A sample form for employees to provide performance feedback about their manager. Explore how 360-degree feedback surveys can foster team development and growth.Collect better 360-feedback with our survey template. Use this form to provide feedback about the leadership behaviors which this person demonstrates on a regular basis. You need to speak directly with your interviewing manager and possibly with an HR rep before the review proper. This would be a 1-on-1 meeting. Example 360 Feedback Survey questionnaire form. This form demonstrates how different items can measure competencies related to job performance. A 360 feedback survey, also called a 360 survey or a 360 review, is an insight process that collects feedback on employee performance from different sources. 360-degree feedback, is a way for managers to get a fuller picture of someone's strengths and weaknesses.