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Mentee Exit Report
Your Mentor's Name:
About the Match
Describe your last meeting with your mentee.
When and where did you first hear about the Level Ground mentoring program?
What made you decide to ask for a mentor?
Describe the first time you met your mentor.
What were the things that really worked between you and your mentor?
What were the challenges in your relationship and in your life that you were faced with during this match?
Were there any shocking moments or revelations during the course of your relationship?
Any story or anecdote during the course of the match that really made an impression on you / stuck with you?
Working With Level Ground
What community services were helpful to you while in this match? Did Level Ground help you connect with any of these services?
Were there any other reasonable efforts that you wish Level Ground had made to assist you?
Are there any other ways that Level Ground can support you right now?
On a scale from 1 to 5 what number best represents your overall experience with the Level Ground program?
1 much below expectations - disappointed
2 somewhat below my expectations
3 about what I expected
4 somewhat above my expectations
5 much above my expectations - very grateful
Do not enter anything in this field:
Level Ground, Inc.
| 4880 Lower Roswell Road, Suite 165-314, Marietta, GA 30068-4385 | phone: 678.856.7071 | email:
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