Deborah Awyzio Mediation - Questionnaire
The mediation process aims to effectively and efficiently arrive at an outcome that meets each party’s needs and resolves their concerns as far as possible. On mediation day, Deborah will work with both parties, either separately or joint, to promote negotiations by asking questions, encouraging open discussions, considering different points of view and communicating issues in an alternative approach, as well as reality testing options.
Your Personal Information
Your full name
Your email address
Your mobile number
Your date of birth
Your address
Other Parties Information
Other parties full name
Other parties email address (not required)
Other parties mobile number (not required)
Other parties date of birth
Other parties address (not required)
Relationship Information
Date you started your relationship
Date you started living together
Date of marriage (if applicable)
Date of separation (or tick a  box not separated yet)
Assets
Do you or your former partner own any real estate?
Do you or your former partner own vehicles/motor bikes?
Do you own a boat/jest ski
Do you own a caravan?
Do you own a trailer/camper trailer?
How many bank accounts do you have?
Bank account 1
Account number
Owner
If company, enter company name
If trust, enter name of trust 
Current balance
Any further information (not required)
Bank account 2
Account number
Owner
If company, enter company name
If trust, enter name of trust 
Current balance
Any further information (not required)
Bank account 3
Account number
Owner
If company, enter company name
If trust, enter name of trust 
Current balance
Any further information (not required)
Bank account 4
Account number
Owner
If company, enter company name
If trust, enter name of trust 
Current balance
Any further information (not required)
Bank account 5
Account number
Owner
If company, enter company name
If trust, enter name of trust 
Current balance
Any further information (not required)
Do you or your former partner own any shares?
Do you or your former partner own any managed funds?
Do you or your former partner have any term deposits?
Do you or your former partner have any bonds?
Do you or your partner own any jewellery?
What is the approximate value of furniture currently in your possession?
What is the approximate value of furniture currently in your former partner's possession?
Would you like to prepare a schedule of furniture and household items?

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