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HURTFEELINGSREPORTFor use of this form, see WM b00-h00; the proponent agency is WUSS AUTHORITY: PRINCIPAL PURPOSE: ROUTINE USES: DISCLOSURE: DATA REQUIRED BY THE PRIVACY ACT OF 1974 Whiner Understanding and Support Service To assist whiners in documenting hurt feelings, and to provide managers with a list of personnell who require additional counseling, support and extra duty For subordinate leader development IAW WM 22-102. Supervisors & whiners should use this form as necessary. Disclosure is voluntary, but repeated disclosure may result in a DA Form 779-1A, Report of Wall To Wall Counseling
PARTIADMINISTRATIVEDATAA.WHINERSNAME(Last,First,MI) B. POSITION
Tips on how to complete the Feelings hurt report form online: To start the document, utilize the Fill & Sign Online button or tick the preview image of the blank. The advanced tools of the editor will lead you through the editable PDF template. Enter your official contact and identification details. Hurt Feelings Report Template, One of the most prominent structures as of now clearing the pizza business is a layout alluded to as Juliet’s Pizza. This structure is the ideal blend of fun, photographs, coupons, tastefulness, and style. With Tenor, maker of GIF Keyboard, add popular Hurt Feelings Meme animated GIFs to your conversations. Share the best GIFs now.
- Download PDF - Hurt Feelings Report 1d472kkdj2n2. 2008 Columbia Road Wrangle Hill, DE 19720 +302-836-3880 email protected.
- CBC News obtained a copy of the one-page 'Hurt Feelings Report' left in the mailboxes of a handful of women at the RCMP a few years ago. Using graphic language, the report asks recipients to fill.
C.DATEOFREPORT
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D.ORGANIZATION
E.NAME&TITLEOFTHEPERSONFILLINGOUTTHISFORM
PARTIIINCIDENTREPORTA.DATEFEELINGSWEREHURT B.TIMEOFHURTFULNESS C.LOCATIONOFHURTFULINCIDENT F. POSITION D.PERSONSYMPATHETICTOWHINER G.ORGANIZATION(ifdifferentfrom 1d above)
E.NAMEOFREALMAN/WOMANWHOHURTYOURSENSITIVE FEELINGS
A.WHICHEARWERETHEWORDSOFHURTFULNESSSPOKENINTO?
PART III -INJURY(Markallthatapply)
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LEFTRIGHTBOTH
B.ISTHEREPERMANENTFEELINGDAMAGE?
YESNOMAYBE YESNOMAYBE
C.DIDYOUREQUIREATISSUEFORTEARS?
YESNOMULTIPLE________
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D.HASTHISRESULTEDINATRAUMATICBRAININJURY?
Iamthinskinned Iamawimp Ihavewoman-likehormones Iamacrybaby Iwantmymommy
PART IV -REASONFORFILINGTHISREPORT(Markallthatapply) Someone needstofixmyproblems The weather is too cold Myfeelingsareeasilyhurt The weather is too hot You wouldn't understand The weather is to dry IwastoldthatIamnotspecial The weather is too rainy Two beers is not enough All of the above and more
Hurt Feelings Report Pdf
PART V -NARRATIVE(Tellusinyourownsissywordshowyourfeelingswerehurt.)
A.PRINTEDNAMEOFREALMAN/WOMAN
B.SIGNATURE
PARTVIAUTHENTICATION
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C.PRINTEDNAME OFWHINER
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D.SIGNATURE
Wetakehurtfeelingsseriously.Ifyoudon'thavesomeonewhocangiveyouahugandmakethingsallbetter,pleaseletusknowandwe willpromptlydispatcha'hugger'toyouASAP.Intheeventweareunabletofinda'hugger'wewillnotifythefiredepartmentandrequestthatthey sendfirepersonneltoyourlocation.Ifyouareinneedofsupplementalsupport,uponwrittenrequest,wewillmakeeveryreasonableefforttoprovide youwitha'blankey',a'binky'and/orabottleifyousodesire. WUSSFORMHFR,APRIL2009EDITIONOFAPRIL1989ISOBSELETE