Absence Impact Feedback Form
Please provide your feedback on how a recent absence affected your team or work environment.
Your Name
*
First Name
Last Name
Your Role or Department
*
Name of the Absent Individual
*
Role or Department of the Absent Individual
*
What was the duration of the absence?
*
Please Select
1 day
2-3 days
1 week
More than 1 week
Other
What was the reason for the absence?
*
Please Select
Sick leave
Personal leave
Vacation
Unplanned/Unexpected
Other
Rate the impact of the absence in the following areas:
*
Rows
No Impact
Minor Impact
Moderate Impact
Major Impact
Workload distribution
1
2
3
4
Meeting deadlines
5
6
7
8
Team morale
9
10
11
12
Communication
13
14
15
16
Quality of work
17
18
19
20
How well was the work covered during the absence?
*
Fully covered with no issues
Partially covered, some delays/issues
Not covered, significant problems occurred
Not applicable/Don't know
Were any additional resources or support needed during the absence?
*
Yes
No
Please describe any specific challenges faced due to the absence.
What strategies or actions helped mitigate the impact of the absence?
Suggestions for improving absence management in the future:
Overall, how would you rate the overall impact of the absence?
*
1
2
3
4
5
Submit Feedback
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