Exit Survey "*" indicates required fields Unique IDName* First Last Email* Today's Date* MM slash DD slash YYYY Assigned Mentor*Indicate Your Mentor HereAdrian MisiakBeth CarrellBobby AngelBrian GehlingBrighitte LuedekingCathy OsmeraDr. Bryan VioletteDr. Gerard McNicholasDr. Gregory BottaroFr. Agustino TorresFr. Colin LomnitzerFr. David TrembleFr. Louis MerosneFr. Sam KachubaHolly WrightJack BeersJennifer Coffey ShevchukJohnna SullivanJulie XistrisKarla WagnerKate LeFaivreKirsten ButeraKristin ChmielLauren GentileMarlen BaizaMary SutarikMaryEllen McCarthyMaureen ShepherdNick ClunePaola PeñaRyan NashSam TodziaSandra CzyboraSarah DescollinesShaelyn MisiakShawn van der LindenSteph StrickStephanie MuncyTeresa VioletteZachary StuevePlease select the mentor that you worked with.Mentorship Start Date* MM slash DD slash YYYY If you don't recall the exact start date, please estimate to the best of your ability.Mentorship End Date* MM slash DD slash YYYY If you don't recall the exact end date, please estimate to the best of your ability.ExpectationsWhat prompted you to seek mentorship?*How stressed do you currently feel about your initial concerns?* Not Stressed Mildly Stressed Moderately Stressed Very Stressed Extremely Stressed What were your initial goals for mentorship?*Did you meet your goals?* Yes No We are happy to hear that you met your goals. What was most helpful?*We are sad to hear that you did not meet your goals. Please provide us with some feedback.*How long did your mentorship last?* One month. Three months. Six months. One year. More than a Year. What was the average length of the messages that you left for your mentor?* 15 minutes or more 10-15 minutes 5-10 minutes Under 5 minutes I did not engage. How often did you engage in mentorship?* Every day. Five or Six Days a Week Three or Four Days a Week Once or Twice a Week I did not engage. To what extent was spirituality explored during mentorship?*Mentorship Experience FeedbackHow satisfied were you with your mentorship experience?* Very Satisfied Satisfied Neutral Unsatisfied How likely are you to recommend our mentorship program to someone else?* Very Likely Likely Neutral Unlikely If someone you know was considering mentorship, what would you want them to know about the program?*Please Provide Any Comments or Feedback:* Δ
