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Exit Survey
 
 
Mentor's Age
 
 
 
Mentee's Age
 
Kindergarden - 3rd grade
 
4th - 5th grade
 
6th - 8th grade
 
9th - 12th grade
 
Other
 
 
 
Contact Information
First Name : 
Last Name : 
Phone : 
Email Address : 
 
 
 
How long have you been mentoring? (Or ask for start date.)
 
Less than 6 months
 
6 months - 12 months
 
13 months - 24 months
 
More than 2 years
 
Other
 
 
 
 
Have you been receiving emails from BCYMP?
 
Yes
 
No
 
No, I don't use email
 
 
 
How often do you check your email?
 
Multiple times a day
 
Once a day
 
Several times a week
 
Once a week
 
Less than once a week
 
I don't use email
 
Other
 
 
 
 
How often do you check Facebook?
 
Multiple times a day
 
Once a day
 
Several times a week
 
Once a week
 
Less than once a week
 
I don't use facebook
 
Other
 
 
 
 
How often do you check twitter?
 
Multiple times a day
 
Once a day
 
Several times a week
 
Once a week
 
Less than once a week
 
I don't use twitter
 
Other
 
 
 
 
What is the best way for you to receive information from BCYMP?
 
Email
 
Phone
 
Text
 
Facebook
 
Other
 

 
 
 
Would you like to receive text message notifications from BCYMP about group events, resources, reminders, etc.?
 
Yes
 
No
 
Other