Basic Team Evaluation

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* 1. Please rate the following aspects of your team (on average, as a whole):

	Excellent	Good	Okay	Fair	Poor	N/A
Productivity -how effectively does yout ream engage in core profitable activities?	Productivity -how effectively does yout ream engage in core profitable activities? Excellent	Productivity -how effectively does yout ream engage in core profitable activities? Good	Productivity -how effectively does yout ream engage in core profitable activities? Okay	Productivity -how effectively does yout ream engage in core profitable activities? Fair	Productivity -how effectively does yout ream engage in core profitable activities? Poor	Productivity -how effectively does yout ream engage in core profitable activities? N/A
Additional Comment
External Communication -how well does your team communicate/relate with clients/customers?	External Communication -how well does your team communicate/relate with clients/customers? Excellent	External Communication -how well does your team communicate/relate with clients/customers? Good	External Communication -how well does your team communicate/relate with clients/customers? Okay	External Communication -how well does your team communicate/relate with clients/customers? Fair	External Communication -how well does your team communicate/relate with clients/customers? Poor	External Communication -how well does your team communicate/relate with clients/customers? N/A
Additional Comment
Identity -how much does your team understand/agree with your current branding/mission?	Identity -how much does your team understand/agree with your current branding/mission? Excellent	Identity -how much does your team understand/agree with your current branding/mission? Good	Identity -how much does your team understand/agree with your current branding/mission? Okay	Identity -how much does your team understand/agree with your current branding/mission? Fair	Identity -how much does your team understand/agree with your current branding/mission? Poor	Identity -how much does your team understand/agree with your current branding/mission? N/A
Additional Comment
Internal Communication -how well does your team communicate/relate with each other?	Internal Communication -how well does your team communicate/relate with each other? Excellent	Internal Communication -how well does your team communicate/relate with each other? Good	Internal Communication -how well does your team communicate/relate with each other? Okay	Internal Communication -how well does your team communicate/relate with each other? Fair	Internal Communication -how well does your team communicate/relate with each other? Poor	Internal Communication -how well does your team communicate/relate with each other? N/A
Additional Comment
Fun/Enjoyment -how much does your team enjoy working together?	Fun/Enjoyment -how much does your team enjoy working together? Excellent	Fun/Enjoyment -how much does your team enjoy working together? Good	Fun/Enjoyment -how much does your team enjoy working together? Okay	Fun/Enjoyment -how much does your team enjoy working together? Fair	Fun/Enjoyment -how much does your team enjoy working together? Poor	Fun/Enjoyment -how much does your team enjoy working together? N/A
Additional Comment
Cooperation / Collaboration -how well does your team work together?	Cooperation / Collaboration -how well does your team work together? Excellent	Cooperation / Collaboration -how well does your team work together? Good	Cooperation / Collaboration -how well does your team work together? Okay	Cooperation / Collaboration -how well does your team work together? Fair	Cooperation / Collaboration -how well does your team work together? Poor	Cooperation / Collaboration -how well does your team work together? N/A
Additional Comment
Respect -how deeply do team members feel mutually respected?	Respect -how deeply do team members feel mutually respected? Excellent	Respect -how deeply do team members feel mutually respected? Good	Respect -how deeply do team members feel mutually respected? Okay	Respect -how deeply do team members feel mutually respected? Fair	Respect -how deeply do team members feel mutually respected? Poor	Respect -how deeply do team members feel mutually respected? N/A
Additional Comment
Innovation -how freely, frequently and creatively does your team innovate?	Innovation -how freely, frequently and creatively does your team innovate? Excellent	Innovation -how freely, frequently and creatively does your team innovate? Good	Innovation -how freely, frequently and creatively does your team innovate? Okay	Innovation -how freely, frequently and creatively does your team innovate? Fair	Innovation -how freely, frequently and creatively does your team innovate? Poor	Innovation -how freely, frequently and creatively does your team innovate? N/A
Additional Comment
Trust -how cohesive is your team? How much do you trust each other?	Trust -how cohesive is your team? How much do you trust each other? Excellent	Trust -how cohesive is your team? How much do you trust each other? Good	Trust -how cohesive is your team? How much do you trust each other? Okay	Trust -how cohesive is your team? How much do you trust each other? Fair	Trust -how cohesive is your team? How much do you trust each other? Poor	Trust -how cohesive is your team? How much do you trust each other? N/A
Additional Comment
Safety -how safe do team members feel to be authentic, express themeslves & resolve conflicts?	Safety -how safe do team members feel to be authentic, express themeslves & resolve conflicts? Excellent	Safety -how safe do team members feel to be authentic, express themeslves & resolve conflicts? Good	Safety -how safe do team members feel to be authentic, express themeslves & resolve conflicts? Okay	Safety -how safe do team members feel to be authentic, express themeslves & resolve conflicts? Fair	Safety -how safe do team members feel to be authentic, express themeslves & resolve conflicts? Poor	Safety -how safe do team members feel to be authentic, express themeslves & resolve conflicts? N/A
Additional Comment
Commitment -how deeply is your team commited to your vision/mission?	Commitment -how deeply is your team commited to your vision/mission? Excellent	Commitment -how deeply is your team commited to your vision/mission? Good	Commitment -how deeply is your team commited to your vision/mission? Okay	Commitment -how deeply is your team commited to your vision/mission? Fair	Commitment -how deeply is your team commited to your vision/mission? Poor	Commitment -how deeply is your team commited to your vision/mission? N/A
Additional Comment

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* 2. What are the most difficult, challenging and/or frustrating dynamics within your team?

