Mentor Evaluation Form

Mentor Evaluation Form (Anonymous)

This evaluation will help guide your mentor’s development and strengthen the mentoring relationship. Your responses are anonymous and will be kept confidential.
Important Guidelines For Filling Form:
**Please read before filling out the form**
1. Provide Constructive Feedback: Focus on the mentor’s effectiveness in supporting your growth and development. Share specific instances of positive impact or areas where guidance could have been stronger.
2. Use Professional and Respectful Language: Remember that feedback should help mentors improve, not discourage them. Phrase suggestions in a supportive manner.
3. Align Feedback with Company Values: Evaluate how the mentor fosters an environment of trust, high performance, and care for others.
4. Be Honest and Transparent: Reflect sincerely and truthfully while completing these forms. Honesty builds trust and contributes to our open and supportive work culture.
5. Focus on Growth: Approach each form with a mindset of continuous improvement, highlighting areas where you can grow or support others' growth.
6. Respect and Empathy: When evaluating yourself or others, use constructive language and avoid personal criticism. Provide actionable insights that align with a spirit of collaboration and care.
7. Confidentiality in Anonymous Forms: Rest assured that anonymous submissions are designed to encourage openness while respecting privacy. Avoid sharing identifying details to maintain integrity.
8. Link Your Input: Reflect on how your feedback, goals, or evaluations align with the company’s mission to foster community care and high performance.
By following these guidelines, you contribute to fostering an open and trusting, high-performing, and caring workplace culture. Your thoughtful and respectful input helps us grow individually and collectively, supporting both personal and organizational success. 
Mentor*

Full NameDesignation
Department*
Date of evaluation*

DayMonthYear
Instructions for Rating

Please fill in the ratings and comments on your mentor to the best of your ability on the following questions using the scale of 1 to 5 and provide specific feedback in the comments section to support your rating.

1 = Needs Improvement: The mentor struggles significantly in this area and needs improvement.
2 = Fair: The mentor meets the minimum expectations but has room for growth.
3 = Meets Expectations: The mentor consistently meets expectations for this area.
4 = Exceeds Expectations: The mentor consistently exceeds expectations in this area.
5 = Outstanding: The mentor consistently performs at a high level and is a role model for others.

Your responses are anonymous and will be kept confidential.

1. Do (65%) - Questions related to mentor's performance, guidance, and task completion*

	Rating (1-5)	Comments (Please provide specific feedback for your rating)
Does your mentor provide clear and timely guidance to meet your goals?
How well does your mentor assist you in meeting deadlines with quality work?
Did your mentor give you sufficient time and resources to complete your task?
How well does your mentor collaborate with you to achieve work goals?
Does your mentor consistently support individual or team goals?

2. Show (20%) - Questions related to mentor’s interpersonal skills, attitude, and involvement*

	Rating (1-5)	Comments (Please provide specific feedback for your rating)
Is your mentor receptive to feedback and willing to provide constructive criticism?
Does your mentor maintain a positive attitude and motivate you effectively?
Does your mentor show initiative and leadership beyond specific tasks?
Does your mentor encourage your participation in voluntary company events or initiatives?
Does your mentor consistently demonstrate the company’s core values?

3. Learn (15%) - Questions related to mentor's role in supporting your learning and growth*

	Rating (1-5)	Comments (Please provide specific feedback for your rating)
Does your mentor provide you with opportunities to engage in learning and growth?
Does your mentor effectively guide you in applying newly acquired knowledge?
Does your mentor encourage you to go beyond your current role and take on new learning opportunities?
How well does your mentor help you adapt to new technologies, systems, or methods?
Does your mentor provide constructive feedback to help you improve and develop?

Overall Performance Summary

	Score
Total Do Rating (65%)
Total Show Rating (20%)
Total Learn Rating (15%)
Total Score (out of 100%)

Should be Empty:

Mentor Evaluation Form (Anonymous)