Form SCS1 School Crime Supplement

School Crime Supplement to the National Victimization Survey

2009 SCS Question Booklet.rtf

School Crime Supplement to the National Crime Victimization Survey 2007

OMB: 1121-0184

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SCHOOL_CRIME_INFO (Tab)



ANSWERS TO SOME BASIC QUESTIONS:  

 WHY AM I BEING ASKED TO COMPLETE THIS SURVEY?

We are collecting data about crime in schools and how it affects students.  Your participation is important so the results can represent students like you from all around the country.

 DO I HAVE TO TAKE THE SURVEY?
 
The survey is voluntary, and there are no penalties for not participating, but we hope that you respond because your answers are important to us.

 WHAT WILL THE SURVEY ASK ME?

We will ask you about fighting, bullying, weapons, and drugs and gangs at school, among other things.

 WILL ANYONE FIND OUT WHAT MY ANSWERS ARE?

Your answers to the SCS survey are completely confidential.  We will never give your answers to anyone.

 WHY ARE MY ANSWERS TO THE SCS SURVEY IMPORTANT?

It's important for parents and teachers to understand problems that students like you might have at school in order to help.  The information we collect in the SCS survey also helps lawmakers and other government officials make decisions about school safety.

 OTHER PUBLICATIONS BY THE NATIONAL CENTER FOR EDUCATION STATISTICS (NCES)

The NCES publishes a wide variety of special reports on crime and schools, including the School Survey on School Crime and Safety and Indicators of School Crime and Safety.  To learn more about these reports or the School Crime Supplement (SCS), please visit http://nces.ed.gov.

 USEFUL INFORMATION

National Center for Victims of Crime
1-800-FYI-CALL (1-800-394-2255)
1-800-211-7996 (TTY)

Child Help USA National Child Abuse Hotline
1-800-4-A-CHILD (1-800-4-2-24453)



1.

Enter 1 to Continue



Setup






SUPP_ELIGIBLE_SCS



The respondent's age has not been recorded.

Based on your observation or other information gathered during this contact, do you have reason to believe that the respondent is between 12 and 18 years of age?



1.

Yes

2.

No



SCS_INTRO_1



OMB No. 1121-0184            Approval Expires:  xxxxx, xxxx 

Now, I would like to ask some questions about your experiences at school.  We estimate the survey will take about 10 minutes. The law authorizes the collection of this data and requires us to keep all information about you and your household strictly confidential.

 If a respondent refuses the supplement questions, enter 2 (AT THIS SCREEN ONLY) to code the supplement as a noninterview.

 If a respondent completed their NCVS interview but can not complete their SCS interview at this time, enter 3.

 If the NCVS interview was completed in a language other than English, enter 4 to code the supplement as a noninterview.



1.

Enter 1 to continue

2.

Refused supplement

3.

Currently unable to complete the interview, but willing to complete at later date/time

4.

NCVS completed in a language other than English



E_1a_ATTENDSCHOOL



Did ^YOU_NAME attend school at any time this school year?




1.

Yes

2.

No



E_1b_HOMESCHOOL



During that time, ^WERE_WAS ^YOU_NAME ever home-schooled? That is, did ^YOU_HE_SHE receive ANY of that schooling at home, rather than in a public or private school?



1.

Yes

2.

No



E_1c_ALLHOMESCHOOL



Was all of your schooling this school year home schooling?



1.

Yes

2.

No



E_2a_HOMESCHOOLGRADE



During the time ^YOU_NAME ^WERE_WAS home-schooled this school year, what grade would ^YOU_HE_SHE have been in if ^YOU_HE_SHE were in a public or private school?



10.

Fifth or under

11.

Sixth

12.

Seventh

13.

Eighth

14.

Ninth

15.

Tenth

16.

Eleventh

17.

Twelfth

18.

Other - Specify

19.

College/GED/Post-graduate/Other noneligible



E_2A_HOMESCHOOLGRADE_OTHER






E_2b_WHATGRADE



What grade ^IS_ARE ^YOU_NAME in?



10.

Fifth or under

11.

Sixth

12.

Seventh

13.

Eighth

14.

Ninth

15.

Tenth

16.

Eleventh

17.

Twelfth

18.

Other - Specify

19.

College/GED/Post-graduate/Other noneligible



E_2b_WHATGRADE_OTHER






INTRO_2



The following questions pertain only to ^YOUR_NAME^NMS attendance at a public or private school and not to being home-schooled.



1.

Enter 1 to Continue



E_3a_WHATMONTH



In what month did ^YOUR_HIS_HER current school year begin?




1.

August

2.

September

3.

Other



E_3b_WHATMONTHOTHER



Specify the other month that school year began



01.

January

02.

February

03.

March

04.

April

05.

May

06.

June

07.

July

08.

October

09.

November

10.

December



F_6a_SCHOOLSTATE



In what state is ^YOUR_NAME^NMS school located?



F_6b_SCHOOLCOUNTY



In what county is ^YOUR_NAME^NMS school located?



F_6c_SCHOOLCOUNTY_NOT_LISTED



 Enter the county where the respondent's school is located




F_6d_SCHOOLCITY



In what city is ^YOUR_NAME^NMS school located?



F_6c_SCHOOLCITY_NOT_LISTED



 Enter the name of the city where the school is located



F_6f_NAMEOFSCHOOL



What is the complete name of ^YOUR_NAME^NMS school?



F_6f_NAMEOFSCHOOL_NOT_LISTED



 Enter the name of the respondent's school



F_7a_PUBLICORPRIVATE



Is ^YOUR_NAME^NMS school public or private?



1.

Public

2.

Private



F_7b_REGULARSCHOOL



Is this the regular school that most of the students in ^YOUR_NAME^NMS neighborhood attend?



1.

Yes

2.

No



F_7c_CHURCHRELATED



Is ^YOUR_NAME^NMS school church-related?



1.

Yes

2.

No

3.

Don't know



F_8_GRADES_LOW



What is the lowest grade taught in ^YOUR_NAME^NMS school?

 Enter the lowest grade mentioned





00.

Pre-K or K

01.

1st grade

02.

2nd grade

03.

3rd grade

04.

4th grade

05.

5th grade

06.

6th grade

07.

7th grade

08.

8th grade

09.

9th grade

10.

10th grade

11.

11th grade

12.

H.S. Senior

13.

Post-graduate

20.

All ungraded

30.

All Special Education



F_8_GRADES_HIGH



What is the highest grade taught in ^YOUR_NAME^NMS school?

 Enter the highest grade mentioned






00.

Pre-K or K

01.

1st grade

02.

2nd grade

03.

3rd grade

04.

4th grade

05.

5th grade

06.

6th grade

07.

7th grade

08.

8th grade

09.

9th grade

10.

10th grade

11.

11th grade

12.

H.S. Senior

13.

Post-graduate

20.

All ungraded

30.

All Special Education



F_9_GETTOSCHOOL



How ^DO_DOES ^YOU_NAME get to school most of the time this school year?

If multiple modes are used, code the mode in which the student spends the most time.



1.

Walk

2.

School bus

3.

Public bus, subway, train

4.

Car

5.

Bicycle, motorbike, or motorcycle

6.

Some other way - Specify



F_9a_GETTOSCHOOL_SPECIFY





Enter the other way that the respondent gets to school



F_10_TIMETOSCHOOL



How long does it take ^YOU_NAME to get from ^YOUR_HIS_HER home to school most of the time?



1.

Less than 15 minutes

2.

15-29 minutes

3.

30-44 minutes

4.

45-59 minutes

5.

60 minutes or longer



F_11_HOMEFROMSCHOOL



How ^DO_DOES ^YOU_NAME get home from school most of the time this school year?

If multiple modes are used, code the mode in which the student spends the most time.

If the student volunteers that he or she does not go directly home after school, record the mode that the student uses to get to his or her first destination after school.





1.

Walk

2.

School bus

3.

Public bus, subway, train

4.

Car

5.

Bicycle, motorbike, or motorcycle

6.

Some other way - Specify



F_11a_HOMEFROMSCHOOL_SPECIFY





Enter the other way that the respondent gets home from school.



F_12a_LEAVEATLUNCH



How often ^DO_DOES ^YOU_NAME leave school grounds at lunch time?

 Read answer categories



1.

[bold] Never[n]

2.

[bold] Once or twice a year[n]

3.

[bold] Once or twice a month[n]

4.

[bold] Once or twice a week[n]

5.

[bold] Almost every day[n]



F_12b_GRADE LEAVEATLUNCH



Are students in ^YOUR_NAME^NMS grade level allowed to leave school grounds to eat lunch?



1.

Yes

2.

No

3.

Don't know



F_13a_ACTIVITIES SPORTS



During this school year, ^HAVE_HAS ^YOU_NAME participated in any of the following activities sponsored by ^YOUR_HIS_HER school:

Athletic teams at school ?




1.

Yes

2.

No



F_13b_ACTIVITIES SPIRIT



During this school year, ^HAVE_HAS ^YOU_NAME participated in any of the following activities sponsored by your school:
 
Spirit groups, for example, Cheerleading, Dance Team, or Pep Club?



1.

Yes

2.

No



F_13c_ACTIVITIES ARTS



During this school year, ^HAVE_HAS ^YOU_NAME participated in any of the following activities sponsored by your school:

Performing arts, for example, Band, Choir, Orchestra, or Drama?



1.

Yes

2.

No



F_13d_ACTIVITIES ACADEMIC



During this school year, ^HAVE_HAS ^YOU_NAME participated in any of the following activities sponsored by your school:

Academic clubs, for example, Debate Team, Honor Society, Spanish Club, or Math Club ?



1.

Yes

2.

No



F_13e_ACTIVITIES GOVT



During this school year, ^HAVE_HAS ^YOU_NAME participated in any of the following activities sponsored by your school:

Student government?



1.

Yes

2.

No



F_13f_ACTIVITIES SERVICE



During this school year, ^HAVE_HAS ^YOU_NAME participated in any of the following activities sponsored by your school:

Community service clubs or volunteer clubs, sponsored by your school, for example, Service?





1.

Yes

2.

No



F_13g_ACTIVITIES OTHER



During this school year, ^HAVE_HAS ^YOU_NAME participated in any of the following activities sponsored by your school:

Other school clubs or school activities ?



1.

Yes

2.

No



F_13g_ACTIVITIES_OTHER_SPECIFY



What are the other school clubs or school activities ^YOU_NAME  participated in?




F_14a_SAFETY_POLICE



Does ^YOUR_NAME^NMS school take any measures to make sure students are safe?

For example, does the school have:

Security guards or assigned police officers?



1.

Yes

2.

No

3.

Don't know



F_14b_SAFETY HALLSTAFF



Does ^YOUR_NAME^NMS school take any measures to make sure students are safe?
 
For example, does the school have:

Other school staff or other adults supervising the hallway?




1.

Yes

2.

No

3.

Don't know



F_14c_SAFETY METAL DETECTORS



Does ^YOUR_NAME^NMS school take any measures to make sure students are safe?
 For example, does the school have:

Metal detectors?






1.

Yes

2.

No

3.

Don't know



F_14d_SAFETY DOORS LOCKED



Does ^YOUR_NAME^NMS school take any measures to make sure students are safe?
For example, does the school have:

Locked entrance or exit doors during the day? 



1.

Yes

2.

No

3.

Don't know



F_14e_SAFETY SIGN IN



Does ^YOUR_NAME^NMS school take any measures to make sure students are safe?
For example, does the school have:
 
A requirement that visitors sign in?



1.

Yes

2.

No

3.

Don't know



F_14f_SAFETY LOCKER CHECKS



Does ^YOUR_NAME^NMS school take any measures to make sure students are safe?
For example, does the school have:

Locker checks?






1.

Yes

2.

No

3.

Don't know



F_14g_SAFETY STUDENT ID



Does ^YOUR_NAME^NMS school take any measures to make sure students are safe?
For example, does the school have:

A requirement that students wear badges or picture identification?






1.

Yes

2.

No

3.

Don't know



F_14h_SAFETY_CAMERAS



Does ^YOUR_NAME^NMS school take any measures to make sure students are safe?
For example, does the school have:

One or more security cameras to monitor the school?






1.

Yes

2.

No

3.

Don't know



F_14i_SAFETY CODE OF CONDUCT



Does ^YOUR_NAME^NMS school take any measures to make sure students are safe?
For example, does the school have:

A code of student conduct, that is, a set of written rules or guidelines that the school provides to ^YOU_HIM_HER?



1.

Yes

2.

No

3.

Don't know



F_14b_REPORT



If ^YOU_NAME hear(s) about a threat to school or student safety, ^DO_DOES ^YOU_HE_SHE have a way to report it to someone in authority without giving ^YOUR_HIS_HER name?

 The term 'authority' includes the police, teachers, principals, security guards, or other school staff.  It does not include the student's parents, guardians, or peers.



1.

Yes

2.

No

3.

Don't know



F_15a_DISTRACTED



In ^YOUR_NAME^NMS classes, how often ^IS_ARE ^YOU_HE_SHE distracted from doing ^YOUR_HIS_HER schoolwork because other students are misbehaving, for example, talking or fighting?

 Read answer categories





1.

[bold]Never[n]

2.

[bold]Almost never[n]

3.

[bold]Sometimes[n]

4.

[bold]Most of the time[n]



F_15b_PUNISH



In general, how often do teachers punish students during ^YOUR_NAME^NMS classes?

 Read answer categories





1.

[bold]Never[n]

2.

[bold]Almost never[n]

3.

[bold]Sometimes[n]

4.

[bold]Most of the time[n]



F_16a_KNOW_RULES



I am going to read a list of statements that could describe a school. Thinking about ^YOUR_NAME^NMS school, would you strongly agree, agree, disagree, or strongly disagree with the following...

Everyone knows what the school rules are. . .. . .



1.

Strongly agree

2.

Agree

3.

Disagree

4.

Strongly disagree



F_16a_RULES FAIR



I am going to read a list of statements that could describe a school. Thinking about ^YOUR_NAME^NMS school, would you strongly agree, agree, disagree, or strongly disagree with the following.....

The school rules are fair . . . . . .



1.

Strongly agree

2.

Agree

3.

Disagree

4.

Strongly disagree



F_16a_PUNISHMENT SAME



I am going to read a list of statements that could describe a school. Thinking about ^YOUR_NAME^NMS school, would you strongly agree, agree, disagree, or strongly disagree with the following ....

The punishment for breaking school rules is the same no matter who you are . . . .



1.

Strongly agree

2.

Agree

3.

Disagree

4.

Strongly disagree



F_16a_RULES ENFORCED



I am going to read a list of statements that could describe a school. Thinking about ^YOUR_NAME^NMS school, would you strongly agree, agree, disagree, or strongly disagree with the following .....

The school rules are strictly enforced . . .



1.

Strongly agree

2.

Agree

3.

Disagree

4.

Strongly disagree



F_16a_PUNISHMENT KNOWN



I am going to read a list of statements that could describe a school. Thinking about ^YOUR_NAME^NMS school, would you strongly agree, agree, disagree, or strongly disagree with the following.....

If a school rule is broken, students know what kind of punishment will follow . . . . . .



1.

Strongly agree

2.

Agree

3.

Disagree

4.

Strongly disagree



F_16b_TEACHERS_RESPECT



Thinking about the TEACHERS at ^YOUR_NAME^NMS school, would you strongly agree, agree, disagree, or strongly disagree with the following....

Teachers treat students with respect. . . .





1.

Strongly agree

2.

Agree

3.

Disagree

4.

Strongly disagree



F_16b_TEACHERS_CARE



Thinking about the TEACHERS at ^YOUR_NAME^NMS school, would you strongly agree, agree, disagree, or strongly disagree with the following ...

Teachers care about students . . . .



1.

Strongly agree

2.

Agree

3.

Disagree

4.

Strongly disagree



F_16b_TEACHERS DENIGRATE



Thinking about the TEACHERS at ^YOUR_NAME^NMS school, would you strongly agree, agree, disagree, or strongly disagree with the following ...

Teachers do or say things that make students feel bad about themselves . . . . . .



1.

Strongly agree

2.

Agree

3.

Disagree

4.

Strongly disagree



F_16c_ADULT CARES



Thinking about all of the ADULTS at ^YOUR_NAME^NMS school, including teachers, would you say strongly agree, agree, disagree, or strongly disagree with the following ....

At school, there is an ADULT ^YOU_NAME can talk to, who cares about ^YOUR_HIS_HER feelings and what happens to ^YOU_HIM_HER. . . .



1.

Strongly agree

2.

Agree

3.

Disagree

4.

Strongly disagree



F_16d_FRIEND CARES



Thinking about FRIENDS at ^YOUR_NAME^NMS school, would you strongly agree, agree, disagree, or strongly disagree with the following ...

At school, ^YOU_NAME ^HAVE_HAS a FRIEND ^YOU_HE_SHE can talk to, who cares about ^YOUR_HIS_HER feelings and what happens to ^YOU_HIM_HER. . .



1.

Strongly agree

2.

Agree

3.

Disagree

4.

Strongly disagree



INTRO_3



Now I have some questions about things that happen at school. For this survey, "at school" includes the school building, on school property, on a school bus, or going to and from school. Your answers will not be given to anyone.
 



1.

Enter 1 to Continue



F_17a_ALCOHOL



The following question refers to the availability of drugs and alcohol at ^YOUR_NAME^NMS school.  Tell me if ^YOU_NAME ^DONT_DOESNT know what any of these items are.
 
Is it possible to get any of the following at ^YOUR_NAME^NMS school?

Alcoholic beverages...


For "Don't Know" responses, probe if necessary to determine if respondent means they do not know if the drug is available or if they do not know the drug.






1.

Yes

2.

No

3.

Don't know

4.

Don't know drug



F_17b_MARIJUANA



The following question refers to the availability of drugs and alcohol at ^YOUR_NAME^NMS school.Tell me if ^YOU_NAME ^DONT_DOESNT don't know what any of these items are.
 
Is it possible to get any of the following at ^YOUR_HIS_HER school?

Marijuana...


For "Don't Know" responses, probe if necessary to determine if respondent means they do not know if the drug is available or if they do not know the drug.





1.

Yes

2.

No

3.

Don't know

4.

Don't know drug



F_17c_CRACK



The following question refers to the availability of drugs and alcohol at ^YOUR_NAME^NMS school.Tell me if ^YOU_NAME ^DONT_DOESNT don't know what any of these items are.
 
Is it possible to get any of the following at ^YOUR_HIS_HER school?

Crack...


For "Don't Know" responses, probe if necessary to determine if respondent means they do not know if the drug is available or if they do not know the drug.





1.

Yes

2.

No

3.

Don't know

4.

Don't know drug



F_17d_OTHER COCAINE



The following question refers to the availability of drugs and alcohol at ^YOUR_NAME^NMS school.Tell me if ^YOU_NAME ^DONT_DOESNT know what any of these items are. 
 
Is it possible to get any of the following at ^YOUR_HIS_HER school?

Other forms of cocaine...


For "Don't Know" responses, probe if necessary to determine if respondent means they do not know if the drug is available or if they do not know the drug.





1.

Yes

2.

No

3.

Don't know

4.

Don't know drug



F_17e_UPPERS



The following question refers to the availability of drugs and alcohol at ^YOUR_NAME^NMS school.Tell me if ^YOU_NAME ^DONT_DOESNT don't know what any of these items are.
 
Is it possible to get any of the following at ^YOUR_HIS_HER school?

Uppers such as ecstasy, crystal meth or other illegal stimulants...


For "Don't Know" responses, probe if necessary to determine if respondent means they do not know if the drug is available or if they do not know the drug.





1.

Yes

2.

No

3.

Don't know

4.

Don't know drug



F_17f_DOWNERS



The following question refers to the availability of drugs and alcohol at ^YOUR_NAME^NMS school.Tell me if ^YOU_NAME ^DONT_DOESNT know what any of these items are.
 
Is it possible to get any of the following at ^YOUR_HIS_HER school?

Downers such as GHB or sleeping pills...

For "Don't Know" responses, probe if necessary to determine if respondent means they do not know if the drug is available or if they do not know the drug.





1.

Yes

2.

No

3.

Don't know

4.

Don't know drug



F_17g_LSD



The following question refers to the availability of drugs and alcohol at ^YOUR_NAME^NMS school.Tell me if ^YOU_NAME ^DONT_DOESNT know what any of these items are.
 
Is it possible to get any of the following at ^YOUR_HIS_HER school?

LSD or acid...

For "Don't Know" responses, probe if necessary to determine if respondent means they do not know if the drug is available or if they do not know the drug.





1.

Yes

2.

No

3.

Don't know

4.

Don't know drug



F_17h_PCP



The following question refers to the availability of drugs and alcohol at ^YOUR_NAME^NMS school.Tell me if ^YOU_NAME ^DONT_DOESNT know what any of these items are.
 
