Form 1 NDMI Live Learning Event Survey

OMB Control Number:
Expiration Date:

XXXX-XXXX
XX/XXXX

New Director Mentor Initiative Feedback Survey
Thank you for participating in the National Center on Program Management and Fiscal Operations New
Director Mentor Initiative (NDMI), conducted by the UCLA Anderson School of Management. To help
ensure the quality of our services, we ask that you complete the following feedback survey. This brief
survey is voluntary and anonymous, and all feedback will be kept confidential. To further protect your
confidentiality please refrain from including personally identifiable information in open-ended responses.
Please note that some survey items use a multi-point scale.
THE PAPERWORK REDUCTION ACT OF 1995 (Pub. L. 104-13)
Public reporting burden for this collection of information is estimated to average approximately 10
minutes per response, including the time for reviewing instructions, gathering and maintaining the data
needed, and reviewing the collection of information.
An agency may not conduct or sponsor, and a person is not required to respond to, a collection of
information unless it displays a currently valid OMB control number.

NDMI Live Learning Event Evaluation
1. Are you participating in this event as a mentor or mentee?
 Mentor
 Mentee
2. What is your primary organizational affiliation?
 Head Start / Early Head Start grantee
 HS / EHS Childcare Partnership grantee
 Other ______________________
3. What is your primary role within your organization?
 Director
 Assistant Director / Associate Director
 Other ____________________
4. How many years have you served in this role?
 Less than 6 months
 6 months to 1 year
 1 to 2 years
 2 to 3 years
 3 to 5 years

Event Feedback
5. Please select your level of agreement with the following statements regarding your mentor/mentee
relationship:
Strongly
Agree

Agree

Disagree

Strongly
Disagree

Don’t
Know/NA

I had sufficient time to interact with my
mentor/mentee.











I am satisfied with my mentor/mentee
pairing.











I am looking forward to interacting with my
mentor/mentee.











I have a clear plan on how I will interact in
the future with my mentor/mentee.











I believe this mentor/mentee relationship will
make a positive contribution to my work.











MENTEE ONLY: I believe my mentor will
contribute to my professional growth and
development.











6. Please select your overall level of agreement with the following statements regarding the NDMI Live
Learning Event:
Strongly
Agree

Agree

Disagree

Strongly
Disagree

Don’t
Know/NA

Course objectives clearly stated and met.











Course content was organized, clear and
effective.











Presenters were knowledgeable of the
content areas they were responsible for.











Presenters clarified content in response to
questions.











Presentation styles were interactive.











The event will support the success of my
mentor/mentee relationship.











Group size was appropriate to support initial
relationship development.











I would recommend this program to other
new directors.











7. Overall, how satisfied were you with this program?
 Very satisfied
 Mostly satisfied
 Mostly dissatisfied
 Very dissatisfied
8. What did you like most about the Live Learning Event?

9. Do you have any suggestions to improve the event?

10. Do you have any specific concerns related to your mentoring relationship or the work that is to be
completed as part of the program?

11. What are you looking forward to the most as a result of participating in this program?

12. Other Comments: