Incident Interview

Research to support the National Crime Victimization Survey (NCVS)

Attachment 2 Detailed Incident Interview

NCVS - Interactive Voice Response (IVR)

OMB: 1121-0325

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Attachment 2

CATI: Detailed Incident Interview

E1. You said that during the last 12 months (INCIDENT), what month did (this/the first) incident happen?


___________Month



E2. Altogether, how many times did this type of incident happen during the last 12 months?


___________ Number of incidents


IF 5 OR LESS INCIDENTS GO TO E5

IF 6 OR MORE INCIDENTS GO TO E3



E3. Are these incidents similar to each other in detail, or are they for different types of crimes?


Similar

Different (not a "series") GO TO 56



E4. Can you recall enough details of each incident to distinguish them from each other?


Yes (not a "series")

No (is a "series") – TREAT AS ONE INCIDENT



E5. (The following questions refer only to the most recent incident) In what city, town, or village did this incident occur?


Outside U.S.

Not inside a city/town/village

SAME city/town/village as present residence

DIFFERENT city/town/village from present residence

Don’t know




E6. Where did this incident happen?


IN RESPONDENT’S HOME OR LODGING


In own dwelling, own attached garage, or enclosed porch (Include illegal entry or attempted illegal entry of same)

In detached building on own property, such as detached garage, storage shed, etc. (Include illegal entry or attempted illegal entry of same)

In vacation home/second home (Include illegal entry or attempted illegal entry of same)

In hotel or motel room respondent was staying in (Include illegal entry or attempted illegal entry of same)


GO TO E7


NEAR OWN HOME


Own yard, sidewalk, driveway, carport, unenclosed porch (does not include apartment yards)

Apartment hall, storage area, laundry room (does not include apartment parking lot/garage)

On street immediately adjacent to own home


GO TO E12


AT, IN, OR NEAR A FRIEND’S/RELATIVE’S/NEIGHBOR’S HOME


At or in home or other building on their property

Yard, sidewalk, driveway, carport (does not include apartment yards)

Apartment hall, storage area, laundry room (does not include apartment parking lot/garage)

On street immediately adjacent to their home


GO TO E12


COMMERCIAL PLACES


Inside restaurant, bar, nightclub

Inside bank

Inside gas station

Inside other commercial building, such as a store

Inside office

Inside factory or warehouse


GO TO E12



PARKING LOTS/GARAGES


Commercial parking lot/garage

Noncommercial parking lot/garage

Apartment/townhouse parking lot/garage


GO TO E12


SCHOOL


Inside school building

On school property (school parking area, play area, school bus, etc.)


GO TO E12


OPEN AREAS, ON STREET OR PUBLIC TRANSPORTATION


In apartment yard, park, field, playground (other than school)

On the street (other than immediately adjacent to own/friend’s/relative’s/neighbor’s home)

On public transportation or in station (bus, train, plane, airport, depot, etc.)


GO TO E12


OTHER


Other – Specify


GO TO E12



E7. Did the offender live (here/there) or have a right to be (here/there), for instance, as a guest or a repairperson?


Yes GO TO E12

No

Don’t know



E8. Did the offender actually get INSIDE your (house/apartment /room/garage/ shed/ enclosed porch)?


Yes GO TO E10

No

Don’t know




E9. Did the offender TRY to get in your (house/apartment/room/garage/shed/porch)?


Yes

No GO TO E12

Don’t know



E10. Was there any evidence, such as a broken lock or broken window, that the offender(s) (got in by force/TRIED to get in by force)?


Yes

No GO TO E12



E11. What was the evidence? Anything else?


WINDOW

Damage to window (include frame, glass broken/removed/cracked)

Screen damaged/removed

Lock on window damaged/tampered with in some way

Other – Specify


DOOR

Damage to door (include frame, glass panes or door removed)

Screen damaged/removed

Lock or door handle damaged/tamperedwith in some way

Other – Specify


OTHER

Other than window or door



E12. Were you or any other member of this household present when this incident occurred?


Yes

No GO TO E31



E13. Which household members were present?


Respondent and other household member(s)

Only other household member(s), not respondent GO TO E31



E14. Did the offender have a weapon such as a gun or knife, or something to use as a weapon, such as a bottle or wrench?


Yes

No GO TO E16

Don’t know GO TO E16



E15. What was the weapon? Anything else?


Hand gun (pistol, revolver, etc.)

Other gun (rifle, shotgun, etc.)

Knife

Other sharp object (scissors, ice pick, axe, etc.)

