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pdfOMB No. 1121- 0152: Approval Expires XX/XX/XXXX
NPS – 25
2016 Survey of Prison Inmates (SPI)
Questionnaire
2016 Survey of Prison Inmates (SPI) Questionnaire
Table of Contents
Interview Set-up (IS)..................................................................................................................... 1
Section 1 — Demographics (DEMO) ....................................................................................... 2
Section 2 — Criminal Justice (CJ) ........................................................................................... 9
Section 3 — Socioeconomic Characteristics (SES) .............................................................. 61
Section 4 — Mental Health (MH) ........................................................................................... 78
Section 5 – Physical Health, Treatment and Disabilities (PH)................................................ 82
Section 6 ― Alcohol Use (AU) ................................................................................................... 90
Section 7 – Drug Use (DU).......................................................................................................... 96
Section 8 — Drug and Alcohol Treatment (DTX) ................................................................. 108
Section 9 ― Rule Violations and Complaints (RV) ............................................................... 112
Section 10 – Programs, Services, and Work Assignments (P) .............................................. 118
Interview Closeout Screens (IC) .............................................................................................. 125
2016 Survey of Prison Inmates (SPI) Questionnaire
Interview Set-up (IS)
IS1
OMB No. 1121- 0152: Approval Expires XX/XX/XXXX
INTERVIEWER: IF RESPONDENT ASKS ANY QUESTIONS ABOUT OMB
APPROVAL FOR THIS STUDY, YOU MAY READ THE INFORMATION
BELOW. OTHERWISE ENTER 1 TO CONTINUE TO THE NEXT SCREEN.
Notice: Under the Paperwork Reduction Act, we cannot ask you to respond to a
collection of information unless it displays a currently valid OMB control number. Public
reporting for this collection of information is estimated to average 60 minutes per
response, including the time for reviewing instructions, searching existing data sources,
gathering and maintaining the data needed, and completing and reviewing the collection
of information. Send comments regarding this burden estimate or any other aspect of this
collection of information, including suggestions for reducing this burden, to the Director,
Bureau of Justice Statistics, 810 Seventh Street, NW, Washington, DC 20531; and to the
Office of Management and Budget, OMB No. 1121-0152, Washington, DC 20503.
IS2
FACILITY ID
____________________
IS3
ENTER YOUR INTERVIEWER ID NUMBER:
__________ [ALLOW 6 DIGITS]
IS4
IS AN INCENTIVE BEING OFFERED TO INMATES AT THIS FACILITY?
1
2
YES
NO
Interview Set-up Screens
1
Section 1 — Demographics (DEMO)
GENDER OF FACILITY INPUT VARIABLE:
Within facility ID: Male or Female
[A descriptor on the sample input file will assign sample members to either female or male
facilities when a facility has both a male and female wing]
DEMO1.
What is your date of birth?
Month:___ [RANGE: 1 – 12]
Day: ___ RANGE: 1 – 31]
Year: ___ [Range: CURRENT YEAR – 95 TO CURRENT YEAR – 18]
DEFINE CALCAGE:
CALCAGE = AGE CALCULATED BASED ON DATE OF BIRTH (DEMO1) AND DATE OF
INTERVIEW
DEFINE AGEFILL:
IF CALCAGE ≠ EMPTY THEN AGEFILL = CALCAGE
DEMO1a.
[COMPUTER TO CALCULATE AGE] That means you are currently
[AGEFILL] years old. Is that correct?
1
YES
2
NO
DK/REF
DEMO1b.
you?
[IF DEMO1a = 2 OR DK OR REF OR DEMO1year = DK/REF] How old are
AGE IN YEARS: ____ [RANGE: 18 – 95]
UPDATE CALCAGE:
IF DEMO1b ≠ EMPTY THEN CALCAGE = AGE REPORTED IN DEMO1b
Section 1: Demographics
2
DEMO1c.
[IF DEMO1b= DK OR REF]
(INTERVIEWER: ASK IF NOT OBVIOUS)
As of today, [date of interview] are you 18 years old or older?
1
2
YES
NO
DK/REF
DEMO2.
Go to DEMO2
Go to Interview Closeout
Go to Interview Closeout
Are you of Spanish, [Latino/Latina], or Hispanic origin?
1 YES
2 NO
DK/REF
DEMO3.
Which of these categories describes your race? You may answer yes to one or
more of these categories.
DEMO3a White?
DEMO3b Black or African-American?
DEMO3c American Indian or Alaska
Native?
DEMO3d Asian?
DEMO3e Native Hawaiian or other Pacific
Islander?
DEMO3f Anything else?
DEMO3OTH IF DEMO3f = 1] SPECIFY:
_________________
DEMO4.
Yes
1
1
1
No
2
2
2
1
1
2
2
1
2
Are you now…
Married,
2
Widowed,
3
Divorced,
4
Separated, for reasons other than incarceration, or
5
Never married?
DK/REF
1
Section 1: Demographics
3
DEMO5.
Have you ever served in the United States Armed Forces?
1 YES
2 NO
DK/REF
DEMO5a.
Which branches have you served in? MARK ALL THAT APPLY
1 Army, including the Army National Guard or Reserve
2 Navy, including the Reserve
3 Marine Corps, including the Reserve
4 Air Force, including the Air National Guard or Reserve
5 Coast Guard, including the Reserve
DK/REF
_______________________________________________________
A – Military Service Block
Block Level Universe: (DEMO5a = 1 OR 2 OR 3 OR 4 OR 5)
DEMOA2.
[IF DEMO5a = 1 OR 2 OR 3 OR 4 OR 5] In what year did you first enter the
United States Armed Forces?
YEAR:
___ [RANGE: 1920 – CURRENT YEAR]
DK/REF
DEMOA3.
[IF DEMO5a = 1 OR 2 OR 3 OR 4 OR 5] In what year were you last discharged
from the United States Armed Forces?
(ENTER ‘999’ IF INMATE HAS NOT BEEN DISCHARGED/IS CURRENTLY
SERVING)
YEAR:
___ [RANGE: 1920 – CURRENT YEAR]
DK/REF
999
DEFINE DEMOA1:
IF DEMOA3 = 999 THEN set DEMOA1 = 1
IF DEMOA3 = 1920 – CURRENT DATE THEN set DEMOA1 = 2
ELSE, DEMOA1 = EMPTY
Section 1: Demographics
4
DEMOA4.
[IF (DEMO5a = 1 OR 2 OR 3 OR 4 OR 5) AND DEMOA1 = 1] Altogether, how
much time have you served in the United States Armed Forces?
[IF (DEMO5a = 1 OR 2 OR 3 OR 4 OR 5) AND DEMOA1 = 2] Altogether,
how much time did you serve in the United States Armed Forces?
1 Less than 1 year
2 At least one year but less than 3 years
3 At least 3 years but less than 5 years
4 At least 5 years but less than 10 years
5 At least 10 years but less than 15 years
6 At least 15 years but less than 20 years
7 20 years or more
DK/REF
DEMOA5.
[IF (DEMO5a = 1 OR 2 OR 3 OR 4 OR 5) AND DEMOA1 = 2] While serving
in the United States Armed Forces did you ever serve in a combat or war zone?
[IF (DEMO5a = 1 OR 2 OR 3 OR 4 OR 5) AND DEMOA1 = 1] While serving
in the United States Armed Forces have you ever served in a combat or war zone?
1 YES
2 NO
DK/REF
DEMOA6.
[IF (DEMO5a = 1 OR 2 OR 3 OR 4 OR 5) AND DEMOA1= 1] (While serving in
the United States Armed Forces,) have you seen combat in a line or combat unit?
[IF (DEMO5a = 1 OR 2 OR 3 OR 4 OR 5) AND DEMOA1 = 2] While serving
in the United States Armed Forces, did you see combat in a line or combat unit?
1 YES
2 NO
DK/REF
Section 1: Demographics
5
DEMOA7.
[IF DEMOA6 = 1] Did you see combat in a line or combat unit in…
DEMOA7a. [IF CALCAGE > 80] World War II?
DEMOA7b. [IF CALCAGE > 74] the Korean Conflict?
DEMOA7c. [IF CALCAGE > 52] the Vietnam War?
DEMOA7d. [IF CALCAGE > 38] the Persian Gulf War?
DEMOA7e. [IF CALCAGE > 16] Afghanistan?
DEMOA7f. [IF CALCAGE > 16] Iraq?
DEMOA7g. [IF CALCAGE> 16] Some other military operation,
which may include peacekeeping operations
DEMOA8
Yes
1
1
1
1
1
1
1
No
2
2
2
2
2
2
2
[IF (DEMO5a = 1 OR 2 OR 3 OR 4 OR 5) AND DEMOA1 = 1] While serving in
the United States Armed Forces have you ever been exposed to dead, dying, or
wounded people?
[IF (DEMO5a = 1 OR 2 OR 3 OR 4 OR 5) AND DEMOA1 = 2] While serving
in the United States Armed Forces were you ever exposed to dead, dying, or
wounded people?
1 YES
2 NO
DK/REF
DEMOA9
[IF (DEMO5a = 1 OR 2 OR 3 OR 4 OR 5) AND DEMOA1 = 1] (While serving
in the United States Armed Forces) have you ever been a prisoner of war?
[IF (DEMO5a = 1 OR 2 OR 3 OR 4 OR 5) AND DEMOA1 = 2] (While serving
in the United States Armed Forces) were you ever a prisoner of war?
1 YES
2 NO
DK/REF
Section 1: Demographics
6
DEMOA10
[IF (DEMO5a = 1 OR 2 OR 3 OR 4 OR 5) AND DEMOA1 = 1] (While serving
in the United States Armed Forces) have you ever been a exposed to
environmental hazards such as Agent Orange, chemical warfare agents, ionizing
radiation, or other potentially toxic substances?
[IF (DEMO5a = 1 OR 2 OR 3 OR 4 OR 5) AND DEMOA1 = 2] (While serving
in the United States Armed Forces) were you ever exposed to environmental
hazards such as Agent Orange, chemical warfare agents, ionizing radiation, or
other potentially toxic substances?
1 YES
2 NO
DK/REF
DEMOA11. [IF DEMO5a = 1 OR 2 OR 3 OR 4 OR 5] (While serving in the United States
Armed Forces,) did you suffer any injury as a result of training or combat?
1 YES
2 NO
DK/REF
DEMOA12. [IF DEMOA1 = 2] What type of discharge did you receive from the United States
Armed Forces?
1 Honorable
2 General under honorable conditions
3 General without honorable conditions
4 Other than honorable
5 Bad conduct
6 Dishonorable
7 Some other type of discharge
DK/REF
DEMOA13
[IF DEMOA12 = 7] What type of discharge did you receive?
1 MEDICAL
2 PSYCHOLOGICAL
3 OTHER
DK/REF
Section 1: Demographics
7
DEMOA14
[IF DEMOA13 = 1] Was your medical discharge honorable, dishonorable, or
something else?
1 HONORABLE
2 DISHONORABLE
3 SOMETHING ELSE
DK/REF
DEMOA15
[IF DEMOA13 = 2] Was your psychological discharge honorable, dishonorable,
or something else?
1 HONORABLE
2 DISHONORABLE
3 SOMETHING ELSE
DK/REF
______________________________END Military Service Block (A)
Section 1: Demographics
8
Section 2 — Criminal Justice (CJ)
CJ1.
Now I am going to ask you some questions about why you are here.
Are you currently sentenced to serve time for any offense?
1 YES Go to CJ4
2 NO
Go to CJ2
DK/REF Go to CJ2
CJ2
[IF CJ 1 = 2, DK, REF] Are you awaiting trial, sentencing, or a revocation hearing?
1 YES Go to CJ2a
2 NO
Go to CJ3
DK/REF Go to CJ3
CJ2a. [IF CJ2 = 1] Are you...
1
Awaiting trial
2
Awaiting sentencing, or
3
Awaiting a revocation hearing?
DK/REF
Go to CJ4
Go to CJ4
Go to CJ2b
CJ2b. [IF CJ2a = 3] Are you awaiting revocation of...
1
Parole or post-release supervision release after serving time, Go to CJA1
2
Probation, including shock probation and split sentences? Go to CJB1
DK/REF
CJ3. [IF CJ2 = 2, DK, REF] Have you been told by a judge or jury that you are to spend time in
prison for an offense?
1 YES Go to CJ4
2 NO
Go to C5
DK/REF Go to CJ4
CJ4. [IF CJ1 = 1 OR (CJ2a = 1 OR 2) OR (CJ3 =1 OR DK OR REF)] When you were arrested
or charged with the offenses for which you are now serving time, were you on...
1
Parole or post-release supervision after serving time? Go to CJA1
2
Probation, including shock probation and split sentences? Go to CJB1
3
Escape? Go to CJ17
4
Or none of these (no parole, probation, or escape) Go to CJ11TYPE OR
CJ14TYPE
DK/REF
Section 2: Criminal Justice
9
CJ5
[CJ1=2 AND CJ2=2 AND CJ3=2] Are you being held in this facility….
CJ5a for other authorities?
[IF CJ5a = 2]
CJ5b for safe keeping?
[IF CJ5b = 2]
CJ5c for a civil commitment?
[IF CJ5c = 2]
CJ5d any other reason?
(CJ5_OTH) SPECIFY ________
Yes
1 Go to CJ6
1 Go to CJ7
No
2 Go to CJ5b
2 Go to CJ5c
1 Go to CJ7
2 Go to CJ5d
1 Go to CJ7
2 Go to CJ7
CJ6 [IF CJ5a = 1] For what other authorities are you being held? ALLOW ONLY ONE
ENTRY.
1
State authorities
2
Local authorities
3
Federal Bureau of prisons
4
U.S. Immigration and Customs Enforcement
5
U.S. Marshals Service
6
Other – (CJ6_OTH) Specify: __________________
Go to CJ7
DEFINE HELD_FILL:
IF CJ5a = 1 THEN HELD_FILL = “being held for (insert response from CJ6)?”
IF CJ5b = 1 THEN HELD_FILL = “in safe keeping?”
IF CJ5c = 1 THEN HELD_FILL = “being held on a civil commitment?”
IF CJ5d = 1 THEN HELD_FILL = “being held?”
CJ7. [IF CJ3= 2] When you were arrested or charged with the offenses for which you are now
incarcerated, were you on...
1
2
3
4
Parole or post-release supervision after serving time? Go to CJA1
Probation, including shock probation and split sentences? Go to CJB1
Escape? Go to CJ17
Or none of these (no parole, probation, or escape) Go to CJ8
Section 2: Criminal Justice
10
CJ8 [IF CJ5a = 1 OR CJ5b = 1 OR CJ5c = 1 OR CJ5d = 1] For what offenses are you
[HELD_FILL]
(USE THE LOOKUP TABLE TO ENTER OFFENSES. USE ‘OTHER’ IF OFFENSE
IS NOT FOUND IN THE TABLE. ENTER ‘999’ AFTER THE LAST OFFENSE IS
RECORDED.)
(CJ8a) 1 ________________________________
(CJ8a) 2 ________________________________
(CJ8a) 3 ________________________________
(CJ8a) 4 ________________________________
(CJ8a) 5 ________________________________
(VERIFY THE RECORDED OFFENSES WITH THE RESPONDENT.)
Go to CJ9
CJ9 [IF CJ5a = 1 or CJ5b =1 or CJ5c=1 or CJ5d = 1] In what month and year were you
arrested for or charged with [the offense/those offenses] for which you are now being
held for [fill from CJ6]?
(IF MORE THAN ONE DATE IS GIVEN, TAKE THE EARLIEST DATE.)
(IF NO PHYSICAL ARREST TOOK PLACE, ASK FOR THE DATE WHEN
NOTIFIED OF CHARGES.)
CJ9a 2-DIGIT MONTH: _________[RANGE: 1 – 12]
DK/REF
CJ9b 4-DIGIT YEAR: ________ [RANGE: 1915 – current year]
DK/REF
FI NOTE: I will refer to this date as your
arrest date throughout the rest of the survey.
DEFINE DATE_ARREST:
IF CJ9a ≠ EMPTY AND CJ9b ≠ EMPTY THEN DATE_ARREST = “in MONTH, YEAR”
ELSE DATE_ARREST = EMPTY
CJ10 [IF CJ5a = 1 or CJ5b =1 or CJ5c=1 or CJ5d = 1] On what date were you admitted to
prison for [that offense/those offenses]?
CJ10a 2-DIGIT MONTH: _________ [RANGE: 1 – 12]
DK/REF
CJ10b 2-DIGIT DAY: ____________ [RANGE: 1 – 31]
DK/REF
CJ10c 4-DIGIT YEAR: ________ [RANGE: 1915 – current year]
DK/REF
FI NOTE: This is the date you began being
held.
Section 2: Criminal Justice
11
DEFINE DATE_ADMIT:
IF CJ10a ≠ EMPTY AND CJ10b ≠ EMPTY AND CJ10c ≠ EMPTY THEN
DATE_ADMIT = “on MONTH, DAY, YEAR”
IF CJ10a ≠ EMPTY AND CJ10b = EMPTY AND CJ10c ≠ EMPTY THEN
DATE_ADMIT = “in MONTH, YEAR”
ELSE DATE_ADMIT = EMPTY
New court commitments (no CJ status and sentenced to serve time)
CJ11TYPE [IF CJ1 = 1 AND CJ4 = 4] For what offenses are you now in prison?
1 PAROLE VIOLATION
2 PROBATION VIOLATION
3 INMATE PROVIDED ACTUAL OFFENSE(S) Go to CJ11
4 NO MORE VIOLATIONS
DK/REF
CJ11 [CJ11TYPE = 3]
(USE THE LOOKUP TABLE TO ENTER OFFENSES. USE ‘OTHER’ IF OFFENSE
IS NOT FOUND IN THE TABLE. ENTER ‘999’ AFTER THE LAST OFFENSE IS
RECORDED.)
(CJ11a)
1 ________________________________
(CJ11b)
2 ________________________________
(CJ11c)
3 ________________________________
(CJ11d)
4 ________________________________
(CJ11e)
5 ________________________________
(VERIFY THE RECORDED OFFENSES WITH THE RESPONDENT.)
Go to CJ12
CJ12 [IF CJ1 = 1 AND CJ4 = 4 AND CJ11TYPE = 3] In what month and year were you
arrested for or charged with [fill that offense/those offenses]?
(IF MORE THAN ONE DATE IS GIVEN, TAKE THE EARLIEST DATE.)
(IF NO PHYSICAL ARREST TOOK PLACE, ASK FOR THE DATE WHEN
NOTIFIED OF CHARGES.)
CJ12a 2-DIGIT MONTH: _________[RANGE: 1 – 12]
DK/REF
CJ12b 4-DIGIT YEAR: ________ [RANGE: 1915 – current year] DK/REF
FI NOTE: I will refer to this date as your
arrest date throughout the rest of the survey.
UPDATE DATE_ARREST:
IF CJ12a ≠ EMPTY AND CJ12b ≠ EMPTY THEN DATE_ARREST = “in MONTH, YEAR”
ELSE DATE_ARREST = EMPTY
Section 2: Criminal Justice
12
CJ13 [IF CJ1 = 1 AND CJ4 = 4 AND CJ11TYPE = 3] On what date were you admitted to
prison for (Fill that offense/those offenses)?
CJ13a. 2-DIGIT MONTH: _________ [RANGE: 1 – 12]
DK/REF
CJ13b. 2-DIGIT DAY: ____________ [RANGE: 1 – 31]
DK/REF
CJ13c. 4-DIGIT YEAR: ___________ [RANGE: 1915 – current year]
DK/REF
Go to CJ19
UPDATE DATE_ADMIT:
IF CJ13a ≠ EMPTY AND CJ13b ≠ EMPTY AND CJ13c ≠ EMPTY THEN DATE_ADMIT =
“on MONTH DAY, YEAR”
IF CJ13a ≠ EMPTY AND CJ13b = EMPTY AND CJ13c ≠ EMPTY THEN DATE_ADMIT =
“in MONTH, YEAR”
ELSE DATE_ADMIT = EMPTY
Unsentenced
CJ14TYPE [IF CJ4 = 4 AND (CJ2a = 1 OR 2)] For what offenses are you (fill from CJ2a)?
1 PAROLE VIOLATION
2 PROBATION VIOLATION
3 INMATE PROVIDED ACTUAL OFFENSE(S) Go to CJ14
7 NO MORE VIOLATIONS
CJ14 [CJ14TYPE = 3]
(USE THE LOOKUP TABLE TO ENTER OFFENSES. USE ‘OTHER’ IF OFFENSE
IS NOT FOUND IN THE TABLE. ENTER ‘999’ AFTER THE LAST OFFENSE IS
RECORDED.)
(CJ14a)
1 ________________________________
(CJ14b)
2 ________________________________
(CJ14c)
3 ________________________________
(CJ14d)
4 ________________________________
(CJ14e)
5 ________________________________
(VERIFY THE RECORDED OFFENSES WITH THE RESPONDENT.)
Go to CJ15
Section 2: Criminal Justice
13
CJ15 [IF CJ4 = 4 AND (CJ2a = 1 OR 2) AND CJ14TYPE = 3] In what month and year were
you arrested for or charged with [fill that offense/those offenses]?
(IF MORE THAN ONE DATE IS GIVEN, TAKE THE EARLIEST DATE.)
(IF NO PHYSICAL ARREST TOOK PLACE, ASK FOR THE DATE WHEN
NOTIFIED OF CHARGES.)
CJ15a 2-DIGIT MONTH: _________[RANGE: 1 – 12]
DK/REF
CJ15b 4-DIGIT YEAR: ________ [RANGE: 1915 – current year]
DK/REF
FI NOTE: I will refer to this date as your
arrest date throughout the rest of the survey.
UPDATE DATE_ARREST:
IF CJ15a ≠ EMPTY AND CJ15b ≠ EMPTY THEN DATE_ARREST = “in MONTH, YEAR”
ELSE DATE_ARREST = EMPTY
CJ16 [IF CJ4 = 4 AND (CJ2a = 1 OR 2) AND CJ14TYPE = 3] On what date were you
admitted to prison for (Fill that offense/those offenses)?
CJ16a. 2-DIGIT MONTH: _________ [RANGE: 1 – 12]
DK/REF
CJ16b. 2-DIGIT DAY: ____________ [RANGE: 1 – 31]
DK/REF
CJ16c. 4-DIGIT YEAR: ___________ [RANGE: 1915 – current year]
DK/REF
Go to CJ19
UPDATE DATE_ADMIT:
IF CJ16a ≠ EMPTY AND CJ16b ≠ EMPTY AND CJ16c ≠ EMPTY THEN DATE_ADMIT =
“on MONTH DAY, YEAR”
IF CJ16a ≠ EMPTY AND CJ16b = EMPTY AND CJ16c ≠ EMPTY THEN DATE_ADMIT =
“in MONTH, YEAR”
ELSE DATE_ADMIT = EMPTY
Section 2: Criminal Justice
14
Section: On ESCAPE (those with new offenses and those with no new offenses)
CJ17 [IF CJ4 = 3 OR CJ7 = 3] When you were admitted to prison after being on escape, were
you charged with any new offenses?
1
YES
2
NO – Go to CJ26
DK/REF
CJ18 [IF CJ17 = 1] Have you been sentenced for any of these offenses? Include any sentence for
escape.
1
YES
2
NO – Go to CJ23
DK/REF
On escape from correctional facility with new offenses (sentenced)
CJ19TYPE [IF CJ18 = 1] For what new offenses were you sentenced?
1
2
3
4
7
PAROLE VIOLATION
PROBATION VIOLATION
INMATE PROVIDED ACTUAL OFFENSE(S) Go to CJ19
ESCAPE
NO MORE VIOLATIONS
CJ19 [CJ19TYPE = 3]
(USE THE LOOKUP TABLE TO ENTER OFFENSES. USE ‘OTHER’ IF OFFENSE
IS NOT FOUND IN THE TABLE. ENTER ‘999’ AFTER THE LAST OFFENSE IS
RECORDED.)
(CJ19a)
1 ________________________________
(CJ19b)
2 ________________________________
(CJ19c)
3 ________________________________
(CJ19d)
4 ________________________________
(CJ19e)
5 ________________________________
(VERIFY THE RECORDED OFFENSES WITH THE RESPONDENT.)
Section 2: Criminal Justice
15
CJ20 [IF CJ19TYPE = 3] In what month and year were you arrested for this new offense/these
new offenses after being on escape?
(IF NO PHYSICAL ARREST TOOK PLACE, ASK FOR THE DATE WHEN
NOTIFIED OF CHARGES.)
CJ20a 2-DIGIT MONTH: ________ [RANGE: 1 – 12]
DK/REF
CJ20b 4-DIGIT YEAR: ________ [RANGE: 1915 – current year]
DK/REF
UPDATE DATE_ARREST:
IF CJ20a ≠ EMPTY AND CJ20b ≠ EMPTY THEN DATE_ARREST = “in MONTH,
YEAR”
ELSE DATE_ARREST = EMPTY
CJ21 [IF CJ4 = 3 OR CJ7 = 3] On what date were you readmitted to prison after being on
escape?
CJ21a 2-DIGIT MONTH: _________[RANGE: 1 – 12]
DK/REF
CJ21b 2-DIGIT DAY: ____________ [RANGE: 1 – 31]
DK/REF
CJ21c 4-DIGIT YEAR: ________ [RANGE: 1915 – current year]
DK/REF
UPDATE DATE_ADMIT:
IF CJ21a ≠ EMPTY AND CJ21b ≠ EMPTY AND CJ21c ≠ EMPTY THEN DATE_ADMIT =
“on MONTH DAY, YEAR”
IF CJ21a ≠ EMPTY AND CJ21b = EMPTY AND CJ21c ≠ EMPTY THEN DATE_ADMIT =
“in MONTH, YEAR”
ELSE DATE_ADMIT = EMPTY
On escape from correctional facility with no new (sentenced) offenses
CJ23TYPE [IF CJ18 = 2] For what new offenses were you arrested following your escape? Any
others?
1 PAROLE VIOLATION
2 PROBATION VIOLATION
3 INMATE PROVIDED ACTUAL OFFENSE(S) Go to CJ23
4 ESCAPE
6 NO MORE VIOLATIONS
DK/REF
Section 2: Criminal Justice
16
CJ23 [CJ23TYPE = 3]
(USE THE LOOKUP TABLE TO ENTER OFFENSES. USE ‘OTHER’ IF OFFENSE
IS NOT FOUND IN THE TABLE. ENTER ‘999’ AFTER THE LAST OFFENSE IS
RECORDED.)
(CJ23a)
1 ________________________________
(CJ23b)
2 ________________________________
(CJ23c)
3 ________________________________
(CJ23d)
4 ________________________________
(CJ23e)
5 ________________________________
(VERIFY THE RECORDED OFFENSES WITH THE RESPONDENT.)
CJ24 [IF CJ18 = 2] In what month and year were you arrested for [this new offense/these new
offenses]?
(IF NO PHYSICAL ARREST TOOK PLACE, ASK FOR THE DATE WHEN
NOTIFIED OF CHARGES)
CJ24a 2-DIGIT MONTH: _________[RANGE: 1 – 12]
DK/REF
CJ24b 4-DIGIT YEAR: ________ [RANGE: 1915 – current year]
DK/REF
UPDATE DATE_ARREST:
IF CJ24a ≠ EMPTY AND CJ24b ≠ EMPTY THEN DATE_ARREST = “in MONTH, YEAR”
ELSE DATE_ARREST = EMPTY
CJ25 [IF CJ17 = 2 OR CJ18 = 2] On what date were you readmitted to prison after being on
escape?
CJ25a 2-DIGIT MONTH: _________[RANGE: 1 – 12]
DK/REF
CJ25b 2-DIGIT DAY: ____________ [RANGE: 1 – 31]
DK/REF
CJ25c 4-DIGIT YEAR: ________ [RANGE: 1915 – current year]
DK/REF
UPDATE DATE_ADMIT:
IF CJ25a ≠ EMPTY AND CJ25b ≠ EMPTY AND CJ25c ≠ EMPTY THEN DATE_ADMIT =
“on MONTH DAY, YEAR”
IF CJ25a ≠ EMPTY AND CJ25b = EMPTY AND CJ25c ≠ EMPTY THEN DATE_ADMIT =
“in MONTH, YEAR”
ELSE DATE_ADMIT = EMPTY
Section 2: Criminal Justice
17
CJ26TYPE [IF CJ4 = 3 OR CJ7 = 3] For what offenses were you serving time before you
escaped? Any others?
1 PAROLE VIOLATION
2 PROBATION VIOLATION
3 INMATE PROVIDED ACTUAL OFFENSE(S) Go to CJ23
4 ESCAPE
7 NO MORE VIOLATIONS
DK/REF
CJ26 [CJ26TYPE = 3]
(USE THE LOOKUP TABLE TO ENTER OFFENSES. USE ‘OTHER’ IF OFFENSE
IS NOT FOUND IN THE TABLE. ENTER ‘999’ AFTER THE LAST OFFENSE IS
RECORDED.)
(CJ26a)
1 ________________________________
(CJ26b)
2 ________________________________
(CJ26c)
3 ________________________________
(CJ26d)
4 ________________________________
(CJ26e)
5 ________________________________
(VERIFY THE RECORDED OFFENSES WITH THE RESPONDENT.)
Go To CJ27
_______________________________________________________
A – Parole Violators Block
Block Level Universe: (CJ4 = 1 OR CJ7 = 1)
Section: On parole or post-release supervision after serving time (those with new offenses and
those with no new offenses
Original Offense
CJA1TYPE. [IF CJ4 = 1 OR CJ7 = 1] For what offenses were you serving time in prison and
then put on parole or post-release supervision?
1 PAROLE VIOLATION
2 PROBATION VIOLATION
3 INMATE PROVIDED ACTUAL OFFENSE(S) Go to CJA1
8 NO MORE VIOLATIONS
DK/REF
Section 2: Criminal Justice
18
CJA1 [If CJA1TYPE = 3]
(USE THE LOOKUP TABLE TO ENTER OFFENSES. USE ‘OTHER’ IF OFFENSE
IS NOT FOUND IN THE TABLE. ENTER ‘999’ AFTER THE LAST OFFENSE IS
RECORDED.)
(CJA1a)
1 ________________________________
(CJA1b)
2 ________________________________
(CJA1c)
3 ________________________________
(CJA1d)
4 ________________________________
(CJA1e)
5 ________________________________
(VERIFY THE RECORDED OFFENSE WITH THE RESPONDENT.)
Original Arrest Date
CJA2 [IF CJ4 = 1 OR CJ7 = 1] In what month and year were you arrested for or charged
with that offense/those offenses?
(IF MORE THAN ONE DATE IS GIVEN, TAKE THE EARLIEST DATE.)
(IF NO PHYSICAL ARREST TOOK PLACE, ASK FOR THE DATE WHEN
NOTIFIED OF CHARGES.)
CJA2a 2-DIGIT MONTH: _________[RANGE: 1 – 12]
DK/REF
CJA2b 4-DIGIT YEAR: ________ [RANGE: 1915 – current year]
DK/REF
FI NOTE: I will refer to this date as your
arrest date throughout the rest of the survey.
UPDATE DATE_ARREST:
IF CJA2 ≠ EMPTY AND CJA2 ≠ EMPTY THEN DATE_ARREST = “in MONTH, YEAR”
ELSE DATE_ARREST = EMPTY
New Offense – sentenced inmates
CJA3. [IF (CJ4 = 1 OR CJ7 = 1) AND CJ1 = 1] When you were readmitted to prison after being
on parole or post-release supervision, were you sentenced for any new offenses? Include
any sentence for the parole violation.
IF RESPONDENT IS A TECHNICAL VIOLATOR, MARK “No”
1
YES
Go to CJA4TYPE
2
NO
Go to CJ27
DK/REF
*On parole with new sentence*
Section 2: Criminal Justice
19
CJA4TYPE [IF CJA3 = 1 AND CJ1 = 1] For what new offenses were you sentenced? Any
others?
1 PAROLE VIOLATION
2 PROBATION VIOLATION
3 INMATE PROVIDED ACTUAL OFFENSE(S) Go to CJA4
7 NO MORE VIOLATIONS
DK/REF
CJA4 [If CJA4TYPE = 3]
(USE THE LOOKUP TABLE TO ENTER OFFENSES. USE ‘OTHER’ IF OFFENSE
IS NOT FOUND IN THE TABLE. ENTER ‘999’ AFTER THE LAST OFFENSE IS
RECORDED.)
(CJA2a)
(CJA2b)
(CJA2c)
(CJA2d)
(CJA2e)
1 ________________________________
2 ________________________________
3 ________________________________
4 ________________________________
5 ________________________________
(VERIFY THE RECORDED OFFENSE WITH THE RESPONDENT.)
New Arrest Date – Sentenced inmates
CJA5. [IF CJA3 = 1 AND CJ1= 1] In what month and year were you arrested for [this new
offense/these new offenses]?
(IF MORE THAN ONE DATE IS GIVEN, TAKE THE MOST RECENT
DATE.)
(IF NO PHYSICAL ARREST TOOK PLACE, ASK FOR THE DATE WHEN
NOTIFIED OF THE CHARGES]
CJA5a 2-DIGIT MONTH: _________[RANGE: 1 – 12]
DK/REF
CJA5b 4-DIGIT YEAR: ________ [RANGE: 1915 – current year]
DK/REF
UPDATE DATE_ARREST:
IF CJA5a ≠ EMPTY AND CJA5b ≠ EMPTY THEN DATE_ARREST = “in MONTH, YEAR”
ELSE DATE_ARREST = EMPTY
Section 2: Criminal Justice
20
New Offense – unsentenced inmates
CJA6 [IF (CJ4 = 1 OR CJ7 = 1) AND CJ1 = 2] When you were readmitted to prison after being
on parole or post-release supervision, were you arrested or charged for any new offenses?
Include any sentence for the parole violation.
IF RESPONDENT IS A TECHNICAL VIOLATOR, MARK “No”
1
YES AND Go to CJA7TYPE
2
NO
Go to CJ27
DK/REF
*On parole with no new sentence*
CJA7TYPE [IF CJA6 = 1 AND CJ1 = 2] For what new offenses were you arrested or charged?
1 PAROLE VIOLATION
2 PROBATION VIOLATION
3 INMATE PROVIDED ACTUAL OFFENSE(S) Go to CJA7
7 NO MORE VIOLATIONS
DK/REF
CJA7 [If CJA7TYPE = 3]
(USE THE LOOKUP TABLE TO ENTER OFFENSES. USE ‘OTHER’ IF OFFENSE
IS NOT FOUND IN THE TABLE. ENTER ‘999’ AFTER THE LAST OFFENSE IS
RECORDED.)
(CJA7a)
(CJA7b)
(CJA7c)
(CJA7d)
(CJA7e)
1 ________________________________
2 ________________________________
3 ________________________________
4 ________________________________
5 ________________________________
(VERIFY THE RECORDED OFFENSE WITH THE RESPONDENT.)
New Arrest Date – Unsentenced inmates
Section 2: Criminal Justice
21
CJA8 [IF CJA6 = 1 AND CJ1= 2] In what month and year were you arrested for [this new
offense/these new offenses]?
(IF MORE THAN ONE DATE IS GIVEN, TAKE THE MOST RECENT
DATE.)
(IF NO PHYSICAL ARREST TOOK PLACE, ASK FOR THE DATE WHEN
CJA8a
2-DIGIT MONTH: _________[RANGE: 1 – 12]
DK/REF
CJA8b
4-DIGIT YEAR: ________ [RANGE: 1915 – current year]
DK/REF
UPDATE DATE_ARREST:
IF CJA8a ≠ EMPTY AND CJA8b ≠ EMPTY THEN DATE_ARREST = “in MONTH, YEAR”
ELSE DATE_ARREST = EMPTY
Date (Re)admitted
CJA9. [IF CJ4 = 1 OR CJ7 = 1] On what date were you readmitted to prison after being on
parole or post-release supervision?
CJA9a 2-DIGIT MONTH: _________ [RANGE: 1 – 12]
DK/REF
CJA9b 2-DIGIT DAY: ____________ [RANGE: 1 – 31]
DK/REF
CJA9c 4-DIGIT YEAR: ________ [RANGE: 1915 – current year]
DK/REF
UPDATE DATE_ADMIT:
IF CJA9a ≠ EMPTY AND CJA9b ≠ EMPTY AND CJA9c ≠ EMPTY THEN
DATE_ADMIT = “on MONTH DAY, YEAR”
IF CJA9a ≠ EMPTY AND CJA9b = EMPTY AND CJA9c ≠ EMPTY THEN
DATE_ADMIT = “in MONTH, YEAR”
ELSE DATE_ADMIT = EMPTY
______________________________END Parole Violators Block (A)
Go To CJ27
Section 2: Criminal Justice
22
B – Probation Violators Block
Block Level Universe: (CJ4 = 2 OR CJ7 = 2)
Section. On probation (from court/from prison and inmates with new offenses and those with no
new offenses)
CJB1. [IF CJ4 = 2 OR CJ7 = 2] Now we are interested in how you received your probation
sentence. Was your probation sentence a stand-alone sentence given by the court with no
prison or jail time?
1
YES
2
NO
DK/REF
Go to CJB3TYPE
Go to CJB2
CJB2. [CJB1 = 2] Was your probation sentence part of a split sentence that included serving
time in a prison or jail?
1
YES
2
NO
DK/REF
Go to CJB3TYPE
Go to CJB3TYPE
Original Offense
CJB3TYPE [IF CJ4 = 2 OR CJ7 = 2] For what offenses were you on probation from a court?
1 PAROLE VIOLATION
2 PROBATION VIOLATION
3 INMATE PROVIDED ACTUAL OFFENSE(S) Go to CJB3
7 NO MORE VIOLATIONS
DK/REF
CJB3 [If CJB3TYPE = 3]
(USE THE LOOKUP TABLE TO ENTER OFFENSES. USE ‘OTHER’ IF OFFENSE
IS NOT FOUND IN THE TABLE. ENTER ‘999’ AFTER THE LAST OFFENSE IS
RECORDED.)
(CJB3a)
(CJB3b)
(CJB3c)
(CJB3d)
(CJB3e)
1 ________________________________
2 ________________________________
3 ________________________________
4 ________________________________
5 ________________________________
(VERIFY THE RECORDED OFFENSE WITH THE RESPONDENT.)
Section 2: Criminal Justice
23
Original Arrest Date
CJB4 [IF CJ4 = 2 OR CJ7 = 2] In what month and year were you arrested for or charged
with [that offense/those offenses]?
(IF MORE THAN ONE DATE IS GIVEN, TAKE THE EARLIEST DATE.)
(IF NO PHYSICAL ARREST TOOK PLACE, ASK FOR THE DATE WHEN
NOTIFIED OF CHARGES.)
CJAB4 2-DIGIT MONTH: _________[RANGE: 1 – 12]
DK/REF
CJAB4 4-DIGIT YEAR: ________ [RANGE: 1915 – current year]
DK/REF
FI NOTE: I will refer to this date as your
arrest date throughout the rest of the survey.
UPDATE DATE_ARREST:
IF CJB4 ≠ EMPTY AND CJB4 ≠ EMPTY THEN DATE_ARREST = “in MONTH, YEAR”
ELSE DATE_ARREST = EMPTY
New Offense – sentenced inmates
CJB5. [IF (CJ4 = 2 OR CJ7 = 2) AND CJ1 = 1] When you were readmitted to prison after being
on probation, were you sentenced for any new offenses? Include any sentence for the
probation violation.
IF RESPONDENT IS A TECHNICAL VIOLATOR, MARK “No”
1
YES Go to CJB6TYPE
2
NO
Go to CJ27
DK/REF
*On probation with new sentence*
CJB6TYPE [IF CJB5 = 1 AND CJ1 = 1] For what new offenses were you sentenced? Any
others?
1 PAROLE VIOLATION
2 PROBATION VIOLATION
3 INMATE PROVIDED ACTUAL OFFENSE(S) Go to CJB6
7 NO MORE VIOLATIONS
DK/REF
Section 2: Criminal Justice
24
CJB6 [If CJB6TYPE = 3]
(USE THE LOOKUP TABLE TO ENTER OFFENSES. USE ‘OTHER’ IF OFFENSE
IS NOT FOUND IN THE TABLE. ENTER ‘999’ AFTER THE LAST OFFENSE IS
RECORDED.)
(CJB6a)
(CJB6b)
(CJB6c)
(CJB6d)
(CJB6e)
1 ________________________________
2 ________________________________
3 ________________________________
4 ________________________________
5 ________________________________
(VERIFY THE RECORDED OFFENSE WITH THE RESPONDENT.)
New Arrest Date – Sentenced inmates
CJB7. [IF CJB5 = 1 AND CJ1= 1] In what month and year were you arrested for this new
offense/these new offenses?
(IF MORE THAN ONE DATE IS GIVEN, TAKE THE EARLIEST DATE.)
(IF NO PHYSICAL ARREST TOOK PLACE, ASK FOR THE DATE WHEN
CJB7a 2-DIGIT MONTH: _________[RANGE: 1 – 12]
DK/REF
CJB7b 4-DIGIT YEAR: ________ [RANGE: 1915 – current year]
DK/REF
UPDATE DATE_ARREST:
IF CJB7a ≠ EMPTY AND CJB7b ≠ EMPTY THEN DATE_ARREST = “in MONTH, YEAR”
ELSE DATE_ARREST = EMPTY
New Offense – unsentenced inmates
CJB8 [IF (CJ4 = 2 OR CJ7 = 2) AND CJ1 = 2] When you were readmitted to prison after being
on probation, were you arrested or charged for any new offenses? Include any sentence
for the probation violation.
IF RESPONDENT IS A TECHNICAL VIOLATOR, MARK “No”
1
YES AND Go to CJB9TYPE
2
NO
Go to CJ27
DK/REF
*On probation with no new sentence*
Section 2: Criminal Justice
25
CJB9TYPE [IF CJB8 = 1 AND CJ1 = 2] For what new offenses were you arrested or charged?
1 PAROLE VIOLATION
2 PROBATION VIOLATION
3 INMATE PROVIDED ACTUAL OFFENSE(S) Go to CJB9
7 NO MORE VIOLATIONS
DK/REF
CJB9 [If CJB9TYPE = 3]
(USE THE LOOKUP TABLE TO ENTER OFFENSES. USE ‘OTHER’ IF OFFENSE
IS NOT FOUND IN THE TABLE. ENTER ‘999’ AFTER THE LAST OFFENSE IS
RECORDED.)
(CJB9a)
(CJB9b)
(CJB9c)
(CJB9d)
(CJB9e)
1 ________________________________
2 ________________________________
3 ________________________________
4 ________________________________
5 ________________________________
(VERIFY THE RECORDED OFFENSE WITH THE RESPONDENT.)
New Arrest Date – Unsentenced inmates
CJB10 [IF CJB8 = 1 AND CJ1= 2] In what month and year were you arrested for this new
offense/these new offenses?
(IF MORE THAN ONE DATE IS GIVEN, TAKE THE MOST RECENT
DATE.)
(IF NO PHYSICAL ARREST TOOK PLACE, ASK FOR THE DATE WHEN
CJB10a
2-DIGIT MONTH: _________[RANGE: 1 – 12]
DK/REF
CJB10b
4-DIGIT YEAR: ________ [RANGE: 1915 – current year]
DK/REF
UPDATE DATE_ARREST:
IF CJB10a ≠ EMPTY AND CJB10b ≠ EMPTY THEN DATE_ARREST = “in MONTH,
YEAR”
ELSE DATE_ARREST = EMPTY
Date (Re)admitted
CJB11. [IF CJ4 = 2 OR CJ7 = 2] On what date were you readmitted to prison after being on
probation?
Section 2: Criminal Justice
26
CJB11a 2-DIGIT MONTH: _________[RANGE: 1 – 12]
DK/REF
CJB11b 2-DIGIT DAY: ____________ [RANGE: 1 – 31]
DK/REF
CJB11c 4-DIGIT YEAR: ________ [RANGE: 1915 – current year]
DK/REF
UPDATE DATE_ADMIT:
IF CJB11a ≠ EMPTY AND CJB11b ≠ EMPTY AND CJB11c ≠ EMPTY THEN
DATE_ADMIT = “on MONTH DAY, YEAR”
IF CJB11a ≠ EMPTY AND CJB11b = EMPTY AND CJB11c ≠ EMPTY THEN DATE_ADMIT
= “in MONTH, YEAR”
ELSE DATE_ADMIT = EMPTY
______________________________END Probation Violators Block (B)
CJ27 [IF CJ1 = 1 OR CJ2a = 2] Altogether, how long did you spend in jail after you were
arrested [DATE_ARREST] and before being admitted to prison [DATE_ADMIT]]?
0
NO TIME IN JAIL
DK/REF
If 1 offense go to CJC2
If 2+ offenses go to CJC4
If 1 offense go to CJC2
If 2+ offenses go to CJC4
YEARS:___________
[RANGE: 0 – 5, blank]
MONTHS:______________
[RANGE: 0 – 30, blank]
WEEKS: ______________
[RANGE: 0 – 30, blank]
DAYS: ___________
[RANGE: 0 – 200, blank]
If 1 offense and spent time in jail go to CJC1
If 2+ offenses and spent time in jail go to CJC4
_______________________________________________________
CJ27a.
CJ27b.
CJ27c.
CJ27d.
Section 2: Criminal Justice
27
C – Sentencing Block
Block Level Universe: (CJ1 = 1)
CJC1 [IF CJ1 = 1 AND (CJ27 = 1 DAY OR LONGER)] How much jail time was applied
to your prison sentence?
0
1
NONE OF IT
ALL OF IT
If 1 offense go to CJC2
If 2+ offenses go to CJC4
CJC1a. YEARS:__________
CJC1b. MONTHS:__________
CJC1c. WEEKS: __________
CJC1d. DAYS: ___________
If 1 offense go to CJC2
If 2+ offenses go to CJC4
[RANGE:
[RANGE:
[RANGE:
[RANGE:
0 – 5, blank]
0 – 30, blank]
0 – 30, blank]
0 – 200, blank]
Sentenced prisoners with one offense
DEFINE OFFENSE_SINGLE:
IF CJA4 = 1 offense THEN OFFENSE_SINGLE = offense listed in CJA4
IF CJA4 = EMPTY AND CJA1 = 1 offense THEN OFFENSE_SINGLE = offense listed
in CJA1
IF CJB6 = 1 offense THEN OFFENSE_SINGLE = offense listed in CJB6
IF CJB6 = EMPTY AND CJB3 = 1 offense THEN OFFENSE_SINGLE = offense listed
in CJB3
IF CJ11 = 1 offense THEN OFFENSE_SINGLE = offense listed in CJ11
IF CJ26 = 1 offense THEN OFFENSE_SINGLE = offense listed in CJ26
IF CJ26 = EMPTY AND CJ19 = 1 offense THEN OFFENSE_SINGLE = offense listed
in CJ19
CJC2 [IF CJ1 = 1 AND (CJA3 = 2 AND CJA1 = 1 offense) OR (CJA3 = 1 AND CJA4 =
1 offense) OR (CJB5 = 2 AND CJB3 = 1 offense) OR (CJB5 = 1 AND CJB6 = 1
offense) OR (CJ11 = 1 offense) OR (CJ18 = 1 and CJ19 = 1 offense) OR (CJ17 =
2 and CJ26 = 1 offense)]
How long is your sentence to prison for [OFFENSE_SINGLE]? Include any time
suspended by a judge or court. (DID THE INMATE GIVE A SINGLE/FLAT
SENTENCE OR A RANGE OF TIME?)
1
SINGLE OR FLAT SENTENCE (GO TO CJC3a)
2
RANGE OF TIME OR INDETERMINATE SENTENCE (GO TO CJC3b)
DK/REF
Section 2: Criminal Justice
28
CJC3a (RECORD SINGLE/FLAT SENTENCE)
1
LIFE
2
LIFE PLUS ADDITIONAL YEARS
3
LIF E W ITHO UT P AR O LE
4
DEATH
5
INTERMITTENT (NIGHTS/WEEKENDS)
OR
CJC3a1.
CJC3a2
CJC3a3
YEARS:
MONTHS:
DAYS:
[RANGE: 1 – 99, blank]
[RANGE: 1 – 99, blank]
[RANGE: 1 – 90, blank]
CJC3b (RECORD RANGE OF TIME OR INDETERMINATE SENTENCE)
Minimum
Maximum
CJC3b1YEARS:
____(Range 1-50, blank)____(Range 1-99, blank)
CJC3b2 MONTHS:
____(Range 1-36, blank)____(Range 1-99, blank)
CJC3b3 DAYS:
____(Range 1-90, blank)____(Range 1-90, blank)
(add maximum of “life”)
Sentenced prisoners with multiple offenses
DEFINE OFFENSES_MULTI:
IF CJA4 = 2+ offense THEN OFFENSES_ MULTI = offenses listed in CJA4
IF CJA4 = EMPTY AND CJA1 = 2+ offenses THEN OFFENSES_ MULTI = offenses
listed in CJA1
IF CJB6 = 2+ offenses THEN OFFENSES_ MULTI = offenses listed in CJB6
IF CJB6 = EMPTY AND CJB3 = 2+ offenses THEN OFFENSES_ MULTI = offenses
listed in CJB3
IF CJ11 = 2+ offenses THEN OFFENSES_ MULTI = offenses listed in CJ11
IF CJ26 = 2+ offenses THEN OFFENSES_ MULTI = offenses listed in CJ26
IF CJ26 = EMPTY AND CJ19 = 2+ offenses THEN OFFENSES_ MULTI = offense
listed in CJ19
CJC4 [IF CJ1 = 1 AND (CJA3 = 2 AND CJA1 = 2+ offenses) OR (CJA3 = 1 AND
CJA4 = 2+ offenses) OR (CJB5 = 2 AND CJB3 = 2+ offenses) OR (CJB5 = 1
AND CJB6 = 2+ offenses) OR (CJ11 = 2+ offenses) OR
(CJ18 = 1 and CJ19 = 2+ offenses) OR (CJ17 = 2 and CJ26 = 2+ offenses)]
What is the total maximum sentence length to prison for ALL the
consecutive sentences you are serving? [OFFENSES_MULTI]? Include
any suspended time.
(DID THE INMATE GIVE A SINGLE/FLAT SENTENCE OR A RANGE OF
TIME?)
1
SINGLE OR FLAT SENTENCE (GO TO CJC5a)
2
RANGE OF TIME OR INDETERMINATE SENTENCE (GO TO
CJC5b)
Section 2: Criminal Justice
29
CJC5a (RECORD SINGLE/FLAT SENTENCE)
1
LIFE
2
LIFE PLUS ADDITIONAL YEARS
3
LIF E W ITHO UT P AR O LE
4
DEATH
5
INTERMITTENT (NIGHTS/WEEKENDS)
OR
CJC5a1.
CJC5a2
CJC5a3
YEARS:
MONTHS:
DAYS:
[RANGE: 1 – 99, blank]
[RANGE: 1 – 99, blank]
[RANGE: 1 – 90, blank]
CJC5b (RECORD RANGE OF TIME OR INDETERMINATE SENTENCE)
Minimum
Maximum
CJC5b1YEARS:____
(Range 1-50, blank)____(Range 1-99, blank)
CJC5b2 MONTHS:
____(Range 1-36, blank)____(Range 1-99, blank)
CJC5b3 DAYS:____
(Range 1-90, blank)____(Range 1-90, blank)
(add maximum of “life”)
CJC6 [IF CJ1 = 1] When you were sentenced, was any part of your total sentence been
suspended by a judge or court?
1
YES
2
NO
DK/REF
FI NOTE: “Good time”, “earned
time”, “gain time”, and “time credits”
are not considered a suspended
sentence.
CJC7 [IF CJC6 = 1] By how much was your sentence suspended by a judge or court?
1
ALL OF IT
OR
CJC7a
YEARS:
CJC7b
MONTHS:
CJC7c
DAYS:
Section 2: Criminal Justice
[RANGE: 1 – 60, blank]
[RANGE: 1 – 30, blank]
[RANGE: 1 – 200, blank]
30
CJC8 [IF CJ1 = 1 AND (CJ11 OR CJ19 OR CJ26 OR CJA1 OR CJA4 OR CJB3 OR CJB6) =
2+] Of the [OFFENSES_MULTI], for which offense did you receive the longest
sentence? [Display offenses from OFFENSES_MULTI as a pre-chart numbered 15 above question]
1
(FIRST OFFENSE LISTED)
2
(SECOND OFFENSE LISTED)
3
(THIRD OFFENSE LISTED)
4
(FOURTH OFFENSE LISTED)
5
(FIFTH OFFENSE LISTED)
8
INMATE ONLY RECEIVED ONE SENTENCE
9
ALL SENTENCES ARE THE SAME LENGTH
DK/REF
IF FI ENDORSES “8” or “9” IN CJC9, THEN USE A HIERARCHY RULE SUCH
THAT THE CONTROLLING OFFENSE ABOUT WHICH WE WILL COLLECT
DETAILS IS 1) A VIOLENT OFFENSE (IF THEY REPORT A VIOLENT OFFENSE),
2) A PROPERTY OFFENSE (IF THEY REPORT A PROPERTY OFFENSE), OR A
DRUG OFFENSE (IF THEY REPORT A DRUG OFFENSE)
CJC9 [IF CJC8 = 8 OR 9] How long was the sentence for
[OFFENSES_MULTI]? Include any suspended time.
(DID THE INMATE GIVE A SINGLE/FLAT SENTENCE OR A RANGE OF
TIME?)
1
SINGLE OR FLAT SENTENCE (GO TO CJC10a)
2
RANGE OF TIME OR INDETERMINATE SENTENCE (GO TO CJC10b)
CJC10a (RECORD SINGLE/FLAT SENTENCE)
1
LIFE
2
LIFE PLUS ADDITIONAL YEARS
3
LIF E W ITHO UT P AR O LE
4
DEATH
5
INTERMITTENT (NIGHTS/WEEKENDS)
OR
CJC10a1.
CJC10a2
CJC10a3
YEARS:
MONTHS:
DAYS:
[RANGE: 1 – 99, blank]
[RANGE: 1 – 99, blank]
[RANGE: 1 – 90, blank]
CJC10b (RECORD RANGE OF TIME OR INDETERMINATE SENTENCE)
Minimum
Maximum
CJC10b1YEARS:____
(Range 1-50, blank)____(Range 1-99, blank)
CJC10b2 MONTHS:
____(Range 1-36, blank)____(Range 1-99, blank)
CJC10b3 DAYS:____
(Range 1-90, blank)____(Range 1-90, blank)
(add maximum of “life”)
Section 2: Criminal Justice
31
CJC11 [IF CJ1 = 1] Does your sentence include –
CJC11a Court costs or felony assessment fees?
CJC11b Any fines?
CJC11c Restitution to the victim if there was one?
CJC11d Some other type of fee or payment?
(CJC11_OTH) SPECIFY ____________________
Yes
1
1
1
1
No
2
2
2
2
Yes
1
1
1
1
1
No
2
2
2
2
2
1
2
CJC12 [IF CJ1 = 1] Does your sentence include –
CJC12a Community Service?
CJC12b Mandatory drug testing?
CJC12c Drug or alcohol treatment program?
CJC12d Sex offenders treatment program?
CJC12e Psychiatric or psychological counseling or
treatment?
CJC12f Any other special conditions or restrictions?
(CJC12_OTH) SPECIFY ____________________
______________________________END Sentencing Block (C)
CJ28 Do you have a definite date on which you expect to be released from prison?
1
YES
2
NO
DK/REF
Go to CJ29
Go to CJ30
CJ29 Keep previous question on screen [IF CJ28 = 1] In what month and year do you
expect to be released?
CJ29a
DK/REF
2-DIGIT MONTH: _________[RANGE: 1 – 12]
CJ29b
DK/REF
4-DIGIT YEAR: ________ [RANGE: current year - 2077]
Go to CJ32
CJ30 [IF CJ28 = 2] Do you expect to ever be released from prison?
1
YES
2
NO
DK/REF
Section 2: Criminal Justice
Go to CJ31
IF CJ1 = 1Go to CJ34, otherwise Go toCJ36
32
CJ31 Keep previous question on screen [IF CJ30 = 1] In what month and year is your
earliest possible release date?
CJ31a
2-DIGIT MONTH: _________[RANGE: 1 – 12]
DK/REF
CJ31b
4-DIGIT YEAR: ________ [RANGE: current year - 2077]
DK/REF
Go to CJ32
CJ32 [IF CJ28 = 1 OR CJ30 = 1] When you are released, do you expect to be supervised in the
community on either parole or probation?
1
YES
2
NO
DK/REF
IF CJ1 = 1Go to CJ34, otherwise Go toCJ36
ESTABLISH CONTROLLING OFFENSE FOR ALL INMATES
Sentenced inmates:
o With one offense then that offense is the controlling offense
o With multiple offenses and sentences, the controlling offense is the
offense with the longest sentence
o With multiple offenses and one sentence, the controlling offense is the
“most serious” offense which is determined using the look-up tables and a
hierarchy, where violent is most serious, then property, then drug
Unsentenced prisoners:
o With one offense then that offense is the controlling offense (For those
awaiting sentencing the offenses they were convicted of/awaiting
sentencing for are used; for all other inmates including those awaiting trial
the arrest offenses are used)
o With multiple offenses, the “most serious” offense is the controlling
offense and is determined using the look-up tables (For those awaiting
sentencing the offenses they were convicted of/awaiting sentencing for are
used; for all other inmates including those awaiting trial the arrest offenses
are used)
IF THE LOOKUP TABLE DOES NOT ENABLE THE FI TO LINK TO AN OFFENSE IN
OUR DATABASE, THE FI WILL ASK CJ33 FOR EACH OFFENSE. ONCE IT IS
DETERMINED WHICH OFFENSE HAS THE LONGEST SENTENCE AND IT IS KNOWN
WHICH CATEGORY EACH OFFENSE FALLS INTO (VIOLENT, PROPERTY, DRUG, OR
OTHER), THEN WE KNOW WHICH INCIDENT CHARACTERISTICS SECTION OF THIS
MODULE (VIOLENT, PROPERTY OR DRUG) THE INMATE SHOULD RECEIVE.
Section 2: Criminal Justice
33
INMATE_TYPE (explained)
The following items feed into the MOST SERIOUS OFFENSE, which is used in lieu of a
controlling offense for cases where the inmate is awaiting trial: CJ14 and CJ8. There are 2 types
of inmates who will have a MOST SERIOUS OFFENSE. The most serious offense will be
determined by the (presence of) offenses collected at the various locations described below.
1
2
Inmate awaiting trial or waiting to be sentenced– use offenses from CJ14
Inmate NOT sentenced, NOT convicted, NOT awaiting trial AND being held for
other authorities, a civil commitment, safekeeping, or another reason – use
offenses from CJ8
The following items feed into the CONTROLLING OFFENSE: CJ11, CJ19, CJ26, CJA1, CJA4,
CJB3, and CJB6. There are 10 types of inmates who will have a CONTROLLING OFFENSE.
The controlling offense will be determined by the (presence of) offenses collected in the various
locations described below.
3
Inmate NOT incarcerated for a parole or probation violation and NOT on parole
or probation at time of admission (New Court Commitment) – use offenses from
CJ11
4
5
6
On Escape with NO new offenses – use offenses from CJ26
On Escape WITH new offenses – use offenses from CJ19
On Escape WITH new [arrest] offenses – use offenses from CJ26 (although new
arrest offenses are collected at CJB23)
7
8
9
Parole Violator with NO new offenses – use offenses from CJA1
Parole Violator WITH new offenses – use offenses from CJA4
Parole Violator WITH new [arrest] offenses – use offenses from CJA1 (although
new arrest offenses are collected at CJA7)
10
11
12
Probation Violator with NO new offenses – use offenses from CJB3
Probation Violator WITH new offenses – use offenses from CJB6
Probation Violator WITH new [arrest] offenses – use offenses from CJB3
(although new arrest offenses are collected at CJB9)
Section 2: Criminal Justice
34
DEFINE INMATE_TYPE:
IF (CJ2a = 1 OR 2) AND CJ4 = 4 THEN set INMATE_TYPE = 1
IF CJ1 = 2 AND CJ2 = 2 AND CJ3 = 2 AND (CJ5a = 1 OR CJ5b = 1 OR CJ5c = 1 OR
CJ5d = 1) THEN set INMATE_TYPE = 2
IF CJ1 = 1 AND CJ4 = 4 THEN set INMATE_TYPE = 3
IF (CJ4 = 3 OR CJ7 = 3) AND CJ17 = 2 THEN set INMATE_TYPE = 4
IF (CJ4 = 3 OR CJ7 = 3) AND CJ18 = 1 THEN set INMATE_TYPE = 5
IF (CJ4 = 3 OR CJ7 = 3) AND CJ18 = 2 THEN set INMATE_TYPE = 6
IF (CJ4 = 1 OR CJ7 = 1) AND CJA3 = 2 THEN set INMATE_TYPE = 7
IF (CJ4 = 1 OR CJ7 = 1) AND CJ1 =1 AND CJA3 = 1 THEN set INMATE_TYPE = 8
IF (CJ4 = 1 OR CJ7 = 1) AND CJ1 = 2 AND CJA6 = 1 THEN set INMATE_TYPE = 9
IF (CJ4 = 2 OR CJ7 = 2) AND CJB5 = 2 THEN set INMATE_TYPE = 10
IF (CJ4 = 2 OR CJ7 = 2) AND CJ1 =1 AND CJB5 = 1 THEN set INMATE_TYPE = 11
IF (CJ4 = 2 OR CJ7 = 2) AND CJ1 =2 CJB8 = 1 THEN set INMATE_TYPE = 12
CJ33 [IF LITERAL CANNOT BE LINKED TO AN OFFENSE IN THE LOOKUP
TABLE] Is the [CONTROLLING_OFFENSE] generally considered a –
1
2
3
4
5
Violent offense? Store 1 in CONTROLLING_TYPE
Property offense? Did you take, damage or handle someone's
property, defraud them of something of theirs, embezzle
something of value, burglarize a building, or obtain money or other
financial gain by deceit? Store 2 in CONTROLLING_TYPE
Violation of laws which could or did give you some financial
gain, but not a violent or drug offense? Store 2 in
CONTROLLING_TYPE
Drug offense? Store 3 in CONTROLLING_TYPE
Public order offense? Store 4 in CONTROLLING_TYPE
IF CJ1 = 1Go to CJ34, otherwise Go toCJ36
DK/REF IF CJ1 = 1Go to CJ34, otherwise Go toCJ36
DEFINE CONTROLLING_TYPE
IF CONTROLLING_OFFENSE is a Violent Offense THEN CONTROLLING_TYPE = 1
IF CONTROLLING_OFFENSE is a Property Offense THEN CONTROLLING_TYPE = 2
IF CONTROLLING_OFFENSE is a Drug Offense THEN CONTROLLING_TYPE = 3
IF CONTROLLING_OFFENSE is a Public Order Offense THEN CONTROLLING_TYPE = 4
CJ34 [IF CJ1 = 1] Were you acting alone when you committed the
[CONTROLLING_OFFENSE] or was someone or more than one person helping you?
1
ACTING ALONE
2
SOMEONE OR MORE THAN ONE PERSON WAS HELPING
DK/REF
Section 2: Criminal Justice
35
CJ35 [IF CJ34 = 2] How many people were helping you commit the
[CONTROLLING_OFFENSE]?
1
ONE
2
TWO OR MORE
DK/REF
E – Violent Crime and Victims Block
Block Level Universe: (CJ1 = 1 AND CONTROLLING_TYPE = 1)
CJE1 [IF CJ1 = 1 AND CONTROLLING_TYPE = 1] The next few questions are about
the victims of the [CONTROLLING_OFFENSE] for which you are now
serving time in prison.
Was there one victim of the [CONTROLLING_OFFENSE] or more than one?
1
2
3
DK
REF
ONE VICTIM
Go to CJ EA1
MORE THAN ONE VICTIM - Go to CJEB1
NO VICTIM OR VICTIM WAS NOT A PERSON Go to CJ36
Go to CJ36
Go to CJ36
EA –Victims Block – Single Victim
Block Level Universe: (CJ1 = 1 AND CONTROLLING_TYPE = 1 AND CJE1 = 1)
CJEA1 [IF CJE1 = 1] Was the person of Spanish, Latino, or Hispanic origin?
1
YES
2
NO
DK
REF
CJEA2 [CJE1 = 1] What race was the person? You may answer yes to one or more of these
categories.
(CHECK ALL THAT APPLY)
1
2
3
5
6
DK
REF
White?
Black or African American?
American Indian or Alaska Native?
Asian?
Native Hawaiian or Other Pacific Islander?
Section 2: Criminal Justice
36
CJEA3 [IF CJE1 = 1] Was the person male or female?
1
MALE
2
FEMALE
DK
REF
CJEA4 [IF CJE1 = 1] How old would you say the person was?
1
Under 12 years
2
12 to 17
3
18 to 24
4
25 to 34
5
35 to 54
6
55 or older
DK/REF
CJEA5 [IF CJE1 = 1] Was the person someone you knew or a stranger you had never seen
before?
1
KNEW Go to CJEA6
2
STRANGER
DK/REF
CJEA6 [IF CJEA5 = 1] How well did you know the person - by sight only, casual
acquaintance, or well known?
1
SIGHT ONLY
2
CASUAL ACQUAINTANCE
3
WELL KNOWN
DK/REF
CJEA7 [IF CJEA6 = 3] What was the person's relationship to you at the time of the
crime? For example, a friend, relative, etc.
1
SPOUSE
2
EX-SPOUSE
3
PARENT/STEP-PARENT
4
OWN CHILD
5
STEPC HI LD
6
BROTHER/SISTER/STEPBROTHER/STEPSISTER
7
OTHER RELATIVE – (CJEA7_RELSPECIFY_______
8
BOYFRIEND/GIRLFRIEND
9
EX-BOYFRIEND/EX-GIRLFRIEND
10
FRIEND/EX-FRIEND
11
OTHER (CJEA7_OTH) SPECIFY:________________
DK/REF
Section 2: Criminal Justice
37
EFINE VIOLENT_TYPE
IF CONTROLLING_TYPE = 1 AND there is a match of literals with "rape" from Lookup
Table THEN VIOLENT_TYPE = 1 (RAPE)
IF CONTROLLING_TYPE = 1 AND there is a match of literals with "murder",
"manslaughter", or "homicide" from Lookup Table THEN VIOLENT_TYPE = 2
(MURDER/MANSLAUGHTER/HOMOCIDE)
IF CONTROLLING_TYPE = 1 AND there is NO match of literals with "rape", "murder",
"manslaughter", or "homicide" from Lookup Table THEN VIOLENT_TYPE = EMPTY
CJEA8 [IF CJE1 = 1 AND VIOLENT_TYPE = EMPTY] (INTERVIEWER: CLASSIFY
THIS OFFENSE, [CONTROLLING_OFFENSE], INTO ONE OF THE
CATEGORIES BELOW)
1
2
3
RAPE - Go to CJEA11
MURDER/MANSLAUGHTER/HOMICIDE - Go to CJ36
OTHER VIOLENT OFFENSE - Go to CJEA9
UPDATE VIOLENT_TYPE
IF CONTROLLING_TYPE = 1 AND there was NO match of literals with "rape" from
Lookup Table and CJEA8 = 1 THEN VIOLENT_TYPE = 1 (RAPE)
IF CONTROLLING_TYPE = 1 AND there was NO match of literals with "murder",
"manslaughter", or "homicide" from Lookup Table and CJEA8 = 2 THEN
VIOLENT_TYPE = 2 (MURDER/MANSLAUGHTER/HOMOCIDE)
IF CONTROLLING_TYPE = 1 AND there was NO match of literals with "rape", "murder",
"manslaughter", or "homicide" from Lookup Table and CJEA8 = 3 THEN
VIOLENT_TYPE = 3
CJEA9 [IF CJE1 = 1 AND VIOLENT_TYPE = 3] Was this person hurt or injured during the
[CONTROLLING_OFFENSE]?
1
2
YES
NO
DK
REF
Go to CJEA10
Go to CJ36
Go to CJ36
Go to CJ36
Section 2: Criminal Justice
38
CJEA10 [IF CJEA9 = 1] What were the injuries? Any other injuries? (MARK ALL THAT
APPLY)
1
V IC T IM D IE D
2
VICTIM RAPED OR SEXU ALLY ASSAULTED
3
KNIFE OR STAB WOUND
4
GUN S HOT, BULLE T WOU NDS
5
BROKEN BONES
6
TEETH KNOCKED OUT OR CHIPPED
7
IN T E R N A L IN J U R IE S
8
KNOCKED UNCONSCIOUS
8
BRUISES, BLACK EYE, CUTS, SCRATCHES, SWELLING
9
OTHER (S5Q4B_OTH) SPECIFY:___________________
DK/REF
CJEA11 [CJE1 = 1 AND VIOLENT_TYPE = 1 AND CJEA8 = 1] During the rape, how
was the victim hurt or injured? Any other injuries? (CHECK ALL THAT
APPLY)
1
2
3
KNIFE OR STAB WOUND
GUN SHOT, BULLET WOU NDS
BROKEN BONES, TEETH KNOCKED OUT, OR CHIPPED
TEETH
4
INTERNAL INJURIES
5
KNOCKED UNCONSCIOUS
6
BRUISES, BLACK EYE, CUTS, SCRATCHES, SWELLING
7
OTHER(CJEA11_OTH) SPECIFY:___________________
8
NOT PHYSICALLY INJURED
DK/REF
(DO NOT ALLOW 1-7 WITH AN 8 ENTRY)
______________________________END Victims Block – Single Victim (EA)
EB –Victims Block – Multiple Victims
Block Level Universe: (CJ1 = 1 AND CONTROLLING_TYPE = 1 AND CJE1 = 2)
CJEB1[IF CJE1 = 2] How many persons were victims?
NUMBER OF PERSONS: ____________ (Range 2-20)
DK/REF
CJEB2 [IF CJE1 = 2] Were these persons victims of a single incident or more than one
incident of the crime?
ONE INCIDENT
MULTIPLE INCIDENTS
DK/REF
1
2
Section 2: Criminal Justice
39
CJEB3.[IF CJEI = 2] Were any of the persons of Spanish, Latino, or Hispanic origin?
YES
2 NO - Go t o C J EB5
DK/REF - Go to CJEB5
1
CJEB4 [IF CJEB3 = 1] Were all the persons Hispanic, were most of them Hispanic, were equal
numbers of them Hispanic and non-Hispanic, or were most of them non-Hispanic?
ALL WERE HISPANIC
2 MOST WERE HISPANIC
3 THEY WERE EVENLY DIVIDED
4 MOST WERE NON-HISPANIC
DK/REF
1
CJEB5 [IF CJE1 = 2] What race or races were the persons? You may answer yes to one or more
of these categories.
(CHECK ALL THAT APPLY)
1
White?
2
Black or African American?
3
American Indian or Alaska Native?
4
Asian?
5
Native Hawaiian or Other Pacific Islander?
DK/REF
I f i n m a t e r e p o r t s o n l y o n e r a c e g o to CJEB7, otherwise go to CJEB6
CJEB6 [IF CJEB5 = MORE THAN 1 RESPONSE] What race were most of the persons?
1
Mostly White
2
Mostly Black or African American
3
Mostly American Indian or Alaska Native
4
Mostly Asian
5
Mostly Native Hawaiian or Other Pacific Islander
DK/REF
CJEB7 [IF CJE1 = 2] Were the persons male or female?
ALL MALE - Go to CJEB9
ALL FEMALE - Go to CJEB9
3 BOTH MALE AND FEMALE - Go to CJEB8
DK/REF - Skip to CJEB9
1
2
Section 2: Criminal Justice
40
CJEB8 [IF CJEB7 = 3] Were most of the persons male or female?
MOSTLY MALE
2 MOSTLY FEMALE
3
THEY WERE EVENLY DIVIDED
DK/REF
1
CJEB9[IF CJE1 = 2] Approximately how old would you say the youngest person was?
1
UNDER 12 YEARS
2
12 TO 17
3
18 TO 24
4
25 TO 34
5
35 TO 54
6
55 OR OLDER
DK/REF
CJEB10 [IF CJE1 = 2] Approximately how old would you say the oldest person was?
1
UNDER 12 YEARS
2
12 TO 17
3
18 TO 24
4
25 TO 34
5
35 TO 54
6
55 OR OLDER
DK/REF
CJEB11 [IF CJE1 = 2] Were any of the persons known to you or were they all strangers
you had never seen before?
1
ALL KNOWN
2
SOME KNOWN
3
ALL STRANGERS
DK/REF
CJEB12 [IF CJEB11 = 1 OR 2] How well did you know the persons? Did you know any
of them…
CJEB12a. By sight only?
CJEB12b As casual acquaintances?
CJEB12c Well known?
Section 2: Criminal Justice
Yes
1
1
1
No
2
2
2
41
CJEB13 [IF CJEB12c = 11 At the time of the crime, what was the relationship to you of
the well-known persons? For example, friends, relatives, etc.
(CHECKALL THAT APPLY)
1
SPOUSE
2
EX-SPOUSE
3
PARENT/STEP-PARENT
4
OWN CHILD
5
STEPC HI LD
6
BROTHER/SISTER/STEPBROTHER/STEPSISTER
7
OTHER RELATIVE – (S5Q9C7_OTH)SPECIFY_______
8
BOYFRIEND/GIRLFRIEND
9
EX-BOYFRIEND/EX-GIRLFRIEND
10
FRIEND/EX-FRIEND
11
OTHER (CJEB13_OTH) SPECIFY:________________
DK/REF
DEFINE VIOLENT_TYPE
IF CONTROLLING_TYPE = 1 AND there is a match of literals with "rape" from Lookup
Table THEN VIOLENT_TYPE = 1 (RAPE)
IF CONTROLLING_TYPE = 1 AND there is a match of literals with "murder",
"manslaughter", or "homicide" from Lookup Table THEN VIOLENT_TYPE = 2
(MURDER/MANSLAUGHTER/HOMOCIDE)
IF CONTROLLING_TYPE = 1 AND there is NO match of literals with "rape", "murder",
"manslaughter", or "homicide" from Lookup Table THEN VIOLENT_TYPE = EMPTY
CJEB14 [IF CJE1 = 2 AND VIOLENT_TYPE = EMPTY] (INTERVIEWER: CLASSIFY
THIS OFFENSE, [CONTROLLING_OFFENSE], INTO ONE OF THE
CATEGORIES BELOW)
1
2
3
RAPE - Go to CJEB17
MURDER/MANSLAUGHTER/HOMICIDE - Go to CJEB36
OTHER VIOLENT OFFENSE - Go to CJEB15
UPDATE VIOLENT_TYPE
IF CONTROLLING_TYPE = 1 AND there was NO match of literals with "rape" from
Lookup Table and CJEB14 = 1 THEN VIOLENT_TYPE = 1 (RAPE)
IF CONTROLLING_TYPE = 1 AND there was NO match of literals with "murder",
"manslaughter", or "homicide" from Lookup Table and CJEB14 = 2 THEN
VIOLENT_TYPE = 2 (MURDER/MANSLAUGHTER/HOMOCIDE)
IF CONTROLLING_TYPE = 1 AND there was NO match of literals with "rape", "murder",
"manslaughter", or "homicide" from Lookup Table and CJEB14 = 3 THEN
VIOLENT_TYPE = 3
Section 2: Criminal Justice
42
CJEB15 [IF CJE1 = 2 AND VIOLENT_TYPE = 3] Were any of the victims hurt or injured
during the [CONTROLLING_OFFENSE]?
1
YES
2
NO Go to CJ36
DK/REF - Go to CJEB18
CJEB16[IF CJEB15 = 1] What were the injuries? Any other injuries?
(CHECK ALL THAT APPLY)
1
VICTIM DIED
2
VICTIM RAPED OR SEXUALLY ASSAULTED
3
KNIFE OR STAB WOUND
4
GUN SHOT, BULLET WOUNDS
5
BROKEN BONES, TEETH KNOCKED OUT, OR CHIPPED TEETH
6
INTERNAL INJURIES
7
KNOCKED UNCONSCIOUS
8
BRUISES, BLACK EYE, CUTS, SCRATCHES, SWELLING
9
OTHER (CJEB16_OTH) SPECIFY:________________
DK/REF
CJEB17 [IF CJE1 = 2 AND VIOLENT_TYPE = 1 AND CJEB14= 1] During the rape, how
were the victims hurt or injured? Any other injuries? MARK ALL THAT APPLY.
1
KNIFE OR STAB WOUND
2
GUN SHOT, BULLET WOU NDS
3
BROKEN BONES, TEETH KNOCKED OUT, OR CHIPPED TEETH
4
INTERNAL INJURIES
5
KNOCKED UNCONSCIOUS
6
BRUISES, BLACK EYE, CUTS, SCRATCHES, SWELLING
7
OTHER(CJEB17_OTH) SPECIFY:___________________
8
NOT PHYSICALLY INJURED
DK/REF
(DO NOT ALLOW 1-7 WITH AN 8 ENTRY)
______________________________END Victims Block – Multiple Victims (EB)
______________________________END Violent Crime and Victims Block (E)
Section 2: Criminal Justice
43
F – Property Crime Block
Block Level Universe: (CJ1 = 1 AND CONTROLLING_TYPE = 2)
CJF1[CJ1 = 1 AND CONTROLLING_TYPE = 2] Did you acquire or receive any money,
checks, or bank deposits, as a result of the [CONTROLLING_OFFENSE] for
which you are now serving time in prison?
1
YES
2
NO Go to S5Q12c
DK/REF
Go to S5Q12c
CJF2 [CJF1 = 1] How much did you obtain?
$____ (1-100,000)
DK/REF
CJF3 [CJ1 = 1 AND CONTROLLING_TYPE = 2] Did you acquire or receive any goods
or property other than money as a result of the [CONTROLLING_OFFENSE]?
1
YES Go to CJF4
2
NO Go to CJF5
DK/REF
Go to CJF5
CJF4[CJF3 = 1] What did you obtain? (CHECK ALL THAT APPLY)
1
PURSE OR WALLET
2
CREDIT CARDS
3
MOTOR VEHICLE
4
MOTOR VEHICLE PARTS
5
HOUSEHOLD OR PERSONAL PROPERTY
6
COMMERCIAL GOODS
7
FIREARMS
8
DRUGS
9
OTHER PROPERTY (CJF4_OTH) Specify:_________
DK/REF
CJF5 [CJ1 = 1 AND CONTROLLING_TYPE = 2] Did you damage anything that
belonged to someone else?
1
YES Go to CJF6
2
NO Go to CJF7
DK/REF
Go to CJF7
Section 2: Criminal Justice
44
CJF6 [CJF5 = 1] What did you damage? (CHECKALL THAT APPLY)
1
2
3
4
HOME OR APARTMENT BUILDING/GARAGE
MOTOR VEHICLE
PERSONAL EFFECTS OF VICTIM
GOVERNMENT/BUSINESS/PUBLIC/COMMERCIAL
BUILDING OR PROPERTY
5
OTHER (CJF6_OTH) Specify:____________
DK/REF
CJF7 Before your conviction for [CONTROLLING_OFFENSE], did you have a job
where you were responsible for or had access to money, property, or
opportunities which could be turned into money?
1
YES Go to CJF8
2
NO Go to CJ36
DK/REF
Go to CJ36
CJF8 [CJF7 = 1] Were you able to commit the [CONTROLLING_OFFENSE]
because of access to property or opportunities given by your job?
1
YES
2
NO
DK/REF
Go to CJ36
______________________________END Property Crime Block (F)
G – Drug Crime Block
Block Level Universe: (CJ1 = 1 AND CONTROLLING_TYPE = 3)
CJG1 [CJ1 = 1 AND CONTROLLING_TYPE = 3] (INTERVIEWER: ARE ANY OF THE
OFFENSES BELOW “POSSESSION” OF A DRUG?)
[CONTROLLING_OFFENSE]
1
YES Go to CJG2
2
NO Go to CJG3
NO DK/REF ENTR IES ALLOWED
CJG2 [CJG1 = 1] You said that you were convicted for drug possession. Was that
possession with intent to distribute drugs?
1
YES
2
NO
DK/REF
Section 2: Criminal Justice
45
CJG3 [CJG2 = 1 OR CJG2 = 1] You said that you were convicted for
[CONTROLLING_OFFENSE] What drugs were involved? Any others?
(CHECK ALL THAT APPLY)
1
2
3
4
5
6
7
MARIJUANA OR HASHISH
COCAINE
CRACK
HEROIN
PCP (ANGEL DUST” OR PHENCYCLIDINE)
ECSTACY (MDMA)
OTHER HALLUCINOGENS (LSD, PEYOTE, MESCALINE, OR
PSILOCYBIN, FOUND IN MUSHROOMS)
8
METHAMPHETAMINE (METH, CRYSTAL, OR CRANK)
9
PRESCRIPTION MEDICATIONS
10
OTHER (CJG3_OTH) Specify:__________________
DK/REF
[Include in training manual documentation about how, when to code
“other”]
CJG3a [CJG3 = 1] Approximately what amount of marijuana or hashish was involved?
____Joints (Range 1-100, blank)
____Grams (Range 1-1000, blank)
____Kilograms (Range 1-1000, blank)
____Ounces (Range 1-16, blank)
____Pounds (Range 1-500000, blank)
____Tons (Range 1-1000, blank)
____Other (CJG3a_OTH) Specify:______________
DK/REF
CJG3b [CJG3 = 2] Approximately what amount of cocaine was involved?
____Milligrams (Range 0.00-200, blank)
____Grams (Range 0.00-1000, blank)
____Kilograms (Range 0.00-500, blank)
____Ounces (Range 0.00-32, blank)
____Pounds (Range 0.00-5, blank)
____Rocks (Range 0.00-200, blank)
____Other (CJG3b_OTH) Specify:______________
DK/REF
Section 2: Criminal Justice
46
CJG3c [CJG3 = 3] Approximately what amount of crack cocaine was involved?
____Milligrams (Range 0.00-200, blank)
____Grams (Range 0.00-1000, blank)
____Kilograms (Range 0.00-500, blank)
____Ounces (Range 0.00-32, blank)
____Pounds (Range 0.00-5, blank)
____Rocks (Range 0.00-200, blank)
____
Other (CJG3c_OTH) Specify:______________
DK/REF
CJG3d [CJG3 = 4] Approximately what amount of heroin was involved?
____Milligrams (Range 0.00-500, blank)
____Grams (Range 0.00-900, blank)
____Kilograms (Range 0.00-100, blank)
____Ounces (Range 0.00-32, blank)
____Pounds (Range 0.00-20, blank)
____Tons (Range 0.00-2, blank)
____ Other (CJG3d_OTH) Specify:______________
DK/REF
CJG3e [CJG3 = 5] Approximately what amount of PCP was involved?
____Pills/capsules (Range 1-1000, blank)
____Grams (Range 1-1000, blank)
____Kilograms (Range 1-10, blank)
____Ounces (Range 1-16, blank)
____Pounds (Range 1-5, blank)
____Liters (Range 1-3)
____Gallons (Range 1-5)
____Other (CJG3E_OTH) Specify:______________
DK/REF
CJG3f [CJG3 = 6] Approximately what amount of ecstasy was involved?
____Pills (Range 0.00-1000, blank)
____Grams (Range 0.00-1000, blank)
____Kilograms (Range 0.00-10 blank)
____Ounces (Range 0.00-16, blank)
____Pounds (Range 0.00-5, blank)
____Liters (Range 0.00-10, blank)
____Gallons (Range 0.00-5, blank)
____Other (CJG3f_OTH) Specify:______________
DK/REF
Section 2: Criminal Justice
47
CJG3g [CJG3 = 7] Approximately what amount of other hallucinogens (LSD, PEYOTE,
MESCALINE, OR PSILOCYBIN, FOUND IN MUSHROOMS) was involved?
____Pills (Range 1-3500)
____Papers, squares, windowpanes, cubes (Range 1-3000)
____Grams (Range 0.00-1000, blank)
____Kilograms (Range 0.00-10 blank)
____Ounces (Range 0.00-16, blank)
____Pounds (Range 0.00-5, blank)
____Liters (Range 1-3)
____Gallons (Range 1-5)
____Other (CJG3g_OTH) Specify:______________
DK/REF
CJG3h [CJG3 = 8] Approximately what amount of methamphetamine or amphetamine
was involved?
____Milligrams (Range 0.00-200, blank)
____Grams (Range 0.00-1000, blank)
____Kilograms (Range 0.00-500, blank)
____Ounces (Range 0.00-32, blank)
____Pounds (Range 0.00-5, blank)
____Rocks (Range 0.00-200, blank)
____Other (CJG3h_OTH) Specify:______________
DK/REF
CJG3i [CJG3 = 9] Approximately what amount of prescription medications was involved?
____Pills (Range 0.00-1000, blank)
____Grams (Range 0.00-1000, blank)
____Kilograms (Range 0.00-10 blank)
____Ounces (Range 0.00-16, blank)
____Pounds (Range 0.00-5, blank)
____Liters (Range 0.00-10, blank)
____Gallons (Range 0.00-5, blank)
____Other (CJG3i_OTH) Specify:______________
DK/REF
Section 2: Criminal Justice
48
CJG3j [CJG3 = 10] Approximately what amount of [CJG3_OTH]
was involved?
____Pills (Range 0.00-1000, blank)
____Grams (Range 0.00-1000, blank)
____Kilograms (Range 0.00-10 blank)
____Ounces (Range 0.00-16, blank)
____Pounds (Range 0.00-5, blank)
____Liters (Range 0.00-10, blank)
____Gallons (Range 0.00-5, blank)
____Other (CJG3j_OTH) Specify:______________
DK/REF
CJG4 [CJ1 = 1 AND CONTROLLING_TYPE = 3] The next few questions are
about-drug related activities you may have been involved with. At the
time of your arrest for [CONTROLLING_OFFENSE] were you –
CJG4a Importing or helping others import illegal
drugs into the United States?
CJG4b Illegally manufacturing, growing or helping
others manufacture or grow drugs?
CJG4c Laundering drug money?
CJG4d Distributing or helping to distribute drugs to
dealers?
CJG4e Selling or helping to sell drugs to others for
their use?
CJG4f Using or possessing illegal drugs?
Yes
1
No
2
1
2
1
1
2
2
1
2
1
2
CJG5 When you committed the INSERT OFFENSE were you a part of any group or
organization that manufactured, imported, distributed or sold drugs?
1 YES Go to CJG6
2 NO- Skip to CJ36
DK/REF
CJG6 [IF CJG5 = 1] Altogether, about how many people would you say regularly
participated in that group or organization?
NUMBER OF PEOPLE: ____ (RANGE 1-50)
DK/REF
Section 2: Criminal Justice
49
CJG7 [IF CJG5 = 1] Which of these best describes your role in that group or
organization–
1 A leader or organizer?
2 A middle man?
3 An underling, such as a carrier, runner, etc?
4 Some th ing e ls e ?
5 Othe r ( CJ G7 _ OTH ) SPECI FY :_____ _______
DK/ REF
______________________________END Drug Crime Block (G)
All Inmates
CJ36 At the time of the arrest [DATE_ARREST] in what state and city or town did you
live?
CJ36a. City/Town ______________________
CJ36b State_____ ENTER (h) FOR VALID 2 CHARACTER STATE
CODES
DK/REF
Store the numeric State FIPS Codes listed below
01 ... AL
17 ...IL
30 ... MT
44 . . RI
02 ... AK
18 ...IN
31 ... NE
45 . . SC
04 ... AZ
19 ...IA
32 ... NV
46 . . SD
05 ... AR
20 ...KS
33 ... NH
47 .. TN
06 ... CA
21 ...KY 34 ... NJ
48 .. TX
08 ... CO
22 ...LA 35 ... NM
49 .. UT
09 ... CT
23 ...ME 36 ... NY
50 .. VT
10 ... DE
24 ...MD 37 ... NC
51 . . VA
11 ... DC
25 ...MA 38 ... ND
53 . . WA
12 ... FL
26 ...MI
39 ... OH
54 . . WV
13 ... GA
27 ...MN 40 ... OK
55 . . WI
15 ... HI
28 ...MS 41 ... OR
56 . . WY
16 ... ID
29 ...MO 42 ... PA
66 . . PR (Puerto
Rico)
CJ36zip At the time of the arrest or charge [DATE_ARREST] what was the zip code
where you were living?
ZIP CODE: _______ [5 DIGITS]
DK/REF
Section 2: Criminal Justice
50
CJ37 [CJ1 =1 AND ((CONTROLLING_TYPE = 1 AND CJE1= 1 or 2) OR
CONTROLLING_TYPE = 2)] Did the [CONTROLLING_OFFENSE] take place...
1
2
3
4
At a home or apartment shared by you and the victim?
At or in the victim's home or apartment?
At or in your own home or apartment?
In a COMMERCIAL PLACE such as a bar, restaurant, gas station, store,
office, or factory?
5 In a PUBLIC PLACE such as at school, on the street, in a parking lot, on
public transportation, in a station or depot, or in a park, etc
6 Some other place? - (CJ37_OTH) SPECI FY:_________
7 No one place/multiple incidents
DK/REF
CJ38 [CJ1 = 1 AND ((CONTROLLING_TYPE = 1 AND CJE1 ≠ 1 or 2) OR
CONTROLLING_TYPE = 3 or 4)] Ask of all convicted violent without victims or
drug offenders or public order offenders] Did the [CONTROLLING_OFENSE]
take place...
1
2
At or in your own home or apartment?
In a COMMERCIAL PLACE such as a bar, restaurant, gas station, store,
office, or factory?
3 In a PUBLIC PLACE such as at school, on the street, in a parking lot, on
public transportation, in a station or depot, or in a park, etc
4 Some other place? - (CJ38_OTH) SPECI FY:_________
5 No one place/multiple incidents
DK/REF
CJ39 [IF CJ1 = 1 OR CJ2a = 2] Did you carry, possess, or use a weapon when the
[CONTROLLING_OFFENSE] occurred?
1
YES
2
NO
DK/REF
Go to CJH1
Go to CJ40
H – Weapons Block
Block Level Universe: (CJ39 = 1)
CJH1[IF CJ39 = 1] How many weapons did you carry, possess, or use when the
[CONTROLLING_OFFENSE] occurred?
1
ONE
2
TWO OR MORE
DK/REF
Section 2: Criminal Justice
51
DEFINE WEAPONS_FILL:
IF CJH1 = 1 THEN WEAPONS_FILL = “kind of weapon was it”
IF CJH1 = 2 THEN WEAPONS_FILL = “kinds of weapons were they”
CJH2
[IF CJ39 = 1] What [WEAPONS_FILL]? (CHECK ALL THAT APPLY)
1
FIREARM Go to CJH3
2
TOY OR BB GUN (INCLUDE FAKE OR REPLICA GUNS)
3
KNIFE
4
OTHER SHARP OBJECT (SCISSORS, ICE PICK, AX, ETC)
5
BLUNT OBJECT (ROCK, CLUB, BLACKJACK, ETC.)
6
ANOTHER WEAPON (CJH2_OTH) SPECIFY__________________
DK/REF
DEFINE CJH2_FILL:
IF CJH2 = 1 THEN CJH2_FILL = “firearm”
IF CJH2 = 2 THEN CJH2_FILL = “toy or bb gun”
IF CJH2 = 3 THEN CJH2_FILL = “knife”
IF CJH2 = 4 THEN CJH2_FILL = “sharp object”
IF CJH2 = 5 THEN CJH2_FILL = “blunt object”
IF CJH2 = 6 AND CJH2_OTH ne EMPTY THEN CJH2_FILL = open-ended response from
CJH2_OTH
CJH3[IF CJH1 = 2 and CJH2 = 1] How many firearms did you carry, possess, or
use when the (Insert controlling offense) occurred?
NUMBER OF FIREARMS: __________ [RANGE: 1 – 99]
CJH3a
[IF CJH3 = DK OR REF] Was it one or more than one firearm?
1
ONE
2
MOE THAN ONE
DK/REF
DEFINE FIREARM_FILL1:
IF (CJH1 = 1 AND CJH2 = 1) OR CJH3 = 1 OR CJ3a = 1 THEN FIREARM_FILL1 = “type of
firearm was it”
IF CJH3 = 2+ OR CJ3a = 2 THEN FIREARM_FILL1 = “types of firearms were they”
DEFINE FIREARM_FILL2:
IF (CJH1 = 1 AND CJH2 = 1) OR CJH3 = 1 THEN FIREARM_FILL2 = “the firearm”
IF CJH3 = 2+ THEN FIREARM_FILL2 = “any of the firearms”
Section 2: Criminal Justice
52
CJH4 [IF CJH2 = 1] What [FIREARM_FILL1]? (CHECK ALL THAT APPLY)
1
2
3
4
A HANDGUN?
A RIFLE?
A SHOTGUN?
SOME OTHER TYPE OF FIREARM?
(CJH4_OTH)Specify___________
DEFINE GUNTYPE_FILL:
IF CJH4 = 1 THEN GUNTYPE_FILL = “handgun”
IF CJH4 = 2 THEN GUNTYPE_FILL = “rifle”
IF CJH4 = 3 THEN GUNTYPE_FILL = “shotgun”
IF CJH4_OTH ≠ Empty THEN GUNTYPE_FILL = verbatim from CJH4_OTH
Include all, separated by commas for example: “handgun, rifle, shotgun”
CJH5 [IF CJH2 = 1] How did you obtain the firearm that you carried, possessed, or used
during the (Insert controlling offense)? (CHECK ALL THAT APPLY) (Probe: Any
others?)
1
STOLE IT CJH13
2
RENTED IT CJH13
3
BORROWED FROM OR WAS HOLDING FOR SOMEBODY CJH13
4
TRADED SOMETHING FOR IT CJH13
5
BOUGHT IT CJH13
6
SOMEONE BOUGHT IT FOR ME CJH14
7
SOMEONE GAVE IT TO ME AS A GIFT
8
FOUND IT/WAS AT LOCATION WHERE OFFENSE OCCURRED
9
WAS BROUGHT BY SOMEONE ELSE
10
Other – (G12_OTH) Specify:_______________________
DK/REF
CJH6 [IF CJH2 = 1AND (CJH5 ≠ 6 OR 7 OR 8 OR 9 OR 10)] Where did you obtain the
[GUNTYPE_FILL]? (CHECK ALL THAT APPLY)
1
GUN SHOP OR GUN STORE
2
PAWN SHOP
3
FLEA MARKET
4
GUN SHOW
5
FROM THE VICTIM(S)
6
FROM A FAMILY MEMBER
7
FROM A FRIEND
8
FROM A FENCE/BLACK MARKET SOURCE
9
OFF THE STREET/FROM A DRUG DEALER
10
IN A BURGLARY
11
ONLINE/THE INTERNET
12
OTHER – (CJH6_OTH) Specify:____________________________
DK/REF
Section 2: Criminal Justice
53
CJH6a
[IF CJH6 = 3 OR 4] When you obtained the [GUNTYPE_FILL] was it from a
licensed firearm dealer or a private seller?
1
LICENSED FIREARM DEALER
2
PRIVATE SELLER
DK/REF
CJH6b [IF CJH5 = 5 AND CJH6 = 1-4] Did you buy the [GUNTYPE_FILL] under your
own name?
YES
NO
3
NO PAPERWORK WAS REQUIRED
DK/REF
1
2
FI NOTE: If the inmate indicates that they
did not have to provide a name, record as
“NO PAPEREWORK REQUIRED”
CJH6c [IF CJH5 = 5 AND CJH6 = 1-4] Did the seller do a firearm purchase background
check before selling you the gun?
1
YES
2
NO
DK/REF
CJH6d [IF CJH5 = 5 AND CJH6 = 1-4] Did you buy the [GUNTYPE_FILL] directly or did
someone else buy it for you?
1
INMATE BOUGHT
2
SOMEONE ELSE BOUGHT
DK/REF
CJH7 [IF CJH5 = 6] Where did that person buy the [GUNTYPE_FILL]?
1
GUN SHOP OR GUN STORE
2
PAWN SHOP
3
FLEA MARKET
4
GUN SHOW
5
FROM THE VICTIM(S)
6
FROM A FAMILY MEMBER
7
FROM A FRIEND
8
FROM A FENCE/BLACK MARKET SOURCE
9
OFF THE STREET/FROM A DRUG DEALER
10
OTHER – (G14_OTH) Specify:___________________________
DK/REF
Section 2: Criminal Justice
54
CJH8 [IF CJH5= 6] Why did someone buy the [GUNTYPE_FILL] for you? (CHECK ALL
THAT APPLY)
1
COULD NOT TRAVEL TO WHERE THE SELLER WAS
2
NOT ALLOWED BECAUSE TOO YOUNG
3
NOT ALLOWED BECAUSE OF CRIMINAL RECORD
4
THEY COULD GET IT MORE QUICKLY OR EASILY
5
DID NOT WANT TO BE LINKED TO FIREARM PURCHASE
6
OTHER – (G15_OTH) Specify: __________________________
DK/REF
CJH9 [IF CJH2 = 1] Did you get the [GUNTYPE_FILL] because you were planning to carry,
possess, or use it during the [CONTROLLING_OFFENSE]
1
YES
2
NO
DK/REF
CJH10 [IF CJH2 = 1] Did you show or point [FIREARM_FILL2] at anyone during the
(Insert controlling offense)?
1
YES
2
NO
DK/REF
CJH11
[IF CJH2 = 1] Did you fire [FIREARM_FILL2] the during the
[CONTROLLING_OFENSE]?
1
YES
2
NO
DK/REF
CJH12
[IF CJH11 = 1] Did you shoot anyone?
1
YES
2
NO
DK/REF
CJH13
Go to CJH12
Go to CJH14
Go to CJH13
Go to CJH14
[IF CJH12 = 1] Did anyone you shot die?
1
YES
2
NO
Go to CJH14
Section 2: Criminal Justice
55
CJH14 [CJH2 – 1-6] Now I would like you to think about all the weapons you carried,
possessed or used when the [CONTROLLING_OFFENSE] occurred. Did you
use the [CJH2_FILL]...
Yes
1
1
1
1
1
CJH14a To scare the victim?
CJH14b To kill the victim?
CJH14c To get away?
CJH14d To protect yourself?
CJH14e In any other way?
(CJH14e_OTH) SPECIFY
____________________
No
2
2
2
2
2
______________________________END Weapons Block (H)
CJ40. These next questions are about your experience with crime and the juvenile and adult
criminal justice systems over your lifetime. When answering these questions, please
think about your entire life and include things that you may have already told me about.
How old were you the first time you were arrested for any offense?
AGE: ________________ [RANGE: 6 – CALCAGE]
DK/REF
CJ41 [IF CONTROLLING_TYPE NE 1] Violent offenses include crimes like physical assault,
robbery, manslaughter, murder, attempted murder, extortion, stalking, sex offenses, or
kidnapping.
Have you ever been arrested for a violent offense?
1
YES
2
NO
DK/REF
Go to CJ41a
Go to CJ42
CJ41a [IF CJ41 = 1] Have you ever been sentenced to serve time in a correctional facility for a
violent offense?
1
YES
2
NO
DK/REF
Go to CJ41b
Go to CJ42
FI NOTE: A correctional facility includes a
jail, prison, or juvenile correctional facility.
Record any time sentenced to serve whether
as an adult or juvenile.
Section 2: Criminal Justice
56
CJ41b.[IF CJ41a = 1 OR CONTROLLING_TYPE = 1] Altogether, how many times in your life
have you been sentenced to serve time for of a violent offense? Please remember to
include any violent offenses you may have already told me about earlier in the survey.
NUMBER OF TIMES: ______ [RANGE: 1 = 999]
DK/REF
CJ42 [IF CONTROLLING_TYPE NE 2] Have you ever been arrested for a property offense?
Property offenses include crimes like burglary, larceny, theft, auto theft, bad checks,
fraud, forgery, arson, or possession of stolen goods.
1
YES
2
NO
DK/REF
Go to CJ42a
Go to CJ43
CJ42a [IF CJ42 = 1] Have you ever been sentenced to serve time in a correctional facility for a
property offense?
1
YES
2
NO
DK/REF
Go to CJ42b
Go to CJ43
FI NOTE: A correctional facility includes a
jail, prison, or juvenile correctional facility.
Record any time sentenced to serve whether
as an adult or juvenile.
CJ42b [IF CJ42a = 1 OR CONTROLLING_TYPE = 2] Altogether, how many times in your life
have you been sentenced to serve time for of a property offense? Please remember to
include any property offenses you may have already told me about earlier in the survey.
NUMBER OF TIMES: ______ [RANGE: 1 – 999]
DK/REF
CJ43 [IF CONTROLLING_TYPE NE 3] Have you ever been arrested for a drug offense?
Drug offenses include crimes like possessing, selling, trafficking, importing, smuggling,
or manufacturing illegal drugs or drug paraphernalia.
1
YES
2
NO
DK/REF
Section 2: Criminal Justice
Go to CJ43a
Go to CJ44
57
CJ43a [IF CJ43 = 1] Have you ever been sentenced to serve time in a correctional facility for a
drug offense?
1
YES
2
NO
DK/REF
Go to CJ43b
Go to CJ44
FI NOTE: A correctional facility includes a
jail, prison, or juvenile correctional facility.
Record any time sentenced to serve whether
as an adult or juvenile.
CJ43b [IF CJ43a = 1 OR CONTROLLING_TYPE = 3] Altogether, how many times in your life
have you been sentenced to serve time for a drug offense? Please remember to include
any drug offenses you may have already told me about earlier in the survey.
NUMBER OF TIMES: ______ [RANGE: 0 – 999]
DK/REF
CJ44 Altogether, how many times in your life have you been arrested for any offenses? Please
include any arrests you have already told me about and times when you may have been
arrested but did not go to court or were not convicted.
NUMBER OF TIMES: ______ [RANGE: 0 – 999]
DK/REF
CJ45 Altogether, how many times in your life have you been placed on probation by a court?
