NMD Abuse Compilation - 2009
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1. Default Section
*
1
. Name of interviewer:
Name of interviewer:
*
2
. Date of Interview:
Date of Interview:
*
3
. Port of entry- where interview is conducted:
Port of entry- where interview is conducted:
Nogales
Agua Prieta
Naco
Other
*
4
. Time of repatriation:
Time of repatriation:
5
. IF repatriated at night, were women, children, ill or injured also repatriated at that hour?
IF repatriated at night, were women, children, ill or injured also repatriated at that hour?
NO
YES
N/A- repatriation not during the night
6
. Date of Repatriation (if different than interview date):
Date of Repatriation (if different than interview date):
7
. Port-of-Entry: Where did the repatriation take place? (if different than place of interview)
Also: please help us track 'lateral repatriation' by noting here if the port-of-entry for repatriation DIFFERS from the region where the person actually crossed.
Port-of-Entry: Where did the repatriation take place? (if different than place of interview) Also: please help us track 'lateral repatriation' by noting here if the port-of-entry for repatriation DIFFERS from the region where the person actually crossed.
8
. Does this interview represent:
Does this interview represent:
Individual
Group
9
. If interview represents a group: How many? (Indicate ages, gender, etc. if known)
If interview represents a group: How many? (Indicate ages, gender, etc. if known)
10
. Interviewee info: Name (if provided)
*Did interviewee give permission to share this info with the Mexican Consulate?
Interviewee info: Name (if provided) *Did interviewee give permission to share this info with the Mexican Consulate?
11
. Interviewee info (for individual cases): Gender
Interviewee info (for individual cases): Gender
Male
Female
12
. Interviewee info: Approx. Age
Interviewee info: Approx. Age
13
. Interviewee info: City, State, or Country of Origin (if provided)
Interviewee info: City, State, or Country of Origin (if provided)
14
. How many times has the interviewee tried to cross?
How many times has the interviewee tried to cross?
Not known
1 time
2-4 times
5-7 times
8-10 times
>10 times
15
. Amount of time (approximate) in Border Patrol Custody? (Please clarify hours and days)
Amount of time (approximate) in Border Patrol Custody? (Please clarify hours and days)
16
. Were you given water:
no information/NA
none
some but not sufficient
sufficient
In the desert
*
Were you given water: In the desert no information/NA
In the desert none
In the desert some but not sufficient
In the desert sufficient
On the bus to the center
On the bus to the center no information/NA
On the bus to the center none
On the bus to the center some but not sufficient
On the bus to the center sufficient
In the center
In the center no information/NA
In the center none
In the center some but not sufficient
In the center sufficient
17
. Were you given food:
No information
None
Some but not sufficent
Sufficient
In the desert
*
Were you given food: In the desert No information
In the desert None
In the desert Some but not sufficent
In the desert Sufficient
On the bus to center
On the bus to center No information
On the bus to center None
On the bus to center Some but not sufficent
On the bus to center Sufficient
In the center
In the center No information
In the center None
In the center Some but not sufficent
In the center Sufficient
18
. Was medical care:
Was medical care:
not needed.
needed but not provided.
provided.
not answered.
19
. If medical attention was needed, check all that apply:
If medical attention was needed, check all that apply:
Medications were confiscated
Repatriation from the hospital
Prescriptions/Continued care not provided
20
. Explain (medical care provided or denied) if necessary. Also include what treatment was given and what hospital/facilities he/she was taken to and for what length of time.
Explain (medical care provided or denied) if necessary. Also include what treatment was given and what hospital/facilities he/she was taken to and for what length of time.
21
. Any reports of verbal abuse?
Any reports of verbal abuse?
Yes
No
Not Answered
22
. Explain any form of verbal abuse endured or observed by the interviewee: Indicate Swearing, Ridicule, Threats, Sexual Harassment, or Other.
(Also provide any information that might identify the officer, shift, or area in which it took place. Be sure to include incidents related to transportation.)
Explain any form of verbal abuse endured or observed by the interviewee: Indicate Swearing, Ridicule, Threats, Sexual Harassment, or Other. (Also provide any information that might identify the officer, shift, or area in which it took place. Be sure to include incidents related to transportation.)
23
. Any reports of physical abuse?
Any reports of physical abuse?
Yes
No
Not answered
24
. Explain any form of physical abuse endured or observed by the interviewee: Indicate Pushing, Kicking, Being Struck (by hands or objects), Being Forced to hold painful/undignified positions, or Other.
(Also provide any information that might identify the officer, shift, or area in which it took place. Be sure to include incidents related to transportation.)
Explain any form of physical abuse endured or observed by the interviewee: Indicate Pushing, Kicking, Being Struck (by hands or objects), Being Forced to hold painful/undignified positions, or Other. (Also provide any information that might identify the officer, shift, or area in which it took place. Be sure to include incidents related to transportation.)
25
. Were personal belongings returned? Check all that apply:
Were personal belongings returned? Check all that apply:
Nothing Returned
Everything Returned
N/A- not answered
Identification not returned
Important documents not returned
Money not returned
Other not returned (clothing, shoelaces, etc)
26
. Conditions in Processing Centers. Check all that apply:
Conditions in Processing Centers. Check all that apply:
N/A- not answered
Ok/fine- no complaint
Too cold
Too hot
Overcrowded
Unsanitary/dirty
No access to toilet
Inadequate bedding/blankets
27
. In custody, did interviewee receive access to ALL of the following: access to consulate, to lawyer, to knowledge of rights, and to translation (including documents) in appropriate language?
In custody, did interviewee receive access to ALL of the following: access to consulate, to lawyer, to knowledge of rights, and to translation (including documents) in appropriate language?
Yes- or report that all was 'fine'
No
Not answered
28
. In custody, the interviewee WAS PROVIDED access to the following, check all that apply: (answers not checked indicate no provision of access)
In custody, the interviewee WAS PROVIDED access to the following, check all that apply: (answers not checked indicate no provision of access)
Consulate
Lawyer
Explanation of Rights
Translation/Documents in Appropriate Language
29
. Transport Conditions. Check all that apply:
Transport Conditions. Check all that apply:
N/A- not answered
ok/fine
Exteme temperatures
Reckless/fast driving
No seatbelts
30
. Were you traveling with friends and family who you wished to remain with?
Were you traveling with friends and family who you wished to remain with?
No
Yes, family
Yes, friends
31
. Were you separated from family members during your detention and repatriation?
Were you separated from family members during your detention and repatriation?
N.A.
No
Yes, in the desert (not detained together)
Yes, at the center (not repatriated together)
32
. If separated from family members, explain:
If separated from family members, explain:
33
. Is the interviewee an unaccompanied minor or a vulnerable person(s)? (single woman, injured, ill, emotionally distressed, etc). Indicate in space provided:
Is the interviewee an unaccompanied minor or a vulnerable person(s)? (single woman, injured, ill, emotionally distressed, etc). Indicate in space provided:
34
. If the interviewee has lived in the US previously: How or why was the interviewee apprehended?
If the interviewee has lived in the US previously: How or why was the interviewee apprehended?
35
. If the interviewee has lived in the US previously: Does the interviewee have a spouse or children living in the United States?
If the interviewee has lived in the US previously: Does the interviewee have a spouse or children living in the United States?
Yes- spouse (not a US citizen or legal resident)
Yes- spouse (US citizen/legal resident)
Yes-spouse (citizenship not known)
Yes- children (not US citizens or legal residents)
Yes- children (US citizens/legal residents)
Yes-children (citizenship not known)
36
. Had the interviewee lived in the United States before apprehension? If so, for how long?
Had the interviewee lived in the United States before apprehension? If so, for how long?
Less than 1 year or 1 year
>1-5 years
>5-10 years
>10-19 years
20 or more years
N/A- has not lived in the US before
37
. Please add any information regarding this case that you feel is pertinent to documenting the treatment of migrants by U.S. authorities or private citizens. Add any further explanations here.
Please add any information regarding this case that you feel is pertinent to documenting the treatment of migrants by U.S. authorities or private citizens. Add any further explanations here.
38
. Please write a summary/ narrative of the information gathered in your interview. You should write for a general audience, and stick to the facts. Here is a sample format:
Interview conducted (date) with (name of interviewee, or "anonymous," age, and place of origin). If applicable, interviewee had lived in the U.S. ____ number of years and has ___family. Interviewee stated __________.
Please write a summary/ narrative of the information gathered in your interview. You should write for a general audience, and stick to the facts. Here is a sample format: Interview conducted (date) with (name of interviewee, or "anonymous," age, and place of origin). If applicable, interviewee had lived in the U.S. ____ number of years and has ___family. Interviewee stated __________.
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