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Board Of Directors

Self Assessment Questionnaire
For each item, please indicate how you would rate yourself and how you would rate the board as a whole. You should skip any item for which you have no opinion.
IMPORTANT: Your responses are not counted until you click the "Submit Survey" button at the bottom of the form.

Part 1. - Select Your Organization
1.) Your Name (Optional)
 2.) Your Organization (Required)
Part 2. - Evaluation of Board Functions
Evaluation of Self Board Functions Evaluation of Board
Strongly
Disagree
Disagree		 Don't
Know
Agree		 Strongly
Agree		 Strongly
Disagree
Disagree		 Don't
Know
Agree		 Strongly
Agree
1)  Understands the Mission and Vision of the organization
2)  Able to properly represent the organization to the local community
3)  Has an active role in developing annual goals and objectives of the organization
4)  Has an active role a developing a long-term strategic plan
5)  Familiar with the challenges of the non-profit environment
6)  Active in other charitable or community organizations
7)  Organization takes full advantage of skills and experience
8)  Has adequate knowledge of all the organization's major programs and services
9)  Is familiar with the financial status of the organization
10)  Have the experience and skills necessary to lead the organization
11)  Informed about the issues that are important to the organization
12)  Supports the organization through personal or corporate contributions
13)  Is aware of the roles and responsibilities of the board
14)  Understands the differences between the responsibilities of the board and staff
15)  Takes care to avoid conflicts of interest
16)  Plays an active role in raising funds to support the organization
17)  Participates in established committees
18)  Demonstrates support through attendance at board meetings and other events
19)  Follows through on commitments made to the organization
20)  Participates in the process of selecting and developing board leadership
Part 3. - Additional Information
21. What additional comments or suggestions would you like to make?

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