ACASI Questionnaire
Methodological Research to Support the NCVS: Self-Report Data on Rape and Sexual Assault: Pilot Test
W ACASI questionnaire
Methodological Research to Support the NCVS: Self-Report Data on Rape and Sexual Assault: Pilot Test
OMB: 1121-0343
Introduction
The next questions ask about unwanted sexual situations that you may have experienced in the past 12 months and in your lifetime. Your answers will be used to help determine how often these things happen to women. Some of the language used in this survey is explicit and may be uncomfortable to you, but it is important that the questions are asked in this way so that you are clear about what is meant.
Unwanted sexual experiences can occur in all different types of situations. These situations may involve strangers, but they also may involve someone you know well, such as a romantic partner, friend, acquaintance, teacher, coworker, supervisor, or family member. Please keep this in mind when answering these questions.
As we told you before, the information you are providing will be kept private. Also remember that you can skip questions that you don’t want to answer and you can stop at anytime.
PART ONE:
Questions about the last 12 months
These first few questions ask you to recall any incidents in the past 12 months that happened against your will. You will be asked to count how many separate incidents happened to you over the past year and to list the month when they occurred. The questions begin with the most serious types of incidents and then move to less serious incidents.
Within the past 12 months, that is since [MONTH/YEAR], has a male used force or threats of force to make you have vaginal sex against your will? By vaginal sex, it means putting his penis in your vagina against your will.
Yes Continue to SV1A
No Skip to question SV2
Since [MONTH/YEAR], how many times did this happen to you?
Once Skip to question SV1B
Two or more ___ ___ (enter number) Skip to question SV1B
DON’T KNOW Continue
REFUSED Continue
SV1A1. Do you remember if it was…
2-4 times?
5-9 times?
10-14 times?
15 more times?
In what month and year did (this incident/these incidents/(IF SV1A>4 OR SV1A1>=5 TIMES: the four most recent incidents)) happen? (REFER TO EVENT HISTORY CALENDAR IF NEEDED. FILL IN MONTH AND YEAR FOR EACH TIME THIS HAPPENED TO YOU IN PAST 12 MONTHS; IF THIS HAPPENED TO YOU MORE THAN ONCE IN A MONTH, REPEAT THE MONTH/YEAR FOR EACH TIME IT HAPPENED)
(MONTH/YEAR) □ DON’T KNOW
(MONTH/YEAR) □ DON’T KNOW
(MONTH/YEAR) □ DON’T KNOW
(MONTH/YEAR) □ DON’T KNOW
PROGRAMMER NOTE #1: IF SV1A=once and “DON’T KNOW” IS MARKED IN SV1B, OR IF SV1A=two or more AND ONLY ONE “DON’T KNOW” IS MARKED IN SV1B, CONTINUE. ELSE SKIP TO PROGRAMMER NOTE #2
SV1B_1 You indicated you are not sure of the month and year. Can you confirm that this incident took place since [MONTH/YEAR]?
Yes Skip to Programmer Note #4
No Skip to Programmer Note #3
PROGRAMMER NOTE #2: IF SV1A=two or more and “DON’T KNOW” TO MORE THAN ONE IN SV1B, CONTINUE. ELSE SKIP TO PROGRAMMER NOTE #3
SV1B_2 You indicated you are not sure of the month and year for [count number of DK’s in SV1B] incidents. Can you confirm how many of these incidents – if any - took place before [MONTH/YEAR]?
(ENTER NUMBER) CONTINUE
PROGRAMMER NOTE #3: If month/year is greater than 12 months ago in SV1Ba-d or SV1B_1=No or SV1B_2>0, Delete response and reduce SV1A by appropriate amount. If SV1A was once, and it gets reduced to zero, change SV1 to no and delete all data in A and B follow-ups.
Since [MONTH/YEAR], has anyone, male or female, used force or threats of force to make you have oral sex against your will? By oral sex, it means 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 against your will.
Yes Continue to SV2A
No Skip to question SV3
SV2A. Since [MONTH/YEAR], how many times did this happen to you?
Once Skip to question SV2B
Two or more ___ ___ (enter number) Skip to question SV2B
DON’T KNOW Continue
REFUSED Continue
SV2A1. Do you remember if it was…
2-4 times?
5-9 times?
10-14 times?
15 more times?
SV2B. In what month and year did (this incident/these incidents/(IF SV2A>4 OR SV2A1>=5 TIMES: the four most recent incidents)) happen? (REFER TO EVENT HISTORY CALENDAR IF NEEDED. FILL IN MONTH AND YEAR FOR EACH TIME THIS HAPPENED TO YOU IN PAST 12 MONTHS; IF THIS HAPPENED TO YOU MORE THAN ONCE IN A MONTH, REPEAT THE MONTH/YEAR FOR EACH TIME IT HAPPENED)
(MONTH/YEAR) □ DON’T KNOW
(MONTH/YEAR) □ DON’T KNOW
(MONTH/YEAR) □ DON’T KNOW
(MONTH/YEAR) □ DON’T KNOW
PROGRAMMER NOTE #1: IF SV2A=once and “DON’T KNOW” IS MARKED IN SV2B, OR IF SV2A=two or more AND ONLY ONE “DON’T KNOW” IS MARKED IN SV2B, CONTINUE. ELSE SKIP TO PROGRAMMER NOTE #2
SV2B_1 You indicated you are not sure of the month and year. Can you confirm that this incident took place since [MONTH/YEAR]?
Yes Skip to Programmer Note #4
No Skip to Programmer Note #3
PROGRAMMER NOTE #2: IF SV2A=two or more and “DON’T KNOW” TO MORE THAN ONE IN SV2B, CONTINUE. ELSE SKIP TO PROGRAMMER NOTE #3
SV2B_2 You indicated you are not sure of the month and year for [count number of DK’s in SV2B] incidents. Can you confirm how many of these incidents – if any - took place before [MONTH/YEAR]?
(ENTER NUMBER) CONTINUE
PROGRAMMER NOTE #3: If month/year is greater than 12 months ago in SV2Ba-d or SV2B_1=No or SV2B_2>0, Delete response and reduce SV2A by appropriate amount. If SV2A was once, and it gets reduced to zero, change SV2 to no and delete all data in A and B follow-ups.
PROGRAMMER NOTE #4: If any of the months listed in SV2B match a month listed in SV1B, if any are marked as DK and an incident has been reported in a previous question, Continue. Otherwise, go to SV3.
For each month that matches, if month is only listed once in SV2B, GO TO SV2C1. If month is listed twice in SV2B, GO TO SV2C2. If month is listed three or more times in SV2B, GO TO SV2C3.
If one of the months is marked as “DON’T KNOW”, go to SV2C1. If two of the months are marked as “DON’T KNOW”, go to SV2C2. If three or more of the months are listed as “DON’T KNOW”, go to SV2C3.
Repeat this instruction for each month that matches with SV1B.
SV2C1. Is this part of the other incident(s) you already reported in (MONTH/YEAR)?
Yes, happened at the same time as the other incident(s) already discussed Skip to question SV3
No, separate incidents Skip to question SV3
SV2C2. Are either of these part of the other incident(s) you already reported in (MONTH/YEAR)?
Yes, one is part of the other incident Skip to question SV3
Yes, both are part of the other incidents Skip to question SV3
No, separate incidents Skip to question SV3
SV2C3. Are any of these part of the other incident(s) you already reported in (MONTH/YEAR)?
Yes
No, separate incidents Skip to question SV3
SV2D3. How many of these are part of an incident that you already reported?
___ ___ (enter number) Continue to question SV3
Since [MONTH/YEAR], has a male used force or threats of force to make you have anal sex against your will? By anal sex, it means that a man or boy put his penis in your anus against your will.
Yes Continue to SV3A
No Skip to question SV4
SV3A. How many times did this happen to you since [MONTH/YEAR]?
Once Skip to question SV3B
Two or more ___ ___ (enter number) Skip to question SV3B
DON’T KNOW Continue
REFUSED Continue
SV3A1. Do you remember if it was…
2-4 times?
5-9 times?
10-14 times?
15 more times?
SV3B. In what month and year did (this incident/these incidents/(IF SV3A>4 OR SV3A1>=5 TIMES: the four most recent incidents)) happen? (REFER TO EVENT HISTORY CALENDAR IF NEEDED. FILL IN MONTH AND YEAR FOR EACH TIME THIS HAPPENED TO YOU IN PAST 12 MONTHS; IF THIS HAPPENED TO YOU MORE THAN ONCE IN A MONTH, REPEAT THE MONTH/YEAR FOR EACH TIME IT HAPPENED)
(MONTH/YEAR) □ DON’T KNOW
(MONTH/YEAR) □ DON’T KNOW
(MONTH/YEAR) □ DON’T KNOW
(MONTH/YEAR) □ DON’T KNOW
PROGRAMMER NOTE #1: IF SV3A=once and “DON’T KNOW” IS MARKED IN SV3B, OR IF SV3A=two or more AND ONLY ONE “DON’T KNOW” IS MARKED IN SV3B, CONTINUE. ELSE SKIP TO PROGRAMMER NOTE #2
SV3B_1 You indicated you are not sure of the month and year. Can you confirm that this incident took place since [MONTH/YEAR]?
Yes Skip to Programmer Note #4
No Skip to Programmer Note #3
PROGRAMMER NOTE #2: IF SV3A=two or more and “DON’T KNOW” TO MORE THAN ONE IN SV3B, CONTINUE. ELSE SKIP TO PROGRAMMER NOTE #3
SV3B_2 You indicated you are not sure of the month and year for [count number of DK’s in SV3B] incidents. Can you confirm how many of these incidents – if any - took place before [MONTH/YEAR]?
(ENTER NUMBER) CONTINUE
PROGRAMMER NOTE #3: If month/year is greater than 12 months ago in SV3Ba-d or SV3B_1=No or SV3B_2>0, Delete response and reduce SV3A by appropriate amount. If SV3A was once, and it gets reduced to zero, change SV3 to no and delete all data in A and B follow-ups.
PROGRAMMER NOTE#4 : If any of the months listed in SV3B match a month listed in SV1B OR SV2B,
if any are marked as DK and an incident has been reported in a previous question, Continue. Otherwise, go to SV4.
For each month that matches, if month is only listed once in SV3B, GO TO SV3C1. If month is listed twice in SV3B, GO TO SV3C2. If month is listed three or more times in SV3B, GO TO SV3C3.
If one of the months is marked as “DON’T KNOW”, go to SV3C1. If two of the months are marked as “DON’T KNOW”, go to SV3C2. If three or more of the months are listed as “DON’T KNOW”, go to SV3C3.
SV3C1. Is this part of the other incident(s) you already reported in (MONTH/YEAR)?
Yes, happened at the same time as the other incident(s) already discussed Skip to question SV4
No, separate incidents Skip to question SV4
SV3C2. Are either of these part of the other incident(s) you already reported in (MONTH/YEAR)?
Yes, one is part of the other incident Skip to question SV4
Yes, both are part of the other incidents Skip to question SV4
No, separate incidents Skip to question SV4
SV3C3. Are any of these part of the other incident(s) you already reported in (MONTH/YEAR)?
Yes
No, separate incidents Skip to question SV4
SV3D3. How many of these are part of an incident that you already reported?
___ ___ (enter number) Continue to question SV4
Since [MONTH/YEAR], has a male or female used force or threats of force to put fingers or a foreign object in your vagina or anus against your will?
Yes Continue to SV4A
No Skip to question SV5
SV4A. How many times did this happen to you since [MONTH/YEAR]?
