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 .

Cultural Awareness	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Develops skills and attitudes to bridge cultural differences.
Respects the views offered by individuals with different cultural backgrounds.
Fosters a diverse workforce free from discrimination and harassment.
Supports and mentors others that may have different cultural backgrounds.
Communicates with others without the influence of racism.
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.
Inspires others to want to change.
Inspires others to accept changes.
Works cooperatively with others to implement changes.
Develops plans for following through on 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
Looks for opportunities that have a positive impact on Clients.
Treats clients with courtesy and respect.
Uses feedback from clients to help improve services.
Is aware of the client's needs.
Exhibits a positive attitude even when dealing with difficult 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
...takes personal responsibility for results.
Works in a way that makes others want to work with her/him.
Completes assigned work tasks.
Sets high personal standards of performance.
Is a person you can trust.
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
Turns strategic priorities into action plans.
Analyzes the environment to develop strategies to achieve competitive advantage in the marketplace.
Understands & contributes to development of strategic goals.
Creates a SWOT matrix to help analyze data.
Undertakes a SWOT analysis to determine the best strategy to move forward.
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
Keeps excellent records for financial transparency.
Ensures others follow the correct rules and regulations on fiscal matters.
Develops of the department's annual budget.
Effective in using Company's resources.
Effectively manages appropriations, reporting, purchases, expenditures, payrolls, and staff.
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
Creates an environment where individual differences are valued and supported.
Understands how cultures differ and how these differences impact work behavior.
Attends training seminars and conferences to increase skills in working with others globally.
Forms strong client relationships with international partners.
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.