| How are you perceived [by those you are at odds with]? Provide
three descriptions of their perception.
a)__________________________________________ b)__________________________________________ c)__________________________________________
What actions of yours have allowed this perception regardless of whether or not your actions should have allowed the perception, what actions have allowed the perception]? a)__________________________________________ b)__________________________________________ c)__________________________________________ d)__________________________________________
Why have those actions allowed the perception [why has the other party
drawn the conclusions they have -- provide a)__________________________________________ b)__________________________________________ c)__________________________________________
How do you want to be perceived? a)__________________________________________ b)__________________________________________ c)__________________________________________
What is a truthful perception of you? a)__________________________________________ b)__________________________________________ c)__________________________________________
Who shares this perception? [name individuals or groups]. a)__________________________________________ b)__________________________________________ c)__________________________________________
Who does not share this perception? [name at least one individual and at least one group]. a)__________________________________________ b)__________________________________________ c)__________________________________________
What changes that are within your control can be made in the current situation [that will help to bring about a change in perception]? a)__________________________________________ b)__________________________________________
c)__________________________________________ |
Why are you willing, or not willing, to effect those changes?
a)__________________________________________ b)__________________________________________ c)__________________________________________
What are the changes that you feel the institution should make? a)__________________________________________ __________________________________________ b)__________________________________________ __________________________________________ c)__________________________________________ __________________________________________
What are the institution's limits [i.e. what can reasonably be expected of an imperfect institution in an imperfect world]? a)__________________________________________ b)__________________________________________ c)__________________________________________
If you made changes in your actions and/or processes, what reciprocity do you think is fair on behalf of the institution and on behalf of those in conflict with you?
Institution a)__________________________________________ b)__________________________________________ c)__________________________________________
Others a)__________________________________________ b)__________________________________________ c)__________________________________________
After you have answered all of the above questions, please answer the following questions:
1. What do you see the as the real problem?
2. What do you see as your real goal?
3. What do you see as the available realistic solutions that will achieve your goal and solve the problem?
|
Write your answers on a separate sheet in long form. The last two should be your mediation goals.
-- The FAQ for this checklist
 |
|
 |
This Website is by Stephen R.
Marsh
Contact Information at:
http://adrr.com/smarsh/