Dot Voting Survey Form
Use this form to gather participant votes, priorities, and feedback for a dot voting session.
Respondent Information
Respondent Name
*
First Name
Last Name
Role / Team
Please Select
Product
Design
Engineering
Marketing
Sales
Operations
Leadership
Other
Voting Context
Session or Workshop Name
*
Voting Topic or Question
*
Voting Session Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Dot Voting Inputs
Items or Ideas to Vote On
*
Number of Dots per Respondent
*
Primary Voting Criterion
*
Impact
Feasibility
Urgency
Strategic Fit
Cost Efficiency
Other
Results and Feedback
Top Choice
*
Option 1
Option 2
Option 3
Other
Comments or Rationale
Submit
Should be Empty: