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Big Brothers Big Sisters
Michigan Capital Region
1235-A Center Street
Lansing, MI 48906

       877.483.7145 Toll-free

517.372.0160 Tel
  517.372.3130 Fax

Youth POE

(Program Outcome Evaluation)

Descriptions and Definitions of Items on POE form

Fill out the Youth POE form

You can also complete your POE by filling out the form below and clicking "Submit"

Purple = Required
Date Completed
Child's Name
Child's Age

Child's Gender
Child's Program
Child's Ethnicity
Volunteer's Name
Match ID
Length of match (as of today)
(specify in years)

We want you to tell us a little about what you feel about your Big. We will not tell anyone what you said without asking your permission.

 
Much Better
A Little Better
About the same
A Little Worse
Much Worse
Since I was matched with my Big:
My grades are:
My interest in school is:
I get along with everyone at home:
My friendships are:
My desire to learn new things is:
Overall, what do you think about your Big?
What do you like most about your Big?
What sort of things might you want to change about your relationship with your Big?
Is there anything else you want to tell me about your experience with your Big?