Include any sentence by a court to both probation and a correctional facility. (INCLUDE
SHOCK PROBATION)
NUMBER OF TIMES: ______ [RANGE: 0 – 999]
DK/REF
FI NOTE: Include both
juvenile and adult probation
CJ46 Altogether, how many different times in your life have you been sentenced to serve time
in a juvenile correctional facility?
NUMBER OF TIMES: ______ [RANGE: 0 – 999]
DK/REF
Section 2: Criminal Justice
58
CJ47 Altogether, how many different times in your life have you been sentenced to serve time
in a local or county jail?
NUMBER OF TIMES: ______ [RANGE: 0 – 999]
DK/REF
CJ48 [IF CJ47 = 1 or more] How old were you the first time you were admitted to a local or
county jail to serve a sentence?
AGE: _____________ RANGE: 12 – CURRENT AGE]
DK/REF
CJ49 [IF CJ1 = 1 OR CJ2a = 2] Have you ever been sentenced to serve time in a state or
federal prison?
1
YES
2
NO
DK/REF
Go to CJ50
Go to NEXT MODULE
CJ50 [IF CJ49 = 1 OR CJ1 = 1] Altogether, how many different times in your life have you
been sentenced to serve time in a state or federal prison?
NUMBR OF TIMES: ______ [RANGE: 1 – 999]
DK/REF
Go to CJ51
CJ51 [IF CJ49 = 1 (OR CJ1= 1 and CJ50 ≠ 1)] When was the first time you were admitted to a
state or federal prison to serve a sentence?
CJ51a. 2-DIGIT MONTH: _________ [RANGE: 1 – 12]
DK/REF
CJ51b. 4-DIGIT YEAR: ___________ [RANGE: 1915 – current year]
DK/REF
CJ52 [IF CJ51b = DK/REF] How old were you the first time you were admitted to a state or
federal prison to serve a sentence?
AGE: ____________ [RANGE: 13 – CURRENT AGE]
DK/REF
Section 2: Criminal Justice
59
CJ53 [IF CJ51a = DK/REF] What time of year was it? Was it winter, spring, summer, or fall the
first time you were admitted to a state or federal prison to serve a sentence?
1
WINTER
2
SPRING
3
SUMMER
4
FALL
DK/REF
Section 2: Criminal Justice
60
Section 3 — Socioeconomic Characteristics (SES)
FOR DOCUMENTATION PURPOSES (NOT READ TO RESPONDENTS)
The following customized text fills were defined in a previous section and appear within
questions in this section of the instrument:
Fill Name
Origin
PAROLE_FILL
Section 2 – Criminal Justice (CJ)
DATE_ARREST
Section 2 – Criminal Justice (CJ)
PAROLE_FILL Fill Instructions:
IF (Inmate was charged with a parole violation) THEN PAROLE_FILL = “parole”
IF (Inmate was charged with a probation violation) THEN PAROLE_FILL = “probation”
ELSE PAROLE_FILL = EMPTY
DATE_ARREST Fill Instructions:
IF CJ9a ≠ EMPTY AND CJ9b ≠ EMPTY THEN DATE_ARREST
= “in MONTH, YEAR”
ELSE DATE_ARREST = EMPTY
Note – DATE_ARREST is updated with the Month and Year of the arrest wherever it is
collected in the Criminal Justice module, as these dates can be collected in several places.
SES1 Earlier I asked you if you were of Spanish, [Latino/Latina], or Hispanic origin and which
category best described your race. Now I would like you to think about how other
people would describe you. Do you think other people would describe you as Hispanic
or [Latino/Latina]?
1
YES
2
NO
DK/REF
SES2 Now I would like you to think about how other people would describe your race. Do
you think they would describe you as…
SES2a White?
SES2b Black or African-American?
SES2c American Indian or Alaska Native?
SES2d Asian?
SES2e Native Hawaiian or other Pacific Islander?
SES2f Anything else?
SES2OTH IF SES2f = 1] SPECIFY:
_________________
Section 3: Socioeconomic Characteristics
Yes
1
1
1
1
1
1
No
2
2
2
2
2
2
61
SES3 These next questions are about your education, employment, and income.
Before your admission to prison [DATE_ADMIT], what was the highest
grade of school that you had attended?
ELEMENTARY
(1)
First
(2)
Second
(3)
Third
(4)
Fourth
(5)
Fifth
(6)
Sixth
(7)
Seventh
(8)
Eighth
HIGH SCHOOL
(9)
Ninth
(10)
Tenth
(11)
Eleventh
(12)
Twelfth
COLLEGE
(13)
(14)
(15)
(16)
Freshman
Sophomore
Junior
Senior
GRADUATE SCHOOL
(17)
One year
(18)
Two or more years
(ATTENDED SCHOOL IN ANOTHER COUNTRY/SYSTEM THAT IS NOT
COMPARABLE CODE AS 30)
DK/REF
_______________________________________________________
A – Education Block
Block Level Universe: (SES3 = 1-18)
SESA1
[IF SES3 = 1 – 18) Did you complete that year of school?
1
YES
2
NO
DK/REF
SESA2
[IF (SES3 = 1 – 11 AND SESA1 = 1) OR (SES3 = 12 AND SESA1 = 2) Do
you have a GED, that is, a high school equivalency certificate?
1
YES
2
NO
DK/REF
SESA3. [IF (SES3 = 12 AND SESA1 = 1) OR SES3 = 13 – 18] Did you receive a
GED or a high school diploma for finishing high school?
1
GED
2
HIGH SCHOOL DIPLOMA
DK/REF
Section 3: Socioeconomic Characteristics
62
SESA4. [IF SESA3 = 1] Did you earn your GED while you were incarcerated in a prison,
jail, or other correctional facility?
1
YES
2
NO
DK/REF
SESA5 Has a doctor, psychologist, or teacher ever told you that you have an attention
deficit disorder, sometimes called ADD or ADHD?
YES
2
NO
DK/REF
1
SESA6 Has a doctor, psychologist, or teacher ever told you that you have a learning
disability, such as dyslexia or dyscalculia?
YES
2
NO
DK/REF
1
SESA7
Have you ever been enrolled in special education classes, sometimes called
S.P.E.D.?
1
YES
2
NO
DK/REF
______________________________END Education Block (A)
SES4 In what country were you born?
1
UNITED STATES Go to SES6
2
PUERTO RICO
Go to SES6
3
US VIRGIN ISLANDS
Go to SES6
4
GUAM
Go to SES6
5
AMERICAN SAMOA
Go to SES6
6
NORTHERN MARIANA ISLANDS
7
OTHER COUNTRY Go to SES5
DK/REF
Section 3: Socioeconomic Characteristics
63
SES5 [IF SES4=7] Of what country are you a citizen?
1
BELIZE
2
CANADA
3
COLOMBIA
4
CHINA
5
CUBA
6
DOMINICAN REPUBLIC
7
EL SALVADOR
8
ENGLAND (BRITAIN)
9
GERMANY
10
GUATEMALA
11
GUYANA (GUIANA)
12
HAITI
SPECIFY:____________
SES5A
13
14
15
16
17
18
19
20
21
22
23
24
HONDURAS
ITALY
JAMAICA
MEXICO
NIGERIA
PANAMA
PHILLIPINES
PUERTO RICO
TOBAGO, TRINIDAD
UNITED STATES
VIETNAM
OTHER (SES5_OTH)
[IF SES4 = 7 AND SES5 NE 22] Are you also a citizen of the United States?
1
YES
2
NO
DK/REF
SES5B
[IF SES4 = 7 AND SES5 NE 22] How many years have you lived in the United
States?
NUMBER OF YEARS: _______[RANGE: 0 – 75]
DK/REF
SES6 Now I’m going to read you a list of places you may have lived during the 30 days prior to
your arrest [DATE_ARREST] At any time during those 30 days did you live…
SES6a. In your own house, apartment, or mobile
home?
SES6b. In someone else’s house, apartment, or
mobile home?
SES6c. In transitional housing for former inmates,
such as a halfway house?
SES6d. In a residential treatment facility?
SES6e. In a rooming house, hotel, or motel?
SES6f. In a car, truck, or other motor vehicle?
SES6g. In a homeless shelter, on the street, or in
some outdoor location?
SES6h. In a prison, jail, or some other type of
detention facility?
SES6i. In some other place?
Section 3: Socioeconomic Characteristics
Yes
No
1
2
1
2
1
2
1
1
1
2
2
2
1
2
1
2
1
2
64
SES6J [IF SES6g NE 1] In the 12 months before your arrest INSERT ARREST DATE, was
there a time when you were homeless, living on the street, or in a shelter?
1 YES
2 NO
DK/REF
SES7 [IF SES6h=1] Were you incarcerated in a prison, jail, or other detention facility for the
entire 30 days before your arrest INSERT ARREST DATE?
1
YES
2
NO
DK/REF
SES8 [SES6a = 1 OR SES6b = 1 OR SES6e = 1 OR SES6f = 1 OR SES6g = 1 OR SES6i =
1] Excluding yourself, how many people were you living with at the time of your arrest?
NUMBER OF PEOPLE: _______[RANGE: 0 – 15]
DK/REF
DEFINE PERSON_FILL:
IF SES8 = 1 THEN PERSON_FILL = “was this person”
IF SES8 = 2 – 15 THEN PERSON_FILL = “were these people”
SES9
[IF SES8 = 1 - 15] How [PERSON_FILL] related to you?
(CHECK ALL THAT APPLY)
1
2
3
4
5
6
7
8
9
SPOUSE
PARTNER OR GIRL/BOYFRIEND
BIOLOGICAL / ADOPTED CHILDREN UNDER 18
STEPCHILDREN / PARTNER’S CHILDREN UNDER 18
BIOLOGICAL / ADOPTED CHILDREN OVER 18
STEPCHILDREN / PARTNER’S CHILDREN OVER 18
MOTHER / STEPMOTHER
FATHER / STEPFATHER
SIBLING / BROTHER OR SISTER/ STEPBROTHER OR
STEPSISTER
10
GRANDPARENT(S)
11
GRANDCHILDREN
12
OTHER CHILDREN UNDER 18 NOT RELATED TO YOU
13
OTHER FAMILY MEMBERS
14
FOSTER FAMILY
15
FRIENDS
16
OTHER NON-RELATIVE / NOT A FRIEND
DK/REF
[FI PROBE – Biological/adopted vs step children and under or over 18]
Section 3: Socioeconomic Characteristics
65
SES10
Do you have any children? Please include any of your own biological or adopted
children.
1
YES
2
NO
DK/REF
Go to SESB1
Go to SES11
B – Children Block
Block Level Universe: (SES15 = 1)
SESB1
[IF SES10 = 1] How many children do you have?
# OF CHILDREN: _________ [RANGE: 1 – 20]
DK/REF
SESB1a
[IF SESB1 = 1] How old is your child? (FOR CHILDREN UNDER AGE 1
CODE AS 99)
AGE OF CHILD: __________ [RANGE:1– 75, 99]
DK/REF
DEFINE CHILDAGE_FILL:
IF SESB1a ≠ EMPTY, DK, REF THEN CHILDAGE_FILL = “SESB1a VALUE year old”
ELSE CHILDAGE_FILL = EMPTY
SESB1b
[IF SESB1 = 2 OR MORE] How old is your [first/second/third/etc.] child?
[LOOP THROUGH UNTIL ALL CHILDREN ARE REPORTED ON.]
(FOR CHILDREN UNDER AGE 1 CODE AS 0)
AGE OF CHILD: _________ [RANGE: 0 – 75]
DK/REF
CALCULATED VARIABLE:
CREATE #UNDER18
IF SESB1a LT 18 OR IF ONLY ONE CHILD AGE IN SESB1b LT 18 THEN
#UNDER18 = 1
IF 2 CHILDREN’S AGES IN SESB1b LT 18 THEN #UNDER18 = 2
IF 3 CHILDREN’S AGES IN SESB1b LT 18 THEN #UNDER18 = 3
....
IF 20 CHILDREN’S AGES IN SESB1b LT 18 THEN #UNDER18 = 20
ELSE #UNDER18 = BLANK
DEFINE #UNDER18_FILL:
IF #UNDER18 = 1 THEN #UNDER18_FILL = EMPTY
IF #UNDER18 = 2 – 20 THEN #UNDER18_FILL = #UNDER18
Section 3: Socioeconomic Characteristics
66
DEFINE CHILD_FILL1:
IF #UNDER18 = 1 THEN CHILD_FILL1 = “child who is”
IF #UNDER18 = 2 – 20 THEN CHILD_FILL1 = “children who are”
DEFINE CHILD_FILL2:
IF #UNDER18 = 1 THEN CHILD_FILL2 = “your”
IF #UNDER18 = 2 – 20 THEN CHILD_FILL2 = “any of your”
DEFINE CHILD_FILL3:
IF #UNDER18 = 1 THEN CHILD_FILL3 = “child”
IF #UNDER18 = 2 – 20 THEN CHILD_FILL3 = “children”
DEFINE THIS_FILL1:
IF #UNDER18 = 1 THEN THIS_FILL1 = “this”
IF #UNDER18 = 2 – 20 THEN THIS_FILL1 = “any of these”
DEFINE THIS_FILL2:
IF #UNDER18 = 1 THEN THIS_FILL2 = “this”
IF #UNDER18 = 2 – 20 THEN THIS_FILL2 = “these”
SESB2
[IF #UNDER18 = 1 OR MORE] Were you living with [THIS-FILL1]
[#UNDER18_FILL] [CHILD_FILL3] just before your arrest INSERT
ARREST DATE?
1
2
DK/REF
YES
NO
SESB3 [IF #UNDER18 > 1 AND SESB2 = 1] How many of these [#UNDER18_FILL]
children were you living with just before your arrest INSERT ARREST DATE?
NUMBER: ____________ [RANGE 1 – #UNDER]
DK/REF
DEFINE CHILD_FILL4:
IF SESB3 = 1 THEN CHILD_FILL4 = “child”
IF SESB3 = 2 OR MORE THEN CHILD_FILL4 = “children”
CREATE #SESB3:
#SESB3 = SESB1 Value – SESB3 Value
DEFINE CHILD_FILL5:
IF #SESB3 = 1 THEN CHILD_FILL5 = “child that was”
IF #SESB3 = 2 OR MORE THEN CHILD_FILL5 = “children that were”
Section 3: Socioeconomic Characteristics
67
DEFINE IS_FILL:
IF SESB3 = 1 THEN IS_FILL = “is”
IF SESB3 = 2 OR MORE THEN IS_FILL = “are”
SESB4
[IF SESB3 > 1] How many of the [SESB3 VALUE] children that you lived with
are currently living together?
NUMBER: ___________ [RANGE: 0, 2 – SESB3 VALUE]
DK/REF
SESB5 Who [IS_FILL] your [SESB3 VALUE] [CHILD_FILL4] that you were living with
just before your arrest INSERT ARREST DATE living with now? (CHECK ALL
THAT APPLY)
CHILD’S MOTHER / FATHER (INCLUDING STEP PARENTS)
CHILD’S GRANDMOTHER
CHILD’S GRANDFATHER
OTHER RELATIVES
INMATE’S BOYFRIEND / GIRLFRIEND / PARTNER /SPOUSE
INMATE’S FRIENDS
FRIENDS OF THE INMATE’S CHILD(REN)
FOSTER PARENT(S)/FOSTER HOME
INCARCERATED
AGENCY OR INSTITUTION (INCLUDING MENTAL
HEALTH FACILITY, GROUP HOME, RESIDENTIAL
TREATMENT FACILITY)
11
CHILD LIVES ON OWN (INCLUDES SCHOOL/COLLEGE,
MILITARY,
MONASTARY ETC.)
12
SOMEONE ELSE (SESB5_OTH) SPECIFY:___________
13
DECEASED
DK/REF
1
2
3
4
5
6
7
8
9
10
SESB6 [IF #UNDER18 = 1or more] Now I would like for you to tell me about the contact you
have had with any of your [#UNDER18] children who are under 18 years old.
[12MON_FILL1] [DATE_ADMIT], what type of contact have you had with any of those
children under 18 years old?
YES NO
SESB6a. Have you had in-person visits?
1
2
SESB6b. Have you had phone calls?
1
2
SESB6c. Have you sent mail?
1
2
SESB6d. Have you received mail?
1
2
SESB6e. Some Other Way?
1
2
Section 3: Socioeconomic Characteristics
68
DEFINE 12MON_FILL1:
IF admission date is less than 12 months ago THEN 12MON_FILL1 = “Since you were admitted
to prison”
IF admission date is at least 12 months ago THEN 12MON_FILL1 = “During the past 12
months”
SESB7 [12MON_FILL1] [DATE_ADMIT], about how often have you…
Daily = 1
Weekly = 2
Monthly = 3
Less than once a month = 4
FI NOTE:
“Daily” means daily or almost daily.
“Weekly” means at least once a week. “Monthly”
means at least once a month but less than weekly.
1
2
3
4
SESB7a. [IF SESB6a = 1] had in-person visits with any of those children
under 18?
SESB7b. [IF SESB6b = 1] had phone calls with any of those children under
18?
SESB7c. [IF SESB6c = 1] sent mail to any of those children under 18?
SESB7d. [IF SESB6d = 1] received mail from any of those children under
18?
SESB8
[IF SESB6a = 2] Why do you think you have not received an in-person visit from any
of those children under 18 [12MON_FILL2] [DATE_ADMIT]? (CHECK ALL
THAT APPLY)
1. LIVES TOO FAR AWAY
2. CAN’T HAVE VISITORS
3. INMATE DOESN’T WANT CHILD TO SEE THEM INCARCERATED
4. CAN’T AFFORD TO TRAVEL TO FACILITY
5. VISITING FACILITY WILL BE UNSAFE
6. CHILD DOESN’T WANT TO SEE INMATE WHILE INCARCERATED
7. CHILD’S OTHER PARENT/GUARDIAN DOESN’T WANT CHILD TO
VISIT
8. CURRENT CAREGIVER DOES NOT WANT CHILD TO VISIT
9. RECEIVED TELEVISIT INSTEAD OF IN-PERSON VISIT
10. OTHER
DK/REF
Section 3: Socioeconomic Characteristics
69
SESB9
[IF #UNDER18 >0] Sometimes people have a legal agreement through a court or
a child support agency that specifies how much money a person has to pay for child support. At
the time of your arrest [DATE_ARREST], did you have a legal agreement to pay child support
for any of your children who were under the age of 18?
1
YES Go to SESB10
2
NO Go to SES11
DK/REF
SESB10
[IF SESB9 = 1] Do you owe any back child support?
1
YES
2
NO
DK/REF
______________________________END Children Block (B)
SES11 [ IF SES7 NE 1] Now I would like to ask you about jobs you ma y have
worked before your incarceration. Excluding an y illegal acti vities,
during the 30 da ys before you were arrested [DATE_ARRES T], did you
have a job or a business? Please only think about jobs or businesses you worked at
in the 30 days before you were arrested on [DATE_ARREST].
1
YES Go to SESC1
2
NO
Go to SES12
DK/REF
_______________________________________________________
C – Employed Block
Block Level Universe: (SES11 = 1)
SESC1
[IF SES11 = 1] How many different jobs or businesses did you have?
1
ONE
2
TWO
3
THREE
4
FOUR OR MORE
5
NONE
DK/REF
SESC2
[IF SESC1 = 1] Was this full-time, part-time, or work done occasionally?
1
FULL-TIME
2
PART-TIME
3
WORK DONE OCCASIONALLY
DK/REF
Section 3: Socioeconomic Characteristics
70
SESC3 [IF SESC1 = 1] What was your occupation then? (PROBE FOR SPECIFIC
OCCUPATION)
SPECIFY: ______________________ [ALLOW 200 CHARACTERS]
DK/REF
SESC4
[IF SESC1 = 2 – 4] Were any of these jobs or businesses …
SESC4a Full-time work?
SESC4b Part-time work?
SESC4c Work done occasionally?
Yes
1
1
1
No
2
2
2
______________________________END Employed Block (C)
SES12 [IF SES11 = 2 OR SESC1 = 5] In the 30 days before you were arrested
[DATE_ARREST] were you looking for work?
1
YES
2
NO
DK/REF
Go to SES14
Go to SES13
Section 3: Socioeconomic Characteristics
71
SES13 [IF SES12 = 2] What were the reasons you were not looking for work? (CHECK ALL
THAT APPLY)
1
2
3
NO SUITABLE WORK AVAILABLE
COULDN’T FIND ANY WORK
LACK OF NECESSARY SCHOOLING, TRAINING, SKILLS, OR
EXPERIENCE
4
MEDICAL CONDITION, ILL HEALTH, PHYSICAL OR MENTAL
DISABILITY
5
EMOTIONAL OR MENTAL HEALTH PROBLEM
6
EMPLOYERS THOUGHT YOU WERE TOO YOUNG
7
EMPLOYERS THOUGHT YOU WERE TOO OLD
8
CRIMINAL RECORD WAS A HANDICAP
9
FAMILY RESPONSIBILITIES OR COULDN’T ARRANGE CHILD CARE
10
STAY AT HOME PARENT
11
ON WELFARE OR OTHER PUBLIC ASSISTANCE
12
IN SCHOOL / SPECIAL PROGRAM
13
DIDN’T NEED JOB
14
DIDN’T WANT JOB
15
ILLEGAL ACTIVITIES
16
ON DRUGS / ALCOHOL
17
RETIRED
18
OTHER (S ES 13_OTH)S P EC IF Y: _____ ________
19
NO SPECIFIC REASON
DK/REF
SES14 [IF SESC1 = 5 OR SES11 = 2 OR SES7=1] Excluding any illegal activities, in what
month and year did you last work at a job or business? Please only think about jobs or
businesses you worked at before you were arrested [DATE_ARREST]?
MONTH: ____ [Range: 1-12, 999]
If ‘999’ go to SES19
YEAR: ____ [Range: 1930 – CURRENT YEAR]
(IF INMATE NEVER WORKED AT A JOB OR BUSINESS CODE AS 999)
DK/REF
SES15 [IF SES14 NE 999 OR DK/REF] Was it full-time, part-time, or occasional work?
1
FULL-TIME
2
PART-TIME
3
OCCASIONAL
DK/REF
Section 3: Socioeconomic Characteristics
72
SES16 [IF SES7 ne 1] In the 30 days before your arrest INSERT ARREST DATE, did you
receive any income from…
SES16a Wages, salary, commissions, bonuses,
or tips from a job? Please do not include money
earned from any illegal activities.
SES16b Self-employment from your own
business or farm?
SES16c Social Security or Railroad Retirement?
SES16d Supplemental Security Income or
SSI?
SES16e Any public assistance or welfare
payments from the state or local welfare office?
SES16f Retirement, survivor, or disability
pensions?
SES16g Veteran’s Administration payments?
SES16h Unemployment compensation?
SES16i Child support or alimony?
SES16j Disability benefits?
SES16k Illegal activities such as theft or drug
sales?
SES16l Any other source of income?
Yes
1
No
2
1
2
1
1
2
2
1
2
1
2
1
1
1
1
1
2
2
2
2
2
1
2
SES17 [IF AT LEAST ONE CATEGORY IN SES16 = 1] Think about all of the income
you received during the 30 days before your arrest DETERMINE IF ARREST
DATE NECESSARY, including from any illegal activities. What was your total
income for that 30 day period?
TOTAL PERSONAL INCOME: _______________ [RANGE: 0 – 99,999]
DK/REF
SES17a [SES17 = DK, REF] Would you say the income you received in those 30 days was...
1
Less than $200
2
$200 - $599
3
$600 - $999
4
$1000 -$1999
5
$2000 - $4999, or
6
$5000 or more?
DK/REF
SES17b[IF SES8 = 1 or more] Was your income in those 30 days at least half of the financial
Section 3: Socioeconomic Characteristics
73
support for the household?
1
YES
2
NO
DK/REF
SES18 [IF SES16k =1] How much of your total income during those 30 days came from
illegal activity? Would you say…
1
All of it
2
Most of it
3
Some of it, or
4
Just a little of it?
DK/REF
SES19 During the 30 days before your arrest INSERT ARREST DATE, were you covered by
any of the following types of health insurance or health coverage plans?
SES19a. Insurance through a current employer or
union of yours or another family member?
SES19b. Insurance purchased directly from an
insurance company by you or another family
member?
SES19c. Medicare, for people 65 and older, or
people with certain disabilities?
SES19d. Medicaid, Medical Assistance, or any
kind of government-assistance plan for those with
low incomes or a disability?
SES19e. TRICARE or other military health care?
SES19f. VA? Please answer yes if you have ever
used or enrolled in VA healthcare.
SES19g. Indian Health Service?
SES19h. Any other type of health insurance or
health coverage plan?
Yes
No
1
2
1
2
1
2
1
2
1
2
1
2
1
2
1
2
SES20 [IF SES19h = 1] What other type of health insurance or health coverage plan did you
have in the 30 days before the arrest or charge?
NAME OF PLAN: ______________________ [ALLOW 40 CHARACTERS]
DK/REF
SES20a
[IF (DEMOA9a = 1 – 5) AND CJ28 NE 2 AND CJ44 NE 2 AND (CJC5a NE 1 –
4) AND (CJC10a NE 1-4)] After you are released from prison, do you expect to
Section 3: Socioeconomic Characteristics
74
be eligible for any health care benefits from the VA such as treatment for physical
or mental health problems or treatment for drug or alcohol use?
1
YES
2
NO
DK/REF
DEFINE 18_FILL1:
IF AGE LT 18 = 1 THEN 18_FILL1 = “Have you ever lived”
IF AGE = 18 or older THEN 18FILL_1 = “Before you were 18, did you ever live”
SES21[18_FILL1] in a homeless shelter, on the street, or in some outdoor location, even
if it was only for a short time?
1
YES
2
NO
DK/REF
SES22[18_FILL1] in a foster home, agency or institution, even if it was only for a short
time?
1
YES
2
NO
DK/REF
SES23 [IF SES22 = 1] Was it a foster home, an agency or institution, or both?
1
FOSTER HOME
2
AGENCY OR INSTITUTION
3
BOTH
DK/REF
DEFINE 18_FILL2:
IF AGE LT 18 = 1 THEN 18_FILL2 = “While you were growing up”
IF AGE = 18 or older THEN 18FILL_2 = “Before you were 18,”
SES24[18_FILL2] Who did you live with for most of the time? [IF MORE THAN
Section 3: Socioeconomic Characteristics
75
ONE ANSWER GIVEN, USE CLOSEST BLOOD RELATIVE]
1
2
3
4
5
6
7
8
BOTH PARENTS (INCLUDING ADOPTED OR STEP-PARENTS)
M O T H E R (INCLUDING ADOPTED OR STEPMOTHER)
F A T H E R (INCLUDING ADOPTED OR STEPFATHER)
SPLIT TIME BETWEEN BOTH PARENTS
FOSTER PARENT(S)/FOSTER HOME
GRANDMOTHER
GRANDFATHER
BOTH GRANDPARENTS (INCLUDING ADOPTED OR STEPPARENTS)
9
OTHER RELATIVE(S)
10
FRIENDS
11
INCARCERATED
12
AGENCY OR INSTITUTION (INCLUDING MENTAL HEALTH
FACILITY, GROUP HOME, RESIDENTIAL TREATMENT FACILITY
13
SOMEONE ELSE (SES35_OTH) SPECIFY:____________________
DK/REF
DEFINE 18_FILL3:
IF AGE LT 18 = 1 THEN 18_FILL3 = “Did”
IF AGE = 18 or older THEN 18FILL_3 = “Before you were 18, did”
SES25[18_FILL3] any of your parents or guardians ever receive welfare or public
assistance, for example, AFDC, TANF, food stamps, Medicaid or WIC?
1 YES
2 NO
DK/REF
SES26 [18_FILL1] in public housing or publicly-assisted housing, for example,
Section 8 housing?
1
2
DK/REF
YES
NO
SES27Now I would like to ask about your relatives who may have been sentenced to
serve time in jail or prison. Please include step-relatives when answering.
Section 3: Socioeconomic Characteristics
76
Have any of the following people been sentenced to served time in jail or prison.
SES27a. Your mother?
SES27b. Your father?
SES27c. Siblings?
SES27d. Spouses or partners?
SES27e. Children?
Section 3: Socioeconomic Characteristics
Yes
1
1
1
1
1
No
2
2
2
2
2
77
Section 4 — Mental Health (MH)
FOR DOCUMENTATION PURPOSES (DO NOT READ TO RESPONDENTS)
The following customized text fills were defined in a previous section and appear within
questions in this section of the instrument:
Fill Name
Origin
DATE_ADMIT
Section 2 – Criminal Justice (CJ)
DATE_ARREST
Section 2 – Criminal Justice (CJ)
DATE_ADMIT Fill Instructions:
IF C10a ≠ EMPTY AND C10b ≠ EMPTY AND CJ10c ≠ EMPTY THEN
DATE_ADMIT = “on MONTH DAY, YEAR”
IF CJ10a ≠ EMPTY AND CJ10b = EMPTY AND CJ01c ≠ EMPTY THEN
DATE_ADMIT = “in MONTH, YEAR”
ELSE DATE_ADMIT = EMPTY
Note – DATE_ADMIT is updated with the Month, Day and Year of admission wherever it is
collected in the Criminal Justice module, as these dates can be collected in several places
DATE_ARREST Fill Instructions:
IF CJ9a ≠ EMPTY AND CJ9b ≠ EMPTY THEN DATE_ARREST
= “in MONTH, YEAR”
ELSE DATE_ARREST = EMPTY
Note – DATE_ARREST is updated with the Month and Year of the arrest wherever it is
collected in the Criminal Justice module, as these dates can be collected in several places.
DEFINE DATE_30
DATE_30 = INTERVIEW DATE – 30 DAYS BUT SHOULD BE
FILLED AS JUST THE MONTH AND DAY.
DEFINE DATE_12
DATE_12 = DATE OF INTERVIEW – 1 YEAR
MH1The next questions are about how you have been feeling during the past 30 days, that is
since [DATE_30]. For each question please tell me whether you felt that way all of the
time, most of the time, some of the time, a little of the time, or none of the time.
About how often during the past 30 days did you feel nervous?
1
ALL OF THE TIME
2
MOST OF THE TIME
3
SOME OF THE TIME
4
A LITTLE OF THE TIME
5
NONE OF THE TIME
DK/REF
Section 4: Mental Health and Treatment
78
MH2 During the past 30 days, about how often did you feel hopeless?
1
ALL OF THE TIME
2
MOST OF THE TIME
3
SOME OF THE TIME
4
A LITTLE OF THE TIME
5
NONE OF THE TIME
DK/REF
MH3 (During the past 30 days,) about how often did you feel restless or
fidgety?
1
ALL OF THE TIME
2
MOST OF THE TIME
3
SOME OF THE TIME
4
A LITTLE OF THE TIME
5
NONE OF THE TIME
DK/REF
MH4 How often (during the past 30 days) did you feel so depressed that nothing
could cheer you up? Would you say all of the time, most of the time, some of
the time, a little of the time, or none of the time?
1
ALL OF THE TIME
2
MOST OF THE TIME
3
SOME OF THE TIME
4
A LITTLE OF THE TIME
5
NONE OF THE TIME
DK/REF
MH5 About how often (during the past 30 days) did you feel that everything
was an effort?
1
ALL OF THE TIME
2
MOST OF THE TIME
3
SOME OF THE TIME
4
A LITTLE OF THE TIME
5
NONE OF THE TIME
DK/REF
Section 4: Mental Health and Treatment
79
MH6 About how often (during the past 30 days) did you feel worthless?
1
ALL OF THE TIME
2
MOST OF THE TIME
3
SOME OF THE TIME
4
A LITTLE OF THE TIME
5
NONE OF THE TIME
DK/REF
MH7 Have you ever been told by a medical doctor or a mental health professional, such as a
psychiatrist or psychologist that you had…
MH7a. Manic depression, a bipolar disorder, or mania?
MH7b. A depressive disorder?
MH7c. Schizophrenia or another psychotic disorder?
MH7d. Post-traumatic stress disorder or PTSD?
MH7e. Another anxiety disorder, such as panic disorder or
obsessive-compulsive disorder, also known as OCD?
MH7f. A personality disorder, such as antisocial or borderline
personality
MH7g. A mental or emotional condition other than those I just
asked you about?
MH7_OTH. [IF MH7g = 1] What condition is that? SPECIFY:
______________________
Yes
1
1
1
1
1
No
2
2
2
2
2
1
2
1
2
MH8 The next questions are about any times you may have stayed overnight in any type of
hospital or other facility for any problem with your emotions, nerves, or mental health.
Please do not include any overnight hospital stays for alcohol or drug use.
Have you ever stayed overnight or longer in any type of hospital or other facility to
receive treatment or counseling for any problem you were having with your emotions,
nerves, or mental health?
1
YES
2
NO
DK/REF
MH9 [IF MH8 = 1] During the 12 months before your arrest [DATE_ARREST], did you stay
overnight or longer in any type of hospital or other facility to receive treatment or
counseling for any problem you were having with your emotions, nerves, or mental
health?
1
YES
2
NO
DK/REF
Section 4: Mental Health and Treatment
80
MH10 The next questions are about services you may have received for any problem with your
emotions, nerves, or mental health. As you answer these questions please do not include
any services you may have received for drug or alcohol use. Some questions ask about
prescription medicine. Prescription medicines are drugs that you take if a doctor
authorizes them for you.
MH11 At the time of the [INSERT CONTROLLING OFFENSE], were you taking prescription
medicine for any problem you were having with your emotions, nerves, or mental health?
1
YES
2
NO
DK/REF
MH12 Since you were admitted to prison [DATE _ADMIT], have you taken prescription
medicine for any problem you were having with your emotions, nerves, or mental health?
1
YES
2
NO
DK/REF
MH13 [IF MH12 = 1] Are you currently taking prescription medicine for any problem with
your emotions, nerves, or mental health?
1
YES
2
NO
DK/REF
MH14 Since you were admitted to prison [DATE_ADMIT], have you received counseling,
treatment, or therapy from a mental health professional such as a psychiatrist,
psychologist, social worker, or nurse for any problem you were having with your
emotions, nerves, or mental health?
1
YES
2
NO
DK/REF
MH15 [IF MH14 = 1] Are you currently receiving any counseling, treatment, or therapy from a
mental health professional such as a psychiatrist, psychologist, social worker, or nurse for
any problem with your emotions, nerves, or mental health?
1
YES
2
NO
DK/REF
Section 4: Mental Health and Treatment
81
Section 5 – Physical Health, Treatment and Disabilities (PH)
FOR DOCUMENTATION PURPOSES (NOT READ TO RESPONDENTS)
The following customized text fills were defined in a previous section and appear within
questions in this section of the instrument:
Fill Name
Origin
DATE_ADMIT
Section 2 – Criminal Justice (CJ)
DATE_ARREST
Section 2 – Criminal Justice (CJ)
DATE_ADMIT Fill Instructions:
IF C10a ≠ EMPTY AND C10b ≠ EMPTY AND CJ10c ≠ EMPTY THEN
DATE_ADMIT = “on MONTH DAY, YEAR”
IF CJ10a ≠ EMPTY AND CJ10b = EMPTY AND CJ01c ≠ EMPTY THEN
DATE_ADMIT = “in MONTH, YEAR”
ELSE DATE_ADMIT = EMPTY
Note – DATE_ADMIT is updated with the Month, Day and Year of admission wherever it is
collected in the Criminal Justice module, as these dates can be collected in several places
DATE_ARREST Fill Instructions:
IF CJ9a ≠ EMPTY AND CJ9b ≠ EMPTY THEN DATE_ARREST
= “in MONTH, YEAR”
ELSE DATE_ARREST = EMPTY
Note – DATE_ARREST is updated with the Month and Year of the arrest wherever it is
collected in the Criminal Justice module, as these dates can be collected in several places.
PH_INTRO The next questions are about your physical characteristics and any health and
dental care you may have received since you were admitted to prison
[DATE_ADMIT].
ENTER 1 TO CONTINUE.
PH1
How tall are you?
FEET: __________ [RANGE: 3 – 7]
INCHES: ________ [RANGE: 0 – 11]
DK/REF
PH2
How much do you currently weigh?
POUNDS: __________ [RANGE: 75 - 500]
DK/REF
PH3
What sex were you assigned at birth, on your original birth certificate?
1 MALE
2 FEMALE
DK/REF
Section 5: Physical Health, Treatment, and Disabilities
82
PH4
How do you describe yourself? (SELECT ONE)
1
Male
2
Female
3
Transgender
4
Do not identify as male, female or transgender
DK/REF
SOFT ERROR
[IF (PH3 = 1 AND PH4 ne 1) OR (PH3 = 2 AND PH4 ne 2)]
VERIFY THE VALUES FOR PH3 AND PH4 WERE CORRECTLY RECORDED
PH5
Which of the following best represents how you think of yourself?
1 Lesbian or gay,
2 Straight, that is not lesbian or gay,
3 Bisexual, or
4 Something else
DK/REF
PH6
[IF GENDER OF FACILITY = FEMALE AND PH3 NE 1] When you were admitted to
prison [DATE_ADMIT], were you pregnant?
1
YES
2
NO
DK/REF
PH6a. [IF PH6 = 1] Since your admission to prison, have you received an obstetric
examination, an examination of you and the baby before it was born?
1
YES
2
NO
DK/REF
PH6b. [IF PH6 = 1] Have you received any other care, such as instructions on child
care, exercises, a special diet, medication, or special testing from a doctor,
nurse, or other medical person?
1
YES
2
NO
DK/REF
Section 5: Physical Health, Treatment, and Disabilities
83
PH7
Since your admission to prison [DATE_ADMIT], have you seen a doctor, nurse, or other
health care provider for any reason?
1
YES
2
NO
DK/REF
PH8
[IF PH7 = 1] Since your admission to prison [DATE_ADMIT] have you seen a doctor,
nurse or other health care provider outside the prison, for example in a community
hospital, doctor’s office, or clinic?
5
YES
6
NO
DK/REF
PH9
The next questions are about difficulties that you might have due to a physical, mental, or
emotional problem.
ENTER 1 TO CONTINUE
PH10 Are you deaf or do you have serious difficulty hearing?
1 YES
2 NO
DK/REF
PH11 Are you blind or do you have serious difficulty seeing even when wearing glasses?
1 YES
2 NO
DK/REF
PH12 Because of a physical, mental, or emotional problem, do you have serious difficulty
concentrating, remembering, or making decisions?
1 YES
2 NO
DK/REF
PH13 [IF PH12 = 1] Is the serious difficulty you have concentrating, remembering, or making
decisions caused by…
PH13a. a physical problem?
PH13b. a mental or emotional problem?
Section 5: Physical Health, Treatment, and Disabilities
Yes
1
1
No
2
2
84
PH14 Do you have serious difficulty walking or climbing stairs?
1 YES
2 NO
DK/REF
PH15 Do you have difficulty dressing or bathing?
1 YES
2 NO
DK/REF
PH16 Because of a physical, mental, or emotional problem, do you have difficulty doing
activities on your own such as going to meal time, going outside, working in or outside of
this facility, going to classes, or attending programs?
1 YES
2 NO
DK/REF
PH17
[IF PH16 = 1] Is the difficulty you experience doing activities on your own caused by…
PH17a. a physical problem?
PH17b. a mental or emotional
problem?
Yes
1
1
No
2
2
PH18 These next questions are about specific medical problems you may have had in the past
or have currently.
ENTER 1 TO CONTINUE
Section 5: Physical Health, Treatment, and Disabilities
85
PH19 Has a doctor, nurse, or other health care provider ever told you that you had…
PH19a. Any type of cancer?
PH19b. High blood pressure or hypertension?
PH19c. A stroke?
PH19d. [IF SEX_FILL = MALE: Diabetes, high blood
sugar, or sugar diabetes?
IF SEX_FILL = FEMALE: Diabetes, high blood sugar, or
sugar diabetes that was not due to being pregnant?]
PH19e. Heart disease, including a heart attack, coronary
heart disease, angina, congestive heart failure or other heart
problems?
PH19f. A problem with your kidneys?
PH19g. Some form of arthritis, rheumatoid arthritis, gout,
lupus, or fibromyalgia?
PH19h. Asthma?
PH19i. Cirrhosis of the liver?
PH19j. Tuberculosis, also called TB?
PH19k. Hepatitis B?
PH19l. Hepatitis C?
PH19m. HIV – the virus that causes AIDS?
PH19n. Other sexually transmitted diseases?
Yes No
1
2
1
2
1
2
1
2
1
2
1
1
2
2
1
1
1
1
1
1
1
2
2
2
2
2
2
2
PH20 [IF P19m = 2] Have you ever been tested for HIV – the virus that causes AIDS?
1 YES
2 NO
DK/REF
Section 5: Physical Health, Treatment, and Disabilities
86
PH21[IF PH19a = 1 OR PH19b = 1 OR PH19c = 1 OR PH19d = 1 OR PH19e = 1 OR PH19f =
1 OR PH19g = 1 OR PH19h = 1 OR PH19i = 1 OR PH19k = 1OR PH19l = 1 ] Has a
doctor, nurse, or other health care provider told you that you currently have…
NOTE TO PROGRAMMERS: THIS SCREEN SHOULD FILL WITH ONLY
THOSE DISEASES THE R ENDORSED IN PH19.
PH21a. [IF PH19a = 1] Any type of cancer?
PH21b. [IF PH19b = 1] High blood pressure or
hypertension?
PH21c. [IF PH19c = 1] Problems caused by a stroke?
PH21d. [IF PH19d = 1] Diabetes, high blood sugar, or sugar
diabetes?
PH21e. [IF PH19e = 1] Heart disease, including a heart
attack, coronary heart disease, angina, congestive heart
failure or other heart problems?
PH21f. [IF PH19f = 1] A problem with your kidneys?
PH21g. [IF PH19g = 1] Arthritis, rheumatoid arthritis, gout,
lupus, or fibromyalgia?
PH21h. [IF PH19h = 1] Asthma?
PH21i. [IF PH19i = 1] Cirrhosis of the liver?
PH21j. [IF PH19k = 1] Hepatitis B?
PH21k. [IF PH19l = 1] Hepatitis C?
Yes No
1
2
1
2
1
1
2
2
1
2
1
1
2
2
1
1
1
1
2
2
2
2
PH22 These next questions are about smoking cigarettes. Have you smoked at least 100
cigarettes in your entire life (that is, about 5 packs)?
1 YES
2 NO
DK/REF
PH23
[IF PH22 = 1] How old were you when you first started smoking cigarettes fairly
regularly?
ENTER ZERO IF RESPONDENT NEVER SMOKED CIGARETTES FAIRLY
REGULARLY.
AGE 1st SMOKED FAIRLY REGULARLY: ____ [RANGE: 7 – CURRENT AGE]
DK/REF
Section 5: Physical Health, Treatment, and Disabilities
87
PH24
[IF PH22 = 1] Are you allowed to smoke at this facility?
1
YES
2
NO
DK/REF
PH25
[IF PH22 = 1 AND PH24 = 1] Do you now smoke cigarettes every day, some days, or
not all?
1
EVERY DAY
2
SOME DAYS
3
NOT AT ALL
DK/REF
PH26
[IF PH25 = 1 OR 2] On how many of the past 30 days did you smoke cigarettes?
NUMBER OF DAYS SMOKED: ________ [RANGE: 1 – 30]
DK/REF
PH27
[IF PH26 NE DK OR REF OR BLANK] On the [PH26] days you smoked cigarettes
during the past 30 days, how many cigarettes did you smoke per day, on average?
IF LESS THAN 1, ENTER “1"
NUMBER OF CIGARETTES PER DAY: __________ [RANGE: 1 – 30]
PH28
[IF PH25 =3] Why haven’t you smoked any cigarettes during the past 30 days?
1
COULD NOT AFFORD TO BUY CIGARETTES
2
DID NOT WANT TO SMOKE CIGARETTES
3
TRYING TO QUIT
4
SOME OTHER REASON
DK/REF
PH29
[IF PH22 = 1] During the 30 days before your arrest [DATE_ARREST], did you smoke
cigarettes every day, some days, or not at all?
1
EVERY DAY
2
SOME DAYS
3
NOT AT ALL
DK/REF
Section 5: Physical Health, Treatment, and Disabilities
88
PH30 Now I’d like to ask about exercise. During the last 30 days, did you spend
any time doing physical exercise, for example sports, weightlifting, or
running?
1
2
YES
NO
DK/REF
PH31 [IF PH30 = 1] On how many of those 30 days did you spend time doing any
physical exercise?
NUMBER OF DAYS: ________ [RANGE: 1 - 30]
DK/REF
Section 5: Physical Health, Treatment, and Disabilities
89
Section 6 ― Alcohol Use (AU)
FOR DOCUMENTATION PURPOSES (NOT READ TO RESPONDENTS)
The following customized text fills were defined in a previous section and appear within
questions in this section of the instrument:
Fill Name
Origin
DATE_ADMIT
Section 2 – Criminal Justice (CJ)
DATE_ADMIT Fill Instructions:
IF CJ10a ≠ EMPTY AND CJ10b ≠ EMPTY AND CJ10c ≠ EMPTY THEN
DATE_ADMIT = “on MONTH DAY, YEAR”
IF CJ10a ≠ EMPTY AND CJ10b = EMPTY AND CJ10c ≠ EMPTY THEN
DATE_ADMIT = “in MONTH, YEAR”
ELSE DATE_ADMIT = EMPTY
Note – DATE_ADMIT is updated with the Month, Day and Year of admission wherever it is
collected in the Criminal Justice module, as these dates can be collected in several places
AU1
The next questions are about alcoholic beverages, such as beer, wine, brandy, and mixed
drinks. These questions are about drinks of alcoholic beverages. Throughout these
questions, by a “drink,” we mean a can or bottle of beer, a glass of wine or a wine cooler,
a shot of liquor, or a mixed drink with liquor in it. We are not asking about times when
you only had a sip or two from a drink.
Have you ever, even once, had a drink of any type of alcoholic beverage? Please do not
include times when you only had a sip or two from a drink.
1
YES
2
NO
DK/REF
DEFINE EVERDRUG:
IF AU1 = 1 THEN set EVERDRUG = 1
ELSE EVERDRUG = EMPTY
AU2
[IF AU1=1] Think about the first time you had a drink of an alcoholic beverage. How
old were you the first time you had a drink of an alcoholic beverage? Please do not
include any time when you only had a sip or two from a drink.
AGE: _____________________ [RANGE: 1 – 99]
DK/REF
Section 6: Alcohol Use
90
AU3 [IF AU1=1] Did you drink alcohol 6 or more days during the 12 months before your
admission to prison [DATE_ADMIT]?
1
YES
2
NO
DK/REF
AU4
[IF AU3=DK] Did you drink any alcohol during the 12 months before your admission to
prison [DATE_ADMIT] ?
1
YES
2
NO
DK/REF
DEFINE DRINK_12:
IF AU4 = 1THEN DRINK_12 = 1
IF AU3 = 1THEN DRINK_12 = 2
ELSE DRINK_12 = EMPTY
AU5
[IF AU1=1] Had you been drinking any alcohol at the time of [the offense / any of the
offenses] for which you are now incarcerated?
1
YES
2
NO
DK/REF
_______________________________________________________
D – Alcohol Dependency and Abuse Items
Block Level Universe: (DRINK_12 = 2)
AUD1
[IF DRINK_12 = 2] Think about your use of alcohol during the 12 months
before your admission to prison [DATE_ADMIT] .
During that 12 month period, was there a month or more when you spent a lot of
your time getting or drinking alcohol?
1
YES
2
NO
DK/REF
Section 6: Alcohol Use
91
AUD2
[IF AUD1 = 2 OR DK/REF] During the 12 months before your admission to
prison [DATE_ADMIT] , was there a month or more when you spent a lot of time
getting over the effects of the alcohol you drank?
1
YES
2
NO
DK/REF
AUD3
[IF DRINK_12 = 2] (During the 12 months before your admission to prison
[DATE_ADMIT] ), did you try to set limits on how often or how much alcohol
you would drink?
1
YES
2
NO
DK/REF
AUD4
[IF AUD3 = 1] Were you able to keep to the limits you set, or did you often drink
more than you intended to?
1
USUALLY KEPT TO LIMITS SET
2
OFTEN DRANK MORE THAN INTENDED
DK/REF
AUD5
[IF DRINK_12 = 2] During that 12 month period, did you need to drink more
alcohol than you used to in order to get the effect you wanted?
1
YES
2
NO
DK/REF
AUD6
[IF AUD5=2 OR DK/REF] (During that 12 month period), did you notice that
drinking the same amount of alcohol had less effect on you than it used to?
1
YES
2
NO
DK/REF
AUD7
[IF DRINK_12 = 2] (During that 12 month period), did you want to or try to cut
down or stop drinking alcohol?
1
YES
2
NO
DK/REF
Section 6: Alcohol Use
92
AUD8
[IF AUD7 = 1] (During that 12 month period), were you able to cut down or stop
drinking alcohol every time you wanted to or tried to?
1
YES
2
NO
DK/REF
AUD9
[IF (AUD7 = 2 OR DK/REF) OR (AUD8 = 2 OR DK/REF)] (During that 12
month period), did you cut down or stop drinking at least one time?
1
YES
2
NO
DK/REF
AUD10
[IF AUD8 = 1 OR AUD9 = 1] During that 12 month period, did you have 2 or
more of these symptoms after you cut back or stopped drinking alcohol?
•
•
•
•
•
•
•
•
Sweating or feeling that your heart was beating fast
Having your hands tremble
Having trouble sleeping
Vomiting or feeling nauseous
Seeing, hearing, or feeling things that weren’t really there
Feeling like you couldn’t sit still
Feeling anxious
Having seizures or fits
1
YES
2
NO
DK/REF
AUD11
[IF AUD10 = 1] (During that 12 month period), did you have 2 or more of these
symptoms at the same time that lasted for longer than a day after you cut back or
stopped drinking alcohol?
•
•
•
•
•
•
•
•
Sweating or feeling that your heart was beating fast
Having your hands tremble
Having trouble sleeping
Vomiting or feeling nauseous
Seeing, hearing, or feeling things that weren’t really there
Feeling like you couldn’t sit still
Feeling anxious
Having seizures or fits
1
YES
2
NO
DK/REF
Section 6: Alcohol Use
93
AUD12
[IF DRINK_12 = 2] During that 12 month period, did you have any problems
with your emotions, nerves, or mental health that were probably caused or made
worse by drinking alcohol?
1
YES
2
NO
DK/REF
AUD13
[IF AUD12 = 1] Did you continue to drink alcohol even though you thought
drinking was causing you to have problems with your emotions, nerves, or mental
health?
1
YES
2
NO
DK/REF
AUD14
[IF (AUD12 = 2 OR DK/REF) OR (AUD13 = 2 OR DK/REF)] (During that 12
month period,) did you have any physical health problems that were probably
caused or made worse by drinking alcohol?
1
YES
2
NO
DK/REF
AUD15
[IF AUD14 = 1] Did you continue to drink alcohol even though you thought
drinking was causing you to have physical problems?
