Message from PF-729917

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Interviewee-
Date:
Conductor:
Note taker:

Initial Filtering Questionnaire:

Q1: Age:

Q2: State:

Q3: Nearest major city/landmark:

Q4: Ever interviewed:

Q5: Personal transportation:

Q6: Substance abuse:

Q7: Crimes:

Q8: Government Employment:

Q9: Mental or physical ailments:

Secondary Evaluative Questions

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Label:

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Tertiary Evaluative Questions

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