Att 1b_Survey Questions Reference/Justification

Attachment 1b: Survey Question Reference/Justification

Question to Cognitively Test	Survey Question Reference/Justification
Individual Level
1. Have you ever been arrested? Yes No	Not on other surveys in this wording. The National Survey on Drug Use and Health (NSDUH) OMB No. 0930-0110, Exp. 07/31/19) includes this before the question “Not counting minor traffic violations, have you ever been arrested and booked for breaking the law?” No evidence that this was ever cognitively tested.
2. [If YES to arrested] How many times have you been arrested for a crime? ___________	Not on other surveys. NSDUH asks “Not counting minor traffic violations, how many times during the past 12 months have you been arrested and booked for breaking the law?” No evidence that this was ever cognitively tested.
3. Have you ever been incarcerated (in either jail or prison excluding juvenile detention)? Yes No	Not on other surveys. NSDUH asks “Were you on parole, supervised release, or other conditional release from prions at any time during the past 12 months? National Survey of Family Growth (NSFG) OMB #0920-0314, Exp. 05/31/18) asks, “In the last 12 months, have you spent any time in a jail, prison, or a juvenile detention facility?” No evidence that this was ever cognitively tested.
4. [If YES to incarceration] How many times? ___________	Not on other surveys. NSFG asks, “Have you ever been in jail, prison, or juvenile detention facility only one time or more than one time?” (These are also the response options) No evidence that this was ever cognitively tested.
5. [If YES to incarceration] What is the longest amount of time you spent in jail or prison? ___________	Not on other surveys. NSFG asks, How long were you in jail, prison, or juvenile detention? No evidence that this was ever cognitively tested.
6. [If YES to incarceration] What is the total duration of your incarceration experiences? ___________	Not on other surveys. NSFG asks, the last time you were in jail, prison, or juvenile detention, how long were you in? No evidence that this was ever cognitively tested.
7. [If Yes to incarceration] What is the total number of months you have spent incarcerated? ___________	Not on other surveys.

8. [If YES to incarceration] What age were you when you were first in jail or prison? ___________	Not on other surveys.
9. [If YES to incarceration] What was the most recent incarceration? ___________	Not on other surveys.
Family Level
11. Has your spouse ever been incarcerated (in either jail or prison excluding juvenile detention)? Yes No	Not on other surveys.
12. [If YES to incarceration] How many times? ___________times	Not on other surveys.
13. [If YES to incarceration] What is total length of time incarcerated? ___________total length of time	Not on other surveys.
14. [If YES to incarceration] What is the total number of months your spouse has spent incarcerated? ___________total duration incarcerated	Not on other surveys.
15. Is anyone who would otherwise be living in your household currently incarcerated? Yes No	Not on other surveys.
16. [If YES] What is your relationship to this person? ____________________	Not on other surveys.
17. Has any member of your immediate or extended family spent time in jail or prison – not including when they were in juvenile detention? Yes No	Not on other surveys.

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