Audit And Risk Committee Self-Assessment Questionnaire Template
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11Audit and Risk Committee Self-Assessment Questionnaire
Please read each statement and rank your response on the 5-point scale directly
below each statement, with “1” indicating that you strongly disagree with the
statement and “5” indicating that you strongly agree with the statement.
Additional space is also provided for comments you may have on each statement,
if any.
This assessment will cover four broad areas of Audit and Risk Committee
performance:
Fulfillment of the Audit and Risk Committee’s Key Responsibilities
Quality of the Audit and Risk Committee – Management Relationship
Effectiveness of Audit and Risk Committee Processes and Meetings
Performance of Individual Audit and Risk Committee Members
Please be as frank and candid as possible in your ratings and comments. Rest
assured that confidentiality will be maintained at all times. A summary report will
be distributed to the Audit and Risk Committee after the tabulation and analysis
of the results, along with some recommendations for possible Audit and Risk
Committee consideration and action. While some comments may be referenced
in the summary report, we will not make any personal attribution for these
comments.
Name: ____________________________
Signature: _________________________
Date submitted: _____________________
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