Employee Feedback Form

For internal Still Waters employee use to anonymously give feedback, (positive or negative) concerning observations, improvement ideas, complaints, harassment, concerns, kudos or praise, or any other feedback. This form will be sent to Human Resources.

MM slash DD slash YYYY

Feedback Information

2._a. Feedback
Select all that apply. Note: Answer the details behind the selection in 9_c.
3_a. Employee Name (who is submitting feedback)
Leave blank if you wish to remain anonomous.
Only give phone number if you wish to be contacted.

Feedback information

This section describes who the feedback is about or concerning.
4_a. Feedback selections:
Select all that apply.
5_a. If the feedback is concerning a person, who is the feedback concerning?
5_b. Name of person that feedback was about:
If the name of the person is unknown, describe in 8_b. any details so that the person can potentially be identified.
Example: The person was a short female with long brown hair, her office was upstairs.

Feedback

Please describe your feedback with as many details as possible. If the above information does not apply, also use this space to clarify.