Board Meeting Self-Review Form

Your name: _______________________________________________________

1. Are you satisfied with your performance as a board member in the following areas: (check spaces that apply below)

	Very Good	Adequate	Needs Work
Attendance at board meetings	______	_______	_______

Input in policy development and decision-making	______	_______	_______

Fundraising	______	_______	_______

Community outreach	______	_______	_______
Other _________	______	_______	_______

2. What factors contributed to your performance or lack of performance in the areas above: (please be specific)

3. Here's what I would need from the organization to maintain/increase my level of board commitment:

4. Do you have any other comments or suggestions that will help the board increase its effectiveness?