Staff Stress Form
Stress is an unpleasant by-product of a busy life. Stress can occur through trying to fit in too much into one day, or being in a situation that is unpleasant or threatening or sad.
Workplaces can create stress - difficult people, unclear directions, competing priorities, insufficient skills for a task - the list is endless.
Our personal life can create stress - worries about money, kids, family, partners and our own needs including health.
If you are feeling stressed and you think it is intefering with your work it is okay to talk to our HR Officer to see if we can assist in creative solutions that can keep you working but reduce stress on you. This is completely confidential.
This form only goes to the HR Officer.
You are also always free to request help from any one of our Management Team.
Your Name
First Name
Last Name
Your Email
example@example.com
Stress
Workplace - duties
Workplace - other workers
Workplace - participants
Home - illness
Home - relationship stress
Home - other
Would you like to use our EAP? (Employees Assistance Program for confidential free counselling support)
YES
NO
UNSURE
Who would you like to speak to about the situation?
Signature
Date
/
Day
/
Month
Year
Date
Submit
Version Date: 26.2.2020
Should be Empty: