Attachment E NIS ACASI Survey

AttachE NIS ACASI survey.doc

National Inmate Survey (NIS)

Attachment E NIS ACASI Survey

OMB: 1121-0311

Document [doc]
Download: doc | pdf

OMB Number:

National Inmate Survey (NIS) Questionnaire

DRAFT: 7/28/06


INTRO As I mentioned before, the National Inmate Survey is a research study being done by the Bureau of Justice Statistics and RTI International, a not-for-profit research organization in North Carolina. The purpose of this research project is to find out the best way to collect data on sexual assault in jails and prisons.


This interview will take about 30 minutes. Your name will never be connected with the information you provide in this interview. We will treat everything you say as private and confidential. We will not share any information you provide with anyone outside or at the facility or anyone who is not working on the project.


OMB INTERVIEWER: IF RESPONDENT ASKS ANY QUESTIONS ABOUT OMB APPROVAL FOR THIS STUDY, YOU MAY READ THE INFORMATION BELOW. OTHERWISE TOUCH THE NEXT BUTTON TO GO TO THE NEXT SCREEN.


Notice: Public reporting for this collection of information is estimated to average 30 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 1121-0303.


I0 FACILITY TYPE


1 JAIL

2 PRISON



I2 ENTER YOUR INTERVIEWER ID NUMBER:


__________ [ALLOW 8 DIGITS]

Section A – Demographics (CAPI)


The first few questions are for statistical purposes only, to help us analyze the results of the study.


A2 In what year were you born?


4-DIGIT YEAR: _________

DK/REF


DEFINE CALCAGE:

CALCAGE = AGE CALCULATED BY SUBTRACTING A1 YEAR FROM CURRENT YEAR.



A3 [IF A2 NE (DK OR REF)] Are you CALCAGE – 1 or CALCAGE?


1 CALCAGE – 1

2 CALCAGE

DK/REF



NOTE TO PROGRAMMER: The actual age should be written to the file in addition to the respondent's actual answer to A3.



A4 [IF (A2=DK OR REF) OR A3 = DK OR REF] How old are you?


AGE: ____________

DK/REF


NOTE: IF A4 NE BLANK, THEN REDEFINE CALCAGE = A4


A4a [IF CALCAGE <18] Thank you for your willingness to participate, but we cannot interview anyone who is younger than 18 for this study.


PRESS NEXT BUTTON TO END INTERVIEW.


Note to Programmers: Route these cases to M20


A4b [IF A4 = DK/REF] Thank you for your willingness to participate, but we cannot interview if we don't know how old you are.


PRESS NEXT BUTTON TO END INTERVIEW.


Note to Programmers: Route these cases to M20


A5 Are you of Hispanic, Latino, or Spanish origin?


1 YES

2 NO

DK/REF


A6 [IF A5 = 1] Which of these categories describes your origin or descent?



1 Mexican-American

2 Mexican

3 Cuban

4 Puerto Rican or other Caribbean

5 Central or South American Spanish

6 Some other Spanish group

DK/REF



A7 Which of these categories describes your race?



1 White

2 Black or African American

3 American Indian or Alaska Native

4 Asian

5 Native Hawaiian or other Pacific Islander

DK/REF



A8 How tall are you?


_____Feet

_____Inches



A9 How much do you currently weigh?

_____Pounds



A10 These next questions are about experiences you may have had before you entered this facility.


Did you graduate from high school?


1 Yes

2 No

DK/REF



A11 [IF A10 = 1] Did you receive a high school diploma or a GED for finishing high school?


1 HIGH SCHOOL DIPLOMA

2 GED

DK/REF



A12 [If A10 = 2] Did you receive a GED?

1 YES

2 NO

DK/REF

A13 [IF A10=1 OR A12=1] What is the highest level of school you have completed?


1 High School or GED

2 Some college but did not receive a degree

3 Associate Degree

4 Bachelor’s Degree

5 An advanced degree such as a Master’s, MBA, or PhD

DK/REF



A14 [IF A10=2 AND A12=2] Did you attend high school?


1 YES

2 NO

DK/REF

Section B – Criminal History



B0 These next questions are about your experience with crime and the justice system.



B1a When were you admitted to this facility?


B1a1. 2-DIGIT MONTH: _________ [RANGE: 1 – 12] DK REF

B1a2. 2-DIGIT DAY: ____________ [RANGE: 1 – 31] DK REF

B1a3. 4-DIGIT YEAR: ___________ [RANGE: 1915 – 2006] DK REF


PROGRAMMER: Need to allow a DK/REF option for each of the three fields]


B1c [IF B1a1 = DK/REF] What time of year was it? Was it winter, spring, summer, or fall when you were admitted to this facility?


1 WINTER

2 SPRING

3 SUMMER

4 FALL

DK/REF


DEFINE CALCTIME:

CALCTIME = CALCULATED BY "SUBTRACTING" DATE OF INCARCERATION FROM DATE OF INTERVIEW AND THEN ROUNDING. (less than 2 months report as days; 2 – 11 months report as months; 12 months or more round to nearest year)


DEFINE DOAFILL1:

If I0 = PRISON and facility admission date is at least 12 months ago then DOAFILL1 = During the past 12 months

If I0 = PRISON and facility admission date is less than 12 months ago then DOAFILL1 = Since you arrived at this facility

If I0 = PRISON and facility admission date is DK or REF then DOAFILL1 = During the past 12 months


If I0 = JAIL and facility admission date is at least 6 months ago then DOAFILL1 = During the past 6 months

If I0 = JAIL and facility admission date is at least 6 months ago then DOAFILL1 = Since you arrived at this facility

If I0 = JAIL and facility admission date is at least 6 months ago then DOAFILL1 = Since you arrived at this facility


DEFINE DOAFILL2:

If I0 = PRISON and facility admission date is at least 12 months ago then DOAFILL2 = during the past 12 months

If I0 = PRISON and facility admission date is less than 12 months ago then DOAFILL2 = since you arrived at this facility

If I0 = PRISON and facility admission date is DK or REF then DOAFILL2 = during the past 12 months


If I0 = JAIL and facility admission date is at least 6 months ago then DOAFILL2 = during the past 6 months

If I0 = JAIL and facility admission date is at least 6 months ago then DOAFILL2 = since you arrived at this facility

If I0 = JAIL and facility admission date is at least 6 months ago then DOAFILL2 = since you arrived at this facility


B2 [IF CALCTIME NE MISSING] That means you have been here for about [CALCTIME]. Is that correct?


1 YES

2 NO


B3 [IF (B1a=DK OR REF) OR B2=2] How long have you been in this facility?


INTERVIEWER: PROBE THOROUGHLY TO AVOID A DK OR REFUSE RESPONSE IF AT ALL POSSIBLE.


1 LESS THAN 1 WEEK

2 AT LEAST 1 WEEK BUT LESS THAN 1 MONTH

3 AT LEAST 1 MONTH BUT LESS THAN 2 MONTHS

4 AT LEAST 2 MONTHS BUT LESS THAN 6 MONTHS

5 AT LEAST 6 MONTHS BUT LESS THAN 1 YEAR

6 AT LEAST 1 YEAR BUT LESS THAN 5 YEARS

7 AT LEAST 5 YEARS BUT LESS THAN 10 YEARS

8 10 YEARS OR MORE

DK/REF



UPDATE DOAFILL1:

IF B3 = 1 - 3, THEN DOAFILL1 = Since you arrived at this facility

IF B3 = 4 – 6 OR DK OR REF, THEN DOAFILL1 = During the past 12 months


UPDATE DOAFILL2:

IF B3 = 1 - 3, THEN DOAFILL2 = since you arrived at this facility

IF B3 = 4 – 6 OR DK OR REF, THEN DOAFILL2 = during the past 12 months


B4p [IF FACILITY = PRISON] Are you currently sentenced to serve time for an offense?


1 YES

2 NO

DK/REF


B4j [IF FACILITY = JAIL] Are you being held in this jail…




YES

NO

B4j1. to await arraignment?

1

2

B4j2. to stand trial for an offense?

1

2

B4j3. to await a hearing for revocation of probation, parole, or community release?


1


2

B4j7. to await sentencing for an offense?

1

2

B4j8. to serve a sentence in this jail?

1

2

B4j9. to await transfer to serve a sentence somewhere else?

1

2

B4j4. for safekeeping?

1

2

B4j5. as a witness?

1

2

B4j6. for contempt of Court?

1

2

B4j10. for some reason other than those I just read?

1

2


B4ja [IF B4j10 = 1] Why are you being held in this jail?


______________________________________________ ALLOW 150 CHARACTERS

DK/REF


B5 [IF B4p=1] For what offenses are you now serving time?


ASTERISK DENOTES A REQUIRED FIELD.


RECORD UP TO 4 MENTIONS VERBATIM.

B5a*

SPECIFY OR REF:

B5b

SPECIFY OR REF OR NA:

B5c

SPECIFY OR REF OR NA

B5d

SPECIFY OR REF OR NA


B5e Are you serving time for a violation of probation?


  1. YES

  2. NO

DK/REF


B5f Are you serving time for a violation of parole or supervised release?


  1. YES

  2. NO

DK/REF


B5j1 [IF B4j1 = 1 OR B4j2 = 1 OR B4j3 = 1 OR B4j7 = 1 OR B4j8 = 1 OR B4j9 = 1] For what offenses are you currently being held in this jail?


ASTERISK DENOTES A REQUIRED FIELD.


RECORD UP TO 4 MENTIONS VERBATIM.

B5j1a

SPECIFY OR REF:

B5j1b

SPECIFY OR REF OR NA:

B5j1c

SPECIFY OR REF OR NA

B5j1d

SPECIFY OR REF OR NA


B5j1e Are you serving time for a violation of probation?


  1. YES

  2. NO

DK/REF


B5j1f Are you serving time for a violation of parole or supervised release?


  1. YES

  2. NO

DK/REF

DEFINE #OFFENSE

IF B5 > 1 #OFFENSE = offenses

ELSE #OFFENSE = offense


B8 [IF B5j1f = 1 OR B5f = 1] For what offenses had you been sent to prison before your release on parole or supervised release? RECORD UP TO 4 MENTIONS VERBATIM.

B8j1

SPECIFY OR REF:

B8j2

SPECIFY OR REF OR NA:

B8j3

SPECIFY OR REF OR NA

B8j4

SPECIFY OR REF OR NA



B9 [IF B5e =1 OR B5j1e = 1] For what offenses had you been sentenced to probation? RECORD UP TO 4 MENTIONS VERBATIM.

B9a

SPECIFY OR REF:

B9b

SPECIFY OR REF OR NA:

B9c

SPECIFY OR REF OR NA

B9d

SPECIFY OR REF OR NA


B12 [IF B4p =2 OR DK OR REF] Are you currently awaiting trail, sentencing, or a revocation hearing?


1 YES

2 NO

DK/REF

B13 [IF B12=1] Which are you awaiting?

1 TRIAL

2 SENTENCING

3 REVOCATION HEARING

DK/REF

B14 [IF B13=3] Are you awaiting revocation of …


YES

NO

B14a. Parole or supervised release after serving time?


1


2

B14b. Probation, including shock probation and split sentences?


1


2


B14a1 [IF B14a = 1 OR B15J1f = 1] For what offenses had you been sent to prison before your release on parole or supervised release? RECORD UP TO 4 MENTIONS VERBATIM.


B14a11

SPECIFY OR REF:

B14a12

SPECIFY OR REF OR NA:

B14a13

SPECIFY OR REF OR NA

B14a14

SPECIFY OR REF OR NA


B14b1 [IF B14b = 1] For what offenses had you been sentenced to probation? RECORD UP TO 4 MENTIONS VERBATIM.


B14b11

SPECIFY OR REF:

B14b12

SPECIFY OR REF OR NA:

B14b13

SPECIFY OR REF OR NA

B14b14

SPECIFY OR REF OR NA


B15 [IF B12=1] For what offenses are you currently being held? RECORD UP TO 4 MENTIONS VERBATIM.

B15a

SPECIFY OR REF:

B15b

SPECIFY OR REF OR NA:

B15c

SPECIFY OR REF OR NA

B15d

SPECIFY OR REF OR NA



B16 [IF (B12=2 OR DK OR REF) OR B13 = 1 OR 2] Are you currently being held for other authorities, for safekeeping, because you escaped, or for some other reason?


1 YES

2 NO

DK/REF

B17 [IF B16=1] Why are you currently being held?

1 FOR OTHER AUTHORITIES

2 FOR SAFEKEEPING

3 BECAUSE YOU ESCAPED

4 FOR SOME OTHER REASON

DK/REF


B6a [IF B4p =1 AND (MORE THAN 1 OFFENSE IN B5 OR B5 = DK OR REF) OR IF (B4j8 = 1 OR B4j9 = 1) AND (MORE THAN 1 OFFENSE IN B5j8 OR B5j8 = DK OR REF) ] What is your total maximum sentence length for all of the sentences you are serving?


[IF (B4p = 1 AND ONLY 1 OFFENSE in B5) OR IF (B4j8 = 1 OR B4j9 = 1) AND (ONLY ONE OFFENSE IN B5j8)] What is your total maximum sentence for this offense?


YEARS: ____________ [RANGE: 0 – 999]

MONTHS: __________ [RANGE: 0 – 99]

DAYS: _____________ [RANGE: 0 – 99]

LIFE / LIFE PLUS ADDITIONAL YEARS

LIFE WITHOUT PAROLE

DEATH

INTERMITTENT SENTENCE

DK/REF


B6b [IF B4p = 1] Altogether, how much time have you already served in any facility on this sentence?


YEARS: _____________ [RANGE: 0 – 99]

MONTHS: ___________ [RANGE: 0 – 99]

DAYS: ______________ [RANGE: 0 – 99]

DK/REF


B18 [IF (B4j4 = 1 OR B4j5 = 1 OR B4j6 = 1 OR B4j10 = 1) AND (B4j1 NE 1 AND B4j2 NE 1 AND B4j3 NE 1 AND B4j7 NE 1 AND B4j8 NE 1 AND B4j9 NE 1)] Prior to being admitted to this facility, had you ever spent time as an adult or juvenile in a prison, jail, or other correctional facility?


[IF (B4j4 = 2 OR DK OR REF) OR (B4j5 = 2 OR DK OR REF) OR (B4j6 = 2 OR DK OR REF) OR (B4j10 = 2 OR DK OR REF) AND (B4j1 = 1 OR B4j2 = 1 OR B4j3 = 1 OR B4j7 = 1 OR B4j8 = 1 OR B4j9 = 1)] Prior to the arrest that led to you being admitted to this facility, had you ever spent time as an adult or juvenile in a prison, jail, or other correctional facility?


1 YES

2 NO

DK/REF


B19 [IF B18 = 1 OR DK OR REF] Altogether how much time have you ever spent as an adult or juvenile in a prison, jail, or other correctional facility?


1 LESS THAN 1 MONTH

2 at least 1 month but less than 6 months

3 At least 6 months but less than 1 year

4 At least 1 year but less than 2 years

5 At least 2 year but less than 5 years

6 5 years or more

DK/REF


B20 [IF FACILITY TYPE = JAIL] Do you have a definite date on which you expect to be released from jail or prison?


[IF FACILITY TYPE = PRISON] Do you have a definite date on which you expect to be released from prison?


1 YES

2 NO

DK/REF


B21 [IF B20 = 1 AND FACILITY TYPE = PRISON] In what month and year do you expect to be released?


MONTH: ________ [RANGE = 1 – 12] DK REF

4-DIGIT YEAR: ______ [RANGE = 2005 – 2080] DK REF


B22 [IF B20 = 1 AND FACILITY TYPE = JAIL] On what date do you expect to be released?


MONTH: ________ [RANGE = 1 – 12] DK REF

DAY: ___________ [RANGE = 1 – 31] DK REF

4-DIGIT YEAR: ______ [RANGE = 2005 – 2080] DK REF

DK/REF



B23 [IF (B20 = 2 OR DK OR REF) OR (B22 = 2 OR DK OR REF)] How much more time do you think you will serve before you are released?


1 LESS THAN 1 WEEK

2 AT LEAST 1 WEEK BUT LESS THAN 1 MONTH

3 AT LEAST 1 MONTH BUT LESS THAN 2 MONTHS

4 AT LEAST 2 MONTHS BUT LESS THAN 6 MONTHS

5 AT LEAST 6 MONTHS BUT LESS THAN 1 YEAR

6 AT LEAST 1 YEAR BUT LESS THAN 5 YEARS

7 AT LEAST 5 BUT LESS THAN 10 YEARS

8 10 YEARS OR MORE

9 NEVER RELEASED

10 DEATH

DK/REF




SECTION C: ACASI Tutorial


C1 [NO AUDIO REQUIRED] You will complete the rest of this interview on your own using the computer and headphones. Before you start, we’ll go through a short practice session together so you can learn how to use this computer to answer the interview questions. After this introduction, I will move away from the computer and will not be able to see your answers so that you can take the interview in privacy.


You do not need the mouse or keyboard to answer questions. You can simply touch the buttons on the screen using your finger.


MOVE COMPUTER SO RESPONDENT CAN SEE THE SCREEN.


For each question, the answers will appear as buttons on the screen, like these yes and no buttons. POINT TO YES AND NO BUTTONS ON SCREEN. To choose an answer you will need to use your finger to touch the button for your answer on the computer screen, like this.


PRESS YES BUTTON.


After you choose your answer, you must touch the NEXT button at the bottom of the screen. TOUCH THE NEXT BUTTON.


C2 [NO AUDIO REQUIRED] If you want to go back to the previous question, this is the BACK button. POINT TO BACK BUTTON.


Now I will show you how to use the back button to go back to the previous question and change the answer to no.


NOW DEMONSTRATE USE OF BACK BUTTON BY PRESSING IT TO GO BACK TO THE PREVIOUS SCREEN AND CHANGE YOUR ANSWER TO NO. THEN RETURN TO THIS SCREEN BY PRESSING NEXT.


You can also use the back button to see your previous answer without changing it.


If you don’t know the answer to the question, touch the DON’T KNOW button [POINT TO DON’T KNOW ] at the bottom of the screen and you will go on to the next question. PRESS DON’T KNOW BUTTON.


C3 [NO AUDIO REQUIRED] If you don’t want to answer the question, you can touch the REFUSE button [POINT TO THE REFUSE BUTTON]and you will go on to the next question. PRESS REFUSE BUTTON.



C4 [NO AUDIO REQUIRED] If you want the computer to read the question again, you can press the REPEAT button [POINT TO REPEAT BUTTON].


C5 [NO AUDIO REQUIRED] You can adjust the volume here [DEMONSTRATE VOLUME ADJUSTMENT, ON THE HEADPHONE CORD]. Or if you want to turn the volume off you can adjust it on your headphones or take your headphones off.


Please put on your headphones. When you are ready, let me know.


MOVE COMPUTER SO RESPONDENT CAN USE IT. ONCE RESPONDENT HAS HEADPHONES ON, TOUCH THE NEXT BUTTON SO RESPONDENT CAN BEGIN PRACTICE SESSION.



PLAY AUDIO FOR ALL FOLLOWING SCREENS


C6 This screen will play while you adjust the volume in your headphones. When you have adjusted the volume to a level that is comfortable to you, touch the NEXT button on the bottom of your screen to continue with the practice session.



C7 Welcome to RTI’s self-interviewing system, which lets you control the interview and answer in complete privacy. In this system, you can read the questions on the computer screen and hear them read through the headphones.


First, you will learn how to use the system and complete some practice questions. You will learn how to enter answers and how to back-up if you make a mistake and want to change an answer.

If you would like to just see the questions on the screen, you can turn off the voice on your headphones or take them off.

Touch the large NEXT button on the bottom of your screen.


C8 After you hear the question, you will hear the possible answers. Each answer will be highlighted as it is read. To answer the question, you simply use your finger to touch the button on the screen with your answer on it and then touch the NEXT button.


Do you like ice cream?


Yes

No


C9 The last question was a Yes-No question. Other questions will have more answers to choose from, and you will pick your answer from a list.


What is your favorite color? Touch the answer button on the screen that best fits you and then touch the NEXT button.


Blue

Red

Yellow

Green

Some other color


C10 For some questions you will enter your answer using a keypad like the one shown below. Try using the keypad to answer this question: How many brothers and sisters do you have?


NUMBER: __________ [RANGE: 0 – 999]



C11 DELETED


C12 If you want to change or see your answer to a previous question, you can back up by touching the BACK button. Each time you touch the BACK button, the computer will go back one question.


Try backing up two questions and then return to this question by pressing the NEXT button twice.


Then touch NEXT on this screen to continue.


C13 You can tell the computer to repeat a question by touching the REPEAT button. Try this now.


How many times did you listen to this question?


I have listened to this screen more than once.

I have only listened to this screen one time


C14 If you have any questions, ask your interviewer now. If not, tell the interviewer you are ready to begin and she will move away from the computer. Touch the NEXT button when you are ready to begin.

SECTION D: MISCELLANEOUS (1st ACASI Section)



D1 Are you currently married, widowed, divorced or separated, or have you never married?


1 Married

2 Widowed

3 Divorced

4 Separated (For reasons other than incarceration)

5 Never married

DK/REF



D2 Are you male, female, or trans-sexual?


1 Male

2 Female

3 Trans-sexual

DK/REF



D3 Before you entered this facility, about how many different partners had you ever had sex with? By sex we mean vaginal, oral, or anal sex.


1 0

2 1

3 2 – 4

4 5 – 10

5 11 – 20

6 21 or more

DK/REF



D4 [IF D3 NE 1] Before you entered this facility, had you had sex with men only, women only, or both men and women?


1 Men only

2 Women only

3 Both men and women

DK/REF



D5 Do you consider yourself to be heterosexual or 'straight', bisexual, or homosexual or gay?


1 Heterosexual or 'Straight'

2 Bi-sexual

3 [A1 = MALE] Homosexual or Gay

[A1 = FEMALE] Homosexual, Gay, or Lesbian

4. Other

DK/REF

Routing Information


90% of the respondents will be randomly routed to answer questions D6-G26, which are about consensual and non-consensual sex in the facility. Time permitting (i.e., if the respondent reaches the end of these questions before 30 minutes is up), they will then asked some of the subsequent questions about alcohol use, drug use, alcohol and drug treatment, and their behavior within the facility.



The other 10% of respondents will be randomly routed to skip questions D6-G26 and will instead be asked the subsequent questions about alcohol use, drug use, alcohol and drug treatment, and their behavior within the facility (Sections H – K).


D6 [IF GENDER=F] Before you entered this facility, had anyone ever physically forced you to have sex or sexual contact – that is unwanted touching of the breasts, genitals, or butt or vaginal, oral, or anal sex?


[IF GENDER=M] Before you entered this facility, had anyone ever physically forced you to have sex or sexual contact – that is unwanted touching of the genitals or butt or vaginal, oral or anal sex?

1 Yes

2 No

DK/REF


D7 [IF GENDER=F AND D6 NE 1] Before you entered this facility, had anyone pressured you or made you feel you had to have sex or sexual contact – that is unwanted touching of the breasts, genitals, or butt or vaginal, oral, or anal sex?


[IF GENDER=M AND D6 NE 1] Before you entered this facility, had anyone ever pressured you or made you feel you had to have sex or sexual contact – that is unwanted touching of the genitals or butt or vaginal, oral or anal sex?

1 Yes

2 No

DK/REF


DEFINE SEXTYPE1:

IF D6 = 1 AND D7 NE 1, SEXTYPE1 = physically forced

IF D6 NE 1 AND D7 =1, SEXTYPE1 = pressured or made to feel that you had

ELSE SEXTYPE1 = BLANK


D8 [IF D6 =1 OR D7 = 1] How many times were you [SEXTYPE1 FILL] to have sex or sexual contact before you entered this facility?


1 1 time

2 2 times

3 3 – 10 times

4 11 times or more

DK/REF


D9 [IF D8 NE 1] Were you [SEXTYPE1 FILL] to have sex or sexual contact before you were 18 years old, after you turned 18, or both?


1 Before you were 18

2 After you turned 18

3. Both

DK/REF


D10 [IF D8 = 1] Were you [SEXTYPE1 FILL] to have sex or sexual contact before you were 18 years old?


1 Yes

2 No

DK/REF


D11 [IF (D6=1 OR D7 = 1) AND B18=1] Before you entered this facility, were you [SEXTYPE1 FILL] to have sex or sexual contact while you were an adult or juvenile in a jail, prison, or other correctional facility?


1 Yes

2 No

DK/REF

Section E: Sexual Activity With Inmates


E1 These next questions are about both wanted and unwanted sex or sexual contact you have had with other inmates in this facility DOAFILL2. Touch the NEXT button to go to the next screen.


Males

Females

E2 [IF GENDER = MALE] DOAFILL1, have you been touched on your butt, thighs, or penis in a sexual way by another inmate?


1 Yes

2 No

DK/REF


E2 [IF GENDER = FEMALE] DOAFILL1, have you been touched on your butt, thighs, breasts, or vagina in a sexual way by another inmate?


1 Yes

2 No

DK/REF


E6 [IF GENDER = MALE] DOAFILL1, have you given or received a handjob? A 'handjob' is when someone's penis is rubbed by somebody else.


1 Yes

2 No

DK/REF



E8 [IF GENDER = MALE] DOAFILL1, have you given or received oral sex or a blow job? Oral sex or a blow job is when one inmate puts their mouth on the penis or butt of another inmate.


1 Yes

2 No

DK/REF


E8 [IF GENDER = FEMALE] DOAFILL1, have you given or received oral sex? Oral sex is when one inmate puts their mouth on the vagina or butt of another inmate.


1 Yes

2 No

DK/REF


E10 [IF GENDER=F] DOAFILL1, have you had vaginal sex? Vaginal sex is when one inmate inserts their finger or an object into another inmate's vagina.


1 Yes

2 No

DK/REF

E12 [IF GENDER = M] DOAFILL1, have you had anal sex? Anal sex is when one inmate inserts their finger, penis, or an object into another inmate's butt.


1 Yes

2 No

DK/REF


E12 [IF GENDER = F] DOAFILL1, have you had anal sex? Anal sex is when one inmate inserts their finger or an object into another inmate's butt.


1 Yes

2 No

DK/REF



E14 [IF GENDER=M] DOAFILL1, have you had any type of sex or sexual contact with another inmate other than sexual touching, handjobs, oral sex or blowjobs, or anal sex?


1 Yes

2 No

DK/REF

E14 [IF GENDER=F] DOAFILL1, have you had any type of sex or sexual contact with another inmate other than sexual touching, oral sex, vaginal sex, or anal sex?


1 Yes

2 No

DK/REF

E15 [IF E2 = 1 OR E6 = 1 OR E8 = 1 OR E12 = 1 OR E14 = 1] These next questions are only about unwanted sex or sexual contact. Touch the NEXT button to go to the next screen.

E15 [IF E2 = 1 OR E8 = 1 OR E10 = 1 OR E12 = 1 OR E14 = 1] These next questions are only about unwanted sex or sexual contact. Touch the NEXT button to go to the next screen.

E16 [IF E2=1] DOAFILL1, did another inmate use physical force to touch your butt, thighs, or penis in a sexual way?


1 Yes

2 No

DK/REF


E17 [IF E2 = 1] DOAFILL1, did another inmate, without using physical force, pressure you or make you feel that you had to let them touch your butt, thighs, or penis in a sexual way DOAFILL2?


1 Yes

2 No

DK/REF



E18 [IF E2=1] DOAFILL1, did another inmate use physical force to touch your butt, thighs, breasts, or vagina in a sexual way?


1 Yes

2 No

DK/REF


E19 [IF E2 = 1] DOAFILL1, did another inmate, without using physical force, pressure you or make you feel that you had to let them touch your butt, thighs, breasts, or vagina in a sexual way?


1 Yes

2 No

DK/REF

E22 [IF E6 =1] DOAFILL1, did another inmate use physical force to make you give or receive a handjob?


1 Yes

2 No

DK/REF


E23 [IF E6 = 1] DOAFILL1, did another inmate, without using physical force, pressure you or make you feel that you had to give or receive a handjob?


1 Yes

2 No

DK/REF



E24 [IF E8 = 1] DOAFILL1, did another inmate use physical force to make you give or receive oral sex?


1 Yes

2 No

DK/REF


E25 [IF E8 = 1] DOAFILL1, did another inmate, without using physical force, pressure you or make you feel that you had to give or receive oral sex?


1 Yes

2 No

DK/REF

E26 [IF E8 =1] DOAFILL1, did another inmate use physical force to make you give or receive oral sex or a blow job?


1 Yes

2 No

DK/REF


E27 [IF E8 = 1] DOAFILL1, did another inmate, without using physical force, pressure you or make you feel that you had to give or receive oral sex or a blow job?


1 Yes

2 No

DK/REF



E28 [IF E10 = 1] DOAFILL1, did another inmate use physical force to make you have vaginal sex?


1 Yes

2 No

DK/REF


E29 [IF E10 = 1] DOAFILL1, did another inmate, without using physical force, pressure you or make you feel that you had to have vaginal sex?


1 Yes

2 No

DK/REF



E32 [IF E12 = 1] DOAFILL1, did another inmate use physical force to make you have anal sex?


1 Yes

2 No

DK/REF


E33 [IF E12 = 1] DOAFILL1, did another inmate, without using physical force, pressure you or make you feel that you had to have anal sex?


1 Yes

2 No

DK/REF

E32 [IF E12 = 1] DOAFILL1, did another inmate use physical force to make you have anal sex?


1 Yes

2 No

DK/REF


E33 [IF E12 = 1] DOAFILL1, did another inmate, without using physical force, pressure you or make you feel that you had to have anal sex?


1 Yes

2 No

DK/REF

E34 [IF E14 = 1] DOAFILL1, did another inmate use physical force to make you have any type of sex or sexual contact other than sexual touching, handjobs, oral sex or blowjobs, or anal sex?


1 Yes

2 No

DK/REF


E35 [IF E14 = 1] DOAFILL1, did another inmate, without using physical force, pressure you or make you feel that you had to have any type of sex or sexual contact other than sexual touching, handjobs, oral sex or blowjobs, or anal sex?


1 Yes

2 No

DK/REF

E34 [IF E14 = 1] DOAFILL1, did another inmate use physical force to make you have any type of sex or sexual contact other than sexual touching, oral sex, vaginal sex, or anal sex?


1 Yes

2 No

DK/REF


E35 [IF E14 = 1] DOAFILL1, did another inmate, without using physical force, pressure you or make you feel that you had to have any type of sex or sexual contact other than sexual touching, oral sex, vaginal sex, or anal sex?


1 Yes

2 No

DK/REF




E36 [IF GENDER = M AND (E22 = 1 OR E23 = 1 OR E26 = 1 OR E27 = 1 OR E32 = 1 OR E33 = 1)] DOAFILL1, how many times altogether were you (physically forced to/pressured or made to feel that you had to/physically forced, pressured, or made to feel that you had to):


  • [IF E22 OR E23 = 1] Give or receive a handjob,

  • [IF E26 OR E27 = 1] Give or receive oral sex or a blow job, or

  • [IF E32 OR E33 = 1] Have anal sex?


1 1 time

2 2 times

3 3 – 10 times

4 11 times or more

DK/REF



E37 [IF GENDER = F AND (E24 = 1 OR E25 = 1 OR E28 = 1 OR E29 = 1 OR E32 = 1 OR E33 = 1)] DOAFILL1, how many times altogether were you (physically forced to/pressured or made to feel that you had to/physically forced, pressured, or made to feel that you had to):


  • [IF E24 OR E25 = 1] Give or receive oral sex,

  • [IF E28 OR E29 = 1] Have vaginal sex, or

  • [IF E32 OR E33 = 1] Have anal sex?


1 1 time

2 2 times

3 3 – 10 times

4 11 times or more

DK/REF



E38 [IF E16 = 1 OR E17 = 1] DOAFILL1, how many times altogether were you (physically forced to/pressured or made to feel that you had to/physically forced, pressured, or made to feel that you had to) let another inmate touch your butt, thighs, or penis in a sexual way?


1 1 time

2 2 times

3 3 – 10 times

4 11 times or more

DK/REF

E39 [IF E18 = 1 OR E19 = 1] DOAFILL1, how many times altogether were you (physically forced to/pressured or made to feel that you had to/physically forced, pressured, or made to feel that you had to) let another inmate touch your thighs, breasts, or vagina in a sexual way?



1 1 time

2 2 times

3 3 – 10 times

4 11 times or more

DK/REF


LCM1 DOAFILL1, did another inmate use physical force, pressure you, or make you feel that you had to have any type of sex or sexual contact?


1 Yes

2 No

DK/REF


LCM2 How long has it been since another inmate in this facility used physical force, pressured you, or made you feel that you had to have any type of sex or sexual contact?


1 Within the past 7 days

2 More than 7 days ago but within the past 30 days

3 More than 30 days ago but within the past 12 months

4 More than 12 months ago

5 This has not happened to me at this facility

DK/REF


E162 [IF E2 = 2 AND E6 = 2 AND E8 = 2 AND E12 = 2 AND E14 = 2 AND (LCM1 = 1 OR LCM2 = 1 OR 2 OR 3)] DOAFILL1, did another inmate use physical force to touch your butt, thighs, or penis in a sexual way?


1 Yes

2 No

DK/REF


E172 [IF E2 = 2 AND E6 = 2 AND E8 = 2 AND E12 = 2 AND E14 = 2 AND (LCM1 = 1 OR LCM2 = 1 OR 2 OR 3)] DOAFILL1, did another inmate, without using physical force, pressure you or make you feel that you had to let them touch your butt, thighs, or penis in a sexual way DOAFILL2?


1 Yes

2 No

DK/REF



E182 [IF E2 = 2 AND E8 = 2 AND E10 = 2 AND E12 = 2 AND E14 = 2 AND (LCM1 = 1 OR LCM2 = 1 OR 2 OR 3)] DOAFILL1, did another inmate use physical force to touch your butt, thighs, breasts, or vagina in a sexual way?


1 Yes

2 No

DK/REF


E192 [IF E2 = 2 AND E8 = 2 AND E10 = 2 AND E12 = 2 AND E14 = 2 AND (LCM1 = 1 OR LCM2 = 1 OR 2 OR 3)] DOAFILL1, did another inmate, without using physical force, pressure you or make you feel that you had to let them touch your butt, thighs, breasts, or vagina in a sexual way?


1 Yes

2 No

DK/REF

E222 [IF E2 = 2 AND E6 = 2 AND E8 = 2 AND AND E12 = 2 AND E14 = 2 AND (LCM1 = 1 OR LCM2 = 1 OR 2 OR 3)] DOAFILL1, did another inmate use physical force to make you give or receive a handjob?


1 Yes

2 No

DK/REF


E232 [IF E2 = 2 AND E6 = 2 AND E8 = 2 AND AND E12 = 2 AND E14 = 2 AND (LCM1 = 1 OR LCM2 = 1 OR 2 OR 3)] DOAFILL1, did another inmate, without using physical force, pressure you or make you feel that you had to give or receive a handjob?


1 Yes

2 No

DK/REF



E242 [IF E2 = 2 AND E8 = 2 AND E10 = 2 AND E12 = 2 AND E14 = 2 AND (LCM1 = 1 OR LCM2 = 1 OR 2 OR 3)] DOAFILL1, did another inmate use physical force to make you give or receive oral sex?


1 Yes

2 No

DK/REF


E252 [IF E2 = 2 AND E8 = 2 AND E10 = 2 AND E12 = 2 AND E14 = 2 AND (LCM1 = 1 OR LCM2 = 1 OR 2 OR 3)] DOAFILL1, did another inmate, without using physical force, pressure you or make you feel that you had to give or receive oral sex?


1 Yes

2 No

DK/REF

E262 [IF E2 = 2 AND E6 = 2 AND E8 = 2 AND E12 = 2 AND E14 = 2 AND (LCM1 = 1 OR LCM2 = 1 OR 2 OR 3)] DOAFILL1, did another inmate use physical force to make you give or receive oral sex or a blow job?


1 Yes

2 No

DK/REF


E272 [IF E2 = 2 AND E6 = 2 AND E8 = 2 AND E12 = 2 AND E14 = 2 AND (LCM1 = 1 OR LCM2 = 1 OR 2 OR 3)] DOAFILL1, did another inmate, without using physical force, pressure you or make you feel that you had to give or receive oral sex or a blow job?


1 Yes

2 No

DK/REF



E282 [IF E2 = 2 AND E8 = 2 AND E10 = 2 AND E12 = 2 AND E14 = 2 AND (LCM1 = 1 OR LCM2 = 1 OR 2 OR 3)] DOAFILL1, did another inmate use physical force to make you have vaginal sex?


1 Yes

2 No

DK/REF


E292 [IF E2 = 2 AND E8 = 2 AND E10 = 2 AND E12 = 2 AND E14 = 2 AND (LCM1 = 1 OR LCM2 = 1 OR 2 OR 3)] DOAFILL1, did another inmate, without using physical force, pressure you or make you feel that you had to have vaginal sex?


1 Yes

2 No

DK/REF



E322 [IF E2 = 2 AND E6 = 2 AND E8 = 2 AND E12 = 2 AND E14 = 2 AND (LCM1 = 1 OR LCM2 = 1 OR 2 OR 3)] DOAFILL1, did another inmate use physical force to make you have anal sex?


1 Yes

2 No

DK/REF


E332 [IF E2 = 2 AND E6 = 2 AND E8 = 2 AND E12 = 2 AND E14 = 2 AND (LCM1 = 1 OR LCM2 = 1 OR 2 OR 3)] DOAFILL1, did another inmate, without using physical force, pressure you or make you feel that you had to have anal sex?


1 Yes

2 No

DK/REF

E322 [IF E2 = 2 AND E8 = 2 AND E10 = 2 AND E12 = 2 AND E14 = 2 AND (LCM1 = 1 OR LCM2 = 1 OR 2 OR 3)] DOAFILL1, did another inmate use physical force to make you have anal sex?


1 Yes

2 No

DK/REF


E332 [IF E2 = 2 AND E8 = 2 AND E10 = 2 AND E12 = 2 AND E14 = 2 AND (LCM1 = 1 OR LCM2 = 1 OR 2 OR 3)] DOAFILL1, did another inmate, without using physical force, pressure you or make you feel that you had to have anal sex?


1 Yes

2 No

DK/REF

E342 [IF E2 = 2 AND E6 = 2 AND E8 = 2 AND E12 = 2 AND E14 = 2 AND (LCM1 = 1 OR LCM2 = 1 OR 2 OR 3)] DOAFILL1, did another inmate use physical force to make you have any type of sex or sexual contact other than sexual touching, handjobs, oral sex or blowjobs, or anal sex?


1 Yes

2 No

DK/REF


E352 [IF E2 = 2 AND E6 = 2 AND E8 = 2 AND E12 = 2 AND E14 = 2 AND (LCM1 = 1 OR LCM2 = 1 OR 2 OR 3)] DOAFILL1, did another inmate, without using physical force, pressure you or make you feel that you had to have any type of sex or sexual contact other than sexual touching, handjobs, oral sex or blowjobs, or anal sex?


1 Yes

2 No

DK/REF

E342 [IF E2 = 2 AND E8 = 2 AND E10 = 2 AND E12 = 2 AND E14 = 2 AND (LCM1 = 1 OR LCM2 = 1 OR 2 OR 3)] DOAFILL1, did another inmate use physical force to make you have any type of sex or sexual contact other than sexual touching, oral sex, vaginal sex, or anal sex?


1 Yes

2 No

DK/REF


E352 [IF E2 = 2 AND E8 = 2 AND E10 = 2 AND E12 = 2 AND E14 = 2 AND (LCM1 = 1 OR LCM2 = 1 OR 2 OR 3)] DOAFILL1, did another inmate, without using physical force, pressure you or make you feel that you had to have any type of sex or sexual contact other than sexual touching, oral sex, vaginal sex, or anal sex?


1 Yes

2 No

DK/REF


LCM3 [IF A1= MALE] DOAFILL1, did another inmate use physical force, pressure you, or make you feel that you had to have oral or anal sex?


[IF A1 = FEMALE] DOAFILL1, did another inmate use physical force, pressure you, or make you feel that you had to have oral, vaginal, or anal sex?


1 Yes

2 No

DK/REF


LCM4 [IF A1 = MALE] How long has it been since another inmate in this facility used physical force, pressured you, or made you feel that you had to have oral or anal sex?


[IF A1 = FEMALE] How long has it been since another inmate in this facility used physical force, pressured you, or made you feel that you had to have oral, vaginal, or anal sex?


1 Within the past 7 days

2 More than 7 days ago but within the past 30 days

3 More than 30 days ago but within the past 12 months

4 More than 12 months ago

5 This has not happened to me at this facility

DK/REF

Section F: Description of NCSAs


DEFINE NCSA:

IF E16 = 1 OR E17 = 1 OR E18 = 1 OR E19 = 1 OR E22 = 1 OR E23 = 1 OR E24 = 1 OR E25 = 1 OR E26 = 1 OR E27 = 1 OR E28 = 1 OR E29 = 1 OR E32 = 1 OR E33 = 1 OR E34 = 1 OR E35 = 1 OR E162 = 1 OR E172 = 1 OR E182 = 1 OR E192 = 1 OR E222 = 1 OR E232 = 1 OR E242 = 1 OR E252 = 1 OR E262 = 1 OR E272 = 1 OR E282 = 1 OR E292 = 1 OR E322 = 1 OR E332 = 1 OR E332 = 1 OR E342 = 1 OR E352 = 1 THEN NCSA = 1

ELSE NCSA = 2


DEFINE forced:

            If at least one of (E16, E18, E22, E24, E26, E28, E32, E34, E162, E182, E222, E242, E262, E282, E322, E342) is YES,

               then forced = YES

               else forced = NO


DEFINE pressured:

            If at least one of (E17, E19, E23, E25, E27, E29, E33, E35, E172, E192, E232, E252, E272, E292, E332, E352) is YES,

              then pressured = YES

              else pressured = NO


DEFINE forcedOrPressuredFill2:

            If forced = YES AND pressured = NO

               then forcedOrPressuredFill2 = "physically forced"

            Else if forced = NO AND pressured = YES

               then forcedOrPressuredFill2 = "pressured or made to feel that you had"

            Else if forced = YES AND pressured = YES

               then forcedOrPressuredFill2 =  "physically forced, pressured, or made to feel that you had"

            Else

              forcedOrPressuredFill2 = "????"


Note that if forced and pressured are both NO, the fill won't be used so it doesn't matter what it is.



DEFINE #NCSA1

IF E36 + E37 + E38 + E39 = 1 THEN #NCSA1 = did it

IF E36 + E37 + E38 + E39> 1 THEN #NCSA1 = did it ever


DEFINE #NCSA2

IF E36 + E37 + E38 +E39 = 1 THEN #NCSA2 = were you

IF E36 + E37 + E38 +E39 > 1 THEN #NCSA2= were you ever


DEFINE #NCSA3

IF E36 + E37 + E38 + E39 = 1 THEN #NCSA3 = was it

IF E36 + E37 + E38 + E39 > 1 THEN #NCSA3 = was it ever


DEFINE #NCSA4

IF E36 + E37 + E38 + E39 = 1 THEN #NCSA4 = did you

IF E36 + E37 + E38 + E39 > 1 THEN #NCSA4 = did you ever


DEFINE #NCSA5

IF E36 + E37 + E38 + E39 = 1 THEN #NCSA5 = why didn't you

IF E36 + E37 + E38 + E39 > 1 THEN #NCSA5 = why didn't you ever


F1 [IF NCSA = 1] DOAFILL1,when you were [physically forced to/pressured or made to feel that you had to/physically forced, pressured, or made to feel that you had to] have sex or sexual contact with another inmate, [#NCSA1 FILL] involve more than one inmate?


1 Yes

2 No

DK/REF


F2 [IF NCSA=1] DOAFILL1,when you were [physically forced to/pressured or made to feel that you had to/physically forced, pressured, or made to feel that you had to] have sex or sexual contact with another inmate, [#NCSA1 FILL] happen…



Yes

No

F2a. Between 6:00 in the morning and noon?

1

2

F2b. After noon but before 6:00 in the evening?

1

2

F2c. After 6:00 in the evening but before midnight?

1

2

F2d. After midnight but before 6:00 in the morning?

1

2


F3 [IF NCSA=1] DOAFILL1,when you were [physically forced to/pressured or made to feel that you had to/physically forced, pressured, or made to feel that you had to] have sex or sexual contact with another inmate, [#NCSA1 FILL] happen…



Yes

No

F3a. In your own cell, room, or sleeping area?

1

2

F3b. In the cell or room of another inmate?

1

2

F3c. Somewhere else in the facility?

1

2

F3d. Off facility grounds?

1

2


F4 [IF F3c =1] DOAFILL1,when you were [physically forced to/pressured or made to feel that you had to/physically forced, pressured, or made to feel that you had to] have sex or sexual contact with another inmate, [#NCSA1 FILL] happen …



Yes

No

F4a. In a shower?

1

2

F4b. In a bathroom?

1

2

F4c. In the yard or recreation area?

1

2

F4d. In a classroom or library?

1

2

F4e. In a workshop, kitchen, or other workplace?

1

2

F4f. In a closet?

1

2

F4g. In an office or other locked room?

1

2

F4h. On the stairs?

1

2


F5 [IF F3d =1] DOAFILL1,when you were [physically forced to/pressured or made to feel that you had to/physically forced, pressured, or made to feel that you had to] have sex or sexual contact with another inmate, [#NCSA1] happen in…



Yes

No

F5a. A bus, van, or car?

1

2

F5b. A courthouse?

1

2

F5c. Some other type of temporary holding facility?

1

2

F5d. A hospital or other type of medical facility?

1

2

F6 [IF NCSA=1] DOAFILL1,when you were [physically forced to/pressured or made to feel that you had to/physically forced, pressured, or made to feel that you had to] have sex or sexual contact with another inmate, [#NSCA2 FILL] …



Yes

No

F6a. Persuaded or talked into it?

1

2

F6b. Given a bribe?

1

2

F6c. Blackmailed?

1

2

F6d. Given drugs or alcohol to get you drunk or high?

1

2

F6e. Offered protection from other inmates?

1

2

F6f. Threatened with harm?

1

2

F6g. Physically held down or restrained?

1

2

F6h. Physically harmed or injured?

1

2

F6i. Threatened with a weapon?

1

2



F7 [IF NCSA = 1] DOAFILL1,when you were [physically forced to/pressured or made to feel that you had to/physically forced, pressured, or made to feel that you had to] have sex with another inmate, [#NCSA1] involve an inmate of Hispanic or Latino origin?


1 Yes

2 No

DK/REF


F7.1 [IF NCSA = 1] DOAFILL1, when you were [physically forced to/pressured or made to feel that you had to/physically forced, pressured, or made to feel that you had to] have sex with another inmate, [#NCSA1] involve an inmate who was…


Yes

No

F7.1a. White

1

2

F7.1b. Black or African American

1

2

F7.1c. American Indian or Alaska Native

1

2

F7.1d. Asian

1

2

F7.1e. Native Hawaiian or other Pacific Islander

1

2



[IF NCSA = 1] DOAFILL1,when you were [physically forced to/pressured or made to feel that you had to/physically forced, pressured, or made to feel that you had to] have sex or sexual contact with another inmate, [#NCSA1] involve an inmate of a different race or ethnicity than you?


1 Yes

2 No

DK/REF



F8 [IF NCSA = 1] DOAFILL1,when you were [physically forced to/pressured or made to feel that you had to/physically forced, pressured, or made to feel that you had to] have sex or sexual contact with another inmate, [#NCSA3] initiated by a gang?

1 Yes

2 No

DK/REF



F9 [IF NCSA=1] DOAFILL1, when you were [physically forced to/pressured or made to feel that you had to/physically forced, pressured, or made to feel that you had to] have sex or sexual contact with another inmate, [#NCSA2] injured?


1 Yes

2 No

DK/REF


F10 [IF F9 = 1] DOAFILL1,when you were [physically forced to/pressured or made to feel that you had to/physically forced, pressured, or made to feel that you had to] have sex or sexual contact with another inmate, [#NCSA4] …



Yes

No

F10a. Receive knife or stab wounds

1

2

F10b. Receive broken bones

1

2

F10c. Receive [anal/anal or vaginal] tearing

1

2

F10d. Have your teeth chipped or knocked out

1

2

F10e Receive internal injuries

1

2

F10f. Get knocked unconscious

1

2

F10g. Receive bruises, a black eye, sprains, cuts, scratches, swelling, or welts

1

2



F11 [IF F9 = 1] DOAFILL1,when you were [physically forced to/pressured or made to feel that you had to/physically forced, pressured, or made to feel that you had to] have sex or sexual contact with another inmate, [#NCSA4] see a doctor, nurse, or other health care provider for any of the injuries you received?

1 Yes

2 No

DK/REF



F12 [IF NCSA=1] DOAFILL1,when you were [physically forced to/pressured or made to feel that you had to/physically forced, pressured, or made to feel that you had to] have sex or sexual contact with another inmate, [#NCSA4] report it to facility staff?


1 Yes

2 No

DK/REF


F13 [IF F12 = 1] DOAFILL1, when you were [physically forced to/pressured or made to feel that you had to/physically forced, pressured, or made to feel that you had to] have sex or sexual contact with another inmate, [#NCSA4] report it to…


Yes

No

F13a. A correctional officer

1

2

F13b. An administrative staff person

1

2

F13c. A medical or healthcare staff person

1

2

F13d. An instructor or teacher

1

2

F13e. A counselor

1

2

F13f. A chaplain or other religious official

1

2

F13g. A volunteer

1

2


F14 [IF F12 = 1] DOAFILL1, when you made a report to a facility staff person that you were [physically forced to/pressured or made to feel that you had to/physically forced, pressured, or made to feel that you had to] have sex or sexual contact with another inmate, did any of the following things happen to you?



Yes

No

F14a. You were moved to administrative segregation or some other protective housing

1

2

F14b. You were placed in a medical unit, ward, or hospital

1

2

F14c. You were confined to your own cell or room

1

2

F14d. You were given a higher level of custody within the facility

1

2

F14e. You were offered a transfer to another facility

1

2

F14f. You were written up

1

2



F15 [IF F12 =2] DOAFILL1, when you were [physically forced to/pressured or made to feel that you had to/physically forced, pressured, or made to feel that you had to] have sex or sexual contact with another inmate, [#NCSA5] report it to facility staff?



Yes

No

F15a. [IF F1 = 2] You were afraid or scared of the inmate involved

[IF F1 = 1] You were afraid or scared of the inmates involved


1


2

F15b. You were afraid or scared of being punished by facility staff

1

2

F15c. You were embarrassed or ashamed that it happened

1

2

F15d. You didn't think staff would investigate

1

2

F15e. [IF F1 = 2] You didn't think the inmate involved would be punished

[IF F1 = 1] You didn't think the inmates involved would be punished


1


2


Section G: Staff Sexual Misconduct


G1 These next questions are about the behavior of staff at this facility DOAFILL2. By staff we mean the employees of this facility and anybody who works as a volunteer in this facility. Touch the NEXT button to go to the next screen.


G4 DOAFILL1, have any facility staff pressured you or made you feel that you had to let them have sex or sexual contact with you?


1 Yes

2 No

DK/REF



G5 DOAFILL1, have you been physically forced by any facility staff to have sex or sexual contact?


1 Yes

2 No

DK/REF


DEFINE SEXTYPE2

IF G4 =1 AND G5 = 1 THEN SEXTYPE2 = physically forced, pressured, or made to feel that you had to

IF G4 = 1 AND G5 NE 1 THEN SEXTYPE2 = pressured or made to feel that you had to

IF G4 NE 1 AND G5 = 1 THEN SEXTYPE2 = physically forced to


G6 [IF G4 =1 OR G5 = 1] DOAFILL1, how many times were you [SEXTYPE2 FILL] have sex or sexual contact with any facility staff?


1 1 time

2 2 times

3 3 – 10 times

4 11 times or more

DK/REF


G7 DOAFILL1, have any facility staff offered you favors or special privileges in exchange for sex or sexual contact?


1 Yes

2 No

DK/REF


G2 DOAFILL1, have you willingly had sex or sexual contact with any facility staff?


1 Yes

2 No

DK/REF



G3 [IF G2 = 1] DOAFILL1, how many times have you willingly had sex or sexual contact with facility staff?


1 1 time

2 2 times

3 3 – 10 times

4 11 times or more

DK/REF


G9 [IF G4 = 1 OR G5 = 1] DOAFILL1, on any occasion when you were [SEXTYPE2 FILL] have sex or sexual contact with facility staff, did you report it to other facility staff?


1 Yes

2 No

DK/REF



G10 [IF G2 = 1 OR G4 = 1 OR G5 = 1] These next questions are about any sex or sexual contact you have had with facility staff DOAFILL2, whether you wanted to have it or not. Touch the NEXT button to go to the next screen.



G11 [IF G2 = 1 OR G4 = 1 OR G5 = 1] DOAFILL1, which of the following types of sex or sexual contact did you have with a facility staff person?



Yes

No

G11a. You touched a facility staff person's body or had your body touched in a sexual way

1

2

G11b. You gave or received a handjob

1

2

G11c. You gave or received oral sex or a blowjob

1

2

G11d. You had vaginal sex

1

2

G11e. You had anal sex

1

2



G12 [IF G2 =1 OR G4 = 1 OR G5 = 1] DOAFILL1, when you had sex or sexual contact with facility staff, was more than one facility staff person ever involved?


1 Yes

2 No

DK/REF



G13 [IF G2 =1 OR G4 = 1 OR G5 = 1] DOAFILL1, when you had sex or sexual contact with facility staff, did it ever happen…



Yes

No

G13a. Between 6:00 in the morning and noon

1

2

G13b. After noon but before 6:00 in the evening

1

2

G13c. After 6:00 in the evening but before midnight

1

2

G13d. After midnight but before 6:00 in the morning

1

2


G14 [IF G2 =1 OR G4 = 1 OR G5 = 1] DOAFILL1,when you had sex or sexual contact with facility staff, did it ever happen…



Yes

No

G14a. In your own cell, room, or sleeping area

1

2

G14b. In the cell or room of another inmate

1

2

G14c. Somewhere else in the facility

1

2

G14d. Off facility grounds

1

2


G15 [IF G14c = 1] DOAFILL1,when you had sex or sexual contact with facility staff did it ever happen …



Yes

No

G15a. In a shower

1

2

G15b. In a bathroom

1

2

G15c. In the yard or recreation area

1

2

G15d. In a classroom or library

1

2

G15e. In a workshop, kitchen, or other workplace

1

2

G15f. In a closet

1

2

G15g. In an office or other locked room

1

2

G15h. On the stairs

1

2


G16 [IF G14d = 1] DOAFILL1,when you had sex or sexual contact with facility staff, did it ever happen in …



Yes

No

G16a. A bus, van, or car

1

2

G16b. A courthouse

1

2

G16c. Some other type of temporary holding facility

1

2

G16d. A hospital or other type of medical facility

1

2



G17 [IF G2 =1 OR G4 = 1 OR G5 = 1] DOAFILL1, when you had sex or sexual contact with facility staff were any of the following methods used to get you to participate?



Yes

No

G17a. You were persuaded or talked into it

1

2

G17b. You were given a bribe

1

2

G17c. You were offered favors or special privileges

1

2

G17d. You were blackmailed



G17e. You were given drugs or alcohol to get you drunk or high

1

2

G17f. You were offered protection from other inmates

1

2

G17g. You were threatened with harm

1

2

G17h. You were physically held down or restrained

1

2

G17i. You were physically harmed or injured

1

2

G17j. You were threatened with a weapon

1

2





G18 [IF G2 =1 OR G4 = 1 OR G5 = 1] DOAFILL1, did you have sex or sexual contact with male facility staff, female facility staff, or both male and female facility staff?


1 Male facility staff

2 Female facility staff

3 Both male and female facility staff

DK/REF



G19 [IF G2 =1 OR G4 = 1 OR G5 = 1] DOAFILL1, when you had sex or sexual contact with facility staff, were you ever injured?

1 Yes

2 No

DK/REF



G20 [IF G19 = 1] DOAFILL1, when you had sex or sexual contact with facility staff, did you ever …



Yes

No

G30a. Receive knife or stab wounds

1

2

G30b. Receive broken bones

1

2

G30c. Have [anal/anal or vaginal] tearing

1

2

G30d. Have your teeth were chipped or knocked out

1

2

G30e. Receive internal injuries

1

2

G30f. Get knocked unconsciousness

1

2

G30g. Receive bruises, a black eye, sprains, cuts, scratches, swelling, or welts

1

2



G21 [IF G19 = 1] DOAFILL1, when you were injured as a result of having sex or sexual contact with facility staff, did you see a doctor, nurse, or other health care provider?

1 Yes

2 No

DK/REF



G22 [IF G2 =1 OR G4 = 1 OR G5 = 1] DOAFILL1, when you had sex or sexual contact with facility staff did you ever report it to any facility staff person?

1 Yes

2 No

DK/REF


G23 [IF G22 = 1] DOAFILL1, when you had sex or sexual contact with facility staff, did you ever report it to…



Yes

No

G23a. A correctional officer

1

2

G23b. An administrative staff person

1

2

G23c. A medical or healthcare staff person

1

2

G23d. An instructor, or teacher

1

2

G23e. A counselor

1

2

G23f. A chaplain or other religious official

1

2

G23g. A volunteer

1

2

G23h. Some other type of facility staff person

1

2


G24 [IF G22 =1] DOAFILL1, when you reported that you had sex or sexual contact with facility staff, was your report investigated by facility staff or another investigative unit?


1 Yes

2 No

DK/REF



G25 [IF G22 = 1] DOAFILL1, when you reported that you had sex or sexual contact with facility staff, did any of the following things happen to you?



Yes

No

G25a. You were moved to administrative segregation or some other protective housing

1

2

G25b. You were placed in a medical unit, ward, or hospital

1

2

G25c. You were confined to your own cell or room

1

2

G25d. You were given a higher level of custody within the facility

1

2

G25e. You were offered a transfer to another facility

1

2

G25f. You were written up

1

2



G26 [IF G22 =2] DOAFILL1, when you had sex or sexual contact with facility staff, why didn't you report it to a facility staff person?



Yes

No

G26a. You were afraid or scared of being punished by facility staff

1

2

G26b. You were embarrassed or ashamed that it happened

1

2

G26c. You didn't think staff would investigate

1

2

G26d. You had the sex or sexual contact willingly

1

2

G26e. You didn't want the facility staff person to get in trouble

1

2



Section X: Other Victimization While Incarcerated


XINTRO These next questions are about other things that may have happened to you in this facility.


X1. DOAFILL1, have you been injured in a fight, assault, or incident in which another inmate tried to harm you?


  1. Yes

  2. No

DK/REF


X2. [IF X1 = 1] DOAFILL1, how many times have you been injured in a fight, assault, or incident in which another inmate tried to harm you?


  1. 1 time

  2. 2 times

  3. 3 to 10 times

  4. 11 times or more

DK/REF


X3. [IF X1 = 1] DOAFILL1, what injuries did you receive in a fight, assault, or incident in which another inmate tried to harm you?




Yes

No

X3a. You received knife or stab wounds

1

2

X3b. You received broken bones

1

2

X3c. Your teeth were chipped or knocked out

1

2

X3d You received internal injuries

1

2

X3e. You were knocked unconscious

1

2

X3f. You received bruises, a black eye, sprains, cuts, scratches, swelling, or welts

1

2


X4. [IF X1 NE 1] Not including any accidental injuries, DOAFILL2, have you been injured in any of the following ways by another inmate?



Yes

No

X4a. You received knife or stab wounds

1

2

X4b. You received broken bones

1

2

X4c. Your teeth were chipped or knocked out

1

2

X4d You received internal injuries

1

2

X4e. You were knocked unconscious

1

2

X4f. You received bruises, a black eye, sprains, cuts, scratches, swelling, or welts

1

2


X5. [IF X3a = 1 OR X3b = 1 OR X3c = 1 OR X3d = 1 OR X3e = 1 OR X3f = 1 OR X4a = 1 OR X4b = 1 OR X4c = 1 OR X4d = 1 OR X4e = 1 OR X4f = 1] Did you see a doctor, nurse, or other health care provider for your injuries?


  1. Yes

  2. No

DK/REF


X6. Since your admission to this facility, have you been written up or charged with assaulting another inmate?


  1. Yes

  2. No

DK/REF


X7. Since your admission to this facility, have you been written up or charged with physically assaulting a correctional officer or other facility staff member?


  1. Yes

  2. No

DK/REF


X8. Since your admission to this facility, have you been written up or charged with verbally assaulting a correctional officer or other facility staff member?


  1. Yes

  2. No

DK/REF


X9. Since your admission to this facility, have you spent a night in disciplinary or administrative segregation or solitary confinement?


  1. Yes

  2. No

DK/REF

Section H – Alcohol Use (ACASI)


H1 The next questions are about drinking alcohol.


In your entire life, have you had at least 12 drinks of any kind of alcohol, not counting small tastes or sips?

1 YES

2 NO

DK/REF



H2 [IF H1=1] About how old were you when you first started drinking alcohol, other than small tastes or sips?

AGE: _____________________ [RANGE: 1 – 99]

DK/REF



H3 [IF H1=1] Have you ever drunk alcoholic beverages, more than once a week for more than a month?

1 YES

2 NO

DK/REF



H4 [IF H1=1] During the year before you were incarcerated this time, did you drink any alcohol?

1 YES

2 NO

DK/REF



H5 [IF H4=1] During that year how often did you usually drink alcohol?

1 Daily or almost daily

2 At least once a week

3 Less than once a week

4 About once a month

5 Less than once a month

DK/REF



H6 [IF H1=1] Had you been drinking any alcohol at the time of the offense you are now incarcerated for?

1 YES

2 NO

DK/REF


H7 [IF H6=1] About how many hours had you been drinking?


Hours: _________ [RANGE: 1 – 999]

DK/REF


DEFINE HOURSFILL

IF H7 = 1 HOURSFILL = hour

IF H7 > 1 OR H7 = DK OR H7 = REF, HOURSFILL = hours


H8 [IF H6=1] In the [HOURSFILL] before the offense you are now incarcerated for, did you drink any –



YES

NO

H8a. Beer?

1

2

H8b. Wine, wine coolers, champagne, or sparkling wine?

1

2

H8c. Liquor, including mixed drinks and liqueurs?

1

2


H9 [IF H3=1 OR (H5=1 OR 2)] Here are some experiences many people have in connection with their drinking. In your entire life,



YES

NO

H9a. Have you ever felt you should cut down on your drinking?

1

2

H9b. Have people ever annoyed you by criticizing your drinking?

1

2

H9c. Have you ever felt bad or guilty about your drinking?

1

2

H9d. Have you ever had a drink first thing in the morning to steady your nerves or get rid of a hangover?

1

2



H10. [IF H1=1] In your entire life, have you ever driven a car, motorcycle, truck, boat, or any other vehicle after having too much to drink?

1 Yes

2 No

DK/REF



H11. [IF H10=1] In your entire life, have you ever had an accident after you were drinking?

1 Yes

2 No

DK/REF



H12. [IF H1 = 1] In your entire life, have you ever had as much as a fifth of liquor in one day – that would be about 20 drinks, or 3 bottles of wine, or as much as 3 six-packs of beer in one day?

1 Yes

2 No

DK/REF








H13 [IF H4=1] During the year before your admission to this facility,



YES

NO

H13a. Did you get into situations while drinking or after drinking that increased your chances of getting hurt – like driving a car or other vehicle, swimming, using machinery or walking in a dangerous area or around heavy traffic?

1

2

H13b. Did you have arguments with your spouse, boyfriend or girlfriend, family, or friends while drinking or right after drinking?

1

2

H13c. Did you lose a job because of your drinking?

1

2

H13d. Did you have job or school trouble because of your drinking-like missing too much work, not doing your work well, being demoted at work, or dropping out of school?

1

2

H13e. Did you get arrested or held at a police station because of your drinking?

1

2

H13f. Did you get into a physical fight while drinking or right after drinking?

1

2


H14 [IF H4=1] During the year before your admission to this facility,



YES

NO

H14a Did you often drink more or for longer periods of time than you meant to?

1

2

H14b. Did you more than once want to cut down on your drinking or try to cut down on your drinking but found you couldn’t do it?

1

2

H14c. Did you spend a lot of time drinking or getting over the bad after-effects of drinking?

1

2

H14d. Did your drinking or being sick from drinking keep you from doing work, going to school or caring for children?

1

2

H14e. Did you give up activities that you were interested in or were important to you in favor of drinking – like work, school, hobbies, or associating with family and friends?

1

2

H14f. Did you continue to drink even though it was causing emotional or psychological problems?

1

2



H15 [IF H4=1] During the year before your admission to this facility,



YES

NO

H15a. Did you continue to drink even though it was causing problems with family, friends, or work?

1

2

H15b. Did you continue to drink even though it was causing physical health or medical problems?

1

2

H15c. Did your usual number of drinks have less effect on you than it once did or did you have to drink more to get the effect you wanted?

1

2

H15d. Did you find that you experienced some of the bad after-effects of drinking after cutting down on your drinking or stop drinking – shaking, feeling nervous or anxious, sick to your stomach, restless, sweating, or having trouble sleeping or fits or seizures, or see, feel or hear things that weren’t really there?

1

2

H15e. Did you often take a drink or use any other drug to get over any of the bad after-effects of drinking or to keep from having them?

1

2


Section I – REMOVED


Section J – Drug Use (ACASI)


J1. These next questions are about using drugs.


Have you ever used...



YES

NO

J1a. Heroin?

1

2

J1b. Other opiates, for example, darvon or percodane without a doctor’s prescription or methadone outside a treatment program?

1

2

J1c. Methamphetamine such as ice or crank?

1

2

J1d. Other amphetamine such as speed without a doctor’s prescription?

1

2

J1e. Methaqualone such as quaaludes without a doctor’s prescription?

1

2

J1f. Barbiturates such as downers without a doctor’s prescription?

1

2

J1g. Tranquilizers such as valium without a doctor’s prescription?

1

2

J1h Crack?

1

2

J1i. Cocaine other than crack?

1

2

J1j. PCP?

1

2

J1k. Ecstasy?

1

2

J1l. LSD or other hallucinogens?

1

2

J1m. Marijuana or hashish?

1

2

J1n. Any other drugs that we didn't mention?

1

2

J1o. Inhalants or sniffed substances to get high, for example nitrous oxide, aerosols, paint thinner, glue, lighter fluid, spray paint, or gasoline?

1

2


J1a1 [IF J1a = 1] How old were you the first time you used heroin?


AGE: ____________ [RANGE: 1 – 99]

DK/REF


J1b1 [IF J1b = 1] How old were you the first time you used other opiates such as darvon or percodane without a doctor's prescription or methadone outside a treatment program?


AGE: ____________ [RANGE: 1 – 99]

DK/REF


J1c1 [IF J1c = 1] How old were you the first time you used methamphetamine such as ice or crank?


AGE: ____________ [RANGE: 1 – 99]

DK/REF


J1d1 [IF J1d = 1] How old were you the first time you used some other amphetamine such as speed without a doctor's prescription?


AGE: ____________ [RANGE: 1 – 99]

DK/REF


J1e1 [IF J1e = 1] How old were you the first time you used methaqualone such as quaaludes without a doctor's prescription?


AGE: ____________ [RANGE: 1 – 99]

DK/REF


J1f1 [IF J1f = 1] How old were you the first time you used barbiturates such as downers without a doctor's prescription?


AGE: ____________ [RANGE: 1 – 99]

DK/REF


J1g1 [IF J1g = 1] How old were you the first time you used tranquilizers such as valium without a doctor's prescription?


AGE: ____________ [RANGE: 1 – 99]

DK/REF


J1h1 [IF J1h = 1] How old were you the first time you used crack?


AGE: ____________ [RANGE: 1 – 99]

DK/REF


J1i1 [IF J1i = 1] How old were you the first time you used cocaine other than crack?


AGE: ____________ [RANGE: 1 – 99]

DK/REF


J1j1 [IF J1j = 1] How old were you the first time you used PCP?


AGE: ____________ [RANGE: 1 – 99]

DK/REF


J1k1 [IF J1k = 1] How old were you the first time you used Ecstasy?


AGE: ____________ [RANGE: 1 – 99]

DK/REF


J1l1 [IF J1l = 1] How old were you the first time you used LSD or other hallucinogens?


AGE: ____________ [RANGE: 1 – 99]

DK/REF


J1m1 [IF J1m = 1] How old were you the first time you used marijuana or hashish?


AGE: ____________ [RANGE: 1 – 99]

DK/REF


J1n1 [IF J1n = 1] How old were you the first time you used any other drugs?


AGE: ____________ [RANGE: 1 – 99]

DK/REF


J1o1 [IF J1o = 1] How old were you the first time you used any inhalant to get high?


AGE: ____________ [RANGE: 1 – 99]

DK/REF


DO FOR x = a to o

J2x. [IF J1x = 1] Have you ever used [FILL FROM J1x] once a week or more for at least a month?


1 Yes

2 No

DK/REF


J3x. [IF J1x = 1] During the month before you were incarcerated this time were you using [FILL FROM J1x]?


1 Yes

2 No

DK/REF


J4x. [IF J3x = 1] How often did you use [FILL FROM J1x] during the month before you were incarcerated this time?


1 Less than once a week

2 At least once a week

3 Almost daily

4 Daily

DK/REF


J5. [IF ANY J1x = 1] When you committed the offense for which you are now incarcerated, were you trying to get money to buy drugs or obtain drugs for your use?


1 Yes

2 No

DK/REF


J6. [IF ANY J1x = 1] Were you under the influence of drugs at the time of the offense for which you are now incarcerated?


1 Yes

2 No

DK/REF


J7. [IF J6 = 1] What drugs were you under the influence of at the time of the offense for which you are now incarcerated?



YES

NO

J7a. [IF J1a=1]Heroin?

1

2

J7b. [IF J1b=1]Other opiates, for example, darvon or percodane without a doctor’s prescription or methadone outside a treatment program?

1

2

J7c. [IF J1c=1]Methamphetamine such as ice or crank?

1

2

J7d. [IF J1d=1]Other amphetamine such as speed without a doctor’s prescription?

1

2

J7e. [IF J1e=1]Methaqualone such as quaaludes without a doctor’s prescription?

1

2

J7f. [IF J1f=1]Barbiturates such as downers without a doctor’s prescription?

1

2

J7g. [IF J1g=1]Tranquilizers such as valium without a doctor’s prescription?

1

2

J7h [IF J1h=1]Crack?

1

2

J7i. [IF J1i=1]Cocaine other than crack?

1

2

J7j. [IF J1j=1]PCP?

1

2

J7k. [IF J1k=1]Ecstasy?

1

2

J7l. [IF J1l=1]LSD or other hallucinogens?

1

2

J7m. [IF J1m=1]Marijuana or hashish?

1

2

J7n. [IF J1n=1]Any other drugs that we didn't mention?

1

2

J7o. [IF J1o=1]Inhalants or sniffed substances to get high, for example nitrous oxide, aerosols, paint thinner, glue, lighter fluid, or gasoline?

1

2


J8. [IF ANY J3x = 1] In the month prior to being incarcerated this time, how did you get the drugs you were using?



YES

NO

J8a. Bought them from a stranger?

1

2

J8b. Bought them from a dealer you know?

1

2

J8c. Bought them from a friend?

1

2

J8d. Stole them?

1

2

J8e. Given to you by friends or acquaintances?

1

2

J8f. Used a fake or forged prescription?

1

2

J8g. Traded sex for the drugs?

1

2

J8h Got the drugs some other way?

1

2


J9. [IF MORE THAN 1 “YES” IN J8] What was the main way you got the drugs you were using in the month prior to being incarcerated this time?


[IF J8a=1]1 Bought them from a stranger

[IF J8b=1]2 Bought them from a dealer you know

[IF J8c=1]3 Bought them from a friend

[IF J8d=1]4 Stole them

[IF J8e=1]5 Given to you by friends or acquaintances

[IF J8f=1]6 Used a fake or forged prescription

[IF J8g=1]7 Traded sex for the drugs

[IF J8h=1]8 Got the drugs some other way

DK/REF


J10. [IF ANY J1x = 1] Have you ever used a needle to get any drug injected under your skin, into a muscle or into a vein for non-medical reasons?


1 Yes

2 No

DK/REF


J11. [IF J10 = 1 AND (J1a = 1 OR J1b = 1 OR J1c = 1 OR J1i = 1 OR J1n = 1)] What kinds of drugs have you ever used with a needle?



YES

NO

J11a. [IF J1a=1]Heroin?

1

2

J11b. [IF J1b=1]Other opiates, for example, darvon or percodane without a doctor’s prescription or methadone outside a treatment program?

1

2

J11c. [IF J1c=1]Methamphetamine such as ice or crank?

1

2

J11i. [IF J1i=1]Cocaine other than crack?

1

2

J11n. [IF J1n=1]Another drug?

1

2


J12. [IF J10 = 1] Have you ever used a needle that you knew or suspected had been used by someone else for injecting drugs or shared a needle that you had used with someone else?


1 Yes

2 No

DK/REF


J13. DELETED


J13. [IF ANY J1x = 1] These next questions are about experiences many people have in connection with their use of drugs.


In your entire life, have you ever driven a car, motorcycle, truck, boat, or any other motor vehicle while under the influence of a drug?


1 Yes

2 No

DK/REF



J14. [IF J13 = 1] In your entire life, have you ever had an accident while driving a motor vehicle while under the influence of a drug?


1 Yes

2 No

DK/REF



J15. [IF ANY J1x = 1] During the year before your incarceration this time,


YES

NO

J15a. Did you get into situations while using drugs or just after using drugs that increased your chances of getting hurt – like driving a car or other vehicle, swimming, using machinery or walking in a dangerous area or around heavy traffic?

