Stakeholder Interview Form Report No.
Observer: _________________________________ ____________________________
First Name Last Name
Observer group: HRG EMO CHR
Date of stakeholder interview: __________ / __________ Duration: _____________
Month / Day Minutes
Stakeholder interviewed:
Independent candidate/rep Comelec Police Media
Party candidate/rep DepEd Army Organization (voter proxy)
Political party representative DOJ Other: ________________________________________
Name of interviewee: _________________________________ ____________________________
First Name Last Name
Post contested, if candidate:
Governor (Write province for governor, vice-governor, district President
representative & provincial board candidates. Add
district for representative and provincial board
Vice-governor candidates.) Vice-president
District representative Province: ___________________________ Senator
Prov'l board member District No: __________ Party list representative
City/town mayor (Write town or city for mayor, vice mayor and council
member. Add district if applicable.)
Vice-mayor Town/city: __________________________
City/town council member District No. (for multi-district cities): _______
Location of office or name of organization if non-candidate
Position title: __________________________________ Province: ____________________________
Town/city: ___________________________
Party/Organization/Media:_______________________________________________________________________
Interview notes (use back side for more space for notes).
Immediately accomplish the Interview Results Checklist after each interview. Make sure that the report numbers in
both checklists are the same.