ACASI and Telephone Screeners and Detailed Incidient Cog

Research to support the National Crime Victimization Survey (NCVS)

Appendix OMB Cognitive interviews 11-1-12 docx

Cognitive Testing under the NCVS Redesign Generic Clearance

OMB: 1121-0325

Document [docx]
Download: docx | pdf

Table of Contents

Appendix A: Recruitment materials for interviews with rape and sexual assault victims from the DC Rape Crisis Center

Appendix B: Recruitment Materials for women age 18-40

Appendix C: Consent Form

Appendix D: Help Resources for Victims of Rape and Sexual Assault

Appendix E1: ACASI Screener and Cognitive Interview Protocol

Appendix E2: Telephone Screener and Cognitive Interview Protocol

Appendix F: Detailed incident form and Cognitive Interview Protocol

Appendix G: Hypothetical Scenarios for Those Not Reporting an Assault

Appendix H: Vignettes

Appendix I: Cognitive interview protocol for the second interview

Appendix J: Westat IRB approval letter

















Appendix A:

Recruitment materials for interviews with rape and

sexual assault victims from the DC Rape Crisis Center



Flyer

Script to collect information on volunteers



Shape1

Testing Alternative Survey Methods to Collect Data on Rape and Sexual Assault

Shape2

The purpose of this study is to improve the way we measure rape and sexual assault. The primary goal of this project is to improve the way this information is collected. Westat, a social science research organization in Rockville, Maryland, is working with the U.S. Bureau of Justice Statistics (BJS) to develop and test these survey methods. We wish to recruit women survivors of rape or sexual assault to help us test the questions that are being considered for the survey. Beginning in December 2012, we would like to speak with women who are: Age 18 and older, English speaking, previous victim of rape or sexual assault. These interviews will be completed in-person, at the DC Rape crisis Center, and will last about 90 minutes. A second interview will be scheduled for approximately 2 weeks after the initial interview. Respondents will receive $40 for each interview as a token of appreciation for their time.


Please contact Indira at [email protected] or 202-232-0789 if interested in participating



Telephone Script After Receiving Call from women referred by DC Rape Crisis Center

Hello, may I speak with ____________________________?

If the participant is not there, do not leave a message with whoever is answering the phone. If the participant is available, continue as follows:

Hello, ___________________________, my name is _____________________________ and I am calling from the Women’s Health study that you agreed to participate in on ____(date). Is now a good time to talk?

NO: Can we schedule a better time for me to contact you? (Schedule another call and add information to the contact log).

YES: Great.

You indicated that you would be interested in taking part in an interview. Let me tell you a little bit about the study. We are conducting the study for the US Bureau of Justice Statistics. The goal is to improve the way the government collects information on rape and sexual assault. We will ask you questions about any unwanted sexual experiences that you have had. We will ask you to participate in two 90 minute interviews. All the information collected as part of the study will be treated as confidential and you will be paid $40 for each interview.

We would like to meet with you to explain the study in more detail. If, after we meet, you decide you don’t want to participate, that is completely fine. Would you be available (suggest date and time)?

Your privacy is very important so we need to do the interview where no one else can hear us. Would you be able to meet us at the DC Rape Crisis Center?

YES: Great, we can come meet you there. (give respondent directions if needed)

NO: Is there another date and time you could meet me at the hospital? [If no other time is convenient then thank respondent for their time and hang up]

Great, so just to confirm, I’ll see you at: ____________________________________________________ On (date)__________________________________________ at (time)____________________________

Add notes to the contact log.

If scheduled for more than one day later:

I’ll call you right before our meeting to confirm. , is this the best number to call you at? Can I leave a message here? Is there anyone else who might answer this phone and if so, who should I say is calling? Here is my phone number in case something comes up and you need to reschedule.



When calling before the interview:

I’m calling to remind you about the interview on (DATE/TIME), is this still a good time for the interview? Will we have about an hour and a half of time with just us?



Appendix B:

Recruitment Materials for women age 18-40





Flyer and Newspaper Ad

Script to collect information on Volunteers









Research Participants Needed







Westat, a social science research organization (www.westat.com ) is recruiting women between the ages of 18 and 40 to participate in a study about women’s health and safety. The study is being conducted for the US Department of Justice, Bureau of Justice Statistics. Individuals will participate in two confidential, 90-minute interviews, and will be paid cash for each interview. These confidential interviews will be conducted in the Washington DC/Baltimore area.





If you are interested in participating in this study, please call or send an email to [Contact Information]













RECRUITMENT SCREENER


Hello, may I speak to [Name]? My name is [Name], and I am calling from Westat, a social science research organization in the Washington DC area. You recently called us to volunteer for a study we are conducting related to women’s health and safety. The study is sponsored by the U.S. Department of Justice, Bureau of Justice Statistics.

Westat and the Bureau of Justice Statistics are developing a survey that asks women about unwanted sexual experiences they have had. You do not have to had such an experience to be eligible for the interview. We are interested in having all types of women participate. We are in the process of developing the survey questions and we want to make sure that we are asking the questions in a way that makes sense so they will be easy for people to understand and answer correctly. We are asking women to participate in two confidential, in-person, individual interviews where we will present the survey questions and get feedback about how they are worded and if they make sense.

These interviews will be taking place in [LOCATION] from [DATES/TIMES].


To thank participants for their time and feedback, we are offering $80 for participation in two interviews. . Each interview will take about an hour and a half, and will be confidential. Your participation is voluntary.

[IF NEEDED: If you have any questions about the legitimacy of the study or need more information, you can contact (NAME of BJS PROJECT STAFF) by email at (EMAIL) or by phone at (PHONE).]

[IF NEEDED: If you like, I can give you an address where you can send comments about the time and burden you experienced for this research study. The address is:

(CONTACT NAME & ADDRESS FOR WESTAT IRB OR OMB DESIGNEE): The study reference number is “OMB No. XXXX-XXXX”].


Would you be willing to participate in these interviews?

IF YES: Thank you very much. I need to ask you a few more questions to confirm that you are eligible to participate. [GO TO SCREENER Q1.]


IF NO: Thank you. I appreciate your taking the time to talk with me today. [END CALL]





SCREENER QUESTIONS


Q1. Are you a female between the ages of 18 and 40?


YES [GO TO Q2]

NO Thank you. We are recruiting women between the ages of 18 and 40 for this

study. I appreciate your taking the time to talk with me today. [END CALL]



Q2. Have you ever experienced unwanted sexual contact?


YES [GO TO Q3]

NO [GO TO Q4]


Q3. Thank you. I will not be asking you to describe the incident during this call, except to ask,

did the unwanted sexual contact happen within the past 12 months?


YES [GO TO Q4]

NO [GO TO Q4]


Q4. Are you currently taking courses at a college or university (either on campus or online)?


YES [GO TO Q5]

NO [GO TO Q5]


Q5. You are eligible to participate in our research project.

Would you like to participate in the interviews?


YES/ACCEPTED [GO TO Q6]

NO/DECLINED Thank you. I appreciate you taking the time to speak with me today.

[END CALL]

Q6. Contact information


NAME:


ADDRESS:


PHONE:


CELL PHONE:


EMAIL:


[GO TO Q7]













Q7. INTERVIEW: DATE/TIME ________________________________

LOCATION ________________________________


Because your participation is important, we will be sending you a confirmation letter reminding you about your interview date and time. Would you prefer to receive this letter by mail or by e-mail?


Mail

e-mail


If you have any questions before the interview, please contact [PROJECT CONTACT NAME, EMAIL AND PHONE #].


Thank you for your time!


Appendix C: Consent Form



CONSENT FORM


Westat is conducting this research for the U.S. Dept. of Justice (DOJ) Bureau of Justice Statistics. We are developing a survey about unwanted sexual experiences and other types of violence against women. By taking part in this study, you are helping us develop (or improve the types of) questions asked in the survey. We will be conducting one 90 minute interview today and another 90 minute interview approximately two weeks from today. Each interview will ask you about any unwanted sexual experiences or other types of violence. Your participation is completely voluntary. You may stop at any time, and you can skip any questions you do not wish to answer.

  • We will ask you questions about unwanted sexual experiences or other types of violence that you have had in the past. We’re interested in hearing about what happened during these incidents, how you think about them now and how you might respond to questions about the incidents on a survey.

  • Some of the language we use is explicit, but it is important that we ask the questions this way so that you are clear about what we mean.

  • The questions we ask are detailed and some people may find them uncomfortable. If you become upset during the interview or want to stop the interview at any time, please let me know. If you become upset, we can provide resources you can access to help you.

  • All information obtained during this study will be treated as secure and will only be used to develop and improve the questionnaire. We will not share your answers with anyone outside of the research team.

  • Project researchers may observe the interview. The researchers will destroy the audio recording as soon as they complete the questionnaire development process.

  • The interview should take 90 minutes or about an hour and a half.

  • The report summarizing the findings will not contain any names or identifying information.

  • You will receive $40 cash as a token of our appreciation for each interview that you participate in.

  • If you have questions about this research, please contact David Cantor, the Principal Investigator at (301-251-1500). If you have questions about your role as a research participant, please contact Sharon Zack, the Westat Institutional Review Board Administrator (301-251-1500; [email protected]).


  • A copy of this consent form has been provided for your records.

If you agree to participate in this interview, please read the statement below to the researcher..

I have read this consent form and understand the proposed project. I consent to participate in this study.


___________________________________

Researcher’s Signature


___________________________________

Printed Name


___________________________________

Date

Appendix D:

Help Resources for Victims of Rape and Sexual Assault



RESOURCES AND REFERRALS


Fairfax Co. Sexual Assault and Domestic Violence……………….703-360-7273 (24 hour hotline)

Inova Keller Center Behavioral Health Services for ……………….703-218-8500

Youth and Families

D.C. Rape Crisis………………………………………………………………………202-333-7273 (hotline)

Loudoun Co. Sexual Assault……………………………………………………703-771-9020

Montgomery Co. Crisis Center (Sexual Assault)……………………...240-777-4357

Prince Georges Co. Sexual Assault Center ……………………………..1-301-618-3154 (24 hour)

Virginia Sexual Assault Hotline………………………………………….1-800-838-8238

Appendix E1:

ACASI Screener and Cognitive Interview Protocol



Introduction


Thank you for agreeing to talk with me today. Let me tell you a little about Westat and what we’re going to do today.


Westat is a research company that conducts research on many different topics, under contract with many different organizations. This particular project is for the Department of Justice, specifically, the Bureau of Justice Statistics. Westat has been contracted to develop and a survey about unwanted sexual experiences. We will be interviewing thousands of women nationwide for this survey.


At this stage we are still developing the questionnaire and trying to figure out how to make it as easy as possible for people to understand and answer correctly. So the way this will work is I will ask the questions as if I were an interviewer sitting across from you in your living room. And you’ll answer them just like we were doing a normal survey. As best you can, try to think out loud as you answer the questions. At various times in the interview we’ll stop and talk about the questions and how you answered them. For example I may ask you to explain your answer in more detail or I might ask questions such as:


  • how did you come up with your answer, or

  • how did you remember that, or

  • what did it sound like that question was asking to you?


We are very interested in your feedback on the questions. At any time you should feel free to let me know if:


  • there are words you don’t understand, or

  • the question doesn’t make sense to you, or

  • you could interpret it more than one way, or

  • if the answer you are looking for is not provided.


These follow up questions may seem strange, but bear with me. They help me understand how well the questions are working. In particular, we are trying to find out how people like you go about answering these questions. So, basically, the more you can tell us, the more we will understand about the questions.


Before we get started, I want to let you know that everything we cover in the interview will be kept private - only the few people actually working on the project will have access to the information you share with us. If there are any questions you don’t want to answer that is perfectly fine - We’re really more interested in how you interpret the questions.


If it’s OK with you, I would like to record our conversation, just so that I can review it later when we’re analyzing all the interview data. If it is OK, I’d like to get your agreement on the recording.

Do you have any questions before we begin?


Interview begins here.


[PROCEED TO INTERVIEW]


COGNITIVE INTERVIEWER INSTRUCTION: One half of the interviews should focus probing on the screener and the other half should focus probing on the detailed incident form. Prior to your interview check with the project manager to see which form you should be using and which section you should focus on with probing.



Shape3

Introductory Questions

Shape4


COGNITIVE INTERVIEWER INSTRUCTION: No probing in this section unless the respondent demonstrates confusion or difficulty.

Shape5


This next set of questions is about you and your household.


IQ4. In what month and year were you born?

(Drop down box with month labels)


 

1Q4a. So that means you are now [fill] years old?

1 yes SKIP TO IQ5

2 no


IQ4b. What is your current age?

|__|__|


 

IQ5. What is your current marital status? Are you ….

1 now married –SKIP to IQ7

2 widowed

3 divorced

4 separated

5 never married



IQ6. Are you currently living in this household with a girlfriend, boyfriend or romantic partner?

1 yes

2 no – SKIP TO IQ8


IQ8. In the last year, have you been involved in a romantic relationship?

1 yes

2 no


IQ10. What is the highest level of school you have completed or the highest degree you have received?

1 Never attended

2. Elementary (grades 1 – 8)

3. High school (grades 9 – 11)

4. 12th grade (No diploma)

5. High school graduate (Diploma or equivalent)

6. Some college (No Degree)

7. Associate’s degree

8. Bachelor’s degree (ex. BA, AB, BS)

9. Master’s degree (ex. MA, MS, Meng, MSW, MBA)

10. Professional School degree (ex. MD, DDS, DVM, LLB, JD)

11. Doctorate degree (ex. PhD, EdD)



IQ10b.Are you currently attending or enrolled in a regular school such as elementary or high school or enrolled either full-time or part-time in college or university, trade, or vocational school?

1 Elementary or high school

2. College/University

3. Trade School

4. Trade school

5. Vocational school

6. None of the above schools





IQ10c.(IF ATTENDING COLLEGE OR UNIVERSITY) Are you currently a member of a fraternity or sorority?

1 YES

2 NO


IQ22a. The next questions are about your USUAL activities. We have found that people with different lifestyles may be related to their overall safety On average, during the last 12 months, how often have you gone shopping. For example at drug, clothing, grocery, hardware and convenience stores?

 

1 Almost every day (or more frequently)

2 At least once a week

3 At least once a month

4. Less often

5 Never




IQ22b On average, during the last 12 months, how often have you have you spent the evening out away from home for work, school or entertainment?


1 Almost every day (or more frequently)

2 At least once a week

3 At least once a month

4. Less than one a month

5 Never


IQ22c On average, during the last 12 months,) how often have you ridden public transportation?


1 Almost every day (or more frequently)

2 At least once a week

3 At least once a month

4. Less often

5 Never






Event History Calendar

Shape6


COGNITIVE INTERVIEWER INSTRUCTION: The three main goals of this section are to understand (1) how long it takes to administer the event history calendar, (2) how useful the questions are for placing events on the calendar and (3) . You don’t need to spend more than about five minutes on this section.



Shape7

Introduction: Before we move on to questions about health and injuries, let’s spend a few minutes talking about what you did and things that happened to you over the last year. It might be difficult to remember things that happened as long as a year ago. Sometimes people find it helpful to think about a calendar to remember things. Let’s note some dates on the calendar. Looking back a year ago, there was Thanksgiving in November of 2012, New Year’s Day in winter, St. Patrick’s Day in the spring, Memorial Day in May, the Fourth of July in summer, and Halloween in October. Now let’s put some things that are specific to you on the calendar.

Interviewer instruction regarding boundary events.

PROMPT 1: What are some of the things you did or things that happened to you this past year, that is, since <REFERENCE MONTH> 1st of 2012?

RECORD RESPONDENT’S EVENTS ON CALENDAR. TRY TO GET AT LEAST ONE EVENT AT THE BOUNDARY. COLLECT MORE EVENTS IF R IS ABLE TO NAME MORE.

READ PROMPT 2 IF RESPONDENT HAS NOT PRODUCED A BOUNDARY EVENT:

PROMPT 2: Are there dates for things you did or things that happened since last <REFERENCE MONTH> 1st that we can note on the calendar? It doesn’t have to be anything unusual or important, just anything that you remember from the past 12 months.

RECORD RESPONDENT’S EVENTS ON CALENDAR. ASK A GENERAL PROMPT SUCH AS “ANYTHING ELSE?” TO ELICIT MORE EVENTS.

READ PROMPTs 3a-d IF RESPONDENT HAS NOT PRODUCED A BOUNDARY EVENT:

IF RESPONDENT HAS NOT MENTIONED A FAMILY MILESTONE, READ:

3a. Were there any family events, such as a birth or birthday celebration, a wedding, or a death in the family?

IF RESPONDENT HAS NOT MENTIONED A VACATION OR FAMILY EVENT, READ:

3b. Did you or anyone in your family go on vacation or to a special event?

IF RESPONDENT HAS NOT MENTIONED A WORK-RELATED EVENT, READ:

3c. Did you change jobs, or get a promotion?

IF RESPONDENT HAS NOT MENTIONED CHANGING RESIDENCES, READ:

3d. Did you move to a different house or apartment?

MARK EVENTS ON THE CALENDAR. READ PROMPT 4 IF RESPONDENT HAS NOT PRODUCED A BOUNDARY EVENT

Prompt 4? Where are you living now? [NOTE ADDRESS ON CALENDAR] How long have you lived there? Did you move in the last 12 months, since <REFERENCE MONTH> 1st of 2012?

Prompt 4? Do you work or attend school? Where are you working/attending school now? How long have you worked there/attended that school? [RECORD JOBS AND SCHOOLS ON CALENDAR.] Did you work at any other jobs or attend another school in the last 12 months, since <REFERENCE MONTH> 1st of 2012?

READ PROMPT 5 IF NO BOUNDARY EVENT OBTAINED FROM <REFERENCE MONTH> of 2012.

PROMPT 5: We are interested in getting events from the entire year, beginning in <REFERENCE MONTH> of 2012. Can you think of anything from your life to put on the calendar for <REFERENCE MONTH> of 2012?

COGNITIVE INTERVIEW PROBES FOR RESPONDENT:

  • Was there anything you didn’t understand about the calendar?

  • Which questions gave you the most help coming up with events to place on the calendar?

  • Is there anything else that would have helped you place events on the calendar?


Shape8












SV Screener

Shape9

COGNITIVE INTERVIEWER INSTRUCTION: The goals for this section are to (1) understand the general comprehension of the screener items (2) evaluate alternative question wordings and (3) understand if multiple reports represent distinct incidents or are part of the same incident.

Complete SV1-8 and then come back to ask follow-up probes. Some questions have specific probes, but you can probe other questions as needed. Once finishing these questions, proceed to sv9-13.


You may probe concurrently on questions where you feel that there is a problem. In general use expansive probes that encourage the respondent to explain their answer in more detail. For example, if the respondent reports an incident you may follow-up with probes like, How did you come up with your answer? Tell me what you are thinking about. Tell me more about your answer. If the respondent does not have an incident to report, you may follow-up with a probe like “what is that question asking about?”

Shape10


SV INTRO:

People may experience unwanted and uninvited sexual situations by strangers or people they know well, such as a romantic partner, friend, teacher, coworker, supervisor, or family member. Sometimes these situations result in injuries or other types of harm. Your answers to the next set of questions will help us learn how often these things happen.


Some of the language we use is explicit, but it is important that we ask the questions this way so that you are clear about what we mean. The questions we ask are detailed and some people may find them uncomfortable. The information you are providing will be kept private. You can skip questions you don’t want to answer and you can stop at any time.




SV1. Within the past 12 months, that is since (MONTH/YEAR), has a man or boy made you have sex by using force or threat of harm? By sex we mean putting a penis in your vagina. [IF RESPONDENT REPORTED A BOUNDING EVENT IN THE REFERENCE MONTH THEN SAY: As a reminder, MONTH/YEAR is when [FILL IN EVENT OR ACTIVITY].

 

ALT SV1. At any time since (MONTH/YEAR), has a man or boy used any kind of force or any kind of threat to make you to have sex against your will? By sex we mean putting a penis in your vagina. [IF RESPONDENT REPORTED A BOUNDING EVENT IN THE REFERENCE MONTH THEN SAY: As a reminder, MONTH/YEAR is when [FILL IN EVENT OR ACTIVITY].


1 Yes Continue to SV1a

2 No Skip to SV2

-7 Refused Skip to SV2

-9 Don't know Skip to SV2

COGNITIVE INTERVIEW PROBE FOR RESPONDENT: Tell me more about your answer. What were you thinking when you came up with your answer. What do you think we are asking about here?

How did you interpret the phrase: “….a man or a boy made you have sex by using force or threat of harm?” Can you give me some examples of what this means to you?

How did you interpret the phrase “a man or a boy used any kind of force or any kind of threat to make you have sex against your will”







Shape11



SV1a. How many times did this happen to you in the last 12 months?


  • Once GO TO SV2

  • Two or more |__|__| (enter number) GO TO SV2



SV2. [IF RESPONDENT REPORTED A BOUNDING EVENT IN THE REFERENCE MONTH, SAY: As a reminder, (MONTH/YEAR) is when [FILLIN EVENT OR ACTIVITY]. Since (MONTH/YEAR), has anyone, male or female, made you have oral sex by using force or threat of harm? By oral sex we mean that someone penetrated your vagina or anus with their mouth or tongue, or you were forced to use your mouth or tongue on someone else’s genitals or anus.

 

ALT SV2. [IF RESPONDENT REPORTED A BOUNDING EVENT IN THE REFERENCE MONTH, SAY: As a reminder, (MONTH/YEAR) is when [FILLIN EVENT OR ACTIVITY]. Since (MONTH/YEAR), has anyone, male or female, used any type of force or any type of threat to make you have or give oral sex against your will? By oral sex we mean that someone penetrated your vagina or anus with their mouth or tongue, or you were forced to use your mouth or tongue on someone else’s genitals or anus.


1 Yes

2 No Skip to SV3

-7 Refused Skip to SV3

-9 Don't know Skip to SV3

COGNITIVE INTERVIEW PROBE FOR RESPONDENT: Can you tell me in your own words what this question is asking? What types of sexual acts is this about?

Shape12

SV2a. How many times did this happen to you since (MONTH/YEAR)?


  • Once

  • Two or more |__|__| (enter number)


IF YES TO SV1 and SV2

SV2b. Did (this/any of these) happen to you at the same time as the incident(s) you already told me about?


  • Yes, happened at the same time as the other incidents already discussed Skip to SV3

  • (ONLY SHOW IF COUNT IS TWO OR MORE) Some happened at the same time as the other incidents, some happened at a different time

  • No, separate incidents Skip to SV3


SV2c. Other than the times this happened at the same time as something you already told me about - How many times did this happen to you since (MONTH/YEAR)?


  • Once

  • Two or more |__|__| (enter number)


COGNITIVE INTERVIEW PROBE FOR RESPONDENT: The first time that the respondent receives one of these follow-ups (e.g. SV2b-SV8b or SV2c-SV8c) concurrently probe with the following:

SV2B-SV8B: What is that question asking about? What incident is this referring to?

SV2C-SV8C: How did you come up with your answer?





Shape13


SV3. At any time since (MONTH/YEAR), has anyone made you have anal sex by using force or threat of harm? By anal sex we mean that a man or boy put his penis in your anus.

 



ALT SV3. At any time since (MONTH/YEAR), has a male used any type of force or any type of threat to make you have anal sex? By anal sex we mean that a man or boy put his penis in your anus.


1 Yes

2 No Skip to SV4

-7 Refused Skip to SV4

-9 Don't know Skip to SV4


SV3a. How many times did this happen to you since (MONTH/YEAR)?


  • Once

  • Two or more |__|__| (enter number)


IF YES TO (SV1 or SV2) and SV3

SV3b. Did (this/any of these) happen to you at the same time as the incident(s) you already told me about?


  • Yes, happened at the same time as the other incidents already discussed GO TO CHECK ITEM SV3

  • (ONLY SHOW IF COUNT IS TWO OR MORE) Some happened at the same time as the other incidents, some happened at a different time

  • No, separate incidents Skip to SV4


SV3c. Other than the times this happened at the same time as something you already told me about - How many times did this happen to you since (MONTH/YEAR)?


  • Once

  • Two or more |__|__| (enter number)


CHECK ITEM SV3

  • If SV1=Y and SV2=Y then ask:

Which incident did it happen at the same time as?

|__| when you were forced to have sex

|__| when you were forced to have or give oral sex


  • If (SV1=Y and SV2=N) or (SV1=N and SV2=Y) then continue to SV4



Shape14


SV4. At any time since (MONTH/YEAR), has a male or female put fingers or a foreign object in your vagina or anus against your will by using force or threats?

 

Alt SV4. At any time since (MONTH/YEAR), has any male or female put fingers or a foreign object in your vagina or anus against your will by using force or any type of threat?

1 Yes

2 No Skip to SV5

-7 Refused Skip to SV5

-9 Don't know Skip to SV5


SV4a. How many times did this happen to you since (MONTH/YEAR)?


  • Once

  • Two or more |__|__| (enter number)


IF YES TO (SV1 or SV2 or SV3) and SV4

SV4b. Did (this/any of these) happen to you at the same time as the incident(s) you already told me about?


  • Yes, happened at the same time as the other incidents already discussed GO TO CHECK ITEM SV4

  • (ONLY SHOW IF COUNT IS TWO OR MORE) Some happened at the same time as the other incidents, some happened at a different time

  • No, separate incidents Skip to SV5



SV4c. Other than the times this happened at the same time as something you already told me about - How many times did this happen to you since (MONTH/YEAR)?


  • Once

  • Two or more |__|__| (enter number)



CHECK ITEM SV4

  • If any two or more of SV1-SV3 = Y, then ask:

Which incident did it happen at the same time as? (only show those with Y answers)

|__| when you were forced to have sex (SV1=Y)

|__| when you were forced to have or give oral sex (SV2=Y)

|__| when you were forced to have anal sex (SV3=Y)


  • If only one of SV1 – SV3= Y, then continue to SV5



Shape15


SV5. (Other than what you have already told me about), When you were unable to consent because you were drunk, high, drugged, or passed out, since (MONTH/YEAR) has anyone made you have vaginal, anal, or oral sex?

 



ALT SV5. (Other than what you have already told me about), when you were too drunk, high, or drugged to stop what was happening, since (MONTH/YEAR) has anyone forced you to have vaginal, anal, or oral sex?


1 Yes

2 No Skip to SV6

-7 Refused Skip to SV6

-9 Don't know Skip to SV6

COGNITIVE INTERVIEW PROBE FOR RESPONDENT: Can you tell me in your own words what this question is asking? What does ‘..too drunk, high, or drugged to stop what was happening..” mean to you? Give me an example of what kind of situation this is asking about.



Shape16

SV5a. How many times did this happen to you since (MONTH/YEAR)?


  • Once

  • Two or more |__|__| (enter number)


IF YES TO (SV1 or SV2 or SV3 or SV4) and SV5

SV5b. Did (this/any of these) happen to you at the same time as the incident(s) you already told me about?


  • Yes, happened at the same time as the other incidents already discussed GO TO CHECK ITEM SV5

  • (ONLY SHOW IF COUNT IS TWO OR MORE) Some happened at the same time as the other incidents, some happened at a different time

  • No, separate incidents Skip to SV6


SV5c. Other than the times this happened at the same time as something you already told me about - How many times did this happen to you since (MONTH/YEAR)?


  • Once

  • Two or more |__|__| (enter number)

CHECK ITEM SV5

  • If any two or more of SV1-SV4 = Y, then ask:

Which incident did it happen at the same time as? (only show those with Y answers)

|__| when you were forced to have sex (SV1=Y)

|__| when you were forced to have or give oral sex (SV2=Y)

|__| when you were forced to have anal sex (SV3=Y)

|__| when some forced a finger or object into your vagina or anus (SV4=Y)


  • If only one of SV1 – SV4= Y, then continue to SV6



Shape17


SV6. Unwanted sexual situations can also occur without the use of physical force or threats of harm. For example,

An employer might threaten to fire a woman if she doesn’t have sex with him;

A teacher might threaten to fail a student if she doesn’t give him oral sex;

A spouse or romantic partner might threaten to kick her out of their home or stop providing her health insurance or financial support if she doesn’t have sex with him;

A friend or acquaintance might threaten to spread rumors or lies about a woman unless she has sex with him.

(Other than what you already told me about) At any time since (MONTH/YEAR), has someone you know put you in a situation in which you felt you had no choice and had to have vaginal, anal or oral sex against your will?


ALT SV6. Unwanted sexual situations can also occur even without physical force or threats of harm. A person can force you to do something you don’t want to by threatening to cause problems in your job, school, home or relationships. (Other than what you’ve already told me about) At any time since (MONTH/YEAR), has someone you know put you in a situation in which you felt you had no choice and had to have vaginal, anal or oral sex?


1 Yes

2 No Skip to SV7

-7 Refused Skip to SV7

-9 Don't know Skip to SV7


COGNITIVE INTERVIEW PROBE FOR RESPONDENT: Tell me more about what this question is asking.

What comes to mind when you hear unwanted sexual situations? What does that mean to you?



Shape18


SV6a. How many times did this happen to you since (MONTH/YEAR)?


  • Once

  • Two or more |__|__| (enter number)





IF YES TO (SV1 or SV2 or SV3 or SV4 or SV5) and SV6

SV6b. Did (this/any of these) happen to you at the same time as the incident(s) you already told me about?

  • Yes, happened at the same time as the other incidents already discussed GO TO CHECK ITEM SV6

  • (ONLY SHOW IF COUNT IS TWO OR MORE) Some happened at the same time as the other incidents, some happened at a different time

  • No, separate incidents Skip to SV7


SV6c. Other than the times this happened at the same time as something you already told me about - How many times did this happen to you since (MONTH/YEAR)?


  • Once

  • Two or more |__|__| (enter number)




CHECK ITEM SV6

  • If any two or more of SV1-SV5 = Y, then ask:

Which incident did it happen at the same time as? (only show those with Y answers)

|__| when you were forced to have vaginal sex (SV1=Y)

|__| when you were forced to have or give oral sex (SV2=Y)

|__| when you were forced to have anal sex (SV3=Y)

|__| when someone forced a finger or object into your vagina or anus (SV4=Y)

|__| while you were drunk, high or drugged, someone forced you to have vaginal, oral or anal sex (SV5=Y)

|__| when someone made you feel as if you didn’t have a choice, and you had to have vaginal, oral or anal sex (SV6=Y)


  • If only one of SV1 –SV5= Y, then continue to SV7



Shape19

SV7. (Other than what you have already told me about) At any time since (MONTH/YEAR) did someone force you to have vaginal, anal, or oral sex in any of following situations: on a date, going to work, when you were at home or at school, by a casual acquaintance or by someone you know?

1 Yes

2 No Skip to SV8

-7 Refused Skip to SV8

-9 Don't know Skip to SV8


SV7a. How many times did this happen to you since (MONTH/YEAR)?


  • Once

  • Two or more |__|__| (enter number)





IF YES TO (SV1 or SV2 or SV3 or SV4 or SV5 or SV6) and SV7

SV7b. Did (this/any of these) happen to you at the same time as the incident(s) you already told me about?

  • Yes, happened at the same time as the other incidents already discussed GO TO CHECK ITEM SV7

  • (ONLY SHOW IF COUNT IS TWO OR MORE) Some happened at the same time as the other incidents, some happened at a different time

  • No, separate incidents Skip to SV8


SV7c. Other than the times this happened at the same time as something you already told me about - How many times did this happen to you since (MONTH/YEAR)?


  • Once

  • Two or more |__|__| (enter number)



CHECK ITEM SV7

  • If any two or more of SV1-SV6 = Y, then ask:

Which incident did it happen at the same time as? (only show those with Y answers)

|__| when you were forced to have vaginal sex (SV1=Y)

|__| when you were forced to have or give oral sex (SV2=Y)

|__| when you were forced to have anal sex (SV3=Y)

|__| when someone forced a finger or object into your vagina or anus (SV4=Y)

|__| while you were drunk, high or drugged, someone forced you to have vaginal, oral or anal sex (SV5=Y)

|__| when someone made you feel as if you didn’t have a choice, and you had to have vaginal, oral or anal sex (SV6=Y)


  • If only one of SV1 –SV6= Y, then continue to SV8



Shape20

SV8. At any time since (MONTH/YEAR) has anyone tried to force you to have vaginal, oral or anal sex against your will, but intercourse or penetration did not occur?

1 Yes

2 No Skip to LIFETIME QUESTIONS

-7 Refused Skip to LIFETIME QUESTIONS

-9 Don't know Skip to LIFETIME QUESTIONS


THESE WILL FOLLOW THE COMPLETED BEHAVIOR QUESTIONS WHEN WE TEST AS SEPARATE CUES. 

ALT SV8a. At any time since (MONTH/YEAR), has anyone tried to make you have vaginal sex against your will, but intercourse or penetration did not occur?


ALT SV8b. At any time since (MONTH/YEAR), has anyone, male or female, tried but did not succeed at making you have oral sex against your will?


ALT SV8c. At any time since (MONTH/YEAR), has anyone, male or female, tried but did not succeed at making you have anal sex against your will?


1 Yes

2 No Skip to LIFETIME QUESTIONS

-7 Refused Skip to LIFETIME QUESTIONS

-9 Don't know Skip to LIFETIME QUESTIONS


SV8a. How many times did this happen to you since (MONTH/YEAR)?


  • Once

  • Two or more |__|__| (enter number)


IF YES TO (SV1 or SV2 or SV3 or SV4 or SV5 or SV6 or SV7) and SV8

SV8b. Did (this/any of these) happen to you at the same time as the incident(s) you already told me about?


  • Yes, happened at the same time as the other incidents already discussed GO TO CHECK ITEM SV8

  • (ONLY SHOW IF COUNT IS TWO OR MORE) Some happened at the same time as the other incidents, some happened at a different time

  • No, separate incidents Skip to LIFETIME QUESTIONS


SV8c. Other than the times this happened at the same time as something you already told me about - How many times did this happen to you since (MONTH/YEAR)?


  • Once

  • Two or more |__|__| (enter number)


CHECK ITEM SV8

Shape21
  • If any two or more of SV1-SV7 = Y, then ask:

Which incident did it happen at the same time as? (only show those with Y answers)

|__| when you were forced to have vaginal sex (SV1=Y)

|__| when you were forced to have or give oral sex (SV2=Y)

|__| when you were forced to have anal sex (SV3=Y)

|__| when someone forced a finger or object into your vagina or anus (SV4=Y)

|__| while you were drunk, high or drugged, someone forced you to have vaginal, oral or anal sex (SV5=Y)

|__| when someone made you feel as if you didn’t have a choice, and you had to have vaginal, oral or anal sex (SV6=Y)

|__| when someone you knew forced you to have vaginal, oral or anal sex (SV7=Y)


  • If only one of SV1 –SV7= Y, then continue to LIFETIME QUESTIONS







LIFETIME Qs - IF NO TO ANY ONE OR MORE (SV1-SV8) ASK:


COGNITIVE INTERVIEW PROBE FOR RESPONDENT: (for lifetime questions SV1-SV8)? Tell me more about how you answered this question? Tell me more about that.



