Cultural Awareness - 360 Degree Feedback Survey Sample #8

Instructions

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 six to twelve months. Your responses will be merged with other people's feedback and presented to to guide them in their on-going development. Comments will be shared anonymously, as written, with the manager.

Method of use: As part of the review process, managers will receive feedback from peers and staff. It is recognized that not all participants will be able to assess an individual's performance in all areas. The feedback received will be utilized as input to the manager's performance and on-going development plan.

You may sign out at any time by pressing the Save button at the end of the form and then closing your browser. You may return later to pick up where you left off. When you are done, press the Complete button.



Please complete your response by .

Cultural Awareness	Agree	Unsure	Disagree	N/A
Recognizes and values individual and cultural differences.
Open to learning about different cultures.
Is sensitive to the similarities and differences that exist between cultures.
Supports and mentors others that may have different cultural backgrounds.
Treats others with dignity and respect.
Flexibility	Agree	Unsure	Disagree	N/A
Can handle changes without complaining.
Identifies new opportunities to achieve goals
Adapts to circumstances as needed.
Willing to try new ideas.
Acts decisively in frequently changing and uncertain environment.
Bias for Action	Agree	Unsure	Disagree	N/A
Encourages risk taking and experimentation to improve performance
Coach others to foster an environment which can adapt quickly and willingly to rapid change.
Motivates others to achieve or exceed goals
Displays high energy and enthusiasm on consistent basis.
Projects a "can-do" attitude when interfacing with peers, subordinates and customers(especially during difficult and challenging times).
Continual Improvement	Agree	Unsure	Disagree	N/A
Open to the suggestions from others.
Encourages an employee culture of continuous improvement to seek out better ways of doing things.
Searches for new methods, techniques, and processes that increase efficiency and reduce costs.
Looks for ways to improve work processes and procedures.
Analyzes processes to determine areas for improvement.
Punctuality	Agree	Unsure	Disagree	N/A
Arrives to meetings on time.
Starts meetings on time.
Starts the workday when scheduled.
Maintains an efficient schedule of activities.
Responds to requests for information in a timely manner.
Innovation	Agree	Unsure	Disagree	N/A
Searches for opportunities and innovative ways to improve the organization.
Takes risks to advance important ideas.
Finds creative ways to get things done with limited resources.
Creates a safe environment for idea-sharing.
Suggests new ideas at meetings.
Time Management	Agree	Unsure	Disagree	N/A
Uses a journal, log, or schedule to keep track of how much time is spent doing each task.
Accomplishes more despite limitations in time constraints.
Is proactive in addressing important issues.
Encourages colleagues to spend more time on work related activities.
Is concerned about adhering to the schedule.
Commitment To Result	Agree	Unsure	Disagree	N/A
Encourages commitment in others to obtain results.
Takes immediate action toward goals.
Maintains persistence and dedication to achieving results.
Coordinates all department activities into a cohesive team effort.
Committed to the team.
Objectives	Agree	Unsure	Disagree	N/A
Works toward achieving established goals and objectives.
Establishes goals and objectives.
Organizes and schedules events, activities, and resources.
Able to organize work.
Ability to establish realistic goals.
Client Focus	Agree	Unsure	Disagree	N/A
Meets with clients on a regular basis.
Transparent in all communications with the client.
Identifies opportunities that will enhance the client's experience.
Creates documents that meet the client's specifications.
Delivers customized solutions for each client.
Coaching	Agree	Unsure	Disagree	N/A
Addresses employee behavior problems effectively.
Meets regularly with employees to coach them on areas that will enhance their performance
Conducts regular performance appraisals and feedback.
Develops the skills and capabilities of others.
Provides clear, motivating, and constructive feedback.
Company	Agree	Unsure	Disagree	N/A
Understands how decisions impact other business units beyond their immediate department of work group.
Understands the "basics" as to how [Company] functions/operates.
Follows existing procedures and processes.
Understands the use of [Company] products and services.
Attends [Company] gatherings and social events.

61. Overall, please rate the effectiveness of [Participant Name Here].
    

    5- Very Effective 4- Effective 3- Neither 2- Ineffective 1- Very Ineffective

    
    
62. Strengths
    
    
    
63. Areas for Development
    
    
    
64. Please give any final comments or suggestions for [Participant Name Here]'s assessment.