Mentor Report Form

Mentor Report Form

Thank you for mentoring!
Name*

First NameLast Name
Phone Number*
Please enter a valid phone number.
Person(s) you are mentoring *
Please include general information about your mentoring relationship while maintaining respect and confidentiality of the person you are discipling.
How would you rate your overall discipling experience at this point?

Going very wellGoing wellWe are beginning to figure it outWe are strugglingIt's not going super wellOther
How often are you meeting/connecting in person?

Once a monthTwice a monthThree times a monthEvery weekOther
Please provide a brief summary of what your mentoring/discipling interaction looks like.
Use this space for meaningful feedback on how this relationship is going.

Please indicate how you are doing in each of the following areas.

	Yes	No	Sometimes/ Somewhat
I am praying for my mentee daily
I am getting to know them personally
I am working to understand their unique joys and challenges in life
I am endeavoring to ask significant and meaningful questions
I am working to listen well and not do all the talking
I am endeavoring to cultivate transformation and growth in Christ in their life
I am working to point them to the Lord and His Word in all areas of their life
I am working to love the whole person - not see them as a project
I am enjoying this process and it is rewarding

Do you have the resources you need to disciple/mentor well?

YesNo
If No, please explain.
Any other comments or questions? Please include here.
Thank you for engaging in a mentoring/discipling relationship. I know this takes time and sacrifice. I pray that God uses you in the life of the person you are mentoring and that you also are encouraged and strengthened in the Lord through this process. In addition to this form, please feel free to talk with me at any time about the discpleship relationship and any challenges, needs, or ideas that you may have.

Pastor Benjamin
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