HOST Mentoring Fromative Survey

The purpose of this survey is to gather input on the initial implementation of the HOST mentoring program for Hoover and Churchill Elementary Schools.



  1. The information presented at the HOST Volunteers' training has been benificial in my interactions with my HOST student.
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. The first meeting with my HOST student was successful as a result of the leading questions from the HOST journal.
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. My HOST student has become more and more engaged during our HOST meeting times.
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. The classroom teacher of my HOST student has communicated pertinent information in a consistent manner.
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. My HOST student and/or classroom teacher has provided academic materials on a consistent basis to be used during the scheduled meeting times with the HOST student.
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. Overall, I feel that this program has been beneficial for the HOST student I work with.
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. Overall, I feel that the program has been beneficial for me.
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. I feel I can contact administration and/or the classroom teacher with concerns or suggestions at anytime.
      1 2 3 4 5  
    Strongly agree   Strongly disagree