Mentoring Program Early Feedback Form

Please review the following questions carefully and answer thoughtfully before January 17, 2023. Note that this form opens and closes with questions for both mentees and mentors, while the middle set of questions are for one group. All questions are required and all answers are anonymous.

First 10 questions are for both mentor and mentee:

Answer the following questions about the Mentoring Program using a
six-point Likert-type scale: 1= “strongly agree” to 6 = “strongly disagree”.
1. I was matched appropriately.
2. Appropriate goals were established together.
3. Meetings were scheduled at mutually convenient times.
4. Trust is present in the relationship.
5. Confidentiality is respected.
6. The Mentoring Program Guidebook is helpful.
7. The Mentoring Program website is helpful.
8. The Safe Conversations webpage is helpful.
9. The Best Practices / Questions webpage is helpful.
10. The experience is meeting my expectations.

Next 7 questions only for the mentee:

Mentees, answer the following questions about your mentor using a
six-point Likert-type scale: 1= “strongly agree” to 6 = “strongly disagree”.
1. My mentor actively listens to me.
2. My mentor is actively engaged in the relationship.
3. My mentor is responsive to my needs, questions, outreach.
4. My mentor shares appropriate resources.
5. My mentor encourages active membership in NCDA (e.g. shares NCDA resources, invites participation in events, discusses appropriate leadership opportunities...)
6. The mentorship program is beneficial to my professional development.
7. As a mentee, I have taken full advantage of the following parts of the Mentoring Program:
a) Mentoring Program Guidebook
b) Orientation and Check-in
c) Safe Conversations (secure mentee webpage)
d) Best Practices / Questions webpage
e) Resources / links on the Mentoring webpage.
f) NCDA activities and resources

Next 6 questions only for the mentor:

Mentors, answer the following questions about your mentee using a
six-point Likert-type scale: 1= “strongly agree” to 6 = “strongly disagree”.
1. My mentee is actively engaged in the relationship.
2. My mentee is open to taking advantage of NCDA resources.
3. The mentorship program is beneficial to my professional legacy.
4. I am finding serving as a mentor to be a rewarding experience.
5. I plan to advocate for the NCDA Mentoring Program to continue after the pilot year ends.
6. As a mentor, I have taken full advantage of the following parts of the Mentoring Program:
a) Mentoring Program Guidebook
b) Orientation and Check-in
c) Safe Conversations (secure mentor webpage)
d) Best Practices / Questions webpage
e) Resources / links on the Mentoring webpage.

Two additional questions for both Mentor and Mentee:

1. Do you plan to continue the mentoring relationship beyond the September 2023 closing? Please explain your answer.
2. Is there any other feedback you would like to share?