Your name:_________________________
Please use the following scale to respond to the statements below concerning each of your team members. (Please write the appropriate number next to the statement).
| Strongly disagree | Disagree | Neither Agree nor Disagree | Agree | Strongly Agree |
| 1 | 2 | 3 | 4 | 5 |
Team member (1) Name:____________________
____ This team member devoted his or her fair share of time to the project
____ The contributions made by this team member were thoughtful and valuable
____ I would be pleased to work with this member on another team in the future.
Team member (2) Name:_________________
____ This team member devoted his or her fair share of time to the project
____ The contributions made by this team member were thoughtful and valuable
____ I would be pleased to work with this member on another team in the future.
Team member (3) Name:________________
____ This team member devoted his or her fair share of time to the project
____ The contributions made by this team member were thoughtful and valuable
____ I would be pleased to work with this member on another team in the future.
Team member (4) Name:________________
____ This team member devoted his or her fair share of time to the project
____ The contributions made by this team member were thoughtful and valuable
____ I would be pleased to work with this member on another team in the future.
Team member (5) Name:________________
____ This team member devoted his or her fair share of time to the project
____ The contributions made by this team member were thoughtful and valuable
____ I would be pleased to work with this member on another team in the future.
Team member (6) Name:________________
____ This team member devoted his or her fair share of time to the project
____ The contributions made by this team member were thoughtful and valuable
____ I would be pleased to work with this member on another team in the future.
Additional comments about the team or its members: