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

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* 2. I felt in control of any decisions made.

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

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* 4. The mediator(s) helped me think.

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

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

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* 7. Mediation helped me deal with this situation.

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

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

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* 10. This situation is resolved.

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

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* 12. I will recommend mediation to others.

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

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

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

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