Mentor Session Feedback Form
Before School (AM)
After School (PM)
Where did the session take place?
Which reading resource(s) did you use during the session?
Electronic Device (Kindle/Computer)
Hard Copy Book
Did you use word study? If yes, what game?
Did you use word study game? Please choose below.
Concentration/ Memory Game
Create a Story
My Pile-Your Pile
What was the focus of the mentoring session?
What did you do during today's session?
What are some of the goals you and your mentee have set ? How do you plan to achieve those goals?
Were any or some of the goals met during the session?
What are areas or is an area you feel your mentee needs extra attention in?
Overall how was the behavior and attitude of your mentee during the session? (Check all that apply)
Engaged in task
Please rate the following:
Has your mentee's reading improved since your last session?
Has 360 Blueprint provided you with all the necessary tools & resources in order to have a successful mentoring session?
Has your assigned school site provided you with all support needed to have a successful mentoring session?
Please add any additional comments, issues, questions or requests that can help improve future mentoring sessions.
Should be Empty: