MWI Roundtable Feedback Form

FROM: Diana Chiang, Director of Corporate Program, MWI
TO: MWI District & Municipal Court Mediation Panel

Dear Mediators:

This form provides a structured space to reflect on your MWI Roundtable program experiences. All responses will be sent to me, and you can choose to fill it out out anonymously, or if you’d like to follow up on anything, feel free to set up a debrief phone conversation.

Thank you so much for providing your feedback, and for participating in this Roundtable!

Roundtable Survey Form

First/Last Name
Email
Roundtable Date*
Roundtable Location
Who was the guest speaker?*
Please rate the Roundtable from 5 (Excellent) to 1 (Poor)*
What do you think the speaker did well?*
What do you think the speaker could have done to improve?*
What topics would you like to see at upcoming Roundtables?
Is there anything else you would like to add? Please provide any additional feedback.

If you have any questions or prefer to speak directly, please contact Diana 617-895-4029 or courtmediation@mwi.org.