Restorative Justice RP Clinic Report

Thank you very much indeed for taking the time to complete this form and answering questions to the best of your ability.

Should you have any queries about this form, please contact the RJ Service Coordinator in the usual way.

1. Facilitator Initials *

If the clinic facilitator is not the person completing this form please enter the initials of the person who facilitated the RP clinic followed by the person completing the form in brackets.

2. Sheduled RP clinic Date and Time *

YYYY

Time

3. Venue *

Please enter the venue of the RP clinic

4. RP clinic duration *

Please enter the approximate duration of the RP clinic meeting.

0 mins (clinic didn't take place)

30 mins

35 mins

40 mins

45 mins

50 mins

55 mins

1 hr

1 hr 10 mins

1 hr 20 mins

1 hr 30 mins

Other:

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