Mentor Questionnaire
The Mersey Orthopaedic Mentoring Scheme aims to match you with a suitable mentee. This form attempts to find out some basic information to aid the matching process.

All responses will remain confidential on a database and are only available to the scheme supervisors: Mr Ben Fischer and Professor Jim Harrison.

The questions however are entirely voluntary. You can pick and choose which questions to answer. The only information required to join is name, email address, training grade and whether you have completed a mentoring course (essential to join the mentoring scheme) and mentor-mentee agreement.
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Name *
Email address *
Stage of training *
What subspeciality interests you/currently work in?
More than one option can be selected
Are you less than full time or considering it?
Clear selection
What are you most interested in?
More than one option can be selected
Where do you see yourself working as a Consultant/where do you work as a Consultant?
Clear selection
How would you describe your personality?
More than one option can be selected
What personality type are you likely to get on with?
More than one option can be selected
Why would you like a mentee?
Have you completed a mentoring course? *
Have you read the mentor-mentee agreement and agree with the terms? *
Mentor-mentee agreement can be found: https://58society.com/58-society/mersey-orthopaedic-mentoring/ Please scroll to the bottom of the page
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