90-Day Review Form/5-Month Questionnaire Form (For Mentee To Complete)/etc. Page 9
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18Mentoring at the Chapter Level
90-Day Review Form
Chapter Name:
Date Inducted or Renewal Date:
Mentee:
Mentor:
Occupation:
Mentee s Phone:
Referrals given to date:
Referrals received to date:
Percentage of referrals that have become sales:
Number of Members who have referred me:
Number of members with whom I have scheduled at least one dance card :
Number of guests that have become members:
My presentation skills have improved:
YES
SOMEWHAT
NO
I am more comfortable speaking in front of groups:
YES
SOMEWHAT
NO
I am beginning to establish strong referral relationships:
YES
SOMEWHAT
NO
I am satisfied with my BNI membership:
YES
SOMEWHAT
NO
I would like to consider a role on the Leadership Team:
YES
SOMEWHAT
NO
By month four and five of my membership, I want to improve on: (2 or 3 things)
1.
2.
3.
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