Board Governance Review Survey Form
Review the board’s governance effectiveness, oversight, communication, and improvement priorities using this survey.
Board Profile and Governance Context
Board Name / Entity Being Reviewed
*
Respondent Role / Type
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Board Member
Chair
Committee Member
Executive Liaison
Governance Stakeholder
Other
Governance Evaluation
Board composition and skills are well balanced
*
Strongly Disagree
1
2
3
4
5
6
7
8
9
Strongly Agree
10
1 is Strongly Disagree, 10 is Strongly Agree
Board meetings are effective and well run
*
Strongly Disagree
1
2
3
4
5
6
7
8
9
Strongly Agree
10
1 is Strongly Disagree, 10 is Strongly Agree
The board provides effective oversight of strategy
*
Strongly Disagree
1
2
3
4
5
6
7
8
9
Strongly Agree
10
1 is Strongly Disagree, 10 is Strongly Agree
The board provides effective oversight of risk and compliance
*
Strongly Disagree
1
2
3
4
5
6
7
8
9
Strongly Agree
10
1 is Strongly Disagree, 10 is Strongly Agree
The board demonstrates strong ethics and accountability
*
Strongly Disagree
1
2
3
4
5
6
7
8
9
Strongly Agree
10
1 is Strongly Disagree, 10 is Strongly Agree
Board and executive communication is clear and effective
*
Strongly Disagree
1
2
3
4
5
6
7
8
9
Strongly Agree
10
1 is Strongly Disagree, 10 is Strongly Agree
Improvement Priorities and Overall Rating
Top Governance Improvement Area
*
Board Composition and Diversity
Meeting Effectiveness
Strategic Oversight
Risk Oversight
Committee Structure
Board-Management Communication
Board Evaluation Process
Other
Overall Board Governance Rating
*
1
2
3
4
5
Submit
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