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?
YES
NO
DK/REF
B5f Are you serving time for a violation of parole or supervised release?
YES
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?
YES
NO
DK/REF
B5j1f Are you serving time for a violation of parole or supervised release?
YES
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?
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.
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?
Yes
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 time
2 times
3 to 10 times
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?
Yes
No
DK/REF
X6. Since your admission to this facility, have you been written up or charged with assaulting another inmate?
Yes
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?
Yes
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?
Yes
No
DK/REF
X9. Since your admission to this facility, have you spent a night in disciplinary or administrative segregation or solitary confinement?
Yes
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.
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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.
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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.
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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?
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M19a PLEASE PROVIDE ANY OTHER COMMENTS ABOUT THE INTERVIEW THAT WOULD BE USEFUL FOR THE PROJECT TEAM TO KNOW:
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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
| File Type | application/msword |
| File Title | Section 4: Sexual Activity Within the Facility |
| Author | Emily McFarlane |
| Last Modified By | Paige Harrison |
| File Modified | 2006-09-21 |
| File Created | 2006-08-28 |