Dayton Mediation Center - Mediation Participant Evaluation Survey

1.I talked about everything that was important to me.

2.I felt in control of any decisions made.

3.I gained new information that I didn't have before.

4.The mediator(s) helped me think.

5.The mediator(s) helped me make decisions.

6.The mediator(s) did not give their opinions.

7.Mediation helped me deal with this situation.

8.I feel things will be better from now on.

9.I can handle things if this situation comes up again.

10.This situation is resolved.

11.I will use mediation again if a situation comes up.

12.I will recommend mediation to others.

13.During this session, who came up with solutions?

I did

The Other Party

The Mediator

14.Would you like for the case manager to follow-up with you?

Yes

No

If yes, please enter your name and phone number.

15.Please share any additional comments or information you think might be helpful for us to know.