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
Seeks knowledge and information about other cultures.
Maintains an inclusive work environment that maximizes the talents of others in achieving goals.
Treats others with dignity and respect.
Understands how their own cultural background can impact the way they communicate and interact with others.
Accepts individual differences.
Flexibility	Agree	Unsure	Disagree	N/A
Allows for flexibility in the agenda for the team meeting.
Adapts quickly to new technologies that impact the production line.
Promotes flexibility in approaches by encouraging employees to think outside the box and experiment with new methods and ideas.
Embraces change and is willing to pivot strategies based on new information.
Encourages flexibility in the onboarding process.
Bias for Action	Agree	Unsure	Disagree	N/A
Encourages risk taking and experimentation to improve performance
Motivates others to achieve or exceed goals
Projects a "can-do" attitude when interfacing with peers, subordinates and customers(especially during difficult and challenging times).
Coach others to foster an environment which can adapt quickly and willingly to rapid change.
Completes a large volume of work.
Continual Improvement	Agree	Unsure	Disagree	N/A
Searches for new methods, techniques, and processes that increase efficiency and reduce costs.
Encourages an employee culture of continuous improvement to seek out better ways of doing things.
Looks for ways to expand current job responsibilities.
Analyzes processes to determine areas for improvement.
Promotes training and development opportunities to enhance job performance.
Punctuality	Agree	Unsure	Disagree	N/A
Conducts appointments at scheduled start time.
Starts meetings on time.
Invoices clients on a timely basis.
Responds to requests for information in a timely manner.
Starts the workday when scheduled.
Innovation	Agree	Unsure	Disagree	N/A
Fosters a creative and innovative work environment.
Solves problems with insight and understanding.
Creates improved methods or solutions for meeting goals and objectives.
Searches for opportunities and innovative ways to improve the organization.
Implements best practices within the department.
Time Management	Agree	Unsure	Disagree	N/A
Uses time efficiently to achieve higher productivity.
Ranks tasks based on importance to maximize available time.
Sets goals to complete specific parts of the project by certain times to keep on schedule.
Prioritizes new tasks according to their relative importance.
Consistently meets the project schedule.
Commitment To Result	Agree	Unsure	Disagree	N/A
Conveys strong sense of own pride in Company to associates by creating a shared vision around sales and customer service.
Creates a sense of urgency among the store team members to complete activities, which drive sales.
Willing to do whatever it takes-not afraid to have to put in extra effort.
Coordinates all department activities into a cohesive team effort.
Able to focus on a task even when working alone.
Objectives	Agree	Unsure	Disagree	N/A
Encourages me to take on greater responsibility.
Consistently provides me with timely feedback for improving my performance.
Ability to establish realistic goals.
Communicates goals and objectives to employees.
Able to organize work.
Client Focus	Agree	Unsure	Disagree	N/A
Gives feedback to the client regularly.
Forms strong client relationships
Is competent in handling difficult clients.
Takes the initiative in solving difficult client issues.
Supports client focused policies and procedures.
Coaching	Agree	Unsure	Disagree	N/A
Coaches employees in how to strengthen knowledge and skills to improve work performance.
Helps employees to maintain high personal standards.
Provides clear, motivating, and constructive feedback.
Meets regularly with employees to coach them on areas that will enhance their performance
Conducts regular performance appraisals and feedback.
Company	Agree	Unsure	Disagree	N/A
Expresses loyalty and dedication to [Company] in interactions with others.
Attends [Company] gatherings and social events.
Understands the "basics" as to how [Company] functions/operates.
Understands the use of [Company] products and services.
Follows existing procedures and processes.

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.