Mentor Evaluation Form

2. Adequate information was provided for me to prepare for the mentoring session
   -- Select One --Strongly AgreeAgreeNeutralDisagreeStrongly Disagree

4. The Mentee provided full disclosure of all relevant information
   -- Select One --Strongly AgreeAgreeNeutralDisagreeStrongly Disagree

6. The Mentee was open to hearing my ideas and considering my recommendations
   -- Select One --Strongly AgreeAgreeNeutralDisagreeStrongly Disagree

8. Our interactions were favorable and appeared helpful to the Mentee
   -- Select One --Strongly AgreeAgreeNeutralDisagreeStrongly Disagree

10. I am interested in/willing to meet with this Mentee on a more regular/less formal basis
    -- Select One --Strongly AgreeAgreeNeutralDisagreeStrongly Disagree

12. The mentoring training program and/or the mentoring program section of the FCAM website were helpful in preparing me to be a Mentor
    -- Select One --Strongly AgreeAgreeNeutralDisagreeStrongly Disagree

14. Recommendations to improve the mentoring program based on your experience

Leave This Blank:


16. 1. Receive an email copy of this form.
17. Email address

    This field is not part of the form submission.

18. Submit

* indicates a required field