HURT FEELINGS REPORT - Bits and Pieces
HURT FEELINGS REPORT
For use of this form, refer to WM 22-102 DATA REQUIRED BY THE PRIVACY ACT OF 1974 AUTHORITY: 5 USC 301, USC 3013, Secretary of E.O. 9397 PRINCIPAL PURPOSE: To assist whiners in the documentation and reporting of hurt feelings, and to provide leaders with a list of personnel who require may additional counseling or other discipline. DISCLOSURE: Disclosure is voluntary, but repeated disclosure may require that a AW Form 779-1A be filed.
A. WHINER'S NAME (Last, First, MI)
PART I ? ADMINISTRATIVE DATA
B. DEPARTMENT C. LAST DIGIT OF SSN
D. DATE OF REPORT
PART II ? INCIDENT REPORT
A. DATE FEELINGS WERE HURT B. LOCATION OF HURTFULLNESS C . CO-WORKER SYMPATHETIC TO WHINER
D. NAME OF REAL MAN OR WOMAN WHO HURT YOUR SENSITIVE FEELINGS E. DEPARTMENT (I.E. MATH, ENGLISH, ETC)
PART III ? INJURY (Mark all that apply)
1. WHICH EAR WERE THE HURTFUL WORDS SPOKEN INTO? 2. DO YOU THINK THERE IS PERMANENT TISSUE DAMAGE?
LEFT
RIGHT BOTH
3. WAS A "TISSUE" OFFERED FOR YOUR TEARS?
YES
NO
MAYBE
4. WAS YOUR VALUE AS A PERSON AFFIRMED?
YES
NO
WAS TOLD TO USE MY SLEEVE
YES
NO WAS TOLD TO STOP SNIVELLING
PART IV ? REASON FOR FILING THIS REPORT (Mark all that apply)
I am thin skinned
My feelings are easily hurt
I didn't sign up for this
I am a wimp
I want my mommy
I was told I'll never be a hero
I am a crybaby
It's too cold
It's too hot
My panties are wadded up
I didn't get a hug
Other (fill in narrative below)
PART V ? NARRATIVE (Explain in your own sissy words how your feelings were hurt)
PART V ? ACTION TAKEN
IGNORED LAUGHED AT
PROMOTED REAL MAN OR WOMAN WHO HURT WHINER'S FEELINGS
DEMOTED WHINER FOR FILING REPORT
TOLD WHINER TO OPEN A CAN OF MAN
FORM IAW 1-2011 (all previous versions are obsolete)
................
................
In order to avoid copyright disputes, this page is only a partial summary.
To fulfill the demand for quickly locating and searching documents.
It is intelligent file search solution for home and business.
Related download
- active list of forms u s department of defense
- revision reports of survey
- by order of the air force manual 23 220 secretary of the
- maintenance survey checklist af
- carp drop zones
- department of the air force headquarters 88th air base
- hurt feelings report bits and pieces
- united states strategic bombing survery summary reports
- finance retirement separation outprocessing checklist
- afman 91 203 checklists v1 4 air force safety center
Related searches
- adjectives of feelings and emotions
- list of emotions and feelings printable
- identifying and expressing feelings pdf
- emotions and feelings worksheet pdf
- feelings and emotions printables
- songs about feelings and emotions
- emotions and feelings for kids
- consumers report best and worst cars
- examples of feelings and emotions
- expense report policy and procedures
- both arms hurt and ache
- report writing and its types