Appendix ABoard of Directors Self-Assessment

Please rank answers to questions from 1—Strongly Disagree to 5—Strongly Agree

Please include written comments in the space beneath the question or in the space provided at the end of the questionnaire. Your comments are encouraged, as they will be particularly helpful in interpreting the results and in addressing matters not specifically covered by the questions.

I. Questions Relevant to Assessment for the Company as a Whole

Strongly Disagree Strongly Agree
1. The company will perform well in
   a. the next twelve months. 1         2                 3                 4         5
   b. the next three to five years. 1         2                 3                 4         5

Comments:

Strongly Disagree Strongly Agree
2. The company has a compelling strategy that is being implemented effectively. 1         2                 3                 4         5

Comments:

Strongly Disagree Strongly Agree
3. The company has the right CEO. 1         2                 3                 4         5

Comments:

Strongly Disagree Strongly Agree
4. The company has the right compensation strategy. 1         2                 3                 4         5

Comments:

Strongly Disagree Strongly Agree
5. The company has an emergency succession plan in place for its CEO position. 1         2                 3                 4         5

Comments:

Strongly Disagree ...

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