Chart Book Evaluation Question Title * 1. Please rate the following statements. The Chart Book... Strongly Disagree Disagree Neither Disagree or Agree Agree Strongly Agree N/A Is easy to understand Is easy to understand Strongly Disagree Is easy to understand Disagree Is easy to understand Neither Disagree or Agree Is easy to understand Agree Is easy to understand Strongly Agree Is easy to understand N/A Provides enough information about PHENOM Provides enough information about PHENOM Strongly Disagree Provides enough information about PHENOM Disagree Provides enough information about PHENOM Neither Disagree or Agree Provides enough information about PHENOM Agree Provides enough information about PHENOM Strongly Agree Provides enough information about PHENOM N/A Shows PHENOM is a quality mentoring program Shows PHENOM is a quality mentoring program Strongly Disagree Shows PHENOM is a quality mentoring program Disagree Shows PHENOM is a quality mentoring program Neither Disagree or Agree Shows PHENOM is a quality mentoring program Agree Shows PHENOM is a quality mentoring program Strongly Agree Shows PHENOM is a quality mentoring program N/A Provides information I can use for my program Provides information I can use for my program Strongly Disagree Provides information I can use for my program Disagree Provides information I can use for my program Neither Disagree or Agree Provides information I can use for my program Agree Provides information I can use for my program Strongly Agree Provides information I can use for my program N/A Question Title * 2. Please rate the Chart Book's sections for their usefulness in helping you understand what PHENOM does. Very Useful Useful Neutral Not Useful Not very useful N/A Mentor and Mentee Demographics Mentor and Mentee Demographics Very Useful Mentor and Mentee Demographics Useful Mentor and Mentee Demographics Neutral Mentor and Mentee Demographics Not Useful Mentor and Mentee Demographics Not very useful Mentor and Mentee Demographics N/A Program Description and Services Provided Program Description and Services Provided Very Useful Program Description and Services Provided Useful Program Description and Services Provided Neutral Program Description and Services Provided Not Useful Program Description and Services Provided Not very useful Program Description and Services Provided N/A Mentor and Mentee Evaluation Results Mentor and Mentee Evaluation Results Very Useful Mentor and Mentee Evaluation Results Useful Mentor and Mentee Evaluation Results Neutral Mentor and Mentee Evaluation Results Not Useful Mentor and Mentee Evaluation Results Not very useful Mentor and Mentee Evaluation Results N/A Question Title * 3. What did you think of the content? The content I liked most: The content I liked least: The most useful content was: Question Title * 4. How can the next Chart Book be improved? Comments Suggestions Next time include information about: Question Title * 5. Please provide info so we can get back to you. Thanks for taking the time to provide feedback! Name Company/Organization Job Title Address City/Town State/Province ZIP/Postal Code Country Email Address Phone Number Done