Blunt object (rock, club, blackjack, etc.)

Other – Specify



E16. Did the offender hit you, knock you down or actually attack you in any way?


Yes GO TO E22

No



E17. Did the offender TRY to attack you?


Yes GO TO E20

No



E18. Did the offender THREATEN you with harm in any way?


Yes GO TO E21

No



E19. What actually happened? Anything else?


Something taken without permission

Attempted or threatened to take something

Harassed, argument, abusive language

Unwanted sexual contact with force (grabbing, fondling, etc.)

Unwanted sexual contact without force (grabbing, fondling, etc.)

Forcible entry or attempted forcible entry of house/apartment

Forcible entry or attempted forcible entry of car

Damaged or destroyed property

Attempted or threatened to damage or destroy property

Other – Specify


GO TO E28




E20. How did the offender TRY to attack you? Any other way?


Verbal threat of rape

Verbal threat to kill

Verbal threat of attack other than to kill or rape

Verbal threat of sexual assault other than rape

Unwanted sexual contact with force (grabbing, fondling, etc.)

Unwanted sexual contact without force (grabbing, fondling, etc.)

Weapon present or threatened with weapon

Shot at (but missed)

Attempted attack with knife/sharp weapon

Attempted attack with weapon other than gun/knife/sharp weapon

Object thrown at person

Followed or surrounded

Tried to hit, slap, knock down, grab, hold, trip, jump, push, etc.

Other – Specify


GO TO E28



E21. How were you threatened? Any other way?


Verbal threat of rape

Verbal threat to kill

Verbal threat of attack other than to kill or rape

Verbal threat of sexual assault other than rape

Unwanted sexual contact with force (grabbing, fondling, etc.)

Unwanted sexual contact without force (grabbing, fondling, etc.)

Weapon present or threatened with weapon

Shot at (but missed)

Attempted attack with knife/sharp weapon

Attempted attack with weapon other than gun/knife/sharp weapon

Object thrown at person

Followed or surrounded

Tried to hit, slap, knock down, grab, hold, trip, jump, push, etc.

Other – Specify


GO TO E28




E22. How were you attacked? Any other way?


Raped

Tried to rape

Sexual assault other than rape or attempted rape

Shot

Shot at (but missed)

Hit with gun held in hand

Stabbed/cut with knife/sharp weapon

Attempted attack with knife/sharp weapon

Hit by object (other than gun) held in hand

Hit by thrown object

Attempted attack with weapon other than gun/knife/sharp weapon

Hit, slapped, knocked down

Grabbed, held, tripped, jumped, pushed, etc.

Other – Specify



E23. What were the injuries you suffered, if any? Anything else?


None GO TO E28

Raped

Attempted rape

Sexual assault other than rape or attempted rape

Knife or stab wounds

Gun shot, bullet wounds

Broken bones or teeth knocked out

Internal injuries

Knocked unconscious

Bruises, black eye, cuts, scratches, swelling, chipped teeth

Other – Specify



E24. Were you injured to the extent that you received any medical care, including self treatment?


Yes

No GO TO E28



E25. Where did you receive this care? Anywhere else?


At the scene

At home/neighbor’s/friend’s

Health unit at work/school, first aid station at a stadium/park, etc.

Doctor’s office/health clinic

Emergency room at hospital/emergency clinic

Hospital (other than emergency room)

Other – Specify


IF E25 = HOSPITAL GO TO E26, ELSE GO TO E28


E26. Did you stay overnight in the hospital?


Yes

No GO TO E28



E27. How many days did you stay (in the hospital)?


_____ Number of days


E28. Not counting yourself, were any of the persons present during the incident harmed, threatened with harm, or robbed by force or threat of harm? Do not include yourself, the offender, or children under 12 years of age.


Yes

No GO TO E31

Don’t know GO TO E31



E29. How many? (Do not include yourself, the offender or children under 12 years of age.)


_______Number of persons


E30. How many of these persons are members of your household now? (Do not include yourself, the offender or children under 12 years of age.)


None

____________Number of persons



E31. Was something stolen or taken without permission that belonged to you or others in the household?


Yes GO TO E37

No

Don’t know



E32. Did the offender(s) ATTEMPT to take something that belonged to you or others in the household?


Yes

No GO TO E50

Don’t know GO TO E50




E33. What did the offender try to take? Anything else?


Cash

Purse

Wallet

Credit cards, checks, bank cards

Car

Other motor vehicle

Part of motor vehicle (tire, hubcap, attached car stereo or satellite radio, attached CB radio, etc.)

