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
Actively listens to other employees' stories about their culture.
Seeks clarification to avoid misunderstandings.
Fosters a diverse workforce free from discrimination and harassment.
Respects others regardless of age, race, gender, nationality, or disability.
Upholds inclusive policies that protect cultural expression and identity in the workplace.
Is responsive to individuals from other cultures.
Accepts individual differences.
Engages with individuals that have different cultural backgrounds.
Seeks out different viewpoints and benefits from different perspectives.
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
Focuses solutions on closing the gap between expected outcomes and the current situation.
Remains calm and composed under pressure to think clearly and respond appropriately to unforeseen challenges.
Clearly communicates the action plan to all employees, including team members, management, and other affected parties.
Links process improvement and results improvement
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.
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
Effective in working with different personnel of the team.
Ensures employees in the department are training on the latest technology.
Adapts to changes in team membership.
Able to adjust plans as needed for implementation of projects.
Analyzes situations quickly to determine most pressing needs and possible solutions.
Is open to changes in policies and procedures.
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
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.
Demonstrates mastery of the technical competencies required in his/her work.
Seeks information from others as needed.
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
Communicates goals and objectives to employees.
Assures [Company] principles are understood, employed & pursued.
Encourages me to take on greater responsibility.
Sets long-term and short-term goals.
Organizes and schedules events, activities, and resources.
Ability to establish realistic goals.
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
Clearly articulates the importance of collaboration in the department's values and vision.
Works with other experts to solve problems.
Create an environment where collaboration and teamwork is encouraged.
Recognizes and rewards the contributions of team members.
Ensures relevant data is available to all committee members.
Effectively uses technology to facilitate collaborative efforts in building process and policy documents.
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
Demonstrates congruence between statements and actions.
Consistently keeps commitments.
Takes care to maintain confidential information.
Builds and maintains the trust of others.
Takes ownership, delivers on commitments
Delivers on promises made.
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
Considers customers point of view when making decisions.
Understands how cultures differ and how these differences impact work behavior.
Able to work with others from different cultures and countries.
Works well with others from different cultural backgrounds.
Collaborates with others respectfully and effectively with other people regardless of differences in cultural backgrounds.
Has positive interactions with individuals from different cultures and backgrounds.
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.