This
is an actual report from a high shrinkage store that resulted in loss
prevention, security, and HR obtaining a handwritten confession where the
employee admitted stealing $1,900 in inventory and $3,500 in cash. The employee was a cashier that had recently
been placed in the employer’s management trainee program. The store was identified as a high shrink
store and SecurShrink was given to every employee after the store’s rate of
shrink exceeded company standards.
S e c u r T e s
t, I n c.
-------------------------------------------------------------------------------
SecurShrink
The Loss Prevention
Investigation Tool
-------------------------------------------------------------------------------
Company: xxxxxxxxxxxxxxxxxxx
Employee: xxxxxxxxx xxxxxxxxxxxxxxxx
SecurTest Reference: xxxxxxxxxxxx
Report Date: 06-01-2004
Location: 4166
Client Code: xxxxxxx
Routing Code: 4166
===============================================================================
QUICK VIEW
Score (Probability Factor): 89.65 % (Where 0 is Best) (EXPLAIN RANGE)
Score:
8965 (Where 0 is Best) TEST
KNOWN CASES
Results: ALERT - INCRIMINATING ADMISSIONS
Direct Theft Admissions
Percentage: 70%
Confession: ALERT - YES
Minor Admissions: YES
Ability to Admit Mistakes: ACCEPTABLE
Admitted Deception: NONE
Belief that Others Steal: IDENTIFIES GREATLY WITH THOSE WHO
STEAL
===============================================================================
_______________________________________________________________________
| |
|
The following is the CONFIDENTIAL
REPORT based on the employee's |
|
responses to SecurShrink (244). This report is intended to be |
|
legally privileged and confidential, and solely for your exclusive |
|
use, your legal counsel or those authorized to have access to it. |
|
It contains highly sensitive information that should not be |
|
disclosed outside your authorized management team, legal counsel or |
| those with a need to know. Do not show this report to the employee, |
|
as it is a tool to help you investigate unusual shrinkage. It is
|
|
not a Fair Credit Reporting Act (FCRA) report, as it is based on |
|
direct employee responses versus a search of database or archived |
|
records. |
|
|
|
Use this information to assist your investigation of the loss, as it |
|
is intended to be a tool to help identify those employees that are |
|
admittedly responsible or gave answers that suggest a structured |
|
interview will be helpful in your investigation. |
|
|
|
Report is gender neutral, as the gender of the employee is unknown. |
|_______________________________________________________________________|
===============================================================================
HOW TO USE THIS REPORT
===============================================================================
Absent incriminating
answers or admitted violations of company policy
this report is intended to help loss
prevention, security, HR pro-
fessionals and legal counsel investigate
shrinkage. A structured
interview will help you and your legal
counsel determine disciplinary
action, if any, based on the employee
responses.
Compare the Score,
Results, Confessions, Minor Admissions against
self interest, Ability to Admit Mistakes,
Attitudes or Belief's that
Others Steal, Admitted
Deception, and Percentage of both incriminating
and non-incriminating answers to all
employees given SecurShrink from the
location in question. This comparison will help identify those
employees
that you may wish to interview about the
shrinkage or losses. Special
interview guidance can be found at the end
of this report.
COMMON QUESTIONS:
1. What does the Total Score and
Probability Factor Score mean? These
numbers are provided to help you compare the employee's responses with other
employees from the same store over the same theft or shrinkage. These scores and percentages are derived
from over 25 years experience in testing thousands of employees in similar
circumstances. The higher the Total Score
and Probability Factor Percentage means the employee gave a greater number of
incriminating or revealing responses.
2. What does the Direct Theft
Admission Percentage Score? The Direct
Theft Admission Percentage is provided to help you compare only those responses
directly related to stealing from your company with other employees over the
same incident. Though this percentage
may or may not have some direct correlation with the total score and the
probability factor score, you may find that an employee with a lower score or
scores may still have important information that can help solve or better
clarify your loss investigation.
