HEAR Mentor Feedback Form “We make a living by what we get, we make a life by what we give.” — Winston Churchill Thank you for being a mentor to a HEAR Scholar. HEAR Scholar Name* First Last Date of conversation* Date Format: MM slash DD slash YYYY Is your mentee struggling with any classes?*Not at all concernedSlightly concernedModerately concernedVery concernedExtremely concernedIs your mentee adapting socially? Does he/she seem happy?*Not at all concernedSlightly concernedModerately concernedVery concernedExtremely concernedDoes your mentee express or show signs of stress?*Not at all concernedSlightly concernedModerately concernedVery concernedExtremely concernedDo you have any other concerns regarding your mentee?*Not at all concernedSlightly concernedModerately concernedVery concernedExtremely concernedPlease include additional details below if needed. Thank you for completing our mentor form.
