Form SCS1 School Crime Supplement to NCVS Questionnaire 2013

NOTICE - We are conducting this survey under the authority of Title 13, United States Code, Section 8. Section 9 of this law requires us to keep all information
about you and your household strictly confidential. We may use this information only for statistical purposes. Also, Title 42, Section 3732, United States Code,
authorizes the Bureau of Justice Statistics, Department of Justice, to collect information using this survey. Title 42, Sections 3789g and 3735, United States Code also
requires us to keep all information about you and your household strictly confidential.

ASK OF ALL PEOPLE AGES 12-18

FORM

SCS-1

Economics and Statistics Administration

U.S. Census Bureau
ACTING AS COLLECTING AGENCY FOR THE
BUREAU OF JUSTICE STATISTICS
U.S. DEPARTMENT OF JUSTICE

We estimate that it will take from 5 to 15 minutes to complete this interview with 10 minutes
being the average time. If you have any comments regarding these estimates or any other
aspect of this survey, send them to the Associate Director for Finance and Administration,
Room 2027, U.S. Census Bureau, Washington DC 20233, or to the Office of Information and
Regulatory Affairs, Office of Management and Budget, Washington, DC 20503. According to
the Paperwork Reduction Act of 1995, no such persons are required to respond to a collection
of information unless such collection displays a valid OMB control number.

SCHOOL CRIME SUPPLEMENT
TO THE NATIONAL CRIME
VICTIMIZATION SURVEY
2013

Control number
PSU

Segment/Suffix

Sample Designation/Suffix

A. FR Code

Serial/Suffx

HH No.
Spinoff
Indicator

QUESTIONNAIRE

B. Respondent
Line No.



001

Age

002 

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.

1
2
3
4
5

INTRO 1 -

Name

003 
D. Reason for SCS noninterview
005

C. Type of SCS Interview
004

U.S. DEPARTMENT OF COMMERCE

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

Personal - Self
Telephone – Self
Personal - Proxy
Telephone - Proxy
Noninterview – SKIP to ITEM D
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.

1  Yes
2  No - SKIP to END
_____________________________________________
006

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?
_________________________________________

092

1c.

Was all of your schooling this school year home
schooling?

007

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

1  Yes
2  No - SKIP to 2b

____________________________________________
1  Yes - SKIP to END
2  No
0  Fifth or under - SKIP to END
1
2
3
4
5
6
7
8

Sixth
Seventh
Eighth
Ninth
Tenth
Eleventh
Twelfth
Other - Specify ______

SKIP to
INTRO 2

9  College/GED/Post-graduate/
Other noneligible – SKIP to END

2b.

What grade are you in?

008

0  Fifth or under - SKIP to END
1  Sixth
2  Seventh
3  Eighth
4  Ninth
SKIP to 3
5  Tenth
6  Eleventh
7  Twelfth
8  Other - Specify ________
9  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 homeschooled.
3.

In what month did your current school year begin?

009

1  August
2  September
3  Other - Specify
________________________

F. ENVIRONMENTAL QUESTIONS
6a.

What is the complete name of your school?
________________________________________

6b.

In what city, county, and state is your school
located?

7a.

Is your school public or private?

012 School Name
013 City
014 County
015 State

____________________________________________

1  Public - ASK 7b
2  Private - SKIP to 7c
______________________________________________

7b.

Is this the regular school that most of the students in
your neighborhood attend?
________________________________________

1  Yes } SKIP to 8
2  No } SKIP to 8
_________________________________________

7c.

Is your school affiliated with a religion?

018

Page 2

016

017

1  Yes
2  No
3  Don’t know

FORM SCS-1 (09/06/2012)

8.

What grades are taught in your school?
Grades:
Pre-K or Kindergarten

9.

00
01
02
03
04
05
06
07
08
09
10
11
12
13
20
30

020

 (lowest)
TO

021

 (highest)

H.S. Senior
Post-graduate
All ungraded
All Special Education

How do you get to school most of the time this
school year?

022

1
2
3
4
5
6

Walk
School bus
Public bus, subway, train
Car
Bicycle, motorbike, or motorcycle
Some other way - Specify

FIELD REPRESENTATIVE - If multiple modes are used,
code the mode in which the student spends the most
time.
10.

How long does it take you to get from your home to
school most of the time?

023

1
2
3
4
5

Less than 15 minutes
15-29 minutes
30-44 minutes
45-59 minutes
60 minutes or longer

11.

How do you get home from school most of the time
this school year?

