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The inTEgro
Board Assessment Survey provides an opportunity for Board
members to evaluate collective perceptions of Overall
Organizational Health, the Board Governance Role, and
Board Practices and Effectiveness. The survey also provides
opportunities for self-assessment of commitment and effectiveness as
a Board member and short narrative responses about Board strengths
and opportunities for improvement. Questions from the sample
Board Assessment Survey below can be tailored for your
organization. inTEgro processes the surveys and can provide
several report formats, including individual reports showing self
compared with composite results.
Sample (General Hospital) Board Assessment Survey
Circle the
number that best corresponds to your perception.
1 = Very Poor
2 = Poor
3 = Fair
4 = Good
5 = Excellent
DK = Don’t Know
Please use the
space below each question to comment or further explain your answer
if you care to.
Organization Performance
very poor poor
fair good
excellent DK
1.
Overall organizational health of
1 2 3
4 5
DK
General Hospital
2.
Performance expectations for General 1 2
3 4
5 DK
Hospital this year
4.
Overall quality of General Hospital staff 1
2 3
4 5
DK
5.
General Hospital ethical tone, and
1 2
3 4
5 DK
compliance with laws and
regulations
9.
General Hospital’s abilities to confront 1
2 3
4 5
DK
realities that could affect
long-term
results and performance
14.
General Hospital senior leadership 1
2 3
4 5
DK
15.
General Hospital leadership succession
1 2 3
4 5
DK
plans
Board
Governance Role
16.
Board representation of stakeholder 1
2 3
4 5
DK
interests
17.
Board effectiveness raising funds and 1
2 3
4 5
DK
assuring adequate financial
resources
19.
Board role in President feedback
1 2 3
4 5
DK
and performance evaluation
21.
Board role in General Hospital
1 2 3
4 5
DK
leadership
selection and succession planning
22.
Board oversight of legal / regulatory
1 2
3 4
5 DK
compliance and ethical practices
24.
Board oversight of General Hospital
1 2 3
4 5
DK
financial position and practices
25.
Board oversight of care quality
1 2 3
4 5
DK
27.
Board maintenance of an appropriate 1
2 3
4 5
DK
governance
role – focused on policy, with
sufficient vs. too much involvement in operations
Board Practices and Effectiveness
28.
By-laws that adequately address legal
1 2 3
4 5
DK
accountabilities and responsibilities
32.
Board effectiveness recruiting and
1 2 3
4 5
DK
orienting new Board members
33.
Expertise and balanced perspectives
1 2 3
4 5
DK
that Board members contribute
34.
Independence and objectivity of Board
1 2 3
4 5
DK
members
36.
Quality of information that the Board
1 2 3
4 5
DK
receives from administration and staff
38.
Board ability to engage in difficult
1 2 3
4 5
DK
conversations
41.
Board
conflict management skills and
1 2 3
4 5
DK
ability to reach consensus
43.
Board member preparation before 1
2 3
4 5
DK
meetings
44.
Continuity of communication and
1 2
3 4
5 DK
work between Board meetings
47.
Board size and
structure
1 2 3
4 5
DK
48.
Board committee
effectiveness 1 2
3 4
5 DK
50.
Board development and Board
1 2
3 4
5 DK
member education / orientation
Individual Assessment
59.
Level of my personal engagement in
1 2 3
4 5
General Hospital’s Vision and
direction
60.
My personal level of involvement and
1 2 3
4 5
participation in Board activities
and meetings
61.
My personal preparation for Board
1 2 3
4 5
meetings and what will be discussed
64.
Service on this Board is a fulfilling,
1 2 3
4 5
satisfying experience for me.
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