This printable manager feedback survey upward template gives team members a confidential way to share honest feedback about their manager across 19 questions. It works for annual reviews, 360-degree feedback cycles, or a regular check-in, and it prints on three pages.
What this survey measures
The survey captures upward feedback on the behaviors that shape how a team experiences its manager: clear and open communication, helpful and timely feedback, support for growth and development, everyday respect, clear expectations, and recognition of good work. A second grid covers availability, listening, fair decisions, teamwork and accountability, a frequency grid checks everyday habits such as watching workloads and respecting time off, and a coaching grid asks how well the manager supports development. An overall rating and a likelihood-to-recommend score give you simple numbers to track over time, alongside questions on recent change, trust that feedback will be acted on and whether people want to keep working for this manager, and three open comment boxes let employees describe what their manager does well, what could change, and anything else about the team.
How to use it on paper
Hand out the forms in a team meeting or one-on-one, or leave copies in a shared area with a sealed drop box to protect anonymity. Employees fill the checkboxes with a blue or black pen and write their comments in the boxes provided. Collect the completed forms and scan them in batches: PaperSurvey reads the checkbox answers with optical mark recognition and converts the handwritten comments to text automatically, so results appear in your dashboard without manual data entry.
Customize this template
Add your company logo, reword the statements to match your leadership values, or add or remove questions to fit your review process. The paper layout reflows automatically as you edit, and every copy you print stays scannable.
Preview the PDF above, or use this template to start collecting upward feedback today.