Employee Recognition Survey Template

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Use this employee recognition survey template to collect peer nominations with specific examples of a colleague’s contribution. Its six questions ask who helped, what they did, and why it mattered. Adapt the questions to your recognition criteria, then create your nomination form with SurveyLegend.

Collect Recognition That Explains the Contribution

Use this questionnaire for peer appreciation, a team recognition round, or nominations for an internal award. Explain which contributions are in scope and the period being considered. People should know whether you are collecting everyday thank-yous or selecting an award recipient.

Invite examples from different kinds of work, including contributions that happen behind the scenes. Visibility alone is not a measure of impact.

6 Questions for Meaningful Recognition

Ask for the colleague's name, the situation, the contribution, and its effect. An example such as helping a team understand a difficult handover is easier to review than a general statement that someone is great.

The final questions let the nominator provide follow-up details voluntarily and state whether their own name may be shared. Decide separately how you will obtain the nominee's agreement before public recognition.

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SurveyLegend demo Question 1 of 6

Employee Recognition Survey

01 Which colleague would you like to recognize?

Share your answer, or skip this question.

02 What did this colleague do that you would like to recognize?

Share your answer, or skip this question.

03 When or in what work situation did this contribution happen? Please avoid confidential details.

Share your answer, or skip this question.

04 How did this contribution help you, the team, or the people you serve?

Share your answer, or skip this question.

05 If you are happy to answer a follow-up question, please provide your name and work email. Otherwise, leave this blank.

Share your answer, or skip this question.

06 May we share your name as the person who submitted this recognition?

Choose one answer, or skip this question.

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Explain the Recognition Process

Add your program name, nomination deadline, and the criteria you will use. Keep criteria concrete enough for colleagues in different roles to apply them. If nominations are for a particular award, name that award in the introduction.

Tell employees who reads nominations and how recipients are selected. Avoid asking for confidential project details or personal information to support a nomination.

Give employees a model of a useful nomination. For example: “Sam created a handover checklist before our busy period. It helped the next shift see which orders still needed attention.” That names an action, context, and practical contribution without requiring a popularity vote. This form collects peer nominations. To evaluate the recognition program itself, use a separate questionnaire about employees’ experience of receiving recognition.

Printable employee recognition survey template

Use this printable employee recognition survey template to collect answers from people who prefer paper or are less comfortable with online forms. Let colleagues submit a written nomination for someone whose contribution deserves recognition.

Download the PDF, print the 6-question questionnaire, and provide copies for people to complete by hand. It includes the same core questions as the online template, with space for written answers.

Online or on paper, SurveyLegend helps you give your audience a way to respond that works for them.

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AI prompt for an employee recognition nomination form

Create an employee recognition nomination form in SurveyLegend with questions about a colleague's contribution, the context, and its impact.

This prompt includes six questions and their answer choices. Register for a free account to use it in SurveyLegend, then review and customize your form before sharing it.

Create a free account, then paste the copied prompt into SurveyLegend.

Already have an account? Sign in to create your employee recognition nomination form.

Review Examples Alongside Your Criteria

Read each nomination for the action described, its context, and its impact. If an example is unclear, follow up only when the nominator has provided a contact route. Use the criteria communicated at the start when reviewing award nominations.

Do not treat nomination counts as a complete measure of someone's contribution. People in highly visible roles may receive more nominations. Before sharing a story publicly, check that the people involved are comfortable with the wording and audience.

Frequently asked questions

Is this a survey about the recognition program itself?

This version collects nominations and appreciation. To evaluate the program, ask different questions about awareness, fairness, usefulness, and how recognition is delivered.

Should nominations include an example?

Yes. Ask what the colleague did and how it helped. A concrete example makes the recognition more understandable and helps reviewers apply the stated criteria.

Can I use recognition nominations to measure engagement?

Nominations show particular contributions people chose to mention. They do not measure overall employee engagement. For that broader task, explore our employee engagement survey template.