1.Name (Optional)

2.Your role at University of Utah Health (please check all that apply)

Board member, affiliate, partner of a U of U Health entity

U of U Health Senior Leader (e.g. Dean, Institute Director, Center Director, Vice President, Vice Dean, Associate Dean, Hospital CEO, Chair)

U of U Health faculty or trainee

U of U Health Staff

Community member

Other (please specify)

3.What do you see as the short-term challenges facing the new CEO/SVP?

4.What do you see as the long-term challenges facing the new CEO/SVP?

5.What are the ideal professional experiences needed to be successful in the role of CEO/SVP?

6.What personal qualities must the new CEO/SVP have in order to further evolve and strengthen our community culture?

7.What are the key positive attributes and most attractive features of U of U Health and the surrounding community and how might those be used to attract the best candidates?

8.If you wish to nominate potential candidates for the CEO/SVP position, please provide their name(s) and contact information (if available) in the space below.

9.Additional Comments