Please contact us through the form at right .

If you have participated in a mediation and wish to give us some feedback, please use the MEDIATION SURVEY form.

contact us . . .
Name:

Email Address:

Subject of your message:

Message:

If you experience problems with this form or if you'd rather use your email application, please email us: cfrj@rushmore.com


MEDIATION SURVEY:

For persons who have participated in a mediation, we ask that you give us your feedback so we may improve our service and approach in our work.
Thank you for your cooperation and assistance.

Name (optional):

Email Address (required):

Subject:

1.  The mediation I participated in, was:

Very helpful
Helpful
Not helpful
Waste of time

2.  The mediator(s) were well trained and knowledgeable in the process:

Yes
No

If no, what should have been handled differently?

3. I was given enough time to say what I wanted and in an atmosphere of caring and respect:

Yes
No

4. The pre-mediation I participated in, prepared me for the actual mediation:

Yes
No

If no, please explain:

5. I would recommend this type of mediation to someone else who is dealing with a conflict in her/his life:

Yes
No

6. Please, say in a few sentences your feelings about the entire process:

If you have any questions or would like to speak with one of our staff, please give us a call anytime.  Thank you for taking the time to help us continue to provide quality mediation services.

Center for Restorative Justice


2650 Jackson Boulevard
Rapid City,SD 57702
(605) 348-3665
FAX: (605) 348-3665
cfrj@rushmore.com

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