2850 College Drive

Rice Lake, WI 54868

Phone:(715) 736-0940
We would appreciate your help in evaluating the meeting in which you recently participated.  Please answer the following questions to help up evaluate the experience.  All comments will remain anonymous.

SCHOOL QUESTIONNAIRE  

  Age___________  (  )  Female   (  )  Male

  The meeting was with (  ) friend(s) or (  ) acquaintance(s).

 Did your parents participate in the (  )pre-conferences or (  )conference?

   Name of the facilitators you met with_______________________________________________

  Circle the number that best describes your opinion from 1 to 5.

1=Strongly Disagree   2=Disagree   3=Unsure   4=Agree   5=Strongly Agree

1.     The meeting was helpful to me.  1 2 3 4 5
2.     I was able to explain my feelings about what happened.  1 2 3 4 5
3.     The other(s) were able to express feelings to me.     1 2 3 4 5
4.     I understand the reasons behind the actions of others.   1 2 3 4 5
5.     Knowing what I know now, under similar circumstances, I would  recommend that others consider participating in this type of meeting?   1 2 3 4 5
7.     My individual meetings with the facilitator were helpful.   NA 1 2 3 4 5
8.     The facilitator allowed everyone enough time to talk about their feelings. 1 2 3 4 5
9.     The facilitator had good listening and verbal skills 1 2 3 4 5
10. I am satisfied with my experience with the Victim Offender Conferencing Program.  1 2 3 4 5

Comments---

 
When you have completed your response please use the envelope provided and mail to Barron County Restorative Justice Programs, Inc., 2850 College Drive, Rice Lake, WI 4868.  If you have questions, please contact the Restorative Justice office at 715-736-0940, leave a message, and your call will be returned.  Thank you for helping us improve!