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

Cultural Awareness	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Treats others with dignity and respect.
Fosters a diverse workforce free from discrimination and harassment.
Recognizes and values individual and cultural differences.
Seeks out different viewpoints and benefits from different perspectives.
Develops skills and attitudes to bridge cultural differences.
Management	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Delegate tasks effectively
Takes responsibility for things that go wrong
Sets an example for others to follow
Keep staff informed about what is happening in the company
Is ready to offer help
Establishing Focus/Direction	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Aligns the department's goals with the goals of the organization.
Excellent at managing time.
Functions well under stress, deadlines, and/or significant workloads.
Makes sure that employees understand and identify with the team's mission.
Makes sure that employees understand how their work relates to organizational goals.
Flexibility	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Embraces change and is willing to pivot strategies based on new information.
Able to produce goods and services across a wide spectrum of business needs.
Adapts strategies to fit the specific needs of each situation.
Will pivot strategies, operations, or processes in real-time to meet new challenges or seize new opportunities.
Fosters a culture of agility, ensuring that the team can thrive amidst constant change and uncertainty.
Decision Making	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Gathers information before making a decision.
Is open to listening to others who may have different ideas.
Is able to learn from mistakes.
Performs a cost/benefit analysis before making a decision.
Makes decisions that support the department's goals and objectives.
Quality	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Is flexible in addressing issues related to quality.
Develops a quality manual to assist in troubleshooting issues and documenting the quality management system.
Assists quality control inspectors.
Ensures high consistency across batches or production runs.
Develops processes to enhance quality standards.
Results Oriented	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Determines the proper order for completion of the tasks.
Completes work on time.
Overcomes obstacles to continue working toward goals.
Prioritizes goals to complete those in urgent need first.
Strives to achieve high volume of output.
Safety	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Identifies and addresses safety needs.
Supports our company's safety programs.
Mitigates hazards and safety issues that arise.
Develops safety guidelines for the department.
Identifies predictable hazards in the workplace.
Responsible	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Behavior is ethical and honest.
Acts as a resource without removing individual responsibility.
Responsible for setting the vision of the department.
Completes assigned work tasks.
Sets high personal standards of performance.
Negotiation	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Uses the motivations of each party to identify mutually advantageous solutions.
Understands the expectations of other parties in the negotiation.
Maintains a calm demeanor, even when discussions get heated.
Leverages relationships with others to achieve goals.
Establishes a strong, cooperative atmosphere; defines expectations; and presents a well-structured agenda aligned with key priorities.
Others	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Includes others in the decision making processes.
Works across boundaries within the organization.
Consistently demonstrates ability and willingness to trust others.
Is able to see issues from others' perspectives.
Forms working relationships with employees from other departments.

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.