Participant Name Mentor Name Date

Overall, how satisfied are you with the mentoring program? Very Satisfied Satisfied Neutral Unsatisfied Very Unsatisfied Did the program help you reach your goals? Yes Somewhat No

How supportive was your mentor? Very Supportive Supportive Neutral Unsupportive Very Unsupportive How would you rate the frequency of your meetings? Excellent Good Adequate Needs Improvement

What improvements would you suggest for the program? Any other comments?