceA Hearing Officer Settlement Conference is a service where parties close to a resolution, but with remaining issues to be resolved, work with a haring officer to determine whether the remaining issues can be overcome so that the parties can avoid a due process hearing and move to finalizing a resolution to the due process complaint. Question in the first sections are rated on a scale from 1 (Poor) to 5 (Excellent). Where a question does not apply, please select "Not Applicable." What is the name of your Hearing Officer?*Please choose a Hearing OfficerJoy Waters FlemingBrian Jason FordJames GerlCharles JelleyMichael (Jake) McElligottCathy A. SkidmorePlease rate the following characteristics of the hearing officer:Knowledge of applicable law. 1-Poor 2-Fair 3-Good 4-Very Good 5-Excellent 6-Not Applicable Efficiency. 1-Poor 2-Fair 3-Good 4-Very Good 5-Excellent 6-Not Applicable Effective Communication. 1-Poor 2-Fair 3-Good 4-Very Good 5-Excellent 6-Not Applicable Understanding the disagreement between parties. 1-Poor 2-Fair 3-Good 4-Very Good 5-Excellent 6-Not Applicable Based on your experience with this case, please rate the ability of the hearing officer to:focus on mutual problem solving. 1-Poor 2-Fair 3-Good 4-Very Good 5-Excellent 6-Not Applicable help the parent and school work productively to resolve the dispute. 1-Poor 2-Fair 3-Good 4-Very Good 5-Excellent 6-Not Applicable allow both parties to feel heard. 1-Poor 2-Fair 3-Good 4-Very Good 5-Excellent 6-Not Applicable provide time to address questions. 1-Poor 2-Fair 3-Good 4-Very Good 5-Excellent 6-Not Applicable Did the hearing office settlement conference process resolve the issues and eliminate the need for a due process hearing? Yes No How would you rate the overall experience with the hearing officer settlement conference process? 1-Poor 2-Fair 3-Good 4-Very Good 5-Excellent 6-Not Applicable Please rate your overall experience with the coordination services provided by ODR. 1-Poor 2-Fair 3-Good 4-Very Good 5-Excellent 6-Not Applicable What suggestions do you have to improve the hearing officer settlement conference process?Would you like ODR to contact you about this evaluation? Yes No Please provide the following information so ODR can contact you:Name Telephone Number Telephone Number Best time to call If you would rather be contacted by e-mail, please provide your e-mail address here: THANK YOUThank you for taking the time to complete this evaluation. Your responses will be used to improve dispute resolution processes in Pennsylvania.
