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In a world where emotional resilience and mental wellness are increasingly emphasized, the Hurt Feelings Report form emerges as a distinctive document blending humor and management in a military context. Initially devised for use within the United States Army, as specified by FM 22-102 and supported by the authority of the Department of the Army and Executive Order 9397, this form satirically aims to address grievances of soldiers who might feel aggrieved or emotionally wounded. Under the guise of helping "whiners" document instances where their feelings were hurt, the form intriguingly incorporates various sections for administrative data, incident detailing, and an emotional injury checklist. It humorously inquires about the ear into which offensive words were spoken and whether the incident resulted in permanent emotional damage, among other things. Additionally, it promises the deployment of a "hugger" or emergency fire personnel to offer comfort, should the need arise. By doing so, it not only pokes fun at the idea of overly sensitive responses to the challenges of military life but also highlights leadership's role in managing soldier morale. Despite its satirical nature, the Hurt Feelings Report underscores a unique intersection between humor, leadership, mental health, and the culture of toughness expected in military environments.

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HURT FEELINGS REPORT

For use of this form, see FM 22-102; the proponent agency is TRADOC

DATA REQUIRED BY THE PRIVACY ACT OF 1974

AUTHORITY: 5 USC 301, Departmental Regulations; 10 USC 3013, Secretary of the Army and E.O. 9397 (SSN)

PRINCIPAL PURPOSE: To assist whiners in documenting hurt feelings, and to provide leaders with a list of soldiers who require additional counseling, NCO leadership, and extra duty..

ROUTINE USES: For subordinate leader development IAW FM 22-102. Leaders & whiners should use this form as necessary.

DISCLOSURE: Disclosure is voluntary, but repeated disclosure may result in a DA Form 779-1A, Report of Wall To Wall Counseling

PART I – ADMINISTRATIVE DATA

A. WHINER’S NAME (Last, First, MI)

B. RANK/GRADE

C. SOCIAL SECURITY NUMBER

D. DATE OF REPORT

E. ORGANIZATION

F. NAME & TITLE OF THE PERSON FILLING OUT THIS FORM

PART II – INCIDENT REPORT

A. DATE FEELINGS WERE HURT

 

B. TIME OF HURTFULNESS

C. LOCATION OF HURTFUL INCIDENT

 

D. NCO OR OFFICER SYMPATHETIC TO WHINER

 

 

 

 

 

 

E. NAME OF REAL MAN/WOMAN WHO HURT YOUR SENSITIVE

F. RANK/GRADE

 

G. ORGANIZATION (if different from 1e above)

FEELINGS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

E. INJURY (Mark all that apply)

 

 

 

 

1. WHICH EAR WERE THE WORDS OF HURTFULNESS SPOKEN INTO?

 

2. IS THERE PERMANENT FEELING DAMAGE?

 

LEFT

RIGHT BOTH

 

 

YES

NO

MAYBE

 

 

 

3. DID YOU REQUIRE A “TISSUE” FOR TEARS?

 

4. HAS THIS RESULTED IN A TRAUMATIC BRAIN INJURY?

YES NO MULTIPLE ________

 

 

YES

NO

MAYBE

 

 

 

 

 

 

 

 

 

F. REASON FOR FILING THIS REPORT (Mark all that apply)

I am thin skinned

I am a wimp

Ihave woman/manlike hormones

Iam a crybaby

Iwant my mommy

The Army needs to fix my problems

My feelings are easily hurt

I didn't sign up for this

I was told that I am not a hero

The weather is to cold

Two beers is not enough

My hands should be in my pockets

I was not offered a post brief

Someone requested a post brief

All of the above and more

G. NARRATIVE (Tell us in your own sissy words how your feelings were hurt.)

PART III ‐ AUTHENTICATION

a. PRINTED NAME OF REAL MAN/WOMAN

b. SIGNATURE

c. PRINTED NAME OF WHINER

d. SIGNATURE

We, as the Army, take hurt feelings seriously. If you don't have someone who can give you a hug and make things all better, please let us know and we will promptly dispatch a "hugger" to you ASAP. In the event we are unable to find a "hugger" we will notify the fire department and request that they send fire personnel to your location. If you are in need of supplemental support, upon written request, we will make every reasonable effort to provide you with a "blankey", a "binky" and/or a bottle if you so desire.