Once Skip to question SV4B
Two or more ___ ___ (enter number) Skip to question SV4B
DON’T KNOW Continue
REFUSED Continue
SV4A1. Do you remember if it was…
2-4 times?
5-9 times?
10-14 times?
15 more times?
SV4B.In what month and year did (this incident/these incidents/(IF SV4A>4 OR SV4A1>=5 TIMES: the four most recent incidents)) happen? (REFER TO EVENT HISTORY CALENDAR IF NEEDED. FILL IN MONTH AND YEAR FOR EACH TIME THIS HAPPENED TO YOU IN PAST 12 MONTHS; IF THIS HAPPENED TO YOU MORE THAN ONCE IN A MONTH, REPEAT THE MONTH/YEAR FOR EACH TIME IT HAPPENED)
(MONTH/YEAR) □ DON’T KNOW
(MONTH/YEAR) □ DON’T KNOW
(MONTH/YEAR) □ DON’T KNOW
(MONTH/YEAR) □ DON’T KNOW
PROGRAMMER NOTE #1: IF SV4A=once and “DON’T KNOW” IS MARKED IN SV4B, OR IF SV4A=two or more AND ONLY ONE “DON’T KNOW” IS MARKED IN SV4B, CONTINUE. ELSE SKIP TO PROGRAMMER NOTE #2
SV4B_1 You indicated you are not sure of the month and year. Can you confirm that this incident took place since [MONTH/YEAR]?
Yes Skip to Programmer Note #4
No Skip to Programmer Note #3
PROGRAMMER NOTE #2: IF SV4A=two or more and “DON’T KNOW” TO MORE THAN ONE IN SV4B, CONTINUE. ELSE SKIP TO PROGRAMMER NOTE #3
SV4B_2 You indicated you are not sure of the month and year for [count number of DK’s in SV4B] incidents. Can you confirm how many of these incidents – if any - took place before [MONTH/YEAR]?
(ENTER NUMBER) CONTINUE
PROGRAMMER NOTE #3: If month/year is greater than 12 months ago in SV4Ba-d or SV4B_1=No or SV4B_2>0, Delete response and reduce SV4A by appropriate amount. If SV4A was once, and it gets reduced to zero, change SV4 to no and delete all data in A and B follow-ups.
PROGRAMMER NOTE #4: If any of the months listed in SV4B match a month listed in SV1B, SV2B or SV3B, Continue. if any are marked as DK and an incident has been reported in a previous question, Continue. Otherwise, go to SV5.
For each month that matches, if month is only listed once in SV4B, GO TO SV4C1. If month is listed twice in SV4B, GO TO SV4C2. If month is listed three or more times in SV4B, GO TO SV4C3.
If one of the months is marked as “DON’T KNOW”, go to SV4C1. If two of the months are marked as “DON’T KNOW”, go to SV4C2. If three or more of the months are listed as “DON’T KNOW”, go to SV4C3.
Repeat this instruction for each month that matches with SV1B, SV2B or SV3B.
SV4C1. Is this part of the other incident(s) you already reported in (MONTH/YEAR)?
Yes, happened at the same time as the other incident(s) already discussed Skip to question SV5
No, separate incidents Skip to question SV5
SV4C2. Are either of these part of the other incident(s) you already reported in (MONTH/YEAR)?
Yes, one is part of the other incident Skip to question SV5
Yes, both are part of the other incidents Skip to question SV5
No, separate incidents Skip to question SV5
SV4C3. Are any of these part of the other incident(s) you already reported in (MONTH/YEAR)?
Yes
No, separate incidents Skip to question SV5
SV4D3. How many of these are part of an incident that you already reported?
___ ___ (enter number) Continue to question SV5
When answering these next questions, please consider all the types of sex acts that you have been asked about so far; including vaginal sex, oral sex, anal sex, or putting fingers or a foreign object in your vagina or anus.
These questions will now focus on other types of unwanted sexual experiences that may not have involved force, but that were against your will.
SV5. (Other than the incidents you have already mentioned), since [MONTH/YEAR] has anyone made you have any type of sex when you were unable to consent because you were too drunk, high or passed out?
Yes Continue to SV5A
No Skip to SV6
SV5A. Since [MONTH/YEAR], how many times did this happen to you?
Once Skip to question SV5B
Two or more ___ ___ (enter number) Skip to question SV5B
DON’T KNOW Continue
REFUSED Continue
SV5A1. Do you remember if it was…
2-4 times?
5-9 times?
10-14 times?
15 more times?
SV5B. In what month and year did (this incident/these incidents/(IF SV5A>4 OR SV5A1>=5 TIMES: the four most recent incidents)) happen? (REFER TO EVENT HISTORY CALENDAR IF NEEDED. FILL IN MONTH AND YEAR FOR EACH TIME THIS HAPPENED TO YOU IN PAST 12 MONTHS; IF THIS HAPPENED TO YOU MORE THAN ONCE IN A MONTH, REPEAT THE MONTH/YEAR FOR EACH TIME IT HAPPENED)
(MONTH/YEAR) □ DON’T KNOW
(MONTH/YEAR) □ DON’T KNOW
(MONTH/YEAR) □ DON’T KNOW
(MONTH/YEAR) □ DON’T KNOW
PROGRAMMER NOTE #1: IF SV5A=once and “DON’T KNOW” IS MARKED IN SV5B, OR IF SV5A=two or more AND ONLY ONE “DON’T KNOW” IS MARKED IN SV5B, CONTINUE. ELSE SKIP TO PROGRAMMER NOTE #2
SV5B_1 You indicated you are not sure of the month and year. Can you confirm that this incident took place since [MONTH/YEAR]?
Yes Skip to Programmer Note #4
No Skip to Programmer Note #3
PROGRAMMER NOTE #2: IF SV5A=two or more and “DON’T KNOW” TO MORE THAN ONE IN SV5B, CONTINUE. ELSE SKIP TO PROGRAMMER NOTE #3
SV5B_2 You indicated you are not sure of the month and year for [count number of DK’s in SV5B] incidents. Can you confirm how many of these incidents – if any - took place before [MONTH/YEAR]?
(ENTER NUMBER) CONTINUE
PROGRAMMER NOTE #3: If month/year is greater than 12 months ago in SV5Ba-d or SV5B_1=No or SV5B_2>0, Delete response and reduce SV5A by appropriate amount. If SV5A was once, and it gets reduced to zero, change SV5 to no and delete all data in A and B follow-ups.
PROGRAMMER NOTE #4: If any of the months listed in SV5B match a month listed in SV1B, SV2B, SV3B, or SV4B, if any are marked as DK and an incident has been reported in a previous question, Continue. Otherwise, go to SV6.
For each month that matches, if month is only listed once in SV5B, GO TO SV5C1. If month is listed twice in SV5B, GO TO SV5C2. If month is listed three or more times in SV5B, GO TO SV5C3.
If one of the months is marked as “DON’T KNOW”, go to SV5C1. If two of the months are marked as “DON’T KNOW”, go to SV5C2. If three or more of the months are listed as “DON’T KNOW”, go to SV5C3.
Repeat this instruction for each month that matches with SV1B, SV2B, SV3B or SV4B.
SV5C1. Is this part of the other incident(s) you already reported in (MONTH/YEAR)?
Yes, happened at the same time as the other incident(s) already discussed Skip to question SV6
No, separate incidents Skip to question SV6
SV5C2. Are either of these part of the other incident(s) you already reported in (MONTH/YEAR)?
Yes, one is part of the other incident Skip to question SV6
Yes, both are part of the other incidents Skip to question SV6
No, separate incidents Skip to question SV6
SV5C3. Are any of these part of the other incident(s) you already reported in (MONTH/YEAR)?
Yes
No, separate incidents Skip to question SV6
SV5D3. How many of these are part of an incident that you already reported?
___ ___ (enter number) Continue to question SV6
SV6. (Other than the incidents you have already mentioned,) since [MONTH/YEAR], has anyone made you have any type of sex against your will by threatening to cause problems for you, such as at your job or school, at home, in your relationships or in any other way? [Remember to think about all the types of sex mentioned before].
Yes Continue to SV6A
No Skip to question SV7
SV6A. Since [MONTH/YEAR], how many times did this happen to you?
Once Skip to question SV6B
Two or more ___ ___ (enter number) Skip to question SV6B
DON’T KNOW Continue
REFUSED Continue
SV6A1. Do you remember if it was…
2-4 times?
5-9 times?
10-14 times?
15 more times?
SV6B.In what month and year did (this incident/these incidents/(IF SV6A>4 OR SV6A1>=5 TIMES: the four most recent incidents)) happen? (REFER TO EVENT HISTORY CALENDAR IF NEEDED. FILL IN MONTH AND YEAR FOR EACH TIME THIS HAPPENED TO YOU IN PAST 12 MONTHS; IF THIS HAPPENED TO YOU MORE THAN ONCE IN A MONTH, REPEAT THE MONTH/YEAR FOR EACH TIME IT HAPPENED)
(MONTH/YEAR) □ DON’T KNOW
(MONTH/YEAR) □ DON’T KNOW
(MONTH/YEAR) □ DON’T KNOW
(MONTH/YEAR) □ DON’T KNOW
PROGRAMMER NOTE #1: IF SV6A=once and “DON’T KNOW” IS MARKED IN SV6B, OR IF SV6A=two or more AND ONLY ONE “DON’T KNOW” IS MARKED IN SV6B, CONTINUE. ELSE SKIP TO PROGRAMMER NOTE #2
SV6B_1 You indicated you are not sure of the month and year. Can you confirm that this incident took place since [MONTH/YEAR]?
Yes Skip to Programmer Note #4
No Skip to Programmer Note #3
PROGRAMMER NOTE #2: IF SV6A=two or more and “DON’T KNOW” TO MORE THAN ONE IN SV6B, CONTINUE. ELSE SKIP TO PROGRAMMER NOTE #3
SV6B_2 You indicated you are not sure of the month and year for [count number of DK’s in SV6B] incidents. Can you confirm how many of these incidents – if any - took place before [MONTH/YEAR]?
(ENTER NUMBER) CONTINUE
PROGRAMMER NOTE #3: If month/year is greater than 12 months ago in SV6Ba-d or SV6B_1=No or SV6B_2>0, Delete response and reduce SV6A by appropriate amount. If SV6A was once, and it gets reduced to zero, change SV6 to no and delete all data in A and B follow-ups.
PROGRAMMER NOTE #4: If any of the months listed in SV6B match a month listed in SV1B, SV2B, SV3B, SV4B, or SV5B, if any are marked as DK and an incident has been reported in a previous question, Continue. Otherwise, go to SV7.
For each month that matches, if month is only listed once in SV6B, GO TO SV6C1. If month is listed twice in SV6B, GO TO SV6C2. If month is listed three or more times in SV6B, GO TO SV6C3.
If one of the months is marked as “DON’T KNOW”, go to SV6C1. If two of the months are marked as “DON’T KNOW”, go to SV6C2. If three or more of the months are listed as “DON’T KNOW”, go to SV6C3.
Repeat this instruction for each month that matches with SV1B, SV2B, SV3B, SV4B, or SV5B.
SV6C1. Is this part of the other incident(s) you already reported in (MONTH/YEAR)?
Yes, happened at the same time as the other incident(s) already discussed Skip to question SV7
No, separate incidents Skip to question SV7
SV6C2. Are either of these part of the other incident(s) you already reported in (MONTH/YEAR)?
Yes, one is part of the other incident Skip to question SV7
Yes, both are part of the other incidents Skip to question SV7
No, separate incidents Skip to question SV7
SV6C3. Are any of these part of the other incident(s) you already reported in (MONTH/YEAR)?
