GPSAR Missing persons questionnaire
This form is to serve as a general intake form to gather basic information to assess the subject of a missing person incident. This does not replace the forms used by law enforcement nor does it cover all the questions you may need to answer. We can be reached at gpsar@gpsar.org. Print out the finished form for your records.
Email address
Date
MM
/
DD
/
YYYY
Time
Time
:
Your name
Your answer
Your address
Your answer
Your relationship to the missing person
Your answer
Information about you
Your email address
Your answer
Your phone #
Your answer
Relevant information about yourself not covered above.
Your answer
Information about the missing person
Name
Your answer
Residence Address
Your answer
Birthdate
MM
/
DD
/
YYYY
Other relevant locations
Your answer
Physical description
Your answer
Description of clothes subject was last known to be wearing
Your answer
Physical health condition prior to going missing.
Your answer
Mental health condition prior to going missing.
Your answer
Describe the subject during the past 3 months prior to the disappearance. Note any changes in routine, etc.
Your answer
Strengths
Your answer
Weaknesses
Your answer
Fears
Your answer
Other relevant information
Your answer
Circumstances around disappearance
Date / Time last seen
MM
/
DD
/
YYYY
Time
:
Location last seen
Your answer
List people the subject was last seen with.
Your answer
Mode of transportation / description
Your answer
Subject condition (mental / physical) when last seen
Your answer
Eyewitness accounts
Your answer
Other relevant information
Your answer
Actions taken so far
What has been do so far with law enforcement?
Your answer
Case # from police report
Your answer
Contact information of office in charge of case.
Your answer
What has been done so far within the community?
Your answer
What has been done so far with social media and friends?
Your answer
Areas searches / clues found
Your answer
Other relevant information
Your answer
Anything else
Put anything else you think is relevant here.
Your answer
Please complete the captcha before submitting the form.
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms