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2

1 Disagree
Strongly disagree

1. Amongstus, we all know who is responcible for activites and deliverables 1 2

2. We understand the strengths and weaknessess of our team 1 2

3. We have a team charter 1 2

4. We help each other learn 1 2

5. We are clear about our competency strengh and gaps 1 2

6. We have the right skills in the team 1 2

7. We regularly review our progress 1 2

8. We are confident about meeting the challenge we have set ourselves 1 2

9. We value the differences within the team 1 2

10. We regularly give feedback to eachother 1 2

11. We have the right people in the team 1 2

12. team memener actively apply their skills 1 2

13. We have effective meetings with are well facilitated 1 2

14. we are genuine with each other 1 2

15. Depending in the task at hand, the leadership role is rotated within the team 1 2

16. We walk the talk 1 2

17. Agains our key performance indicators, we have produced some exceptional
1 2
work

18. Depending on the skills requirments, we rotate team members and


1 2
occasionally involve additional members to support

19. Overall, everyone really works together 1 2

20. We rely on each other 1 2

21. We have spent time on developing team competencies (e.g. meeting


1 2
management)

22. We help each other be successful 1 2

23. We spend as much time doing things as we do reviewing what we have done 1 2

24. So far, we have exceeded our performance expectations 1 2


25. Do you belive our team has made progress since (date of last survey)
yes no

25a. If YES, please outline areas of greates change. If, NO, please let us know
what in your oppinion has prevented change

26. In moving forward, the best thing that we could work on as a team would be
(please complete the statement)

Key to Criteria:
Accountability: 1, 15, 20

Commitment: 3, 8, 16

Valuing others: 2, 9, 14

Feedback &
learning 4, 10, 22
3 4 5
Neutral Agree Strongly
agree

3 4 5

3 4 5

3 4 5

3 4 5

3 4 5

3 4 5

3 4 5

3 4 5

3 4 5

3 4 5

3 4 5

3 4 5

3 4 5

3 4 5

3 4 5

3 4 5

3 4 5

3 4 5

3 4 5

3 4 5

3 4 5

3 4 5

3 4 5

3 4 5
Competencies: 5, 11, 21

Technical skills: 6, 12, 18

Common
approach: 13, 19, 23

Measurement: 7, 17, 24