Full BSAT Survey – ASOLounge

Board Self Assessment Survey

Please answer each question. The responses will be consolidated and presented in a summary report for discussion by the Board and Executive Director.

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Enter the Survey Key provided to you *

What is your role? *

Chair
Executive Director
Board Member

Select the organization you represent *

How well has the Board done its job?

Section A: How well has the Board done its job? *

	Strongly Disagree	Disagree	Not Sure/Maybe	Agree	Strongly Agree
Our organization has a multi-year strategic plan or a set of clear long-range goals and priorities.	Strongly DisagreeOur organization has a multi-year strategic plan or a set of clear long-range goals and priorities. Strongly Disagree	DisagreeOur organization has a multi-year strategic plan or a set of clear long-range goals and priorities. Disagree	Not Sure/MaybeOur organization has a multi-year strategic plan or a set of clear long-range goals and priorities. Not Sure/Maybe	AgreeOur organization has a multi-year strategic plan or a set of clear long-range goals and priorities. Agree	Strongly AgreeOur organization has a multi-year strategic plan or a set of clear long-range goals and priorities. Strongly Agree
The Board’s meeting agenda clearly reflects our strategic plan or priorities.	Strongly DisagreeThe Board’s meeting agenda clearly reflects our strategic plan or priorities. Strongly Disagree	DisagreeThe Board’s meeting agenda clearly reflects our strategic plan or priorities. Disagree	Not Sure/MaybeThe Board’s meeting agenda clearly reflects our strategic plan or priorities. Not Sure/Maybe	AgreeThe Board’s meeting agenda clearly reflects our strategic plan or priorities. Agree	Strongly AgreeThe Board’s meeting agenda clearly reflects our strategic plan or priorities. Strongly Agree
The Board has a current annual Board work plan.	Strongly DisagreeThe Board has a current annual Board work plan. Strongly Disagree	DisagreeThe Board has a current annual Board work plan. Disagree	Not Sure/MaybeThe Board has a current annual Board work plan. Not Sure/Maybe	AgreeThe Board has a current annual Board work plan. Agree	Strongly AgreeThe Board has a current annual Board work plan. Strongly Agree
The Board has ensured that the organization also has an annual operational plan.	Strongly DisagreeThe Board has ensured that the organization also has an annual operational plan. Strongly Disagree	DisagreeThe Board has ensured that the organization also has an annual operational plan. Disagree	Not Sure/MaybeThe Board has ensured that the organization also has an annual operational plan. Not Sure/Maybe	AgreeThe Board has ensured that the organization also has an annual operational plan. Agree	Strongly AgreeThe Board has ensured that the organization also has an annual operational plan. Strongly Agree
The Board gives direction to Executive Director on how to achieve the organization’s mandate and strategic goals primarily by setting or referring to policies.	Strongly DisagreeThe Board gives direction to Executive Director on how to achieve the organization’s mandate and strategic goals primarily by setting or referring to policies. Strongly Disagree	DisagreeThe Board gives direction to Executive Director on how to achieve the organization’s mandate and strategic goals primarily by setting or referring to policies. Disagree	Not Sure/MaybeThe Board gives direction to Executive Director on how to achieve the organization’s mandate and strategic goals primarily by setting or referring to policies. Not Sure/Maybe	AgreeThe Board gives direction to Executive Director on how to achieve the organization’s mandate and strategic goals primarily by setting or referring to policies. Agree	Strongly AgreeThe Board gives direction to Executive Director on how to achieve the organization’s mandate and strategic goals primarily by setting or referring to policies. Strongly Agree
The Board recruits, supports and assesses the performance of the Executive Director.	Strongly DisagreeThe Board recruits, supports and assesses the performance of the Executive Director. Strongly Disagree	DisagreeThe Board recruits, supports and assesses the performance of the Executive Director. Disagree	Not Sure/MaybeThe Board recruits, supports and assesses the performance of the Executive Director. Not Sure/Maybe	AgreeThe Board recruits, supports and assesses the performance of the Executive Director. Agree	Strongly AgreeThe Board recruits, supports and assesses the performance of the Executive Director. Strongly Agree
The Board ensures that the organization’s accomplishments and challenges are communicated to members and stakeholders and that they receive reports on the use of human and financial resources.	Strongly DisagreeThe Board ensures that the organization’s accomplishments and challenges are communicated to members and stakeholders and that they receive reports on the use of human and financial resources. Strongly Disagree	DisagreeThe Board ensures that the organization’s accomplishments and challenges are communicated to members and stakeholders and that they receive reports on the use of human and financial resources. Disagree	Not Sure/MaybeThe Board ensures that the organization’s accomplishments and challenges are communicated to members and stakeholders and that they receive reports on the use of human and financial resources. Not Sure/Maybe	AgreeThe Board ensures that the organization’s accomplishments and challenges are communicated to members and stakeholders and that they receive reports on the use of human and financial resources. Agree	Strongly AgreeThe Board ensures that the organization’s accomplishments and challenges are communicated to members and stakeholders and that they receive reports on the use of human and financial resources. Strongly Agree
The Board has reviewed and approved an organizational risk management plan.	Strongly DisagreeThe Board has reviewed and approved an organizational risk management plan. Strongly Disagree	DisagreeThe Board has reviewed and approved an organizational risk management plan. Disagree	Not Sure/MaybeThe Board has reviewed and approved an organizational risk management plan. Not Sure/Maybe	AgreeThe Board has reviewed and approved an organizational risk management plan. Agree	Strongly AgreeThe Board has reviewed and approved an organizational risk management plan. Strongly Agree
I am confident that this Board would effectively manage any organizational crisis that could be reasonably anticipated.	Strongly DisagreeI am confident that this Board would effectively manage any organizational crisis that could be reasonably anticipated. Strongly Disagree	DisagreeI am confident that this Board would effectively manage any organizational crisis that could be reasonably anticipated. Disagree	Not Sure/MaybeI am confident that this Board would effectively manage any organizational crisis that could be reasonably anticipated. Not Sure/Maybe	AgreeI am confident that this Board would effectively manage any organizational crisis that could be reasonably anticipated. Agree	Strongly AgreeI am confident that this Board would effectively manage any organizational crisis that could be reasonably anticipated. Strongly Agree
The Board has developed and/or reviewed and approved policies related to HIV disclosure.	Strongly DisagreeThe Board has developed and/or reviewed and approved policies related to HIV disclosure. Strongly Disagree	DisagreeThe Board has developed and/or reviewed and approved policies related to HIV disclosure. Disagree	Not Sure/MaybeThe Board has developed and/or reviewed and approved policies related to HIV disclosure. Not Sure/Maybe	AgreeThe Board has developed and/or reviewed and approved policies related to HIV disclosure. Agree	Strongly AgreeThe Board has developed and/or reviewed and approved policies related to HIV disclosure. Strongly Agree
The Board has developed and/or reviewed and approved policies related to the Greater Involvement of People Living with HIV/AIDS (GIPA) and the Meaningful Involvement of People Living with HIV/AIDS (MIPA).	Strongly DisagreeThe Board has developed and/or reviewed and approved policies related to the Greater Involvement of People Living with HIV/AIDS (GIPA) and the Meaningful Involvement of People Living with HIV/AIDS (MIPA). Strongly Disagree	DisagreeThe Board has developed and/or reviewed and approved policies related to the Greater Involvement of People Living with HIV/AIDS (GIPA) and the Meaningful Involvement of People Living with HIV/AIDS (MIPA). Disagree	Not Sure/MaybeThe Board has developed and/or reviewed and approved policies related to the Greater Involvement of People Living with HIV/AIDS (GIPA) and the Meaningful Involvement of People Living with HIV/AIDS (MIPA). Not Sure/Maybe	AgreeThe Board has developed and/or reviewed and approved policies related to the Greater Involvement of People Living with HIV/AIDS (GIPA) and the Meaningful Involvement of People Living with HIV/AIDS (MIPA). Agree	Strongly AgreeThe Board has developed and/or reviewed and approved policies related to the Greater Involvement of People Living with HIV/AIDS (GIPA) and the Meaningful Involvement of People Living with HIV/AIDS (MIPA). Strongly Agree
The Board conducts regular self-assessment on its progress, e.g. Board work plan updates and an annual Board self-assessment.	Strongly DisagreeThe Board conducts regular self-assessment on its progress, e.g. Board work plan updates and an annual Board self-assessment. Strongly Disagree	DisagreeThe Board conducts regular self-assessment on its progress, e.g. Board work plan updates and an annual Board self-assessment. Disagree	Not Sure/MaybeThe Board conducts regular self-assessment on its progress, e.g. Board work plan updates and an annual Board self-assessment. Not Sure/Maybe	AgreeThe Board conducts regular self-assessment on its progress, e.g. Board work plan updates and an annual Board self-assessment. Agree	Strongly AgreeThe Board conducts regular self-assessment on its progress, e.g. Board work plan updates and an annual Board self-assessment. Strongly Agree

