Bloom Healthcare Feedback Form

Date of Interview*

Name: Interviewer

First Last

Name: Candidate

First Last

Culture Fit

Demonstrated humility and capacity for working within a complex and collaborative environment. Commitment to team wins

Notes: Culture Fit

Operational Depth

Experience managing the P&L, integrations, team satisfaction + KPI's, and longterm strategy in a regulated environment

Notes: Operational Depth

Analytical/Intellectual HP

Quick study of complex clinical/operational puzzles with proven experience of using data and metrics to make business decisions

Notes: Analytical/Intellectual HP

Leadership and EQ

Proven ability to hire/train/develop team members in the midst of Bloom Healthcare's growth and evolving market opportunities

Notes: Leadership and EQ

Runway/Potential

Capacity for future growth in responsibility/accountability within Bloom Healthcare

Notes: Runway/Potential

What is your level of energy around hiring this candidate?*

Notes: Level of Energy Around Hiring

Final Thoughts/Recommendations