Screener Testing Instrument and Protocol

Research to support the National Crime Victimization Survey (NCVS)

Attachment A - Instruments and Protocols

Cognitive Testing under the National Crime Victimization Survey (NCVS) Redesign Generic Clearance

OMB: 1121-0325

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NCVS Redesign: Cognitive Testing

ATTACHMENT A – SCREENER TESTING INSTRUMENTS AND PROTOCOLS

Instrument Version 1 (page A2)
- Interviewer-administered, Interleafed, Long Cues
Instrument Version 2 (page A18)
- Interviewer-administered, Interleafed, Short Cues
Instrument Version 3 (page A32)
- Interviewer-administered, Not Interleafed, Long Cues
Instrument Version 4 (page A44)
- Interviewer-administered, Not Interleafed, Short Cues
Incident Data Sheet for Versions 3, 4 (page A52)
Screener Cognitive Interview Protocol (page A53)

Instrument Version 1

Mode	Interleaf	Cue Length
Interviewer	Yes	Long

INTRO1. The questions will ask about things that happened to you in the past 12 months. First, can you think of anything that happened that was important to you in (ANCHOR MONTH/YEAR), such as a birthday, a vacation, a new job, or anything else, even a big story in the news?

_______________________________________________________________________

In this study, it is important to only report events that happened in the past 12 months. As you think about what happened to you, please think carefully about whether it happened before or after (ANCHOR DATE), and only report things that happened after this date.

INTRO2. This survey will cover the following types of things: theft; break-ins; deliberate damage to your property; physical attacks against you, personally; unwanted sexual contact; being followed or stalked; being cheated out of something; and having your identity stolen.

For each topic, I’m going to ask several questions. We find that this helps remind people of things they might not think of. I’m going to ask you to say yes or no after each question.

1. First I’ll ask about different things that might have been stolen from you. This may have happened to you while you were at home, at work or school, or somewhere else. In the past 12 months…

Was something belonging to you stolen, such as things that you carry, like a cell phone, money, a wallet, purse, or briefcase?	Yes	No
How about things that you wear, like clothing, jewelry, or shoes?	Yes	No
How about things in your home, like a TV, laptop, tools, or guns?	Yes	No
Still thinking about anything that was stolen in the past 12 months, was anything stolen out of one of your vehicles, such as a package or groceries?	Yes	No
Was anything stolen from your porch, lawn, garage, or other part of your property, such as a bicycle, garden hose or lawn furniture? (ASKED OF HOUSEHOLD RESPONDENT ONLY)	Yes	No
Was anything stolen belonging to the children who live here? (ASKED OF HOUSEHOLD RESPONDENT ONLY)	Yes	No
Were any other things that belong to you stolen in the past 12 months?	Yes	No

1h. In the past 12 months, did anyone TRY to steal anything belonging to you?

1 Yes

2 No

IF YES TO ANY IN #1a-h, CONTINUE. ELSE GO TO #2.

1_1. How many times was something (IF #1=YES: stolen/IF #1a=YES: attempted to be stolen) in the past 12 months?

1 Once

2 Twice

3 Three times

4 Four or more times

1_2. In what month and year did (this/these) happen? (IF UNABLE TO PROVIDE EXACT MONTH, RECORD VERBATIM RESPONSE, SUCH AS “SPRING”)

a. Most recent incident

b. Next most recent incident

c. Next most recent incident

d. Next most recent incident

FOR EACH INCIDENT IN 1_2, COMPLETE 1_3.

1_3. For the next questions, focus only on the incident that happened in (MONTH/YEAR).

A. Did anyone break in, or try to break in, to your home or property as part of this incident?

1 Yes

2 No

B. Was there any damage to your property as part of this incident?

1 Yes

2 No

C. Were you or was someone else from your household there when this happened?

1 Yes, me – CONTINUE

2 Yes, someone else – GO TO #2

3 Yes, both me and someone else – CONTINUE

4 No – GO TO #2

D. Were you physically attacked, or threatened with an attack, during this incident?

1 Yes - CONTINUE

2 No – GO TO #2

E. Did anyone have, or try to have, sexual contact with you that you DID NOT CONSENT TO and that YOU DID NOT WANT to happen as part of this incident?

1 Yes

2 No

2. The next few questions ask about break-ins.

(IF A BREAK-IN WAS REPORTED AS PART OF OTHER INCIDENTS, READ: You’ve already told me about (a time/some times) when someone broke in or tried to break in to your home or property. Other than what you have already mentioned,)

In the past 12 months… (ASKED OF HOUSEHOLD RESPONDENT ONLY)

Has anyone broken in or TRIED to break into your home by forcing a door or window, pushing past someone, jimmying a lock, cutting a screen, or coming through an open door or window?	Yes	No
Has anyone broken in or TRIED to break into your garage, shed, or storage room?	Yes	No
Has anyone broken in or TRIED to break into a hotel or motel room or vacation home where you were staying?	Yes	No

(IF YES TO ANY IN #2A-C, CONTINUE. ELSE TO GO #3)

2_1. How many times did this happen in the past 12 months?

1 Once

2 Twice

3 Three times

4 Four or more times

2_2. In what month and year did (this/these) happen? (IF UNABLE TO PROVIDE EXACT MONTH, RECORD VERBATIM RESPONSE, SUCH AS “SPRING”)

a. Most recent incident

b. Next most recent incident

c. Next most recent incident

d. Next most recent incident

FOR EACH INCIDENT IN 2_2, COMPLETE 2_3.

2_3. For the next questions, focus only on the incident that happened in (MONTH/YEAR).

A. Was there any damage to your property as part of this incident?

1 Yes

2 No

B. Were any items or belongings stolen as part of this incident?

1 Yes

2 No

C. Were you or was someone else from your household there when this incident happened?

1 Yes, me – CONTINUE

2 Yes, someone else – GO TO #3

3 Yes, both me and someone else – CONTINUE

4 No – GO TO #3

D. Were you physically attacked or threatened with an attack during this incident?

1 Yes - CONTINUE

2 No – GO TO #3

E. Did anyone have, or try to have, sexual contact with you that you DID NOT CONSENT TO and that YOU DID NOT WANT to happen as part of this incident?

1 Yes

2 No

3a. The next few questions ask about vehicles. What was the TOTAL number of cars, vans, trucks, motorcycles, or other motor vehicles owned by you or any other member of this household during the last 12 months? Include those you no longer own. (ASKED OF HOUSEHOLD RESPONDENT ONLY)

______________

3b. In the past 12 months… (ASKED OF HOUSEHOLD RESPONDENT ONLY)

Was a vehicle you owned at the time stolen or used without permission?	Yes	No
Did anyone steal any vehicle parts such as a tire, car stereo, GPS, hubcap, or battery?	Yes	No
c) Did anyone steal any gas from a vehicle you own?	Yes	No
d) Did anyone TRY to steal a vehicle or vehicle parts?	Yes	No

(IF YES TO ANY IN #3A-D, CONTINUE. ELSE SKIP TO #4)

3_1. How many times did this happen to you (or someone else in this household) in the past 12 months?

1 Once

2 Twice

3 Three times

4 Four or more times

3_2. In what month and year did (this/these) happen? (IF UNABLE TO PROVIDE EXACT MONTH, RECORD VERBATIM RESPONSE, SUCH AS “SPRING”)

a. Most recent incident

b. Next most recent incident

c. Next most recent incident

d. Next most recent incident

FOR EACH INCIDENT IN 3_2, COMPLETE 3_3.

3_3. For the next questions, only focus on the incident when a vehicle was stolen in (MONTH /YEAR).

A. Was there any damage to your vehicle as part of this incident?

1 Yes

2 No

B. Other than the (vehicle theft/theft of vehicle parts), were any items or belongings stolen from the vehicle, such as a cell phone, money, or any other items that were in the vehicle?

1 Yes

2 No

C. Were you or was someone else from your household there when this incident happened?

1 Yes, me – CONTINUE

2 Yes, someone else – GO TO 3B

3 Yes, both me and someone else – CONTINUE

4 No – GO TO 3B

D. Were you physically attacked or threatened with an attack during this incident?

1 Yes - CONTINUE

2 No – GO TO 3B

E. Did anyone have, or try to have, sexual contact with you that you DID NOT CONSENT TO and that YOU DID NOT WANT to happen as part of this incident?

1 Yes

2 No

4. Now I'd like to ask about any acts of vandalism that may have been committed against you and the other people living with you. Vandalism is when someone deliberately damages or destroys something belonging to you. It does not include things that were done by accident. Examples of vandalism are breaking windows, slashing tires, and painting graffiti on walls.

In the past 12 months, has anyone vandalized your home, car, or something else belonging to you or someone else living here?

1 Yes - CONTINUE

2 No – GO TO #5

4_1. How many times did this happen in the past 12 months?

1 Once

2 Twice

3 Three times

4 Four or more times

4_2. In what month and year did (this/these events) happen? (IF UNABLE TO PROVIDE EXACT MONTH, RECORD VERBATIM RESPONSE, SUCH AS “SPRING”)

a. Most recent incident

b. Next most recent incident

c. Next most recent incident

d. Next most recent incident

FOR EACH INCIDENT IN 4_2, COMPLETE 4_3.

4_3. For the next questions, focus only on the incident that happened in (MONTH/YEAR).

A. Were any items or belongings stolen as part of the incident?

1 Yes

2 No

B. Were you or was someone else from your household there when this happened?

1 Yes, me – CONTINUE

2 Yes, someone else – GO TO #5

3 Yes, both me and someone else – CONTINUE

4 No – GO TO #5

C. Were you physically attacked or threatened with an attack during this incident?

1 Yes - CONTINUE

2 No – GO TO #5

D. Did anyone have, or try to have, sexual contact with you that you DID NOT CONSENT TO and that YOU DID NOT WANT to happen as part of this incident?

