Cultural Awareness - 360 Degree Feedback Survey Sample #3

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.

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 a great company.

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

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Cultural Awareness	Does Not Exhibit this Competency	Seldom Exhibits this Competency	Sometimes Exhibits this Competency	Usually Exhibits this Competency	Always Exhibits this Competency
Treats others with dignity and respect.
Seeks out different viewpoints and benefits from different perspectives.
Recognizes and values individual and cultural differences.
Shows respect in daily interactions
Maintains an inclusive work environment that maximizes the talents of others in achieving goals.
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
Takes responsibility for things that go wrong
Makes you feel enthusiastic about your work
Is ready to offer help
Keep staff informed about what is happening in the company
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
An effective listener who is responsive to information needs.
Is an effective communicator
Deals with difficult situations calmly and confidently.
Asks follow-up questions as needed.
Checks for understanding throughout conversations or group presentations/discussions
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
Is not afraid to take corrective action when necessary.
Drives and mobilizes others progress toward goals.
Does whatever it takes (within reason) to get the job done.
Displays high energy and enthusiasm on consistent basis.
Effectively makes decisions
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
Inspires others to accomplish goals and objectives.
Regularly reviews project performance and goals.
Responds quickly and appropriately to unforeseen problems.
Defines project outcomes based on customer requirements.
Maintains costs and expenses within budget limits.
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
Solves problems using logic and insight.
Effective in solving problems.
Ability to solve problems at root cause rather than at symptom level.
Ability to develop innovative solutions to problems.
Is a good problem solver and decision maker
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
Maximizes the use of new technology to deliver products and services.
Identifies gaps between actual and needed technical competencies and provides recommendations for required training.
Understands and is committed to implementing new technologies.
Supports technical training and development of employees.
Supports employee training and development initiatives regarding implementation of technology.
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
Uses tact, compassion, and sensitivity in interactions with others.
Comes across as credible, knowledgeable and sincere
Provides constructive feedback in a way that fosters acceptance and development.
Adapts management style to meet the needs of the individual or situation.
Able to work with individuals at all levels of the Company.
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
Forms strong client relationships
Maintains strong relationships with clients.
Satisfies client needs.
Obtains feedback to ensure client needs are being met.
Ensures client commitments and requirements are met or exceeded
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
Helps employees to think through alternative ways to resolve conflict situations.
Identifies and takes steps to prevent potential confrontations.
Tries to understand others' point of view before making judgments
Deals effectively with employee grievances.
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
Understands the Company's strengths and weaknesses and uses this information to create optimal solutions to problems.
Formulates policies and strategies for addressing the Company's important challenges.
Maintains knowledge of current trends in the industry.
Formulates strategies and action plans to ensure successful completion of goals and objectives.
Identifies root causes of problems.
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
Considers customers point of view when making decisions.
Applies knowledge of overseas markets.
Forms strong client relationships with international partners.
Accepts setbacks and challenges in foreign markets as improvement opportunities
Analyzes global issues/problems that are having a large impact on the Company.
Please feel free to provide any comments to help explain your answers?

61. Overall, please rate the effectiveness of .
    

    5- Very Effective 4- Effective 3- Neither 2- Ineffective 1- Very Ineffective

    
    
62. Strengths
    
    
    
63. Areas for Development
    
    
    
64. Please give any final comments or suggestions for 's assessment.