Cultural Awareness - 360 Degree Feedback Survey Sample #10

360 Feedback Survey

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.

Cultural Awareness

• Encourages a work environment where individual differences are valued.
• Understands how their own cultural background can impact the way they communicate and interact with others.
• Aware of their own cultural views.
• Is aware of the similarities and differences among and between cultural groups.
• Communicates with others without the influence of racism.

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

Customer Focus

• Considers customers point of view when making decisions.
• Consistently models positive customer service attitudes.
• Identifies the core needs of the customer.
• Creates high quality products for the customers.
• Builds long term relationships with customers.

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

Flexibility

• Is able to make accommodations needed for changes to the working conditions.
• Flexible and resilient in addressing critical incidents.
• Actively listens to others, considers their viewpoints, and incorporates these insights into the decision-making process.
• Navigates ambiguity with ease, maintaining focus and productivity amidst uncertainty.
• Supports a flexible culture that values continuous improvement and innovation.

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

Punctuality

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

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

Problem Solving

• Ability to solve problems at root cause rather than at symptom level.
• Makes judgments based upon relevant information.
• Actively seeks the root cause of a problem.
• Identifies fresh approaches and shows a willingness to question traditional assumptions.
• Skilled at quickly diagnosing issues, identifying root causes, and developing and implementing effective solutions in the workplace.

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

Objectives

• Communicates goals and objectives to employees.
• Sets long-term and short-term goals.
• Effectively organizes resources and plans
• Ability to establish realistic goals.
• Consistently provides me with timely feedback for improving my performance.

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.