1 Yes

2 No

5. The next few questions ask about any physical attacks against you personally. These may have happened at your home or while you were at work, at school, or away from home.

(IF ANY ATTACK WAS REPORTED AS PART OF OTHER INCIDENTS, READ: You’ve already told me about (a time/some times) when you were recently attacked or someone threatened to attack you. Other than what you’ve already mentioned,)

In the past 12 months…

Has anyone attacked or tried to attack you with a weapon, for instance, a gun or knife?	Yes	No
Has anyone attacked or tried to attack you with something else that was used as a weapon, like a baseball bat, scissors, or a stick?	Yes	No
Has anyone attacked or tried to attack you by throwing something at you, such as a rock or bottle?	Yes	No
Has anyone attacked or tried to attack you by slapping, grabbing, kicking, punching, or choking you?	Yes	No
Has anyone attacked, tried to attack, or used force against you in any other way in the past 12 months? Please mention it even if you are not certain it was a crime.	Yes	No

(IF YES TO ANY IN #5A-E, GO TO 5_1. ELSE CONTINUE)

5f. (Other than incidents already mentioned,) In the past 12 months, did anyone THREATEN to attack you, but not actually do it?

Yes - CONTINUE

No – SKIP TO 5h

5g. (IF YES TO 5f) How were you threatened? Was it face-to-face, by phone or text, or online?

1 Face-to-face

2 By phone or text

3 Online

4 Some other way (e.g., by mail, to a third party)

(IF FACE-TO-FACE IN 5G, SKIP TO 5_1. ELSE CONTINUE)

5h. People sometimes don’t think of attacks by someone they know, like a current or former spouse or partner, someone at work, a friend, or a family member. (Other than incidents already mentioned,) Has anyone YOU KNOW used any kind of physical force against you in the past 12 months? Examples are if someone you know choked you, slapped you, hit you with something other than a fist, attacked you with a weapon, or otherwise physically hurt you.

1 Yes - CONTINUE

2 No – GO TO #6

5_1. How many times were you attacked or threatened in the past 12 months?

1 Once

2 Twice

3 Three times

4 Four or more times

5_2. In what month and year did (this/these) happen? (IF UNABLE TO PROVIDE EXACT MONTH, RECORD VERBATIM RESPONSE, SUCH AS “SPRING”)

a. Most recent incident

b. Next most recent incident

c. Next most recent incident

d. Next most recent incident

FOR EACH INCIDENT IN 5_2, COMPLETE 5_3.

5_3. For the next question, focus only on the incident that happened in (MONTH/YEAR).

A. Did anyone have, or try to have, sexual contact with you that you DID NOT CONSENT TO and that YOU DID NOT WANT to happen as part of this incident?

1 Yes

2 No

6. Now I’d like to ask about any sexual contact in the past 12 months that you DID NOT CONSENT TO and that YOU DID NOT WANT to happen. I want to remind you that the information you provide is confidential.

Sexual contact includes someone touching your private parts, unwanted kissing, or penetrating your (IF FEMALE: vagina or)/(ALL: anus) with a penis, mouth, tongue, fingers, or object. This could have been done by someone you know well, someone you casually know, or a stranger.

(IF ANY SEXUAL CONTACT WAS REPORTED ALREADY, READ: You’ve already told me about (a time/some times) when someone had, or tried to have, sexual contact with you that you DID NOT CONSENT TO and that you DID NOT WANT to happen. Other than what you’ve already mentioned,)

In the past 12 months…

Did anyone forcibly touch or grab your private parts – or TRY to do this?	Yes	No
Did anyone force you to have sexual contact by holding you down with his or her body weight, pinning your arms, hitting or kicking you, or using some other type of force – or TRIED to do this?	Yes	No
Did anyone threaten to hurt you or someone close to you if you did not have sexual contact?	Yes	No
Did anyone have sexual contact with you – or try to have sexual contact with you – while you were passed out, unconscious, blacked out, asleep, or unable to consent because you were drunk or high?	Yes	No

(IF YES TO ANY IN 6A-D, CONTINUE. ELSE GO TO #7)

6_1. How many times did this happen in the past 12 months?

1 Once

2 Twice

3 Three times

4 Four or more times

6_2. In what month and year did (this/these) happen? (IF UNABLE TO PROVIDE EXACT MONTH, RECORD VERBATIM RESPONSE, SUCH AS “SPRING”)

a. Most recent incident

b. Next most recent incident

c. Next most recent incident

d. Next most recent incident

7. Now, I would like to ask you about other types of unwanted contacts or behaviors. When answering, please think about anyone who may have done these things, including a current or former spouse or partner, other people you may know, or strangers. However, please DO NOT include bill collectors, solicitors, or sales people.

In the past 12 months…

a. Has anyone followed you around and watched you?	Yes	No
b. Has anyone sneaked into your home, car, or any other place and did unwanted things to let you know they had been there?	Yes	No
c. Has anyone waited for you at your home, work, school, or any other place when you didn’t want them to?	Yes	No
d. Still thinking about unwanted contacts and behaviors, in the past 12 months, has anyone showed up, rode or drove by places where you were when they had no business being there?	Yes	No
e. Has anyone left or sent you unwanted items, cards, letters, presents, flowers, or any other unwanted items?	Yes	No
f. Has anyone harassed or repeatedly asked your friends or family for information about you or your whereabouts?	Yes	No

The next questions are about unwanted contacts or behaviors using various technologies, such as your phone, the Internet, or social media apps. Again, please DO NOT include contacts from bill collectors, solicitors, or sales people. In the past 12 months…

g. Has anyone made unwanted phone calls to you, left voice messages, sent text messages, or used the phone excessively to contact you?	Yes	No
h. Has anyone spied on you or monitored your activities using technologies such as a listening device, camera, or computer or cell phone monitoring software?	Yes	No
i. Has anyone tracked your whereabouts with an electronic tracking device or application, such as GPS or an application on your cell phone?	Yes	No
j. Still thinking about unwanted contacts and behaviors, in the past 12 months has anyone posted or threatened to post inappropriate, unwanted, or personal information about you on the Internet? This includes private photographs, videos, or spreading rumors.	Yes	No
k. Has anyone sent unwanted e-mails or messages using the Internet, for example, using social media apps or websites like Instagram, Twitter, or Facebook?	Yes	No
l. Has anyone monitored your activities using social media apps like Instagram, Twitter, or Facebook?	Yes	No

(IF YES TO ANY IN 7A-L, CONTINUE. ELSE GO TO #8)

7n. Has anyone done (this/any of these things) to you more than once in the past 12 months?

1 Yes - CONTINUE

2 No – GO TO #8

7o. Did any of these unwanted contacts or behaviors make you fear for your safety or the safety of someone close to you?

7p. Did any of these unwanted contacts or behaviors cause you substantial emotional distress?

7q. IF ANY INCIDENTS REPORTED EARLIER: Were any of these unwanted contacts or behaviors done by the same person(s) who carried out any of the other incidents you’ve mentioned today?

1 Yes

2 No

8. The next items are about whether anyone got you to give them money by lying about a product or service, or by deliberately hiding information about it from you. In the past 12 months...

a. Did you pay for something or a service that you never got, or that was fake or worthless?	Yes	No
b. Were you told you won something, such as a prize or lottery, but you had to pay money in order to collect it, or you never got it or it was fake or worthless?	Yes	No
c. Were you told you would get a high return on an investment you made, but it was fake or worth far less than you were led to expect?	Yes	No
d. Did you pay someone to help you improve your credit or finances, but then not receive what you were promised?	Yes	No
e. Did you donate money to an organization you thought was a charity, but which turned out to be fake?	Yes	No
f. Did you put money into a business opportunity, but it was fake or you earned much less than you were led to expect?	Yes	No
g. Did you send money to help someone who told you they urgently needed money, but it turned out their story wasn’t true?	Yes	No
h. Did you send money to someone who pretended to need help moving money from another country, but they just kept your money?	Yes	No
i. Were there any other times in the past 12 months when someone got you to give them money by lying about a product or service, or by deliberately hiding information from you?	Yes	No
j. Thinking about all the situations I just asked you about, did anyone TRY anything (else) like this on you in the past 12 months, but you did not send them any money?	Yes	No

(IF YES TO ONLY ONE IN #8A-J, CONTINUE. IF YES TO MORE THAN ONE IN #8A-J, GO TO #8B. ELSE GO TO #9)

8a. In the past 12 months, did this happen to you once or more than once?

1 Once – GO TO #9

2 More than once– CONTINUE

8b. Were these all done by the same people or company, or were these done by different people or different companies?

1 Same

2 Different

9. Now I’d like to ask you about any times someone used your personal information without your permission for their own benefit. In the past 12 months…

a) Did someone, without your permission, use or try to use your existing checking or savings account, including any debit or ATM cards?	Yes	No	Does not apply
b) Did someone use or try to use one or more of your existing credit cards without your permission? Please do not include debit cards.	Yes	No	Does not apply
c) Did someone misuse or try to misuse another type of existing account, such as your telephone, utilities, an online payment account like Paypal, insurance policies, or something else?	Yes	No
d) Still thinking about the past 12 months, did someone, without your permission, use or try to use your personal information to open any NEW accounts, such as wireless telephone accounts, credit card accounts, loans, bank accounts, online payment accounts, or something else?	Yes	No
e) Did someone use or try to use your personal information for some other fraudulent purpose, such as getting medical care, a job, or government benefits; renting an apartment or house; giving your information to the police when they were charged with a crime or traffic violation, or something else?	Yes	No

(IF YES TO ONLY ONE IN #9A-E, CONTINUE. IF YES TO MORE THAN ONE IN #9A-E, GO TO #9B. ELSE GO TO INTRO BEFORE #10)

9a. In the past 12 months, did this happen to you once, or more than once?

