Mentor-Mentee Check-In Questionnaire
Share your progress, feedback, and goals from your latest mentor-mentee session.
Mentee Name
*
First Name
Last Name
Mentor Name
*
First Name
Last Name
Date of Check-In
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Session Format
*
In-person
Virtual
Phone
Other
Topics Discussed During This Session
*
Academic Progress
Career Planning
Personal Development
Work/Life Balance
Other
Progress Update
*
Rows
Not Started
In Progress
Completed
Current Goals
1
2
3
Action Items from Last Meeting
4
5
6
What challenges or obstacles did you encounter since the last check-in?
What support or resources would be helpful?
Set new goals or action items for the next session
*
How would you rate the effectiveness of this session?
*
1
2
3
4
5
Additional comments or suggestions
Submit Check-In
Should be Empty: