Assessment Debrief Form

Name*
Name
Date of Assessment*
Date of Assessment
MM slash DD slash YYYY
Roleplay Name*
Roleplay Name
To what extent has the dispute been resolved?*
To what extent has the dispute been resolved?
- Worse
- Nothing resolved
- Some things resolved
- Completely resolved
What would be required for this dispute to be resolved?
What would be required for this dispute to be resolved?
What were the positions, interest and needs of each party?*
What were the positions, interest and needs of each party?
Were there any hidden agendas? If so, what were they and did they affect the outcome of the dispute?*
Were there any hidden agendas? If so, what were they and did they affect the outcome of the dispute?
Did the parties’ attitudes towards one another change during the mediation? If so, what part of the process or mediator intervention assisted this change?*
Did the parties’ attitudes towards one another change during the mediation? If so, what part of the process or mediator intervention assisted this change?
Were there any power imbalances? How were they addressed?*
Were there any power imbalances? How were they addressed?
Mediation Process
Briefly comment on the impact of each step of the mediation process. Did anything significant occur? What worked well? What did you find challenging and why?
Preparation*
Preparation
Introduction*
Introduction
Party Statements/Summaries*
Party Statements/Summaries
List of Issues*
List of Issues
Exploration*
Exploration
Option Generation*
Option Generation
Private Session*
Private Session
Negotiation*
Negotiation
Outcome Statement*
Outcome Statement
Closing*
Closing
Learning and Feedback
Was upholding any of the roles and responsibilities of a mediator challenging (impartiality, confidentiality, neutral)?
Was upholding any of the roles and responsibilities of a mediator challenging (impartiality, confidentiality, neutral)?
What did you learn from the process?*
What did you learn from the process?
Are there any professional development needs you have identified for yourself from this mediation?
Are there any professional development needs you have identified for yourself from this mediation?
Any other comments or feedback?
Any other comments or feedback?

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Assessment Debrief Form

Assessment Debrief Form

Mediation Process

Learning and Feedback

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