1 Once – GO TO #9C

2 More than once – CONTINUE

9b. Were these all done by the same person, or were these done by different people?

1 Same

2 Different

9c. IF ANY INCIDENTS REPORTED EARLIER: (Was this/Were any of these) done by the same person(s) who carried out any of the other incidents you’ve mentioned today?

1 Yes

2 No

INTRO BEFORE #10: Before we move on, I’d like to review the different incidents that you’ve reported to me.

GO BACK THROUGH RESPONSES TO QUESTIONS 1-9 AND REVIEW WHAT HAPPENED IN EACH.

Example:

A break-in in May 2015 in which some belongings were stolen, and you were attacked.
Another break-in in December 2015, in which there was some vandalism.
A theft in October 2015
A theft in January 2015 when you were attacked.

10. I want to make sure we’ve captured everything that has happened to you. At the beginning of this survey, you recalled that {RESPONSE TO INTRO1} occurred around (ANCHOR DATE). Is there anything (else) that you might think of as a crime that happened to you in the past 12 months that you haven’t mentioned? It could be something you called the police about, or something you didn’t consider reporting to the police.

1 Yes – CONTINUE

2 No – GO TO END

10a. What happened?

________________________________________________________________________

Thank you. Now I’d like to ask you some questions about the questions you just answered.

(INTERVIEWER – GO TO PROTOCOL TO ASK COGNITIVE PROBES)

Instrument Version 2

Mode	Interleaf	Cue Length
Interviewer	Yes	Short

_______________________________________________________________________

INTRO2. This survey will cover the following types of things: theft; break-ins; deliberate damage to your property; physical attacks against you, personally; unwanted sexual contact; being stalked; being cheated out of something; and having your identity stolen.

1. First I’ll ask about different things that might have been stolen from you. In the past 12 months, was something belonging to you or your children under 12 stolen? This might include things like money, jewelry, clothing, cell phones, TVs or other electronics, or any other items belonging to you.

1 Yes

2 No

1a. Did anyone attempt to steal anything belonging to you?

1 Yes

2 No

IF YES TO EITHER #1 OR #1a, CONTINUE. ELSE GO TO #2.

1_1. How many times was something (IF #1=YES: stolen/IF #1a=YES: attempted to be stolen) in the past 12 months?

1 Once

2 Twice

3 Three times

4 Four or more times

1_2. In what month and year did (this/these) happen? (IF UNABLE TO PROVIDE EXACT MONTH, RECORD VERBATIM RESPONSE, SUCH AS “SPRING”)

a. Most recent incident

b. Next most recent incident

c. Next most recent incident

d. Next most recent incident

FOR EACH INCIDENT IN 1_2, COMPLETE 1_3.

1_3. For the next questions, focus only on the incident that happened in (MONTH/YEAR).

A. Did anyone break in, or try to break in, to your home or property as part of this incident?

1 Yes

2 No

B. Was there any damage to your property as part of this incident?

1 Yes

2 No

C. Were you or was someone else from your household there when this happened?

1 Yes, me – CONTINUE

2 Yes, someone else – GO TO #2

3 Yes, both me and someone else – CONTINUE

4 No – GO TO #2

D. Were you physically attacked, or threatened with an attack, during this incident?

1 Yes - CONTINUE

2 No – GO TO #2

E. Did anyone have, or try to have, sexual contact with you that you DID NOT CONSENT TO and that YOU DID NOT WANT to happen as part of this incident?

1 Yes

2 No

2. The next few questions ask about break-ins. (IF A BREAK-IN WAS REPORTED AS PART OF OTHER INCIDENTS, READ: You’ve already told me about (a time/some times) when someone broke in or tried to break in to your home or property. Other than what you have already mentioned,)

In the past 12 months, did anyone break in or try to break into your home, your garage or shed, or a hotel or motel room or vacation home where you or someone else in this household were staying by forcing a door or window, pushing past someone, jimmying a lock, cutting a screen, or entering through an open door or window?

1 Yes - CONTINUE

2 No – GO TO #3

2_1. How many times did this happen in the past 12 months?

1 Once

2 Twice

3 Three times

4 Four or more times

2_2. In what month and year did (this/these) happen? (IF UNABLE TO PROVIDE EXACT MONTH, RECORD VERBATIM RESPONSE, SUCH AS “SPRING”)

a. Most recent incident

b. Next most recent incident

c. Next most recent incident

d. Next most recent incident

FOR EACH INCIDENT IN 2_2, COMPLETE 2_3.

2_3. For the next questions, focus only on the incident that happened in (MONTH/YEAR).

A. Was there any damage to your property as part of this incident?

1 Yes

2 No

B. Were any items or belongings stolen as part of this incident?

1 Yes

2 No

C. Were you or was someone else from your household there when this incident happened?

1 Yes, me – CONTINUE

2 Yes, someone else – GO TO #3

3 Yes, both me and someone else – CONTINUE

4 No – GO TO #3

D. Were you physically attacked or threatened with an attack during this incident?

1 Yes - CONTINUE

2 No – GO TO #3

E. Did anyone have, or try to have, sexual contact with you that you DID NOT CONSENT TO and that YOU DID NOT WANT to happen as part of this incident?

1 Yes

2 No

3A. The next few questions ask about vehicles. In the past 12 months, did you or anyone else in this household have a car, van, truck, motorcycle, or other motor vehicle stolen or used without permission?

1 Yes - CONTINUE

2 No – GO TO 3B

3A_1. How many times did this happen to you (or someone else in this household) in the past 12 months?

1 Once

2 Twice

3 Three times

4 Four or more times

3A_2. In what month and year did (this/these) happen? (IF UNABLE TO PROVIDE EXACT MONTH, RECORD VERBATIM RESPONSE, SUCH AS “SPRING”)

a. Most recent incident

b. Next most recent incident

c. Next most recent incident

d. Next most recent incident

FOR EACH INCIDENT IN 3A_2, COMPLETE 3A_3.

3A_3. For the next questions, only focus on the incident when a vehicle was stolen in (MONTH /YEAR).

A. Was there any damage to your vehicle as part of this incident?

1 Yes

2 No

B. Other than the vehicle theft itself, were any items or belongings stolen from the vehicle, such as a cell phone, money, or any other items that were in the vehicle?

1 Yes

2 No

C. Were you or was someone else from your household there when this incident happened?

1 Yes, me – CONTINUE

2 Yes, someone else – GO TO 3B

3 Yes, both me and someone else – CONTINUE

4 No – GO TO 3B

D. Were you physically attacked or threatened with an attack during this incident?

1 Yes - CONTINUE

2 No – GO TO 3B

E. Did anyone have, or try to have, sexual contact with you that you DID NOT CONSENT TO and that YOU DID NOT WANT to happen as part of this incident?

1 Yes

2 No

IF YES IN 3A: Next are questions about other types of vehicle theft that may have happened in the past 12 months, NOT including what you’ve already shared.

3B. In the past 12 months, were any vehicle parts stolen from a car, van, truck, motorcycle, or other motor vehicle belonging to you or someone else in this household, such as a tire, hubcap, car stereo, GPS device, battery or engine parts, gasoline, or any other vehicle parts?

1 Yes - CONTINUE

2 No – GO TO #4

3B_1. How many times did this happen to you or someone else in this household in the past 12 months?

1 Once

2 Twice

3 Three times

4 Four or more times

3B_2. In what month and year did (this/these) happen? (IF UNABLE TO PROVIDE EXACT MONTH, RECORD VERBATIM RESPONSE, SUCH AS “SPRING”)

a. Most recent incident

b. Next most recent incident

c. Next most recent incident

d. Next most recent incident

FOR EACH INCIDENT IN 3B_2, COMPLETE 3B_3.

3B_3. For the next questions, focus only on the incident in which vehicle parts were stolen in (MONTH/YEAR).

A. Besides the theft of vehicle parts, was there any other damage to your vehicle as part of this incident?

1 Yes

2 No

B. Other than the vehicle parts, were any items or belongings stolen from the vehicle, such as a cell phone, money, or any other items that were in the vehicle?

1 Yes

2 No

C. Were you or was someone else from your household there when this happened?

1 Yes, me – CONTINUE

2 Yes, someone else – GO TO #4

3 Yes, both me and someone else – CONTINUE

4 No – GO TO #4

D. Were you physically attacked or threatened with an attack during this incident?

1 Yes - CONTINUE

2 No – GO TO #4

E. Did anyone have, or try to have, sexual contact with you that you DID NOT CONSENT TO and that YOU DID NOT WANT to happen as part of this incident?

1 Yes

2 No

4. Now I’d like to ask about any acts of vandalism that may have been committed against you and the other people living with you. Vandalism is when someone damages or destroys something belonging to you on purpose. Examples are breaking windows, slashing tires, or painting graffiti on walls. In the past 12 months, has anyone vandalized your home, car, or something else belonging to you or someone else living here?

1 Yes - CONTINUE

2 No – GO TO #5

4_1. How many times did this happen in the past 12 months?

1 Once

2 Twice

3 Three times

4 Four or more times

4_2. In what month and year did (this/these events) happen? (IF UNABLE TO PROVIDE EXACT MONTH, RECORD VERBATIM RESPONSE, SUCH AS “SPRING”)

a. Most recent incident

b. Next most recent incident

c. Next most recent incident

d. Next most recent incident

FOR EACH INCIDENT IN 4_2, COMPLETE 4_3.

4_3. For the next questions, focus only on the incident that happened in (MONTH/YEAR).

A. Were any items or belongings stolen as part of the incident?

1 Yes

2 No

B. Were you or was someone else from your household there when this happened?

1 Yes, me – CONTINUE

2 Yes, someone else – GO TO #5

3 Yes, both me and someone else – CONTINUE

4 No – GO TO #5

C. Were you physically attacked or threatened with an attack during this incident?

1 Yes - CONTINUE

2 No – GO TO #5

D. Did anyone have, or try to have, sexual contact with you that you DID NOT CONSENT TO and that YOU DID NOT WANT to happen as part of this incident?

1 Yes

2 No

5. The next few questions ask about any physical attacks against you personally. (IF ANY ATTACK WAS REPORTED AS PART OF OTHER INCIDENTS, READ: You’ve already told me about (a time/some times) when you were recently attacked or someone threatened to attack you. Other than what you’ve already mentioned,)

In the past 12 months, has anyone attacked or threatened to attack you in any way? This might include things like attacking you with a weapon, attacking you with something else used as a weapon, throwing something at you, grabbing, punching or choking you, or any other type of attack or threat or use of force against you.

1 Yes - CONTINUE

2 No – GO TO #6a

5_1. (IF ATTACK HAS ALREADY BEEN REPORTED: Other than the attack(s) or threat(s) you already mentioned,) How many times were you attacked or threatened in the past 12 months?

1 Once

2 Twice

3 Three times

4 Four or more times

5_2. In what month and year did (this/these) happen? (IF UNABLE TO PROVIDE EXACT MONTH, RECORD VERBATIM RESPONSE, SUCH AS “SPRING”)

a. Most recent incident

b. Next most recent incident

c. Next most recent incident

d. Next most recent incident

FOR EACH INCIDENT IN 5_2, COMPLETE 5_3.

5_3. For the next question, focus only on the incident that happened in (MONTH/YEAR).

A. Did anyone have, or try to have, sexual contact with you that you DID NOT CONSENT TO and that YOU DID NOT WANT to happen as part of this incident?

1 Yes

2 No

6a. Now I’d like to ask about any sexual contact in the past 12 months that you DID NOT CONSENT TO and that YOU DID NOT WANT to happen. I want to remind you that the information you provide is confidential.

In the past 12 months, has anyone had, or tried to have sexual contact with you by touching or penetrating your private parts that you DID NOT CONSENT TO and that YOU DID NOT WANT to happen? For example, by holding or pinning you, hitting or kicking you, or using some other type of force; OR by threatening to hurt you or someone close to you? This could have been done by someone you know well, someone you casually know, or a stranger.

1 Yes

2 No

6b. In the past 12 months, has anyone had, or tried to have sexual contact with you – while you were passed out, unconscious, blacked out, asleep, or unable to consent because you were drunk or high?? This could have been done by someone you know well, someone you casually know, or a stranger.

1 Yes

2 No

IF YES TO EITHER 6A OR 6B, CONTINUE. OTHERWISE, GO TO #7.

6_1. How many times did unwanted sexual contact happen to you in the past 12 months?

1 Once

2 Twice

3 Three times

4 Four or more times

6_2. In what month and year did (this/these) happen? (IF UNABLE TO PROVIDE EXACT MONTH, RECORD VERBATIM RESPONSE, SUCH AS “SPRING”)

a. Most recent incident

b. Next most recent incident

c. Next most recent incident

d. Next most recent incident

Now, I would like to ask you about other types of unwanted contacts or behaviors.

7. In the past 12 months, has anyone, male or female stalked you, for example, by following you or spying on you, showing up at your home or your work place, repeatedly calling or texting you, tracking your whereabouts on a GPS, or posting false information about you online?

1 Yes - CONTINUE

2 No – GO TO #8

7a. Has anyone done (this/any of these things) to you more than once in the past 12 months?

1 Yes - CONTINUE

2 No – GO TO #8

7b. Did any of these unwanted contacts or behaviors make you fear for your safety or the safety of someone close to you?

7c. Did any of these unwanted contacts or behaviors cause you substantial emotional distress?

7d. IF ANY INCIDENTS REPORTED EARLIER: Were any of these unwanted contacts or behaviors done by the same person(s) who carried out any of the other incidents you’ve mentioned today?

1 Yes

2 No

8. In the past 12 months, Has anyone convinced you to buy a product or a service, make an investment, or seek a job opportunity by lying about, misrepresenting, or hiding information?? Include anything that might have happened longer ago, but you just realized in the past 12 months that it happened.

1 Yes – CONTINUE

2 No – GO TO #9

8a. In the past 12 months, did this happen to you once or more than once?

1 Once – GO TO #9

2 More than once– CONTINUE

8b. Were these all done by the same people or company, or were these done by different people or different companies?

1 Same

2 Different

9. In the past 12 months, has anyone used your financial accounts without your permission, or used your personal information to open a new account, or stolen your personal information for their own benefit? Include anything that might have happened longer ago, but you just realized in the past 12 months that it happened.

1 Yes

2 No

9aa. Thinking about all the situations I just asked you about, did anyone TRY to do anything like this in the past 12 months but did not succeed?

1 Yes

2 No

IF YES TO #9 OR #9aa, CONTINUE. ELSE GO TO INTRO BEFORE #10.

9a. How many different times did this happen to you?

1 Once – GO TO #9C

2 More than once – CONTINUE

9b. Were these all done by the same person, or were these done by different people?

1 Same

2 Different

9c. IF ANY INCIDENTS REPORTED EARLIER: (Was this/Were any of these) done by the same person(s) who carried out any of the other incidents you’ve mentioned today?

1 Yes

2 No

Before we move on, I’d like to review the different incidents that you’ve reported to me.

GO BACK THROUGH RESPONSES TO QUESTIONS 1a-9 AND REVIEW WHAT HAPPENED IN EACH.

Example:

A break-in in May 2015 in which some belongings were stolen, and you were attacked.
Another break-in in December 2015, in which there was some vandalism.
A theft in October 2015
A theft in January 2015 when you were attacked.

10. I want to make sure we’ve captured everything that has happened to you. At the beginning of this survey, you recalled that {RESPONSE TO INTRO1} occurred around [ANCHOR DATE]. To make sure we haven’t missed anything, is there anything (else) that you might think of as a crime that happened to you in the past 12 months that you haven’t mentioned? It could be something you called the police about, or something you didn’t consider reporting to the police.

1 Yes – CONTINUE

2 No – GO TO END

10a. What happened?

________________________________________________________________________

Thank you. Now I’d like to ask you some questions about the questions you just answered.

(INTERVIEWER – GO TO PROTOCOL TO ASK COGNITIVE PROBES)

Instrument Version 3

Mode	Interleaf	Cue Length
Interviewer	No	Long

_______________________________________________________________________

1. First I’ll ask about different things that might have been stolen from you. This may have happened to you while you were at home, at work or school, or somewhere else. In the past 12 months…

Was something belonging to you stolen, such as things that you carry, like a cell phone, money, a wallet, purse, or briefcase?	Yes	No
How about things that you wear, like clothing, jewelry, or shoes?	Yes	No
How about things in your home, like a TV, laptop, tools, or guns?	Yes	No
Still thinking about anything that was stolen in the past 12 months, was anything stolen out of one of your vehicles, such as a package or groceries?	Yes	No
Was anything stolen from your porch, lawn, garage, or other part of your property, such as a bicycle, garden hose or lawn furniture? (ASKED OF HOUSEHOLD RESPONDENT ONLY)	Yes	No
Was anything stolen belonging to the children who live here? (ASKED OF HOUSEHOLD RESPONDENT ONLY)	Yes	No
Were any other things that belong to you stolen in the past 12 months?	Yes	No

1h. In the past 12 months, did anyone TRY to steal anything belonging to you?

1 Yes - CONTINUE

2 No – GO TO #2

IF YES TO ANY IN #1a-h, CONTINUE. ELSE GO TO #2.

1_1. How many times was something (IF #1=YES: stolen/IF #1a=YES: attempted to be stolen) in the past 12 months?

1 Once

2 Twice

3 Three times

4 Four or more times

1_2. In what month and year did (this/these) happen? (IF UNABLE TO PROVIDE EXACT MONTH, RECORD VERBATIM RESPONSE, SUCH AS “SPRING”) (INTERVIEWER TO RECORD DATES IN INCIDENT DATA SHEET)

a. Most recent incident

b. Next most recent incident

c. Next most recent incident

d. Next most recent incident

2. The next few questions ask about break-ins. In the past 12 months… (ASKED OF HOUSEHOLD RESPONDENT ONLY)

Has anyone broken in or TRIED to break into your home by forcing a door or window, pushing past someone, jimmying a lock, cutting a screen, or coming through an open door or window?	Yes	No
Has anyone broken in or TRIED to break into your garage, shed, or storage room?	Yes	No
Has anyone broken in or TRIED to break into a hotel or motel room or vacation home where you were staying?	Yes	No

(IF YES TO ANY IN #2A-C, CONTINUE. ELSE TO GO #3)

2_1. How many times did this happen in the past 12 months?

1 Once

2 Twice

3 Three times

4 Four or more times

2_2. In what month and year did (this/these) happen? (IF UNABLE TO PROVIDE EXACT MONTH, RECORD VERBATIM RESPONSE, SUCH AS “SPRING”) (INTERVIEWER TO RECORD DATES IN INCIDENT DATA SHEET)

a. Most recent incident

b. Next most recent incident

c. Next most recent incident

d. Next most recent incident

______________

3b. In the past 12 months… (ASKED OF HOUSEHOLD RESPONDENT ONLY)

Was a vehicle you owned at the time stolen or used without permission?	Yes	No
Did anyone steal any vehicle parts such as a tire, car stereo, GPS, hubcap, or battery?	Yes	No
c) Did anyone steal any gas from a vehicle you own?	Yes	No
d) Did anyone TRY to steal a vehicle or vehicle parts?	Yes	No

(IF YES TO ANY IN #3A-D, CONTINUE. ELSE SKIP TO #4)

3_1. How many times did this happen to you (or someone else in this household) in the past 12 months?

1 Once

2 Twice

3 Three times

4 Four or more times

3_2. In what month and year did (this/these) happen? (IF UNABLE TO PROVIDE EXACT MONTH, RECORD VERBATIM RESPONSE, SUCH AS “SPRING”) (INTERVIEWER TO RECORD DATES IN INCIDENT DATA SHEET)

a. Most recent incident

b. Next most recent incident

c. Next most recent incident

d. Next most recent incident

In the past 12 months, has anyone vandalized your home, car, or something else belonging to you or someone else living here?

1 Yes - CONTINUE

2 No – GO TO #5

4_1. How many times did this happen in the past 12 months?

1 Once

2 Twice

3 Three times

4 Four or more times

4_2. In what month and year did (this/these events) happen? (IF UNABLE TO PROVIDE EXACT MONTH, RECORD VERBATIM RESPONSE, SUCH AS “SPRING”) (INTERVIEWER TO RECORD DATES IN INCIDENT DATA SHEET)

a. Most recent incident

b. Next most recent incident

c. Next most recent incident

d. Next most recent incident

5. The next few questions ask about any physical attacks against you personally. These may have happened at your home or while you were at work, at school, or away from home.

In the past 12 months…

Has anyone attacked or tried to attack you with a weapon, for instance, a gun or knife?	Yes	No
Has anyone attacked or tried to attack you with something else that was used as a weapon, like a baseball bat, scissors, or a stick?	Yes	No
Has anyone attacked or tried to attack you by throwing something at you, such as a rock or bottle?	Yes	No
Has anyone attacked or tried to attack you by slapping, grabbing, kicking, punching, or choking you?	Yes	No
Has anyone attacked, tried to attack, or used force against you in any other way in the past 12 months? Please mention it even if you are not certain it was a crime.	Yes	No

(IF YES TO ANY IN #5A-E, GO TO #5_1. ELSE CONTINUE)

5f. (Other than incidents already mentioned,) In the past 12 months, did anyone THREATEN to attack you, but not actually do it?

Yes - CONTINUE

No – GO TO 5h

5g. (IF YES TO 5f) How were you threatened? Was it face-to-face, by phone or text, or online?

1 Face-to-face

2 By phone or text

3 Online

4 Some other way (e.g., by mail, to a third party)

(IF CODE 1 IN 5G, GO TO 5_1. ELSE CONTINUE)

1 Yes - CONTINUE

2 No – GO TO #6

5_1. How many times were you attacked or threatened in the past 12 months?

1 Once

2 Twice

3 Three times

4 Four or more times

5_2. In what month and year did (this/these) happen? (IF UNABLE TO PROVIDE EXACT MONTH, RECORD VERBATIM RESPONSE, SUCH AS “SPRING”) (INTERVIEWER TO RECORD DATES IN INCIDENT DATA SHEET)

a. Most recent incident

b. Next most recent incident

c. Next most recent incident

d. Next most recent incident

In the past 12 months…

Did anyone forcibly touch or grab your private parts – or TRY to do this?	Yes	No
Did anyone force you to have sexual contact by holding you down with his or her body weight, pinning your arms, hitting or kicking you, or using some other type of force – or TRIED to do this?	Yes	No
Did anyone threaten to hurt you or someone close to you if you did not have sexual contact?	Yes	No
Did anyone have sexual contact with you – or try to have sexual contact with you – while you were passed out, unconscious, blacked out, asleep, or unable to consent because you were drunk or high?	Yes	No

(IF YES TO ANY IN 6A-D, CONTINUE. ELSE GO TO #7)

6_1. How many times did this happen in the past 12 months?

1 Once

2 Twice

3 Three times

4 Four or more times

6_2. In what month and year did (this/these) happen? (IF UNABLE TO PROVIDE EXACT MONTH, RECORD VERBATIM RESPONSE, SUCH AS “SPRING”) (INTERVIEWER TO RECORD DATES IN INCIDENT DATA SHEET)

a. Most recent incident

b. Next most recent incident

c. Next most recent incident

d. Next most recent incident

In the past 12 months…

a. Has anyone followed you around and watched you?	Yes	No
b. Has anyone sneaked into your home, car, or any other place and did unwanted things to let you know they had been there?	Yes	No
c. Has anyone waited for you at your home, work, school, or any other place when you didn’t want them to?	Yes	No
d. Still thinking about unwanted contacts and behaviors, has anyone showed up, rode or drove by places where you were when they had no business being there?	Yes	No
e. Has anyone left or sent you unwanted items, cards, letters, presents, flowers, or any other unwanted items?	Yes	No
f. Has anyone harassed or repeatedly asked your friends or family for information about you or your whereabouts?	Yes	No

g. Has anyone made unwanted phone calls to you, left voice messages, sent text messages, or used the phone excessively to contact you?	Yes	No
h. Has anyone spied on you or monitored your activities using technologies such as a listening device, camera, or computer or cell phone monitoring software?	Yes	No
i. Has anyone tracked your whereabouts with an electronic tracking device or application, such as GPS or an application on your cell phone?	Yes	No
j. Still thinking about unwanted contacts and behaviors, in the past 12 months has anyone posted or threatened to post inappropriate, unwanted, or personal information about you on the Internet? This includes private photographs, videos, or spreading rumors.	Yes	No
k. Has anyone sent unwanted e-mails or messages using the Internet, for example, using social media apps or websites like Instagram, Twitter, or Facebook?	Yes	No
l. Has anyone monitored your activities using social media apps like Instagram, Twitter, or Facebook?	Yes	No

(IF YES TO ANY IN #7A-L, CONTINUE AND MARK INCIDENT DATA SHEET. ELSE GO TO #8)

7n. Has anyone done (this/any of these things) to you more than once in the past 12 months?

1 Yes - CONTINUE

2 No – GO TO #8

7o. Did any of these unwanted contacts or behaviors make you fear for your safety or the safety of someone close to you?

7p. Did any of these unwanted contacts or behaviors cause you substantial emotional distress?

7q. IF ANY INCIDENTS REPORTED EARLIER: Were any of these unwanted contacts or behaviors done by the same person(s) who carried out any of the other incidents you’ve mentioned today?

1 Yes

2 No

8. The next items are about whether anyone got you to give them money by lying about a product or service, or by deliberately hiding information about it from you. In the past 12 months...

a. Did you pay for something or a service that you never got, or that was fake or worthless?	Yes	No
b. Were you told you won something, such as a prize or lottery, but you had to pay money in order to collect it, or you never got it or it was fake or worthless?	Yes	No
c. Were you told you would get a high return on an investment you made, but it was fake or worth far less than you were led to expect?	Yes	No
d. Did you pay someone to help you improve your credit or finances, but then not receive what you were promised?	Yes	No
e. Did you donate money to an organization you thought was a charity, but which turned out to be fake?	Yes	No
f. Did you put money into a business opportunity, but it was fake or you earned much less than you were led to expect?	Yes	No
g. Did you send money to help someone who told you they urgently needed money, but it turned out their story wasn’t true?	Yes	No
h. Did you send money to someone who pretended to need help moving money from another country, but they just kept your money?	Yes	No
i. Were there any other times in the past 12 months when someone got you to give them money by lying about a product or service, or by deliberately hiding information from you?	Yes	No
j. Thinking about all the situations I just asked you about, did anyone TRY anything (else) like this on you in the past 12 months, but you did not send them any money?	Yes	No

(IF YES TO ANY IN #8A-J, CONTINUE AND MARK INCIDENT DATA SHEET. ELSE GO TO #9)

8a. In the past 12 months, did this happen to you once or more than once?

1 Once – GO TO #9

2 More than once– CONTINUE

8b. Were these all done by the same people or company, or were these done by different people or different companies?

1 Same

2 Different

9. Now I’d like to ask you about any times someone used your personal information without your permission for their own benefit. In the past 12 months…

a) Did someone, without your permission, use or try to use your existing checking or savings account, including any debit or ATM cards?	Yes	No	Does not apply
b) Did someone use or try to use one or more of your existing credit cards without your permission? Please do not include debit cards.	Yes	No	Does not apply
c) Did someone misuse or try to misuse another type of existing account, such as your telephone, utilities, an online payment account like Paypal, insurance policies, or something else?	Yes	No
d) Still thinking about the past 12 months, did someone, without your permission, use or try to use your personal information to open any NEW accounts, such as wireless telephone accounts, credit card accounts, loans, bank accounts, online payment accounts, or something else?	Yes	No
e) Did someone use or try to use your personal information for some other fraudulent purpose, such as getting medical care, a job, or government benefits; renting an apartment or house; giving your information to the police when they were charged with a crime or traffic violation, or something else?	Yes	No

(IF YES TO ANY IN #9A-E, CONTINUE AND MARK INCIDENT DATA SHEET. ELSE GO TO INTRO BEFORE #10)

9a. In the past 12 months, did this happen to you once or more than once?

1 Once – GO TO #9C

2 More than once– CONTINUE

9b. Were these all done by the same person, or were these done by different people?

1 Same

2 Different

9c. IF ANY INCIDENTS REPORTED EARLIER: (Was this/Were any of these) done by the same person(s) who carried out any of the other incidents you’ve mentioned today?

1 Yes

2 No

INTRO BEFORE #10. Before we move on, I’d like to review the different incidents that you’ve reported to me.

REVIEW INCIDENT DATA SHEET WITH RESPONDENT

IF ANY COLUMN HAS MULTIPLE INCIDENTS WITHIN IT, ASK:

10a. In (MONTH/YEAR), you reported (READ ITEMS FROM DATA SHEET). Were these part of the same incident, or were they separate incidents?

