Group Mentoring/BOC/BYM: Mentee Check-In 2 Group Mentoring/BOC/BYM: Mentee Check-In 2 Name(Required) First Last Please select your city:(Required) Brampton Mississauga Please select your age:(Required) 10-12 13-15 16+ Please select the name of your Caseworker.(Required) Kyrel Thompson Michael Donia Raheem Hurry Tyler Dunlop Please select the name of the group program you are currently involved in.(Required) Bigs on Campus Black Youth Mentoring Group Mentoring Which post-secondary school is the program taking place?(Required) Sheridan College University of Toronto Mississauga What activities have you enjoyed since we started back up?(Required)What activities have you not enjoyed?(Required)Have you missed any sessions since we've come back?(Required) Yes No If you answered 'Yes' to the previous question, why did you miss the session?(Required)Do you feel your Mentor is easy to talk to? What about the other Mentors, are you comfortable speaking with them? If no, why not?(Required)Which Mentors do you feel comfortable talking with?(Required)These questions are about your relationship with your Mentors. Please answer honestly.(Required)Almost ConstantOftenSometimesRarelyNot YetMy Mentors shows me that I matter to them.My Mentors makes me feel more confident in myselfMy Mentors listens to me and takes my ideas seriouslyMy Mentors talks to me and helps me learn about my futureDescribe how you get along with the other Mentees in the group.(Required)Do you feel important and included in the group?(Required) Yes No If you answered 'No' to the previous question, why don't you feel important and included in the group?(Required)On a scale of 1-10, 1 being the lowest and 10 being the highest, how well do you think the group is going?(Required)10987654321Have you ever felt uncomfortable or unsafe in the group?(Required) Yes No If you answered 'Yes' to the previous question, please explain why you felt unsafe, uncomfortable or embarrassed in the group.(Required)Do you think your Mentor is a good role model?(Required) Yes No If you answered 'No' to the previous question, please explain why you feel your Mentor is NOT a good role model.(Required)How do your Mentors show you that they care?(Required)Would you change anything about the group? Are there any activities you'd like to try before the group ends?(Required)Would you like to continue in the group until the end of June?(Required) Yes No Maybe Would you like to continue in the group until the end of March?(Required) Yes No Maybe Would you like to continue in the group until April?(Required) Yes No Maybe Do you have any additional comments or questions that you would like to share? If so, please indicate them below.NameThis field is for validation purposes and should be left unchanged. Facebook Twitter Google+ LinkedIn
