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Dayton Mediation Center - CIP Participant Evaluation

1.The staff and/or mediator explained the Community Impact Panel well.
Strongly Disagree
Disagree
Neither Agree nor Disagree
Agree
Strongly Agree
2.The staff and/or mediator showed interest in helping me express my thoughts and feelings.
Strongly Disagree
Disagree
Neither Agree nor Disagree
Agree
Strongly Agree
3.The staff and/or mediator made efforts to help me understand the community representatives.
Strongly Disagree
Disagree
Neither Agree nor Disagree
Agree
Strongly Agree
4.This program was successful in helping me express my thoughts and feelings.
Strongly Disagree
Disagree
Neither Agree nor Disagree
Agree
Strongly Agree
5.This program was successful in helping me to better understand the community.
Strongly Disagree
Disagree
Neither Agree nor Disagree
Agree
Strongly Agree
6.This program was successful in helping the community representatives understand me.
Strongly Disagree
Disagree
Neither Agree nor Disagree
Agree
Strongly Agree
7.Because of this program, I am better able to make decisions about my situation.
Strongly Disagree
Disagree
Neither Agree nor Disagree
Agree
Strongly Agree
8.Because of this program, I am better able to address new problems as they arise.
Strongly Disagree
Disagree
Neither Agree nor Disagree
Agree
Strongly Agree
9.Would you like for the case manager to follow-up with you?
10.Please share any additional comments or information you think might be helpful for us to know.