1
YES
2
NO
DK/REF
AUD16
[IF DRINK_12 = 2] This question is about important activities such as working,
going to school, taking care of children, doing fun things such as hobbies and
sports, and spending time with friends and family.
During the 12 months before your admission to prison [DATE_ADMIT] , did
drinking alcohol cause you to give up or spend less time doing these types of
important activities?
1
YES
2
NO
DK/REF
Section 6: Alcohol Use
94
AUD17
[IF DRINK_12 = 2] Sometimes people who drink alcohol have serious problems
at home, work or school — such as:
•
•
•
•
neglecting their children
missing work or school
doing a poor job at work or school
losing a job or dropping out of school
(During the 12 months before your arrest INSERT ARREST DATE,) did drinking
alcohol cause you to have serious problems like this either at home, work, or
school?
1
YES
2
NO
DK/REF
AUD18
[IF DRINK_12 = 2] (During that 12 month period,) did you regularly drink
alcohol and then do something where being drunk might have put you in physical
danger?
1
YES
2
NO
DK/REF
AUD19
[IF DRINK_12 = 2] During that12 month period, did drinking alcohol cause you
to do things that repeatedly got you in trouble with the law?
1
YES
2
NO
DK/REF
AUD20
[IF DRINK_12 = 2] (During that 12 month period,) did you have any problems
with family or friends that were probably caused by your drinking?
1
YES
2
NO
DK/REF
AUD21
[IF AUD20 = 1] Did you continue to drink alcohol even though you thought your
drinking caused problems with family or friends?
1
YES
2
NO
DK/REF
______________________________END Alcohol Dependency and Abuse Items Block (D)
Section 6: Alcohol Use
95
Section 7 – Drug Use (DU)
FOR DOCUMENTATION PURPOSES (NOT READ TO RESPONDENTS)
The following customized text fills were defined in a previous section and appear within
questions in this section of the instrument:
Fill Name
Origin
DATE_ADMIT
Section 2 – Criminal Justice (CJ)
DATE_ARREST
Section 2 – Criminal Justice (CJ)
DATE_ADMIT Fill Instructions:
IF C10a ≠ EMPTY AND C10b ≠ EMPTY AND CJ10c ≠ EMPTY THEN
DATE_ADMIT = “on MONTH DAY, YEAR”
IF CJ10a ≠ EMPTY AND CJ10b = EMPTY AND CJ01c ≠ EMPTY THEN
DATE_ADMIT = “in MONTH, YEAR”
ELSE DATE_ADMIT = EMPTY
Note – DATE_ADMIT is updated with the Month, Day and Year of admission wherever it is
collected in the Criminal Justice module, as these dates can be collected in several places
DATE_ARREST Fill Instructions:
IF CJ9a ≠ EMPTY AND CJ9b ≠ EMPTY THEN DATE_ARREST
= “in MONTH, YEAR”
ELSE DATE_ARREST = EMPTY
Note – DATE_ARREST is updated with the Month and Year of the arrest wherever it is
collected in the Criminal Justice module, as these dates can be collected in several places.
Section 7: Drug Use
96
DU1
These next questions are about using drugs other than alcohol. Please think about the 12
months before your admission to prison [DATE_ADMIT]. During those 12 months,
did you use…
DU1a.
Marijuana or hashish?
DU1b. Any form of cocaine, including powder, “crack”, free
base, and coca paste?
DU2
YES
NO
1
2
1
2
DU1c.
[IF DU1b = 1] “Crack”?
1
2
DU1d.
Heroin?
1
2
DU1e.
PCP? PCP is also called “angel dust” or phencyclidine.
1
2
DU1f.
Ecstasy, or ‘Molly’, also known as MDMA?
1
2
DU1g During the 12 months before your admission to prison
[DATE_ADMIT] did you use any other type of
hallucinogen, including LSD, peyote, mescaline, or
psilocybin, found in mushrooms?
1
2
DU1h. Methamphetamine, also known as meth, ice, crystal meth,
glass or crank?
1
2
DU1i. During those 12 months did you use inhalants – that is
substances that people sniff or inhale for kicks or to get
high? These substances include: amyl nitrite, locker room
odorizers, cleaning fluid, gasoline, glue, nitrous oxide, or
spray paints.
1
2
The next question is about using prescription pain relievers, tranquilizers, stimulants, or
sedatives in any way a doctor did not direct you to use them. This could include using
it without a prescription of your own, using it in greater amounts, more often, or longer
than you were told to take it, or using it in any other way a doctor did not direct you to
use it.
During the 12 months before you admission to prison [DATE_ADMIT] did you use
any prescription pain reliever, tranquilizer, stimulant or sedative in a way a doctor did not
direct you to use it?
1
YES
2
NO
DK/REF
Section 7: Drug Use
97
DU3
During the 12 months before your admission to prison [DATE_ADMIT] did use any drug
or other substance, besides those I’ve just asked about, for kicks or to get high?
1
YES
2
NO
DK/REF
DU3OTH
What other drugs did you use for kicks or to get high during the 12 months
before you admission to prison [DATE_ADMIT]? (Any others?)
OTHER DRUGS: _________________ [ALLOW 100 CHARACTERS]
DK/REF
UPDATE EVERDRUG:
IF DU1a =1 OR DU1b=1 OR DU1c=1 OR DU1d=1 OR DU1e=1 OR DU1f=1 OR DU1g=1 OR
DU1h=1 OR DU1i=1 OR DU2=1 OR DU3=1 THEN Set EVERDRUG = 1
ELSE (and AU1 ≠1) EVERDRUG = EMPTY
DU4
Have you ever, even once, used...
YES
NO
DU4a. [IF DU1a = 2 OR DK/REF] Marijuana or hashish?
1
2
DU4b. [IF DU1b = 2 OR DK/REF] Any form of cocaine,
including powder, “crack”, free base, and coca paste?
1
2
1
2
DU4d. [IF DU1d = 2 OR DK/REF] Heroin?
1
2
DU4e. [IF DU1e = 2 OR DK/REF] PCP? PCP is also called
“angel dust” or phencyclidine.
1
2
[IF DU1f = 2 OR DK/REF] Ecstasy, or ‘Molly’, also
known as MDMA?
1
2
DU4g [IF DU1g = 2 OR DK/REF] During the 12 months before
your admission to prison [DATE_ADMIT] did you use any
other type of hallucinogen, including LSD, peyote,
mescaline, or psilocybin, found in mushrooms?
1
2
DU4h. [IF DU1h = 2 OR DK/REF] Methamphetamine, also
known as meth, ice, crystal meth, glass or crank?
1
2
DU4i. [IF DU1i = 2 OR DK/REF] During those 12 months did
you use inhalants – that is substances that people sniff or
inhale for kicks or to get high? These substances include:
amyl nitrite, locker room odorizers, cleaning fluid,
gasoline, glue, nitrous oxide, or spray paints.
1
2
DU4c. [IF DU1c = 2 OR DK/REF]
DU4f.
Section 7: Drug Use
“Crack”?
98
DU5
[IF DU2 = 2 OR DK/REF] Have you ever, even once, used any prescription pain
reliever, tranquilizer, stimulant or sedative in a way a doctor did not direct you to use it?
1
YES
2
NO
DK/REF
DU6
[IF DU3 = 2 OR DK/REF] Have you ever, even once, used any drug or other substance,
besides those I’ve just asked about, for kicks or to get high?
1
YES
2
NO
DK/REF
UPDATE EVERDRUG:
IF DU4a =1 OR DU4b=1 OR DU4c=1 OR DU4d=1 OR DU4e=1 OR DU4f=1 OR DU4g=1 OR
DU4h=1 OR DU4i=1 OR OR DU5=1 OR DU6=1 THEN Set EVERDRUG = 1
ELSE (AND AU1 ≠1 AND DU1a ≠1 AND DU1b≠1 AND DU1c≠1 AND DU1d≠1 AND
DU1e≠1 AND DU1f≠1 AND DU1g≠1 AND DU1h≠1 AND DU1i≠1 AND DU2≠1 AND
DU3≠1) EVERDRUG = EMPTY
DU6OTH
[IF DU6 = 1] What other drugs did you ever use for kicks or to get high? (Any
others?)
OTHER DRUGS: _________________ [ALLOW 100 CHARACTERS]
DU7. [IF DU1a =1 OR DU1b=1 OR DU1c=1 OR DU1d=1 OR DU1e=1 OR DU1f=1 OR
DU1g=1 OR DU1h=1 OR DU1i=1 OR DU2=1 OR DU3=1 OR IF DU4a =1 OR
DU4b=1 OR DU4c=1 OR DU4d=1 OR DU4e=1 OR DU4f=1 OR DU4g=1 OR DU4h=1
OR DU4i=1 OR DU5=1 ORDU6=1] Were you under the influence of any drugs at the
time of the offense that led to this incarceration?
1
YES
2
NO
DK/REF
Section 7: Drug Use
99
DU8
[IF DUD7 = 1] What drugs were you under the influence of at the time of the offense?
NOTE TO PROGRAMMERS: THIS SCREEN SHOULD FILL WITH ONLY
THOSE DRUGS THE R ENDORSED IN DU1a–i, DU2, DU3, DU4a-i, DU5 and
DU6.
DU8a. [IF DU1a OR DU4a = 1] Marijuana or hashish?
YES
NO
1
2
DU8b.
[IF DU1b = 1 OR DU4b = 1] Any form of cocaine?
(Including powder, “crack”, free base, and coca paste)
1
2
DU8c.
[IF DU1c = 1 OR DU4c = 1] “Crack”?
1
2
DU8d.
[IF DU1d = 1 OR DU4d = 1] Heroin?
1
2
DU8e.
[IF DU1e = 1 OR DU4e = 1] PCP? (PCP is also called
“angel dust” or phencyclidine.)
1
2
DU8f.
[IF DU1f = 1 OR DU4f = 1] Ecstasy or ‘Molly’, also
known as MDMA?
1
2
DU8g
[IF DU1g = 1 Or DU4g = 1] Any other type of
hallucinogen, including LSD, peyote, mescaline, or
psilocybin, found in mushrooms?
1
2
1
2
DU8i. [IF DU1i = 1 OR DU4i = 1] Inhalants - that is substances
that people sniff or inhale for kicks or to get high? (These
include: amyl nitrite, locker room odorizers, cleaning
fluid, gasoline, glue, nitrous oxide, or spray paints.)
1
2
DU8j. [IF DU2 = 1 OR DU5 = 1] Prescription drugs that that you
used in any way that a doctor did not direct you to use
them?
1
2
DU8k. [IF DU3 = 1 OR DU6 = 1] A drug or other substance
besides those I’ve just asked about, that you took only
for kicks or to get high?
1
2
DU8h.
Section 7: Drug Use
[IF DU1h = 1 OR DU4h = 1] Methamphetamine, also
known as meth, ice crystal, meth, glass or crank?
100
DU9
[IF DU1a =1 OR DU1b=1 OR DU1c=1 OR DU1d=1 OR DU1e=1 OR DU1f=1 OR
DU1g=1 OR DU1h=1 OR DU1i=1 OR DU2=1 OR DU3=1 OR DU4a =1 OR DU4b=1
OR DU4c=1 OR DU4d=1 OR DU4e=1 OR DU4f=1 OR DU4g=1 OR DU4h=1 OR
DU4i=1 OR DU5=1 ORDU6=1] Now I would like for you to think about the 30 days
before your arrest [DATE_ARREST]. During those 30 days did you use…
NOTE TO PROGRAMMERS: THIS SCREEN SHOULD FILL WITH ONLY
THOSE DRUGS THE R ENDORSED IN DU1a–i, DU2, DU3, DU4a-i, DU5 and
DU6.
DU9a. [IF DU1a = 1 OR DU4a = 1] Marijuana or hashish?
YES
NO
1
2
DU9b.
[IF DU1b = 1 OR DU4b = 1] Any form of cocaine?
(Including powder, “crack”, free base, and coca paste)
1
2
DU9c.
[IF DU1c = 1 OR DU4c = 1] “Crack”?
1
2
DU9d.
[IF DU1d = 1 OR DU4d = 1] Heroin?
1
2
DU9e.
[IF DU1e = 1 OR DU4e = 1] PCP? (PCP is also called
“angel dust” or phencyclidine.)
1
2
DU9f.
[IF DU1f = 1 OR DU4f = 1] Ecstasy or ‘Molly’, also
known as MDMA?
1
2
DU9g
[IF DU1g = 1 OR DU4g = 1] Any other type of
hallucinogen, including LSD, peyote, mescaline, or
psilocybin, found in mushrooms?
1
2
1
2
DU9i.[IF DU1i = 1 OR DU4i = 1] Inhalants - that is substances
that people sniff or inhale for kicks or to get high? (These
include: amyl nitrite, locker room odorizers, cleaning
fluid, gasoline, glue, nitrous oxide, or spray paints.)
1
2
DU9j. [IF DU2 = 1 OR DU5 = 1] Prescription drugs that that you
used in any way that a doctor did not direct you to use
them?
1
2
DU9k. [IF DU3 = 1 OR DU6 = 1] A drug or other substance
besides those I’ve just asked about, that you took only
for kicks or to get high?
1
2
DU9h.
Section 7: Drug Use
[IF DU1h = 1 OR DU4h = 1] Methamphetamine, also
known as meth, ice crystal, meth, glass or crank?
101
DU10 [IF DU1b=1 OR DU1d=1 OR DU2=1 OR DU3 = 1 OR DU4b=1 OR DU4d=1 OR
DU5=1 OR DU6 = 1] Have you ever, even once, used a needle to inject any drug that
was not prescribed for you?
1
YES
2
NO
DK/REF
DU11 [IF DU10 = 1] Have you ever used a needle that you knew or suspected someone else
had used before?
1
YES
2
NO
DK/REF
D – Substance Dependency and Abuse Items Block
Block Level Universe: (DU1a = 1 OR DU1b = 1 OR DU1c = 1 OR DU1d = 1 OR
DU1e = 1 OR DU1f = 1 OR DU1g = 1 OR DU1h = 1 OR DU1i = 1 OR DU2 = 1 OR
DU3 = 1)
DUDINTRO [DU1a = 1 OR DU1b = 1 OR DU1c = 1 OR DU1d = 1 OR DU1e = 1 OR DU1f =
1 OR DU1g = 1 OR DU1h = 1 OR DU1i = 1 OR DU2 = 1 OR DU3 = 1] Earlier you told me
that during the 12 months before your admission to prison [DATE_ADMIT] you used:
[IF DU1a = 1] Marijuana or hashish
[IF DU1b = 1] Any form of cocaine
[IF DU1c = 1] “Crack”
[IF DU1d = 1] Heroin
[IF DU1e = 1] PCP
[IF DU1f = 1] Ecstasy
[IF DU1g = 1] Other hallucinogens, such as LSD, peyote, mescaline, or psilocybin, found
in mushrooms
[IF DU1h = 1] Methamphetamine
[IF DU1i = 1] Inhalants
[IF DU2 = 1] Prescription drugs that that you used in any way that a doctor did not direct
you to use them
[IF DU3 = 1] And the other drugs you told me about: [DU3OTH_FILL]
Please think about your use of those drugs as I ask you these next questions.
Section 7: Drug Use
102
DUD1 [DU1a = 1 OR DU1b = 1 OR DU1c = 1 OR DU1d = 1 OR DU1e = 1 OR DU1f = 1 OR
DU1g = 1 OR DU1h = 1 OR DU1i = 1 OR DU2 = 1 OR DU3 = 1] During the 12 months
before your admission to prison [DATE_ADMIT], was there a month or more when you
spent a lot of your time getting or using drugs?
1
YES
2
NO
DK/REF
DUD2 [IF DUD1=2] During the 12 months before your admission to prison [DATE_ADMIT],
was there a month or more when you spent a lot of your time getting over the effects of
the drugs you used?
1
YES
2
NO
DK/REF
DUD3 [DU1a = 1 OR DU1b = 1 OR DU1c = 1 OR DU1d = 1 OR DU1e = 1 OR DU1f = 1 OR
DU1g = 1 OR DU1h = 1 OR DU1i = 1 OR DU2 = 1 OR DU3 = 1] (During the 12
months before your admission to prison [DATE_ADMIT]), did you try to set limits on
how often or how much drugs you would use?
1
YES
2
NO
DK/REF
DUD4 [IF DUD3=1] Were you able to keep to the limits you set, or did you often use drugs
more than you intended to?
1
KEPT TO LIMITS
2
USED MORE THAN INTENDED
DK/REF
Section 7: Drug Use
103
DUD5 [DU1a = 1 OR DU1b = 1 OR DU1c = 1 OR DU1d = 1 OR DU1e = 1 OR DU1f = 1 OR
DU1g = 1 OR DU1h = 1 OR DU1i = 1 OR DU2 = 1 OR DU3 = 1] During the 12 months
before your admission to prison [DATE_ADMIT], did you need to use more drugs than
you used to in order to get the effect you wanted?
1
YES
2
NO
DK/REF
DUD6 [IF DUD5=2] (During that 12 month period,) did you notice that using the same amount
of drugs had less effect on you than it used to?
1
YES
2
NO
DK/REF
DUD7 [DU1a = 1 OR DU1b = 1 OR DU1c = 1 OR DU1d = 1 OR DU1e = 1 OR DU1f = 1 OR
DU1g = 1 OR DU1h = 1 OR DU1i = 1 OR DU2 = 1 OR DU3 = 1] (During that 12 month
period,) did you want to or try to cut down or stop using drugs?
1
YES
2
NO
DK/REF
DUD8 [IF DUD7=1] (During that 12 month period,) were you able to cut down or stop using
drugs every time you wanted to or tried to?
1
YES
2
NO
DK/REF
DUD9 [IF (DUD7=2 OR DK/REF) OR (DUD8=2 OR DK/REF)] (During that 12 month period,)
did you cut down or stop using drugs at least one time?
1
YES
2
NO
DK/REF
DUD10 [IF DUD8=1 OR DUD9=1] (During that 12 month period,) did you feel kind of blue or
down when you cut down or stopped using drugs?
1
YES
2
NO
DK/REF
Section 7: Drug Use
104
DUD11 [IF DUD10=1] During that 12 month period, did you have two or more of these
symptoms after you cut back or stopped using drugs?
•
•
•
•
Having trouble sleeping or sleeping more than you normally do
Feeling either very slowed down or like you couldn’t sit still
Feeling anxious
Being physically sick, such as having cramps, diarrhea, a fever, or feeling
nauseous
1
YES
2
NO
DK/REF
DUD12 [IF DUD11 = 1] (During that 12 month period,) did you have two or more of these
symptoms at the same time that lasted for longer than a day after you cut back or
stopped using drugs?
•
•
•
•
Having trouble sleeping or sleeping more than you normally do
Feeling either very slowed down or like you couldn’t sit still
Feeling anxious
Being physically sick, such as having cramps, diarrhea, a fever, or feeling
nauseous
1 YES
2 NO
DK/REF
DUD13 [DU1a = 1 OR DU1b = 1 OR DU1c = 1 OR DU1d = 1 OR DU1e = 1 OR DU1f = 1 OR
DU1g = 1 OR DU1h = 1 OR DU1i = 1 OR DU2 = 1 OR DU3 = 1] During that 12 month
period, did you have any problems with your emotions, nerves, or mental health that were
probably caused or made worse by your use of drugs?
1
YES
2
NO
DK/REF
DUD14 [IF DUD13 = 1] Did you continue to use drugs even though you thought it was causing
you to have problems with your emotions, nerves, or mental health?
1
YES
2
NO
DK/REF
Section 7: Drug Use
105
DUD15 [IF (DUD13=2 OR DK/REF) OR (DUD14=2 OR DK/ REF] (During the 12 months
before your admission to prison [DATE_ADMIT],) did you have any physical health
problems that were probably caused or made worse by your use of drugs?
1
YES
2
NO
DK/REF
DUD16 [IF DUD15=1] Did you continue to use drugs even though you thought it was causing
you to have physical problems?
1
YES
2
NO
DK/REF
DUD17 [DU1a = 1 OR DU1b = 1 OR DU1c = 1 OR DU1d = 1 OR DU1e = 1 OR DU1f = 1 OR
DU1g = 1 OR DU1h = 1 OR DU1i = 1 OR DU2 = 1 OR DU3 = 1] This question is about
important activities such as working, going to school, taking care of children, doing fun
things such as hobbies and sports, and spending time with friends and family.
During the 12 months before your admission to prison [DATE_ADMIT], did using drugs
cause you to give up or spend less time doing these types of important activities?
1 YES
2 NO
DK/REF
DUD18 [DU1a = 1 OR DU1b = 1 OR DU1c = 1 OR DU1d = 1 OR DU1e = 1 OR DU1f = 1 OR
DU1g = 1 OR DU1h = 1 OR DU1i = 1 OR DU2 = 1 OR DU3 = 1] Sometimes people
who use drugs have serious problems at home, work or school — such as:
•
•
•
•
neglecting their children
missing work or school
doing a poor job at work or school
losing a job or dropping out of school
During the 12 months before your admission to prison [DATE_ADMIT], did using drugs
cause you to have serious problems like this either at home, work, or school?
1 YES
2 NO
DK/REF
Section 7: Drug Use
106
DUD19 [DU1a = 1 OR DU1b = 1 OR DU1c = 1 OR DU1d = 1 OR DU1e = 1 OR DU1f = 1 OR
DU1g = 1 OR DU1h = 1 OR DU1i = 1 OR DU2 = 1 OR DU3 = 1] (During that 12 month
period,) did you regularly use drugs and then do something where using drugs might have
put you in physical danger?
1
YES
2
NO
DK/REF
DUD20 [DU1a = 1 OR DU1b = 1 OR DU1c = 1 OR DU1d = 1 OR DU1e = 1 OR DU1f = 1 OR
DU1g = 1 OR DU1h = 1 OR DU1i = 1 OR DU2 = 1 OR DU3 = 1] (During that 12 month
period,) did using drugs cause you to do things that repeatedly got you in trouble with the
law?
1
YES
2
NO
DK/REF
DUD21 [DU1a = 1 OR DU1b = 1 OR DU1c = 1 OR DU1d = 1 OR DU1e = 1 OR DU1f = 1 OR
DU1g = 1 OR DU1h = 1 OR DU1i = 1 OR DU2 = 1 OR DU3 = 1] (During that 12 month
period,) did you have any problems with family or friends that were probably caused by
your use of drugs?
1
YES
2
NO
DK/REF
DUD22 [IF DUD21 = 1] Did you continue to use drugs even though you thought it caused
problems with family or friends?
1
YES
2
NO
DK/REF
______________________________END Substance Dependency and Abuse Items Block (D)
Section 7: Drug Use
107
Section 8 — Drug and Alcohol Treatment (DTX)
FOR DOCUMENTATION PURPOSES (NOT READ TO RESPONDENTS)
The following customized text fills were defined in a previous section and appear within
questions in this section of the instrument:
Fill Name
Origin
DATE_ADMIT
Section 2 – Criminal Justice (CJ)
DATE_ADMIT Fill Instructions:
IF C10a ≠ EMPTY AND C10b ≠ EMPTY AND CJ10c ≠ EMPTY THEN
DATE_ADMIT = “on MONTH DAY, YEAR”
IF CJ10a ≠ EMPTY AND CJ10b = EMPTY AND CJ01c ≠ EMPTY THEN
DATE_ADMIT = “in MONTH, YEAR”
ELSE DATE_ADMIT = EMPTY
Note – DATE_ADMIT is updated with the Month, Day and Year of admission wherever it is
collected in the Criminal Justice module, as these dates can be collected in several places.
The following calculated variable was defined in a previous section and appears within the
universe statement for questions within this section:
Variable Name
Origin
EVERDRUG
Section 6 – Alcohol Use (AU) and Section 7 – Drug Use (DU)
EVERDRUG Instructions:
IF AU1 OR DU1a =1 OR DU1b=1 OR DU1c=1 OR DU1d=1 OR DU1e=1 OR DU1f=1
OR DU1g=1 OR DU1h=1 OR DU1i=1 OR DU1j=1 OR DU2=1 OR DU3=1 OR IF
DU4a =1 OR DU4b=1 OR DU4c=1 OR DU4d=1 OR DU4e=1 OR DU4f=1 OR DU4g=1
OR DU4h=1 OR DU4i=1 OR DU5=1 OR DU6=1 THEN set EVERDRUG = 1
ELSE EVERDRUG = EMPTY
DTX1 [IF EVERDRUG = 1] These next questions deal with treatment for alcohol and drug
problems, not including cigarettes. Please report treatment or counseling designed to
help you cut down or stop your alcohol or drug use. Please include detoxification and
any other treatment for medical problems associated with your alcohol or drug use.
Have you ever received treatment or counseling for your use of alcohol or any drug, not
counting cigarettes?
1
YES
2
NO
DK/REF
Section 8 — Drug and Alcohol Treatment (DTX)
108
DTX2 [IF DTX1 = 1] Have you received any kind of treatment or counseling for your use of
alcohol or any drug...
DTX3a
YES
NO
DTX2a. [IF DTX1 = 1] since your admission to prison
[DATE_ADMIT]?
1
2
DTX2b.
[IF DTX1 = 1 AND DAT3a = 2 OR DK/REF]
while you were incarcerated in a prison, jail, or some other
type of correctional facility?
1
2
DTX2c. [IF DTX1 = 1 (and parole/probation reported in CJ
module)] while on probation or parole?
1
2
DTX2d. [IF DTX1 = 1] while living in the community and not
on probation or parole?
1
2
[IF (DTX2a = 2 OR DK OR REF) AND (DTX2b = 1 OR DTX2c =1 OR DTX2d
= 1)] Was the treatment or counseling you received for alcohol use only, drug use
only, or both alcohol and drug use?