Gasoline or oil

Bicycle or parts

TV, DVD player, VCR, stereo, other household appliances

Silver, china, art objects

Other household furnishings (furniture, rugs, etc.)

Personal effects (clothing, jewelry, toys, etc.)

Handgun (pistol, revolver)

Other firearm (rifle, shotgun)

Other – Specify

Don’t know



E34. Did the (property/money) the offender tried to take belong to you personally, to someone else in the household, or to both you and other household members? Mark (X) only one box.


Respondent only

Respondent and other household member(s)

Other household member(s) only

Nonhousehold member(s) only

Other – Specify _________



E35. Was/Were the article(s) IN or ATTACHED to a motor vehicle when the attempt was made to take (it/them)?


Yes

No



E36. (IF THE OFFENDER ATTEMPTED TO TAKE CASH/PURSE/WALLET IN E33) Was the (cash/purse/wallet) on your person, for instance, in a pocket or being held?


Yes

No


GO TO E50


E37. What was taken that belonged to you or others in the household? Anything else?


Cash

________Amount of cash taken

Only cash taken – Enter amount above


Property

PURSE/WALLET/CREDIT CARDS

Purse Ask: Did it contain money?

Wallet Ask: Did it contain money?

Credit cards, check, bank cards


VEHICLE OR PARTS

Car

Other motor vehicle

Part of motor vehicle (tire, hubcap, attached car stereo or satellite radio, attached CB radio, etc.)

Unattached motor vehicle accessories or equipment (unattached CD player or satellite radio, etc.)

Gasoline or oil

Bicycle or parts


HOUSEHOLD FURNISHINGS

TV, DVD player, VCR, stereo, other household Appliances

Silver, china, art objects

Other household furnishings (furniture, rugs, etc.)


PERSONAL EFFECTS

Portable electronic and photographic gear (Personal stereo, TV, cellphone, camera, etc.)

Clothing, furs, luggage, briefcase

Jewelry, watch, keys

Toys, sports and recreation equipment (not listed above)

Collection of stamps, coins, etc.

Other personal and portable objects


FIREARMS

Handgun (pistol, revolver)

Other firearm (rifle, shotgun)


MISCELLANEOUS

Tools, machines, office equipment

Farm or garden produce, plants, fruit, logs

Animals –pet or livestock

Food or liquor

Other – Specify

Don’t know




E38. Did the stolen (property/money) belong to you personally, to someone else in the household, or to both you and other household members? Mark (X) only one box


Respondent only

Respondent and other household member(s)

Other household member(s) only

Nonhousehold member(s) only

Other



E39. IF CAR OR MOTOR VEHICLE STOLEN IN E37 GO TO E40, ELSE GO TO E42



E40. Had permission to use the (car/motor vehicle) ever been given to the offender(s)?


Yes

No GO TO E42

Don’t know GO TO E42



E41. Did the offender return the (car/motor vehicle) this time?


Yes

No



E42. IF HANDGUN STOLEN IN E37 GO TO E43, ELSE GO TO E44



E43. How many handguns were taken?


________Number of handguns


Don’t know (Number of handguns taken)



E44. IF OTHER FIREARMS STOLEN IN E37 GO TO E45, ELSE GO TO E46



E45. How many other types of firearms were taken?


________Number of handguns


Don’t know (Number of handguns taken)



E46. IF CASH/PURSE/WALLET STOLEN IN E37 GO TO E47, ELSE GO TO E48




E47. Was the (cash/purse/wallet) on your person, for instance, in a pocket or being held?


Yes

No



E48. IF CASH/CHECKS/CREDIT CARDS STOLEN IN E37 GO TO E49, ELSE GO TO E50


E49. What was the value of the PROPERTY that was taken? Include recovered property. (Exclude any stolen cash/checks/credit cards. If jointly owned with a non household member(s), include only share owned by household members.)


__________Value of property taken



E50. Were the police informed or did they find out about this incident in any way?


Yes

No

Don’t know



E51. Check Item W

Summarize this incident or series of incidents. Include what was taken, how entry was gained, how victim was threatened/attacked, what weapons were present and how they were used, any injuries, what victim was doing at time of attack/threat, whether the incident was reported to the police or whether only nonhousehold property was stolen.


ALSO INCLUDE DETAILS ABOUT THE INCIDENT THAT ARE NOT PROVIDED IN THE ANSWER CATEGORIES AND THAT WILL HELP CLARIFY THE INCIDENT.


____________________________________________________________________________________________________________________________________________


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