Various Demographic Area Pretesting Activities

ASK OF ALL PEOPLE AGES 12-18

FORM SCS-1R(draft) U.S. DEPARTMENT OF Economics and Statistics Administration U.S. Census Bureau ACTING AS COLLECTING AGENCY FOR THE BUREAU OF JUSTICE STATISTICS U.S. DEPARTMENT OF JUSTICE SCHOOL CRIME SUPPLEMENT TO THE NATIONAL CRIME VICTIMIZATION SURVEY 2015 QUESTIONNAIRE

Control number PSU Segment/Suffix Sample Designation/Suffix Serial/Suffx HH No. Spinoff Indicator

A. FR Code 001 

B. Respondent Line No. Age Name 002  003 

FIELD REPRESENTATIVE - Complete an SCS-1 form for all NCVS interviewed people ages 12-18. Do NOT complete an SCS-1 form for Type Z noninterview people or for people in Type A noninterview households. C. Type of SCS Interview 004 1  Personal - Self 2  Telephone – Self 3  Personal - Proxy 4  Telephone - Proxy 5  Noninterview – SKIP to ITEM D

D. Reason for SCS noninterview 005 2  Refused } SKIP to END 3  Not available } SKIP to END 4  NCVS completed in a Language other than } SKIP to END English or Spanish

INTRO 1 - 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.

E. SCREEN QUESTIONS FOR SUPPLEMENT

1a. Did you attend school at any time this school year? 1b. During that time, were you ever home-schooled? That is, did you receive ANY of that schooling at home, rather than in a public or private school? 1c. Was all of your schooling this school year home schooling? 1d. How many different schools have you attended this school year? [if student said “yes” to 1b add: Include your homeschooling as one school]

006 1  Yes 2  No - SKIP to END 092 1  Yes 2  No - SKIP to 1d 007 1  Yes - SKIP to END 2  No 1  one school 2 two schools 3 three or more schools

Check item: if student was not homeschooled (1b = “no”) continue with 2b. If student was partially homeschooled, continue with 2a.

2a. During the time you were home-schooled this school year, what grade would you have been in if you were in a public or private school?

093 0  Fifth or under - SKIP to END  Sixth  Seventh  Eighth Skip to 3  Ninth  Tenth  Eleventh  Twelfth  Other - Specify  College/GED/Post-graduate/ Other noneligible – END

2b.

What grade are you in?

008

0  Fifth or under - SKIP to END  Sixth  Seventh  Eighth  Ninth  Tenth  Eleventh  Twelfth  Other - Specify  College/GED/Post-graduate/ Other noneligible - SKIP to END

FIELD REPRESENTATIVE - Read introduction only if any of the boxes 1-8 are marked in item 2a. INTRO 2 - The following questions pertain only to your attendance at a public or private school and not to being home- schooled.

3. In what month did your current school year begin?

009

  

August September Other – Specify______

F. ENVIRONMENTAL QUESTIONS

4a. 4b.

What is the complete name of your school? In what city, county, and state is your school located?

School Name City County State

5a. 5b. 5c.

Is your school public or private? Is this the regular school that most of the students in your neighborhood attend? Is your school affiliated with a religion?

1  Public - ASK 5b  Private - SKIP to 5c 1  Yes } SKIP to 6 2  No } SKIP to 6 1  Yes  No

What grades are taught in your school? Pre-K or Kindergarten 00 01 02 03 04 05 06 07 08 09 10 11 12 H.S. Senior 13 Post-graduate 20 All ungraded 30 All Special Education

020 021

Grades:  (lowest) TO  (highest)

7. How do you get to school most of the time this school year? FIELD REPRESENTATIVE - If multiple modes are used, code the mode in which the student spends the most time.

022

 Walk  School bus  Public bus, subway, train  Car  Bicycle, motorbike, or motorcycle  Some other way – Specify______________

8. How do you get home from school most of the time this school year? FIELD REPRESENTATIVE - 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.

