Sample Chief Executive Officer Performance Appraisal Process And Assessment Form Page 14

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Assessment of CEO Personal Attributes and
Leadership Qualities (cont.)
Circle the Applicable Performance Rating and
Include Your Comments
Continuous Leadership Improvement
1
2
3
4
5
N/A
•
Comments:
Committed to continually improving personal leadership
performance
•
Demonstrates self-discipline
•
Assumes responsibility for adverse outcomes
•
Demonstrates humility
•
Perseveres through challenges
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
14

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