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Exit Survey
 
 
My relationship with the person being evaluated:
 
Manager / Supervisor
 
Peer / Colleague
 
Direct Report
 
External Customer
 
Internal Client
 
 
IMPORTANCE SUMMARY
Please consider the position (or job) of the person being rated -- not the individual. Think about what it takes to be succcessful in this role. How important do you rate the following competencies?
Not At All Important Somewhat Important Important Very Important Critically Important
Candor
Learning
Fairness
Excellent Execution
Safety
Building Trust
Showing Respect
Effective Communication
Teamwork & Collaboration
Being Inclusive
Not At All Important Somewhat Important Important Very Important Critically Important
Resolving Conflict
Critical Thinking
Strategic Thinking
Managing Time and Competing Priorities
Making Sound Financial Decisions
Problem Solving
Influencing Others, Across Boundaries
Decision Making
 
 
PERFORMANCE OBSERVATIONS
For the following questions, please think about the knowledge, skills, and attitudes of the person being evaluated. Consider behaviors you have personally observed. For the person being rated, consider how you would rate their professional competence and maturity . Reflect on whether or not their behavior aligns with our Values and encourages a positive culture at CAPC. For the competencies below, how often do you observe this person leading by example?
Rarely or Never Occassionally Regularly Frequently Always
Candor
Learning
Fairness
Excellent Execution
Safety
Building Trust
Showing Respect
Effective Communication
Teamwork & Collaboration
Being Inclusive
Rarely or Never Occassionally Regularly Frequently Always
Resolving Conflict
Critical Thinking
Strategic Thinking
Managing Time and Competing Priorities
Making Sound Financial Decisions
Problem Solving
Influencing Others, Across Boundaries
Decision Making
 
 
PERFORMANCE LEVELS
For the questions below, please think again about the knowledge, skills, and attitudes of the person being evaluated. Consider examples of their performance that you have personally observed. How would you rate their skill levels for these competencies?
1 - Poor 2 - Needs Improvement 3 - Satisfactory 4 - Very Good 5 - Excellent
Candor
Learning
Fairness
Excellent Execution
Safety
Building Trust
Showing Respect
Effective Communication
Teamwork & Collaboration
Being Inclusive
1 - Poor 2 - Needs Improvement 3 - Satisfactory 4 - Very Good 5 - Excellent
Resolving Conflict
Critical Thinking
Strategic Thinking
Managing Time and Competing Priorities
Making Sound Financial Decisions
Problem Solving
Influencing Others, Across Boundaries
Decision Making
 
 
 
What one thing would you recommend this person KEEP doing in order to improve their performance?
   
 
 
 
What one thing would you recommend this person STOP doing in order to improve their performance?
   
 
 
 
What one thing would you recommend this person START doing in order to improve their performance?
   
 
 
 
Overall, how would you rate this person's performance at CAPC?
Poor
Needs to Do Better
Acceptable
Good
Outstanding
 
 
 
Do you have any other feedback for this person?