Name Address Gender Age

: : : : Male [ ] 21-25[ ] Female [ ] 25-30 [ ] 30-35[ ] 35+ [ ]

Years of experience in this Organization: 2 years [ ] 3-4 years [ ] 5-7 years [ ] 8 years and above [ ]

1. How many Members are there in your Group? 2-4 [ ] 5-7[ ] 8-10[ ] 10 and above [ ]

2. How often are you friendly and support of your group member`s ideas? Always ( ) Often ( ) Sometimes ( ) Rarely ( ) Never ( ) 3.How often do you suggest new ideas? Always ( ) Often ( ) Sometimes ( ) Rarely ( ) Never ( ) 4.How often do you relate personal experiences relevant to the groups tasks? Always ( ) Often ( ) Sometimes ( ) Rarely ( ) Never ( ) 5.How often do you express your opinion? Always ( ) Often ( ) Sometimes ( ) Rarely ( ) Never ( ) 6.How often do you point out ways to proceed when the group is stuck? Always ( ) Often ( ) Sometimes ( ) Rarely ( ) Never ( ) 7.How often are you a good listener? Always ( ) Often ( ) Sometimes ( ) Rarely ( ) Never ( ) 8.How often do you invite other members to work with you on specific issues? Always ( ) Often ( ) Sometimes ( ) Rarely ( ) Never ( ) 9..Does one person or group dominate the meetings? Yes [ ] no [ ] 10.Do certain individuals talk more at meetings than others? Yes [ ] no [ ]

11.Are you bothered that certain individuals talk more at meetings than others? Yes [ ] no [ ] 12.Are you bothered that certain individuals have more influence over the decision-making process than others? Yes [ ] no [ ] 13.I better understand my learning style within the group. Yes [ ] no [ ] 14.I better understand my position within the group. Yes [ ] no [ ] 15.The group activities helped me strengthen my cooperation skills. Yes [ ] no [ ] 16.Working in a group environment helped me to learn to trust my peers Yes [ ] no [ ] 17. Because of my skills and experience, I am good at group work Strongly Disagree [ ] Disagree [ ] Neutral [ ] Agree [ ] Strongly Agree [ ]

18. Because of my skills and experience, I am good at group work Strongly Disagree [ ] Disagree [ ] Neutral [ ] Agree [ ] Strongly Agree [ ]

19.I am consistently working toward achieving my groups mission statement. Strongly Disagree [ ] Disagree [ ] Neutral [ ] Agree [ ] Strongly Agree [ ]

20. Because of my work in group dynamics, I find that my teammates have become my friends. Strongly Disagree [ ] Disagree [ ] Neutral [ ] Agree [ ] Strongly Agree [ ] 21. Through group dynamics, I have gained the confidence to explore new activities and ideas. Strongly Disagree [ ] Disagree [ ] Neutral [ ] Agree [ ] Strongly Agree [ ]

22. Through improvisation, I have become more comfortable with freedom of expression. Strongly Disagree [ ] Disagree [ ] Neutral [ ] Agree [ ] Strongly Agree [ ] 23.. How satisfied are you with the level of follow-up action taken by staff in response to decisions made by the group? very satisfied [ ] somewhat satisfied [ ] neither satisfied nor dissatisfied [ ] somewhat dissatisfied[ ] very dissatisfied[ ]

24.. How satisfied are you with the way staff prepare and structure group meetings? very satisfied [ ] somewhat satisfied [ ] neither satisfied nor dissatisfied [ ] somewhat dissatisfied[ ] very dissatisfied[ ] 25.Are you satisfied working with your group? Yes [ ] If No , why? __________________________________