Skip to content
Grace Episcopal Church Silver Spring Maryland Mentoring Program Survey
1.
Do you think that it would be a good idea to establish a mentoring program at Grace?
Yes ____
No ____
Comments:
2.
What group or groups at Grace do you think would benefit most from mentoring?
3.
What topics could be addressed in a mentoring program?
4.
If established, would you consider participating as a mentor?
Yes ____
No ____
5.
If you answered yes to question 4, please share topics, information, and/or skill sets which you’d like to share as a mentor.
6.
If established, would you consider participating in a mentoring program as a mentee or protégé?
Yes ____
No ____
7.
If you answered yes to question 6, please share the topics, information, and/or skill sets in which you’d like to be mentored?
8.
If established, would you consider assisting with coordination and/or administration of a mentoring program?
Yes ____
No ____
9.
What is your age?
10.
Which race/ethnicity best describes you? (Please choose only one.)
American Indian or Alaskan Native
Asian / Pacific Islander
Black or African American
Hispanic
White / Caucasian
Multiple ethnicity / Other (please specify)
11.
Which of the following options most closely aligns with your gender?
Cis Woman
Trans Woman
Cis Man
Trans Man
Non-binary
A gender not listed here
Prefer not to answer