Clone of Survivor Survey

Survivor Survey 2.0 - Tactics

This Survey is Confidential and Optional
About this Survey

These questions were designed to assist us in information collection from trafficking survivors. Your answers may allow us to help you find answers you need in order to help you navigate through your survival journey. We may also use your answers to create a database of information for use in trying to discover common themes and patterns shared by survivors that may allow us to paint a full picture of how these systems work, where they have "hubs", how the financial arms operation, and how we can eventually prevent and eradicate predatory trafficking of children and adults. All information is voluntary and "I don't remember" is also a perfectly valid answer. Please select anything that applies to your experience and, remember, any answer is optional. Your individual information will not be used, given or sold to any third party. This is only for data collection and analysis purposes. You are not obligated to share anything you do not feel comfortable sharing.
Did you complete our Survivor Survey 1.0 already?
What is your full name?

First and Middle NameLast Name (Use both maiden and any married names)
What is your approximate age?
Approximate Age
What was your birth gender?
Gender at Birth
Contact Number (Optional)
Format: (000) 000-0000.
Email Address (Optional)
example@example.com
Acronyms

These are provided for reference. If you have any other acronyms you would like us to add, please let us know. TRIGGER WARNING - These definitions may be triggering to some survivors.
AKA: Also Know As - Alias names or nicknames used instead of a birth name

CIA: United States Central Intelligence Agency

CPS: Child Protective Services

CSAM: Child Sexual Assault Matierals

DEA: United States Drug Enforcement Administration

DFC: Drug Facilitated Crimes

DFSA: Drug Facilitated Sexual Assault

FBI: United States Federal Bureau of Investigation

LE: Law Enforcement

PO: Parole Officer or Post Office

SA: Sexual Assault

USPS: United States Postal Service (different than UPS and FedEx)
Definitions

These are provided for reference. If you have any other definitions you would like us to add, please let us know. TRIGGER WARNING - These definitions may be triggering to some survivors.
Victims of the administration of knock-out drugs often describe the following symptoms, depending on the pharmacodynamics of the substances used

- a nauseating, bitter taste in a previously unremarkable drink
- confusion
- dizziness
- light-headedness
- sleepiness
- impaired consciousness
- unconsciousness
- memory disturbance
- a feeling of not being in charge of one’s own actions
- slow heart rate, abnormally low muscle tone
- loss of muscular control
- nausea
- lack of behavioral inhibition

Source: https://pmc.ncbi.nlm.nih.gov/articles/PMC2689633/#s2

Antidepressants: List Here

Antiemetics: Promethazine

Antihistamines: Diphenhydramine

Antiparkinsonian Meds: Procyclidine

Antipsychotics: Thioridazine

Barbiturates: Phenobarbital

Benzodiazepines: Diazepam - Temazepam - Lorazepam

Hypnotics: Zopiclon - GHB - Ecstasy or "X"

Marijuana or CBDs: Marijuana ("Mary Jane")

Opioids (Oral or Topical): Codeine - Fentanyl - Heroin - Hydrocodone - Hydromorphone - Morphine - Oxycodone - Oxymorphone

ADDITIONAL MEDICATIONS ARE LISTED HERE

Source: https://pmc.ncbi.nlm.nih.gov/articles/PMC2689633/

Chemical Inhalents, Aerosols and Substances - Details Here
Substances
Please tell us what substances were used to enable your "handler(s)" to force you to comply with their actions. See the above definitions that have hot links for details. Choose all that apply to your situation. (Check marks will turn blue once selected)
If you chose "Other", please elaborate here:
Other Info on Alcohol and Drug Substances
Who was it that provided drugs or alcohol to you? It's ok if you don't remember.
Where were you when you were provided drugs or alcohol? (ie. a house, room, vehicle, outdoors, etc.) It's ok if you don't remember.
How often were you given drugs? (Daily, Weekly, Routinely, etc.) Were you kept in an incapacitated state all the time? It's ok if you don't remember.
How often were you given alcohol? (Daily, Weekly, Routinely, etc.) Were you kept in an incapacitated state all the time? It's ok if you don't remember.
Was there certain "timing" around when you were given something to incapacitate you? (i.e. just prior to visitors coming over, or before a road trip somewhere, certain days of the week) It's ok if you don't remember.
Chemicals (Liquid) / Gases / Inhalants (Aerosol)
Please tell us what chemicals were used to enable your "handler(s)" to force you to comply with their actions. See the above definitions that have hot links for details. Choose all that apply to your situation. (Check marks will turn blue once selected)
Who was it that exposed you to chemical substances? It's ok if you don't remember.
If you chose "Other", please elaborate here:
Other Chemical Substances
Where were you when you were exposed to chemical substances? (ie. a house, room, vehicle, outdoors, etc.) HOW did they employ it? It's ok if you don't remember.
How often were you exposed to chemical substances? (Daily, Weekly, Routinely, etc.) Were you kept in an incapacitated state all the time? It's ok if you don't remember.
Was there certain "timing" around when you were given chemical substances to incapacitate you? (i.e. just prior to visitors coming over, or before a road trip somewhere, certain days of the week) It's ok if you don't remember.
Are there any photos or documents you have that you wish to upload? Again, you are under no obligation to share anything you do not feel comfortable sharing. While we realize there may be CSAM items you have saved as evidence of your experience, please do not upload them here.

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End of Survey

It is important that you take breaks and do some self care after completing our surveys. We encourage you to write in your journal about anything that may have come up for you, or, if you have already started your blog page, you can use this time to update it now with things that have come to your memory. The next survey will be more detailed an will begin diving deeper into the details of what went on day to day during your experience. This will be in a checklist format so you don't have to give descriptors. We want to minimize any retraumatization while we collect this important information about survivors. Thank you for sharing your story. It is so important to those who are working to move forward, heal and make real change!
By signing below, I attest that this information is true to the best of my knowledge and belief and that I give my permission for this information to be used for data collection and shared only as a part of resultant outcomes and not individually unless otherwise agreed to in writing.*
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Survivor Survey 2.0 - Tactics

About this Survey

Acronyms

Definitions

Substances

Chemicals (Liquid) / Gases / Inhalants (Aerosol)

End of Survey