NSYC-Alternative Questionnaire
Section A. Background
A1 These next questions are about why you are here. When were you most recently admitted here? Enter the month and year. (ENTER FOUR NUMBERS FOR THE YEAR, SUCH AS 2002 OR 2003)
Date: _______________
DK/REF
A2 When were you first taken into custody for what led to your stay here? Enter the month and year. (ENTER FOUR NUMBERS FOR THE YEAR, SUCH AS 2002 OR 2003)
Date: _______________
DK/REF
[IF A1=BLANK OR DK/REF, CONTINUE; OTHERWISE GO TO A4]
A3 How long have you been here?
Less than 1 month 1
At least 1 month but less
than 6 months 2
At least 6 months but less
than 1 year 3
1 year or more 4
DK/REF
A4 Before this time, had you ever been admitted to this place before?
Yes 1
No 2 (GO TO A6)
DK/REF
A5 Were you released from this place within the past 12 months?
Yes 1
No 2
DK/REF
A6 DEFINE ADMIT: ADMIT DATE= DATE OF ADMISSION FOR THIS YOUTH PROVIDED BY FACILITY
A7 DEFINE DOAFILL1:
IF ADMIT 12 months, THEN DOAFILL1 = ‘During the past 12 months,’
IF ADMIT 12 months, OR AN ADMIT DATE WAS NOT PROVIDED BY FACILITY FOR THIS YOUTH, THEN DOAFILL1 = ‘Since you got here,’
A8 Are you here because you were told you violated the terms of your probation or parole?
Yes 1
No 2 (GO TO A12)
You have never been on probation
or parole 3 (GO TO A12)
DK/REF (GO TO A12)
A9 Have you been convicted of anything as a result of violating your probation or parole? To be convicted means a judge found you guilty or you pled guilty.
Yes 1 (GO TO A16)
No 2 (GO TO A12)
DK/REF (GO TO A12)
[A10 & A11 HAVE BEEN DELETED]
A12 Are you here because you have been convicted of a crime? To be convicted means a judge found you guilty or you pled guilty to a crime.
Yes 1 (GO TO A16)
No 2
DK/REF
A13 Are you here because you were accused of doing something against the law?
Yes 1 (GO TO A16)
No 2 (GO TO A16)
DK/REF (GO TO A16)
[A14 & A15 HAVE BEEN DELETED]
A16 Before you came here, had the police or the court ever sent you to a place where you had to stay for at least one night?
Yes 1
No 2 (GO TO A18)
DK/REF (GO TO A18)
A17 Before you came here, how much time had you been in places like that?
Less than 6 months 1
At least 6 months but less than 1 year 2
1 year or more 3
DK/REF
A18 These next few questions are about other parts of your life. As of today, what is the highest grade in school that you attended?
I never attended school 1 (GO TO A20)
Preschool or Kindergarten 2
1st grade 3
2nd grade 4
3rd grade 5
4th grade 6
5th grade 7
6th grade 8
7th grade 9
8th grade 10
9th grade 11
10th grade 12
11th grade 13
12th grade 14
Some college, but did not receive a degree 15 (GO TO A20)
Associate’s degree 16
Bachelor’s degree 17
Higher than a bachelor’s degree 18
DK/REF (GO TO A20)
A19 FILL INSTRUCTIONS:
IF A18=ANY 2-14, FILL FOR A19 = ‘grade’
IF A18=ANY 16-18, FILL FOR A19 = ‘degree’
A19 Did you complete that (grade/degree)?
Yes 1
No 2
DK/REF
A20 ROUTING INSTRUCTIONS:
IF A18 = 15 OR 16 OR 17 OR 18, AND A19 = 1/YES OR 2/NO OR DK OR REF, GO TO A21.
IF A18 = 14 AND A19 = 1/YES, GO TO A21.
IF A18 = 14 AND A19 = 2/NO OR DK OR REF, GO TO A23.
IF A18 = 1, GO TO A23.
IF A18 = DK OR REF, GO TO A24.
IF A18 = 2 OR 3 OR 4 OR 5 OR 6 OR 7 OR 8 OR 9 OR 10 OR 11 OR 12 OR 13, AND A19 = 1/YES OR 2/NO OR DK OR REF, GO TO A23.
[RESPONDENT CAN CLICK ON “GED” THROUGHOUT SURVEY AND RECEIVE THE DEFINITION OF “General Educational Development diploma, also sometimes called a General Equivalency Diploma.”]
A21 Which did you get for finishing high school, a high school diploma or a GED?
High school diploma 1 (GO TO A24)
GED 2 (GO TO A24)
DK/REF (GO TO A24)
[A22 DELETED]
[ASK A23 IF YOUTH IS ≥16 YEARS OLD. ELSE, GO TO A24.]
A23 Did you get a GED?
Yes 1
No 2
DK/REF
A24 How tall are you?
_____Feet
_____Inches
DK/REF
A25 How much do you weigh now?
_____Pounds
DK/REF
A26 Are you Hispanic, Latino, or Spanish?
Yes 1
No 2 (GO TO A27)
DK/REF (GO TO A27)
A26a Which of these categories describes you? Check all that apply.
Mexican-American 1
Mexican 2
Cuban 3
Puerto Rican or other Caribbean 4
Central or South American Spanish 5
Other Spanish 6
DK/REF
A27 Which of these describes your race? Check all that apply.
White 1
Black or African American 2
American Indian or Alaska Native 3
Asian 4
Native Hawaiian or other Pacific Islander 5
DK/REF
A28 Do you think of yourself as…?
Male 1
Female 2
DK/REF
A29 Which of these best fits how you think of yourself?
Totally straight (heterosexual) 1
Mostly straight but kind of attracted to
people of your own sex 2
Bisexual – that is attracted to males and
females equally 3
Mostly gay (homosexual) but kind of
attracted to people of the
opposite sex 4
Totally gay (homosexual) 5
Not sexually attracted to either
males or females 6
DK/REF
A30 Do you have any children?
Yes 1
No 2
DK/REF
A31 USE PRELOADED GENDER DATA TO DIRECT WHETHER TO USE MALE OR FEMALE VERSION OF ITEM.
IF MALE: Is someone pregnant with your child now?
IF FEMALE: Are you pregnant now?
Yes 1
No 2
DK/REF
A32 Before you came to this place, had anyone ever forced you to have any kind of sexual contact?
Yes 1
No 2 (GO TO SECTION B)
DK/REF (GO TO SECTION B)
A33 Before you came to this place, how many times were you forced to have sexual contact with someone else?
