Instructions

This survey asks about your experience with our Community - Police mediation program. Please select the response that most closely resembles your opinion for each question. Your responses will be used to improve our mediation program.  Thank you for your honest and objective answers.

* 1. I am

* 2. How satisfied are you:

  Very satisfied Satisfied Neither Dissatisfied Very dissatisfied
The mediation process was clearly explained to you
The information received prior to mediation was informative and helpful
Our mediator created a safe and respectful environment
Our mediator was genuinely engaged in helping resolve the conflict
Our mediator was neutral and objective
That you had adequate opportunity to explain your point of view
Mediation helped you understand the other person's perspective on the incident?
Our mediator helped all parties reach an acceptable outcome
With the mediation process
That Police Department is serious about responding to complaints about police officers
With the complaint handling process, in general

* 3. Please tell us about the outcome of your mediation

  Yes No Not Sure
Did mediation provide a safe environment for you to express your concerns?
Did the other person(s) participate fully in the mediation?
Do you feel you now understand why the community member(s) / officer(s) took the actions they did during the incident?
Did mediation help you learn key information that will benefit you in the future?
Will you recommend community-police mediation to others?
Was mediation an effective way of resolving the complaint?

* 5. Please indicate who your mediator was -

* 6. What city or county's mediation program is this?

* 7. When was your mediation held?

Date
/
/

* 8. Name (optional)

* 9. What were the STRENGTHS of the mediation process?

* 10. What were the WEAKNESSES of the mediation process?

* 11. What specific recommendations do you have?

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