Yes
All questions below are REQUIRED except for some follow-up questions that are marked "Recommended but optional"
A. Did [the other party in this case] ever (whether or not while living with you)...
Yes
he threatened to hit my neice
Yes
No
Yes
No
No
Please remember that all questions concern things that [the other party] ever, whether or not while living with you, may have done during a conflict, disagreement, or fight, or in anger, or to scare or hurt you, but NOT while joking around.
No
Don't Know
Yes
No
No
No
No
No
Yes
No
he put spyware on my computer
No
Now consider the questions you just answered, or similar kinds of things:
No
No
MASIC-S QUESTIONS-SECTION 2
If “Yes” to any of the items in Section 1 above, then Section 2 is REQUIRED.
If “No” to all questions in Section 1, then you may skip to Section 3. However, according to your clinical judgment, you may also complete Section 2.
No
No
No
Yes
MASIC-S QUESTIONS-SECTION 3
RECOMMENDED BUT OPTIONAL
Do you have any of the following concerns about [the other party]?
No
No
No
No
Yes
Ask all parties the following question (regardless of whether Sections 2 and/or 3 were completed)
"As a reminder, mediation is a confidential settlement process that takes place outside of court. Mediation may happen with the parties communicating directly with each other in the presence of the mediator, or with each party meeting privately with the mediator and communicating with the other party or parties through the mediator. [At this point the screener should explain how mediation is done in their program.]
Not all cases, however, go through the mediation process. I [or the mediation program] will determine whether mediation will take place in your case, and if mediation will take place, how it will be conducted. I have a few more questions to help make these decisions."
jaywalking
No
No
No