Needs Assessment Questionnaire for Mentors

Name ____________________________ Building _____________________

Part A: Please choose the response for each item that most closely indicates your level of need for assistance in the area described.

Possible Responses:
          A. Little or no need for assistance in this area
          B. Some need for assistance in this area
          C. Moderate need for assistance in this area
          D. High need for assistance in this area
          E. Very high need for assistance in this area

1. _____ Learning more about what is expected of me as a mentor
2. _____ Collecting classroom observation data
3. _____ Diagnosing the needs of my mentee
4. _____ Interpersonal skills
5. _____ Assisting my mentee with classroom management skills
6. _____ Helping my mentee develop a variety of effective teaching strategies
7. _____ Using principles of adult learning to facilitate the professional growth of my mentee
8. _____ Helping my mentee maintain student discipline
9. _____ Socializing my mentee into the school culture
10. ____ Helping my mentee develop a long-range professional development plan
11. ____ Providing emotional support for my mentee
12. ____ Co-teaching with my mentee
13. ____ Managing my time and work
14. ____ Finding resources and materials for my mentee
15. ____ Problem-solving strategies
16. ____ Helping my mentee motivate students
17. ____ Helping my mentee diagnose student needs
18. ____ Helping my mentee deal with individual differences among students
19. ____ Helping my mentee evaluate student progress
20. ____ Coaching my mentee
21. ____ Helping my mentee to differentiate instruction
22. ____ Helping my mentee with data analysis
23. ____ Facilitating the technological expertise of my mentee
24. ____ Helping my mentee with grading
25. ____ Encouraging my mentee to be reflective
 

Part B:

List any needs you have as a mentor that are not addressed by the preceding items:
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What additional types of support should the district provide to you and other mentors?
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(From: Gordon & Maxey, 55-56)