5. Annexures Annexure A Questionnaire: Investigation into Torture Questionnaire: Investigation into Torture 1. 2. 3. 4. 5. Time and Date of Interview: Interviewers present: Duration of interview: Presence of other authorities: Conclusion on external pressure Part I. Identity of the Person(s) Subjected to Torture 1. 2. 3. 4. 5. 6. 7. 8. Family Name: First and other names: Sex: Birth date or age: Nationality: Occupation: Identity card number (if applicable): Activities (trade union, political, religious, and humanitarian/solidarity, press, etc.): Part II. Circumstances Surrounding Torture a. Can you tell us what happened to you? Let the interviewee tell the story in their own words, freely and openly. At this point do not ask leading questions, and make them feel at ease. Do not make statements like “I understand”. Have a rapport established before you get to this point, and make sure they know why this is being done and how it would benefit them. Tell them they can stop talking at any point they want. Do not interrupt. 22