Is it possible to get any of the following at ^YOUR_HIS_HER school?

PCP or angel dust...


For "Don't Know" responses, probe if necessary to determine if respondent means they do not know if the drug is available or if they do not know the drug.


.



1.

Yes

2.

No

3.

Don't know

4.

Don't know drug



F_17i_HEROIN



The following question refers to the availability of drugs and alcohol at ^YOUR_NAME^NMS school.Tell me if ^YOU_NAME ^DONT_DOESNT know what any of these items are.
 
Is it possible to get any of the following at ^YOUR_HIS_HER school?

Heroin or smack...

For "Don't Know" responses, probe if necessary to determine if respondent means they do not know if the drug is available or if they do not know the drug.





1.

Yes

2.

No

3.

Don't know

4.

Don't know drug



F_17j_PRESCRIPTION DRUGS



The following question refers to the availability of drugs and alcohol at ^YOUR_NAME^NMS school.Tell me if ^YOU_NAME ^DONT_DOESNT know what any of these items are.
 
Is it possible to get any of the following at ^YOUR_HIS_HER school?

Prescription drugs illegally obtained without a prescription, such as Oxycontin, Vicodin, or Xanax...

For "Don't Know" responses, probe if necessary to determine if respondent means they do not know if the drug is available or if they do not know the drug.





1.

Yes

2.

No

3.

Don't know

4.

Don't know drug



F_17k_OTHER ILLEGAL



The following question refers to the availability of drugs and alcohol at ^YOUR_NAME^NMS school.Tell me if ^YOU_NAME ^DONT_DOESNT know what any of these items are.
 
Is it possible to get any of the following at ^YOUR_HIS_HER school?

Other illegal drugs...

For "Don't Know" responses, probe if necessary to determine if respondent means they do not know if the drug is available or if they do not know the drug.



1.

Yes

2.

No

3.

Don't know

4.

Don't know drug



F_17k_OTHER_ILLEGAL_SPECIFY



What is the name of (this/these) drug(s)? (Please exclude tobacco products.)

Refer to the Drug Slang Card (SCS-2).  Reclassify the "other illegal drug(s)" to one of the categories a-j if possible.  If you are able to reclassify all the "other illegal drug(s)" that are mentioned, mark the "No" box in category k, otherwise, mark the "Yes" box in category k and record the "other illegal drug(s)" that you could not reclassify in the other specify field.




F_17b_KNOW DRUGS OR ALCOHOL



During this school year, did ^YOU_NAME know for sure that any students were on drugs or alcohol while they were at school?



1.

Yes

2.

No



F_17c_OFFER DRUGS OR ALCOHOL



During this school year, did anyone offer, or try to sell or give ^YOU_NAME an illegal drug other than alcohol or tobacco at ^YOUR_HIS_HER school?



1.

Yes

2.

No



G_18a_FIGHT AT SCHOOL



During this school year, ^HAVE_HAS ^YOU_NAME been in one or more physical fights at school?



1.

Yes

2.

No



G_18b_FIGHT HOW OFTEN



During this school year, how many times ^HAVE_HAS ^YOU_NAME been in a physical fight at school?



G_19a_BULLY_MADE_FUN



Now I have some questions about what students do at school that make ^YOU_NAME feel bad or are hurtful to ^YOU_NAME. We often refer to this as being bullied. You may include events you told me about already. During this school year, has any student bullied ^YOU_NAME?

That is, has another student...

Made fun of ^YOU_NAME, called ^YOU_NAME names, or insulted ^YOU_NAME?




1.

Yes

2.

No



G_19a_BULLY_RUMOR



Now I have some questions about what students do at school that make ^YOU_NAME feel bad or are hurtful to ^YOU_NAME. We often refer to this as being bullied. You may include events you told me about already. During this school year, has any student bullied ^YOU_NAME?

That is, has another student...

Spread rumors about ^YOU_NAME?



1.

Yes

2.

No



G_19a_BULLY_THREAT



Now I have some questions about what students do at school that make ^YOU_NAME feel bad or are hurtful to ^YOU_NAME. We often refer to this as being bullied. You may include events you told me about already. During this school year, has any student bullied ^YOU_NAME?

That is, has another student...

Threatened ^YOU_NAME with harm?




1.

Yes

2.

No



G_19a_BULLY_CONTACT



Now I have some questions about what students do at school that make ^YOU_NAME feel bad or are hurtful to ^YOU_NAME. We often refer to this as being bullied. You may include events you told me about already. During this school year, has any student bullied ^YOU_NAME?

That is, has another student...

Pushed ^YOU_NAME, shoved ^YOU_NAME, tripped ^YOU_NAME, or spit on ^YOU_NAME?



1.

Yes

2.

No



G_19a_BULLY_COERCED



Now I have some questions about what students do at school that make ^YOU_NAME feel bad or are hurtful to ^YOU_NAME. We often refer to this as being bullied. You may include events you told me about already. During this school year, has any student bullied ^YOU_NAME?

That is, has another student...

Tried to make ^YOU_NAME do things ^YOU_NAME did not want to do, for example, give them money or other things?



1.

Yes

2.

No



G_19a_BULLY_EXCLUDED



Now I have some questions about what students do at school that make ^YOU_NAME feel bad or are hurtful to ^YOU_NAME. We often refer to this as being bullied. You may include events you told me about already. During this school year, has any student bullied ^YOU_NAME?

