Draft Master Instrument for Usability Testing

Westat is conducting this project on behalf of the Bureau of Justice Statistics (BJS) as part of efforts to redesign the National Crime Victimization Survey.

On each screen, you will be asked about experiences that have happened to you recently. Click on your answer or type in an answer, and then click the NEXT button to continue to the next screen. You can skip any question you don’t know the answer to or prefer not to answer by leaving the question blank and clicking the NEXT button.

(UT ONLY) The interviewer will observe you as you complete the survey and will occasionally stop you to gather feedback on the screen or on how you came up with your answer.

Household/Individual Characteristics

The first set of questions is about you and the people you live with.

H15. Are you male or female? [CC, 19]

Male 1

Female 2

H12. How old are you? [CC, 17]

_____ years

H26. (IF AGE >=18: Not counting yourself,) How many (IF AGE >=18: other) people ages 18 or older live with you? (NEW for UT only)

_____

H27. (IF AGE<18: Not counting yourself,) How many (IF AGE<18: other) people under the age of 18 live with you? (NEW for UT only)

_____

H28. (IF ONE OR MORE IN H27) Is anyone who lives with you… (NEW for UT only)

Yes No

Ages 0 to 11? 1 2
Ages 12 to 14? 1 2
Ages 15 to 17? 1 2

Person Characteristics I

P2. Have you lived at your current address . . . [NCVS-1, 33c]

Less than 6 months 1 (P3)

At least 6 months, but less than 1 year 2 (P4)

At least 1 year, but less than 5 years 3 (P4)

5 years or more 4 (P5)

ASK P3 IF P2 IS LESS THAN 6 MONTHS

P3. Have you been homeless at any time in the past 6 months, that is, since (DATE 6 MONTHS AGO)? [NEW]

Yes 1

No 2

P3a. Which of the following BEST describes the type of housing where you are currently living? [NEW]

1 Single-family home or townhouse

2 A building with 2 or more apartments or units

3 Mobile home

4 A boat, RV, van, etc.

If P2 is 5 years or more, skip to P5

P4. How many times have you moved in the past 5 years, that is, since [[CURRENT YEAR MINUS 5]? [NCVS-1, 33e]

______ times

P5-P7 asked of those age 16 or older

P5. In the past 7 days, did you have a job or work at a business? Do not include volunteer work or work around the house. [NCVS-1, 75a]

Yes 1 (P6A)

No 2 (P6)

P6. AT ANY TIME during the past 6 months, that is, since (DATE 6 MONTHS AGO), did you have a job or work at a business ? [NCVS-1, 75b]

Yes 1 (P6a)

No 2 (go to next module)

P6A. Have you worked at this same job for all of the past 6 months? (NEW)

Yes 1 (next module)

No 2 (P7)

P7. At any time in the past 6 months, have you been unemployed (New)

Yes 1

No 2

P8. (IF AGE 18+) At any time in the past 6 months, have you been a student? (FOR UT ONLY)

Yes 1

No 2

Police Ask-All Items

Programmer note: ½ sample gets this series, other ½ sample gets Community Measures Series

Next are some questions about experiences you may have had with the police in your area during the past 6 months, that is, since [DATE 6 MONTHS AGO]. Please include experiences with police officers, sheriff’s deputies, or state troopers, but not with guards or other security personnel who are not part of the police.

PQ1a. During the past 6 months, have you contacted the police in your area to report a crime, disturbance or suspicious activity? [NEW]

PQ1b. During the past 6 months, have you contacted the police in your area to report something else, such as a traffic accident or medical emergency? [NEW]

PQ2. During the past 6 months, that is, since [DATE 6 MONTHS AGO] have you… Mark one answer in each row. [NEW]

	Yes	No
been stopped by the police when you were driving or when you were a passenger in a motor vehicle?	1	2
been stopped or approached by the police for some other reason?	1	2
been at a community meeting, neighborhood watch, or other anti-crime activity where the police took part?	1	2

PQ3. The next questions ask for your views of the police in your area (IF ALL NO IN PQ1 AND PQ2: even though you may not have had direct contact with them recently). [NEW]

Please draw on everything you know about them and give your best judgments when you respond to these questions.

How respectfully do you think the police in your area treat people?

Very respectfully
Somewhat respectfully
Neither respectfully or disrespectfully
Somewhat disrespectfully
Very disrespectfully

In your opinion, how much time and attention do the police in your area give to what people have to say?

A great deal of time
A lot of time
A moderate amount of time
A little time
No time at all

In your opinion, how fairly do the police in your area treat people, regardless of who they are?

Very fairly
Somewhat fairly
Neither fairly nor unfairly
Somewhat unfairly
Very unfairly

How effective are the police at preventing crime in your area?

Very effective
Somewhat effective
Neither effectively nor ineffective
Somewhat ineffective
Very ineffective

How much do you trust the police in your area?

Trust completely
Somewhat trust
Neither trust nor distrust
Somewhat distrust
Distrust completely

Taking everything into account, how would you rate the job the police in your area are doing?

A very good job
A somewhat good job
Neither a good nor a bad job
A somewhat bad job
A very bad job

Community Measures

Programmer note: ½ sample gets this series, other ½ sample gets Police Ask-All Series

Next are some questions about your local area.

CM1. How worried are you about each of the following: [NEW]

being mugged or robbed in your local area?

1 Extremely worried

2 Very worried

3 Somewhat worried

4 Slightly worried

5 Not at all worried

being threatened or attacked in your local area?

1 Extremely worried

2 Very worried

3 Somewhat worried

4 Slightly worried

5 Not at all worried

having something stolen from inside your home?

1 Extremely worried

2 Very worried

3 Somewhat worried

4 Slightly worried

5 Not at all worried

having something stolen from your porch, lawn, garage, or other part of your property?

1 Extremely worried

2 Very worried

3 Somewhat worried

4 Slightly worried

5 Not at all worried

CM2. How often does concern about crime prevent you from doing things you would like to do? [NEW]

1 Every day

2 Several times a week

3 Several times a month

4 Once a month or less

5 Never

CM3. In your local area, how common a problem is each of the following: [NEW]

vandalism, graffiti or other deliberate damage to property?
1 Extremely common

2 Very common

3 Somewhat common

4 Not too common

5 Not common at all

people being drunk or rowdy in public places?

1 Extremely common

2 Very common

3 Somewhat common

4 Not too common

5 Not common at all

burned, abandoned or boarded-up buildings?

1 Extremely common

2 Very common

3 Somewhat common

4 Not too common

5 Not common at all

people using or dealing drugs illegally?

1 Extremely common

2 Very common

3 Somewhat common

4 Not too common

5 Not common at all

CM4. If children or teenagers in your local area were skipping school and hanging out on a street corner, how likely is it that any of your neighbors would do something about it? [NEW]

1 Very likely

2 Somewhat likely

3 Neither likely nor unlikely

4 Somewhat unlikely

5 Very unlikely

CM5. If children or teenagers were damaging others’ property, how likely is it any of your neighbors would do something about it? [NEW]

1 Very likely

2 Somewhat likely

3 Neither likely nor unlikely

4 Somewhat unlikely

5 Very unlikely

CM6. If there was a crime in your local area, how likely is it that any of your neighbors would call the police? [NEW]

1 Very likely

2 Somewhat likely

3 Neither likely nor unlikely

4 Somewhat unlikely

5 Very unlikely

CM7. Next are some statements that may or may not apply to your local area. For each one, please mark how much you agree or disagree. [NEW]

a. People around here are willing to help their neighbors.

1 Strongly agree

2 Somewhat agree

3 Neither agree nor disagree

4 Somewhat disagree

5 Strongly disagree

b. People in this local area can be trusted.

1 Strongly agree

2 Somewhat agree

3 Neither agree nor disagree

4 Somewhat disagree

5 Strongly disagree

Victimization Screener (Long Cues, Bounded, Interleaved)

INTRO1a.

[ADULTS] The next questions ask about things that may have happened to you in the past 12 months, that is, since (TODAY’S DATE ONE YEAR AGO). The questions will cover theft, break-ins, vandalism, physical attacks, and unwanted sexual contact.

[IF R IS AGE 18+, GO TO #1]

[YOUTH] The next questions will ask about things that may have happened to you in the past 12 months, that is, since (TODAY’S DATE ONE YEAR AGO). The questions will cover theft, physical attacks, and unwanted sexual contact.

[IF R IS AGES 12 TO 17, GO TO #3A]

Victimization Screener: Vehicle Theft

S_01. At any point in the past 12 months, have you or someone you live with owned a car, van, truck, motorcycle, or other motor vehicle? [Revision to NCVS-1, item 38]

If code 1 in S_01, go to S_01A.

If code 2 or missing in S_01, go to S_03.

S_01A. How many motor vehicles have you or someone you live with owned over the past 12 months? Please include any that are no longer owned by you or someone you live with. [Revision to NCVS-1, item 38]

_____________ motor vehicles

S_01B. In the past 12 months … [Revision to NCVS-1, item 39a]

S_01B1 (If S_01A=1) did anyone steal the vehicle or use it without permission?/(If S_01A>1 or missing) Did anyone steal any of these vehicles or use it without permission?	Yes	No
S_01B2 did anyone TRY to steal [If S_01A=1: the vehicle/If S_01A>1 or missing: any of these vehicles] but not actually steal it?	Yes	No

If YES in S_01B1 OR S_01B2, go to S_01C.

If NO in both S_01B1 AND S_01B2, go to S_02.

S_01c. The next question asks about the past 6 months, as marked in the calendar below.

You said that (IF S_01B1=YES: someone stole a vehicle or used it without permission/(IF NEEDED: and) IF S_01B1=YES: someone tried to steal a vehicle) in the past 12 months. Looking at the calendar above to help you remember the date, did (IF YES IN S_01B1 OR S_01B2, BUT NOT BOTH: this happen/IF YES TO BOTH S_01B1 AND S_01B2: either of these things happen) in the past 6 months, that is, since [DATE 6 MONTHS AGO]? [Revision to NCVS-1, item 39a]

Yes, in the past 6 months
No, not in the past 6 months

If YES in S_01C, go to S_01C1.

Otherwise, go to S_02.

S_01C1. In the past 6 months, how many times (IF YES IN S_01B1 OR S_0 1B2, BUT NOT BOTH: did this happen/IF YES TO BOTH S_01B1 AND S_01B2: was a vehicle stolen or did someone try to steal a vehicle)? [Revision to NCVS-1, item 39b]

1 Once

2 Two or more times (TYPE IN A NUMBER _____)

IF S_01C1 is missing or S_01C1 =2 and no numerical response is provided, soft prompt to collect response. Else go to note before S_01C2.

If still blank in S_01C1, SET TO SERIES=1. GO TO S_01D AND ASK ONLY ABOUT MOST RECENT INCIDENT.

If one to three times in S_01C1, go to note before S_01D. If four or more in S_01C1, continue.

S_01C2. Do you recall enough details about each incident to be able to distinguish them from each other? [Adapted from CIR5b]

Yes
No – SET SERIES=1

If yes in S_01C2, ask for up to four most recent dates in S_01D (depending on response to S_01C). If no in S_01C2, ask only about most recent incident in S_01D.

ASK ALL ITEMS FROM S_01D THROUGH S_01G (AS APPROPRIATE) FOR MOST RECENT INCIDENT, THEN MOVE TO NEXT MOST RECENT INCIDENT, AND SO ON.

S_01D. [IF S_01C1>1, DISPLAY FOR 2^ND AND ADDITIONAL INCIDENTS: You said that someone (IF S_01B1=YES: stole/(IF NEEDED: or) IF S_01B2=YES: tried to steal) a vehicle (FILL ANSWER FROM S_01C1 times) in the past 6 months.] In what month did the (most recent/next most recent) incident happen? If you don’t remember the exact month, please give your best estimate. [NEW]

(CURRENT MONTH)

(CURRENT MONTH MINUS 1)

(CURRENT MONTH MINUS 2)

(CURRENT MONTH MINUS 3)

(CURRENT MONTH MINUS 4)

(CURRENT MONTH MINUS 5)

(CURRENT MONTH MINUS 6)

Before (CURRENT MONTH MINUS 6)

If S_01D is blank, soft prompt to collect response, adding a “don’t know” option. Otherwise, go to S_01E.

If S_01D is missing or don’t know:

S_01D2. Did this incident happen before, after, or on [6-MO ANCHORDATE]? [NEW]

It happened before [6-MO ANCHORDATE] – GO TO S_02

It happened after or on [6-MO ANCHORDATE] – GO TO S_01E

I don’t know when it happened – GO TO NEXT INCIDENT IN S_01D

Still thinking about this (IF S_01C1 GT 2 AND SERIES NOT EQ 1 AND S_01D IS MISSING: most recent/second most recent/third most recent/fourth most recent/ IF RESPONSE PROVIDED IN S_01D: MONTH, YEAR) incident when someone (IF S_01B1=YES: stole/(IF NEEDED: or) IF S_01B2=YES: tried to steal) a vehicle, [NEW]


S_01E. Was anything stolen from the vehicle, such as a cell phone, money, or anything else in the vehicle?	1 Yes 2 No
S_01F. Were you physically attacked, or threatened with an attack, during this incident?	1 Yes 2 No
S_01G. (IF CODE 1 IN S_01F) 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

GO BACK TO S_01D IF MORE INCIDENTS. OTHERWISE GO TO S_02.

Victimization Screener: Vehicle Part Theft

S_02. {IF YES TO S_01B1 OR S_01B2 OR ANY IN S_01E: Other than the thefts or attempted thefts you have mentioned already} In the past 12 months …[Revision to NCVS-1, item 39a]

S_02A1. Did anyone steal any vehicle parts such as a tire, car stereo, GPS, hubcap, or battery from [If S_01A=1: the vehicle/If S_01A>1 or missing: any of these vehicles]?	Yes	No
S_02A2. Did anyone steal any gas from [If S_01A=1: the vehicle/If S_01A>1 or missing: any of these vehicles]?	Yes	No
S_02A3. Did anyone TRY to steal vehicle parts from [If S_01A=1: the vehicle/If S_01A>1 or missing: any of these vehicles]?	Yes	No

If YES TO ANY in S_02A1-A3, go to S_02B.

Otherwise, go to S_03.

S_02B. The next question asks about the past 6 months, as marked in the calendar below.

You said that (IF S_02A1=YES: someone stole vehicle parts/(IF NEEDED: and) IF S_02A2=YES: someone stole gas/(IF NEEDED: and) IF S_02A3=YES: someone tried to vehicle parts) in the past 12 months. Looking at the calendar above to help you remember the date, did (IF YES TO ONLY ONE IN S_02A1-A3: this happen/IF YES TO MORE THAN ONE IN S_02A1-A3: any of these things happen) in the past 6 months, that is, since [DATE 6 MONTHS AGO]? [Revision to NCVS-1, item 39a]

Yes, in the past 6 months
No, not in the past 6 months

If YES in S_02B, go to S_02B1.

Otherwise, go to S_03.

S_02B1. (IF YES TO BOTH (S_02A1 OR S_02A2) AND S_02A3: Thinking about the times when someone stole or tried to steal vehicle parts,) How many times did (IF YES TO ONLY ONE IN S_02A1-A3: this happen/IF YES TO MORE THAN ONE IN S_02A1-A3: any of these things happen) in the past 6 months? [Revision to NCVS-1, item 39b]

1 Once

2 Two or more times (TYPE IN A NUMBER _____)

IF S_02B1 is missing or S_02B1 =2 and no numerical response is provided, soft prompt to collect response. Else go to note before S_02B2.

If still blank in S_02B1, SET TO SERIES=1. GO TO S_02C AND ONLY ASK ABOUT MOST RECENT INCIDENT.

If one to three times in S_02B1, go to programmer note just before S_02C. If four or more in S_02B1, continue.

S_02B2. Do you recall enough details about each incident to be able to distinguish them from each other? [Adapted from CIR5b]

Yes
No – SET SERIES=1

If yes in S_02B2, ask for up to four most recent dates in S_02C (depending on response to S_02B1). If no in S_02B2, ask only about most recent incident in S_02C.

ASK ALL ITEMS FROM S_02C THROUGH S02_G (AS APPROPRIATE) FOR MOST RECENT INCIDENT, THEN MOVE TO NEXT MOST RECENT INCIDENT, AND SO ON.

S_02C. [IF S_01C1>1, DISPLAY FOR 2^ND AND ADDITIONAL INCIDENTS: You said that someone (IF S_02A1 OR S_02A2=YES: stole/(IF NEEDED: or) IF S_02A3=YES: tried to steal) vehicle parts (FILL ANSWER FROM S_02B1 times) in the past 6 months.] In what month did the (most recent/next most recent) incident happen? If you don’t remember the exact month, please give your best estimate. [NEW]

(CURRENT MONTH)

(CURRENT MONTH MINUS 1)

(CURRENT MONTH MINUS 2)

(CURRENT MONTH MINUS 3)

(CURRENT MONTH MINUS 4)

(CURRENT MONTH MINUS 5)

(CURRENT MONTH MINUS 6)

Before (CURRENT MONTH MINUS 6)

If S_02C is blank, soft prompt for a response, with a don’t know option. Otherwise, go to S_2DD1.

If S_02C is still blank or don’t know, continue to S_02C2.

S_02C2. Did this incident happen before, after, or on [6-MO ANCHORDATE]? [NEW]

It happened before [6-MO ANCHORDATE] – GO TO S_03

It happened after or on [6-MO ANCHORDATE] – GO TO S_2DD1

I don’t know when it happened – GO TO NEXT INCIDENT

S_2DD1. PROGRAMMER NOTE: Ask S_2DD2 if any of the following conditions are true:

If MONTH/YEAR of the current incident matches or is within one month (plus or minus) of the MONTH/YEAR of any previously reported incidents, or if there are any previously reported incidents for which a date was not collected
If no date was provided but the current incident was confirmed to have happened on or after anchor date, and (a prior incident was also confirmed to have happened on or after anchor date, or if there are any previously reported incidents for which a date was not collected)
If no date was provided and a prior incident was reported, regardless of date

S_2DD2. Is this incident part of any other incident you have already mentioned? [NEW]

Yes - GO TO S_2DD3

No – GO TO S_02E

S_2DD3. Which incident was this part of? [NEW]

(DISPLAY EACH INCIDENT PREVIOUSLY MENTIONED THAT IT COULD MATCH TO BY DISPLAYING MONTH/YEAR (IF PROVIDED) AND SHORT DESCRIPTION OF DETAILS OF INCIDENT, SUCH AS “May 2017 vehicle theft with an attack”)

ALL IN S_2DD3, GO TO S_02C FOR NEXT INCIDENT. IF NO MORE INCIDENTS, GO TO NEXT SCREENING ITEM.

Still thinking about this (IF S_02B1 GT 2 AND SERIES NOT EQ 1 AND S_02C IS MISSING: most recent/second most recent/third most recent/fourth most recent/ IF RESPONSE PROVIDED IN S_02C: MONTH, YEAR) incident in which someone (IF S_02A1 OR S_02A2=YES: stole/(IF NEEDED: or) IF S_02A3=YES: tried to steal vehicle parts), [NEW]


S_02E. Other than the vehicle parts, was anything else stolen from the vehicle, such as a cell phone, money, or anything else in the vehicle?	1 Yes 2 No
S_02F. Were you physically attacked, or threatened with an attack, during this incident?	1 Yes 2 No
S_02G. (IF CODE 1 IN S_02F) 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

GO BACK TO S_02C IF MORE INCIDENTS. OTHERWISE GO TO S_03.

Victimization Screener: Theft

S_03. The questions below ask about different things that might have been stolen from you. This may have happened to you while you were at home, (IF AGES 15+: at work or) school, or somewhere else.

{IF YES TO ANY IN S_01B1, S_01B2, S_02A1, S_02A2, S_02A3, S_01E OR S_02E: Other than the thefts or attempted thefts you have mentioned already} In the past 12 months did anyone steal… [Revision to NCVS-1, item 36a]

S_03A1. Something that you carry, like a cell phone, money, a wallet, purse, or backpack?	Yes	No
S_03A2. Something that you wear, like clothing, jewelry, or shoes?	Yes	No
S_03A3. Something in your home, like a TV, laptop, tools, or guns?	Yes	No
S_03A4. Something from your porch, lawn, garage, or other part of your property, such as a bicycle, garden hose or lawn furniture?	Yes	No
S_03A5. Something out of a vehicle, such as a package or groceries?	Yes	No
S_03A6. (IF H28a=yes) Something belonging to the children who live here?	Yes	No
S_03A7. Anything else?	Yes	No

S_03b. {IF YES TO ANY IN S_03A1- S_03A7: Other than what you have already mentioned,} In the past 12 months, did anyone TRY to steal anything that belongs to you (IF H28a=yes: or the children who live with you), but not actually steal it? [Revision to NCVS-1, item 36a]

1 Yes

2 No

If YES TO ANY in S_03A1-A7 or S_03b, go to S_03C.

Otherwise, go to S_04.

S_03C. The next question asks about the past 6 months, as marked in the calendar below.

You said that (IF YES TO ANY IN S_03A1- S_03A7: someone stole something /(IF NEEDED: and) IF S_03B=YES: someone tried to steal something) in the past 12 months. Looking at the calendar above to help you remember the date, did (IF YES TO ONLY ONE ITEM IN S_03A1-S_03B: this happen/IF YES TO MORE THAN ONE ITEM IN S_03A1-S_03B: any of these things happen) in the past 6 months, that is, since [DATE 6 MONTHS AGO]? [Revision to NCVS-1, item 36a]

Yes, in the past 6 months
No, not in the past 6 months

If YES in S_03C, go to S_03C1.

Otherwise, go to S_04.

S_03C1. In the past 6 months, how many times did someone (IF YES TO ANY IN S_03A1-S_03A7: steal/(IF NEEDED: or) IF S_03B=YES: try to steal) something? [Revision to NCVS-1, item 36b]

1 Once

2 More than once (TYPE IN A NUMBER _____)

IF S_03C1 is missing or S_03C1 =2 and no numerical response is provided, soft prompt to collect response. Else go to note before S_03C2.

If still blank in S_03C1, SET TO SERIES=1. GO TO S_03D AND ONLY ASK ABOUT MOST RECENT INCIDENT.

If one to three times in S_03C1, go to note before S_03D. If four or more in S_03C1, continue.

S_03C2. Do you recall enough details about each incident to be able to distinguish them from each other? [Adapted from CIR5b]

Yes
No – SET SERIES=1

If yes in S_03C2, ask for up to four most recent dates in S_03D (depending on response to S_03C1). If no in S_03C2, ask only about most recent incident in S_03D.

ASK ALL ITEMS FROM S_03D THROUGH S_03G (AS APPROPRIATE) FOR MOST RECENT INCIDENT, THEN MOVE TO NEXT MOST RECENT INCIDENT, AND SO ON.

S_03D. [IF S_03C1>1, DISPLAY FOR 2^ND AND ADDITIONAL INCIDENTS: You said that someone (IF YES TO ANY IN S_03A1-S_03A7: stole/(IF NEEDED: or) IF S_03B=YES: tried to steal) something (FILL ANSWER FROM S_01C1 times) in the past 6 months.] In what month did the (most recent/next most recent) incident happen? If you don’t remember the exact month, please give your best estimate. [NEW]

(CURRENT MONTH)

(CURRENT MONTH MINUS 1)

(CURRENT MONTH MINUS 2)

(CURRENT MONTH MINUS 3)

(CURRENT MONTH MINUS 4)

(CURRENT MONTH MINUS 5)

(CURRENT MONTH MINUS 6)

Before (CURRENT MONTH MINUS 6)

If S_03D is blank, soft prompt with a don’t know option. Otherwise, go to S_3DD1.

If S_03D is still blank or don’t know, continue to S_03D2.

S_03D2. Did this incident happen before, after, or on [6-MO ANCHORDATE]? [NEW]

It happened before [6-MO ANCHORDATE] – GO TO S_04

It happened after or on [6-MO ANCHORDATE] – GO TO S_3DD1

I don’t know when it happened – GO TO NEXT INCIDENT IN S_03D

S_3DD1. PROGRAMMER NOTE: Ask S_3DD2 if any of the following conditions are true:

If MONTH/YEAR of the current incident matches or is within one month (plus or minus) of the MONTH/YEAR of any previously reported incidents, or if there are any previously reported incidents for which a date was not collected
If no date was provided but the current incident was confirmed to have happened on or after anchor date, and (a prior incident was also confirmed to have happened on or after anchor date, or if there are any previously reported incidents for which a date was not collected)
If no date was provided and a prior incident was reported, regardless of date

S_3DD2. Is this incident part of any other incident you have already mentioned? [NEW]

Yes - GO TO S_3DD3

No – GO TO S_03E

S_3DD3. Which incident was this part of? [NEW]

(DISPLAY EACH INCIDENT PREVIOUSLY MENTIONED THAT IT COULD MATCH TO BY DISPLAYING MONTH/YEAR (IF PROVIDED) AND SHORT DESCRIPTION OF DETAILS OF INCIDENT, SUCH AS “May 2017 vehicle theft with an attack”)

ALL IN S_3DD3, GO TO S_03D FOR NEXT INCIDENT. IF NO MORE INCIDENTS, GO TO NEXT SCREENING ITEM.

Still thinking about this (IF S_03C1 GT 2 AND SERIES NOT EQ 1 AND S_03D IS MISSING: most recent/second most recent/third most recent/fourth most recent/ IF RESPONSE PROVIDED IN S_03D: MONTH, YEAR) incident when someone (IF YES TO ANY IN S_03A1-S_03A7: stole/(IF NEEDED: or) IF S_03B=YES: tried to steal) something, [NEW]


S_03E. Did anyone break in, or try to break in, to your home or another building on your property as part of this incident?	1 Yes 2 No
S_03F. Were you physically attacked, or threatened with an attack, during this incident?	1 Yes 2 No
S_03G. (IF CODE 1 IN S_03F) 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

Victimization Screener: Break-In

[IF ADULT AGE 18+, CONTINUE. IF YOUTH AGE 12-17, SKIP TO S_06A]

S_04. The next few questions ask about break-ins. {IF YES TO S_03E: Other than break-in(s) you have mentioned already, } in the past 12 months, did anyone… [Revision to NCVS-1, item 37a]

S_04A1. Break in or try 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
S_04A2. Break in or try to break into your garage, shed, or storage room?	Yes	No
S_04A3. Break in or try to break into a hotel or motel room or vacation home where you were staying?	Yes	No

If YES TO ANY in S_04A1-S_04A3 go to S_04B.

Otherwise, go to S_05A11.

S_04B. The next question asks about the past 6 months, as marked in the calendar below.

You said that someone broke in or tried to break in during the past 12 months. Looking at the calendar above to help you remember the date, did (IF YES TO ONLY ONE IN S_04A1-S_04A3: this happen/IF YES TO MORE THAN ONE IN S_04A1-S_04A3: any of these things happen) in the past 6 months, that is, since [DATE 6 MONTHS AGO]? [Revision to NCVS-1, item 37a]

Yes, in the past 6 months
No, not in the past 6 months

If YES in S_04B, go to S_04B1.

Otherwise, go to S_05A1.

S_04B1. How many times did someone break in or try to break in during the past 6 months? [Revision to NCVS-1, item 37b]

1 Once

2 More than once (TYPE IN A NUMBER _____)

IF S_04B1 is missing or S_04B1 =2 and no numerical response is provided, soft prompt to collect response. Else go to note before S_04B2.

If still blank in S_04B1, SET TO SERIES=1. GO TO S_04C AND ONLY ASK ABOUT MOST RECENT INCIDENT.

If one to three times in S_04B1, go to programmer note just before S_04C. If four or more in S_04B1, continue.

