PART 1 INCIDENT REPORT
Date feelings were hurt
Time of hurtfulness
Email Address:
Part 2 INJURY
which ear were the words of hurtfulness spoken into
Left
Right
Both
Is there permanent feeling damage?
Yes
No
Maybe
did you require a tissue for tears
Yes
No
Multiple
has this resulted in any serious brain injury
Yes
No
Maybe
Part 3 REASON FOR FILING THIS REPORT
I am thin skinned
I am a wimp
I have woman/man like hormones
I am a cry baby
I want my mommy
The Army needs to fix my problem
My feelings are easily hurt
I didn’t' Sign up for this Shit
I was told that I am not a hero
The weathers to cold
Twenty Two beers is not enough
My hands should be ln my pockets
I was not offered a post brief
Someone requested a post belief