__________ Times
DK/REF (GO TO SECTION B)
A34 Did any of these times happen while you were in a corrections facility?
Yes 1 (GO TO SECTION B)
No 2 (GO TO SECTION B)
DK/REF (GO TO SECTION B)
Section B. Facility Perceptions and Victimization
B1 These next questions ask about this place and the kinds of things that happen here. The first questions ask about facility staff, that is, the people who work or volunteer here.
a. Are the facility staff good role models?
Yes 1
No 2
DK/REF
b. Are the facility staff friendly?
Yes 1
No 2
DK/REF
c. Do the staff seem to genuinely care about you?
Yes 1
No 2
DK/REF
d. Are the staff helpful?
Yes 1
No 2
DK/REF
e. Are the staff disrespectful?
Yes 1
No 2
DK/REF
f. Are the staff hard to get along with?
Yes 1
No 2
DK/REF
g. Are the staff mean?
Yes 1
No 2
DK/REF
h. Are the staff fun to be with?
Yes 1
No 2
DK/REF
i. DOAFILL1, which, if any, of the following conditions have you seen a doctor, nurse, or other health care person for? CHECK ALL THAT APPLY.
Illness 1
Injury 2
Eyes, teeth, or hearing 3
Other physical needs 4
None of the above 5
DK/REF
B2 The next few questions are about what happens here. Are these statements true or false?
a. Youth here are punished even when they don’t do anything wrong.
True 1
False 2
DK/REF
b. Facility staff use force when they don’t really need to.
True 1
False 2
DK/REF
c. Problems between facility staff and youth here can be worked out.
True 1
False 2
DK/REF
d. Something bad might happen to me if I file a complaint.
True 1
False 2
DK/REF
e. I usually deserve any punishment that I receive.
True 1
False 2
DK/REF
f. Punishments given are fair.
True 1
False 2
DK/REF
g. The staff treat the youth fairly.
True 1
False 2
DK/REF
h. It is very easy to get away with doing something that is against the rules.
Strongly agree 1
Somewhat agree 2
Somewhat disagree 3
Strongly disagree 4
DK/REF
i. There are enough staff to monitor what is going on in this facility.
Strongly agree 1
Somewhat agree 2
Somewhat disagree 3
Strongly disagree 4
DK/REF
New 1: Since you got here, has any staff member or volunteer told you a lot about his or her personal life outside of work?
Yes 1
No 2
New 2: Since you got here, has any staff member or volunteer done anything special to get you out of trouble or make it easier for you. By “special,” we mean something that (he/she) probably would not have done for any other resident.
Yes 1
No 2
B3 Is there gang activity in this facility?
Yes 1
No 2 (GO TO B8)
DK/REF (GO TO B8)
B4 DOAFILL1, have there been fights that involved rival gangs here?
Yes 1
No 2
DK/REF
B5 Are you a member of a gang here?
Yes 1
No 2 (GO TO B8)
DK/REF (GO TO B8)
B6 Do you feel pressured to do things with the gang that you normally wouldn’t do?
Yes 1
No 2
DK/REF
B7 Do you think you are safer inside this place if you belong to a gang?
Yes 1
No 2
DK/REF
B8 Do you worry about being hit, punched, or assaulted by other youth while here?
Yes 1
No 2
DK/REF
B9 DOAFILL1, have you ever been hit, punched, or assaulted by another youth here?
Yes 1
No 2 (GO TO B11)
DK/REF (GO TO B11)
B10 DOAFILL1, how many times have you been hit, punched or assaulted by another youth here?
__________ Times
DK/REF
B11 DOAFILL1, has another youth here physically hurt you on purpose?
Yes 1
No 2 (GO TO B15)
DK/REF (GO TO B15)
B12 DOAFILL1, how many times have you been physically hurt by another youth here on purpose?
__________ Times
DK/REF
B13 When another youth here hurt you on purpose, have you
a. gotten bruises, a black eye, sprains, scratches, swelling, or welts?
Yes 1
No 2
DK/REF
b. been knocked out (unconscious)?
Yes 1
No 2
DK/REF
c. gotten internal injuries (for example, an injury to your stomach or
kidneys, or to your brain)?
Yes 1
No 2
DK/REF
d. had any teeth knocked out or chipped?
Yes 1
No 2
DK/REF
e. had bones broken?
Yes 1
No 2
DK/REF
f. been stabbed or cut?
Yes 1
No 2
DK/REF
[IF ALL B13a-f = 2/NO, OR DK OR REF, GO TO B15. OTHERWISE, CONTINUE.]
B14 Did you see a doctor, nurse, or other health care person for any of these injuries?
Yes 1
No 2
DK/REF
B15 DOAFILL1, have you ever been written up or charged with physically fighting with youth here?
Yes 1
No 2
DK/REF
B16 Do you worry about being hit, punched, or assaulted by facility staff here?
Yes 1
No 2
DK/REF
B17 DOAFILL1, have you ever been hit, punched, or assaulted by facility staff here?
Yes 1
No 2 (GO TO B19)
DK/REF (GO TO B19)
B18 DOAFILL1, how many times have you been hit, punched or assaulted by facility staff?
__________ Times
DK/REF
B19 DOAFILL1, has a staff member physically hurt you on purpose?
Yes 1
No 2 (GO TO B23)
DK/REF (GO TO B23)
B20 DOAFILL1, how many times have you been physically hurt by staff on purpose?
__________ Times
DK/REF
B21 When a staff member hurt you on purpose, have you
a. gotten bruises, a black eye, sprains, scratches, swelling, or welts?
Yes 1
No 2
DK/REF
b. been knocked out (unconscious)?
Yes 1
No 2
DK/REF
c. gotten internal injuries (for example, an injury to your stomach or
kidneys, or to your brain)?
Yes 1
No 2
DK/REF
d. had any teeth knocked out or chipped?
Yes 1
No 2
DK/REF
e. had bones broken?
Yes 1
No 2
DK/REF
f. been stabbed or cut?
Yes 1
No 2
DK/REF
[IF ALL B21a-f = 2/NO OR DK OR REF, GO TO B23. OTHERWISE, CONTINUE.]
B22 Did you see a doctor, nurse, or other health care person for any of these injuries?
Yes 1
No 2
DK/REF
B23 DOAFILL1, have you ever been written up or charged with physically fighting with a facility staff member?
Yes 1
No 2
DK/REF
B24 DOAFILL1, have you ever been written up or charged with threatening a facility staff member?
Yes 1
No 2
DK/REF
B25 DOAFILL1, have you filed a written statement complaining about a facility staff member?
Yes 1
No 2
DK/REF
New 3 Since you got here, did anyone, like a staff member or volunteer, give you information about facility rules or expectations?
Yes 1
No 2
New 4 Were you told how to report someone breaking the rules?
Yes 1
No 2
New 5 Were you told that you would not get in trouble if you make a report?
Yes 1
No 2
New 6 After you got to this facility (this time), when were you first told the rules on sexual activity? Was it…
In the first 24 hours after you got here 1
Within the first 7 days after you got here 2
More than 7 days after you got here 3
I was never told rules on sexual activity 4
New 7 How did you get the rules on sexual activity in this facility? Did you ever get the information in a…
YES NO
one-on-one session with you and a staff member? 1 2
small group sessions with 6 or fewer youth and
the staff? 1 2
group session with more than 6 youth? 1 2
written materials like posters or handbooks? 1 2
some other way? 1 2
New 8 Do you know how to report sexual activity in the facility?
Yes 1
No 2
New 9 Which of these ways could you use to report sexual activity in the facility?
YES NO
Talk face-to-face with a staff member? 1 2
Talk face-to-face with someone who works outside
the facility or who visits from outside the facility? 1 2
Put a note in a locked box in common area? 1 2
Put a note in a locked box in private area, like in a
counseling room, clinic room, or some other private
area? 1 2
Use a phone to call a staff member? 1 2
Use a phone to call someone from outside the
facility? 1 2
New 10 Alternate 1
How sure are you that you could safely report sexual activity in the facility?
Very sure I could safely report it 1
Somewhat sure I could safely report it 2
Somewhat sure I could not safely report it 3
Very sure I could not safely report it 4
New 10 Alternate 2
If you knew that someone was breaking a rule about sexual activity in the facility, how willing would you be to report it to a facility staff member?
I would definitely report it 1 (GO TO SECTION C)
I might report it 2
I might not report it 3
I definitely would not report it 4
New 11 Why might you not report it?
YES NO
you would be afraid or scared of the youth
involved 1 2
you would be afraid or scared of being punished by
facility staff 1 2
you would be embarrassed or ashamed that it happened 1 2
you wouldn’t think staff would investigate 1 2
you wouldn't think the youth involved
would be punished 1 2
you wouldn’t think that you would be believed 1 2
you might have some other reason for not reporting it 1 2
Section C. Drug Use
C1 The next questions are about drugs you may have taken on your own – that is, without a doctor telling you to take them.
Have you ever used...
marijuana, hashish, blunts or other forms of THC (pot, herb, reefer, weed)?
Yes 1
No 2
DK/REF
crack, smoked rock or free-base cocaine?
Yes 1
No 2
DK/REF
other forms of cocaine?
Yes 1
No 2
DK/REF
inhalants such as aerosols, glue, or paint thinner?
Yes 1
No 2
DK/REF
methamphetamine such as ice, crank, crystal, or crystal meth?
Yes 1
No 2
DK/REF
heroin or heroin mixed with other drugs?
Yes 1
No 2
DK/REF
pain killers or other opiates (such as OxyContin®, Percocet, or codeine) without a doctor's prescription or methadone outside a treatment program?
Yes 1
No 2
DK/REF
ecstasy, MDMA, or “E”?
Yes 1
No 2
DK/REF
i. PCP or angel dust (Phencyclidine)?
Yes 1
No 2
DK/REF
acid, LSD, ketamine, special K, mushrooms, or other hallucinogens?
Yes 1
No 2
DK/REF
“speed,” “uppers,” amphetamines, or other stimulants (such as Ritalin or Dexedrine) without a doctor's prescription?
Yes 1
No 2
DK/REF
“downers” or sedatives such as GHB or Rohypnol (“Roofies”) without a doctor's prescription?
Yes 1
No 2
DK/REF
anti-anxiety drugs or tranquilizers (such as Ativan, Valium, or Xanax) without a doctor's prescription?
Yes 1
No 2
DK/REF
any other drugs not mentioned here?
Yes 1
No 2
DK/REF
[FOR EACH C1a-n = 1/YES, ASK CORRESPONDING ITEM IN C2 AND C4 SERIES; IF NONE OF C1a-n= 1/YES, GO TO NSYC-A SECTION D.]
C2 a. Have you ever used marijuana, hashish, blunts or other forms of THC (pot, herb,
reefer, weed) once a week or more for at least 30 days?
Yes 1
No 2
DK/REF
b. Have you ever used crack, smoked rock or free-base cocaine once a week or more for at least 30 days?
Yes 1
No 2
DK/REF
c. Have you ever used other forms of cocaine once a week or more for at least 30 days?
Yes 1
No 2
DK/REF
d. Have you ever used inhalants such as aerosols, glue, or paint thinner once a week or more for at least 30 days?
Yes 1
No 2
DK/REF
e. Have you ever used methamphetamine such as ice, crank, crystal, or crystal meth once a week or more for at least 30 days?
Yes 1
No 2
DK/REF
f. Have you ever used heroin or heroin mixed with other drugs once a week or more for at least 30 days?
Yes 1
No 2
DK/REF
g. Have you ever used pain killers or other opiates (such as OxyContin®, Percocet, or codeine) without a doctor's prescription, or methadone outside a treatment program, once a week or more for at least 30 days?
Yes 1
No 2
DK/REF
h. Have you ever used ecstasy, MDMA, or “E” once a week or more for at least 30 days?
Yes 1
No 2
DK/REF
i. Have you ever used PCP or angel dust (Phencyclidine) once a week or more for at least 30 days?
Yes 1
No 2
DK/REF
j. Have you ever used acid, LSD, ketamine, special K, mushrooms, or other hallucinogens once a week or more for at least 30 days?
Yes 1
No 2
DK/REF
k. Have you ever used “speed,” “uppers,” amphetamines, or other stimulants (such as Ritalin or Dexedrine) without a doctor's prescription once a week or more for at least 30 days?
Yes 1
No 2
DK/REF
l. Have you ever used “downers” or sedatives such as GHB or Rohypnol (“Roofies”) without a doctor's prescription once a week or more for at least 30 days?
Yes 1
No 2
DK/REF
m. Have you ever used anti-anxiety drugs or tranquilizers (such as Ativan, Valium, or Xanax) without a doctor's prescription once a week or more for at least 30 days?
Yes 1
No 2
DK/REF
n. Have you ever used any other drugs not mentioned here once a week or more for at least 30 days?
Yes 1
No 2
DK/REF
C3 You said that you were taken into custody in [DATE FROM A2]. Think about before [DATE FROM A2] as you answer the next set of questions.
[IF A2 = DK OR REF, OR IF YOUTH REPORTS A DATE IN A2 THAT IS AFTER THE ADMIT DATE PROVIDED BY THE FACILITY, THEN A2 = ADMIT DATE AND ITEM C3 WILL BE WORDED AS:
Think about before you were taken into custody as you answer the next set of questions.]
C4 a. During the 30 days before you were taken into custody, on how many days did
you use marijuana, hashish, blunts or other forms of THC (pot, herb, reefer, weed)?
0 days 1
1-2 days 2
3-5 days 3
6-9 days 4
10-19 days 5
20-30 days 6
DK/REF
b. During the 30 days before you were taken into custody, on how many days did you use crack, smoked rock, or free-base cocaine?
0 days 1
1-2 days 2
3-5 days 3
6-9 days 4
10-19 days 5
20-30 days 6
DK/REF
c. During the 30 days before you were taken into custody, on how many days did you use other forms of cocaine?
0 days 1
1-2 days 2
3-5 days 3
6-9 days 4
10-19 days 5
20-30 days 6
DK/REF
d. During the 30 days before you were taken into custody, on how many days did you use inhalants such as aerosols, glue or paint thinner?
0 days 1
1-2 days 2
3-5 days 3
6-9 days 4
10-19 days 5
20-30 days 6
DK/REF
e. During the 30 days before you were taken into custody, on how many days did you use methamphetamine such as ice, crank, crystal, or crystal meth?
0 days 1
1-2 days 2
3-5 days 3
6-9 days 4
10-19 days 5
20-30 days 6
DK/REF
f. During the 30 days before you were taken into custody, on how many days did you use heroin or heroin mixed with other drugs?
0 days 1
1-2 days 2
3-5 days 3
6-9 days 4
10-19 days 5
20-30 days 6
DK/REF
g. During the 30 days before you were taken into custody, on how many days did you use pain killers or other opiates (such as OxyContin®, Percocet, or codeine) without a doctor’s prescription or methadone outside a treatment program?
0 days 1
1-2 days 2
3-5 days 3
6-9 days 4
10-19 days 5
20-30 days 6
DK/REF
h. During the 30 days before you were taken into custody, on how many days did you use ecstasy, MDMA, or “E”?
0 days 1
1-2 days 2
3-5 days 3
6-9 days 4
10-19 days 5
20-30 days 6
DK/REF
i. During the 30 days before you were taken into custody, on how many days did you use PCP or angel dust (Phencyclidine)?
0 days 1
1-2 days 2
3-5 days 3
6-9 days 4
10-19 days 5
20-30 days 6
DK/REF
j. During the 30 days before you were taken into custody, on how many days did you use acid, LSD, ketamine, special K, mushrooms, or other hallucinogens?
0 days 1
1-2 days 2
3-5 days 3
6-9 days 4
10-19 days 5
20-30 days 6
DK/REF
k. During the 30 days before you were taken into custody, on how many days did you use “speed,” “uppers,” amphetamines, or other stimulants (such as Ritalin or Dexedrine) without a doctor’s prescription?
0 days 1
1-2 days 2
3-5 days 3
6-9 days 4
10-19 days 5
20-30 days 6
DK/REF
l. During the 30 days before you were taken into custody, on how many days did you use “downers” or sedatives such as GHB or Rohypnol (“Roofies”) without a doctor’s prescription?
0 days 1
1-2 days 2
3-5 days 3
6-9 days 4
10-19 days 5
20-30 days 6
DK/REF
m. During the 30 days before you were taken into custody, on how many days did you use anti-anxiety drugs or tranquilizers (such as Ativan, Valium, or Xanax) without a doctor’s prescription?
0 days 1
1-2 days 2
3-5 days 3
6-9 days 4
10-19 days 5
20-30 days 6
DK/REF
n. During the 30 days before you were taken into custody, on how many days did you use any other drugs not mentioned here?
0 days 1
1-2 days 2
3-5 days 3
6-9 days 4
10-19 days 5
20-30 days 6
DK/REF
C5 When the thing that you were (accused of/convicted of) doing happened, were you trying to get money to buy drugs or obtain drugs for your use?
Yes 1
No 2
DK/REF
[IF A12 AND A13 BOTH = NO OR DK OR REF, THEN ITEM C5 WORDING WILL BE:
At the time the thing that led to your stay here happened, were you trying to get money to buy drugs or obtain drugs for your use?]
C6 When the thing that you were (accused of/convicted of) doing happened, had you been using drugs?
Yes 1
No 2 (GO TO C8)
DK/REF (GO TO C8)
[IF A12 AND A13 BOTH = NO OR DK OR REF, THEN ITEM C6 WORDING WILL BE:
At the time the thing that led to your stay here happened, had you been using drugs?]
C7 What drugs were you using when it happened? CHECK ALL THAT APPLY.
[DISPLAY TEXT FROM ALL C1a-n FOR WHICH RESPONSE =1/YES]
[IF C4a-n ALL = “0 days” OR ALL = REF OR COMBO OF ALL = “0 days” AND REF, GO TO C11. ELSE, CONTINUE.]
C8 During the 30 days before you were taken into custody, how did you get the drugs that you were using?
Did you buy them from a stranger?
Yes 1
No 2
DK/REF
Did you buy them from a dealer you know?
Yes 1
No 2
DK/REF
Did you buy them from a friend?
Yes 1
No 2
DK/REF
Did you steal them?
Yes 1
No 2
DK/REF
Were they given to you by friends or acquaintances?
Yes 1
No 2
DK/REF
Did you use a fake or forged prescription?
Yes 1
No 2
DK/REF
you trade sex for drugs?
Yes 1
No 2
DK/REF
you get them from a home medicine cabinet?
Yes 1
No 2
DK/REF
you get them another way?
Yes 1
No 2
DK/REF
[IF 2 OR MORE C8a-i = 1/YES, GO TO C9; OTHERWISE GO TO C11.]
C9 What was the main source of the drugs that you were using?
[DISPLAY ONLY THOSE SOURCES CODED 1/YES IN C8a-i]
Bought from a stranger
Bought from a dealer you know
Bought from a friend
Stole them
Given to you by friends or acquaintances
Used a fake or forged prescription
Traded sex for drugs
Got them from a home medicine cabinet
Got them another way
DK/REF
[C10 DELETED]
C11 Now, think back over your whole life. Have you ever used a needle to inject or shoot up any drug under your skin, into a muscle or into a vein, for non-medical reasons? Say “Yes” if you were injected by someone else or if you injected yourself. Do NOT include shots given by a doctor or nurse.