Yes
No, separate incidents Skip to question SV7
SV6D3. How many of these are part of an incident that you already reported?
___ ___ (enter number) Continue to question SV7
SV7. (Other than the incidents you have already mentioned), since [MONTH/YEAR], have you been in any other situations where someone made you have any type of sex against your will? [Remember to think about all the types of sex mentioned before].
Yes Continue to SV7A
No Skip to SV8
SV7A. Since [MONTH/YEAR], how many times did this happen to you?
Once Skip to question SV7B
Two or more ___ ___ (enter number) Skip to question SV7B
DON’T KNOW Continue
REFUSED Continue
SV7A1. Do you remember if it was…
2-4 times?
5-9 times?
10-14 times?
15 more times?
SV7B. In what month and year did (this incident/these incidents/(IF SV7A>4 OR SV7A1>=5 TIMES: the four most recent incidents)) happen? (REFER TO EVENT HISTORY CALENDAR IF NEEDED. FILL IN MONTH AND YEAR FOR EACH TIME THIS HAPPENED TO YOU IN PAST 12 MONTHS; IF THIS HAPPENED TO YOU MORE THAN ONCE IN A MONTH, REPEAT THE MONTH/YEAR FOR EACH TIME IT HAPPENED)
(MONTH/YEAR) □ DON’T KNOW
(MONTH/YEAR) □ DON’T KNOW
(MONTH/YEAR) □ DON’T KNOW
(MONTH/YEAR) □ DON’T KNOW
PROGRAMMER NOTE #1: IF SV7A=once and “DON’T KNOW” IS MARKED IN SV7B, OR IF SV7A=two or more AND ONLY ONE “DON’T KNOW” IS MARKED IN SV7B, CONTINUE. ELSE SKIP TO PROGRAMMER NOTE #2
SV7B_1 You indicated you are not sure of the month and year. Can you confirm that this incident took place since [MONTH/YEAR]?
Yes Skip to Programmer Note #4
No Skip to Programmer Note #3
PROGRAMMER NOTE #2: IF SV7A=two or more and “DON’T KNOW” TO MORE THAN ONE IN SV7B, CONTINUE. ELSE SKIP TO PROGRAMMER NOTE #3
SV7B_2 You indicated you are not sure of the month and year for [count number of DK’s in SV7B] incidents. Can you confirm how many of these incidents – if any - took place before [MONTH/YEAR]?
(ENTER NUMBER) CONTINUE
PROGRAMMER NOTE #3: If month/year is greater than 12 months ago in SV7Ba-d or SV7B_1=No or SV7B_2>0, Delete response and reduce SV7A by appropriate amount. If SV7A was once, and it gets reduced to zero, change SV7 to no and delete all data in A and B follow-ups.
PROGRAMMER NOTE #4: If any of the months listed in SV7B match a month listed in SV1B, SV2B, SV3B, SV4B, SV5B or SV6B, if any are marked as DK and an incident has been reported in a previous question, Continue. Otherwise, go to SV8.
For each month that matches, if month is only listed once in SV7B, GO TO SV7C1. If month is listed twice in SV7B, GO TO SV7C2. If month is listed three or more times in SV7B, GO TO SV7C3.
If one of the months is marked as “DON’T KNOW”, go to SV7C1. If two of the months are marked as “DON’T KNOW”, go to SV7C2. If three or more of the months are listed as “DON’T KNOW”, go to SV7C3.
Repeat this instruction for each month that matches with SV1B, SV2B, SV3B, SV4B, SV5B or SV6B.
SV7C1. Is this part of the other incident(s) you already reported in (MONTH/YEAR)?
Yes, happened at the same time as the other incident(s) already discussed Skip to question SV8
No, separate incidents Skip to question SV8
SV7C2. Are either of these part of the other incident(s) you already reported in (MONTH/YEAR)?
Yes, one is part of the other incident Skip to question SV8
Yes, both are part of the other incidents Skip to question SV8
No, separate incidents Skip to question SV8
SV7C3. Are any of these part of the other incident(s) you already reported in (MONTH/YEAR)?
Yes
No, separate incidents Skip to question SV8
SV7D3. How many of these are part of an incident that you already reported?
___ ___ (enter number) Continue to question SV8
SV8. Thinking about all the different types of situations you have been asked about so far, since [MONTH/YEAR], has anyone tried, but did not succeed at making you have any type of sex against your will? Remember to think about all the types of sex mentioned before].
Yes Continue to SV8A
No Skip to SV9
SV8A. Since [MONTH/YEAR], how many times did this happen to you?
Once Skip to question SV8B
Two or more ___ ___ (enter number) Skip to question SV8B
DON’T KNOW Continue
REFUSED Continue
SV8A1. Do you remember if it was…
2-4 times?
5-9 times?
10-14 times?
15 more times?
SV8B.In what month and year did (this incident/these incidents/(IF SV8A>4 OR SV8A1>=5 TIMES: the four most recent incidents)) happen? (REFER TO EVENT HISTORY CALENDAR IF NEEDED. FILL IN MONTH AND YEAR FOR EACH TIME THIS HAPPENED TO YOU IN PAST 12 MONTHS; IF THIS HAPPENED TO YOU MORE THAN ONCE IN A MONTH, REPEAT THE MONTH/YEAR FOR EACH TIME IT HAPPENED)
(MONTH/YEAR) □ DON’T KNOW
(MONTH/YEAR) □ DON’T KNOW
(MONTH/YEAR) □ DON’T KNOW
(MONTH/YEAR) □ DON’T KNOW
PROGRAMMER NOTE #1: IF SV8A=once and “DON’T KNOW” IS MARKED IN SV8B, OR IF SV8A=two or more AND ONLY ONE “DON’T KNOW” IS MARKED IN SV8B, CONTINUE. ELSE SKIP TO PROGRAMMER NOTE #2
SV8B_1 You indicated you are not sure of the month and year. Can you confirm that this incident took place since [MONTH/YEAR]?
Yes Skip to Programmer Note #4
No Skip to Programmer Note #3
PROGRAMMER NOTE #2: IF SV8A=two or more and “DON’T KNOW” TO MORE THAN ONE IN SV8B, CONTINUE. ELSE SKIP TO PROGRAMMER NOTE #3
SV8B_2 You indicated you are not sure of the month and year for [count number of DK’s in SV8B] incidents. Can you confirm how many of these incidents – if any - took place before [MONTH/YEAR]?
(ENTER NUMBER) CONTINUE
PROGRAMMER NOTE #3: If month/year is greater than 12 months ago in SV8Ba-d or SV8B_1=No or SV8B_2>0, Delete response and reduce SV8A by appropriate amount. If SV8A was once, and it gets reduced to zero, change SV8 to no and delete all data in A and B follow-ups.
PROGRAMMER NOTE #4: If any of the months listed in SV8B match a month listed in SV1B, SV2B, SV3B, SV4B, SV5B, SV6B or SV7B, Continue. Otherwise, go to SV9.
For each month that matches, if month is only listed once in SV8B, GO TO SV8C1. If month is listed twice in SV8B, GO TO SV8C2. If month is listed three or more times in SV8B, GO TO SV8C3.
Repeat this instruction for each month that matches with SV1B, SV2B, SV3B, SV4B, SV5B SV6B or SV7B.
SV8C1. Is this part of the other incident(s) you already reported in (MONTH/YEAR)?
Yes, happened at the same time as the other incident(s) already discussed Skip to question SV8
No, separate incidents Skip to question SV8
SV8C2. Are either of these part of the other incident(s) you already reported in (MONTH/YEAR)?
Yes, one is part of the other incident Skip to question SV8
Yes, both are part of the other incidents Skip to question SV8
No, separate incidents Skip to question SV8
SV8C3. Are any of these part of the other incident(s) you already reported in (MONTH/YEAR)?
Yes
No, separate incidents Skip to question SV8
SV8D3. How many of these are part of an incident that you already reported?
___ ___ (enter number) Continue to question SV8
SV9. (Other than the incidents you have already mentioned,) since [MONTH/YEAR] has anyone, male or female, kissed you in a sexual way against your will?
Yes Continue to question SV9A
No Skip to question SV10
SV9A. Since [MONTH/YEAR], how many times did this happen to you?
Once Skip to question SV9B
Two or more ___ ___ (enter number) Skip to question SV9B
DON’T KNOW Continue
REFUSED Continue
SV9A1. Do you remember if it was…
2-4 times?
5-9 times?
10-14 times?
15 more times?
SV9B.In what month and year did (this incident/these incidents/(IF SV9A>4 OR SV9A1>=5 TIMES: the four most recent incidents)) happen? (REFER TO EVENT HISTORY CALENDAR IF NEEDED. FILL IN MONTH AND YEAR FOR EACH TIME THIS HAPPENED TO YOU IN PAST 12 MONTHS; IF THIS HAPPENED TO YOU MORE THAN ONCE IN A MONTH, REPEAT THE MONTH/YEAR FOR EACH TIME IT HAPPENED)
(MONTH/YEAR) □ DON’T KNOW
(MONTH/YEAR) □ DON’T KNOW
(MONTH/YEAR) □ DON’T KNOW
(MONTH/YEAR) □ DON’T KNOW
PROGRAMMER NOTE #1: IF SV9A=once and “DON’T KNOW” IS MARKED IN SV9B, OR IF SV9A=two or more AND ONLY ONE “DON’T KNOW” IS MARKED IN SV9B, CONTINUE. ELSE SKIP TO PROGRAMMER NOTE #2
SV9B_1 You indicated you are not sure of the month and year. Can you confirm that this incident took place since [MONTH/YEAR]?
Yes Skip to Programmer Note #4
No Skip to Programmer Note #3
PROGRAMMER NOTE #2: IF SV9A=two or more and “DON’T KNOW” TO MORE THAN ONE IN SV9B, CONTINUE. ELSE SKIP TO PROGRAMMER NOTE #3
SV9B_2 You indicated you are not sure of the month and year for [count number of DK’s in SV9B] incidents. Can you confirm how many of these incidents – if any - took place before [MONTH/YEAR]?
(ENTER NUMBER) CONTINUE
PROGRAMMER NOTE #3: If month/year is greater than 12 months ago in SV9Ba-d or SV9B_1=No or SV9B_2>0, Delete response and reduce SV9A by appropriate amount. If SV9A was once, and it gets reduced to zero, change SV9 to no and delete all data in A and B follow-ups.
PROGRAMMER NOTE #4: If any of the months listed in SV9B match a month listed in SV1B, SV2B, SV3B, SV4B, SV5B, SV6B, SV7B or SV8B, if any are marked as DK and an incident has been reported in a previous question, Continue. Otherwise, go to SV10.
For each month that matches, if month is only listed once in SV9B, GO TO SV9C1. If month is listed twice in SV9B, GO TO SV9C2. If month is listed three or more times in SV9B, GO TO SV9C3.
If one of the months is marked as “DON’T KNOW”, go to SV9C1. If two of the months are marked as “DON’T KNOW”, go to SV9C2. If three or more of the months are listed as “DON’T KNOW”, go to SV9C3.
Repeat this instruction for each month that matches with SV1B, SV2B, SV3B, SV4B, SV5B, SV6B, SV7B or SV8B.
SV9C1. Is this part of the other incident(s) you already reported in (MONTH/YEAR)?
Yes, happened at the same time as the other incident(s) already discussed Skip to question SV10
No, separate incidents Skip to question SV10
SV9C2. Are either of these part of the other incident(s) you already reported in (MONTH/YEAR)?
