Anonymous Feedback Form
WELCOME - This is a safe place to share your honest feedback and you can use this form to give a praise report, share an opportunity, talk about an issue, or explain why you left a job - HOW IT WORKS - You can name your company and we will pass your feedback on anonymously to help that company improve their culture and workplace whether you are a current employee a past worker or a client we are here to help your voice be heard - YOUR CHOICE - If you want a reply you may leave your name phone number or email but if you prefer to stay anonymous simply leave that part blank and this keeps the process safe and handled by a neutral third party - NO PROMISES - We cannot guarantee that changes will be made but we will do our best to share your feedback and let companies know when they are doing well or when improvements are needed - OUR HEART - We hope you feel safe and supported knowing that people with big hearts will read your feedback and do their best to carry your message forward thank you for trusting us with your anonymous response
Name of the Company
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Feedback Type
*
Praise Report
Opportunities and Pain Points
Why I Left This Company
What is your feedback?
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Personal Contact Information
Not needed, but if you want us to respond to you, please leave it for us.
Name
First Name
Last Name
Phone Number
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E-mail
example@example.com
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Anonymous Feedback Form Legal Disclaimer
⚖️ ANONYMOUS FEEDBACK FORM LEGAL DISCLAIMER - VOLUNTARY AND ANONYMOUS USE - This form is provided as a voluntary and anonymous tool for employees, former employees, contractors, clients, and associates to share feedback, experiences, concerns, or praise. Completion of this form is optional and at your own discretion. - NO GUARANTEE OF ACTION OR OUTCOME - Submissions will be reviewed in good faith, but there is no guarantee that any response, change, or action will occur. This form does not create any obligation or duty for the recipient or provider to act or remedy any issue. - DISCLAIMER OF LIABILITY - To the fullest extent allowed by law, the providers of this form including owners, administrators, affiliates, and representatives disclaim all liability for any direct, indirect, incidental, or consequential damages, claims, or losses related to the submission, handling, or use of information. By submitting you release and discharge the provider from any legal claims or liabilities. - CONFIDENTIALITY AND ANONYMITY - This form is designed to allow anonymous feedback. No personal information will be collected unless voluntarily provided. If you provide your name or contact details you consent that it may be shared only as needed to follow up on your submission. - NOT A SUBSTITUTE FOR LEGAL OR REGULATORY ACTION - This form does not replace legal, regulatory, or human resources reporting channels. If you are experiencing unlawful conduct, harassment, discrimination, or issues requiring legal remedy you should use appropriate legal or regulatory channels. - NO LEGAL ADVICE OR REPRESENTATION - This form does not provide legal advice and does not create any attorney-client, employer-employee, or fiduciary relationship. - AGREEMENT TO TERMS - By submitting this form you confirm that you have read and understood this disclaimer, acknowledge that your submission is voluntary, and agree to release the provider from all liability connected to your submission or its outcomes. - END OF DISCLAIMER ⚖️
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