Daily Mentor Score Report
Complete this form to provide a daily evaluation of mentoring activities, performance, and progress.
Date of Report
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Mentor's Full Name
*
First Name
Last Name
Mentee's Full Name or Group
*
First Name
Last Name
Mentoring Session Type
*
One-on-One
Group Session
Remote/Virtual
Other
Mentoring Session Duration (in minutes)
*
Mentoring Activities Evaluation
*
Rows
Needs Improvement
Satisfactory
Excellent
Preparation & Organization
1
2
3
Communication Skills
4
5
6
Supportiveness & Approachability
7
8
9
Knowledge Sharing
10
11
12
Encouraging Participation
13
14
15
Overall Mentor Performance Rating
*
1
2
3
4
5
Progress of Mentee(s)
*
No Progress
1
2
3
4
5
6
7
8
9
Outstanding Progress
10
1 is No Progress, 10 is Outstanding Progress
Challenges Faced During the Session
Action Items or Goals for Next Session
Additional Comments or Suggestions
Submit Report
Should be Empty: