Attachment 1
Demographic and Crime Screening Interview
Telephone Introduction
Hello, this is [DATA COLLECTOR’S NAME]. You have been selected as part of a study being conducted by the Bureau of Justice Statistics, a part of the US Department of Justice. Your participation in this study will help the government identify the best methods to collect data on crime and victimization. This will improve the government’s ability to assess the impact of crime in communities like yours
This survey will take about 20 minutes. I will ask about any experiences you have had with victimization in the last 12 months. Your participation is voluntary and you can stop at any point or skip any question. This interview is confidential by law – this means that the information you provide will not be shared with any individual, organization or agency. Your name will never appear in any report or associated with any findings.
If you after taking the survey you would like to discuss your feelings with another person, I can provide you with a list of hotline numbers you can call for free.
FOR $10 TREATMENT GROUP: You will receive $10 for completing this survey.
IVR Introduction
Thank you for calling the Crime Victimization Survey. If you received a letter inviting you to participate in this survey please have the ID number from the invitation letter ready
You must be an 18 year-old adult living in the household the invitation letter was sent to, to participate in this survey.
VALIDATED ID ENTERED
The invitation letter for this survey instructed the person with the next birthday to call to complete this survey. Are you the household member whose birthday is next?
IF IS THE CORRECT RESPONDENT:
Before we start, we would like to tell you a few things about the study. First, your participation is voluntary and you can stop at any point or skip any question. This interview is confidential by law – this means that the information you provide will not be shared with any individual, organization or agency. Your name will never appear in any report or associated with any findings.
This survey will ask about any experiences you have had with victimization in the last 12 months. The survey will take approximately 20 minutes. If you after taking the survey you would like to discuss your feelings with another person, a list of hotline numbers you can call for free will be available.
FOR $10 TREATMENT GROUP: You will receive $10 for completing this survey.
D1 Before we get started, I would like to ask you a couple questions about who lives in your household. What is the total number of people who live at this address?” Include everyone who lives at this address, including people who are not related to you and any young children or babies.
|__|__| TOTAL HH MEMBERS
D2 What is the total number of people at this address who are age 18 or older? Include only people age 18 or older who live at this address, including people who are not related to you.
|__|__| HH MEMBERS 18+
D3 What is your age?
|__|__| AGE
D4 What is your current marital status? Are you married, widowed, divorced, separated, or never married?
MARRIED
WIDOWED
DIVORCED
SEPARATED
NEVER MARRIED
D5 Are you male or female?”
MALE
FEMALE
D6 What is your highest grade or level of school completed?
Less than high school
High school graduate or GED
Some college or an associate’s degree
Four year degree (BA or BS)
Attended graduate or professional school, but no degree
Complete a graduate or professional degree
D7 Are you currently attending or enrolled in a school, college, university, or adult learning center, or receiving vocational education or job training?
YES
NO
D8 Are you of Hispanic, Latino, or Spanish origin?
YES – HISPANIC OR LATINO
NO – NOT HISPANIC OR LATINO
D9 What is your race? Please select one or more. Are you…
White
Black or African American
American Indian or Alaska Native
Asian
Native Hawaiian or other Pacific Islander
D10 Is this house owned or being bought by someone in this household?”
owned or being bought by someone in this household,
rented by someone in this household, or
occupied by some other arrangement?
D11 How many years have you lived at this address?” If less than 1 year enter zero.”
|__|__| - NUMBER OF YEARS
IF 5 YEARS OR LESS GO TO D12
IF MORE THAN 5 YEARS GO TO S1
D12 Altogether, how many times have you moved in the last 5 years, that is, since {CURRENT MONTH/YEAR – 60 MONTHS}.”
|__|__| YEARS
S1A I’m going to read some examples that will give you an idea of the kinds of crimes this study covers.
As I go through them, tell me if any of these happened to you in the last 12 months, that is since __________ ______, 20 ____.
Was something belonging to YOU stolen, such as…
(a) Things that you carry, like luggage, a wallet, purse, briefcase, book –
(b) Clothing, jewelry, or cellphone –
(c) Bicycle or sports equipment –
(d) Things in your home – like a TV, stereo, or tools
(e) Things outside your home such as a garden hose or lawn furniture –
(f) Things belonging to children in the household –
(g) Things from a vehicle, such as a package, groceries, camera, or CDs –
(h) Did anyone ATTEMPT to steal anything belonging to you?
Did any incidents of this type happen to you?
Yes-What happened? Describe above
No – SKIP to S2A
S1B How many times?