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* 3. What comes to mind when you freely imagine (no limits or self-censoring judgments) the types of changes you would like to see happen in your workplace and/or with your team?

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* 4. What is the primary type of experience you are looking for?

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* 5. Please select any other secondary interests:

Celebrate / Retreat / Play

Relational Skills

Innovating / Ideation

Visioning / Action Plan

Team / Trust Building

Other, please specify

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* 6. If you could imagine (again, without limits) any kind of experience(s) for your team that you think would help it become more cohesive, focused, trusting, safe, fun, respectful, innovative, communicative, cooperative, committed, etc. -what might it look like?

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* 7. The following questions range from one extreme to another. Neither pole is better than the other --its merely a question of what your group is currently looking for. An answer of '3' would indicate you are looking for a balance in that dimension.

	1	2	3	4	5
Length: From 1 (afternoon onsite) to 5 (two day offsite)	Length: From 1 (afternoon onsite) to 5 (two day offsite) 1	Length: From 1 (afternoon onsite) to 5 (two day offsite) 2	Length: From 1 (afternoon onsite) to 5 (two day offsite) 3	Length: From 1 (afternoon onsite) to 5 (two day offsite) 4	Length: From 1 (afternoon onsite) to 5 (two day offsite) 5
Risk Level: From 1 (predictable) to 5 (experimental)	Risk Level: From 1 (predictable) to 5 (experimental) 1	Risk Level: From 1 (predictable) to 5 (experimental) 2	Risk Level: From 1 (predictable) to 5 (experimental) 3	Risk Level: From 1 (predictable) to 5 (experimental) 4	Risk Level: From 1 (predictable) to 5 (experimental) 5
Content: From 1 (few core concepts) to 5 (as much info as possible)	Content: From 1 (few core concepts) to 5 (as much info as possible) 1	Content: From 1 (few core concepts) to 5 (as much info as possible) 2	Content: From 1 (few core concepts) to 5 (as much info as possible) 3	Content: From 1 (few core concepts) to 5 (as much info as possible) 4	Content: From 1 (few core concepts) to 5 (as much info as possible) 5
Interactivity: From 1 (pure top-down delivery) to 5 (highly interactive)	Interactivity: From 1 (pure top-down delivery) to 5 (highly interactive) 1	Interactivity: From 1 (pure top-down delivery) to 5 (highly interactive) 2	Interactivity: From 1 (pure top-down delivery) to 5 (highly interactive) 3	Interactivity: From 1 (pure top-down delivery) to 5 (highly interactive) 4	Interactivity: From 1 (pure top-down delivery) to 5 (highly interactive) 5
Work/Play: From 1 (playful retreat) to 5 (mostly training)	Work/Play: From 1 (playful retreat) to 5 (mostly training) 1	Work/Play: From 1 (playful retreat) to 5 (mostly training) 2	Work/Play: From 1 (playful retreat) to 5 (mostly training) 3	Work/Play: From 1 (playful retreat) to 5 (mostly training) 4	Work/Play: From 1 (playful retreat) to 5 (mostly training) 5

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* 8. Approximately how many people are you planning for?

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* 9. If you know, what date range are you looking for?

Between

Date

Time

AM/PM

And

Date

Time

AM/PM

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* 10. Some Final Contact Details

Company Name

Department

Name of Primary Contact

Phone Number

Email Address

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* 1. Please rate the following aspects of your team (on average, as a whole):

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* 2. What are the most difficult, challenging and/or frustrating dynamics within your team?

Question Title

* 3. What comes to mind when you freely imagine (no limits or self-censoring judgments) the types of changes you would like to see happen in your workplace and/or with your team?

Question Title

* 4. What is the primary type of experience you are looking for?

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* 5. Please select any other secondary interests:

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* 6. If you could imagine (again, without limits) any kind of experience(s) for your team that you think would help it become more cohesive, focused, trusting, safe, fun, respectful, innovative, communicative, cooperative, committed, etc. -what might it look like?

Question Title

* 7. The following questions range from one extreme to another. Neither pole is better than the other --its merely a question of what your group is currently looking for. An answer of '3' would indicate you are looking for a balance in that dimension.

Question Title

* 8. Approximately how many people are you planning for?

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* 9. If you know, what date range are you looking for?

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* 10. Some Final Contact Details

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* 11. Any final comments or questions?