Please enable JavaScript in your browser to complete this form.NameFirstLastAddress/City/PCPhone NumberEmailHow did you hear about Oakhill? *Select oneBrochureCommunity Service AgencyEmployee Assistance ProgramDoctorFacebookGoogleInternet SearchOakhill WebsiteParenting after SeparationJudgeLawyer/paralegalMental Health ProfessionalWord of MouthOtherDid you use Oakhill Counselling and Mediation for your mediation process?YesNoIf Yes, what did you appreciate about the service provided?Is there anything we could do different to make this a more positive experience?If NO, can you tell us a bit about why you didn't use our service?Cost was too highLocation was inconvenientDidn't feel comfortable with mediatorOne or both parties withdrew Issues were too complicatedMediation was not appropriateOther (explain below)Can you give us some specific details about why you chose not to use Oakhill's mediation service? (responses are confidential and only reviewed by the clinical supervisor)What criteria were you looking for to choose a mediator?Would you recommend Oakhill Counselling for Mediation services to those you know?YesNoNot sureWould you like us to follow up with you? *YesNoIf you would like us to follow up, please make sure you have left an email address or phone number above. Thank you for your feedback. It is greatly appreciated!EmailSubmit