COMMUNITY MEDIATION, INC.
Program: Case Type:
Mediation Feedback Form
This survey was developed in an effort to assist Community Mediation, Inc. in understanding how its mediation services/program can better assist its participants. The information that you provide on this survey will help Community Mediation, Inc. in improving its process. Your responses will be strictly anonymous.
Please circle the response that best fits your opinion.
I was satisfied with the way my case was handled in mediation.
Strongly Agree Agree Neutral Disagree Strongly Disagree
The mediation helped me understand my perspective better.
Strongly Agree Agree Neutral Disagree Strongly Disagree
The mediation helped me better understand the perspective of the other party(ies).
Strongly Agree Agree Neutral Disagree Strongly Disagree
In my opinion, the Agreement reached in the mediation was fair to me.
Strongly Agree Agree Neutral Disagree Strongly Disagree
No Agreement was Reached
In my opinion, the Agreement reached in the mediation was fair to the other party.
Strongly Agree Agree Neutral Disagree Strongly Disagree
No Agreement was Reached
I feel like my participation in the mediation was voluntary.
Strongly Agree Agree Neutral Disagree Strongly Disagree
If a friend or family member was ever in a similar situation, I would suggest that they use mediation.
Strongly Agree Agree Neutral Disagree Strongly Disagree
If a friend or family member was ever in a similar situation, I would suggest that they use mediation before calling the police.
Strongly Agree Agree Neutral Disagree Strongly Disagree
9. It was helpful for me to be able to tell the mediators what happened and how I felt about it.
Strongly Agree Agree Neutral Disagree Strongly Disagree
10. It was helpful to be able to hear what other people had to say about what happened and how they felt.
Strongly Agree Agree Neutral Disagree Strongly Disagree
11. I feel my point of view was heard during the mediation process.
Strongly Agree Agree Neutral Disagree Strongly Disagree
12. I think participation in this process will help me to better resolve future conflicts.
Strongly Agree Agree Neutral Disagree Strongly Disagree
13. I think this mediation program should continue to be available through the Branford police department.
Strongly Agree Agree Neutral Disagree Strongly Disagree
14. What did you like best about the mediation?
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15. What did you like least about the mediation?
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16. Any additional comments?
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If you have any questions regarding the survey or the mediation process in which you participated, please feel free to contact Community Mediation, Inc. at (203) 782-3500.
Thank you for participating in this survey!
Community Mediation, Inc.
3013 Dixwell Ave., Suite 3
Hamden, CT 06518
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| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
| File Title | Mediation Feedback Form |
| Author | David L. Bradley, IV |
| File Modified | 0000-00-00 |
| File Created | 2021-01-29 |