Q01
Message
All templates
Employee Write-Up Experience & Fairness Check
Captures how an employee experienced a formal write-up or written warning — clarity of the issue, perceived fairness, and what support would help them improve. Built for HR teams and people managers auditing disciplinary conversations, with an AI follow-up interview that surfaces exactly what the employee understood, agreed with, or found unclear.
Sample questions
A preview of what’s in the template. Every question is editable before you launch.
12 questions · ~7 min
Q02
Multiple ChoiceRequired
What type of write-up did you receive?
- Verbal warning documented in writing
- First written warning
- Final written warning
- Performance improvement plan notice
- Other
Q03
Opinion ScaleRequired
How clearly did your manager explain the specific reasons for the write-up?
Scale: 1 – 5
Min:Not clear at allMax:Extremely clear
Q04
Opinion ScaleRequired
Overall, how fair did this write-up feel to you?
Scale: 1 – 7
Min:Very unfairMax:Very fair
Q05
MatrixRequired
Thinking about the conversation itself, how much do you agree with each statement?
4 rows × 5 columns
- My manager clearly explained the specific issue
- I had a genuine chance to share my perspective
- The expectations going forward were clearly defined
- I understand what happens if the issue isn't resolved
Columns: Strongly disagree · Disagree · Neutral · Agree · Strongly agree
Q06
Rating ScaleRequired
How confident are you that you can meet the expectations laid out in the write-up?
Range: 1 – 5
Min:Not at all confidentMax:Extremely confident
Q07
Multiple Choice
What would help you most in improving from here? Select all that apply.
- Additional training or resources
- Clearer written expectations
- More frequent check-ins with my manager
- A mentor or buddy
- Adjusted workload or schedule
- I don't think I need additional support
Q08
AI Interview
Reconstruct what the employee actually understands about the issue behind the write-up: do they agree with how it was characterized, and where do they see it differently? If they rated fairness low, probe specifically what felt unfair — the process, the timing, or the reasoning. Then explore concretely what would get in the way of meeting the stated expectations over the next 30-90 days.
Q09
Long Text
Is there anything else about this write-up or the conversation you'd like HR to know?
Q10
Multiple Choice
How long have you been with the company?
- Less than 6 months
- 6 months to 2 years
- 2 to 5 years
- More than 5 years
- Prefer not to say
Q11
Short Text
What team or department are you part of? (Optional)
Q12
Message
That's everything — thank you for your honesty. Your responses are reviewed confidentially by HR to help make write-up conversations clearer and more consistent, not shared directly with your manager.
What’s included
AI follow-ups
Adaptive probes on open-ended answers that pull out detail a static form would miss.
Attention checks
Built-in safeguards against rushed answers and low-quality respondents.
AI-drafted copy
Wording, ordering, and branching written by the AI — tuned to your research goal.
Auto report
Themes, quotes, and a plain-English summary write themselves once responses come in.
How it compares
We reviewed the closest templates from other survey tools. Here’s what they do well — and where this template goes further.
Why this template
- Includes an AI follow-up interview that reconstructs what the employee actually understood about the issue behind the write-up, rather than stopping at static ratings
- Pairs opinion-scale questions on clarity and fairness with a matrix on the conversation itself, giving HR both quantitative and qualitative signal in one flow
- Asks directly what would help the employee improve (select-all-that-apply) and a confidence rating on meeting expectations, surfacing actionable support needs, not just complaints
- Closes with an open-ended field and tenure/department context, so responses can be reviewed confidentially and segmented without extra setup
SurveyMonkey
Employee Write-Up Form TemplateA ready-to-field static form template for documenting employee write-ups, built on SurveyMonkey's established survey infrastructure. It's designed as a straightforward documentation form rather than a two-way experience/fairness check-in with the employee. Good for HR record-keeping, but not built to probe employee understanding or sentiment in depth.
What it does well
- Fielding-ready template on a widely-used, established survey platform
- Likely benefits from SurveyMonkey's broad question-type library and reporting dashboard
- Simple to deploy for standard HR documentation needs
Where it falls short
- Static question set with no adaptive follow-up to probe what the employee actually understood
- No published methodology for how questions were designed or scored
- No voice-based interview option for employees who prefer speaking over typing
SurveySparrow
Free Employee Write up Form Template | For Disciplinary ActionA free, conversational-style form template aimed specifically at disciplinary write-up documentation. SurveySparrow's format may offer a more chat-like feel than a traditional form, but it remains a fixed question set rather than an adaptive interview. Suitable for capturing basic write-up details rather than surfacing nuanced fairness perceptions.
What it does well
- Free to use, lowering the barrier for smaller HR teams
- Conversational UI style associated with SurveySparrow's product line
- Purpose-built for disciplinary action documentation
Where it falls short
- No adaptive AI follow-up to reconstruct the employee's actual understanding of the issue
- No automated per-response quality scoring or auto-generated report
- No transparent, published prompt/methodology for how fairness or clarity is assessed
Ready to launch?
Open this template in the editor. Every part is yours to change before the first respondent sees it.