MENTORSHIP QUESTIONNAIRE

COMPLETE AND SUBMIT THE QUESTIONNAIRE BELOW NO LATER THAN 24 HOURS PRIOR TO YOUR GOALS SESSION. BE AS DETAILED AS YOU CAN WITH YOUR RESPONSES. THE MORE I KNOW ABOUT YOU THE BETTER.

Name

First Name

Last Name

What Date is Your Goals Session?

Enter the date from the confirmation email you received.

Why Do You Want Mentoring?

What inspired you to seek out mentorship?

What Are Your Top 5 Goals?

What goals do you want to achieve as a result of your mentoring?

Describe Your Challenges

What is preventing you now from achieving your goals? What types of roadblocks are you experiencing?

Occupation

What do you currently do for work?

Level of Experience

What experience do you have in the areas you want to focus on during your Mentorship?

Where do you See Yourself 12 Months From Now?

Where Do You See Yourself 5 Years from Now?

How Would You Describe Your Personality?

Briefly Describe Your Background

What Motivates You to Succeed?

Reflect on past experiences... What inspired you to achieve past results?

What Else Do You Want Me to Know About You?

Include everything you want me to know.

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