Yes, one is part of the other incident Skip to question SV10
Yes, both are part of the other incidents Skip to question SV10
No, separate incidents Skip to question SV10
SV9C3. Are any of these part of the other incident(s) you already reported in (MONTH/YEAR)?
Yes
No, separate incidents Skip to question SV10
SV9D3. How many of these are part of an incident that you already reported?
___ ___ (enter number) Continue to question SV10
SV10. (Other than the incidents you have already mentioned,) since [MONTH/YEAR], has anyone, male or female, fondled, groped, grabbed, or touched you against your will?
Yes Continue to question SV10A
No Skip to question SV11
SV10A. Since [MONTH/YEAR], how many times did this happen to you?
Once Skip to question SV10B
Two or more ___ ___ (enter number) Skip to question SV10B
DON’T KNOW Continue
REFUSED Continue
SV10A1. Do you remember if it was…
2-4 times?
5-9 times?
10-14 times?
15 more times?
SV10B.In what month and year did (this incident/these incidents/(IF SV10A>4 OR SV10A1>=5 TIMES: the four most recent incidents)) happen? (REFER TO EVENT HISTORY CALENDAR IF NEEDED. FILL IN MONTH AND YEAR FOR EACH TIME THIS HAPPENED TO YOU IN PAST 12 MONTHS; IF THIS HAPPENED TO YOU MORE THAN ONCE IN A MONTH, REPEAT THE MONTH/YEAR FOR EACH TIME IT HAPPENED)
(MONTH/YEAR) □ DON’T KNOW
(MONTH/YEAR) □ DON’T KNOW
(MONTH/YEAR) □ DON’T KNOW
(MONTH/YEAR) □ DON’T KNOW
PROGRAMMER NOTE #1: IF SV10A=once and “DON’T KNOW” IS MARKED IN SV10B, OR IF SV10A=two or more AND ONLY ONE “DON’T KNOW” IS MARKED IN SV10B, CONTINUE. ELSE SKIP TO PROGRAMMER NOTE #2
SV10B_1 You indicated you are not sure of the month and year. Can you confirm that this incident took place since [MONTH/YEAR]?
Yes Skip to Programmer Note #4
No Skip to Programmer Note #3
PROGRAMMER NOTE #2: IF SV10A=two or more and “DON’T KNOW” TO MORE THAN ONE IN SV10B, CONTINUE. ELSE SKIP TO PROGRAMMER NOTE #3
SV10B_2 You indicated you are not sure of the month and year for [count number of DK’s in SV10B] incidents. Can you confirm how many of these incidents – if any - took place before [MONTH/YEAR]?
(ENTER NUMBER) CONTINUE
PROGRAMMER NOTE #3: If month/year is greater than 12 months ago in SV10Ba-d or SV10B_1=No or SV10B_2>0, Delete response and reduce SV10A by appropriate amount. If SV10A was once, and it gets reduced to zero, change SV10 to no and delete all data in A and B follow-ups.
PROGRAMMER NOTE #4: If any of the months listed in SV10B match a month listed in SV1B, SV2B, SV3B, SV4B, SV5B, SV6B, SV7B SV8B, or SV9B, if any are marked as DK and an incident has been reported in a previous question, Continue. Otherwise, go to SV11.
For each month that matches, if month is only listed once in SV10B, GO TO SV10C1. If month is listed twice in SV10B, GO TO SV10C2. If month is listed three or more times in SV10B, GO TO SV10C3.
If one of the months is marked as “DON’T KNOW”, go to SV10C1. If two of the months are marked as “DON’T KNOW”, go to SV10C2. If three or more of the months are listed as “DON’T KNOW”, go to SV10C3.
Repeat this instruction for each month that matches with SV1B, SV2B, SV3B, SV4B, SV5B, SV6B, SV7B or SV8, or SV9B.
SV10C1. Is this part of the other incident(s) you already reported in (MONTH/YEAR)?
Yes, happened at the same time as the other incident(s) already discussed Skip to question SV11
No, separate incidents Skip to question SV11
SV10C2. Are either of these part of the other incident(s) you already reported in (MONTH/YEAR)?
Yes, one is part of the other incident Skip to question SV11
Yes, both are part of the other incidents Skip to question SV11
No, separate incidents Skip to question SV11
SV10C3. Are any of these part of the other incident(s) you already reported in (MONTH/YEAR)?
Yes
No, separate incidents Skip to question SV11
SV10D3. How many of these are part of an incident that you already reported?
___ ___ (enter number) Continue to question SV11
(Other than the incidents you have already mentioned,) since [MONTH/YEAR], has anyone, male or female, made you watch against your will while they exposed their sexual body parts to you, flashed you, or masturbated in front of you?
Yes Continue to question SV11A
No Skip to question SV12
SV11A. Since [MONTH/YEAR], how many times did this happen to you?
Once Skip to question SV11B
Two or more ___ ___ (enter number) Skip to question SV11B
DON’T KNOW Continue
REFUSED Continue
SV11A1. Do you remember if it was…
2-4 times?
5-9 times?
10-14 times?
15 more times?
SV11B. In what month and year did (this incident/these incidents/(IF SV11A>4 OR SV11A1>=5 TIMES: the four most recent incidents)) happen? (REFER TO EVENT HISTORY CALENDAR IF NEEDED. FILL IN MONTH AND YEAR FOR EACH TIME THIS HAPPENED TO YOU IN PAST 12 MONTHS; IF THIS HAPPENED TO YOU MORE THAN ONCE IN A MONTH, REPEAT THE MONTH/YEAR FOR EACH TIME IT HAPPENED)
(MONTH/YEAR) □ DON’T KNOW
(MONTH/YEAR) □ DON’T KNOW
(MONTH/YEAR) □ DON’T KNOW
(MONTH/YEAR) □ DON’T KNOW
PROGRAMMER NOTE #1: IF SV11A=once and “DON’T KNOW” IS MARKED IN SV11B, OR IF SV11A=two or more AND ONLY ONE “DON’T KNOW” IS MARKED IN SV11B, CONTINUE. ELSE SKIP TO PROGRAMMER NOTE #2
SV11B_1 You indicated you are not sure of the month and year. Can you confirm that this incident took place since [MONTH/YEAR]?
Yes Skip to Programmer Note #4
No Skip to Programmer Note #3
PROGRAMMER NOTE #2: IF SV11A=two or more and “DON’T KNOW” TO MORE THAN ONE IN SV11B, CONTINUE. ELSE SKIP TO PROGRAMMER NOTE #3
SV11B_2 You indicated you are not sure of the month and year for [count number of DK’s in SV11B] incidents. Can you confirm how many of these incidents – if any - took place before [MONTH/YEAR]?
(ENTER NUMBER) CONTINUE
PROGRAMMER NOTE #3: If month/year is greater than 12 months ago in SV11Ba-d or SV11B_1=No or SV11B_2>0, Delete response and reduce SV11A by appropriate amount. If SV11A was once, and it gets reduced to zero, change SV11 to no and delete all data in A and B follow-ups.
PROGRAMMER NOTE #4: If any of the months listed in SV11B match a month listed in SV1B, SV2B, SV3B, SV4B, SV5B, SV6B, SV7B, SV8B, SV9B or SV10B if any are marked as DK and an incident has been reported in a previous question, Continue. Otherwise, go to SV12.
For each month that matches, if month is only listed once in SV11B, GO TO SV11C1. If month is listed twice in SV11B, GO TO SV11C2. If month is listed three or more times in SV11B, GO TO SV11C3.
If one of the months is marked as “DON’T KNOW”, go to SV11C1. If two of the months are marked as “DON’T KNOW”, go to SV11C2. If three or more of the months are listed as “DON’T KNOW”, go to SV11C3.
Repeat this instruction for each month that matches with SV1B, SV2B, SV3B, SV4B, SV5B, SV6B, SV7B, SV8B, SV9B or SV10B.
SV11C1. Is this part of the other incident(s) you already reported in (MONTH/YEAR)?
Yes, happened at the same time as the other incident(s) already discussed Skip to question SV12
No, separate incidents Skip to question SV12
SV11C2. Are either of these part of the other incident(s) you already reported in (MONTH/YEAR)?
Yes, one is part of the other incident Skip to question SV12
Yes, both are part of the other incidents Skip to question SV12
No, separate incidents Skip to question SV12
SV11C3. Are any of these part of the other incident(s) you already reported in (MONTH/YEAR)?
Yes
No, separate incidents Skip to question SV12
SV11D3. How many of these are part of an incident that you already reported?
___ ___ (enter number) Continue to question SV12
(Other than the incidents you have already mentioned,) since (MONTH/YEAR), has anyone, male or female, made you show your sexual body parts to them against your will?
Yes Continue to question SV12A
No Skip to question SV13
SV12A. Since [MONTH/YEAR], how many times did this happen to you?
Once Skip to question SV12B
Two or more ___ ___ (enter number) Skip to question SV12B
DON’T KNOW Continue
REFUSED Continue
SV12A1. Do you remember if it was…
2-4 times?
5-9 times?
10-14 times?
15 more times?
SV12B. In what month and year did (this incident/these incidents/(IF SV12A>4 OR SV12A1>=5 TIMES: the most recent incidents)) happen? (REFER TO EVENT HISTORY CALENDAR IF NEEDED. FILL IN MONTH AND YEAR FOR EACH TIME THIS HAPPENED TO YOU IN PAST 12 MONTHS; IF THIS HAPPENED TO YOU MORE THAN ONCE IN A MONTH, REPEAT THE MONTH/YEAR FOR EACH TIME IT HAPPENED)
(MONTH/YEAR) □ DON’T KNOW
(MONTH/YEAR) □ DON’T KNOW
(MONTH/YEAR) □ DON’T KNOW
(MONTH/YEAR) □ DON’T KNOW
PROGRAMMER NOTE #1: IF SV12A=once and “DON’T KNOW” IS MARKED IN SV12B, OR IF SV12A=two or more AND ONLY ONE “DON’T KNOW” IS MARKED IN SV12B, CONTINUE. ELSE SKIP TO PROGRAMMER NOTE #2
SV12B_1 You indicated you are not sure of the month and year. Can you confirm that this incident took place since [MONTH/YEAR]?
Yes Skip to Programmer Note #4
No Skip to Programmer Note #3
PROGRAMMER NOTE #2: IF SV12A=two or more and “DON’T KNOW” TO MORE THAN ONE IN SV12B, CONTINUE. ELSE SKIP TO PROGRAMMER NOTE #3
SV12B_2 You indicated you are not sure of the month and year for [count number of DK’s in SV12B] incidents. Can you confirm how many of these incidents – if any - took place before [MONTH/YEAR]?
(ENTER NUMBER) CONTINUE
PROGRAMMER NOTE #3: If month/year is greater than 12 months ago in SV12Ba-d or SV12B_1=No or SV12B_2>0, Delete response and reduce SV12A by appropriate amount. If SV12A was once, and it gets reduced to zero, change SV12 to no and delete all data in A and B follow-ups.
PROGRAMMER NOTE #4: If any of the months listed in SV12B match a month listed in SV1B, SV2B, SV3B, SV4B, SV5B, SV6B, SV7B, SV8B, SV9B, SV10B or SV11B, if any are marked as DK and an incident has been reported in a previous question, Continue. Otherwise, go to SV13.
For each month that matches, if month is only listed once in SV12B, GO TO SV12C1. If month is listed twice in SV12B, GO TO SV12C2. If month is listed three or more times in SV12B, GO TO SV12C3.
