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Cultural Awareness - 360 Degree Feedback Survey Sample #10





360 Feedback Survey

Questionnaires Measuring Cultural Awareness:
Survey 1 (4-point scale; Competency Comments)
Survey 2 (4-point scale; Competency Comments)
Survey 3 (5-point scale; Competency Comments)
Survey 4 (5-point scale; radio buttons)
Survey 5 (4-point scale; words)
Survey 6 (4-point scale; words)
Survey 7 (5-point scale; competency comments; N/A)
Survey 8 (3-point scale; Agree/Disagree words; N/A)
Survey 9 (3-point scale; Strength/Development; N/A)
Survey 10 (Comment boxes only)
Survey 11 (Single rating per competency)
Survey 12 (Slide-bar scale)
Survey 13 (4-point scale; numbers; floating anchors)
Survey 14 (4-point scale; N/A)
Instructions

We appreciate you taking the time to provide valuable feedback for the individual mentioned above. As you respond, please draw on your first-hand experience with this individual in the past 12 months. Your insights are crucial in offering a comprehensive evaluation. Please rate each item using the scale provided. If you find that you do not have sufficient first-hand knowledge to rate a particular item, select the Not Applicable option.

In addition to the ratings, we encourage you to include comments where possible. These comments are particularly useful when you give a very high or very low rating, as they provide context and clarity regarding your assessment. Explaining your reasons in the comment section helps ensure that your feedback is constructive and actionable.

Your responses, combined with feedback from other contributors, will be compiled and presented to the individual. This collective feedback aims to support their continuous growth and development by highlighting strengths and identifying areas for improvement. Your thoughtful participation is essential in helping them achieve their full potential.

You can save your progress on partially completed forms by clicking the Save/Still Working button located at the bottom of the page. This allows you to come back at a later time to finish or make any necessary edits to the form. When you return, your previously saved responses will automatically be displayed, allowing you to seamlessly continue where you left off. When you have completed filling out the form and are confident that no further changes are needed, please click the Complete button.

Sample Result Document:
Sample Results
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Cultural Awareness

  • Adapts communication style to respect cultural norms and preferences of team members.
  • Seeks out different viewpoints and benefits from different perspectives.
  • Views diversity as a strength, not as an issue.
  • Values the diverse perspectives from others.
  • Respects the views offered by individuals with different cultural backgrounds.
If [Participant Name] were to make improvements in Cultural Awareness, what are your suggestions for how he/she can improve this?

Customer Focus

  • Provides a responsive service that meets the needs of customers.
  • Helps customers feel they are receiving services tailored specifically to their needs.
  • Develops good rapport and trust with the customer.
  • Interacts with customers to define roles, expectations, and responsibilities.
  • Acts with integrity in all customer interactions.
If [Participant Name] were to make improvements in Customer Focus, what are your suggestions for how he/she can improve this?

Flexibility

  • Values and adjusts training to meet diverse learning preferences.
  • Effectively manages changes in financial resources.
  • Can handle changes without complaining.
  • Able to adapt processes in response to critical incidents that impact the workflow.
  • Acts decisively in frequently changing and uncertain environment.
If [Participant Name] were to make improvements in Flexibility, what are your suggestions for how he/she can improve this?

Punctuality

  • Responds to requests for information in a timely manner.
  • Starts the workday when scheduled.
  • 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

  • Continuously monitors performance after implementing a solution to ensure it remains effective.
  • Ensures that the right resources are available when and where they are needed, speeding up the problem-solving process.
  • Effective in solving difficult problems.
  • Keeps a positive outlook and perseveres through challenges.
  • Works diligently until the problem is solved.
If [Participant Name] were to make improvements in Problem Solving, what are your suggestions for how he/she can improve this?

Objectives

  • Organizes and schedules events, activities, and resources.
  • Assures [Company] principles are understood, employed & pursued.
  • Establishes goals and objectives.
  • Works toward achieving established goals and objectives.
  • Ability to establish realistic goals.
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].






Strengths


Areas for Development


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