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
Recognizes and values individual and cultural differences.
Values the opinions of diverse groups and individual.
Maintains an inclusive work environment that maximizes the talents of others in achieving goals.
Fosters a diverse workforce free from discrimination and harassment.
Encourages a work environment where individual differences are valued.
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 the Company's efforts to implement changes.
Works cooperatively with others to implement changes.
Adopts changes to set and example for others to follow.
Addresses organizational and departmental resistance to 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
Obtains feedback to ensure client needs are being met.
Forms strong client relationships
Satisfies client needs.
Is pro-active in dealing with clients and addressing their needs.
Ensures client commitments and requirements are met or exceeded
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
Sets a good example
Holds herself / himself accountable to goals / objectives
Completes assigned work tasks.
Works in a way that makes others want to work with her/him.
...takes personal responsibility for results.
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
Creates plans to develop and promote organizational and area strengths, as well as to address weaknesses.
Able to decline a poor strategy by proposing alternate strategies.
Communicates goals and objectives to employees.
Looks for opportunities to enhance contributions to the bottom line.
Understands their role within the organization.
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.
Ensures others follow the correct rules and regulations on fiscal matters.
Provides budgeting and accounting support to the Company.
Effectively manages appropriations, reporting, purchases, expenditures, payrolls, and staff.
Monitors spending.
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
Able to work with others from different cultures and countries.
Attends training seminars and conferences to increase skills in working with others globally.
Analyzes global issues/problems that are having a large impact on the Company.
Engages in problem solving with individuals outside of the country.
Demonstrates working knowledge of global transactions.
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.