Does the Board have enablers of Board effectiveness and success in place?

Section B: Does the Board have enablers of Board effectiveness and success in place? *

	Strongly Disagree	Disagree	Not Sure/Maybe	Agree	Strongly Agree
The Board composition is appropriate –members have skill sets and/or expertise to cover off areas of responsibilities, e.g. lived experience, human resources, finance, legal, social/health services.	Strongly DisagreeThe Board composition is appropriate –members have skill sets and/or expertise to cover off areas of responsibilities, e.g. lived experience, human resources, finance, legal, social/health services. Strongly Disagree	DisagreeThe Board composition is appropriate –members have skill sets and/or expertise to cover off areas of responsibilities, e.g. lived experience, human resources, finance, legal, social/health services. Disagree	Not Sure/MaybeThe Board composition is appropriate –members have skill sets and/or expertise to cover off areas of responsibilities, e.g. lived experience, human resources, finance, legal, social/health services. Not Sure/Maybe	AgreeThe Board composition is appropriate –members have skill sets and/or expertise to cover off areas of responsibilities, e.g. lived experience, human resources, finance, legal, social/health services. Agree	Strongly AgreeThe Board composition is appropriate –members have skill sets and/or expertise to cover off areas of responsibilities, e.g. lived experience, human resources, finance, legal, social/health services. Strongly Agree
The Board size is appropriate – there is coverage of duties amongst roles, cohesiveness amongst members and manageable workloads.	Strongly DisagreeThe Board size is appropriate – there is coverage of duties amongst roles, cohesiveness amongst members and manageable workloads. Strongly Disagree	DisagreeThe Board size is appropriate – there is coverage of duties amongst roles, cohesiveness amongst members and manageable workloads. Disagree	Not Sure/MaybeThe Board size is appropriate – there is coverage of duties amongst roles, cohesiveness amongst members and manageable workloads. Not Sure/Maybe	AgreeThe Board size is appropriate – there is coverage of duties amongst roles, cohesiveness amongst members and manageable workloads. Agree	Strongly AgreeThe Board size is appropriate – there is coverage of duties amongst roles, cohesiveness amongst members and manageable workloads. Strongly Agree
There are clearly defined roles and expectations for Officers, i.e. Chair, Vice-Chair, Treasurer, and Secretary.	Strongly DisagreeThere are clearly defined roles and expectations for Officers, i.e. Chair, Vice-Chair, Treasurer, and Secretary. Strongly Disagree	DisagreeThere are clearly defined roles and expectations for Officers, i.e. Chair, Vice-Chair, Treasurer, and Secretary. Disagree	Not Sure/MaybeThere are clearly defined roles and expectations for Officers, i.e. Chair, Vice-Chair, Treasurer, and Secretary. Not Sure/Maybe	AgreeThere are clearly defined roles and expectations for Officers, i.e. Chair, Vice-Chair, Treasurer, and Secretary. Agree	Strongly AgreeThere are clearly defined roles and expectations for Officers, i.e. Chair, Vice-Chair, Treasurer, and Secretary. Strongly Agree
There is an up to date Board Governance Manual.	Strongly DisagreeThere is an up to date Board Governance Manual. Strongly Disagree	DisagreeThere is an up to date Board Governance Manual. Disagree	Not Sure/MaybeThere is an up to date Board Governance Manual. Not Sure/Maybe	AgreeThere is an up to date Board Governance Manual. Agree	Strongly AgreeThere is an up to date Board Governance Manual. Strongly Agree
The Executive Committee has a clear role that is well understood and supported by all Board members – serving as a valuable resource to the Board and the Executive Director.	Strongly DisagreeThe Executive Committee has a clear role that is well understood and supported by all Board members – serving as a valuable resource to the Board and the Executive Director. Strongly Disagree	DisagreeThe Executive Committee has a clear role that is well understood and supported by all Board members – serving as a valuable resource to the Board and the Executive Director. Disagree	Not Sure/MaybeThe Executive Committee has a clear role that is well understood and supported by all Board members – serving as a valuable resource to the Board and the Executive Director. Not Sure/Maybe	AgreeThe Executive Committee has a clear role that is well understood and supported by all Board members – serving as a valuable resource to the Board and the Executive Director. Agree	Strongly AgreeThe Executive Committee has a clear role that is well understood and supported by all Board members – serving as a valuable resource to the Board and the Executive Director. Strongly Agree
