HR-Survey > 360-Degree Feedback > Competency Model > Cultural Awareness

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)
Survey 13 (4-point scale; numbers; floating anchors)
Survey 14 (4-point scale; N/A)
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 understand what customs and etiquette are important for individuals from other cultures.
  1. I seek opportunities to learn about the other cultural backgrounds of colleagues.
  1. You treat others with dignity and respect.
  1. You understand the impact that your culture may have on interactions between individuals.
  1. You are curious and willing to ask questions about the cultural differences in the workplace.
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. I implement remediation plans that include specific performance goals in areas most in need of improvement.
  1. You ensure employees understand their performance expectations.
  1. You revise the OKRs required for the position on a quarterly basis.
  1. You establishe standards for expected performance.
  1. You ensure the eligibility of the proposed award recipient.
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 add value to the department/organization.
  1. You are creative and inspirational.
  1. You inspire creativity in your team.
  1. You are creative.
  1. You develop solutions to challenging problems.
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 actively seek feedback from others.
  1. You ask others for their ideas and opinions.
  1. You are open to the suggestions of others.
  1. You seek feedback to enhance performance.
  1. You consider other's opinion and suggestions.
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 are gracious and professional in your interactions with others.
  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 contribute to a positive and fun work environment.
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. I make creative decisions.
  1. You determine the constraints that may impact what decisions are acceptable.
  1. You come across as confident, decisive, and resilient
  1. I understand how my decisions will affect others.
  1. I carefully evaluate information before making an important decision.
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. I coordinate the activities of the innovation steering committee.
  1. You promote disruptive innovation empowering managers to challenge the status quo and push the boundaries of what's possible.
  1. You create new and efficient processes.
  1. I guide the department's innovation focus.
  1. You take risks that often yield reward.
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 systematically work to improve the organization
  1. You are driven to complete assignments on time.
  1. You follow-up and take action when goals are not met to ensure better results in the future.
  1. You strive to exceed standards of performance.
  1. You help others to improve or meet standards of performance.
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 avoid stating unclear or conflicting goals.
  1. You adjust communication methods to the needs of the audience.
  1. You write clear job descriptions for positions in the organization.
  1. You are clear about goals that need to be achieved.
  1. You communicate with clarity and efficiency.
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. I identify opportunities that enhance the customer's experience.
  1. I take the initiative in solving difficult customer issues.
  1. You ensure all customer commitments and requirements are met or exceeded.
  1. I am competent in managing customer projects.
  1. You promote, implement, maintain and enhances relationships with customers.
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 compliment other people when they do good work
  1. You recognize the abilities and skills of self and others
  1. You let employees know when they have done well
  1. You say "thank you" to show appreciation for work of others.
  1. You reinforce and reward employees for accomplishing necessary goals.
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 foster a critical analysis of events and issues.
  1. I calculate return on investment (ROI) for various business projects.
  1. You base decisions on business data rather than on intuition or hunches.
  1. I know how to use financial information to make an impact on the organization.
  1. You effectively troubleshoot customer business issues.
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.