Yes 1
No 2 (GO TO C15)
DK/REF (GO TO C15)
[ASK C12a-d IF CORRESPONDING DRUG TYPE (C1b AND/OR C1c AND/OR C1e AND/OR C1f AND/OR C1g= 1/YES; ASK C12e IF ANY DRUG TYPE = 1/YES IN C1a-n. ELSE, GO TO C15.]
C12 What kinds of drugs have you ever shot up with a needle?
Cocaine other than crack?
Yes 1
No 2
DK/REF
Methamphetamine such as ice, crank, crystal, or crystal meth?
Yes 1
No 2
DK/REF
Heroin?
Yes 1
No 2
DK/REF
Pain killers or other opiates (such as OxyContin®, Percocet, or codeine) without a doctor's prescription or methadone outside a treatment program?
Yes 1
No 2
DK/REF
Another drug?
Yes 1
No 2
DK/REF
C13 Have you ever used a needle that you knew or suspected had been used by someone else for injecting drugs?
Yes 1
No 2
DK/REF
C14 Have you ever shared a needle that you had used with someone else?
Yes 1
No 2
DK/REF
C15 You said you have used [DISPLAY ALL DRUGS = 1/YES FROM C1a-n]. How old were you the first time you used any of these drugs?
____ years old
DK/REF
DRUG ABUSE
[C16 DELETED]
C17 During the 12 months before you were taken into custody,
a. did you get into situations while using drugs or right 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?
Yes 1
No 2
DK/REF
did you have serious arguments with your parents, other family members, boyfriend or girlfriend, or friends while using or right after using drugs?
Yes 1
No 2
DK/REF
did you have frequent arguments with your parents, other family members, or boyfriend/girlfriend, about your drug use?
Yes 1
No 2
DK/REF
did you lose a job because of your drug use?
Yes 1
No 2
DK/REF
did you have school or job trouble because of your drug use – like missing too much school or work, getting lower grades or not doing your work well, or being suspended, expelled, or dropping out of school?
Yes 1
No 2
DK/REF
did you have legal problems, get arrested or held at a police station because of your drug use?
Yes 1
No 2
DK/REF
did you get into a physical fight while using drugs or right after using drugs?
Yes 1
No 2
DK/REF
DRUG DEPENDENCE
C18 During the 12 months before you were taken into custody,
did you often use a drug in larger amounts or for a longer than you meant to?
Yes 1
No 2
DK/REF
did you more than once try by yourself to cut down on your drug use or stop using drugs but found you couldn't do it?
Yes 1
No 2
DK/REF
c. did you often want to control your drug use?
Yes 1
No 2
DK/REF
d. did you spend a lot of time getting drugs, using them or getting over bad after-effects of using?
Yes 1
No 2
DK/REF
e. did using drugs or being sick from using drugs keep you from doing work, going to school, or caring for children?
Yes 1
No 2
DK/REF
did you give up activities that you were interested in or that were important to you so you could use drugs — like school, work, hobbies, or being with family and friends?
Yes 1
No 2
DK/REF
did you continue to use drugs even though it was causing emotional or psychological problems?
Yes 1
No 2
DK/REF
C19 During the 12 months before you were taken into custody,
did you continue to use drugs even though it was causing problems with family, friends, school or work?
Yes 1
No 2
DK/REF
did you continue to use drugs even though it was causing physical health or medical problems?
Yes 1
No 2
DK/REF
did you have to use more drugs or greater quantities of the drugs to get the effect you wanted?
Yes 1
No 2
DK/REF
did you find that you had some bad after-effects of using drugs after cutting down on your drug use or stopping your drug use – like shaking, sweating, feeling nervous or anxious, feeling sick to your stomach or restless, having trouble sleeping, having fits or seizures, or seeing, feeling, or hearing things that weren't really there?
Yes 1
No 2
DK/REF
did you ever keep using drugs to get over any bad after‑effects of a drug or to keep from having bad after-effects?
Yes 1
No 2
DK/REF
C20 When you were arrested the last time, were you tested for drugs?
Yes 1
No 2 (GO TO C22)
DK/REF (GO TO C22)
C21 What was the result of the drug test?
Positive for drug use 1
Negative 2
Neither, inconclusive 3
DK/REF
C22 Have you been tested for drugs since your admission to this facility?
Yes 1
No 2 (GO TO NSYC-A SECTION D)
DK/REF (GO TO NSYC-A SECTION D)
C23 Have you been told the results of any of the drug tests?
Yes 1
No 2 (GO TO NSYC-A SECTION D)
DK/REF (GO TO NSYC-A SECTION D)
C24 Were any of the drug tests positive?
Yes 1
No 2
DK/REF
[GO TO NSYC-A SECTION D.]
Section D. Alcohol Use
D1 The next questions are about alcoholic beverages that you might have had, such as beer, wine, wine coolers, liquor, mixed drinks, and cocktails. We are not asking about when you only had a sip or two from a drink.
Have you ever, even once, had a drink of any alcoholic beverage, that is, more than a few sips?
Yes 1 (GO TO D3)
No 2 (DISPLAY HOT KEY TEXT)
DK (DISPLAY HOT KEY TEXT)
REF (GO TO ALC. & DRUG ROUTE)
HOTKEY TEXT:
The answers that people give us about their use of alcohol are important to this study’s success. We know that this information is personal, but remember that your answers will be kept confidential. Please think again about answering this question.
[REPEAT D1; THEN IF
Yes 1 (GO TO D3)
No 2 (GO TO ALC. & DRUG ROUTE)
DK/REF (GO TO ALC. & DRUG ROUTE)
[ALCOHOL & DRUG ROUTE:
IF D1 = 2/NO OR DK OR REF AND ANY C1a – C1n = 1/YES, GO TO E1.
IF D1 = 2/NO OR DK OR REF AND ALL C1a – C1n = 2/NO OR DK OR REF, GO TO F1.]
D3 Think about the first time you had a drink of an alcoholic beverage. How old were you the first time you had more than a few sips of any alcoholic beverage?
____ years old
DK/REF
D4 Have you ever drunk alcohol more than once a week for more than a month?
Yes 1
No 2
DK/REF
D5 You said that you were taken into custody in [DATE FROM A2]. Think about before [DATE FROM A2] as you answer the next set of questions.
[IF A2 = DK OR REF, OR IF YOUTH REPORTS A DATE IN A2 THAT IS AFTER THE ADMIT DATE PROVIDED BY THE FACILITY, THEN A2 = ADMIT DATE AND ITEM D5 WILL BE WORDED AS:
Think about before you were taken into custody as you answer the next set of questions. ]
D6 During the 12 months before you were taken into custody, did you ever have five or more drinks in a row? By a “drink” we mean a can or bottle of beer, a glass of wine or a wine cooler, a shot of liquor, or a mixed drink with liquor in it.
Yes 1
No 2
DK/REF
D7 Now think about the 30 days before you were taken into custody. On how many days did you have more than a few sips of any alcoholic beverage?
0 days 1 (GO TO D9)
1 to 2 days 2
3 to 5 days 3
6 to 9 days 4
10 to 19 days 5
20 to 30 days 6
DK/REF (GO TO D9)
D8 During the 30 days before you were taken into custody, how many days did you have five or more drinks in a row?
0 days 1
1 to 2 days 2
3 to 5 days 3
6 to 9 days 4
10 to 19 days 5
20 to 30 days 6
DK/REF
D9 When the thing that you were (accused of/convicted of) doing happened, had you been drinking any alcohol?
Yes 1
No 2 (GO TO D11a)
DK/REF (GO TO D11a)
[IF A12 AND A13 BOTH = NO OR DK OR REF, THEN ITEM D9 WORDING WILL BE:
When the thing that led to your stay here happened, had you been drinking any alcohol?]
D10 How many hours had you been drinking alcohol?
____ hours
DK/REF
D11 Had you had five or more drinks in a row?
Yes 1
No 2
DK/REF
D11a These next questions are still asking you about before you were taken into custody in [DATE FROM A2].
[IF A2 = DK OR REF, OR IF YOUTH REPORTS A DATE IN A2 THAT IS AFTER THE ADMIT DATE PROVIDED BY THE FACILITY, THEN A2 = ADMIT DATE AND ITEM D11a WILL BE WORDED AS:
These next questions are still asking you about before you were taken into custody for the thing that led to your stay here.]
ALCOHOL ABUSE
D12 During the 12 months before you were taken into custody,
a. did you get into situations while drinking or right 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?
Yes 1
No 2
DK/REF
b. did you have serious arguments with your parents, other family members, boyfriend or girlfriend, husband or wife, or friends while drinking or right after drinking?
Yes 1
No 2
DK/REF
c. did you have frequent arguments with your parents, other family members, boyfriend or girlfriend, or husband or wife about your alcohol use?
Yes 1
No 2
DK/REF
did you lose a job because of your drinking?
Yes 1
No 2
DK/REF
did you have trouble with school or with a job because of your drinking – like missing too much school or work, getting lower grades or not doing your work well, or being suspended, expelled, or dropping out of school?
Yes 1
No 2
DK/REF
did you get arrested or held at a police station because of your drinking?
Yes 1
No 2
DK/REF
did you have legal problems such as a DWI/DUI or getting arrested for possession of alcohol or underage drinking?
Yes 1
No 2
DK/REF
did you get into a physical fight while drinking or right after drinking?
Yes 1
No 2
DK/REF
ALCOHOL DEPENDENCE
D13 During the 12 months before you were taken into custody…
did you often drink more or for a lot longer than you meant to?
Yes 1
No 2
DK/REF
did you more than once try by yourself to cut down on your drinking or to stop drinking alcohol but found you couldn't do it?
Yes 1
No 2
DK/REF
did you often want to control your alcohol use?
Yes 1
No 2
DK/REF
did you spend a lot of time getting alcohol, drinking, or getting over bad after-effects of drinking?
Yes 1
No 2
DK/REF
did your drinking or being sick from drinking keep you from doing work, going to school, or caring for children?
Yes 1
No 2
DK/REF
did you give up activities that you were interested in or were important to you so you could drink – like school, work, hobbies, or being with family and friends?
Yes 1
No 2
DK/REF
did you continue to drink even though it was causing emotional or psychological problems?
Yes 1
No 2
DK/REF
D14 During the 12 months before you were taken into custody…
did you continue to drink even though it was causing problems with family, friends, school or work?
Yes 1
No 2
DK/REF
did you continue to drink even though it was causing physical health or medical problems?
Yes 1
No 2
DK/REF
did you have to drink more alcohol to get the effect you wanted?
Yes 1
No 2
DK/REF
did you ever have the shakes or tremors of your hands after stopping or cutting down on drinking, or had that feeling the morning after drinking?
Yes 1
No 2
DK/REF
did you find that you had some other bad after-effects of drinking after cutting down on your drinking or stopping drinking – such as feeling restless, sweating, having trouble sleeping, having fits or seizures, or seeing, feeling or hearing things that weren't really there?
Yes 1
No 2
DK/REF
did you sometimes drink alcohol to get over a hangover or any bad after-effects of drinking or to keep from having them?
Yes 1
No 2
DK/REF
D15 When you were arrested the last time, were you tested for alcohol using a breathalyzer or other test?
Yes 1
No 2 (GO TO D17)
DK/REF (GO TO D17)
D16 What was the result of the alcohol test?
Positive for alcohol use 1
Negative 2
Neither, inconclusive 3
DK/REF
D17 Have you been tested for alcohol use since your admission to this facility?
Yes 1
No 2 (GO TO NSYC-A SECTION E)
DK/REF (GO TO NSYC-A SECTION E)
D18 Have you been told the results of any of your alcohol tests?
Yes 1
No 2 (GO TO NSYC-A SECTION E)
DK/REF (GO TO NSYC-A SECTION E)
D19 Were any of the alcohol tests positive?
Yes 1
No 2
DK/REF
[GO TO NSYC-A SECTION E.]
Section E. Treatment
E1 The next questions are about any drug or alcohol treatment programs you may have attended before you were taken into custody – that is before [DATE FROM A2]. Do not count any treatment that was only for physical health or psychological problems.
[IF A2 = DK OR REF, OR IF YOUTH REPORTS A DATE IN A2 THAT IS AFTER THE ADMIT DATE PROVIDED BY THE FACILITY, THEN A2 = ADMIT DATE AND ITEM E1 WILL BE WORDED AS:
The next questions are about any drug or alcohol treatment programs you may have attended before you were taken into custody for the thing that led to you coming to this place. Do not count any treatment that was only for physical health or psychological problems.]
