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Mediator Debrief Form
Please answer the following questions as you reflect on your mediation.
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1.
Your Name:
(Required.)
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2.
Mediation Date
(Required.)
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3.
Mediation Length (in minutes)
(Required.)
4.
Co Mediator:
5.
Pick one intervention - either one that went well or one that you are not sure about. What was the intervention?
6.
With question 5 in mind - What was going on with the parties in terms of E&R opportunities (red list and blue list) at that point in the mediation? Why did you intervene here?
7.
With question 5 in mind - What was the impact of the intervention on the parties? How did your intervention support E&R shifts (shift toward the blue list)?
8.
With question 5 in mind - Would you do anything differently? Why or why not?
9.
What insight(s) do you have about your interventions and the mediation session in general?
10.
When you mediate next time, what will you focus on?
11.
Do you have any issues or concerns that need addressed with staff?