Please follow the instructions for each question. This questionnaire should take about 10 minutes to complete. If you get interrupted and cannot complete the survey in one session, you may return to this computer to finish it later. Thank you for your input!
What is the name of the organization you are evaluating?   What is the street address of the organization you are evaluating?   City   State   Zip   Please indicate your position with the organization:   Board Executive Management Staff   Please select your current staff level:   Front-line Staff Administrative Staff Supervisor Mid-level Manager		How long have you been with your organization?   Less than 6 months 6 months to less than 1 year 1 to less than 2 years 2 to less than 5 years 5 to less than 10 years 10 years or more   What is the budget size of your organization?   Less than $25,000 annually $25,000 to $99,000 $100,000 to less than $500,000 $500,000 to less than $1 Million $1 Million to less than $5 Million $5 Million to $10 Million More than $10 Million DON'T KNOW

Please select the top THREE areas that are the most important to HOW your organization operates:   Mission and Values Service Structure External Trends Planning Performance Management Constituent Input Human Resources Communications Collaborations and Partnerships Policies and Procedures Internal Controls Evaluation Accountability Financial Management

Please select the top THREE areas that are key CHALLENGES to the operation of your organization:   Mission and Values Service Structure External Trends Planning Performance Management Constituent Input Human Resources Communications Collaborations and Partnerships Policies and Procedures Internal Controls Evaluation Accountability Financial Management

How well you: SAY WHAT YOU DO? Carefully read each of the statements below and choose ALL of those that reflect your personal knowledge and experience at the agency. CRITERION 1: MISSION AND VALUES   Agency’s Purpose (Mission)   I don’t know the agency’s purpose (mission). I am familiar with the agency’s purpose (mission). I have seen the agency’s purpose (mission) in writing. The agency’s purpose (mission) is regularly communicated to everyone who is involved with or could be interested in our organization. The agency’s purpose (mission) is referred to when making decisions about agency activities.   Operating Principles (Values, Beliefs)   I don’t know the agency’s operating principles (values/beliefs).