Honestly, I think it should be an eGO wide survey, picking from which Division you're from and working with the questions from those DL's, Council, and Advisers who work specifically within that division.
This was something we put together on our own to get feedback from our members while awarding them for their dedication to the division. If other divisions wish to emulate this, we encourage them to do so. The feedback so far has been great, keep it coming!