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Victim-Offender Mediation Program Survey

Contact person:

Ms. ____________________________________________________
Mr. ____________________________________________________
Title ____________________________________________________
Name of VOM program _____________________________________
Name of agency (if different from program) _______________________
Address _________________________________________________
Telephone/Fax ____________________________________________
E-mail __________________________________________________
Internet _________________________________________________

1. Type of agency

  • Probation
  • Prosecuting attorney
  • Correctional facility
  • Victim Services
  • Police
  • Church-based
  • Private community-based (nonprofit)
  • Residential treatment
  • Other_________________

2. How many cases were referred to the program during the most recent year?

  Juvenile cases _______ Adult cases _______

3. At what point(s) in the justice process is mediation done?

  • Diversion
  • Post-disposition
  • Post-adjudication but pre-disposition
  • All
  • Other

4. What year did the program begin operation or when is it projected to begin?

5. What kinds of referrals do you accept:

  • Misdemeanors
  • Felonies
  • Both

6. In addition to victim-offender mediation, the Center gets many requests for information on institutions performing other forms of mediation and dialogue. Please check each box that indicates a form of mediation that your program performs.

  • Peer
  • Parent/Teen
  • Truancy/Neighbor
  • Divorce
  • Family
  • Community
  • Group Conferencing
  • Circle 1 (Sentencing)
  • Circle 2 (Process)
  • Tenant/Landlord
  • Workplace
  • Other

  • Yes
  • No

7. Does your program consider cases involving sexual assault?


  • Yes
  • No

8. Does your program consider cases involving sexual abuse?


9. Many programs perform mediation processes in which the participants do not come face-to-face. In your restorative justice process, is the participation face-to-face direct) or by some other means (indirect)?

  • Direct
  • Indirect
  • Both

Approximately what percentage of your mediation processes are performed:
Directly? ________ Indirectly? ________

How are indirect mediations performed?

  • Letter
  • Shuttle diplomacy
  • Other ______________________
  • Phone
  • Video
  • Other audio

Please return the survey to:

Center for Restorative Justice & Peacemaking
University of Minnesota School of Social Work
1404 Gortner Avenue, 105 Peters Hall
St Paul, MN 55108-6160
Fax: 612-625-8224

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Directory of Victim-Offender Mediation Programs in the United States April 2000
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