Conflict Cost Assessment Form
Evaluate and document the costs and impacts associated with a conflict situation.
Your Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Conflict Description
*
Type of Conflict
*
Please Select
Interpersonal
Team/Group
Departmental
Organizational
Other
Parties Involved (List names or roles)
*
When did the conflict begin?
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Estimated Direct Costs (e.g., lost productivity, legal fees)
*
Estimated Indirect Costs (e.g., turnover, absenteeism, morale)
*
Actions Taken or Planned to Resolve the Conflict
Additional Comments or Notes
Submit Assessment
Should be Empty: