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; floating anchors)
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. Seeks out different viewpoints and benefits from different perspectives.
  1. Encourages a work environment where individual differences are valued.
  1. Interacts effectively with people from different cultural backgrounds.
  1. Engages with individuals that have different cultural backgrounds.
  1. Understands the impact that our culture may have on interactions between individuals.
  1. Willing to work with employees who have different cultural backgrounds.
  1. Is open and honest in communications with individuals from other cultures.
  1. Values the diverse perspectives from others.
  1. Treats others with dignity and respect.


Administrative Skill

Strongly
Disagree
Disagree Agree Strongly
Agree
  1. Enthusiastic about taking on challenging projects.
  1. Completes reports on-time.
  1. Takes responsibility for decisions.
  1. Accurately implements contract provisions.
  1. Has strong technical/computer skills.


Communication Skills

Strongly
Disagree
Disagree Agree Strongly
Agree
  1. Presents issues, ideas, and strategy concisely and clearly.
  1. Summarizes the question to verify comprehension.
  1. Implements performance appraisals focused on employee development using SMART criteria
  1. Delivers influential presentations.
  1. Is professional at all times--never ridiculing, mocking or undermining peers or subordinates.


Creativity

Strongly
Disagree
Disagree Agree Strongly
Agree
  1. Adds value to the department/organization.
  1. Is creative.
  1. Is creative and inspirational.
  1. Inspires creativity in their team.
  1. Creates a lot of new ideas.


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. Analyzes own reactions on the spot to ensure that communication does not appear to be driven by anger.
  1. Consciously controls own negative emotions in order to keep team morale up.
  1. Uses patience and self-control in working with customers and associates.
  1. Analyzes interpersonal problems instead of reacting to them.


Commitment To Result

Strongly
Disagree
Disagree Agree Strongly
Agree
  1. Takes immediate action toward goals.
  1. Able to focus on a task even when working alone.
  1. Committed to the team.
  1. Conveys strong sense of own pride in Company to associates by creating a shared vision around sales and customer service.
  1. Encourages commitment in others to obtain results.


Collaboration

Strongly
Disagree
Disagree Agree Strongly
Agree
  1. Encourages working together to achieve shared goals.
  1. Clearly articulates the importance of collaboration in the department's values and vision.
  1. Builds strong interpersonal relationships for more effective collaboration.
  1. Utilizes digital tools to enhance collaborative efforts in creating process and policy documents.
  1. Engages in teamwork to handle disputes positively.


Global Perspective

Strongly
Disagree
Disagree Agree Strongly
Agree
  1. Applies knowledge of overseas markets.
  1. Understands and appreciates the perspectives offered by others with different cultural backgrounds.
  1. Has positive interactions with individuals from different cultures and backgrounds.
  1. Aligns personal vision with global strategies.
  1. Communicates effectively on a multi-lingual basis.



  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.