Cultural Awareness - 360 Degree Feedback Survey Sample #6

360-Degree Assessment Survey

Dear Employee:

You have been selected to provide feedback on the employee listed above. Your feedback is an important part of our company's leadership development process and this survey is intended to gather broad feedback in the core competencies and role responsibilities that are important for the on-going success of our organization.

In responding to the questions below, think about your experiences working with this employee over the last twelve months. The effectiveness of this development tool is dependent on your honest, forthright and constructive responses so please bear this in mind as you answer each question. Your responses will be aggregated with the responses received from others and discussed with the employee to foster growth and on-going development.

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.

The results of this survey will be used to help drive our future success. We will report back to you about what you have said and what we plan to do about it. 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

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Cultural Awareness	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Views diversity as a strength, not as an issue.
Encourages respectful dialogue around cultural differences and similarities.
Hires individuals with different cultural backgrounds for the department.
Intervenes respectfully when witnessing culturally insensitive behavior or language.
Values the opinions of diverse groups and individual.
Management	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Defines what success looks like for the team and ensures everyone is working toward the same outcomes.
Coaches and mentors employees to achieve higher levels of performance.
Monitors progress on delegated tasks and provides timely support or redirection when needed.
Actively seeks feedback and development opportunities, encouraging others to do the same.
Helps the team stay focused by clearly communicating shifting priorities during times of uncertainty or transition.
Establishing Focus/Direction	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Motivates employees by encouraging their participation on projects.
Works with focus and direction in the face of obstacles.
Allocates time, personnel, and tools based on task complexity and team capacity.
Creates operational models to focus the organization's resources on achieving its strategic priorities.
Ensures that each team member is assigned some part of the project.
Flexibility	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Remains agile and responsive to address changing needs in a dynamic environment.
Selects strategies according to the demands of the situation.
Implements changes as a result of having listened to employees
Accommodates the needs of employees when requests for time off are made.
Possesses a high degree of flexibility to meet the challenges posed by unforeseen circumstances.
Decision Making	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Evaluates both immediate outcomes and future effects to ensure sustainable choices.
Actively seeks input from various stakeholders to enrich the decision-making process with fresh viewpoints.
Receptive to new ideas from others when making decisions.
Employs sound judgment and logical reasoning.
Is able to make decisions quickly.
Quality	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Competently and accurately analyzes quality measures.
Guides the department in achieving high quality standards.
Effectively works with Quality Control (QC) engineers.
Verifies the correct materials were used in the installation.
Maintains attention to detail on the job.
Results Oriented	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Keeps track of progress toward the results.
Determines the proper order for completion of the tasks.
Models resilience by bouncing back quickly from disappointments.
Completes work on time.
Promotes a solution-focused mindset when problems arise.
Safety	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Commits adequate resources toward safety measures.
Participates in safety training as applicable.
Points out behaviors in others that may be unsafe.
Encourages others to attend safety training.
Ensures compliance with safety regulations.
Responsible	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Sets a good example
Works in a way that makes others want to work with her/him.
Sets a good example.
Responsible for setting the vision of the department.
Holds herself / himself accountable to goals / objectives
Negotiation	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Able to influence others to accept certain positions.
Controls emotional responses to maintain a productive atmosphere.
Is prepared to walk away if core interests are not met.
Ensures a thorough understanding of key issues and priorities.
Able to distinguish and navigate between different negotiation strategies and styles.
Others	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Forms working relationships with employees from other departments.
Treats others with respect and dignity.
Is able to see issues from others' perspectives.
Respects the opinions of other employees.
Able to see issues from others' perspectives.

56. Overall, please rate the effectiveness of [Participant Name Here].
    

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

    
    
57. Describe the greatest strengths of this person with regard to his/her overall effectiveness in performing his/her current responsibilities.
    
    
    
58. Describe the most important things this person could improve upon in order to increase his/her overall effectiveness in performing his/her current responsibilities.
    
    
    
59. Additional comments, if any for [Participant Name Here]'s assessment.