Boys & Girls Clubs Big Brothers Big Sisters of Edmonton & Area

We would appreciate your taking the time to complete the following survey. It should take less than 15 minutes of your time. There are no right or wrong answers. Please answer all of the questions as truthfully and completely as you can. Your responses are voluntary and will be confidential. Responses will not be identified by individual. All responses will be compiled together and analyzed as a group. Some of these questions are asking about your current match. If you have been matched during this program but the match is now closed, please answer questions based on how the match went.

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* 1. Date Survey Completed:

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* 2. How old are you?

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* 3. What is your gender?

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* 4. How long have you been matched with a Mentor?

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* 5. Is this the first time you have had a Mentor?

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* 6. How did you hear about this opportunity? (check all that apply)

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* 7. How did you first meet your Mentor?

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* 8. Did you know your Mentor before you were matched?

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* 9. Do you and your Mentor like the same things?

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* 10. How would you describe your Mentor?

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* 11. Please read the following statements and check what most applies to you:

  Not very much Sometimes A lot!
My Mentor really cares about me
I talk with my Mentor when I have problems or things that worry me
My Mentor has helped me with problems in my life
My Mentor knows what is going on in my life
I get to see my Mentor as often as I'd like

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* 12. Has your Mentor made a difference in your life? If so, please describe how.

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* 13. Have you had challenges or big changes in your life during this match?

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* 14. What kinds of activities do you do with your Mentor?

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* 15. How do you connect with your Mentor? (check all that apply)

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* 16. As a result of being matched with my mentor, I know more adults that I can go to when I need help

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* 17. As a result of this mentoring program, I know more about how to access the community resources I need. (i.e.: library, child advocate, youth worker, counselors, and recreational activities)

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* 18. My mentor has helped me to feel I am better at handling whatever comes my way

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* 19. My mentor has helped me to feel more hopeful about my future

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* 20. What would you tell other people you know who would like to have a Mentor?

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* 21. If you have anything else you want to share or tell us, please use the space below.

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