Cultural Awareness - 360 Degree Feedback Survey Sample #7

360 Feedback Survey

Instructions

is administering a new web-based survey tool which is designed to gather broad feedback as it relates to core competencies and role responsibilities that are important for the on-going success of our organization. The Leadership Team Members have agreed to participate and are seeking your feedback.

In this regard, you have been selected to provide feedback for the manager listed above. Your feedback is an important part of 's leadership development process. This tool 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 assessment form, please think about your experiences working with this individual during the last twelve (12) months. Your responses will be merged with other people's feedback and presented to guide them in their on-going development. Comments will be shared anonymously, as written, with the manager, unless you indicate otherwise.

You are only being asked to rate 8 competencies. Each competency will have a variety of statements that are grouped by 4 Performance Levels. Click on the level that best describes this individual.

Please ensure that your submission is made between .

Cultural Awareness	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Engages with individuals that have different cultural backgrounds.
Seeks clarification to avoid misunderstandings.
Treats others with dignity and respect.
Communicates with others without the influence of racism.
Actively listens to other employees' stories about their culture.
If [Participant Name] were to make improvements in Cultural Awareness, what are your suggestions for how he/she can improve this?
Change Management	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Effective in implementing new organizational vision and values.
Inspires others to want to change.
Is an inspiration for others to accept the recent changes.
Develops a strategy for implementing changes.
Facilitates change with minimal resistance.
If [Participant Name] were to make improvements in Change Management, what are your suggestions for how he/she can improve this?
Client Focus	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Consistently demonstrates a client focus.
Prioritizes client issues based on urgency.
Focuses on providing excellent client service.
Maintains up-to-date information regarding client products.
Creates innovative solutions to meet client needs.
If [Participant Name] were to make improvements in Client Focus, what are your suggestions for how he/she can improve this?
Responsible	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
...takes personal responsibility for results.
Sets high personal standards of performance.
Acts as a resource without removing individual responsibility.
Behavior is ethical and honest.
Works in a way that makes others want to work with her/him.
If [Participant Name] were to make improvements in Responsible, what are your suggestions for how he/she can improve this?
Strategic Focus	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Recognizes the need for strategically developing unique capabilities.
Identifies the role of each department in meeting the strategic goals.
Makes sure that all departments/teams are contributing toward the success of the strategy.
Determines the best strategy for achieving elevated levels of performance.
Maintains a strategic focus to sustain competitiveness in changing business environments.
If [Participant Name] were to make improvements in Strategic Focus, what are your suggestions for how he/she can improve this?
Fiscal Management	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Effectively manages appropriations, reporting, purchases, expenditures, payrolls, and staff.
Develops of the department's annual budget.
Monitors expenses and verifies the need for items purchased.
Effective in using Company's resources.
Develops budgets and plans for various programs and initiatives.
If [Participant Name] were to make improvements in Fiscal Management, what are your suggestions for how he/she can improve this?
Global Perspective	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Attends training seminars and conferences to increase skills in working with others globally.
Respects individual differences.
Understands global systems such as the global economy.
Understands and appreciates the perspectives offered by others with different cultural backgrounds.
Demonstrates a curiosity about diverse individuals and cultures.
If [Participant Name] were to make improvements in Global Perspective, what are your suggestions for how he/she can improve this?

36. Strengths
    
    
    
37. Areas for Development
    
    
    
38. Please give any final comments or suggestions for [Participant Name Here]'s assessment.