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4 Month Survey – Mentee

CB 1:1: - 4 Month Survey - Mentee

Thank you for completing this survey and sharing valuable information with us! Your answers will help us understand more about mentoring relationships and assist us in improving future programming.

Please remember that there are no right or wrong answers; this is not a test. We would just like to know how you are doing; so please feel free to be honest. Any information you provide to us, in connection with this evaluation, will remain confidential. We value your privacy and we will never share your name or individual answers with anyone. We will combine all survey responses together to find overall trends and suggestions for improving our program.

Thank you for your participation! The survey will take approximately 5 minutes to complete.

Name(Required)

First Last

Age(Required)

Please select the name of your Caseworker(Required)

Devinder Budhram

Dominica Hannaford

Jen Dalziel

Sophie Mercer

Sue Kowalchuk

Tara Paterson

Please complete the following:(Required)

We would like to learn more about your mentoring relationship. Please feel free to be honest.(Required)

	Not Yet	Rarely	Sometimes	Often	Almost Constant
Express Care: How often does your Mentor show you that you matter to them?
Challenge Growth: How often does your Mentor encourage you to be your best?
Provide Support: How often does your Mentor help you get things done?
Share Power: How often does your Mentor listen to your ideas and take them seriously?
Expand Possibilities: How often does your Mentor connect you with new people, places or ideas?

What does your Mentor do or say that tells you they care about you? (Express Care)(Required)

What changes would you make in your match to strengthen your relationship?(Required)

What words would you use to describe your Mentor?(Required)

How is having a Mentor helpful to you?(Required)

On a scale of 1 (low) to 5 (high), how much fun are you having with your Mentor?(Required)

On a scale of 1 (low) to 5 (high), how reliable is your Mentor? Do they follow through with their plans?(Required)

On a scale of 1 (low) to 5 (high), how safe and comfortable do you feel with your Mentor?(Required)

Do you have any concerns about your Mentor or your relationship? Please share with us below.(Required)

Name

This field is for validation purposes and should be left unchanged.

	Poor	Somewhat Positive	Positive	Very Positive
My relationship with my Mentor is:
My experience with Big Brothers Big Sisters of Peel York is: