Campus Climate Survey -- InPerson Cognitive Interview Pr

Generic Clearance for Cognitive, Pilot and Field Studies for Bureau of Justice Statistics Data Collection Activities

CCS_InPerson_Cognitive_Interview_Protocol_FINAL for OMB 1-12-15

Cognitive Testing of the Campus Climate Survey Validation Study

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Campus Climate Survey (CCS)
Cognitive Testing Protocol–Fall 2014
On behalf of the Bureau of Justice Statistics (BJS), I would like to thank you for taking the time
to speak with me today. I greatly appreciate it.
Purpose: The purpose of this interview is to show you a web survey with questions about your
school and experiences as a college student. We are hoping to get your feedback and opinions
on these questions.
Procedure: I am going to ask you to complete a web survey as if you were taking it at home, by
yourself, except I want you to read the questions out loud so I can follow along. Please answer
these questions to the best of your knowledge and know that there are no right or wrong
answers. After some of the survey questions I may ask you follow-up questions to better
understand your answer and the way you thought about the question. As we are going through
the survey, please feel free to tell me anything that comes to mind or to ask me anything you
are unclear about. Feel free to think aloud as you are answering these questions. We want your
honest opinions about what you like and dislike and what you do and don’t understand so we
can improve this survey. I also want to remind you that you do not have to answer any
questions you do not want to and you can end the interview at any time.
Once you have completed the survey, I will ask you a few follow-up questions about your overall
thoughts about the survey.
Do you have any questions before we begin?

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DEMOGRAPHICS
This section asks you some basic demographic questions.
D8.

In what month and year were you born?
INSERT DROP-DOWN LIST—ONE COLUMN FOR MONTH [1, 2, …12], AND ONE COLUMN FOR
YEAR: 1986, 1987, 1988, 1989, 1990, 1991, 1992, 1993, 1994, 1995, 1996

[if under 18] We are sorry, but you are not eligible to participate in the study.
D5.

What is your current student status?
First year student (freshman)
Second year student (sophomore)
Third year student (Junior)
Fourth year student (Senior)
Other

D6.

Are you currently attending a 2-year or a 4-year school?
2-year
4-year

D7.

Are you currently attending a private or a public school?
Private
Public

Now you are going to be asked some questions about this school.
SCHOOL CONNECTEDNESS AND GENERAL CLIMATE
SC1. Please indicate how much you agree with each of the following statements.
Strongly Agree

Agree

Disagree

Strongly Disagree

a. I feel valued as an individual at this school
b. I feel close to people at this school
c. I feel like I am a part of this school
d. I am happy to be a student at this school
e. I feel safe when I am on this campus
f.

There is a clear sense of appropriate and inappropriate behavior among students at this
school

g. Alcohol use is a big problem at this school
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h. This school is trying hard to protect the rights of ALL students
i.

This school is trying hard to make sure that ALL students treated equally and fairly

j.

This school is trying hard to make sure that ALL students are safe

You are now going to be asked about your views of three groups at this school: 1) Campus
police/security, 2) Faculty and staff, and 3) Administrators. Please indicate how much you agree with
each of the following statements.
Strongly Agree
GC1.
a.

Agree

Disagree

Strongly Disagree

The campus police/security at this school…
Are genuinely concerned about my well-being

b. Should do more to protect students from harm
c. Treat students fairly
d. Are more interested in protecting the reputation of this school than the students they
serve
PROBE: How familiar are you with campus police/security at this school?

GC2.

The faculty and staff at this school …

a. Are genuinely concerned about my well-being
b. Should do more to protect students from harm
c. Treat students fairly
d. Are more interested in protecting the reputation of this school than the students they
serve
PROBE: Did you have any difficulty answering these questions about faculty and staff?

GC3.

Administrators at this school

a. Are genuinely concerned about my well-being
b. Should do more to protect students from harm

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c. Treat students fairly
d. Are more interested in protecting the reputation of this school than the students they
serve
PROBE: How familiar are you with administrators at this school?

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PREVALENCE AND INCIDENT-LEVEL FOLLOW-UP
This section asks about times when you may have experienced unwanted sexual contact, which is sexual
contact that you did not consent to and that you did not want to happen. Please keep in mind that both
men and women can experience unwanted sexual contact.
Unwanted sexual contact often occurs when:


someone uses force against you, such as holding you down with his or her body weight, pinning
your arms, hitting or kicking you;



someone threatens to hurt you or someone close to you; or



you are unable to provide consent or stop what is happening because you were passed out,
drugged, drunk, incapacitated, or asleep. This could happen after you voluntarily use of alcohol
or drugs, or after you were given a drug without your knowledge or consent.

When answering the following questions, please consider that there are five types of unwanted sexual
contact:
1. forced touching of a sexual nature (forced kissing, touching of private parts, grabbing, fondling,
rubbing up against you in a sexual way, even if it is over your clothes)
2. oral sex (someone’s mouth or tongue making contact with your genitals or your mouth or
tongue making contact with someone else’s genitals)
3. sexual intercourse (someone’s penis being put in your vagina)
4. anal sex (someone’s penis being put in your anus)
5. sexual penetration with a finger or object (someone putting their finger or an object like a bottle
or a candle in your vagina or your anus).
Also, keep in mind that the person(s) who had unwanted sexual contact with you could have been a
stranger or someone you know, such as a friend, family member, or person you were dating or hanging
out with.
PROBE: What would you think about an audio option that would read these definitions to you? Would
you use it?

P1. In the past 12 months, that is since [FILL WITH DATE 12 MONTHS AGO; FOR EXAMPLE, “September
26, 2013], has anyone had unwanted sexual contact with you?
Yes
No
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AFTER READING THE QUESTION THE FIRST TIME:
PROBE: Did you read or notice the entire description of what constitutes unwanted sexual contact?
q: Even if you did not look at the description, in your own words, what do you think “unwanted sexual
contact” is?
P2. How many separate incidents of unwanted sexual contact have you experienced in the past 12
months, which is since [FILL WITH DATE 12 MONTHS AGO; FOR EXAMPLE, “September 26, 2013]?
__________ incidents [IF P2 = 0 IINCIDENTS, SKIP TO C1]

PROBE: Did you read or notice the definition of “incidents”?

PROBE: In your own words, how would you define an “incident” of unwanted sexual contact?

INCIDENT-LEVEL FOLLOW-UPS
You are now going to be asked some questions about the [FILL # REPORTED IN #P2 AND “incident” IF
#P2 = 1 OR “incidents” IF #P2 = 2 OR MORE] of unwanted sexual contact you experienced in the past 12
months. The questions ask when the incidents happened, how you know the person who had unwanted
sexual contact with you, and whether you sought services after the incident. [IF #P2 = 2 OR MORE, FILL:
“The questions refer to the incidents as incident #1, incident #2, and so on.”]
PROBE: IF R REPORTS >1 INCIDENT – How do you feel about referring to the different incidents by
number, such as “incident 1, incident 2, etc.”?

PROBE: IF R REPORTS >1 INCIDENT – How did you decide the order you reported the incidents in? (IF
NEEDED: How did you choose which one is incident 1, incident 2, etc.)

PROBE: IF R REPORTS >1 INCIDENT – How easy or difficult was it to refer to these incidents as “incident
1, incident 2, etc. Did it ever get confusing?

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ILF1.

[IF #P2 = 2 OR MORE, FILL: “Please think about incident #1”]. In what month did this incident of
unwanted sexual contact occur?
INSERT DROP DOWN MENU WITH THE FOLLOWING OPTIONS:
November, 2013
December, 2013
January, 2014
February, 2014
March, 2014
April, 2014
May, 2014
June, 2014
July, 2014
August, 2014
September, 2014
October, 2014
November, 2014

PROBE: How easy or difficult was for you to pick which month (each/the) incident happened?

PROBE: How did you remember which month the incident(s) occurred?

ILF2.

During [FILL “the incident” IF #P2 = 1 OR “incident #1” IF #P2 = 2 OR MORE], which occurred in
[FILL THE MONTH REPORTED IN #ILF1, e.g., “February, 2014.”], which of the following types of
unwanted sexual contact happened? Please select all types of unwanted sexual contact that
happened during this incident.

a. Forced touching of a sexual nature (forced kissing, touching of private parts, grabbing, fondling,
rubbing up against you in a sexual way, even if it is over your clothes)
b. Oral sex (someone’s mouth or tongue making contact with your genitals or your mouth or
tongue making contact with someone else’s genitals)
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c. [RESPONSE WILL NOT DISPLAY UNLESS THE RESPONDENT IS BIOLOGICALLY FEMALE] Sexual
intercourse (someone’s penis being put in your vagina)
d. Anal sex (someone’s penis being put in your anus)
e. Sexual penetration with a finger or object (someone putting their finger or an object like a
bottle or a candle in your [IF R IS FEMALE, FILL: “vagina or anus”; IF R IS MALE, FILL: “anus”).
PROBE: In your own words, what do you think “forced touching of a sexual nature” includes?

ILF3.

During [FILL “the incident” IF #P2 = 1 OR “incident #1” IF #P2 = 2 OR MORE] in [FILL THE MONTH
REPORTED IN #3, e.g., “February, 2014”], how did the person(s) have unwanted sexual contact
with you? Please select all that apply.

a. Threatened to hurt you or someone you care about
b. Used physical force against you, such as holding you down with his or her body weight, pinning
your arms, hitting or kicking you;
c. You were unable to provide consent or stop what was happening because you were passed out,
drugged, drunk, incapacitated, or asleep
PROBE: What do you think we are referring to when we talk about unwanted sexual contact happening
when someone is unable to provide consent?

PROBE: In your own words, what does “unable to provide consent” mean?

ILF4.

Where did [FILL “the incident” IF #P2 = 1 OR “incident #1” IF #P2 = 2 OR MORE] occur?

a. On this campus
b. Off-campus but in the same city or town
c. In a different city or town
ILF5.

During [FILL “the incident” IF #P2 = 1 OR “incident #1” IF #P2 = 2 OR MORE], how many people
had unwanted sexual contact with you?
INSERT DROP DOWN BOX TO INCLUDE: 1 person, 2 people, 3 people, 4 people, 5 people, 6+
people

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ILF6.

[IF #ILF5 = 1] What was their sex?
Male
Female

ILF7.

[IF #ILF5 = 2+] What were the sexes of the people who had unwanted sexual contact with you?
Male
Female
Both

ILF8.

[IF #ILF5 = 1] Did you know or recognize the person?
Yes
No (skip to #IFL14)

ILF9.

[IF #ILF5 = 2+] Out of the people who had unwanted sexual contact with you during [FILL “the
incident” IF #P2 = 1 OR “incident #1” IF #P2 = 2 OR MORE], how many did you know or
recognize?
All of them
Some of them
None of them (skip to #IFL14)

PROBE: What kind of people would you include when thinking about those you “know or recognize”?

ILF10. [IF #ILF5 = 1 AND #ILF8 = Yes] Was the person a student, professor, or other employee at this
school?
Yes
No
ILF11. [IF #ILF5 = 2+ AND #ILF9 = “All of them” OR “Some of them”] How many of the people were
students, professors, or other employees at this school?
All of them
Some of them
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None of them
ILF12. [IF #ILF5 = 1 AND #ILF8 = Yes] Who was the person who had unwanted sexual contact with you
during [FILL “the incident” IF #P2 = 1 OR “incident #1” IF #P2 = 2 OR MORE]? Please select all
that apply.
a.
b.
c.
d.
e.
f.

Someone you had seen or heard about but not talked to
An acquaintance or a friend of a friend
A professor or teaching assistant
A friend or a roommate
A current or ex dating partner or spouse
Someone else

ILF13. [IF #ILF5 = 2+ AND #ILF9 = “All of them” OR “Some of them”] Who were the people who had
unwanted sexual contact with you during [FILL “the incident” IF #P2 = 1 OR “incident #1” IF #P2
= 2 OR MORE]? Please select all that apply.
a.
b.
c.
d.
e.
f.

Someone you had seen or heard about but not talked to
An acquaintance or a friend of a friend
A professor or teaching assistant
A friend or a roommate
A current or ex dating partner or spouse
Someone else

ILF14. [IF #ILF5 = 1] Had the person who had unwanted sexual contact with you been drinking alcohol
or using drugs?
Yes
No
ILF15. [IF #ILF5 = 2+] How many of the people who had unwanted sexual contact with you had been
drinking alcohol or using drugs?
All of them
Some of them
None of them
ILF16. Prior to [FILL “the incident” IF #P2 = 1 OR “incident #1” IF #P2 = 2 OR MORE], had you been
drinking alcohol or using drugs? Please keep in mind that you are in no way responsible for what
happened, even if you had been drinking or using drugs.
Yes
No
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The next questions ask about whether you told anyone about the unwanted sexual contact that happened
during [FILL “the incident” IF #P2 = 1 OR “incident #1” IF #P2 = 2 OR MORE] that occurred in [FILL THE
MONTH REPORTED IN # ILF1, e.g., “February, 2014”].
R1.

Did you tell any of your roommates, friends, or family members about [FILL “the incident” IF #P2
= 1 OR “incident #1” IF #P2 = 2 OR MORE]?
Yes
No

R2.

Please indicate whether each of the following groups or organizations were notified about [FILL
“the incident” IF #P2 = 1 OR “incident #1” IF #P2 = 2 OR MORE], whether it was by you or
someone else.

Group or organization
Administrators, faculty, or other officials at this school

Were they notified?
Yes
No

A crisis center or helpline, or a hospital or health care center at this
school
A crisis center or helpline, or a hospital or health care center NOT at
this school
Campus police or security at this school

Yes

No

Yes

No

Yes

No

Local police not at this school, such as the county or city police
department

Yes

No

Not
applicable
Not
applicable
Not
applicable
Not
applicable
Not
applicable

PROBE: Did you have any difficulty answering this question?

R3.

[DISPLAY ORGANIZATIONS FOR WHICH “YES” IS CHECKED IN #R2] Who notified the groups or
organizations about [FILL “the incident” IF #P2 = 1 OR “incident #1” IF #P2 = 2 OR MORE]? Please
select all that apply.
Group or organization

Administrators, faculty, or other officials or staff at this school
A crisis center or helpline, or a hospital or health care center at this school
A crisis center or helpline, or a hospital or health care center NOT at this school
Administrators, faculty, or other officials or staff at this school
Campus police or security at this school
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Who notified the
group?
You
Someone else
You
Someone else
You
Someone else
You
Someone else
You
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Local police not at this school, such as the county or city police department
R4.

You

Someone else

[DISPLAY ORGANIZATIONS FOR WHICH “YES” IS CHECKED IN #R2] When each of the following
groups or organizations were notified about [FILL “the incident” IF #P2 = 1 OR “incident #1” IF
#P2 = 2 OR MORE], were they helpful?

Group or organization
Administrators, faculty, or other officials or staff at this school
A crisis center or helpline, or a hospital or health care center at this school
A crisis center or helpline, or a hospital or health care center NOT at this school
Campus police or security at this school

Were they helpful?
Yes
No
Yes
No
Yes
No
Yes
No

Local police not at this school, such as the county or city police department

Yes

No

PROBE: What do you think it means for one of these groups to be helpful?

[FOR EACH ORGANIZATIONS FOR WHICH “NO” IS CHECKED IN #R2 OR FOR WHICH “SOMEONE ELSE” IS
CHECKED FOR #R3] Why did you not report [FILL “the incident” IF #P2 = 1 OR “incident #1” IF #P2 = 2 OR
MORE] to [FILL FIRST ORGANIZATION FOR WHICH “NO” IS CHECKED IN #R2 OR FOR WHICH “SOMEONE
ELSE” IS CHECKED FOR #R3; e.g., “a crisis center or helpline, or a hospital or health care center at this
school”]?
POSSIBLE RESPONSE OPTIONS FOR EACH GROUP/ORGANIZATION
R5.

A crisis center or helpline, or a hospital or health care center at this school. Please read each
response option and select all that apply.
a.
b.
c.
d.
e.
f.
g.
h.
i.

You knew someone else was contacting the organization for you
You sought help from a different organization instead
You did not want anyone to know about what happened
You did not need any assistance
You did not think they would keep your situation confidential
You did not know how to contact the organization
You did not think they would be able to help you
You thought they would treat you poorly
You thought it would be uncomfortable or embarrassing

PROBE: Can you think of any other reasons that should be listed here? Any that should be removed?
R6.

A crisis center or helpline, or a hospital or health care center NOT at this school. Please read each
response option and select all that apply.

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a.
b.
c.
d.
e.
f.
g.
h.
i.
j.
k.
l.
R7.

You knew someone else was contacting the organization for you
You sought help from a different organization instead
You did not want anyone to know about what happened
You did not need any assistance
You did not think they would keep your situation confidential
You did not know how to contact the organization
You did not think they would be able to help you
You thought they would treat you poorly
You thought it would be uncomfortable or embarrassing
You did not want any action to be taken (i.e., arrests, legal charges, disciplinary action)
You did not want the person who did it to get into trouble
You felt that I was at least partly at fault or it wasn’t totally the other person’s fault

Administrators, faculty, or other officials or staff at this school. Please read each response
option and select all that apply.
a.
b.
c.
d.
e.
f.
g.
h.
i.
j.
k.
l.
m.
n.
o.
p.
q.

You knew someone else was reporting it for you
You reported it to law enforcement instead
You did not want anyone to know about what happened
You were afraid the (person/people) who did it or others would try to hurt or get back at you
You did not need any assistance
You did not think they would keep your situation confidential
You did not have proof that the incident happened
You did not know how to report it to administrators, faculty, or other officials or staff at this school
You thought you might get in trouble for some reason
You did not think they would think it was serious enough
You did not think they would be able to help you
You thought they would treat you poorly
You thought it would be a hassle or take too much time
You thought it would be uncomfortable or embarrassing
You did not want any action to be taken (i.e., arrests, legal charges, disciplinary action)
You did not want the person who did it to get into trouble
You felt that I was at least partly at fault or it wasn’t totally the other person’s fault

PROBE: What are your thoughts on the number of response options you have to choose from? Are there
any that should be added or removed?
R8.

Campus police or security at this school. Please read each response option and select all that
apply.
a.
b.
c.
d.
e.
f.
g.

You knew someone else was reporting it for you
You reported it to some other official
You did not want anyone to know about what happened
You were afraid the (person/people) who did it would try to hurt or get back at you
You did not need any assistance
You did not think it was a crime
You did not think they would keep your situation confidential
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h.
i.
j.
k.
l.
m.
n.
o.
p.
q.
r.
R9.

Local police not at this school, such as the county or city police department. Please read each
response option and select all that apply.
a.
b.
c.
d.
e.
f.
g.
h.
i.
j.
k.
l.
m.
n.
o.
p.
q.
r.

VQ.

You did not have proof that the incident happened
You did not know how to report it to campus police/security
You thought you might get in trouble for some reason
You did not think they would think it was serious enough
You did not think they would be able to help you
You thought they would treat you poorly
You thought it would be a hassle or take too much time
You thought it would be uncomfortable or embarrassing
You did not want any action to be taken (i.e., arrests, legal charges, disciplinary action)
You did not want the person who did it to get into trouble
You felt that I was at least partly at fault or it wasn’t totally the other person’s fault

You knew someone else was reporting it for you
You reported it to some other official
You did not want anyone to know about what happened
You were afraid the (person/people) who did it would try to hurt or get back at you
You did not need any assistance
You did not think it was a crime
You did not think they would keep your situation confidential
You did not have proof that the incident happened
You did not know how to report it to campus police/security
You thought you might get in trouble for some reason
You did not think they would think it was serious enough
You did not think they would be able to help you
You thought they would treat you poorly
You thought it would be a hassle or take too much time
You thought it would be uncomfortable or embarrassing
You did not want any action to be taken (i.e., arrests, legal charges, disciplinary action)
You did not want the person who did it to get into trouble
You felt that I was at least partly at fault or it wasn’t totally the other person’s fault

In your own words, please provide a brief description of [FILL “the incident” IF #P2 = 1 OR
“incident #1” IF #P2 = 2 OR MORE] of unwanted sexual contact, which occurred in [FILL THE
MONTH REPORTED IN # ILF1, e.g., “February, 2014”]. Please do not include any names or other
personally identifying information in your description.
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________

PROBE: IF R REPORTS >1 INCIDENT – How did you decide the order you reported the incidents in? (IF
NEEDED: How did you choose which one is incident 1, incident 2, etc.)
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PROBE: IF R REPORTS >1 INCIDENT – How easy or difficult was it to refer to these incidences as “incident
1, incident 2, etc. Did it ever get confusing?

LCA2a. Since the beginning of the current academic year in [FILL: month and year the academic years
started for particular school; for example, “August 2014”], has someone had sexual contact with
you by telling lies, threatening to end your relationship, threatening to spread rumors about you,
making promises you knew or discovered were untrue, or continually verbally pressuring you after you
said you didn’t want to.
Yes
No
LCA2b. Since the beginning of the current academic year in [FILL: month and year the academic years
started for particular school; for example, “August 2014”], has someone had unwanted sexual
contact with you by threatening to hurt you or someone you care about?
Yes
No
LCA2c. Since the beginning of the current academic year in [FILL: month and year the academic years
started for particular school; for example, “August 2014”], has someone had unwanted sexual
contact with you by using physical force against you?
Yes
No
LCA2d. Since the beginning of the current academic year in [FILL: month and year the academic years
started for particular school; for example, “August 2014”], has someone had unwanted sexual
contact with you when you were unable to provide consent or stop what was happening
because you were passed out, drugged, drunk, incapacitated, or asleep?
Yes
No
LCA3. When was the last time you experienced unwanted sexual contact?
Never
DROP DOWN MENU FOR MONTH ________

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C1.

[IF #P1 = No] Just to confirm, you have NOT experienced unwanted sexual contact since this
academic year started in [FILL: month and year the academic years started for particular school;
for example, “August 2014”]. Is that correct?
Yes
No

[IF THEY REPORT NO HERE, THEY SHOULD GET ROUTED BACK TO #P2]

Remember, unwanted sexual contact:




I1.

Can be physically forced upon you or happen when you are incapacitated and unable to
provide consent.
Can involve touching of a sexual nature, oral sex, sexual intercourse, anal sex, or sexual
penetration with a finger or object.
Can be done by a stranger or someone you know, such as a friend, family member, or person
you were dating or hanging out with.

Experiencing unwanted sexual contact can affect people in different ways. Did [FILL “the
incident” IF #P2 = 1 OR “incident #1” IF #P2 = 2 OR MORE] lead you to have significant problems
with your job or schoolwork, or trouble with your boss, coworkers, or peers?
Yes
No

I2.

Did [FILL “the incident” IF #P2 = 1 OR “incident #1” IF #P2 = 2 OR MORE] lead you to have
significant problems with family members or friends, including getting into more arguments or
fights than you did before, not feeling you could trust them as much, or not feeling as close to
them as you did before?
Yes
No

I3.

Did [FILL “the incident” IF #P2 = 1 OR “incident #1” IF #P2 = 2 OR MORE] have a negative impact
your grades?
Yes
No

I4.

As a result of [FILL “the incident” IF #P2 = 1 OR “incident #1” IF #P2 = 2 OR MORE], did you move
or change where you live?
Yes
No

I4a.

[IF I4 = No] Did you want to move or change where you live as a result of [FILL “the incident” IF
#P2 = 1 OR “incident #1” IF #P2 = 2 OR MORE]?
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Yes
No
I5.

As a result of [FILL “the incident” IF #P2 = 1 OR “incident #1” IF #P2 = 2 OR MORE], did you drop
any classes or change your class schedule?
Yes
No

I5a.

[IF I5 = No] Did you want to drop any classes or change your class schedule as a result of [FILL
“the incident” IF #P2 = 1 OR “incident #1” IF #P2 = 2 OR MORE]?
Yes
No

I6.

How upsetting was [FILL “the incident” IF #P2 = 1 OR “incident #1” IF #P2 = 2 OR MORE] for you?
Very upsetting
Upsetting
Not very upsetting
Not at all upsetting
EXPERIENCES WITH IPV AND HARASSMENT

IPVMIT1.

In the past 12 months, which is since [FILL WITH DATE 12 MONTHS AGO; FOR EXAMPLE,
“September 26, 2013], have you been in a relationship with someone who controlled or
abused (physically, sexually, psychologically, emotionally, or financially)?

Yes
No

HMIT1.

In the past 12 months, which is since [FILL WITH DATE 12 MONTHS AGO; FOR EXAMPLE,
“September 26, 2013], have you been sexually harassed? Sexual harassment includes
unwelcome sexual advances, requests for sexual favors, and other verbal conduct of a
sexual nature when this conduct is made a condition of employment, or resistance to
behavior affects employment/ academic decisions, or if conduct creates a hostile
environment?
Yes
No

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SEXUAL HARASSMENT PERPETRATION QUESTIONS
You are now going to be asked some questions about things you may have done to people.
In the past 12 months, that is since [FILL WITH DATE 12 MONTHS AGO; FOR EXAMPLE, “September 26,
2013], have you…
H1.

repeatedly asked someone out on dates/hangout, go to dinner or get a drink after they said no?

H2.

stared at someone in a sexual way or looked at the sexual parts of their body when they didn’t
want you to?

H3.

made teasing comments of a sexual nature about someone’s body or appearance when they
didn’t want you to?

H4.

sent someone sexual or obscene materials such as pictures, jokes, or stories in the mail or over the
Internet, when they didn’t want you to?

H5.

showed someone pornographic pictures that they hadn’t asked to see?

