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360 Multi-Rater Feedback: Competencies, Strengths & Development

A structured 360-degree feedback instrument for peers, managers, and cross-functional partners to assess colleague competencies, identify strengths, and surface development priorities. Designed for any team seeking actionable, confidential multi-rater insights.

Sample questions

A preview of what’s in the template. Every question is editable before you launch.

28 questions · ~12 min
Q01
Message

Welcome to the 360 Feedback Survey. Thank you for taking the time to share candid, constructive feedback to help your colleague grow. Your responses are completely confidential and will be reported in aggregate only—individual responses will never be attributed to you. There are no right or wrong answers; we value your honest perspective. This survey should take approximately 7–10 minutes to complete. Your participation is voluntary, and you may stop at any time.

Q02
Multiple Choice

Which best describes your current working relationship with this colleague?

  • I manage them
  • They manage me
  • Peer on my team
  • Cross-functional partner
  • Project collaborator (short-term)
  • Other (please specify)
Q03
Message

The following questions ask you to rate this colleague on key workplace competencies based on your observations over the last 3 months. Please answer based on what you have personally observed.

Q04
Ranking

Rank the following areas from this colleague's greatest strength (1st) to least strength.

  1. Communication
  2. Reliability and execution
  3. Problem-solving and initiative
  4. Collaboration
  5. Adaptability
  6. Accountability
  7. Stakeholder management
  8. Strategic thinking
Drag to rank
Q05
Opinion Scale

How would you rate this colleague's overall impact on team outcomes in the last 3 months?

Scale: 17
Min:Very low impactMax:Very high impact
Q06
Message

This section uses a 'Start, Stop, Continue' framework. Please share specific, constructive observations.

Q07
Opinion Scale

How likely would you be to choose to work with this colleague again on a future project?

Scale: 17
Min:Definitely would notMax:Definitely would
Q08
Dropdown

What is your current role level?

  • Individual contributor
  • People manager
  • Executive / senior leader
  • Other
Q09
Message

Thank you for your feedback. Your insights will directly support your colleague's development and growth. As a reminder, your responses are confidential and will be shared in aggregate only. No individual responses will be attributed to you.

Q10
Dropdown

How long have you worked with this colleague?

  • Less than 1 month
  • 1–3 months
  • 3–6 months
  • 6–12 months
  • 1–2 years
  • More than 2 years
Q11
Opinion Scale

Overall, how effective is this colleague in their current role?

Scale: 17
Min:Not at all effectiveMax:Extremely effective
Q12
Multiple Choice

Which areas would most benefit from this colleague's development in the next 3–6 months? (Select up to 3)

  • Customer understanding
  • Analytical skills
  • Written communication
  • Verbal communication
  • Prioritization and focus
  • Stakeholder management
  • Project execution
  • Process improvement
  • Leadership and mentoring
  • Other (please specify)
Q13
Long Text

Briefly describe a recent example where this colleague made a meaningful impact on the team or business.

Q14
Long Text

What is one thing this colleague should definitely continue doing?

Q15
AI Interview

Based on the feedback you've shared throughout this survey, is there anything else you'd like to add about this colleague's strengths, areas for growth, or how they could have an even greater impact?

Q16
Dropdown

What is your primary function?

  • Product
  • Engineering
  • Data / Analytics
  • Design / UX
  • Marketing
  • Sales
  • Operations / Customer Support
  • Finance / Legal / HR
  • Other
Q17
Dropdown

How often do you currently collaborate with this colleague?

  • Daily
  • A few times per week
  • Weekly
  • A few times per month
  • Less than monthly
Q18
Opinion Scale

This colleague communicates ideas clearly and effectively.

Scale: 17
Min:Strongly disagreeMax:Strongly agree
Q19
Long Text

What is one thing this colleague should start doing to improve?

Q20
Dropdown

How long have you been at the company?

  • Less than 3 months
  • 3–12 months
  • 1–2 years
  • 3–5 years
  • More than 5 years
Q21
Opinion Scale

This colleague delivers high-quality work on time.

Scale: 17
Min:Strongly disagreeMax:Strongly agree
Q22
Long Text

What is one thing this colleague should stop doing?

Q23
Opinion Scale

This colleague takes initiative and solves problems proactively.

Scale: 17
Min:Strongly disagreeMax:Strongly agree
Q24
Long Text

What support or resources would most help this colleague grow?

Q25
Opinion Scale

This colleague collaborates well across teams and functions.

Scale: 17
Min:Strongly disagreeMax:Strongly agree
Q26
Opinion Scale

This colleague adapts quickly to changing priorities or new information.

Scale: 17
Min:Strongly disagreeMax:Strongly agree
Q27
Opinion Scale

This colleague gives and receives feedback constructively.

Scale: 17
Min:Strongly disagreeMax:Strongly agree
Q28
Opinion Scale

This colleague demonstrates accountability for their commitments and results.

Scale: 17
Min:Strongly disagreeMax:Strongly agree

What’s included

  • AI follow-ups

    Adaptive probes on open-ended answers that pull out detail a static form would miss.

  • Attention checks

    Built-in safeguards against rushed answers and low-quality respondents.

  • AI-drafted copy

    Wording, ordering, and branching written by the AI — tuned to your research goal.

  • Auto report

    Themes, quotes, and a plain-English summary write themselves once responses come in.

How it compares

We reviewed the closest templates from other survey tools. Here’s what they do well — and where this template goes further.

Why this template

  • AI interviews dynamically adapt based on whether respondents are early adopters, skeptics, or non-users—capturing qualitative depth at quantitative scale
  • A generous free tier and affordable plans fit university research budgets, unlike enterprise-locked Qualtrics
  • Every AI parameter is logged for replication—critical for the peer-reviewed AI adoption research that competitors' tools cannot support
  • AI follow-up questions probe beyond surface-level Likert ratings to uncover root causes of disengagement—something no static survey can do
  • Full transparency: every prompt, model, and logic flow is visible to HR researchers, unlike competitor 'black box' AI features

SurveyMonkey

AI Readiness Assessment Template

SurveyMonkey's AI Readiness Assessment is the closest match—evaluating employee AI awareness, training needs, and current tool usage. Solid for organizational readiness but doesn't specifically measure feature-level adoption, trust, or perceived value of AI capabilities.

What it does well

  • Covers employee awareness, comfort levels, and perceived impacts of AI
  • Includes risk, compliance, and ethical considerations alongside adoption questions
  • Fully customizable with branding, and AI-powered analysis suite for open-ended responses

Where it falls short

  • Focused on organizational readiness, not specific AI feature adoption or value perception
  • No conversational AI follow-ups to explore trust barriers or adoption hesitancy in depth
  • SurveyMonkey's own AI tools (Build with AI, analysis) operate as black boxes—no prompt or model transparency
  • No validated trust measurement scales—uses general readiness questions rather than academic trust constructs

Qualtrics

Qualtrics XM for Strategy + Research

Qualtrics publishes extensive research on AI trust gaps (e.g., their State of AI in Employee Experience report analyzing 35,000+ employees) but doesn't offer this as a self-serve template. Their conversational feedback feature is the most competitive AI-interview capability in the market.

What it does well

  • Conversational feedback uses generative AI to generate follow-up questions during live surveys—respondents contribute 40% more information
  • Own research demonstrates deep expertise in AI trust measurement at organizational scale
  • 23 question types including video/audio responses with advanced logic branching

Where it falls short

  • No public pre-built AI feature adoption or trust survey template—requires custom building
  • Pricing starts at $420/month, making it inaccessible for academic researchers and small teams
  • Conversational feedback AI is not researcher-configurable—no access to prompts, no model selection, no parameter logging
  • Enterprise-focused platform creates unnecessary complexity for straightforward adoption studies

Jotform

Technology Surveys

Jotform offers 100+ technology survey templates including some AI-adjacent ones (AI-Augmented Learning Perception, Healthcare AI Bias Awareness, Public Perception of Health AI Tools), but none specifically targeting AI feature adoption and trust in a product or workplace context.

What it does well

  • Largest volume of AI-adjacent survey templates among competitors (100+ technology surveys)
  • Free plan available with drag-and-drop customization and conditional logic
  • Separate AI Agents product offers conversational survey experiences with NLP

Where it falls short

  • No dedicated AI feature adoption or trust survey template—closest options are domain-specific (healthcare, education)
  • AI Agents are a separate product from form templates—not integrated into survey methodology
  • No academic methodology validation, no rubric checking, no scale construction guidance
  • AI Agent training is opaque—no visibility into prompts, models, or reasoning logic for researchers

SurveyMonkey

Employee Engagement Survey Template

Well-established template with benchmarking capabilities and expert-written questions across motivation, leadership, growth, recognition, and culture themes. Strong analytics with filters and crosstabs, but fundamentally limited to static question-and-answer format.

What it does well

  • Industry benchmarking data to compare scores against other organizations
  • Standardized 5-point Likert scale with built-in scoring methodology
  • Extensive customization and segmentation by team or location

Where it falls short

  • No AI-powered follow-up questions to explore the 'why' behind low scores
  • Static survey format cannot adapt to individual employee responses in real-time
  • AI features limited to survey creation assistance, not actual respondent interaction

Typeform

Employee Engagement Survey Template

Visually appealing one-question-at-a-time conversational format that improves completion rates. Strong UX and branding customization, but the 'conversational' experience is still pre-scripted—it doesn't actually listen and adapt like AI.

What it does well

  • Beautiful, conversational one-question-at-a-time interface that feels less like a survey
  • Strong integrations with Slack, Microsoft Teams, and 300+ tools
  • Excellent mobile experience with no app downloads required

Where it falls short

  • No AI follow-up probes—conversational format is just UX, not intelligent adaptation
  • No transparent AI methodology—no visible prompts or logic for researchers to audit
  • Limited survey methodology rigor—focuses on design over academic-grade question construction

Ready to launch?

Open this template in the editor. Every part is yours to change before the first respondent sees it.