Mentor of the Year 2010
Exit this survey >>
1. Default Section
The information that you post here can either be about how you serve as a mentor (self-nomination) or as someone who was mentored (nominating your mentor for the Mentor of the Year award).
1
. How did you meet your mentor? Although more than one option may apply, choose the relationship most relevant to the mentoring aspect of your relationship with your mentor.
How did you meet your mentor? Although more than one option may apply, choose the relationship most relevant to the mentoring aspect of your relationship with your mentor.
He/she is a colleague
He/she is a former or current college instructor
He/she is an employer
He/she is a representative of dental hygiene association
He/she is a family member
He/she is, or was, a fellow student at dental hygiene school
Other (please specify)
2
. In no more than 75 words, please state how long, and in what roles, your mentor has been a professional health care provider in dentistry?
In no more than 75 words, please state how long, and in what roles, your mentor has been a professional health care provider in dentistry?
3
. For how long have you been a dental hygienist?
For how long have you been a dental hygienist?
I am a dental hygiene student
I have been practicing for less than five years
I have been practicing for 5-10 years
I have been practicing for 10-20 years
I have been practicng for more than 20 years
4
. Did your mentor ... (More than one option may apply. Please choose the one that best describes the mentoring relationship)
Did your mentor ... (More than one option may apply. Please choose the one that best describes the mentoring relationship)
help guide you with multiple face-to-face conversations, perhaps even on a daily basis in a dental practice?
help guide you through a long-distance relationship conducted primarily by telephone or e-mail?
help guide you through actions, not conversations - more as a role model observed?
5
. What benefits did you derive from your mentor? (choose all that apply)
What benefits did you derive from your mentor? (choose all that apply)
More knowledge about patient care
More self-confidence as a dental hygienist
More at ease in the dental setting where I worked
More focused on long-term career objectives
More comfortable about asking questions about dental care
More training on specific dental procedures
More proud of my career
6
. How long did the mentoring relationship last?
How long did the mentoring relationship last?
For less than a year
For one to five years
For more than five years
7
. Has the experience of you being mentored led you to mentor someone else?
Has the experience of you being mentored led you to mentor someone else?
Yes
No
Too soon to tell
8
. In what type of setting is your experience as a dental hygienist currently being used?
In what type of setting is your experience as a dental hygienist currently being used?
I work as a dental hygienist in a general dental practice
I work as a dental hygienist in a specialty practice
I work as a dental hygienist in a public health setting
I work as a dental hygienist in the dental manufacturing sector
I work as a dental hygienist in a dental school/dental hygiene school
I am self-employed as a dental hygienist, consultant, and/or trainer/lecturer
9
. In no more than 150 words, please tell us the primary way your mentor has inspired you?
In no more than 150 words, please tell us the primary way your mentor has inspired you?
10
. How can we contact you if we have more questions?
How can we contact you if we have more questions?
11
. What is the best way to contact your mentor?
What is the best way to contact your mentor?
Javascript is required for this site to function, please enable.