H6.

made sexual or obscene phone calls to someone who didn’t want to receive them?

H7.

watched someone while they were undressing, were nude, or were having sex, without their
consent?

H8.

took photos or video of someone while they were undressing, were nude, or were having sex,
without their consent?

H9.

showed someone the private areas of your body (for example, butt, penis, vagina, or breasts)
without their consent?

H10.

made sexual motions to someone, such as grabbing your crotch, pretending to masturbate, or
imitating oral sex without their consent?

PROBE: Can you think of any other examples that should be listed here? Any that should be removed?

SEXUAL ASSAULT PERPETRATION QUESTIONS
This section asks about times when you may have engaged in sexual contact with someone without their
consent and that they did not want to happen. Sometimes this happens with a stranger or with
someone you know, such as a friend or someone you were dating or hanging out with. It often happens
when people have been drinking, but it can also happen when people are sober.
PROBE: How easy or difficult to understand was this description?
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Please answer these questions honestly and remember that your answers will not be linked to any
identifying information about you and will remain completely confidential.
P.

In the past 12 months, that is since [FILL WITH DATE 12 MONTHS AGO; FOR EXAMPLE,
“September 26, 2013], how many times have you done each of the following things without the
person’s consent?

P1. Fondled, kissed, or rubbed up against someone’s private areas
(lips, breast/chest, crotch, or butt) or removed some of their
clothes
P2. Had oral sex with someone or had someone perform oral sex on
you
P3. Put your penis (men only) or put your fingers or objects (all
respondents) into a woman’s vagina
P4. Put your penis (men only) or put my fingers or objects (all
respondents) into someone’s butt

INSERT DROP DOWN BOX
WITH THE OPTIONS FOR 0, 1,
2, 3…9+
INSERT DROP DOWN BOX
WITH THE OPTIONS FOR 0, 1,
2, 3…9+
INSERT DROP DOWN BOX
WITH THE OPTIONS FOR 0, 1,
2, 3…9+
INSERT DROP DOWN BOX
WITH THE OPTIONS FOR 0, 1,
2, 3…9+

PROBE: Do you think that students will answer these questions honestly?

SEXUAL ASSAULT PERPETRATION FOLLOW-UP QUESTIONS
[IF P1, P2, P3, or P4 = 1+] Please think about the times in the past 12 months that you [FILL WITH
ANSWERS FROM P1, P2, P3, or P4; FOR EXAMPLE: “fondled, kissed, or rubbed up against someone’s
private areas”; “had oral sex with someone”; “put your penis (men only) or your fingers or objects in
someone’s vagina”; “put your penis (men only) or your fingers or objects in someone’s butt”]. These are
the times you had sexual contact with someone that they did not want to happen and that they did not
consent to. Now, please think about the most recent time that this happened.
During the most recent time that you had sexual contact with someone, that they did not want to
happen, which of the following things occurred without their consent? (select all that apply)
P1b. Fondled, kissed, or rubbed up against someone’s private areas (lips,
breast/chest, crotch, or butt) or removed some of their clothes
P2b. Had oral sex with someone or had someone perform oral sex on you
P3b. Put your penis (men only) or put your fingers or objects (all respondents)
into a woman’s vagina
P4b. Put your penis (men only) or put my fingers or objects (all respondents)
into someone’s butt

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PROBE: Did you have any difficulty answering these questions?
During this most recent time that you [FILL WITH ANSWERS FROM P1b, P2b, P3b, or P4b; FOR EXAMPLE:
“fondled, kissed, or rubbed up against someone’s private areas”; “had oral sex with someone”; “put
your penis (men only) or your fingers or objects in someone’s vagina”; “put your penis (men only) or
your fingers or objects in someone’s butt”], did you have the sexual contact…
d. by threatening to hurt the person or someone they cared about? Yes/no
e. by using physical force against the person, such as holding them down with your body weight,
pinning their arms, hitting or kicking them? Yes/no
f. when the person was passed out, drugged, drunk, incapacitated, or asleep and unable to
provide consent? Yes/no

PROBE: How did you feel about answering this question?

Did the sexual contact happen…
d. On this campus? Yes/no
e. Off-campus but in the same city or town? Yes/no
f. In a different city or town? Yes/no
Did you have the sexual contact with a…
a. Someone who is a student at this school? Yes/no
b. Woman? Yes/no
c. Man? Yes/no
You are now going to be asked some questions about this school’s efforts related to sexual assault.
PROBE: What do you think we mean when we say “sexual assault”?

T8.

Please indicate how much you agree with each of the following statements.
Strongly Agree

Agree

Disagree

Strongly Disagree

a. Sexual harassment is not tolerated at this school
b. Training in sexual assault prevention is taken seriously at this school
c. This school is doing a good job of educating students about sexual assault (e.g., what
consent means, how to define sexual assault, how to look out for one another)
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d.
e.
f.
g.

This school is doing a good job of trying to prevent sexual assault from happening
This school is doing a good job of providing needed services to victims of sexual assault
This school is doing a good job of investigating incidents of sexual assault
This school is doing a good job of holding people accountable for committing sexual assault

PROBE: What do you think we mean when we say “the school is doing a good job”?

EXPERIENCES WITH SEXUAL ASSAULT TRAINING
T1.

