District (please check one)
Caldwell Homedale Nampa Parma Vallivue Please make a selection.
School Name: A value is required.
Name : First Last A value is required. A value is required.
How old are you? A value is required.
Are you male or female? male female Please make a selection.
What grade are you in? A value is required.
Did you know if your mentor was not coming? No Yes Please make a selection.
Did you see your mentor?
Most of the time. Some of the time. None of the time. Please make a selection.
How did you spend your time with your mentor? Please mark all that apply.
Games/activities/projects
Exercising/sports
Socializing/talking
School work/computers
Do you feel that having a mentor has helped you? No Yes
How did having a mentor help you? Please mark all that apply.
By talking about my problems. By sharing career ideas. By being nice/kind to me
By teaching me things
By making me feel cared about.
By listening to me.
Helped me improve my attitude at home and at school.
Helped me find ways to solve my problems.
Helped me express my feelings better.
Helped me see how important it is to help others and get along.
Would you like to have a mentor again next year? No Yes
Why? A value is required.