CitrusTV Incident Form
If you have ever felt or seen something on or at CitrusTV which makes you or anyone uncomfortable, unsafe, or unwelcoming please report it here. Include as much information as possible so the Executive Staff can look into the issue and find a solution.
If you are looking to submit a suggestion on how an Executive Staff member can improve at their job, on coverage/reporting specifically, or have an overall suggestion for the station to improve go to CitrusTV.com/feedback. This form is linked to the CitrusTV General Manager's account.
Name (optional)
Your answer
What is the nature of this report? (If other please specify)
someone made me uncomfortable
something said in coverage/reporting/a CitrusTV program made me uncomfortable
Other:
Clear selection
Please describe the incident
Your answer
On what show did this problem occur? (If applicable)
Your answer
When did this happen?
Your answer
Would you like to discuss this incident in person?
Yes
No
Maybe
Other:
Clear selection
Do you have a preference on who meets with you to discuss this issue?
General Manager
Associate General Manager
Other:
Clear selection
Submit
Never submit passwords through Google Forms.
This form was created inside of CitrusTV.
Report Abuse
Forms
