SW DV Screener | Summit County Domestic Relations Court

6. other in

1. Does the other party have a history of behaving in a violent/threatening manner toward you, a household member, or child?

Yes
No

6. Do you have any emotional or physical conditions that impair your ability to remain seated for two (2) hours?

Yes
No

2. Has the other party been arrested for acts against you, a household member, or child such as domestic violence, menacing, assault or violation of a court Order?

Yes
No

7. Are any Healthcare professionals or Agencies involved with your case or family?

Yes
No

3. Has the other party been determined to be a person responsible for an abusive act that determined a child as an abused or neglected child?

Yes
No

8. Have you ever called the police, requested a Protection Order, or sought help for yourself as a result of abuse from the other party?

Yes
No

4. Will you feel UNSAFE discussing issues related to your child(ren) with the other party in the presence of a mediator, with security available?

Yes
No

9. Do you believe you will be able to communicate with the other party on an equal basis in mediation?

Yes
No

5. Has the other party seriously injured and/or caused harm to you, a household member, or child?

Yes
No

Please explain below and/or share any Issues/Concerns:

Administrative Judge Katarina Cook

Judge Kani Harvey Hightower

Staff Directory

205 S. High Street, Akron, OH 44308 (330) 643-2365