DA FORM IMT WF1, APRIL 2009

EDITION OF APRIL 1989 IS OBSELETE

Document Attributes

Fact Name Detail
Form Usage For documenting hurt feelings within the Army, meant to assist leaders in identifying soldiers needing additional counseling.
Regulatory Authority 5 USC 301, Departmental Regulations; 10 USC 3013, Secretary of the Army; and E.O. 9397 (SSN).
Proponent Agency TRADOC (Training and Doctrine Command).
Principal Purpose To provide a means for soldiers to report instances where their feelings were hurt and to help leaders identify personnel in need of additional support.
Routine Uses For the development of subordinate leaders in accordance with FM 22-102 (Field Manual).
Voluntary Disclosure Disclosure is voluntary, but repeated disclosure may lead to a DA Form 779-1A, Report of Wall To Wall Counseling.

How to Fill Out Hurt Feelings Report

Filling out the Hurt Feelings Report is a process that requires attention to detail, a clear recounting of the incident that led to hurt feelings, and an understanding of the administrative process that follows. The form is designed to provide a structured method for expressing and addressing concerns related to emotional distress within a specific environment, allowing for a more supportive and understanding approach to conflict resolution and personal development.

To correctly fill out the form, follow these steps:

  1. Begin with PART I – ADMINISTRATIVE DATA. Here, you will enter the:
    • Whiner’s name, including last, first, and middle initial.
    • Rank/Grade.
    • Social Security Number (SSN).
    • Date of the report.
    • Organization name.
    • Name and title of the person filling out the form, if it’s not the individual directly involved.
  2. Move to PART II – INCIDENT REPORT. This section asks for details about the incident, including:
    • Date feelings were hurt.
    • Time of hurtfulness.
    • Location of the hurtful incident.
    • Name of the NCO or Officer sympathetic to the whiner.
    • Name and rank/grade of the individual who caused the hurt feelings.
    • The organization of the individual involved, if different from your own.
  3. Mark the applicable boxes or provide the requested information regarding the nature of the injury. This includes:
    • Which ear were the words of hurtfulness spoken into: Left, Right, or Both.
    • Whether there is permanent feeling damage.
    • If a “tissue” was required for tears.
    • Whether the incident resulted in a traumatic brain injury.
  4. In the section asking for the Reason for filing this report, mark all reasons that apply to the situation.
  5. Provide a narrative in your own words describing how your feelings were hurt in the space provided under G. NARRATIVE.
  6. Finally, proceed to PART III – AUTHENTICATION. This section must be completed with:
    • Printed name of the real man/woman who witnessed or is validating the claim.
    • Signature of the above person.
    • Printed name of the whiner.
    • Signature of the whiner.

By carefully following these steps and providing honest, accurate information, the form can be completed in a manner that facilitates understanding and appropriate support. It's important to remember that expressing one's feelings and seeking resolution is a valid and respected process. Upon submission, the form will be reviewed, and necessary actions or support measures will be considered to address the situation as effectively as possible.

More About Hurt Feelings Report

  1. What is the purpose of the Hurt Feelings Report?

    The Hurt Feelings Report is designed as a tool to assist individuals, often in a military context, in documenting instances where their feelings were hurt. Its primary aim is to help leaders identify members who may require additional support, such as counseling, leadership from non-commissioned officers (NCOs), and sometimes extra duty for character development. The form is part of a broader approach to maintain morale and to foster resilience among personnel.

  2. Is the Hurt Feelings Report real?

    While the Hurt Feelings Report might sound official due to its formatting and reference to various military regulations, it's actually a humorous or satirical document. It's not an official form used by the military or any other organization. Rather, it serves as a playfully exaggerated response to complaints or grievances, emphasizing the need for resilience and a thick skin within challenging environments.

  3. What types of information are included in the Hurt Feelings Report?

    The form collects a variety of information, starting with basic administrative data such as the complainant's name, rank/grade, and the date of the report. It then delves into the specifics of the incident, asking for details about when and where the feelings were hurt, who was involved, and the nature of the injury, including whether it caused permanent emotional damage or required tissues for tears. The form finishes with a narrative section for a personal account of the event and a unique section for authentication, humorously encouraging a signature from a "real man/woman."

  4. What actions are taken after a Hurt Feelings Report is submitted?

    Given the satirical nature of the Hurt Feelings Report, it's not used in any official capacity that would lead to follow-up actions or formal proceedings. The mention of possibly dispatching a "hugger" or offering a "blankey," a "binky," and/or a bottle is also made in jest. In practice, organizations have official channels and procedures for addressing genuine complaints and concerns affecting personnel well-being.

