Appendix G
Nonexecutive Chairman Assessment
Please rank answers to questions from 1—Strongly Disagree to 5—Strongly Agree
| Strongly Disagree | Strongly Agree | ||||
| 1. Provides leadership to the board of directors. | 1 | 2 | 3 | 4 | 5 |
| 2. Effectively organizes, sets the agenda for, and leads executive sessions of the independent directors. | 1 | 2 | 3 | 4 | 5 |
| 3. Serves effectively as a liaison between the board and the CEO. | 1 | 2 | 3 | 4 | 5 |
| 4. Consults with the CEO and secretary to set the agenda for board meetings. | 1 | 2 | 3 | 4 | 5 |
| 5. Meets with the CEO between board meetings as appropriate in order to facilitate board meetings and discussions. | 1 | 2 | 3 | 4 | 5 |
| 6. What advice would you give the chairman? ______________________________________________________ ______________________________________________________ ______________________________________________________ ______________________________________________________ |
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Other Comments:
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