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.

Competencies Included:
Cultural Awareness, Management, Communication Skills, Action, Project Management, Problem Solving, Technology Use/Management, Interpersonal Skills, Client Focus, Conflict Management, Strategic Insight, Global Perspective
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. Is sensitive to the similarities and differences that exist between cultures.
  1. Is aware of cultural differences in business etiquette.
  1. Views diversity as a strength, not as an issue.
  1. Fosters a diverse workforce free from discrimination and harassment.
  1. Acknowledges their own biases in cultural interactions.
Please feel free to provide any comments to help explain your answers?

Management

Does Not
Exhibit this
Competency
Seldom
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Competency
Sometimes
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Competency
Usually
Exhibits this
Competency
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Exhibits this
Competency
  1. Is ready to offer help
  1. Keep staff informed about what is happening in the company
  1. Delegate tasks effectively
  1. Makes you feel enthusiastic about your work
  1. Takes responsibility for things that go wrong
Please feel free to provide any comments to help explain your answers?

Communication Skills

Does Not
Exhibit this
Competency
Seldom
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Competency
Sometimes
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Competency
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Competency
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Competency
  1. Comes across as comfortable and effective as a public speaker
  1. Communicates concepts and ideas to others.
  1. Keeps the supervisor informed about achievements and milestones.
  1. Is willing to give feedback to others even if that feedback is critical of their approach.
  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. Displays high energy and enthusiasm on consistent basis.
  1. Fixes problems when they occur.
  1. Is not afraid to take corrective action when necessary.
  1. Is ambitious when working on the project.
  1. Does whatever it takes (within reason) to get the job done.
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
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Competency
Always
Exhibits this
Competency
  1. Creates the metrics used to measure progress on the project.
  1. Inspires others to accomplish goals and objectives.
  1. Defines project outcomes based on customer requirements.
  1. Organizes work and sets priorities as needed.
  1. Assesses the ability of the organization to handle the project.
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. Works cooperatively with others to solve problems.
  1. Identifies and assesses all potential responses to a problem.
  1. Implements effective solutions to critical problems.
  1. Makes judgments based upon relevant information.
  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
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Competency
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Competency
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Exhibits this
Competency
  1. Identifies gaps between actual and needed technical competencies and provides recommendations for required training.
  1. Uses technology in decision making and problem solving.
  1. Supports technical training and development of employees.
  1. Maximizes the use of new technology to deliver products and services.
  1. Applies complex rules and regulations to maintain optimal system performance.
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
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Exhibits this
Competency
  1. Demonstrates compassion and understanding of others.
  1. Keeps commitments made with coworkers.
  1. Promotes acceptance of diverse viewpoints from team members.
  1. Comes across as credible, knowledgeable and sincere
  1. Adapts management style to meet the needs of the individual or situation.
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
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Competency
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Exhibits this
Competency
  1. Responsive to client needs.
  1. Puts client's needs first.
  1. Is honest in all communication with the clients.
  1. Creates documents that meet the client's specifications.
  1. Creates innovative solutions to meet client needs.
Please feel free to provide any comments to help explain your answers?

Conflict Management

Does Not
Exhibit this
Competency
Seldom
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Competency
Sometimes
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Competency
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Competency
  1. Determines who has the autonomy (authority) to make the decisions necessary to end the conflict.
  1. Addresses contentious issues earlier rather than later.
  1. Avoids being judgmental and micromanaging of employees.
  1. Establishes roles and responsibilities.
  1. Identifies who holds the authority to make decisions.
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. Creates a vision for the organization based on insights gathered from other companies in the industry.
  1. Lets employees know how their roles contribute toward the achievement of strategic company objectives.
  1. Analyzes unique issues or problems impacting the Company.
  1. Meets with customers to gain insight into their core needs and how best to serve them.
  1. Observes employees at work to get better insight into the issues they are dealing with.
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. Is aware of the culture, behaviors, identities and beliefs of others.
  1. Facilitates open communication with individuals from other countries.
  1. Attends training seminars and conferences to increase skills in working with others globally.
  1. Exemplifies the skills of a global worker.
  1. Understands global systems such as the global economy.
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.