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Response
Please indicate how satisfied were you with the services provided by your FMCS mediator(s) overall. Response Respond here Very satisfied Quite satisfied Moderately satisfied Slightly satisfied Not at all satisfied
Did the recent FMCS assistance or training program help your group’s participants achieve their objectives and/or build their knowledge and skills? Response Respond here Very much Quite a bit Moderately Slightly Not at all
How likely are you to recommend working with FMCS to colleagues and associates? Response Respond here Very likely Quite likely Moderately likely Slightly likely Not at all likely
Privacy Act Statement. 29 U.S.C. 172, authorize the FMCS to require the reporting of this information. The primary use of the information on this form is to allow FMCS officials to improve conflict management services. Additional disclosures of the information on this report may be made: (1) to a Federal, State, or local law enforcement agency if FMCS becomes aware of a violation or potential violation of law or regulation; (2) to a court or party in a court or Federal administrative proceeding if the Government is a party or in order to comply with a judge-issued subpoena; (3) to the National Archives and Records Administration or the General Services Administration in record management inspections; (4) to the Office of Management and Budget during legislative coordination on private relief legislation; and (5) in a judicial or administrative proceeding if the information is relevant to the subject matter. This confidential information will not be disclosed to any requesting person unless authorized by law. Failure to provide the requested information could result in FMCS’s delay or inability to improve and provide conflict management services. Information collected in this form is in accordance with the Survey System of Records Notice.
