Mentor Survey form

Mentor Survey form

Provides Mentor point of view on match relationship with Mentee Form Preview
2012-2013 End of Year Mentor Survey
  • We appreciate your feedback. Please answer the following questions honestly and completely.

  • Please list 3 things you learned from New Mentor Training/Orientation that you have used to help establish your relationship with your mentee:

  •   Not Well Barely Well Slightly Well Reasonably Well Pretty Well Very Well
    School Breaks
  •   Not at all Satisfied Moderately Dissatisfied Somewhat Dissatisfied Somewhat Satisfied Moderately Satisfied Completely Satisfied
    Ongoing Support
  • Please complete the following sentences.

  •   Not Important Barely Important Slightly Important Somewhat Important Moderately Important Extremely Important
    mentor/mentee group activities during school breaks?
    activities that allow connection with other mentors?
    activities that allow connection with your mentee's parent(s)?
  •   Not at all Barely Satisfied Slightly Satisfied Somewhat Satisfied Moderately Satisfied Extremely N/A
    Location
    Food
    Prayer with other Mentors
    Tip Sheets
    Overall structure of evening
    Day of Event
    Time of Event

  •   Not Well Barely Well Slightly Well Reasonably Well Pretty Well Very Well
    Match Quality
  •   No Different Barely Closer Slightly Closer Somewhat Closer Moderately Closer Very Much Closer
    Closeness
  •   Not at all Barely Satisfied Slightly Satisfied Somewhat Satisfied Moderately Satisfied Completely Satisfied
    Satisfaction
  •   Offended Apathetic Slightly Enthusiastic Enthusiastic
    I would feel:
  •   Not at all interested Slightly interested Somewhat interested Very interested
    My level of interest is:
  • THANK YOU FOR TAKING TIME TO COMPLETE THIS SURVEY! YOUR FEEDBACK IS VITAL FOR THE SUCCESS OF THIS PROGRAM!

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