3. Should I interview only those
employees that SecurShrink identifies for a follow up interview? Most
experienced loss prevention, HR and legal professionals will focus their
initial investigation on those individuals identified with higher scores and/or
adverse admissions as these interviews will more often develop further leads or
evidence. However, a careful review of
every report may lead you to interview all employees or selected employees as
your investigation develops more facts, evidence or information.
===============================================================================
ABILITY TO IDENTIFY COMMON MISTAKES
===============================================================================
**** ACCEPTABLE
RESPONSES ****
The responses given in
this section indicate that the employee gave
answers suggesting common imperfections in
his or her background. This
would indicate that any negative
disclosures elsewhere in this report
have greater reliability.
THIS SECTION IS NOT
INTENDED AS A MEASUREMENT OF DECEPTION OR HONESTY.
===============================================================================
DIRECT THEFT ADMISSIONS
===============================================================================
**** SIGNIFICANT
ADMISSIONS ****
The employee gave
important incriminating information, which
presents strong evidence that s/he is
directly involved in
the current shrinkage and theft from your
company. You may
want to interview the employee to obtain a formal written
or verbal confession and obtain leads to
the stolen money or
inventory and identify other culprits.
The employee admitted
stealing the following value of items
from your company in the last 12 months
(Q8/A29):
$100 to 499
The employee admitted
stealing the following amount of cash money
from your company (Q15/A30):
$50 to 99
The employee admitted
touching the money or inventory when it was
stolen.
Only the person stealing the money or inventory would know
when such was stolen and thus this is an
incriminating admission
(Q34/A31).
The employee is willing
to make restitution for the loss (Q44/A32).
The employee confessed
that s/he was willing to write a letter of
apology over the shrinkage (Q62/A33).
The employee confessed
that evidence will be found proving that s/he
took the money or inventory (Q64/A35).
The employee confessed
that s/he has been tempted to steal in the
last 12 months (Q66/A36).
The employee confessed
that s/he was tempted to steal the money or
inventory that is missing from your
company (Q67/A37).
The employee confessed
that s/he borrowed some of the missing money
or inventory that is missing from your
company and is willing to
return or pay for it (Q68/A38).
The employee confessed
that s/he borrowed money or property from your
company without anyone's knowledge
(Q70/A40).
The employee feels
guilty over this theft (Q80/A42).
The employee confessed to thinking about
taking the money or inventory,
but denies taking it (Q84/A44).
Remember, often those
who steal initially admit stealing less
than the amount they actually stole. The employee admitted
stealing the following amount of money or
inventory from your
company due to low wages in the last 12
months (Q88/A45/A46):
$100 to 499
The employee confessed
to stealing a few items from your company
believing most employees are stealing
(Q89/A47).
The employee admitted
that s/he may have lost the missing money or
inventory (Q92/A48).
The employee said there
would be a reason for someone to say s/he took
the money or inventory (Q95/A50).
The employee confessed
to dreaming or thinking that s/he took
the money or inventory (Q96/A51).
Number of times the
employee has given unauthorized refunds in
a single day (Q97/A52A53):
5 to 9
Number of times the
employee has given unauthorized discounts
to family or friends in the last 6 months
(Q100/A54A55):
5 to 9
Most number of times
the employee opened the cash register in
a single day where there was not customer
transaction (Q101/A56A57):
1 to 4
===============================================================================
ADDITIONAL THEFT RESPONSES
===============================================================================
**** POSSIBLE
INVESTIGATIVE LEADS ****
The following additional
responses will provide possible
interview points about the current
shrinkage and theft in your
company.