If one of the months is marked as “DON’T KNOW”, go to SV12C1. If two of the months are marked as “DON’T KNOW”, go to SV12C2. If three or more of the months are listed as “DON’T KNOW”, go to SV12C3.
Repeat this instruction for each month that matches with SV1B, SV2B, SV3B, SV4B, SV5B, SV6B, SV7B, SV8B, SV9B, SV10B or SV11B.
SV12C1. Is this part of the other incident(s) you already reported in (MONTH/YEAR)?
Yes, happened at the same time as the other incident(s) already discussed Skip to question SV13
No, separate incidents Skip to question SV13
SV12C2. Are either of these part of the other incident(s) you already reported in (MONTH/YEAR)?
Yes, one is part of the other incident Skip to question SV13
Yes, both are part of the other incidents Skip to question SV13
No, separate incidents Skip to question SV13
SV12C3. Are any of these part of the other incident(s) you already reported in (MONTH/YEAR)?
Yes
No, separate incidents Skip to question SV13
SV12D3. How many of these are part of an incident that you already reported?
___ ___ (enter number) Continue to question SV13
(Other than the incidents you have already mentioned,) since [MONTH/YEAR], has anyone, male or female, made you look at or participate in sexual photos or movies against your will?
Yes Continue to question SV13A
No Skip to Part 2
SV13A. Since [MONTH/YEAR], how many times did this happen to you?
Once Skip to question SV13B
Two or more ___ ___ (enter number) Skip to question SV13B
DON’T KNOW Continue
REFUSED Continue
SV13A1. Do you remember if it was…
2-4 times?
5-9 times?
10-14 times?
15 more times?
SV13B. In what month and year did (this incident/these incidents/(IF SV13A>4 OR SV13A1>=5 TIMES: the four most recent incidents)) happen? (REFER TO EVENT HISTORY CALENDAR IF NEEDED. FILL IN MONTH AND YEAR FOR EACH TIME THIS HAPPENED TO YOU IN PAST 12 MONTHS; IF THIS HAPPENED TO YOU MORE THAN ONCE IN A MONTH, REPEAT THE MONTH/YEAR FOR EACH TIME IT HAPPENED)
(MONTH/YEAR) □ DON’T KNOW
(MONTH/YEAR) □ DON’T KNOW
(MONTH/YEAR) □ DON’T KNOW
(MONTH/YEAR) □ DON’T KNOW
PROGRAMMER NOTE #1: IF SV13A=once and “DON’T KNOW” IS MARKED IN SV13B, OR IF SV13A=two or more AND ONLY ONE “DON’T KNOW” IS MARKED IN SV13B, CONTINUE. ELSE SKIP TO PROGRAMMER NOTE #2
SV13B_1 You indicated you are not sure of the month and year. Can you confirm that this incident took place since [MONTH/YEAR]?
Yes Skip to Programmer Note #4
No Skip to Programmer Note #3
PROGRAMMER NOTE #2: IF SV13A=two or more and “DON’T KNOW” TO MORE THAN ONE IN SV13B, CONTINUE. ELSE SKIP TO PROGRAMMER NOTE #3
SV13B_2 You indicated you are not sure of the month and year for [count number of DK’s in SV13B] incidents. Can you confirm how many of these incidents – if any – took place before [MONTH/YEAR]?
(ENTER NUMBER) CONTINUE
PROGRAMMER NOTE #3: If month/year is greater than 12 months ago in SV13Ba-d or SV13B_1=No or SV13B_2>0, Delete response and reduce SV13A by appropriate amount. If SV13A was once, and it gets reduced to zero, change SV13 to no and delete all data in A and B follow-ups.
PROGRAMMER NOTE #4: If any of the months listed in SV13B match a month listed in SV1B, SV2B, SV3B, SV4B, SV5B, SV6B, SV7B, SV8B, SV9B, SV10B, SV11B or SV12B, if any are marked as DK and an incident has been reported in a previous question, Continue. Otherwise, go to PART 2.
For each month that matches, if month is only listed once in SV13B, GO TO SV13C1. If month is listed twice in SV13B, GO TO SV13C2. If month is listed three or more times in SV13B, GO TO SV13C3.
If one of the months is marked as “DON’T KNOW”, go to SV13C1. If two of the months are marked as “DON’T KNOW”, go to SV13C2. If three or more of the months are listed as “DON’T KNOW”, go to SV13C3.
Repeat this instruction for each month that matches with SV1B, SV2B, SV3B, SV4B, SV5B, SV6B, SV7B, SV8B, SV9B, SV10B, SV11B or SV12B.
SV13C1. Is this part of the other incident(s) you already reported in (MONTH/YEAR)?
Yes, happened at the same time as the other incident(s) already discussed Skip to PART 2
No, separate incidents Skip to PART 2
SV13C2. Are either of these part of the other incident(s) you already reported in (MONTH/YEAR)?
Yes, one is part of the other incident Skip to PART 2
Yes, both are part of the other incidents Skip to PART 2
No, separate incidents Skip to PART 2
SV13C3. Are any of these part of the other incident(s) you already reported in (MONTH/YEAR)?
Yes
No, separate incidents Skip to PART 2
SV13D3. How many of these are part of an incident that you already reported?
___ ___ (enter number) Continue to PART 2
PART 2
Lifetime Questions
Continue if you skipped or answered “no” to any questions SV1 through SV8 in Part 1
If you answered “yes” to all questions SV1 through SV8 in part 1, please skip to Programmer Note at end of screener.
These next questions ask about whether you have had any of these same types of experiences at any point in your life, not just in the past 12 months.
Answer only if you skipped or responded “no” to question SV1 in Part 1. Otherwise skip to NOTE before question SV2Ever.
SV1Ever. At any time in your life, has a male used force or threats of force to make you have vaginal sex against your will?
Yes Continue to SV1EV_A
No Skip to note before SV2Ever
SV1EV_A. About how old were you when this happened (the first time)?
___ ___ age first time occurred Skip to note before SV2Ever
DON’T KNOW Continue to SV1EV_B.
SV1EV_B. [If “DON’T KNOW”]: Do you recall if you were …
11 years old or younger?
Between 12 and 17 years old?
Between 18 and 24 years old?
Between 25 and 34 years old?
35 or older?
Answer only if you skipped or responded “no” to question SV2 in Part 1. Otherwise, skip to NOTE before question SV3EVER.
At any time in your life, has anyone, male or female, used force or threats of force to make you have or give oral sex against your will?
Yes Continue to SV2EV_A
No Skip to note before SV3Ever
SV2EV_A. About how old were you when this happened (the first time)?
___ ___ age first time occurred Skip to note before SV3Ever
DON’T KNOW Continue to SV2EV_B.
SV2EV_B. [If “DON’T KNOW”]: Do you recall if you were …
11 years old or younger?
Between 12 and 17 years old?
Between 18 and 24 years old?
Between 25 and 34 years old?
35 or older?
Answer only if you skipped or responded “no” to question SV3 in Part 1. Otherwise skip to NOTE before question SV4ever.
At any time in your life, has a male used force or threats of force to make you have anal sex against your will?
Yes Continue to SV3EV_A
No Skip to note before SV4Ever
SV3EV_A. About how old were you when this happened (the first time)?
___ ___ age first time occurred Skip to note before SV4Ever
DON’T KNOW Continue to SV3EV_B.
SV3EV_B. [If “DON’T KNOW”]: Do you recall if you were …
11 years old or younger?
Between 12 and 17 years old?
Between 18 and 24 years old?
Between 25 and 34 years old?
35 or older?
Answer only if you skipped or responded “no” to question SV4 in Part 1. Otherwise skip to note before question SV5ever.
At any time in your life, has anyone, male or female, ever used force or threats of force to put fingers or a foreign object in your vagina or anus against your will?
Yes Continue to SV4EV_A
No Skip to note before SV5Ever
SV4EV_A. About how old were you when this happened (the first time)?
___ ___ age first time occurred Skip to note before SV5Ever
DON’T KNOW Continue to SV4EV_B
SV4EV_B. [If “DON’T KNOW”]: Do you recall if you were …
11 years old or younger?
Between 12 and 17 years old?
Between 18 and 24 years old?
Between 25 and 34 years old?
35 or older?
When answering these next questions, please consider all types of sex acts including vaginal sex, oral sex, anal sex, or putting fingers or a foreign object in your vagina or anus.
These questions will now focus on about other types of unwanted sexual experiences that may not have involved force, but that were against your will.
Answer only if you skipped or responded “no” to question SV5 in part 1. Otherwise skip to note before SV6Ever.
At any time in your life, has anyone ever made you have sex against your will when you were unable to consent because you were too drunk, high or passed out?
Yes Continue to SV5EV_A
No Skip to note before SV6Ever
SV5EV_A. About how old were you when this happened (the first time)?
___ ___ age first time occurred Skip to note before SV6Ever
DON’T KNOW Continue to SV5EV_B.
SV5EV_B. [If “DON’T KNOW”]: Do you recall if you were …
11 years old or younger?
Between 12 and 17 years old?
Between 18 and 24 years old?
Between 25 and 34 years old?
35 or older?
Answer only if you skipped or responded “no” to question SV6 in part 1. Otherwise skip to note before SV7Ever.
At any time in your life, has anyone made you have sex against your will by threatening to cause problems for you, such as at your job or school, at home, in your relationships, or in any other ways? Remember to think about all the types of sex mentioned before.
Yes Continue to SV6EV_A
No Skip to note before SV7Ever
SV6EV_A. About how old were you when this happened (the first time)?
___ ___ age first time occurred Skip to note before SV7Ever
DON’T KNOW Continue to SV6EV_B
SV6EV_B. [If “DON’T KNOW”]: Do you recall if you were …
11 years old or younger?
Between 12 and 17 years old?
Between 18 and 24 years old?
Between 25 and 34 years old?
35 or older?
Answer only if you skipped or responded “no” to question SV7 in part 1. Otherwise skip to NOTE BEFORE SV8Ever.
At any time in your life, have you been in any other situations where someone made you have any type of sex against your will? Remember to think about all the types of sex mentioned before.
Yes Continue to SV7EV_A
No Skip to note before SV8Ever
SV7EV_A. About how old were you when this happened (the first time)?
___ ___ age first time occurred Skip to note before SV8EVER
DON’T KNOW Continue to SV7EV_B
SV7EV_B. [If “DON’T KNOW”]: Do you recall if you were …
11 years old or younger?
Between 12 and 17 years old?
Between 18 and 24 years old?
Between 25 and 34 years old?
35 or older?
Answer only if you skipped or responded “no” to question SV8 in part 1. Otherwise skip to programmer note at end of screener.
Thinking about all the different types of situations you have been asked about so far, at any time in your life, has anyone ever tried, but did not succeed at making you have any type of sex against your will? Remember to think about all the types of sex mentioned before.
Yes Continue to SV8EV_A
No Skip to Programmer Note at end of screener
SV8EV_A. About how old were you when this happened (the first time)?
___ ___ age first time occurred Skip to Programmer Note at end of screener
DON’T KNOW Continue to SV8EV_B
SV8EV_B. [If “DON’T KNOW”]: Do you recall if you were …
11 years old or younger?
Between 12 and 17 years old?
Between 18 and 24 years old?
Between 25 and 34 years old?
35 or older?
PROGRAMMER NOTE:
IF “NO” TO ALL QUESTIONS SV1, SV2, SV3, SV4, SV5, SV6, SV7, SV8, SV9, SV10, SV11, SV12, SV13, SKIP TO VIGNETTES.
IF “YES” TO ANY QUESTIONS SV1, SV2, SV3, SV4, SV5, SV6, SV7, SV8, SV9, SV10, SV11, SV12, SV13, CONTINUE.
