Cultural Awareness - 360 Degree Feedback Survey Sample #10

360 Feedback Survey

Instructions

Thank you for providing feedback for the recipient above. As you respond, please draw on your first-hand experience with this individual in the past 12 months. Rate each item using the scale shown. If you don't feel you have enough first-hand information to rate a certain item, please choose the Not Applicable option. Comments can be very helpful; at a minimum where you give a particularly high or low rating, please share your reasons in the comment section for that competency. Your responses will be compiled with feedback from others and presented to the recipient to help guide their ongoing development.

Partially completed forms can be saved by using the Save/Still Working button at the bottom of the page. You may return at a later time to complete/edit the form. Your saved responses will be shown each time you re-visit the feedback form. When you are certain that you have completed your responses and will be not making any changes, click the Complete button.

Cultural Awareness

• Maintains an inclusive work environment that maximizes the talents of others in achieving goals.
• Seeks opportunities to learn about the other cultural backgrounds of colleagues.
• Seeks clarification to avoid misunderstandings.
• Engages with individuals that have different cultural backgrounds.
• Is aware of the similarities and differences among and between cultural groups.

If [Participant Name] were to make improvements in Cultural Awareness, what are your suggestions for how he/she can improve this?

Customer Focus

• Interacts with customers to define roles, expectations, and responsibilities.
• Prioritizes the needs and preferences of the customer.
• Anticipates customer needs.
• Is committed to the success of the customer.
• Builds trust with the customer.

If [Participant Name] were to make improvements in Customer Focus, what are your suggestions for how he/she can improve this?

Flexibility

• Effective in incorporating new ideas.
• Able to adapt to new situations.
• Implements changes as a result of having listened to employees
• Adapts to new organizational structures, policies, or procedures.
• Can handle changes without complaining.

If [Participant Name] were to make improvements in Flexibility, what are your suggestions for how he/she can improve this?

Punctuality

• Invoices clients on a timely basis.
• Responds to requests for information in a timely manner.
• Conducts appointments at scheduled start time.
• Arrives to meetings on time.
• Avoids making personal phone calls during working hours.

If [Participant Name] were to make improvements in Punctuality, what are your suggestions for how he/she can improve this?

Problem Solving

• Effective in solving problems.
• Ability to develop innovative solutions to problems.
• Identifies fresh approaches and shows a willingness to question traditional assumptions.
• Actively seeks the root cause of a problem.
• Finds creative ways to get things done with limited resources.

If [Participant Name] were to make improvements in Problem Solving, what are your suggestions for how he/she can improve this?

Objectives

• Able to organize work.
• Works toward achieving established goals and objectives.
• Encourages me to take on greater responsibility.
• Effectively organizes resources and plans
• Communicates goals and objectives to employees.

If [Participant Name] were to make improvements in Objectives, what are your suggestions for how he/she can improve this?

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

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

Strengths


Areas for Development


Please give any final comments or suggestions for [Participant Name Here]'s assessment.