Table of Contents
The Hurt Feelings Report form is a unique tool designed for individuals who feel emotionally affected by the words or actions of others. This form serves several purposes, primarily allowing people to document their experiences and seek sympathy from those who might care. It requires the submission of specific data, including the whiner's name, age, and details about the incident that caused the hurt feelings. The form has sections that prompt users to specify the nature of their complaint, including the time, location, and individuals involved. Notably, it includes a light-hearted take on emotional injuries, asking questions about the severity of the feelings hurt and even suggesting the need for tissues or other forms of support. While filling out this form is voluntary, it's important to note that repeated submissions may lead to humorous labels, reflecting the form's playful tone. The process is designed to be both a cathartic experience and a way to bring attention to feelings that might otherwise go unaddressed. Ultimately, the Hurt Feelings Report aims to encourage open dialogue about emotional well-being, albeit with a touch of humor.
Document Specifics
| Fact Name | Details |
|---|---|
| Purpose of the Form | This form is designed to assist individuals in documenting their hurt feelings. It aims to provide a structured way for people to express their emotional distress and seek sympathy. |
| Submission Requirement | The completed Hurt Feelings Report must be physically handed to a Law Enforcement Officer to be considered valid. This ensures that the report is officially recognized. |
| Privacy Act Compliance | The form adheres to the Privacy Act of 1974, which mandates how personal information is collected, used, and disclosed by federal agencies. |
| Voluntary Disclosure | While providing information on the form is voluntary, repeated submissions may lead to a humorous designation of "candy ass" or similar terms, reflecting the form's lighthearted approach. |
| Incident Reporting | The report includes sections for detailing the incident that caused the hurt feelings, including the date, time, location, and any witnesses. This helps in understanding the context of the emotional distress. |
Similar forms
The Hurt Feelings Report form has some similarities to various other documents that also serve specific purposes related to emotional distress or personal grievances. Below is a list of nine documents that share characteristics with the Hurt Feelings Report form:
- Incident Report Form: This document is used to record details about an event that caused harm or distress. Like the Hurt Feelings Report, it requires specific information about the incident and the individuals involved.
- Grievance Form: Employees often use this form to formally express dissatisfaction with workplace conditions or treatment. Similar to the Hurt Feelings Report, it allows individuals to document their feelings and seek resolution.
- Notice to Quit Form: The Arizona PDF Forms serves as an essential tool for landlords to formally request tenants to vacate a property, ensuring compliance with rental laws.
- Emotional Support Request Form: This form is used to request emotional support services. It parallels the Hurt Feelings Report in that both documents focus on addressing emotional needs and seeking help.
- Customer Complaint Form: Customers fill out this form to express dissatisfaction with a product or service. Both forms aim to document feelings and initiate a response from the relevant authority.
- Medical Report for Psychological Evaluation: This report details a patient’s emotional state and experiences. Like the Hurt Feelings Report, it requires personal information and descriptions of emotional distress.
- Feedback Form: Often used in educational or organizational settings, this form allows individuals to share their feelings about experiences. Both documents provide a structured way to communicate feelings.
- Support Group Intake Form: This form gathers information from individuals seeking support for emotional issues. Similar to the Hurt Feelings Report, it collects personal data and reasons for seeking help.
- Conflict Resolution Form: This document is designed to address interpersonal conflicts. It shares similarities with the Hurt Feelings Report in that both aim to document feelings and facilitate resolution.
- Personal Reflection Journal: While not a formal document, this journal allows individuals to express and process their feelings. Both the journal and the Hurt Feelings Report serve as tools for emotional expression.
Each of these documents provides a way for individuals to articulate their feelings and experiences, highlighting the importance of communication in addressing emotional distress.
