hr-survey.com

Cultural Awareness - 360 Degree Feedback Survey Sample #4





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)
Dear Employee:


Welcome to our 360-Degree Feedback Assessment of [Participant Name]. Our objective is to provide feedback which will help advance his/her leadership skills and capabilities. We are asking you to take time to respond to this survey to help us identify where we are doing well and where we have opportunities to do better.

We have developed this survey with questions tailored for [Participant Name]'s position in the department to provide you with an opportunity to anonymously rate many facets of his/her leadership performance. The survey will assess what you value most in their leadership skills and allow you to make positive suggestions for improvement.

Sample Result Document:
Sample Results
Please be honest, constructive and thoughtful in your responses. The results of this survey will be used to help drive our future success. If you have any questions about the process please contact [Contact Person].

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

Thank you for your participation in the survey. We look forward to seeing the analysis of your responses and we are hoping for 100% participation.

Management Team



Instructions:
Please complete the items below and press the submit button at the end of the survey. If you need multiple sessions to complete the survey, please click the "Submit" button at the end of each session to save your responses. Please feel free to skip any items that you do not wish to respond to. Keep in mind that your responses help us to become a better place to work. So, you are encouraged to respond to all items on the questionnaire.


Edit this Survey
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Cultural Awareness

Needs
Significant
Development
1
2 Capable
and
Effective
3
4 Role
Model
5
  1. Treats others with dignity and respect.
  1. Is responsive to individuals from other cultures.
  1. Participates in cultural training sessions/classes.
  1. Maintains an inclusive work environment that maximizes the talents of others in achieving goals.
  1. Shows respect in daily interactions

Supervisory Skills

Needs
Significant
Development
1
2 Capable
and
Effective
3
4 Role
Model
5
  1. Empowers employees to perform the assigned tasks.
  1. Uses metrics and benchmarks established by the department.
  1. Introduces targeted training and development initiatives to address and elevate subpar performance.
  1. Provides useful and constructive feedback to employees.
  1. Recognizes those who have exceeded expectations.

Accountability

Needs
Significant
Development
1
2 Capable
and
Effective
3
4 Role
Model
5
  1. Accepts responsibility to lead efforts to solving critical problems.
  1. Exhibits a sense of ownership of outcomes and results.
  1. Follows through on commitments made.
  1. Holds employees accountable through regular performance reviews.
  1. Consults with the supervisor before engaging in new procedures that have some risk.

Integrity

Needs
Significant
Development
1
2 Capable
and
Effective
3
4 Role
Model
5
  1. Demonstrates honesty and truthfulness at all times.
  1. Maintains strong relationships with others.
  1. Demonstrates sincerity in actions with others.
  1. Does what was promised.
  1. Accepts responsibility for mistakes.

Continual Learning

Needs
Significant
Development
1
2 Capable
and
Effective
3
4 Role
Model
5
  1. Takes the initiative to learn new skills.
  1. Pursues professional development opportunities when they arise.
  1. Builds on their strengths while addressing their weaknesses.
  1. Is open to new ideas and concepts.
  1. Grasps new ideas, concepts, technical, or business knowledge.

Performance

Needs
Significant
Development
1
2 Capable
and
Effective
3
4 Role
Model
5
  1. Shown significant improvement in job performance.
  1. Effectively organizes resources and plans
  1. Effective in performing his/her job.
  1. ...Overall Performance
  1. Able to organize work.

Administrative Skill

Needs
Significant
Development
1
2 Capable
and
Effective
3
4 Role
Model
5
  1. Strong organizational skills to keep the workspace and department in order
  1. Able to develop, justify and present a budget.
  1. Takes responsibility for decisions.
  1. Accurately implements contract provisions.
  1. High attention to detail.

Problem Solving

Needs
Significant
Development
1
2 Capable
and
Effective
3
4 Role
Model
5
  1. Conducts a thorough and careful analysis of the underlying causes of problems.
  1. Conducts ongoing monitoring and follow-up to ensure the solution's continued success and to catch any unintended consequences.
  1. Modifies approaches and solutions to fit changing circumstances or unexpected obstacles.
  1. Assigns the right people with the right skills to the right tasks taking into account experience, expertise, and availability.
  1. Effective in solving difficult problems.

Co-worker Development

Needs
Significant
Development
1
2 Capable
and
Effective
3
4 Role
Model
5
  1. Gives others development opportunities through project assignments and increased job responsibilities
  1. Works to identify root causes of performance problems
  1. Takes immediate action on poor performance
  1. Provides ongoing feedback to co-workers on their development progress
  1. Sets and clearly communicates expectations, performance goals, and measurements to others

Partnering/Networking

Needs
Significant
Development
1
2 Capable
and
Effective
3
4 Role
Model
5
  1. Identifies partnerships with overseas companies to expand market opportunities.
  1. Guarantees equitable and fair treatment for all network participants.
  1. Supports a partnering/networking culture.
  1. Develops partnerships with other colleagues in the industry.
  1. Exchanges ideas, resources, plans, and technologies with colleagues.

Teamwork

Needs
Significant
Development
1
2 Capable
and
Effective
3
4 Role
Model
5
  1. Listens to the opinions of other team members.
  1. Effective team player
  1. Appreciates the input from other team members.
  1. Encourages teamwork and collaboration.
  1. Builds strong relationships with team members.

Planning

Needs
Significant
Development
1
2 Capable
and
Effective
3
4 Role
Model
5
  1. Determines staffing needs for the project/department.
  1. Prioritizes tasks based on urgency/need.
  1. Allows input from others for the 5-year plan.
  1. Ensures staff have the supplies and resources necessary to enact the plan.
  1. Anticipates potential challenges, develops plan to overcome them and then carries out the plan.


  1. On a scale of Excellent to Poor, how would you rate your overall employment with [Company] and why?






  2. Would you refer others who are seeking employment to [Company]?


    Please provide explanation:


  3. If you had an opportunity to make any change you wanted to make [Company] a better place to work, what one improvement would you make?


  4. What changes do you see [Company] making in order to raise the standards?


  5. I feel good about my continued employment with [Company].


    If no, please provide explanation:


  6. What do you like best about working for [Company]?


  7. What do you like least about working for [Company]? How could it be improved?


  8. Use the space below to enter any final comments you would like to be noted: