ErinoakKids - Survey of Service Providers

Riverside Health Care Facilities
Management Team Self-Assessment Questionnaire

This on-line questionnaire is designed to gather information about the current level of team functioning among management staff at the various Riverside Sites. Results will be used to shape the content of our team development workshop scheduled for January 6 and 7, 2009.

Please complete this by Wednesday, December 17, 2008. You will have a chance to edit your responses when you click "Submit" Your survey will go directly to the external consultant facilitating our January session, so your replies will remain completely anonymous and confidential.

If you are unsure, or don't know the answer to a particular question, simply leave that item blank.

Thinking in terms with your own experiences with members of the management team at Riverside Health Care Facilities, indicate your level of agreement or disagreement with each of the following statements:

	Agree Strongly	Agree Somewhat	Neutral	Disagree Somewhat	Disagree Strongly
Team members have the knowledge and experience they need to do their jobs effectively
The management team's goal or mission is quite clear to me
Members of the team feel free to level with one another
I trust my co-workers and believe they won't let me down
Lateral communication between team members is a problem
Team members are clear about each other's roles and responsibilities
I believe that my views are respected by members of the team
We don't seem to be working towards a common goal
The group gives recognition and encouragement to me
Conflict is brought into the open and dealt with effectively
My work standards are higher than most other members of the team
It is safe to take risks with this team
We hold each other accountable for our work
The success of the overall management team is more important than my own individual success
Sometimes it feels like we are just "spinning our wheels
My effectiveness is enhanced by being a member of this team

What do you feel is the single most important strength of the management team at Riverside?

What is the main obstacle interfering with team performance?

Feel free to make comments or suggestions to assist the facilitator in designing the content and planning activities for the team building workshop.

Thank you for your cooperation.