GENERAL -- SECURITY; SPECIFIC -- INTERVIEW FORMS WITH ATTACHMENT TITLED "QUESTIONS POSED BY (DELETED RE ARTICHOKE VS. (DELETED) DTD 22 OCTOBER 1954; & ARTICHOKE IINTERVIEW (GENERAL) FORM

• Document Type: SPECIALCOLLECTION
• Collection: General CIA Records
• Document Number (FOIA) /ESDN (CREST): 00146231
• Release Decision: RIPPUB
• Original Classification: U
• Document Page Count: 7
• Document Creation Date: January 17, 2025
• Document Release Date: January 15, 1983
• Publication Date: February 25, 1954

VIA AIR
(sr.nily Air flr S�an Pouch)
TO
FROM
OFFIOpIL DISPATCH
Senior Representative
cii
GENERAL
SUBJECT
SPECIFIC
Security
Interview Forms
8/3
DISPAtF1 N4firafti
nATE25-February-1954
ATTIMTION4
1. kie are sending you herewith under perarate co
two hundred interview forms hi I are designed to as
cording of your cases in th_ ea. These forms
on the diacussions held prior' o your departure
-coyer, in general, all necessary information.
2. To assist you and to explain again the am going
to discuss each item below. I feel tha ou could
easily fill out these forms without ar I insure .t you unler-
stend the elements we are particula uiterq1it d in, I an taking the
liberty of explaining each in detai
1) Nrne or Cole Des
be fiLled In so we
locally and..also
alphabetical, cur
2) Place Handled
indicate lii--xact
3)
or approximately
t you in the re-
osei specifically
and s our belief they
is self-explanahory and shOuld
into any material available
early reference --
se, is self-explanatory and should
terview was held.
Hours Involved in Inter4lew/s - Set out as
0800 to 1100 and 1500 to 17001 etc.
14) F n the names of the officers present and under
car" J. explain why more than the necessary mintmum
were presiiiit ail can enter the reasons here.
5) Security Precautions Taken - Merely make a brief statemnnt
that the subject was or was not under guard; was at a safe house;
et .certain preca (describe them) were taken.
_
17t LASSIF1CATICPT91
- -
FORM NO. 1949 ci_29
JUN
- :.ovrcw�ta. ��,�1".4 C�I,
everimentation?
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- � � ". What happens to oantemplated� field UPOrimentation
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RE A:di110XL' vs.
ation ot./aTICI1OKE Timprov%'-- 46/3
At presontj ATITICICKE assigned talia; � &
What relationship of ART .
re 5/3
PATCICHCIM is field o t at joint
jurisdiction of
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/.4 ag. f� . � '� , 1.13k4 .�:. iie*:.' � .* � . Whcre is oparatictial.direetiOrk for AMU:HOES .t* ', � ;�:-.." ''
tti 4 4 lo 4 Ye ;-00:11 frQst � e* � . . ,
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leg,�1 t!X?! � ' sr 11!.�,,b1t7.;' I= t - � ...�' � ., .. 4. � � ,
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r . . 1CILKE personnel to be utilised and direoted
I. - �� 613 b'Y _... "vv.
Is A4TICHOKE to carry out
Upon what planning7
What is purpose of Arali.;110KE
in exiatonce?
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now
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2. NO clarification and noLitioation in re cm=and channols,
review, control and approval of fiold enrerimentation
to bays e.laced at his ccernand and sitaff '
oint 50-50 projeoto field experience ...ad
AR1ig/101M never considered'
Little more detail as to purposes itIrMs *vac, �to.,
$ es,pee Daily with regard to field experialeztation.
' Problem res.-field team purpos4 of team, composition
of team, financing of project, ability to accoripliah purpose.
Ho consideration or operational soourity and its :
implications in implementations or the field experiments.
3. Status oC AnIIMEE - where is it? No procram? If
just opo rational auppOrt$ why approval of research and developmont
.as already sot up in thealP
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6) -Complete Physical and Mental Description of Subject - State
here the usual physical description (51 10, black shale*, ntec4
build, crippled, wounded, etc.). Also describe subjectIs blood
prescure, heart rate, or 'my other physicel manifentations you
have observed or obtained. We suggest also you stete the unhject
WC3 normal (intelligent, dell) or deepondent or.hal attempted
suicide or oscaPe recently or whatever else you.rc;gard as impor-
tant data..
7) Brief Background of Subjrct and Case History - Clive hare a
brief background of subject and describe in some detail the onsn
history. State whether the subject was a possible double Agent
� ve nationnlity details -- whether
tional and thPt he had
itAte th the o enization doing such and such. In
th the uee o .iimerely state whether or
haI been use previously ani with what results.
or why h had.bee
he was
bePn aszo
conn
not
8) Cbjectives of the Interview - A. is self-explanatory. B
and C are related and it is important that you explain briefly
why LILTICHOKE was used and if certain specific details were
desired, exactly what these details were.
