DCAP Respondent’s Survey From 1 (lowest) to 5 (highest), what was your level of satisfaction with:12345The MediatorMediation Facilities (If applicable)Lunch (If applicable)Mediation PersonnelPlease add any additional comments you would like us to know:Voluntary Demographic PortionThe following questions are voluntary and will only be used for statistical purposes.What is your gender?What is your age?What is your ethnic origin?Were any children the subject of this meditation?Case Name/Number(Required)Surveys will remain anonymous. However, DCAP requires a case name or number to be listed so we can ensure the survey is entered into the correct file.
