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
Seeks out different viewpoints and benefits from different perspectives.
Is curious and willing to ask questions about the cultural differences in the workplace.
Accepts individual differences.
Values the opinions of diverse groups and individual.
Interacts effectively with people from different cultural backgrounds.
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
Develops plans for following through on the changes.
Effective in dealing with ambiguous and challenging situations.
Is an inspiration for others to accept the recent changes.
Develops a strategy for implementing changes.
Inspires others to accept 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
Satisfies client needs.
Identifies the most pressing needs of each client.
Their activities reflect a strong focus on the client relationship.
Prioritizes client issues based on urgency.
Delivers on commitments made to 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
Works in a way that makes others want to work with her/him.
Completes assigned work tasks.
Sets a good example
Acts as a resource without removing individual responsibility.
Sets high personal standards of performance.
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
Lets employees know how their roles contribute toward the achievement of strategic company objectives.
Creates deadlines for various components of the strategy.
Strategically positions resources to meet the needs of branch locations.
Turns strategic priorities into action plans.
Makes strategic changes to stay ahead of changes in the business environment.
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
Monitors expenses and verifies the need for items purchased.
Effective in using Company's resources.
Develops of the department's annual budget.
Effectively manages appropriations, reporting, purchases, expenditures, payrolls, and staff.
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
Respects individual differences.
Is able to work with individuals having different backgrounds and cultures.
Understands global systems such as the global economy.
Attends training seminars and conferences to increase skills in working with others globally.
Collaborates with others respectfully and effectively with other people regardless of differences in cultural backgrounds.
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.