Interactive Butthurt Report v. 2.0
(Interactive version of the Butthurt Report created by

Created & Updated by @OaklandElle

Completed forms posted at
Name of Complainant *
Write the name of the person experiencing the Butthurt here.
Causer of the Butthurt *
Write the name of whomever or whatever caused the Butthurt here.
Time of the Butthurt *
At what time did you experience the Butthurt?
Date of the Butthurt *
On what day did you experience the Butthurt?
Location of the Butthurt *
Where did the Butthurt occur?
Cause of the Butthurt *
What happened to make you Butthurt?
Symptoms of the Butthurt *
Please list any symptoms you experienced as a result of the Butthurt
Please give additional details about the Incident of the Butthurt. *
Please describe the incident of Butthurt in detail, replicate all Butthurt communications, add links to supplemental pictures, post any screenshots taken as evidence, etc. here
Did you take any action against the Causer of the Butthurt? *
Please list any actions you took in response to your Incident of Butthurt
What should be the consequences for the Causer of the Butthurt? *
Please tell us how you think the Causer of the Butthurt should be punished for this transgression.
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