Board Member Evaluation Relationship Survey Form
Please evaluate the quality of relationships between the board member and key stakeholders. Your feedback will help us understand strengths and areas for improvement. All responses are confidential.
Board Member Name
*
Stakeholder Group
*
Please Select
Executive Team
Staff
Other Board Members
External Partners
Community Stakeholders
Other
Evaluation Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Please rate the following aspects of the board member's relationship with this stakeholder group:
*
Rows
Poor
Fair
Good
Very Good
Excellent
Trust
1
2
3
4
5
Communication
6
7
8
9
10
Collaboration
11
12
13
14
15
Respect
16
17
18
19
20
Responsiveness
21
22
23
24
25
Overall, how would you rate the quality of the board member's relationship with this stakeholder group?
*
1
2
3
4
5
How frequently does the board member interact with this stakeholder group?
*
Rarely
Occasionally
Regularly
Frequently
What are the board member's greatest strengths in building relationships with this stakeholder group?
Are there any areas for improvement in the board member's relationship with this stakeholder group?
Additional comments or suggestions
Submit Evaluation
Should be Empty: