MENTOR US

Name (optional)

First Name

Last Name

I am a: *

Mentor

Mentee

How did you hear about the MENTOR US program? *

Email

Admission Package

Graduate advisor/supervisor

Faculty of Nursing Web Page

University Social Events

Word of Mouth

Other

Did you request a specific student to be paired with for the MENTOR US program? *

Yes

No

Were you satisfied with the mentor/mentee that you were paired with? *

Yes

No

Initial contact was made in a timely manner *

Yes

No

How many times have you met with your mentor/mentee so far? *

1

2

3

4+

In which ways have you made contact with your mentor/mentee? *

Please check all that apply

Email

Phone call

Text

In Person

Have you had difficulty connecting with your mentor/mentee? *

Yes

No

What topics have you discussed during the fall semester? *

Please check all that apply

Academic (ie. course planning)

University resources

Social

Personal

Other

My mentor has been able to respond to my questions or concerns, directly, or has been able to direct me to appropriate resources:

(Mentees only)

Always

Frequently

Occasionally

Never

As a mentor, I am satisfied with the support I have received through the MENTOR US program, to act in my role as a mentor

Strongly Disagree

Disagree

Neutral

Agree

Strongly Agree

I attended the "MENTOR US Meet And Greet" event in September *

Yes

No

I would recommend the "MENTOR US Meet and Greet" event to others *

Yes

No

N/A

I attended the "Mentorship Cafe" event in November *

Yes

No

I would recommend the "Mentorship Cafe" event to others *

Yes

No

N/A

I am satisfied with the number of planned events for MENTOR US so far *

Yes

No

I have accessed the MENTOR US website *

Yes

No

The MENTOR US website has been easy to navigate *

Yes

No

N/A

The MENTOR US website has been helpful

Strongly Disagree

Disagree

Neutral

Agree

Strongly Agree

The MENTOR US program is meeting my expectation thus far *

Strongly Disagree

Disagree

Neutral

Agree

Strongly Agree