Coastal Bend College
University of Houston-Victoria
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Component III: Mentor Evaluation
Program Evaluation Form - For Mentor
We would like to have your opinion of the mentor program so that we may evaluate and strengthen our program for the future. Please complete the questions below.
General Information
We would like to have your opinion of the mentor program so that we may evaluate and strengthen our program for the future. Please respond to the statements below and submit the survey to the program coordinator
Date
*
Name of Mentor (optional)
Gender
Male
Female
Ethnicity
White
Hispanic
African-American
American-Indian
Other
Rate this program
1. I prefer e-mentoring over a face-to-face mentoring program.
*
strongly agree
agree
neutral
disagree
strongly disagree
2. The quality of the e-mentoring program met my expectations.
*
strongly agree
agree
neutral
disagree
strongly disagree
3. I would volunteer to serve as a mentor again in the future.
*
strongly agree
agree
neutral
disagree
strongly disagree
4. The mentor orientation session helped to prepare me for my mentoring experience.
*
strongly agree
agree
neutral
disagree
strongly disagree
5. I would have liked additional training for mentors.
*
strongly agree
agree
neutral
disagree
strongly disagree
6. The mentor responsibilities were clearly defined at the training.
*
strongly agree
agree
neutral
disagree
strongly disagree
7. The mentor program coordinator was accessible.
*
strongly agree
agree
neutral
disagree
strongly disagree
8. The mentor program coordinator was easy to seek advice from when necessary.
*
strongly agree
agree
neutral
disagree
strongly disagree
9. I had a positive relationship with my mentee.
*
strongly agree
agree
neutral
disagree
strongly disagree
10. The time I spent with my mentee was sufficient.
*
strongly agree
agree
neutral
disagree
strongly disagree
11. The time spent together was helpful for my mentee.
*
strongly agree
agree
neutral
disagree
strongly disagree
12. I gained personally from this relationship.
*
strongly agree
agree
neutral
disagree
strongly disagree
13. I would have preferred to have contact less often with my mentee.
*
strongly agree
agree
neutral
disagree
strongly disagree
14. I would have preferred to have contact more often with my mentee.
*
strongly agree
agree
neutral
disagree
strongly disagree
15. My mentee is on an academic track to complete a Baccalaureate degree.
*
strongly agree
agree
neutral
disagree
strongly disagree
16. My mentee plans to transfer to UHV as a result of participating in this e-mentoring program.
*
strongly agree
agree
neutral
disagree
strongly disagree
17. My mentee's academic success will be increased by this program.
*
strongly agree
agree
neutral
disagree
strongly disagree
18. My mentee asked me a lot of questions about university life.
*
strongly agree
agree
neutral
disagree
strongly 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?
Program Components
Please rate each of the following program components
21. Information about the program at the recruitment session.
*
Not Enough
Just Right
Too Much
22. Information about the mentee
*
Not Enough
Just Right
Too Much
23. Mentor training
*
Not Enough
Just Right
Too Much
24. Regular mentor support
*
Not Enough
Just Right
Too Much
25. Interaction with the program coordinator
*
Not Enough
Just Right
Too Much
26. Networking with other mentors
*
Not Enough
Just Right
Too Much
Mentoring Affect
27. I learned new things about myself
*
To a Great Extent
Somewhat
Not At All
28. I found it easy to be a mentor
*
To a Great Extent
Somewhat
Not At All
29. I have a better understanding of the education system
*
To a Great Extent
Somewhat
Not At All
30. I felt more motivated at work
*
To a Great Extent
Somewhat
Not At All
31. I was able to keep up with my work
*
To a Great Extent
Somewhat
Not At All
32. I feel more productive at work after mentoring
*
To a Great Extent
Somewhat
Not At All
33. I have a better understanding of diversity issues
*
To a Great Extent
Somewhat
Not At All
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