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Cultural Awareness - 360 Degree Feedback Template #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)
Survey 13 (4-point scale; numbers; floating anchors)
Survey 14 (4-point scale; N/A)
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.



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Cultural Awareness

Does Not
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Competency
Seldom
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  1. Seeks feedback from employees of different backgrounds to improve team inclusivity.
  1. Encourages open dialogue and ensures all voices are heard during team discussions.
  1. Aware of their own cultural views.
  1. Is aware of differences in how individuals from other cultures greet one another.
  1. Accepts individual differences.
Please feel free to provide any comments to help explain your answers?

Management

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  1. Recognizes competitive strengths and analyzes market positioning to further advance the company.
  1. Organizes and sequences tasks based on urgency, impact, and resource availability.
  1. Takes responsibility for things that go wrong.
  1. Creates a strategy for achieving departmental objectives.
  1. Keeps the team grounded and purpose-driven during high-stress or fast-paced situations.
Please feel free to provide any comments to help explain your answers?

Communication Skills

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  1. Makes the complex simple.
  1. Reports progress on goals to the supervisor.
  1. Persuasive and articulate when communicating.
  1. Articulates ideas clearly and assertively.
  1. Informs supervisor about progress made on goals and objectives.
Please feel free to provide any comments to help explain your answers?

Action

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  1. Immediately develops alternatives and solutions when presented with a problem or issue.
  1. Ensures that the team's tasks align with its overall objectives.
  1. Takes advantage of opportunities to move the organization forward.
  1. Assigns tasks to individuals who are most able to perform them.
  1. Stays focused and productive when there's work to be done.
Please feel free to provide any comments to help explain your answers?

Project Management

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  1. Defines the project scope, goals, and resources.
  1. Has detailed knowledge about the project and can adapt the project plan as needed.
  1. Creates the metrics used to measure progress on the project.
  1. Creates a schedule for the different phases of the project.
  1. Creates a risk management plan and periodically updates it as the project moves forward.
Please feel free to provide any comments to help explain your answers?

Problem Solving

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  1. Pinpoints the issues that have arisen or are expected to arise.
  1. Evaluates potential solutions based on cost, feasibility, and probability of success.
  1. Maintains a strong and determined attitude in the face of difficulties.
  1. Infers important trends from data.
  1. Selects operating indicators to track organizational performance over time and communicates current status to the organization
Please feel free to provide any comments to help explain your answers?

Technology Use/Management

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  1. Applies complex rules and regulations to maintain optimal system performance.
  1. Understands and is committed to implementing new technologies.
  1. Identifies gaps between actual and needed technical competencies and provides recommendations for required training.
  1. Supports employee training and development initiatives regarding implementation of technology.
  1. Supports technical training and development of employees.
Please feel free to provide any comments to help explain your answers?

Interpersonal Skills

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  1. Is a committed and reliable partner.
  1. Maintains open and regular communication with others.
  1. Is a highly respected individual in the company.
  1. Gives constructive feedback on performance reviews.
  1. Willing to overlook personal differences and focus on completing the task at hand.
Please feel free to provide any comments to help explain your answers?

Client Focus

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  1. Engages with clients on multiple levels.
  1. Accepts responsibility for ensuring client satisfaction.
  1. Identifies opportunities that will enhance the client's experience.
  1. Tailors solutions to meet the specific needs of each client.
  1. Creates an environment that enables clients to receive excellent service.
Please feel free to provide any comments to help explain your answers?

Conflict Management

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  1. Tries to understand others' point of view before making judgments
  1. Addresses contentious issues earlier rather than later.
  1. Demonstrates empathy and insight by recognizing what's driving the conflict beneath the surface.
  1. Evaluates the potential consequences of different resolution paths, weighing risks, trade-offs, and long-term impacts.
  1. Revisits previously held assumptions or decisions when new information or perspectives emerge.
Please feel free to provide any comments to help explain your answers?

Strategic Insight

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  1. Develops a strategic vision for the future.
  1. Creates values statement to ensure all employees are working under the same guiding principles.
  1. Creates a mission statement describing the purpose for the organization.
  1. Analyzes unique issues or problems impacting the Company.
  1. Converses with customers and clients to get a better insight into their personal needs.
Please feel free to provide any comments to help explain your answers?

Global Perspective

Does Not
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Competency
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  1. Accepts setbacks and challenges in foreign markets as improvement opportunities
  1. Applies knowledge of overseas markets.
  1. Creates an environment where individual differences are valued and supported.
  1. Exemplifies the skills of a global worker.
  1. Able to listen and understand others and discuss issues in a respectful way.
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.