Name of Organization
Sample Board of Directors Self-Evaluation
In order to prepare for [name of org] [date] board of directors planning session, please complete the following evaluation and return it by [date] to [name]. You may email it to [email address] or fax it to [fax number]. Your responses will remain confidential. Thank you.
Name _________________________________________________________________
Please circle if you agree, disagree, or are neutral about the following statements,
and use the lines provided to make comments.
1. I understand the roles and responsibilities of the board. Agree Disagree Neutral
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2. I’m familiar with [name of org] mission and programs. Agree Disagree Neutral
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3. The board gives adequate attention to strategic planning. Agree Disagree Neutral
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4. Committees of the board are active and responsible for their work. Agree Disagree Neutral
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5. The board receives regular reports on finances, programs, etc. Agree Disagree Neutral
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6. The board monitors and evaluates the organization’s performance. Agree Disagree Neutral
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7. I do my part in assisting with fund development and special events. Agree Disagree Neutral
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8. The board evaluates key staff and has approved personnel policies. Agree Disagree Neutral
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9. The board appears to have the necessary skills and diversity to perform its job. Agree Disagree Neutral
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10. The board receives notices of meetings and minutes in a timely fashion. Agree Disagree Neutral
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11. I regularly attend board meetings. Agree Disagree Neutral
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12. Board meetings are well run and focus on important matters. Agree Disagree Neutral
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Other comments: _______________________________________________________________________
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