Shared Space Conflict Assessment
Use this form to assess a conflict in a shared living or work space, describe what happened, rate its impact, and indicate the outcome you want.
Conflict Overview
Conflict Title or Summary
*
Shared Space Type
*
Shared Housing
Coworking Space
Apartment Common Area
Dormitory
Community Room
Other
Specific Location or Area Affected
*
When the Issue First Started or Was First Noticed
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Assessment Details
Conflict severity/urgency
*
Low
Moderate
High
Critical
Other
How often the issue occurs
*
Rarely
1
2
3
4
Very Often
5
1 is Rarely, 5 is Very Often
Likely contributing factors
*
Noise
Cleanliness
Scheduling/use conflicts
Property damage
Communication problems
Privacy concerns
Shared resource misuse
Rule violations
Other
Current status of the issue
*
Ongoing
Recurring
Resolved
Impact and Resolution
People Involved or Affected
Impact on Daily Activities or Shared Use
*
1
2
3
4
5
What Has Already Been Tried to Resolve the Issue
Preferred Outcome or Requested Action
*
Please Select
Mediation
Schedule change
Rule clarification
Repair
Cleanup
Boundary agreement
Other
Submit
Should be Empty: