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Name of Person Completing This Evaluation:
   
 
 

Please rate the Board Member's performance on the following objectives:
 

1. Consistently uses SDA's core values and mission while participating in decision making discussions.
 
Unacceptable
 
Needs Improvement
 
Satisfactory
 
Above Average
 
Outstanding
 
 
Question 1 Comments:
   
 
 

2. Promotes high quality service.
 
Unacceptable
 
Needs Improvement
 
Satisfactory
 
Above Average
 
Outstanding
 
 
Question 2 Comments:
   
 
 

3. Actively participates in business development activities of SDA.
 
Unacceptable
 
Needs Improvement
 
Satisfactory
 
Above Average
 
Outstanding
 
 
Question 3 Comments:
   
 
 

4. Actively participates in establishing and monitoring Board, committee, and team objectives.
 
Unacceptable
 
Needs Improvement
 
Satisfactory
 
Above Average
 
Outstanding
 
 
Question 4 Comments:
   
 
 

5. Provides effective leadership for the Board's activities.
 
Unacceptable
 
Needs Improvement
 
Satisfactory
 
Above Average
 
Outstanding
 
 
Question 5 Comments:
   
 
 

6. Performs non-shareholder assessments in a timely manner.
 
Unacceptable
 
Needs Improvement
 
Satisfactory
 
Above Average
 
Outstanding
 
 
Question 6 Comments:
   
 
 

7. Attends all board meetings.
 
Unacceptable
 
Needs Improvement
 
Satisfactory
 
Above Average
 
Outstanding
 
 
Question 7 Comments:
   
 
 

8. Maintains confidentiality of Board Information.
 
Unacceptable
 
Needs Improvement
 
Satisfactory
 
Above Average
 
Outstanding
 
 
Question 8 Comments:
   
 
 

9. Actively supports Board decisions after they have been discussed appropriately; even if they didn't agree with the decision.
 
Unacceptable
 
Needs Improvement
 
Satisfactory
 
Above Average
 
Outstanding
 
 
Question 9 Comments:
   
 
 

10. Focuses on SDA group issues and does not fall into representing subgroups or individuals.
 
Unacceptable
 
Needs Improvement
 
Satisfactory
 
Above Average
 
Outstanding
 
 
Question 10 Comments:
   
 
 

11. Maintains effective communications with Board members through appropriate interaction.
 
Unacceptable
 
Needs Improvement
 
Satisfactory
 
Above Average
 
Outstanding
 
 
Question 11 Comments:
   
 
 

12. Maintains effective communications with management team members through appropriate interaction.
 
Unacceptable
 
Needs Improvement
 
Satisfactory
 
Above Average
 
Outstanding
 
 
Question 12 Comments:
   
 
 

13. Maintains effective communications with SDA physicians through appropriate interaction.
 
Unacceptable
 
Needs Improvement
 
Satisfactory
 
Above Average
 
Outstanding
 
 
Question 13 Comments:
   
 
 

14. Maintains effective communications with surgeons through appropriate interaction.
 
Unacceptable
 
Needs Improvement
 
Satisfactory
 
Above Average
 
Outstanding
 
 
Question 14 Comments:
   
 
 

15. Thinks strategically relating to group issues without getting too wrapped up in minutiae.
 
Unacceptable
 
Needs Improvement
 
Satisfactory
 
Above Average
 
Outstanding
 
 
Question 15 Comments:
   
 
 

16. Displays effective communication within SDA for SDA's group efforts.
 
Unacceptable
 
Needs Improvement
 
Satisfactory
 
Above Average
 
Outstanding
 
 
Question 16 Comments:
   
 
 

General Comments:
 
 
What has this Board member done well?
   
 
 
What could this Board member do better?
   
 
 
Has this Board Member improved since the last evaluation process?
   
 
 
Additional Comments:
   
 
Please contact Woody if you have any questions regarding this evaluation.
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