Depar~ment'of JJ.ls,tlc,e In~pector General Ques,ti,onnaire' Regar,Qing D'etctinee's
D:OJ-01G INVESTIGATIVE QUESTIONNAIRE

FOJ{ ,R:EVIEW ~~r:~;:eF~~~:~Ig~,~~t:SU~Ll~A~:E~PONDENTS
~UESTIONfilAIRE

ID: test-O 0,0005,29,

,As -of tl)~ l;ast tlm~ this':q!J~,~ionn;air~ w;as. ~a\(~~t some r~quire,(ffiel~s;hav~ nQ~ ~e5'!n cQmpl~te'd.
Pleas~ire,'vie)lli'yourresponses.
'~.

A.

'.

.'. .

.,

,

P¢r~onp,1 Infprmation

Please provide: the'follbwing information:
1. First: liam¢
2.. M,ldp.le !nlt,,~r:
3: Last name:
, 4.. Entered: on nut-y'Date (EOD):
:;: tun::ent Dlyislo,niField Office:
6., CL!rren.t job 't!t!e;
,7. Directdial office"teIephone hUmber:
8. F1~I C~II phone' m~mD,er:
:9"f~,i pager nutDb:er:

~ &,7(; PERAGREEfVlf=Nr
'6 & '7C,PERAGREENlENT
6 & 7.C PERAGREEMENT
6 & 7C
6& 7C

$peclql Ag,ept
6&.:7C;PER,AGREEMENT
fi ~ if; PER,AGREEMENf
6 &]CP!i.RJ.l,GREEMENT
6 '&.7C PERAGREEMENT

10. Best c90tCjct numberfof you~

11. At any time cift,er:5ep'teni'lJer H t 2001, aid you serve'a~ a member of the U.S, Military, or. as ~in,
employee:or c0ntractor of the FBI'or any other government agency., at Guantanamo Bay,. :CUba} Iraq;
Afg'hi?ni.stan; 'or in areCjs col}troll,~ i:!y the V.S. ,M'jJjtC)ry. or'a U.S. In!~lIigenc~ s~rvi~e irrwn\ledj0tl:witp the
,g\j)bal W.ill:" on l~I:rQt?

0·Yes 0

No

1,2. Enter the numbe.r :<5{ times Y.OU; w¢r.e,qepiQyed or:cjs~i,g n.ee!' to ,each of:th'e following 16~aUorisc
IGtiahtanamo Bay, 'Cuba;; Iraq;,.Afghanistan;,orinany areas controlled bythe"U.S. MilitarY or a U.S.

, iJ1tell!g~nce servrc,e):1-

'

.

'

For each deployment or assi~riment.complete t.he 'followin.9 section.
.
location 'select one)
':l~P,loYme.nt: qr lI!isignlJ1en':'I:~~imoil'or
De'p-IQyrri!:nt or ;a5~ign'r:neritendeil on.
"

~rrri({

,'''."

abou.t

orZlbou!=,

01/13}2ao4,
0.3/1,5/2.0.04
12.a. What wa~ -tt)e Qen:~(al ria!!ir~ anq p.urp'6~e qfY9Ur'assig riri1erit a'hd :a!=tiVjti~s;i
"

'

Work'as an irniestigaforwithlhe FBI Terrorist Fin:aridn~'and OperationsS:edJon (TF05)
12b. Please provide the' names of the_specific,camps, bases, or facilities where you worked.
Bq~'ed 9ut'of~he B!.lreal! Qp~ratioQs ,c.e-nter (~9C)r '~~gl1!iad iht~fn~t!QnaJ Airpqh .(BIAR).,. tat v;:lril!ot,Js
tim,~tlJJrlng ~he ~ssignmerit ,c;otld uO;~d jnterVi~ws/investiga~h'jtj:$in. aH~amadJ,. Abu Gh'raib pr.i.s6n, as,
well a$ seVeraf other Detainee lI1terhm.ent Facilities iii and -around the BaghOpd area'.
126. Note: If inform'ation about a spedfic camp, base; ot facilitY is,c1assified above SECRET,
please ,check her.e 0", inClude in your:answer that you ha've:"additlonal information.,dassified above

OIGQ-004880

'SECREf,'" ahd, if YQ,U kn9\',f, Identify the classification level, ticket; comRar,tmen~, pHJgram, or other
d,esig'natJdn that ,app:lies to th.e'inforrnation. Do not include the ad,dJtional c!qssified information in your
questionnaire resp'onses. GIG personnel with the necesSarY 'clearance will 'contact you to I'eceiv:e it.
Nam:e'

Position

,_§'~tJ

1

:~4P~!Yl~ori'~I2.~Ial ~9.~n.J~! fI}IJ{QlIF:.Q.S__ -,- _I

,

.~12e. Did you JOIntly inter:view. or interrogate,any detainee .with' non-FBI personnel?'
~,
'
0 Yes
No

•
:.

e

--------~-------------------------------------------------------------.

,:l2.f. I)i~ youj~j,ntly plan'Clny det91nee intervIew ,or:jnterrogatibn ;strategy, opJe~ctiv:~r. or tact!!3~ with noo:FE~I per~n.nel?

1

:

0

'tI

'.:.,.'

y.es

@ No
~_.

"J.
I

' __ ,

'.?12g. Were'y.ou ¢ver otherwise Jriv.olvea in detainee,inferYiews'orinterro-gatiolis with non-FBI personnel? ~,
:--'-'-- _.~ - -~--- - - - -- -'-- -'- - - - -'- _Gfu
0~
....- -'- - -'- - - - -'- - - - - -'- -- - - - -- - -'-- -',':

-

-,

--

--

--

"..:.,

---

'.'

..~:-.-,

;'"

'

...:

A.. Training Prio.r tQOv¢rse,as D.eployment'or Assignment
: 13. Did 'you .receIVe. B,ny. (ralnlny/ 'Inslrti(:tlon, of :guIdante speclfica lIy In prepa ration for ~lny of y.our
o~erseasd eployments or assig nments?

