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.
Maintains an inclusive work environment that maximizes the talents of others in achieving goals.
Avoids referring to stereotypes about others from different cultures.
Views diversity as a strength, not as an issue.
Is willing to include individuals with different cultural backgrounds on the team.
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
Effective in dealing with ambiguous and challenging situations.
Addresses organizational and departmental resistance to changes.
Able to get department employees to accept new changes.
Effective in implementing new organizational vision and values.
Is an inspiration for others to accept the recent 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
Delivers high quality products to the client.
Focuses on providing excellent client service.
Prioritizes the needs and preferences of the client.
Effectively troubleshoots client issues.
Is consistent in services provided 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.
Behavior is ethical and honest.
Holds herself / himself accountable to goals / objectives
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
Pursues strategic alliances with valued partners.
Identifies and understands competitors in the marketplace.
Understands the importance of developing strategic capabilities.
Crafts and executes strategies to advance the company.
Strategically positions resources to meet the needs of field based employees.
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
Effective in using Company's resources.
Develops budgets and plans for various programs and initiatives.
Develops of the department's annual budget.
Keeps excellent records for financial transparency.
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
Is able to work with individuals having different backgrounds and cultures.
Engages in problem solving with individuals outside of the country.
Respects individual differences.
Aligns personal vision with global strategies.
Forms strong client relationships with international partners.
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.