Mediation Services
Name *
Did the Caseworker take time to listen to your experience and concerns?
—Please choose an option—YesNoSomewhat
Please add additional comments below:
Did your caseworker help you decide how you wanted to proceed, and help you consider your next steps (if relevant)?
Are you satisfied with the level of service you received?
Do you have any additional comments or feedback?
Name of your caseworker
How would you describe your feelings of connection now compared to directly after the incident? *
—Please choose an option—I feel less connected to others involved after engaging in the restorative process.I feel equally connected to others involved after engaging in the restorative process.I feel more connected to others involved after engaging in the restorative process.
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