INCIDENT TITLE: TODAY'S DATE: TIME: OFFICER TAKING INFO: INCIDENT #: SAR Mission #:

Transcription

1 LOST/Missing PERSON QUESTIONNAIRE Note: Use pencil/black ink, print clearly, and avoid confusing phrases, words, and unfamiliar abbreviations. Complete and detail answers for planning and investigative use. Answer ALL questions, if possible. INCIDENT TITLE: TODAY'S DATE: TIME: OFFICER TAKING INFO: INCIDENT #: SAR Mission #: A. SOURCE(S) OF INFORMATION FOR QUESTIONNAIRE Name: How taken (phone, etc.): Home Address: City: State: Zip: Phone #: () 2nd phone #: ( ) Relationship: Where/how to contact now: Where/how to contact later: What does informant believe happened: B. LOST PERSON Name: Sex: Nicknames: Home Address: City: State: Zip: Local Address: City: State: Home Phone #: ( ) Local phone #: ( ) Cell Phone # ( ) DOB: Birthplace: C. PHYSICAL DESCRIPTION Height: Weight: Age: Build: Hair Color: Length: Style: Beard: Mustache: Sideburns: Facial features/shape: Complexion: Photo available? Where: To be returned?: Distinguishing marks: Overall appearance: Comments:

2 D. TRIP PLANS OF SUBJECT Started at: When: Time: Going to: Via: Purpose: For how long: Exit date: Group size: Done trip before?: Transported by whom/means: Vehicle now located at: Type: Color: License #: State: Verified: Y N? Who: Return time: From where: By whom/what: Additional names, cars licenses, etc. for party: Alternative plans/routes/objectives discussed : Discussed with whom: When: Comments: E. CLOTHING Style Color Size Other Shirt/sweater: Pants: Outer wear: Inner wear: Head wear: Rain wear: Glasses: Gloves: Extra clothing: Footwear: Sole type: Sample available: Where: Scent articles available: Y N? What: Secured?: Where now?: Overall coloration as seen from air: F. LAST SEEN Time: Where: Why/How:

3 Seen by whom: Location now: Who last talked at length with person: Where: Subject matter: Weather at time: Weather since: Direction of Travel: When: Reason for leaving: Attitude (confidant, confused, etc.): What was the subject s state of mind?: Subject seem tired: Cold/hot: Other: Comments: G. OUTDOOR EXPERIENCE Familiar with area?: Y N How recent?: Other places in this area that the subject may want to go: Other areas of travel: Formal outdoor training: Degree: Where: When: Medical training: When: Scouting experience: When: Where: How much: Scout leader: Military experience: Y N? What: When: Where: Rank: Generalized previous experience: How much overnight experience: Ever been lost before: Y N? Where: When: Ever go out alone: Where: Stay on trails or X-C: How fast does subject hike: Athletic/other interests: Climbing experience: H. HABITS/PERSONALITY Smoke: Y N? How often: What: Brand: Alcohol: How often: What: Brand: Recreational drugs: How often: Gum: Candy: Other: Hobbies/interests: Outgoing/quiet: Gregarious/loner: Evidence of leadership: Legal trouble (past/present): Give up easily/keep going:

4 Hitchhike: Y N? Accepts ride easily: Personal problems: Religious: Y N? Faith: Degree: Personal values: Philosophy: Person closest to: In family: Emotional history: Education: Grade: Current status: Teacher(s): School Name: College education: Subject/degree: Year: Local/fictional hero: I. HEALTH/GENERAL CONDITION Overall health: Overall physical condition: Known medical problems: Knowledgeable doctor: Phone #: ( ) Handicaps: Known psychological problems: Knowledgeable person: Phone #: ( ) Medication: Amounts: Knowledgeable person: Phone #: ( ) Consequence of loss: Eyesight without glasses: Spares: Y N?

5 J. EQUIPMENT Style Color Brand Other Pack: Tent: Sleeping bag: Ground cloth: Fishing equipment: Climbing equipment: Liquid container: How much fluid: What kind: Fire starter: Y N? What: Light: Stove: Fuel: Compass: Map: Of where : How competent with map/compass: Knife: Camera: Lens: Food: Brands: Skis: Type: Brand: Color: Size: Bindings: Pole type: Length: How competent: Snowshoes: Type: Brand: Color: Size: Bindings: How competent: Firearms: Y N? Brand: Model: Holster: Money: Amount: Credit Cards: Other documents: K. CONTACTS PERSON WOULD MAKE UPON REACHING HELP Name: Relationship: Home Address: City: State: Zip: Phone #: ( ) Anyone home now?: L. CHILDREN Afraid of dark?: Afraid of dogs? Afraid of other animals?: Other fears: Feeling towards adults: Strangers:

6 Reactions when hurt: Cry: Training when lost: Training for potential predator abductor: Active/lethargic/antisocial: Comments: Who has been contacted for assistance by the family, friends or reporting party?: Has the National Center for Missing and Exploited Children been notified? Has this child been missing before? If yeas where were they located? What were the circumstances behind the previous disappearance(s)? M. GROUPS OVERDUE Name/kind of group: Leader: Experience of group/leader: Address/phone of knowledgeable person: Personality clashes within group: Leader types other than leader: Actions if separated: Competitive spirit of group: Intra-group dynamics: Comments: N. ACTIONS TAKEN SO FAR By: Family/friends: Results: Others: Results: Comments: O. MEDIA/FAMILY RELATIONS Next of kin: Relationship: Address: City: State: Zip:

7 Phone #: ( ) Occupation: Person to notify when subject found: Relationship: Address: City: State: Zip: Phone #: ( ) Occupation: Significant family problems: Family's desire to employ special assistance: Comments: OTHER INFORMATION