9) Resalts - Fill in here exactly whet the interview obtained.
If certain questions have been answered, comment on :phese and ,
if the :men officers express satisfaction or dissatisfaction,. �
comAent on thin also.
ECTE: Questions through 9 (rage 1) are for a general ptl-f
pose and are designed to be able to be shown where
noceasary in the Pgency. Page 2, however, is for
3r1.3 consumption or for those with_a need to knoll and
are entitled to know complete technical details.
10) Conr Psed - Driefly rtPte here how tho .sbject wes epprsched,
whether it- was a medical cover or whether the eubject had "volume
tarily" regersted the interview or whatever m7.1hod you hays ucti.
11) nerrative report of Intervicw - Thin sh:uld be a brief state-
ment of e;:actly what occurred in the Interview and nhould conlist
in dotall of exactly -ghat vrnt on, giving L1,1 timr,r, the PctIvitient
descriptions of tho area, and all circumstancen that. are pertinent.
12) Clinical Data - This should be a brief, exact statenent of
any chemicals dosages, tests made, descriptions of administra-
tion of chemicals -- intravenous or otherwise, etc.
11111111111!
13(3
13) H use . set out here in brief how H wen used, what cover wflka
USP4 Vi introduce it, length of time in effect and, in general,
what results were obtained.
* 14) trnesia Arneaia is always inportnnt to us Ili you know and
we woUTIM a brief description of whether it occ;Jrrod ned how
in your opinion it wee obtained. Whether by direct H, drug or
chemical agents.
,
15) Result* - This euesLien is similar to 2 but hert.we nil I
like to have your personal inprossion of the results obtained
either from what information was cured and/or from en experi-
mentel point of view. It is poesible thnt this queation will
have to be .continued on the other sid c of fege 2 under Question 21.
16) Was interview LoniLored - The qu!.ntien is ae1f-explanstory.
17) Were rhotezrephs Taken - Thin in also uelf-explanatury....
1(1) Wan aed and or After In rvi We would
like to know whether you directed the tics of t any tins
dt e,interview or afterwards nn i the reacons why ynu uned
'tad what resulted. This may be very important from a
point of view of cross-checking resulte.
12) (On Peer? 3) Obaervstions an I coprp,nts Zict out Ilnrn ruK,
infornation you regarded aa pertinent as Lo tichniqles; support;
ideas; etc.
20) Recorriellations . Here you should comment as to what recbm-
mendations you made in the disposition of the,psse (if reqe.ltod)
end roconmend any idecs you may have no to futhre wo:1: or techniques.
21) Itny Additional Information - Self-explanatory.
3. We have attempted to set out in se trier a a;,ace U3 pos!itle the
significant cleents that should be covered in this wl.r;. All of us are
agreed that you should feel free to append to the forms any alliti'Jnal
informstion you for1 pintinent or if :orms are lo117 ca'%g% all pages
fo xtra ratcrial you iciPlx conveyed. Theae forms will Le forwarded to
or transmission to rioadquart,?r:I.
I. 111 0: ua horn are watching for davrIoprlonts An the Itil7Airr', work
with (Teel: interr.st. We do not wtrh to, place any unnocenaary burdens on you
tut your comnmnts concerning the wlrk other than those officiel report?
3
would be
���
_ _ .
itleMige
would be greatly appreciated at any time. Furthermore, if you feel that
you are in neod of additional supplies and cannot obtain them locally,
please write to us or send a diepatch and we will attempt to procure tho
necesiary items.
End
Approx 2100 forma
(S/C)
Ficl � Oriz & 2
-.RI Copy � SO File
7..
3
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Page 1
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eel
;;RTICHOKE INTERVIEW (General)
1. ::::11E
2, PLACE HANDLED
n:TF,SJ.ND HOURSINVOLVED IN I1TERVIEW/5
fo
L. ::-RESENT
441/������
A. Team Chief
E. Assisting Team Menber
C. Doctor
D. Technician
E. Case Officer/s
F. Interpretor
G. Observers or Others (why prtsent)
5. SECURITY PRECAUTIONS T;KEN
6. CONFLETE PHYSICAL AND 12::NTAL DESCRIPTION OF
SUBJECT
VI*
Date lieport
4 1
k.
or CODE LESIGrATION
�.�
613
7. BRIEF EACKGhOUND OF ST2IJECT AND CASE 1135CRY
been used previously?)
(F,Ld
S. OBJECTIVES OF THE INTERVIEW
A. Operational or Experimental
B. Why ARTICKKE was used/requested
C. '::hat information or details desired
�
9. RESULTS (Specific details--favoraiLle, unfavcraLle)
Fac �
(111111111w
19. DEZFIV:ATICN3 AND COIVENTS:
20. RECO; VEND:.TIONS. :
e
21. !.NY ADDITIONAL INTCH!:...IIC-1:
.0. �
SI GNATU:.:f t_TFIC:11.