CONCILIAAO NPJ

FICHA DE ATENDIMENTO
Data: ____________
Parte A - Nome:
Parte B - Nome:

Hora incio:_______ Hora final:_______

Telefone:
Telefone:

1. J participou de algum procedimento conciliatrio antes? Explicao.

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2. As partes j tentaram solucionar o conflito entre si anteriormente?
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3. Descrio do conflito:
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AVALIAAO PROJETO PACIFICAR

A) Questes subjetivas levantadas pelas partes:
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B) Predisposio para conciliar em geral: __ Alta
B.1) Objetividade/ Adjetivao:
B.2) Estado anmico:
B.3) Grau de concesses feitas:
B.4) Grau de satisfao imediato:

__ Alta
__ Exaltado
__ Alto
__ Alto

__ Mdia

__ Baixa

__ Mdia
__ Normal
__ Mdio
__ Mdio

__ Baixa
__ Calmo
__ Baixo
__ Baixo

Obs.: _____________________________________________________________
C) Resultado:
C.1) Acordo:
C.2) Homologado:
C.3) Cumprimento:
C.4) Pr. judicial posterior:

Sim__
Sim__
Sim__
Sim __

No__
No__
No__
No__

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D) Acompanhamento posterior:
Data:___________
Obs.:____________________________________________________________
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