Shape22


ALT VERSION will place each question directly after the specific cue question


ASK ONLY WHEN ANY SV1-4=No

SV1-4Ever. At any point in your lifetime, has anyone ever used force or threatened to harm you or someone close to you to make you have (FILL BASED ON FIRST “NO” RESPONSE TO SV1-SV4 AND CONTINUE IN SAME ORDER FOR EACH “NO”: sex/oral sex/anal sex/ penetrate you with their fingers or an object)?

1 Yes

2 No

-7 Refused

-9 Don't know


SV1-4ev_b. About how old were you when this happened (the first time)?


|__|__| age first time occurred Continue to next in set, or go to SV5Ever

  • Don’t Know / Refused Skip to SV1-4ev_c


PROGRAMMING NOTE: REPEAT FOR EACH SUBSEQUENT ‘No’ RESPONSE TO SV1-SV4


SV1-4ev_c. Do you recall if you were (cap ranges displayed based on current age of respondent)


  • 12 years old or younger?

  • Between 13 and 17 years old?

  • Between 18 and 24 years old?

  • Between 25 and 34 years old

  • 35 or older?


ASK ONLY IF SV5=No

SV5Ever. At any time in your life, when you were unable to consent because you were drunk, high, drugged, or passed out has anyone ever made you have vaginal, anal, or oral sex?


ALT SV5Ever At any time in your life, when you were too drunk, high, or drugged to stop what was happening, has anyone forced you to have vaginal, anal, or oral sex?

1 Yes

2 No

-7 Refused

-9 Don't know



SV5ev_b. About how old were you when this happened (the first time)?


|__|__| age first time occurred GO TO SV6Ever

  • Don’t Know / Refused GO TO SV5ev_c


SV5ev_c. Do you recall if you were (cap ranges displayed based on current age of respondent)


  • 12 years old or younger?

  • Between 13 and 17 years old?

  • Between 18 and 24 years old?

  • Between 25 and 34 years old

  • 35 or older?


SV6Ever. Unwanted sexual situations can also occur without the use of physical force or threats of harm. For example,

An employer might threaten to fire a woman if she doesn’t have sex with him;

A teacher might threaten to fail a student if she doesn’t give him oral sex;

A spouse or romantic partner might threaten to end the relationship or stop providing her health insurance or financial support if she doesn’t have sex with him;

A friend or acquaintance might threaten to spread rumors or lies about a woman unless she has sex with him.

At any time in your life, has someone you know put you in a situation in which you felt you had no choice and had to have vaginal, anal or oral sex?



ALTSV6Ever. Unwanted sexual situations can also occur even without physical force or threats of harm. A person can force you to do something you don’t want to by threatening to cause problems in your job, school, home or relationships, for example. (Other than what you’ve already told me about) Has someone you know ever put you in a situation in which you felt you had no choice and had to have vaginal, anal or oral sex?


SV6ev_b. About how old were you when this happened (the first time)?


|__|__| age first time occurred GO TO SV6ever

  • Don’t Know / Refused GO TO SV6ev_c


SV6ev_c. Do you recall if you were (cap ranges displayed based on current age of respondent)


  • 12 years old or younger?

  • Between 13 and 17 years old?

  • Between 18 and 24 years old?

  • Between 25 and 34 years old

  • 35 or older?



ASK ONLY IF SV7=No

SV7Ever. (Other than what you have already told me about) At any time in your life, has someone forced you to have vaginal, anal, or oral sex in any of following situations: on a date, going to work, when you were at home or at school, by a casual acquaintance or by someone you know?



SV7ev_b. About how old were you when this happened (the first time)?


|__|__| age first time occurred GO TO SV8ever

  • Don’t Know / Refused GO TO SV7ev_c


SV7ev_c. Do you recall if you were (cap ranges displayed based on current age of respondent)


  • 12 years old or younger?

  • Between 13 and 17 years old?

  • Between 18 and 24 years old?

  • Between 25 and 34 years old

  • 35 or older?



ASK ONLY IF SV8=No

SV8Ever. At any point in your lifetime, has anyone, male or female, ever tried to make you have vaginal, oral or anal sex against your will, but intercourse or penetration did not occur?

1 Yes

2 No

-7 Refused

-9 Don't know


SV5ev_b. About how old were you when this happened (the first time)?


|__|__| age first time occurred GO TO OTHER SEXUAL VIOLENCE

  • Don’t Know / Refused GO TO OTHER SEXUAL VIOLENC


SV8ev_c. Do you recall if you were (cap ranges displayed based on current age of respondent)


  • 12 years old or younger?

  • Between 13 and 17 years old?

  • Between 18 and 24 years old?

  • Between 25 and 34 years old

  • 35 or older?

OTHER SEXUAL VIOLENCE – PAST 12 MONTHS

ALT VERSION – will start with questions SV9– SV13, then ask SV1-SV8 and lifetime questions

SV9. (IF YES TO ANY SV1-SV8 IN THE PAST 12 MONTHS - Apart from the situation(s) you just told me about) Within the past 12 months, that is since (MONTH/YEAR) has anyone, male or female, kissed you in a sexual way when you didn't want it to happen?

 

1 Yes

2 No Skip to SV10

-7 Refused Skip to SV10

-9 Don't know Skip to SV10


COGNITIVE INTERVIEW PROBE FOR RESPONDENT: Tell me more about your answer. What do you think this question is asking?

What does the phrase “…when you didn’t want it to happen” mean to you? What types of sitatuations does this include? What types of situations doesn’t it include?

Shape23

 

SV9a. How many times did this happen to you since (MONTH/YEAR)?


  • Once

  • Two or more |__|__| (enter number)


IF YES TO (SV1 or SV2 or SV3 or SV4 or SV5 or SV6 or SV7 or SV8) and SV9

SV9b. Did (this/any of these) happen to you at the same time as the incident(s) you already told me about?


  • Yes, happened at the same time as the other incidents already discussed GO TO CHECK ITEM SV9

  • (ONLY SHOW IF COUNT IS TWO OR MORE) Some happened at the same time as the other incidents, some happened at a different time

  • No, separate incidents Skip to SV10


SV9c. Other than the times this happened at the same time as something you already told me about - How many times did this happen to you since (MONTH/YEAR)?


  • Once

  • Two or more |__|__| (enter number)





Check Item SV9

Shape24
  • If any two or more of SV1-SV8 = Y, then ask:

Which incident did it happen at the same time as? (only show those with Y answers)

|__| when you were forced to have vaginal sex (SV1=Y)

|__| when you were forced to have or give oral sex (SV2=Y)

|__| when you were forced to have anal sex (SV3=Y)

|__| when someone forced a finger or object into your vagina or anus (SV4=Y)

|__| while you were drunk, high or drugged, someone forced you to have vaginal, oral or anal sex (SV5=Y)

|__| when someone made you feel as if you didn’t have a choice, and you had to have vaginal, oral or anal sex (SV6=Y)

|__| when someone you knew forced you to have vaginal, oral or anal sex (SV7=Y)

|__| when someone you knew tried to force you to have vaginal, oral or anal sex (SV8=Y)



  • If only one of SV1 –SV8= Y, then continue to SV10






















SV10. (IF YES TO ANY SV1-SV9 IN THE PAST 12 MONTHS - Apart from what you already told me about) At any time since (MONTH/YEAR), has anyone, male or female, fondled, groped, grabbed, or touched you in a way that made you feel unsafe?

 

1 Yes

2 No c

-7 Refused Skip to SV11

-9 Don't know Skip to SV11

COGNITIVE INTERVIEW PROBE FOR RESPONDENT: Tell me more about your answer. What do you think this question is asking?

What does the phrase “…made you feel unsafe” mean to you? What types of situations does this include? What types of situations doesn’t it include?

 Shape25

SV10a. How many times did this happen to you since (MONTH/YEAR)?


  • Once

  • Two or more |__|__| (enter number)


IF YES TO (SV1 or SV2 or SV3 or SV4 or SV5 or SV6 or SV7 or SV8 or SV9) and SV10

SV10b. Did (this/any of these) happen to you at the same time as the incident(s) you already told me about?


  • Yes, happened at the same time as the other incidents already discussed GO TO CHECK ITEM SV10

  • (ONLY SHOW IF COUNT IS TWO OR MORE) Some happened at the same time as the other incidents, some happened at a different time

  • No, separate incidents Skip to SV11


SV10c. Other than the times this happened at the same time as something you already told me about - How many times did this happen to you since (MONTH/YEAR)?


  • Once

  • Two or more |__|__| (enter number)


Check Item SV10

Shape26

  • If any two or more of SV1-SV9 = Y, then ask:

Which incident did it happen at the same time as? (only show those with Y answers)

|__| when you were forced to have vaginal sex (SV1=Y)

|__| when you were forced to have or give oral sex (SV2=Y)

|__| when you were forced to have anal sex (SV3=Y)

|__| when someone forced a finger or object into your vagina or anus (SV4=Y)

|__| while you were drunk, high or drugged, someone forced you to have vaginal, oral or anal sex (SV5=Y)

|__| when someone made you feel as if you didn’t have a choice, and you had to have vaginal, oral or anal sex (SV6=Y)

|__| when someone you knew forced you to have vaginal, oral or anal sex (SV7=Y)

|__| when someone you knew tried to force you to have vaginal, oral or anal sex (SV8=Y)

|__| when someone kissed you in a sexual way when you didn’t want it to happen (SV9=Y)



  • If only one of SV1 –SV9= Y, then continue to SV11
























SV11. (IF YES TO ANY SV1-SV10 IN THE PAST 12 MONTHS - Apart from what you already told me about) Since (MONTH/YEAR), has anyone, male or female, forced you to watch while they exposed their sexual body parts to you, flashed you, or masturbated in front of you?

 

1 Yes

2 No Skip to SV12

7 Refused Skip to SV12

9 Don't know Skip to SV12




 SV10a. How many times did this happen to you since (MONTH/YEAR)?


  • Once

  • Two or more |__|__| (enter number)


IF YES TO (SV1 or SV2 or SV3 or SV4 or SV5 or SV6 or SV7 or SV8 or SV9 or SV10) and SV11

SV11b. Did (this/any of these) happen to you at the same time as the incident(s) you already told me about?


  • Yes, happened at the same time as the other incidents already discussed GO TO CHECK ITEM SV11

  • (ONLY SHOW IF COUNT IS TWO OR MORE) Some happened at the same time as the other incidents, some happened at a different time

  • No, separate incidents Skip to SV12


SV11c. Other than the times this happened at the same time as something you already told me about - How many times did this happen to you since (MONTH/YEAR)?


  • Once

  • Two or more |__|__| (enter number)



Check Item SV11


Shape27

  • If any one of SV1-SV10 = Y, then ask:

Which incident did it happen at the same time as? (only show those with Y answers)

|__| when you were forced to have vaginal sex (SV1=Y)

|__| when you were forced to have or give oral sex (SV2=Y)

|__| when you were forced to have anal sex (SV3=Y)

|__| when someone forced a finger or object into your vagina or anus (SV4=Y)

|__| while you were drunk, high or drugged, someone forced you to have vaginal, oral or anal sex (SV5=Y)

|__| when someone made you feel as if you didn’t have a choice, and you had to have vaginal, oral or anal sex (SV6=Y)

|__| when someone you knew forced you to have vaginal, oral or anal sex (SV7=Y)

|__| when someone you knew tried to force you to have vaginal, oral or anal sex (SV8=Y)

|__| when someone kissed you in a sexual way when you didn’t want it to happen (SV9=Y)

|__| when someone touched, groped or grabbed you in a way that made you feel unsafe (SV10=Y)



  • If only one of SV1 –SV10= Y, then continue to SV12

























SV12. (IF YES TO ANY SV1-SV11 IN THE PAST 12 MONTHS - Apart from what you already told me about) Since (MONTH/YEAR), has anyone, male or female, made you show your sexual body parts to them when you didn’t want it to happen?

 1 Yes

2 No Skip to SV13

-7 Refused Skip to SV13

-9 Don't know Skip to SV13

 SV12a. How many times did this happen to you since (MONTH/YEAR)?


  • Once

  • Two or more |__|__| (enter number)


IF YES TO (SV1 or SV2 or SV3 or SV4 or SV5 or SV6 or SV7 or SV8 or SV9 or SV10 or SV11) and SV12

SV12b. Did (this/any of these) happen to you at the same time as the incident(s) you already told me about?


  • Yes, happened at the same time as the other incidents already discussed GO TO CHECK ITEM SV12

  • (ONLY SHOW IF COUNT IS TWO OR MORE) Some happened at the same time as the other incidents, some happened at a different time

  • No, separate incidents Skip to SV13


SV12c. Other than the times this happened at the same time as something you already told me about - How many times did this happen to you since (MONTH/YEAR)?


  • Once

  • Two or more |__|__| (enter number)



Check Item SV12

Shape28

  • If any one of SV1-SV11 = Y, then ask:

Which incident did it happen at the same time as? (only show those with Y answers)

|__| when you were forced to have vaginal sex (SV1=Y)

|__| when you were forced to have or give oral sex (SV2=Y)

|__| when you were forced to have anal sex (SV3=Y)

|__| when someone forced a finger or object into your vagina or anus (SV4=Y)

|__| while you were drunk, high or drugged, someone forced you to have vaginal, oral or anal sex (SV5=Y)

|__| when someone made you feel as if you didn’t have a choice, and you had to have vaginal, oral or anal sex (SV6=Y)

|__| when someone you knew forced you to have vaginal, oral or anal sex (SV7=Y)

|__| when someone you knew tried to force you to have vaginal, oral or anal sex (SV8=Y)

|__| when someone kissed you in a sexual way when you didn’t want it to happen (SV9=Y)

|__| when someone touched, groped or grabbed you in a way that made you feel unsafe (SV10=Y)

|__| when someone flashed you or masturbated in front of you (SV11=Y)



  • If only one of SV1 –SV11= Y, then continue to SV13

























SV13. (IF YES TO ANY SV1-SV6 IN THE PAST 12 MONTHS - Apart from what you already told me about) Since (MONTH/YEAR), has anyone, male or female, made you look at or participate in sexual photos or movies?

 

1 Yes

2 No Skip to SV14

7 Refused Skip to SV14

9 Don't know Skip to SV14

 

 SV13a. How many times did this happen to you since (MONTH/YEAR)?


  • Once

  • Two or more |__|__| (enter number)




IF YES TO (SV1 or SV2 or SV3 or SV4 or SV5 or SV6 or SV7 or SV8 or SV9 or SV10 or SV11 or SV12) and SV13

SV13b. Did (this/any of these) happen to you at the same time as the incident(s) you already told me about?


  • Yes, happened at the same time as the other incidents already discussed GO TO CHECK ITEM SV13

  • (ONLY SHOW IF COUNT IS TWO OR MORE) Some happened at the same time as the other incidents, some happened at a different time

  • No, separate incidents Skip to SV14


SV13c. Other than the times this happened at the same time as something you already told me about - How many times did this happen to you since (MONTH/YEAR)?


  • Once

  • Two or more |__|__| (enter number)






Check Item SV13





Shape29

  • If any one of SV1-SV12 = Y, then ask:

Which incident did it happen at the same time as? (only show those with Y answers)

|__| when you were forced to have vaginal sex (SV1=Y)

|__| when you were forced to have or give oral sex (SV2=Y)

|__| when you were forced to have anal sex (SV3=Y)

|__| when someone forced a finger or object into your vagina or anus (SV4=Y)

|__| while you were drunk, high or drugged, someone forced you to have vaginal, oral or anal sex (SV5=Y)

|__| when someone made you feel as if you didn’t have a choice, and you had to have vaginal, oral or anal sex (SV6=Y)

|__| when someone you knew forced you to have vaginal, oral or anal sex (SV7=Y)

|__| when someone you knew tried to force you to have vaginal, oral or anal sex (SV8=Y)

|__| when someone kissed you in a sexual way when you didn’t want it to happen (SV9=Y)

|__| when someone touched, groped or grabbed you in a way that made you feel unsafe (SV10=Y)

|__| when someone flashed you or masturbated in front of you (SV11=Y)

|__| when someone made you show your sexual body parts (SV12=Y)



  • If only one of SV1 –SV12= Y, then continue to SV14






















COGNITIVE INTERVIEW PROBE FOR RESPONDENT: If reported multiple events, review the events to see if they refer to the same or different incidents.

Shape30



















Interpersonal Violence


COGNITIVE INTERVIEW PROBE FOR RESPONDENT: Use expansive probes in this section.Tell me what were you thinking about when you answered these questions?”



Shape31


Now I would like to ask about times when you have been physically injured or been in danger of being physically injured by another adult that you live with or by a romantic or sexual partner.


SV14. (IF YES TO ANY SV1-SV12 IN THE PAST 12 MONTHS - Apart from what you have already told me about) Did someone you live with, or a romantic or sexual partner, do any of the following things to you in the last 12 months, that is, since (MONTH/YEAR)?

 

a. push, shove, slap or kick you?

1 Yes

2 No

7 Refused

9 Don't know

 

 SV14a_1. (ASK WHEN AT LEAST ONE OF SV1 – SV12 = Yes) Did this person do this to you as part of (SPECIFIC TYPE IF ONLY 1 YES / any other instance you told us about), or did this happen to you separately from (that time/those times)?


  • Happened ONLY as part of other instance already reported GO TO SV13b

  • Happened at least once as a separate instance GO TO SV13a_2

 SV14a_2. How many times did this happen to you since (MONTH/YEAR) (separate from the other things you already told us about)?


  • Once GO TO SV13b

  • Two or more |__|__| (enter number) GO TO SV13b



b. hit you with a fist or something hard?


1 Yes

2 No

7 Refused

9 Don't know

 

 SV14b_1. (ASK WHEN AT LEAST ONE OF SV1 – SV12 = Yes) Did this person do this to you as part of (SPECIFIC TYPE IF ONLY 1 YES / any other instance you told us about), or did this happen to you separately from (that time/those times)?


  • Happened ONLY as part of other instance already reported GO TO SV14c

  • Happened at least once as a separate instance GO TO SV14b_2

 SV14b_2. How many times did this happen to you since (MONTH/YEAR) (separate from the other things you already told us about)?


  • Once GO TO SV14c

  • Two or more |__|__| (enter number) GO TO SV14c


c. choke, strangle or try to suffocate you?


1 Yes

2 No

7 Refused

9 Don't know

 

 SV14c_1. (ASK WHEN AT LEAST ONE OF SV1 – SV12 = Yes) Did this person do this to you as part of (SPECIFIC TYPE IF ONLY 1 YES / any other instance you told us about), or did this happen to you separately from (that time/those times)?


  • Happened ONLY as part of other instance already reported GO TO SV14d

  • Happened at least once as a separate instance GO TO SV14c_2

SV14c_2. How many times did this happen to you since (MONTH/YEAR) (separate from the other things you already told us about)?

  • Once GO TO SV14d

  • Two or more |__|__| (enter number) GO TO SV14d



d. Use a knife, gun, bat or other type of weapon against you?


1 Yes

2 No

7 Refused

9 Don't know

 

  SV14d_1. (ASK WHEN AT LEAST ONE OF SV1 – SV12 = Yes) Did this person do this to you as part of (SPECIFIC TYPE IF ONLY 1 YES / any other instance you told us about), or did this happen to you separately from (that time/those times)?


  • Happened ONLY as part of other instance already reported GO TO SV14e

  • Happened at least once as a separate instance GO TO SV14d_2

SV14d_2. How many times did this happen to you since (MONTH/YEAR) (separate from the other things you already told us about)?

  • Once GO TO SV14e

  • Two or more |__|__| (enter number) GO TO SV14e


e. Threaten to physically harm you in any other way?


1 Yes

2 No

7 Refused

9 Don't know

 

  SV14e_1. (ASK WHEN AT LEAST ONE OF SV1 – SV12 = Yes) Did this person do this to you as part of (SPECIFIC TYPE IF ONLY 1 YES / any other instance you told us about), or did this happen to you separately from (that time/those times)?


  • Happened ONLY as part of other instance already reported GO TO INCIDENT FORM INTRO

  • Happened at least once as a separate instance GO TO SV14e_2

SV14e_2. How many times did this happen to you since (MONTH/YEAR) (separate from the other things you already told us about)?

  • Once GO TO INCIDENT FORM INTRO

  • Two or more |__|__| (enter number) GO TO INCIDENT FORM INTRO


PROGRAMMER NOTE: Create an incident ID for the combined event types, and a separate incident ID for the remaining, single event types.


GO TO DETAILED INCIDENT FORM:

  • Complete one incident form for each separate incident ID

  • If more than one incident ID, start with most serious and continue with next most serious until all incidents are completed.





Appendix E2:

Telephone Screener and Cognitive Interview Protocol











































Introduction


Thank you for agreeing to talk with me today. Let me tell you a little about Westat and what we’re going to do today.


Westat is a research company that conducts research on many different topics, under contract with many different organizations. This particular project is for the Department of Justice, specifically, the Bureau of Justice Statistics. Westat has been contracted to conduct a survey about unwanted sexual experiences. For this survey we will be interviewing thousands of people nationwide.


At this stage we are still developing the questionnaire and trying to figure out how to make it as easy as possible for people to understand and answer correctly. So the way this will work is I will ask the questions as if I were an interviewer talking with you over the phone. And you’ll answer them just like we were doing a normal survey. As best you can, try to think out loud as you answer the questions. At various times in the interview we’ll stop and talk about the questions and how you answered them. For example I may ask you to explain your answer in more detail or I might ask questions such as:


  • how did you come up with your answer, or

  • how did you remember that, or

  • what did it sound like that question was asking to you?


These questions are basically rough drafts. At any time you should feel free to let me know if:


  • there are words you don’t understand, or

  • the question doesn’t make sense to you, or

  • you could interpret it more than one way, or

  • if the answer you are looking for is not provided.


These follow up questions may seem strange, but bear with me. They help me understand how well the questions are working. In particular, we are trying to find out how people like you go about answering these questions. So, basically, the more you can tell us, the more we will understand about the questions.


Before we get started, I want to let you know that everything we cover in the interview will be kept private - only the few people actually working on the project will have access to the information you share with us. If there are any questions you don’t want to answer that is perfectly fine - We’re really more interested in how you interpret the questions.


If it’s OK with you, I would like to record our conversation, just so that I can review it later when we’re analyzing all the interview data.


CONSENT FORM: Here is a form I must ask you to look over and sign – it basically covers the points I’ve just gone over with you and indicates you have agreed to take part [ONE COPY FOR RESPONDENT, ONE COPY FOR US]


Do you have any questions before we begin?


[PROCEED TO INTERVIEW]


General procedures


COGNITIVE INTERVIEWER INSTRUCTION: One half of the interviews should focus probing on the screener and the other half should focus probing on the detailed incident form. Prior to your interview check with the project manager to see which form you should be using and which section you should focus on with probing.



Shape32



Introductory Questions

Shape33



COGNITIVE INTERVIEWER INSTRUCTION: No probing in this section unless the respondent demonstrates confusion or difficulty.

Shape34


This next set of questions is about you and your household.


IQ4. In what month and year were you born?


(Drop down box with month labels)

 

1Q4a. So that means you are now [fill] years old?

1 yes SKIP TO IQ5

2 no


IQ4b. What is your current age?

|__|__|


 





IQ5. What is your current marital status? Are you ….

1 now married –SKIP to IQ7

2 widowed

3 divorced

4 separated

5 never married


IQ6. Are you currently living in this household with a girlfriend, boyfriend or romantic partner?

1 yes

2 no – SKIP TO IQ8


IQ8. In the last year, have you been involved in a romantic relationship?

1 yes

2 no

IQ10. What is the highest level of school you have completed or the highest degree you have received?

1 Never attended

2. Elementary (grades 1 – 8)

3. High school (grades 9 – 11)

4. 12th grade (No diploma)

5. High school graduate (Diploma or equivalent)GED

6. Some college (No Degree)

7. Associate’s degree

8. Bachelor’s degree (ex. BA, AB, BS)

9. Master’s degree (ex. MA, MS, Meng, MSW, MBA)

10. Professional School degree (ex. MD, DDS, DVM, LLB, JD)

11. Doctorate degree (ex. PhD, EdD)



IQ10b.Are you currently attending or enrolled in a regular school such as elementary or high school or enrolled either full-time or part-time in college or university, trade, or vocational school?

1 Elementary or high school

2. College/University

3. Trade School

4. Trade school

5. Vocational school

6. None of the above schools





IQ10c.(IF ATTENDING COLLEGE OR UNIVERSITY) Are you currently a member of a fraternity or sorority?

1 YES

2 NO



IQ22a. The next questions are about your USUAL activities. We have found that people with different lifestyles may be related to their overall safety? On average, during the last 12 months, how often have you gone shopping. For example at drug, clothing, grocery, hardware and convenience stores?

 

1 Almost every day (or more frequently)

2 At least once a week

3 At least once a month

4. Less often

5 Never


IQ22b On average, during the last 12 months, how often have you have you spent the evening out away from home for work, school or entertainment?


1 Almost every day (or more frequently)

2 At least once a week

3 At least once a month

4. Less often

5 Never


IQ22c On average, during the last 12 months,) how often have you ridden public transportation?


1 Almost every day (or more frequently)

2 At least once a week

3 At least once a month

4. Less often

5 Never




SV Screener

Shape35

COGNITIVE INTERVIEWER INSTRUCTION: The goals for this section are to (1) understand the general comprehension of the screener items (2) evaluate alternative question wordings and (3) understand if multiple reports represent distinct incidents or are part of the same incident.

Complete SV1-8 and then come back to ask follow-up probes. Some questions have specific probes, but you can probe other questions as needed. Once finishing these questions, proceed to sv9-13.


You may probe concurrently on questions where you feel that there is a problem. In general use expansive probes that encourage the respondent to explain their answer in more detail. For example, if the respondent reports an incident you may follow-up with probes like, How did you come up with your answer? Tell me what you are thinking about. Tell me more about your answer. If the respondent does not have an incident to report, you may follow-up with a probe like “what is that question asking about?”

Shape36



SV INTRO:

People may experience unwanted and uninvited sexual situations by strangers or people they know, such as a romantic partner, friend, teacher, coworker, supervisor, or family member. Sometimes these situations result in injuries or other types of harm. Your answers to the next set of questions will help us learn how often these things happen. Most questions only require a yes or no response.


Some of the language in the survey questions is explicit, but it is important that we ask the questions this way so that you are clear about what we mean. The questions we ask are detailed and some people may find them uncomfortable. The information you provide will be kept private. You can skip questions you don’t want to answer and you can stop at any time.


I will ask about different types of unwanted sexual situations that may or may not have resulted in an injury or other type of harm. Most of the questions just require you to say ‘yes’ or ‘no’ to answer, and you may be asked for a month or year as a response. Are you in a private place where you feel comfortable answering?

SV1. Has a man or boy ever made you have sex by using force or threat of harm? By sex we mean putting a penis in your vagina.

 

ALT SV1. Has a man or boy ever used any kind of force or any kind of threat to make you to have sex against your will? By sex we mean putting a penis in your vagina.


1 Yes Continue to SV1a

2 No Skip to SV2

-7 Refused Skip to SV2

-9 Don't know Skip to SV2


COGNITIVE INTERVIEW PROBE FOR RESPONDENT: Tell me more about your answer. What were you thinking when you came up with your answer? What do you think we are asking about here?

To come up with your answer, how did you search your memory? How far back did you try to remember?

How did you interpret the phrase: “….a man or a boy made you have sex by using force or threat of harm?” Can you give me some examples of what this means to you?

How did you interpret the phrase “a man or a boy used any kind of force or any kind of threat to make you have sex against your will”







Shape37


SV1a. How many times has this happened to you?


  • Once GO TO SV1d

  • Two or more |__|__| (enter number) GO TO SV1b


SV1b. Can you tell me the month and year the first time this happened to you?


|MM –YYYY| enter month and year

  • Don’t Know/Refuse


SV1c. Can you tell me the month and year the most recent time this happened to you?


|MM –YYYY| enter month and year GO TO SV2

  • Don’t Know/Refuse


SV1d. Can you tell me the month and year when this happened to you?


|MM –YYYY| enter month and year GO TO SV2

  • Don’t Know/Refuse


FOLLOW-UP FOR ANY DK/REF TO SV1b-d: Do you remember about how old you were (the first time/the most recent time/when) this happened to you?

|_|_| age


IF WITHIN ONE YEAR OF CURRENT AGE, or DK/REF AGE: Do you recall if that happened before or after (date 12 months from current date)?

  • Before (NOT WITHIN REFERENCE PERIOD)

  • After (WITHIN REFERENCE PERIOD)

  • Don’t know (TREAT AS WITHIN REFERENCE PERIOD)


SV1e. Since (date 12 months from current date), how many times has this happened?


|MM –YYYY| enter month and year GO TO SV2

  • Don’t Know/Refuse

SV2. Has anyone, male or female, ever made you have oral sex by using force or threat of harm? By oral sex we mean that someone penetrated your vagina or anus with their mouth or tongue, or you were forced to use your mouth or tongue on someone else’s genitals or anus.

 

ALT SV2. Has anyone, male or female, ever used any type of force or any type of threat to make you have or give oral sex against your will? By oral sex we mean that someone penetrated your vagina or anus with their mouth or tongue, or you were forced to use your mouth or tongue on someone else’s genitals or anus.


1 Yes

2 No Skip to SV3

-7 Refused Skip to SV3

-9 Don't know Skip to SV3

COGNITIVE INTERVIEW PROBE FOR RESPONDENT: Can you tell me in your own words what this question is asking? What types of sexual acts is this about?

Shape38

SV2a. How many times has this happened to you?


  • Once GO TO SV2d

  • Two or more |__|__| (enter number) GO TO SV2b



SV2b. Can you tell me the month and year the first time this happened to you?


|MM –YYYY| enter month and year

  • Don’t Know/Refuse


PROGRAMMING NOTE: IF THIS HAPPENED ON THE SAME MONTH/YEAR AS A PRIOR TYPE OF INCIDENT– SAVE AS ONE INCIDENT. IF WITHIN 12M PERIOD, VERIFY THESE ARE SAME INCIDENT AS PART OF INCIDENT FORM.


SV2c. Can you tell me the month and year the most recent time this happened to you?


|MM –YYYY| enter month and year GO TO SV3

  • Don’t Know/Refuse


PROGRAMMING NOTE: IF THIS HAPPENED ON THE SAME MONTH/YEAR AS A PRIOR TYPE OF INCIDENT– SAVE AS ONE INCIDENT. IF WITHIN 12M PERIOD, VERIFY THESE ARE SAME INCIDENT AS PART OF INCIDENT FORM.


ASK ONLY IF OCCURRED ONCE:

SV2d. Can you tell me the month and year when this happened to you?


|MM –YYYY| enter month and year GO TO SV3

  • Don’t Know/Refuse


PROGRAMMING NOTE: IF THIS HAPPENED ON THE SAME MONTH/YEAR AS A PRIOR TYPE OF INCIDENT– SAVE AS ONE INCIDENT. IF WITHIN 12M PERIOD, VERIFY THESE ARE SAME INCIDENT AS PART OF INCIDENT FORM.


FOLLOW-UP FOR ANY DK/REF TO SV2b-d: Do you remember about how old you were (the first time/the most recent time/when) this happened to you?

|_|_| age


IF WITHIN ONE YEAR OF CURRENT AGE, or DK/REF AGE: Do you recall if that happened before or after (date 12 months from current date)?

  • Before (NOT WITHIN REFERENCE PERIOD)

  • After (WITHIN REFERENCE PERIOD)

  • Don’t know (TREAT AS IF WITHIN REFERENCE PERIOD)


COGNITIVE INTERVIEW PROBE FOR RESPONDENT: The first time that the respondent receives one of these follow-ups (e.g. SV2b-SV8b, SV2c-SV8c, or SV2d-SV8d) concurrently probe with the following:

SV2B-SV8B: What is that question asking about? What incident is this referring to?

SV2C-SV8C: How did you come up with your answer?

SV2D-SV8D: How did you come up with your answer?







Shape39




SV3. Has anyone ever made you have anal sex by using force or threat of harm? By anal sex we mean that a man or boy put his penis in your anus.

 

ALT SV3. Has a male ever used any type of force or any type of threat to make you have anal sex? By anal sex we mean that a man or boy put his penis in your anus.


1 Yes

2 No Skip to SV4

-7 Refused Skip to SV4

-9 Don't know Skip to SV4


SV3a. How many times has this happened to you?


  • Once GO TO SV3d

  • Two or more |__|__| (enter number) GO TO SV3b



SV3b. Can you tell me the month and year the first time this happened to you?


|MM –YYYY| enter month and year

  • Don’t Know/Refuse


PROGRAMMING NOTE: IF THIS HAPPENED ON THE SAME MONTH/YEAR AS A PRIOR TYPE OF INCIDENT– SAVE AS ONE INCIDENT. IF WITHIN 12M PERIOD, VERIFY THESE ARE SAME INCIDENT AS PART OF INCIDENT FORM.


SV3c. Can you tell me the month and year the most recent time this happened to you?


|MM –YYYY| enter month and year GO TO SV4

  • Don’t Know/Refuse


PROGRAMMING NOTE: IF THIS HAPPENED ON THE SAME MONTH/YEAR AS A PRIOR TYPE OF INCIDENT– SAVE AS ONE INCIDENT. IF WITHIN 12M PERIOD, VERIFY THESE ARE SAME INCIDENT AS PART OF INCIDENT FORM.


ASK ONLY IF OCCURRED ONCE:

SV3d. Can you tell me the month and year when this happened to you?


|MM –YYYY| enter month and year GO TO SV4

  • Don’t Know/Refuse


PROGRAMMING NOTE: IF THIS HAPPENED ON THE SAME MONTH/YEAR AS A PRIOR TYPE OF INCIDENT– SAVE AS ONE INCIDENT. IF WITHIN 12M PERIOD, VERIFY THESE ARE SAME INCIDENT AS PART OF INCIDENT FORM.





FOLLOW-UP FOR ANY DK/REF TO SV3b-d: Do you remember about how old you were (the first time/the most recent time/when) this happened to you?

|_|_| age


IF WITHIN ONE YEAR OF CURRENT AGE, or DK/REF AGE: Do you recall if that happened before or after (date 12 months from current date)?

  • Before (NOT WITHIN REFERENCE PERIOD)

  • After (WITHIN REFERENCE PERIOD)

  • Don’t know (TREAT AS IF WITHIN REFERENCE PERIOD)




SV4. Has anyone, male or female, ever put fingers or foreign object in your vagina or anus against your will by using force or threats?

 

Alt SV4. Has any male or female ever put fingers or foreign objects in your vagina or anus against your will by using force or any type of threat?

1 Yes

2 No Skip to SV5

-7 Refused Skip to SV5

-9 Don't know Skip to SV5


SV4a. How many times has this happened to you?


  • Once GO TO SV4d

  • Two or more |__|__| (enter number) GO TO SV4b



SV4b. Can you tell me the month and year the first time this happened to you?


|MM –YYYY| enter month and year

  • Don’t Know/Refuse


PROGRAMMING NOTE: IF THIS HAPPENED ON THE SAME MONTH/YEAR AS A PRIOR TYPE OF INCIDENT– SAVE AS ONE INCIDENT. IF WITHIN 12M PERIOD, VERIFY THESE ARE SAME INCIDENT AS PART OF INCIDENT FORM.


SV4c. Can you tell me the month and year the most recent time this happened to you?


|MM –YYYY| enter month and year GO TO SV5

  • Don’t Know/Refuse


PROGRAMMING NOTE: IF THIS HAPPENED ON THE SAME MONTH/YEAR AS A PRIOR TYPE OF INCIDENT– SAVE AS ONE INCIDENT. IF WITHIN 12M PERIOD, VERIFY THESE ARE SAME INCIDENT AS PART OF INCIDENT FORM.



ASK ONLY IF OCCURRED ONCE:

SV4d. Can you tell me the month and year when this happened to you?


|MM –YYYY| enter month and year GO TO SV5

  • Don’t Know/Refuse


PROGRAMMING NOTE: IF THIS HAPPENED ON THE SAME MONTH/YEAR AS A PRIOR TYPE OF INCIDENT– SAVE AS ONE INCIDENT. IF WITHIN 12M PERIOD, VERIFY THESE ARE SAME INCIDENT AS PART OF INCIDENT FORM.


FOLLOW-UP FOR ANY DK/REF TO SV4b-d: Do you remember about how old you were (the first time/the most recent time/when) this happened to you?

|_|_| age


IF WITHIN ONE YEAR OF CURRENT AGE, or DK/REF AGE: Do you recall if that happened before or after (date 12 months from current date)?

  • Before (NOT WITHIN REFERENCE PERIOD)

  • After (WITHIN REFERENCE PERIOD)

  • Don’t know (TREAT AS IF WITHIN REFERENCE PERIOD)





SV5. (Other than what you have already told me about), When you were unable to consent because you were drunk, high, drugged, or passed out, has anyone ever made you have vaginal, anal, or oral sex?

 

ALT SV5. (Other than what you have already told me about), when you were too drunk, high, or drugged to stop what was happening, has anyone ever forced you to have vaginal, anal, or oral sex?


1 Yes

2 No Skip to SV6

-7 Refused Skip to SV6

-9 Don't know Skip to SV6

COGNITIVE INTERVIEW PROBE FOR RESPONDENT: Can you tell me in your own words what this question is asking? What does ‘..too drunk, high, or drugged to stop what was happening..” mean to you? Give me an example of what kind of situation this is asking about.



Shape40


SV5a. How many times has this happened to you?


  • Once GO TO SV5d

  • Two or more |__|__| (enter number) GO TO SV5b



SV5b. Can you tell me the month and year the first time this happened to you?


|MM –YYYY| enter month and year

  • Don’t Know/Refuse


PROGRAMMING NOTE: IF THIS HAPPENED ON THE SAME MONTH/YEAR AS A PRIOR TYPE OF INCIDENT– SAVE AS ONE INCIDENT. IF WITHIN 12M PERIOD, VERIFY THESE ARE SAME INCIDENT AS PART OF INCIDENT FORM.


SV5c. Can you tell me the month and year the most recent time this happened to you?


|MM –YYYY| enter month and year GO TO SV6

  • Don’t Know/Refuse


PROGRAMMING NOTE: IF THIS HAPPENED ON THE SAME MONTH/YEAR AS A PRIOR TYPE OF INCIDENT– SAVE AS ONE INCIDENT. IF WITHIN 12M PERIOD, VERIFY THESE ARE SAME INCIDENT AS PART OF INCIDENT FORM.



ASK ONLY IF OCCURRED ONCE:

SV5d. Can you tell me the month and year when this happened to you?


|MM –YYYY| enter month and year GO TO SV6

  • Don’t Know/Refuse


PROGRAMMING NOTE: IF THIS HAPPENED ON THE SAME MONTH/YEAR AS A PRIOR TYPE OF INCIDENT– SAVE AS ONE INCIDENT. IF WITHIN 12M PERIOD, VERIFY THESE ARE SAME INCIDENT AS PART OF INCIDENT FORM.


FOLLOW-UP FOR ANY DK/REF TO SV5b-d: Do you remember about how old you were (the first time/the most recent time/when) this happened to you?

|_|_| age


IF WITHIN ONE YEAR OF CURRENT AGE, or DK/REF AGE: Do you recall if that happened before or after (date 12 months from current date)?

  • Before (NOT WITHIN REFERENCE PERIOD)

  • After (WITHIN REFERENCE PERIOD)

  • Don’t know (TREAT AS IF WITHIN REFERENCE PERIOD)





SV6. Unwanted sexual situations can also occur without physical force or threats of harm. For example,

An employer might threaten to fire a woman if she doesn’t have sex with him;

A teacher might threaten to fail a student if she doesn’t give him oral sex;

A spouse or romantic partner might threaten to kick her out of their home or stop providing her health insurance or financial support if she doesn’t have sex with him;

A friend or acquaintance might threaten to spread rumors or lies about a woman unless she has sex with him.

In the past 12 months, has someone you know put you in a situation in which you felt you had no choice and had to have vaginal, anal or oral sex?


ALT SV6. Unwanted sexual situations can also occur even without physical force or threats of harm. A person can force you to do something you don’t want to by threatening to cause problems in your job, school, home or relationships, for example. (Other than what you’ve already told me about) In the past 12 months, has someone you know put you in a situation in which you felt you had no choice and had to have vaginal, anal or oral sex?


1 Yes

2 No Skip to SV7

-7 Refused Skip to SV7

-9 Don't know Skip to SV7


COGNITIVE INTERVIEW PROBE FOR RESPONDENT: Tell me more about what this question is asking.

What comes to mind when you hear unwanted sexual situations?

Shape41

SV6a. How many times has this happened to you?


  • Once GO TO SV6d

  • Two or more |__|__| (enter number) GO TO SV6b




SV6b. Can you tell me the month and year the first time this happened to you?


|MM –YYYY| enter month and year

  • Don’t Know/Refuse


PROGRAMMING NOTE: IF THIS HAPPENED ON THE SAME MONTH/YEAR AS A PRIOR TYPE OF INCIDENT– SAVE AS ONE INCIDENT. IF WITHIN 12M PERIOD, VERIFY THESE ARE SAME INCIDENT AS PART OF INCIDENT FORM.




SV6c. Can you tell me the month and year the most recent time this happened to you?


|MM –YYYY| enter month and year GO TO SV7

  • Don’t Know/Refuse


PROGRAMMING NOTE: IF THIS HAPPENED ON THE SAME MONTH/YEAR AS A PRIOR TYPE OF INCIDENT– SAVE AS ONE INCIDENT. IF WITHIN 12M PERIOD, VERIFY THESE ARE SAME INCIDENT AS PART OF INCIDENT FORM.



ASK ONLY IF OCCURRED ONCE:

SV6d. Can you tell me the month and year when this happened to you?


|MM –YYYY| enter month and year GO TO SV7

  • Don’t Know/Refuse


PROGRAMMING NOTE: IF THIS HAPPENED ON THE SAME MONTH/YEAR AS A PRIOR TYPE OF INCIDENT– SAVE AS ONE INCIDENT. IF WITHIN 12M PERIOD, VERIFY THESE ARE SAME INCIDENT AS PART OF INCIDENT FORM.


FOLLOW-UP FOR ANY DK/REF TO SV6b-d: Do you remember about how old you were (the first time/the most recent time/when) this happened to you?

|_|_| age


IF WITHIN ONE YEAR OF CURRENT AGE, or DK/REF AGE: Do you recall if that happened before or after (date 12 months from current date)?

  • Before (NOT WITHIN REFERENCE PERIOD)

  • After (WITHIN REFERENCE PERIOD)

  • Don’t know (TREAT AS IF WITHIN REFERENCE PERIOD)



SV7. (Other than what you have already told me about) In the last 12 months did someone force you to have vaginal, anal, or oral sex in any of following situations: on a date, going to work, when you were at home or at school, by a casual acquaintance or by someone you know?





SV7a. How many times has this happened to you?


  • Once GO TO SV7d

  • Two or more |__|__| (enter number) GO TO SV7b




SV7b. Can you tell me the month and year the first time this happened to you?


|MM –YYYY| enter month and year

  • Don’t Know/Refuse


PROGRAMMING NOTE: IF THIS HAPPENED ON THE SAME MONTH/YEAR AS A PRIOR TYPE OF INCIDENT– SAVE AS ONE INCIDENT. IF WITHIN 12M PERIOD, VERIFY THESE ARE SAME INCIDENT AS PART OF INCIDENT FORM.


SV7c. Can you tell me the month and year the most recent time this happened to you?


|MM –YYYY| enter month and year GO TO SV8

  • Don’t Know/Refuse


PROGRAMMING NOTE: IF THIS HAPPENED ON THE SAME MONTH/YEAR AS A PRIOR TYPE OF INCIDENT– SAVE AS ONE INCIDENT. IF WITHIN 12M PERIOD, VERIFY THESE ARE SAME INCIDENT AS PART OF INCIDENT FORM.



ASK ONLY IF OCCURRED ONCE:

SV7d. Can you tell me the month and year when this happened to you?


|MM –YYYY| enter month and year - GO TO SV8

  • Don’t Know/Refuse


PROGRAMMING NOTE: IF THIS HAPPENED ON THE SAME MONTH/YEAR AS A PRIOR TYPE OF INCIDENT– SAVE AS ONE INCIDENT. IF WITHIN 12M PERIOD, VERIFY THESE ARE SAME INCIDENT AS PART OF INCIDENT FORM.


FOLLOW-UP FOR ANY DK/REF TO SV7b-d: Do you remember about how old you were (the first time/the most recent time/when) this happened to you?

|_|_| age


IF WITHIN ONE YEAR OF CURRENT AGE, or DK/REF AGE: Do you recall if that happened before or after (date 12 months from current date)?

  • Before (NOT WITHIN REFERENCE PERIOD)

  • After (WITHIN REFERENCE PERIOD)

  • Don’t know (TREAT AS IF WITHIN REFERENCE PERIOD)




SV8. Has anyone ever tried to force you to have vaginal, oral or anal sex against your will, but intercourse or penetration did not occur?

1 Yes

2 No Skip to SV9

-7 Refused Skip to SV9

-9 Don't know Skip to SV9


THESE WILL FOLLOW THE COMPLETED BEHAVIOR QUESTIONS WHEN WE TEST THESE AS SEPARATE CUES. 

ALT SV8a. Has anyone ever tried to make you have vaginal sex against your will, but intercourse or penetration did not occur?


ALT SV8b. Has anyone, male or female, ever tried but did not succeed at making you have oral sex against your will?


ALT SV8c. Has anyone, male or female, ever tried but did not succeed at making you have anal sex against your will?



SV8a. How many times has this happened to you?


  • Once GO TO SV8d

  • Two or more |__|__| (enter number) GO TO SV8b



SV8b. Can you tell me the month and year the first time this happened to you?


|MM –YYYY| enter month and year

  • Don’t Know/Refuse


PROGRAMMING NOTE: IF THIS HAPPENED ON THE SAME MONTH/YEAR AS A PRIOR TYPE OF INCIDENT– SAVE AS ONE INCIDENT. IF WITHIN 12M PERIOD, VERIFY THESE ARE SAME INCIDENT AS PART OF INCIDENT FORM.


SV8c. Can you tell me the month and year the most recent time this happened to you?


|MM –YYYY| enter month and year GO TO SV9

  • Don’t Know/Refuse


PROGRAMMING NOTE: IF THIS HAPPENED ON THE SAME MONTH/YEAR AS A PRIOR TYPE OF INCIDENT– SAVE AS ONE INCIDENT. IF WITHIN 12M PERIOD, VERIFY THESE ARE SAME INCIDENT AS PART OF INCIDENT FORM.


ASK ONLY IF OCCURRED ONCE:

SV8d. Can you tell me the month and year when this happened to you?


|MM –YYYY| enter month and year GO TO SV9

  • Don’t Know/Refuse

PROGRAMMING NOTE: IF THIS HAPPENED ON THE SAME MONTH/YEAR AS A PRIOR TYPE OF INCIDENT– SAVE AS ONE INCIDENT. IF WITHIN 12M PERIOD, VERIFY THESE ARE SAME INCIDENT AS PART OF INCIDENT FORM.




FOLLOW-UP FOR ANY DK/REF TO SV8b-d: Do you remember about how old you were (the first time/the most recent time/when) this happened to you?

|_|_| age


IF WITHIN ONE YEAR OF CURRENT AGE, or DK/REF AGE: Do you recall if that happened before or after (date 12 months from current date)?

  • Before (NOT WITHIN REFERENCE PERIOD)

  • After (WITHIN REFERENCE PERIOD)

  • Don’t know (TREAT AS IF WITHIN REFERENCE PERIOD)



OTHER SEXUAL VIOLENCE – PAST 12 MONTHS

ALT VERSION – will start with questions SV9 – SV13, then ask SV1-SV8

SV9. (IF YES TO ANY SV1-SV8 - Apart from the situation(s) you just told me about) Has anyone, male or female, ever kissed you in a sexual way when you didn't want it to happen?

 

1 Yes

2 No Skip to SV10

-7 Refused Skip to SV10

-9 Don't know Skip to SV10

COGNITIVE INTERVIEW PROBE FOR RESPONDENT: Tell me more about your answer. What do you think this question is asking?

What does the phrase “…when you didn’t want it to happen” mean to you? What types of sitatuations does this include? What types of situations doesn’t it include?

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SV9a. How many times has this happened to you?


  • Once GO TO SV9e

  • Two or more |__|__| (enter number) GO TO SV9b



IF YES TO AT LEAST ONE SV1-SV8

SV9b. Did any of these happen to you at the same time as the incident(s) you already told me about?


  • Yes, all happened together Skip to SV10

  • Some happened at the same time, some happened at a different time

  • No, separate incidents


SV9c. Can you tell me the month and year the first time this happened to you?


|MM –YYYY| enter month and year

  • Don’t Know/Refuse


PROGRAMMING NOTE: IF THIS HAPPENED ON THE SAME MONTH/YEAR AS A PRIOR TYPE OF INCIDENT– SAVE AS ONE INCIDENT. IF WITHIN 12M PERIOD, VERIFY THESE ARE SAME INCIDENT AS PART OF INCIDENT FORM.


SV9d. Can you tell me the month and year the most recent time this happened to you?


|MM –YYYY| enter month and year GO TO SV10

  • Don’t Know/Refuse


PROGRAMMING NOTE: IF THIS HAPPENED ON THE SAME MONTH/YEAR AS A PRIOR TYPE OF INCIDENT– SAVE AS ONE INCIDENT. IF WITHIN 12M PERIOD, VERIFY THESE ARE SAME INCIDENT AS PART OF INCIDENT FORM.


ASK ONLY IF OCCURRED ONCE:

SV9e. Can you tell me the month and year when this happened to you?


|MM –YYYY| enter month and year GO TO SV10

  • Don’t Know/Refuse


PROGRAMMING NOTE: IF THIS HAPPENED ON THE SAME MONTH/YEAR AS A PRIOR TYPE OF INCIDENT– SAVE AS ONE INCIDENT. IF WITHIN 12M PERIOD, VERIFY THESE ARE SAME INCIDENT AS PART OF INCIDENT FORM.


FOLLOW-UP FOR ANY DK/REF TO SV9c-e: Do you remember about how old you were (the first time/the most recent time/when) this happened to you?

|_|_| age


IF WITHIN ONE YEAR OF CURRENT AGE, or DK/REF AGE: Do you recall if that happened before or after (date 12 months from current date)?



SV10. (IF YES TO ANY SV1-SV9 - Apart from what you already told me about) Has anyone, male or female, ever fondled, groped, grabbed, or touched you in a way that made you feel unsafe?

 

1 Yes

2 No Skip to SV11

-7 Refused Skip to SV11

-9 Don't know Skip to SV11

 

COGNITIVE INTERVIEW PROBE FOR RESPONDENT: Tell me more about your answer. What do you think this question is asking?

What does the phrase “…made you feel unsafe” mean to you? What types of situations does this include? What types of situations doesn’t it include?

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SV10a. How many times has this happened to you?


  • Once GO TO SV10e

  • Two or more |__|__| (enter number) GO TO SV10b



IF YES TO AT LEAST ONE SV1-SV9

SV10b. Did any of these happen to you at the same time as the incident(s) you already told me about?


  • Yes, all happened together Skip to SV11

  • Some happened at the same time, some happened at a different time

  • No, separate incidents


SV10c. Can you tell me the month and year the first time this happened to you?


|MM –YYYY| enter month and year

  • Don’t Know/Refuse


PROGRAMMING NOTE: IF THIS HAPPENED ON THE SAME MONTH/YEAR AS A PRIOR TYPE OF INCIDENT– SAVE AS ONE INCIDENT. IF WITHIN 12M PERIOD, VERIFY THESE ARE SAME INCIDENT AS PART OF INCIDENT FORM.


SV10d. Can you tell me the month and year the most recent time this happened to you?


|MM –YYYY| enter month and year GO TO SV11

  • Don’t Know/Refuse


PROGRAMMING NOTE: IF THIS HAPPENED ON THE SAME MONTH/YEAR AS A PRIOR TYPE OF INCIDENT– SAVE AS ONE INCIDENT. IF WITHIN 12M PERIOD, VERIFY THESE ARE SAME INCIDENT AS PART OF INCIDENT FORM.



ASK ONLY IF OCCURRED ONCE:

SV10e. Can you tell me the month and year when this happened to you?


|MM –YYYY| enter month and year GO TO SV11

  • Don’t Know/Refuse


PROGRAMMING NOTE: IF THIS HAPPENED ON THE SAME MONTH/YEAR AS A PRIOR TYPE OF INCIDENT– SAVE AS ONE INCIDENT. IF WITHIN 12M PERIOD, VERIFY THESE ARE SAME INCIDENT AS PART OF INCIDENT FORM.




FOLLOW-UP FOR ANY DK/REF TO SV10c-e: Do you remember about how old you were (the first time/the most recent time/when) this happened to you?

|_|_| age


IF WITHIN ONE YEAR OF CURRENT AGE, or DK/REF AGE: Do you recall if that happened before or after (date 12 months from current date)?



SV11. (IF YES TO ANY SV1-SV10 - Apart from what you already told me about) Has anyone, male or female, ever forced you to watch while they exposed their sexual body parts to you, flashed you, or masturbated in front of you?

 

1 Yes

2 No

7 Refused

9 Don't know


SV11a. How many times has this happened to you?


  • Once GO TO SV11e

  • Two or more |__|__| (enter number) GO TO SV11b



IF YES TO AT LEAST ONE SV1-SV10

SV11b. Did any of these happen to you at the same time as the incident(s) you already told me about?


  • Yes, all happened together Skip to SV12

  • Some happened at the same time, some happened at a different time

  • No, separate incidents


SV11c. Can you tell me the month and year the first time this happened to you?


|MM –YYYY| enter month and year

  • Don’t Know/Refuse


PROGRAMMING NOTE: IF THIS HAPPENED ON THE SAME MONTH/YEAR AS A PRIOR TYPE OF INCIDENT– SAVE AS ONE INCIDENT. IF WITHIN 12M PERIOD, VERIFY THESE ARE SAME INCIDENT AS PART OF INCIDENT FORM.


SV11d. Can you tell me the month and year the most recent time this happened to you?


|MM –YYYY| enter month and year GO TO SV12

  • Don’t Know/Refuse


PROGRAMMING NOTE: IF THIS HAPPENED ON THE SAME MONTH/YEAR AS A PRIOR TYPE OF INCIDENT– SAVE AS ONE INCIDENT. IF WITHIN 12M PERIOD, VERIFY THESE ARE SAME INCIDENT AS PART OF INCIDENT FORM.





ASK ONLY IF OCCURRED ONCE:

SV11e. Can you tell me the month and year when this happened to you?


|MM –YYYY| enter month and year GO TO SV12

  • Don’t Know/Refuse


PROGRAMMING NOTE: IF THIS HAPPENED ON THE SAME MONTH/YEAR AS A PRIOR TYPE OF INCIDENT– SAVE AS ONE INCIDENT. IF WITHIN 12M PERIOD, VERIFY THESE ARE SAME INCIDENT AS PART OF INCIDENT FORM.


FOLLOW-UP FOR ANY DK/REF TO SV11c-e: Do you remember about how old you were (the first time/the most recent time/when) this happened to you?

|_|_| age


IF WITHIN ONE YEAR OF CURRENT AGE, or DK/REF AGE: Do you recall if that happened before or after (date 12 months from current date)?



SV12. (IF YES TO ANY SV1-SV10 - Apart from what you already told me about) Has anyone, male or female, ever made you show your sexual body parts to them when you didn’t want it to happen?

 

1 Yes

2 No Skip to SV13

-7 Refused Skip to SV13

-9 Don't know Skip to SV13

  

SV12a. How many times has this happened to you?


  • Once GO TO SV12e

  • Two or more |__|__| (enter number) GO TO SV12b



IF YES TO AT LEAST ONE SV1-SV11

SV12b. Did any of these happen to you at the same time as the incident(s) you already told me about?


  • Yes, all happened together Skip to SV13

  • Some happened at the same time, some happened at a different time

  • No, separate incidents


SV12c. Can you tell me the month and year the first time this happened to you?


|MM –YYYY| enter month and year

  • Don’t Know/Refuse


PROGRAMMING NOTE: IF THIS HAPPENED ON THE SAME MONTH/YEAR AS A PRIOR TYPE OF INCIDENT– SAVE AS ONE INCIDENT. IF WITHIN 12M PERIOD, VERIFY THESE ARE SAME INCIDENT AS PART OF INCIDENT FORM.


SV12d. Can you tell me the month and year the most recent time this happened to you?


|MM –YYYY| enter month and year GO TO SV13

  • Don’t Know/Refuse


PROGRAMMING NOTE: IF THIS HAPPENED ON THE SAME MONTH/YEAR AS A PRIOR TYPE OF INCIDENT– SAVE AS ONE INCIDENT. IF WITHIN 12M PERIOD, VERIFY THESE ARE SAME INCIDENT AS PART OF INCIDENT FORM.



ASK ONLY IF OCCURRED ONCE:

SV12e. Can you tell me the month and year when this happened to you?


|MM –YYYY| enter month and year GO TO SV13

  • Don’t Know/Refuse


PROGRAMMING NOTE: IF THIS HAPPENED ON THE SAME MONTH/YEAR AS A PRIOR TYPE OF INCIDENT– SAVE AS ONE INCIDENT. IF WITHIN 12M PERIOD, VERIFY THESE ARE SAME INCIDENT AS PART OF INCIDENT FORM.


FOLLOW-UP FOR ANY DK/REF TO SV12c-e: Do you remember about how old you were (the first time/the most recent time/when) this happened to you?

|_|_| age


IF WITHIN ONE YEAR OF CURRENT AGE, or DK/REF AGE: Do you recall if that happened before or after (date 12 months from current date)?


SV13. (IF YES TO ANY SV1-SV12 - Apart from what you already told me about) Has anyone, male or female, ever made you look at or participate in sexual photos or movies?

 

1 Yes

2 No

7 Refused

9 Don't know

 



SV13a. How many times has this happened to you?


  • Once GO TO SV13e

  • Two or more |__|__| (enter number) GO TO SV13b



IF YES TO AT LEAST ONE SV1-SV12

SV13b. Did any of these happen to you at the same time as the incident(s) you already told me about?


  • Yes, all happened together Skip to IPV

  • Some happened at the same time, some happened at a different time

  • No, separate incidents


SV13c. Can you tell me the month and year the first time this happened to you?


|MM –YYYY| enter month and year

  • Don’t Know/Refuse


PROGRAMMING NOTE: IF THIS HAPPENED ON THE SAME MONTH/YEAR AS A PRIOR TYPE OF INCIDENT– SAVE AS ONE INCIDENT. IF WITHIN 12M PERIOD, VERIFY THESE ARE SAME INCIDENT AS PART OF INCIDENT FORM.


SV13d. Can you tell me the month and year the most recent time this happened to you?


|MM –YYYY| enter month and year GO TO IPV

  • Don’t Know/Refuse


PROGRAMMING NOTE: IF THIS HAPPENED ON THE SAME MONTH/YEAR AS A PRIOR TYPE OF INCIDENT– SAVE AS ONE INCIDENT. IF WITHIN 12M PERIOD, VERIFY THESE ARE SAME INCIDENT AS PART OF INCIDENT FORM.



ASK ONLY IF OCCURRED ONCE:

SV13e. Can you tell me the month and year when this happened to you?


|MM –YYYY| enter month and year GO TO IPV

  • Don’t Know/Refuse


PROGRAMMING NOTE: IF THIS HAPPENED ON THE SAME MONTH/YEAR AS A PRIOR TYPE OF INCIDENT– SAVE AS ONE INCIDENT. IF WITHIN 12M PERIOD, VERIFY THESE ARE SAME INCIDENT AS PART OF INCIDENT FORM.


FOLLOW-UP FOR ANY DK/REF TO SV13c-e: Do you remember about how old you were (the first time/the most recent time/when) this happened to you?

|_|_| age


IF WITHIN ONE YEAR OF CURRENT AGE, or DK/REF AGE: Do you recall if that happened before or after (date 12 months from current date)?


COGNITIVE INTERVIEW PROBE FOR RESPONDENT: If reported multiple events, review the events to see if they refer to the same or different incidents.

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 Intimate Partner Violence


COGNITIVE INTERVIEW PROBE FOR RESPONDENT: Use expansive probes in this section.Tell me what were you thinking about when you answered these questions?”



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Now I would like to ask about times when you have been physically injured or been in danger of being physically injured by a romantic or sexual partner or by another adult that you live with.


IPV1. (IF YES TO ANY SV1-SV13 - Apart from what you have already told me about) Has a romantic or sexual partner or someone that you’ve lived with ever done any of the following things to try to hurt you?

 

a. push, shove, slap or kick you?

1 Yes

2 No

7 Refused

9 Don't know

 

 

b. hit you with a fist or something hard?


1 Yes

2 No

7 Refused

9 Don't know

 


c. choke, strangle or try to suffocate you?


1 Yes

2 No

7 Refused

9 Don't know

 




d. Use a knife, gun, bat or other type of weapon against you?


1 Yes

2 No

7 Refused

9 Don't know

 


e. Threaten to physically harm you in any other way?


1 Yes

2 No

7 Refused

9 Don't know

 

  

IF YES TO AT LEAST ONE IPV1a-e AND YES TO AT LEAST ONE SV1-SV13:

IPV2. Did (any of these/this) happen to you at the same time as the incident(s) you already told me about?


  • Yes, all happened together Skip to NEXT SECTION

  • (ONLY SHOW IF MORE THAN ONE IPV1a-e) Some happened at the same time, some happened at a different time

  • No, separate incidents


IPV2a. Can you tell me the month and year (the first time /when) someone did (any of these things/this) to hurt you?


|MM –YYYY| enter month and year

  • Don’t Know/Refuse


PROGRAMMING NOTE: IF THIS HAPPENED ON THE SAME MONTH/YEAR AS A PRIOR TYPE OF INCIDENT– SAVE AS ONE INCIDENT. IF WITHIN 12M PERIOD, VERIFY THESE ARE SAME INCIDENT AS PART OF INCIDENT FORM.


IPV2b. Can you tell me the month and year the most recent time someone hurt you?


|MM –YYYY| enter month and year Skip to NEXT SECTION

  • Don’t Know/Refuse


PROGRAMMING NOTE: IF THIS HAPPENED ON THE SAME MONTH/YEAR AS A PRIOR TYPE OF INCIDENT– SAVE AS ONE INCIDENT. IF WITHIN 12M PERIOD, VERIFY THESE ARE SAME INCIDENT AS PART OF INCIDENT FORM.





FOLLOW-UP FOR ANY DK/REF TO IPV2b-c: Do you remember about how old you were (the first time/the most recent time/when) this happened to you?

|_|_| age


IF WITHIN ONE YEAR OF CURRENT AGE, or DK/REF AGE: Do you recall if that happened before or after (date 12 months from current date)?



IF YES TO MORE THAN ONE IPV1a-e BUT NO “YES” RESPONSES TO SV1-SV13

IPV2a. Can you tell me the month and year the first time someone did any of these things to hurt you?


|MM –YYYY| enter month and year

  • Don’t Know/Refuse



IPV2b. Can you tell me the month and year the most recent time someone hurt you?


|MM –YYYY| enter month and year Skip to NEXT SECTION

  • Don’t Know/Refuse



FOLLOW-UP FOR ANY DK/REF TO IPV2b-c: Do you remember about how old you were (the first time/the most recent time) this happened to you?

|_|_| age


IF WITHIN ONE YEAR OF CURRENT AGE, or DK/REF AGE: Do you recall if that happened before or after (date 12 months from current date)?



IF YES TO ONLY ONE IPV1a-e AND NO “YES” RESPONSES TO SV1-SV12

IPV3. Has someone (FILL FROM IPV1a-e) on more than one occasion?


  • Yes

  • No


IPV3a. Can you tell me the month and year (the first time /when) someone (FILL FROM IPV1a-e)?


|MM –YYYY| enter month and year

  • Don’t Know/Refuse




IPV3b. (IF MORE THAN ONCE) Can you tell me the month and year the most recent time someone hurt you?


|MM –YYYY| enter month and year

  • Don’t Know/Refuse


FOLLOW-UP FOR ANY DK/REF TO IPV3a-b: Do you remember about how old you were (when/the first time/the most recent time) this happened to you?

|_|_| age


IF WITHIN ONE YEAR OF CURRENT AGE, or DK/REF AGE: Do you recall if that happened before or after (date 12 months from current date)?



PROGRAMMER NOTE: Create an incident ID for the combined event types, and a separate incident ID for the remaining, single event types.


GO TO DETAILED INCIDENT FORM:

  • Complete one incident form for each separate incident ID

  • If more than one incident ID, start with most serious and continue with next most serious until all incidents are completed.





Appendix F:

Detailed incident form and Cognitive Interview Protocol



COGNITIVE INTERVIEWER INSTRUCTION: The general approach for the detailed incident form is to ask the questions within each section and then go back and probe on that section. We are primarily testing (1) comprehension of the response categories and (2) flow of the detailed incident form. Below are the points of interest in each section.

Shape46

Anchoring the Incident

Shape47


COGNITIVE INTERVIEWER INSTRUCTION: (If you have not already covered the details of the incident being asked about with previous probing on the screener) Before we move forward, can you describe for me what happened?

Shape48


(You said that during the past 12 months – (Refer to appropriate screen question for description of crime.) and that it happened (number) time(s). The next questions are about the details about (this incident/the most recent time this happened) . We may ask you something that you already told us. We want to make sure that we have the details correct.

Section B: Series Determination

  Shape49  

COGNITIVE INTERVIEWER INSTRUCTION: No probing in this section unless the respondent demonstrates confusion or difficulty.

Shape50


INT 1. DID INCIDENT HAPPEN MORE THAN ONCE?

1 YES – GO TO INT2

2 NO – GO TO C1


INT 2. IS THIS THE FIRST INCIDENT?

1 YES – GO TO B1

2 NO – GO TO INTRO1


 B1. Can you recall enough details of each incident to distinguish them from each other?

 

1 YES – GO TO INTRO 1

2 NO – READ INTRO2

-7 REFUSED

-9 DON’T KNOW


INTRO1. Now I’d like to ask you about the (next) most recent incident.

INTRO2. The following questions refer only to the most recent incident.

Section C: When and where did it happen

Shape51


COGNITIVE INTERVIEWER INSTRUCTION: Probe if the respondent has difficulty with any of the response categories used in this section. For example, “You seemed to have a hard time choosing one of the answers, can you tell me what you were thinking about?”

Shape52


C1. In what month and year did (this/the most recent) incident happen? (Please use the calendar to help you determine exactly when this happened)

 

______ Month _____ Year


IF HAPPENNED OUT OF THE REFERENCE PERIOD GO TO NEXT INCIDENT

 

C2. About what time did (this/the most recent) incident happen?

 

1 After 6 a.m. – 12 noon

2 After 12 noon – 3 p.m.

3 After 3 p.m. – 6 p.m.

4 After 6 p.m. – 9 p.m.

5 After 9 p.m. – 12 midnight

6 After 12 midnight – 6 a.m.

7 Don’t know whether day or night


C3. Did this incident happen …

 

1. Inside a building

2. Outside a building SKIP TO C4

3. Started outside and moved inside

4. Started inside and moved outside



C4. Where (inside) did the incident happen?

1 in your home

2. the home of the person that did this to you

3a friend or relative’s home

4. in a school or university building

5. at the place where you work

6. Sorority or Fraternity house

7. At a business such as a restaurant, bar or store, nightclub

8. At another type of business

9. Some other type of _______


IF HAPPENNED INSIDE (C3 = 1) THEN GO TO C6

C5. Where (outside) did the incident happen?


1. On your property, but not inside your home

2. On the property of the person who did this to you, but not inside the home

3. On the grounds of a school or university

4. On public transportation

5. In another type of open area, such as the street

6. In a motor vehicle

7. Some other place Specify ____


IF C4 = 1,2,4 GO TO C6 (HAPPENNED AT SOMEONE’S HOME). ELSE GO TO SECTION D


C6.Did this person live (here/there)?

 

1 Yes – SKIP TO SECTION d

2 No

-7 REFUSED

-9 DON’T KNOW


C7. Did this person have a right to be there, for instance, as a guest or a repairperson?


1 Yes – SKIP TO SECTION D

2 No

-7 REFUSED

-9 DON’T KNOW



C8. How did this person (get in)?

 

1 Let in

2 Pushed his/her way in after door opened

3 Through OPEN DOOR or other opening

4 Through UNLOCKED door or window

5 Through LOCKED door or window – Had key

6 Through LOCKED door or window – Picked lock, used credit card, etc., other than key

7 Through LOCKED door or window – Don’t know how

9 Other – Specify

-7 REFUSED

-9 DON’T KNOW



Section D: Description of Incident

 Shape53  

I want to get some more information about what happened. Some of these questions may ask about something you have already told us about. We just want to make sure that we get the most accurate information.


D1. Was this incident actually completed, attempted but not completed or was it threatened?

1. Completed

2. Attempted but not completed SKIP TO D3

3. Threatened SKIP TO D4


COGNITIVE INTERVIEW RESPONDENT PROBE: What is this question asking about?

Shape54


COGNITIVE INTERVIEW RESPONDENT PROBE: D2-D4: Probe if the respondent has difficulty with any of the response categories. For example, “You seemed to have a hard time choosing one of the answers, can you tell me what you were thinking about?”

Shape55


D2. Did you experience any of the following? (Mark all that apply)

1 The person put his penis in your vagina

2 The person put his penis in your anus or rectum

3 Put something else in your vagina or rectum (if yes, ask was it your vagina or rectum)

4 Kiss, lick or suck you

5 Put a mouth on your genitals or other part of your body

6 Touched, grabbed or fondled your breasts or genitals over or under your clothes

7 Expose their sexual body parts or made you expose your body parts

8 Make you look at or participate in sexual photos or movies

9 Other (specify)


GO TO D5


D3. Did the person attempt to do any of the following? (Mark all that apply)

1 The person put his penis in your vagina

2 The person put his penis in your anus or rectum

3 Put something else in your vagina or rectum (if yes, ask was it your vagina or rectum)

4 Kiss, lick or suck you

5 Put a mouth on your genitals or other part of your body

6 Touched, grabbed or fondled your breasts or genitals over or under your clothes

7 Expose their sexual body parts or made you expose your body parts

8 Make you look at or participate in sexual photos or movies

9 Other (specify)


GO TO D5


D4. Did the person threaten to do any of the following? (Mark all that apply)

1 The person put his penis in your vagina

2 The person put his penis in your anus or rectum

3 Put something else in your vagina or rectum (if yes, ask was it your vagina or rectum)

4 Kiss, lick or suck you

5 Put a mouth on your genitals or other part of your body

6 Touched, grabbed or fondled your breasts or genitals over or under your clothes

7 Expose their sexual body parts or made you expose your body parts

8 Make you look at or participate in sexual photos or movies

9 Other (specify)

 

D5. Did this person have a weapon such as a gun or knife, or something to use as a weapon, such as a bottle or wrench?


1 Yes

2 No - SKIP TO D9

-7 REFUSED

-9 DON'T KNOW


D6. What was the weapon? [PROBE: Anything else?] MARK ALL THAT APPLY


1 hand gun (pistol, revolver, etc.)

2 other gun (rifle, shotgun, etc.)

3 knife SKIP TO d8

4 other sharp object (scissors, ice pick, axe, etc.) SKIP TO D8

5 blunt object (rock, club, blackjack, etc.) SKIP TO D9

91 other SKIP TO D9

-7 REFUSED

-9 DON'T KNOW




D7. Were you shot or did the person try to shoot you?


1 Yes

2 No

-7 REFUSED

-9 DON’T KNOW


SKIP TO D9



D8. Were you stabbed or did the person try to stab you?


1 Yes

2 No

-7 REFUSED

-9 DON’T KNOW


 

D9. Did this person hit you, knock you down or actually attack you in any way?


1 Yes - SKIP TO D12

2 No

-7 REFUSED

-9 DON'T KNOW


D10. Did this person try to attack you or someone close to you?


1 Yes - SKIP TO D13

2 No 

-7 REFUSED

-9 DON'T KNOW


D11. Did this person threaten you or someone close to you with harm in any way?


1 Yes - SKIP TO D14

2 No

-7 REFUSED

-9 DON'T KNOW

 

GO TO D15




D12. Did this person... MARK ALL THAT APPLY

 

1 Slap or hit you?

2 Kick or bite you?

3 Choking or suffocating you

Trying to drown you?

4 Hitting you with an object?

5 Beating you up?

6 Grabbed, held, tripped, jumped on or pushed?

7 Doing any other physical things to you? (Specify)

-7 REFUSED

-9 DON’T KNOW


GO TO D15


D13. Did this incident involve this person trying to ... MARK ALL THAT APPLY

 

1 Slap or hit you?

2 Kick or bite you?

3 Choke or attempt to drown you?

4 Hit you with an object?

5 Beat you up?

6 Grab, hold, trip, jump on or push you?

7 Do any other physical things to you? (Specify)

-7 REFUSED

-9 DON’T KNOW


GO TO D15


D14. Did this incident involve this person threatening to ... MARK ALL THAT APPLY

 

1 Slap or hit you?

2 Kick or bite you?

3 Choke or attempt to drown you?

4 Hit you with an object?

5 Beat you up?

6 Grab, hold, trip, jump on or push you?

7 Do any other physical things to you? (Specify)

-7 REFUSED

-9 DON’T KNOW





D15. Did this person promise a job promotion or threatened not to provide a job promotion if you did not comply with this act?


1 Yes

2 No

-7 REFUSED

-9 DON’T KNOW


D16. Did this person threaten to cut off financial support ?


1 Yes

2 No

-7 REFUSED

-9 DON’T KNOW


D17. Were continual arguments or verbal pressure used?


1 Yes

2 No 

-7 REFUSED

-9 DON'T KNOW


COGNITIVE INTERVIEW RESPONDENT PROBE: What is this question asking about?

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D18. Was some other type of pressure used for you to comply?

1. Yes --- specify

2. No


COGNITIVE INTERVIEWER INSTRUCTION: (At the end of the section ask) How easy or difficult is it for you to remember all of these things that happened during this incident? Is there anything else that you feel we should ask about?

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Section E: Injuries and Hospital Care

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E1. Did you suffer from any injuries?

Yes

No SKIP TO E15


COGNITIVE INTERVIEW RESPONDENT PROBE: Can you tell me what you were thinking about when you answered this question?


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E1A. What were those injuries? (Mark all that apply)

1 injury from sexual intercourse, such as vaginal or anal tearing

2. Knife or stab wounds

3 Gun shot, bullet wounds

4 Broken bones or teeth knocked out

5 Internal injuries

6 Knocked unconscious

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

8 Other --> Specify _____________________________________


E2. Were you injured that you received any medical care, including self- treatment?

 

1 Yes

2 No – SKIP TO E13

-7 REFUSED

-9 DON’T KNOW




E3. Where did you receive this care? Anywhere else?

 

1 At the scene – SKIP TO E13

2 At home/neighbor's/friend's – SKIP TO E13

3 Health unit at work/school, first aid station at a stadium/park, etc. – SKIP TO E13

4 Doctors office/health clinic – SKIP TO E13

5 Emergency room at hospital/emergency clinic – SKIP TO E13

6 Hospital (other than emergency room)

7 Other --> Specify_________________________– SKIP TO E13

 -7 REFUSED

-9 DON’T KNOW



E4. Did you stay overnight in the hospital?


1 Yes

2 No

-7 REFUSED

-9 DON’T KNOW


E13. (IF EMPLOYED) Did you lose time from work because of the injuries you suffered in this incident?


1 Yes

2 No – SKIP TO E15

-7 REFUSED

-9 DON’T KNOW


E14. How much time did you lose because of injuries?

 

________ Number of days

0 Less than one day

-7 REFUSED

-9 DON’T KNOW

 

E15. How distressing was this event to you. Was it …


1. Not at all distressing,

2. Mildly distressing,

3. Moderately distressing or

4. Severely distressing


If E15 = 3 or 4 (moderately or severely distressing)














E16. Still thinking about your distress associated with this event, did you feel any of the following ways for a month or more? Did you feel


a. Worried or anxious? yes no

b. Angry? Yes no

c. Sad or depressed Yes no

d. Vulnerable Yes No

e. Violated Yes No

f. Like you couldn’t trust people Yes No

g. Unsafe Yes No

h. Some other way Yes No

COGNITIVE INTERVIEWER INSTRUCTION: (At end of section ask) Did you suffer any other types of harm that we did not ask about? If yes, tell me about this.


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Section F: Offender Characteristics

 Shape61  

COGNITIVE INTERVIEWER INSTRUCTION: No probing in this section unless the respondent demonstrates confusion or difficulty.

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The next questions are about the person that did this.


F1. Was one or more than one person involved?


1 One

2 More than one SKIP TO F12

-7 Refused

-9 Don’t know

 



F2. Was this person male or female?


1 Male

2 Female

 -7 Refused

-9 Don’t know



F3. How old would you say this person was?

 

1 Under 12

2 12-14

3 15-17

4 18-20

5 21-29

6 30+

-7 Refused

-9 Don’t know



F4a. Was this person Hispanic or Latino?

1. Yes

2. No

-7 Refused

-9 Don’t know



F4b.What race or races was this person? You may select more than one. Was this person….


1 White?

2 Black or African American?

3. American Indian or Alaska Native?

4. Asian?

5. Native Hawaiian or Other Pacific Islander?

-7 Refused

-9 Don’t know

 

F5. Was this person someone you knew or a stranger you had never seen before?


1 Knew or had seen before – SKIP TO F7

2 Stranger

-7 Refused

-9 Don’t know

 

F6. Would you be able to recognize this person if you saw him/her?

 

1 Yes – SKIP TO F8

2 Not sure – SKIP TO F8

3 No – SKIP TO SECTION G

-7 Refused

-9 Don’t know


F7. How well did you know this person – by sight only, casual acquaintance, or well known?


1 Sight only

2 Casual acquaintance – SKIP TO F9

3 Well known – SKIP TO F9

-7 Refused

-9 Don’t know


F8. Would you have been able to tell the police how they might find this person, for instance, where he/she lived, worked, went to school, or spent time?


1 Yes

2 No

3 Other (specify______________________) 

-7 Refused

-9 Don’t know


SKIP TO SECTION G


F9. Was this person a relative or nonrelative?

 1 Relative

2 Nonrelative SKIP TO F11

-7 REFUSED

-9 DON'T KNOW

 











F10. Was this person your …

1 spouse,

2 ex-spouse,

3 parent or step parent,

4 own child or step-child,

5 brother or sister,

6 or some other relation to you [SPECIFY] _____________________

-7 REFUSED

-9 DON'T KNOW

 

GO TO SECTION G

F11. Was this person a …

 1 boyfriend or girlfriend,

2. ex-boyfriend or ex-girlfriend

3 Someone you were dating

4 friend or ex-friend,

5 roommate or boarder,

6 schoolmate,

7 Neighbor,

8 customer or client,

9 patient,

10 supervisor,

11 employee,

12 Co-worker,

13 Or something else _______________________

-7 REFUSED

-9 DON'T KNOW


 SKIP TO SECTION G


F12. How many people were there?


_______ Number










F13. Were they male or female?

 

1 All male – SKIP TO E13

2 All female – SKIP TO E13

3 Both male and female

-7 REFUSED

-9 DON'T KNOW

 

IF 2 OFFENDERS (F12=2), GO TO F14a.

F14. Were they mostly male or mostly female?

 

1 Mostly male

2 Mostly female

3 Evenly divided

-7 REFUSED

-9 DON'T KNOW

 F14a. Were any of the persons Hispanic or Latino?

 

1 Yes

2. No SKIP TO E14c

-7 REFUSED

-9 DON'T KNOW

 

IF 2 OFFENDERS (F12=2), GO TO F14c.



F14b. Were they mostly Hispanic, mostly non-Hispanic or an equal number of Hispanic and non-Hispanic?

 

1 Mostly Hispanic

2 Mostly non-Hispanic

3 Equal number of Hispanic and non-Hispanic

-7 REFUSED

-9 DON'T KNOW

 



F14c. What were the race or races of the persons? Were they…

 

1 White?

2 Black or African American?

3 American Indian or Alaska Native?

4 Asian?

5 Native Hawaiian or Other Pacific Islander?

-7 REFUSED

-9 DON'T KNOW

 

IF Only one race is answered in F14c, GO TO F15


F14d. What race were most of the persons?

 

1 Mostly White

2 Mostly Black or African American

3 MOSTLY? American Indian or Alaska Native

4 MOSTLY? Asian

5 MOSTLY? Native Hawaiian or Other Pacific Islander

6. Equal number of each race

-7 REFUSED

-9 DON'T KNOW



F15. How old would you say the youngest was?

 

1 Under 12

2 12–14

3 15–17

4 18-20

5 21–29

6 30+

-7 REFUSED

-9 DON'T KNOW

 








F16. How old would you say the oldest was?

 

1 Under 12

2 12–14

3 15–17

4 18-20

5 21–29

6 30+

-7 REFUSED

-9 DON'T KNOW


F17. Were any of these persons someone you knew or were they all strangers you had never seen before?


1 Knew or had seen before – SKIP TO F19

2 Stranger

-7 Refused

-9 Don’t know

 

F18. Would you be able to recognize any of these persons if you saw him/her?

 

1 Yes – SKIP TO F20

2 Not sure – SKIP TO F20

3 No – SKIP TO SECTION G

-7 Refused

-9 Don’t know


F19. How well did you know the persons – by sight only, casual acquaintance, or well known? (mark all that apply)


1 Sight only

2 Casual acquaintance – SKIP TO F21

3 Well known – SKIP TO F21

-7 Refused

-9 Don’t know








F20. Would you have been able to tell the police how they might find any of these persons, for instance, where he/she lived, worked, went to school, or spent time?


1 Yes

2 No

3 Other (specify______________________) 

-7 Refused

-9 Don’t know


SKIP TO SECTION G


F21. Were any of these persons a relative?

 

1 Yes

2 No SKIP TO F23

-7 REFUSED

-9 DON'T KNOW

 

F22. Were any of these persons your …

(mark all that apply) 

1 spouse,

2 ex-spouse,

3 parent or step parent,

4 own child or step-child,

5 brother or sister,

6 or some other relation to you [SPECIFY] _____________________

-7 REFUSED

-9 DON'T KNOW















F23. Were any of these persons a …

 

1 boyfriend or girlfriend,

Ex-boyfriend ex-girlfriend

2 friend or ex-friend,

3 roommate or boarder,

4 schoolmate,

5 Neighbor,

6 customer or client,

7 patient,

8 supervisor,

9 employee,

10 Co-worker,

11 Or something else _______________________

-7 REFUSED

-9 DON'T KNOW




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Section G: Circumstances of Incident

  

Section 6a: Activity at time of event (NCVS 137,135)


The next questions are about the circumstances related to the incident.

G0. (IF CURRENTLY OR PREVIOUSLY IN THE MILITARY) Did this occur while you were in the armed forces?


1. Yes

2. No


G0a. (IF CURRENTLY OR PREVIOUSLY ENROLLED IN COLLEGE) Did this occur while you were a student in college?


1. Yes

2. No






G1. What were you doing when this incident happened?

 

1 Working or on duty – SKIP TO G4

6 Shopping, errands – SKIP TO G4

7 Attending school – SKIP TO G4

8. On a date

9. At a social event or gathering with people I know SKIP TO G4

10. Other leisure activities, such as at the movies, sporting event or a bar SKIP TO G4

11. Other activities at home SKIP TO G4

12. Sleeping SKIP TO G4

11. Other – specify SKIP TO G4


G2. Approximately how long had you been dating this person? Or how many dates had you been on?


_______

 



G3. Are you currently romantically involved with this person?


1 YES

2 NO

-7 REFUSED

-9 DON'T KNOW


G4. Was the person using alcohol, drugs or both when the incident occurred?

 

1 alcohol

2 drugs

3 both alcohol and drugs

4 neither alcohol or drugs

-7 REFUSED

-9 DON'T KNOW





G6. Were you using alcohol, drugs or both when the incident occurred?

 

1 alcohol – SKIP TO G8

2 drugs

3 both alcohol and drugs

4 neither alcohol or drugs – SKIP TO SECTION H

-7 REFUSED

-9 DON'T KNOW


COGNITIVE INTERVIEW RESPONDENT PROBE: (If G6 = 2 OR 3) What drugs were used?



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G8. Did the person give you (alcohol/drugs/alcohol or drugs) without your knowledge?

Yes

No


G9. Do you think the person was trying to get you (high/drunk/high or drunk) so (he/she) could sexually take advantage of you?

Yes

No


COGNITIVE INTERVIEW RESPONDENT PROBE: Tell me about your answer.



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G10. When this incident started were you passed out from (drinking/ taking drugs/drinking or taking drugs)?

 

1 Yes

2 No

3 Not sure

-7 REFUSED

-9 DON'T KNOW


G11. When this incident happened were you awake but too (high/drunk/high or drunk) to know what was happening?

 

1 Yes

2 No

3 Not sure

-7 REFUSED

-9 DON'T KNOW


COGNITIVE INTERVIEW RESPONDENT PROBE: Tell me about your answer.



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G12. Were you too (high/drunk/high or drunk) to remember what happened during the incident?


Yes

No


COGNITIVE INTERVIEW RESPONDENT PROBE: Tell me about your answer.



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G13. Were you too (high/drunk/drunk or high) to be able to tell the person whether you wanted to engage in the sexual activity?


Yes

No


COGNITIVE INTERVIEW RESPONDENT PROBE: Tell me about your answer.



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G14. Were you too drunk or high to stand up by yourself?

Yes

No


15. Were you too drunk or high to safely drive a car?

Yes

No


G16. Were you too drunk or high to safely take public transportation?

Yes

No


COGNITIVE INTERVIEW RESPONDENT PROBE: G4-G16: You mentioned that alcohol or drugs were a part of this incident. Tell me about this.


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These next questions are about what you did when this incident occurred. People who have had unwanted sexual experiences react in many different ways. We are asking these questions to get a better picture of what the range of things women in similar situations have done. Collecting this information will help us develop better policies and advice for women who have these experiences in the future. Please remember there are no right or wrong ways to react in these situations. Maybe provide an example.






