Community Mediation Services
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1. Default Section
1
. What is your current relationship status?
What is your current relationship status?
Married
Domestic partnership
Unmarried
Unmarried same-sex partnership
Separated
Divorced
Widowed
Single
Other (please specify)
2
. How did you first hear about Community Mediation Services?
How did you first hear about Community Mediation Services?
Web search
Personal recommendation
Literature (brochure, flier or poster)
I've used Community Mediation Services before
Mediation mandated by the court
Other (please specify)
3
. If you are considering mediation, what kind of mediation?
If you are considering mediation, what kind of mediation?
Community Dispute
Restorative Justice
Parent-Teen
Family Mediation/Relationship Dissolution
Workplace Disputes
Other (please specify)
4
. Have you used mediation before?
Have you used mediation before?
No
Yes (please describe)
5
. Was it at Community Mediation Services?
Was it at Community Mediation Services?
Yes
No (please specify where)
6
. Are you considering any other mediation service?
Are you considering any other mediation service?
No
Yes (please specify)
7
. Have you consulted an attorney about this issue prior to visiting the Community Mediation Services Web site?
Have you consulted an attorney about this issue prior to visiting the Community Mediation Services Web site?
Yes
No
8
. After viewing the Community Mediation Services Web site, how likely are you to use Community Mediation Services?
After viewing the Community Mediation Services Web site, how likely are you to use Community Mediation Services?
I will definitely use its services
I am strongly considering using its services
I am considering using its services
It is unlikely
I will not use its services
9
. After viewing the Community Mediation Services Web site were any of your questions not answered?
After viewing the Community Mediation Services Web site were any of your questions not answered?
No
Yes (please describe)
10
. Where do you receive your news?
Where do you receive your news?
Online
Newspaper
Radio
Signage (billboard, bus etc)
Television
Other (please specify)
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