Peer Feedback Form

Name of the team member for whom the feedback is intended:

You must fill this out for each member of your group and mail it to me at the end of the class
on Sep 8. Your evaluation will be kept pending otherwise.
DIRECTIONS:
On this form (in hardcopy) you are to rate each of your peers on the scale provided !ere are some
"uidelines:
This form is confidential #our name doesn$t "o out to your peer %e honest
#ou &'ST ans(er every item
There is a space )elo( for comments #ou must (rite your feed)ac* e+plainin" the reason
for your scores This (ill help your friend improve
%ased on the feed)ac*, assi"n mar*s out of -.
ating !tem
"
#owest
$Never%
&
arely but
occasionally
'
Sometimes(
Somewhat
)
*uite
+ften
,
-ighest
$.lways%
- /ttends meetin"s (or if cannot, tells the
"roup in advance and "roup accepts reason)
0 Is punctual to meetin"s (or, if late, "roup
is )oth notified in advance and accepts her
reason for tardiness)
1 Comes to meetin"s prepared 2 has
information and ideas and has completed all
of her3his assi"ned tas*s (ell
4 5romotes efficiency at the meetin" (!elps
*eep the discussion or"ani6ed and on trac*,
occasionally plays devil7s advocate (hen
necessary to promote critical thin*in" a)out
"roup ideas)
8 Encoura"es each mem)er7s involvement
(as*ed others for information, ideas,
opinions, and feelin"s Supported others
(ith a"reement or open 9uestions Confirms
the (orth of others throu"h ver)al,
nonver)al, and listenin" communication)
: !elps create a sense of teamness (!elps
orient mem)ers to(ard mutual "oals,
supports the team process, discusses the
(ays in (hich the team (or*s Comments
on (hat "oes (ell, and su""est positive
(ays to assess and improve the 9uality of the
team(or*)
; <enerally encoura"es trust and openness
(Ta*es ris*s and occasionally self discloses,
understands, promotes and respects norms
for confidentiality, supports others)
= &a*es connections (!elps people to
support each other >oo*s for thin"s they
have in common, states appreciation for
others7 contri)utions Encoura"es open?
mindedness and interest in other mem)ers7
points of vie()
@ Encoura"es harmony and discussion
Cares a)out the processes that occur in the
meetin" and demonstrates active interest in
playin" (ith the ideas that are presented
-. Is proactive (anticipates, thin*s of
possi)ilities and contin"encies, plans ahead,
and acts)
-- Does not dominate at meetin"s (Does
not control the conversation, does not
promote only her3his o(n point of vie( or
o(n )eliefs)
-0 Is fle+i)le
-1 <enerally conforms to "roup norms and
standards for roles and )ehavior
-4 Is o)Aective: she3he demonstrates the
a)ility to loo* at )oth sides of the issue,
suspends any personal )iases, is reasona)le
and dispassionate, and e+amines evidence,
reasonin" and values )efore ta*in" sides
-8 Is principled: she3he demonstrates that
she3he is concerned for others7 (ell )ein",
cares a)out ho( her3his actions mi"ht affect
others, and is not concerned (ith only
her3his personal o)Aectives In addition, this
individual discoura"es other teammates from
ta*in" advanta"e of or inAurin" others
-: Is trust(orthy: she3he is sincere,
consistently honest, and )ehaves ethically,
even under pressure
-; Contri)utes creativity and critical
thin*in": helps others to "et ideas, as*s
9uestions, ma*es su""estions, and uses
analysis to evaluate lo"ic, reasonin", and
proposed ideas
-= Bollo(s throu"h on promises or
commitments
-@ Demonstrates an a)ility to accurately
dia"nose social cues and adapt accordin"ly
to promote a positive communication
climate (Relates to self?monitorin")
0. Deals actively (ith team stress (!elps to
dia"nose causes of stress and finds (ays to
relieve it 'ses humor or ne"otiation to ease
conditions)
0- !elps to mana"e conflicts (Seems to
understand that conflict is normal, funds
(ays to support ne"otiation and
compromise)
00 Seems to )e puttin" in her3his fair?share
of the (or* ?? and 9uality of (or* is
consistent (ith "roup e+pectations
/arks out of "0 1
5lease use this space to leave comments a)out your peer, or to e+plain your reasons for any lo(
scores you have "iven this individual