  5. How should someone respond if they come across a Hurt Feelings Report in a professional setting?

    Encountering a Hurt Feelings Report in a professional setting, especially within the military or similar organizations, should be taken with a sense of humor, recognizing the intent behind it is to lighten the mood and perhaps offer a playful reminder about resilience. However, if the use of such a document belittles or dismisses genuine concerns, it may be appropriate to address those concerns through established grievance or counseling channels within the organization.

  6. Can the Hurt Feelings Report be considered a form of harassment or bullying?

    While the Hurt Feelings Report is intended as a jest, its use could be perceived as insensitive or dismissive, particularly if it's circulated in a manner that humiliates an individual or undermines legitimate grievances. Organizations should ensure that humor does not cross into the realm of harassment or bullying and that all members feel respected and valued. It's essential to balance lightheartedness with a respectful and supportive workplace culture.

  7. Is there a more formal way to address hurt feelings or grievances within an organization?

    Yes, organizations typically have formal procedures and channels in place for addressing grievances, conflicts, and other concerns affecting members' well-being. These might include speaking with a supervisor or HR representative, filing a formal complaint, or seeking mediation. It's crucial for individuals who feel their concerns are not being adequately addressed to pursue these official avenues to seek resolution and support.

Common mistakes

Filling out official forms requires attention to detail and understanding the intent behind each section, yet, it's common for mistakes to be made, especially when individuals approach them without seriousness or due consideration. In the context of the Hurt Feelings Report, an array of errors can occur, reflecting misunderstandings of its purpose, overlooking critical details, or failing to communicate effectively. Here are some mistakes commonly made:

  1. Not providing accurate administrative data. It's imperative to include accurate information such as the Whiner’s Name, Rank/Grade, and Social Security Number. When this information is incorrect or incomplete, it undermines the form’s integrity and can lead to misidentification or processing delays.

  2. Insufficient details in the Incident Report section. The effectiveness of the report hinges on the clarity and completeness of the incident description. Vague or generic descriptions like "someone was mean" without specifying what was said or done, where, and by whom, are not helpful.

  3. Misinterpreting the INJURY section. This section requires individuals to mark the appropriate boxes indicating whether there is permanent feeling damage, if tears were shed (requiring a “tissue”), or if the incident resulted in a traumatic brain injury. Ignoring these options or not taking them seriously can detract from the perceived validity of the form.

  4. Overlooking the REASON FOR FILING THIS REPORT checkboxes. Individuals sometimes fail to accurately mark why they’re filing the report, choosing options amusingly rather than truthfully which might reflect poorly on their intentions or perceived sincerity.

  5. Failure to provide a detailed narrative. Descriptions such as how the feelings were hurt should be detailed, but individuals often provide minimal detail, reducing the report's utility in identifying necessary corrective actions or support.

  6. Ignoring the AUTHENTICATION section. Not getting the necessary signatures (both the offended party and the "real man/woman" responsible), greatly reduces the documentation's credibility and formal acknowledgment of the incident.

  7. Treating the form with sarcasm or as a joke. Though designed with a particular tone, failing to treat the process with some level of seriousness can undermine the opportunity to address underlying issues or concerns genuinely.

  8. Submitting the form to inappropriate or unauthorized personnel. The form should be submitted to leaders who can take action or provide counseling. Misplacement or mishandling can compromise confidentiality and delay support.

  9. Not exploring or indicating the need for supplemental support. Those genuinely affected might overlook sections offering additional support such as a "hugger" or even the humorous offer of a "blankey", "binky", and/or a bottle, missing an opportunity to express their support needs.

  10. Failing to grasp the form's dual role both as a means for expressing concerns (albeit in a humorous or satirical tone) and as a tool for initiating a dialogue about morale and leadership within the entity requiring its use.

Although the Hurt Feelings Report might be viewed with levity, ensuring that all sections are completed thoughtfully and accurately can enhance understanding between parties and serve as a stepping stone towards addressing more serious concerns within any organization or group dynamics.

Documents used along the form

When navigating the array of documents within organizational or team settings, especially in environments as structured as the military, it's not rare to encounter a variety of forms alongside something like the Hurt Feelings Report. These documents can range in purpose from serious to supportive or even morale-boosting. Below, we explore some common forms and documents that might be used in conjunction with the Hurt Feelings Report, each serving its unique function within the organization.

  • DA Form 31 – Request and Authority for Leave: This form is used by military personnel to request leave from their post. It's crucial for planning personal time off and ensuring the chain of command is aware of one's absence.
  • DA Form 4856 – Developmental Counseling Form: Often paired with the Hurt Feelings Report, this form is used for documenting counseling sessions between leaders and their subordinates, focusing on performance, professional development, or personal issues.
  • DA Form 2823 – Sworn Statement: In instances where formal documentation of an incident is required, this form is utilized to record detailed statements under oath, which can be used for legal or administrative purposes.
  • Evaluation Report Support Form: This document helps in the assessment of a soldier's performance and potential. It's a preparatory tool for completing official evaluation reports, guiding both the evaluator and the evaluated through the process.
  • Incident Action Plan: While not a standardized form like the others, any structured plan created in response to an event or incident, including hurt feelings or personal conflicts, falls under this category. It outlines the strategy for addressing and resolving the issue.
  • Request for Medical Records: If an incident has led to psychological or physical stress requiring medical attention, this form would be necessary for obtaining the records pertinent to treatment or counseling sessions.
  • DA Form 638 – Recommendation for Award: In a more positive light, this form is used to recommend individuals for awards and recognitions, potentially as a way to boost morale and acknowledge exemplary handling of difficult situations.
  • Equal Opportunity Complaint Form: Should an incident of hurt feelings stem from discrimination or harassment, this form would come into play. It facilitates the reporting and addressing of equal opportunity complaints formally.

Together, these documents form a comprehensive toolkit, ensuring that various aspects of personnel management, from health and welfare to performance evaluation and conflict resolution, are adequately covered. They contribute to the maintenance of morale, discipline, and the overall well-being of the team or organization. Beyond simply addressing hurt feelings, their collective use ensures a structured approach to managing the multifaceted needs of personnel.

Similar forms

  • Employee Feedback Form: Like the Hurt Feelings Report, an Employee Feedback Form is used in workplaces to let employees report their experiences, whether positive or negative, regarding their work environment or interactions with colleagues. However, unlike the facetious nature of the Hurt Feelings Report, feedback forms are designed to genuinely improve workplace dynamics and resolve conflicts.

  • Customer Complaint Form: This document serves a similar purpose by providing a structured way for customers to express dissatisfaction with a service or product. Comparable to the Hurt Feelings Report, it organizes the customer's grievances into identifiable data points but does so to address and rectify legitimate concerns regarding customer experience.

  • Incident Report Form: Used in various settings, from schools to workplaces and public spaces, to document any unusual or unsafe events. Like the Hurt Feelings Report, this form collects data on what happened, where, and who was involved, aiming to prevent future incidents through a concrete account of past events—though it's used for more serious circumstances.

  • Suggestion Box Submission: Although less formal and structured than the Hurt Feelings Report, a suggestion box submission allows individuals to anonymously offer insights, suggestions, or express feelings about their environment. Both methods encourage voicing concerns or proposals, though suggestion boxes are typically designed to foster constructive feedback and improvements.

  • Bullying Report Form: Schools and organizations use bullying report forms to document instances of bullying. Similar to the Hurt Feelings Report's framework, these forms gather information about the incident, including the parties involved and the nature of the event. The purpose is to address and mitigate bullying, ensuring a safe environment for all individuals.

  • Psychological Safety Assessment: Tools like these assess the emotional and mental well-being of individuals within a team or organization. They seek information on how safe people feel expressing themselves or reporting problems, akin to the aim of the Hurt Feelings Report. However, these assessments are conducted with the genuine intent of improving workplace culture and ensuring emotional safety.

Dos and Don'ts

When filling out the Hurt Feelings Report form, it is essential to approach the process with a mix of seriousness and awareness of its context. Here are 10 do's and don'ts to help guide you:

  • Do provide accurate information in every section to ensure your concerns are understood.
  • Do take the time to clearly describe the incident that led to your hurt feelings, offering as much detail as possible.
  • Do remain respectful and professional in your language, even if the form's tone might seem informal or humorous.
  • Do consider whether there are other, perhaps more official or serious, channels to address your issue, especially if it involves harassment or discrimination.
  • Do review your report before submitting to ensure all necessary details are included and clearly stated.
  • Don't use the form to submit false or exaggerated claims, as this can undermine genuine concerns and issues.
  • Don't overlook the form's potential as a tool for identifying areas where communication or processes within the organization can be improved.
  • Don't disregard the importance of seeking additional support or counseling if you are experiencing significant distress.
  • Don't hesitate to request feedback or a follow-up on your submission to ensure your concerns are being addressed.
  • Don't ignore the form's language and context, which may suggest it’s intended more for lighthearted or minor grievances rather than serious issues.

