Basic Information
- Mentor
Name:
[Text Field] - Mentee
Name:
[Text Field] - Date
of Session:
[Date Picker] - Session
Type (Select all that apply):
- Resume
Feedback
- Interview
Preparation
- Career
Guidance
- Career
Transitions
- Workplace
Conflicts
- Other:
[Text Field]
Session Details
- Overall
Session Rating (1-5):
[1 = Poor, 5 = Excellent]
[Rating Scale 1-5] - Mentee’s
Progress in the Session:
- Mentee
was well-prepared and actively participated
- Mentee
needed guidance and structure throughout
- Mentee
seemed disengaged or struggled to focus
- Mentee
had difficulty understanding key points
- Goals
of the Session:
What were the main objectives of the session?
[Text Field] - Did
you achieve these goals during the session?
- Yes
- Partially
- No
If no or partially, please explain: [Text Field]
- Key
Takeaways for the Mentee:
What are the main things the mentee should focus on or take away from this
session?
[Text Field] - Areas
of Strength for the Mentee:
In which areas did the mentee show particular strength or progress?
[Text Field] - Areas
for Improvement:
What specific areas could the mentee improve or work on before the next
session?
[Text Field] - Additional
Advice for the Mentee:
Any other tips, suggestions, or advice for the mentee moving forward?
[Text Field]
Mentor Reflection
- What
went well during the session?
[Text Field] - What
challenges did you face during the session?
[Text Field] - Suggestions
for Future Sessions:
Based on this experience, do you have any suggestions for improving future
mentor-mentee meetings or the platform itself?
[Text Field] - Follow-Up
Actions:
What follow-up actions (if any) should be taken after this session?
- Send
mentee additional resources (e.g., articles, tools, or templates)
- Schedule
a follow-up session
- Review
progress on specific task (e.g., resume, job application, etc.)
- Other:
[Text Field]
Mentee Satisfaction (Optional for Mentors)
- Mentee’s
Satisfaction with the Session:
Optional: If you have received feedback from the mentee, please rate
their satisfaction level on a scale of 1-5.
[1 = Very Dissatisfied, 5 = Very Satisfied]
[Rating Scale 1-5]
Additional Comments
- Any
Other Observations or Feedback:
[Text Field]
Mentor and Mentee Agreement
By filling out this form, the mentor agrees to maintain the privacy
and confidentiality of the conversation and any shared materials between mentor
and mentee.
