MENTOR FEEDBACK FORM

mentor feedback form

* Indicates required field

Your Name *

Mentee's Name *

I felt well connected with the mom you matched me with. *

STRONGLY AGREE AGREE COULD HAVE BEEN BETTER NOT AT ALL

Were there any instances where the environment or relationships (mom, partner, children) felt unsafe? If so, please explain. *

Did you have any difficulty with the vendor when picking up meals for your client? *

Was the booking the cleaner an easy process? *

YES NO I DIDN'T BOOK THIS FOR MY MOM

Was the booking of the lactation consultant an easy process? *

YES NO I DIDN'T BOOK THIS FOR MY MOM

What do you feel are the strengths of our program? *

What do you feel are the areas of our program that need improvement? *

How do you feel that we could better support you? *

Did you feel overwhelmed or burdened by coordinating with your mom or the administration team at Beyond the Bump? *

Please feel free to share more about your experience below. We would love to hear from you - whether good or bad. *

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