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
May advocate for others with different cultural backgrounds.
Is willing to include individuals with different cultural backgrounds on the team.
Shows respect in daily interactions
Values the diverse perspectives from others.
Seeks out different viewpoints and benefits from different perspectives.
Management	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Takes responsibility for things that go wrong
Delegate tasks effectively
Makes you feel enthusiastic about your work
Is ready to offer help
Sets an example for others to follow
Establishing Focus/Direction	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Functions well under stress, deadlines, and/or significant workloads.
Helps guide employees with prioritizing tasks.
Makes sure that employees understand and identify with the team's mission.
Makes sure that employees understand how their work relates to organizational goals.
Maintains focus when handling several problems or tasks simultaneously.
Flexibility	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Is open to change and new ways of doing things.
Delivers a variety of products that vary in type and volume.
Encourages open communication and collaboration, allowing everyone to contribute their ideas and perspectives.
Continuously learning and adapting new techniques to address evolving challenges.
Adapts workflows according to changing needs.
Decision Making	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Makes decisions that support the department's goals and objectives.
Outlines the parameters influencing the decision making process.
Understands how different perspectives can help make better informed decisions.
Has enough self-control to avoid making impulsive decisions.
Remains focused on the immediate goal when making decisions.
Quality	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Provides regular and timely feedback on quality levels.
Always strives to produce the highest quality work products.
Assists quality control inspectors.
Addresses barriers to successfully implementing quality standards.
Is innovative and creative in response to issues involving quality of the products.
Results Oriented	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Measures progress toward the goal.
Adapts to disruptions in the supply chain to maintain production levels.
Sets benchmarks and milestones to measure progress toward the objectives.
Keeps track of progress toward the results.
Completes urgent tasks first.
Safety	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Develops safety guidelines for the department.
Identifies predictable hazards in the workplace.
Is not afraid to question a potential safety issue observed in the workplace.
Commits adequate resources toward safety measures.
Committed to safety in the workplace.
Responsible	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Sets a good example
...takes personal responsibility for results.
Is a person you can trust.
Sets high personal standards of performance.
Holds herself / himself accountable to goals / objectives
Negotiation	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Assesses the validity and relevance of each piece of information, considering the context and source.
Is prepared to walk away if core interests are not met.
Leverages relationships with others to achieve goals.
Able to distinguish and navigate between different negotiation strategies and styles.
Creates a constructive atmosphere, building a positive relationship for cooperative negotiations.
Others	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Includes others in the decision making processes.
Constructively receives criticism and suggestions from others.
Works across boundaries within the organization.
Able to see issues from others' perspectives.
...treats others with respect and dignity.

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.