xxx National Inmate Survey_PAPI_F_12

PAPI F12

N ATIONAL I NMATE S URVEY
Conducted by the Bureau of Justice Statistics and RTI International
NOTICE: Public reporting for this collection of information is estimated to average 15 minutes per response, including the time for reviewing instructions,
searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments
regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to the Director, Bureau
of Justice Statistics, 810 Seventh Street, NW, Washington, DC 20531. An agency may not conduct or sponsor, and a person is not required to respond to a
collection of information unless it displays a currently valid OMB control number. The OMB control number for this project is xxxx-xxxx.

6. How long have you been in this facility?

SECTION A
Please answer the question in the space provided or
mark your answer in the box, like this ⌧. To protect your
privacy, do not put your name on this questionnaire.
1. On what date were you admitted to this facility?
If you cannot remember the exact date, please write
down whatever you can remember, such as the year
and the month.
_________ / __________ / _________
Month

Day

Year

2. How old are you?
Age: ______

3. Are you of Hispanic, Latino, or Spanish origin?
Yes ....................................................................  1
No ....................................................................  2

4. Which of these categories describes your race?
Mark one or more.
White................................................................
Black or African American ..............................
American Indian or Alaska Native ..................
Asian ................................................................
Native Hawaiian or other Pacific Islander ......

1
2
3
4
5

A violent offense, such as physical or sexual
assault, rape, robbery, manslaughter, attempted
murder, or murder?
A drug offense, such as possessing, selling, or
manufacturing drugs?
A property offense, such as burglary, larceny, auto
theft, bad checks, fraud, forgery, or grand theft?
Any other offense?

1
2
3
4
5
6

7. This question is about wanted or voluntary sex
or sexual contact you have had with other inmates
in this facility. In the past 12 months, did you do any
of the following:
Mark ⌧ “ Yes” or “No” for each item.

Yes

No

Touch another inmate’s body in a sexual way or
have your body touched in a sexual way?

1

2

Have oral sex with another inmate at this facility?

1

2

Have vaginal sex with another inmate at this
facility?

1

2

Have anal sex with another inmate at this facility?

1

2

These next questions ask about unwanted sex or sexual
contact you have had with other inmates in this facility. By
unwanted, we mean sex or sexual contact that you did not
want to happen.

5. Are you currently being held in this facility for
any of the following:
Mark ⌧ “ Yes” or “No” for each item.

Less than 1 month............................................
At least 1 month but less than 6 months ........
At least 6 months but less than 1 year ............
At least 1 year but less than 5 years..................
At least 5 years but less than 10 years ..............
10 years or more................................................

8. In the past 12 months, did another inmate use
physical force to make you do any of the following:

Yes

No

Mark ⌧ “ Yes” or “No” for each item.

Yes

No

1

2

Touch their body in a sexual way or have your
body touched in a sexual way?

1

2

1

2

Have oral sex with them?

1

2

1

2

Have vaginal sex with them?

1

2

1

2

Have anal sex with them?

1

2

Continue to next page

1

9. In the past 12 months, did another inmate, without
using physical force, pressure you or make you feel
that you had to do any of the following:
Mark ⌧ “ Yes” or “No” for each item.
Touch their body in a sexual way or have your
body touched in a sexual way?

Yes

No

1

2

Have oral sex with them?

1

2

Have vaginal sex with them?

1

2

Have anal sex with them?

1

2

10. In the past 12 months, how many times altogether
were you physically forced, pressured, or made to
feel like you had to have sex or sexual contact with
another inmate?
0 times ......................
1 - 2 times ................
3 - 5 times ................
6 - 10 times ..............
11 or more times ......

 1  Go to SECTION B, page 3
2
3
Continue to item 11
4
5

11. In the past 12 months, when you were physically
forced, pressured, or made to feel that you had to
have sex or sexual contact with another inmate,
did it ever happen during any of the following times:

13. In the past 12 months, when you were physically
forced, pressured, or made to feel that you had to
have sex or sexual contact with another inmate,
were you ever:
Mark ⌧ “ Yes” or “No” for each item.

Yes

No

Persuaded or talked into it?

1

2

Given a bribe or blackmailed?

1

2

Given drugs or alcohol to get you drunk or high?

1

2

Offered protection from other inmates?

1

2

Threatened with harm or a weapon?

1

2

Physically held down or restrained?

1

2

Physically harmed or injured?

1

2

14. In the past 12 months, when you were physically
forced, pressured, or made to feel that you had to
have sex or sexual contact with another inmate,
did you ever:
Mark ⌧ “ Yes” or “No” for each item.

Yes

No

Receive knife or stab wounds?

1

2

Receive broken bones?

1

2

Receive anal or vaginal tearing?

1

2

Have your teeth chipped or knocked out?

1

2

Mark ⌧ “ Yes” or “No” for each item.
Between 6:00 in the morning and noon?

Yes No
1 2

After noon but before 6:00 in the evening?

1

2

Receive internal injuries?

1

2

After 6:00 in the evening but before midnight?

1

2

Get knocked unconscious?

1

2

After midnight but before 6:00 in the morning?

1

2

Receive bruises, a black eye, sprains, cuts,
scratches, swelling, or welts?

1

2

Receive some other injury?

1

2

12. In the past 12 months, when you were physically
forced, pressured, or made to feel that you had to
have sex or sexual contact with another inmate,
did it ever happen:

15. In the past 12 months, when you were physically
forced, pressured, or made to feel that you had to
have sex or sexual contact with another inmate,
did you report it to any of the following people:

Mark ⌧ “ Yes” or “No” for each item.

