Anonymous Workplace Action Survey
Share your workplace concerns and suggestions anonymously to help us improve our environment.
Which general area is affected?
*
Please Select
Human Resources
Facilities
Management
IT/Technology
Team Collaboration
Workplace Safety
Other
What type of concern are you reporting?
*
Harassment or Discrimination
Unfair Workload
Lack of Resources
Communication Issues
Policy or Procedure
Other
How urgent is this concern?
*
Not Urgent
1
2
3
4
Extremely Urgent
5
1 is Not Urgent, 5 is Extremely Urgent
How frequently does this issue occur?
*
Once
Occasionally
Regularly
Constantly
How many people are affected?
*
Only me
A small group
A department
Company-wide
Please describe the concern in detail.
*
What impact has this issue had?
Lower morale
Reduced productivity
Missed deadlines
Increased stress
Other
How satisfied are you with current efforts to address this type of issue?
1
2
3
4
5
What action(s) do you recommend to address this concern?
Would you like to be contacted for follow-up (optional, leave blank to remain anonymous)? If yes, please provide a contact method.
Submit Survey
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