024

1
2
3
4
5
6

Walk
School bus
Public bus, subway, train
Car
Bicycle, motorbike, or motorcycle
Some other way - Specify
_____________________________

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.
12a.

How often do you leave school grounds at lunch
time?
(READ CATEGORIES)

___________________________________________
12b.

Are students in your grade level allowed to leave
school grounds to eat lunch?

026 1  Never
2  Once or twice a year
3  Once or twice a month
4  Once or twice a week
5  Almost every day
___________________________________________
025 1  Yes
2  No
3  Don’t know

13a.

During this school year, have you participated in any
of the following activities sponsored by your school:

Yes

No

a. Athletic teams at school?

120

1

2

b.

121

1

2

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

122

1

2

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

123

1

2

e. Student government?

124

1

2

f. [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?

125

1

2

126

1

Spirit groups, for example, Cheerleading, Dance
Team, or Pep 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.
g. Other school clubs or school activities?

2

Specify _____----------------------------------__

14a. Does your school take any measures to make sure
students are safe?
Yes

No

Don’t know School does not
have lockers

For example, does the school have:

Page 4

a. Security guards or assigned police officers?

028

1

2

3

b. Other school staff or other adults supervising the
hallway?

029

1

2

3

c.

Metal detectors, including wands?

030

1

2

3

d.

Locked entrance or exit doors during the day?

031

1

2

3

e.

A requirement that visitors sign in?

032

1

2

3

f.

Locker checks?

033

1

2

3

g. A requirement that students wear badges or
picture identification?

094

1

2

3

h.

One or more security cameras to monitor the
school?

095

1

2

3

i.

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

096

1

2

3

4

FORM SCS-1 (09/06/2012)

14b.

If you hear about a threat to school or student safety,
do you have a way to report it to someone in authority
without giving your name?

Yes

No

Don’t know

167

1

2

3

156

1
2
3
4

Never
Almost never
Sometimes
Most of the time

157

1
2
3
4

Never
Almost never
Sometimes
Most of the time

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

15a.

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

15b.

In general, how often do teachers punish students
during your classes?
(READ CATEGORIES.)

16a.

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

Agree

Strongly
Disagree Disagree

a.

Everyone knows what the school rules are.

034

1

2

3

4

b.

The school rules are fair.

035

1

2

3

4

c.

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

036

1

2

3

4

d.

The school rules are strictly enforced.

037

1

2

3

4

038

1

2

3

4

Strongly
Agree

Agree

Strongly
Disagree Disagree

e. If a school rule is broken, students know what
kind of punishment will follow.
16b.

Strongly
Agree

Thinking about the TEACHERS at your school,
would you strongly agree, agree, disagree, or
strongly disagree with the following…
a. Teachers treat students with respect.

127

1

2

3

4

b. Teachers care about students.

128

1

2

3

4

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

129

1

2

3

4

16c.

Thinking about all of the ADULTS at your school,
including teachers, would you strongly agree, agree,
disagree, or strongly disagree with the following…
Strongly
Agree

Agree

Disagree

Strongly
Disagree

There is an ADULT at school who…

16d.

a.

Really cares about you.

173SCS 1 

2

3

4

b.

Notices when you are not there.

174SCS 1 

2

3

4

c.

Listens to you when you have something to say.

175SCS 1 

2

3

4

d.

Tells you when you do a good job.

176SCS 1 

2

3

4

e.

Always wants you to do your best.

177SCS 1 

2

3

4

f.

Believes that you will be a success.

178SCS 1 

2

3

4

Strongly
Agree
Agree

Disagree

Strongly
Disagree

Thinking about FRIENDS at your school, would you
strongly agree, agree, disagree, or strongly disagree
with the following...
a. At school, you have a FRIEND you can talk to, who
cares about your feelings and what happens to
you.

16e.

16f.

Page 6

Thinking about the neighborhood where you live,
would you strongly agree, agree, disagree, or
strongly disagree with the following…

132

1

Strongly
Agree

2

Agree

3

Disagree

4

Strongly
Disagree

a. There is not a lot of crime in the neighborhood
where you live.

179SCS 1 

2

3

4

b. You feel safe in the neighborhood where you live.

180SCS 1 

2

3

4

Agree

Disagree

Thinking about the neighborhood where your school
is located, would you strongly agree, agree, disagree,
or strongly disagree with the following...

Strongly
Agree

a. There is not a lot of crime in the neighborhood
where you go to school.

181SCS 1 

2

3

b. You feel safe in the neighborhood where you go to
school.

