Mentor/Student Exit Interview

Date:	Interviewer:	
Mentor:	Student(s):	

If you are leaving the program prematurely, what is the reason, and would you like to be rematched?	

	
Were the stated goals of your match accomplished?	

	
What worked for you in this program?	

	
What could we have done to make this program more successful for you?	

	
How would you rate your experience on a scale of 1 to 10 and why?	

	
Additional Comments