One work concern meeting sheet ============================== Optional blank sheet. Use only where appropriate for your privacy and circumstances. Do not add identifying or sensitive details unnecessarily. This is not therapy, legal advice, a safety assessment or a crisis service. The work issue: ____________________________________________________________________ ____________________________________________________________________ The facts, dates and relevant task names: ____________________________________________________________________ ____________________________________________________________________ The practical work impact: ____________________________________________________________________ ____________________________________________________________________ The decision or clarification needed: ____________________________________________________________________ ____________________________________________________________________ Options within authorized scope: ____________________________________________________________________ ____________________________________________________________________ The appropriate meeting or reporting channel: ____________________________________________________________________ ____________________________________________________________________ The decision actually made: ____________________________________________________________________ ____________________________________________________________________ Who accepted each action and when: ____________________________________________________________________ ____________________________________________________________________ The question still unresolved: ____________________________________________________________________ ____________________________________________________________________ The agreed review or authorized next route: ____________________________________________________________________ ____________________________________________________________________ The workplace rules for keeping this note: ____________________________________________________________________ ____________________________________________________________________ Original educational worksheet — RelateWell Guide Article: https://relatewellguide.com/articles/workplace-have-a-difficult-conversation-with-your-boss/ Editorial revision: 2026-11-04