hr-survey.com

Cultural Awareness - 360 Degree Feedback Survey Sample #3





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)
Instructions

You have been asked to evaluate yourself as part of a 360-degree feedback process. Other employees, including your manager(s), peers, and direct reports will also evaluate you. In this manner, you will be provided with a comprehensive, multi-perspective (i.e., 360-degree) view of your performance as a manager. The objective is to provide you with feedback so as to allow you to improve your performance, resulting in improved team performance, and organizational effectiveness.

If you are not able to respond to an item, leave it blank and go on to the next item.

Sample Result Document:
Sample Results
We encourage everyone to complete the survey. Please be honest, constructive and thoughtful in your input. The survey is designed to help us understand more about your thoughts and needs to make this a great company.

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





Cultural Awareness

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Seeks knowledge and information about other cultures.
  1. Effective in working with individuals with a variety of cultural backgrounds.
  1. Interacts effectively with people from different cultural backgrounds.
  1. Is sensitive to the similarities and differences that exist between cultures.
  1. Open to learning about different cultures.
Please feel free to provide any comments to help explain your answers?

Management

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Sets an example for others to follow
  1. Takes responsibility for things that go wrong
  1. Makes you feel enthusiastic about your work
  1. Is ready to offer help
  1. Delegate tasks effectively
Please feel free to provide any comments to help explain your answers?

Communication Skills

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Delivers well-prepared, informed, poised and succinct presentations.
  1. Coaches others and provides feedback on the use of different oral communication styles for different audiences
  1. Communicates effectively with colleagues and customers
  1. Deals with difficult situations calmly and confidently.
  1. Conveys ideas confidently and succinctly.
Please feel free to provide any comments to help explain your answers?

Action

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Does whatever it takes (within reason) to get the job done.
  1. Displays high energy and enthusiasm on consistent basis.
  1. Motivates & supports others to gain skills
  1. Is not afraid to take corrective action when necessary.
  1. Makes effective decisions, even when under pressure.
Please feel free to provide any comments to help explain your answers?

Project Management

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Inspires others to accomplish goals and objectives.
  1. Organizes, plans, and directs resources to accomplish the goals and objectives.
  1. Develops action items, workplans, timelines, and criteria for projects.
  1. Maintains costs and expenses within budget limits.
  1. Organizes work and sets priorities as needed.
Please feel free to provide any comments to help explain your answers?

Problem Solving

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Generates alternative solutions to problems and challenges.
  1. Is a good problem solver and decision maker
  1. Able to balance the needs of different people in a solution to a problem.
  1. Effective in solving problems.
  1. Identifies and assesses all potential responses to a problem.
Please feel free to provide any comments to help explain your answers?

Technology Use/Management

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Supports technical training and development of employees.
  1. Applies complex rules and regulations to maintain optimal system performance.
  1. Uses technology in decision making and problem solving.
  1. Understands and is committed to implementing new technologies.
  1. Maximizes the use of new technology to deliver products and services.
Please feel free to provide any comments to help explain your answers?

Interpersonal Skills

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Values the opinions of others.
  1. Able to work with individuals at all levels of the Company.
  1. Strives for win/win solutions
  1. Creates an atmosphere that supports the open expression of ideas
  1. Effectively manages conflicts by dealing with them directly and immediately
Please feel free to provide any comments to help explain your answers?

Client Focus

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Satisfies client needs.
  1. Adapts to changes proposed by the client.
  1. Makes client's needs a top priority.
  1. Thoroughly understands the needs of the client.
  1. Focuses on providing excellent client service.
Please feel free to provide any comments to help explain your answers?

Conflict Management

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Discusses conflict situations with supervisor.
  1. Helps employees to think through alternative ways to resolve conflict situations.
  1. Deals effectively with employee grievances.
  1. Identifies and takes steps to prevent potential confrontations.
  1. Clearly expresses expectations to others.
Please feel free to provide any comments to help explain your answers?

Strategic Insight

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Communicates vision for the department and company.
  1. Understands the Company's strengths and weaknesses and uses this information to create optimal solutions to problems.
  1. Identifies root causes of problems.
  1. Formulates strategies and action plans to ensure successful completion of goals and objectives.
  1. Analyzes records and reports to obtain insight into potential issues and trends.
Please feel free to provide any comments to help explain your answers?

Global Perspective

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Applies knowledge of overseas markets.
  1. Is able to work with individuals having different backgrounds and cultures.
  1. Demonstrates a curiosity about diverse individuals and cultures.
  1. Exemplifies the skills of a global worker.
  1. Creates an environment where individual differences are valued and supported.
Please feel free to provide any comments to help explain your answers?

  1. Overall, please rate the effectiveness of [Participant Name].






  2. Strengths


  3. Areas for Development


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