Cultural Awareness - 360 Degree Feedback Survey Sample #14

360 Feedback Survey

Instructions

Our company is excited to introduce a new web-based survey tool designed to gather comprehensive feedback on core competencies and role responsibilities critical to the ongoing success of our organization. The Leadership Team Members have unanimously agreed to participate in this initiative and are actively seeking your valuable feedback.

In this context, you have been specifically selected to provide insights on the manager listed above. Your feedback is a crucial component of our company's leadership development process. This tool is intended to capture broad and detailed feedback on the essential competencies and responsibilities that underpin our organization's sustained success and growth.

Your thoughtful and candid responses will play a significant role in guiding the professional development of our leadership team. By reflecting on your experiences and interactions with the manager over the past six to twelve months, you will help us identify strengths, areas for improvement, and opportunities for growth. Your feedback will be combined with that of others and presented to the manager to support their ongoing development. Rest assured, your comments will be shared anonymously, ensuring your privacy while contributing to a culture of continuous improvement and excellence.

In responding to the assessment form, please think about your experiences working with this individual during the last twelve (12) months. Your responses will be merged with other people's feedback and presented to guide them in their on-going development. Comments will be shared anonymously, as written, with the manager, unless you indicate otherwise.

You are only being asked to rate 8 competencies. Each competency will have a variety of statements that are grouped by 4 Performance Levels. Click on the level that best describes this individual.

Please ensure that your submission is made between .

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Cultural Awareness	Needs Improvement	Could Benefit from Development	Performs as Expected	Is a Role Model for Others	Don't Know
Seeks to reduce obstacles in communication that might arise from cultural differences.
Understands the impact that our culture may have on interactions between individuals.
Effective in working with individuals with a variety of cultural backgrounds.
Understands what customs and etiquette are important for individuals from other cultures.
Is sensitive to the similarities and differences that exist between cultures.
Seeks knowledge and information about other cultures.
Recognizes individual and cultural differences.
Is aware of cultural differences in business etiquette.
Open to learning about different cultures.
If [Participant Name] were to make improvements in Cultural Awareness, what are your suggestions for how he/she can improve this?
Problem Solving	Needs Improvement	Could Benefit from Development	Performs as Expected	Is a Role Model for Others	Don't Know
Conducts a thorough and careful analysis of the underlying causes of problems.
Provides a comprehensive assessment of the solution's overall effectiveness, efficiency, and impact, often including both quantitative and qualitative data.
Chooses a diverse group with relevant expertise and perspectives for a brainstorming session.
Demonstrates flexibility in problem-solving with a diverse array of methods and resources suited to various scenarios.
Uses tools like Gantt charts and resource calendars can help visualize and manage solutions.
Is a good problem solver and decision maker.
If [Participant Name] were to make improvements in Problem Solving, what are your suggestions for how he/she can improve this?
Adaptability	Needs Improvement	Could Benefit from Development	Performs as Expected	Is a Role Model for Others	Don't Know
Is open to new ideas and innovations.
Adjusts priorities to changing business goals.
Is open to changes in policies and procedures.
Adjusts plans and procedures.
Adjusts plans to meet the needs of new constraints.
Willing to change ideas or perceptions based on new information or contrary evidence which is presented.
If [Participant Name] were to make improvements in Adaptability, what are your suggestions for how he/she can improve this?
Technical	Needs Improvement	Could Benefit from Development	Performs as Expected	Is a Role Model for Others	Don't Know
Is knowledgeable of procedures or systems necessary for the job.
Willingly shares his/her technical expertise; sought out as resource by others
Keeps current with technical advances within his/her professional discipline; embraces and applies new techniques and practices
Knows how to produce high quality products/work.
Uses expertise to identify issues and think through creative solutions to get a problem solved or objective accomplished.
Is naturally sought out by people outside his/her particular area for advice and opinion on a broad range of matters - not necessarily solely legal advice.
If [Participant Name] were to make improvements in Technical, what are your suggestions for how he/she can improve this?
Objectives	Needs Improvement	Could Benefit from Development	Performs as Expected	Is a Role Model for Others	Don't Know
Consistently provides me with timely feedback for improving my performance.
Communicates goals and objectives to employees.
Establishes goals and objectives.
Works toward achieving established goals and objectives.
Able to organize work.
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?
Collaboration	Needs Improvement	Could Benefit from Development	Performs as Expected	Is a Role Model for Others	Don't Know
Shares skills and time to help the team thrive.
Defines shared goals with the committee members.
Keeps everyone aligned and motivated to maintain a cohesive and productive team.
Actively seeks opportunities to work with colleagues to address and resolve challenges.
Contributes resources and knowledge to support others' success.
Create an environment where collaboration and teamwork is encouraged.
If [Participant Name] were to make improvements in Collaboration, what are your suggestions for how he/she can improve this?
Trustworthy	Needs Improvement	Could Benefit from Development	Performs as Expected	Is a Role Model for Others	Don't Know
Takes ownership, delivers on commitments
Works in a way that makes others want to work with her/him.
Delivers on promises made.
Demonstrates a sense of responsibility and commitment to public trust.
Is trustworthy; is someone I can trust.
Communicates an understanding of the other person's interests, needs and concerns.
If [Participant Name] were to make improvements in Trustworthy, what are your suggestions for how he/she can improve this?
Global Perspective	Needs Improvement	Could Benefit from Development	Performs as Expected	Is a Role Model for Others	Don't Know
Is able to work with individuals having different backgrounds and cultures.
Collaborates with others respectfully and effectively with other people regardless of differences in cultural backgrounds.
Forms strong client relationships with international partners.
Attends training seminars and conferences to increase skills in working with others globally.
Can effectively deliver presentations to international clients.
Volunteers for experiences and assignments abroad.
If [Participant Name] were to make improvements in Global Perspective, what are your suggestions for how he/she can improve this?

52. Strengths
    
    
    
53. Areas for Development
    
    
    
54. Please give any final comments or suggestions for [Participant Name Here]'s assessment.