Connecting Generations Mentor Survey 2015

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* 7. Are you a high school student serving as a mentor?

Yes

If yes, what high school do you attend?

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* 8. Do you plan to be a mentor next school year?

Yes

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* 9. If no, why are you unable to mentor? (check all that apply)

I have not felt successful

Mentoring takes too much time out of my week

I am moving

My job is not supportive of mentoring

Other (please specify)

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* 10. Did the school/site's mentoring coordinator give you the support and assistance you needed to be successful?

Yes

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* 11. How often did you have contact with your mentoring coordinator?

Weekly

Bi-weekly

Monthly

Only a few times this year

Never

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* 12. Please rate how you feel about the amount of assistance/support you received from Connecting Generations.

I received the right amount of support and contact

I needed more support than I received

I needed less support than I received

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* 13. Overall, did you enjoy your mentoring experience this past year?

Yes

If no, please explain:

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* 14. I received ample notice when my mentee was unavailable for mentoring due to a school function, suspension, illness or other school-related issue.

Yes

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* 15. What could be done to improve the mentoring program next year? (check all that apply)

More time to mentor

More space

More support from teachers

More support from mentoring coordinator

Other (please specify)

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* 16. How many mentees did you have this year?

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* 17. Child's first name

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* 18. How long have you mentored this child?

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* 19. At what school do you mentor this child?

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* 20. Child's gender

Male

Female

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* 21. Child's current grade

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* 22. Do you plan to mentor this same child next year?

Yes

Not sure

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* 23. Mentoring has helped my mentee:

A lot

Some

Very little

Not at all

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* 24. Please consider how you feel the mentoring relationship has affected your student over the course of this school year.

	Much better	Better	No change	Worse	Much worse	Don't know
Self Confidence	Self Confidence Much better	Self Confidence Better	Self Confidence No change	Self Confidence Worse	Self Confidence Much worse	Self Confidence Don't know
Self control	Self control Much better	Self control Better	Self control No change	Self control Worse	Self control Much worse	Self control Don't know
Cooperation	Cooperation Much better	Cooperation Better	Cooperation No change	Cooperation Worse	Cooperation Much worse	Cooperation Don't know
Responsibility	Responsibility Much better	Responsibility Better	Responsibility No change	Responsibility Worse	Responsibility Much worse	Responsibility Don't know
Able to express feelings	Able to express feelings Much better	Able to express feelings Better	Able to express feelings No change	Able to express feelings Worse	Able to express feelings Much worse	Able to express feelings Don't know
Decision making skills	Decision making skills Much better	Decision making skills Better	Decision making skills No change	Decision making skills Worse	Decision making skills Much worse	Decision making skills Don't know

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* 25. Additional Comments:

Thank you for taking the time to complete our survey!

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* 1. Name

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* 2. Street Address

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* 3. Home phone

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* 4. Cell phone

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* 5. Email address

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* 6. # years mentoring

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* 7. Are you a high school student serving as a mentor?

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* 8. Do you plan to be a mentor next school year?

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* 9. If no, why are you unable to mentor? (check all that apply)

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* 10. Did the school/site's mentoring coordinator give you the support and assistance you needed to be successful?

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* 11. How often did you have contact with your mentoring coordinator?

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* 12. Please rate how you feel about the amount of assistance/support you received from Connecting Generations.

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* 13. Overall, did you enjoy your mentoring experience this past year?

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* 14. I received ample notice when my mentee was unavailable for mentoring due to a school function, suspension, illness or other school-related issue.

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* 15. What could be done to improve the mentoring program next year? (check all that apply)

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* 16. How many mentees did you have this year?

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* 17. Child's first name

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* 18. How long have you mentored this child?

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* 19. At what school do you mentor this child?

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* 20. Child's gender

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* 21. Child's current grade

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* 22. Do you plan to mentor this same child next year?

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* 23. Mentoring has helped my mentee:

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* 24. Please consider how you feel the mentoring relationship has affected your student over the course of this school year.

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* 25. Additional Comments: