SELF-ASSESSMENT QUESTIONNAIRE 1. SUSTAINABLE GOVERNANCE Citizen Engagement Yes No Comments 1.1 Does your municipality have a formally adopted citizen-engagement plan? Y N 1.2 Does your municipality have a process or plan to: i. Engage citizens in the preparation of the budget? Y N ii. Communicate the budget to citizens? Y N 1.3 Does your municipality publish an annual report, including more than financial information? Y N 1.4 Does your municipality conduct a citizen satisfaction survey? Y N 1.5 If yes to 1.4 does it address: i. Citizen satisfaction with the municipal corporation? Y N ii. Citizen satisfaction with annual reports? Y N Local Elections 1.6 Is the community willing and interested in serving on council? Y N 1.7 Is the community willing to serve on municipal committees or boards? Y N 1.8 Over the course of the last three municipal general elections, has there been an increase in voter turnout? Y N 1.9 Has the municipality received sufficient nominations by nomination day to fill all available council positions in each of the last three general elections? Y N
3.5 With respect to your most recent annual financial statements, what percentage of annual municipal expenditures is spent on servicing municipal debt (principal and interest)? _____% 3.6 Does the council monitor the municipality’s actual vs. budgeted municipal revenues and expenditures on a minimum of a quarterly basis? Y N 3.7 Has your municipality reported an accumulated deficit, net of equity in tangible capital assets, for the past three fiscal (calendar) years? * Y N 3.8 Does your municipality have less than a 1:1 ratio of current assets to current liabilities? * Y N 3.9 Has your municipality received a “qualified audit opinion”, “denial of opinion” or an “adverse opinion” with respect to your most recent annual financial statements? * Y N Debt 3.10 Is your municipality operating within the regulated debt limits? ** Y N 3.11 Does your municipality have outstanding short-term debt (e.g., lines of credit, overdraft) at the end of the year? Y N 3.12 Does your municipality experience cash flow issues that require you to access short-term loans on a regular basis throughout the year? Y N 3.13 Has your municipality reached 80% of its debt or debt service limit? * Y N
7.4 In the last five years (or the most recent five-year federal census cycle) has the number of children and youth under 19 increased within your municipality? Y N Economic Vitality 7.5 Are young people able to find work in the area? Y N 7.6 Is unemployment an issue in your community? Y N 7.7 Has the number of new development permits been stable or growing over the past five years? Y N 7.8 Has the number of new business licences been stable or growing over the past five years? Y N 7.9 Is there a range of businesses operating in your municipality (i.e., variety in size and sectors)? Y N 7.10 Does your municipality expect that these businesses will provide stable employment in the community the long term? Y N Community Vitality 7.11 Is there a strong sense of pride in the community? Y N 7.12 Does your council actively lead or support activities to foster community pride and celebrate community? Y N 7.13 Are there public facilities in the community for recreation, community meetings and social gatherings? Y N If yes, who owns and operates these facilities? _____________________________ _____________________________ _____________________________ ii. Are these facilities self-sustaining? Y N
7.14 Are strong local volunteer organizations active within the municipality? Y N 8. RISK MANAGEMENT Risk Identification/ Management of Risks 8.1 Has the municipality conducted a Corporate Risk Assessment? Y N 8.2 If yes, does the municipality have a Corporate Risk Mitigation Plan? Y N Risk Assessment/Planning 8.3 Is funding set aside for unexpected emergencies? Y N 8.4 Does your municipality have a municipal service/corporation continuity plan in place? Y N 8.5 Are appropriate emergency management plans in place? Y N 8.6 Are plans or strategies in place to manage the loss of critical community resources such as labour or loss of major industries? Y N 8.7 Does the municipality have plans in place to address environmental risks (e.g., reclamation plan)? Y N 8.8 Does your municipal fire department and/or service provider provide the level of emergency service as determined by your council, and meet any applicable provincial standards? Y N 8.9 Does your municipality ensure that provincial safety standards (e.g., Safety Codes requirements, Occupational Health and Safety, etc.) are adhered to? Y N INTERPRETING THE RESULTS OF YOUR SELF-ASSESSMENT We have answered the questions. Now what do we do?