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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

  • Fosters a diverse workforce free from discrimination and harassment.
  • Communicates with others without the influence of racism.
  • Understands how their own cultural background can impact the way they communicate and interact with others.
  • Open to learning about different cultures.
  • Acknowledges their own biases in cultural interactions.
If [Participant Name] were to make improvements in Cultural Awareness, what are your suggestions for how he/she can improve this?

Customer Focus

  • Delivers customized solutions for each customer.
  • Takes the initiative in solving difficult customer issues.
  • Responsive to customer needs.
  • Is consistent in services provided to customers.
  • Addresses customer complaints immediately.
If [Participant Name] were to make improvements in Customer Focus, what are your suggestions for how he/she can improve this?

Flexibility

  • Responds positively to unanticipated changes in the work schedule.
  • Considers other solutions provided by employees.
  • Is flexible in solving difficult problems.
  • Maintains an adaptive mindset crucial for navigating the dynamic challenges and opportunities that arise in business environments.
  • Able to change the workflow as needed to facilitate changes in regulations or policies.
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 the workday when scheduled.
  • Maintains an efficient schedule of activities.
  • 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

  • Regularly assesses the situation and the effectiveness of solutions.
  • Continuously monitors performance after implementing a solution to ensure it remains effective.
  • Able to meet the needs of different constituents in the solution of a problem.
  • Establishes realistic budgets consistent with strategic objectives
  • Uses charting tools to identify patterns in data.
If [Participant Name] were to make improvements in Problem Solving, what are your suggestions for how he/she can improve this?

Objectives

  • Consistently provides me with timely feedback for improving my performance.
  • Communicates goals and objectives to employees.
  • Able to organize work.
  • Effectively organizes resources and plans
  • Encourages me to take on greater responsibility.
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.