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pdfAttachment 19:
NRMN Mentor Skills Module
Note: This module will be part of the annual follow-up survey for selected respondents, so the general
information about survey purpose and information protection are described as part of the main survey.
OMB #0925-XXXX
EXP. XX/XXXX
Public reporting burden for this collection of information is estimated to average 10 minutes per
response, including the time for reviewing instructions, searching existing data sources, gathering and
maintaining the data needed, and completing 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
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Bethesda, MD 20892-7974, ATTN: PRA (0925-xxxx*). Do not return the completed form to this
address.
2
OMB #0925-XXXX
EXP. XX/XXXX
NRMN Mentor Skills Survey
Please indicate how skilled you feel in each mentoring component listed below. Use a scale
from 1 to 7 where 1 = “Not at all” and 7 = “Extremely.” If you cannot comment, indicate N/A
(not applicable) in the last column.
Not at
all
Extremely
1. Active listening
1
2
3
4
5
6
7
N/A
2. Providing constructive feedback
1
2
3
4
5
6
7
N/A
3. Establishing a relationship based on trust
1
2
3
4
5
6
7
N/A
4. Identifying and accommodating
different communication styles
1
2
3
4
5
6
7
N/A
5. Employing strategies to
improve communication with
mentees
1
2
3
4
5
6
7
N/A
6. Coordinating effectively with your
mentees' other mentors
1
2
3
4
5
6
7
N/A
7. Working with mentees to set clear
expectations of the mentoring
relationship
1
2
3
4
5
6
7
N/A
8. Aligning your expectations with
your mentees'
1
2
3
4
5
6
7
N/A
9. Considering how personal and
professional differences may impact
expectations
1
2
3
4
5
6
7
N/A
OMB #0925-XXXX
EXP. XX/XXXX
1
2
3
4
5
6
7
N/A
1
2
3
4
5
6
7
N/A
12. Accurately estimating your mentees'
level of scientific knowledge
1
2
3
4
5
6
7
N/A
13. Accurately estimating your mentees'
ability to conduct research
1
2
3
4
5
6
7
N/A
14. Employing strategies to
enhance your mentees'
knowledge and abilities
1
2
3
4
5
6
7
N/A
15. Motivating your mentees
1
2
3
4
5
6
7
N/A
16. Building mentees' confidence
1
2
3
4
5
6
7
N/A
17. Stimulating your mentees' creativity
1
2
3
4
5
6
7
N/A
18. Acknowledging your mentees'
professional contributions
1
2
3
4
5
6
7
N/A
19. Negotiating a path to
professional independence
with your mentees
1
2
3
4
5
6
7
N/A
20. Taking into account the biases and
prejudices you bring to the mentor/
mentee relationship
1
2
3
4
5
6
7
N/A
1
2
3
4
5
6
7
N/A
22. Helping your mentees network effectively
1
2
3
4
5
6
7
N/A
23. Helping your mentees set career goals
1
2
3
4
5
6
7
N/A
10. Working with mentees to set research
goals
11. Helping mentees develop strategies
to meet goals
21. Working effectively with mentees
whose personal background is different
from your own (age, race, gender,
class, region, culture, religion, family
composition etc.)
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EXP. XX/XXXX
1
2
3
4
5
6
7
N/A
25. Understanding your impact as
a role model
1
2
3
4
5
6
7
N/A
26. Helping your mentees acquire
resources (e.g. grants, etc.)
1
2
3
4
5
6
7
N/A
24. Helping your mentees balance
work with their personal life
Culturally Responsive Mentoring Self-Assessment
1. In your mentoring relationship, how important is it to you that YOU do the following:
a. Be willing to discuss
diversity issues?
b. Considers their own
cultural background and
your own?
c. Values and respects
cultural differences?
Not at all important
Somewhat
important
1
2
3
1
2
3
1
2
3
Very Important
2. In your mentoring relationship, how skilled are YOU do the following:
a. Discussing diversity
b. Considering their own
cultural background, as
well as yours
c. Valuing and respecting
cultural differences
1
2
3
1
2
3
1
2
3
How satisfied are you with the mentoring you are providing to your mentees?
Very Low
1
Back
Average
2
Next
3
Cancel
4
Very High
5
6
7
File Type | application/pdf |
Author | DOM-UCLA |
File Modified | 2016-06-02 |
File Created | 2015-07-26 |