E2 Before you were taken into custody, had you ever…
a. been admitted overnight to a residential, inpatient, or hospital program for your alcohol or drug use problems for up to 3 days?
Yes 1
No 2
DK/REF
b. been admitted overnight to a residential, inpatient, or hospital program for your alcohol or drug use problems for more than 3 days?
Yes 1
No 2
DK/REF
c. received drug or alcohol counseling while NOT living in a special facility or unit?
Yes 1
No 2
DK/REF
d. attended Alcoholics Anonymous (AA), Narcotics Anonymous (NA), Cocaine Anonymous (CA), or another self-help group?
Yes 1
No 2
DK/REF
e. been given medication like methadone, antabuse, naltrexone, or buprenorphine (Suboxone®) to help with withdrawal or cravings?
Yes 1
No 2
DK/REF
f. received any other type of alcohol or drug treatment?
Yes 1
No 2
DK/REF
[FOR EACH E2a-f = YES, ASK E3a-f, E4a-f, and E5a-f. IF NO E2a-f = YES, GO TO E6.]
E3
a. Keep thinking about the time before you were taken into custody for what led to your stay here.
When you were admitted overnight to a residential, inpatient, or hospital program for your alcohol or drug use problems for up to 3 days, was it for problems with alcohol, drugs, or both?
Alcohol 1
Drugs 2
Both 3
DK/REF
b. Keep thinking about the time before you were taken into custody for what led to your stay here.
When you were admitted overnight to a residential, inpatient, or hospital program for your alcohol or drug use problems for more than 3 days, was it for problems with alcohol, drugs, or both?
Alcohol 1
Drugs 2
Both 3
DK/REF
c. Keep thinking about the time before you were taken into custody for what led to your stay here.
When you received drug or alcohol counseling while not living in a special facility or unit, was it for problems with alcohol, drugs, or both?
Alcohol 1
Drugs 2
Both 3
DK/REF
d. Keep thinking about the time before you were taken into custody for what led to your stay here.
When you attended Alcoholics Anonymous (AA), Narcotics Anonymous (NA), Cocaine Anonymous (CA), or another self-help group, was it for problems with alcohol, drugs, or both?
Alcohol 1
Drugs 2
Both 3
DK/REF
e. Keep thinking about the time before you were taken into custody for what led to your stay here.
When you received medication like methadone, antabuse, naltrexone, or buprenorphine (Suboxone®) to help with withdrawal or cravings, was it for problems with alcohol, drugs, or both?
Alcohol 1
Drugs 2
Both 3
DK/REF
f. Keep thinking about the time before you were taken into custody for what led to your stay here.
When you received any other type of alcohol or drug treatment, was it for problems with alcohol, drugs, or both?
Alcohol 1
Drugs 2
Both 3
DK/REF
[FOR E4a-f SERIES, ASK ITEM THAT CORRESPONDS TO ANY E2a-f THAT =1/YES.]
E4
a. Were you required to be admitted overnight to a residential, inpatient, or hospital program for your alcohol or drug use problems for up to 3 days?
Yes 1
No 2
DK/REF
b. Were you required to be admitted overnight to a residential, inpatient, or hospital program for your alcohol or drug use problems for more than 3 days?
Yes 1
No 2
DK/REF
c. Were you required to receive drug or alcohol counseling while not living in a special facility or unit?
Yes 1
No 2
DK/REF
d. Were you required to attend Alcoholics Anonymous (AA), Narcotics Anonymous (NA), Cocaine Anonymous (CA), or another self-help group?
Yes 1
No 2
DK/REF
e. Were you required to receive medication like methadone, antabuse, naltrexone, or buprenorphine (Suboxone®) to help with withdrawal or cravings?
Yes 1
No 2
DK/REF
f. Were you required to receive any other type of alcohol or drug treatment?
Yes 1
No 2
DK/REF
[IF A8 = 1/YES AND ANY E2a-f = 1/YES, ASK E5a-f ITEMS THAT CORRESPOND TO E2a-f = 1/YES. ELSE, GO TO E6.]
E5
a. When you were on probation or parole, were you required to be admitted overnight to a residential, inpatient, or hospital program for your alcohol or drug use problems for up to 3 days?
Yes 1
No 2
DK/REF
b. When you were on probation or parole, were you required to be admitted overnight to a residential, inpatient, or hospital program for your alcohol or drug use problems for more than 3 days?
Yes 1
No 2
DK/REF
c. When you were on probation or parole, were you required to receive drug or alcohol counseling while not living in a special facility or unit?
Yes 1
No 2
DK/REF
d. When you were on probation or parole, were you required to attended Alcoholics Anonymous (AA), Narcotics Anonymous (NA), Cocaine Anonymous (CA), or another self-help group?
Yes 1
No 2
DK/REF
e. When you were on probation or parole, were you required to receive medication like methadone, antabuse, naltrexone, or buprenorphine (Suboxone®) to help with withdrawal or cravings?
Yes 1
No 2
DK/REF
f. When you were on probation or parole, were you required to receive any other type of alcohol or drug treatment?
Yes 1
No 2
DK/REF
DEFINE DOAFILL2:
IF ADMIT DATE 12 months OR A3 = 4, THEN DOAFILL2 = “the past 12 months that you’ve been in this facility.”
IF ADMIT DATE 12 months OR A3 = 1, OR 2 OR 3 OR DK OR REF, THEN DOAFILL2 = “the time since you were taken into custody.”
E6 Now, think about DOAFILL2.
E7 Since then, have you ever…
been admitted overnight to a residential, inpatient, or hospital program for your alcohol or drug use problems for up to 3 days?
Yes 1
No 2
DK/REF
been admitted overnight to a residential, inpatient, or hospital program for your alcohol or drug use problems for more than 3 days?
Yes 1
No 2
DK/REF
received drug or alcohol counseling while NOT living in a special facility or unit?
Yes 1
No 2
DK/REF
attended Alcoholics Anonymous (AA), Narcotics Anonymous (NA), Cocaine Anonymous (CA), or another self-help group?
Yes 1
No 2
DK/REF
been given medication like methadone, antabuse, naltrexone, or buprenorphine (Suboxone®) to help with withdrawal or cravings?
Yes 1
No 2
DK/REF
received any other type of alcohol or drug treatment?
Yes 1
No 2
DK/REF
[ASK E8 a-f FOR EACH PROGRAM TYPE THAT E7a-f = 1/YES. ELSE, GO TO NSYC-A SECTION F.]
