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1.) How long have you been matched with your mentee?
   
2.) On average, how many hours per month do you spend with your mentee?
   
 
 
Because of our relationship, I think my mentee...


Least Like Him/Her Somewhat Like Him/Her Most Like Him/Her Not Sure
 
3. Feels more like there are adults who care
4. Feels like there are people who will help her/him
5. Feels she/he has more future options
6. Believes she/he is a better leader
7. Feels others see her/him as more responsible
8. Has higher expectations for her/himself
9. Has more interests and/or hobbies
10. Is involved in additional youth programs or activities (such as sports, music, religious, or others)
11. Has a more positive attitude toward school
Least Like Him/Her Somewhat Like Him/Her Most Like Him/Her Not Sure
12. Has better test scores and grades
13. Goes to school better prepared
14. Has better classroom behavior (is less disruptive)
15. Thinks it's important to try and help others
16. Is more honest
17. Is better able to resist using alcohol and drugs
18. Is better able to express her/his feelings
19. Gets along better with those around her/him
20. Has a more positive view of her/his future
21. Feels more sure of her/himself
22. Thinks she/he is a better person
 
 
 
23. What do you think your mentee has gained or learned through your relationship? What have you gained or learned through this relationship?
   
 
 
 
24. Has your relationship changed your attitudes, values, and understanding of young people today and the realities facing them? If so, in what ways?
   
 
 
 
25. What is hard/easy about having a mentee?
   
 
 
What is your CURRENT LEVEL of information and interaction with the following:
Low Medium High
Information about this mentoring program
Interaction with the program coordinator
Talking with other mentors in this program
 
 
What is your DESIRED LEVEL of information and interaction is with the following:
Less Just Right More
Information about this mentoring program
Interaction with the mentor program coordinator
Talking with other mentors in this program
 
 
Please check one response for each of the following:

Disagree Agree Not Sure
I had enough training before becoming a mentor
The program has met or surpassed my expectations
There has been enough ongoing support to help me meet the challenges of mentoring
 
 
 
What changes do you think would improve this program?
   
Is there anything else you want us to know about this program, your experience in it thus far, or your mentee? If so, what?
   
 
 
 
In general, how would you rate this program overall?
 
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