11%

BHWD (MIP) Mentor Pre/Post Evaluation Survey

Questions marked with a * are required

There are no right or wrong answers on this survey. This survey will be used to help us assess and understand how this mentored internship contributed to the development of your knowledge and skills. Information shared in this survey will be kept confidential.

Date of survey completion

What stage of the Mentored Internship Program (MIP) are you completing this survey?

Beginning of Round 2

End of Round 2

Grantee Agency Name

Contact Information

First Name

Last Name

Phone

Email Address

Title