While at this school, have you attended an assembly, workshop, or received any other type of
training or classes about sexual harassment or sexual assault?
Yes
No

T2.

T3.

(If yes) What topics were covered? Please select all that apply.


The legal definition of sexual assault



The campus policy on sexual harassment or sexual assault



How to report sexual harassment or sexual assault



What services are available for survivors of sexual assault



How to intervene as a bystander to protect other students from sexual harassment or
sexual assault



What the definition of “consent” is and how to obtain it from a sexual partner



Something else (please specify): ______________________________________________

While at this school, have you received training or classes that focused on the prevention of
sexual assault?
Yes
No

T4.

[IF T3 = Yes] How helpful was the sexual assault prevention training or classes you received?
Very helpful
Helpful
Somewhat helpful
Not at all helpful

PROBE: What about the training or class you received was (very helpful/helpful/somewhat helpful/not
at all helpful)?
T5.

Have you been able to use any of the skills or knowledge you learned during the sexual assault
prevention training to keep yourself or others safe?

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Yes
No
T6.

Do you think the sexual assault prevention efforts that this school is implementing are effective?
Yes
No

T7.

How involved are you in the sexual assault prevention efforts that this school is implementing?
Very involved

Involved

Somewhat involved

Not at all involved

PROBE: IF NOT CLEAR - Are you aware of any of the school’s sexual assault prevention efforts?

UNIVERSITY HANDLING OF REPORTS
R1.

How much do you agree that each of the following things happen when or if students at this
school report experiencing sexual assault to faculty, staff, administrators, or police/security?
Strongly Agree

Agree

Disagree

Strongly Disagree

a. This school follows the procedures that are in place for fairly and effectively dealing with
reported incidents of sexual assault
b. Reported incidents of sexual assault are taken seriously
c. Knowledge of and information about reported incidents of sexual assault are limited to
those who need to know
d. Steps are taken to ensure the safety of the person reporting the sexual assault
e. The person making the report is well-supported by university faculty, staff, administrators,
and police/security
f.

The person accused of perpetrating the sexual assault is treated fairly

g. When it is determined that sexual assault has happened, the perpetrator gets punished
PROBE: How easy or difficult were these questions to answer?

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AWARENESS OF PROCEDURES AND SERVICES
R2.

Please indicate how much you agree with each of the following statements.
Strongly Agree

Agree

Disagree

Strongly Disagree

a. I am aware of and understand this school’s procedures for dealing with reported
incidents of sexual assault
b. I know what services are available for people who experience sexual assault
c. If a friend of mine were sexually assaulted, I know where to take my friend to get help •
PERCEIVED TOLERANCE FOR SEXUAL HARASSMENT AND SEXUAL ASSAULT AMONG THE CAMPUS
COMMUNITY
Please indicate whether you strongly agree, agree, disagree, or strongly disagree with each of the
following statements.
SH1.

Sexual Harassment
At this school, it is common for students to make sexual comments about
people on the Internet or through e-mail, instant message, or text

SA A

D

SD

At this school, it is common for students to call people gay or lesbian or a
homophobic name (such as faggot or dyke)

SA A

D

SD

SA A

D

SD

Aa lot of unwanted sexual contact happens among students at this school
when students are physically forced, threatened, or unable to provide
consent because they are passed out, drugged, or drunk

SA A

D

SD

Most students at this school support campus efforts to prevent sexual
assault

SA A

D

SD

Most students at this school feel that it is not their responsibility to get
involved in campus efforts to prevent sexual assault

SA A

D

SD

Students at this school are knowledgeable about the topic of sexual assault, SA A
including how it is defined, how often it occurs, and what the legal

D

SD

At this school, it is common for students to share sexual pictures, web
pages, or messages
At this school, when students make sexual comments, jokes, or gestures ,
other students stand up to them
PROBE: What do you think we mean when we ask if other students “stand
up to them”?
SA1.

Sexual Assault

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consequences are
Most students at this school would respect someone who did something to SA A
prevent a sexual assault

D

SD

At this school, it is common for students to make jokes about sexual assault SA A
or rape

D

SD

At this school, if students see someone trying to have unwanted sexual
contact with someone who is passed out, they will try to stop them

SA A

D

SD

If someone at this school gets drunk and experiences unwanted sexual
SA A
contact, most students assume it was least partially the drunk person's fault

D

SD

If a student at this school were to report that he or she experienced
SA A
unwanted sexual contact to university administrators, other students would
label him/her as a troublemaker or someone looking for attention

D

SD

Please indicate whether you strongly agree, agree, disagree, or strongly disagree with each of the
following statements.
CH. If I were sexually assaulted I believe this school would…
1. Take my case seriously.

SA

A

D

SD

2. Protect my privacy.

SA

A

D

SD

3. Treat me with dignity and respect.

SA

A

D

SD

4. Enable me to continue my education without having to interact
with the person who assaulted me.

SA

A

D

SD

PROBE: Did you have any difficulty answering these questions?
How likely is it that you would actually go to or get in touch with the following groups or organizations at
your school if you thought you might need some kind of assistance from them, or if someone suggested
that you get in touch with them?
Very
likely
Administrators, faculty, or other officials at this school
A crisis center or helpline, or a hospital or health care center
at this school
A crisis center or helpline, or a hospital or health care center
NOT at this school
Campus police or security at this school

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Likely

Not
likely

Not at all
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Local police not at this school, such as the county or city
police department

INDIVIDUAL TOLERANCE FOR SEXUAL HARASSMENT AND SEXUAL ASSAULT
Please indicate whether you strongly agree, agree, disagree, or strongly disagree with each of the
following statements.
SH2.

