The Conflict Clinic: Pre-Consultation Questions Section 1: Contact Details Name * First Name Last Name Organisation * Email * Job Title * Section 2: About the Situation 1. Please describe the situation or concern in your own words (confidentially): (e.g. communication breakdown, performance issue, relationship tension, grievance, etc.) 2. Who is involved? (You don’t need to share names — just roles, e.g. “line manager and team member,” “two colleagues,” etc.) 3. Has the issue been raised formally (e.g. grievance, investigation, HR process)? Not yet — we’re exploring options Yes — it’s in progress It has been resolved but remains sensitive 4. What do you hope to achieve from this consultation? Clarity on next steps Understanding whether mediation is suitable ☐ Guidance on managing communication Preventing escalation Other: _____________ 5. Has neurodivergence been disclosed or suspected by anyone involved? Yes - formally disclosed Possibly / suspected No / unknown 6. Anything else you’d like me to know before we speak? Section 3: Practical Details Preferred meeting platform: Zoom Microsoft Teams No preference Preferred times: Morning (9–12) Afternoon (12–5) Flexible Section 4: Confidentiality Statement Your information will remain strictly confidential and will not be shared with anyone outside of this consultation. This session provides general guidance and signposting - it does not constitute formal mediation unless agreed separately. I agree to the confidentiality statement Thank you!
