360-DEGREE FEEDBACK SIGN-UP

 

Nominate respondents to provide feedback
 

Please use this form to let us know which managers you would like to be signed up for 360-degree feedback. We will then contact each manager to ask who they wish to provide feedback. If you want to nominate more than 10 managers, just use the form more than once.

Back to Process page

It is strongly recommended you have all the information to hand before you start to complete the form.
 

Part 1: Your details
 
Fields marked with a * are mandatory.
* Your name:
* Organization:
* E-mail address:
Telephone:

 

Part 2: Details of your feedback providers
 

If you want Self-insight to manage respondents and the data collection process, please complete the form below.
It is strongly recommended you have all the information to hand before completing the form.
If you choose to manage the process yourself, you do not need to provide the contact details below, but you still need to scroll down to the Check and Send buttons at the bottom of the page.
Below, you can provide contact details for up to 15 people, who you would like to give feedback about yourself.
If you want feedback from direct reports, peers/colleagues or "others", you need to nominate a minimum of 3 people per category to ensure their anonymity.
Each person should have an e-mail address and either web access or Excel to complete the questionnaire.
If they do not, we will have to use a paper questionnaire. This costs an additional £5 per respondent.
Where no information is given, it is assumed the respondent requires a paper questionnaire.
 
PERSON 1:
First name: Last name:
Their e-mail address: Their relationship to you:
Do they have web access?
Do they have Excel?
Yes No Unknown
Yes No Unknown

PERSON 2:
First name: Last name:
Their e-mail address: Their relationship to you:
Do they have web access?
Do they have Excel?
Yes No Unknown
Yes No Unknown

PERSON 3:
First name: Last name:
Their e-mail address: Their relationship to you:
Do they have web access?
Do they have Excel?
Yes No Unknown
Yes No Unknown

PERSON 4:
First name: Last name:
Their e-mail address: Their relationship to you:
Do they have web access?
Do they have Excel?
Yes No Unknown
Yes No Unknown

PERSON 5:
First name: Last name:
Their e-mail address: Their relationship to you:
Do they have web access?
Do they have Excel?
Yes No Unknown
Yes No Unknown

PERSON 6:
First name: Last name:
Their e-mail address: Their relationship to you:
Do they have web access?
Do they have Excel?
Yes No Unknown
Yes No Unknown

PERSON 7:
First name: Last name:
Their e-mail address: Their relationship to you:
Do they have web access?
Do they have Excel?
Yes No Unknown
Yes No Unknown

PERSON 8:
First name: Last name:
Their e-mail address: Their relationship to you:
Do they have web access?
Do they have Excel?
Yes No Unknown
Yes No Unknown

PERSON 9:
First name: Last name:
Their e-mail address: Their relationship to you:
Do they have web access?
Do they have Excel?
Yes No Unknown
Yes No Unknown

PERSON 10:
First name: Last name:
Their e-mail address: Their relationship to you:
Do they have web access?
Do they have Excel?
Yes No Unknown
Yes No Unknown

Any additional comments:
 
 
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