Hurt Feelings Report Example
HURT FEELINGS REPORT
To use this form, it must be physically placed in the hands of any Law Enforcement Officer
DATA REQUIRED BY THE PRIVACY ACT OF 1974
AUTHORITY: PRINCIPAL PURPOSE:
ROUTINE USES:
DISCLOSURE:
S USC 301, Departmental Regulation, 10 USC 3013 and a log of other regulations too To assist whiners in documenting hurt feelings
Whiners should use this form to seek sympathy from someone who cares
Disclosure is voluntary, however, repeated whining may lead to your file being stamped "candy ass" or some other appropriate term
PART I - ADMINISTRATIVE DATA
A. WHINER'S NAME (Last, First, MI)
B. WHINER'S AGE
C. WHINER'S SEX
D. DATE OF REPORT
E. TYPE OF WHINE USED
F. NAME OF THE PERSON FILLING OUT THIS FORM
PART II - INCIDENT REPORT
A. DATE FEELINGS WERE HURT
B. TIME OF HURTFULNESS
C. LOCATION OF HURTFUL COMMENTS
D. WAS ANYONE SYMPATHETIC TO WHINER (Please include paid witnesses)
E. NAME OF PERSON WHO HURT YOUR PANSY ASS FEELINGS
F. HOW LONG DID YOU WHINE
G. WHICH FEELINGS WERE HURT
PART III - INJURY
(Circle all that apply)
1. WHICH EAR WERE THE HURTFULL WORDS SPOKEN INTO? |
2. IS THERE PERMANENT FEELING DAMAGE? |
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LEFT |
RIGHT |
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BOTH |
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YES |
NO |
MAYBE |
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3. DID YOU REQUIRE A "TISSUE" FOR TEARS? |
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4. HAS THIS RESULTED IN A TRAUMATIC BRAIN INJURY? |
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YES |
NO |
MULTIPLE |
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YES |
NO |
MAYBE |
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PART IV - REASON FOR |
FILING THIS REPORT |
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(Mark all that apply) |
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I am thin skinned |
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The Dept needs to fix my problems |
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Two beers is not enough |
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I am a wimp |
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My feelings are easily hurt |
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My hands should be in my pockets |
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I have woman / |
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I didn't sign up for this |
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I was not offered a tissue |
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I am a crybaby |
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I was told that I am not a hero |
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Someone requested a tissue |
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I want my mommy |
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The weather is too cold |
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All of the above and more |
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NARRATIVE (Tell us in your own sissy words how your feelings were hurt, as if anyone cared)
PART V - AUTHENTICATION
A. PRINTED REPORTER NAME (if you wish to be labeled too)
B. SIGNATURE (are you sure about this?)
C. PRINTED WHINER NAME (you really are going out on a limb here) D. SIGNATURE OF WHINER (you have got to be shitting me!)
We, as the Dept, take hurt feelings seriously. If you don't have someone who can give you a hug and make things all better, please let us know and we will promptly dispatch a "hugger" to you ASAP. In the event a "hugger cannot be found, an EMS Team will be dispatched to soak your socks in coal oil to prevent ants from crawling up your leg and eating their way up your candy ass. If you are in need of supplemental support, upon written request, we will make every reasonable effort to prvide you with a "blankie", a "binky" and/or a bottle if you so desire.
Understanding Hurt Feelings Report
What is the Hurt Feelings Report form?
The Hurt Feelings Report form is a tongue-in-cheek document designed to help individuals express their feelings when they feel hurt or offended. It allows people to formally document their experiences and seek sympathy from those who care.
Who can use this form?
Anyone who feels their feelings have been hurt can fill out this form. However, it must be physically handed to a Law Enforcement Officer to be considered valid. This ensures that the report is taken seriously and addressed appropriately.
What kind of information do I need to provide?
The form requires basic information about the person filing the report, such as their name, age, and sex. It also asks for details about the incident, including when and where it happened, who was involved, and how long the person felt hurt. Additionally, there are sections to indicate the type of emotional injury and any physical symptoms that may have resulted.
Is filling out this form mandatory?
No, filling out the Hurt Feelings Report form is completely voluntary. However, if someone repeatedly expresses their hurt feelings without documenting them, they may receive a humorous label, such as "candy ass," as a lighthearted response.
What happens after I submit the form?
Once the form is submitted to a Law Enforcement Officer, it will be reviewed. The department takes hurt feelings seriously and will make efforts to provide support. This could include dispatching a "hugger" to offer comfort or, in extreme cases, sending an EMS team for additional assistance.
Can I request additional support?
Yes, if you need extra support, you can make a written request for items like a "blankie," a "binky," or even a bottle. The department aims to provide reasonable accommodations to help soothe hurt feelings.
What if I don't want to fill out the entire form?
While it's encouraged to provide as much detail as possible, you can choose to leave sections blank if you prefer. However, more information may help in addressing your concerns more effectively.
Are there any consequences for using this form?
How seriously should I take this form?
Dos and Don'ts
When filling out the Hurt Feelings Report form, it is essential to approach the process thoughtfully. Below are some recommendations to ensure that your submission is handled appropriately.
- Do provide accurate and complete information in all sections of the form. This will help ensure that your concerns are taken seriously.
- Do express your feelings clearly in the narrative section. Be honest about how the incident affected you.
- Do submit the form directly to a Law Enforcement Officer. This is a crucial step in the process.
- Do remember that your feelings are valid. Seeking support is important for your well-being.
- Don't use derogatory language or insults in your report. This can undermine the seriousness of your claims.
- Don't exaggerate or fabricate details. Honesty is key to receiving the help you need.
- Don't neglect to sign the form. Your signature indicates that you acknowledge the information provided.
- Don't hesitate to ask for assistance if you are unsure about any part of the form. Support is available to help you through this process.
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