Framework Mentor Assessment

Framework Mentor Assessment

The survey measures the competency levels in self-awareness, self-management, relationship skills, social awareness (empathy), and responsible decision-making through the lens of the mentor. The baseline data is analyzed to identify the child's strengths and areas in need of support. Post date will evaluate children's outcomes of the impact of Frameworks' service provided to mentors.
Mentor Name*

First NameLast Name
Mentor Email
example@example.com
Youth's Name*

First NameLast Name
Youth Date of Birth*

MonthDayYear
Date
Grade Level*

PreKKindergarten1st grade2nd grade3rd grade4th grade5th grade6th grade7th grade8th grade9th grade10th grade11th grade12th grade

Please reflect to the degree each of the following questions apply to the youth you work with within the last 4 weeks. Choose one answer:*

	Never	Rarely	Sometimes	Often	Very Often
How often does the youth show an awareness of his or her personal strenghts?
How often is the youth able to identify the connection between his or her thoughts, feeling, and behaviors?
How often is the youth able to persevere through internal and/or external challenges to complete tasks?
How often is this youth able to set goals and take steps to achieve them?
How often does this youth demonstrate respect for another person's opinion or perspective?
How often does this youth show concern for the feelings of others?
How often does this youth attract positive attention from others?
How often does this youth seek or offer support OR help when needed?
When the youth does not compete a task, how likely is he/she to try again?
How often does the youth reflect on how his or her actions influence outcomes?