Surveys 2020 Community Based Parent/Caregiver Survey 2020 What is your name?What is your child's age?How long has your child had a mentor?Less than six monthsOne yearTwo years or moreHow often does your child see their mentor?Once a weekEvery two weeksOnce a monthLess than once a monthWhat is your child's match's name?I feel comfortable contacting my child's match facilitator about questions/concerns I haveAlwaysMost of the timeSometimesNot at allI feel my child is safe with their mentorYesNot sureNoIn general, I interact with my child in positive waysAlwaysMost of the timeSometimesNot at allIn general, I feel good about my relationship with my childAlwaysMost of the timeSometimesNot at allMy child seems more confident since having a mentorYesNot sureNoHaving a mentor has helped my child towards achieving their own goalsYesNot sureNoHaving a mentor has helped my child to feel good about themselvesStrongly agreeAgreeSomewhat agreeSomewhat disagreeDisagreeStrongly disagreeMy child can talk to meStrongly agreeAgreeSomewhat agreeSomewhat disagreeDisagreeStrongly disagreeMy child has someone to talk to or ask for help at schoolYesNot sureNoAdditional Comments Community Based Child/Youth Survey 2020 My name isMy mentors name isWhat is your gender?FemaleMaleNon-binaryTransgenderHow old are you?How long have you had a mentor?Less than six monthsOne yearTwo years or moreHow often do you see your mentor?Once a weekEvery two weeksOnce a monthLess than once a monthI can trust my mentorAlwaysMost of the timeSometimesNot at allMy mentor pays attention to me when we are togetherAlwaysMost of the timeSometimesNot at allMy mentor encourages me to do my bestAlwaysMost of the timeSometimesNot at allMy mentor helps me learn from mistakes and setbacksAlwaysMost of the timeSometimesNot at allMy mentor helps me build confidenceAlwaysMost of the timeSometimesNot at allMy mentor involves me in decision makingAlwaysMost of the timeSometimesNot at allMy mentor treats me fairlyAlwaysMost of the timeSometimesNot at allMy mentor inspires me to see new possibilities for my futureAlwaysMost of the timeSometimesNot at allMy mentor has helped me to feel good about myselfAlwaysMost of the timeSometimesNot at allI have a lot to be proud ofAlwaysMost of the timeSometimesNot at allHaving a mentor has helped me work towards achieving my own goalsYesNot sureNoI can talk to my mentor about myself or if something is bothering meYesNot sureNoMy mentor helps me make healthy life choicesYesNot sureNoI can talk to my parent(s)YesNot sureNoThere is someone at school I can talk to or ask for helpYesNot sureNoAdditional comments Community Based Mentor Survey What is your gender?MaleFemaleNon-binaryTransgenderHow old are you?How long have you been a mentor?Less than six monthsOne yearTwo years or moreHow often do you see your mentee?Once a weekEvery two weeksOnce a monthLess than once a monthThe training I received prepared me well for my role as a mentorYesSomewhatNoI have ongoing support from staff if neededYesSomewhatNoI understand my role as a leader/mentorYesSomewhatNoMy mentee can trust meAlwaysMost of the timeSometimesNot at allI pay attention to my mentee when we are togetherAlwaysMost of the timeSometimesNot at allI encourage my mentee to do their bestAlwaysMost of the timeSometimesNot at allI help my mentee learn from mistakes and setbacksAlwaysMost of the timeSometimesNot at allI help my mentee build confidenceAlwaysMost of the timeSometimesNot at allI set healthy limits and boundaries with my menteeAlwaysMost of the timeSometimesNot at allI treat my mentee fairlyAlwaysMost of the timeSometimesNot at allI involve my mentee in decisions that affect themAlwaysMost of the timeSometimesNot at allI aim to inspire my mentee to see new possibilities for their futureAlwaysMost of the timeSometimesNot at allI expose my mentee to new ides, experiences, and/or placesAlwaysMost of the timeSometimesNot at allI introduce my mentee to people who can help them growYesNot sureNoI am gaining valuable leadership skills in my role as a mentorYesNot sureNoI am gaining valuable interpersonal skills in my role as a mentorYesNot sureNoI am gaining valuable personal and/or career experience in my role as a mentorYesNot sureNoAdditional comments/feedback Facebook Twitter Google+ LinkedIn