182SCS 1 

2

3

Strongly
Disagree
4
4

FORM SCS-1 (09/06/2012)

INTRO 3

17a.

-

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.

The following question refers to the availability of
drugs and alcohol at your school.
Tell me if you don’t know what any of these items
are.
FIELD REPRESENTATIVE - For “Don’t Know”
responses, probe if necessary to determine if respondent
means they do not know if the drug is available or if they
do not know the drug.
FIELD REPRESENTATIVE - For each item ask,
Is it possible to get _______________ at your
school?

Yes

No

Don’t know

Don’t
know
drug

a. Alcoholic beverages

040

1

2

3

4

b. Marijuana

041

1

2

3

4

c. Crack

042

1

2

3

4

d. Other forms of cocaine

043

1

2

3

4

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

097

1

2

3

4

f. Downers such as GHB or sleeping pills

098

1

2

3

4

g. LSD or acid

045

1

2

3

4

h. PCP or angel dust

046

1

2

3

4

i.

Heroin or smack

047

1

2

3

4

j.

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

159

1

2

3

4

048

1


2

3

4

k. Other illegal drugs
If “Yes” is marked, ASK - What drugs?
(Exclude tobacco products.)

Specify _________________________________
FIELD REPRESENTATIVE - Refer to Drug Slang Card
(SCS-2). Reclassify the “other illegal drug(s)” to one of
the categories a-i if possible. If able to reclassify the
drug(s) mentioned, mark the “No” box in category k,
otherwise, mark the “Yes” box in category k and enter
the “other illegal drug(s)” mentioned in the Specify space.
17b.

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

101

1  Yes
2  No

17c.

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

102

1  Yes
2  No

G. FIGHTING, BULLYING AND HATE BEHAVIORS
18a.

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

18b.

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

19a.

103

104

1  Yes
2  No - SKIP to 19a

 (Number of times)

Now I have some questions about what students do
at school that make you feel bad or are 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.)
a. Made fun of you, called you names, or insulted
you, in a hurtful way?
b. Spread rumors about you or tried to make others
dislike you?

Yes

No

134

1

2

135

1

2

136

1

2

137

1

2

138

1

2

139

1

2

140

1

2

c. Threatened you with harm?
d. Pushed you, shoved you, tripped you, or spit on
you?
e. Tried to make you do things you did not want to
do, for example, give them money or other
things?
f.

Excluded you from activities on purpose?

g. Destroyed your property on purpose?

CHECK Item 19a
19b.

1  Yes - SKIP to 20a
2  No - SKIP to 19b

Are all categories a-g marked “No” in Q19a
above?

You just indicated that someone had bullied you
during this school year. Thinking about all of the
ways in which you were bullied, how often did all of
those things happen?

142

1  Once or twice this school year
2  Once or twice a month
3  Once or twice a week, or
4  Almost every day
5  Don’t know

143
168
169
173
146

1  In a classroom at school?
2  In a hallway or stairwell at school?
3  In a bathroom or locker room at school?
4  In a cafeteria or lunchroom at school?
5  Somewhere else inside the school
building? – Specify __________________
6  Outside on school grounds?
7  On a school bus?

(READ CATEGORIES 1-4.)
19c.

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

144
145
19d.

Page 8

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

147

1  Yes
2  No
FORM SCS-1 (09/06/2012)

CHECK Item B
19e.

Is Box 4 in Question 19a marked “Yes”?

What were the injuries you suffered as a result of
being pushed, shoved, tripped, or spit on?
Mark (X) all that apply

20a.

160SCS 1  Yes - ASK 19e
2  No - SKIP to 20a
148
149
150
151
152
153
154
155

1  None
2  Bruises or swelling
3  Cuts, scratches, or scrapes
4  Black eye/bloody nose
5  Teeth chipped or knocked out
6  Broken bones/internal injuries
7  Knocked unconscious
8  Other - Specify _______________________

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....
(Read each category a-g.)
a.

b.

Posted hurtful information about you on the
Internet, for example, on a social networking site
like MySpace, Facebook, Formspring, or
Twitter?
Purposely shared your private information,
photos, or videos on the Internet or mobile
phones in a hurtful way?

c.

Threatened or insulted you through email?

d.

Threatened or insulted you through instant
messaging or chat?

e.

Threatened or insulted you through text
messaging?

f.

Threatened or insulted you through online
gaming, for example, while playing XBOX, World
of Warcraft, or similar activities?

g.

Purposefully excluded you from online
communications?

CHECK Item 20a

20b.