1 Same incident (CIRCLE INCIDENTS ON DATA SHEET THAT BELONG TOGETHER)

2 Separate incident

10b. I want to make sure we’ve captured everything that has happened to you. At the beginning of this survey, you recalled that {RESPONSE TO INTRO1} occurred around (ANCHOR DATE). Is there anything (else) that you might think of as a crime that happened to you in the past 12 months that you haven’t mentioned? It could be something you called the police about, or something you didn’t consider reporting to the police.

1 Yes – CONTINUE

2 No – GO TO END

10c. What happened?

________________________________________________________________________

Thank you. Now I’d like to ask you some questions about the questions you just answered.

(INTERVIEWER – GO TO PROTOCOL TO ASK COGNITIVE PROBES)

Instrument Version 4

Mode	Interleaf	Cue Length
Interviewer	No	Short

_______________________________________________________________________

1. . First I’ll ask about different things that might have been stolen from you. In the past 12 months, was something belonging to you or your children under 12 stolen? This might include things like money, jewelry, clothing, cell phones, TVs or other electronics, or any other items belonging to you.

1 Yes

2 No

1a. Did anyone attempt to steal anything belonging to you?

1 Yes

2 No

IF YES TO EITHER #1 OR #1A, CONTINUE. ELSE GO TO #2.

1_1. How many times was something (IF #1=YES: stolen/IF #1a=YES: attempted to be stolen) in the past 12 months?

1 Once

2 Twice

3 Three times

4 Four or more times

1_2. In what month and year did (this/these) happen? (IF UNABLE TO PROVIDE EXACT MONTH, RECORD VERBATIM RESPONSE, SUCH AS “SPRING”) (INTERVIEWER TO RECORD DATES IN INCIDENT DATA SHEET)

a. Most recent incident

b. Next most recent incident

c. Next most recent incident

d. Next most recent incident

2. The next few questions ask about break-ins. In the past 12 months, did anyone break in or try to break into your home, your garage or shed, or a hotel or motel room or vacation home where you or someone else in this household were staying by forcing a door or window, pushing past someone, jimmying a lock, cutting a screen, or entering through an open door or window?

1 Yes - CONTINUE

2 No – GO TO #3

2_1. How many times did this happen in the past 12 months?

1 Once

2 Twice

3 Three times

4 Four or more times

2_2. In what month and year did (this/these) happen? (IF UNABLE TO PROVIDE EXACT MONTH, RECORD VERBATIM RESPONSE, SUCH AS “SPRING”) (INTERVIEWER TO RECORD DATES IN INCIDENT DATA SHEET)

a. Most recent incident

b. Next most recent incident

c. Next most recent incident

d. Next most recent incident

1 Yes - CONTINUE

2 No – GO TO 3B

3A_1. How many times did this happen to you (or someone else in this household) in the past 12 months?

1 Once

2 Twice

3 Three times

4 Four or more times

3A_2. In what month and year did (this/these) happen? (IF UNABLE TO PROVIDE EXACT MONTH, RECORD VERBATIM RESPONSE, SUCH AS “SPRING”) (INTERVIEWER TO RECORD DATES IN INCIDENT DATA SHEET)

a. Most recent incident

b. Next most recent incident

c. Next most recent incident

d. Next most recent incident

IF YES IN 3A: Next are questions about other types of vehicle theft that may have happened in the past 12 months, NOT including what you’ve already shared.

1 Yes - CONTINUE

2 No – GO TO #4

3B_1. How many times did this happen to you or someone else in this household in the past 12 months?

1 Once

2 Twice

3 Three times

4 Four or more times

3B_2. In what month and year did (this/these) happen? (IF UNABLE TO PROVIDE EXACT MONTH, RECORD VERBATIM RESPONSE, SUCH AS “SPRING”) (INTERVIEWER TO RECORD DATES IN INCIDENT DATA SHEET)

a. Most recent incident

b. Next most recent incident

c. Next most recent incident

d. Next most recent incident

IF ANY INCIDENTS REPORTED SO FAR: Now I’d like to see if anything else has happened to you in the past 12 months.

1 Yes - CONTINUE

2 No – GO TO #5

4_1. How many times did this happen in the past 12 months?

1 Once

2 Twice

3 Three times

4 Four or more times

4_2. In what month and year did (this/these events) happen? (IF UNABLE TO PROVIDE EXACT MONTH, RECORD VERBATIM RESPONSE, SUCH AS “SPRING”) (INTERVIEWER TO RECORD DATES IN INCIDENT DATA SHEET)

a. Most recent incident

b. Next most recent incident

c. Next most recent incident

d. Next most recent incident

5. The next few questions ask about any physical attacks against you personally. In the past 12 months, has anyone attacked or threatened to attack you in any way? This might include things like attacking you with a weapon, attacking you with something else used as a weapon, throwing something at you, grabbing, punching or choking you, or any other type of attack or threat or use of force against you.

1 Yes - CONTINUE

2 No – GO TO #6a

5_1. How many times were you attacked or threatened in the past 12 months?

1 Once

2 Twice

3 Three times

4 Four or more times

5_2. In what month and year did (this/these) happen? (IF UNABLE TO PROVIDE EXACT MONTH, RECORD VERBATIM RESPONSE, SUCH AS “SPRING”) (INTERVIEWER TO RECORD DATES IN INCIDENT DATA SHEET)

a. Most recent incident

b. Next most recent incident

c. Next most recent incident

d. Next most recent incident

1 Yes

2 No

6b. In the past 12 months, has anyone had, or tried to have sexual contact with you – while you were passed out, unconscious, blacked out, asleep, or unable to consent because you were drunk or high? This could have been done by someone you know well, someone you casually know, or a stranger.

1 Yes

2 No

IF YES TO EITHER 6A OR 6B, CONTINUE. OTHERWISE, GO TO #7.

6_1. How many times did this happen in the past 12 months?

1 Once

2 Twice

3 Three times

4 Four or more times

6_2. In what month and year did (this/these) happen? (IF UNABLE TO PROVIDE EXACT MONTH, RECORD VERBATIM RESPONSE, SUCH AS “SPRING”) (INTERVIEWER TO RECORD DATES IN INCIDENT DATA SHEET)

a. Most recent incident

b. Next most recent incident

c. Next most recent incident

d. Next most recent incident

Now, I would like to ask you about other types of unwanted contacts or behaviors.

1 Yes - CONTINUE

2 No – GO TO #8

7a. Has anyone done (this/any of these things) to you more than once in the past 12 months?

1 Yes – CONTINUE (INTERVIEWER TO MARK INCIDENT DATA SHEET)

2 No – GO TO #8

7b. Did any of these unwanted contacts or behaviors make you fear for your safety or the safety of someone close to you?

7c. Did any of these unwanted contacts or behaviors cause you substantial emotional distress?

1 Yes

2 No

7d. IF ANY INCIDENTS REPORTED EARLIER: Were any of these unwanted contacts or behaviors done by the same person(s) who carried out any of the other incidents you’ve mentioned today?

1 Yes

2 No

8. In the past 12 months, Has anyone convinced you to buy a product or a service, make an investment, or seek a job opportunity by lying about, misrepresenting, or hiding information? Include anything that might have happened longer ago, but you just realized in the past 12 months that it happened.

1 Yes – CONTINUE (INTERVIEWER TO MARK INCIDENT DATA SHEET)

2 No – GO TO #9

8a. In the past 12 months, did this happen to you once or more than once?

1 Once – GO TO #9

2 More than once– CONTINUE

8b. Were these all done by the same people or company, or were these done by different people or different companies?

1 Same

2 Different

1 Yes

2 No

9aa. Thinking about all the situations I just asked you about, did anyone TRY to do anything like this in the past 12 months but did not succeed?

1 Yes

2 No

IF YES TO #9 OR #9aa, CONTINUE (AND MARK INCIDENT DATA SHEET). ELSE GO TO INTRO BEFORE #10.

9a. How many different times did this happen to you?

1 Once – GO TO #9C

2 More than once – CONTINUE

9b. Were these all done by the same person, or were these done by different people?

1 Same

2 Different

9c. IF ANY INCIDENTS REPORTED EARLIER: (Was this/Were any of these) done by the same person(s) who carried out any of the other incidents you’ve mentioned today?

1 Yes

2 No

Before we move on, I’d like to review the different incidents that you’ve reported to me.

REVIEW INCIDENT DATA SHEET WITH RESPONDENT

IF ANY COLUMN HAS MULTIPLE INCIDENTS WITHIN IT, ASK:

10a. In (MONTH/YEAR), you reported (READ ITEMS FROM DATA SHEET). Were these part of the same incident, or were they separate incidents?

1 Same incident (CIRCLE INCIDENTS ON DATA SHEET THAT BELONG TOGETHER)

2 Separate incident

1 Yes – CONTINUE

2 No – GO TO END

10c. What happened?

________________________________________________________________________

Thank you. Now I’d like to ask you some questions about the questions you just answered.

(INTERVIEWER – GO TO PROTOCOL TO ASK COGNITIVE PROBES)

Incident Data Sheet

Respondent ID _________ Version # ________ Interviewer Initials __________

May 2015

Jun 2015

Jul 2015

Aug 2015

Sep 2015

Oct 2015

Nov 2015

Dec 2015

Jan 2016

Feb 2016

Mar 2016

Apr 2016

Don't know

Before May-15

1. Theft

2. Break-in

3. Vehicle Theft

4. Vandalism

5. Attack or threat of attack

6. Unwanted sexual contact

7. Stalking

8. Fraud

9. Identity theft

NCVS-R: SCREENER COGNITIVE INTERVIEW PROTOCOL

COGNITIVE INTERVIEW PROTOCOL – INTERVIEWER ADMINISTERED

Date:_______________ Time_____ ID #:_____Interviewer Initials:_______________

Introduction

Thank you for taking the time to help us out today. The session will take approximately 1 hour. I’ll give you a little background about what we’ll be doing today.

Westat is working on this project for the Bureau of Justice Statistics. We are interested in how people classify different experiences that may happen to them to help us test questions that may be used on the National Crime Victimization Survey. The NCVS is administered every year nationwide and collects information on victimization. Westat is looking at ways these questions can be improved.

Today, I’ll ask you a series of questions being considered for the NCVS. I’d like you to pretend that I am interviewing you in your home. After you answer all of the questions, we will talk about the answers you gave.

At this stage we are still developing the questionnaire and trying to figure out how to make it as easy as possible for people to understand and answer correctly.

So at any time you should feel free to let me know if:

• there are words you don’t understand, or

• the question doesn’t make sense to you, or

• you could interpret it more than one way, or

• if the answer you are looking for is not provided.

After I have asked you the questions, we’ll go back through them so you can help me understand how well the questions are working. In particular, we are trying to find out how people like you go about answering these questions. So, basically, the more you can tell us, the more we will understand about the questions.

This is a research project and your participation is voluntary. You can skip any question and you can stop at any point. We would very much appreciate your permission to audio record this conversation. The audio recording will be used for note-taking purposes only and may be viewed by the project or the BJS staff. It will be destroyed when the project is over. When we are finished, we will give you 40 dollars in gratitude for your assistance. We are interested in everything you have to say and we encourage you to speak openly about the questions and your answers.

Consent Process

Hand the consent form to participant, answer any questions, and obtain consent before continuing. This form contains all of the things I just told you about your rights in this interview. Please read it over and sign both copies if you are willing to take part in the study.

Do you have any questions before we get started?

[Start recorder and get oral permission to record.] It is [DATE AND TIME], do I have your permission to audio record this conversation? ~~~~ Thank you.

Do you have any questions before we get started?

ADMINISTER QUESTIONNAIRE.

Follow-up Probes

DURING THE SESSION – STATE THE QUESTION NUMBER SO ANY OBSERVERS AND THE RECORDING KNOW AT ALL TIMES WHICH QUESTION IS BEING ASKED.

IF RESPONDENT ASKS A QUESTION OR HAS A PROBLEM WITH A QUESTION AS YOU ARE ASKING IT, PROBE IMMEDIATELY TO UNDERSTAND THE NATURE OF THE PROBLEM, AND THEN INFORM R THAT YOU WILL FOLLOW UP MORE ON THIS AFTER YOU HAVE FINISHED ASKING ALL OF THE QUESTIONS.

EXAMPLE PROBES

You seemed to have taken a long time to answer that question. Can you tell me what you were thinking about?
What part of the question doesn’t make sense to you? Tell me more.

GENERAL PROBES TO ASK AFTER COMPLETING THE QUESTIONNAIRE:

A.1 What were your overall reactions to the series of questions I just asked you?

A.2 I am interested in both what worked well and what didn’t work well with the questions.

What did you like about the questions?
What didn’t you like about the questions?

A.3 What time period were you thinking about as you answered the questions?

(IF NOT 12 MONTHS) Tell me more about why you were thinking about that time period.
How easy or difficult was it to remember what happened to you in the past 12 months?
At the beginning, you were asked to think about what might have been going on in your life 12 months ago. Did this help you to think about things that happened to you over the past 12 months? Explain.
- Did this help you to make sure you were excluding things that might have happened before that date? Explain.
At the end, I reminded you of the events that you had mentioned at the beginning of the interview. What did you think of being reminded about that as a way to help you figure out if you had forgotten anything else that might have happened to you in the past year?

A.4 How well did the questions capture the different types of crimes people might have experienced in the last 12 months?

IF RESPONDENT SAID YES TO ANY OF THEM: How well did they capture what happened to you in the last 12 months? What makes you say that?

A.5 What did you think about the overall flow of the questionnaire?

(VERSIONS 1 AND 2) What did you think about being asked some follow-up questions each time you reported an incident?
- We are trying to figure out if respondents would prefer to be asked a few questions about each incident as soon as you report it, or if it makes more sense to ask all the main questions first, and then later ask for details about each one. Which way makes it easier for you to remember what happened to you? (Explain)
- What did you think about the follow-up questions you were asked about each incident? Were there other key questions you thought we’d be asking you?
(VERSIONS 3 AND 4) We are trying to figure out if respondents would prefer to be asked a few questions about each incident as soon as you report it, or if it makes more sense to ask all the main questions first, and then later ask for details about each one. Which way makes it easier for you to remember what happened to you?

Introduction

B.1 Now let’s go back through the questions I asked. At the beginning, I read an introduction to you that said “The next set of questions will ask you about different things that might have happened to you in the past 12 months, such as having items stolen; break-ins; someone destroying your property; physical attacks; unwanted sexual contact; other unwanted contacts or behaviors; being lied to about a product or service; and someone using your personal information without your permission.”

We are trying to figure out if it’s helpful to provide an overview of the types of incidents that we’ll be asking about. What are your thoughts about this introduction?
How well did these categories fit with what happened to you?
Were any of the categories confusing or unfamiliar to you?
Any other feedback on this introduction before we move on?

THEFT

First I asked you if something belonging to you or your children was stolen.

(VERSIONS 1 AND 3) I read you a series of questions about different types of things that could be stolen, such as things that you carry, things that you wear, things in your home, things stolen out of a vehicle or off your property, and things that belong to children. What did you think about this list?
(VERSIONS 2 AND 4) Do you recall any of the examples I gave you for this question?
- Did you think this was a complete list, or did you think they were just some examples of the types of things that might be stolen? (RE-READ LIST IF NECESSARY)
What kinds of places were you thinking about things being stolen from when you answered this question?
- Were you thinking about things that might have been stolen from your work? Your vehicle? The areas outside of your home? Other places?
I also asked you if anyone attempted to steal anything from you. What do you think I meant by that?
(IF YES) You said yes to (this question/one of these questions). Can you tell me briefly about what happened to you?
- How easy or difficult was it to remember the month and year when this happened?
- (IF VERSIONS 1 AND 2 AND YES TO ANY INTERLEAF ITEMS) I asked you several follow up questions to find out what else might have happened as part of this incident. Tell me more about your answers.
(IF NO) You said no to (this question/all of these questions). What types of situations were you thinking about as you answered this question? (REPEAT QUESTION IF NECESSARY)

BREAK-INS

Next, I asked you about any break ins or attempted break-ins.

Do you remember what kinds of places I mentioned where break-ins might occur?
(IF YES) You said yes to this question. Can you tell me briefly about what happened to you?
- How easy or difficult was it to remember the month and year when this happened?
- (IF VERSIONS 1 AND 2 AND YES TO ANY INTERLEAF ITEMS) I asked you several follow up questions to find out what else might have happened as part of this incident. Tell me more about your answers.
(IF NO) You said no to this question. What types of situations do you think this question was asking about?

VEHICLE THEFT

(VERSIONS 1 AND 3)

Next, I asked you about vehicle theft, including a vehicle being stolen, vehicle parts being stolen, gas being stolen, or attempted vehicle or vehicle part theft.

(IF YES TO ANY) You said yes to (ITEM). Can you tell me briefly about what happened to you?
- How easy or difficult was it to remember the month and year when this happened?
- (IF VERSION 1 AND YES TO ANY INTERLEAF ITEMS) I asked you several follow up questions to find out what else might have happened as part of this incident. Tell me more about your answers.
(IF NO TO ALL) You said no to this question. What types of situations were you thinking about as you answered this question? (REPEAT ITEMS IF NECESSARY)

(VERSIONS 2 AND 4)

Next, I asked you about vehicle theft.

(IF YES) You said yes to this question. Can you tell me briefly about what happened to you?
- How easy or difficult was it to remember the month and year when this happened?
- (IF VERSION 1 AND YES TO ANY INTERLEAF ITEMS) I asked you several follow up questions to find out what else might have happened as part of this incident. Tell me more about your answers.
(IF NO) You said no to this question. What types of situations were you thinking about as you answered this question? (REPEAT QUESTION IF NECESSARY)

In question 3B, I asked you if any vehicle parts were stolen, and then I read you a list of different types of vehicle parts.

Do you remember what types of vehicle parts I mentioned?
Did you think this was a complete list, or did you think they were just some examples of the types of vehicle parts that might be stolen? (RE-READ LIST IF NECESSARY)
(IF YES) You said yes to this question. Can you tell me briefly about what happened to you?
- How easy or difficult was it to remember the month and year when this happened?
- (IF VERSION 2 AND YES TO ANY INTERLEAF ITEMS) I asked you several follow up questions to find out what else might have happened as part of this incident. Tell me more about your answers.
(IF NO) You said no to this question. What types of situations were you thinking about as you answered this question? (REPEAT QUESTION IF NECESSARY)

VANDALISM

Next I asked you about vandalism, and read you a definition that said “Vandalism is when someone damages or destroys something belonging to you on purpose.”

Do you remember what examples of vandalism I gave you?
What do you think about this definition? Was there anything unclear about it?
What do you think is meant by “on purpose”? What kinds of situations would this include? Not include?
(IF YES) You said yes to this question. Can you tell me briefly about what happened to you?
- How easy or difficult was it to remember the month and year when this happened?
- (IF VERSIONS 1 OR 2 AND YES TO ANY INTERLEAF ITEMS) I asked you several follow up questions to find out what else might have happened as part of this incident. Tell me more about your answers.
(IF NO) You said no to this question. What types of situations were you thinking about as you answered this question? (REPEAT QUESTION IF NECESSARY)

ATTACKS

(VERSIONS 1 AND 3) The next questions asked if anyone attacked you or threatened to attack you, and I asked you about various ways you might have been attacked.