1

2

J15b. Did you have arguments with your spouse, boyfriend or girlfriend, family, or friends while under the influence of a drug?

1

2

J15c. Did you lose a job because of your drug use?

1

2

J15d. Did you have job or school trouble because of your drug use like missing too much work, not doing your work well, being demoted at work, or dropping out of school?

1

2

J15e. Did you get arrested or held at a police station because of your drug use?

1

2

J15f. Did you get into a physical fight while under the influence of a drug?

1

2



J16. [IF ANY J1x = 1] During the year before your incarceration this time...


YES

NO

J16a. Did you often use a drug in larger amounts or for longer periods than you meant to?

1

2

J16b. Did you more than once want to cut down on your drug use or try to cut down on your drug use but found you couldn’t do it?

1

2

J16c. Did you spend a lot of time getting drugs, using them or getting over the bad after-effects?

1

2

J16d. Did using drugs or being sick from using drugs keep you from doing work, going to school, or caring for children?



J16e. Did you give up activities that you were interested in or that were important to you in favor of using drugs like – work, school, hobbies, or associating with family and friends?

1

2

J16f. Did you continue to use drugs even though it was causing emotional or psychological problems?

1

2





J17. [IF ANY J1x = 1] During the year before your incarceration this time...




YES

NO

J17a. Did you continue to use drugs even though it was causing problems with family, friends, or work?

1

2

J17b. Did you continue to use drugs even though it was causing physical health or medical problems?

1

2

J17c. Did your usual amount of drugs have less effect on you than it once did or did you have to use more to get the effect you wanted?

1

2

J17d. Did you experience some of the bad after-effects of using drugs after cutting down or stopping your drug use – like shaking, feeling nervous or anxious, sick to your stomach, restless, sweating, or having trouble sleeping or fits or seizures, or see, feel, or hear things that weren’t really there?

1

2

J17e. Did you ever keep using drugs to get over any of the bad after-effects of a drug or to keep from having bad after-effects?

1

2



J18. When you were arrested and booked the last time, were you tested for drugs?


1 Yes

2 No

DK/REF


J19. [IF J18=1] What was the result of the drug test you took when you were arrested and book the last time?


1 Positive for drug use

2 Negative

3 Neither, inconclusive

DK/REF



J20. Have you been tested for drugs since your admission to this facility?


1 Yes

2 No

DK/REF


J21. [IF J20=1] Have you been told the results of any of the drug tests you have taken since you were admitted to this facility?


1 Yes

2 No

DK/REF



J22. [IF J21=1]Were any of the drug tests you have taken since you were admitted to this facility positive?


1 Yes

2 No

DK/REF



Section K – Treatment (ACASI)


K1. These next questions are about alcohol and drug treatment programs you may have attended.


Have you ever attended any kind of alcohol or drug treatment program?


1 Yes

2 No

DK/REF



K2. [IF K1 = 1] What types of alcohol or drug treatment programs have you ever attended?



YES

NO

K2a. An alcohol or drug detoxification unit to dry out for up to 72 hours?

1

2

K2b. An alcohol or drug program in which you live in a special facility or unit?

1

2

K2c. Drug or alcohol counseling with a trained professional while not living in a special facility or unit?

1

2

K2d. A self-help group or peer group counseling, such as Alcoholics Anonymous, Narcotics Anonymous, or Cocaine Anonymous?

1

2

K2e. An education or awareness program explaining problems with alcohol or drugs?

1

2

K2f. A program that provided a maintenance drug to cut your high or make you sick, such as methadone, antibuse, or naltrexone?

1

2

K2g. Some other alcohol or drug treatment program?

1

2



K3. DELETED


DO FOR x = a to g.


DEFINE PROGRAMX FILL

IF K2a = 1 THEN PROGRAMX = an alcohol or drug detoxification unit for up to 72 hours

IF K2b= 1 THEN PROGRAMX = an alcohol or drug program in which you lived in a special facility or unit

IF K2c = 1 THEN PROGRAMX = any drug or alcohol counseling with a trained professional while not living in a special facility or unit

IF K2d = 1 THEN PROGRAMX = a self-help group or peer counseling

IF K2e = 1 THEN PROGRAMX = an education or awareness program explaining problems with alcohol or drugs

IF K2f = 1 THEN PROGRAMX = a program that provided a maintenance drug to cut your high or make you sick

IF K2g = 1 THEN PROGRAMX = any other kind of alcohol or drug treatment program


K4x. [IF K2x = 1] Have you ever attended [PROGRAMX] while you were in jail, prison, or other correctional facility?


1 Yes

2 No

DK/REF



K5x. MOVED TO AFTER K9x


K6x. [IF K4x = 1] DOAFILL1, have you attended [PROGRAMX]?


1 Yes

2 No

DK/REF



K7x. [IF K6x = 1] Did you attend [PROGRAMX] for problems with alcohol, drugs, or both?


1 Alcohol only

2 Drugs only

3 Both alcohol and drugs

DK/REF



K8x. [IF K6x = 1] DOAFILL1, were you required to attend [PROGRAMX]?


1 Yes

2 No

DK/REF



K9x. [IF K6x = 1] Have you or will you receive any good or gain time by participating in [PROGRAMX] DOAFILL2?


1 Yes

2 No

DK/REF


K5x. [IF K2x = 1] Have you ever attended [PROGRAMX] while you were on probation or parole?


1 Yes

2 No

DK/REF


K10x. [IF K5x=1] When you were on probation or parole, were you required to attend [PROGRAMX]?


1 Yes

2 No

DK/REF


K11x. [IF K5x = 1] Did you attend [PROGRAMX] while you were on probation or parole for problems with alcohol, drugs, or both?


1 Alcohol only

2 Drugs only

3 Both alcohol and drugs

DK/REF



Section M: Interview Debriefing Items


M0 Thank you for completing the survey. Now we have a few questions we'd like you to answer about your experience with this interview. Touch the NEXT button to go to the next screen.


M1 How difficult was it for you to use the computer to do this survey?


1 Not difficult at all

2 Sort of difficult

3 Very difficult

DK/REF


M2 How comfortable did you feel using the computer to answer questions about (your own experiences with sex and sexual assault in this facility / your use of drugs and alcohol)?


1 Very comfortable

2 Somewhat comfortable

3 Somewhat uncomfortable

4 Very uncomfortable

DK/REF


M3. How upsetting did you find it to answer questions about (your own experiences with sex and sexual assault in this facility / your use of drugs and alcohol)?


1 Not upsetting at all

2 Somewhat upsetting

3 Very upsetting

DK/REF


M4. Are there any types of sex or sexual contact that have happened to you DOAFILL1 that you didn't report during this interview?


1 Yes

2 No

DK/REF


M5. How accurate and complete are the answers you entered into the computer?


1 Not very accurate and complete

2 Fairly accurate and complete

3 Very accurate and complete

DK/REF


M6. That is all the questions we have. If you would like to talk to someone about any of your experiences with the topics covered in this survey, your interviewer can tell you how to contact a mental health counselor employed by this facility. Thank you very much for participating in this study.


Please tell your interviewer that you have completed the survey.



M6. That is all the questions we have. If you would like to talk to someone about any of your experiences with the topics covered in this survey, your interviewer can tell you how to contact a mental health counselor employed by this facility. Thank you very much for participating in this study.


Please tell your interviewer that you have completed the survey.


M7. ENTER PASSWORD TO CONTINUE.


NOTE TO PROGRAMMER: WE'LL NEED A SHORT PASSWORD SO THAT RESPONDENTS CAN'T GO ANY FURTHER IN THE INTERVIEW. THE LAST SET OF DEBRIEFING QUESTIONS WILL BE FOR THE INTERVIEWER.

M8. Thank you for participating in this interview.


NOTIFY OFFICER THAT INMATE IS FINISHED AND CAN BE ESCORTED BACK TO HIS/HER CELL. ONCE THE INMATE HAS LEFT THE ROOM, TOUCH THE NEXT BUTTON TO GO TO THE NEXT SCREEN TO ANSWER DEBRIEFING QUESTIONS.


M9. Estimate the respondent's understanding of the interview


1 No difficulty – no language or reading problem

2 Some difficulty

3 A great deal of difficulty


M10 How much do you think seeing or hearing about the laptop computer influenced the respondent's decision to participate in the interview?


1 Influenced him/her a lot in a positive way

2 Influenced him/her a little in a positive way

3 Didn't influence his/her decision at all

4 Influence him/her a little in a negative way

5 Influenced him/her a lot in a negative way


M11 Please indicate how necessary you think the tutorial was for this respondent.


1 Unnecessary – the respondent could have completed the interview without the tutorial

2 Useful, but perhaps not necessary – the tutorial made the ACASI portion easier, but the respondent probably could have completed the interview without it

3 Necessary – the respondent could not have completed the ACASI portion without it


M12 Did the respondent raise any questions during the informed consent process?


1 Yes

2 No


M13 [IF M12 = 1] Please describe the questions the respondent raised during the informed consent process.


________________________________________________________________

ALLOW 150 CHARACTERS


M14 Please record any comments the respondent made about the nature of the questions or the task of answering the questions during either the CAPI or ACASI portions of the interview.


__________________________________________________________________

ALLOW 150 CHARACTERS


M15 How upset did the respondent appear to be during the ACASI portion of the interview?


1 Not upset at all

2 Somewhat upset

3 Very upset


M16 [IF M15 = 2 OR 3] Please provide any details you can about why this inmate appeared to be somewhat or very upset during the ACASI portion of the interview.


__________________________________________________________________

ALLOW 150 CHARACTERS


M17 Indicate the degree of distractions or interruptions during the interview.


1 None

2 A few

3 A lot


M18 Was the privacy of the interview setting compromised at any point during the interview?


1 Yes

2 No


M19 [IF M18 = 1] In what way was the privacy of the interview setting compromised during this interview?


________________________________________________________________

ALLOW 150 CHARACTERS


M19a PLEASE PROVIDE ANY OTHER COMMENTS ABOUT THE INTERVIEW THAT WOULD BE USEFUL FOR THE PROJECT TEAM TO KNOW:


________________________________________________________________

ALLOW 150 CHARACTERS


M20 INTERVIEWER: YOU HAVE REACHED THE END OF THE INTERVIEW. TOUCH THE FINISH BUTTON BELOW TO RETURN TO THE CASE MANAGEMENT SYSTEM.


Note to Programmers: Only two buttons are required for this screen – BACK and FINISH

15

Questionnaire Specifications for Year 1

File Typeapplication/msword
File TitleSection 4: Sexual Activity Within the Facility
AuthorEmily McFarlane
Last Modified ByPaige Harrison
File Modified2006-09-21
File Created2006-08-28

© 2024 OMB.report | Privacy Policy