Online 360 Registration

Your Contact Information

Contact Name*

First Last

Your Title*

Your Phone Number*

Your Email Address*

Enter Email Confirm Email

Group Information

Group Description*

what's this?

This description helps us assign a unique name to this group. Please note that the name we assign may be different than the description you provide.

Launch Date*

Reporting Date*

These two dates must be at least 3 weeks apart.

more information

Our research indicates that launching a survey or assessment on Tuesdays, Wednesdays and Thursdays result in a higher overall response rate more quickly. Therefore, we do not recommend launching on Mondays or Fridays.

Aggregate Report

I would like to receive an aggregate report for this group.

Special instructions

Feedback Participant(s)

Please use the fields below to manually add participant information, OR select a spreadsheet file to upload that contains this information.

Participants

Name	Email

Upload Spreadsheet (CSV, XLS, XLSX)

Accepted file types: csv, xls, xlsx, Max. file size: 128 MB.

Verification*

I have added the participants manually or selected a file to upload.

Coach Information

We strongly recommend that every person who receives 360 feedback is given the opportunity to review their results with an experienced coach. Research suggests that the coaching process leads to better action planning and goal setting, thus resulting in higher levels of improvement.

Please select one of the three coaching options below:

Coach Selection*

A link to an online calendar scheduling app will be sent to the participant(s) within 3 business days.
Each participant will choose a convenient date/time for their virtual coaching session.
Their 360 report will be made available to them 2 business days prior to their scheduled coaching session.

Please provide the name and email address of the internal coach

Coach Name

First Last

Coach Email

Enter Email Confirm Email

We’ll check back with you before the deadline to determine who will provide coaching.

Invoicing Information

Same as Contact

This information is the same as my contact information

Billing Name*

First Last

Billing Phone*

Billing Email*

Enter Email Confirm Email

Reference or PO Number

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