G18. Did you do any of the following to stop the incident from happening. Did you... Mark (X) all that apply.

 

1 Tell the person to stop  Yes No


2 attack or threaten the person  Yes No


3 persuade or argue with the person   Yes No


4 tried to escape or get away   Yes No


5 call for help   Yes No


7 something else [SPECIFY] ____________________   Yes No


G18a. (If only 18.1 is a ‘yes’) How confident are you that the person understood when you said to stop. Are you:


Extremely confident

Somewhat confident

Not very confident

Not at all confident


If at least one of questions 18.1 through 18.7 = 1 then go to H1


G24. Were any of the following why you did not take any actions:

1 I was afraid that he/she would physically hurt me

2 I was afraid that he/she would physically hurt someone else

3 I was afraid that he/she would carry out other threats he made

4 I was too (high/drunk/drunk or high) to either physically or verbally resist

5 I did not want to hurt the person’s feelings

6 Other (Specify _______)


COGNITIVE INTERVIEW RESPONDENT PROBE: G18-G24: Tell me more about your answer. In general, how do you feel about these questions? Are there other things that you did that we did not ask about?


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Section H: Follow-up with Service Providers and Friends

 Shape71  

COGNITIVE INTERVIEWER INSTRUCTION: No probing in this section unless the respondent demonstrates confusion or difficulty.

Shape72

H1.Did you ever talk to a psychiatrist or other mental health professional about this incident?


1 Yes

2 No

-7 REFUSED

-9 DON’T KNOW


H2. Have you ever talked to a crisis hotline operator about what this person did?


1 Yes

2 No

-7 REFUSED

-9 DON’T KNOW






Section I: Follow-up with Police

 Shape73  

COGNITIVE INTERVIEWER INSTRUCTION: No probing in this section unless the respondent demonstrates confusion or difficulty.

Shape74


SECTION 10B: Reporting to the police (NCVS 115-134,NCWVS 62, 63,64)

 

I1. Were the police informed or did they find out about this incident in any way?


1 Yes

2 No – SKIP TO I3

-7 REFUSED

-9 DON’T KNOW




I2. How did the police find out about it?


1 Respondent – SKIP TO I4

2 Other household member – SKIP TO I4

3 Some official called police (guard, apt. manager, school official, etc.) – SKIP TO I4

4 Someone else – SKIP TO I4

5 Police were at scene – SKIP TO I6

7 Some other way (SPECIFY) – SKIP TO I4

-7 REFUSED

-9 DON’T KNOW




I3. Which of the following are the reason or reasons you did not report it to the police? (MARK ALL THAT APPLY)

1 Did not want my family to know

2 Did not want other people to know

3 Lack of proof that it was a crime

4 Fear of being treated hostilely by police or lawyers

5 Not clear it was a crime

6 Not clear that harm was intended

7 Did not know how to report

8 Police wouldn’t think it was important enough

9. Afraid of reprisal by the person or others

Embarrassed or ashamed

9 OTHER: SPECIFY: --------------------------


SKIP TO I13






I4. Did the police come when they found out about the incident?

 

1 Yes

2 No – SKIP TO I7

3 I went to the police SKIP TO I6

-7 REFUSED

-9 DON’T KNOW



I5. How soon after the police found out did they respond? Was it within 5 minutes, within 10 minutes, an hour, a day, or longer?


1 Within 5 minutes

2 Within 10 minutes

3 Within an hour

4 Within a day

5 Longer than a day

-7 REFUSED

-9 DON'T KNOW



I6. What did they do while (they/you) were (there/here)? Anything else?


1 Took report

2 Searched/looked around

3 Took evidence (fingerprints, inventory, etc.)

4 Questioned witnesses or suspects

5 Promised surveillance

6 Promised to investigate

7 Made arrest

Offered information on victim resources

8 Other – Specify

-7 REFUSED

-9 DON'T KNOW



I13. Not counting the police, was there anyone else you told about this incident?


1 YES

2 NO

-7 REFUSED

-9 DON’T KNOW





I14. Who did you tell? (MARK ALL THAT APPLY)

1 PARENTS or A PARENT

2 HUSBAND, BOYFRIEND, or PARTNER

3 A FAMILY MEMBER other than PARENTS

4 A FRIEND

5 ROOMMATE, ?, or HOUSEMATE

6 Other friend or relative how is this different from the above categories?

9 WOMEN'S PROGRAM OR SERVICE

10 RAPE CRISIS CENTER OR VICTIM SERVICES HOTLINE

11 COUNSELOR OR THERAPIST NOT ASSOCIATED WITH RAPE CRISIS CENTER OR VICTIM SERVICES HOTLINE

12 CLERGY, RABBI, OR OTHER SPIRITUAL LEADER

13 OTHER-SPECIFY _______ _

-7 REFUSED

-9 DON’T KNOW




I15. Did you receive any help or advice from any office or agency —other than the police — that deals with victims of crime?


1 Yes

2 No - SKIP TO SECTION J

-7 REFUSED

-9 DON'T KNOW



 

I16a  We are interested in the type of help that your received. Did you receive:


Psychological or emotional counseling? Yes No

Compensation for your injury Yes No

help to remove you from danger Yes No

Legal advice or advocacy Yes No



What type of service agency?

Appendix G:

Hypothetical Scenarios For Those Not Reporting an Assault



Scenario #1

What incident did Sue report? Sue reported being on a date where Tom and Sue both drank alcohol. Sue became very drunk and kept telling Tom that she was not thinking straight. When they went back to Tom’s fraternity house, Tom kissed Sue and asked if she wanted to have sex. Sue said ‘no’. Later on he kissed Sue again and they then proceeded to have sexual intercourse. This incident happened only one time.

When and where did the incident happen? This incident happened late at night in Tom’s bedroom at his fraternity house.

What happened during the incident? Tom and Sue had sexual intercourse meaning Tom inserted his penis in Sue’s vagina. Tom did not physically threaten Sue, but he did kiss Sue after she said no to sex. He also threatened to break up with her if they did not have sex.

Were there any injuries during the incident? Sue was not physically injured in the incident. However, she did suffer from emotional distress and visited a counselor at her university the day following the incident. She also missed work and class the day after the incident.

Who is Tom? Tom was a 20 year old white male. He had gone on two dates with Sue prior to the incident.

What was involved in the incident? Tom and Sue were both college students. They were on a date at the time of incident. This was their third date. They had been dating for about a month. They had never had sexual intercourse with each other before. Both Tom and Sue were drinking on the date. Tom kept encouraging Sue to drink more. Sue had a hard time thinking straight that night and could not drive herself home. She could not even walk to the bus stop safely. Sue was confident that she had clearly told Tom “No” when he asked to have sex. But she had a hard time physically resisting Tom’s advances and did not want to hurt his feelings.

Who did Sue talk to? Sue talked with a mental health professional the day after the incident.

Was the incident reported? Sue did not report the incident to police because she did not know if it was a crime. She only told a friend and a mental health professional.









Scenario #2

What incident did Sue report? Sue reported being on a date where Tom and Sue both drank alcohol. Sue became very drunk and kept telling Tom that she was not thinking straight. When they went back to Sue’s dorm room, Tom kissed Sue and asked if she wanted to have sex. Sue initially said “No” when Tom asked her to have sex with him and attempted to leave the room. Tom became angry and hit Sue in the face. He also threatened to break up with her if they did not have sex. Not wanting to risk further injury, Sue had sexual intercourse with Tom. This incident happened only one time.

When and where did the incident happen? This incident happened late at night in Sue’s dorm room.

What happened during the incident? Tom and Sue had sexual intercourse where Tom inserted his penis in Sue’s vagina. Tom kissed Sue and asked if she wanted to have sex. Sue initially said “No” and then she attempted to leave the room. Tom became angry and hit Sue in the face. He also threatened to break up with her if they did not have sex. Not wanting to risk further injury, Sue had sexual intercourse with Tom.

Were there any injuries during the incident? Sue suffered a broken nose from the incident. She visited the doctor the next day. She also suffered from emotional distress and visited a counselor at her university the day following the incident. She also missed work and class the day after the incident.

Who is Tom? Tom was a 20 year old white male. This was his first date with Sue.

What was involved in the incident? Tom and Sue were both college students. They were on a date at the time of incident. This was their first date. They had never had sexual intercourse with each other before. Both Tom and Sue were drinking on the date. Tom kept encouraging Sue to drink more. Sue had a hard time thinking straight that night and could not drive herself home. She could not even walk to the bus stop safely. Sue was confident that she had clearly told Tom “No” when he asked to have sex and Sue attempted to leave the room. Tom hit Sue in the face when she attempted to leave the room. Not wanting to risk further injury, Sue had sexual intercourse with Tom.

Who did Sue talk to? Sue talked with a mental health professional the day after the incident.

Was the incident reported? Sue called the police to report the incident. They visited her dorm room approximately two hours after her call and wrote a report. Later in the week police contacted her to give her an updated on the case. She also told a friend and a mental health professional about the incident.

Appendix H:

Vignettes































Now I’m going to present you with some different scenarios and then ask you to tell me how you feel the actors in the scenario should answer different questions from this survey.

Vignettes for alcohol

Prior relationship dimension

1. went on their first date

2. have been in a sexual relationship for three months and went on a date

3. have been married for five years and went out for dinner


Intention dimension

1. Both Sue and Tom ordered drinks throughout the date. Sue eventually became very drunk.


2. Sue kept telling Tom she was not thinking straight and wanted to slow down. However, Tom kept on drinking. Sue kept on drinking because she wanted to be social and eventually became very drunk.


3. (for non-married relationship) Sue kept telling Tom she got drunk very easily and would prefer not to drink. Tom kept refilling Sue’s wine glass saying that he would never take advantage of her. Sue eventually became very drunk.


(for married) Tom knew that Sue got drunk very easily and decided to try to get her as drunk as possible. He continued to buy Sue drinks and she became very drunk.


Consent dimension

1. Tom asked if she wanted to have sex. Sue said yes and they proceeded to have sexual intercourse.

2. Tom kissed Sue and they proceeded to have sexual intercourse. At the time, Sue did not say anything. The next day, Sue regretted she had sex.

3. Tom kissed Sue. Sue said she did not want to have sex, but Tom ignored her and they proceeded to have sexual intercourse. Sue did not resist again because she was afraid Tom would hurt her.


Wording for Vignette

Tom and Sue [INSERT PRIOR RELATIONSHIP]. They both drank alcohol. [INSERT INTENTION ].They then went back to (Tom’s place/their house), [INSERT CONSENT].




Example – relationship =1, Intention = 2, consent =3.

Tom and Sue went their first date. They both drank alcohol. Sue kept telling Tom she was not thinking straight and wanted to slow down. However, Tom kept on drinking. Sue kept on drinking because she wanted to be social and eventually became very drunk. They then went back to Tom’s place. Tom kissed Sue. She said she did not want to have sex, but Tom ignored her and they proceeded to have sexual intercourse. Sue did not resist again because she was afraid Tom would hurt her.



V1. How should Sue answer the following question?

Choose question (Alternative 1 or 2) based on what was administered on the screener

Alternative 1

SV1. Within the past 12 months, that is since (MONTH/YEAR), has a man or boy made you have sex by using force or threat of harm? By sex we mean putting a penis in your vagina.

 SV5. When you were unable to consent because you were drunk, high, drugged, or passed out, since (MONTH/YEAR) has anyone made you have vaginal, anal, or oral sex?



Alternative 2

ALT SV1. At any time since (MONTH/YEAR), has a man or boy used any kind of force or any kind of threat to make you to have sex against your will? By sex we mean putting a penis in your vagina.

ALT SV5. (Other than what you have already told me about), when you were too drunk, high, or drugged to stop what was happening, since (MONTH/YEAR) has anyone forced you to have vaginal, anal, or oral sex?




All respondents are asked the following

How should Sue answer the following question?

V1 Do you think the person was trying to get you (high/drunk/high or drunk) so (he/she) could sexually take advantage of you?


Were you too (high/drunk/drunk or high) to be able to tell the person whether you wanted to engage in the sexual activity?



V2. On a scale from 1 to 10 where 1 means Sue was definitely able to give consent and 10 means she was definitely not able to give consent, to what extent was Sue able to give consent?




Vignettes for Coercion

Prior relationship dimension

1. went on their first date

2. have been in a sexual relationship for three months and went on a date

3. have been married for five years and went out for the evening


Coercion type

1. Tom said that he was going to end the relationship if she did not have sex with him.

2. Tom then said, “You’re so beautiful. You know you love me and I love you.”

3. However, Tom kept trying several times to persuade her to have sex.



Wording for Vignette

Tom and Sue [INSERT RELATIONSHIP]. Afterwards they went home to watch a movie together. Tom and Sue lay down next to each other on the couch. During the movie, Tom brushed his hand against Sue’s breast and asked her if she would have sex with him. Sue said no. [INSERT COERCION TYPE]. Minutes later they had sexual intercourse.



Example – relationship = 3 Coercion=3

Tom and Sue have been married for five years and went out for the evening. Afterwards they went home to watch a movie together. Tom and Sue lay down next to each other on the couch. During the movie, Tom brushed his hand against Sue’s breast and asked her if she would have sex with him. Sue said no. However, Tom kept trying several times to persuade her to have sex. Minutes later they had sexual intercourse.





V1. How should Sue answer the following questions?

Choose question (Alternative 1 or 2) based on what was administered on the screener

Alternative 1

SV1. Within the past 12 months, that is since (MONTH/YEAR), has a man or boy made you have sex by using force or threat of harm? By sex we mean putting a penis in your vagina.



V1a. Unwanted sexual situations can also occur without the use of physical force or threats of harm. For example,

An employer might threaten to fire a woman if she doesn’t have sex with him;

A teacher might threaten to fail a student if she doesn’t give him oral sex;

A spouse or romantic partner might threaten to kick her out of their home or stop providing her health insurance or financial support if she doesn’t have sex with him;

A friend or acquaintance might threaten to spread rumors or lies about a woman unless she has sex with him.


(Other than what you already told me about) At any time since (MONTH/YEAR), has someone you know put you in a situation in which you felt you had no choice and had to have vaginal, anal or oral sex against your will?

Would Susan answer yes to this question?



Alternative 2

ALT SV1. At any time since (MONTH/YEAR), has a man or boy used any kind of force or any kind of threat to make you to have sex against your will? By sex we mean putting a penis in your vagina. [IF

V1b. Unwanted sexual situations can also occur even without physical force or threats of harm. A person can force you to do something you don’t want to by threatening to cause problems in your job, school, home or relationships. (Other than what you’ve already told me about) At any time since (MONTH/YEAR), has someone you know put you in a situation in which you felt you had no choice and had to have vaginal, anal or oral sex?





All respondents are asked the following

V2. On a scale from 1 to 10 where 1 means Sue was definitely not pressured and 10 means she was definitely pressured, to what extent was Sue pressured to have sexual intercourse?


Appendix I:

Cognitive interview protocol for the second interview



Introduction


Thank you for agreeing to come back and talk with us today. This second interview will help us improve our interviewing procedures and how we ask questions.


Last time you may recall that we often stopped to talk about the questions as you went through the questionnaire. Today we will have you answer some of the same questions that you did before. However, we will not be talking about your answers until after you are finished going all of the way through the questionnaire.


Then at the end of the questionnaire we’ll talk about how everything went this time.


Before we get started, I want to let you know that everything we cover in the interview will be kept private - only the few people actually working on the project will have access to the information you share with us. If there are any questions you don’t want to answer that is perfectly fine - We’re really more interested in how you interpret the questions.


If it’s OK with you, I would like to record our conversation, just so that I can review it later when we’re analyzing all the interview data. . If it is OK, I’d like to get your agreement on the recording.



Do you have any questions before we begin?


[PROCEED TO INTERVIEW]


General procedures


[BRING RESPONDENTS ANSWERS TO THE SCREENER AND DETAILED INCIDENT FORM FROM THE FIRST INTERVIEW TO THIS INTERVIEW. FOLLOW THE RESPONDENT THROUGH THE INTERVIEW AND MAKE NOTE OF ANY DISCREPANCIES BETWEEN THE FIRST AND SECOND INTERFVIEW.]

[BEGIN WITH SVINTRO1 AND SVINTRO2 AT THE BEGINNING OF THE SEXUAL VIOLENCE SCREENER. ALLOW THE RESPONDENT TO GO ALL THE WAY THROUGH THE SCREENER (SECTION SV). THEN SELECT THE FIRST INCIDENT REPORTED (IF ANY) AND ALLOW THEM TO GO ALL THE WAY THROUGH THE DETAILED INCIDENT FORM. IF THERE IS TIME, ALLOW THEM TO COMPLETE THE DETAILED INCIDENT FORM FOR ALL INCIDENTS REPORTED ON THE SCREENER.]


[IN THE EVENT THAT YOU NOTICE ANY DISCREPANCIES, YOU MAY ASK SOMETHING LIKE THE FOLLOWING] We asked you [INSERT QUESTION]. One time we recorded YES and one time we recorded NO. What is the best answer?


[FOLLOW-UP AS NEEDED TO UNDERSTAND THE REASON FOR THE DISCREPANCIES.]


[IF THE RESPONDENT DOES NOT REPORT ANY INCIDENTS ON THE SCREENER AND THEY DIDN’T REPORT ANY INCIDENTS IN THE FIRST INTERVIEW, THEN ADMINISTER THE VIGNETTES AND DEBRIEFING QUESTIONS AND PROBE AS NECESSARY ON EACH.]




Appendix J:

Westat IRB approval Letter (to be inserted)





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AuthorAaron Maitland
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