The Synergist Quiz (360 Version): Intake Form

Hi! We’re looking forward to generating your organization’s Predictable Success Styles Quiz 360 Assessments!

About this form

We just need a few details in order to configure your assessment experience correctly, and this form will gather the information we need. Please take the 10 minutes or so needed to complete this form and submit your answers to us. Please note all questions are required.

INTAKE FORM: Synergist Quiz (360 Version)

This will be used in emails and other communications with your Assessees and Raters.

Please provide us with the contact details for our primary contact (probably you :-) who we should contact with any questions about your custom in-house 360 assessments:

About Assesees and Raters

There are two groups of people about whom we require information:

  1. Assesees. These are the individuals who will be assessed.
  2. Raters. These are the individuals who will be providing feedback on each Asessee.

The next group of questions are about your Assesees. (We'll ask about Raters on the next page.).


OK, cool. All we need is each Assesee's First name, last name and email address.

OK, cool. We'll send you the enrollment URL once you have submitted this form.

If you're ready to provide Assesee details now, we'll show you how below. If you're not yet ready to provide Assesee details we'll remind you a week after submitting this form.

Great! We just need a simple Excel (or Apple Numbers) file with the First name, last name and email of each Assesee. (You can click the link below to download a sample file which you can overwrite with your Assesee details and re-upload.)

Excel (.xlsx) or Apple Numbers (.numbers) only, please. Click here to download a sample file.

OK - we've made a note to email you in a week from now to remind you.

In the meantime, please Click here to download a sample file which you can use to gather your Assesee details to send to us when you are ready.

Raters

Each Assesee will require a group of colleagues to provide the 360 feedback. We recommend a minimum of 6, and a maximum of 15 Raters for each Assesee.

Great! We just need a simple Excel (or Apple Numbers) file with the first name, last name and email of each Rater plus the email address of the person(s) they will be assessing.If you're ready to provide this information now, you'll find full instructions below.

If you're ready to provide Rater details now, we'll show you how below. If you're not yet ready to provide Rater details we'll remind you a week after submitting this form.

Excel (.xlsx) or Apple Numbers (.numbers) only, please. Click here to download a sample file.

OK - we've made a note to email you in a week from now to remind you.

In the meantime, please Click here to download a sample file which you can use to gather your Rater details to send to us when you are ready.

Got it. Each Assesee will need to complete a form with their details and send it to us. Which of these do you prefer:

* If you choose this option, we'll let you decide when you want us to do this, so you can have time to contact Assesees ahead oil time and give them a heads-up.

Excellent. Click here to download a sample form with instructions which you can circulate to your Assesees.

We will typically contact your Assesees to get Rater details 2 business days after you submit this form, but if you'd like us to wait a while so you can give your Assesees a heads-up, then choose a different date using the date picker above.

Almost There...But Not quite!

Please review the following then hit 'Submit' - we will not receive your submission until you hit the Submit button!

Based on your responses, after you hit 'Submit', we will:


  • Send you a URL where your Assesees can self-enroll in their 360
  • Process for enrollment the list of Assesees you have supplied using the file you uploaded.
  • Remind you a week from now to send us your Assesee details using this form.
  • Process for enrollment the list of Raters you have supplied using the file you uploaded.
  • Remind you a week from now to send us your Rater details using this form.
  • Contact your Assesees to ask for their Raters either in 2 business days from now, or on the date of your choosing.
  • Check back with you in a week from now to see if you have sent the Rater submission form and instructions to your Assesees.
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