Mindful Mentors – Teacher Questionnaire

Please complete for each student you teach/are responsible for. Please name each student 'student 1, student 2 etc..

Student Number:
School(optional):
Course: Mindful Mentors
Class: Year 8Year 9Year 10Year 11

Based on your knowledge of this student and your professional judgement, please rate them on a scale of 1-4 where 1= Not at all, 2= A little bit, 3= Quite a lot, 4= A LOT!

1. The mindful mentors programme has given this student more confidence.
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Please note any evidence you have observed below:

2. There has been a notable improvement in this student’s teamwork skills
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Please list any skills you have observed below:

3. This student has shown notable leadership skills.
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Please list some leadership skills you have observed below:

4. This student has formed good relationships with the other mentors/mentees.
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Please note any evidence you have observed below:

5. This student has really become part of the school community as a result of the mindful mentors programme.
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Please note any evidence you have observed below:

Please share any other comments you feel would be helpful in evaluating the success of this programme:

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