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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)
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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Competency
Sometimes
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Competency
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  1. Is aware of cultural differences in business etiquette.
  1. Seeks out different viewpoints and benefits from different perspectives.
  1. Recognizes individual and cultural differences.
  1. May advocate for others with different cultural backgrounds.
  1. Values the opinions of diverse groups and individual.
Please feel free to provide any comments to help explain your answers?

Management

Does Not
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  1. Makes you feel enthusiastic about your work
  1. Takes responsibility for things that go wrong
  1. Is ready to offer help
  1. Sets an example for others to follow
  1. Keep staff informed about what is happening in the company
Please feel free to provide any comments to help explain your answers?

Communication Skills

Does Not
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  1. Implements performance appraisals focused on employee development using SMART criteria
  1. Communicates crucial information to others.
  1. Uses software, graphics, or other aids to clarify complex or technical reports.
  1. Maintains a formal and respectful tone, avoiding use of slang or overly casual language.
  1. Communicates effectively with colleagues and customers
Please feel free to provide any comments to help explain your answers?

Action

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  1. Drives and mobilizes others progress toward goals.
  1. Takes advantage of changes to the current situation.
  1. Seeks new opportunities for advancement.
  1. Stays committed to goals even when progress is slow.
  1. Is proactive rather than reactive in work.
Please feel free to provide any comments to help explain your answers?

Project Management

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  1. Identifies the source materials that will be needed.
  1. Organizes work and sets priorities as needed.
  1. Has the requisite industry knowledge to manage projects in this field.
  1. Procures the resources necessary to complete the project.
  1. Monitors timelines and milestones to ensure set benchmarks are met.
Please feel free to provide any comments to help explain your answers?

Problem Solving

Does Not
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  1. Is able to isolate the main problem.
  1. Implements the ongoing tracking of key metrics and indicators to ensure the solution continues to perform as expected.
  1. Uses data analytics to identify patterns and trends that may indicate emerging issues.
  1. Identifies fresh approaches and shows a willingness to question traditional assumptions.
  1. Implements effective solutions to critical problems.
Please feel free to provide any comments to help explain your answers?

Technology Use/Management

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  1. Maximizes the use of new technology to deliver products and services.
  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. Adopts the implementation of new technology into the workplace.
  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
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  1. Assists employees that need help.
  1. Is well respected in the department.
  1. Works diligently to assist customers in finding the right products.
  1. Communicates initiatives in a clear and actionable manner to employees.
  1. Is a role model for others demonstrating the importance of interpersonal skills.
Please feel free to provide any comments to help explain your answers?

Client Focus

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  1. Creates documents that meet the client's specifications.
  1. Is above average in addressing the needs of the clients.
  1. Builds products that meet the unique needs of each client.
  1. Anticipates client needs.
  1. Provides training to others on how to improve client service.
Please feel free to provide any comments to help explain your answers?

Conflict Management

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  1. Is supportive of consensus and power sharing.
  1. Determines what issues can be agreed upon.
  1. Investigates opportunities to achieve mutually beneficial solutions to conflicts.
  1. Reframes conflicts as opportunities to innovate and create new solutions to problems.
  1. Determines who has the autonomy (authority) to make the decisions necessary to end the conflict.
Please feel free to provide any comments to help explain your answers?

Strategic Insight

Does Not
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  1. Lets employees know how their roles contribute toward the achievement of strategic company objectives.
  1. Creates values statement to ensure all employees are working under the same guiding principles.
  1. Identifies root causes of problems.
  1. Maintains knowledge of current trends in the industry.
  1. Attends industry conferences to gain further insight into how other companies deal with similar issues.
Please feel free to provide any comments to help explain your answers?

Global Perspective

Does Not
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  1. Understands global systems such as the global economy.
  1. Analyzes global issues/problems that are having a large impact on the Company.
  1. Considers customers point of view when making decisions.
  1. Sets the example for team on importance of cultural awareness.
  1. Builds working relationships with others across cultures.
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.