E8
a. Now, keep thinking about DOAFILL2. When you were admitted overnight to a residential, inpatient, or hospital program for up to 3 days, was it for problems with alcohol, drugs, or both?
Alcohol 1
Drugs 2
Both 3
DK/REF
b. Keep thinking about DOAFILL2. When you were admitted overnight to a residential, inpatient, or hospital program for your alcohol or drug use problems for more than 3 days, was it for problems with alcohol, drugs, or both?
Alcohol 1
Drugs 2
Both 3
DK/REF
c. Keep thinking about DOAFILL2. When you received drug or alcohol counseling while not living in a special facility or unit, was it for problems with alcohol, drugs, or both?
Alcohol 1
Drugs 2
Both 3
DK/REF
d. Keep thinking about DOAFILL2. When you attended Alcoholics Anonymous (AA), Narcotics Anonymous (NA), Cocaine Anonymous (CA), or another self-help group, was it for problems with alcohol, drugs, or both?
Alcohol 1
Drugs 2
Both 3
DK/REF
e. Keep thinking about DOAFILL2. When you received medication like methadone, antabuse, naltrexone, or buprenorphine (Suboxone®) to help with withdrawal or cravings, was it for problems with alcohol, drugs, or both?
Alcohol 1
Drugs 2
Both 3
DK/REF
f. Keep thinking about DOAFILL2. When you received any other type of alcohol or drug treatment, was it for problems with alcohol, drugs, or both?
Alcohol 1
Drugs 2
Both 3
DK/REF
[GO TO NSYC-A SECTION F.]
Section F. Family and Peer Background
F1 In the 30 days before you were taken into custody, was anyone living with you?
Yes 1
No 2 (GO TO F8)
DK/REF (GO TO F8)
F2 Not counting yourself, how many people lived with you?
____ People (IF RESPONSE = 0, GO TO F8)
DK/REF
F3 How many of these [# OF PEOPLE REPORTED IN F2] people were adults aged 18 and over?
______ Adults 18 and over
DK/REF
[F4 & F5 DELETED]
F6 And how were the people that you lived with related to you?
CHECK ALL THAT APPLY.
Your children or stepchildren 1
Your parents or stepparents 2
Your grandparents 3
Your brothers/sisters or
stepbrothers/stepsisters 4
Your girlfriend or boyfriend 5
Your husband or wife 6
Other children under 18 not related to you 7
Other relatives 8
Friends 9
Other non-relatives including foster family 10
DK/REF
F7 Before you were taken into custody, who did you live with most of the time?
Your children or stepchildren 1
Your parents or stepparents 2
Your grandparents 3
Your brothers/sisters or
stepbrothers/stepsisters 4
Your girlfriend or boyfriend 5
Your husband or wife 6
Other children under 18 not related to you 7
Other relatives 8
Friends 9
Other non-relatives including foster family 10
DK/REF
[IF F6 OR F7 = FOSTER (10), GO TO F9. OTHERWISE GO TO F8.]
F8 Was there ever a time when you lived in a foster home, agency, or institution?
Yes 1
No 2 (GO TO F10)
DK/REF (GO TO F10)
F9 Was it a foster home, agency or institution, or both?
Foster home 1
Agency or institution 2
Both 3
DK/REF
F10 Have any of your parents or guardians ever abused alcohol or drugs?
Yes 1
No 2 (GO TO F12)
DK/REF (GO TO F12)
F11 Was it alcohol, drugs, or both?
Alcohol 1
Drugs 2
Both 3
DK/REF
F12 Have any of your parents or guardians ever been sentenced and served time in jail or prison?
Yes 1
No 2 (GO TO F14)
DK/REF (GO TO F14)
F13 Who was that? CHECK ALL THAT APPLY.
Mother/stepmother 1
Father/stepfather 2
Your grandparents 3
Other relatives 4
Foster mother or father 5
Someone else 6
DK/REF
F14 How many brothers and sisters have you had? Include half and step brothers and sisters.
____ Brothers or sisters
DK/REF
[IF F14 = 0 OR DK OR REF, GO TO F15. IF F14 = 1 OR MORE, GO TO F14a.]
F14a Have any of your brothers or sisters ever abused alcohol or drugs? Include any step-family.
Yes 1 (GO TO F14b)
No 2 (GO TO F15)
DK/REF (GO TO F15)
F14b Was it alcohol, drugs, or both?
Alcohol 1
Drugs 2
Both 3
DK/REF
F15 Have any of your girlfriends or boyfriends, or your husband or wife ever abused alcohol or drugs?
Yes 1
No 2 (GO TO F17)
DK/REF (GO TO F17)
F16 Was it alcohol, drugs, or both?
Alcohol 1
Drugs 2
Both 3
DK/REF
F17 Have any of your brothers or sisters, girlfriends or boyfriends, or your husband or wife ever been sentenced and served time in jail or prison? Include any step-family.
Yes 1
No 2 (GO TO F19)
DK/REF (GO TO F19)
F18 Who was that? CHECK ALL THAT APPLY.
Your brother or stepbrother 1
Your sister or stepsister 2
Your girlfriend or boyfriend 3
Your husband or wife 4
DK/REF
F19 Before you were taken into custody for what led to your stay here, did you have friends you hung around who engaged in activities such as…
using drugs?
Yes 1
No 2
DK/REF
destroying or damaging property that did not belong to them?
Yes 1
No 2
DK/REF
shoplifting?
Yes 1
No 2
DK/REF
stealing motor vehicles or parts from motor vehicles?
Yes 1
No 2
DK/REF
selling stolen property?
Yes 1
No 2
DK/REF
breaking into homes or other buildings?
Yes 1
No 2
DK/REF
selling, importing, or manufacturing drugs?
Yes 1
No 2
DK/REF
mugging, robbing, or extorting money from people?
Yes 1
No 2
DK/REF
any other illegal activity?
Yes 1
No 2
DK/REF
F20 Who do you expect to live with upon your release from this facility?
CHECK ALL THAT APPLY.
No one. You expect to live alone 1
Your parents or stepparents 2
Your grandparents 3
Your brothers or sisters, or stepbrothers or stepsisters 4
Your girlfriend or boyfriend 5
Your husband or wife 6
Other relatives 7
Your friends 8
A foster family 9
A halfway house or treatment facility 10
DK/REF
[END OF SURVEY]
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
| File Title | Specifications for non-JSA 10% Questionnaire |
| Author | Teresa Koenig |
| File Modified | 0000-00-00 |
| File Created | 2021-02-01 |