Special Needs Database Police Question Title * 1. What is your child's Name First Middle Last Question Title * 2. Child's primary address Question Title * 3. Date of Birth Question Title * 4. Race Question Title * 5. Sex: Female Male Question Title * 6. Height Question Title * 7. Weight Question Title * 8. Eye Color Question Title * 9. Hair Color and Style Question Title * 10. School attended if applicable Question Title * 11. Parents’ name, addresses, and current contact information: Question Title * 12. Does your child have a nickname that he/she answers to? Question Title * 13. If the child is wearing or carrying any tracking technology device, which one and how is location information accessed: Question Title * 14. Is the child attracted to water? Yes No Question Title * 15. If so, can the child swim? Yes No Question Title * 16. Is the child attracted to active roadways/highways? Yes No Question Title * 17. Does the child have a fascination with vehicles such as trains, heavy equipment, airplanes, or fire trucks? Yes No Please specify Question Title * 18. Has the child wandered away before? Yes No If so, location where he or she was found? Question Title * 19. Does the child have a sibling with special needs? Yes No Question Title * 20. If so, has that sibling wandered away before? Yes No Question Title * 21. If so, location where the sibling was found? Question Title * 22. Where does the child like to go? Question Title * 23. Does the child have a favorite place? Question Title * 24. Is the child: Verbal Nonverbal Question Title * 25. Does the verbal child know his or her parents’ names, home address, and phone number? Yes No Question Title * 26. How will the child likely react to his or her name being called? Question Title * 27. Will the child respond to a particular voice such as that of his or her mother, father, other relative, caregiver, or family friends? Yes No Question Title * 28. Does the child have a favorite song, toy, or character? Yes No If so, what or who is it? Question Title * 29. Does the child have any specific dislikes, fears, or behavioral triggers? Yes No Please specify Question Title * 30. How might the child react to sirens, helicopters, airplanes, search dogs, people in uniform, or those participating in a search team? Question Title * 31. How does the child respond to pain or injury? Question Title * 32. What is the child’s response to being touched? Question Title * 33. Does the child wear a medical ID tag? Yes No Question Title * 34. Does the child have any sensory, medical, or dietary issues and requirements? Yes No Question Title * 35. Does the child rely on any life-sustaining medication? Yes No Question Title * 36. Does the child become upset easily? Yes No Question Title * 37. If so, what methods are used to calm him or her? Question Title * 38. Any other important information you care to add to your child’s file? Done