hr-survey.com

Cultural Awareness - 360 Degree Feedback Survey Sample #2





Questionnaires Measuring Cultural Awareness:
Survey 1 (4-point scale; Competency Comments)
Survey 2 (4-point scale; Competency Comments)
Survey 3 (5-point scale; Competency Comments)
Survey 4 (5-point scale; radio buttons)
Survey 5 (4-point scale; words)
Survey 6 (4-point scale; words)
Survey 7 (5-point scale; competency comments; N/A)
Survey 8 (3-point scale; Agree/Disagree words; N/A)
Survey 9 (3-point scale; Strength/Development; N/A)
Survey 10 (Comment boxes only)
Survey 11 (Single rating per competency)
Survey 12 (Slide-bar scale)
Self-Assessment Instructions

You have been asked to complete a self-assessment questionnaire form (shown below). You will also receive feedback from others such as your peers, direct reports and manager. Feedback is an important part of our company's leadership development process and this survey is intended to gather broad feedback in the core competencies and role responsibilities that are important for the on-going success of our organization.

In responding to the questions below, think about your experiences as an employee over the last twelve months and the goals you were asked to achieve. The effectiveness of this development tool is dependent on your honest, forthright and constructive responses so please bear this in mind as you answer each question. Your responses will become part of the assessment process to foster your growth and on-going development.

Competencies Included:
Cultural Awareness, Managing Performance, Creativity, Feedback, Attitude, Decision Making, Innovation, Achievement, Clarity, Customer Focus, Recognition, Business Acumen
Sample Result Document:
Sample Results
Partially completed forms can be saved by using the Save/Still Working button at the bottom of the page. You may return at a later time to complete/edit the form. Your saved responses will be shown each time you re-visit the feedback form. When you are certain that you have completed your responses and will be not making any changes, click the Complete button.

Please ensure that your submission is made between . The survey will only be available during these dates.


Cultural Awareness

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. You recognize and value individual and cultural differences.
  1. You encourage a work environment where individual differences are valued.
  1. You show respect in daily interactions
  1. You treat others with dignity and respect.
  1. You respect others regardless of age, race, gender, nationality, or disability.
What are your suggestions for how you can make improvements
in Cultural Awareness?

Managing Performance

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. You prioritize the work of others.
  1. You set specific and measurable goals for others and follows through to completion.
  1. You are consistent in disciplinary/corrective actions.
  1. You ensure employees understand how work is to be completed.
  1. You assess employee performance against defined standards.
What are your suggestions for how you can make improvements
in Managing Performance?

Creativity

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. You inspire creativity in your team.
  1. You develop solutions to challenging problems.
  1. You create a lot of new ideas.
  1. You are creative.
  1. You conceive, implement and evaluate ideas.
What are your suggestions for how you can make improvements
in Creativity?

Feedback

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. You consider other's opinion and suggestions.
  1. You accept the views of others.
  1. You are visible and approachable.
  1. You seek feedback to enhance performance.
  1. You ask others for their ideas and opinions.
What are your suggestions for how you can make improvements
in Feedback?

Attitude

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. You contribute to a positive work environment.
  1. You visibly support and encourages diversity in style and background.
  1. You work to eliminate unnecessary work or barriers that get in others' way.
  1. You treat all people fairly and with respect.
  1. You build open and trusting relationships.
What are your suggestions for how you can make improvements
in Attitude?

Decision Making

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. You exercise good judgment by making sound and informed decisions.
  1. You ask for additional information when making critical decisions.
  1. You coach team members individually when "poor" decisions are made and helps them see what could have been done differently
  1. You are able to make decisions quickly.
  1. You break complex issues into manageable parts and organize them in a systematic way before making decisions
What are your suggestions for how you can make improvements
in Decision Making?

Innovation

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. You build upon the ideas and solutions of others.
  1. You foster a creative and innovative work environment.
  1. You develop new products and services.
  1. You challenge current procedures to develop other alternatives.
  1. You implement best practices within the department.
What are your suggestions for how you can make improvements
in Innovation?

Achievement

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. You set challenging goals.
  1. You inspire others to work with a sense of urgency.
  1. You help others to improve or meet standards of performance.
  1. You establish Specific Measurable Achievable Realistic and Timed (SMART) goals.
  1. You set challenging goals for the department.
What are your suggestions for how you can make improvements
in Achievement?

Clarity

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. You adjust communication methods to the needs of the audience.
  1. You communicate ideas and facts clearly and effectively in writing.
  1. You avoid creating ambiguity or mixed messages.
  1. You clearly explains responsibilities to individuals.
  1. You clearly explain the vision and goals of the company.
What are your suggestions for how you can make improvements
in Clarity?

Customer Focus

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. You ask questions and listen carefully to determine customer needs and to ensure that the customer's needs are met.
  1. You maintain positive customer relationships.
  1. You develop strong customer relationships.
  1. You ensure all customer commitments and requirements are met or exceeded.
  1. You consider customers point of view when making decisions.
What are your suggestions for how you can make improvements
in Customer Focus?

Recognition

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. You readily share credit and gives others opportunity for visibility.
  1. You are sincerely interested in the suggestions of co-workers
  1. You let employees know when they have done well
  1. You say "thank you" to show appreciation for work of others.
  1. You recognize team members who offer a significant contribution to a project.
What are your suggestions for how you can make improvements
in Recognition?

Business Acumen

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. You understand complex issues and problems.
  1. You are able to align resources to meet the business needs of the company.
  1. You exhibit behavior that is consistent with the vision, mission, and core values of the organization
  1. You consider impact of actions on other areas of the organization.
  1. You apply the knowledge of work processes to influence the achievement of business goals
What are your suggestions for how you can make improvements
in Business Acumen?


  1. Strengths


  2. Areas for Development


  3. Please give any final comments or suggestions for [Participant Name Here]'s assessment.