BYes
QNo
.ODo Not'Hecall
i-~a. ~ho, proviQ~ thJ.s ,t@iD!1J9( Jns~ructionj or guJdance.i' and V'{,b~re did you r~~eive it?
FBIHQ 'and FBI HRT
i3b,. De5crib~ !h'~ ~ubjecj: 6n which Y9lJ r~c~lved -this' trpin'itl9r insmrction or ;gt,lidaJlce;.
, Gener~1 info~r:nati91) aqout F:~I 9peration$ fn 1raq ~tJcJ ~119rt 'train.i,fl9 .bn'torce pr()t~G~lpn
~H~
.
DVes

,000 NdtReCall

:).5. I.n p.r~paTqtlon 191" aXlY of yQ"J'r '9\(ersea~ d,epJQ'tment,s Qr p~stgl)m~nt;sr

,

'il id ·YQ.U n~:ce'lv~(~ny trainin-g,,. ,
in$1:ruCtiotl, b(guidaoi:;e<:oncerning ',the;$ta'ndards:of.cond'u<::t appli<::ab.J~to'the tt;,eatment,
,
Iriterview" or Inten:og atlon of'detalnees by n6n- fBI :personnel7
OYes·

.000 'Not Recall

16. In p'rep-arptidh. for cHlY'qf yc;)ur tNersea$: i:I:epJoy'ment~.dr :assignm~nt;S.f did' Yc:iL! rec;:elye . a ny trqlning,
il1st,ruction,r.or.guidance Concerning ·wnat you "W~re'supposedtQ; do if Yo.u o.b.~Ned or hear~ about
,the treatment/'interview} or interrogatiori:€lf detainees by FBI personnet,. which you believed to
oe 'i.nappropriatej llnproressio!1SlI,. co~rcivei ,~~usiv~, 'or !-Jnlawful?

'ODo ,,Not Rec~11
!

1.7. In preparation for any of your overseas deployments or assighments,. di'd you r.elteive' any, training"
inst~uGf;ion, '-of gl!iqa,nce concerning what you were s!Jpposed ~9 d9 'jt'you observed ,or heC!Jd'about
the treatment, 'intervi~\Ii1, pr interrogation of detainees by' non-FBI personnel; which'YOu believed

OIGQ-004881

b6
b7C

to be, inappropriate, lmprofessional, coercive, apu~ive; or unlawful?

eNo

QDQ Not- ~eean

'lB. Tr.,aining Duriltg, ON'erseas Deployments or Assignments
18, Owing <:tny :of YOl!f'oyersep~ qeployments or a?signrpel)ts, c!1.d yOl! r~<;:eive any tt:Cl'lning"lnstr!Jctign,
, ~r !:lJljdar!Cl~ cp!1cerr:ling ~he'$tan9,ar~s !i('cpndu!=i appllcpl?le. tq ~he;. treapnent1 l!1tervle~~ qr
interrM?ltiQn of detaine~s b~ FBI p¢rs~mnel?

'0No

0Do Not Reca'fi

i9. Duri!1g ,any pfYQur o;ver?ea~)'dE;pIQy,rp~nt$or assignment~, did

YO!J Je'q~iv~ anY'~I9.in.ihg, instrLicti,on;
Qr'gu]qance ~<;)n:cern(ng tbe::,s.tanQ.ar~fs b,f con,due;t ,applicable. tp ~he ~n=aJ:m.en~/ 'interview/ or'
'
ioterrog'ation of d~tafnees' by non-FBI, petsoiiriei?
'

,OYes

'000 Not,RecaLi.

',2'0. Qllr'ing alW 9f your'Qversea~deploY,ments or assig]lments;. did you 'r~~.eive any-t.rqfriing, instr.u'dion."
qr g uidai1q~ conc~tn';ing what y,oM W~I:ErSuppq![ed t9 di;l if YQ.U :Q,bs~(V~.d ,or h¢ar9 ~PQU~ th~,
!rea~meh~, .intervie~~,?r' ,i~t~'troga~i~ri.,Q~.d~ta}h~es,bj F.B~: personnel, Which yo,u D,elievea td be
'
mappropnate/ unprofessional/ coerclver, abuslverorunlawful?

'OVes

:

bDo 'Not Recall

'2:1. During 'a,riy oryoar' oV¢J:sea~H:ieploymei)t$ or" a$signh'le.nt~r !1id you r~te1V$ any tr:a1riing, ih.'stl'Li¢tion"
or .Quidance."<::Qocerilin:g what you were,sU pposet! 'to do :if you .oDsei¥ed ,<::Ii beard a:boi:It~the:
"
treatmeAtf interviewt or interrogation of d-etainees by non.:.FBI personnel r which you ,Believed to ,
.be inqpp(opriat~f l,I!1p'rofes?i9n~l,: coerchler,',a'bLi.siV~, 'Qr'unl~WflJp

Ie. Ad~q ua'cy 'of Trainin'g
22. In

your' 9Pinion"cfid YO,LJ t.e,cei'le'i:i.aeYltiat~ tr~ining/

of Conduct by FBI'arid

d~tainees pri9r

instrUCtipn, bY gU,idcfnc'e relating. tb:st<fndatcis.
non"FBI personnel telatjn~f'to, treatment/ 'interView~ Of ihterrog'arion.of

to your~,ep,lo,y'I1)~nt'~rqssignrn~nt?

i~ . 'In your 'Opinion; ~ald, Y-9u r.~elyeade,guate tr;;tlnl119,' In,$t~uq:!onl,()r9ul,~~nce reratlng'to:.st~.nd~rc;lS'
of Condu~t oy FBLahd oon-FBI p,etsonnel r~lating, to;treatJi1ent( interView, of interrogation of
detairiees.'durJilg you,r deployment or'assignment?

'

-

24.:10 youLopinion,;did you receive--adeqiJate training,. instruction, or;guiffance concerning what you
were supposed tQ db it'You ol:Jserve<;l.or heard about the treatm~,nt:, interview, or interrogati(?n':of

OIGQ-004882

,detainees, oy fBI or; non-FBI p.¢rs6i'1nel, that
coercive, abusive, or unlawful?

you be.!ieved

w~,s

inappropriciteJ wnprofessiOhal r

28. (Optional} In -what ways> can the FBI improve training on this subj~ct for future depfoyments'or
:<!s$lg nm~nts?
.
Masrof th~se sul?j~s<ar€lcommp.!1'sense an.d 'experienced FBI,c;lgeT]ts:do not l1e.ee!?!?arily need arty,
<~p'ecifjG. :rrainin~ ,on th'€lm. '

Jo. CQmments'
,

26, Please provid,e.anyadditional information' concerning training for ov.erseas deployments or
F!~signlT!ents df FE:$I R~r~onne! ~9u Q¢Ue.ve!:? re,~v.ant.

There?lr~ too many ine)<p'er:~nGe~ FBt:agents qeihg a~signed to ~/Je~ jQbs:o'lfer:s'ei3~. Exp~ri~(l~e in.
W.ould ensu~e th;;lrag~hts ..gp.!ng o--ve'rsei?S flJlly l.md,~rst:anQ·
the rules',Of conducit both, CON U.S: anti O:CONUS.'

,Co~\.I.S Jnv!!stlga~lOns.ahd prlsori~'r.handling

·lilw·;i.,tD~:,~~',~'~~~'~~:,:"

',' ':

)l1til~.@t;OO:W.V~:@tt,~'~·,,::-,
"-",J'.,

',~

IntroduCtion to Part'IU: lh, this-sectlon, we ar¢ ,seekIng inforttlati911 .regarding a livid,e r.ange' of
'interView 'or interrogation techniques and other types: of detainee treatment alleged to have occu rred.
You $hoJ.JI~, not.a~~um~; jl,l.~t '!?eq:!use w~~.!'3re,a~king, ~bq\lt, A parljc,l!lar technique '9f prqcti\:~, tbat, we: I:)a~~:
c;o.m:lud ~~ that i~ in fc\ct'9,CC!,Im'id. We re~og hize .th~r ?C?lT!$ of the~~'technjQ"fe_~''O'r'praqic"es. 1l1?ly. ~t tir:n:~s
be, nec.esSary for >safety and security, in a ae:tehtion' 'setting'. In addition'" we fecog niZe thatis,ome of these
Jeehniques.or ,practices max nave be.en authorized for use' by milita'r'y·or- othet:goyerliinent 'persQnn.eL.
-W.ith r~~pect to ~9~h ig,en~ifjed te(;hl,1igu~i pf1ld,ice,. Qr 1:yp,~ Or'con9uct d,esc;.rfR~ ~:eti)W; 'Yv'e:ar~ ,se~Kin.g
'intqrmati6na't5.0li~ it~ Q<;:c\.irr~n:¢e~d~riri9 :~tin ;q:irine9ti!>n 'WitI'! t6~ in~erview Qi' il:lt.erroga~ioli 9:fa
de'taiJ'1ee, or durin,9 the detention of it de'taihee beyond what needed for,safety arid~ecuritt
,In that context, we will ask you 'to tell.us w.hether;oneor more of the, following statements are true:,

is.

1. I PElr~on~IiY"Qb~rv~,d .thls,9?'19uC~,

2.

"

.

I,'.o~~iye.d ,d¢,taih~(~) in'~ :cgndLt'ion t.hc:i~ led m~t<?l;>,eHeiJ:e.);hat this;co~ndJI!=t: h;:jd.,Qc.~ut~d.

.3; D.etaineets) -told :me that this conduct' had ,o,c,curred.
,4. Others w.bo ,observed this cariduGf·d.escrlb.ed It.tO me',

5', I have relevant information classified ab.ove

9'.

I~SECRET~';

I n~\ler"ob$erV~ ~hi~ ~o'n~uc;:t: ngr h'e9rd ~1?P'u:i:

It fn~in ~qmeqne who 41d.

,,2:7. Deptivi nga .deta inee' of food or wat,er
a,

o lr persanaOy'observed this tond'uct.

b~

o II oJ:>serve,d', de1ai,ne~(s)

r!1,~'ci)nd ~i9n ~~~t r~ me, to' b~n~ye ~h§~ tpi~ <;'?n:qud ~!3.dqC;<;J:lrr~d.

<;.. D.lbe~~inee(s) tql,d. me that this r;:ondl!ct ~~,d .occrmeo.

d.

o

lothers, who observed this \=ond!Jct d:e~cr!bed It tp me:
. -.-

-,

,

-

OIGQ-004883

.

-- -,

.~

- -.

e. D I have relevant Information classified above "SECRET".

f:

rtf

I never observed this conduct nor heard about it from-someone who' did.

28. D~priving :adetainee qf ~I~thing
I p~rs6riaIIy ob~iVed ttiis,coflOuct.

a. 0

meta believe thatlhis conduGt

b"

D I,bbse'ryeq,de'tainee(s). in a.conditiorith'at led

c.

D Detainee(s} told 'me t!iat this,cood'utt ha'd ,O,eel/fred,

d,

0

e., D
f.

0

had o:Ccllrreti.

others' who observed this tohdirct described it to me.

L hav.e relevant information classified above, "-5ECRR".
I never'observed thlsconduQt nor heard 'about It from someone.who'dld,

::i~. Depriying '9 detainee ors~ep, or i,nt:errupting ;~Ieep by fr~u~nt e~1I reIQcatj~nstor':Qt~erllJ~thQos

,a. D

"p~(sOnally, a,bserVed this ,'conduct.

, b. D I,bbservecJ detainee(s) in ,acond ition that led me

c.

D D'etal.n~(sJ told

to belie'l.e .that this conduct had ,o(!curred.

me that 'thiS cond,lJct had ,6.ccarred.

d. 0 Olhers who obserVed this Goiidlict aescribed if to nie.
e. D ~ have relevant iriformatiorr dassified above .. S'ECREf" •
f.

'

,

D I never observed this. conduct nor heard aboutit ,from 'someone who did.

g. Pleas~, provide the approximate. time frame"during }'I'hich th,is:conduct,()ccurred.
FJ:dnt 0212004 to, 03/2004
'DD:d Not Re@lI
~, T~e,detf3ll)~,~£~J treat~9 it) :tl1j~ Vf9Y ,w~r~ I09fl,t,ed ~t the t1rrre in;
1; DGuantanamo
~lthrqq

.. , '

.3. 0 Afghanistan
'4
5

D
D

Other Location
DO. Not Recall

i. Pleas¢~'iqe,iltify th¢.,d~t~in¢¢.(§")
do not retail specifics

by 'name and. tiurnb.~r.:',

.j. ~I~ase i!;l'entffy the person(s) Wh9 trea,t~'d' ~he Et:etaine!=(;s) in thi? m-qnner, fncfuqing their
ri~met$):andgoVerrfrtiefit i;lg~n~y(ieS):
,dO' nO,t ie~lI spe~ific,s'
,

OIGQ-004884

k. Please identify any other fBI personnel or noh-FBI persollnel who,observed detainee(s) treated
in this manner, including their name(stand agencvlies):
1;19 nQt recall

1. This.conduct ol:c.urred in connection .witH:

100ne.d.etainee
.2 O.S.everaJ detarli~s, (2-4)
3 0 ~any .detalrie¢S (more than 4)
40

00

Not Recall

.

til. (Qptipnal) Pl.ease deScripe the-'televalit cir,currfstarrces in -mPJe d.etail:

"-30. Beating a detajnee

.

a. 0 i p'e[~i'laIIY db~rv~ _this·cond(j~t.
O. 0 obseYV,ed detafri~j:!(s) itt-a oonefitiof) that ied m~ t6 b~ljeye that'thi~condu~t had"o<;:d.Jrr'eid.
c. 0 'a¢rpln~(s) tOld me that thi5.CdooLltt ha'd .oCcu(red.
.d. 0 Others: whb .ob.served this edna Li.ct dci;"crib~ it to me.

