Wellness Warriors Week 2 Check-In: Mentor

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Name(Required)

First Last

School/Site Name(Required)

Date(Required)

MM slash DD slash YYYY

THIS SECTION ADDRESSES ACTIVITIES

Have you ever had contact with the Mentees outside of the group? (Social media, phone etc.)(Required)

What activities have the group enjoyed so far?(Required)

Have there been any activities that the group has not enjoyed so far?

THIS SECTION ADDRESSES CONSISTENCY

Have you had challenges following through on your commitment to the group?(Required)

Have you missed any sessions? Why?(Required)

THIS SECTION ADDRESSES CONNECTEDNESS

Do you feel you are forming a connection with the group?(Required)

How do you show your group participants that they have your full attention? (i.e., keeping your phone away)(Required)

Do you have any difficulty communicating with match members in the group? (i.e., trouble building rapport, behavior in the group)

THIS SECTION ADDRESSES YOUTH-CENTREDNESS

Have you noticed positive changes in any of the Mentees? Can you give an example?(Required)

Have you noticed negative changes in any of the Mentees? Can you give an example?(Required)

THIS SECTION ADDRESSES SAFETY

Do you have concerns related to the Mentees' safety?(Required)

When faciliating the group, do you feel anyone's safety has been compromised or put at risk in any way?(Required)

THIS SECTION ADDRESSES STRUCTURE

Have you had any issues that required you to review or create new boundaries with any match members?(Required)

Describe your relationship with the Mentees. (How do they view/treat you while in session? Any behavioural concerns?)(Required)

THIS SECTION ADDRESSES DURATION & EXPECTATIONS

Are your expectations being met as a Mentor? Please explain.(Required)

Are you expecting any changes that could impact your commitment to the group (work, travel etc.)?(Required)

Do you feel supported by the agency and your Caseworker?(Required)

Is there anything that your Caseworker can do to help improve your experience as a Mentor?

Any questions, comments, or concerns that you wish to ask or share?

This Section Addresses Developmental Relationships

The questions below are meant to help you reflect on your approach to mentoring the participants in your group. Think about how much conscious attention you give to taking these actions with your group participants each week. There are no right or wrong answers. Please answer as honestly as possible.

Do I express care to the participants? (i.e. show the participants that they can trust me, make the participants feel known and valued, etc.)(Required)

Not Yet

Rarely

Sometimes

Often

Almost Constant

Do I challenge growth in the participants? (i.e. help the participants learn new activities, information, and from their mistakes, hold the participants accountable for their actions, etc.)(Required)

Not Yet

Rarely

Sometimes

Often

Almost Constant

Do I provide support to the participants? (i.e. build the participants' self confidence, guide the participants through difficult situations, etc.)(Required)

Not Yet

Rarely

Sometimes

Often

Almost Constant

Do I share power with the participants? (i.e. take the participants' ideas and opinions seriously, let the participants set the rules for the group so they can shape how we work together, etc.)(Required)

Not Yet

Rarely

Sometimes

Often

Almost Constant

Do I expand possibilities for the participants? (i.e. inspire participants to see future possibilities, introduce participants to new activities and ideas, etc.)(Required)

Not Yet

Rarely

Sometimes

Often

Almost Constant

Phone

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