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. Maintains an inclusive work environment that maximizes the talents of others in achieving goals.
  1. Respects others regardless of age, race, gender, nationality, or disability.
  1. Recognizes and values individual and cultural differences.
  1. Seeks out different viewpoints and benefits from different perspectives.
  1. Values the opinions of diverse groups and individual.
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. Keep staff informed about what is happening in the company
  1. Makes you feel enthusiastic about your work
  1. Sets an example for others to follow
  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. Communicates effectively with colleagues and customers
  1. Delivers information in a clear, concise, and logical manner.
  1. Listens to others' points of view with an open mind
  1. Asks follow-up questions as needed.
  1. Able to deliver presentations.
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. Is not afraid to take corrective action when necessary.
  1. Gets the job done.
  1. Motivates & supports others to gain skills
  1. Drives and mobilizes others progress toward goals.
  1. 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
  1. Works with customers and clients to assess their needs and define project parameters.
  1. Organizes work and sets priorities as needed.
  1. Regularly reviews project performance and goals.
  1. Responds quickly and appropriately to unforeseen problems.
  1. Inspires others to accomplish goals and objectives.
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. Effective in solving problems.
  1. Solves problems using logic and insight.
  1. Is a good problem solver and decision maker
  1. Generates alternative solutions to problems and challenges.
  1. Understands the root causes of problems.
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. Identifies gaps between actual and needed technical competencies and provides recommendations for required training.
  1. Applies complex rules and regulations to maintain optimal system performance.
  1. Maximizes the use of new technology to deliver products and services.
  1. Understands and is committed to implementing new technologies.
  1. Proficient in the use of technical systems and processes.
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. Strives for win/win solutions
  1. Demonstrates willingness to work with others.
  1. Applies appropriate communication techniques to the situation.
  1. Uses knowledge and charisma rather than position, power, or coercion to influence others
  1. Provides constructive feedback in a way that fosters acceptance and development.
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. Obtains feedback to ensure client needs are being met.
  1. Is pro-active in dealing with clients and addressing their needs.
  1. Ensures client commitments and requirements are met or exceeded
  1. Looks for opportunities that have a positive impact on Clients.
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. Deals effectively with employee grievances.
  1. Clearly expresses expectations to others.
  1. Tries to understand others' point of view before making judgments
  1. Assists team members by helping them see the other point of view.
  1. Helps employees to think through alternative ways to resolve conflict situations.
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. Identifies potential problems before they become critical incidents.
  1. Analyzes records and reports to obtain insight into potential issues and trends.
  1. Understands the Company's strengths and weaknesses and uses this information to create optimal solutions to problems.
  1. Formulates strategies and action plans to ensure successful completion of goals and objectives.
  1. Maintains knowledge of current trends in the industry.
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. Collaborates with others respectfully and effectively with other people regardless of differences in cultural backgrounds.
  1. Can effectively deliver presentations to international clients.
  1. Volunteers for experiences and assignments abroad.
  1. Exemplifies the skills of a global worker.
  1. Applies knowledge of overseas markets.
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.