1) CREATE A LIST OF ALL DEDUPLICATED INCIDENTS REPORTED BY RESPONDENT
EXAMPLE:
SV1 5/13
SV1 DON’T KNOW
SV4 10/13
SV6 8/13
SV8 5/13
SV8 6/13
SV8 6/13
SV8 10/13
SV10 9/13
SV12 1/14
2) ASSIGN GROUP CODE TO EACH INCIDENT USING THE FOLLOWING CRITERIA:
GROUP=1 IF INCIDENT FALLS IN SV1 THROUGH SV5
GROUP=2 IF INCIDENT FALLS IN SV6 THROUGH SV8
GROUP=3 IF INCIDENT FALLS IN SV9 THROUGH SV13
3) SORT INCIDENTS WITHIN GROUP:
MOST RECENT DATE HAS HIGHEST PRIORITY
IF THERE IS A TIE IN DATES WITHIN A GROUP, MOST SERIOUS GETS HIGHER PRIORITY (WHERE SV1 IS MOST SERIOUS, SV13 IS LEAST SERIOUS)
IF THERE IS A TIE IN BOTH DATES AND TYPE OF INCIDENT, RANDOMLY SELECT ONE.
IF THERE IS A DON’T KNOW RESPONSE TO MONTH/YEAR, IT TAKES LOWEST PRIORITY WITHIN THAT GROUP
BY THIS LOGIC, THE EXAMPLE ABOVE WOULD BE SORTED AS FOLLOWS:
SV4 10/13
SV1 5/13
SV1 DON’T KNOW
SV8 10/13
SV6 8/13
SV8 6/13
SV8 6/13
SV8 5/13
SV12 1/14
SV10 9/13
4) ASSIGN A NUMBER TO THE SORTED INCIDENTS WHERE 1 IS MOST SERIOUS. DETAILED INCIDENT FORM WILL BE ASKED OF INCIDENT #1, THEN INCIDENT #2 (IF APPLICABLE), THEN INCIDENT #3 (IF APPLICABLE).
PROGRAMMER NOTE:
USE THE FOLLOWING SHORT-TEXT FOR (INCIDENT) SELECTED:
SV1: “you had vaginal sex against your will”
SV2: “you had oral sex against your will”
SV3: “you had anal sex against your will”
SV4: “someone put fingers or a foreign object in your vagina or anus against your will”
SV5: “you had some type of sex while you were drunk, high or passed out”
SV6: “you were coerced into having some type of sex”
SV7: “you had some type of sex against your will”
SV8: “someone tried to make you have some type of sex against your will, but did not succeed”
SV9: “someone kissed you in a sexual way against your will”
SV10: “someone groped or fondled you against your will”
SV11: “someone exposed sexual body parts to you against your will”
SV12: “someone made you expose your sexual body parts against your will”
SV13: “someone made you look at or participate in sexual photos or videos”
PART 3: DETAILED INCIDENT FORM
SECTION A:
Anchoring the Incident
PROGRAMMER NOTE: CAPTURE WHICH SV ITEM HAS TRIGGERED THE DETAILED INCIDENT FORM.
A1. Earlier, you said that (INCIDENT) in (MONTH/YEAR). The next questions ask you for details about this incident.
SECTION B:
Recall of the Incident
B1. Can you recall enough details about this incident to answer some questions about it? You may skip any question if you don’t recall a particular detail or don’t want to answer the question.
Yes 1 (GO TO SECTION C)
No 2 (GO TO PROGRAMMER NOTE AT END OF DIF)
SECTION C:
When and where did it happen?
C1. About what time of day did this incident happen? (Mark one response)
Between 6 a.m. and 12 noon
Between 12 noon and 6 p.m.
Between 6 p.m. and 12 midnight.
Between 12 midnight and 6 a.m.
DON’T KNOW whether it was day or night
REFUSED
C2. Did this incident happen …? (Mark one response)
Inside a home or building Continue to C3
Outside a home or building Skip to question C4
Started outside and moved inside Continue to C3
Started inside and moved outside Continue to C3
REFUSED Skip to section D
DON’T KNOW Skip to section D
C3. Where (inside) did the incident happen? (Mark one response)
In your home or dorm room
In someone else’s home or dorm room
At work
In a Sorority or Fraternity house
At a business such as a restaurant, bar or store
Some other place (Please specify) _______________________________________
REFUSED
DON’T KNOW
IF C3= “IN YOUR HOME OR DORM ROOM” OR “IN SOMEONE ELSE’S HOME OR DORM ROOM”, CONTINUE. ELSE, SKIP TO C4.
C3a. Was it in {your/a} home or in {your/a} dorm room?
Home
Dorm room
IF C2= “started outside and moved inside” or ”started inside and moved outside”, continue. Else, if C3=1, 2, or 4, skip to C5. Else, skip to section D.
C4. Where (outside) did the incident happen? (Mark one response)
On your property, but not inside your home
On someone else’s property , but not inside the home
On the property of your workplace, but not inside
On the grounds of a school or university
On public transportation
In another type of open area, such as the street
In a motor vehicle
Some other place (Please specify) _______________________________________
REFUSED
DON’T KNOW
If the incident happened in a home (C3=1, 2 or 4 or C4=1, 2), continue. Else skip to section D.
C5. Did the person who did this to you live (here/there)?
Yes Skip to section D
No
REFUSED
DON’T KNOW
C6. How did this person get in? (Mark one response)
Let in
Pushed his/her way in after door opened
Through OPEN DOOR or other opening
Through UNLOCKED door or window
Through LOCKED door or window
Some other way (Please specify) ___________________________________________
REFUSED
DON’T KNOW
SECTION D:
Description of Incident
The next set of questions ask about what actually happened during this incident (IF MONTH PROVIDED: in (MONTH/YEAR)). It may seem like you’ve already answered these questions, but we want to be sure we understand what happened to you during this incident.
D1. Please focus only on the parts of the incident that were unwanted. For each unwanted act that happened to you, please indicate if the person:
Threatened to do this – meaning the person verbally threatened to do it but did not physically try to do it
Attempted to do this – meaning the person physically tried to do it but did not succeed, OR
Actually did this – meaning the person physically did this act, OR
Did not do this
a. Did the person threaten to, attempt to, or actually put a penis in your vagina when you didn’t want it to happen?
Yes, threatened to do this
Yes, attempted to do this
Yes, actually did this
No
b. Did the person threaten to, attempt to, or actually put their mouth on your vagina or anus or make you put your mouth on their genitals or anus when you didn’t want it to happen?
Yes, threatened to do this
Yes, attempted to do this
Yes, actually did this
No
c. Did the person threaten to, attempt to, or actually put a penis in your anus when you didn’t want it to happen?
Yes, threatened to do this
Yes, attempted to do this
Yes, actually did this
No
d. Did the person threaten to, attempt to, or actually put fingers or another object in your vagina or anus when you didn’t want it to happen?
Yes, threatened to do this
Yes, attempted to do this
Yes, actually did this
No
D2. Please continue to only think about aspects of the incident that were unwanted and indicate if the person threatened, attempted to or actually did any of the following during this incident.
a. Did the person threaten to, attempt to, or actually kiss or lick you when you didn’t want it to happen?
Yes, threatened to do this
Yes, attempted to do this
Yes, actually did this
No
b. Did
the person threaten to, attempt to, or actually
touch, grab, or fondle your breasts, genitals, or buttocks
over
or under your clothes when you didn’t want it to happen?
Yes, threatened to do this
Yes, attempted to do this
Yes, actually did this
No
c. Did the person threaten to, attempt to, or actually expose their sexual body parts or make you expose your sexual body parts when you didn’t want it to happen?
Yes, threatened to do this
Yes, attempted to do this
Yes, actually did this
No
d. Did the person threaten to, attempt to, or actually make you look at or participate in sexual photos or movies when you didn’t want it to happen?
Yes, threatened to do this
Yes, attempted to do this
Yes, actually did this
No
e. Did the person threaten to, attempt to, or actually make you do something else when you didn’t want it to happen?(Please specify _____________________________________________)
Yes, threatened to do this
Yes, attempted to do this
Yes, actually did this
No
(IF YOU MARKED YES TO ANY ITEM IN D1 OR D2, CONTINUE. ELSE, SKIP TO SECTION E)
D3. Did the person do any of the following at any point leading up to this incident?
YES NO Refuse/DK
a. Verbally pressure you or continually argue with you □ □ □
b. Threaten to cut off financial support □ □ □
c. Threaten to cause problems at your job, at school,
in your relationships, or to cause some other problem □ □ □
d. Promise rewards in your relationship,
your job, your grades, or something else □ □ □
D4. Did the person do any of the following at any point during this incident?
YES NO Refuse/DK
a. Hold you or pin you so you had difficulty moving □ □ □
b. Use a weapon, or threaten to use a weapon □ □ □
c. Physically attack you or threaten to attack
you, but not with a weapon □ □ □
d. Physically attack, or threaten to attack,
someone else □ □ □
e. Use any other type of coercion or force
(PLEASE SPECIFY) □ □ □
(IF YOU MARKED YES TO D4B – USE OR THREATEN TO USE A WEAPON, CONTINUE. ELSE SKIP TO NOTE BEFORE D8)
D5. What was the weapon? (Mark all that apply)
Gun, such as a pistol, revolver, rifle or shotgun
Knife or other sharp object
Some other weapon (Please specify)
____________________________________________
REFUSED
DON’T KNOW
(IF WEAPON WAS A GUN, CONTINUE TO D6. ELSE SKIP TO NOTE BEFORE D7.)
D6. Were you shot or did the person try to shoot you?
Yes
No
REFUSED
DON’T KNOW
(IF WEAPON WAS A KNIFE OR SHARP OBJECT, CONTINUE TO D7. ELSE SKIP TO NOTE BEFORE D8.)
D7. Were you stabbed or did the person try to stab you?
Yes
No
REFUSED
DON’T KNOW
(IF YOU MARKED YES TO D4A,B, C, or D (PHYSICAL FORCE), CONTINUE. ELSE SKIP TO SECTION E)
D8. Did the person do any of the following to you during the incident? (Mark all that apply)
slap, hit or punch you?
kick, bite or scratch you?
choke or suffocate you?
hit you with an object?
grab, hold, trip, jump on or push you?
do any other physical things to you? (Please specify) _____________________________________
REFUSED
DON’T KNOW
SECTION E:
Injuries and Hospital Care
E1. Did you experience any physical injuries as a result of this incident?
Yes Continue to E1a
No Skip to E5a
REFUSED Skip to E5a
DON’T KNOW Skip to E5a
E1a. What were those injuries? (Mark all that apply)
Injury from sexual intercourse, such as vaginal or anal tearing
Knife or stab wounds
Gun shot, bullet wounds
Broken bones or teeth knocked out
Internal injuries
Knocked unconscious
Bruises, black-eye, cuts, scratches, swelling, chipped teeth
Other injuries (Please specify) ____________________________________
REFUSED
DON’T KNOW
E2. Did you receive any medical care as a result of this incident, including self- treatment?
Yes Continue to E3
No Skip to E5a
REFUSED Skip to E5a
DON’T KNOW Skip to E5a
E3. Where did you receive this care? (Mark all that apply)
At the scene
At home, at a neighbor’s or a friend’s
At an emergency room at a hospital or emergency clinic
At another medical setting such as a clinic, hospital
or doctor’s office
Some other place (Please specify)
_____________________________________________________
REFUSED
DON’T KNOW
IF RECEIVED CARE AT ANOTHER MEDICAL SETTING OR SOME OTHER PLACE, CONTINUE TO E4. ELSE GO TO E5A.
