Team Member Evaluation Form

Person Being Evaluated: ____________________________________ Self? _____ (check if evaluating yourself)

Date(s) of Meeting(s): ____________________________________

Evaluate your own/other member's performance as a team member using the following criteria and rating scales: 1 (Lo) - 5 (Hi) [Circle One Number on Each Line]

    Lo------Hi
1. Was Involved in the Meeting(s)
1 2 3 4 5
2. Provided Positive/Useful Input
1 2 3 4 5
3. Stayed On Task During Meeting(s)
1 2 3 4 5
4. Arrived On Time/Stayed Until End
1 2 3 4 5
5. Listened To Others’ Input
1 2 3 4 5
6. Encouraged Others’ Involvement
1 2 3 4 5
IF APPROPRIATE:  
7. Completed Tasks Assigned at Previous Meeting(s)
1 2 3 4 5