Mentee annual survey (about mentor)

Please share your thoughts about the mentor/mentee relationship with the mentor named below. All information will be treated with the strictest confidentiality and will only be discussed with senior members of the committee.

Mentor name *

First

Last

Would you like to discuss your responses with the VP-Mentoring? *Select…YesNo

Name *

First

Last

Email *

Rate the helpfulness of the mentoring programme to you as a new member

Selected Value: 0

How could the mentoring programme be improved? *

Please rate the following: *

	Strongly Disagree	Disagree	Neutral	Agree	Strongly Agree
My mentor was accessible and available	Strongly DisagreeMy mentor was accessible and available Strongly Disagree	DisagreeMy mentor was accessible and available Disagree	NeutralMy mentor was accessible and available Neutral	AgreeMy mentor was accessible and available Agree	Strongly AgreeMy mentor was accessible and available Strongly Agree
My mentor communicated regularly with me	Strongly DisagreeMy mentor communicated regularly with me Strongly Disagree	DisagreeMy mentor communicated regularly with me Disagree	NeutralMy mentor communicated regularly with me Neutral	AgreeMy mentor communicated regularly with me Agree	Strongly AgreeMy mentor communicated regularly with me Strongly Agree
My mentor worked with me to overcome challenges I faced	Strongly DisagreeMy mentor worked with me to overcome challenges I faced Strongly Disagree	DisagreeMy mentor worked with me to overcome challenges I faced Disagree	NeutralMy mentor worked with me to overcome challenges I faced Neutral	AgreeMy mentor worked with me to overcome challenges I faced Agree	Strongly AgreeMy mentor worked with me to overcome challenges I faced Strongly Agree
My mentor clearly demonstrated interest to help me achieve my goals	Strongly DisagreeMy mentor clearly demonstrated interest to help me achieve my goals Strongly Disagree	DisagreeMy mentor clearly demonstrated interest to help me achieve my goals Disagree	NeutralMy mentor clearly demonstrated interest to help me achieve my goals Neutral	AgreeMy mentor clearly demonstrated interest to help me achieve my goals Agree	Strongly AgreeMy mentor clearly demonstrated interest to help me achieve my goals Strongly Agree
My mentors’s behaviour and attitude was professional and courteous	Strongly DisagreeMy mentors’s behaviour and attitude was professional and courteous Strongly Disagree	DisagreeMy mentors’s behaviour and attitude was professional and courteous Disagree	NeutralMy mentors’s behaviour and attitude was professional and courteous Neutral	AgreeMy mentors’s behaviour and attitude was professional and courteous Agree	Strongly AgreeMy mentors’s behaviour and attitude was professional and courteous Strongly Agree
My mentor taught me at least one important lesson about Toastmasters and club processes	Strongly DisagreeMy mentor taught me at least one important lesson about Toastmasters and club processes Strongly Disagree	DisagreeMy mentor taught me at least one important lesson about Toastmasters and club processes Disagree	NeutralMy mentor taught me at least one important lesson about Toastmasters and club processes Neutral	AgreeMy mentor taught me at least one important lesson about Toastmasters and club processes Agree	Strongly AgreeMy mentor taught me at least one important lesson about Toastmasters and club processes Strongly Agree
I will seek an extended future relationship with my mentor	Strongly DisagreeI will seek an extended future relationship with my mentor Strongly Disagree	DisagreeI will seek an extended future relationship with my mentor Disagree	NeutralI will seek an extended future relationship with my mentor Neutral	AgreeI will seek an extended future relationship with my mentor Agree	Strongly AgreeI will seek an extended future relationship with my mentor Strongly Agree

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