E4. Did you stay overnight in the hospital?
Yes
No
REFUSED
DON’T KNOW
E5a. In the days following the incident, how distressed were you by this incident?
Not at all distressed
Mildly distressed
Moderately distressed
Severely distressed
REFUSED
DON’T KNOW
E5b. Sometimes people’s feelings change over time. Thinking about it now, how distressed are you by this incident?
Not at all distressed
Mildly distressed
Moderately distressed
Severely distressed
REFUSED
DON’T KNOW
PROGRAMMER NOTE: IF “NOT AT ALL DISTRESSED”, OR “REFUSED” DON’T KNOW TO BOTH E5A AND E5B, SKIP TO E7. ELSE CONTINUE.
E6. As a result of this incident, please indicate if you felt any of the following ways for less than one month, for one month or longer , or if you did not feel that way.
YES YES
<1 MO 1 MO+ NO Refuse/DK
worried or anxious? □ □ □ □
angry? □ □ □ □
sad or depressed? □ □ □ □
vulnerable? □ □ □ □
violated? □ □ □ □
like you couldn’t trust people? □ □ □ □
fearful? □ □ □ □
some other way? (Please specify) □ □ □ □
E7. Did you lose time from work or school because of the incident?
Yes Continue to E8
No Skip to Section F
REFUSED Skip to Section F
DON’T KNOW Skip to Section F
E8. How much time did you lose because of injuries?
Less than one day Skip to Section F
One day Skip to Section F
More than one day Continue to E8a
REFUSED Skip to Section F
DON’T KNOW Skip to Section F
E8a. How many days was it? (Enter a number)
_____________ days
REFUSED
DON’T KNOW
SECTION F:
Offender Characteristics
The next questions are about who did this to you.
F1. Did one or more than one person do this to you?
One Continue to F2
More than one Skip to F12
REFUSED Continue to F2
DON’T KNOW Continue to F2
F2. Was this person male or female?
Male
Female
REFUSED
DON’T KNOW
F3. How old would you say this person was?
Under 18
18-24
25-39
40-49
50+
REFUSED
DON’T KNOW
F4a. Was this person Hispanic or Latina/Latino?
Yes
No
REFUSED
DON’T KNOW
F4b. What race or races was this person? Was this person… (Mark all that apply)
White?
Black or African American?
American Indian or Alaska Native?
Asian?
Native Hawaiian or Other Pacific Islander?
REFUSED
DON’T KNOW
F5. Was this person someone you knew, or a stranger you had never seen before?
Knew or had seen before Skip to F7
Stranger Continue to F6
REFUSED Continue to F6
DON’T KNOW Continue to F6
F6. Would you be able to recognize this person if you saw him/her?
Yes Skip to F8
Not sure Skip to F8
No Skip to Section G
REFUSED Skip to F8
DON’T KNOW Skip to F8
F7. How well did you know this person – by sight only, casual acquaintance, or well known?
Sight only Continue to F8
Casual acquaintance Skip to F9
Well known Skip to F9
REFUSED Skip to F9
DON’T KNOW Skip to F9
F8. Would you have been able to tell the police how they might find this person, for instance, where he/she lived, worked, went to school, or spent time?
Yes Skip to Section G
No Skip to Section G
REFUSED Skip to Section G
DON’T KNOW Skip to Section G
F9. Was this person a relative or nonrelative?
Relative Continue to F10
Nonrelative Skip to F11
REFUSED Skip to F11
DON’T KNOW Skip to F11
F10. How was this person related to you? Was this person your …
spouse?
ex-spouse?
parent or step-parent?
own child or step-child?
brother or sister?
some other relation to you (Please specify)
REFUSED
DON’T KNOW
If you answered “relative” to question F9, skip to Section G. Otherwise continue to question F11.
F11. Was this person a … (Mark all that apply)
boyfriend or girlfriend?
ex-boyfriend or ex-girlfriend?
friend?
someone who used to be a friend?
roommate or boarder?
schoolmate?
something else? (Please specify) _______________________________________________________
REFUSED
DON’T KNOW
If the person was a boyfriend/girlfriend (F11A=yes), Skip to F24.
Otherwise, Skip to Section G
F12. How many people did this to you?
_______________ (enter number)
REFUSED
DON’T KNOW
F13. Were they male or female?
All male Skip to F14a
All female Skip to F14a
Both male and female Continue to F14
REFUSED Skip to F14a
DON’T KNOW Skip to F14a
F14. Were they mostly male or mostly female?
Mostly male
Mostly female
Evenly divided
REFUSED
DON’T KNOW
F14a. Were any of the persons Hispanic or Latino?
Yes Continue to F14b
No Skip to F14c
REFUSED Skip to F14c
DON’T KNOW Skip to F14c
F14b. Were they mostly Hispanic, mostly non-Hispanic or an equal number of Hispanic and non-Hispanic?
Mostly Hispanic
Mostly non-Hispanic
Equal number of Hispanic and non-Hispanic
REFUSED
DON’T KNOW
F14c. What were the race or races of the persons? Were they… (Mark all that apply)
White?
Black or African American?
American Indian or Alaska Native?
Asian?
Native Hawaiian or Other Pacific Islander?
REFUSED
DON’T KNOW
If you selected more than one race in question F14c,continue to question F14d .
Otherwise, skip to question F15.
F14d. What race were most of the persons?
White
Black or African American
American Indian or Alaska Native
Asian
Native Hawaiian or Other Pacific Islander
Equal number of each race
REFUSED
DON’T KNOW
F15. How old would you say the youngest was?
Under 18
18-24
25-39
40-49
50+
REFUSED
DON’T KNOW
F16. How old would you say the oldest was?
Under 18
18-24
25-39
40-49
50+
REFUSED
DON’T KNOW
F17. Were any of these persons someone you knew, or were they all strangers you had never seen before?
Knew or had seen before Skip to F19
All strangers Continue to F18
REFUSED Continue to F18
DON’T KNOW Continue to F18
F18. Would you be able to recognize any of these persons if you saw him/her?
Yes Skip to F20
Not sure Skip to F20
No Skip to Section G
REFUSED Skip to F20
DON’T KNOW Skip to F20
F19. Which of the following describes how you knew the people who did this to you? (Mark all that apply)
At least one was well known
At least one was a casual acquaintance
I knew at least one by sight only
REFUSED
DON’T KNOW
IF THE ONLY RESPONSE IN F19 IS “BY SIGHT ONLY”, REFUSED OR DON’T KNOW, CONTINUE. OTHERWISE SKIP TO F21
F20. Would you have been able to tell the police how they might find any of these persons, for instance, where he/she lived, worked, went to school, or spent time?
Yes
No
REFUSED
DON’T KNOW
Skip to Section G
If you answered “well known” OR “casual acquaintance” to question F19, continue to F21. Otherwise, skip to Section G.
F21. Were any of these persons a relative?
Yes Continue to F22
No Skip to F23
REFUSED Skip to F23
DON’T KNOW Skip to F23
F22. Were any of these persons your… (Mark all that apply)
spouse?
ex-spouse?
parent or step-parent?
own child or step-child?
brother or sister?
some other relation to you? (Please specify)
REFUSED
DON’T KNOW
Skip to Section G
F23. Were any of these persons a … (Mark all that apply)
boyfriend or girlfriend?
ex-boyfriend or ex-girlfriend?
friend?
someone who used to be a friend?
roommate or boarder?
schoolmate?
something else? (Please specify) _______________________________________________________
REFUSED
DON’T KNOW
If any of the persons was a boyfriend/girlfriend (F23A=yes), Continue to F24.
Otherwise, skip to Section G
F24. You said the person who did this to you was your boyfriend/girlfriend. Approximately how long had you been dating this person?
_______________ days/months/years
REFUSED
DON’T KNOW
F25. Are you currently dating or romantically involved with this person?
Yes
No
REFUSED
DON’T KNOW
SECTION G:
Circumstances of Incident
The next questions are about the circumstances related to the incident.
G1. Did this occur while you were in the military?
Yes
No
Does not apply, was not in military
REFUSED
DON’T KNOW
G2. Did this occur while you were a student?
Yes
No
REFUSED
DON’T KNOW
IF C3=1, SKIP TO G4. ELSE CONTINUE.
G3. Which of the following best describes what were you doing at the time of the incident?
On your way to or from some place, or in transit
Hanging out at someone’s home , or at a party or gathering
At a restaurant, bar, movie, sporting event, or other public activity
Working or at school
Something else (Please specify _______________)
REFUSED
DON’T KNOW
G4. Had (the person/any of the people) who did this to you been using alcohol or drugs in the hours leading up to the incident?
Alcohol
Drugs
Both alcohol and drugs
Neither alcohol nor drugs
REFUSED
DON’T KNOW
G5. Had you been using alcohol or drugs in the hours leading up to the incident?
Alcohol Continue to G6
Drugs Continue to G6
Both alcohol and drugs Continue to G6
Neither alcohol nor drugs Skip to G16
REFUSED Skip to G16
DON’T KNOW Skip to G16
G6. Did the (person/any of the people who did this to you) give you (alcohol/drugs/alcohol or drugs) without your knowledge?
Yes
No
REFUSED
DON’T KNOW
G7. Do you think the person was trying to get you (drunk/high/drunk or high) so (he/she) could sexually take advantage of you?
Yes Continue to G8
No Skip to G10
Not Sure Continue to G8
REFUSED Continue to G8
DON’T KNOW Continue to G8
G8. Did the person keep giving you (drinks/drugs/drinks or drugs) without you asking for it?
Yes
No
REFUSED
DON’T KNOW
G9. Did the person keep giving you (drinks/drugs/drinks and drugs) after you were clearly very (drunk/high/drunk or high)?
Yes
No
REFUSED
DON’T KNOW
G10. Were you passed out for all or parts of this incident, or not? By passed out, it means that you were unconscious or asleep because of the (alcohol/drugs/alcohol or drugs).
Yes, for all of the incident Skip to G16
Yes, for parts of the incident Skip to G12
No Continue to G11
Not sure Continue to G11
REFUSED Continue to G11
DON’T KNOW Continue to G11
G11. Were there any parts of the incident you could not remember because of the (alcohol/drugs/alcohol or drugs)?
Yes
No
REFUSED
DON’T KNOW
G12. Please answer the following questions on how (alcohol/drugs/alcohol and drugs) affected what happened.
YES NO RF/DK
Did the (alcohol/drugs/alcohol or drugs)
make you unable to give consent? □ □ □
Did it make you less able to physically resist? □ □ □
Did it lead you to make decisions that you
would not have made otherwise? □ □ □
Did it affect you in some other way? (Please specify) □ □ □
____________________________________________________________
G13. Were you too (drunk/high/drunk or high) to walk by yourself?
Yes
No
REFUSED
DON’T KNOW
G14. Were you too (drunk/high/drunk or high) to speak without slurring your words?
Yes Skip to G16
No Continue to G15
REFUSED Continue to G15
DON’T KNOW Continue to G15
G15. Were you able to communicate clearly to others?
Yes
No
REFUSED
DON’T KNOW
These next questions are about what you did when this incident occurred.
Please remember that people may react differently to certain situations and that there are no right or wrong ways to react in these situations. Everyone is different. These questions will help to get a better picture of what the range of things women in similar situations have done.
Collecting this information will help develop better policies and advice for women who have these experiences in the future.
G16. Did you do any of the following at any point during the incident? Did you...
