ROD Indianapolis Feedback Form ROD Indianapolis Feedback Form Date of Interview* Month Day Year Name: Interviewer First Last Name: Candidate First Last Village Fit One - Below Average Two - Average Three - Above Average Four - Exceptional Demonstrated humility and capacity for working within a complex and highly matrixed environment. Commitment to team winsNotes: Village FitOperational Depth One - Below Average Two - Average Three - Above Average Four - Exceptional Experience working in value based care market segment within healthcare services and chronic patient mixesNotes: Operational DepthAnalytical/Intellectual HP One - Below Average Two - Average Three - Above Average Four - Exceptional Quick study of complex clinical/operational puzzles with proven experience of using data and metrics to make business decisionsNotes: Analytical/Intellectual HPLeadership and EQ One - Below Average Two - Average Three - Above Average Four - Exceptional Proven ability to hire/train/develop team members in the midst of organizational growth and evolving market opportunitiesNotes: Leadership and EQRunway/Potential One - Below Average Two - Average Three - Above Average Four - Exceptional Capacity for future growth in responsibility/accountability within The Village overtimeNotes: Runway/PotentialWhat is your level of energy around hiring this candidate?* One Two Three Four Notes: Level of Energy Around HiringFinal Thoughts/Recommendations
