1. This survey lets a team create a “snapshot” of its effectiveness

Please evaluate the statements honestly and be as objective as possible. Be thoughtful about your responses, but don’t agonize over each response. Your initial “gut feel” is usually best.
Use the scale below to indicate how each statement applies to the [specify] team. Please remember to use the entire scale (1–5) to represent your most accurate response.
The assessment should not take more than 15 minutes.

Question Title

* 1. Please assign a rating to each question

  Never Rarely Sometimes Usually Always
Everyone here, whatever their origin/background, can see how their contribution connects to the same common purpose
The team is aligned around common objectives and priorities
Our team has a single, clear and compelling vision of what we want to accomplish
This team’s outcomes are of great consequence to our stakeholders
Team members have to work interdependently to achieve our vision and goals

Question Title

* 2. Please assign a rating to each question

  Never Rarely Sometimes Usually Always
Our team members feel that we are all in it together and we share responsibility for the team’s success or failure
I am proud to tell others I work on this team
Team members willingly make sacrifices in their areas for the good of the team
People here are cynical and pessimistic about what the team is trying to achieve (R)
We enjoy working together; we have a fun and productive time

Question Title

* 3. Please assign a rating to each question

  Never Rarely Sometimes Usually Always
Team members can comfortably discuss their personal lives with one another
Members of this team value and respect each other’s contributions
Team members acknowledge their weaknesses to one another
In this team, it is easy to discuss difficult issues and problems without fear of retribution
In this team, people are sometimes rejected for being different (R)

Question Title

* 4. Please assign a rating to each question

  Never Rarely Sometimes Usually Always
We have set procedures or protocols to ensure that things are orderly and run smoothly (i.e., minimize interruptions, everyone gets the opportunity to have his or her say)
The team is larger than it needs to be (R)
The team is quite stable, with few changes in membership
Members of this team agree about how everyone is expected to behave
The team has a nearly ideal mix of members – a diverse set of people who bring different experiences and perspectives to the work

Question Title

* 5. Please assign a rating to each question

  Never Rarely Sometimes Usually Always
The work we do leaves little room for the exercise of judgment or initiative (R)
All members of the team are held to the same high standards
People are willing to go the extra mile to help the team succeed
People are valued for the unique contribution they can make at work
Team members consistently follow through on promises and commitments

Question Title

* 6. Please assign a rating to each question

  Never Rarely Sometimes Usually Always
The team leader is democratic and collaborative
The team leader helps team members bring their best selves to work
The team leader provides positive feedback when the team behaves or performs well
When people in this team get into trouble working together, there is no one available to help them out (R)
The team leader helps members resolve any conflicts that may develop among them

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