YES NO RF/DK
physically resist, or try to physically resist the person □ □ □
say “no”, “stop”, or that you did not want the act to happen □ □ □
leave or stop the situation before the act occurred □ □ □
attack or threaten the person □ □ □
try to persuade, plead, or argue with the person □ □ □
try to escape or get away □ □ □
try to get help □ □ □
do something else (Please specify) □ □ □
___________________________________________________
If you answered “no” to all questions G16a-h, then skip to question G18.
If you answered ‘yes’ to G16b (said ‘no’ or ‘stop’) continue.
Otherwise skip to Section H.
G17. Did the person immediately stop after you said that you didn’t want it to happen?
Yes Skip to Section H
No Skip to Section H
REFUSED Skip to Section H
DON’T KNOW Skip to Section H
G18. You answered “no” to all of the actions that were listed on the previous screen. Were any of the following reasons why you did not take any actions?
I was afraid that he/she would physically hurt me
I was afraid that he/she would physically hurt someone else
I was afraid that he/she would carry out other threats he/she made
I was too (drunk/high/drunk or high) to either physically or verbally resist
I did not want to hurt the person’s feelings
I was surprised or it happened too quickly for me to take any action.
Other reason (Please specify)
REFUSED
DON’T KNOW
SECTION H:
Follow-up with Service Providers and Friends
H1. Did you ever talk to a psychologist, psychiatrist, counselor or other mental health professional about this incident?
Yes
No
REFUSED
DON’T KNOW
H2. Have you ever talked to a crisis hotline operator about what (this person/these persons) did?
Yes
No
REFUSED
DON’T KNOW
SECTION I:
Follow-up with the Police
I1a. At the time, did you consider this incident to be a crime?
Yes Skip to I1c
No Continue to I1b
REFUSED Skip to I1c
DON’T KNOW Skip to I1c
PROGRAMMER NOTE: IF NO IN I1a, CONTINUE. ELSE SKIP TO I1c.
I1b. Why did you not consider this incident to be a crime? (Mark all that apply)
Because the person stopped when I resisted
Because I didn’t think the person intended harm
Because I didn’t think it was against the law
Because I had been using alcohol or drugs at the time
Other reason (PLEASE SPECIFY) _____________________________________________________
I1c. Now, looking back, do you consider this incident to be a crime?
Yes Skip to I2
No Continue to programmer note before I1d
REFUSED Skip to I2
DON’T KNOW Skip to I2
PROGRAMMER NOTE: IF NO IN I1c AND YES/DK/RF IN I1a, CONTINUE. ELSE SKIP TO I2.
I1d. Looking back, why do you not consider this incident to be a crime? (Mark all that apply)
Because the person stopped when I resisted
Because I don’t think the person intended harm
Because I don’t think it was against the law
Because I had been using alcohol or drugs at the time
Other reason (PLEASE SPECIFY) _____________________________________________________
I2. Were the police informed or did they find out about this incident in any way?
Yes Continue to I3
No Skip to I4
REFUSED Skip to I4
DON’T KNOW Skip to I4
I3. How did the police find out about it?
I contacted the police Skip to I5
Another household member contacted the police Skip to I5
Some official contacted police (guard,
apt. manager, school official, etc) Skip to I5
Someone else contacted the police Skip to I5
Police were at the scene Skip to I7
Some other way (Please specify) Skip to I5
________________________________________
REFUSED Skip to I5
DON’T KNOW Skip to I5
If you answered “no” to question I1a, skip to I5. Otherwise, continue to I4.
I4. Which of the following are the reasons you did not report it to the police? (Mark all that apply)
Did not want anyone else to know
It was my word against the person
Police wouldn’t think it was a crime
Fear of being treated hostilely by police or lawyers
Fear of retaliation by the person or others
Did not think it was serious enough to report
Reported it somewhere else
Other reason (Please specify)
REFUSED
DON’T KNOW
Skip to question I8
If you answered “yes” to I2, continue to question I5. Otherwise, skip to question I8.
I5. Did the police come to your location when they found out about the incident?
Yes Continue to I6
No Skip to I8
I went to the police Skip to I7
REFUSED Skip to I8
DON’T KNOW Skip to I8
I6. How soon after the police found out did they come to your location?
Within 30 minutes
Within an hour
Within a day
Longer than a day
REFUSED
DON’T KNOW
I7. Did the police do any of the following while (they/you) were (at the scene/there)? (Mark all that apply)
Take a report
Search/look around
Take evidence (fingerprints, inventory, etc.)
Question witnesses or suspects
Promise surveillance
Promise to investigate
Make an arrest
Something else (Please specify) __________________________________________
REFUSED
DON’T KNOW
I8. (Not counting the police) Is there any other person you have told about this incident?
Yes Continue to I8a
No Skip to I9
REFUSED Skip to I9
DON’T KNOW Skip to I9
I8a. Who have you told? (Mark all that apply)
Parents or a parent
Husband, boyfriend, or partner
A family member other than parents
A friend
Roommate, suitemate, or housemate
Clergy, rabbi, or other spiritual leader
Other person (Please specify)
REFUSED
DON’T KNOW
I9. (Not counting the police) Is there any other organization you have told about this incident?
Yes Continue to I9a
No Skip to I10
REFUSED Skip to I10
DON’T KNOW Skip to I10
I9a. What organization have you told? (Mark all that apply)
Women’s program or service
Rape crisis center or victim services hotline
Counselor or therapist not associated with a rape crisis center or victim services hotline
Some other organization (Please specify)
REFUSED
DON’T KNOW
I10. Have you received any help from any office or agency (other than the police) that deals with victims of crime?
Yes Continue to I11
No Skip to I12
REFUSED Skip to I12
DON’T KNOW Skip to I12
I11. We are interested in the type of help that you have received. Have you received…
YES NO RF/DK
psychological or emotional counseling? □ □ □
compensation for your injury? □ □ □
help to remove you from danger? □ □ □
legal advice or advocacy? □ □ □
I12. Thank you for providing this information about the incident.
In order to make sure that you have been able to describe the incident as accurately as possible, would you be willing to describe it in your own words?
Yes Continue
No Skip to Programmer Note
Thank you. Could you please describe what happened, including the circumstances leading up the incident, where and when it happened, who was involved, whether there was a weapon, if alcohol or drugs were used, and any other details you feel are important to understand what happened. Do not share any names of individuals.
PROGRAMMER NOTE:
AT END OF FIRST DETAILED INCIDENT FORM: Return to “Programmer Note” at end of Part 2. If there is another incident to report, return to part 3, section A. If there is no other incident to report, skip to Part 4.
AT END OF SECOND DETAILED INCIDENT FORM: Return to “Programmer Note” at end of Part 2. If there is another incident to report, return to part 3, section A. If there is no other incident to report, skip to Part 4.
AT END OF THIRD DETAILED INCIDENT FORM: Continue to Part 4.
PART 4: VIGNETTES
Thank you for your responses so far. The interview is almost done. In this next part, you will be shown two fictional situations about a woman and a man, and then you will be asked questions about the woman in the situation. Here is the first situation.
Alcohol Vignettes
-
Tom and Sue {INSERT RELATIONSHIP} last week. They both drank alcohol. {INSERT DRINKING BEHAVIOR} They then went back {home/to Tom’s place}. {INSERT CONSENT}.
RELATIONSHIP
went on their first date
have been in a sexual relationship for three months and went on a date
have been married for five years and went out for dinner
DRINKING BEHAVIOR
Both Sue and Tom ordered drinks throughout the date, but neither became drunk.
Both Sue and Tom ordered drinks throughout the date. Sue eventually became very drunk and was slurring her words.
Sue kept telling Tom she was not thinking straight and wanted to stop drinking. However, Tom kept on drinking. Sue kept on drinking because she wanted to be social and eventually became very drunk and was slurring her words.
Sue kept telling Tom she got drunk very easily and would prefer not to drink. Tom kept refilling Sue’s wine glass saying that he would never take advantage of her. Sue eventually became very drunk and was slurring her words.
[ONLY SELECT WHEN RELATIONSHIP = 1 or 2]
Tom knew that Sue got drunk very easily and decided to try to get her as drunk as possible. He continued to buy Sue drinks and she became very drunk and was slurring her words.
[ONLY SELECT WHEN RELATIONSHIP = 3]
CONSENT
Tom asked if she wanted to have sex. Sue said yes and they proceeded to have sexual intercourse.
Tom kissed Sue and they proceeded to have sexual intercourse. Sue did not say anything at the time, but she did not want to have sex.
Tom kissed Sue. She tried to push Tom away, but did not actually say no. They proceeded to have sexual intercourse.
Tom kissed Sue. Sue said she did not want to have sex, but Tom ignored her and they proceeded to have sexual intercourse. Sue did not resist again because she was afraid Tom would hurt her.
How would you answer the following questions about Sue?
1. Within the past 12 months, that is since [MONTH/YEAR], has a male used force or threats of force to make Sue have vaginal sex against her will? By vaginal sex, it means putting his penis in her vagina against her will.
Yes
No
2. Since [MONTH/YEAR], has anyone made Sue have sex when she was unable to consent because she was too drunk, high or passed out? By sex, it means vaginal sex, oral sex, anal sex, or putting fingers or a foreign object in her vagina or anus.
Yes
No
3. Do you think Tom was trying to get Sue drunk so he could sexually take advantage of her?
Yes
No
4. Did the alcohol make Sue unable to give consent?
Yes
No
5. On a scale from 1 to 10 where 1 means Sue definitely did not give consent and 10 means she definitely gave consent, to what extent did Sue give consent?
1 2 3 4 5 6 7 8 9 10
Definitely did not give consent Definitely gave consent
Thank you. Here is the second situation. This one is about Mike and Becky.
Coercion Vignettes
-
{INSERT RELATIONSHIP}. After dinner they went {home/to Mike’s home} to watch a movie together. During the movie, Mike began to kiss Becky and asked her if she would have sex with him. Becky said no, because she didn’t feel like having sex. {INSERT GENTLE FORCE} {INSERT COERCION} They eventually had sexual intercourse.
RELATIONSHIP
Mike and Becky went on their first date last week.
Mike is Becky’s manager at work and he tells Becky that he really values their work relationship. They went on their first date last week.
Mike and Becky have been in a sexual relationship for three months and went on a date last week.
Mike is Becky’s manager at work and he tells Becky that he really values their work relationship. They have been in a sexual relationship for three months and went on a date last week.
Mike and Becky have been married for five years and went out for dinner last week.
GENTLE FORCE
{Blank}
Mike began to remove Becky’s clothes.
COERCION
Mike then said that he was going to end the romantic relationship if she did not have sex with him.
Mike then said, “You’re so beautiful. I really want us to share something special.”
Mike also tried several times to persuade her to have sex.
How would you answer the following questions about Becky?
1. Within the past 12 months, that is since [MONTH/YEAR], has a male used force or threats of force to make Becky have vaginal sex against her will? By vaginal sex, it means putting his penis in her vagina against her will.
Yes
No
2. Since [MONTH/YEAR], has anyone made Becky have any type of sex against her will by threatening to cause problems for her, such as at her job or school, at home, in her relationships or in any other way? By sex, it means vaginal sex, oral sex, anal sex, or putting fingers or a foreign object in her vagina or anus.
Yes
No
On a scale from 1 to 10 where 1 means Becky was definitely not pressured and 10 means she was definitely pressured, to what extent was Becky pressured to have sexual intercourse?
1 2 3 4 5 6 7 8 9 10
Definitely not Definitely
pressured pressured
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
| Author | Aaron Maitland |
| File Modified | 0000-00-00 |
| File Created | 2021-01-28 |
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