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
Aware of their own cultural views.
Understands the impact that our culture may have on interactions between individuals.
Understands what customs and etiquette are important for individuals from other cultures.
Helps other employees to become more culturally sensitive.
Shows respect in daily interactions
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
Supports new initiatives for organizational changes to improve effectiveness.
Adopts changes to set and example for others to follow.
Able to get team members to change their attitudes.
Is a leading force driving changes.
Assists others in understanding changes to the organization.
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
Adapts to changes proposed by the client.
Maintains up-to-date information regarding client products.
Uses feedback from clients to help improve services.
Provides a responsive service that meets the needs of clients.
Provides training to others on how to improve client service.
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
Holds herself / himself accountable to goals / objectives
Behavior is ethical and honest.
Sets high personal standards of performance.
Is a person you can trust.
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
Sustains or achieves a competitive advantage for the organization by analyzing the best practices and lessons learned from other organizations.
Looks for opportunities to enhance contributions to the bottom line.
Understands & contributes to development of strategic goals.
Monitors performance of each market within the Area, utilizing reports to ensure sales growth, cost management, and profitability targets are met.
Creates plans to develop and promote organizational and area strengths, as well as to address weaknesses.
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.
Monitors expenses and verifies the need for items purchased.
Ensures others follow the correct rules and regulations on fiscal matters.
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
Builds working relationships with others across cultures.
Forms strong client relationships with international partners.
Is aware of the culture, behaviors, identities and beliefs of others.
Exemplifies the skills of a global worker.
Communicates effectively on a multi-lingual basis.
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.