Supplemental materials for cognitive interview

RSA Appendices for cognitive interviews 12-18-12.docx

Research to support the National Crime Victimization Survey (NCVS)

Supplemental materials for cognitive interview

OMB: 1121-0325

⚠️ Notice: This form may be outdated. More recent filings and information on OMB 1121-0325 can be found here:

2015-10-27 - Reinstatement without change of a previously approved collection

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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

Women’s Health Study

Shape2

The purpose of this study is to improve the way information about rape and sexual assault 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. As part of this project, Westat is recruiting female survivors of rape or sexual assault to help in testing the questions being considered for a new survey. Beginning in February 2013, Westat would like to speak with women who are: Age 18 and older, English speaking, and a previous victim of rape or sexual assault. These interviews will be completed in person, at the DC Rape Crisis Center, and will last about 60 minutes. Respondents will receive $40 for the 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 Women’s Health Study is not referenced on the flyer 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 sexual experiences that you may have had. We will ask you to participate in one 60 minute interview. All the information collected as part of the study will be treated as confidential and you will be paid $40 for the 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 of time with just us?

Appendix B:

Recruitment materials for women ages 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 U.S. 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, 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 respondents $40 for the first interview and $40 for the second interview.. 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 C1: Consent form for women age 18-40

CONSENT FORM

Westat is conducting this research for the U.S. Department 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 you may have experienced. 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 may 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 access to resources to help you.
All information obtained during this study will be treated as confidential and will only be used to develop and improve the questionnaire. The data collected are protected by federal statute (Title 42 USC, Section 3735 and 3789g) and are protected from any request by a law enforcement or any other agency, organization, or individual.
Your answers will be combined with responses from other study participants when writing up reports and conducting analyses. Pursuant to 42 U.S.C. Sec. 3789g, neither BJS nor Westat will publish any data identifiable specific to a private person.
Project researchers may observe the interview. The interview will also be recorded 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.
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 (301-294-2080). 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 C2: Consent form for women from

the DC Rape Crisis Center

CONSENT FORM

Westat is conducting this research for the U.S. Department 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 60 minute interview today. During the interview, we will ask you about any unwanted sexual experiences or other types of violence you may have experienced. 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 may 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 access to resources to help you.
All information obtained during this study will be treated as confidential and will only be used to develop and improve the questionnaire. The data collected are protected by federal statute (Title 42 USC, Section 3735 and 3789g) and are protected from any request by a law enforcement or any other agency, organization, or individual.
Your answers will be combined with responses from other study participants when writing up reports and conducting analyses. Pursuant to 42 U.S.C. Sec. 3789g, neither BJS nor Westat will publish any data identifiable specific to a private person.
Project researchers may observe the interview. The interview will also be recorded The researchers will destroy the audio recording as soon as they complete the questionnaire development process.
The interview should take 60 minutes or about an hour and a half.
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 (301-294-2080). 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 Center………………………………………………………………………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 the questions. . 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;
the question doesn’t make sense to you;
you could interpret it more than one way; or
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.

Introductory Questions

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

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 12^th 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’s 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 once 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

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

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:

PROMPT 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:

PROMPT 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:

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

IF RESPONDENT HAS NOT MENTIONED CHANGING RESIDENCES, READ:

PROMPT 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 4a? 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 4b? 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?

SV Screener

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 finished with 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?”

SV INTRO:

People may experience unwanted and uninvited sexual situations by strangers or people they know well, such as a romantic partner, friend, acquaintance, student, teacher, coworker, supervisor, landlord, 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”

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 question asking about?

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?

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

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

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.

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

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 at your job or school or at, home or in your 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?

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

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

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

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.

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 situations does this include? What types of situations doesn’t it include?

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

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

-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?

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: