Mommy YANA Mentee Questionnaire

Mentee Questionnaire

Thank you for your interest! Please answer these questions as thoroughly as you can =)
Todays Date

MonthDayYear
Date
Name*

First NameLast Name
Age*
Email*
example@example.com
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Why are you interested in a mentor and what would you like to get out of your mentorship?*
How would you prefer to communicate with your mentor?*

EmailPhoneVirtualFace to Face (Recommended)
What are you passionate about? *
What motivates you? *
What extracurricular activities do you enjoy?*
Do you have transportation? *
Do you have children or are currently expecting?*
How far along are you in your pregnancy? *
When is your due date? *
What do you find most difficult about motherhood?*
How do you feel about possible ethnic, religious, and/or racial differences between you and your mentor?*
What expectations do you have about the relationship you may have with your Mentor?*
Can you commit to meeting with your mentor twice a month? Can you keep communication with your mentor weekly?*
Do you agree to respect the boundaries set forth by your mentor? *
Explain your availability, if needed. *
Would you like to ask me anything about the Melanin Mommies Pgh, Inc.? *
Should be Empty: