Newcomer Mentoring – Mid-point Check In: Mentee

Newcomer Mentoring – Mid-Point Check In: Mentee

Caseworker's Name(Required)

First Last

School/Site Name(Required)

Date(Required)

ACTIVITIES

What is your favorite activity so far?(Required)

What is your least favorite activity so far?(Required)

CONSISTENCY

Have you missed any sessions? Why?(Required)

Have your Mentors missed any sessions? Why?(Required)

CONNECTEDNESS

How do you feel about coming to this program?(Required)

What do you tell others (parents, family, or friends) about the program, if anything?

Are your Mentor(s) easy to talk to?(Required)

Probe – Do you feel comfortable with them? Do you feel you could talk to them if something was bothering you?

Do you feel comfortable participating in group discussions and activities?(Required)

Youth-Centredness

Describe how the program is going.(Required)

Probe – On a scale of 1 to 10 (1 meaning “I want the program to end” and 10 meaning that “it is awesome”) how do you feel? Why? What might make it a 10 out of 10?

Do you feel important and included in the group? Can you give me an example?(Required)

Alternative Question – Do you feel listened to and heard by the Mentors and the rest of the group? Can you give me an example?

SAFETY

Have you ever felt unsafe, uncomfortable, or embarrassed in the program? Please explain.(Required)

Have you seen your Mentor(s) outside of the program? Is so, why?(Required)

STRUCTURE

Is there something you would like to do in the program that you have not done yet?(Required)

DURATION & EXPECTATIONS

Who would you talk to if you had questions or concerns about the program?(Required)

Do you want to continue attending the program?(Required)

Phone

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