Mentee Evaluation Form
Name of Mentor
First Name
Last Name
Name of Mentee
First Name
Last Name
Evaluation Date
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Mentoring Start Date
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Mentoring End Date
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Duration (Number of Days)
What can you say about the Mentee’s punctuality?
Very satisfied
Satisfied
Neutral
Dissatisfied
Very dissatisfied
How does the Mentee manage his/her time?
How do you rate the Mentee's multi-tasking skills?
Worst
1
2
3
4
Best
5
1 is Worst, 5 is Best
Please provide details why you selected that rating for the Mentee's multi-tasking
How do you rate the Mentee's attitude during coaching, goal setting, and other work around routine for overall improvement?
Worst
1
2
3
4
5
6
7
8
9
Best
10
1 is Worst, 10 is Best
Please provide details why you selected that rating for the Mentee's attitude
Does he/she actively offer solutions and ideas to help execute the set of goals pre-projected at the beginning of the program?
Yes
No
Does the Mentee consider your advice, criticism, and feedback?
Yes
No
How often do you meet with the Mentee?
Do you see an improvement and progress with the Mentee?
Yes
No
What are the Mentee's strengths and weaknesses?
What is your overall rating for the Mentee?
Worst
1
2
3
4
Best
5
1 is Worst, 5 is Best
Feedback summary
Evaluator Name
First Name
Last Name
Position/Title
Date Signed
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Signature
Submit
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