Faculty Mentoring Guide

Appendix A: Assessment Forms

Suggested Assessment Form for Mentees*
(Complete after first year of mentoring relationship.)

Circle the response that best suits your feeling toward the question. The key is as follows:

1 Strongly agree     2 Agree     3 Neutral     4 Disagree     5 Strongly Disagree

  • I believe that mentoring is a good idea.
    1     2     3     4     5

  • I have benefitted from the mentoring relationship.
    1     2     3     4     5

  • My mentor is readily available.
    1     2     3     4     5

  • We meet on a regular basis.
    1     2     3     4     5

  • We are congruent on our goals for my professional development.
    1     2     3     4     5

  • My mentor and I have similar values.
    1     2     3     4     5

  • My mentor respects me as a person.
    1     2     3     4     5

  • My mentor understands that I have a life outside of the institution and helps me to integrate my responsibilities.
    1     2     3     4     5

  • My mentor is generous with credit.
    1     2     3     4     5

  • My mentor has involved me in professional activities outside of this institution.
    1     2     3     4     5

  • My mentor has involved me in committees within this institution.
    1     2     3     4     5

The best things about the mentoring relationship are:




I would suggest the following improvements/modifications:




* All Assessment Forms in this appendix are adapted from University of Arkansas for the Medical Sciences The Mentor's Mentor: The Mentoring Handbook, a Guide to Mentoring.10



< prev next >

VCU School of Medicine
 

Virginia Commonwealth University | School of Medicine | Faculty Mentoring Guide
carol.hamptonl@vcu.edu | Updated 03.05.02