S_04B2. Do you recall enough details about each incident to be able to distinguish them from each other? [Adapted from CIR5b]

Yes
No – SET SERIES=1

If yes in S_04B2, ask for up to four most recent dates in S_04C (depending on response to S_04B1). If no in S_04B2, ask only about most recent incident in S_04C.

ASK ALL ITEMS FROM S_04C THROUGH S_04G (AS APPROPRIATE) FOR MOST RECENT INCIDENT, THEN MOVE TO NEXT MOST RECENT INCIDENT, AND SO ON.

S_04C. [IF S_04B1>1, DISPLAY FOR 2^ND AND ADDITIONAL INCIDENTS: You said that someone broke in or tried to break in (FILL ANSWER FROM S_04B1 times) in the past 6 months.] In what month did the (most recent/next most recent) incident happen? If you don’t remember the exact month, please give your best estimate. [NEW]

(CURRENT MONTH)

(CURRENT MONTH MINUS 1)

(CURRENT MONTH MINUS 2)

(CURRENT MONTH MINUS 3)

(CURRENT MONTH MINUS 4)

(CURRENT MONTH MINUS 5)

(CURRENT MONTH MINUS 6)

Before (CURRENT MONTH MINUS 6)

If S_04C is blank, soft prompt with a don’t know option. Otherwise, go to S_4DD1.

If S_04C is still blank or DK, continue to S_04D2.

S_04D2. Did this incident happen before, after, or on [6-MO ANCHORDATE]? [NEW]

It happened before [6-MO ANCHORDATE] – GO TO S_05A

It happened after or on [6-MO ANCHORDATE] – GO TO S_4DD1

I don’t know when it happened – GO TO NEXT INCIDENT IN S_04C

S_4DD1. PROGRAMMER NOTE: Ask S_4DD2 if any of the following conditions are true:

If MONTH/YEAR of the current incident matches or is within one month (plus or minus) of the MONTH/YEAR of any previously reported incidents, or if there are any previously reported incidents for which a date was not collected
If no date was provided but the current incident was confirmed to have happened on or after anchor date, and (a prior incident was also confirmed to have happened on or after anchor date, or if there are any previously reported incidents for which a date was not collected)
If no date was provided and a prior incident was reported, regardless of date

S_4DD2. Is this incident part of any other incident you have already mentioned? [NEW]

Yes - GO TO S_4DD3

No – GO TO S_04E

S_4DD3. Which incident was this part of? [NEW]

(DISPLAY EACH INCIDENT PREVIOUSLY MENTIONED THAT IT COULD MATCH TO BY DISPLAYING MONTH/YEAR (IF PROVIDED) AND SHORT DESCRIPTION OF DETAILS OF INCIDENT, SUCH AS “May 2017 vehicle theft with an attack”)

ALL IN S_4DD3, GO TO S_04C FOR NEXT INCIDENT. IF NO MORE INCIDENTS, GO TO NEXT SCREENING ITEM.

Still thinking about this (IF S_04B1 GT 2 AND SERIES NOT EQ 1 AND S_04C IS MISSING: most recent/second most recent/third most recent/fourth most recent/ IF RESPONSE PROVIDED IN S_04C: MONTH, YEAR) incident when someone broke in or tried to break in, [NEW]


S_04E. Was anything stolen as part of this incident?	1 Yes 2 No
S_04F. Were you physically attacked, or threatened with an attack, during this incident?	1 Yes 2 No
S_04G. (IF YES IN S_04F) 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

Victimization Screener: Vandalism

S_05A1. Vandalism is when someone deliberately damages or destroys something belonging to you. Examples are breaking windows, slashing tires, or painting graffiti on walls. In the past 12 months, did anyone vandalize your home, car, or something else that belongs to you or someone else you live with? [NEW]

1 Yes

2 No

S_05A2. In the past 12 months, did someone deliberately injure or kill an animal, such as a pet or livestock, that belongs to you or someone you live with? [NEW]

1 Yes

2 No

If code 1 in S_05A1 or S_05A2, go to S_05B.

Otherwise, go to S_06A.

S_05B. The next question asks about the past 6 months, as marked in the calendar below.

You said that something (IF S05_A1=1: was vandalized/(IF NEEDED: and) IF S05_A2=1: someone deliberately injured or killed an animal) in the past 12 months. Looking at the calendar above to help you remember the date, did (IF YES TO ONLY ONE IN S05_A1 AND S05_A2: this happen/IF YES TO BOTH S05_A1 AND S05_A2: any of these things happen) in the past 6 months, that is, since [DATE 6 MONTHS AGO]? [NEW]

Yes, in the past 6 months
No, not in the past 6 months

If YES in S_05B, go to S_05B1.

Otherwise, go to S_06A.

S_05B1. In the past 6 months, how many times did (IF YES TO ONLY ONE IN S05_A1 AND S05_A2: this happen/IF YES TO BOTH S05_A1 AND S05_A2: any of these things happen)? [NEW]

1 Once

2 Two or more times (TYPE IN NUMBER _____)

IF S_05B1 is missing or S_05B1 =2 and no numerical response is provided, soft prompt to collect response. Else go to note before S_05B2.

If still blank in S_05B1, SET TO SERIES=1. GO TO S_05C AND ONLY ASK ABOUT MOST RECENT INCIDENT.

If one to three times in S_05B1, go to note before S_05C. If four or more in S_05B1, continue.

S_05B2. Do you recall enough details about each incident to be able to distinguish them from each other? [Adapted from CIR5b]

Yes
No – SET SERIES=1

If yes in S_05B2, ask for up to four most recent dates in S_05C (depending on response to S_05B1). If no in S_05B2, ask only about most recent incident in S_05C.

ASK ALL ITEMS FROM S_05C THROUGH S_05G (AS APPROPRIATE) FOR MOST RECENT INCIDENT, THEN MOVE TO NEXT MOST RECENT INCIDENT, AND SO ON.

S_05C. [IF S_05B1>1, DISPLAY FOR 2^ND AND ADDITIONAL INCIDENTS: You said that (IF S05_A1=1: something was vandalized/(IF NEEDED: and) IF S05_A2=1: someone deliberately injured or killed an animal) (FILL ANSWER FROM S_05B1 times) in the past 6 months.] In what month did the (most recent/next most recent) incident happen? If you don’t remember the exact month, please give your best estimate. [NEW]

(CURRENT MONTH)

(CURRENT MONTH MINUS 1)

(CURRENT MONTH MINUS 2)

(CURRENT MONTH MINUS 3)

(CURRENT MONTH MINUS 4)

(CURRENT MONTH MINUS 5)

(CURRENT MONTH MINUS 6)

Before (CURRENT MONTH MINUS 6)

If S_05C is blank, soft prompt with a DK option. Otherwise, go to S_5DD1.

If S_05C is still blank or DK, continue to S_05C2.

S_05C2. Did this incident happen before, after, or on [6-MO ANCHORDATE]? [NEW]

It happened before [6-MO ANCHORDATE] – GO TO S_06A

It happened after or on [6-MO ANCHORDATE] – GO TO S_5DD1

I don’t know when it happened – GO TO NEXT INCIDENT IN S_05C

S5_DD1. PROGRAMMER NOTE: Ask S_5DD2 if any of the following conditions are true:

If MONTH/YEAR of the current incident matches or is within one month (plus or minus) of the MONTH/YEAR of any previously reported incidents, or if there are any previously reported incidents for which a date was not collected
If no date was provided but the current incident was confirmed to have happened on or after anchor date, and (a prior incident was also confirmed to have happened on or after anchor date, or if there are any previously reported incidents for which a date was not collected)
If no date was provided and a prior incident was reported, regardless of date

S_5DD2. Is this incident part of any other incident you have already mentioned? [NEW]

Yes - GO TO S_5DD3

No – GO TO S_05E

S_5DD3. Which incident was this part of? [NEW]

(DISPLAY EACH INCIDENT PREVIOUSLY MENTIONED THAT IT COULD MATCH TO BY DISPLAYING MONTH/YEAR (IF PROVIDED) AND SHORT DESCRIPTION OF DETAILS OF INCIDENT, SUCH AS “May 2017 vehicle theft with an attack”)

ALL IN S_5DD3, GO TO S_05C FOR NEXT INCIDENT. IF NO MORE INCIDENTS, GO TO S_06A.

Still thinking about this (IF S_05B1 GT 2 AND SERIES NOT EQ 1 AND S_05C IS MISSING: most recent/second most recent/third most recent/fourth most recent/ IF RESPONSE PROVIDED IN S_05C: MONTH, YEAR) incident when (IF S05_A1=1: something was vandalized/(IF NEEDED: or) IF S05_A2=1: someone deliberately injured or killed an animal), [NEW]


S_05E. Was anything stolen as part of the incident?	1 Yes 2 No
S_05F. Were you physically attacked, or threatened with an attack, during this incident?	1 Yes 2 No
S_05G. (IF YES IN S_05F) 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

Victimization Screener: Attack

S_06A. The next few questions ask about any physical attacks against you personally. These may have happened at your home or while you were (IF AGES 15+: at work,) at school, or away from home.

{IF YES TO S_01F, S_02F, S_03F, S_04F, or S_05F: Other than the attacks or threatened attacks you have already mentioned,} in the past 12 months, did anyone attack or try to attack you… [Revision to NCVS-1, item 41a]

S_06A1. With a weapon, for instance, a gun or knife?	Yes	No
S_06A2. With something else used as a weapon, like a baseball bat, scissors, or a stick?	Yes	No
S_06A3. By throwing something at you, such as a rock or bottle?	Yes	No
S_06A4. By hitting, slapping, grabbing, kicking, punching, or choking you?	Yes	No

S_06A5. In the past 12 months, did anyone attack, try to attack, or use force against you in any other way? Click “Yes” even if you are not certain it was a crime.

1 Yes

2 No

S_06A6. In the past 12 months, did anyone THREATEN to attack you, but not actually do it, {IF YES TO ANY IN 6A1-6A5: do not include incidents you have already mentioned}? [Revision to NCVS-1, item 41a]

1 Yes

2 No

If YES IN S_06A6, go to S_06A7.

Otherwise go to S_06A8.

S_06A7. How were you threatened? [Revision to NCVS-1, item 41a]

1 Face to face

2 By phone or text

3 Online (email or social media)

4 Some other way

If NO or MISSING TO ALL IN S_06A1-S_06A5 AND CODES 2-4 IN S_06A7, go to S_07A. OTHERWISE, CONTINUE.

S_06A8. People sometimes don’t think of attacks by someone they know, like (ADULTS: a current or former spouse or partner)/(YOUTH: a boyfriend or girlfriend), someone (AGES 15+: at work or at school)/(AGES 12-14: at school), a friend, or a family member.

{IF YES TO ANY IN S_06A1-S_06A6: Other than what you have already mentioned,} In the past 12 months, has anyone you know used any kind of physical force against you? 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. [Revision to NCVS-1, item 42a]

1 Yes

2 No

If yes to any in S_06A1- S_06A6, or S_06A8, go to S_06B.

Otherwise, go to S_07.

S_06B. The next question asks about the past 6 months, as marked in the calendar below.

You said that (IF YES TO ANY IN S_06A1- S_06A5 OR S_06A8: someone attacked you or tried to attack you/(IF NEEDED: and) IF S_06A6=YES: someone threatened to attack you) in the past 12 months. Looking at the calendar above to help you remember the date, did (IF YES TO ONLY ONE ACROSS S_06A1- S_06A5, S_06A6 AND S_06A8: this happen/IF YES TO MORE THAN ONE IN S_06A1- S_06A5, S_06A6 AND S_06A8: any of these things happen) in the past 6 months, that is, since [DATE 6 MONTHS AGO]? [Revision to NCVS-1, item 41a, 42a]

Yes, in the past 6 months
No, not in the past 6 months

If YES in S_06B, go to S_06B1.

Otherwise, go to S_07.

S_06B1. In the past 6 months, how many times did someone (IF YES TO ANY IN S_06A1- S_06A5 OR S_06A8: attack you or try to attack you/(IF NEEDED: or) IF S_06A6=YES: threaten to attack you) you? [Revision to NCVS-1, item 41b, 42b]

1 Once

2 Two or more times (TYPE IN NUMBER _____)

IF S_06B1 is missing or S_06B1 =2 and no numerical response is provided, soft prompt to collect response. Else go to note before S_06B2.

If still blank in S_06B1, SET TO SERIES=1. GO TO S_06C AND ONLY ASK ABOUT MOST RECENT INCIDENT.

If one to three times in S_06B1, go to S_6DD1. If four or more in S_06B1, continue.

S_06B2. Do you recall enough details about each incident to be able to distinguish them from each other? [Adapted from CIR5b]

Yes
No – SET SERIES=1

If yes in S_06B2, ask for up to four most recent dates in S_06C (depending on response to S_06B1). If no in S_06B2, ask only about most recent incident in S_06C.

ASK ALL ITEMS FROM S_06C THROUGH S_06E (AS APPROPRIATE) FOR MOST RECENT INCIDENT, THEN MOVE TO NEXT MOST RECENT INCIDENT, AND SO ON.

S_06C. [IF S_04B1>1, DISPLAY FOR 2^ND AND ADDITIONAL INCIDENTS: You said that (IF YES TO ANY IN S_06A1- S_06A5 OR S_06A8: someone attacked you or tried to attack you/(IF NEEDED: and) IF S_06A6=YES: someone threatened to attack you) (FILL ANSWER FROM S_06B1 times) in the past 6 months.] When did the (most recent/next most recent) incident happen? If you don’t remember the exact month, please give your best estimate. [NEW]

(CURRENT MONTH)

(CURRENT MONTH MINUS 1)

(CURRENT MONTH MINUS 2)

(CURRENT MONTH MINUS 3)

(CURRENT MONTH MINUS 4)

(CURRENT MONTH MINUS 5)

(CURRENT MONTH MINUS 6)

Before (CURRENT MONTH MINUS 6)

If S_06C is blank, Soft prompt with DK option. Otherwise, go to S_6DD1.

If S_06C is still blank or DK, continue to S_06D2.

S_06D2. Did this incident happen before, after, or on [6-MO ANCHORDATE]? [NEW]

It happened before [6-MO ANCHORDATE] – GO TO NEXT SCREENING ITEM

It happened after or on [6-MO ANCHORDATE] – GO TO S_6DD1

I don’t know when it happened – GO TO NEXT INCIDENT IN S_06C

S_6DD1. PROGRAMMER NOTE: Ask S_6DD2 if any of the following conditions are true:

If MONTH/YEAR of the current incident matches or is within one month (plus or minus) of the MONTH/YEAR of any previously reported incidents, or if there are any previously reported incidents for which a date was not collected
If no date was provided but the current incident was confirmed to have happened on or after anchor date, and (a prior incident was also confirmed to have happened on or after anchor date, or if there are any previously reported incidents for which a date was not collected)
If no date was provided and a prior incident was reported, regardless of date

S_6DD2. Is this incident part of any other incident you have already mentioned? [NEW]

Yes - GO TO S_6DD3

No – GO TO S_06E

S_6DD3. Which incident was this part of? [NEW]

(DISPLAY EACH INCIDENT PREVIOUSLY MENTIONED THAT IT COULD MATCH TO BY DISPLAYING MONTH/YEAR (IF PROVIDED) AND SHORT DESCRIPTION OF DETAILS OF INCIDENT, SUCH AS “May 2017 vehicle theft with an attack”)

ALL IN S_6DD3, GO TO S_06C FOR NEXT INCIDENT. IF NO MORE INCIDENTS, GO TO NEXT SCREENING ITEM.

Still thinking about this (IF S_06B1 GT 2 AND SERIES NOT EQ 1 AND S_06C IS MISSING: most recent/second most recent/third most recent/fourth most recent/ IF RESPONSE PROVIDED IN S_06C: MONTH, YEAR) incident when (IF YES TO ANY IN S_06A1- S_06A5 OR S_06A8: someone attacked you or tried to attack you/IF S_06A6=YES: someone threatened to attack you), [NEW]

S_06E. 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

Victimization Screener: Unwanted Sexual Contact

[ADULTS, USE THIS PAGE. YOUTH, GO TO NEXT PAGE]

S_07A. The next questions are about any sexual contact in the past 12 months that you DID NOT CONSENT TO and that YOU DID NOT WANT to happen. The information you provide is confidential.

Sexual contact includes someone touching your sexual body parts, unwanted kissing or penetrating your (IF FEMALE: vagina or)/ anus with a penis, mouth, tongue, fingers, or object. This could have been done by someone you knew well, someone you casually knew, or a stranger and can happen to both men and women.

{IF YES TO S_01G, S_02G, S_03G, S_04G, S_05G, or S_06E: Other than the unwanted sexual contact you have already mentioned,} in the past 12 months… [NEW]

S_07A1. Did anyone touch or grab your sexual body parts against your will – or TRY to do this?	Yes	No
S_07A2. Did anyone force you to have sexual contact by holding you down with his or her body, pinning your arms, hitting or kicking you, or using some other type of force – or TRY to do this?	Yes	No
S_07A3. Did anyone threaten to hurt you or someone close to you if you did not have sexual contact?	Yes	No
S_07A4. Did anyone have sexual contact with you – or try to have sexual contact with you – while you were passed out, unconscious, asleep, or unable to consent because you were drunk or high?	Yes	No

If YES TO ANY in S_07A1-S_07A4, go to S_07B.

Otherwise, go to instructions before S_08.

[YOUTH ONLY]

S_07Y. The next questions are about any sexual contact in the past 12 months that you DID NOT CONSENT TO and that YOU DID NOT WANT to happen. The information you provide is confidential.

Sexual contact includes someone touching your private parts, unwanted kissing, or sex. This could have been done by someone you know well, someone you casually know, or a stranger and can happen to both boys and girls.

{IF YES TO S_01G, S_02G, S_03G, S_04G, S_05G, or S_06E: Other than the unwanted sexual contact you have already mentioned,} in the past 12 months… [NEW]

S_07A1. Did anyone touch or grab your private parts when you didn’t want them to – or TRY to do this?	Yes	No
S_07A2. 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 TRY to do this?	Yes	No
S_07A3. Did anyone threaten to hurt you or someone close to you if you did not have sexual contact?	Yes	No
S_07A4. Did anyone have sexual contact with you – or try to have sexual contact with you – while you were passed out, asleep, or unable to consent because you were drunk or high?	Yes	No

If YES TO ANY in S_07A1-S_07A4, go to S_07B.

Otherwise, go to instructions before S_08.

S_07B. The next question asks about the past 6 months, as marked in the calendar below.

You said that someone had, or tried to have unwanted sexual contact with you in the past 12 months. Looking at the calendar above to help you remember the date, did (IF YES TO ONLY ONE IN S_07A1-S_07A4: this happen/IF YES TO MORE THAN ONE ACROSS S_07A1-S_07A4: any of these things happen) in the past 6 months, that is, since [DATE 6 MONTHS AGO]? [NEW]

Yes, in the past 6 months
No, not in the past 6 months

If YES in S_07B, go to S_07B1.

Otherwise, go to instructions before S_08.

S_07B1. In the past 6 months, how many times did someone have, or try to have these types of sexual contact with you? [NEW]

1 Once

2 More than once (TYPE IN A NUMBER _____)

IF S_07B1 is missing or S_07B1 =2 and no numerical response is provided, soft prompt to collect response. Else go to note before S_07B2.

If still blank in S_07B1, SET TO SERIES=1. GO TO S_07C AND ONLY ASK ABOUT MOST RECENT INCIDENT.

If one to three times in S_07B1, go to note before S_07C. If four or more in S_07B1, continue.

S_07B2. Do you recall enough details about each incident to be able to distinguish them from each other? [Adapted from CIR5b]

Yes
No – SET SERIES=1

If yes in S_07B2, ask for up to four most recent dates in S_07C (depending on response to S_07B1). If no in S_07B2, ask only about most recent incident in S_07C.

ASK ALL ITEMS FROM S_07C THROUGH S_7DD3 (AS APPROPRIATE) FOR MOST RECENT INCIDENT, THEN MOVE TO NEXT MOST RECENT INCIDENT, AND SO ON.

S_07C. [IF S_07B1>1, DISPLAY FOR 2^ND AND ADDITIONAL INCIDENTS: You said that someone had, or tried to have these types of sexual contact with you (FILL ANSWER FROM S_07B1 times) in the past 6 months.] In what month did the (most recent/next most recent) incident happen? If you don’t remember the exact month, please give your best estimate.

(CURRENT MONTH)

(CURRENT MONTH MINUS 1)

(CURRENT MONTH MINUS 2)

(CURRENT MONTH MINUS 3)

(CURRENT MONTH MINUS 4)

(CURRENT MONTH MINUS 5)

(CURRENT MONTH MINUS 6)

Before (CURRENT MONTH MINUS 6)

If S_07C is blank, soft prompt with a DK option. Otherwise, go to S_7DD1.

If _S07C is still blank or DK, continue to S_07C2.

S_07C2. Did this incident happen before, after, or on [6-MO ANCHORDATE]? [NEW]

It happened before [6-MO ANCHORDATE] – GO TO S_08

It happened after or on [6-MO ANCHORDATE] – GO TO S_7DD1

I don’t know when it happened – GO TO NEXT INCIDENT IN S_07C

S_7DD1. PROGRAMMER NOTE: Ask S_7DD2 if any of the following conditions are true:

If MONTH/YEAR of the current incident matches or is within one month (plus or minus) of the MONTH/YEAR of any previously reported incidents, or if there are any previously reported incidents for which a date was not collected
If no date was provided but the current incident was confirmed to have happened on or after anchor date, and (a prior incident was also confirmed to have happened on or after anchor date, or if there are any previously reported incidents for which a date was not collected)
If no date was provided and a prior incident was reported, regardless of date

S_7DD2. Is this incident part of any other incident you have already mentioned? [NEW]

Yes - GO TO S_7DD3

No – GO TO S_08

S_7DD3. Which incident was this part of? [NEW]

(DISPLAY EACH INCIDENT PREVIOUSLY MENTIONED THAT IT COULD MATCH TO BY DISPLAYING MONTH/YEAR (IF PROVIDED) AND SHORT DESCRIPTION OF DETAILS OF INCIDENT, SUCH AS “May 2017 vehicle theft with an attack”)

All, go to S_08.

(IF ANY PAST 6 MONTH INCIDENTS HAVE BEEN REPORTED: You have said that the following things happened to you in the past 6 months:

(DISPLAY EACH INCIDENT PREVIOUSLY MENTIONED BY DISPLAYING MONTH/YEAR (IF PROVIDED) AND SHORT DESCRIPTION OF DETAILS OF INCIDENT, SUCH AS “May 2017 vehicle theft with an attack”)

S_08. To make sure this survey has captured everything that has happened to you, is there anything (else) that you might think of as a crime that happened to you, personally, in the past 6 months, that is, since (DATE 6 MONTHS AGO) that you haven’t mentioned? It could be something you called the police about, or something you didn’t report to the police. [NEW]

1 Yes

2 No

If code 1 in S_08, go to S_08a.

If code 2 in S_08, go to instruction before CIR1.

S_08a. Please describe what else happened to you since (ANCHOR DATE). [NEW]

(OPEN-ENDED VERBATIM RESPONSE FOR PURPOSES OF FIELD TEST)

Crime Incident Report (Adults and Youth)

PROGRAMMER NOTE: Prioritize most serious incident first, then most recent within most serious.

CIR1. For these next questions, please focus on what happened in the incident (in FILL MONTH/YEAR OF INCIDENT IF PROVIDED) when you said [DISPLAY ALL KNOWN INFORMATION ABOUT INCIDENT USING TEXT BELOW IN BULLETED LIST – PULL FROM INTERLEAVING AND DE-DUPING INFORMATION FOR EACH INCIDENT].

Display text for CIR1		Module
Someone stole or tried to steal a vehicle	1	MV
Someone stole or tried to steal vehicle parts	2	MV
Someone stole something else	3	T
Someone tried to steal something else	4	AT
Someone broke in, or tried to break in to your property	5	B
Someone vandalized something of yours	6	V
Someone attacked or threatened to attack you personally	7	A
Someone had or tried to have sexual contact with you that you did not agree to and did not want to happen	8	SV
[Verbatim from S_8a]	9	None

COMPLETE EACH MODULE BASED ON THE CODES MARKED IN CIR1. ONCE ALL ELIGIBLE MODULES HAVE BEEN COMPLETED, GO TO LOCATION MODULE.

IF P1 OR P2 IS LESS THAN 6 MONTHS, CONTINUE. ELSE SKIP TO NEXT MODULE

CIR1a. Did this incident happen while you were living at your current address, or before you moved to this address?

While living at current address
Before moved to this address

DISPLAY TEXT:

Some of the next questions will refer to the “offender(s),” which means, the person or people who did this to you.

Series Crimes

If SERIES=1 FOR THIS INCIDENT, GO TO SC1

Else go to next MODULE

Earlier in this survey, you said [DESCRIPTION OF TYPE OF CRIME] happened to you more than once in the past 6 months.

SC1. Did all, some, or none of these incidents occur in the same place? [CIR156]

1 All in the same place

2 Some in the same place

3 None in the same place

SC2 Were all of these incidents, some of them, or none of them done by the same offender(s)? [CIR157]

1 All by same offender

2 Some by same offender

3 None by same offender

The rest of the questions will now ask you to focus on the most recent time this happened (in MONTH/YEAR).

GO TO NEXT MODULE BASED ON CIR1

What Happened: Module SV – Unwanted Sexual Contact (NEW)

IF CIR1=8 CONTINUE. ELSE GO TO NEXT MODULE.

Earlier, you said someone had unwanted sexual contact with you during (IF MORE THAN ONE CIR: this/IF ONE CIR: the) incident (IF DATE PROVIDED: in (MONTH)/IF NO DATE PROVIDED: in the past 6 months).

For these questions, please focus on the things that you did not want to happen. It may seem like you’ve already answered these questions, but it is important to understand what happened to you during (IF MORE THAN ONE CIR: this/IF ONE CIR: the) incident.

SV1. In this particular incident, …Mark one answer in each row. [NEW]

a.	Was there unwanted vaginal sex?	Yes	No
b.	Was there unwanted oral sex? Oral sex means that someone put their mouth or tongue on a vagina, anus or penis.	Yes	No
c.	Was there unwanted anal sex? Anal sex is a man or boy putting his penis in someone else’s anus.	Yes	No
d.	Was there unwanted sexual penetration with a finger or object in your [FEMALE: vagina or] anus or in the offender’s vagina or anus?	Yes	No
e.	Was there unwanted sexual touching, such as kissing, touching of [sexual body/private] parts, or grabbing, fondling, or rubbing up against you in a sexual way, even if it was over your clothes?	Yes	No

SV1f. [IF YES TO ANY IN SV1A-D] You said that there was (DISPLAY ALL YES RESPONSES FROM SV1) when you did not want it to happen. Did the offender penetrate or touch your [sexual body/private] parts, were you forced to penetrate or touch the offender’s [sexual body/private] parts, or did both happen?

The offender penetrated or touched you
You were forced to penetrate or touch the offender
Both

PROGRAMMER NOTE: Display language for SV1F and subsequent items:

(IF SV1a=YES) unwanted vaginal sex

(IF SV1b=YES) unwanted oral sex

(IF SV1c=YES) unwanted anal sex

(IF SV1d=YES) unwanted penetration with finger or object

(IF SV1e=YES) unwanted sexual touching or kissing

SV2. (If any in SV1a-SV1e=yes) During (IF MORE THAN ONE CIR: this/IF ONE CIR: the) incident… Mark one answer in each row. [NEW]

a.	Did the offender use physical force, such as holding or pinning you, hitting or kicking you, or using a weapon?	Yes	No
b.	Did the offender threaten to hurt you or someone close to you?	Yes	No
c.	Were you blacked out, unconscious, or asleep?	Yes	No
d.	Were you unable to consent because you were too drunk or high?	Yes	No

[IF SV1e=YES AND SV2a-d=no]

SV2e. During (IF MORE THAN ONE CIR: this/IF ONE CIR: the) incident, did the offender use force to kiss you, or grab, grope or touch your [sexual body/private] parts? (NEW)

[IF NO TO ALL IN SV2a-e]

SV2f. Did the offender use some other type of pressure, such as threatening to cut off financial support, threatening to cause problems for you, or promising rewards?

[IF NO TO ALL IN SV2a-f]

SV2g. What did the offender do that made it unwanted or against your will (specify)?

If SV1a = yes and SV2a, b, c, d, or e = yes, go to next MODULE

If SV1b = yes and SV2a, b, c, d, or e = yes, go to next MODULE

If SV1c = yes and SV2a, b, c, d, or e = yes, go to next MODULE

If SV1d = yes and SV2a, b, c, d, or e = yes, go to next MODULE

SV3. Did the offender verbally THREATEN or physically TRY to do any of the following, BUT DID NOT ACTUALLY DO IT? Mark one answer in each row. [NEW]

a. (if SV1a = no) Have vaginal sex with you	Yes	No
b. (if SV1b = no) Have oral sex with you	Yes	No
c. (if SV1c = no) Have anal sex with you	Yes	No
d. (IF SV1d=no) Sexually penetrate you with a finger or object in your [FEMALE: vagina or] anus or make you put your finger or an object in the offender’s vagina or anus?	Yes	No
e. (if SV1e = no) Kiss or touch your [sexual body/private] parts?	Yes	No

IF ALL OF SV3a – SV3e = NO OR MISSING GO TO NEXT MODULE. ELSE GO TO SV4a

SV4a. [If any of SV3a – SV3d=yes: You said that the offender threatened to or tried to (READ ALL YES RESPONSES FROM #SV3: have vaginal sex, have oral sex, have anal sex, sexually penetrate you with a finger or object) when you did not want it to happen.]

[Otherwise, if SV3e=yes: You said that the offender threatened to or tried to kiss, touch your [sexual body/private] parts, or grab, fondle, or rub up against you in a sexual way, when you did not want it to happen] Mark one answer in each row. [NEW]

a. Did the offender use physical force in doing this?	Yes	No
b. Did the offender threaten to hurt someone else in doing this?	Yes	No
c. Did the offender try to do it while you were asleep, unconscious, or unable to consent because you were high on alcohol or drugs?	Yes	No

If ‘no’ or missing to all in SV4a_a-c, go to SV4b. Else, go to next MODULE.

SV4b. You said that the offender threatened to or tried to (DISPLAY ALL YES RESPONSES FROM #SV3: have vaginal sex, have oral sex, have anal sex, sexually penetrate you with a finger or object, kiss or touch your [sexual body/private] parts) when you did not want it to happen. Did the offender verbally tell you they wanted to do it? [NEW]

Yes (go to SV4c)

No (go to SV4d)

SV4c. [IF YES IN SV4b AND MORE THAN ONE YES IN SV3a-e: You said the person verbally told you that they wanted to (BEHAVIORS FROM SV3).] At the time, how likely do you think it was that the offender would [IF ONLY ONE YES IN SV3: BEHAVIOR(s) FROM SV3/IF MORE THAN ONE YES IN SV3: do any of these] during (IF MORE THAN ONE CIR: this/IF ONE CIR: the) incident? [NEW]

Very likely
Somewhat likely
Somewhat unlikely
Very unlikely

ALL IN S4C, GO TO NEXT MODULE.

SV4d. (IF ANY OF SV3a – SV3e = yes) How did the offender threaten to [IF ONLY ONE YES IN SV3: BEHAVIOR(s) FROM SV3/IF MORE THAN ONE YES IN SV3: do any of these]? [NEW]

SPECIFY ____________________________

What Happened: Module A – Attack/Threatened Attack

IF CIR1=7 OR 8 (AND MODULE A HAS NOT BEEN ASKED YET) CONTINUE. ELSE GO TO NEXT MODULE.

A1. [IF CIR1<>8: You said someone (attacked/or/threatened to attack you) during (IF MORE THAN ONE CIR: this/IF ONE CIR: the) incident (IF DATE PROVIDED: in (MONTH)/IF NO DATE PROVIDED: in the past 6 months).] (IF S_06A1-A3=YES: Just to confirm,) (Did/did) the offender(s) have a weapon such as a gun or knife, or something to use as a weapon, such as a baseball bat, scissors, or a stick ? [CIR22]

1 Yes

2 No

If code 1 in A1, continue.

If code 2 in A1, go to A3.

A2. What was the weapon? Mark all that apply. [CIR23a]

A gun
A knife
Some other sharp object, such as scissors or an axe
A blunt object, such as a rock or bat
Something else - Specify - ____________________________________

IF A2=1, CONTINUE. ELSE TO GO NOTE BEFORE A2C.

A2a. Was it a handgun or some other kind of gun, such as a rifle or shotgun? [CIR23a, modified]

Hand gun
Some other kind of gun

A2b. Did the offender(s): Mark one answer in each row. [CIR29a modified]

Shoot you? Yes No
Shoot at you, but miss? Yes No
Hit you with the gun? Yes No

If A2b_a=yes or A2b_c=yes, go to next MODULE.

If A2=2 or 3, go to A2c. Else go to A3.

A2c. You said the offender(s) had a knife or other sharp object. Did the offender(s): Mark one answer in each row. [CIR29a modified]

Stab or cut you? Yes No
Try to stab or cut you? Yes No

If A2c_a=yes, go to next MODULE.

If SV2a=yes, go to A9. If SV4a_a=yes, go to next MODULE.

Otherwise, go to A3.

A3. [IF A2b_b=yes or A2c_b=yes: In addition to trying to [shoot/stab or cut] you, did the offender(s) hit you, grab you, knock you down or attack you in any other way?/ OTHERWISE: Did the offender(s) hit you, grab you, knock you down or attack you in any way?] [CIR24]

1 Yes

2 No

If code 1 in A3, go to A9.

If code 2 in A3 and (A2b_b=yes or A2c_b=yes), go to next MODULE.

Otherwise, if code 2 or missing in A3, go to A4.

A4. Did the offender(s) TRY to hit you, grab you, knock you down or try to attack you in any way? [CIR25 -modified]

1 Yes

2 No

If code 1 in A4, go to A7.

If code 2 in A4, go to A5.

A5. Did the offender(s) THREATEN to hit you, grab you, knock you down or threaten to attack you in any way? [CIR26 - modified]

1 Yes

2 No

If code 1 in A5, go to A7.

If code 2 in A5, go to A6.

A6. What did the offender do? Mark all that apply. [CIR27a - modified]

Took something without your permission
Attempted or threatened to take something
Bothered you verbally, argued with you or used abusive language
Broke in or tried to break in to your home
Broke in or tried to break in to your vehicle
Damaged or destroyed your property
Something else _______________________________________________

All in A6, skip to next MODULE.

A7. Did the offender(s) TRY or THREATEN to attack you by… Mark one answer in each row. [CIR28a - modified]

saying they would attack or kill you?	Yes	No
(IF A1=1) threatening you with a weapon?	Yes	No
(IF A2=4 or 5) trying to attack you with a weapon other than gun, knife or sharp weapon?	Yes	No
throwing something at you?	Yes	No
following you or surrounding you?	Yes	No
trying to choke you?	Yes	No
trying to hit, slap, knock down, grab, hold, trip, jump, or push you?	Yes	No
Something else _______________________________________________?	Yes	No

If A7=1 or 2 and screener item S_06A7 is blank, continue. Else go to next MODULE.

A8a. How were you threatened? Mark all that apply. [NEW]

1 Face to face

2 By phone or text

3 Online (email or social media)

4 Some other way

If A8a=2, 3 or 4 and CIR1 only =7, skip to Narrative.

Otherwise, skip to next MODULE.

A9. [If SV2a=yes: Earlier you said the offender used physical force [If A1=yes: and had a weapon] during the incident.] Did the offender(s) [also] do any of the following? Mark one answer in each row. [CIR29a modified]

Hit you with an object other than a gun	Yes	No
Throw something at you	Yes	No
Attack you with a weapon other than gun, knife or sharp weapon	Yes	No
Choke you	Yes	No
Hit you, slap you, or knock you down	Yes	No
Grab, hold, trip, jump, or push you	Yes	No
Do something else to attack you? (If so, what?) _________________	Yes	No

All continue to next MODULE

Consequences I: Injury

IF CIR1=7 or 8, CONTINUE. ELSE GO TO NEXT MODULE.

I_INTRO This section asks about any injuries you may have had during this incident.

CI1. During (IF MORE THAN ONE CIR: this/IF ONE CIR: the) incident, (IF SHOT OR STABBED IN MODULE A: besides being (shot and/or stabbed),) were you physically injured in any (IF SHOT OR STABBED IN MODULE A: other) way? Injuries include things such as bruises, black eyes, cuts, broken bones or more serious injuries. [CIR 31a, modified]

1. Yes (CI2)

2. No (PN CI4)

CI2. Were you injured in any of these ways? Mark all that apply. [CIR 31a, modified]

1. Broken or cracked bones

2. Broken nose

3. Dislocated joints

4. A concussion

5. Knocked unconscious

6. (IF YES TO ANY IN SV1A-D) Injury from sexual intercourse, such as to vagina or anus

7. (IF YES TO ANY IN SV1A-D: Other) Internal injuries, such as internal bleeding or damage to internal organs

8. Some other way

IF CI2 = 8 OR MISSING:

CI2a. Were you injured in any of these other ways? Mark all that apply. [CIR 31a, modified]

Bruising, swelling, welts, black eye
Bite mark or bite wound
Cuts or scratches
Sore muscles, sprains, strains, pulls
Burns
Nose bleed or bloody lip
Broken, chipped, or lost teeth
Other (SPECIFY) ______________________

PN CI3 If: sex=female, age=12-55, A3=yes or any in SV1a-e=yes, ask CI3a; else go to PN CI4.

CI3a. Were you pregnant at the time? [CIR40]

1. Yes (CI3b)

2. No (PN CI4)

CI3b Did (IF MORE THAN ONE CIR: this/IF ONE CIR: the) incident cause you to have a miscarriage or some other complication of pregnancy? [NEW]

1. Yes

2. No

PN CI4 If: sex=female, age=12-55, and YES TO SV1A, ask CI4; else go to PN CI5.

CI4. Did (IF MORE THAN ONE CIR: this/IF ONE CIR: the) incident cause you to become pregnant? [NEW]

1. Yes

2. No

PN CI4 If: yes to any in SV1a-e, ask CI5; else, go to PN CI6.

CI5 Did the offender(s) give you a sexually transmitted disease or other infection? [NEW]

1. Yes

2. No

PN CI6 If YES to injuries, pregnancy, STD or other infection, OR miscarriage questions, ask CI6; else go to next MODULE.

CI6 Did you receive any care from a medical or dental professional as a result of (IF MORE THAN ONE CIR: this/IF ONE CIR: the) incident? [CIR 33a, modified]

1. Yes (CI7)

2. No (Next section)

CI7. Did you receive this care at the location where the incident happened, somewhere else, or both? [CIR33b - modified]

Only where the incident happened
Only somewhere else
Both

If codes 2 or 3 to CI7, continue. Else go to PN CI8

CI7a Where did you receive this care? Mark all that apply. [CIR33b - modified]

At your home or the home of a relative, friend, or neighbor
At a hospital emergency room (ER) or an emergency clinic
At some other kind of medical or dental place
Somewhere else (specify)

PN CI8 If CI7a = 2, 3 or 4, ask CI8; else go to next section.

CI8 Did you stay overnight in the hospital? [CIR 34a]

1. Yes (CI9)

2. No (CI10)

CI9 How many nights did you stay in the hospital? [CIR 34b, modified]

______ nights

PN CI10: If CI6 = 1 (medical care received), ask CI10; else, go to next section

CI10 Have you had any out–of–pocket expenses for your medical or dental care that you do not expect to get paid back from insurance or some other source? [NEW]

1. Yes (CI11)

2. No (Next section)

CI11 How much were these out-of-pocket expenses? [NEW]

1 Less than $100

2 $100 to less than $500

3 $500 to less than $1000

4 $1000 to less than $5000

5 $5000 or more

What Happened: Module MV. Motor Vehicle Theft/Parts Theft/Attempted Theft

IF CIR1=1 or 2, AND MODULE MV HAS NOT BEEN ASKED YET CONTINUE. ELSE GO TO NEXT MODULE.

IF CIR1=1 AND S_01C>1, GO TO MV1a. OTHERWISE IF CIR1=1, GO TO MV2a. ELSE GO TO NOTE BEFORE MV1b.

MV1a. You said someone [stole /or/ tried to steal] a vehicle during (IF MORE THAN ONE CIR: this/IF ONE CIR: the) incident (IF DATE PROVIDED: in (MONTH)/IF NO DATE PROVIDED: in the past 6 months). (Did / did) the offender(s) actually take the vehicle? [NEW]

1 Yes

2 No

MV2a. [IF MV1a WAS SKIPPED: You said someone [stole /or/ tried to steal] a vehicle during (IF MORE THAN ONE CIR: this/IF ONE CIR: the) incident (IF DATE PROVIDED: in (MONTH)/IF NO DATE PROVIDED: in the past 6 months).] Who did the vehicle belong to? [CIR 97a, modified]

1 You

2 Someone else you live with

3 Both you and someone else you live with

4 Someone you don’t live with

5 Other ______________________________________________________

IF CIR1=2 AND S_02B>1, GO TO MV1b. ELSE GO TO NOTE BEFORE MV3.

MV1b. You said someone [stole or tried to steal] vehicle parts during (IF MORE THAN ONE CIR: this/IF ONE CIR: the) incident (IF DATE PROVIDED: in (MONTH)/IF NO DATE PROVIDED: in the past 6 months). (Did / did) the offender(s) actually take any vehicle parts? [NEW]

1 Yes

2 No

MV2b. (IF MV1b WAS SKIPPED) You said someone [stole /or/ tried to steal] vehicle parts during (IF MORE THAN ONE CIR: this/IF ONE CIR: the) incident (IF DATE PROVIDED: in (MONTH)/IF NO DATE PROVIDED: in the past 6 months). Who did the vehicle parts belong to? [CIR 97a, modified]

1 You

2 Someone else you live with

3 Both you and someone else you live with

4 Someone you don’t live with

5 Other ______________________________________________________

If CIR1=1 and code 1 in MV1a, go to MV3.

Otherwise, Go to NEXT MODULE.

MV3. Did anyone ever tell the offender(s) they could use the vehicle? [CIR 98, modified]

1 Yes

2 No

If code 1 in MV3, go to MV4.

If code 2 in MV3, go to NEXT MODULE.

MV4. Did the offender(s) return the vehicle? [CIR 99, modified]

1 Yes

2 No

If MV4=yes and CIR1 is only=1 for this incident, skip to Narrative.

If MV4=2, go to NEXT MODULE.

What Happened: Module B – Break-ins

IF CIR1=5, AND MODULE B HAS NOT BEEN ASKED YET CONTINUE. ELSE GO TO NEXT MODULE.

B1. You said someone (broke in or tried to break in) during (IF MORE THAN ONE CIR: this/IF ONE CIR: the) incident (IF DATE PROVIDED: in (MONTH)/IF NO DATE PROVIDED: in the past 6 months). During (IF MORE THAN ONE CIR: this/IF ONE CIR: the) incident did someone break in or try to break into…? Mark one answer in each row. [CIR10b, modified]

Your (house/apartment)?	Yes	No
A garage, shed, or other detached building on your property?	Yes	No
A second home or vacation home?	Yes	No
A hotel or motel room where you or someone you live with was staying?	Yes	No
A car or motor vehicle?	Yes	No
Some other place?	Yes	No

If B1e=yes or all in B1 is missing, go to next MODULE.

Otherwise, go to B2.

B2. Did the offender(s) actually get inside? [CIR12, modified]

1 Yes

2 No

B3. Were there any signs that the offender(s) got in or tried to get in by force? Signs of force include things like broken locks or windows. [CIR14, modified]

1 Yes

2 No

If code 1 in B3, go to B4.

Otherwise, go to next MODULE.

B4. What were these signs? Mark all that apply. [CIR15a, modified]

A window was damaged
A window screen was damaged or removed
A lock on a window was damaged or tampered with
There was some other damage to a window
A door was damaged
A screen door was damaged or removed
A lock or a door handle was damaged or tampered with

8 There was some other damage to a door

9 Something else ____________________

Go to next MODULE

What Happened: Module T. Theft

IF CIR1=3 or 4 AND MODULE T HAS NOT BEEN ASKED YET, CONTINUE. ELSE GO TO NEXT MODULE.

If S_03b=1 and any in (S03_A1-A7 or S_01E or S_02E or S_04E=1), ask T1. Otherwise, go to T2

T1. You said someone (stole /or/ tried to steal) something from you during (IF MORE THAN ONE CIR: this/IF ONE CIR: the) incident (IF DATE PROVIDED: in (MONTH)/IF NO DATE PROVIDED: in the past 6 months). (Did / did) the offender actually steal something or did they only TRY to steal something? [NEW]

1 The offender actually stole something

2 The offender only tried to steal something

IF T1=2 or S_03b=1, GO TO LOCATION SERIES

T2a. [IF T1 IS BLANK: You said someone stole something from you during (IF MORE THAN ONE CIR: this/IF ONE CIR: the) incident (IF DATE PROVIDED: in (MONTH)/IF NO DATE PROVIDED: in the past 6 months). What was stolen? Mark all that apply. [CIR96a - modified]

IF S_03A1 OR S_03A5 OR S_01E or S02E=YES

1 Cash

2 Credit cards, a check, or bank cards

3 A purse or wallet

4 A backpack, briefcase, or luggage

5 A cell phone

6 A tablet, a laptop, or other personal electronics

IF S_03A2 or S_03A3=YES

7 Clothing, furs, or shoes

8 Jewelry, a watch, or keys

IF S_03A3=YES

9 A TV, a computer, or appliances

10 Other home furnishings, such as china or rugs

11 A handgun or other firearm

12 Tools, machines, or office equipment

IF S_03A4 or S_03A6=YES

13 A bicycle or bicycle parts

14 A garden hose or lawn furniture

15 Toys, or sports and recreation equipment

IF S_03A5 OR S_01E or S02E =YES

16 Something you kept in your vehicle, such as a GPS device or a phone charger

17 A package or groceries

ALL

18 Something else

T2b. (IF SOMETHING ELSE) You said something else was stolen. What was it? Mark all that apply. (Display categories not shown in T2a, plus other specify) [CIR96a, modified]

IF S_03A1 AND S_01E AND S02E <>YES

1 Cash

2 Credit cards, check, bank cards

5 Purse/wallet

6 Backpack, briefcase, luggage

3 Cell phone

4 Other personal and portable electronics

6 Other personal and portable objects

IF S_03A2<>YES

6 Clothing, furs, shoes

7 Jewelry, watch, keys

IF S_03A3<>YES

9 TV, computer, appliances

10 Other home furnishings (silver, china, art objects, furniture, rugs, etc.)

11 Handgun or other firearm

12 Tools, machines, office equipment

IF S_03A4 AND S_03A6<>YES

13 Bicycle or parts

14 Garden hose or lawn furniture

15 Toys, sports, recreation equipment

IF S_03A5 AND S_01E AND S02E <>YES

16 Unattached motor vehicle accessories (GPS device, phone chargers, etc.)

17 A package or groceries

ALL

19 Something else ___________________________________

IF T1=2 or (T1 is missing and S_03b=1), go to next MODULE.

If code 1 in T2, go to T3.

Otherwise, go to T4.

T3. How much cash was taken? [CIR96e]

IF YOUTH:

1. Less than 10 dollars

2. $10 or more, but less than $20

3. $20 or more, but less than $30

4. $30 or more, but less than $50

5. $50 or more

IF ADULT:

1. Less than 10 dollars

2. $10 or more, but less than $50

3. $50 or more, but less than $200

4. $200 or more, but less than $500

5. $500 or more, but less than $1,000

6. $1,000 or more

All, go to T4.

T4. Who did the stolen property or money belong to? [CIR97a, modified]

1 You

2 Someone else you live with

3 Both you and someone else you live with

4 Someone you don’t live with

5 Other __________________________________________________________

Go to next MODULE.

What Happened: Module V. Vandalism

If CIR1=6 and no other codes are marked in CIR1, continue. Else go to next MODULE.

IF S_05A2=yes and S_05A1=no, skip to V3. Else continue.

V1. You said someone damaged or destroyed your property during (IF MORE THAN ONE CIR: this/IF ONE CIR: the) incident (IF DATE PROVIDED: in (MONTH)/IF NO DATE PROVIDED: in the past 6 months). (What/what) kind of property did the offender damage or destroy? Mark all that apply. [2009 Supplement, 61a]

A vehicle (including parts)
Something inside your home or apartment
A mailbox
Something outside of your home or apartment, such as doors, windows, or walls
Fences, walls, gates or items in a garden
A garage, shed, greenhouse or other structure on your property
An animal such as a pet or livestock
Other ____________________________________________________________

All in V1, go to V2.

V2. What kind of damage did the offender do? Mark all that apply. [2009 Supplement, 62a]

Broke glass, such as a window or mirror
Defaced something, such as painting graffiti, keying a car, or dirtying something
Burned something
Drove into or ran over something with a vehicle
Broke or destroyed something else
(IF CODE 7 IN V1) Injured or killed animals
Other _____________________________________________________________

If single person household, go to next MODULE. Otherwise, continue.

V3. [IF S_05A2=yes and V1 and V2 are missing: You said someone injured or killed an animal during (IF MORE THAN ONE CIR: this/IF ONE CIR: the) incident (IF DATE PROVIDED: in (MONTH)/IF NO DATE PROVIDED: in the past 6 months).] Did the offender attack or threaten anyone (else) who was living with you during (IF MORE THAN ONE CIR: this/IF ONE CIR: the) incident? [2009 Supplement, 64a, modified]

V4. Did the offender steal or try to steal something that belonged to anyone (else) who lived with you during (IF MORE THAN ONE CIR: this/IF ONE CIR: the) incident? [2009 Supplement, 64a, modified]

Go to next MODULE.

Location Series

The next questions ask about where (IF MORE THAN ONE CIR: this/IF ONE CIR: the) incident (in MONTH) took place.

If B1 is code 3, 4 or 6, go to Loc1

If B1 is code 5, continue.

If CIR1=1 or 2, continue.

Otherwise, go to note before L3.

L1. Where was the (car/vehicle) when this happened? [NEW]

1. On your property, such as your driveway or garage

2. (IF P3A=2) In your building’s garage or parking lot

3. In some other garage or parking lot

4. On the street near where you live

5. On the street but not near where you live

6. Somewhere else

If L1 is code 1, 2 or 4 and CIR1a=2, go to Loc1. Otherwise, if L1 is code 1, 2, or 4, go to Module PR

If L1 is code 3, 5 or 6, go to Loc1

If CIR1 is codes 3, 4, 5, 6, 7, or 8, continue. Otherwise, go to Module PR.

L3. Where did (IF MORE THAN ONE CIR: this/IF ONE CIR: the) incident happen? [CIR10a modified]

Inside your home
(IF P3a=2) In a common area where you live, such as a stairwell, hallway, or storage area
On your porch, lawn, garage, or other part of (IF P3a<>2: your/(IF P3a=2): your building’s) property
Inside somewhere else where you were staying overnight or longer
(IF AGES 15+) At your place of work
(IF AGE<18) At school
(IF P8=yes) In a campus building such as a classroom or a lab
Somewhere else

If L3 is code 1, 2 or 3 and CIR1a=2, go to Loc1

Otherwise, if L3 is code 1 or 2 or 3, and P8=yes, go to Loc5.

Otherwise, if L3 is code 1 or 2 or o 3, go to Module PR.

Otherwise, continue.

Loc1. Did this happen in the city, town or village where you live (now)? [CIR7a, modified]

1. Yes - Go to Loc2

2. No – Continue

Loc1a. Did this happen in the U.S. or in another country? [CIR7a, modified]

1. In the U.S. - Continue

2. In another country – go to Module PR

Loc1b. Did this happen on an American Indian Reservation or on American Indian Lands? [CIR9]

1. Yes

2. No

If L1 is code 1, 2, 3, or 4 and P8=1, go to Loc 5.

If L1 is code 1,2, 3 or 4 or L3 is code 1, 2, 3 or 5, go to Loc8

If L3 is code 6 go to Loc3

Otherwise, continue

Loc2. Which of the following BEST describes where this happened. [CIR10a, modified]

1. At, in or near someone else’s home

2. At a business, such as a store, restaurant, bar, or office building

3. At a public building, such as a hospital or library

4. In a parking lot or garage

5. In an open area, on the street, or on public transportation

6. Or somewhere else? (specify) _________________________

If code 2 in Loc2, continue to Loc2e.

If (age = 12-18 or P8=yes) and L3 ne 6 (did not occur at school) continue.

Else Go to programmer note before Loc3.

L4. Did (IF MORE THAN ONE CIR: this/IF ONE CIR: the) incident occur when you were on the way to or from school? [CIR135a, modified]

1 Yes

2 No

All in L4, go to Loc8.

Loc2e. At what type of a business did (IF MORE THAN ONE CIR: this/IF ONE CIR: the) incident happen? [CIR10e, modified]

1. A restaurant, bar, nightclub

2. A bank

3. A gas station

4. A store or shopping mall

5. An office

6. A factory or warehouse

7. Other (specify) ________________________________________

All in Loc2e, go to Loc8.

If code 6 in L3 and CIR1<>1, continue. Else go to Loc8.

Loc3. You said this happened at school. Did this happen inside a school building or somewhere else on school property (school parking area, play area, school bus, etc)? [CIR 10g, modified]

1. Inside a school building

2. On school property outside the school building (school parking area, play area, school bus, etc.)

3. Other (specify) ________________________________________

If code 1 in Loc3, continue.

If code 2 or 3 in Loc3, go to Loc8

Loc4. Was it your school? [CIR17a]

1. Yes

2. No

All in Loc4, go to Loc8

Loc5. Where did this happen?

1 In or on the property of a university residence hall or dorm

2 In or on the property of a fraternity or sorority house

3 In or on the property of other residential housing around the university

Loc8. How far from your home was it? [CIR19, modified]

A mile or less
More than a mile up to five miles
More than 5 miles up to fifty miles
More than 50 miles

Presence Series

If CIR1=7 or 8, go to next MODULE. Otherwise, continue.

The next questions ask about who was there when (IF MORE THAN ONE CIR: this/IF ONE CIR: the) incident (in MONTH) took place.

PR1. Did you [IF H26+H27>1: or anyone you live with] see, hear, or have any contact with the offender(s) as the incident was happening? [CIR20a, modified]

1 Yes

2 No

If code 1 in PR1 and H26+H27>1, go to PR2.

If code 2 to PR1, go to next MODULE.

PR2. Who saw, heard, or had contact with the offender(s) as the incident was happening? [CIR20b, modified]

1 Only you

2 Only someone else you live with

3 Both you and someone else you live with

All go to next MODULE.

Victim-offender Relationship

VOINTRO This section asks about what you know about the offender(s).

VO1. (IF PR1=no or PR2=2: To the best of your knowledge,) Was the crime committed by only one or by more than one offender? [CIR60]

1 One

2 More than one

3 (IF PR1=no or PR2=2: Don’t know)

If no response to VO1, soft prompt to answer VO1, adding “To the best of your knowledge,…”. If don’t know or still missing, go to VO2.

VO1a. Do you know who (the offender was/the offenders were)? [CIR 61, modified]

1 Yes

2 No

If code 2 in VO1a, continue. Else go to note before VO3.

VO2. Do you know anything about any of the offenders? [CIR 61, modified]

1 Yes

2 No

If code 1 in VO2, go to note before VO3.

If code 2 in VO2, go to next MODULE.

IF CIR1=7 or 8, go to VO6.

Otherwise, go to VO3.

VO3. (IF VO2=1: How did you learn what you know about the offender/offenders?)/(ELSE: How did you find out who the [offender was/offenders were]? Mark all that apply. [CIR 58a]

You saw or heard the offender(s)
Someone you live with saw or heard the offender(s)
Someone else saw or heard the offender(s)
You figured it out yourself
The police told you
The offender(s) admitted it
The offender(s) had threatened to do it, or had done it before
(IF CIR1=1-4) The stolen item(s) were found on the offender(s) or at the offender(s) home
Other - Specify ______________________________________________

If code 1 in VO1 or VO2, go to VO6.

If code 2 in VO1, go to VO14.

VO6. Was the offender someone you knew, even slightly, or a complete stranger? [CIR62, modified]

1 Someone you knew

2 Complete stranger

If code 1 in VO6, go to VO8.

If code 2 in VO6, go to VO7.

VO7. Would you be able to recognize the offender if you saw him/her? [CIR63]

1 Yes

2 Not sure (possibly)

3 No

If code 1 or 2 in VO7, go to VO9.

If code 3 in VO7, go to VO11.

VO8. Was the offender someone you knew by sight only, a casual acquaintance, or someone you knew well? [CIR64, modified]

1 Knew by sight only

2 Someone you knew, but not well

3 Someone you knew well

If code 1 in VO8, go to VO9.

If codes 2 or 3 in VO8, go to VO10.

VO9. Did you know how the offender might be found, for instance, where he/she lived, worked, went to school, or spent time? [CIR65a, modified]

1 Yes

2 No

All in VO9, go to VO11.

VO10. At the time of the incident, which of the following BEST describes how you knew the offender? [CIR66a, modified]

1 (IF AGES 15+) A spouse or ex-spouse

2 Someone you were romantically involved with, dating, or casually seeing at the time of the incident

3 An ex-boyfriend, ex-girlfriend, former fiancé(e), or someone you were no longer dating or seeing

4 A relative

5 Someone else

VO10a. Specifically, how did you know the offender at the time of the incident? [CIR66a, modified]

IF CODE 1 IN VO10, DISPLAY:

1 A husband or wife

2 An ex-husband or ex-wife

IF CODE 2 IN VO10, DISPLAY:

3 (IF AGES 15+) A live-in partner

4 (IF AGES 15+) A fiancé(e)

5 A boyfriend, girlfriend, or dating partner

6 Someone you were casually seeing

IF CODE 3 IN VO10, DISPLAY:

7 An ex-boyfriend, ex-girlfriend, or former fiancé(e)

8 Someone you were no longer dating or seeing

IF CODE 4 IN VO10, DISPLAY:

9 A parent or step-parent

10 (IF AGES 15+) A child or step-child

11 A brother, sister, step-brother, or step-sister

12 Some other relative _______________________________________________

IF CODE 5 IN VO10, DISPLAY:

A friend or ex-friend
An acquaintance or a friend of a friend

15 A roommate or boarder

16 A schoolmate

17 A neighbor

18 (IF AGES 15+) A customer or client

19 (IF AGES 15+) A patient

20 (IF AGES 15+) A supervisor or former supervisor

21 (IF AGES 15+) An employee or co-worker or former employee or co-worker

22 A teacher or school staff

23 Some other non-relative______________________________________________

If code 3 or 15 in VO10a, go to VO13.

Otherwise, go to VO12.

VO11. Which of these BEST describes how you knew, or knew of, the offender? [NEW]

A friend of a friend
A schoolmate
A neighbor
(IF AGE 15+) A customer or client
(IF AGE 15+) A patient
(IF AGE 15+) Someone who worked at the same place as you
A teacher or school staff
Other – Specify

9 A stranger or someone of whom you have no knowledge

All in VO11, go to next MODULE.

VO12. Had you ever lived with this person? [2006 SVS 10b, modified]

1 Yes

2 No

If code 1 in VO12, go to VO13.

If code 2 in VO12, go to next MODULE.

VO13. Were you living with this person at the time of (IF MORE THAN ONE CIR: this/IF ONE CIR: the) incident in (MONTH/YEAR)? [2006 SVS, 10c modified]

1 Yes

2 No

All in VO13, go to next MODULE.

VO14. How many offenders were there? [CIR74]

__________

DON’T KNOW. Don’t know number of offenders

All, go to VO15.

VO15. Were any of the offenders someone you knew, even slightly, or were all of them complete strangers? [CIR62, modified]

1 At least one was someone you knew

2 All were complete strangers

If code 1 in VO15, go to VO17.

If code 2 in VO15, go to VO16.

VO16. Would you be able to recognize any of them if you saw them? [CIR76]

1 Yes

2 Not sure (possibly)

3 No

If code 1 or 2 in VO16, go to VO18

If code 3 in VO16, go to note before VO20

VO17. Were any of the offenders someone you knew by sight only, casual acquaintances, or someone you knew well? Mark all that apply. [CIR77a, modified]

1 Knew by sight only

2 A casual acquaintance (IF AGE 12-17: (someone you knew, but not well))

3 Someone you knew well

If only code 1 in VO17, go to VO18.

If code 2 or 3 in VO17, go to VO19.

VO18. Did you know how any of the offenders might be found, for instance, where they lived, worked, went to school, or spent time? [CIR78a, modified]

1 Yes

2 No

All in VO18, go to note before VO20.

VO19. At the time of the incident, did you know any of the offenders in any of the following ways? (Mark yes or no to each) [CIR79a, modified]

a. (IF AGES 15+) A spouse or ex-spouse

b. Someone you were romantically involved with, dating, or casually seeing at the time of the incident, but not a spouse or ex-spouse

c. An ex-boyfriend, ex-girlfriend, former fiancé(e), or someone you were no longer dating or seeing

d. A relative

e. Someone else

VO19a. Specifically, how did you know them? Mark all that apply. [CIR79a, modified]

IF YES IN VO19.a, DISPLAY:

1 A husband or wife

2 An ex-husband or ex-wife

IF YES IN VO19.b, DISPLAY:

3 (IF AGES 15+) A live-in partner

4 (IF AGES 15+) A fiancé(e)

5 A boyfriend, girlfriend, or dating partner

6 Someone you were casually seeing

IF YES IN VO19.c, DISPLAY:

7 An ex-boyfriend, ex-girlfriend, or former fiancé(e)

8 Someone you were no longer dating or seeing

IF YES IN VO19.d, DISPLAY:

9 A parent or step-parent

10 (IF AGES 15+) A child or step-child

11 A brother, sister, step-brother, or step-sister

12 Some other relative _______________________________________________

IF YES IN VO19.e, DISPLAY:

A friend or ex-friend

14 An acquaintance or a friend of a friend

15 A roommate or boarder

16 A schoolmate

17 A neighbor

18 (IF AGES 15+) A customer or client

19 (IF AGES 15+) A patient

20 (IF AGES 15+) A supervisor or former supervisor

21 (IF AGES 15+) An employee or co-worker or former employee or co-worker

22 A teacher or school staff

23 Some other non-relative______________________________________________

If code 3 or 15 in VO19a, go to VO22.

Otherwise, go to VO21.

If code 1 in VO15 or code 1 in VO17, continue. Otherwise, go to next MODULE.

VO20. How did you know, or know of, the offender(s)? Mark all that apply. [NEW]

A friend of a friend
A schoolmate
A neighbor
(IF AGE 15+) A customer or client
(IF AGE 15+) A patient
(IF AGE 15+) Someone who worked at the same place as you
A teacher or school staff
Other – Specify
A stranger or someone of whom you have no knowledge

All in VO20, go to next MODULE.

VO21. Had you ever lived with any of them? [2006 SVS 10b, modified]

1 Yes

2 No

If code 1 in VO21, go to VO22.

If code 2 in VO21, go to next MODULE.

VO22. Were you living with any of them at the time of (IF MORE THAN ONE CIR: this/IF ONE CIR: the) incident? [2006 SVS 10c, modified]

1 Yes

2 No

All in VO22, go to next MODULE.

Offender Characteristics

IF VO1=1 OR PR2 = 1 or 3 THEN GO TO OCINTRO; Else go to next MODULE

IF VO1=1, GO TO OCINTRO.

IF VO1=2, GO TO OCINTRO_MULT.

OCINTRO This section asks for details about the offender.

OC1. Was the offender male or female? [CIR67]

1 Male

2 Female

OC2. How old would you say the offender was? [CIR68, modified]

Under 18
18 to 20
21 to 29
30 or older

IF OC2=1, CONTINUE. ELSE GO TO OC3

OC2a. Would you say the offender was…[CIR68, modified]

1 Under 12

2 12 to 14

3 15 to 17

OC3. Was the offender Hispanic or Latino? [CIR69]

1 Yes

2 No

OC4. What race or races was the offender? You may select more than one. Mark all that apply. [CIR70]

1. White

2. Black or African American

3. American Indian or Alaska Native

4. Asian

5. Native Hawaiian or Other Pacific Islander

OC6. Was the offender drinking or on drugs at the time of the incident? [CIR72a, modified]

1 Yes, the offender was drinking or on drugs

2 No, the offender was not drinking or on drugs

3 Don't know

ALL IN OC6, GO TO NEXT MODULE.

OCINTRO_MULT This section asks for more details about the offenders.

OC9. Were the offenders male or female? [CIR80a, modified]

1 All were male GO TO OC11

2 All were female GO TO OC11

3 They were both male and female

IF VO14=2, GO TO OC11.

OC10. Were most of the offenders male or were most of them female? [CIR80b]

1 Most were male

2 Most were female

3 They were evenly divided

OC11. How old would you say the youngest was? [CIR81, modified]

Under 18
18 to 20
21 to 29
30 or older

IF OC11=1, CONTINUE. ELSE GO TO OC12

OC11a. Would you say the youngest offender was…[CIR81, modified]

1 Under 12

2 12 to 14

3 15 to 17

OC12. How old would you say the oldest was? [CIR82, modified]

Under 18
18 to 20
21 to 29
30 or older

IF OC12=1, CONTINUE. ELSE GO TO OC13

OC12a. Would you say the oldest offender was…[CIR82, modified]

1 Under 12

2 12 to 14

3 15 to 17

OC13. Were any of the offenders Hispanic or Latino? [CIR83a]

1 Yes GO TO OC14

2 No GO TO OC15

OC14. Were most of the offenders Hispanic, non-Hispanic, or were roughly an equal number Hispanic and non-Hispanic? [CIR83b, modified]

1 Most of the offenders were Hispanic

2 Most of the offenders were non-Hispanic

3 A roughly equal number were Hispanic and non-Hispanic

OC15 Were the offenders… Mark all that apply. [CIR84a]

a. White?

b. Black or African American?

c. American Indian or Alaska Native?

d. Asian?

e. Native Hawaiian or Other Pacific Islander?

IF MORE THAN BOX MARKED IN OC15, GO TO OC16

ELSE, GO TO OC17

OC16. What race were most of the offenders? [CIR84c, modified]

(ONLY DISPLAY YES RESPONSES FROM OC15)

1 Most were White

2 Most were Black or African American

3 Most were American Indian or Alaska Native

4 Most were Asian

5 Most were Native Hawaiian or Other Pacific Islander

6 Roughly equal numbers of two or more races

OC18. Were any of the offenders drinking or on drugs at the time of the incident? [CIR86a, modified]

1 Yes, some or all of the offenders were drinking or on drugs

2 No, none were drinking or on drugs

3 Don’t know

GO TO NEXT MODULE

Self-Protection

If CIR1=7 or 8 (Attack or Sexual Contact) or PR2=1 or 3, continue. Otherwise go to next MODULE.

IF VO1=1, USE “OFFENDER” IN THIS SERIES. IF VO1=2, USE “OFFENDERS”.

These next questions are about what you did when (IF MORE THAN ONE CIR: this/IF ONE CIR: the) incident (in MONTH) occurred.

People may react differently to certain situations and it’s often not clear how one should react. Everyone is different and every situation is different. These questions will help us get a better picture of the range of things people have done in similar situations.

SP1. Which of the following BEST describes how you reacted during the incident? Mark all that apply. [CIR41a, modified]

You did what the person told you to do
You didn’t do anything, froze or didn’t move
You did something or tried to do something to protect yourself or your belongings
You did or tried to do something else during the incident

If only a code 1 or 2 in SP1, go to SP3a.

If code 3 or 4 in SP1, go to SP2.

SP2. You said that you took some action during the incident. What did you do? Mark all that apply. [CIR42a, modified]

You threatened or attacked the offender

2 You ducked or tried to avoid the offender(s)

3 You chased or warned the offender(s) off

4 You argued, reasoned, or pleaded with the offender

5 You got away or tried to get away, hid, or locked a door

6 You called the police or a guard

7 You tried to get someone else’s attention

8 You held onto your belongings

9 You stalled or distracted the offender(s)

10 Something else

If code 1 in SP2, continue. Else go to note before SP2b.

SP2a. What did you do to attack or threaten the offender(s)? Mark all that apply. [CIR42a, modified]

1 You attacked the offender(s) with a gun or fired a gun

2 You attacked the offender(s) with another weapon

3 You hit, kicked, or attacked the offender(s) in some other way

4 You threatened the offender(s) with a gun

5 You threatened the offender(s) with another weapon

6 You threatened the offender(s) in some other way

7 Something else _____________________________

If code 10 in SP2, continue. Else go to note before SP3.

SP2b. What other actions did you take during the incident? [CIR42b]

__________________________________________________

If CI1=1 ask SP3. Else go to SP3a.

