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Name*
Email*
Company*
Team/Group
Please put a rating in the corresponding box to report how true the statement is for your team right now. All fields must be entered. If a statement does not apply please use an X.
Not at All
A Little Bit
Somewhat
Mostly
Very Much
NA
1
2
3
4
5
x
Goals are appropriate and clearly stated.
12345x
We are committed to the accomplishment of our shared goals.
We accomplish our goals.
Our group collectively contains the full range of talents we need to be effective.
Our talents are fully utilized.
One or more people competently fulfill the role of leadership.
Everyone clearly understands the role he/she is to fulfill.
Everyone clearly fulfills the role he/she is expected to play.
We use effective and efficient procedures to identify and resolve problems as they occur.
We hold effective and efficient meetings.
We use effective and efficient procedures to ensure that information is shared and received.
We use effective and efficient planning procedures.
We use effective procedures for tracking and monitoring the progress of our projects.
We deal with conflict in a constructive manner.
We provide enough support to each other to encourage a sense of belonging.
Team members provide enough feedback to each other to raise each other's level of performance.
We get along with each other quite well.
We receive enough recognition from sources within and without for the work that we do.
I receive sufficient feedback on my performance and I know where I stand with the team leadership.
[blank - not used]
Level of trust is high
