TO:      CLIENT Team Members

FROM:      Chuck Doran, MWI Mediator

RE:      MWI Diagnostic Questionnaire

CLIENT’s President & CEO, NAME, has asked me to work with staff at CLIENT to introduce a mediation process to identify challenges facing the organization, improve working relationships and build trust in order to position the organization for success.

In preparation for what I hope will be a productive mediation process, I’d appreciate if you would take a few moments to answer the following questions. The purpose of these questions is to provide you with an opportunity to share your perspective about the challenges facing CLIENT.

The content of your responses, and not your identity, will be discussed with others, including NAME.

Thank you for taking the time to complete this form. I look forward to meeting and working with you over the next few weeks.

Thank you very much for taking the time to complete this diagnostic questionnaire.