Title V: Coastal Bend College/University of Houston-Victoria: Component III

General Information

mm/dd/yyyy

Date *
Name of Mentee (optional)
GenderMaleFemale
EthnicityWhiteHispanicAfrican AmericanAmerican-IndianOther

Rate this program

Please select a number 1 through 5 for each statement that best indicates how you feel.

1. I prefer e-mentoring over a face-to-face mentoring program. *strongly agreeagreeneutraldisagreestrongly disagree
2. The quality of the e-mentoring program met my expectations. *strongly agreeagreeneutraldisagreestrongly disagree
3. I would like to have a mentor again in the future. *strongly agreeagreeneutraldisagreestrongly disagree
4. The orientation session helped to prepare me for my mentoring experience. *strongly agreeagreeneutraldisagreestrongly disagree
5. I would have liked additional information about the program expectations. *strongly agreeagreeneutraldisagreestrongly disagree
6. The role as a mentee was clearly defined at the training. *strongly agreeagreeneutraldisagreestrongly disagree
7. The mentor program coordinator was accessible. *strongly agreeagreeneutraldisagreestrongly disagree
8. The mentor program coordinator was easy to seek advice from when necessary. *strongly agreeagreeneutraldisagreestrongly disagree
9. I had a positive relationship with my mentor. *strongly agreeagreeneutraldisagreestrongly disagree
10. The time I spent with my mentor was sufficient. *strongly agreeagreeneutraldisagreestrongly disagree
11. The time spent together with my mentor was helpful. *strongly agreeagreeneutraldisagreestrongly disagree
12. I gained personally from this relationship. *strongly agreeagreeneutraldisagreestrongly disagree
13. I would have liked to have contact less often with my mentor. *strongly agreeagreeneutraldisagreestrongly disagree
14. I would have preferred to have contact more often with my mentor. *strongly agreeagreeneutraldisagreestrongly disagree
15. My mentor helped me to focus on completing a Baccalaureate degree. *strongly agreeagreeneutraldisagreestrongly disagree
16. I plan to transfer to UHV as a result of participating in this e-mentoring program. *strongly agreeagreeneutraldisagreestrongly disagree
17. My academic success was increased by this program. *strongly agreeagreeneutraldisagreestrongly disagree
18. My mentor communicated with me on issues concerning university life. *strongly agreeagreeneutraldisagreestrongly disagree

Short Answer

19. What is the single most important thing you got out of the program? *
20. What would you suggest to improve the e-mentoring program? *

Component III: Mentee Evaluation Form

Program Evaluation Form - for Mentee

General Information

Rate this program

Short Answer