Center for Mediator Certification

First Name*

Last Name*

Email Address*

1. What motivates you to consider Mediation?*

a. Desire to make a difference

b. Personal Development

c. Professional Development

d. People tell me I should

2. How will you use new Mediator skills?*

a. In current job

b. Enhance resume

c. Add to services providing

d. Start a Mediation business

3. How will you grow professionally and personally from learning to Mediate?*

a. Increase understanding of how to achieve goals

b. Improve interpersonal relationships with the new approach

c. Encourage self-introspection and focus on personal goals

d. Experience new sense of motivation

4. Are you currently doing what you want to be doing with your life?*

a. Career is what I want

b. Prefer to make changes in career

c. Work / life balance is good

d. Looking for possibilities to improve work / life balance

5. How will Mediation training enhance your life?*

a. Increase understanding of others

b. Improve communication skills

c. Enhance profession

d. Create new possibilities to build a business

6. What are your plans following the program?*

a. Apply the skills at work and home

b. Increase income in current work

c. Create a sideline income

d. Start a Mediation business

7. How does this program teach me enough to Mediate effectively? *

a. I have experience I am interested in building on it

b. Asking questions seems to be an important part of the Mediation process

c. A process is what I am looking for

d. I want to make sure I will be effective

8. Why will people hire me as a Mediator?*

a. I offer expertise in specific industries or types of work

b. I have demonstrated leadership abilities

c. I understand and work well with others

d. I am good at multi-tasking and creative thinking

9. How do I know if I will enjoy Mediation?*

a. Empowering others to succeed gives me energy

b. I like helping others figure out what it takes to make things happen

c. I enjoy planning and follow-through

d. Meaningful progress motivates me

10. Is it possible to meet my earning goals?*

a. I want to do this full time

b. I want to do this part time

c. I want this to add value in a job to increase earning potential

d. I want to expand my current business

Should I be a Certified Mediator?