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Employee Complaint Intake and Follow-Up Survey

A confidential intake form for employees to document a workplace complaint or concern, capturing what happened, who's involved, severity, and desired resolution. An AI follow-up interview gently reconstructs the specific timeline and details so HR gets an actionable, well-documented account instead of a vague summary.

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샘플 질문

템플릿에 포함된 내용을 미리 확인해 보세요. 모든 질문은 설문 공개 전에 자유롭게 수정할 수 있습니다.

질문 15개 · 약 8분
Q01
메시지

Thank you for coming forward. This form helps you document a workplace concern so it can be reviewed and addressed appropriately. Your responses are handled confidentially by HR. It takes about 6-8 minutes, and you can pause and return at any time.

Q02
객관식필수

What type of issue are you reporting?

  • Harassment or discrimination
  • Bullying or disrespectful behavior
  • Unsafe working conditions
  • Unethical or dishonest conduct
  • Policy or procedure violation
  • Compensation, scheduling, or workload dispute
  • Retaliation for a prior report
Q03
객관식

Who is this complaint primarily about?

  • My direct manager
  • A manager or leader outside my team
  • A coworker on my team
  • A coworker in another team
  • A vendor, client, or external contact
  • Multiple people
  • Prefer not to say
Q04
날짜

When did the most recent incident related to this complaint occur?

Q05
객관식필수

In the last 6 months, how often has this type of incident occurred?

  • This is the first time
  • A few isolated times
  • Repeatedly, on and off
  • Constant or ongoing
Q06
의견 척도필수

How severe do you consider this issue to be?

척도: 1 – 5
최소:Minor concern최대:Critical, needs urgent action
Q07
객관식필수

Have you previously reported this issue to anyone?

  • No, this is the first report
  • Yes, to my manager
  • Yes, to HR
  • Yes, to another leader
  • Yes, informally to a colleague
Q08
매트릭스필수

Thinking about this situation, how much do you agree with each statement?

4개 행 × 5개 열
  • I feel safe raising this concern
  • I believe appropriate action will be taken
  • This has affected my ability to do my job
  • This has affected my wellbeing outside of work
열: Strongly disagree · Disagree · Neutral · Agree · Strongly agree
Q09
장문형필수

Please describe what happened, including approximate dates, the people involved, and any witnesses.

Q10
객관식필수

What outcome are you hoping for from this report?

  • A formal investigation and corrective action
  • A mediated conversation between the parties
  • A change to a policy or process
  • I mainly wanted this documented for the record
  • I'm not sure yet
Q11
AI 인터뷰

Reconstruct the specific timeline of the most recent incident described: what was said or done, in what order, who was present, and how the respondent and others reacted in the moment. Probe for concrete details (exact words, dates, locations, any documentation like emails or messages) rather than general impressions. If the respondent indicates this is repeated or ongoing, ask them to walk through one other clear example. If they seem hesitant or vague about naming people involved, reassure them once about confidentiality and gently ask again before moving on.

Q12
질문

If you have any supporting documents, screenshots, or messages related to this complaint, you may upload them here (optional).

Q13
드롭다운

Which department do you work in? (Optional, helps HR route this report)

  • Sales
  • Marketing
  • Engineering or Product
  • Operations
  • Customer Support
  • Finance
  • Human Resources
  • Other
  • Prefer not to say
Q14
객관식

How long have you worked at the company?

  • Less than 6 months
  • 6 months to 2 years
  • 2 to 5 years
  • More than 5 years
  • Prefer not to say
Q15
메시지

Thank you for trusting us with this report. It will be reviewed confidentially by HR, and where appropriate, someone will follow up with you directly about next steps.

포함된 기능

  • AI 후속 질문

    정형화된 설문이 놓치는 세부 내용을, 주관식 답변에 맞춰 AI가 심층 질문으로 끌어냅니다.

  • 주의력 확인 장치

    성의 없는 답변과 저품질 응답자를 걸러내는 내장 안전장치입니다.

  • AI가 작성한 문안

    문구, 질문 순서, 분기 로직까지 AI가 연구 목표에 맞춰 작성합니다.

  • 자동 리포트

    응답이 모이면 주요 주제, 인용문, 이해하기 쉬운 요약이 자동으로 작성됩니다.

다른 서비스와 비교

다른 설문 도구의 가장 유사한 템플릿을 검토했습니다. 그 도구들이 잘하는 점과, 이 템플릿이 한발 더 나아가는 지점을 정리했습니다.

이 템플릿을 선택하는 이유

  • Captures structured intake details (issue type, parties involved, severity, frequency, prior reports) alongside a matrix of agreement statements and a detailed open narrative, so HR gets both quantifiable and qualitative context.
  • An AI follow-up interview specifically reconstructs the timeline of the most recent incident (what happened, who was involved, in what order), turning a vague complaint into an actionable, well-documented account.
  • Supports file uploads for supporting evidence (screenshots, messages, documents) directly within the same flow.
  • Opens and closes with confidentiality-focused chat messages, and collects optional routing details (department, tenure) without forcing disclosure that could feel invasive.

Jotform

Employee Formal Complaint Form Template

A standard fielding-ready form builder template for capturing formal employee complaints, likely with fields for incident details and parties involved. It's a static form-fill experience rather than an interview, so any follow-up clarification depends entirely on how HR staff manually review free-text answers.

잘하는 점

  • Ready-to-use, customizable form builder with drag-and-drop fields
  • Wide template library and integrations typical of Jotform's ecosystem
  • Simple to deploy for basic complaint intake

아쉬운 점

  • No adaptive AI follow-up to probe vague or incomplete incident descriptions
  • No automated per-response quality scoring to flag weak submissions
  • No transparent, published interview prompts or methodology

SurveyMonkey

Employee Complaint Form Template

A conventional survey template for collecting employee complaints using SurveyMonkey's standard question types. It's built for one-shot data collection and reporting, not for reconstructing an incident timeline through dialogue. Strong for aggregate reporting, less suited to building a single well-documented case file.

잘하는 점

  • Established survey platform with solid reporting/analytics dashboards
  • Easy to distribute and collect responses at scale
  • Familiar UI for respondents and HR teams alike

아쉬운 점

  • No adaptive AI interview to reconstruct incident timelines or dig into specifics
  • No voice AI or guided screen-share task options
  • No automated quality scoring of individual responses

SurveySparrow

Free Employee Complaint Form Template

A free, conversational-style form template aimed at making complaint intake feel more human than a plain form. It likely offers a chat-like UI for question flow, but this is scripted branching rather than a true adaptive AI interview that follows up dynamically based on what the employee actually writes.

잘하는 점

  • Conversational, chat-style interface that can feel friendlier than a static form
  • Free to use, lowering the barrier to entry
  • Mobile-friendly presentation typical of SurveySparrow forms

아쉬운 점

  • Conversational UI is pre-scripted, not a genuine adaptive AI follow-up that reacts to response content
  • No automated quality scoring of individual responses
  • No published, transparent methodology for how follow-up questions are generated

Typeform

Employee Complaint Form Template

A polished, one-question-at-a-time form template known for good respondent experience and design. It's still a fixed sequence of questions defined at build time, so it can't dynamically reconstruct a specific incident timeline the way a follow-up interview can.

잘하는 점

  • Clean, one-at-a-time question flow with strong visual design
  • Good completion rates typical of Typeform's UX
  • Easy embedding and sharing across channels

아쉬운 점

  • Static logic-jump branching only, no adaptive AI probing based on free-text answers
  • No automated per-response quality scoring
  • No voice AI interview option or guided screen-share tasks

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