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Lost person behaviour information
This form will allow your search manager to assess possibly movement to increase the percentage of search area to be searched
* Indicates required question
Email
*
Record my email address with my response
Name
Your answer
MP - Language spoken
Your answer
MP - Home address
Your answer
MP - Phone
Your answer
Age:
Your answer
Race:
Your answer
Gender:
Your answer
Height:
Your answer
Weight:
Your answer
Build:
Thin
Medium
Large
Overweight
Solid
Clear selection
Hair Colour:
Your answer
Facial Features
Your answer
General Appearance
Your answer
Clothing worn prior to being lost
Your answer
What equipment did the MP have on them to help them survive
Your answer
Where was the missing person meant to be right now
Your answer
Location last seen:
Address:
Co-ordinates:
Your answer
When was MP time last seen:
Date:
Time:
Your answer
Last known point. (eg has some evidence been found to put MP in a new location)
Your answer
What type and description of vehicle was used prior to being lost
Your answer
Where was MP heading to prior to being lost
Your answer
Any alternative location they could have been going
Your answer
Do you know any route or path the MP may have been going
Your answer
What was the weather when the MP got lost
Dry
Sunny
Wet
Cold
Can you gain access into the MP google account with a log in and password.
Yes
No
Unsure just yet
Clear selection
Does the MP have there phone on them
Yes
No
Unsure
Clear selection
Is the MP familiar with this area lost
Yes
No
Unsure
Clear selection
Who reported the MP lost: Name, address, email, Phone
Your answer
What towns have they lived in during their life.
Your answer
Have they been lost before? Please explain all details if yes
Your answer
General Physical Condition
Your answer
Any Disabilities. describe:
Your answer
Medical Problems. Describe:
Your answer
Any Injuries prior to being lost:
Your answer
When was their last meal and what was it?
Your answer
Any recent complaints of anything at all:
Your answer
Was the person Pregnant:
Yes
No
Unsure
Clear selection
Who is their local Doctor and address:
Your answer
Describe any vision issues:
Your answer
What is their general Mental Health like:
Your answer
Any known Mental Health problems:
Your answer
Is the MP suicidal?
Your answer
Has the MP attempted suicide before. Describe date, method:
Your answer
Has any of the MP family or friends attempted suicide before: Describe:
Your answer
Is the MP a danger to themselves or others:
Your answer
Does MP have access to any weapons:
Yes
No
Maybe
Other:
Clear selection
Does MP have any fears or Phobias. Describe:
Your answer
Can you please pass on details of anyone who ght know more about the answers in here to me:
Your answer
List any Medications and what each medication is for:
Your answer
When did the MP last take their medication(s)
On time
Late
Concerningly late
Will missing any of the medications effect the persons mental or physical health if not taken. Describe
Your answer
Does the MP have a supply of medication on them while they are lost
Yes
No
Maybe
Clear selection
What drivers licence does the person hold:
Your answer
Does the person have any tracking device on them, eg: Apple tag etc
Yes
No
Maybe
Clear selection
Describe the persons family relationships: EG married, single, brothers sisters, partner, parents, workmates and list all their contact details below.
Your answer
What is their primary Occupation:
Your answer
Contact details of all employers and workmates:
Your answer
Length of employment:
Your answer
Education level:
Year 10
Year 12
Cert 2/3
Cert 4
Diploma
Bachelor
What religion
Your answer
Any recent changes of behaviour
Your answer
Recent, current or anticipated financial, legal or other issues
Your answer
Name and contact details of the person the MP does confide in:
Your answer
Name and contacts of person the MP last spoke with:
Your answer
Does MP like animals
Yes
No
Clear selection
How will the MP react to Dogs or horses:
Fine
May be scared
Hates dogs or horses
Clear selection
Any recent emails, letters, texts from missing person. Please supply
Yes
No
Clear selection
Does the person keep a diary or calendar
Yes
No
Clear selection
Does the MP have access to a computer with them now while lost
Yes
No
Maybe
Clear selection
Does the person have a computer at a house which you can access.
Yes
No
Maybe
Clear selection
What social media does the person use:
Facebook
Instagram
Snapchat
Can you access their account at all
Other:
Does the person>>>
Smoke
Drink Alcohol
use illegal drugs
Are they addicte to any of the above
Is there any threats to search team from the MP.
Yes
No
Maybe
Clear selection
Have you or anyone else contacted the following agencies to see if they are with them:
Local Police Stations
Local Hospitals
Medical Centres
Prisons
other
Are you able to ring around and check these if you have not already
We will move onto Mental Health issues.
What is the nature of the MP mental health illness:
Your answer
How long has the MP had this disorder:
Less than 6 months
Less than 1 year
less than 2 years
less than 5 years
More than 5 years
Clear selection
Severity of disorder:
Your answer
Prior treatment for this disorder:
Your answer
Current treatment
Your answer
Has the MP been lost before and describe when and how:
Your answer
Recent symptoms prior to being lost
Your answer
Any history of violence in the past shown
Yes
No
Maybe
Clear selection
Any history of hallucinations, describe
Your answer
Any history of delusions
Yes
No
Maybe
Clear selection
Attitude towards uniforms
No issues
Aggressive verbally
Aggressive with violence
Clear selection
What was their mood when last seen
Your answer
Does the MP have bipolar
Yes
No
Maybe
Clear selection
Any recent stressful events eg criminal charges, relationships, finances
Your answer
How isolated is the MP normally in life.
90% keeps to themselves and 10% social
80% keeps to themselves and 20% socual
50% keeps to themselves and 50% social
Generally normal social day to day
Other:
Clear selection
How impulsive is the MP.
Very
Normal
Not at all (plans things all the time prior to doing)
Clear selection
Difficulty in adapting to changes
Not adaptive
Very adaptive
Other:
Clear selection
Option 1
Clear selection
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