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

• Is aware of the similarities and differences among and between cultural groups.
• Is responsive to individuals from other cultures.
• Views diversity as a strength, not as an issue.
• Helps other employees to become more culturally sensitive.
• Engages with individuals that have 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

• Able to handle difficult customers.
• Engages with customers on multiple levels.
• Prioritizes customer issues to tackle the most pressing needs first.
• Effectively troubleshoots customer issues.
• Transparent in all communications 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

• Adapts easily to incorporate various perspectives.
• Is able to bounce back from obstacles.
• Is flexible in solving difficult problems.
• Delivers a variety of products that vary in type and volume.
• Encourages others to adopt new procedures.

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.
• Avoids making personal phone calls during working hours.
• Invoices clients on a timely basis.
• Starts the workday when scheduled.
• Starts meetings on time.

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

Problem Solving

• Solves problems using logic and insight.
• Able to balance the needs of different people in a solution to a problem.
• Is a good problem solver and decision maker
• Works cooperatively with others to solve problems.
• Makes judgments based upon relevant information.

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

Objectives

• Assures [Company] principles are understood, employed & pursued.
• Effectively organizes resources and plans
• Sets long-term and short-term goals.
• Establishes goals and objectives.
• 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.