That is, has another student...

Excluded ^YOU_NAME from activities on purpose?



1.

Yes

2.

No



G_19a_BULLY_DESTROYED_PROP



Now I have some questions about what students do at school that make ^YOU_NAME feel bad or are hurtful to ^YOU_NAME. We often refer to this as being bullied. You may include events you told me about already. During this school year, has any student bullied ^YOU_NAME?

That is, has another student...

Destroyed ^YOUR_NAME^NMS property on purpose?



1.

Yes

2.

No



G_19b_BULLY HOW OFTEN



You just indicated that someone had bullied ^YOU_HIM_HER during this school year.  Thinking about all of the ways in which ^YOU_NAME ^WERE_WAS bullied, how often did ^THIS_THOSE_19a  happen?




1.

[bold]Once or twice this school year [n]

2.

[bold]Once or twice a month[n]

3.

[bold]Once or twice a week[n]

4.

[bold]Almost every day[n]

5.

Don't know



G_19c_BULLY_WHERE



Still thinking about all of the times that ^YOU_NAME ^WERE_WAS bullied, where did the bullying occur?  Did it occur...




1.

[bold]In a classroom at school? [n]

2.

[bold]In a hallway or stairwell at school?[n]

3.

[bold]In a bathroom or locker room at school?[n]

4.

[bold]Somewhere else inside the school building?[n]

5.

[bold]Outside on school grounds?[n]

6.

[bold]On a school bus?[n]



G_19c_BULLY_WHERE_SPECIFY



Where is the other place where bullying occurred?



G_19d_BULLY_ADULT_TOLD



Was a teacher or some other adult at school notified about this bullying?



1.

Yes

2.

No



G_19e_BULLY_INJURIES



What were the injuries ^YOU_NAME suffered as a result of being pushed, shoved, tripped, or spit on?
 
Enter all that apply, separate with commas



1.

None

2.

Bruises or swelling

3.

Cuts, scratches, or scrapes

4.

Black eye/bloody nose

5.

Teeth chipped or knocked out

6.

Broken bones/internal injuries

7.

Knocked unconscious

8.

Other



G_19e_BULLY_INJURIES_OTHER









G_20a_E_HARASS_POST



Now I have some questions about what students do that could occur ANYWHERE and that ^MAKE_MADE ^YOU_NAME feel bad or ^ARE_WAS hurtful to ^YOU_HIM_HER. You may include events you told me about already.

During this school year, has another student....

Posted hurtful information about ^YOU_NAME on the Internet, for example, on a social networking site like MySpace or Facebook?






1.

Yes

2.

No



G_20a_E_HARASS_EMAIL



Now I have some questions about what students do that could occur ANYWHERE and that ^MAKE_MADE ^YOU_NAME feel bad or ^ARE_WAS hurtful to ^YOU_HIM_HER. You may include events you told me about already.

During this school year, has another student....

Threatened or insulted ^YOU_NAME through email?



1.

Yes

2.

No



G_20a_E_HARASS_CONTACT



Now I have some questions about what students do that could occur ANYWHERE and that ^MAKE_MADE ^YOU_NAME feel bad or ^ARE_WAS hurtful to ^YOU_HIM_HER. You may include events you told me about already.

During this school year, has another student....

Threatened or insulted ^YOU_NAME through instant messaging?



1.

Yes

2.

No



G_20a_E_HARASS_CONTACT_TEXT



Now I have some questions about what students do that could occur ANYWHERE and that ^MAKE_MADE ^YOU_NAME feel bad or ^ARE_WAS hurtful to ^YOU_HIM_HER. You may include events you told me about already.

During this school year, has another student....

Threatened or insulted ^YOU_NAME through text messaging?



1.

Yes

2.

No



G_20a_E_HARASS_GAME



Now I have some questions about what students do that could occur ANYWHERE and that ^MAKE_MADE ^YOU_NAME feel bad or ^ARE_WAS hurtful to ^YOU_HIM_HER. You may include events you told me about already.

During this school year, has another student....

Threatened or insulted ^YOU_NAME through online gaming, for example, while playing a game, through Second Life, or through XBox?



1.

Yes

2.

No



G_20a_E_HARASS_EXCLUDE



Now I have some questions about what students do that could occur ANYWHERE and that ^MAKE_MADE ^YOU_NAME feel bad or ^ARE_WAS hurtful to ^YOU_HIM_HER. You may include events you told me about already.

During this school year, has another student....

Purposefully excluded ^YOU_NAME from an online community, for example, a buddy list or friends list?



1.

Yes

2.

No



G_20b_E_HARASSMENT_HOW_OFTEN



You just indicated that someone had bullied ^YOU_HIM_HER during this school year.  Thinking about all of the ways in which ^YOU_NAME ^WERE_WAS bullied, how often did ^THIS_THOSE_20a happen?



1.

[bold]Once or twice this school year [n]

2.

[bold]Once or twice a month[n]

3.

[bold]Once or twice a week[n]

4.

[bold]Almost every day[n]

5.

Don't know



G_20c_E_HARASSMENT_NOTIFY



Was a teacher or some other adult at school notified about this bullying?



1.

Yes

2.

