Please provide feedback on your mediation experience. Your response will be treated as confidential. ASBFEO Case Reference No. (if known) Your name Dispute resolution option Mediation Conciliation Arbitration Name of mediator/conciliator/arbitrator Date/s of mediation/conciliation/arbitration Your role in the dispute Franchisor Franchisee Please rate your satisfaction with your mediator/conciliator/arbitrator Very satisfied Satisfied Neutral Dissatisfied Very dissatisfied Was your dispute resolved? Resolved Partially resolved Unresolved Would you recommend this mediator/conciliator/arbitrator? Yes No Would you like to provide any comments about the process or your mediator/conciliator/arbitrator? CAPTCHA This question is for testing whether or not you are a human visitor and to prevent automated spam submissions. Math question 1 + 14 = Solve this simple math problem and enter the result. E.g. for 1+3, enter 4.