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Fill in a Valid Hurt Feelings Report Form

The Hurt Feelings Report form serves as a tongue-in-cheek tool for individuals wishing to document their emotional distress. Intended for use in a humorous context, this form allows users to express their grievances in a structured manner. While it might seem lighthearted, it underscores the importance of emotional well-being and the need for support in times of distress.

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Example - Hurt Feelings Report Form

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?
LEFT	RIGHT		BOTH		YES	NO	MAYBE
3. DID YOU REQUIRE A "TISSUE" FOR TEARS?					4. HAS THIS RESULTED IN A TRAUMATIC BRAIN INJURY?
YES	NO	MULTIPLE			YES	NO	MAYBE
		PART IV - REASON FOR			FILING THIS REPORT
				(Mark all that apply)
	I am thin skinned			The Dept needs to fix my problems		Two beers is not enough
	I am a wimp			My feelings are easily hurt		My hands should be in my pockets
	I have woman / man-like hormones			I didn't sign up for this		I was not offered a tissue
	I am a crybaby			I was told that I am not a hero		Someone requested a tissue
	I want my mommy			The weather is too cold		All of the above and more

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.

Documents used along the form

The Hurt Feelings Report form is just one of several documents that may be used in conjunction with addressing emotional distress. Each of these forms serves a unique purpose, helping individuals articulate their experiences and seek the support they need. Below are some additional forms and documents that are often utilized alongside the Hurt Feelings Report.

Emotional Support Request Form: This document allows individuals to formally request emotional support services. It typically includes sections for personal information, the nature of the emotional distress, and the type of support being sought.
Incident Report Form: This form is used to document specific incidents that may have led to emotional distress. It includes details such as the date, time, and location of the incident, as well as descriptions of the events that occurred.
Wellness Check Form: This form is designed for individuals who need a follow-up on their emotional well-being. It may ask about current feelings, coping mechanisms, and any additional support required.
Operating Agreement Form: The completion of this form is essential for LLCs in California to define management and operational guidelines, and it is highly recommended to utilize resources such as California PDF Forms for clarity and compliance.
Feedback and Resolution Form: This document allows individuals to provide feedback on how their emotional concerns were handled. It includes sections for suggestions on improvement and any unresolved issues that need addressing.

Using these forms together can help ensure that emotional experiences are recognized and addressed appropriately. Each document contributes to a comprehensive approach to emotional support, making it easier for individuals to navigate their feelings and seek help when needed.