Yes

No

In your own cell, room, or sleeping area?

1

2

In the cell, room, or housing unit of another inmate?  1

2

In a shower or bathroom?

1

2

Mark ⌧ “ Yes” or “No” for each item.

Yes

No

In the yard or recreation area?

1

2

A correctional officer?

1

2

In a classroom or library?

1

2

An administrative staff person?

1

2

In a workshop, kitchen, or other workplace?

1

2

A medical or healthcare staff person?

1

2

In a closet, office, or other locked room?

1

2

An instructor, teacher, or counselor?

1

2

Somewhere else in the facility?

1

2

A volunteer?

1

2

Off facility grounds?

1

2

Some other facility staff person?

1

2

2

Continue to next page

SECTION B
These next questions are about wanted or unwanted sex
or sexual contact you have had with staff at this facility.
By staff, we mean the employees of this facility and
anybody who works as a volunteer in this facility.

Yes ....................................................................  1
No ....................................................................  2

17. In the past 12 months, did a facility staff person use
physical force to make you have sex or sexual contact
with them?
Yes ....................................................................  1
No ....................................................................  2

Yes ....................................................................  1
No ....................................................................  2

19. In the past 12 months, how many times altogether
have you had any type of wanted or unwanted sex or
sexual contact with staff at this facility?
 1  Go to item 28 on page 4
2
3
Continue to item 20
4
5

Yes

No

Between 6:00 in the morning and noon?

1

2

After noon but before 6:00 in the evening?

1

2

After 6:00 in the evening but before midnight?

1

2

After midnight but before 6:00 in the morning?

1

2

Mark ⌧ “ Yes” or “No” for each item.

Yes

No

In your own cell, room, or sleeping area?

1

2

In the cell, room, or housing unit of another inmate?  1

2

In a shower or bathroom?

1

2

In the yard or recreation area?

1

2

In a classroom or library?

1

2

In a workshop, kitchen, or other workplace?

1

2

In a closet, office, or other locked room?

1

2

Somewhere else in the facility?

1

2

Off facility grounds?

1

2

24. In the past 12 months, when you had sex or sexual
contact with facility staff were you ever:

20. Which of the following types of sex or sexual
contact did you have with a facility staff person?
Yes

Mark ⌧ “ Yes” or “No” for each item.

23. In the past 12 months, when you had sex or sexual
contact with facility staff, did it ever happen:

18. In the past 12 months, did a facility staff person,
without using physical force, pressure you or make
you feel that you had to have sex or sexual contact
with them?

Mark ⌧ “ Yes” or “No” for each item.

Yes ....................................................................  1
No ....................................................................  2

22. In the past 12 months, when you had sex or sexual
contact with facility staff, did it ever happen during
any of the following times:

16. In the past 12 months, have you willingly had sex
or sexual contact with any staff at this facility?

0 times ......................
1 - 2 times ................
3 - 5 times ................
6 - 10 times ..............
11 or more times ......

21. In the past 12 months, when you had sex or sexual
contact with facility staff, did any single incident
ever involve more than one facility staff person?

No

Mark ⌧ “ Yes” or “No” for each item.

Yes

No

Persuaded or talked into it?

1

2

Given a bribe or blackmailed?

1

2

Given drugs or alcohol to get you drunk or high?

1

2

Offered protection from other inmates?

1

2

You touched a facility staff person’s body in a
sexual way or had your body touched in a sexual
way.

1

You had oral sex.

1

2

Threatened with harm or a weapon?

1

2

You had vaginal sex.

1

2

Physically held down or restrained?

1

2

You had anal sex.

1

2

Physically harmed or injured?

1

2

2

Continue to next page

3

25. In the past 12 months, when you had sex or sexual
contact with facility staff, was it ever with the
following:
Mark ⌧ “ Yes” or “No” for each item.

Yes

No

Male facility staff?
Female facility staff?

1
1

2
2

26. In the past 12 months, when you had sex or sexual
contact with facility staff, did you ever:
Mark ⌧ “ Yes” or “No” for each item.

Yes

No

Receive knife or stab wounds?
Receive broken bones?
Receive anal or vaginal tearing?
Have your teeth chipped or knocked out?
Receive internal injuries?
Get knocked unconscious?
Receive bruises, a black eye, sprains, cuts,
scratches, swelling, or welts?
Some other injury?

1
1
1
1
1
1

2
2
2
2
2
2

1

2

1

2

27. In the past 12 months, when you had sex or sexual
contact with facility staff, did you ever report it to
any of the following people:
Mark ⌧ “ Yes” or “No” for each item.

Yes

No

A correctional officer?
An administrative staff person?
A medical or healthcare staff person?
An instructor, teacher, or counselor?
A volunteer?
Some other facility staff person?

1
1
1
1
1
1

2
2
2
2
2
2

4

END QUESTIONNAIRE
These last two questions are about your experience with
this questionnaire.
28. How upsetting did you find it to answer questions
about your own experiences with sex and sexual
assault in this facility?
Not upsetting at all ..........................................  1
Somewhat upsetting ........................................  2
Very upsetting ..................................................  3

29. How accurate are the answers you gave in this
questionnaire?
Not very accurate ..............................................  1
Fairly accurate ..................................................  2
Very accurate ....................................................  3

After you have completed the survey, please put
it in the envelope and seal it before you turn it in.
Thank you!