Always remember, while the Hurt Feelings Report form may carry an informal or humorous tone, your feelings and concerns deserve to be taken seriously. If the situation warrants, seek a more appropriate platform or method to address your issues to ensure they are adequately resolved.

Misconceptions

The Hurt Feelings Report form, often circulated within various communities, is surrounded by numerous misconceptions. Below are five common misunderstandings about this document, which, upon closer examination, reveal the complexities and nuances often overlooked in casual references to the form.

  • Legal Status: A common misconception is that the Hurt Feelings Report has a legal grounding or official status within any institution, particularly within military contexts. In reality, this form is a satirical document, not recognized or utilized within any official capacity. It is intended as humor rather than a formal tool for addressing grievances.

  • Data Protection: Despite referencing the Privacy Act of 1974, the form, by its nature as a piece of satire, does not actually comply with data protection laws. Genuine documents that collect personal information, such as social security numbers, are subject to strict regulations to safeguard privacy, contradicting the form’s casual attitude toward such data.

  • Mental Health: Another misunderstanding concerns mental health. The form mockingly addresses the reporting of hurt feelings, implying that emotional distress is not to be taken seriously. This perspective starkly contrasts with ongoing efforts in various organizations, including the military, to prioritize mental health and support members facing emotional difficulties.

  • Operational Use: The misconception that the form is used for actual reporting within organizations, like the military, is incorrect. The form's language and tone clearly indicate it is intended for humor. Operational documents and procedures for reporting grievances or concerns are significantly different, emphasizing respect, confidentiality, and constructive resolution.

  • Effectiveness: Finally, the belief that such a form could effectively address or resolve interpersonal issues or hurt feelings is misguided. Real issues of this nature require genuine communication, empathy, and sometimes professional intervention, rather than the mockery or minimization implied by the form.

In conclusion, the Hurt Feelings Report form serves as a reminder of the importance of distinguishing between humor and the real, often delicate matters it seeks to parody. Acknowledging emotional distress and addressing it with sincerity and professionalism remains paramount in any setting, contrary to the implications of this satirical document.

Key takeaways

The "Hurt Feelings Report" form, as presented, is not a legally recognized document but rather a satirical take on the procedures for reporting grievances. When considering its usage or referencing this form, here are six key takeaways to remember:

  • The form ostensibly operates under the guise of military regulation, citing both the Privacy Act of 1974 and specific military codes and executive orders. However, it's important to recognize that its tone and content do not align with official reporting procedures or respectful workplace conduct.
  • Disclosure of sensitive information, such as a Social Security Number, is mentioned as voluntary. This reflects a general principle in real legal documents where certain disclosures are indeed voluntary but may have implications for the processing of the form.
  • It lists a variety of non-serious reasons for filing a report, such as "I am a crybaby" or "The weather is too cold", which underscores its intention for humor rather than legitimate reporting of grievances or concerns within any organization.
  • The form references "supplemental support" offerings, like dispatching a "hugger" or providing a "blankey", "binky", and "bottle", further highlighting its satirical nature and departure from any form of professional support services provided in real situations of distress or emotional harm.
  • Its reference to "Wall To Wall Counseling" as a consequence of repeated disclosures satirizes disciplinary actions within the military, mocking serious procedures for addressing issues within the ranks.
  • The requirement for a "narrative" section where the person can describe their feelings in their own words pokes fun at the process of reporting and documenting personal emotions in a professional or military context, again illustrating the form's purpose as humor rather than a genuine reporting mechanism.

Ultimately, while the "Hurt Feelings Report" form may mimic the structure of an official document, its content reveals a clear intent to satirize and mock the process of reporting grievances, particularly within military contexts. It serves as a reminder that sensitivity and respect are paramount in all professional environments, and legitimate concerns should always be addressed through appropriate and officially sanctioned channels.

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