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LOST PERSON QUESTIONNAIRE

 

The intention of the information required by the completion of this form is to obtain as much information as possible in order to assist in ‘predicting’ the behaviour of the ‘lost’ person.  Some of the information may not be relevant.  If in doubt, include it.

Date:

 
 
Time:

 
 
Officer Taking Info:

 
 
OIS Log:

 
 
 

 
 
A.
SOURCE(S) OF INFORMATION

 

Name (of reporting party:  
How taken (phone, etc):  
Home Address:  
Phone: Mobile:              Other:
Relationship (to missing person):

 
 
What does informant believe happened?  

 

B. LOST PERSON

 
Name:  
Sex:  
Nicknames:  
Home Address:  
Local Address:  
Home Phone: Mobile:
Age: Date of Birth:
Birthplace:  
Passwords for Children:  
 

 

 
C. PHYSICAL DESCRIPTION

 
Height:  
Weight:  
Build:  
Hair:  
 

·         Colour:

·         Length:

·         Style:

·         Beard:

·         Moustache:

·         Sideburns:

 
 
Facial features/shape:  
Complexion:  
Distinguishing marks:  
Overall appearance:  
Photo available: (yes/no)

How old is picture?

·         Where

·         Need to be returned?

 
Comments:  

D.

TRIP PLANS OF SUBJECT

 

Started at:  
When:  
Time:  
Going to:  
Via:  
Purpose:  
For how long:  
Group size (if applicable):  
Done trip before:  
Transported by whom/means:

 
 
Vehicle now located at:  
 

·         Type:

·         Colour:

·         Reg no:

·         Condition:

·         Verified: (yes/no)

·         Who:

 
 
Return time:  
From where:  
By whom/what:  
Additional names, cars, reg nos, etc. for party:

 
 
Alternate plans / routes / objectives discussed:

 
 
Discussed with whom:  
When:  
Comments:  
     
     
E. CLOTHING

 
Determine the: Style; Colour; Size and Other Significant Information on each of the following:
 

·         Shirt/sweater:

·         Trousers:

·         Outer wear:

·         Inner wear:

·         Head wear:

·         Rain wear:

·         Glasses:

·         Gloves:

·         Extra clothing:

 
 
Footwear:  
 

·         Sole type:

·         Sample available:

·         Where:

 
 
Scent articles available: (yes/no)

 
 
 

·         What:

·         Secured: (yes/no)

·         Where now:

 
 
Overall coloration as seen from air:

 
 
F. EQUIPMENT

 
Determine the: Style; Colour; Brand and Size of the following
 

·         Pack:

·         Tent:

·         Sleeping bag:

·         Ground cloth:

·         Fishing equipment:

·         Climbing equipment:

·         Liquid container:

            How much fluid:

            What kind:

 
 
Fire starter:

·         What:

 
 
Light:  
Stove:

·         Fuel:

 
 
Compass:

·         Map or Guidebook

 
 
Whistle:  
Mobile phone no:  
Flares, strobes, personal locater, beacon etc:

 
 
Knife:  
Camera:

·         Lens:

 
 
Food:

·         Brands:

 
 
Firearms:

·         Brand:

·         Model:

·         Holster:

 
 
Money:

·         Amount:

·         Credit cards:

 
 
Other documents:  
Comments:  
     
G. LAST SEEN

 
Time:  
Where:  
Why/how:  
Seen by whom:

·         Location now:

 
 
Who last talked at length with person:

·         Where:

·         Subject matter:

 
 
Weather at time:  
Weather since:  
Seen going which way:

·         When:

 
 
Reason for leaving:  
Attitude (confident, confused etc)

 
 
Subject of complaining of anything:

 
 
Subject seemed tired:

·         Cold/hot:

·         Other

 
 
Comments:

 
 
     
H. OUTDOOR EXPERIENCE

 
Familiar with area: (yes,no)  
 

·         How recent:

·         Other:

 
 
Other areas of travel:  
Formal outdoor training:  
 

·         Level:

·         Where:

·         When:

 
 
Medical training:

·         When:

 
 
Scouting experience:  
 

·         When:

·         Where:

·         How much:

·         Scout Leader:

 
 
Military experience: (yes/no)

 
 
 

·         What:

·         When:

·         Where:

·         Rank:

·         Other:

 
 
Generalised previous experience:  
How much overnight experience:  
Ever been lost before: (yes/no)

 
 
 

·         Where:

·         When:

 
 
Ever go out alone:  
 

·         Where:

·