FAMILY MEMBER DETAILS
F00
Name of the family member?
_________________________________
F01
Name of the Head of Family?
_________________________________
F02
Location of the family member?
Town:
Verification – To be filled after the interview V00
Date of the Interview
/___/___//___/___//___/___/
V01
Name of Enumerator(s)
______________________
V02
Name of Supervisor
______________________
V03
Name of Data Clerk [Not filled by the Enumerator]
______________________
V04
Result of the Interview
District: Village: House Number:
1. Finished 2. Not finished
F03
Reference Point / Description of the place?
F04
Telephone number of the family member?
F05
Other information on how family members can be reached?
F06
Is your family member likely to visit you in these coming days?
Yes……………1 No…………….2
F07
When are they coming?
Yes No Monday………………..1 0 Tuesday……………….1 0 Wednesday…………...1 0 Thursday………………1 0 Friday………………….1 0 Saturday……………….1 0 Sunday………………....1 0
GENERAL COMMENTS/OBSERVATIONS Please note in particular: x Any costs or losses the interviewee (the detainee) has incurred as a result of his arrest and detention which have not been recorded in the above survey instrument. x Any costs or losses the interviewee claims his family / household members have incurred as a result of the interviewee’s arrest and detention which have not been recorded in the above survey instrument. x The conditions of the prison where the interviewee is held and that of the cell the interviewee generally occupies. x Whether pretrial detainees at the prison where the interview took place are kept separately from sentenced prisoners.
1. ______________________ 2. ______________________
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-------------------------------------------------------------------------------------------------------------------------------------------------------Study on the Socioeconomic Consequences of Pretrial Detention
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-------------------------------------------------------------------------------------------------------------------------------------------------------Study on the Socioeconomic Consequences of Pretrial Detention
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