Mentorship Program Survey
Name
*
First Name
Last Name
Mentor Name
*
First Name
Last Name
Mentor Email
*
example@example.com
Regional Manager Email
*
example@example.com
Date of Mentorship
-
Month
-
Day
Year
Date
How have you been communicating with your mentor? Check all that apply.
*
Phone
Email
In-Person Visit
Teams Direct Messages
Text Message
Other
Who initiated the first contact?
*
Me
Mentor
Not Sure
Has the mentoring program met your needs and/or expectations?
*
Yes
No
Please explain your answer and provide any suggestions that would enhance the program.
What type of Mentor relationship would have best met your needs?
*
Contact initiated by Mentor on a routine basis
Contact initiated by me only when advice is needed
Contact initiated by me on a rountine basis
Regular initial contact followed by "as needed" contact
How long should the "relationship" with the Mentor last in terms of the Mentor training program (in months)?
*
What are the main topics you discussed with your mentor?
*
Do you think 3 days is long enough to cover the mentor checklist?
*
Yes
No
Please list anything that was not covered by your mentor that you would have liked to have had included?
Do you feel that method was effective?
*
Yes
No
Has your mentor scheduled follow up yet?
*
Yes
No
How much follow up do you feel you need from your mentor over the next 2-3 months?
*
None
Weekly
Monthly
As Needed
Please rate your overall experience with travel and logistics.
*
1
2
3
4
5
Did you like having the training in a virtual setting?
*
Yes
No
NA
What is one thing we could do better for the next group?
Submit
Should be Empty: