NCVS Redesign: Cognitive Testing
ATTACHMENT C – PRELIMINARY CRIME INCIDENT REPORT ITEMS FOR COGNITIVE TESTING
Location Items (page C2)
Presence Items (page C6)
Victim Offender Relationship Items (page C7)
Police Efficacy (page C11)
Victim Services (page C21)
Informal Help-seeking (page C24)
[IF INTERLEAFING VERSION AND ANY ITEMS INDICATE A BREAK-IN – THEN GO TO 10a1. OTHERWISE CONTINUE]
10a. Did this incident happen in, or was there an attempt to get into YOUR home, garage, another building on your property, or any place you paid to stay overnight?
Yes → CONTINUE
No → SKIP to 10b
10a1. Which of these best describes where this incident happened?
Inside
your home, an attached garage, or enclosed porch,
including
any attempts to enter any of these
Inside
a detached building on your property, such as a
detached
garage or storage shed, including any attempts
to enter
these.
Inside a vacation or second home that your own
Inside a hotel or motel room
Inside
a home you rented for a vacation from a rental agency
or
website listing service (for example AIRBNB, Flipkey,
or
Roomorama)
None of these → CONTINUE
10b. Did this incident happen immediately near, but NOT inside YOUR home or place where you paid to stay overnight? For example, somewhere on your property or on the street immediately outside of your home.
Yes → CONTINUE
No → SKIP to 10c
10b1. Which of these best describes where this incident happened? (Immediately near, but NOT inside your home or place where you were staying overnight.)
Your
own yard, sidewalk, driveway, carport, unenclosed
porch –
but NOT apartment yards, fields or playgrounds
An
apartment hall, storage area, laundry room – but
NOT
apartment parking lot/garage
On
the street immediately adjacent to your home or place
you were
staying overnight
A parking lot or parking garage → SKIP to 10e1
None of these → CONTINUE
10c. [Did this incident happen] Inside or immediately near a friend’s/relative’s/neighbor’s home?
Yes → CONTINUE
No → SKIP to 10d
10c1 Which of these best describes where this incident happened? (Inside or immediately near a friend’s/relative’s/neighbor’s home.)
At
or inside (friend’s/relative’s/neighbor’s) home
or other
building on THEIR property
In
the yard, or on the driveway, or carport but NOT in
apartment
yards
In
an apartment hall, storage area, laundry room – but NOT
in
apartment parking lot/garage
On the street immediately adjacent to THEIR home
A parking lot or parking garage → SKIP to 10e1
None of these → CONTINUE
10d. [Did this incident happen] Inside a business or public building, but not a school or public transportation? For example, at a restaurant or bar, gas station, gym, store, or office.
Yes → CONTINUE
No → SKIP to 10e
10d1 Which of these best describes where this incident happened? (Inside a business or public building, but not a school or public transportation)
Inside a restaurant, bar, or nightclub
Inside a bank
Inside a gym
Inside a laundromat
Inside a gas station
Inside another commercial building, such as a store
Inside an office
Inside a factory or warehouse
None of these → CONTINUE
10e. [Did this incident happen] In a parking lot or parking garage that was NOT a part of a school property?
Yes → CONTINUE
No → SKIP to 10f
10e1 Which of these best describes where this incident happened? (Inside a parking lot or parking garage)
A
commercial parking lot or parking garage – for example
at
a store or a mall
A
NON-commercial parking lot or parking garage – for
example
at an airport
An apartment/townhouse parking lot or parking garage
None of these → CONTINUE
10f. [Did this incident happen] On a school property, inside a school, or on a school bus?
Yes → CONTINUE
No → SKIP to 10g
10f1 Which of these best describes where this incident happened? (On a school property, inside a school, or on a school bus)
Inside a school building
On school property such as parking area, play area, etc
On a school bus
None of these → CONTINUE
10g. [Did this incident happen] On the street, in an open area, an apartment yard, or on public transportation?
Yes → CONTINUE
No → SKIP to 10i
10g1 Which of these best describes where this incident happened? (On the street, in an open area, or on public transportation)
At an apartment yard, a park, field, or playground
On the street, but not immediately adjacent to your own or a friend’s/relatives/neighbors’ home
On
public transportation, such as bus, train, subway, or
airplane
including stations or terminals (airports)
None of these → CONTINUE
10i. Please tell me where the incident happened?
Other specify: |_______________________________________________________|
20a. Were you or any member of this household aware of this incident as it was happening?
Yes → CONTINUE
No
20b. Which household members were aware of this incident as it was happening?
