Cultural Awareness Competency Questionnaire C
Uploaded by
scrib1Cultural Awareness Competency Questionnaire C
Uploaded by
scrib1[Link] Have Questions?
HR-Survey > 360-Degree Feedback > Competency Model > Cultural Awareness
Cultural Awareness - 360 Degree Feedback Survey Sample
#12
360 Feedback Survey 2025
Instructions
Questionnaires Measuring Cultural
We appreciate you taking the time to provide valuable feedback for Awareness:
the individual mentioned above. As you respond, please draw on Survey 1 (4-point scale; Competency Comments)
your first-hand experience with this individual in the past 12 months. Survey 2 (4-point scale; Competency Comments)
Your insights are crucial in offering a comprehensive evaluation. Survey 3 (5-point scale; Competency Comments)
Please rate each item using the scale provided. If you find that you Survey 4 (5-point scale; radio buttons)
do not have sufficient first-hand knowledge to rate a particular item, Survey 5 (4-point scale; words)
select the Not Applicable option. Survey 6 (4-point scale; words)
Survey 7 (5-point scale; competency comments; N/A)
In addition to the ratings, we encourage you to include comments Survey 8 (3-point scale; Agree/Disagree words; N/A)
where possible. These comments are particularly useful when you Survey 9 (3-point scale; Strength/Development; N/A)
give a very high or very low rating, as they provide context and Survey 10 (Comment boxes only)
clarity regarding your assessment. Explaining your reasons in the Survey 11 (Single rating per competency)
comment section helps ensure that your feedback is constructive Survey 12 (Slide-bar scale)
and actionable. Survey 13 (4-point scale; numbers; floating anchors)
Survey 14 (4-point scale; N/A)
Your responses, combined with feedback from other contributors,
will be compiled and presented to the individual. This collective
feedback aims to support their continuous growth and development by highlighting strengths and identifying areas for improvement.
Your thoughtful participation is essential in helping them achieve their full potential.
Partially completed forms can be saved by using the Save/Still
Working button at the bottom of the page. You may return at a later Competencies Included:
time to complete/edit the form. Your saved responses will be shown Cultural Awareness, Problem Solving, Technical,
each time you re-visit the feedback form. When you are certain that Objectives, Trustworthy
you have completed your responses and will be not making any
changes, click the Complete button.
To what extent does [Participant Name]
Sample Result Document:
exhibit the following ... Sample Results
SELECT the rating that best reflects the employee's performance in
the areas listed.
Cultural Awareness
Aware of their own cultural views.
Is curious and willing to ask questions about the cultural differences in the workplace.
Upholds inclusive policies that protect cultural expression and identity in the workplace.
Maintains professional decorum and avoids culturally insensitive language or behavior.
Treats others with dignity and respect.
Needs Fully Excels/
Improvement Proficient Role Model
© Copyright 2025, HR-Survey, LLC Legal Notice Web: [Link] Site Map Email: info@[Link]
Click this box to make your rating
Comments:
Problem Solving
Evaluates alternative courses of action.
Implements effective solutions to critical problems.
Creates an environment where team members feel free to share their thoughts and ideas without fear of criticism.
Asks the "right" questions to size up or evaluate situations.
Infers important trends from data.
Needs Fully Excels/
Improvement Proficient Role Model
Click this box to make your rating
Comments:
Technical
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.
Willingly shares information and expertise; sought out as resource by others
Willingly shares his/her technical expertise; sought out as resource by others
Seeks information from others as needed.
Keeps current with technical advances within his/her professional discipline; embraces and applies new techniques and
practices
Needs Fully Excels/
Improvement Proficient Role Model
Click this box to make your rating
Comments:
Objectives
Assures [Company] principles are understood, employed & pursued.
Ability to establish realistic goals.
Consistently provides me with timely feedback for improving my performance.
Organizes and schedules events, activities, and resources.
Establishes goals and objectives.
© Copyright 2025, HR-Survey, LLC Legal Notice Web: [Link] Site Map Email: info@[Link]
Needs Fully Excels/
Improvement Proficient Role Model
Click this box to make your rating
Comments:
Trustworthy
Works in a way that makes others want to work with her/him.
Is a person you can trust.
Delivers on promises made.
Builds and maintains the trust of others.
Is trustworthy; is someone I can trust.
Needs Fully Excels/
Improvement Proficient Role Model
Click this box to make your rating
Comments:
Strengths
Areas for Development
Please give any final comments or suggestions for [Participant Name Here]'s assessment.
© Copyright 2025, HR-Survey, LLC Legal Notice Web: [Link] Site Map Email: info@[Link]
