ZONTA HOUSE WOMEN’S
REFUGE BOARD QUESTIONNAIRE (Nov 2012)

Question Title

Please complete all the following questions (1-30). You are also welcome to provide qualitative feedback at the end of the survey.

Question Title

* Self-Assessment Zonta Board Evaluation Questionnaire

Any other comments?

Thank you for participating in this important board evaluation survey

	Strongly Agree	Agree	Disagree	Strongly Disagree
1. I understand my role, duties and responsibilities as a board member.	1. I understand my role, duties and responsibilities as a board member. Strongly Agree	1. I understand my role, duties and responsibilities as a board member. Agree	1. I understand my role, duties and responsibilities as a board member. Disagree	1. I understand my role, duties and responsibilities as a board member. Strongly Disagree
2. The board monitors appropriate financial, business and compliance indicators.	2. The board monitors appropriate financial, business and compliance indicators. Strongly Agree	2. The board monitors appropriate financial, business and compliance indicators. Agree	2. The board monitors appropriate financial, business and compliance indicators. Disagree	2. The board monitors appropriate financial, business and compliance indicators. Strongly Disagree
3. Business plans and strategy proposals are clear and precise when presented to the board	3. Business plans and strategy proposals are clear and precise when presented to the board Strongly Agree	3. Business plans and strategy proposals are clear and precise when presented to the board Agree	3. Business plans and strategy proposals are clear and precise when presented to the board Disagree	3. Business plans and strategy proposals are clear and precise when presented to the board Strongly Disagree
4. Current business plans define performance indicators	4. Current business plans define performance indicators Strongly Agree	4. Current business plans define performance indicators Agree	4. Current business plans define performance indicators Disagree	4. Current business plans define performance indicators Strongly Disagree
5. Zonta House Women’s Refuge (ZHWR) is delivering on its objectives	5. Zonta House Women’s Refuge (ZHWR) is delivering on its objectives Strongly Agree	5. Zonta House Women’s Refuge (ZHWR) is delivering on its objectives Agree	5. Zonta House Women’s Refuge (ZHWR) is delivering on its objectives Disagree	5. Zonta House Women’s Refuge (ZHWR) is delivering on its objectives Strongly Disagree
6. The board has a clear understanding of the business risk	6. The board has a clear understanding of the business risk Strongly Agree	6. The board has a clear understanding of the business risk Agree	6. The board has a clear understanding of the business risk Disagree	6. The board has a clear understanding of the business risk Strongly Disagree
7. I stay abreast of issues affecting ZHWR and its industry	7. I stay abreast of issues affecting ZHWR and its industry Strongly Agree	7. I stay abreast of issues affecting ZHWR and its industry Agree	7. I stay abreast of issues affecting ZHWR and its industry Disagree	7. I stay abreast of issues affecting ZHWR and its industry Strongly Disagree
8. The rolls of the Chairman, Refuge Manager and non-executive directors of clearly defined	8. The rolls of the Chairman, Refuge Manager and non-executive directors of clearly defined Strongly Agree	8. The rolls of the Chairman, Refuge Manager and non-executive directors of clearly defined Agree	8. The rolls of the Chairman, Refuge Manager and non-executive directors of clearly defined Disagree	8. The rolls of the Chairman, Refuge Manager and non-executive directors of clearly defined Strongly Disagree
9. I understand the ZHWR's beliefs, values, philosophy, mission and plans	9. I understand the ZHWR's beliefs, values, philosophy, mission and plans Strongly Agree	9. I understand the ZHWR's beliefs, values, philosophy, mission and plans Agree	9. I understand the ZHWR's beliefs, values, philosophy, mission and plans Disagree	9. I understand the ZHWR's beliefs, values, philosophy, mission and plans Strongly Disagree
10. I feel I add value to the board and to ZHWR	10. I feel I add value to the board and to ZHWR Strongly Agree	10. I feel I add value to the board and to ZHWR Agree	10. I feel I add value to the board and to ZHWR Disagree	10. I feel I add value to the board and to ZHWR Strongly Disagree
11. Board and committee meetings are effective in fulfilling the Board's role	11. Board and committee meetings are effective in fulfilling the Board's role Strongly Agree	11. Board and committee meetings are effective in fulfilling the Board's role Agree	11. Board and committee meetings are effective in fulfilling the Board's role Disagree	11. Board and committee meetings are effective in fulfilling the Board's role Strongly Disagree
12. Board meetings are running efficiently and effectively	12. Board meetings are running efficiently and effectively Strongly Agree	12. Board meetings are running efficiently and effectively Agree	12. Board meetings are running efficiently and effectively Disagree	12. Board meetings are running efficiently and effectively Strongly Disagree
13. The board regularly reviews ZHWR strategy	13. The board regularly reviews ZHWR strategy Strongly Agree	13. The board regularly reviews ZHWR strategy Agree	13. The board regularly reviews ZHWR strategy Disagree	13. The board regularly reviews ZHWR strategy Strongly Disagree
14. Board discussions are open and honest and matters aired	14. Board discussions are open and honest and matters aired Strongly Agree	14. Board discussions are open and honest and matters aired Agree	14. Board discussions are open and honest and matters aired Disagree	14. Board discussions are open and honest and matters aired Strongly Disagree
15. Decisions are made through discussion and consensus	15. Decisions are made through discussion and consensus Strongly Agree	15. Decisions are made through discussion and consensus Agree	15. Decisions are made through discussion and consensus Disagree	15. Decisions are made through discussion and consensus Strongly Disagree
16. Management has commitment and enthusiasm	16. Management has commitment and enthusiasm Strongly Agree	16. Management has commitment and enthusiasm Agree	16. Management has commitment and enthusiasm Disagree	16. Management has commitment and enthusiasm Strongly Disagree
17. ZHWR has relevant and reliable reporting and compliance systems	17. ZHWR has relevant and reliable reporting and compliance systems Strongly Agree	17. ZHWR has relevant and reliable reporting and compliance systems Agree	17. ZHWR has relevant and reliable reporting and compliance systems Disagree	17. ZHWR has relevant and reliable reporting and compliance systems Strongly Disagree
18. Board members are aware of ZHWR responsibilities to regulators and funders	18. Board members are aware of ZHWR responsibilities to regulators and funders Strongly Agree	18. Board members are aware of ZHWR responsibilities to regulators and funders Agree	18. Board members are aware of ZHWR responsibilities to regulators and funders Disagree	18. Board members are aware of ZHWR responsibilities to regulators and funders Strongly Disagree
19. The board works as a team	19. The board works as a team Strongly Agree	19. The board works as a team Agree	19. The board works as a team Disagree	19. The board works as a team Strongly Disagree
20. The workload is fairly shared among directors	20. The workload is fairly shared among directors Strongly Agree	20. The workload is fairly shared among directors Agree	20. The workload is fairly shared among directors Disagree	20. The workload is fairly shared among directors Strongly Disagree
21. Board members bring valuable experience and skills to ZHWR and management	21. Board members bring valuable experience and skills to ZHWR and management Strongly Agree	21. Board members bring valuable experience and skills to ZHWR and management Agree	21. Board members bring valuable experience and skills to ZHWR and management Disagree	21. Board members bring valuable experience and skills to ZHWR and management Strongly Disagree
22. The board is effective in setting and supervising management delegations	22. The board is effective in setting and supervising management delegations Strongly Agree	22. The board is effective in setting and supervising management delegations Agree	22. The board is effective in setting and supervising management delegations Disagree	22. The board is effective in setting and supervising management delegations Strongly Disagree
23. The board is supportive of management	23. The board is supportive of management Strongly Agree	23. The board is supportive of management Agree	23. The board is supportive of management Disagree	23. The board is supportive of management Strongly Disagree
24. The Refuge Manager is receptive to the board's input	24. The Refuge Manager is receptive to the board's input Strongly Agree	24. The Refuge Manager is receptive to the board's input Agree	24. The Refuge Manager is receptive to the board's input Disagree	24. The Refuge Manager is receptive to the board's input Strongly Disagree
25. The chairman acts as a facilitator of the board's agenda and dynamics	25. The chairman acts as a facilitator of the board's agenda and dynamics Strongly Agree	25. The chairman acts as a facilitator of the board's agenda and dynamics Agree	25. The chairman acts as a facilitator of the board's agenda and dynamics Disagree	25. The chairman acts as a facilitator of the board's agenda and dynamics Strongly Disagree
26. The chairman ensures that matters are discussed in a structured way	26. The chairman ensures that matters are discussed in a structured way Strongly Agree	26. The chairman ensures that matters are discussed in a structured way Agree	26. The chairman ensures that matters are discussed in a structured way Disagree	26. The chairman ensures that matters are discussed in a structured way Strongly Disagree
27. Board papers are timely and accurate	27. Board papers are timely and accurate Strongly Agree	27. Board papers are timely and accurate Agree	27. Board papers are timely and accurate Disagree	27. Board papers are timely and accurate Strongly Disagree
28. The board has a succession plan in place for the Chairman	28. The board has a succession plan in place for the Chairman Strongly Agree	28. The board has a succession plan in place for the Chairman Agree	28. The board has a succession plan in place for the Chairman Disagree	28. The board has a succession plan in place for the Chairman Strongly Disagree
29. The Board has approved a succession plan for the Refuge Manager	29. The Board has approved a succession plan for the Refuge Manager Strongly Agree	29. The Board has approved a succession plan for the Refuge Manager Agree	29. The Board has approved a succession plan for the Refuge Manager Disagree	29. The Board has approved a succession plan for the Refuge Manager Strongly Disagree
30. An ongoing recruitment strategy is in place for the board	30. An ongoing recruitment strategy is in place for the board Strongly Agree	30. An ongoing recruitment strategy is in place for the board Agree	30. An ongoing recruitment strategy is in place for the board Disagree	30. An ongoing recruitment strategy is in place for the board Strongly Disagree