District 101 Club Mentor Visit Report
Submit this form after each visit
Email address *
Your name *
Enter your name here
Your answer
Date of visit *
Date of the visit for which you're submitting this report
MM
/
DD
/
YYYY
Club Information
Club name *
Name of the club you are mentoring
Your answer
Regular club meeting time *
Date and time of regular club meetings (e.g. Tue @ noon)
Your answer
Number of attendees *
How many people were at the meeting today (not including mentors)?
Your answer
President: *
Name of current club President
Your answer
Mentor Feedback
Does the meeting start and end on time? *
Yes/No/Comment
Your answer
Do the speakers use Toastmasters Communication Manuals? *
Yes/No/Comment
Your answer
What did you like about the meeting? *
What is the club doing well already?
Your answer
Opportunities for improvement *
What could the club do differently to make their meeting even better?
Your answer
Specific action items *
Specific actions to address opportunities for improvement and improve the club experience.
Your answer
Any other comments
Anything else you want to say?
Your answer
Submit
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