All board members complete the form and have a 5 minute debrief at the meeting.

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* 1. Date of Meeting:

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* 2. Name of Person completing assessment:

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* 3. What is the level of engagement of all board members?

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* 4. Was the agenda followed?

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* 5. Was the agenda linked to the Board's annual work plan?

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* 6. There was sufficient board time spent on Community linkage.

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* 7. There was sufficient board time spent on Ends discussion.

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* 8. There was sufficient board time spent on Executive Limitations.

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* 9. The Consent Agenda was used appropriately.

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* 10. What went well with the meeting?

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* 11. What concerns do you have with the meeting?

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* 12. How could this meeting be improved?

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