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US Renal Care Feedback Portal
USRC-VPBD Feedback Form
Date of Interview
*
Month
Day
Year
Name: Interviewer
First
Last
Name: Candidate
First
Last
Culture Fit
One - Below Average
Two - Average
Three - Above Average
Four - Exceptional
Demonstrated capacity for working within a complex and fast moving environment. Commitment to team wins
Notes: Culture Fit
Development Experience
One - Below Average
Two - Average
Three - Above Average
Four - Exceptional
Experience executing an aggressive growth plan in a similar or complimentary segment within healthcare services
Notes: Development Experience
Analytical/Financial Strength
One - Below Average
Two - Average
Three - Above Average
Four - Exceptional
Ability to understand and communicate financial and operational partnership terms with potential physician and/or institutional partners
Notes:Analytical/Financial Strength
Runway/Potential
One - Below Average
Two - Average
Three - Above Average
Four - Exceptional
Capacity for future growth in responsibility/accountability within US Renal Care
Notes: Runway/Potential
What is your level of energy around hiring this candidate?
*
One
Two
Three
Four
Notes: Level of Energy Around Hiring
Final Thoughts/Recommendations
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