CB 1:1: - Annual Survey - Caregiver

Thank you for taking the time to complete this survey! Your answers will help us understand more about mentoring relationships and assist us in improving future programming.

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.

The survey will take approximately 6 minutes to complete.

Caregiver's Name(Required)
Child's Name(Required)
Please select the name of your Caseworker(Required)
Strongly AgreeAgreeDisagreeStrongly Disagree
Improved self-esteem and self-confidence
Opportunities to engage in the community and/or virtual activities
More positive attitude towards school
More involvement in school activities
Improved grades
Improved communication skills
Improved social skills
Improved relationships with peers
Improved relationships with family
Increased ability to make positive choices and decisions
Activities
Do you have any concerns about your child’s match outings? (I.e. Where they go, the type of activities they do together, etc.)(Required)
Where do the majority of outings take place?(Required)
Have you had any concerns regarding the following?(Required)
Consistency
Is the frequency of outings meeting your expectations?(Required)
Connectedness
My child's relationship with their Mentor is:(Required)
Youth-Centredness
Structure
This field is for validation purposes and should be left unchanged.