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Baseline survey for horizontal mentoring

anonymous survey at beginning of new program

confidence ratings (Required)

For the following questions, please bubble in your answer.

	Not at all confident	Doubtful	Not very confident	Neutral	a little confident	Confident	Very confident
1. My department's expectations for promotion to full professor are clear.
2. I expect to/did obtain promotion to full professor at the earliest allowed time.
3. My colleagues help me obtain my professional goals.
4. I would benefit from outside perspectives on my career trajectory.
5. I have the equipment and supplies I need to conduct my research.
6. I have time and funds to promote my work at conferences.
7. I have appropriate office space.
8. I have sufficient laboratory space.
9. I receive enough funding to conduct my research.

additional scale questions (Required)

	Strongly disagree	Disagree	Slightly disagree	Neither agree nor disagree	Slightly agree	Agree	Strongly agree
10. I am treated with respect by colleagues.
11. I am treated with respect by students.
12. I am treated with respect by my department chair.
13. I feel excluded from an informal network in my department.
14. I encounter unwritten rules concerning how one is expected to interact with colleagues.
15. Colleagues in my department solicit my opinion about work-related matters.
16. Colleagues value my research.
17. I do a great deal of work that is not formally recognized by my department.
18. I feel like I fit in my department.
19. I feel isolated in my department.
20. I feel isolated on my campus.
21. I feel like a full and equal participant in my department's problem-solving and decision-making.
22. I have a voice in how department resources are allocated.
23. I am satisfied with how my career has progressed.
24. I am usually satisfied with the way in which I balance my professional and personal life.
25. I often forgo professional activities (sabbaticals, conferences) because of personal responsibilities.
26.Personal responsibilities and commitments have slowed my career progression.
27. Most faculty in my department are supportive of colleagues who want to balance their family and career lives.
28. There are too few women faculty in my department.
29. The climate for women in my department is good.
30. I receive/d enough feeback on my progress toward promotion.
31. I am satisfied with the fit between the way I do/did teaching, research and service, and the way it is/was evaluated for promotion.

Please assess your recent professional productivity:

33. During the last four years, list your number of

a. applications for promotion (Required)

b. promotions (Required)

c. submitted external grant proposals (Required)

d. funded external grant proposals (Required)

e. submitted internal grant proposals (Required)

f. funded internal grant proposals (Required)

g. scholarly articles submitted to journals (Required)

h. student research assistants (Required)

i. research collaborators (Required)

j. significant course or curriculum revisions (Required)

k. leadership roles in department, committee, or professional organization (Required)

l. other major projects (Required)

List the number of people in each of the following categories who:

34. give you feedback on research proposals and papers?

a. former research advisers (Required)

b. former classmates (Required)

c. departmental colleagues (Required)

d. colleagues in another department on campus (Required)

e. colleagues at another institution (Required)

35. collaborate in research with you?

a. former research advisers (Required)

b. former classmates (Required)

c. departmental colleagues (Required)

d. colleagues in another department on campus (Required)

e. colleagues at another institution (Required)

36. discuss teaching strategies with you?

a. former research advisers (Required)

b. former classmates (Required)

c. departmental colleagues (Required)

d. colleagues in another department on campus (Required)

e. colleagues at another institution (Required)

a. former research advisers (Required)

b. former classmates (Required)

c. departmental colleagues (Required)

d. colleagues in another department on campus (Required)

e. colleagues at another institution (Required)

38. What are your professional goals for the next few years? (Required)

39. What would you like to accomplish with the assistance of your mentoring group? (Required)

Please create a participant ID. (Required)

Use the first two letters of your hometown followed by the day on which you were born. For example, if you were born on May 2nd in Nashville, TN your participant ID would be NA02. Participant ID:

by Mihalick, Jennifer E — last modified May 03, 2012 08:35 AM

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