Sample Chief Executive Officer Performance Appraisal Process And Assessment Form Page 17

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Assessment of CEO Personal Attributes and
Leadership Qualities (cont.)
Circle the Applicable Performance Rating and
Include Your Comments
Communication
1
2
3
4
5
N/A
•
Comments:
Values transparency
•
Seeks new and better ways to communicate with employees,
physicians, patients and key stakeholders
•
Maintains open lines of communication at all levels
•
Maintains a strong rapport and professional working
relationships at all levels
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
17

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