Facilitator Peer Review:

Facilitator being reviewed__________ Reviewed by ___________

Case # _____________ Date of Forum:___________________

Impartiality/Demeanor	Yes	no	Comments
The facilitator did not bring any personal issues or biases to the forum
The facilitator treated all parties with an equal level of respect
The facilitator allowed all parties the opportunity to express themselves
The facilitator attempted to ensure that the needs of all parties were met.
The facilitator interacted on a professional level
The facilitator was attentive to the forum proceedings
Preparation & Environment
The facilitator ensured a suitable set-up for the forum
The facilitator set clear guidelines
The facilitator took appropriate actions to ensure that these guidelines were followed throughout the forum
The facilitator established a rapport and engaged well with the participants
The facilitator created and maintained a safe environment sensitive to any special needs and accessibility issues

Communication
The facilitator encouraged participants to express themselves during the forum
The facilitator ensured that everyone was given the chance to speak without interruption from other participants
The facilitator allowed periods of silence or repetition where appropriate
The facilitator was effective in keeping the conversation on track
The facilitator provided paraphrasing or summaries where appropriate in order to clarify or encourage communication
The facilitator was easily understood
Resolution
The facilitator had a good understanding of what the participants wanted to achieve
The facilitator was able to provide a range of options or ideas for a suitable resolution where appropriate
During forum debriefing, was the facilitator able to identify potential solutions to any problems that occurred or ways to prevent similar problems from occurring in future sessions?

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Program Coordinator

2014-05-13