BTR Mentoring Program - Midpoint Survey - Association for Academic Surgery (AAS)

Please enter the last four digits of your cell phone number; if you do not have a cell number, please enter the last four digits of your home phone number. These codes are for internal tracking only and will not be shared or used for identification purposes.(Required)

I have met with my mentor a total of ________ times. (Use the space below to fill in the missing number.)(Required)

please list other types of interactions here:

If you selected Neutral, Disagree, or Strongly Disagree, please expand:

Please list other benefits here:

Please list other areas you would like to receive guidance from your mentor here:

Please list your goals that you have achieved thus far as a result of this program (include up to 3):

Please list your goals you have not achieved thus far but hoped to achieve as a result of this program (include up to 3):

Please list aspects of the mentor program that should be continued in the future (include up to 3):

Moving forward, the following changes could improve the mentor program (include up to 3):

BTR Mentoring Program – Midpoint Survey

BTR Mid-Mentorship Survey

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