024

 Walk  School bus  Public bus, subway, train  Car  Bicycle, motorbike, or motorcycle  Some other way – Specify_____________

9. During this school year, have you participated in any of the following activities sponsored by your school: Athletic teams at school? Spirit groups, for example, Cheerleading, Dance Team, or Pep Club? Performing arts, for example, Band, Choir, Orchestra, or Drama? Academic clubs, for example, Debate Team, Honor Society, Spanish Club, or Math Club? Student government? [IF GRADES 6, 7, or 8 ASK] Volunteer or community service clubs sponsored by your school, for example, Peer Mediators, Ecology Club, or Recycling Club? [IF GRADES 9, 10, 11, or 12 ASK] Volunteer or community service clubs sponsored by your school, for example, Peer Mediators, Ecology Club, Key Club, or Interact? Do not include community service hours required for graduation. Other school clubs or school activities?

Yes No 120 1  2  121 1  2  122 1  2  123 1  2  124 1  2  125 1  2  126 1  2   Specify

10. The next questions are about security measures that some schools take. Does your school have: Security guards or assigned police officers? Other adults supervising the hallway, such as teachers, administrators, or parent volunteers? Metal detectors, including wands? Locked entrance or exit doors during the day? A requirement that visitors sign in and wear visitor badges or stickers? Locker checks? A requirement that students wear badges or picture identification? One or more security cameras to monitor the school? A code of student conduct, that is, a set of written rules or guidelines that the school provides you?

Yes No School does not have lockers 028 1  2  029 1  2  030 1  2  031 1  2  032 1  2  033 1  2  3  094 1  2  095 1  2  096 1  2 

11. If you hear about a threat to school or student safety, do you have a way to report it without having to give your name?

167

Yes No 1  2 

12.

In your classes, how often are you distracted from doing your schoolwork because other students are misbehaving, for example, talking or fighting? (READ CATEGORIES.)

156

 Never  Almost never  Sometimes  Most of the time

13.

Thinking about your school, would you strongly agree, agree, disagree, or strongly disagree with the following... The school rules are fair. The punishment for breaking school rules is the same no matter who you are. The school rules are strictly enforced. If a school rule is broken, students know what kind of punishment will follow. Teachers treat students with respect

035 036 037 038 127

Strongly Agree 1  1  1  1  1 

Agree 2  2  2  2  2 

Strongly Disagree Disagree 3  4  3  4  3  4  3  4  3  4 

14.

Still thinking about your school, would you strongly agree, agree, disagree, or strongly disagree with the following… There is a TEACHER or other ADULT at school who… Really cares about you. Listens to you when you have something to say. Tells you when you do a good job.

Strongly Agree 173SCS 1  175SCS 1  176SCS 1 

Agree 2  2  2 

Disagree 3  3  3 

Strongly Disagree 4  4  4 

15.

There is a STUDENT at school who… Really cares about you. Listens to you when you have something to say. Believes that you will be a success.

Strongly Agree 1  1  1 

Agree 2  2  2 

Disagree 3  3  3 

Strongly Disagree 4  4  4 

16.

Thinking about the neighborhood where YOU LIVE, would you strongly agree, agree, disagree, or strongly disagree with the following… There is a lot of crime in the neighborhood where you live.

Strongly Agree Agree 179SCS 1  2 

Disagree 3 

Strongly Disagree 4 

17.

Thinking about the neighborhood where your SCHOOL IS LOCATED, would you strongly agree, agree, disagree, or strongly disagree with the following... There is a lot of crime in the neighborhood where you go to school.

Strongly Agree 181SCS 1 

Agree 2 

Disagree 3 

Strongly Disagree 4 

18.

Thinking about your school, would you strongly agree, agree, disagree, or strongly disagree with the following... You feel safe in your school

Strongly Agree 1 

Agree 2 

Disagree 3 

Strongly Disagree 4 

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.

19.

The following question refers to the availability of drugs and alcohol at your school. FIELD REPRESENTATIVE - For each item ask, Is it possible to get at your school? Alcoholic beverages Marijuana Prescription drugs illegally obtained without a prescription, such as Oxycontin, Ritalin or Adderall? Other illegal drugs, such as cocaine, uppers, or heroin. If “Yes” is marked, ASK - What drugs? (Exclude tobacco products.)

040 041 159 048

Yes No 1  2  1  2  1  2  1  2   Specify

20.

During this school year, did you see another student who was under the influence of illegal drugs or alcohol while they were at school?

 Yes  No

G. FIGHTING, BULLYING AND HATE BEHAVIORS

21a. During this school year, have you been in one or more physical fights at school?

103 1  Yes 2  No - SKIP to 22

21b. During this school year, how many times have you been in a physical fight at school?

104  (Number of times)

22. Now I have some questions about what students do at school that makes you feel bad or is hurtful to you. 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? That is, has another student... (Read each category a-g.) Made fun of you, called you names, or insulted you, in a hurtful way? Spread rumors about you or tried to make others dislike you? Threatened you with harm? Pushed you, shoved you, tripped you, or spit on you? Tried to make you do things you did not want to do, for example, give them money or other things? Excluded you from activities on purpose? Destroyed your property on purpose?

(alt version – just respond to stem 22) Yes No 1  2  Yes No 134 1  2  135 1  2  136 1  2  137 1  2  138 1  2  139 1  2  140 1  2 

CHECK Item 22 Are all categories a-g marked “No” in Q22 above?

1  Yes - SKIP to 29a 2  No

23a. When you were bullied this school year, did it happen over and over, or were you afraid it would happen over and over? 23b. When you were bullied this school year, were you ever bullied by someone who had more power or strength than you? This could be because the person was bigger than you, was more popular, had more money, or had more power than you in another way.

1  Yes 2  No 1  Yes 2  No

24. During this school year, how often were you bullied? (READ CATEGORIES 1-4.)

142 1  Once or twice this school year  Once or twice a month  Once or twice a week, or  Almost every day

25. Still thinking about all of the times that you were bullied, where did the bullying occur? Did it occur … (READ CATEGORIES) Mark (X) all that apply

143 1  In a classroom at school? 2  In a hallway or stairwell at school? 3  In a bathroom or locker room at school? 173 4  In a cafeteria or lunchroom at school? 146 5  Somewhere else inside the school building? – Specify 6  Outside on school grounds? 7  On the way to or from school such as on a school bus or at a bus stop? 8 Online or by text?

26. Did you tell a teacher or some other adult at school about being bullied?

147 1  Yes 2  No

27. This school year, how much has bullying affected… (READ STEM AND RESPONSES FOR EACH) Your school work Your relationships with friends How you feel about yourself Your physical health - for example, caused injuries, gave you headaches or stomach aches. You in other ways?

Not Not very Somewhat A lot at allmuch 1 2 3 4  1 2 3 4  1 2 3 4  1 2 3 4  1 2 3 4  Specify:__________________________________

28. When you were bullied in school this year, did you ever think it was related to ... Your race? Your religion? Your ethnic background or national origin - for example, people of Hispanic origin? Any disability you may have – such as physical, mental, or developmental disabilities? Your gender? Your sexual orientation - by this we mean homosexual, bisexual, or heterosexual? Your physical appearance? Some other reason?

Yes No 1  2  1  2  1  2  1  2  1  2  1  2  1  2   1  2  Specify__________________________

29a. Now I have some questions about what students do that could occur anywhere and that make you feel bad or are hurtful to you. You may include events you told me about already. During this school year, has another student bullied you online or by text? 29b. When you were bullied online or by text by another student this school year, did it happen over and over, or were you afraid it would happen over and over? 29c. When you were bullied online or by text by another student this school year, were you ever bullied by someone who had more power or strength than you? This could be because the person was bigger than you, was more popular, had more money, or had more power than you in another way.

1  Yes  2  No - SKIP to 30 1  Yes 2  No 1  Yes 2  No

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

065 1 Yes  2 No - SKIP to 32 

31. Were any of the hate-related words related to ... Your race? Your religion? Your ethnic background or national origin -for example, people of Hispanic origin? Any disability you may have – such as physical, mental, or developmental disabilities? Your gender? Your sexual orientation - by this we mean homosexual, bisexual, or heterosexual?

Yes No 107SCS 1  2  108SCS 1  2  109SCS 1  2  110SCS 1  2  111SCS 1  2  112SCS 1  2 

32. During this school year, have you seen any hate-related words or symbols written in school classrooms, school bathrooms, school hallways, or on the outside of your school building?

066 1 Yes  2 No

H. AVOIDANCE
33. During this school year, did you ever STAY AWAY from any of the following places because you thought someone might attack or harm you there? (READ CATEGORIES.) For example, did you ever STAY AWAY from the shortest route to school because you thought someone might attack or harm you? The entrance into the school? Any hallways or stairs in school? Parts of the school cafeteria? Any school restrooms? Other places inside the school building? School parking lot? Other places on school grounds? School bus or bus stop?	Yes 1  1  1  1  1  1  1  1  1 			No 2  2  2  2  2  2   2  2 
34a. Did you AVOID any activities at your school because you thought someone might attack or harm you?	076	 Yes  No
34b. Did you AVOID any classes because you thought someone might attack or harm you?	077	 Yes  No
34c. Did you stay home from school because you thought someone might attack or harm you in the school building, on school property, on a school bus, or going to or from school?	078	 Yes  No
I. FEAR
Intro: Sometimes, even if you can’t avoid a place, you may still be afraid of what might happen there.
35a. How often are you afraid that someone will attack or harm you in the school building or on school property? (READ CATEGORIES.)	079	   	Never Almost never Sometimes Most of the time
35b. How often are you afraid that someone will attack or harm you on a school bus or on the way to and from school? (READ CATEGORIES)	080	   	Never Almost never Sometimes Most of the time
35c. Besides the times you are in the school building, on school property, on a school bus, or going to or from school, how often are you afraid that someone will attack or harm you? (READ CATEGORIES)	081	   	Never Almost never Sometimes Most of the time

J. WEAPONS
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.
36. Some people bring guns, knives, or objects that		Yes No
can be used as weapons to school for protection.
During this school year, did YOU ever bring the
following to school or onto school grounds?
(READ CATEGORIES.)
a. A gun?	082	1 	2 
b. A knife brought as a weapon?	083	1 	2 
c. Some other weapon?	084	1 	2 
37a. Do you know of any other students who have brought a gun to your school during this school year?	085	 	Yes No - SKIP to 38
37b. Have you actually seen another student with a gun at	086	1 	Yes
school during this school year?		2 	No
38. During this school year, could you have gotten a loaded gun without adult permission, either at school	113	Yes No
or away from school?
K. GANGS
INTRO 4 - Now, we'd like to know about gangs at your 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.
39a. Are there any gangs at your school?	058 1  Yes 2  No - SKIP to 40
39b. During this school year, how often have gangs been involved in fights, attacks, or other violence at your school? (READ CATEGORIES 1-5)	089 1  Never  Once or twice this school year  Once or twice a month  Once or twice a week, or  Almost every day
39c. Have gangs been involved in the sale of drugs at your school during this school year?	090 1  Yes  No
L. STUDENT CHARACTERISTICS
40. During this school year, across all subjects have you gotten mostly - (READ CATEGORIES 1-5)	116 1  A's  B's  C's  D's  F's  School does not give grades/no alphabetic grade equivalent
41a. During the last 4 weeks of school, did you skip any classes? Again, we would like to remind you that all your responses are strictly confidential and will not be shared with anyone.	114 1  Yes  No - SKIP to 42
41b. During the last 4 weeks of school, on how many days did you skip at least one class?	 (Number of days)
42. Thinking about the future, do you think you will ... Attend school after high school, such as a college or technical school? . . . . . . . . . . Graduate from a 4-year college? . . . . . . . . . . .	Yes No 117 1  2  -- END 118 1  2 

Draft 2015 SCS (11/12/2013) – Renumbered