Interview/Observation Code Number: _________

Name of Person(s)/Activities that were Interviewed/Observed: __________

Position/Title/Organization/ Setting etc.: __________

Interviewer/Observer’s Name: ___________

Interview/Observation: __________

Date: ________

Time: ________

Place: ________

Recording arrangements: _________

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Notes for next steps: ________

 

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Context: A brief description of the context in which the interview/observation was conducted (i.e., a field note about the observation or interview circumstances) that describes the physical setting, purpose, other participants, relation to prior conversations, relationship of person interviewed to you, etc.

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Summary: A brief summary of how the interview/observation went: major themes addressed; patterns of question or problems identified; issues which elicited expressions of strong feeling; things that were difficult for you as an interviewer/observer; etc.