Emotional Impact |
|
25. Being a victim of crime affects people in different ways. Next I would like to ask you some questions about how being a crime victim may have affected you.
Did the being a victim of crime lead you to have significant problems with your job or schoolwork, or trouble with your boss, coworkers, or peers? |
___1. Yes ___2. No |
26. Did being a victim of this crime lead you to have significant problems with family members or friends, including getting into more arguments or fights than you did before, not feeling you could trust them as much, or not feeling as close to them as you did before? |
___1. Yes ___2. No |
27. How distressing was being a victim of this crime to you? Was it not at all distressing, mildly distressing, moderately distressing, or severely distressing?
(DO NOT READ ANSWER CATEGORIES)
(ENTER A SINGLE RESPONSE) |
__1. Not at all distressing - Skip to Q32 __2. Mildly distressing - Skip to Q32 __3. Moderately distressing - Go to Check Item K __4. Severely distressing - Go to Check Item K |
CHECK ITEM K Is >Yes= marked in Q25 or Q26 or are categories >3' or >4' marked in Q27'? |
___ Yes - Ask Q28 ___ No - Skip to Q32 |
28. Still thinking about your distress associated with being a victim of this crime, did you feel any of the following ways for a month or more? Did you feel....
(READ ANSWER CATEGORIES)
a. Worried or anxious? b. Angry? c. Sad or depressed? d. Vulnerable? e. Violated? f. Like you couldn=t trust people? g. Unsafe? h. Some other way? |
YES NO
1G 2G 1G 2G 1G 2G 1G 2G 1G 2G 1G 2G 1G 2G 1G - specify 2G __________________ SKIP TO Q29 if a-h are all no |
28a. Did you seek any kind of professional help for the feelings you experienced as a result of being a victim of this crime? |
1. Yes - Ask Q28b 2. No - Skip to Q29 |
28b. What kind of professional help did you seek?
(DO NOT READ ANSWER CATEGORIES)
(MARK ALL THAT APPLY) |
___a. Counseling ___b. Medication ___c. Visited doctor or nurse ___d. Visited ER/ hospital/clinic ___e. Other specify ___________________ |
29. Did you experience any of the following physical problems associated with being a victim of this crime for a MONTH OR MORE? Did you experience.....
(READ ANSWER CATEGORIES)
a. Headaches? b. Trouble sleeping? c. Changes in your eating or drinking habits? d. Upset stomach? e. Fatigue? f. High blood pressure? g. Muscle tension or back pain?
|
YES NO 1G 2G 1G 2G 1G 2G 1G 2G 1G 2G 1G 2G 1G 2G
SKIP TO Q32 if a-g are all no |
30. Did you seek any kind of professional or medical help for the physical problems you experienced as a result of being a victim of this crime? |
1. Yes - Ask Q31 2. No - Skip to Q32 |
31. What kind of professional help did you seek?
(DO NOT READ ANSWER CATEGORIES)
(MARK ALL THAT APPLY)
|
___a. Counseling ___b. Medication ___c. Visited doctor or nurse ___d. Visited ER/ hospital/clinic ___e. Other specify ___________________ |
File Type | application/msword |
Author | baumk |
Last Modified By | baumk |
File Modified | 2008-05-15 |
File Created | 2008-05-15 |