161

No

1

2

183SCS 1 

1

2

162

1

2

163

1

2

171

1

2

172

1

2

1  Yes - SKIP to 21a
2  No - ASK to 20b
165

1  Once or twice this school year
2  Once or twice a month
3  Once or twice a week, or
4  Almost every day
5  Don’t know

166

1  Yes
2  No

(READ CATEGORIES 1-4)
20c.

Was a teacher or some other adult at school notified
about this bullying online (or through text
messaging)?

2

170

Are all categories a-g marked “No” in Q20a
above?

You just indicated that someone had bullied you
online (or through text messaging) during this
school year. Thinking about all of the ways in which
you were bullied online (or through text
messaging), how often did all of those things
happen?

Yes

21a.

21b.

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 22

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

Yes

No

Don’t know

a.

Your race?

107SCS

1

2

3

b.

Your religion?

108SCS

1

2

3

c.

Your ethnic background or national origin (for
example, people of Hispanic origin)?

109SCS

1

2

3

d.

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

110SCS

1

2

3

e.

Your gender?

111SCS

1

2

3

f.

Your sexual orientation?

112SCS

1

2

3

If “Yes,” SAY - (by this we mean homosexual,
bisexual, or heterosexual)
22.

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
23a.

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.)

Yes

No

a.

For example, did you ever STAY AWAY from the
shortest route to school because you thought
someone might attack or harm you?

068

1

2

b.

The entrance into the school?

069

1

2

c.

Any hallways or stairs in school?

070

1

2

d.

Parts of the school cafeteria?

071

1

2

e.

Any school restrooms?

072

1

2

f.

Other places inside the school building?

073

1

2

g.

School parking lot?

074

1

2

h.

Other places on school grounds?

075

1

2

23a.1.

Page 10

During this school year, did you STAY AWAY from
any online activities because you thought someone
might be mean to you there?

184SCS 1  Yes
2  No

FORM SCS-1 (09/06/2012)

23b.

Did you AVOID any activities at your school because
you thought someone might attack or harm you?

076

1  Yes
2  No

23c.

Did you AVOID any classes because you thought
someone might attack or harm you?

077

1  Yes
2  No

23d.

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

1  Yes
2  No

I. FEAR
24.

How often are you afraid that someone will attack or
harm you in the school building or on school
property?

079

1
2
3
4

Never
Almost never
Sometimes
Most of the time

080

1
2
3
4

Never
Almost never
Sometimes
Most of the time

081

1
2
3
4

Never
Almost never
Sometimes
Most of the time

(READ CATEGORIES.)
25.

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)

26.

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)

J. WEAPONS
27.

In the next series of questions we are going to ask
you about weapons at your school. All your
responses are strictly confidential and will not be
shared with anyone.
Some people bring guns, knives, or objects that
can be used as weapons to school for protection.
During this school year, did YOU ever bring the
following to school or onto school grounds?
(READ CATEGORIES.)
a. A gun?

082

Yes
1

No
2

b. A knife brought as a weapon?

083

1

2

c. Some other weapon?

084

1

2

085

1  Yes
2  No - SKIP to 29

28a.

Do you know of any other students who have
brought a gun to your school during this school
year?

28b.

Have you actually seen another student with a gun at
school during this school year?

086

1  Yes
2  No
3  Don’t know

29.

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

113

1  Yes
2  No

K. GANGS
INTRO 4 -

30.

31.

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.

Are there any gangs at your school?

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

058

1  Yes
2  No - SKIP to 34
3  Don't know

089

1
2
3
4
5
6

090

1  Yes
2  No
3  Don't know

(READ CATEGORIES 1-5)
32.

Have gangs been involved in the sale of drugs at
your school during this school year?

Never
Once or twice this school year
Once or twice a month
Once or twice a week, or
Almost every day
Don't know

L. STUDENT CHARACTERISTICS
34.

During this school year, across all subjects have you
gotten mostly -

116

(READ CATEGORIES 1-5)

33a.

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.

33b.

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

35.

Thinking about the future, do you think you will ...

114

1
2
3
4
5
6

A's
B's
C's
D's
F's
School does not give grades/no alphabetic
grade equivalent

1  Yes
2  No - SKIP to 35
3  Don't know - SKIP to 35

115

 (Number of days)

a. Attend school after high school, such as a
college or technical school? . . . . . . . . . .

117

Yes
1

No
2  -- END

b. Graduate from a 4-year college? . . . . . . . . . . .

118

1

2

Page 12

Don't know
3
3

FORM SCS-1 (09/06/2012)