Sample Chief Executive Officer Performance Appraisal Process And Assessment Form Page 13

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Assessment of CEO Personal Attributes and
Leadership Qualities (cont.)
Circle the Applicable Performance Rating and
Include Your Comments
Risk-Taking and Problem-Solving
1
2
3
4
5
N/A
•
Comments:
Keeps a constant pulse on shifts and trends in the health care,
political, social and technological environment
•
Encourages staff to challenge the status quo
•
Takes calculated risks
•
Leads the organization to be agile and adaptable
•
Thinks quickly and assimilates ideas well in providing direction
and leadership
•
Handles ambiguous situations well, always bringing focus to
the organization’s pursuit of its mission and vision
•
Allows for failure as long as the risk does not cause personal
harm or irreversible loss to the organization
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
13

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