Interview Form Death Row Speaks


Personality:

Name:_________________________________________________________
Prison Register:__________________________________________________ 
Address:________________________________________________________
Age:___________________________________________________________ 
Race:__________________________________________________________
Sex:___________________________________________________________
How long on Death Row:___________________________________________


I hereby authorize the website Death Row Speaks.info to use the information                                               provided herein in their series, “Interview with the Condemned.”
Date_____________ /s/ ____________________________________

1: Where were you born and raised?                                        _______________________________________________________________
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2: Will you share with us what it was like for you growing up? (Did you                                                        have a pet, a favorite game, hiding place, or favorite toy? Were you                                                          raised by both parents, a single parent or relative?) 
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3: Do you have a favorite childhood memory? If so, what is it?
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4: Did you like school? If so, share with us your favorite memory from your                                               school years.
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5: What person or event impacted you most as a child?
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6: What hobbies or activities did you participate in while growing up, e.g.                                           scouting, sports, etc.
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7: What was your first job? Please describe your duties/responsibilities and                                                   whether or not you liked the job.
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8: As a child or teenager, what did you want to do when you grew up? Why?
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9: Do you have a favorite movie or book? Please elaborate. 
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10: Where was the most beautiful or special place that you can remember                                              having visited? Please describe it.
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11: What is the funniest thing that ever happened to you?
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12: What job or occupation did you have prior to your incarceration? Were                                                   you employed at the time of your arrest? _______________________________________________________________
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13: Were you involved with drugs or alcohol prior to your incarceration?                                                       If so, please share the effects this had on your life.
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14: What do you miss most about the outside world and why? 
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15: What is the one thing you regret most?
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16: Do you have any strong spiritual or religious beliefs? If so do they                                                          influence how you view the future?
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17: How important is it for you to have contact with your family, friends                                                  and/or the outside world? Please elaborate.
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18: Do you remember your first thoughts when hearing the jury’s verdict of                                                  death as your sentence? Will you share this experience with us, e.g. your                                        thoughts, feelings, reactions?
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19: What is a typical day like for you on death row?
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20: Do you feel that capital punishment serves as a deterrent?                                                         Yes/No Please elaborate on you answer.
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21: If you could change one thing in the world today, what would it be and                                                    why?
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22: If you could go back in time, where and to what date would you travel                                                and why?
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23: What has been the most important and life-altering event you have                                                     experienced?
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24: What is the most important thing that you want our visitors to know                                              about you?
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25: If you have anything else that you would like included as a part of this                                                          interview, please share it with us now.
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I have / have not included a photograph to be used with my interview answers.
Circle above.