Sexual Harassment
People get too offended by sexual comments, jokes, or gestures

SA A

D

SD

It doesn’t really hurt anyone to post sexual comments about people on
the Internet, or through e-mail, instant message, or text

SA A

D

SD

It is okay to have sex with someone who is drinking

SA A

D

SD

It is okay to have sex with someone who is drunk

SA A

D

SD

It is okay to have sex with someone who is passed out

SA A

D

SD

A person who is sexually assaulted or raped while he/she is drunk is at
least somewhat responsible for putting themselves in that position

SA A

D

SD

If one of your friends told you that someone had unwanted sexual contact SA A
with them, you would encourage him/her to report the incident to campus
or local police

D

SD

It is not necessary to get consent before sexual activity if you are in a
relationship with that person

SA A

D

SD

It is important that college campuses try to prevent sexual assault

SA A

D

SD

Accusations of rape are often used by one person as a way to get back at
the other

SA A

D

SD

A lot of times, what people say is rape is actually consensual sex that they
regretted afterwards

SA A

D

SD

Sexual Assault

PROBE: Did you have any difficulty answering these questions?

PERCEIVED LIKELIHOOD OF INDIVIDUAL’S USE OF BYSTANDER BEHAVIORS
Please indicate whether you are very likely, likely, unlikely, or not at all likely to do each of the
following things.
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SH3.

SA3.

Sexual Harassment
If your friends are sending sexual pictures, web pages, or messages to
someone who didn’t ask for them, how likely are you to say something to
try to get them to stop?

VL L

U NL

If people you don’t know very well are making sexual comments, jokes, or
gestures, how likely are you to say something to try to get them to stop?

VL L

U NL

If you see one of your friends leading someone who is obviously drunk
into their room to have sex with them, how likely are you to say or do
something to get them to stop?

VL L

U NL

If your friend said, “Anyone who gets drunk and then raped is partly
responsible for what happened,” how likely are you to tell them you
disagree?

VL L

U NL

If you suspect that one of your friends might be in an abusive relationship,
how likely are you to talk to him/her about the situation?

VL L

U NL

If someone tells you that they had sex with someone who was passed out,
how likely are you to report the incident to a campus administrator or
police?

VL L

U NL

If you see someone you don’t know who looks uncomfortable and is
being touched, grabbed, or pinched in a sexual way, how likely are you to
speak up or help in some other way?

VL L

U NL

When you go out with your friends, how likely are you to come up with a
plan for checking in with one another throughout the evening?

VL L

U NL

Sexual Assault

PROBE: Did you have any difficulty answering these questions?

LCA4. Since the beginning of the current academic year in [FILL: month and year the academic years
started for particular school; for example, “August 2014”], have you been sexually assaulted?
Yes
No
LCA5. Since the beginning of the current academic year in [FILL: month and year the academic years
started for particular school; for example, “August 2014”], have you been raped?

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Yes
No
D1.

What is your race (as you define it)? Select one or more.
American Indian or Alaskan Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White

D2.

What is your ethnicity (as you define it)?
Hispanic or Latino
Not Hispanic or Latino

D3.

What is your current gender identity?
Female
Male
Transgender
Something else (please specify) _________________________
PROBE: What do you think we mean when we say “gender identity”?

PROBE: Did you have any difficulty answering this question?

D4.

Which of the following best represents how you think of yourself?
Lesbian or gay
Straight, that is, not lesbian or gay
Bisexual
Something else (please specify) _________________________
PROBE: How did you feel about answering this question?

Follow-up Questions
1. Overall, what are your thoughts on this survey?
2. How easy or difficult do you think it would be for other students to respond to this survey?
3. How comfortable were you answering these questions in a web environment?
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4. (Other than anything we may have already talked about,) Were there any terms or definitions
you did not understand?
5. If you had the opportunity, what would you do to improve this survey?
6. Overall, how easy or difficult was it for you to understand the questions in the survey? (very
easy, pretty easy, pretty difficult, very difficult)
7. Did answering any of the questions in this survey make you upset or distressed? (yes, no)
8. How easy or difficult was it for you to navigate through the survey, given the format, font size,
and amount of text on the screen? (very easy, pretty easy, pretty difficult, very difficult)
9. Did you take the survey on…(a desktop computer, laptop computer, tablet, smartphone, other
device)
10. The plan is to administer this survey to thousands of college students around the country. It will
take them approximately 15-20 minutes to complete and we plan to give them a $10 incentive
for participating. If you were a college student and got invited to complete this survey, what
would your preference be in terms of where you can use the incentive? (Amazon.com;
Walmart.com; supercertificates, which allows the user to select from hundreds of vendors and
choose either a gift card to be mailed to you or an e-gift card to be used online; other vendor
(please specify)
11. Do you have any other thoughts, comments or suggestions about the survey?

Those are all of the questions I have for you today. Thank you very much for taking the time to talk to
me and for providing your valuable input.

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