All new Board members receive clear orientation on their role, responsibilities and expectations, including review of fiduciary duties.	Strongly DisagreeAll new Board members receive clear orientation on their role, responsibilities and expectations, including review of fiduciary duties. Strongly Disagree	DisagreeAll new Board members receive clear orientation on their role, responsibilities and expectations, including review of fiduciary duties. Disagree	Not Sure/MaybeAll new Board members receive clear orientation on their role, responsibilities and expectations, including review of fiduciary duties. Not Sure/Maybe	AgreeAll new Board members receive clear orientation on their role, responsibilities and expectations, including review of fiduciary duties. Agree	Strongly AgreeAll new Board members receive clear orientation on their role, responsibilities and expectations, including review of fiduciary duties. Strongly Agree
The Board has effective renewal processes in place for identifying, cultivating and integrating new Directors.	Strongly DisagreeThe Board has effective renewal processes in place for identifying, cultivating and integrating new Directors. Strongly Disagree	DisagreeThe Board has effective renewal processes in place for identifying, cultivating and integrating new Directors. Disagree	Not Sure/MaybeThe Board has effective renewal processes in place for identifying, cultivating and integrating new Directors. Not Sure/Maybe	AgreeThe Board has effective renewal processes in place for identifying, cultivating and integrating new Directors. Agree	Strongly AgreeThe Board has effective renewal processes in place for identifying, cultivating and integrating new Directors. Strongly Agree
The Committee structure is well documented and each Committee has a terms of reference.	Strongly DisagreeThe Committee structure is well documented and each Committee has a terms of reference. Strongly Disagree	DisagreeThe Committee structure is well documented and each Committee has a terms of reference. Disagree	Not Sure/MaybeThe Committee structure is well documented and each Committee has a terms of reference. Not Sure/Maybe	AgreeThe Committee structure is well documented and each Committee has a terms of reference. Agree	Strongly AgreeThe Committee structure is well documented and each Committee has a terms of reference. Strongly Agree
Board/committee meetings run well, e.g. start on time, give members a chance to engage on issues, and ensure all voices are heard.	Strongly DisagreeBoard/committee meetings run well, e.g. start on time, give members a chance to engage on issues, and ensure all voices are heard. Strongly Disagree	DisagreeBoard/committee meetings run well, e.g. start on time, give members a chance to engage on issues, and ensure all voices are heard. Disagree	Not Sure/MaybeBoard/committee meetings run well, e.g. start on time, give members a chance to engage on issues, and ensure all voices are heard. Not Sure/Maybe	AgreeBoard/committee meetings run well, e.g. start on time, give members a chance to engage on issues, and ensure all voices are heard. Agree	Strongly AgreeBoard/committee meetings run well, e.g. start on time, give members a chance to engage on issues, and ensure all voices are heard. Strongly Agree
Board/committee meeting calendars, advance materials and agendas support the Board as needed.	Strongly DisagreeBoard/committee meeting calendars, advance materials and agendas support the Board as needed. Strongly Disagree	DisagreeBoard/committee meeting calendars, advance materials and agendas support the Board as needed. Disagree	Not Sure/MaybeBoard/committee meeting calendars, advance materials and agendas support the Board as needed. Not Sure/Maybe	AgreeBoard/committee meeting calendars, advance materials and agendas support the Board as needed. Agree	Strongly AgreeBoard/committee meeting calendars, advance materials and agendas support the Board as needed. Strongly Agree
The role and expectations of the Executive Director in supporting the Board are clearly defined.	Strongly DisagreeThe role and expectations of the Executive Director in supporting the Board are clearly defined. Strongly Disagree	DisagreeThe role and expectations of the Executive Director in supporting the Board are clearly defined. Disagree	Not Sure/MaybeThe role and expectations of the Executive Director in supporting the Board are clearly defined. Not Sure/Maybe	AgreeThe role and expectations of the Executive Director in supporting the Board are clearly defined. Agree	Strongly AgreeThe role and expectations of the Executive Director in supporting the Board are clearly defined. Strongly Agree
Board interactions are productive and generally enjoyable with a good mixture of business and development activities.	Strongly DisagreeBoard interactions are productive and generally enjoyable with a good mixture of business and development activities. Strongly Disagree	DisagreeBoard interactions are productive and generally enjoyable with a good mixture of business and development activities. Disagree	Not Sure/MaybeBoard interactions are productive and generally enjoyable with a good mixture of business and development activities. Not Sure/Maybe	AgreeBoard interactions are productive and generally enjoyable with a good mixture of business and development activities. Agree	Strongly AgreeBoard interactions are productive and generally enjoyable with a good mixture of business and development activities. Strongly Agree

How well has the Board conducted itself?

Section C: How well has the Board conducted itself? *

	Strongly Disagree	Disagree	Not Sure/Maybe	Agree	Strongly Agree
Board members are aware of what is expected of them.	Strongly DisagreeBoard members are aware of what is expected of them. Strongly Disagree	DisagreeBoard members are aware of what is expected of them. Disagree	Not Sure/MaybeBoard members are aware of what is expected of them. Not Sure/Maybe	AgreeBoard members are aware of what is expected of them. Agree	Strongly AgreeBoard members are aware of what is expected of them. Strongly Agree
The agenda of Board meetings is well planned so that we can get through all necessary Board business.	Strongly DisagreeThe agenda of Board meetings is well planned so that we can get through all necessary Board business. Strongly Disagree	DisagreeThe agenda of Board meetings is well planned so that we can get through all necessary Board business. Disagree	Not Sure/MaybeThe agenda of Board meetings is well planned so that we can get through all necessary Board business. Not Sure/Maybe	AgreeThe agenda of Board meetings is well planned so that we can get through all necessary Board business. Agree	Strongly AgreeThe agenda of Board meetings is well planned so that we can get through all necessary Board business. Strongly Agree
We receive written reports to the Board in advance of our meetings.	Strongly DisagreeWe receive written reports to the Board in advance of our meetings. Strongly Disagree	DisagreeWe receive written reports to the Board in advance of our meetings. Disagree	Not Sure/MaybeWe receive written reports to the Board in advance of our meetings. Not Sure/Maybe	AgreeWe receive written reports to the Board in advance of our meetings. Agree	Strongly AgreeWe receive written reports to the Board in advance of our meetings. Strongly Agree
It seems like most Board members come to meetings prepared.	Strongly DisagreeIt seems like most Board members come to meetings prepared. Strongly Disagree	DisagreeIt seems like most Board members come to meetings prepared. Disagree	Not Sure/MaybeIt seems like most Board members come to meetings prepared. Not Sure/Maybe	AgreeIt seems like most Board members come to meetings prepared. Agree	Strongly AgreeIt seems like most Board members come to meetings prepared. Strongly Agree
All Board members participate in important Board discussions.	Strongly DisagreeAll Board members participate in important Board discussions. Strongly Disagree	DisagreeAll Board members participate in important Board discussions. Disagree	Not Sure/MaybeAll Board members participate in important Board discussions. Not Sure/Maybe	AgreeAll Board members participate in important Board discussions. Agree	Strongly AgreeAll Board members participate in important Board discussions. Strongly Agree
We do a good job of encouraging and dealing with different points of view.	Strongly DisagreeWe do a good job of encouraging and dealing with different points of view. Strongly Disagree	DisagreeWe do a good job of encouraging and dealing with different points of view. Disagree	Not Sure/MaybeWe do a good job of encouraging and dealing with different points of view. Not Sure/Maybe	AgreeWe do a good job of encouraging and dealing with different points of view. Agree	Strongly AgreeWe do a good job of encouraging and dealing with different points of view. Strongly Agree
We all support the decisions we make.	Strongly DisagreeWe all support the decisions we make. Strongly Disagree	DisagreeWe all support the decisions we make. Disagree	Not Sure/MaybeWe all support the decisions we make. Not Sure/Maybe	AgreeWe all support the decisions we make. Agree	Strongly AgreeWe all support the decisions we make. Strongly Agree
Board members demonstrate commitment to the organization’s mission and values and are able to distinguish and set aside personal interest when there are different from the mission, goals and interests of the organization.	Strongly DisagreeBoard members demonstrate commitment to the organization’s mission and values and are able to distinguish and set aside personal interest when there are different from the mission, goals and interests of the organization. Strongly Disagree	DisagreeBoard members demonstrate commitment to the organization’s mission and values and are able to distinguish and set aside personal interest when there are different from the mission, goals and interests of the organization. Disagree	Not Sure/MaybeBoard members demonstrate commitment to the organization’s mission and values and are able to distinguish and set aside personal interest when there are different from the mission, goals and interests of the organization. Not Sure/Maybe	AgreeBoard members demonstrate commitment to the organization’s mission and values and are able to distinguish and set aside personal interest when there are different from the mission, goals and interests of the organization. Agree	Strongly AgreeBoard members demonstrate commitment to the organization’s mission and values and are able to distinguish and set aside personal interest when there are different from the mission, goals and interests of the organization. Strongly Agree
Board members conduct themselves in accordance with key elements of the governance structure, e.g. bylaws, code of conduct, conflict of interest, etc.	Strongly DisagreeBoard members conduct themselves in accordance with key elements of the governance structure, e.g. bylaws, code of conduct, conflict of interest, etc. Strongly Disagree	DisagreeBoard members conduct themselves in accordance with key elements of the governance structure, e.g. bylaws, code of conduct, conflict of interest, etc. Disagree	Not Sure/MaybeBoard members conduct themselves in accordance with key elements of the governance structure, e.g. bylaws, code of conduct, conflict of interest, etc. Not Sure/Maybe	AgreeBoard members conduct themselves in accordance with key elements of the governance structure, e.g. bylaws, code of conduct, conflict of interest, etc. Agree	Strongly AgreeBoard members conduct themselves in accordance with key elements of the governance structure, e.g. bylaws, code of conduct, conflict of interest, etc. Strongly Agree
Board members demonstrate a clear understanding of the organization’s strategic focus when making decisions and use sound processes in such decision–making.	Strongly DisagreeBoard members demonstrate a clear understanding of the organization’s strategic focus when making decisions and use sound processes in such decision–making. Strongly Disagree	DisagreeBoard members demonstrate a clear understanding of the organization’s strategic focus when making decisions and use sound processes in such decision–making. Disagree	Not Sure/MaybeBoard members demonstrate a clear understanding of the organization’s strategic focus when making decisions and use sound processes in such decision–making. Not Sure/Maybe	AgreeBoard members demonstrate a clear understanding of the organization’s strategic focus when making decisions and use sound processes in such decision–making. Agree	Strongly AgreeBoard members demonstrate a clear understanding of the organization’s strategic focus when making decisions and use sound processes in such decision–making. Strongly Agree
The Board has planned and led the orientation process for new Board members.	Strongly DisagreeThe Board has planned and led the orientation process for new Board members. Strongly Disagree	DisagreeThe Board has planned and led the orientation process for new Board members. Disagree	Not Sure/MaybeThe Board has planned and led the orientation process for new Board members. Not Sure/Maybe	AgreeThe Board has planned and led the orientation process for new Board members. Agree	Strongly AgreeThe Board has planned and led the orientation process for new Board members. Strongly Agree
The Board has a plan for Director education and further Board development.	Strongly DisagreeThe Board has a plan for Director education and further Board development. Strongly Disagree	DisagreeThe Board has a plan for Director education and further Board development. Disagree	Not Sure/MaybeThe Board has a plan for Director education and further Board development. Not Sure/Maybe	AgreeThe Board has a plan for Director education and further Board development. Agree	Strongly AgreeThe Board has a plan for Director education and further Board development. Strongly Agree
Our Board meetings are always interesting.	Strongly DisagreeOur Board meetings are always interesting. Strongly Disagree	DisagreeOur Board meetings are always interesting. Disagree	Not Sure/MaybeOur Board meetings are always interesting. Not Sure/Maybe	AgreeOur Board meetings are always interesting. Agree	Strongly AgreeOur Board meetings are always interesting. Strongly Agree
Our Board meetings are frequently fun.	Strongly DisagreeOur Board meetings are frequently fun. Strongly Disagree	DisagreeOur Board meetings are frequently fun. Disagree	Not Sure/MaybeOur Board meetings are frequently fun. Not Sure/Maybe	AgreeOur Board meetings are frequently fun. Agree	Strongly AgreeOur Board meetings are frequently fun. Strongly Agree

	Strongly Disagree	Disagree	Not Sure/Maybe	Agree	Strongly Agree
I am aware of what is expected of me as a Board member.	Strongly DisagreeI am aware of what is expected of me as a Board member. Strongly Disagree	DisagreeI am aware of what is expected of me as a Board member. Disagree	Not Sure/MaybeI am aware of what is expected of me as a Board member. Not Sure/Maybe	AgreeI am aware of what is expected of me as a Board member. Agree	Strongly AgreeI am aware of what is expected of me as a Board member. Strongly Agree
I have a good record of meeting attendance.	Strongly DisagreeI have a good record of meeting attendance. Strongly Disagree	DisagreeI have a good record of meeting attendance. Disagree	Not Sure/MaybeI have a good record of meeting attendance. Not Sure/Maybe	AgreeI have a good record of meeting attendance. Agree	Strongly AgreeI have a good record of meeting attendance. Strongly Agree
I read the minutes, reports and other materials in advance of our Board meetings.	Strongly DisagreeI read the minutes, reports and other materials in advance of our Board meetings. Strongly Disagree	DisagreeI read the minutes, reports and other materials in advance of our Board meetings. Disagree	Not Sure/MaybeI read the minutes, reports and other materials in advance of our Board meetings. Not Sure/Maybe	AgreeI read the minutes, reports and other materials in advance of our Board meetings. Agree	Strongly AgreeI read the minutes, reports and other materials in advance of our Board meetings. Strongly Agree
I am familiar with what is in the organization’s by-laws and governing policies.	Strongly DisagreeI am familiar with what is in the organization’s by-laws and governing policies. Strongly Disagree	DisagreeI am familiar with what is in the organization’s by-laws and governing policies. Disagree	Not Sure/MaybeI am familiar with what is in the organization’s by-laws and governing policies. Not Sure/Maybe	AgreeI am familiar with what is in the organization’s by-laws and governing policies. Agree	Strongly AgreeI am familiar with what is in the organization’s by-laws and governing policies. Strongly Agree
I follow through on things I said I would do.	Strongly DisagreeI follow through on things I said I would do. Strongly Disagree	DisagreeI follow through on things I said I would do. Disagree	Not Sure/MaybeI follow through on things I said I would do. Not Sure/Maybe	AgreeI follow through on things I said I would do. Agree	Strongly AgreeI follow through on things I said I would do. Strongly Agree
I maintain the confidentiality of all Board decisions.	Strongly DisagreeI maintain the confidentiality of all Board decisions. Strongly Disagree	DisagreeI maintain the confidentiality of all Board decisions. Disagree	Not Sure/MaybeI maintain the confidentiality of all Board decisions. Not Sure/Maybe	AgreeI maintain the confidentiality of all Board decisions. Agree	Strongly AgreeI maintain the confidentiality of all Board decisions. Strongly Agree
When I have a different opinion than the majority, I raise it.	Strongly DisagreeWhen I have a different opinion than the majority, I raise it. Strongly Disagree	DisagreeWhen I have a different opinion than the majority, I raise it. Disagree	Not Sure/MaybeWhen I have a different opinion than the majority, I raise it. Not Sure/Maybe	AgreeWhen I have a different opinion than the majority, I raise it. Agree	Strongly AgreeWhen I have a different opinion than the majority, I raise it. Strongly Agree
I support Board decisions once they are made even if I do not agree with them.	Strongly DisagreeI support Board decisions once they are made even if I do not agree with them. Strongly Disagree	DisagreeI support Board decisions once they are made even if I do not agree with them. Disagree	Not Sure/MaybeI support Board decisions once they are made even if I do not agree with them. Not Sure/Maybe	AgreeI support Board decisions once they are made even if I do not agree with them. Agree	Strongly AgreeI support Board decisions once they are made even if I do not agree with them. Strongly Agree
I promote the work of our organization in the community whenever I have a chance to do so.	Strongly DisagreeI promote the work of our organization in the community whenever I have a chance to do so. Strongly Disagree	DisagreeI promote the work of our organization in the community whenever I have a chance to do so. Disagree	Not Sure/MaybeI promote the work of our organization in the community whenever I have a chance to do so. Not Sure/Maybe	AgreeI promote the work of our organization in the community whenever I have a chance to do so. Agree	Strongly AgreeI promote the work of our organization in the community whenever I have a chance to do so. Strongly Agree
I stay informed about issues relevant to our mission and bring information to the attention of the Board.	Strongly DisagreeI stay informed about issues relevant to our mission and bring information to the attention of the Board. Strongly Disagree	DisagreeI stay informed about issues relevant to our mission and bring information to the attention of the Board. Disagree	Not Sure/MaybeI stay informed about issues relevant to our mission and bring information to the attention of the Board. Not Sure/Maybe	AgreeI stay informed about issues relevant to our mission and bring information to the attention of the Board. Agree	Strongly AgreeI stay informed about issues relevant to our mission and bring information to the attention of the Board. Strongly Agree
I am self-aware and recognize how my power and privilege may impact my colleagues on the Board and others in the organization.	Strongly DisagreeI am self-aware and recognize how my power and privilege may impact my colleagues on the Board and others in the organization. Strongly Disagree	DisagreeI am self-aware and recognize how my power and privilege may impact my colleagues on the Board and others in the organization. Disagree	Not Sure/MaybeI am self-aware and recognize how my power and privilege may impact my colleagues on the Board and others in the organization. Not Sure/Maybe	AgreeI am self-aware and recognize how my power and privilege may impact my colleagues on the Board and others in the organization. Agree	Strongly AgreeI am self-aware and recognize how my power and privilege may impact my colleagues on the Board and others in the organization. Strongly Agree
I am committed to the principles of GIPA and MIPA and demonstrate that commitment in my Board work.	Strongly DisagreeI am committed to the principles of GIPA and MIPA and demonstrate that commitment in my Board work. Strongly Disagree	DisagreeI am committed to the principles of GIPA and MIPA and demonstrate that commitment in my Board work. Disagree	Not Sure/MaybeI am committed to the principles of GIPA and MIPA and demonstrate that commitment in my Board work. Not Sure/Maybe	AgreeI am committed to the principles of GIPA and MIPA and demonstrate that commitment in my Board work. Agree	Strongly AgreeI am committed to the principles of GIPA and MIPA and demonstrate that commitment in my Board work. Strongly Agree
I feel that I make valuable contributions in my role as a Board member.	Strongly DisagreeI feel that I make valuable contributions in my role as a Board member. Strongly Disagree	DisagreeI feel that I make valuable contributions in my role as a Board member. Disagree	Not Sure/MaybeI feel that I make valuable contributions in my role as a Board member. Not Sure/Maybe	AgreeI feel that I make valuable contributions in my role as a Board member. Agree	Strongly AgreeI feel that I make valuable contributions in my role as a Board member. Strongly Agree
I am familiar with the organization’s programs and services.	Strongly DisagreeI am familiar with the organization’s programs and services. Strongly Disagree	DisagreeI am familiar with the organization’s programs and services. Disagree	Not Sure/MaybeI am familiar with the organization’s programs and services. Not Sure/Maybe	AgreeI am familiar with the organization’s programs and services. Agree	Strongly AgreeI am familiar with the organization’s programs and services. Strongly Agree
I enjoy my role and foresee completing my term.	Strongly DisagreeI enjoy my role and foresee completing my term. Strongly Disagree	DisagreeI enjoy my role and foresee completing my term. Disagree	Not Sure/MaybeI enjoy my role and foresee completing my term. Not Sure/Maybe	AgreeI enjoy my role and foresee completing my term. Agree	Strongly AgreeI enjoy my role and foresee completing my term. Strongly Agree
Reflecting on my time as a Director, I can identify one or two Board achievements, decisions, and/or successes for which you feel special satisfaction and/or pride.	Strongly DisagreeReflecting on my time as a Director, I can identify one or two Board achievements, decisions, and/or successes for which you feel special satisfaction and/or pride. Strongly Disagree	DisagreeReflecting on my time as a Director, I can identify one or two Board achievements, decisions, and/or successes for which you feel special satisfaction and/or pride. Disagree	Not Sure/MaybeReflecting on my time as a Director, I can identify one or two Board achievements, decisions, and/or successes for which you feel special satisfaction and/or pride. Not Sure/Maybe	AgreeReflecting on my time as a Director, I can identify one or two Board achievements, decisions, and/or successes for which you feel special satisfaction and/or pride. Agree	Strongly AgreeReflecting on my time as a Director, I can identify one or two Board achievements, decisions, and/or successes for which you feel special satisfaction and/or pride. Strongly Agree

Does your Board measure the Board’s relationship with the Executive Director ?

Section E: Does your Board measure the Board’s relationship with the Executive Director ? *

	Strongly Disagree	Disagree	Not Sure/Maybe	Agree	Strongly Agree
There is a clear understanding of where the Board’s role ends and the Executive Director’s role begins.	Strongly DisagreeThere is a clear understanding of where the Board’s role ends and the Executive Director’s role begins. Strongly Disagree	DisagreeThere is a clear understanding of where the Board’s role ends and the Executive Director’s role begins. Disagree	Not Sure/MaybeThere is a clear understanding of where the Board’s role ends and the Executive Director’s role begins. Not Sure/Maybe	AgreeThere is a clear understanding of where the Board’s role ends and the Executive Director’s role begins. Agree	Strongly AgreeThere is a clear understanding of where the Board’s role ends and the Executive Director’s role begins. Strongly Agree
There is good two-way communication between the Board and the Executive Director.	Strongly DisagreeThere is good two-way communication between the Board and the Executive Director. Strongly Disagree	DisagreeThere is good two-way communication between the Board and the Executive Director. Disagree	Not Sure/MaybeThere is good two-way communication between the Board and the Executive Director. Not Sure/Maybe	AgreeThere is good two-way communication between the Board and the Executive Director. Agree	Strongly AgreeThere is good two-way communication between the Board and the Executive Director. Strongly Agree
The Board has discussed and communicated the kinds of information and level of detail it requires from the Executive Director on what is happening in the organization.	Strongly DisagreeThe Board has discussed and communicated the kinds of information and level of detail it requires from the Executive Director on what is happening in the organization. Strongly Disagree	DisagreeThe Board has discussed and communicated the kinds of information and level of detail it requires from the Executive Director on what is happening in the organization. Disagree	Not Sure/MaybeThe Board has discussed and communicated the kinds of information and level of detail it requires from the Executive Director on what is happening in the organization. Not Sure/Maybe	AgreeThe Board has discussed and communicated the kinds of information and level of detail it requires from the Executive Director on what is happening in the organization. Agree	Strongly AgreeThe Board has discussed and communicated the kinds of information and level of detail it requires from the Executive Director on what is happening in the organization. Strongly Agree
The Board delegate provides the Executive Director with regular supervision and support.	Strongly DisagreeThe Board delegate provides the Executive Director with regular supervision and support. Strongly Disagree	DisagreeThe Board delegate provides the Executive Director with regular supervision and support. Disagree	Not Sure/MaybeThe Board delegate provides the Executive Director with regular supervision and support. Not Sure/Maybe	AgreeThe Board delegate provides the Executive Director with regular supervision and support. Agree	Strongly AgreeThe Board delegate provides the Executive Director with regular supervision and support. Strongly Agree
The Board has developed formal criteria and a process for evaluating the Executive Director’s job performance.	Strongly DisagreeThe Board has developed formal criteria and a process for evaluating the Executive Director’s job performance. Strongly Disagree	DisagreeThe Board has developed formal criteria and a process for evaluating the Executive Director’s job performance. Disagree	Not Sure/MaybeThe Board has developed formal criteria and a process for evaluating the Executive Director’s job performance. Not Sure/Maybe	AgreeThe Board has developed formal criteria and a process for evaluating the Executive Director’s job performance. Agree	Strongly AgreeThe Board has developed formal criteria and a process for evaluating the Executive Director’s job performance. Strongly Agree
The Board, or a committee of the Board, has formally evaluated the Executive Director’s job performance within the past 12 to 24 months.	Strongly DisagreeThe Board, or a committee of the Board, has formally evaluated the Executive Director’s job performance within the past 12 to 24 months. Strongly Disagree	DisagreeThe Board, or a committee of the Board, has formally evaluated the Executive Director’s job performance within the past 12 to 24 months. Disagree	Not Sure/MaybeThe Board, or a committee of the Board, has formally evaluated the Executive Director’s job performance within the past 12 to 24 months. Not Sure/Maybe	AgreeThe Board, or a committee of the Board, has formally evaluated the Executive Director’s job performance within the past 12 to 24 months. Agree	Strongly AgreeThe Board, or a committee of the Board, has formally evaluated the Executive Director’s job performance within the past 12 to 24 months. Strongly Agree
The Board provides feedback and shows its appreciation to the Executive Director on a regular basis.	Strongly DisagreeThe Board provides feedback and shows its appreciation to the Executive Director on a regular basis. Strongly Disagree	DisagreeThe Board provides feedback and shows its appreciation to the Executive Director on a regular basis. Disagree	Not Sure/MaybeThe Board provides feedback and shows its appreciation to the Executive Director on a regular basis. Not Sure/Maybe	AgreeThe Board provides feedback and shows its appreciation to the Executive Director on a regular basis. Agree	Strongly AgreeThe Board provides feedback and shows its appreciation to the Executive Director on a regular basis. Strongly Agree
The Board ensures that the Executive Director is able to take advantage of professional development opportunities.	Strongly DisagreeThe Board ensures that the Executive Director is able to take advantage of professional development opportunities. Strongly Disagree	DisagreeThe Board ensures that the Executive Director is able to take advantage of professional development opportunities. Disagree	Not Sure/MaybeThe Board ensures that the Executive Director is able to take advantage of professional development opportunities. Not Sure/Maybe	AgreeThe Board ensures that the Executive Director is able to take advantage of professional development opportunities. Agree	Strongly AgreeThe Board ensures that the Executive Director is able to take advantage of professional development opportunities. Strongly Agree

Does your Board provide feedback to the Chair of the Board (Optional)?

Section F: Does your Board provide feedback to the Chair of the Board (Optional)?

	Strongly Disagree	Disagree	Not Sure/Maybe	Agree	Strongly Agree
The Board has a formal Board Chair job description and has discussed the role and responsibilities.	Strongly DisagreeThe Board has a formal Board Chair job description and has discussed the role and responsibilities. Strongly Disagree	DisagreeThe Board has a formal Board Chair job description and has discussed the role and responsibilities. Disagree	Not Sure/MaybeThe Board has a formal Board Chair job description and has discussed the role and responsibilities. Not Sure/Maybe	AgreeThe Board has a formal Board Chair job description and has discussed the role and responsibilities. Agree	Strongly AgreeThe Board has a formal Board Chair job description and has discussed the role and responsibilities. Strongly Agree
The Chair is well prepared for Board meetings.	Strongly DisagreeThe Chair is well prepared for Board meetings. Strongly Disagree	DisagreeThe Chair is well prepared for Board meetings. Disagree	Not Sure/MaybeThe Chair is well prepared for Board meetings. Not Sure/Maybe	AgreeThe Chair is well prepared for Board meetings. Agree	Strongly AgreeThe Chair is well prepared for Board meetings. Strongly Agree
The Chair helps the Board to stick to the agenda.	Strongly DisagreeThe Chair helps the Board to stick to the agenda. Strongly Disagree	DisagreeThe Chair helps the Board to stick to the agenda. Disagree	Not Sure/MaybeThe Chair helps the Board to stick to the agenda. Not Sure/Maybe	AgreeThe Chair helps the Board to stick to the agenda. Agree	Strongly AgreeThe Chair helps the Board to stick to the agenda. Strongly Agree
The Chair ensures that every Board member has an opportunity to be heard.	Strongly DisagreeThe Chair ensures that every Board member has an opportunity to be heard. Strongly Disagree	DisagreeThe Chair ensures that every Board member has an opportunity to be heard. Disagree	Not Sure/MaybeThe Chair ensures that every Board member has an opportunity to be heard. Not Sure/Maybe	AgreeThe Chair ensures that every Board member has an opportunity to be heard. Agree	Strongly AgreeThe Chair ensures that every Board member has an opportunity to be heard. Strongly Agree
The Chair is skilled at managing different points of view.	Strongly DisagreeThe Chair is skilled at managing different points of view. Strongly Disagree	DisagreeThe Chair is skilled at managing different points of view. Disagree	Not Sure/MaybeThe Chair is skilled at managing different points of view. Not Sure/Maybe	AgreeThe Chair is skilled at managing different points of view. Agree	Strongly AgreeThe Chair is skilled at managing different points of view. Strongly Agree
In alignment with the organizational and governance policies, procedures and codes of conduct, the Chair knows how to be direct with an individual Board member when that Board member’s behaviour needs to shift or change.	Strongly DisagreeIn alignment with the organizational and governance policies, procedures and codes of conduct, the Chair knows how to be direct with an individual Board member when that Board member’s behaviour needs to shift or change. Strongly Disagree	DisagreeIn alignment with the organizational and governance policies, procedures and codes of conduct, the Chair knows how to be direct with an individual Board member when that Board member’s behaviour needs to shift or change. Disagree	Not Sure/MaybeIn alignment with the organizational and governance policies, procedures and codes of conduct, the Chair knows how to be direct with an individual Board member when that Board member’s behaviour needs to shift or change. Not Sure/Maybe	AgreeIn alignment with the organizational and governance policies, procedures and codes of conduct, the Chair knows how to be direct with an individual Board member when that Board member’s behaviour needs to shift or change. Agree	Strongly AgreeIn alignment with the organizational and governance policies, procedures and codes of conduct, the Chair knows how to be direct with an individual Board member when that Board member’s behaviour needs to shift or change. Strongly Agree
The Chair helps the Board to work well together.	Strongly DisagreeThe Chair helps the Board to work well together. Strongly Disagree	DisagreeThe Chair helps the Board to work well together. Disagree	Not Sure/MaybeThe Chair helps the Board to work well together. Not Sure/Maybe	AgreeThe Chair helps the Board to work well together. Agree	Strongly AgreeThe Chair helps the Board to work well together. Strongly Agree
I feel I can go to the Chair when I have a concern.	Strongly DisagreeI feel I can go to the Chair when I have a concern. Strongly Disagree	DisagreeI feel I can go to the Chair when I have a concern. Disagree	Not Sure/MaybeI feel I can go to the Chair when I have a concern. Not Sure/Maybe	AgreeI feel I can go to the Chair when I have a concern. Agree	Strongly AgreeI feel I can go to the Chair when I have a concern. Strongly Agree
The Chair demonstrates good listening skills.	Strongly DisagreeThe Chair demonstrates good listening skills. Strongly Disagree	DisagreeThe Chair demonstrates good listening skills. Disagree	Not Sure/MaybeThe Chair demonstrates good listening skills. Not Sure/Maybe	AgreeThe Chair demonstrates good listening skills. Agree	Strongly AgreeThe Chair demonstrates good listening skills. Strongly Agree
The Board supports the Chair.	Strongly DisagreeThe Board supports the Chair. Strongly Disagree	DisagreeThe Board supports the Chair. Disagree	Not Sure/MaybeThe Board supports the Chair. Not Sure/Maybe	AgreeThe Board supports the Chair. Agree	Strongly AgreeThe Board supports the Chair. Strongly Agree
The Chair is effective in delegating responsibility amongst Board members, e.g. assigning tasks with timelines.	Strongly DisagreeThe Chair is effective in delegating responsibility amongst Board members, e.g. assigning tasks with timelines. Strongly Disagree	DisagreeThe Chair is effective in delegating responsibility amongst Board members, e.g. assigning tasks with timelines. Disagree	Not Sure/MaybeThe Chair is effective in delegating responsibility amongst Board members, e.g. assigning tasks with timelines. Not Sure/Maybe	AgreeThe Chair is effective in delegating responsibility amongst Board members, e.g. assigning tasks with timelines. Agree	Strongly AgreeThe Chair is effective in delegating responsibility amongst Board members, e.g. assigning tasks with timelines. Strongly Agree

The Chair’s strongest skill is….. *