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Closure Survey – Mentee

CB 1:1: - Closure Survey - Mentee

Thank you for taking the time to complete this survey! There are no right or wrong answers, so please be honest. It will help us strengthen our program and provide data to demonstrate the effects of mentoring on children and youth. All the data from this survey will be kept anonymous. 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.

Name(Required)

First Last

Please select the name of your Caseworker(Required)

Devinder Budhram

Dominica Hannaford

Jen Dalziel

Sophie Mercer

Sue Kowalchuk

Tara Paterson

My relationship with my Mentor was:(Required)

Poor	Somewhat Positive	Positive	Very Positive

How often did your Mentor see you?(Required)

Once per week

Twice per month

Once per month

Other

What is something you will always remember about your match?(Required)

The best quality my Mentor has is:(Required)

How did having a Mentor help you?(Required)

How do you feel about your match ending?(Required)

Did you have a special last outing to celebrate your match and were you able to say goodbye?(Required)

Because of my Mentor:(Required)

	Strongly disagree	Disagree	Neutral	Agree	Strongly agree
I feel better about myself
I know more about places and what activities to do in my community
I have learned new skills
I feel happier and look forward to the future
I feel more positive about school
I feel I can speak openly
I am getting along better with friends
I am getting along better with family
I make good decisions and choices
I feel my life is more positive
I have felt safe and comfortable with my Mentor

If you could have changed one thing in the relationship with your Mentor, what would it be?(Required)

Do you want to be re-matched?(Required)

Yes

Maybe

If you answered yes or maybe to being rematched, how would you describe the ideal Mentor who would be best suited for you?(Required)

Name

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