The employee responded that s/he believed
the money or inventory was the:
result of:
Lost (Q4/A64A65)
[ANSWER INDICATES DENIAL OR LACK OF
REASONALBE ANALYSIS]
The employee responded
to the nature of the punishment one should receive
for stealing company inventory
(Q31/A66A67):
Given second chance (lenient)
Number of times the
employee admits being fired from a job for stealing
(Q32/A68A69):
1
The employee responded
to the nature of the punishment one should receive
if sentenced by a judge (Q51/A82A83):
1 week in jail
The employee responded
as to who should be interviewed for this theft as
follows (Q50/A81A131):
Me (self identification)
The employee responded
to the nature of the punishment one should receive
for stealing company money (Q33/A71):
Given second chance (lenient)
When asked where the employee was when the
inventory or money was stolen,
s/he responded: (Q34/A72A73)
Touching the money or items (CONFESSION*)
[Only the culprit
knows his or her whereabouts since shrinkage could
be caused most any workday.]
When asked if the
employee would give an admitted company thief a second
chance if the money or items were returned
or paid for along with an
apology, the employee responded: (Q41/A74)
Yes, everyone deserves a second chance
(leniency)
The employee claims to
know his or her exact whereabouts at the time
money was stolen from your company
(Q42/A76). Only the perpetrator of
the theft would know his or her exact
whereabouts.
The employee admits
being in trouble previously for stealing (Q43/A77).
The employee says there
are some that might say s/he took the money
or inventory out of dislike for the
employee (Q45/A78).
The employee believes
money has been stolen (Q48/A79).
The employee unusually
denies an opportunity to steal money or
inventory (Q53Q61Q65/A80).
The employee said s/he
was present when the money or inventory was taken
(Q71/A121). How does this employee know s/he was present?
The employee believes
this whole matter was an unfortunate accident
(Q82/A125). High shrinkage leads most to eliminate such thoughts.
When asked why someone
would take money or inventory the employee
responded (Q85/A128):
If it were I, the
reason would be to supplement my income
because of financial problems
When asked how the person
feels who stole the money or inventory, the
employee responded (Q86/A129):
No fear, laughing at everyone
===============================================================================
BLAMEWORTHINESS
===============================================================================
This section will help identify those that
have feelings of guilt,
Responsibility and/or culpability
(blameworthiness) for the loss.
**** SIGNIFICANT
ADMISSIONS ****
The employee has lost
sleep over the thefts (Q77/A122).
The employee felt ill
over the thefts (Q78/A123).
The employee is
convinced s/he will be blamed for the thefts (Q79/A124).
The employee feels
somewhat responsible for the thefts (Q83/A126).
The employee said there
would be a reason for someone to say s/he
was in the store at the exact time the
money or inventory was stolen
(Q94/A141).
The saw the money or
inventory that is missing when no specific items
have been identified as being stolen
(Q90/A130).
The employee admits
that s/he did not follow company procedures regarding
the money or inventory (Q91/A140).
===============================================================================
DIRECT KNOWLEDGE
===============================================================================
This section will
identify those who know who has stolen money or
inventory from your company.
**** SIGNIFICANT ADMISSIONS ****
The employee has
information will help solve the shrinkage problem
(Q119/A101).
The employee would like
to speak to someone confidentially to give
important information about the shrinkage
problem (Q120/A102).
The employee responded
that s/he suspects the following stole the money
or inventory (Q49/A94):
I prefer to not say
===============================================================================
MOTIVE TO STEAL
===============================================================================
This section will help
identify possible common motives why employees
steal.
**** SIGNIFICANT
ADMISSIONS ****
The employee's credit
history would indicate a need to take the
money or inventory from your company
(Q54/A105).
The employee is behind
in his/her current rent or mortgage (Q55/
A106).
The employee is over
extended on his/her credit card limits
(Q57A108).
===============================================================================
ATTITUDES ABOUT STEALING
===============================================================================
This section helps you
identify employees that believe others commonly
steal.
Though adverse employment action should never be taken based on
employee's attitudes, this information will
help you better educate
and train those about loss prevention and
workplace theft.
ATTITUDE COMPARATIVE
SCORE: 100 (where 0 is best)
ATTITUDE OVERVIEW:
IDENTIFIES GREATLY WITH THOSE WHO STEAL
The employee believes
most employees will steal if given the chance (Q104/
A113).
The employee believes
most employees will steal if they believe
they can get away with it (Q105/A114).
The employee believes
most employees are dishonest (Q106/A115).
The employee believes
most employees will take things from work without
permission (Q107/A116).
===============================================================================
CRIMINAL CONDUCT HISTORY
===============================================================================
**** SIGNIFICANT
ADMISSIONS ****
Often there is a
correlation between past criminal behavior and
recidivism into criminal conduct, such as
work related theft.
Interview the employee
to determine the nature, time and relevance
of the criminal conduct/behavior to the
current shrinkage.
Number of felony crimes
the employee admitted committing in the last
2 years (Q2/A4).
10 to 24
Number of months the
employee admitted spending in jail for a crime
s/he admits committing (Q3/A5).
100 to 499
Number of crimes the
employee has been convicted in the last seven
years that s/he admits committing
(Q11/A6).
6
Number of months the
employee will be on probation or parole for
conviction of a crime: (Q21/A7):
5 to 9
The employee must
report to a probation or parole officer (Q39/A10)
A check with the FBI,
courts or police will reveal the following number
of felony convictions (Q40/A11):
5
===============================================================================
CURRENT
ILLEGAL DRUG USE OR SALES HISTORY
===============================================================================
**** SIGNIFICANT ADMISSIONS ****
Often there is a
correlation between current illegal drug use or
selling illegal drugs with stealing from an
employer. Current
illegal drug use gives an employee motive
to steal. Interview the
employee to determine the relevancy of this
criminal conduct/behavior
to the current shrinkage.
Number of times the
employee has used marijuana an average day in
in the last month (Q5/A13):
2
===============================================================================
VIOLENCE HISTORY
===============================================================================
**** SIGNIFICANT
ADMISSIONS ****
Violent offenders may engage in other
criminal behaviors.
Interview the employee
to determine the nature, time and relevance
of the violent behavior.
Excluding his/her own
children, number of times the employee has struck
someone at work in the last 6 months out
of anger with an object (Q18/
A20):
4
===============================================================================
POSSESSION OF WEAPONS IN THE WORKPLACE HISTORY
===============================================================================
**** SIGNIFICANT
ADMISSIONS ****
ALERT: Determine whether the employee had legal
authority to be armed in
your workplace. Examples include police officers, security officers,
armed security officers, or others
licensed to carry a weapon at work.
The employee admits
illegally carrying a gun to work in the last
24 months (Q10).
===============================================================================
DISCRIMINATION AND HARASSMENT HISTORY
===============================================================================
**** SIGNIFICANT
ADMISSIONS ****
Though there may be
little, if any correlation between this section to
shrinkage or employee theft, it is provided
to help you identify potential
violations of company policy and mitigate
potential erosion of employee
and customer satisfaction. It will also help you benchmark your
commitment
to a discrimination-free workplace.
Number of times the
employee has refused to help others at your company
based the color of their skin (Q16/A84):
3
===============================================================================
CONCENTRATION, COMPREHENSION AND
CONSISTENCY
===============================================================================
The purpose of this
section is to identify those individuals who were
attentive to the questionnaire
instructions, questions and responses.
Also, did the employee
understand the questions and respond consis-
tently or is there evidence that random
answers were given?
RANDOM CHECK: ACCEPTABLE
COMPREHENSION: ACCEPTABLE
ADMITTED MISTAKES: NO
===============================================================================
STRUCTURED INTERVIEW STEPS
===============================================================================
You should interview
the employee about any adverse disclosures.
The
interview will help you make better hiring
decisions. Here are the
steps to use when interviewing an employee
about a SecurTest report.
1.
Never suggest that the employee made a mistake.
2.
Be direct in your questioning.
3.
MAKE A STATEMENT OF FACT, i.e. You said in SecurShrink that you
stole money or inventory from us.
4. Ask OPEN-ENDED QUESITONS that begin with
who, what, where, when
how, and sometimes why. Ask questions that seek additional
information or explanation, i.e. What
did you take? Why did you
take it? What are willing to do to make it right?
5. Believe the questionnaire report since it is
based on the employee's
self-disclosures.
_______________________________________________________________________________
We trust that this
report will assist you in your interview of this
employee.
Using a direct approach in this interview, you may want
the employee to explain in greater detail
any information revealed
in this report.
Please call our
Customer Service Department if you have any questions
about this report or need assistance. As always, SecurTest is committed
to quality service and questionnaire excellence.
SecurTest, Inc.
_______________________________________________________________________________
INTERVIEW REPORT FORM FOLLOWS
This
is an actual report from a high shrinkage store that resulted in loss prevention,
security, and HR obtaining a handwritten confession where the employee admitted
stealing $1,900 in inventory and $3,500 in cash. The employee was a cashier that had recently been placed in the
employer’s management trainee program.
The store was identified as a high shrink store and SecurShrink was
given to every employee after the store’s rate of shrink exceeded company
standards.
S e c u r T e s
t, I n c.
-------------------------------------------------------------------------------
SecurShrink
INTERVIEW FORM
-------------------------------------------------------------------------------
06-01-2004
Company: xxxxxxxxxxxxxxxxxxx
Employee: xxxxxxxxx xxxxxxxxxxxxxxxx
SecurTest Reference: xxxxxxxxxxxx
Report Date: 06-01-2004
Location: 4166
Client Code: xxxxxxx
Routing Code: 4166
-----------------------------------------------------------------------------
| PLACE
A CHECK MARK IN THE APPROPRIATE BOX AND FILL IN THE REQUIRED DATA. |
| ____
|
| |
| ANSWERS GIVEN BY EMPLOYEE |
| |____|
|
|
|
| ____ |
| |
| ANSWERS DOCUMENTED BY _______________________________________ |
| |____| Title:
___________________________________________ |
|
|
| _________________________ Today's Date |
|-----------------------------------------------------------------------------
| INSTRUCTIONS: |
|
|
| The following questions are provided to
assist your interview. |
| Fax to (813) 889-8200 and the designated
corporate manager. |
-----------------------------------------------------------------------------
| DO NOT DISCUSS THESE QUESTIONS OR YOUR
ANSWERS WITH YOUR COWORKERS, UNLESS|
| IT IS WITH YOUR MANAGER, LOSS PREVENTION OR
SECURITY MANAGER, HUMAN |
| RESOURCES, EMPLOYEES OF SECURTEST, OR OTHER
AUTHORIZED MANAGERS. |
-----------------------------------------------------------------------------
| Use additional pages if necessary to fully
explain each answer. When |
| using additional pages, place the Question
# (Qxx) by the explanation. |
-----------------------------------------------------------------------------
*** Interactive Interview
Notes (Shrinkage) ***
You admitted taking things from work in
the last 12 months.
In detail explain everything you have
taken (Q8).
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
You admitted taking money from work. In detail explain when
and how much you took (Q15).
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
You admitted touching the money or
inventory when it was stolen.
This is an admission that you took the
money or inventory. Explain
why (34).
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
You said you are willing to make
restitution for the loss. How much
are you willing to pay (Q44)?
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
You said you were willing to write a
letter of apology over the
shrinkage. What would you write or say (Q62)?
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
You said evidence will be found proving
that you took the money
or inventory. Explain the evidence that will be found (Q64).
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
You said you were tempted to steal in the
last 12 months. Explain
(Q66).
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
You said that you were tempted to steal
the money or inventory
that is missing. Explain in detail (Q67).
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
You said you feel guilty over this theft.
Explain (Q80).
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
You said that investigators will find an
eyewitness who will
say they saw you take the money or
inventory. Explain who and
what will they say (Q81).
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
The said you thought about taking the
money or inventory. Explain
(Q84).
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
You said that you are to blame for some of
the shrinkage. Explain
(Q103.)
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
*** Interactive Interview Notes
(Additional Theft Responses) ***
Explain what you believe happened to the
missing money or inventory
(Q103.)
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
You
said you have been fired from a job for stealing. Explain what you
took and when (Q32).
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
Where you when the inventory or money was
stolen (Q34)?
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
You said you have been in trouble
previously for stealing. Where, when
and what did you take (Q43).
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
You said there is some that might say you
took the money or inventory.
Who would say this and why (Q45)?
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
You said there are some that would say you
were in the area where
the money or inventory was at the exact
moment it was stolen. How
would they know when that exact moment was
(Q63)?
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
You said you were present when the money
or inventory was taken. How
do you know when it was stolen (Q71)?
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
*** Interactive Interview Notes
(Blameworthiness) ***
You said that you have lost sleep over the
thefts. Explain (Q77).
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
You said that you have felt ill over the
thefts. Explain (Q78).
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
You said that you will be blamed for the
thefts. Explain (Q79).
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
You said that you feel responsible for the
thefts. Explain (Q83).
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
*** Interactive Interview Notes (Knowledge) ***
You said that you have information that will help solve the
shrinkage problem. Explain (Q119).
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
*** Interactive Interview Notes
(Motive) ***
You said that your credit history could
indicate a need to take
the money or inventory from your
company. Explain (Q54).
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
You said that you are behind in your
current rent or mortgage.
How much are you behind and for how long
have you been behind (Q55)?
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
You said that you are behind in your
current debts. Explain in
in detail (Q56).
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
You said that you are over extended on
your credit card limits.
Explain which cards and the maximum credit
amounts and amounts you
you are over (Q57).
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
*** Interactive Interview
Notes (Criminal) ***
You admitted to engaging in criminal
conduct or having a criminal
record.
Every question must be answered in detail. Use additional
pages if necessary.
You said that you committed felony crimes
in the last 2 years. Explain
in detail the crime, when, and what you
did (2).:
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
You said that you have
spent months in jail for crimes you
you committed. Explain in detail the nature of the crimes,
what you did, how much time you spent in
jail or prison, and
where (3).
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
You said that you have been convicted of
crimes in the last seven
years that you committed. Explain in detail what were the crimes,
how much time you served, and where (11).
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
You said that you are currently on
probation or parole for a crime
or crimes that you were convicted. Explain how long is your probation
or parole, what for, and the name of your
probation officer (21).
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
You said that you report to a probation or
parole officer. Explain
how long is your probation or parole, what
for, and the name
of your probation or parole officer (36).
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
You said a check with the FBI, courts or
police will reveal a criminal
record for felony convictions. Explain in detail every conviction,
including the dates, locations, and
description of the crimes,
sentence, and judge’s rulings concerning
the conviction (Q40).
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
***
Interactive Interview Notes (Drugs) ***
You said that you have some recent
experience will illegal drugs.
Answer every question in detail.
You said that you have
used marijuana an average day in
the last month. When do you usual smoke or use it (Q5)?
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
*** Interactive Interview
Notes (Violence) ***
You said that you had hit someone at work with an object other
than your hand in the last 6 months. Explain what happened (Q118).
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
*** Interactive Interview Notes (Firearm) ***
You said you carried a gun to work in the
last 24 months. When
and why (Q10)?
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
*** Interactive Interview
Notes (EEO) ***
You
said that you have refused to help others at work based on the
color of their skin. Explain (Q16).
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
Thank you for your cooperation. Please return this form to the person
who gave it to you after signing on the
line below.
___________________________________________
(signature SIGN HERE)
==========================
END OF INTERVIEW NOTES =============================
-------------------------------------------------------------------------------