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Tell Your Story
Tell Your Story
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Step
1
of 6
Employee Information
Full Name
Email Address
*
Phone Number
Department
Date / Time
Next
Employer Information
Company Name
Location
Supervisor's Name
Supervisor's Contact Information (optional)
Describe the Incident(s):
Please explain your experiences, including specific incidents, dates, times, and locations.
Were there any witnesses?
If so, provide their names and contact information
How did the incident(s) affect your work and personal life?
If so, provide their names and contact information
Next
Company Practices
Describe the general work environment and culture at the company
Were there any company policies or practices that contributed to the toxic environment?
How did management respond to complaints or issues raised by employees?
Next
Reporting and Resolution
Did you report the incident(s) to HR or management? If so, what was the outcome?
Were there any attempts at resolution, and were they effective?
Next
Supporting Evidence
Do you have any documentation, emails, or other evidence to support your report? If so, please upload
Click or drag files to this area to upload.
You can upload up to 3 files.
Next
Suggestions and Recommendations
What changes would you recommend to improve the work environment at your company?
Consent and Confidentiality
Do you consent to share your story anonymously on our platform?
Yes
No
Would you like to be contacted for further support or follow-up?
Yes
No
Additional Information
Is there any other information you would like to provide?
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