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Our Mentoring Model
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Route 21 End of the Year Mentee Survey

Please take some time to fill out the form below. It is important that we get your thoughtful feedback so we can build the best mentoring program possible. So please spend a little extra time (more than one or two word answers) on the survey to help us out. All responses are anonymous. Thank you!

Please rate how much fun you had this year with Route 21 on a scale of 1 to 5.

1 - I did not have fun this year with Route 21.

2 - I had an okay time this year with Route 21.

3 - I had fun this year with Route 21.

4 - I had a great time with Route 21 this year.

5 - I had a spectacular time this year with Route 21.

What were your three favorite events this year and which one was your favorite?

Are there any events you think we should remove for next year?

What events should we add for next year?

Do you feel like your overall outlook on life has improved over the past year because of being a part of the Route 21 mentoring program?

1 - My outlook on life has not improved because of Route 21.

2 - My outlook on life has improved a little because of Route 21.

3 - My outlook on life has improved because of Route 21.

4 - My outlook on life has significantly improved because of Route 21.

5 - My outlook on life has dramatically improved because of Route 21.

Do you feel Route 21 has helped prepare you for life after the age of 21?

1 - Route 21 has not helped prepare me for life after age 21.

2 - Route 21 has helped a little to prepare me for life after age 21.

3 - Route 21 has helped prepare me for life after age 21.

4 - Route 21 has significantly help prepare me for life after age 21.

5 - Route 21 has dramatically helped me prepare for life after age 21.

Do you feel Route 21 helped you build community/strengthen your personal relationships this year?

1 - Route 21 has not helped me build community/relationships this year.

2 - Route 21 has helped me build community/relationships a little this past year.

3 - Route 21 has helped me build community/relationships this year.

4 - Route 21 has significantly helped me build community/relationship this year.

5 - Route 21 has dramatically helped me build community/relationships this year.

Do you feel Route 21 helped your mental health this year?

1 - Route 21 has not helped my mental health this past year.

2 - Route 21 has helped my mental health a little this past year..

3 - Route 21 has helped my mental health this year.

4 - Route 21 has significantly helped my mental health this year.

5 - Route 21 has dramatically helped my mental health this year.

Do you think you are on track to graduate high school?

Yes

No

If you do not feel like you are on track to graduate high school, what support do you need to get back on track?

Do you feel Route 21 helped motivate you to do better in school this year?

1 - Route 21 did not help motivate me in school this year.

2 - Route 21 helped motivate me a little in school this year.

3 - Route 21 helped motivate me in school this year.

4 - Route 21 significantly helped motivate me in school this year.

5 - Route 21 dramatically helped motivate me in school this year.

Were you homeless at any time this year? If so, how many days were you homeless?

Please describe your time with Route 21 this past year.

What did your mentor do well and what could they improve on?

Is there anything else you would like to add that would help Route 21 build a better mentoring program for youth going forward? What did we do wrong or what could we do better?

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P.O. Box 28858, Seattle, WA 98118
206-949-7444
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