Team Development Needs Assessment

Organization Information

Thank you for selecting the Whitewater Center for your team development needs. We request the below information in order to better meet your group’s needs and goals. This information will be kept confidential and only shared with the facilitator(s) and staff leading or assisting with your group.

Name*

First Last

Group Name*

Email*

Date of Visit*

How many participants are in your group?*

Please provide a brief explanation of your organization/company/school.*

What is this group’s role within the organization?*

Where is your organization located?*

Group Information

What is the age range of the group?*

How often does the group interact?*

e.g. daily, weekly, monthly, never

How does the group interact?*

e.g. phone, in-person, email

How well do group members know each other?*

e.g. only professionally, interact regularly outside of work/school

Do participants work at the same location/office?*

Please share where they are coming from

Is everyone the same rank?*

Briefly share their work ranks/titles/roles

How long has this group worked together?*

Are there new employees?

Are there any barriers or challenges?*

e.g. language barriers, physical injuries, important health information

Has this group participated in team development at the Whitewater Center previously? If YES, describe any activities in which you DO or DO NOT want your group to participate.*

e.g. “We would like to do the activity with the triangle wire—our group loved it last year!”

Has this group participated in any team development activities before?*

If so, Where? What?

Is this a required or voluntary event?*

Required

Voluntary

Goals

Please identify your group’s goals.*

e.g. improve communication, increase trust, experience camaraderie, fun, etc.

Does the group know what the goals are?*

Briefly share why this experience was selected for the group.*

Describe the physical challenge level you want your group to experience.*

e.g. low/medium/high impact

Large Groups (25 or more participants)

Groups with more than 25 participants may be divided into smaller groups. Facilitator to participant ratios vary and are based on our assessment of your needs and your program.*

Please indicate if you want us to randomly sort your group or if you want to create your groups. If you are creating your groups, please provide us with the group list.

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