1. Thanks for taking the time to complete this survey!

Your opinions are valuable to us, and will help us to continuously improve the Mentoring program! Please answer the following questions. You may remain anonymous if you choose.

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* 1. This referral was for the following type of Mentoring:

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* 2. How many sessions did you have?

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* 3. What was the focus of the goals?

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* 4. Would you suggest more mentor/coaching sessions for this provider?

  YES NO NA
Same Focus
Different Focus

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* 5. Please complete the following:

  YES NO NA
Do you believe the provider's goals were met?
Was the Director included in the goal setting?
Was the Director involved in the implementation of the goals?
Did you encourage the provider to further his/her education?
Did you encourage the provider to become an Apprentice in the Apprenticeship Program?
Were you supported by the Quality Consultant in your region?
Were you paid for your services in a timely manner?
Did you receive contracts and paperwork in a timely manner?

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* 6. How was the over-all experience from your perspective?

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* 7. How would you rate your interaction with the Mentor/Coaching Program office in Boise?

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* 8. Could the Refining the Skills training be improved?

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* 9. Would you recommend becoming a Mentor/Coach to others? Why or why not?

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* 10. Any other comments, concerns, or suggestions to improve the program?

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* 13. Name Optional
If you include your name you will be entered in a drawing for something wonderful!

Thank you for completing this survey!



“All the flowers of all the tomorrows are in the seeds of today.”

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