Clients ________________________________________  Date___________________
 
1. What needs and interests did each participant express?
 
 
 
2. What are the sticking points and underlying conflicts?
 
 
 
3. What patterns played out between the participants?
 
 
 
4. What interventions did I use and what happened as a result?
 
 
 
5. What was going on in me during the session?
 
 
 
6. What might I do in future sessions to work through the problems described above?
 
 
 
7. What lessons can I learn from this mediation that I can use in future mediations?
 
 
 
This form was adapted from the mediation conflict analysis developed by Gary Friedman of the Center for Mediation in Law (http://www.mediationinlaw.org/indexpage.html) and reproduced with permission.