Cultural Awareness - 360 Degree Feedback Survey Sample #7

360 Feedback Survey

Instructions

We are requesting your participation in a 360-degree feedback review of several participants in our company's Leadership Development program. We are 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 this manager'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.

You will get the chance to evaluate this manager's performance in different areas and share your thoughts through written comments for more detailed feedback. Ensure that your feedback is constructive and helpful.

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 .

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Cultural Awareness	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Supports and mentors others that may have different cultural backgrounds.
Functions effectively within various cultural contexts.
Acknowledges and celebrates cultural holidays, milestones, and traditions within the team.
Builds collaborative relationships by honoring cultural norms and interpersonal boundaries.
Understands how their own cultural background can impact the way they communicate and interact with others.
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
Ensures that changes are being implemented correctly.
Leads a cross-functional team with employees from different departments to implement changes.
Works cooperatively with others to implement changes.
Uses short-term wins to boost morale and rally the department toward much bigger changes.
Resolves internal political issues that may impact the changes.
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
Uses feedback from clients to help improve services.
Regularly receives positive feedback from clients.
Is consistent in services provided to clients.
Acts with integrity in all client interactions.
Creates innovative solutions for the clients.
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
Is a person you can trust.
...takes personal responsibility for results.
Responsible for setting the vision of the department.
Sets a good example.
Sets a good example
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
Creates innovative strategies.
Creates a strategy to achieve departmental objectives.
Undertakes a SWOT analysis to determine the best strategy to move forward.
Crafts and executes strategies to advance the company.
Monitors performance of each market within the Area, utilizing reports to ensure sales growth, cost management, and profitability targets are met.
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
Ensures others follow the correct rules and regulations on fiscal matters.
Effective in using Company's resources.
Effectively manages appropriations, reporting, purchases, expenditures, payrolls, and staff.
Monitors spending.
Keeps excellent records for financial transparency.
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
Exemplifies the skills of a global worker.
Attends training seminars and conferences to increase skills in working with others globally.
Can effectively deliver presentations to international clients.
Works well with others from different cultural backgrounds.
Builds working relationships with others across 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.