1
ALCOHOL USE ONLY
2
DRUG USE ONLY
3
BOTH ALCOHOL AND DRUG USE
DK/REF
DTX3b
[IF DTX2a = 1] Since your admission to prison [DATE_ADMIT] did you
receive treatment or counseling for alcohol use only, drug use only, or both
alcohol and drug use?
1
ALCOHOL USE ONLY
2
DRUG USE ONLY
3
BOTH ALCOHOL AND DRUG USE
DK/REF
Section 8 — Drug and Alcohol Treatment (DTX)
109
DTX4 [IF DTX1 = 1] Treatment or counseling for [alcohol use/drug use/alcohol or drug use]
can be provided in a variety of ways. Have you ever received any treatment or
counseling from…
YES
NO
DTX4a. [IF DTX1 = 1] an alcohol or drug detoxification unit
where you spent up to 72 hours to dry out?
1
2
DTX4b.
[IF DTX1 = 1] an alcohol or drug program in
which you lived in a special facility or unit?
1
2
DTX4c. [IF DTX1 = 1] counseling sessions with a trained
professional while NOT living in a special facility or unit?
1
2
DTX4d. [IF DTX1 = 1] a self-help group or peer group
counseling, such as Alcoholics Anonymous, Cocaine
Anonymous, or Narcotics Anonymous?
1
2
DTX4e.
[IF DTX1 = 1] an education or awareness program
explaining problems with alcohol or drugs?
1
2
DTX4f.
[IF DTX1 = 1] a maintenance drug to cut your
high or make you sick, such as methadone, antibuse, or
naltrexone?
1
2
DTX4g.
1
2
[IF DTX1 = 1] some other program?
Section 8 — Drug and Alcohol Treatment (DTX)
110
DTX5 [IF DTX4a = 1 OR DTX4b = 1 OR DTX4c = 1 OR DTX4d = 1 OR DTX4e = 1 OR
DTX4f = 1 OR DTX4g = 1] Since your admission to prison [DATE_ADMIT], have
you receive any treatment or counseling from…
YES
NO
DTX5a [IF DTX4a = 1] an alcohol or drug detoxification unit
where you spent up to 72 hours to dry out?
1
2
DTX5b[IF DTX4b = 1] an alcohol or drug program in which you
lived in a special facility or unit?
1
2
DTX5c[IF DTX4c = 1] counseling sessions with a trained
professional while NOT living in a special facility or unit?
1
2
DTX5d [IF DTX4d = 1] a self-help group or peer group
counseling, such as Alcoholics Anonymous, Cocaine
Anonymous, or Narcotics Anonymous?
1
2
DTX5e [IF DTX4e = 1] an education or awareness program
explaining problems with alcohol or drugs?
1
2
DTX5f [IF DTX4f = 1] a maintenance drug to cut your high or
make you sick, such as methadone, antibuse, or
naltrexone?
1
2
DTX5g [IF DTX4g = 1] some other program?
1
2
Section 8 — Drug and Alcohol Treatment (DTX)
111
Section 9 ― Rule Violations and Complaints (RV)
FOR DOCUMENTATION PURPOSES (NOT READ TO RESPONDENTS)
The following customized text fill was defined in a previous section and appears within
questions in this section of the instrument:
Fill Name
Origin
DATE_ADMIT
Section 2 – Criminal Justice (CJ)
DATE_ADMIT Fill Instructions:
IF CJ10a ≠ EMPTY AND CJ10b ≠ EMPTY AND CJ10c ≠ EMPTY THEN
DATE_ADMIT = “on MONTH DAY, YEAR”
IF CJ10a ≠ EMPTY AND CJ10b = EMPTY AND CJ10c ≠ EMPTY THEN
DATE_ADMIT = “in MONTH, YEAR”
ELSE DATE_ADMIT = EMPTY
Note – DATE_ADMIT is updated with the Month, Day and Year of admission wherever it is
collected in the Criminal Justice module, as these dates can be collected in several places.
DEFINE 12MONSTATUS:
IF admission date is less than 12 months ago THEN set 12MONSTATUS = 1
IF admission date is at least 12 months ago THEN set 12MONSTATUS = 2
RV1
Prisons have a lot of rules that inmates are expected to follow. This next set of
questions is about any prison rules that you may have broken.
Since you were admitted to prison [DATE_ADMIT], how many times have you been
written up for or found guilty of breaking any prison rules?
TIMES: ________________ [RANGE: 0 – 500]
DK/REF
RV2
[IF RV1 ≥ 1 AND 12MONSTATUS = 2] During the past 12 months, how many
times have you been written up for or found guilty of breaking any prison rules?
TIMES: ________________ [RANGE: 1 – 250]
DK/REF
Section 9 ― Rule Violations and Complaints (RV)
112
RV3
[IF RV2 ≥ 1] the next set of questions will ask you how many times you have been
written up or found guilty of specific types of offenses during the past 12 months.
During the past 12 months, how many times have you been written up for or found
guilty of…
RV3a a drug or alcohol violation, such as possession, use, or selling?
TIMES: ________________ [RANGE: 0 – 250]
DK/REF
RV3b possession of a weapon?
TIMES: ________________ [RANGE: 0 – 250]
DK/REF
RV3c possession of stolen property?
TIMES: ________________ [RANGE: 0 – 250]
DK/REF
RV3d possession of any other unauthorized substance or item?
TIMES: ________________ [RANGE: 0 – 250]
DK/REF
During the past 12 months, how many times have you been written up for or found
guilty of…
RV3e verbal assault on a correctional officer or other staff person?
TIMES: ________________ [RANGE: 0 – 250]
DK/REF
RV3f physical assault on a correctional officer or other staff person?
TIMES: ________________ [RANGE: 0 – 250]
DK/REF
RV3g verbal assault on another inmate?
TIMES: ________________ [RANGE: 0 – 250]
DK/REF
RV3h physical assault on another inmate?
TIMES: ________________ [RANGE: 0 – 250]
DK/REF
Section 9 ― Rule Violations and Complaints (RV)
113
During the past 12 months, how many times have you been written up for or found
guilty of…
RV3i escape or attempted escape?
TIMES: ________________ [RANGE: 0 – 250]
DK/REF
RV3j any other major violations, such as work slowdowns, food strikes, setting fires, or
rioting?
TIMES: __________________[RANGE: 0 – 250]
DK/REF
RV3k any other minor violations relating to facility orderliness and operations, such as
being out of place, disobeying orders, uses of abusive language, horseplay, or failing to
follow sanitary regulations?
TIMES: __________________ [RANGE: 0 – 250]
DK/REF
RV4
[IF RV1 ≥ 1 AND 12MONSTATUS = 1] Since your admission to prison
[DATE_ADMIT], how many times have you been written up for or found guilty of…
RV4a
a drug or alcohol violation, such as possession, use, or selling?
TIMES: ________________ [RANGE: 0 – 250]
DK/REF
RV4b possession of a weapon?
TIMES: ________________ [RANGE: 0 – 250]
DK/REF
RV4c possession of stolen property?
TIMES: ________________ [RANGE: 0 – 250]
DK/REF
RV4d possession of any other unauthorized substance or item?
TIMES: ________________ [RANGE: 0 – 250]
DK/REF
Since your admission to prison [DATE_ADMIT], how many times have you been
written up for or found guilty of…
RV4e verbal assault on a correctional officer or other staff person?
TIMES: ________________ [RANGE: 0 – 250]
DK/REF
Section 9 ― Rule Violations and Complaints (RV)
114
RV4f physical assault on a correctional officer or other staff person?
TIMES: ________________ [RANGE: 0 – 250]
DK/REF
RV4g verbal assault on another inmate?
TIMES: ________________ [RANGE: 0 – 250]
DK/REF
RV4h physical assault on another inmate?
TIMES: ________________ [RANGE: 0 – 250]
DK/REF
Since your admission to prison [DATE_ADMIT], how many times have you been
written up for or found guilty of…
RV4i escape or attempted escape?
TIMES: ________________ [RANGE: 0 – 250]
DK/REF
RV4j any other major violations, such as work slowdowns, food strikes, setting fires,
or rioting?
TIMES: __________________[RANGE: 0 – 250]
DK/REF
RV4k any other minor violations relating to facility orderliness and operation, such as
being out of place, disobeying orders, uses of abusive language, horseplay, failing
to follow sanitary regulations or others?
TIMES: __________________ [RANGE: 0 – 250]
DK/REF
[IF ANY RV3a - k OR ANY RV4a - k ≥ 1] So you have told me that you were
written up for or found guilty of:
RV5
[IF RV3a OR RV4a ≥ 1] A drug or alcohol violation
[IF RV3b or RV4b ≥ 1] Possession of a weapon
[IF RV3c OR RV4c ≥ 1] Possession of stolen property
[IF RV3d OR RV4d ≥ 1] Possession of any unauthorized substance or item
[IF RV3e OR RV4e ≥ 1] A verbal assault on staff
[IF RV3f OR RV4f ≥ 1] A physical assault on staff
[IF RV3g OR RV4g ≥ 1] A verbal assault on an inmate
Section 9 ― Rule Violations and Complaints (RV)
115
[IF RV3h OR RV4h ≥ 1] A physical assault on an inmate
[IF RV3i OR RV4i ≥ 1] An escape or attempted escape
[IF RV3j OR RV4j ≥ 1] Some other major violation
[IF RV3k OR RV4k ≥ 1] Some other minor violation
Which of these rule violations occurred most recently?
1
A DRUG OR ALCOHOL VIOLATION
2
POSSESSION OF A WEAPON
3
POSSESSION OF STOLEN PROPERTY
4
POSSESSION OF ANY UNAUTHORIZED SUBSTANCE OR ITEM
5
A VERBAL ASSAULT ON STAFF
6
A PHYSICAL ASSAULT ON STAFF
7
A VERBAL ASSAULT ON AN INMATE
8
A PHYSICAL ASSAULT ON AN INMATE
9
AN ESCAPE OR ATTEMPTED ESCAPE
10
SOME OTHER MAJOR VIOLATION
11
SOME OTHER MINOR VIOLATION
DK/REF
DEFINE RV5_FILL
IF RV5 = 1 THEN RV5_FILL = “drug or alcohol violation”
IF RV5 = 2 THEN RV5_FILL = “possession of a weapon”
IF RV5 = 3 THEN RV5_FILL = “possession of stolen property”
IF RV5 = 4 THEN RV5_FILL = “possession of any unauthorized substance
or item”
IF RV5 = 5 THEN RV5_FILL = “verbal assault on staff”
IF RV5 = 6 THEN RV5_FILL = “physical assault on staff”
IF RV5 = 7 THEN RV5_FILL = “verbal assault on an inmate”
IF RV5 = 8 THEN RV5_FILL = “physical assault on an inmate”
IF RV5 = 9 THEN RV5_FILL = “escape or attempted escape”
IF RV5 = 10 THEN RV5_FILL = “other major violation”
IF RV5 = 11 THEN RV5_FILL = “other minor violation”
ELSE RV5_FILL = violation
RV6
[IF RV5 NE BLANK] Did any disciplinary action take place for that
[RV5_FILL]?
1
YES
2
NO
DK/REF
Section 9 ― Rule Violations and Complaints (RV)
116
RV7 [IF RV6 = 1] What disciplinary action took place for that [RV5_FILL]? Any
others? MARK ALL THAT APPLY
1
2
3
4
5
6
7
8
9
SOLITARY CONFINEMENT OR SEGREGATION
CONFINEMENT TO OWN CELL OR QUARTERS
HIGHER CUSTODY LEVEL WITHIN FACILITY
TRANSFERRED TO ANOTHER FACILITY
LOSS OF “GOOD/GAIN” TIME / “BAD” TIME
RECEIVED A NEW SENTENCE
GIVEN EXTRA WORK
LOSS OR CHANGE OF WORK ASSIGNMENT
LOSS OF PRIVILEGES (INCLUDING COMMISSARY AND
VISITING PRIVELEGES)
10
PUT IN RESTRAINTS
11
RECEIVED FORMAL REPRIMAND ONLY
12
RECEIVED NO PUNISHMENT / PUNISHMENT SUSPENDED
13
OTHER
SPECIFY: (RV7_OTH) ___________[ALLOW 75 CHARACTERS]
DK/REF
Section 9 ― Rule Violations and Complaints (RV)
117
Section 10 – Programs, Services, and Work Assignments (P)
FOR DOCUMENTATION PURPOSES (NOT READ TO RESPONDENTS)
The following customized text fill was defined in a previous section and appears within
questions in this section of the instrument:
Fill Name
Origin
DATE_ADMIT
Section 2 – Criminal Justice (CJ)
DATE_ADMIT Fill Instructions:
IF CJ10a ≠ EMPTY AND CJ10b ≠ EMPTY AND CJ10c ≠ EMPTY THEN
DATE_ADMIT = “on MONTH DAY, YEAR”
IF CJ10a ≠ EMPTY AND CJ10b = EMPTY AND CJ10c ≠ EMPTY THEN
DATE_ADMIT = “in MONTH, YEAR”
ELSE DATE_ADMIT = EMPTY
Note – DATE_ADMIT is updated with the Month, Day and Year of admission wherever it is
collected in the Criminal Justice module, as these dates can be collected in several places
The following calculated variable was defined in a previous section and appears within the
universe statement for questions within this section:
Variable Name
Origin
12MONSTATUS
Section 9 – Rule Violations (RV)
12MONSTATUS Instructions:
IF admission date is less than 12 months ago THEN set 12MONSTATUS = 1
IF admission date is at least 12 months ago THEN set 12MONSTATUS = 2
P_INTRO
This next set of questions is about any services you may have received or
programs you may have participated in while you were incarcerated.
(ENTER TO CONTINUE)
P1
Since you were admitted to prison [DATE_ADMIT], have you participated in any
job training programs, such as employment readiness or vocational training?
1
YES
2
NO
DK/REF
P2
[IF 12MONSTATUS=2 AND P1 = 1 OR DK OR REF] During the past 12
months, that is since (DATE_12], have you participated in any job training
programs?
1
YES
2
NO
DK/REF
Section 10: Programs, Services, and Work Assignments
118
P2a
[IF P2 = 1] Were you required to participate in any the job training
programs?
1
YES
2
NO
DK/REF
FI NOTE:An inmate may be required by
their sentence, the Department of
Corrections (DOC), the Bureau of Prisons
(BOP) or the facility itself.
P3
[IF P1 = 1 AND (12MONSTATUS=1 OR P2 = 1)] Are you currently
participating in any job training programs?
1
YES
2
NO
DK/REF
P3a
[IF P1 = 1 AND P3 = 2] Why are you no longer participating in any job training
programs? (CHECK ALL THAT APPLY)
1
2
COMPLETED PROGRAM REQUIREMENTS
GRADUATED FROM PROGRAM/RECEIVED CERTIFICATE
3
4
QUIT OR DROPPED OUT OF PROGRAM
NO LONGER ALLOWED TO PARTICIPATE IN PROGRAM
(DISCIPLINARY/RULE VIOLATION)
5
SENT TO ANOTHER FACILITY BEFORE COMPLETING THE
PROGRAM
6
PROGRAM NO LONGER AVAILABLE
7
SOME OTHER REASON P3A_OTH_____________(SPECIFY)
DK/REF
Section 10: Programs, Services, and Work Assignments
119
P4
[IF P1 = 2] What is the main reason you have not participated in any job training
programs since you were admitted to prison [DATE_ADMIT]?
1
DOESN’T KNOW ANYTHING ABOUT PROGRAM
2
DOESN’T NEED PROGRAM
3
HASN’T BEEN OFFERED THE CHANCE TO ATTEND PROGRAM
4
HAS HEARD BAD THINGS ABOUT PROGRAM
5
STAFF DIDN’T WANT HIM/HER TO ATTEND PROGRAM
6.
TOO BUSY TO ATTEND PROGRAM
7
NOT QUALIFIED/ALLOWED TO ATTEND PROGRAM
8
SOME OTHER REASON PXS OTH__________________(SPECIFY)
DK/REF
P5
[IF P1 = 1] I am going to read a list of reasons why people may participate in job
training programs. For each reason, please tell me whether you feel it is very
important, somewhat important, or not important at all.
VERY
SORT OF
IMPORTANT IMPORTANT
P5a. To break up boredom or
see what it was like?
P5b. To spend time with
friends or make friends?
P5c. To try to get out of prison
early?
P5d. To help or improve
yourself by learning new skills?
P6
NOT
IMPORTANT
AT ALL
1
2
3
1
2
3
1
2
3
1
2
3
[IF P1 = 1] We’d like to know how much you think participating in job training
programs will help you. Response options will be: A lot, some, and not at all.
How much do you think participating in job training programs will help you…
P6a. Get a better education?
P6b. Get or keep a job once you are
released?
P6c. Avoid breaking the law once
you are released?
Section 10: Programs, Services, and Work Assignments
A LOT
SOME
NOT AT ALL
1
2
3
1
2
3
1
2
3
120
P7
Since you were admitted to prison [DATE_ADMIT], have you participated in any
education programs, such as high school, GED, adult basic education, or college
courses, or English as a Second Language (ESL)?
1
YES
2
NO
DK/REF
P7a
[IF P1 = 7] Did the education programs you participated in include English
as a Second Language, or ESL, courses?
1
YES
2
NO
DK/REF
P8
[IF 12MONSTATUS=2 AND P7 = 1 OR DK OR REF] During the past 12
months, that is since (DATE_12], have you participated in any education
programs?
1
YES
2
NO
DK/REF
P8a
[IF P7 = 1] Were you required to participate in any education programs?
1
2
YES
NO
DK/REF
FI NOTE:
An inmate may be required
by their sentence, the Department of
Corrections (DOC), the Bureau of Prisons
(BOP) or the facility itself.
P9
[IF P7 = 1 AND (12MONSTATUS=1 OR P8 = 1)] Are you currently
participating in any education programs?
1
YES
2
NO
DK/REF
Section 10: Programs, Services, and Work Assignments
121
P9a
[IF P7 = 1 AND P9 = 2] Why are you no longer participating in any education
programs? (CHECK ALL THAT APPLY)
1
2
COMPLETED PROGRAM REQUIREMENTS (NO CERTIFICATE)
GRADUATED FROM PROGRAM/RECEIVED CERTIFICATE OF
COMPLETION
3
QUIT OR DROPPED OUT OF PROGRAM
4
NO LONGER ALLOWED TO PARTICIPATE IN PROGRAM
(DISCIPLINARY/RULE VIOLATION)
5
SENT TO ANOTHER FACILITY BEFORE COMPLETING THE
PROGRAM
6
PROGRAM NO LONGER AVAILABLE
7
SOME OTHER REASON P9A_OTH______________(SPECIFY)
DK/REF
P10
[IF P7 = 2] What is the main reason you have not participated in any education
programs since you were admitted to prison [DATE_ADMIT]?
1
DOESN’T KNOW ANYTHING ABOUT PROGRAM
2
DOESN’T NEED PROGRAM/NOT INTERESTED IN PROGRAM
3
HASN’T BEEN OFFERED THE CHANCE TO ATTEND PROGRAM
4
HAS HEARD BAD THINGS ABOUT PROGRAM
5
STAFF DIDN’T WANT HIM/HER TO ATTEND PROGRAM
6
TOO BUSY TO ATTEND PROGRAM
7
NOT QUALIFIED/ALLOWED TO ATTEND PROGRAM
8
SOME OTHER REASON P10_OTH__________(SPECIFY)
DK/REF
P11
[IF P7 = 1] I am going to read a list of reasons why people may participate in
education programs. For each reason, please tell me whether you feel it is very
important, somewhat important, or not important at all.
VERY
SORT OF
IMPORTANT IMPORTANT
P11a. To break up boredom or
see what it was like?
P11b. To spend time with
friends or make friends?
P11c. To try to get out of
prison early?
P11d. To help or improve
yourself?
NOT
IMPORTANT
AT ALL
1
2
3
1
2
3
1
2
3
1
2
3
Section 10: Programs, Services, and Work Assignments
122
P12
[IF P1 = 7] We’d like to know how much you think participating in education
programs may help you. Response options will be: A lot, some, and not at all.
How much do you think participating in education programs will help you…
P12a. Get a better education?
P12b. Get or keep a job once you are
released?
P12c. Avoid breaking the law once
you are released?
P13
A LOT
SOME
NOT AT ALL
1
2
3
1
2
3
1
2
3
Since you were admitted to prison [DATE_ADMIT], have you participated in any
of the following classes or programs?
P13a. Any child rearing classes?
YES NO
1
2
P13b. Any anger management or conflict resolution classes?
1
2
P13c. Any money management or financial planning classes
1
2
P13d. Any sex offender treatment programs
1
2
P14
Do you currently have a work assignment either inside the facility, on
facility grounds, or outside the prison facility for which you leave the
prison grounds?
1
YES
2
NO
DK/REF
Go to P15
Section 10: Programs, Services, and Work Assignments
123
P15
[IF P14 = 1] What sorts of work assignments do you have currently?
(CHECK ALL THAT APPLY)
1
2
3
4
5
6
7
8
9
10
GENERAL JANITORIAL DUTIES
(CLEANING/ORDERLY/SWEEPING)
GROUNDS OR ROAD MAINTENANCE
FOOD PREPARATION OR RELATED DUTIES (KITCHEN,
BAKERY, BUTCHERY, ETC.)
LAUNDRY
HOSPITAL, INFIRMARY, OR OTHER MEDICAL
SERVICES
FARMING/FORESTRY/RANCHING
GOODS PRODUCTION/INDUSTRIES/CONTRACT
SERVICES (TELEMARKETING, TAG SHOP, PRINT SHOP,
ETC.)
OTHER SERVICES SUCH AS LIBRARY, STOCKROOM,
STORE, OFFICE HELP, RECREATION, SEW SHOP, BARBER
OR BEAUTY SHOP, ETC.
MAINTENANCE OR REPAIR/CONSTRUCTION
OTHER – (P15_OTH) SPECIFY_____________ ___
DK/REF
P16
P17
[IF P14 = 1] Are you required to have a work assignment?
1
YES
2
NO
DK/REF
FI NOTE:
An inmate may be required
by their sentence, the Department of
Corrections (DOC), the Bureau of Prisons
(BOP) or the facility itself.
[IF P16 = 2] I am going to read a list of reasons why people may choose to have a
work assignment while they are in prison. For each reason, please tell me
whether you feel it is very important, somewhat important, or not important at all.
Very
Important
Sort of
Important
Not Important
at All
1
2
3
1
1
1
1
2
2
2
2
3
3
3
3
P17a. To break up boredom or see
what it was like?
P17b. To spend time with friends or
make friends?
P17c. To try to get out of prison early?
P17d. To learn some new job skills?
P17e. For spending money?
Section 10: Programs, Services, and Work Assignments
124
Interview Closeout Screens (IC)
ICA1 Finally, I would like to ask you to consent to one additional aspect of our research
designed to improve our understanding of the characteristics and challenges of prison
inmates, including those who are eventually released to the community, and without
taking up more of your time. We would like to obtain your Social Security number to
determine whether or not you have used any programs or received any benefits such as
Medicaid, Medicare, Supplemental Security Income (also known as SSI), and disability
and/or survivor benefits.
The Bureau of Justice Statistics will use this information for research purposes only. We
will not release your data to any agency or individual who is not directly involved with
our research. As with the other information you have provided today, your Social Security
number will be protected by Federal law and a Privacy Certificate.
Providing your Social Security number is voluntary. There will be no effect on your
benefits if you do not provide it. Whether you provide it or not will not affect your legal
status or any decisions regarding your release from this facility in any way.
If you are willing, please provide your Social Security number.
1 INMATE AGREES; ENTER SOCIAL SECURITY NUMBER ON NEXT SCREEN
2 INMATE DOES NOT AGREE
3 INMATE INDICATES HE/SHE DOES NOT HAVE A SSN
4 INMATE DOES NOT KNOW WHAT HIS/HER SSN IS
DK
REF
ICA2 [IF ICA1 = 1] ENTER SOCIAL SECURITY NUMBER:
|
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|
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ICA3a [IF ICA2 NE BLANK] Your Social Security number may be included in your file kept
by the [STATE Department of Corrections/Federal Bureau of Prisons] or as part of your
criminal history records. If it is, may we verify your Social Security number from those
records?
1
2
3
4
DK
REF
YES (EITHER/BOTH)
YES, STATE DOC/BOP FILE ONLY
YES, CRIMINAL RECORDS ONLY
NO
Interview Closeout Screens (IC)
125
ICA3b [IF ICA1 = 2 OR 3 OR 4 OR DK OR REF] Your Social Security number may be
included in your file kept by the [STATE Department of Corrections/Federal Bureau of
Prisons] or as a part of your criminal history records. If it is, may we obtain your Social
Security number from those records?
1
2
3
4
DK
REF
YES (EITHER/BOTH)
YES, STATE DOC/BOP FILE ONLY
YES, CRIMINAL RECORDS ONLY
NO
ICA4 Those are all the questions I have for you. Thank you for your time and cooperation.
INTERVIEWER: NOTIFY OFFICER THAT THE INMATE IS FINISHED AND CAN
LEAVE THE INTERVIEW ROOM. AFTER THE INMATE LEAVES THE ROOM,
ENTER 1 TO CONTINUE.
ICA5 INTERVIEWER: PLEASE PROVIDE ANY COMMENTS ABOUT THE INTERVIEW
THAT WOULD BE USEFUL FOR THE PROJECT TEAM TO KNOW:
________________________________________________________________
ALLOW 400 CHARACTERS
Interview Closeout Screens
126
| File Type | application/pdf |
| Author | Stringer, Chris |
| File Modified | 2015-05-13 |
| File Created | 2015-05-13 |