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Has the program met your expectations?
 
Yes
 
No
 
 
 
If the program has meet your expectations, what do you like about it? If it has not met your expectations, what can be done to make it more effective?
   
 
 
 
How many times have you been in touch with your mentee?
   
 
 
 
What are the kinds of issues you have dealt with?
   
 
 
 
Was it easy to reach out to your mentee?
 
Yes
 
No
 
 
 
Has the mentee followed-up on the suggestions you have made or have there been subsequent meetings after the first visit with the mentee?
   
 
 
 
How often does your mentee communicate with you?
   
 
 
 
Please provide any additional ideas or suggestions to improve the program.
   
 
 
 
Please provide ideas to improve the experience for the mentor.
   
 
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