You can always press Enter⏎ to continue
Mentor Monthly Check In
Hi! Please complete this form each month for Ordinarie Heroes 1 to 1 mentoring program.
13
Questions
START
1
Name
First Name
Last Name
Previous
Next
Submit
Press
Enter
2
Which month is this check in for?
Please Select
January
February
March
April
May
June
July
August
September
October
November
December
Please Select
Please Select
January
February
March
April
May
June
July
August
September
October
November
December
Previous
Next
Submit
Press
Enter
3
Have you met with your mentee in person this month yet?
YES
NO
Previous
Next
Submit
Press
Enter
4
What was the date of your meet up?
-
Date
Month
Day
Year
Previous
Next
Submit
Press
Enter
5
How many hours did your meet up last?
Previous
Next
Submit
Press
Enter
6
What did you do during your meet up?
Huge
Large
Normal
Small
Ok
quote
Created with Sketch.
Ok
Previous
Next
Submit
Press
Enter
7
Do you have an additional meet up to list for
this month
?
Don't include a meeting you've previously reported.
YES
NO
Previous
Next
Submit
Press
Enter
8
Please let us know the date, location, time length, and activity of any additional in person meetings.
Huge
Large
Normal
Small
Ok
quote
Created with Sketch.
Ok
Previous
Next
Submit
Press
Enter
9
How often have you spoken with your mentee this month?
This includes phone, text, FaceTime, zoom, etc.
Previous
Next
Submit
Press
Enter
10
What was your main communication method(s) this month?
Phone
Text
FaceTime
Zoom
Other
Previous
Next
Submit
Press
Enter
11
What topics have you discussed with your mentee this month?
Check all that apply
Academics
Challenges
Family Life
Goal Setting
Physical Health
Mental Wellness
Social Life
Time Management
Other
Previous
Next
Submit
Press
Enter
12
Have you noticed any areas of improvement or change with your mentee?
Huge
Large
Normal
Small
Ok
quote
Created with Sketch.
Ok
Previous
Next
Submit
Press
Enter
13
Are there additional ways we can support you or your mentee?
Huge
Large
Normal
Small
Ok
quote
Created with Sketch.
Ok
Previous
Next
Submit
Press
Enter
Should be Empty:
Question Label
1
of
13
See All
Go Back
Submit