••I-

0

I,haVe relevant information Classified above "S.ECREr'.

~ 'I ilever observed. thls;oonduct nor-heard :aboutlt frotilsoniebne who did.

'31. U~fng water·t.o prevent breafhlng Ilya detainee 01' to, c;:r.eate .the s~nsatlon of drownIng

la. o II persotlajiy'~bse~thls:c-o-ndu.ct.
lb.. o !t pbse.rved tleta(ne:e($).ln:a cqrx:! itlph "!hat i~ .me to believe that this cblidug Hap :ocQJrred.
c.
d.

o iDetainee-(s) told me tfiat 'thls conduct had ,octorr'erl.

o latHers: who obsetv'ed this roodi..lCttlescrib¢ it to. me.

,e. o ~I ha'Ve r¢levant Ir;j'fiitmatian 'classified i1bove, '~SE.CREf~.
‫ן‬-

.

m~ never observed this conduct nor. heard ·allolit.lt from sOmeone who did.

3'2 Using hands,'. rop""
-, or anything'else to choke or strangle 'a detainee

0 'per.sol1ally' observed jhis COllducl
b, 0 I o.b$ePi€:<J 'tl:eta"jnee{"s) Iii ,3 ,ccirld ition tnat ted me" to belleve.that:tnls: ¢ndutt bad .occlln:ed:.
c, 0 O'etaitJ~e(s) toid m'e' that this ~d'l)dut.t had oc.cllrretl,

a'.

OIGQ-004885

d. 0 Others-who observed this conductdescrlbed It to-me.

e. 0
f.

0

a.

0
0
0
0
0
0

b.
t ..

d.
e.

I.

[. have refevant Information classified -above !·SECRET...

r ~~ver obs~rvl(l:d thi~'c<?oduq: n9f heard about i.t from som~on~'whQ did.

pers6nally'6bserVed tHfs:eohduct.

I bbserved detairtee(s} ifl'a·conditiontht:lt Jed me to believe tnattnis cOnduct had ·Q(:;cun:eo.
Oetainee(s-) told me that this Conduct hatl.dcciilte:.l.
!Others who observed this-conduct: described It to me.
I henle relevant Information' classified -above llSECRET"'.

,!lev,er o,bs~rv.ed thfs,:mnd.iJct n9r h6::!,rd iab:Q1Jt, it 'from sorne~>ne wt)o did"

'134. 'Othedrea'bnent Qr ~i19n Ci'!.U,SJI.l9, ~lgnl¥ical1t p'hYs:lcal pain or lnjlJry, or c?;lU~llJg,ql~'f!gurel!lent·qr
death:
.

a'. 011 personally.obsei:ved
b.

thIs conduct.

o 'I observed detainee(s) in a t::ondition' that led me to believ.e that this. conduct had "Occurred.

0
d. 0
e, 0
j, 0
c;

Detainee(05) told me that this conduct· had ocOJr.red.
.qHlers who ob~rved 1;hlo5 qJnduqt descrlb'eQ It t9 m~,
have re~v.ant lJ)formation d"'o5sifie<:! above "SEtR~~'.
~ rr~er o'ps~rve'~

t!lf:s ¢;>I)duct f19f hear!l:about i~ 'fro[l1.sglJ1eQn~whodid.

·~5. 'PI\1clng a detaln~'qn'cr hot 'Sl,lrfa~ or burnln9. :a·t1eteilhe~

a. 0 r persOnally ob'seNed thIs GondUc.t.
b.

c.

d.
e.
'I.

0
0
0
0
0

I:observed defufnee(s} in,ai::ondition'fhat led

me to. believe thc3t'this conduct had bcc::urreCl.

Detalnee(s)'told me that this conduct had occurred.
O~hers. ~.~o obse~ed t~is ~!ldu~td~s.c;~i~eq it t9

f1le..

I:~av~ r~levarit lntormat!on c1.a!:>s:IJI~ ~b9v~ "'S~CREr...

I never'Qbserve.d ~hl$ tonduct'nQr .heard 'abQut;it 'from ;i9ri1eone,'who pid.

OIGQ-004886

,36. Using ;shackles 6r other restraints in a'

_

p.roIQrfg~e;.;;d,-,m;.;=a.;.;n.;.;ne.;;.;r,--

a.

o ir personalfy,observed tl1is;conduct.

b.

0 . LobserVed' detalnee(sJ In :a,cond itloh, that led me to believe thanhls conduct had occurred.

c-

d

Detainee(s) 'told me that this cond uet had ,oecu rred,

0 Others who observed this conduct described it to me.
e. 0 I n!'l\(e releV9Jlt:fnformatlol1 ~)~ssjtreq ~1?ove ".s:~CREJ·\
t, lrl r_'>,neverobserved
about it from.someone who did.
"
'."'"
• this
,,' conduct
'" nor
• ,,/ heard
"",

d,

~

~

> -,

".

•

~.

.~,

"

"

...

'to

••

37.

R.~qJ.liring'.a,detajl1~e'to·mqin.tain, W restrainihg a ,detainee in~,;;1 "stressful or pa'inful, P9sitf,<>n'

l·a.

0 I persottal!y obserVed thi's ,cooduct.
0 lI;ob~erved detainee(s) in a,conditiolfthat led 'me to, believe that this conduct had ,occu'rred.
0 !oetalnee(s) 'told ,me that this torn:luct had ,occurred.

b,
e~

!d,

0

IOthers who observed this condl:lct descrfbed It to me.

It

e', 0
hav~ relevant, inf9rmaticin cla,ssifiecj Q,b9Ve "SECRET",
f. 0 l~ n,ev:er'o'bserved, ~.hls 'conduq nor h¢a rd ,about it fr0tnsomeon~v·m,o did.

b.

0 r pe[Sonally~obsetvea this :cohduct.
0 I :bbserved detainee(s): in ~ cond itio,h that led ,me to, believe tnanhis conduct

t~

q loetainee(s) told 'me that this conduCt had 'occurrecL

a.,

d.
,e.

f.

ha:t! -occurred.

o IOthers who observed thls conduct-described It to me.
o II. have relevant information classified above, !ISEtRET11.
0' r never observed this/conduct nor heard 'about it 'from"someone'who did.
j

~

••

...

••

• .•

• ,

•

.

~

,

.

.

