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
Is responsive to individuals from other cultures.
Acknowledges their own biases in cultural interactions.
Fosters a diverse workforce free from discrimination and harassment.
Effective in working with individuals with a variety of cultural backgrounds.
Understands how implicit biases can affect decisions, communication and productivity.
Flexibility	Agree	Unsure	Disagree	N/A
Able to produce goods and services across a wide spectrum of business needs.
Regularly assesses current methods, welcomes feedback, and is willing to implement changes to improve efficiency and effectiveness.
Capable of adapting workflows to accommodate new regulations or policies.
Can easily accommodate changes in personnel of the department.
Supports a culture that values flexibility, continuous improvement and innovation.
Bias for Action	Agree	Unsure	Disagree	N/A
Completes work on time
Projects a "can-do" attitude when interfacing with peers, subordinates and customers(especially during difficult and challenging times).
Identifies ways to simplify work processes and reduce cycle times
Encourages risk taking and experimentation to improve performance
Motivates others to achieve or exceed goals
Continual Improvement	Agree	Unsure	Disagree	N/A
Looks for ways to expand and learn new job skills.
Looks for ways to expand current job responsibilities.
Looks for ways to improve work processes and procedures.
Searches for new methods, techniques, and processes that increase efficiency and reduce costs.
Analyzes processes to determine areas for improvement.
Punctuality	Agree	Unsure	Disagree	N/A
Responds to requests for information in a timely manner.
Invoices clients on a timely basis.
Arrives to meetings on time.
Maintains an efficient schedule of activities.
Starts the workday when scheduled.
Innovation	Agree	Unsure	Disagree	N/A
Implements best practices within the department.
Challenges current procedures to develop other alternatives.
Creates improved methods or solutions for meeting goals and objectives.
Fosters a creative and innovative work environment.
Develops new products and services.
Time Management	Agree	Unsure	Disagree	N/A
Takes the initiative to tackle critical issues earlier rather than later.
Is concerned about adhering to the schedule.
Does not become flustered by deadlines and timelines.
Emphasizes punctuality in the department and makes sure employees know they are expected to be on time.
Sets a good balance between work and family life.
Commitment To Result	Agree	Unsure	Disagree	N/A
Encourages commitment in others to obtain results.
Maintains persistence and dedication to achieving results.
Takes immediate action toward goals.
Willing to do whatever it takes-not afraid to have to put in extra effort.
Creates a sense of urgency among the store team members to complete activities, which drive sales.
Objectives	Agree	Unsure	Disagree	N/A
Able to organize work.
Ability to establish realistic goals.
Establishes goals and objectives.
Consistently provides me with timely feedback for improving my performance.
Sets long-term and short-term goals.
Client Focus	Agree	Unsure	Disagree	N/A
Prioritizes client issues to tackle the most pressing needs first.
Responds to the needs of the client.
Thoroughly understands the needs of the client.
Obtains feedback to ensure client needs are being met.
Delivers high quality products to the client.
Coaching	Agree	Unsure	Disagree	N/A
Coaches employees in how to strengthen knowledge and skills to improve work performance.
Develops the skills and capabilities of others.
Provides clear, motivating, and constructive feedback.
Conducts regular performance appraisals and feedback.
Helps employees to understand responsibilities, authority, and expectations.
Company	Agree	Unsure	Disagree	N/A
Impresses upon others the important aspects of [Company].
Expresses loyalty and dedication to [Company] in interactions with others.
Understands the use of [Company] products and services.
Understands the "basics" as to how [Company] functions/operates.
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.