Cultural Awareness - 360 Degree Feedback Survey Sample #13





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)
Survey 14 (4-point scale; N/A)
Instructions

We are delighted to extend an invitation to you to provide valuable feedback on the manager listed above. Your insights and observations are a crucial element in our continuous efforts to enhance our leadership development program. This feedback tool has been meticulously designed to gather detailed and comprehensive input on the core competencies and role responsibilities that are integral to the ongoing success and growth of our organization.

We believe that your unique perspective, based on your interactions and experiences with this manager, will contribute significantly to identifying strengths, areas for improvement, and opportunities for professional growth. Your feedback will help us foster a culture of excellence, accountability, and continuous improvement within our leadership team.

As you complete the assessment form, please reflect on your interactions with this individual over the past six to twelve months. Your responses will be combined with feedback from others and presented to the manager to aid in their ongoing development. Rest assured, your comments will be shared anonymously, exactly as you write them.

Sample Result Document:
Sample Results
Method of use: As part of the review process, managers will receive feedback from peers and staff. It is recognized that not all participants will be able to assess an individual's performance in all areas. The feedback received will be utilized as input to the manager's performance and on-going development plan.

You may sign out at any time by pressing the Save button at the end of the form and then closing your browser. You may return later to pick up where you left off. When you are done, press the Complete button.

When clicking your selection below, try to best fit the manager's actual behaviors to the scale provided.

If you are not sure, or unable to assess, select "Not Applicable" (N/A) option.


Please complete your response by .

Cultural Awareness

Strongly
Disagree
Disagree Agree Strongly
Agree
  1. Treats others with dignity and respect.
  1. Develops skills and attitudes to bridge cultural differences.
  1. Respects others regardless of age, race, gender, nationality, or disability.
  1. Willing to work with employees who have different cultural backgrounds.
  1. Is responsive to individuals from other cultures.
  1. Is aware of cultural differences in business etiquette.
  1. Maintains an inclusive work environment that maximizes the talents of others in achieving goals.
  1. Understands how implicit biases can affect decisions, communication and productivity.
  1. Values the opinions of diverse groups and individual.


Administrative Skill

Strongly
Disagree
Disagree Agree Strongly
Agree
  1. Able to develop, justify and present a budget.
  1. Completes reports on-time.
  1. Implements and uses performance measures.
  1. Accurately implements contract provisions.
  1. Enthusiastic about taking on challenging projects.


Communication Skills

Strongly
Disagree
Disagree Agree Strongly
Agree
  1. Has the confidence to communicate effectively to all levels (from CEO down) of the organization, external customers, suppliers, as well as the senior counsel of other companies.
  1. Comes across as comfortable and effective as a public speaker
  1. Visible and approachable; is there when you need them.
  1. Marks their status as "available" to signal they are open for communication.
  1. Effectively delivers presentations to teams, large groups, and diverse audiences


Creativity

Strongly
Disagree
Disagree Agree Strongly
Agree
  1. Conceives, implements and evaluates ideas.
  1. Is creative.
  1. Creates a lot of new ideas.
  1. Is creative and inspirational.
  1. Inspires creativity in their team.


Self Management

Strongly
Disagree
Disagree Agree Strongly
Agree
  1. Deals with conflict by controlling own emotions by listening, being flexible, and sincere in responding.
  1. Consciously controls own negative emotions in order to keep team morale up.
  1. Steps away from a situation to process appropriate response.
  1. Is aware of personal impact on others and adjusts behavior to create a positive leadership presence.
  1. Analyzes interpersonal problems instead of reacting to them.


Commitment To Result

Strongly
Disagree
Disagree Agree Strongly
Agree
  1. Maintains persistence and dedication to achieving results.
  1. Willing to do whatever it takes-not afraid to have to put in extra effort.
  1. Committed to the team.
  1. Encourages commitment in others to obtain results.
  1. Coordinates all department activities into a cohesive team effort.


Collaboration

Strongly
Disagree
Disagree Agree Strongly
Agree
  1. Collaborates with others to resolve conflicts constructively.
  1. Works with others to pool knowledge, ideas and resources to provide deeper insights into difficult issues.
  1. Respects individual differences that contribute to solving problems.
  1. Addresses interpersonal issues with a collaborative mindset.
  1. Effectively uses technology to facilitate collaborative efforts in building process and policy documents.


Global Perspective

Strongly
Disagree
Disagree Agree Strongly
Agree
  1. Able to listen and understand others and discuss issues in a respectful way.
  1. Demonstrates working knowledge of global transactions.
  1. Understands global systems such as the global economy.
  1. Understands how cultures differ and how these differences impact work behavior.
  1. Creates an environment where individual differences are valued and supported.



  1. Describe the greatest strengths of this person with regard to his/her overall effectiveness in performing his/her current responsibilities.


  2. Describe the most important things this person could improve upon in order to increase his/her overall effectiveness in performing his/her current responsibilities.


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







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