•• '

• "

•

•

•

I

>

,39.. Using el~ctr.i¢al shoc~,(;>ri a peiai,n~e

a.
b.

0 1. personally obserVed this ~ofli:luct.
0 I 'observed detainee(s} II' 'a cond itiCin that led me to

oelieve that this conduct had olicurr.ed.
,.,

OIGQ-004?87

A

c.

o !Detalnee(s) told me that this conduct had 'occurred.

d.

d

'e.

T:

0

.~~

Others who observed this c(imd uct described it to me.

rh:ave r~levant inform~tiC?n c1assjf[e~ ~~ove I~~ECREF'"

o II never obs~,rv~:<;1 f!l,is, COri~ upLnor heard aboLJt it fronr SClrpecme: Who, did.

0
b. D

I perSonally,observed this ,conduct.,

c,

O'etainee(s) told me that this conduct had ,occurred,

a.

0

0
'e: 0
t 0
d,

Lobser:ved .detainee(s) in a'condition that-led me to believe thafthis conduct had .occurred',
Others. wh@ :observed -tnls conduct described It to me.
I h.gye releyant il1tof!'J1?lti(;>n. 'classr~i~Q qbove "·SEcRET"\
I. n~y'~rQ..b?~rveq t.tii? 'C0D.ctuct ,nor h~.rd abpu~, it frpm S0I]TeQ!1~ VlDo did,

4~. Int€!ntiqnally dela~itjg or.denying' dE;taine~ m¢Q.ical care

,a.

0 I. personally obser:ved thls·~oliduct.
.b'. 0 r obser·v.ed detalneets) in 'a'.condition that let! me tli believe thaflhis' <;qndud. had .occurred.
, c. 0 Detalnee(s),told me that :this conDUCt had ,o,ccurred.
d,
.e.

f.

d

iothers.who observed this c0ndl:Jct,des,c,;ribed.it to me.

o II. have releyant information classified above "SECm/I;.
o It. never Qbserved this 'C00Qu<;t lJ9r heq rd abollt it'from. ~olT1eone'wh.o,~id.

fa. D
b.. 0

I. pers6naUY obserVed this .cbi1<JIJct..
I observed detainee(sj- 11'1 a.cOhditidn that led me'to belJeve ttiat. tnis',c6nduct had occur-red.

is o !oetainee(s) told me that this conduct had .occurred.
I

-d-, D
e.

0

T. D

others who oJjserVed this c0.ndud described

Ift6

me.

1- have relevant Information classified abov.e, 'ISECREf",.
I, nev,er 0J)~rvecJ this ·C011d.lJ~t n()r beq'~d :abpuf it

fro!,,. SOJT1epfl~' w~o

did,.

OIGQ-004888

,g. l'l¢?ls:e: provide the appr9xlmate time fram~,du(lng whlch ~hls:cqnd,u,~~ Occurred.
From 0.1/2004 ~o 03/20'Q4
DD'o Not Recall

, h, The detalnee($) ,tr.eateg in this w.ay

w.ere. lqeated at tMtim¢in:

:1,.0 G!JeHltallam<;>,
20 119q
3D AfghanIstan
4 0 'Other Location
~ ,0 Do Not ReCC!1I
i. Please identify the:;aetainee(.s)
do not recall specifiGs,

by, name and, mJr'nber';.

'j, PI~'se, iden~ify th,e, 'pers6nt~} who ~re,ated'th~ a~tajrte~(~) hi 'this mannSlr, inGrud,ihg their
'name(s),and 'government agency(les):
,do not recall' sp,ecifics
" '

k. PI¢ase IdentifY'any' other: fB1 personnel or 'np'n;.rnI 'p-ersorin'el who,obserVed detalnee(s): treated
,in this manner, ilicludin~ their name(s) and ag~i1ey'(ies):
dQ ,npt. reca,ll ~p,eCifiGs;
L "this cpnduetocturr:ed In' ~OlJnectlon with:
1 one: detafn~,
'

q

20 ,Several defalnees (~-4)
3<!> Many detainees r.morethan4J
4:0 Do Not ,Recall

m. (Op.tidriilll Please' desCribe-the, relev.ant drClir'ristanGes: in more :detail:

:lJ.;3.Su bj~tiD9, a detain-ee to 'extremely' cold or .no~ room

tem,pe~ture's fqr ,e~t~nded per!9ds

P. 0

r personally obS:erved thJ's conduct.

b. D

rOQ~rv.e{j detairie~.(5). in ;a',\Zoftdjtion, that Ie{! me. to beli~v~ tliat tbls cor(dupt haa

c. D

IDe\:ainee(s) tdld n':l~ ttiatthls conQuct' ba,cCoccurr.ed.

d.

~

e'.

pecurrea.

o lothers who observed .this, coliductdescribed ittb, me.
o II haverelevali1: information dassified above "S:ECREf"!.

f. 0' II never observed this .coildu'ct nor, heard ·about it from ,someone who did.

4.4. -Subjecting

<;l

d,etainee to loud music

[a] D II p~rsqr'ialit6bserYed' this conduct.

OIGQ-004889

..

b.

.

.

,

,

.

'

.

o II observed detalnee(s) In a .cond Itlon that led me to believe that this conduct had ·occurred.

c. [j rOetainee(s) told me that this conduct had :occurred.

cr.
e.

f.

mlothers whl? observed this condu!=t descri~ed it to m~.

o II hi3v~ rele.yan.t information da!?sified qj;>ove "SECRET".
o II nev,erobs.erve~ this,cQnduct nqr.hear,d -abQutit from ~omebne:whp did.

· g. Ple~~Ej pr:·(Niqe'tl1~ ~pptq~impte lime frC;ime 'during. whl!=h tnis conJi,Qc;:J; (jct.IJITed.
From ,02/2..004 to 03/2004
.
000 Not Recall

h. TheJjetail1!=ler~) Jr€C!tec;i in ~1115 way w,ere:1o.catep at the -time (o:

1. 0 Guantani;!n1o
2'~'JId'q~

3,0 :Afghan istan
:.lJ, [j Other Location
,? ,0

Do

NQt R,ec~ill

i. :Please'identlfY. the:detaiJiee(s) by flame and nuniber,:
· d,o not regtll ?pecifj,<::s

j, PIS!as~ iden,tlry the p~r?'qn(s} who tr¢aJe'd' ,the. !:IeJ<;linee(s) in tll!~ m'ann~rT iri~ludlng tt'feir
· Iiam~rs). ana >gdv:ernni'E~nta'ge'nty(les):
'
do not recall specifics
'
k. Please, id,ehtlfy any other FBl personnel 0r' non:-FBl,personnel'Who..,obserVed detalriee(~) treated
.in this manner, including their name(s) and agency{ies):
po n:qtre~11 sp.~!fk$

i~ This :cQridu~t:btcurr.~ in cQnneqion witt:!:
O,Q'ne~~tain~
2: 0 ·S·ev¢/'.al d¢lairiees. (2-4)

i

3 :0. Many detainees (more than 4)
Do Not Recall '

if.O

rho (Optio,naQ Please' describe' the 'televant Circumstahces' iniiiore'detail:

45', ,slJpje!=ting a detaine~ tq,bright flashing Iight~ or p(arknes~
a'.

