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 show respect in daily interactions
  1. I seek clarification to avoid misunderstandings.
  1. I value the diverse perspectives from others.
  1. I actively listen to other employees' stories about their culture.
  1. You understand how implicit biases can affect decisions, communication and productivity.
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 adjust performance goals as needed to meet the demands of the department/organization.
  1. You prioritize the work of others.
  1. You inform team members how their performance compares to stated goals.
  1. You continuously measures performance and provides feedback to employees regularly.
  1. You ensure team members understand the department goals.
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 conceive, implement and evaluate ideas.
  1. You add value to the department/organization.
  1. You are creative.
  1. You create a lot of new ideas.
  1. You inspire creativity in your team.
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 share past experiences with others as learning opportunities.
  1. You consider other's opinion and suggestions.
  1. You are visible and approachable.
  1. You are easy to approach with ideas and opinions.
  1. You accept the views of others.
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 treat all people fairly and with respect.
  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 work environment.
  1. You are gracious and professional in your interactions with others.
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 view issues from multiple perspectives before making a decision.
  1. I evaluate information before making a final decision.
  1. I formulate imaginative decisions.
  1. You learn from previous bad decisions and rarely repeat them.
  1. I regularly evaluate information before making important 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 solve problems with insight and understanding.
  1. You create a safe environment for idea-sharing.
  1. You analyze current procedures and identify opportunities for improvement.
  1. You challenge current procedures to develop other alternatives.
  1. You search for opportunities and innovative ways to improve the organization.
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 are determined to complete tasks regardless of obstacles that may occur.
  1. You are results oriented.
  1. You demonstrate a sense of urgency to quickly and accurately solve problems and issues.
  1. You accept setbacks and challenges as improvement opportunities
  1. You follow-up and take action when goals are not met to ensure better results in the future.
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 creating ambiguity or mixed messages.
  1. You are clear about the roles and duties of team members.
  1. You clearly explain the vision and goals of the company.
  1. You clarify problems and their causes to help employees correct them.
  1. You use appropriate grammar and tense in communications.
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 am transparent in all communications with the customer.
  1. You focus on providing excellent customer service.
  1. I create new and innovative products for customers.
  1. I create an environment that enables customers to receive excellent service.
  1. You engage with customers on multiple levels.
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 say "thank you" to show appreciation for work of others.
  1. You recognize team members who offer a significant contribution to a project.
  1. You recognize the abilities and skills of self and others
  1. You compliment other people when they do good work
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 financial terminology, statements.
  1. You effectively develop and use resources (people, time, money, supplies, equipment, and space) to improve organizational performance
  1. I calculate return on investment (ROI) for various business projects.
  1. I recognize trends in underlying data.
  1. You periodically assess the current market environment.
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.