Evaluation refers to the process of using data to assess team performance and to achieve positive (resident) outcomes on care units. Individuals completing the ACT are asked to rate the evaluation on their care unit by answering six items using a 5-point Likert agreement scale. The six items are hierarchical in nature and represent a process. The final evaluation score obtained for each individual is an average of his or her scores on the six items. Higher scores reflect a more positive perception of the feedback process mechanisms on the care unit.