JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Were You Arrested During A Recent Protest? We Want To Hear From You.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
What is your name?
*
Your answer
What is your email?
*
Your answer
What is your race/ethnicity?
Your answer
Where did you attend the protests?
*
Your answer
When were you arrested? (Date)
*
Your answer
Do you know which law enforcement agency arrested you?
Your answer
How were you transported by officers after your arrest?
Your answer
How were you treated during your arrest?
Your answer
Were you incarcerated or held in any other detention facility after your arrest?
Your answer
How long were you detained by the police?
Your answer
Were you wearing a mask during the protests you attended? If so, were you able to continue wearing your mask after you were detained?
Your answer
Were the officers involved in your arrest wearing masks?
Your answer
Were you tested for COVID-19 after your arrest? Do you plan to get tested?
Your answer
What was the outcome of your arrest?
Your answer
Is there anything else you’d like to share about your experience?
Your answer
Are you willing to speak to a BuzzFeed News reporter about your experience?
*
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of BuzzFeed.
Report Abuse
Forms
