Visitors Feedback
Remember that honesty is one of our core values and your feedback here, even if it is difficult, is valued and will have an impact on this persons journey in MENtorship
Your Name
*
First Name
Last Name
Group Name
*
Use the name that appears on your Roots Rating
Region
*
Bloemfontein
East London
Greytown
Hluvukani
Inanda
JHB Alberton
JHB Central
JHB North
JHB South
JHB West
JHB East
Kidds Beach
Midrand
On-line
Polokwane
Pretoria
VAAL - Vereeniging
West Rand
Western Cape
Date of Group Visit
*
-
Day
-
Month
Year
Date
Candidate MENtor name
*
First Name
Last Name
Was He on Time
*
Yes
No
If No, Why?
*
Was he respectful
*
@ Not at all
@@ Below Ave.
@@@ Above Ave.
@@@@ Completely
Did he engage with the boys
*
@ Not at all
@@ Below Ave.
@@@ Above Ave.
@@@@ Completely
Did he participate in the activity
*
@ Not at all
@@ Below Ave.
@@@ Above Ave.
@@@@ Completely
Was he easy to be around
*
@ Not at all
@@ Below Ave.
@@@ Above Ave.
@@@@ Completely
Would you recommend him as a potential MENtor
*
Yes
No
Unsure
If No or Unsure, please explain why?
*
General Comments/Feelings
Submit
Should be Empty: