CONFIDENTIAL DEBRIEF QUESTIONNAIRE

FULL NAME (OR ALIAS):

DATE OF VIEWING:

WITNESSING ALONE OR ACCOMPANIED

alone accompanied

I) WHAT IS THE FIRST EMOTION THAT AROSE AFTER VIEWING THE FOOTAGE?

II) DID YOU EXPERIENCE ANY PSYCHOLOGICAL RESPONSES (E.G. SHIVER, NAUSEA, SWEATING, HEART RATE ELEVATION):

III) DESCRIBE ANY IMAGES, SOUNDS, OR PATTERNS THAT STOOD OUT:

IV) WERE THERE MOMENTS OF DISORIENTATION, VISUAL ANOMALIES, OR RED- WINDOW-LIKE OCCURENCES?

V) WHAT DO YOU BELEIVE THE FOOTAGE WAS ATTEMPTING TO CONVEY?

VI) DO YOU BELIEVE THE FOOTAGE WAS A MESSAGE, A MEMORY OR MIRROR? (EXPLAIN.)

VIII) WAS ANYTHING FAMILIAR IN THE VIDEO? DESCRIBE WHAT AND WHY.

IX) WERE THERE ANY SYMBOLS, EMBLEMS, OR FIGURES RECOGNIZABLE FROM PREVIOUS ARCHIVE FILES?

Debrief Kit Depository - If Manually Filled Out