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Civitan Leadership Academy Mentorship Survey - Mentor

This survey is designed to gain feedback on your Leadership Civitan Mentorship experience. Thank you for your time and thoughtful feedback! Your responses will help shape the rest of the program and improve future mentorship experiences.

Name

First Last

1) How satisfied are you with the Leadership Civitan mentorship experience?

Very satisfied

Satisfied

Neither satisfied nor dissatisfied

Dissatisfied

2) How frequently do you connect with your mentee?

Weekly

Bi-weekly

Monthly

Bi-monthly

As needed

3) How do you connect with your mentee?

Phone

Virtually (Zoom, Teams, etc.)

Both

4) How would you describe the quality of communication between you and your mentee?

Excellent - clear, consistent, and productive

Good- effective, but could improve in some areas

Fair- some challenges in communication

Poor- ineffective communication

5) What have been the most valuable aspects of your mentorship relationship so far?

6) Have there been any challenges or obstacles in your mentorship relationship? If so, please describe.

7) How helpful do you feel you have been in supporting your mentee’s growth and development as a Civitan leader?

Very helpful

Somewhat helpful

Neither helpful nor unhelpful

Not very helpful

Not helpful at all

8) What areas of professional or personal development have been positively impacted through this mentorship?

Leadership skills

Communication skills

Problem-solving skills

Confidence buidling

Other-list

Please describe other:

9) Are there additional topics you wish to explore with your mentee in the remaining months of this program?

10) What suggestions do you have to improve the mentorship experience?

(i.e. training, resources, communications, et.)

11) Do you wish to continue with this Mentee for the second year of the academy?

Yes

No

Maybe

Any additional comments or feedback.

1 Comment

Randall H Eckhoff on June 23, 2026 at 3:12 pm

Programs to help increase membership and continue Civitan to be a great service organization is necessary.

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