This simple tool is designed to help the board identify areas for attention to its own development. Please circle the number that best reflects your opinion for each item:

5 -strongly agree 4 -agree 3 -neutral 2 -disagree 1 -strongly disagree

1. We have a good, written mission statement that is understood and followed.
5     4    3     2     1
2. The size of and diversity within our board is good for our organization at this time.
5     4    3     2     1
3. We do a good job evaluating and re-electing board members who should continue servina.
5     4    3     2     1
4. We do a good job in nominating, electing and orienting new board members.
5     4    3     2     1
5. Board members are given good and appropriate background materials for meetinas.
5     4    3     2     1
6. Board meeting agendas are full of worthwhile items for discussion and focus on policy issues that are appropriate for the board to discuss.
5     4    3     2     1
7. Committees are well organized and contribute to the effectiveness of the board.
5     4    3     2     1
8. The overall quality of current board members is the quality the organization needs and deserves.
5     4    3     2     1
9. The board and chief executive are clear on their respective roles, as well as the role of other staff.
5     4    3     2     1
10. The board does a good job in setting the chief executive's performance objectives related to results/outcomes.
5     4    3     2     1
11. The board does a performance review of the chief executive each year.
5     4    3     2     1
12. The chief executive is doing well in fulfilling the board's expectations"
5     4    3     2     1
13. The board contributes what it should to the fund raising and marketing efforts of the orqanization.
5     4    3     2     1
14. The board leadership is planned for and effective.
5     4    3     2     1
15. The board has ownership in a good strategic plan to guide the organization for the next five years.
5     4    3     2     1
16. The chairman of the board is exercising appropriate authority and leadership.
5     4    3     2     1
17. The board is knowledgeable about the organization's current programs and services.
5     4    3     2     1
18. The board thoroughly discusses the annual operating budget of the organization prior to approval.
5     4    3     2     1
19. The board receives financial reports on a regular basis that are understandable, accurate and timely.
5     4    3     2     1
20. The board has an adequate amount of liability insurance, as well as risk reduction! Control policies and procedures in place.
5     4    3     2     1

What do you think is the most critical concern of the board at this time?

Time commitment
(Returning Board Member) On average, how much time are you giving to the organization? ___ Hours/month.
For you, is this amount about right?
Too much?
Not enough?
How much time are you willing to give? ___ Hours/month.
 
Fund Raising Commitment
How much have you committed to give and/or raise for this organization this year?
Personal Contribution $__________
To solicit from friends, business contacts, etc. $__________
Assistance with special events, advertising, etc. $__________
Other $__________