PASD Mentee Feedback Form

Your feedback is invaluable in guiding us to make the Parkinson’s Association Mentor Program stronger and better. Please provide honest feedback. Your responses will be held in confidence unless you note on the form that we can use your comments for marketing and share them with your mentor.



On a scale of 1 to 5, with 5 being best:

Is your mentor available for you?
Do you receive timely responses to your request for a call?
Does your mentor give you enough time during your calls?
How would you rate your benefits from the Mentor Program?
Would you recommend the Mentor Program to others?
May we use your comments anonymously in our marketing materials and on our social media outlets?(Required)
May we share your comments with your mentor?(Required)
I am not a robot(Required)
Please enter a number from 0001 to 9999.