Cultural Awareness - 360 Degree Feedback Survey Sample #5

Dear Employee:

Thank you for providing feedback for the recipient above. As you respond, please draw on your first-hand experience with this individual in the past 12 months. Rate each item using the scale shown. If you don't feel you have enough first-hand information to rate a certain item, please choose the Not Applicable option. Comments can be very helpful; at a minimum where you give a particularly high or low rating, please share your reasons in the Closing Comments section. Your responses will be compiled with feedback from others and presented to the recipient to help guide their ongoing development.

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Please ensure that your submission is made by .

Thank you for your participation in the survey.

Management Team

Cultural Awareness	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Shows respect in daily interactions
Encourages a work environment where individual differences are valued.
Recognizes and values individual and cultural differences.
Seeks out different viewpoints and benefits from different perspectives.
Values the opinions of diverse groups and individual.
Innovation	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Builds upon the ideas and solutions of others.
Implements best practices within the department.
Analyzes current procedures and identifies opportunities for improvement.
Challenges current procedures to develop other alternatives.
Suggests new ideas at meetings.
Excellence	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Produces high quality work.
Keeps themselves and others focused on constant improvement.
Takes a lot of pride in their work.
Demonstrates the analytical skills to do their job.
Demonstrates the functional or technical skills necessary to do their job.
Client Focus	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Ensures client commitments and requirements are met or exceeded
Looks for opportunities that have a positive impact on Clients.
Satisfies client needs.
Is pro-active in dealing with clients and addressing their needs.
Obtains feedback to ensure client needs are being met.
Recognition	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Compliments other people when they do good work
Recognizes team members who offer a significant contribution to a project.
Offers recognition in a timely manner.
Readily shares credit and gives others opportunity for visibility.
Finds opportunities to recognize others.
Company	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Attends [Company] gatherings and social events.
Understands how decisions impact other business units beyond their immediate department of work group.
Understands the "basics" as to how [Company] functions/operates.
Expresses loyalty and dedication to [Company] in interactions with others.
Impresses upon others the important aspects of [Company].
Fiscal Management	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Keeps excellent records for financial transparency.
Effective in using Company's resources.
Ensures others follow the correct rules and regulations on fiscal matters.
Effectively manages appropriations, reporting, purchases, expenditures, payrolls, and staff.
Develops budgets and plans for various programs and initiatives.
Global Perspective	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Forms strong client relationships with international partners.
Understands how cultures differ and how these differences impact work behavior.
Can effectively deliver presentations to international clients.
Develops both the cultural awareness and business skills to grow our business in all countries, and work effectively across borders with employees, customers, and shareowners.
Accepts setbacks and challenges in foreign markets as improvement opportunities

41. Overall, please rate the effectiveness of .
    

    5- Very Effective 4- Effective 3- Neither 2- Ineffective 1- Very Ineffective

    
    
42. Strengths
    
    
    
43. Areas for Development
    
    
    
44. Please give any final comments or suggestions for 's assessment.