Questionnaire

Initial Governance Assessment

Dear Beneficiary,

We would like to inform you that all your entered data is subject to complete confidentiality on our part, and its use is limited to our social responsibility activities in promoting governance practices in the Kingdom of Saudi Arabia, without disclosing any information about you or your organization.

Organization Commercial Registration

Full Name Designation

Email Address Phone Number

1 Is there an approved organizational structure?

Yes No N/A

2 Is there an approved authority matrix for the organization?

Yes No N/A

3 Are there oversight and executive committees derived from the Board of Directors?

Yes No N/A

4 Is there a charter for the Board of Directors?

Yes No N/A

5 Are there charters for the committees formed by the board?

Yes No N/A

6 Are there job descriptions for the Board members, committees, and the board secretary?

Yes No N/A

7 Are the meeting schedules and discussion topics for upcoming board meetings pre-defined?

Yes No N/A

8 Are there evaluation templates for the Board of Directors and its committees?

Yes No N/A

9 Is there a training policy for board members, committee members, and executive management?

Yes No N/A

10 Is there a template for evaluating executive management?

Yes No N/A

11 Is there a conflict of interest policy?

Yes No N/A

12 Is there a disclosure and data privacy policy?

Yes No N/A

13 Is there a risk management policy?

Yes No N/A

14 Is there a document retention and destruction policy?

Yes No N/A

15 Is there a professional conduct and work ethics policy?

Yes No N/A

16 Is there a policy for reporting violations and protecting whistleblowers?

Yes No N/A

17 Is there an approved financial policy?

Yes No N/A

18 Is there an approved human resources policy?

Yes No N/A

19 Are there rules/policies for investing surplus funds of the organization?

Yes No N/A

20 Is there a charter and guide for internal auditing?

Yes No N/A

21 Is there a corporate social responsibility (CSR) policy?

Yes No N/A

22 Is there a policy for managing relationships with beneficiaries and stakeholders?

Yes No N/A

23 Is there a policy to prevent fraudulent practices?

Yes No N/A

24 Is there a business continuity policy?

Yes No N/A

25 Is there a compliance policy within the organization?

Yes No N/A

• • • •

Initial Governance Assessment

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Question

1

Is there an approved organizational structure?

2

Is there an approved authority matrix for the organization?

3

Are there oversight and executive committees derived from the Board of Directors?

4

Is there a charter for the Board of Directors?

5

Are there charters for the committees formed by the board?

6

Are there job descriptions for the Board members, committees, and the board secretary?

7

Are the meeting schedules and discussion topics for upcoming board meetings pre-defined?

8

Are there evaluation templates for the Board of Directors and its committees?

9

Is there a training policy for board members, committee members, and executive management?

10

Is there a template for evaluating executive management?

11

Is there a conflict of interest policy?

12

Is there a disclosure and data privacy policy?

13

Is there a risk management policy?

14

Is there a document retention and destruction policy?

15

Is there a professional conduct and work ethics policy?

16

Is there a policy for reporting violations and protecting whistleblowers?

17

Is there an approved financial policy?

18

Is there an approved human resources policy?

19

Are there rules/policies for investing surplus funds of the organization?

20

Is there a charter and guide for internal auditing?

21

Is there a corporate social responsibility (CSR) policy?

22

Is there a policy for managing relationships with beneficiaries and stakeholders?

23

Is there a policy to prevent fraudulent practices?

24

Is there a business continuity policy?

25

Is there a compliance policy within the organization?