Attachment E NIS ACASI Survey

AttachE NIS ACASI survey.doc

National Inmate Survey (NIS)

Attachment E NIS ACASI Survey

OMB: 1121-0311

⚠️ Notice: This form may be outdated. More recent filings and information on OMB 1121-0311 can be found here:

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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

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

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?

DK/REF

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

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?

DK/REF

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

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

B14a. Parole or supervised release after serving time?

B14b. Probation, including shock probation and split sentences?

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

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

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?

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?

DK/REF

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

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?

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?

DK/REF

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

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?