Concern Report Form Template and Questionnaire

Number of pages 1 Number of questions 6 Number of times used 275+

Time to complete 2 minutes(approx.)

See something? Say something! With the pandemic showing no signs of abating anytime soon, anxiety levels have seen a definite spike. As you consider returning to the office, it’s important to ensure the mental well-being of your employees.

Anxious and stressed employees are also the least productive. An employee concern report form makes it easy for employees to share any issues so that the necessary actions can be taken.

Create a productive and safe work environment for everyone. Here’s a quick and easy Concern Report Form template to get you started.  

Address Concerns and Ensure Safety 

  • Reflect Your Brand  Tailor the employee concern form template to your needs. Add specific questions or remove those that you find irrelevant, and get only the answers that matter.  Ensure consistency and professionalism across your collateral by changing the look and feel with easy color customizations and branding options.
  • Easy Website Embedding  It’s important to take the necessary measures to abate anxiety. Make it easy for people to share their concerns by embedding the form onto your website.  Just copy and paste the form URL into your code, and viola – you've got yourself an easy-to-access form template right where you want it.
  • Automated Responses  Once a concern is registered, send an immediate confirmation email to share your appreciation and to keep employees in the loop.  Plus, with our closed loop feedback management system, enable employees to track the progress and resolution on their reported issue. This encourages a more transparent work culture and shows employees that you care.


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