END OF PROGRAM - MENTEE'S FEEDBACK

Please rate on scale of 5: 5 - Exccellent, 4 - Very Good, 3 - Good, 2 - Average, 1 - Poor

How much mentoring helped you in increasing your,
A. MOTIVATION & CONFIDENCE
1. I feel more motivated now
2. I feel more confident
3. I am better equip to deal with people I do not know
4. I feel more confident to meet my goal
6. I can present my thought / idea better
E. MENTOR SUPPORT
7. Time provided by mentor
8. Input provided by the mentor
9. My main learning and development goals have been met
10. I got guidance on the identified gap areas
11. Overall I am happy with the progress
12. Overall rating of the mentor

Please write your experience about the program and the mentor
Thank you for your time in providing the valuable feedback

edback

CXOMENTORS
Mentor's methodology and time availability

I am willing to engage in mentoring relationship. I want this to be a mutually rewarding experience with most of our time togethe
development activities revolving around the mentees goals outlined in Mentees Need Outline. My convenience and availabili
below,
FREQUENCY OF MENTORING
Mentoring frequency
Prefered day of the week
Prefered time
Duration of each mentoring session will be
* My Mode of mentoring will be
* Venue for mentoring session will be
* Mentoring timelines will be for

I also state that this is a non binding relationship. I have has the option of discontinuing the relationship for any reason and can
relationship.

Terms and Condition .

I agree

Weekly
Monday
Morning
1 hour
Personal meeting
Mentor's place
1 month

Fortnightly
Tuesday
Afternoon
2 hours
On call
Mentee's place
3 months

Monthly
Wednesday
Evening
3 hours
Video

Quaterly
Thursday
Night
4 hours
Email

6 months

12 year

Friday

Saturday

Sunday

CXOMENTORS
Mentee's nedd assessment and declaration

Mentoring is defined as a relationship with a deliberate purpose of fostering growth. A mentor could be a friend or colleague, a
person, or someone with specialist skills. This questionnaire is a self-evaluation tool which provide inputs of the areas where
helpful for you. Also, to consider the different types of mentor that could be available for you and get you started in a mentoring
personal growth.
Put a tick beside the ones where you would like to have some guidance and mentoring
In what way would you like someone to help you?
I am looking for Mentor who is
I am looking for Mentor who personality is
I need mentoring in the areas of
I am ok with mentoring frequency, time, duration, mode and venue as per convenience of the mentor

I hereby declare that I am a willing participant in the cxomentors program. I commit to working with my mentor throughout the p
scheduled meetings with my mentor, and communicating with my mentor. Emergencies happen, so if I am unable to keep a me
call will be made to my mentor to reschedule. I will develop personal goals and be open to coaching and feedback from my men
Confidentiality
I declare that I will keep all dicussions confidential and will not discuss with anyone except cxomentors coordinators.

No-fault Conclusion
I agree to a no-fault conclusion of this relationship if, for any reason, it seems appropriate. Either party has the option of discont
for any reason, and he or she will discuss this decision with the Mentor Project Coordinator before terminating the relationship.

I also state that this is a non binding relationship. The mentor has the option of discontinuing the relationship for any reason and
relationship.
I agree

Work Life Balance

Inspire to excellence
Peer
Serious
1
3
Yes

Spiritual
Guide on identified area
Senior
Light Hearted

No

Professional
Overall mentoring
Industry Leader
Practical
2
4

Entrepeneural

Flexible