PASD Mentor Stats | Parkinson's Association Mentor Program

Mentors,

Every few months we are going to ask you to complete this very short form to give us an idea of the use of the mentor program. Please note there is nothing confidential in this form. Please complete and submit as soon as possible.

Thanks,
Jeff

Mentor's Name(Required)

First Last

Email(Required)

Location(Required)

San Diego

Northern Nevada

Approximate number of current mentees(Required)

Approximate number of mentees you have worked with since you became a mentor(Required)

I generally speak to each mentee this number of times per week(Required)

1 or less than 1

2 to 3

More than 3

The average number of times I speak with a mentee for the total time they are in the Mentor Program(Required)

As a mentor, I can handle:(Required)

Less mentees

The same mentess as I have now

More mentees

Any other notes?