Respondent only → CONTINUE
Respondent and other household members → CONTINUE
Only other household member(s), not respondent
21. Did you personally see an offender?
Yes
No
Questions determining the victim-offender relationship for incidents with one offender
Q62. Was the offender someone you knew or a stranger you had never seen before?
[1] Knew or had seen before - SKIP to 64
[2] Stranger
[3] Don't know
Q63. Would you be able to recognize the offender if you saw him/her?
[1] Yes - SKIP to 65a
[2] Not sure (possibly or probably) - SKIP to 65a
[3] No - SKIP to 67
Q64. How well did you know the offender - by sight only, casual acquaintance, or well known?
[1] Sight only - ASK 65a
[2] Casual acquaintance - SKIP to 66a
[3] Well known - SKIP to 66a
Q65a. Would you have been able to tell the police how they might find the offender, for instance, where he/she lived, worked, went to school, or spent time?
[1] Yes - SKIP to 67
[2] No - Skip to71a
[3] Other - Specify - Ask 65b
Q65b. Please specify.
Specify - SKIP to 67
66a. How well did you know the offender? For example, was the offender a friend, cousin, etc.?
RELATIVE
[1] Spouse at time of incident - SKIP to 67
[2] Ex-spouse at time of incident - SKIP to 67
[3] Parent or step-parent - SKIP to 67
[4] Own child or step-child - SKIP to 67
[5] Brother/sister - SKIP to 67
[6] Other relative - Specify - ASK 66b
NONRELATIVE
[7] Boyfriend or girlfriend, ex-boyfriend or ex-girlfriend - SKIP to 67
[8] Friend or ex-friend - SKIP to 67
[9] Roommate, boarder - SKIP to 67
[10] Schoolmate - SKIP to 67
[11] Neighbor - SKIP to 67
[12] Customer/client - SKIP to 67
[14] Patient - SKIP to 67
[15] Supervisor (current or former) - SKIP to 67
[16] Employee (current or former) - SKIP to 67
[17] Co-worker (current or former) - SKIP to 67
[18] Teacher/school staff - SKIP to 67
[19] Other nonrelative - Specify - ASK 66c
66b. Please specify the other relative
Specify - SKIP to 67
66c. Please specify the other nonrelative.
Specify
Questions determining the victim-offender relationship for incidents with more than one offender.
74. How many offenders were there?
__________ Number of offenders
75. Were any of the offenders known to you, or were they strangers you had never seen before?
[1] All known - SKIP to 77a
[2] Some known - SKIP to 77a
[3] All strangers - ASK 76
[4] Don't know - ASK 76
76. Would you be able to recognize any of them if you saw them?
[1] Yes - SKIP to 78a
[2] Not sure (possibly or probably) - SKIP to 78a
[3] No - SKIP to 80a
77a. How well did you know the offender(s) - by sight only, casual acquaintance, or well known? Did you know the offenders by sight only, were they casual acquaintances, or did you know them well?
Enter all that apply.
[1] Sight only
[2] Casual acquaintance
[3] Well known
77b. [CHECK ITEM H]
Is "casual acquaintance" or "well known" marked in 77a?
[1] Yes - SKIP to 79a
[2] No - ASK 78a
78a. Would you have been able to tell the police how they might find any of them, for instance, where they lived, worked, went to school, or spent time?
[1] Yes - SKIP to 80a
[2] No - SKIP to 80a
[3] Other - Specify - ASK 78b
78b. Please specify.
Specify - SKIP to 80a
Exhibit 3. (Continued).
79a. How did you know them? For example, were they friends, cousins, etc.?
Enter all that apply.
RELATIVE
[1] Spouse at time of incident - SKIP to 80a
[2] Ex-spouse at time of incident - SKIP to 80a
[3] Parent or step-parent - SKIP to 80a
[4] Own child or step-child - SKIP to 80a
[5] Brother/sister - SKIP to 80a
[6] Other relative - Specify - ASK 84b
NONRELATIVE
[7] Boyfriend or girlfriend, ex-boyfriend or ex-girlfriend - SKIP to 80a
[8] Friend or ex-friend - SKIP to 80a
[9] Roommate, boarder - SKIP to 80a
[10] Schoolmate - SKIP to 80a
[11] Neighbor - SKIP to 80a
[12] Customer/client - SKIP to 85a
[14] Patient - SKIP to 80a
[15] Supervisor (current or former) - SKIP to 80a
[16] Employee (current or former) - SKIP to 80a
[17] Co-worker (current or former) - SKIP to 80a
[18] Teacher/school staff - SKIP to 80a
[13] Other nonrelative - Specify - ASK 79c
79b. Please specify the other relative.