(VERSIONS 2 AND 4) Next I asked you if anyone attacked you or threatened to attack you, and then I read you a list of ways you might have been attacked.

Do you recall any of the different ways I mentioned that people could be attacked?
What comes to mind when you hear “attacking you with a weapon”?
What comes to mind when you hear “attacking you with something else used as a weapon”? What are some examples of other things that could be used as weapons?
How about “throwing something at you”? What do you think this is asking about?
How about “slapping, grabbing, punching or choking you”? Do you think of these as attacks?
(VERSIONS 1 AND 3) And when I asked if anyone had attacked, tried to attack or used force against you in any other way”, what did you think of?
(VERSIONS 2 AND 4) And when it said “any other type of attack or threat or use of force against you,” what do you think of?
What is meant by a “threat”?
- How is that different from an “attempted” attack? Were you thinking about times that someone might have tried to attack you?
- When you answered this question were you trying to remember times that you were actually attacked, or were you also thinking about times when you were threatened?
What types of places were you thinking about when you heard this question? Was it just at home, or were you also thinking about work, school, or places away from home?
(IF YES) You said yes to this question. Can you tell me briefly about what happened to you?
- How easy or difficult was it to remember the month and year when this happened?
- (IF YES TO ANY INTERLEAF ITEMS) I asked you a follow up question to find out what else might have happened as part of this incident. Tell me more about your answers.

(VERSIONS 1 AND 3)

Then I asked you to think about any attacks by someone you know, like a current or former spouse or partner, someone at work, a friend, or a family member. Had you already been thinking about these types of people in the previous questions, or did this make you think of any other types of situations that happened to you?

Sexual Contact

Next I asked you about sexual contact that you did not consent to and did not want to happen.

Do you recall what types of situations this question was asking about?
(IF YES TO ANY) You said yes (to ITEM). Can you tell me briefly about what happened to you?
- How easy or difficult was it to remember the month and year when this happened?
- (IF NEEDED) Were you physically attacked during this incident? Say more about that.
(IF VERSIONS 1 AND 3 AND NO TO ALL ITEMS) I asked you about someone forcibly touching or grabbing your private parts, or trying to do this. Can you tell me what types of situations this might include?
- Then I asked you about someone forcing you to have sexual contact by holding you down with his or her body weight, pinning your arms, hitting or kicking you, or using some other type of force, or trying to do this. Can you tell me what types of situations this might include?
- Then I asked you about someone threatening to hurt you or someone close to you if you did not have sexual contact. Can you tell me what types of situations this might include?
- And finally, I asked about someone having, or trying to have, sexual contact with you while you were passed out, unconscious, blacked out, asleep, or unable to consent because you were drunk or high. Again, can you tell me what types of situations this might include?
(IF VERSIONS 2 AND 4 AND ANSWER IS NO) You said no to this item. What types of situations were you thinking about as you answered this question? (REPEAT QUESTION IF NECESSARY)
(VERSIONS 2 AND 4) Question 6b asked you about whether you had, or tried to have sexual contact with you – while you were passed out, unconscious, blacked out, asleep, or unable to consent because you were drunk or high. What types of situations do you think that includes?
- (IF YES) You said yes. Can you tell me briefly about what happened to you?
(ASK ALL) I asked you about someone touching your private parts. What do you think is meant by “private parts”?

STALKING

VERSIONS 1 AND 3

Next I asked you about other types of unwanted contacts or behaviors, like someone following you or watching you, sneaking into your home, sending you unwanted items, or harassing your friends or family about your whereabouts.

(IF YES TO ANY) You said yes to (ITEMS). Can you tell me briefly about what happened to you?
(IF NO TO ALL) What do you think this series of questions was asking about?
- (LISTEN IF R REFERS TO THIS AS “STALKING”. IF NOT ASK Do you think of these types of behaviors as stalking? Explain.

Then I asked you about different types of unwanted contacts using technology like the phone, the Internet, or social media apps.

(IF YES TO ANY) You said yes to (ITEMS). Can you tell me briefly about what happened to you?
(IF NO TO ALL) What do you think this series of questions was asking about?
- (LISTEN IF R REFERS TO THIS AS “STALKING”. IF NOT ASK Do you think of these types of behaviors as stalking? Explain.

(IF YES TO ANY) Later I asked you if any of these things happened to you more than once in the past 12 months. What does that mean if something only happened once vs. more than once?

I also asked if this unwanted contact made you fear for your safety or the safety of someone known to you. What do you think I meant by that?

Then I asked if this caused you substantial emotional distress. What do you think I meant by that?

VERSIONS 2 AND 4

Next I asked you about anyone stalking you, and then I read you a list of ways you might have been stalked.

Do you recall any of the different ways I mentioned that people could be stalked?
In your own words, what do you think of as stalking? What are some examples?
What comes to mind when you hear “following or spying on you”? In what types of situations might you think of this as stalking?
Another example was “showing up at your home or workplace” – in what types of situations might you think of this as stalking?
How about “repeatedly calling or texting you?” – in what types of situations might you think of this as stalking?
Suppose a bill collector was calling you repeatedly. Would you call that stalking? Why/why not?
Another example was “tracking your whereabouts on GPS” - in what types of situations might you think of this as stalking?
How about “posting false information about you online” - in what types of situations might you think of this as stalking?
(IF YES) You said yes to this question. Can you tell me briefly about what happened to you?

Later I asked you if any of these things happened to you more than once in the past 12 months. What does that mean if something only happened once vs. more than once?
I also asked if this unwanted contact made you fear for your safety or the safety of someone known to you. What do you think I meant by that?
Then I asked if this caused you substantial emotional distress. What do you think I meant by that?

FRAUD

(VERSIONS 1 AND 3)

Next I asked you about whether anyone got you to give them money by lying about a product or service, or by deliberately hiding information about it from you.

(IF YES TO AT LEAST ONE) You said yes to (ITEMS). Can you tell me briefly about what happened to you?
- How long ago did it actually happen?
- How did you realize that it had happened to you?
(IF NO TO ALL) You said no to all of the items in this set. What types of situations were you thinking about as you answered this question? (REPEAT ITEMS IF NECESSARY)
(ALL) I asked you whether any TRIED anything like this on you but you did not send them any money. What types of situations would this include?
Are there any other ways that you might have been cheated out of money or something valuable that weren’t covered in this question?
In item c, I asked you if you were told you would get a high return on an investment you made, but it was fake or worth far less than you were led to expect. What kind of situation do you think this was asking about?
- Have you ever had an investment where you lost most of your money? Did you consider this to be a fraud?
(IF YES TO ANY) Later I asked you if any of these things happened to you more than once in the past 12 months. What does that mean if something only happened once vs. more than once?

(VERSIONS 2 AND 4)

Next I asked about whether anyone convinced you to buy a product or a service, make an investment, or seek a job opportunity by lying about, misrepresenting, or hiding information.

What types of situations do you think this was asking about?
What comes to mind when you think about someone convincing you to pay them money by lying about something? Do you think of this as fraud?
What comes to mind when you think about someone convincing you to pay them money by misrepresenting something? Do you think of this as fraud?
What about someone convincing you to pay them money by hiding information about something? Do you think of this as fraud?
(IF YES) You said yes to this question. Can you tell me briefly about what happened to you?
- How long ago did it actually happen?
- How did you realize that it had happened to you?
- I asked you if any of these things happened to you more than once in the past 12 months. What does that mean if something only happened once vs. more than once?
- (IF #8B WAS ANSWERED) How did you decide on your answer of whether this had been done by the same people or company or by different people or different companies?
(ASK ALL) Are there any other ways that you have been a victim of fraud that weren’t covered in this question?

IDENTITY THEFT

(VERSIONS 1 AND 3)

Finally, I asked you if anyone used or tried to use your personal information without your permission for their own benefit.

(IF YES TO AT LEAST ONE) You said yes to (ITEMS). Can you tell me briefly about what happened to you?
- How long ago did it actually happen?
- How did you realize that it had happened to you?
- How did you decide whether to answer if it had happened once or more than once?
(IF NO TO ALL) You said no to all of the items in this set. What types of situations were you thinking about as you answered this question? (REPEAT ITEMS IF NECESSARY)

(VERSIONS 2 AND 4)

Finally, I asked you if anyone had used your financial accounts without your permission, used your personal information to open a new account, or stole your personal information for their own benefit.

What types of situations do you think this question is asking about?
What do you think is meant by “stole your personal information for their own benefit”?
(IF YES) You said yes to this question. Can you tell me briefly about what happened to you?
- How long ago did it actually happen?
- How did you realize that it had happened to you?
- How did you decide whether to answer if it had happened once or more than once?
- (IF #9B WAS ANSWERED) How did you decide on your answer of whether this had been done by the same person or by different people?
I also asked if anyone TRIED to use your personal information for their own benefit. Under what circumstances would someone say yes to this item?

Review

Finally, at the end, I went through and summarized all of the incidents that you had told me about. (REVIEW LIST IF NECESSARY)

How accurate was I in summarizing what had happened to you?
- What did we miss, if anything?
- Were any of the incidents we reviewed at the end actually part of the same incident?
- If we were going to ask you detailed follow-up questions about each incident you reported, like about the location of the incident, whether any weapons were used, and how you responded to the incident, would you be able to keep the different incidents clear in your mind?

Closing and Incentive

Those are all the questions I have for you. Is there anything we haven't discussed that you would like to mention?

DISCUSS ANY RESPONDENT COMMENTS.

Thank you for your time.

Attachment A: Screener Testing Instruments and Protocols A68

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