2850 College Drive, Rice
Lake, WI 54868 Phone:(715) 736-0940
FACILITATOR
DEBRIEFING FORM (optional)
Please
use this form for debriefing your conference. The answers to your questions can
help us improve the program. Please
forward to the Director, put in the file, or bring to the next meeting. Thanks!
1.
Did
the case file contain enough information for you to proceed? (
) Yes ( ) No
Comments---
2.
If
you had questions about the case, how many were answered promptly and
thoroughly by the program coordinator?
( ) All ( )
Most ( )
Some ( )
None
Comments---
3.
Do
you feel that the training you are receiving from the program is adequate?
( )
Yes ( ) No
Comments---(please list other topics for monthly volunteer meetings)
4. Are you getting enough support from the
program staff and other volunteers?
( )
Yes ( ) No
Comments---
5.
Was
the initial call to the victim(s) and offender(s) primarily used to set up a
face-
to-face meeting so you could explain the program in person?
Victim: ( )
Yes ( ) No Offender: ( ) Yes
( ) No
Comments---
6.
Were
the victim(s) and offender(s) already aware of the program when you called
them? Victim: (
) Yes ( ) No
Offender: ( )
Yes ( ) No
Comments---
7.
Do
you feel that the pre-conference meetings went well?
Victims: ( )
Yes ( ) No Offenders: ( ) Yes
( ) No
Comments---
8.
Do
you feel the conference between the victim and offender went well?
( )
Yes ( ) No
Comments---
9.
Do
you feel that the participants in the conference were satisfied with the
process: Victim: (
) Yes ( ) No
Offender: ( ) Yes ( ) No
Comments---
10. Did you
discuss the case with the other facilitator(s) following each meeting
and
the conference? ( )
Yes ( ) No
Comments---
11. Looking back at this case, is there anything you would do
differently?
( )
Yes ( ) No
Comments---
Any Other Comments---