L
EARNING
TO
L
EARN
: B
ECOMING
A
S
ELF
-G
ROWER
399
E
XPERIENCE
13: C
HOOSING
AND
U
SING
M
ENTORS
E
FFECTIVELY
WORKSHEET
Mentoring Scoring and Assessment
Complete based on your experience with your mentor. Complete the SII Assessment on the back.
Mentor: ____________________________________ Mentee: ________________________________
Dates of Mentoring Relationship: _________________ to _________________
Context of Mentoring Relationship:
Low
(1)
Fair
(2)
Good
(3)
Very Good
(4)
Excellent
(5)
Goals were met
Minimal
Some
Sizeable
Significant
All
Willingness to engage in future mentoring relationships
Unwilling
Maybe
Most likely
Yes – soon
Y
es – now
If appropriate, would you choose this mentor again?
No
Maybe
Most likely
Yes – soon
Y
es – now
Were you effectively challenged?
Almost never
Occasionally
Often
At important intervals
Constantly
Level of expectations set
Easily achieved
Achievable
Challenging
Exceeded expectations
New territory
How satisfied are you with your with level of growth?
Unsatisfied
Fairly satisfied
Satisfied
Energized
Transformational
How efficient/productive was the process, including use of time?
Ineffective
Acceptable
Productive
High performance
Professional
How available was the mentor?
Hardly ever
During class
In and out of class Socially & on campus Anytime I needed
Level of caring in the relationship
Low
Okay
Good
High
Strong bond
Effectiveness of communication
Ineffective
Operational
Effective
Frequent and clear
Complete
9
−
18 Low to Fair
19
−
27 Fair to Good
28
−
36 Good to Very Good
37
−
44 Very Good to Excellent
45 pts Perfect
Total:
(continued on the other side)