___________Number of times
S2A (Other than any incidents already mentioned,) has anyone…
(a) Broken in or ATTEMPTED to break into your home by forcing a door or window, pushing past someone, jimmying a lock, cutting a screen, or entering through an open door or window?
(b) Has anyone illegally gotten in or tried to get into a garage, shed, or storage room?
OR
(c) Illegally gotten in or tried to get into a hotel or motel room or vacation home where you were staying?
Did any incidents of this type happen to you?
Yes - What happened? Describe above
No – SKIP to S3
S2B How many times?
_________Number of times
S3 What was the TOTAL number of cars, vans, trucks, motorcycles, or other motor vehicles owned by you or any other member of this household during the last 12months? Include those you no longer own.
None – SKIP to 40a
1
2
3
4 or more
S4A During the last 12 months, (other than any incidents already mentioned,) (was the vehicle/were any of the vehicles)
(a) Stolen or used without permission? (Other than any incidents already mentioned,) since __________ ______, 20 ____, were you attacked or threatened OR did you have something stolen from you –
(b) Did anyone steal any parts such as a tire, car stereo, hubcap, or battery?
(c) Did anyone steal any gas from (it/them)?
OR
(d) Did anyone ATTEMPT to steal any vehicle or parts attached to (it/them)?
Did any incidents of this type happen to you?
Yes – What happened? Describe above
No – SKIP to S5A
S4B How many times?
____________Number of times
S5A (Other than any incidents already mentioned,) since __________ ______, 20 ____, were you attacked or threatened OR did you have something stolen from you…
(a) At home including the porch or yard –
(b) At or near a friend’s, relative’s, or neighbor’s home –
(c) At work or school –
(d) In places such as a storage shed or laundry room, a shopping mall, restaurant, bank, or airport –
(e) While riding in any vehicle –
(f) On the street or in a parking lot –
(g) At such places as a party, theater, gym, picnic area, bowling lanes, or while fishing or hunting –
(h) Did anyone ATTEMPT to attack or ATTEMPT to steal anything belonging to you from any of these places?
S6A Did any incidents of this type happen to you?
Yes – What happened? Describe above
No - SKIP to S7A
S6B How many times?
____________Number of times
S7A (Other than any incidents already mentioned,) has anyone attacked or threatened you in any of these ways (Exclude telephone threats) –
(a) With any weapon, for instance, a gun or knife –
(b) With anything like a baseball bat, frying pan, scissors, or stick –
(c) By something thrown, such as a rock or bottle –
(d) Include any grabbing, punching, or choking,
(e) Any rape, attempted rape or other type of sexual attack –
(f) Any face to face threats –
OR
(g) Any attack or threat or use of force by anyone at all? Please mention it even if you are not certain it was a crime.
Did any incidents of this type happen to you?
Yes – What happened? Describe above
No – SKIP to S8A
S7B How many times?
___________Number of times
S8A People often don’t think of incidents committed by someone they know. (Other than any incidents already mentioned,) did you have something stolen from you OR were you attacked or threatened by (Exclude telephone threats)
(a) Someone at work or school –
(b) A neighbor or friend –
(c) A relative or family member –
(d) Any other person you’ve met or known?
Did any incidents of this type happen to you?
Yes – What happened? Describe above
No – SKIP to S9A
S8B How many times?
___________Number of times
S9A Incidents involving forced or unwanted sexual acts are often difficult to talk about. (Other than any incidents already mentioned,) have you been forced or coerced to engage in unwanted sexual activity by…
(a) Someone you didn’t know before –
(b) A casual acquaintance
OR
(c) Someone you know well?
Did any incidents of this type happen to you?
Yes – What happened? Describe above
No – SKIP to S10A
S9B How many times?
__________Number of times
S10 During the last 12 months, (other than any incidents already mentioned,) did you call the police to report something that happened to YOU which you thought was a crime?
Yes
No – SKIP to S12
S11A Were you (was the respondent) attacked or threatened, or was something stolen or an attempt made to steal something that belonged to you (the respondent) or another household member?
Yes
No – SKIP to S12
S11B How many times?
_______________Number of times
S12 During the last 12 months, (other than any incidents already mentioned,) did anything which you thought was a crime happen to YOU, but you did NOT report to the police?
Yes
No – END OF SCREENER
S13A Were you (was the respondent) attacked or threatened, or was something stolen or an attempt made to steal something that belonged to you (the respondent) or another household member?
Yes – Ask 45b
No – END OF SCREENER
S13B How many times?
_________Number of times
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
| Author | Margo Tercy |
| File Modified | 0000-00-00 |
| File Created | 2021-01-31 |