St. John's Mediation Contact Form
If you do receive any response after submitting this form online within 2 days, please check your email junk folder or email to me at mathew.ho@sjccs.hk

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Email *
Full Name (Surname in CAPS) *
Date of Completion of this Form *
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Gender *
Age *
Contact Phone *
Contact Email *
What is the dispute requiring exploration and resolution through the mediation process? *
Who are the other parties involved in the dispute (their identities, roles & functions)?  And how are they involved? *
Are these other parties willing to try mediation? *
Are you currently, or will be, involved in legal proceedings over these issues? If yes, give a brief description please. *
Have the disputing parties (including you) sought third party help (such as professional views, legal advice, psychiatric help, etc.)? If yes, please give details. *
Number of family members in your household (including yourself)? *
What is the HK$ monthly income of your household (including yourself)? *
What language do you prefer to use? *
What days and times work best for you to set an appointment? Please tick all that apply)
If there any additional information that you would like us to know?
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