Specify - SKIP to 80a
79c.Please specify the other nonrelative.
Specify
115. Were the police informed or did they find out about this incident in any way?
1 Yes
2 No (Go to 117a)
3 Don’t Know (go to 129)
116a Who informed the police? If more than one person, choose lowest-numbered applicable response.
1 Respondent (Go to 116c)
2 Other household member (Go to 116c)
3 School employee or School Resource Officer (Go to 116c)
4 Other official (e.g., security guard, building manager, etc..) (Go to 116c)
5 Some other person Go to 123a
6 Police were at scene Go to 123a
7 Offender was police officer Go to 123a
8 Some other way - specify
116b. Specify______________________
116c. How were the police first notified?
1 By telephone (Go to 116e)
2 Approached officer or police car (Go to 116f)
3 Went to police station (Go to 116f)
4 Reported using the Internet (Go to 119a)
5 Don’t know –someone else notified the police (Go to 119a)
6 Some other way – specify
116d. Specify _________ Then go to 119a
116e. Were the police notified by a 911 call, through another police number, or through a general city number or city hotline number ?
1 911/emergency number
2 Another police phone number
3 General city number/hotline
4 Don’t know
116f. Would you describe this as an emergency contact with police, or was it a non-emergency or a routine contact with police?
1 Emergency contact
2 Non-emergency contact
3 Don’t know
116g. Was the crime still underway when the police were contacted, or was it over?
1 Still underway (Go to 119a)
2 Crime was over
3 Don’t Know
116h. What was the gap in time between when the crime was over and the police were contacted? Was it within 5 minutes, within 10 minutes, an hour, a day or longer?
1 Within 5 minutes
2 Within 10 minutes
3 Within an hour
4 Within a day
5 Longer than a day
6 Don’t know how long
Go to 119a
117a. What was the reason it was not reported to the police? [Mark all that apply.]
Dealt with another way
1 Reported to another official (guard, apt manager, school official, etc.)
2 I took care of it myself or informally
2a Third party already dealing with it
Not Important enough to respondent
3 I recovered my property
3a It was not serious enough
4 Child Offender(s), ‘kid’s stuff’
5 Not clear it was a crime or that harm was intended
6 No insurance, loss less than deductible, etc..
Police couldn’t do anything
7 Didn’t find out until too late
8 Could not recover or identify property
9 Could not find or identify offender
Police wouldn’t help
10 Police wouldn’t think it was important enough, wouldn’t want to be bothered or get involved
10a Police would not be sympathetic
10b Didn’t think Police would believe me
11 Police would be inefficient, ineffective (they’d arrive late or not at all, wouldn’t do a good job, etc.)
Afraid of Police
11a Afraid or distrust the police
11b Police would not keep it confidential
12 Police would harass/insult respondent, cause respondent trouble
13 Offender was police officer
Consequences for the Victim
13b Didn’t want to make more trouble for myself
13c Might lose job if reported
13d Did not want humiliation
16 Afraid of reprisal by offender or others
13e Private or personal matter
Other Reason
14 Did not want to get offender in trouble with the law
15 Was advised not to report to police
17 Did not want to or could not take time – too inconvenient
17a Did not want to go to court18. Other Specify – Ask 117b
19 Respondent not present or doesn’t know why it wasn’t reported
117b. Specify______________________
117c. Check item P. Is more than one reason marked in 117a?
1 Yes
2 No – Go to 130
118 Which of these would you say was the most important reason why the incident was not reported to the police?
<see categories for 117a>
Go to 130
119a. Besides the fact that it was a crime, did YOU have any other reason for reporting this incident to the police?
To get help with this incident
1 Stop or prevent THIS incident from happening
2 Needed help after the incident due to injury
To recover loss
3 To recover property
4 To collect insurance
To get offender
5 To prevent further crimes against respondent/respondent’s household by this offender
6 To stop this offender from committing other crimes against anyone
7 To punish offender
8 Catch or find offender – other reason or no reason given
To let police know
9 To improve police surveillance of respondent’s home, area, etc.…
10 Duty to let police know about crime
Other
11 Other reasons – specify (Go to 119b)
12 No other reason (Go to 121)
If any reason given besides 11, 12 given, go to 119c
119b. Specify
119c Check Item Q. Is more than one reason marked in 119a?
1 Yes
2 No (Go to 121)
120. Which of these would you say was the most important reason why the incident was reported to the police?
<see responses for 119a>
121. Did the police come when they found out about the incident, did they just take a report over the phone, or did they deal with it just using the mail or the Internet?
1 Police came (go to 122a)
2 Took report over the phone (go to 121b)
3 Dealt with it using the mail (go to 121c)
4 Dealt with it using the Internet (go to 121c)
5 Took phone report with follow-up through the mail or internet (go to 121b)
121b. How satisfied were you with the manner with which the phone report was taken? Would you say you were ….
1 Extremely satisfied
2 Very satisfied
3 Moderately satisfied
4 Slightly satisfied or
5 Not at all satisfied?
121c. Should the police have come when they were contacted, or was the incident handled appropriately?
1 Police should have come
2 It was handled appropriately
3 Don’t Know
GO TO 124
Q122a. How satisfied were you with the time it took the police to come after they were contacted? Would you say you were ….
1 Extremely satisfied
2 Very satisfied
3 Moderately satisfied
4 Slightly satisfied or
5 Not at all satisfied?
Q122b. Had the police told you in advance how long it would take them to get there?
1 Yes
2 No
123a. What did they do while they were (there/here) to try to solve the crime? (Mark all that apply)
1 Took report
2 Searched/looked around
3 Took evidence (fingerprints, inventory, etc.…)
4 Questioned witnesses or suspects
5 Made arrest
6 Recovered property
7 Other, Specify (Go to 123b)
8 Don’t Know (Go to 123c)
123b. Specify__________ Then ask 123c
123c. What did they do while they were (there/here) to provide help or assistance? (Mark all that apply)
1 Calmed people down; restored order
2 Resolved the conflict between the parties
3 Gave advice about insurance
4 Gave (other) advice about how to handle the damage or loss
5 Gave advice about services or organizations that could help
6 Contacted emergency medical services
7 Other, Specify (Go to 123d)
8 Don’t Know (Go to 124)
123d. Specify__________ Then ask 124
124. Did you (or anyone in your household) have any later contact with the police about the incident?
1 Yes (Go to 125a)
2 No (Go to 127c)
3 Don’t know (Go to 127c)
125a Did the police get in touch with you or did you get in touch with them?
1 Police contacted respondent or other HHLD member (Go to 126)
2 Respondent (or other HHLD member) contacted the police (Go to 126)
3 Both (Go to 126)
4 Don’t Know (Go to 126)
5 Other – specify (Go to 125b)
126. Was that in person, by phone, through the mail, or over the Internet?
1 In person
2 By telephone
3 Through the mail
4 Over the Internet
5 Any combination of reasons
127a What did the police do in following up this incident? (mark all that apply)
1 Took report (Go to 127c)
2 Questioned witnesses or suspects (Go to 127c)
3 Did or promised surveillance/investigation (Go to 127c)
4 Recovered property (Go to 127c)
5 Made arrest (Go to 127c)
6 Gave advice about services or organizations that could help
7 Stayed in touch with household respondent (Go to 127c)
8 Other – Specify
9 Nothing (to respondent’s knowledge) (Go to 127c)
10 Don’t Know (Go to 127c)
127b. Specify
Now we have a few questions about how you feel the police handled this incident.
127c How respectfully would you say that you were treated by the police? Were you treated...
1 Extremely respectfully,
2 Very respectfully,
3 Moderately respectfully,
4 Slightly respectfully, or
5 Not at all respectfully?
127d When you talked to the police, how polite were they? Would you say they were...
1 Extremely polite,
2 Very polite,
3 Moderately polite,
4 Slightly polite, or
5 Not at all polite?
If Response 4 or 5 for either 127c or 127d, then ask 127e. Otherwise go to 127f.
127e Why did you feel that the police were disrespectful or impolite?
MARK ALL THAT APPLY
Specify _____________________
127f How satisfied were you that the police did everything they could do to address the reason you contacted them? Would you say you were …
1 Extremely satisfied
2 Very satisfied
3 Moderately satisfied
4 Slightly satisfied
5 Not at all satisfied
127g (Voice) How interested were the police in hearing the details about this incident? Were they...
1 Extremely interested,
2 Very interested,
3 Moderately interested,
4 Slightly interested, or
5 Not at all interested?
127h (Voice) How satisfied were you with the amount of time that you were given to tell your story? Would you say you were …
1 Extremely satisfied
2 Very satisfied
3 Moderately satisfied
4 Slightly satisfied
5 Not at all satisfied
127i (Respect) When you talked to the police, how polite were they? Would you say they were...
1 Extremely polite,
2 Very polite,
3 Moderately polite,
4 Slightly polite, or
5 Not at all polite?
127j (Respect) How respectfully would you say that you were treated by the police? Were you treated...
1 Extremely respectfully,
2 Very respectfully,
3 Moderately respectfully,
4 Slightly respectfully, or
5 Not at all respectfully?
127k (Trust) How satisfied were you that the police did everything they could do to address the reason you contacted them? Would you say you were …
1 Extremely satisfied
2 Very satisfied
3 Moderately satisfied
4 Slightly satisfied
5 Not at all satisfied
127l (Trust) How much understanding and support do you think the police involved showed to you? Would you say they offered you …
1 A great deal,
2 A lot,
3 A moderate amount,
4 A little, or
5 None at all?
127m. (Satisfaction) Overall, how professional would you say that the police were? Would you say that they were ...
1 Extremely professional,
2 Very professional,
3 Moderately professional,
4 Slightly professional, or
5 Not at all professional?
127n. (Satisfaction) Taking the whole experience into account, how satisfied are you with the way you were treated during this contact by the police? Were you ..
1 Extremely satisfied
2 Very satisfied
3 Moderately satisfied
4 Slightly satisfied
5 Not at all satisfied
128. Did you (or someone in your household) sign a complaint against the offender(s) to the police department or the authorities?
1 Yes
2 No
129. As far as you know, was anyone arrested or were charges brought against anyone in connection with this incident?
1 Yes
2 No
Q130. Did you seek any help or advice concerning this incident from any office or agency – other than police – that assists victims of crime?
Yes
No
Don’t know
Q131. Did you file a claim to receive victim compensation?
Yes [if Q130=yes or Q131=yes, ask Q132]
No [If Q130=no and Q131=no, skip to Q136]
Don’t know [If Q130=don’t know and Q131=don’t know, skip to next section]
Q132. Did you receive any services, assistance, or compensation from this or these offices or agencies?
Yes [ask Q133]
No [skip to Q135]
Don’t know [skip to next section]
Q133. What type of services did you receive?
Crisis hotline counseling? ● Yes ● No
Counseling or therapy? ● Yes ● No
Legal or court services? ● Yes ● No
Assistance getting a restraining, protection, or no-contact order? ● Yes ● No
Federal or state victim compensation? ● Yes ● No
Short term or emergency financial assistance? ● Yes ● No
Shelter or safehouse services? ● Yes ● No
Safety planning? ● Yes ● No
Risk or threat assessment? ● Yes ● No
Medical advocacy? ● Yes ● No
Any other services? – specify __________________ ● Yes ● No
Q134. Were there other services that you sought but did not receive?
Yes (ask Q135)
No (skip to next section)
Q135. Why did you not receive the services or compensation that you sought? Was it because…
Services were not available in your local area?
● Yes ● No
You did not have a means of transportation to and from the service provider?
● Yes ● No
You did not have childcare to go to get services?
● Yes ● No
The service provider could not accommodate you (e.g. no beds available in shelter)?
● Yes ● No
You were unable to take time off of work or school to get services?
● Yes ● No
There were language barriers?
● Yes ● No
You were not eligible for services?
● Yes ● No
[If YES to Q131] The claim has not been processed yet?
● Yes ● No
Some other reason?
● Yes ● No – (specify) ________________
[Skip to next section after Q135 – victims who sought services, will not receive Q136]
Q136. Why didn’t you seek victim assistance or services? Was it because…?
Services were not available in your local area?
● Yes ● No
You did not know of services that were available?
● Yes ● No
You did not have a means of transportation to and from the service provider?
● Yes ● No
You did not have childcare to go to seek services?
● Yes ● No
You were unable to take time off of work or school to seek services?
● Yes ● No
There were language barriers?
● Yes ● No
You did not think you were eligible for services?
● Yes ● No
You did not need services?
● Yes ● No
Some other reason?
● Yes ● No – (specify) ________________
Other than the police, did you tell anyone about this incident?
Yes
No (Skip to next section)
Don’t know (skip to next section)
Which of the following people did you tell about the incident?
Parents
Children
Other family member
Friend
Neighbor
Teacher or school administrator (if R=student)
Supervisor (if R > 16)
Coworker or classmate
Community or religious leader
Medical professional
Other – specify__________________________________
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
| File Modified | 0000-00-00 |
| File Created | 2021-01-24 |