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  1. Surveys
  2. 2017
  3. June
  4. M
  5. Mentorship Survey
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Questions marked with a * are required Exit Survey
 
 
* Name of Mentee
   
 
 
 
* Name of Mentor
   
 
 
 
* Period of Mentorship (From): 
 
 
 
* Period of Mentorship (To):
 
 
 
* Year of Study
 
Year 1
 
Year 2
 
Year 3
 
Year 4
 
Year 5
 
 
 
*

(I) Frequency/ Mode of Interaction

How often did you interact with your mentor during the period of review?

 
Not at all
 
1 to 2 times
 
3 to 4 times
 
More than 4 times
 
 
 
*

(2) Please indicate the 2 most frequently used modes of interaction:

2a. Most frequent

 
Email
 
Phone
 
Face-to-face meetings
 
Other
 
 
 
 
* 2b. Next most frequent
 
Email
 
Phone
 
Face-to-face meetings
 
Other
 
 
 
(3) How would you rate these meetings/ interactions?
BoringEngaging
1 2 3 4
* 3a.
 
 
3b.
AwkwardComfortable
1 2 3 4
* Row 1