You have been asked to contribute your insight and perspective to the ongoing development of the Profiles Checkpoint "Participant" whose name appears at the top of the page. Your responses will help "The Participant" gauge how he or she is performing on 70 job-related skills and competencies. Others, representing a variety of working relationships, will also respond to this survey. Receiving feedback from multiple perspectives will provide "The Participant" with a full-circle overview of his or her performance. This feedback is designed to improve individual and team performance as well as the overall success of the organization.

The information you provide will be compiled and presented to "The Participant" in a comprehensive Checkpoint Feedback Report. Data in the report will guide "The Participant" in establishing professional development goals and action plans. It will be your candid and honest evaluations that set the course for positive change, both for the individual being rated and for your entire organization.

If you have any questions about this process, please stop now and contact your Company's Checkpoint administrator.

Thank you for completing this survey. Your insights are important to "The Participant" and your Company.

Instructions For The Participant's Boss
It may be helpful to imagine "The Participant's" name preceding each item as you read through the survey. Please answer according to "The Participant's" performance in the work environment, according to your direct experience with his or her actions, and according to this person's individual abilities (not in comparison with anyone else.)

Following this page, you will be asked to determine 6 Skill Sets out of the 18 that are most critical to carrying out the demands of this participant's specific job. All may be important to a degree, but some have more bearing on this particular individual's responsibilities. Choose the 6 you consider most critically important to the requirements of "The Participant's" position in the organization.

Based on your observations and experiences, you will rate the frequency with which "The Participant" displays the 70 described skills. (In the report that follows, your responses will be identifiable to the participant). Your choices are:

• Not Applicable (N): You do not know or this survey item does not apply to the participant's responsibilities.
• Never (1): Never demonstrates this skill.
• Seldom (2): Seldom demonstrates this skill and development is needed.
• Sometimes (3): Sometimes exhibits skill in this area but at an inadequate level and needs improvement.
• Usually (4): Skill level in this area is usually employed, but there is still potential for further development.
• Always (5): Consistently demonstrates this skill in an effective manner.