No



G_21a_HATE



During this school year, has anyone called ^YOU_NAME an insulting or bad name at school having to do with ^YOUR_HIS_HER race, religion, ethnic background or national origin, disability, gender, or sexual orientation? We call these hate-related words.



1.

Yes

2.

No



G_21b_HATE_RACE



Were any of the hate-related words related to ...

^YOUR_NAME_INITIALCAP^NMS race? . . .






1.

Yes

2.

No

3.

Don't know



G_21b_HATE_RELIGION



Were any of the hate-related words related to ...

^YOUR_NAME_INITIALCAP^NMS religion? . . .



1.

Yes

2.

No

3.

Don't know



G_21b_HATE_ETHNICITY



Were any of the hate-related words related to ... 

^YOUR_NAME_INITIALCAP^NMS ethnic background or national origin (for example, people of Hispanic origin)? . . . .




1.

Yes

2.

No

3.

Don't know



G_21b_HATE_DISABILITY



Were any of the hate-related words related to ...

Any disability (by this I mean physical, mental, or developmental disabilities) ^YOU_NAME may have? . ..






1.

Yes

2.

No

3.

Don't know



G_21b_HATE_GENDER



Were any of the hate-related words related to ...

^YOUR_NAME_INITIALCAP^NMS gender?. . .





1.

Yes

2.

No

3.

Don't know



G_21b_HATE_SEXUAL_ORIENTATION



Were any of the hate-related words related to ...

^YOUR_NAME_INITIALCAP^NMS sexual orientation? . . .






1.

Yes

2.

No

3.

Don't know



G_22_HATE_WORDS



During this school year, ^HAVE_HAS ^YOU_NAME seen any hate-related words or symbols written in school classrooms, school bathrooms, school hallways, or on the outside of ^YOUR_HIS_HER school building?




1.

Yes

2.

No



H_23a_AVOID_SHORTCUT



During this school year, did ^YOU_NAME ever STAY AWAY from any of the following places because ^YOU_HE_SHE thought someone might attack or harm ^YOU_HIM_HER there?


The shortest route to school?




1.

Yes

2.

No



H._23a_AVOID_ENTRANCE



During this school year, did ^YOU_NAME ever STAY AWAY from any of the following places because ^YOU_HE_SHE thought someone might attack or harm ^YOU_HIM_HER there?

The entrance into the school?




1.

Yes

2.

No



H_23a_AVOID_HALLWAYS



During this school year, did ^YOU_NAME ever STAY AWAY from any of the following places because ^YOU_HE_SHE thought someone might attack or harm ^YOU_HIM_HER there?

Any hallways or stairs in school?



1.

Yes

2.

No



H_23a_AVOID_CAFETERIA



During this school year, did ^YOU_NAME ever STAY AWAY from any of the following places because ^YOU_HE_SHE thought someone might attack or harm ^YOU_HIM_HER there?

Parts of the school cafeteria?



1.

Yes

2.

No



H_23a_AVOID_RESTROOMS



During this school year, did ^YOU_NAME ever STAY AWAY from any of the following places because ^YOU_HE_SHE thought someone might attack or harm ^YOU_HIM_HER there?

Any school restrooms?



1.

Yes

2.

No



H_23a_AVOID_OTHER_PLACES



During this school year, did ^YOU_NAME ever STAY AWAY from any of the following places because ^YOU_HE_SHE thought someone might attack or harm ^YOU_HIM_HER there?

Other places inside the school building?



1.

Yes

2.

No



H_23a_AVOID_PARKING_LOT



During this school year, did ^YOU_NAME ever STAY AWAY from any of the following places because ^YOU_HE_SHE thought someone might attack or harm ^YOU_HIM_HER there?

School parking lot?



1.

Yes

2.

No



H_23a_AVOID_OTHER_SCHOOL



During this school year, did ^YOU_NAME ever STAY AWAY from any of the following places because ^YOU_HE_SHE thought someone might attack or harm ^YOU_HIM_HER there?

Other places on school grounds?





1.

Yes

2.

No



H_23b_AVOID_ACTIVITIES



Did ^YOU_NAME AVOID any activities at ^YOUR_HIS_HER school because ^YOU_HE_SHE thought someone might attack or harm ^YOU_HIM_HER?



1.

Yes

2.

No



H_23c_AVOID_CLASSES



Did ^YOU_NAME AVOID any classes because ^YOU_HE_SHE thought someone might attack or harm ^YOU_HIM_HER?



1.

Yes

2.

No



H_23d_STAY_HOME



Did ^YOU_NAME stay home from school because ^YOU_HE_SHE thought someone might attack or harm ^YOU_HIM_HER in the school building, on school property, on a school bus, or going to or from school?



1.

Yes

2.

No



I_24_AFRAID



How often ^IS_ARE ^YOU_NAME afraid that someone will attack or harm ^YOU_HIM_HER in the school building or on school property?

Read Answer Categories



1.

[bold]Never[n]

2.

[bold]Almost never[n]

3.

[bold]Sometimes[n]

4.

[bold]Most of the time[n]

5.

(deleted)



I_25_AFRAID _ON_BUS



How often ^IS_ARE ^YOU_NAME afraid that someone will attack or harm ^YOU_HIM_HER on a school bus or on the way to and from school?

Read answer categories





1.

[bold]Never[n]

2.

[bold]Almost never[n]

3.

[bold]Sometimes[n]

4.

