Name of Interim CFO *

First Name

Last Name

The Interim CFO demonstrates competence in their role and responsibilities. *

Always

Usually

Often

Sometimes

Never

The Interim CFO is readily available and promptly responds to our inquiries *

Always

Usually

Often

Sometimes

Never

Interactions with the Interim CFO are positive, informative, and professional. *

Always

Usually

Often

Sometimes

Never

The Interim CFO contributes to the strategic advancement of the health center via a continuous analysis of strengths, weaknesses, opportunities, and threats. *

Always

Usually

Often

Sometimes

Never

The Interim CFO's interactions with the Board of Directors are engaging, respectful, informative, and straight forward. *

Always

Usually

Often

Sometimes

Never

The Interim CFO works well with members of the health center's key management staff. *

Always

Usually

Often

Sometimes

Never

The Interim CFO demonstrates effective oversight of finance department staff. *

Always

Usually

Often

Sometimes

Never

Financial statements and month end reports prepared by the Interim CFO are complete, accurate, and delivered in a timely manner. *

Always

Usually

Often

Sometimes

Never

Rate the quality of service in relation to: audit preparation. *

Excellent

Good

Fair

Poor

Very Poor

NA

Rate the quality of service in relation to: budget preparation. *

Excellent

Good

Fair

Poor

Very Poor

NA

Rate the quality of service in relation to: annual UDS report. *

Excellent

Good

Fair

Poor

Very Poor

NA

Rate the quality of service in relation to: Single Audit. *

Excellent

Good

Fair

Poor

Very Poor

NA

Rate the quality of service in relation to: Cost Reporting. *

Excellent

Good

Fair

Poor

Very Poor

NA

Rate the quality of service in relation to: Revenue Cycle support. *

Excellent

Good

Fair

Poor

Very Poor

NA