MENtors Driving Change — Needs Assessment

MENtors Driving Change — Needs Assessment

Before your orientation, please take a few minutes to complete this assessment. It helps us understand what support, resources, and connections would help you most — not just attendance. There are no wrong answers. Answer honestly based on how things are for you right now.

This takes about 8–10 minutes. Your answers go directly to your MENtors contact and are kept confidential within the program.

If you or someone in your household is in immediate danger, please call 911. For confidential support, the National Domestic Violence Hotline is 1-800-799-7233 (available 24/7).

Your information

Please enter your name and answer every question before submitting.

Tapping Submit opens an email addressed to your MENtors contact with your answers filled in — just hit send from your email app. If nothing opens, use "Copy my answers" and paste them into an email or text instead.

Thank you

If your email app opened, review it and hit send to finish submitting. If you used the copy option, please paste your answers into an email or text to your MENtors contact now.