[bold]Most of the time[n]

5.

(deleted)



I_26_AFRAID_NONSCHOOL



Besides the times ^YOU_NAME ^IS_ARE in the school building, on school property, on a school bus, or going to or from school, how often ^IS_ARE ^YOU_HE_SHE afraid that someone will attack or harm ^YOU_HIM_HER?

Read answer categories





1.

[bold]Never[n]

2.

[bold]Almost never[n]

3.

[bold]Sometimes[n]

4.

[bold]Most of the time[n]

5.

(deleted)



J_27a_WEAPONS_GUN



In the next series of questions we are going to ask you about weapons at your school.  All your responses are strictly confidential and will not be shared with anyone.

Some people bring guns, knives, or objects that can be used as weapons to school for protection. 
During this school year, did ^YOU_NAME ever bring the following to school or onto school grounds?

A gun?



1.

Yes

2.

No



J_27b_WEAPONS_KNIFE



Some people bring guns, knives, or objects that can be used as weapons to school for protection. During this school year, did ^YOU_NAME ever bring the following to school or onto school grounds?

A knife brought as a weapon?...





1.

Yes

2.

No



J_27c_WEAPONS_OTHER



Some people bring guns, knives, or objects that can be used as weapons to school for protection. During this school year, did ^YOU_NAME ever bring the following to school or onto school grounds?

Some other weapon?...





1.

Yes

2.

No



J_28a_GUN_OTHERS



^DO_DOES ^YOU_NAME know any ^OTHER students who have brought a gun to ^YOUR_HIS_HER school during this school year?



1.

Yes

2.

No



J_28b_SEE_GUN



^HAVE_HAS ^YOU_NAME actually seen another student with a gun at school during this school year?



1.

Yes

2.

No

3.

Don't know



J_29_GET_GUN



During this school year, could ^YOU_NAME have gotten a loaded gun without adult permission, either at school or away from school?



1.

Yes

2.

No



K_INTRO_GANG



Now, we'd like to know about gangs at ^YOUR_NAME^NMS school. You may know these as street gangs, fighting gangs, crews, or something else. Gangs may use common names, signs, symbols, or colors. For this survey, we are interested in all gangs, whether or not they are involved in violent or illegal activity.  Your responses are confidential.



1.

Enter 1 to Continue



K_30_GANGS



Are there any gangs at ^YOUR_NAME^NMS school?



1.

Yes

2.

No

3.

Don't know



K_31_GANG_FIGHTS



During this school year, how often have gangs been involved in fights, attacks, or other violence at ^YOUR_NAME^NMS school?

Read answer categories 1 through 5




1.

[bold]Never[n]

2.

[bold]Once or twice this school year[n]

3.

[bold]Once or twice a month[n]

4.

[bold]Once or twice a week[n]

5.

[bold]Almost every day[n]

6.

Don't know



K_32_GANG_DRUGS



Have gangs been involved in the sale of drugs at ^YOUR_NAME^NMS school during this school year?



1.

Yes

2.

No

3.

Don't know



L_33a_SKIP_CLASSES



During the last 4 weeks of school, did ^YOU_NAME skip any classes?  Again, we would like to remind you that all your responses are strictly confidential and will not be shared with anyone. 



1.

Yes

2.

No

3.

Don't know



L_33b_SKIP_CLASS_DAYS



During the last 4 weeks of school, on how many days did ^YOU_NAME skip at least one class?



L_34_GRADES



During this school year, across all subjects ^HAVE_HAS ^YOU_NAME gotten mostly -

 Read answer categories1 through 5





1.

[bold]A's[n]

2.

[bold]B's[n]

3.

[bold]C's[n]

4.

[bold]D's[n]

5.

[bold]F's[n]

6.

School does not give grades/no alphabetic grade equivalent



L_35a_SCHOOL_AFTER_SCHOOL



Thinking about the future, ^DO_DOES ^YOU_NAME think ^YOU_HE_SHE will .....

Attend school after high school?






1.

Yes

2.

No

3.

Don't know



L_35b_GRADUATE_4YR



Thinking about the future, ^DO_DOES ^YOU_NAME think ^YOU_HE_SHE will ......

Graduate from a 4-year college?





1.

Yes

2.

No

3.

Don't know



INTVIEWTYPE



 Were the supplement questions asked in private, or was an adult member of the household or family present during at least part of the questions?

If not sure or if a telephone interview ask -

Was an adult member of the household or family present during at least part of these questions? 



LANGUAGE_SPOKEN



 Record the language spoken by the respondent or enter 28 if respondent is hard of hearing.



11.

Spanish

12.

Arabic

13.

Chinese

14.

French

15.

German

16.

Greek

17.

Italian

18.

Japanese

19.

Korean

20.

Polish

21.

Portugese

22.

Russian

23.

Tagalog

24.

Urdu

25.

Vietnamese

26.

Other-Specify

27.

Unknown language

28.

Other problem - hard of hearing



LANGUAGE_SPOKEN_SPEC



 Record the language spoken by the respondent.



SUPPLEMENTEND



 You have completed the School Crime Supplement for this person.

 Enter 1 to Continue



1.

Enter 1 to Continue



Line_number







File Typetext/rtf
File TitleSCHOOL_CRIME_INFO (Tab)
Last Modified ByLisa Price-Grear
File Modified2008-12-31
File Created2008-12-31

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