&.

0 I pf=r.son-aJIy- observed. this .cbndutl.
0 I bbserv.ed"d~t;:jinee(s) in a:cbnd itibr:i that led me to believ.e that this cbn~uGt h'a4 .occurred.

c:

o !oe.tai ne~.(s). tQld :;-ne thatthis' cond Lict had .occurred,

d.

0

e.

I

Otbers' who nbsefited this conduCt described it to hie.

o if have relevant information' classified aboV,e "SECRET

D
•

OIGQ-004890

JII0Ji never observed this conduct nor heard about-it from 'someone who.dld.
46. Isplqtinga detaineE< Tor an extended 'p~riQd

.D
b. D
G. D
d, D

a.

iI per.sonally observed this ,ccindott.
II obseryed detainee(s) ih a co110 ition that led me' t9 beli~ve tbat this c,onduct had ,occurted.
\Oetaine!a(S) tola :me that thjs'condud had ,occurred.
latbers whb observed this conduct described iUo me.

e.

o iT haVe relevant information classified aboVe )'SECRET'!.

f.

~ ILneveLobserved this'conduGt nor'heard a00uUt'from,someone who did.

'47. Using duct tape to r~str.aln( 'g,ag.( or pu nish a .detainee'

B..

o II p-ersona.ll,y:obrerved this;·c<m,duc,t.
o II' observ:e~ d,etaine,e(s)' j~ 11 cbi:1d i\:ibri tnat led _me:. to' beli¢v.e that,this cQ'nduct had :ocGurretl.

c.

0

D'et~linee(s) told

'd.

o 'Others' Who obser.Ved this conduct descr.ibed It to me.

.e:

0

I have relevant jnformatio.n classified ;::lIJoy.e "SI:CREf" .

f.

0 r never'obseNed this·conauch'lOr· heard 'about it 'from,'someone wh9 did.

c;I~

\

48.

'

,

' "

.

'

me that this. cond u~t had .occOrred.

L!s!ng rapiq r:esp9!1Se t~m~ and/or forced cell ext@etl{)ns'

r--C--'l
,a. 0 II p~rsO'riallY·Olf~erve.d·this conduct.
- -::I
.

o

.

,

.

b..
jf ol1s.e:rve!1 ,d.etainee('sJ 111.·3 :cond,ltlon that led me to beUEwe that this ton.duct' had occurred.
C. 0' [Detaihee(s) taid me. that this-cpnduc.t had 'occurr.ed.

d.

o ~othet5· who observed .thiS- ~6riauct desCtiDed it to me.

e'. D II ha\le ·...efeM;int Inform-atlbil Classified cilioye ':SECRET".
to 0';1 never 6bsenied'this.c:oridud nor heara 'aboUt it from someone who did .
.__ ,- ._A_ _ .... __... , .. ..... _._ .,_ ........... '._ ,_ ..,,_._'................. _ . '"'''''' " "__ '''''''''' __ ' __' ______' __'''.-'

49.. Using.a military working

-,

dog on or near a detainee 'other: thanXluring :detainee·transportation

OIGQ-004891

,

.-

a. 0 I personally'observed this conduct.
b.

0

I observed detainee(s) in a condition that led me to believe that this conduct had occurred.

c.

o 1De!ainee($) tol,d me th.at this,condl;lct ~ad'occl,lfr~L

<:I •.

p

Qth~!? whp 'Qb'served this c.ondL!'ct.Qe~~ri!led It to me:

dassifiep ,al;J'ove "SECRET"-.
0 I have relevant information
--,--,.,
.
f. 0 r n.Ew~r o,bseryed, this tpndlJ,et nor hf>Prd a~,o~,t it from,sqm~one-w.hodip,.

e.

50,. Threatening to .use mJlltary workIng pogs on or near

a.,

-------.

a detainee.

D L p.ersonany observed this 'conduct.

0
c,_ 0
<t 0
eO' 0
f. 0,
b,

I 'Observed 'detalnee(s) In 'a cand ition that led me to believe that this aonduct had occurred.
Det9i[lee(s) ~old

me thgt this, conduct hpd occlJrred.

b~lJer.? whp '0Pser:y~d t,his c0.nd,u~tdes9fLOed it tp fIle._

I have rel~vatit IlJf0rrn_a~IQn c:1a.'S~,lfle9 Cjb9V~ ",$EC~ET'!'.;
I nev.er oP?,erv~9 this '<;ond ut;t nor h~ro ,abQm· it from $<;>lT)e~n~' Who did.

b.,

o II pet-Soriaffy' observed thiseoridu'd.
o n·observed detainee(s) in a <::ondition that led me to believe that this Gonduct had 'occurred.

Co

O· (Detainee(s) told me that this conduct. had ,occurred.

a'.

d.,

-

e:

o ~bt.hers· who obse(v~d this condu,ctpescribed it to /Tle;,
o iL have rel~\fant informptl<;>.!1 ,<:la~sr:f[eQabove "SECRI;T"·.

f; ltJ'II n~,verops,erv~,9

D
b. D

a;

tl1ls'C;;9J1duct 'nqr,heaq.J ~pgut.!~ .frp~ ~qJ!le9'le:wbo di<t· .

!I personally observ.ed this .conduct.
!IobserVed de'tainee{s) i1l;a .c_ond itio.h'that led me

fo, believ~e tMt;tnis conduct had .ocdirred.

o Ioetainee(s) told me that thfs conduct nadoccurred.
4! o ti)thers wh9 'o!:J~er.ve.q t~is C8,nqUCt de!?crjbed it to IT)e..
o it ~ave retevan~ IlJtQrmat.ion' c1assifiedal;>ove I!S.EC~ET"·.
c

~.

OIGQ-004892

[~f ,[ never observed this conduct nor heard about It from someone who did .

.53. [H~resp'~1 ~taterne'rits; handling, .or<lgions involving the' Koran

o

b.

1. personally observed this conduct.
ohse:r.v~d det~inee(sJ iha tond ition th~t led tn~ to belie.ve that this conqu¢t ha~ occunetl.

o II

c.

o

!Oetaine.e(s) toJd tne that this cond uct haa .occurreCI.

a.

0 Others' who ,O.bsefited this conduCt described it to me.
e. 0- r have relevant i't1formation classified aboVe "SECRET"'.
d.

Itt r. never observed this'conduct nor heard abouUt 'from someone who did.

[

:54, Sha\(ing.a detainee1s'fadal or other hajrto ernb?!rrass:oLhumillate·a defa'inee
a.
b.o

-

Dip p~er$Qnai!Y:O:bse-rv.e9 ~hls,:c(m4uct.
_1;1 II' observea detaine.e(sJ jli :'acoiiditibn that led me to beiie.v.e thaUhis' co'n:duct had .oCGu'rrea..

.e.

o :Detail)ee(s),told me that this CO!1duc.t hac! .occurr:ed.
o IOtb~rs' Who observed this pond'Uct d¢sctibeP It to me.
o Ir have releyarit iof.0rmation c1assiTiea iJ60Y.e "SECRET" .

f.

ltJ 11 never- o.bserved. this ·colidudnor· heard :abciut it fr0m someone 'who' did.

0.

d.

a. o
b. '0
t. o
d.1

E"l

1_f.

!I pe:rsatialiy.6J;f$er'/ep this conduct.
II observed d.et;3lnee:(s): In. a COl')dltldn th.at led me to believe that thIs tonduct had occurred.
IOetaihee.(s) toid me that

this conduct had ;o,ccurr.ed.

0 IQtherS: who ,observed this conCluct d'es"dibea it to me'.
0 ~ ha\le relevant Inform.tI,," t1"'sffted .hove ':SECRET",
.
0' Jr never
observed this ,conduct nor
heara aboiJt it
from
solileonewh6
did,
",-.l..~
.•.•,~ __ ........ " __._.-..........,,
,,"_"'" ...._ ..,
'"
__ . . . . . .
_'0. ____
...__

--- -

~~~--

_-.

56. Touching.a detainee or ~lCting -toward a d.etainee 'in ,'Cr sexual manner

OIGQ-004893

.
,

,

D I personally'observed thls.conduct.
b. D Lobserved detainee(s): in -a 'cond ition- that led me to believe that -this Gonduct had 'occurred.
c. D D~~ajnee(s) tol,d me trat thi~ condLJct ~ad 'o-C:;CLJrre9.
d. D lbth~~ WhpoQ'serve.d this condLfct l;I'es~rfbeq It to me.
I hav,e relevant inro,n;nation c!assifie.d pb'ove ",SECRET".
-e.f. D.
0' fnever o,bserved thi~ tQn.d4~t nor h~rd'Cl~put it from.sQmeone'whQ did.

-a~

--,-1

57. Hold,lng,detaln~,(~) wHo were: not pffl!=laIlV-acknowletiged brr~glstered a:; such by'the,agency
"
,
:,detainiiig the- persOn. '

C!., D
b.

D

(p~rS9naIJy 0b~l'Ve9. tbIs CQ!'Jduct.

I opserve~'d,et,ail)e'eIs1 in

'fqmp i~ioh,that led

l')1e ~9 !?efieve.th9.t'tbis <;Qnd!1~t had Q~cur(~p ..

o ib~tai.ne~(~) told .me tnClt thIs. ~ond:uCt h?d -o'~urr.~.
d. o iQthers' wb9 .qb'sel'y~l;l thi~ f:;QfJ~,IJ,Gt-d,~,s¢rib~,d it to' m,~
e', o ir, have re.lev~mt inr9rmq,tfo,h GIc;lSsified ab,,::ive. "SEC'RET".

'C;:,

f.

mII iiev,er Qllsenled this_'e<)ntli.J<::t rfo(h!?prd :abo4t it from sdm'epne:who djd.

58.Seddillg a d.etaineeto ahotliercril.llitry fof mOJe:c~ggr.essiv_eiriterrogation

D ~I; persOnalJy"obs~ryed thi~ ,<ondvet,
b',. D ~I opseryea detainee.(s.) in ,a:'cond ~ion that i~d me la' bi;:lieve that this conduct bad o~,Gurrec:l.,
c; D lDe~~ine¢.(~) told rn~ ,thgt tbi~ ~ondu~,t hatl-o·~!;\lr.r:e,d,
c..:- r--. I
"
..
d. D ~Other:s: 1f..!ho :obs~fV~~ t,hl~ cb,nd!.1"~t,des~IIQed It to tile.
e. o have releyarit ttiforrnatlQn' t1a$sifi~d ;3bby~ i l $ EGRET" ,
f. 1£1, n~v¢r ¢.b's'~r~ed' this',cpnduct nprh~rd .!;ibo.ul itfrorri"sQnl¢:Qne:whQ did.
ijl;

it
it

:>9. Threatening to /send c'f detainee to another country for detention, 6r 'more ~gg·resslve. interr.bgatfOri
a.
b:
~.

d ..
.-

D' it p!=rS9.nally ~b~rved' this ·gQnd,uc~.
I
D jr7ob,ser.yed detAlnee(s) In a :e::ond Itlon'1h<:;lt led me. to' belleye .thpt'this cOl1,duct h~d :oq:u,rred, I
D lDetaine~(s) tpld Tn~ tnc;lt this cpnd.u'ct bad -qc;c,urreq.
-I

o IOt,hers
whQ bp~erveq :thi~ tQ'I)~ug'd,<;~\:.ribep i~ to
..
.. ..
~

_.- . ..

........

..

l)l!=l"

.... .. ..

,-

..

,

.. .......

..,

"

---, ..

I

OIGQ-004894

-------------------------------------,

e.

D

-I have relevant Information' classified above '!SECREf".

f.

0

I never observed this;conduct nor heard about it from someone who'did.

6,Q. Thr~tenlng to ,take ?Jetion ~gainst ~ detain~~'s family

a. D

I persOnally c5b~rved this,conauct.

D
C. D
d. G
'e., D

I bbseriM, de'(aineJ~(s) in a·q':ind itiol) t.hat led

b.

I

, f.

me .to. believe thanhis coriauGl had o-cztUrred.

petainee(s)told metnat thistond'utt trad.octiJrrerl.
!Others: who ob~i'v.ed this c0iidilct described it to' me.

.

II, have relevant inTormation classified above !'·SECRET",.

0lr I)e.ver observed thls,conduot nor'heard ab'Out It from someone who did.
0

-61. Other treatr;nent or- a~ti0.n cqusingS;eve,re emotional'Qr. psy~h6.1ogical tr.auma to a d~tainee

,a. D
b.
c;
d.

e.
f.

D
D
D

I per~n~lIy observed tnis ton,dact.
I',observed detaine.e(s) ina.cOndition that led me to believe that this conduct had occUrred.
D'etaln~(s')

told

me that this ~Qnd.uct had occurred.

lothers' who :observed this eeind uct deS~ribed it to me:

,

D It have relevant information Classified .a'bo've "SECRET'!,..
0'lr never' observed this· conduct nor heard about' it from 'someone who' did.

62'..Olner religiOQ$.or s~xual harassment or .hymiOation of a deta.inee:

a. D II p'er.son-a.lly ()hs~lVed this 'condu~t.
b. 0 L-bbserv.ed ·detainee(s)'. ih .a condition that led me. to believe .that this c;oriduGt
c; D IDetairie,e.(s)'tbld "me that this co'riduct Ilad ;occurred.
d. D ;Othets' woo observed this coilduct des'crlbed it to. r:ne~
e', D I have relevant information dassified aboye "S·ECREr".
f,

haci oc.cuned.

0' r never observed this~C0hi:luct nor heard :abotit it from Someone who did.
-

. -

.

-_ .... -

~.

"'.

... - ...

~.

.-

••¥

••• - . . . . .

_

.-

•••

~

•••

-_.

_

••••••

".d

.'

"

........ _ .

.... _-

,.,.....

-

--

"-"'.'

.. - -

"

•

_.

O'

v __

.... _..

OIGQ-004895

63', Other tJeatrtl~nt oh'l detainee ,that in your opihion was,unprQfes!:lionai, unduly harsh.of aggre:;sive,
,coercive, abusiVe, ~or unlawfUl

0 r personally observed this conduct.
b, 0 Lobserved d.etq1neeXs) in a 'cond ition'thqt l~ ,me to' belieye tligt ~his ~ond.uct had aCl;urred.,
c; 0 Oetain~(s}t9Jc:! methatthis conduct Vad qCqlrre<L
q. 0 Others, who observI=9 t.hl~ ~plid\Jct described I't t9' me:
e., 0 i ha1(e relevant lliforiliatiori dassifi~ above "S'EeRET".

8,

f: ~

_fiih'~~,@t;~~·

.'t;::.~,·a

.64. Did you,oDserv.e ariY- iltipersOliqtion.Of FBI' p.ersolirielby.an'i6ne dliring an ,interView or..interrcigation 'ot
it detalhee,?
"
:
~OYes0 No
65. Did p ny- detainee 'or'oth,er person tell you that he:or she had witnessed, the 1m p~rSci.natlon
personnel in Gonnectionwith a detainee interv.iewor interrogatic:m?

66,"Ar~ YO\l. aware,Qf <;my ":~hamil

,aYes 0
Qr "$taged

of tlie·U.S.Cb.ngress,or their staff?

n

or FBI

No

'd§t~ioee interviews qr intetrpg~tiQns §Qiit:lll~ted for Memb,er:s:

:a. Yes

'"

0

,

No

,67. To your knowiedge, (Jid:any' niilitary 'or 'intelJi:gen~,e'per'~on-nel ever ;d.eny. OJ 'deiay FEU 'access to a.
{j¢tainee tbe FBI wanted to Cjuestiorl' becau'se the,detainee .na-d sustained inj,urles after he Was captLired?

OYes

0No

Oy~s' 0 No'
69', Were :you ever told 'that'another FB,I emp'l6'yee ended his ,o/' her paiticipcition .in Qr-o.bser-v.ation bf} a
detainee Interv.iew' or' Interrogation because ,of the'lntervlew'or fnterrogatlon methods being used?'

.

bYes

0

NQ

'

70, Ouring:a'ny"of your b.ver.seas.,de'ploymerits or a,sslg nm.ents,. did You' rep,bit any conce'rn.s regard ing
any -detainee iiltervfew'ar interrogation p'ractices,' or other t,y Pe5 :of detainee .treatment, to an FBI
supervisor?

'

.

OIGQ-004896

.a

Yes
G) No
71. During any .of yoUr Qyer.~~s de'pl9.yrhents .or aS$fgJijnent:?,. did 'S'ou r,ep'Qrt any.c:oncettis.regarc;Hng

any :detaioe.~ ir\t.~Plrew or inn:!rro.gatiOn pta.ctic~ or' otner types of detGi ine¢. treatm~nt y~ti
obserifed or beard clbO.ut, lb,'a non-FBI, sup.et:'visQr or other lion~FBI p.ersbririel7
.
0 Y.es, '0 N0
.
'72: l:I?ve'YP~ ~vef b~e,n' ord~r,~. or'd ireq;eg n9t ~o re~9.rj;, 'or .discQ\lra·geC! in a.n'l way-fr9IT1·repQrtingi"
qb~rvqtIQn:s

<;ir ~!I¢gaJ;ic:m·!? reJat~ to ~~t.a·lnli:!e tr:eat.lJl~nt .qr Int!'ln(lew q,r In~~rr9gatIQn ',actfp'ns 9r

ptattil:¢s,?

:0. Y¢s,

0, ~o:

'?-~.l::Iav~ you :~p~rie~ed \a.ny. ~ctuar.Qr tl]reatelJed ret~l!a.(ic;>n for reporting. o~s~rVr,)tiq~s 9r !?lI~~tiol1s
'9fgetai~tr~tment «;If' io.~~i~w of'lnte.rrqg~!ic:m.,a~io~ or Rra'cti~~.?'
,
Q'y.~s. .0 N?·

74; (Optional) Please pr.ovld.e any additional comments regar.dlng. the reporting. 'of concerns' related 'to;
rn~ervi~W or Int~rf~g~tiql1tet;:hnl.q4~s;d.~t~n,tiQI) p,rqgic~'s, 'gr:other p,et,?lin~.~ trea~rnen~',

:(,5. Werj: yqll pebri~fepi pthli:!r: thc),n the ~9ti~ard debri~f in FO-77.2, con'~rning YQ!H 9-v.~r~a'S'

assi,gnment(s.) or aepI9ym.ent(~) ~fter

y,o,u:'CC>mplet:ed th¢ aep,lpyment~s).6ra.ssiQrrr:i)'erit~s)?'

:0 Yes,

,@ N,o

7$, Additierial Comments,a'nd .Recommendations.:·
__ ...

Thank. you

for yo,or :c,ooparatlort

..... __• _... __.

..:..... _. _.i

in .coiiipletih9 this"qu.estibrina'lre.

OIGQ-004897