Sample Chief Executive Officer Performance Appraisal Process And Assessment Form (Page 12 of 22) in pdf

Sample Chief Executive Officer Performance Appraisal Process And Assessment Form Page 12

Assessment of CEO Personal Attributes and

Leadership Qualities

Please evaluate the CEO’s performance for each personal attribute and leadership quality area using the scale outlined

below. Consider all criteria together when forming an impression about the CEO’s performance. Add comments you

believe provide context to your rating, or that would be helpful to the CEO in improving his or her performance.

5 – Exceeds Expectations: The CEO’s personal attributes and leadership qualities extend above and beyond these

attributes as a part of his or her leadership. The CEO’s performance in this area is outstanding and exceeds my

expectation.

4 – Meets All Expectations: The CEO’s personal attributes and leadership qualities in this area are always exhibited as a

part of his or her leadership. The CEO’s performance in this area meets all of my expectations.

3 – Meets Most Expectations: The CEO often practices the personal attributes and leadership qualities in this area as a

part of his or her leadership, but not always. The CEO’s performance in this area generally meets my expectations.

2 – Meets Some Expectations: The CEO inconsistently practices the personal attributes and leadership qualities in this

area as a part of his or her leadership. The CEO’s performance in this area only meets some of my expectations.

1 – Does Not Meet Expectations: The CEO rarely or never practices these personal attributes and leadership qualities

as a part of his or her leadership. The CEO does not perform well in this area.

N/A – Not Applicable: Not applicable or has not been observed.

In the event that you rate the CEO’s performance 2 or below, please provide specific suggestions for needed

performance improvement.

Circle the Applicable Performance Rating and

Include Your Comments

Serves as a Change Agent

N/A

Comments:

•

Embraces the transformation occurring in health care delivery

and financing

•

Thinks innovatively

•

Exhibits a high level of emotional stability

•

Seeks and values the opinions of others

•

Continually seeks new information and perspectives

•

Values a diversity of opinions

CEO Self-Rating: [Insert CEO rating from self-evaluation here before giving to Board members]

CEO Comments: [Insert CEO comments from self-evaluation here before giving to Board members]

AHA 2017 Sample CEO Performance Appraisal Process and Assessment Form

Sample Chief Executive Officer Performance Appraisal Process And Assessment Form Page 12