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About
Our Team
Financials and Annual Reports
Foster Care Statistics
Our Mentoring Model
Sign Up Today
Mentor Application
Youth Application
Route 21 Pit Crew Application
Newsletter
Contact
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Route 21 End of the Year Mentor 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. 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 over the past year?
1 - Route 21 has not helped prepare me for life.
2 - Route 21 has helped a little to prepare me for life.
3 - Route 21 has helped prepare me for life.
4 - Route 21 has significantly help prepare me for life.
5 - Route 21 has dramatically helped me prepare for life.
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.
Were you homeless at any time this year? If so, how many days were you homeless?
Was your pit crew helpful this year? How could we improve them?
Please describe your time with Route 21 this past year.
How has Route 21 impacted your ability to lead or in your profession?
Is there anything else you would like to add that would help Route 21 build a better mentoring program for youth and mentors going forward? What did we do wrong or what could we do better?