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Mentor Feedback Form
First Name
Last Name
Phone (Bus.)
Phone (mobile)
E-mail
Name of Mentee:
In which area(s) did you offer advice and expertise?
Finances
Marketing
Management
Legal
Human Resources
Information Technology
Accounting
Other
(Please check all that apply.)
Please specify
How often did you communicate with your mentee?
More than twice a week
1-2 times a week
Once every two weeks
Once every two weeks
Once a month
How would you rank your experience with the mentee?
Excellent
Better than satisfactory
Satisfactory
Less than satisfactory
Please provide some insights on your experience.
Was your mentee cooperative?
Yes
No
Please explain in what ways your mentee was uncooperative.
Please provide any comments to help us improve the program for the mentor.
Please provide any comments to help us improve the program for the mentee:
Would you recommend this program to a friend?
Yes
No
The following individual would be a good mentor:
Name:
Name of business
Phone (Bus.)
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