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Employee Recognition & Award Nomination Survey

Captures detailed, behavior-based nominations for employee recognition or awards programs — including the specific story behind each nomination — for HR teams and recognition committees. An AI follow-up interview digs into the concrete example nominators give, drawing out impact and quotes that a checkbox form alone would miss.

Sample questions

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

13 questions · ~7 min
Q01
Message

Thanks for taking a moment to recognize a colleague! Your nomination helps us celebrate great work, and it goes straight to the recognition committee. This takes about 5 minutes.

Q02
Multiple ChoiceRequired

Which recognition category best fits this nomination? (Template note: replace with your own award categories before launching.)

  • Above and Beyond
  • Team Player
  • Innovation & Problem-Solving
  • Customer Champion
  • Leadership & Mentorship
  • (Replace with your own category)
Q03
Short TextRequired

Who are you nominating? Please include their full name and team or department.

Q04
Short TextRequired

What is your working relationship to this person? (e.g., manager, teammate, cross-functional partner, direct report)

Q05
Long TextRequired

Describe a specific situation where this person's actions stood out. What did they do, and what was the outcome? Include enough detail that someone who wasn't there would understand why it mattered.

Q06
MatrixRequired

How much do you agree with the following statements about this person, based on the example above?

4 rows × 5 columns
  • Went beyond what their role required
  • Demonstrated our company values
  • Positively impacted the team or business results
  • Would be missed if they left
Columns: Strongly disagree · Disagree · Neutral · Agree · Strongly agree
Q07
Ranking

Rank the company values this nomination best demonstrates, from strongest fit to weakest. (Template note: replace with your own company values list.)

  1. Customer Obsession
  2. Integrity
  3. Innovation
  4. Collaboration
  5. Ownership
  6. Excellence
Drag to rank
Q08
Opinion ScaleRequired

How significant was the impact of this action on the team or business?

Scale: 15
Min:Minimal impactMax:Major impact
Q09
Rating ScaleRequired

Overall, how strongly would you recommend this nomination move forward?

Range: 15
Min:Not strong at allMax:Extremely strong
Q10
AI Interview

Get the nominator to walk through the specific example they described in concrete, story-like detail: what exactly happened, what this person said or did in their own words, and what would likely have happened if they hadn't stepped in. If the example given is vague or generic, ask for a second, more specific instance before moving on. Probe for measurable or observable impact (time saved, problem prevented, someone helped) rather than general praise.

Q11
Multiple Choice

Which department are you in? (Template note: replace with your own department list.)

  • Engineering
  • Sales
  • Marketing
  • Operations
  • Customer Support
  • Other
  • Prefer not to say
Q12
Multiple Choice

How long have you worked with this person?

  • Less than 6 months
  • 6 months to 1 year
  • 1-3 years
  • More than 3 years
  • Prefer not to say
Q13
Message

Thank you for recognizing a colleague! Your nomination will be shared with the recognition committee for review, and winners are typically announced at the next team gathering.

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

  • Goes beyond a single checkbox category by asking nominators to describe a specific situation, then uses an AI follow-up interview to walk them through that example in concrete detail, surfacing quotes and impact a static form would miss.
  • Combines structured signals (relationship to nominee, matrix agreement statements, values ranking, opinion scale on impact, and an overall recommendation rating) with open narrative, giving recognition committees both quantifiable scoring and rich context.
  • Includes department and tenure questions plus a customizable recognition category, so committees can segment and calibrate nominations across teams before deciding on awards.
  • Automated per-response quality scoring and auto-generated reports mean committees receive digested summaries instead of having to manually read every raw nomination write-up.

SurveyMonkey

Employee Of The Month Nomination Form

A ready-to-use, fielding-ready nomination form built on SurveyMonkey's established survey infrastructure. It relies on standard fixed question types, so the depth of each nomination depends entirely on how much a nominator chooses to type. There is no mechanism to probe further into a vague or brief answer.

What it does well

  • Established, reliable survey platform with broad distribution and analysis tools
  • Simple, quick-to-deploy template for basic nomination collection
  • Familiar interface for HR teams already using SurveyMonkey

Where it falls short

  • Static question set with no adaptive follow-up to draw out more detail from a thin nomination story
  • No voice interview option or guided task capability
  • No published methodology or transparent prompt logic since it isn't an AI-driven tool

SurveySparrow

Employee Award Nomination Form Template

A conversational-style, fielding-ready nomination template that presents questions one at a time for a more engaging feel. It still uses fixed question sequences, so nominators who write brief answers won't be prompted for elaboration. Good for basic collection but not for extracting deeper behavioral evidence.

What it does well

  • Conversational one-question-at-a-time UI that can feel more personal than a grid form
  • Fielding-ready template usable out of the box
  • Mobile-friendly presentation typical of SurveySparrow's product

Where it falls short

  • No adaptive AI follow-up to dig deeper into the specific example a nominator describes
  • No automated quality scoring of individual responses
  • No transparent, publishable prompt methodology behind the questions

Jotform

Top Performer of the Month Nomination Form Template

A drag-and-drop, fielding-ready nomination form aimed at recurring top-performer recognition, benefiting from Jotform's flexible form-builder ecosystem. It is a fixed-field form, so all nomination depth depends on the nominator's initial write-up with no built-in prompting for more specifics.

What it does well

  • Highly customizable form builder with many field and layout options
  • Easy integration with Jotform's broader workflow and approval tools
  • Fielding-ready template for immediate use

Where it falls short

  • No adaptive interview capability to extract concrete impact stories or quotes beyond what's typed
  • No voice AI interview or guided screen-share task option
  • No automated per-response scoring or transparent AI prompt disclosure

Typeform

Employee of the Month Nomination Form

A polished, conversational fielding-ready form using Typeform's signature one-question-at-a-time design, which tends to encourage more thoughtful written responses than a dense grid. However, it remains a static question flow with no capacity to follow up on an individual nominator's specific example.

What it does well

  • Visually engaging, conversational format that can improve completion rates
  • Fielding-ready template requiring no build-out
  • Strong design and branding customization typical of Typeform

Where it falls short

  • No adaptive AI probing into the specific situation a nominator describes
  • No voice interview or guided task functionality
  • No automated quality scoring or published prompt-level methodology

Ready to launch?

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