Please answer the following questions:

* 1. Mentee's Name: (Optional)

* 2. Mentor's Name: (Optional)

* 3. School:

* 4. Grade:

* 5. I find the time I spend with my mentor helpful.

* 6. I look forward to the time I spend with my mentor.

* 7. My mentor and I have a good relationship.

* 8. I know who to tell if I have concerns about meeting with my mentor.

(You can give more than one answer.)

* 9. Meeting with my mentor has helped me.

* 10. I feel comfortable with my mentor.

* 11. My mentor is interested in what is happening in my life.

* 12. My mentor lets me know ahead of time if they are not able to meet with me at the scheduled time.

* 13. Please share any thoughts or comments you have about your mentor or the mentoring program.

Is your mentor easy to talk to? Do you like them? Do they give good advice? What do you like or dislike about your mentor? etc.