Custom Designers HR Department
Tina Evans
Date
*
/
Month
/
Day
Year
Is this a matter you wish to keep private?
*
Yes
No
Unsure
Name-Optional
First Name
Last Name
Is your issue with...
*
The Management
A Crew Leader
A Coworker
A Customer
Other
Any Certain Person?
Do you want me to contact this person about this issue?
*
Yes
No
What issue are you are having?
*
How do you think this issue should be resolved?
*
Do you feel like your issues are ignored at this company?
*
Yes
No
Somewhat
Not Sure
Do you want me to contact you about this issue?
*
Yes
No
If so, how would you like me to contact you
By Phone
By Text
Phone Number
-
Area Code
Phone Number
Any other concerns?
*
Submit
Should be Empty: