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
Fosters a diverse workforce free from discrimination and harassment.
Actively listens to other employees' stories about their culture.
Communicates with others without the influence of racism.
Open to learning about different cultures.
Helps other employees to become more culturally sensitive.
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
Able to get team members to change their attitudes.
Facilitates change with minimal resistance.
Is a leading force driving changes.
Addresses organizational and departmental resistance to changes.
Able to get department employees to accept new 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.
Identifies the core needs of the client.
Creates innovative solutions to meet client needs.
Focuses on the unique needs of each client.
Gets feedback from the client on a weekly basis.
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
Works in a way that makes others want to work with her/him.
Completes assigned work tasks.
Sets a good example.
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
Makes plans to handle unforeseen events that could impact the achievement of strategic goals.
Ensures that the department's goals are strategically aligned with the company's goals.
Creates measures of performance and profitability to assess financial objectives.
Determines the best strategy for achieving elevated levels of performance.
Ensures the department has a viable strategy for moving 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
Develops budgets and plans for various programs and initiatives.
Monitors spending.
Keeps excellent records for financial transparency.
Effectively manages appropriations, reporting, purchases, expenditures, payrolls, and staff.
Develops of the department's annual budget.
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
Aligns personal vision with global strategies.
Exemplifies the skills of a global worker.
Volunteers for experiences and assignments abroad.
Develops both the cultural awareness and business skills to grow our business in all countries, and work effectively across borders with employees, customers, and shareowners.
Creates an environment where individual differences are valued and supported.
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.