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 .

Cultural Awareness	Needs Improvement	Could Benefit from Development	Performs as Expected	Is a Role Model for Others	Don't Know
Is aware of cultural differences in business etiquette.
Seeks clarification to avoid misunderstandings.
Treats others with dignity and respect.
Fosters a diverse workforce free from discrimination and harassment.
Willing to work with employees who have different cultural backgrounds.
Recognizes and values individual and cultural differences.
Acknowledges their own biases in cultural interactions.
Open to learning about different cultures.
Aware of their own cultural views.
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
Able to balance the needs of different people in a solution to a problem.
Understands the root causes of problems.
Identifies and assesses all potential responses to a problem.
Finds creative ways to get things done with limited resources.
Solves problems using logic and insight.
Skilled at quickly diagnosing issues, identifying root causes, and developing and implementing effective solutions in the workplace.
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
Handles changes easily.
Willing to change ideas or perceptions based on new information or contrary evidence which is presented.
Is aware of changes to team personnel.
Easily accepts new responsibilities.
Continually trying to improve skills to remain current.
Is open to change and adjusts plans when needed.
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
Seeks information from others as needed.
Keeps current with technical advances within his/her professional discipline; embraces and applies new techniques and practices
Willingly shares information and expertise; sought out as resource by others
Willingly shares his/her technical expertise; sought out as resource by others
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.
Uses expertise to identify issues and think through creative solutions to get a problem solved or objective accomplished.
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.
Effectively organizes resources and plans
Establishes goals and objectives.
Ability to establish realistic goals.
Encourages me to take on greater responsibility.
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?
Collaboration	Needs Improvement	Could Benefit from Development	Performs as Expected	Is a Role Model for Others	Don't Know
Encourages teammates to settle their differences and work together.
Engages in teamwork to handle disputes positively.
Respects other committee members.
Works to get buy-in of individuals based on common good of business.
Works with others to pool knowledge, ideas and resources to provide deeper insights into difficult issues.
Is a trustworthy and credible partner.
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
Works in a way that makes others want to work with her/him.
Builds and maintains the trust of others.
Takes ownership, delivers on commitments
Delivers on promises made.
Consistently keeps commitments.
Is trustworthy; is someone I can trust.
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
Facilitates open communication with individuals from other countries.
Considers customers point of view when making decisions.
Analyzes global issues/problems that are having a large impact on the Company.
Can effectively deliver presentations to international clients.
Demonstrates working knowledge of global transactions.
Accepts setbacks and challenges in foreign markets as improvement opportunities
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.