SP3. Earlier, you said you were injured during (IF MORE THAN ONE CIR: this/IF ONE CIR: the) incident. Did you (take that action/take any of these actions) …Mark one answer in each row. [CIR43a, modified]

a. Before you were injured Yes No

b. After you were injured Yes No

c. At the same time you were injured Yes No

SP3a. Overall, do you think that what you did helped the situation, made it worse, or had no impact? [CIR48, modified]

1 Helped the situation

2 Made the situation worse

3 Had no impact on the situation

If PR2=2 or 3, go to SP5.

Otherwise, go to SP4.

SP4. Besides you and the offender(s), was anyone age 12 or older present during the incident? [CIR47, modified]

1 Yes

2 No

If SP4=1, go to SP5.

If SP4=2, go to next MODULE.

SP5. Did anyone else do or try to do anything to help you while the incident was going on? [NEW]

1 Yes

2 No

If SP5=1, go to SP6.

If SP5=2, go to SP9.

SP6. Who took these actions? Mark all that apply. [NEW]

1 Someone who was with you

2 Someone who was with the offender(s)

3 Someone who was there, but was not part of the incident

SP7. What did the person or people try to do to help you? Mark all that apply. [CIR49a, modified]

1 They attacked or tried to attack the offender(s)

2 They defended you or your property without physically attacking the offender(s)

3 They chased or warned off the offender(s)

4 They argued, reasoned, pleaded or bargained with the offender(s)

5 They tried to get help

6 They did something else (specify)

SP8. Overall, did the actions of this person or people help the situation, make it worse, or have no impact? [CIR48]

1 Helped the situation

2 Made the situation worse

3 Had no impact on the situation

If PR2=2 or 3, or if SP4=1, continue. Else go to next MODULE.

SP9. (IF OC2a=1 or OC11a=1: Not including the offender,) W/were any of the other persons who were present during the incident under the age of 12?

SP9a. Not counting yourself, (or) the offender (IF YES IN SP9: , or children under 12), did anyone else get harmed, threatened with harm, or have any belongings taken or damaged in (IF MORE THAN ONE CIR: this/IF ONE CIR: the) incident? [CIR52, modified]

1 Yes – How many? ________

2 No

If SP9=1, go to SP10.

If SP9=2, go to next MODULE.

SP10. [(IF RESPONSE TO COUNT IN SP9a: Of these (FILL) people, how many of them live with you now?)/(IF NO RESPONSE TO COUNT IN SP9a: Thinking just about the other persons who were present during the incident who were harmed, threatened with harm, or had property taken or damaged … How many of these persons live with you now? (Do not include yourself, the offender(s) or children under 12 years of age.)] [CIR54a, modified]

________

All, go to next MODULE.

Hate Crimes

A hate crime is a crime of prejudice or bigotry that occurs when an offender targets someone because of one or more of their characteristics or religious beliefs, such as:

Race
Religion
Ethnic background or national origin
A disability
Gender or gender identity
Sexual orientation

This could happen even if the offender falsely thinks you have certain characteristics or religious beliefs.

HC2 Do you have any reason to suspect that this was a hate crime targeted at you? [CIR162, modified]

If HC2=1, continue. Else go to HC3.

HC2a. Please indicate if you think each of the following was a reason you were targeted, even if the offender falsely thought something about you. Mark one answer in each row. [CIR162, modified]

Because of your race? Yes No
Because of your religion? Yes No
Because of your ethnic background or national origin? Yes No
Because of any disability you may have? Yes No
Because of your gender or gender identity? Yes No
Because of your sexual orientation? Yes No

All in HC2a, go to HC4

HC3. Do you have any reason to suspect this was a hate crime targeted at any of the people you spend time with? [CIR163, modified]

IF YES TO HC2 OR HC3, CONTINUE. ELSE GO TO NEXT MODULE.

HC4 Did the offender(s) say something, write anything, or leave anything behind at the crime scene that would suggest it was a hate crime? [CIR164b]

1 Yes

2 No

IF HC4=1 THEN GO TO HC5

ELSE GO TO NEXT MODULE

HC5 Did any of the following things happen? Mark one answer in each row. [CIR165, modified]

The offender(s) made fun of you, made negative comments, or used hurtful words, or abusive language	Yes	No
There was something at the scene, such as a swastika or a burning cross, that made you think this was a hate crime	Yes	No
The police told you that this was a hate crime	Yes	No
From what you know, the offender(s) had committed similar hate crimes in the past	Yes	No
The incident happened around a holiday, event, or place commonly associated with a specific group, such as a Gay Pride March, an ethnic church, or a special ed classroom	Yes	No
Other hate crimes had occurred in your local area	Yes	No
Some other reason _______________	Yes	No

GO TO NEXT MODULE

Police Involvement Series

The next questions ask about whether the police got involved in (IF MORE THAN ONE CIR: this/IF ONE CIR: the) incident (in MONTH).

PI1. Did the police find out about (IF MORE THAN ONE CIR: this/IF ONE CIR: the) incident ? [CIR 115, modified]

1. Yes

2. No

If code 1 in PI1, go to PI4

If code 2 in PI1, continue

If PI1 is missing, go to next MODULE

PI2a. Why did you decide not to contact the police? Mark all that apply. [CIR117a, modified]

1. You didn’t think it was important enough to report

2. You didn’t think the police would do anything about it

3. You weren’t sure who did it

4. It was too personal to report

5. You took care of it yourself

6. You reported it to an official other than the police

7. You didn’t think the police would believe you

8. You didn’t want to get into trouble with the police

9. You didn’t want the offender to get in trouble or face harsh consequences

10. You were worried the offender might get back at you

11. You weren’t sure it was a crime

12. Some other reason

If code 12 in PI2a, continue. Else go to PI3.

PI2b. What was the other reason why you did not contact the police? [CIR117a, modified]

You didn’t trust the police
You didn’t find out until it was too late to report
It would have been too much trouble to report it
You thought someone else would contact the police
Some other reason ____________

PI2c. Check item. Is more than one reason marked in PI2 and PI2a? [CIR 117c]

1. Yes - CONTINUE

2. No - GO TO PI19

PI3. Which of these would you say was the most important reason why you did not contact the police? [CIR 118, modified]

<Display all responses selected in PI2 and PI2a> plus “No one reason is most important”

___________________________________

If PI2a=6 and (L3=6 or loc21=yes) then continue (school crime reported to someone other than the police).

If PI2a ne 6 and (L3=6 or loc21=yes) then go to PI16a (not reported to someone other than police and is a school crime)

Else go to PI19

PI2c. Did you report the incident to a school official or School Resource Officer? [NEW]

Yes (Go to PI19)
No

PI2d. Why did you decide not to contact a school official or School Resource Officer? Mark all that apply. [CIR117a, modified]

1. You didn’t think it was important enough to report

2. You didn’t think the Official or School Resource Officer would do anything about it

3. You weren’t sure who did it

4. It was too personal to report

5. You took care of it yourself

6. You didn’t think the police would believe you

7. You didn’t want to get into trouble with the Official or the School Resource Officer

9. You didn’t want the offender to get in trouble or face harsh consequences

10. You were worried the offender might get back at you

11. You weren’t sure it was a crime

12. Some other reason

ALL, GO TO PI19.

PI4. Which of the following BEST describes who informed the police? [CIR 116a, modified]

1. You informed the police yourself

2. Someone you live with

3. A school employee or School Resource Officer

4. Some other official such as a security guard or a building manager

5. The police were at scene

7. Someone else told the police– specify ________________________________

If code 1, 2, 3, 4 or 7 in PI4, continue.

If code 5, 6 in PI4, go to note before PI16b .

PI5. (IF CODE 1 IN PI4: How did you first notify the police?/IF CODES 2-5 IN PI4: How did they notify the police?) [New]

1. [You/They] called the police

2. [You/They] approached an officer or police car

3. [You/They] went to the police station

4. [You/They] used the Internet or a social media app

5. Some other way – specify ________________________________

6. (IF CODES 2-5 IN PI4) Don’t know

If code 1, 2, or 3 in PI5, go to PI9.

If code 4, 5 or 6 in PI5, go to PI10

PI9. Which of the following BEST describes when the police were first contacted? [New]

While the crime was happening
Within 10 minutes after the crime occurred
Within an hour after the crime occurred
Within a day after the crime occurred
Longer than a day after the crime occurred

PI10. What did the police do when they found out about the incident? Mark all that apply. [CIR 121, modified]

1. They came to you

2. (IF PI5 ne 3) They told you to go to a police station

3. They took a report over the phone

4. They dealt with it through the mail

5. They dealt with it through the Internet or a social media app

6. Something else ______________________________________

7. The police did nothing

If code 1 in PI10, go to PI13

If code 3 in PI10, continue

Otherwise, go to note before PI12

PI11. How satisfied were you with how the phone report was taken? [New]

1. Very satisfied

2. Somewhat satisfied

3. Neither satisfied or dissatisfied

4. Somewhat dissatisfied

5. Very dissatisfied

6. IF CODES 2-5 IN PI4: Don’t know

If code 2-7 in PI10

PI12. Do you think the police should have come to you when they were contacted? [New]

1 Yes

2 No

All in PI12, go to note before PI16b.

If code 1 in PI10:

PI13. How satisfied were you with the time it took the police to get to you after they were contacted? [New]

1. Very satisfied

2. Somewhat satisfied

3. Neither satisfied or dissatisfied

4. Somewhat dissatisfied

5. Very dissatisfied

6. IF CODES 2-5 IN PI4: Don’t know

PI14. Had the police told (you/the person who contacted them) how long it would take them to get there? [New]

1. Yes

2. No

3. IF CODES 2-5 IN PI4: Don’t know

PI15. Did the police do any of the following while they were there? Mark all that apply. [CIR 123a, modified]

They asked you questions about what happened
They questioned other witnesses or suspects
They looked around
They took evidence, such as fingerprints or a list of what was taken
They promised to watch over the crime scene
They promised to investigate
They made one or more arrests
They did not do any of these things

PI16. Did the police do any of the following other things while they were there? Mark all that apply. [NEW]

They calmed people down
They resolved the conflict
They gave advice about insurance
They gave information about your rights as a victim
They gave information about services that could help victims
They contacted emergency medical services
They did something else to help __________________________
They did not do anything to help

If (L3=6 or loc21=yes) and (PI2a ne 6 and PI4 ne 3) continue (school crime and did not report to school official). Else go to note before PI16b.

PI16a. Did anyone report the incident to a school official or School Resource Officer (SRO)? [NEW]

If HC2 or HC3=yes, ask PI16b. Otherwise go to PI17.

PI16b Did you tell the police that you believe the incident was a hate crime? [CIR166, modified]

1 Yes

2 No

Ask all:

PI17. Did you (or anyone you live with) have any later contact with the police about the incident? [CIR124]

1. Yes

2. No

If code 1 in PI17, continue.

If code 2 in PI17 and code 1 in PI1, go to statement before PI20

If code 2 in PI17 and code 2 or 3 in PI1 , go to next MODULE

PI18. Thinking about these later contacts, did the police get in touch with you or did you get in touch with them? [CIR125a]

1. Police contacted you (or someone else you live with)

2. You (or someone else you live with) contacted the police

3. Both

PI19 What did the police do to follow up on (IF MORE THAN ONE CIR: this/IF ONE CIR: the) incident? Mark all that apply. [CIR 127a, modified]

1. They took a report on what happened

2. They questioned other witnesses or suspects

3. They watched over or promised to watch over the crime scene

4. (IF CIR1=3) They got your belongings back

5. They made one or more arrests

6. They stayed in touch

7. They did something else (specify)

8. They did not do anything to your knowledge

Next are some questions about how you feel the police handled (IF MORE THAN ONE CIR: this/IF ONE CIR: the) incident. If more than one officer was involved, please think about how you would rate them as a group.

PI20. How respectfully did the police treat you? [New]

Very respectfully
Somewhat respectfully
Neither respectfully or disrespectfully
Somewhat disrespectfully
Very disrespectfully

PI21. How satisfied were you with the amount of time the police gave you to tell your story? [New]

1. Very satisfied

2. Somewhat satisfied

3. Neither satisfied or dissatisfied

4. Somewhat dissatisfied

5. Very dissatisfied

PI22. How satisfied were you that the police did everything they could? [New]

1. Very satisfied

2. Somewhat satisfied

3. Neither satisfied or dissatisfied

4. Somewhat dissatisfied

5. Very dissatisfied

PI23. Taking the whole experience into account, how effectively did the police handle the incident? [New]

Very effectively
Somewhat effectively
Neither effectively nor ineffectively
Somewhat ineffectively

5. Very ineffectively

Workplace Violence Series

If P5=1 or P6=1 then continue. Else go to next MODULE.

WV1. Did (IF MORE THAN ONE CIR: this/IF ONE CIR: the) incident occur while you were working or on duty? [CIR135a, modified]

1 Yes

2 No

If WV1=1, continue. Else go to next MODULE.

If L1 ne 1 or L3 ne 1, 3, 5 (Did not occur on own property, inside home, at place of work)

WV2. Did (IF MORE THAN ONE CIR: this/IF ONE CIR: the) incident happen when you were on your way to or from work? [CIR135a, modified]

1 Yes

2 No

IF L3=5 or WV=1 or WV2=1 (WORKPLACE VIOLENCE), CONTINUE

ELSE GO TO next MODULE.

WV3. The next questions are about the job you had at the time of (IF MORE THAN ONE CIR: this/IF ONE CIR: the) incident. Were you employed by . . . [CIR138a]

1 A private company, business, or individual for wages

2 The Federal government

3 A State, county, or local government

4 Yourself (self-employed) in your own business, professional practice, or farm

5 A private not-for-profit, tax-exempt, or charitable organization?

IF WV3=1 or 4, continue. Else go to WV5.

WV4. Was this business incorporated? [CIR138b]

1 Yes

2 No

WV5. What is the name of the (company/government agency/business/non-profit organization) where you were working at the time of (IF MORE THAN ONE CIR: this/IF ONE CIR: the) incident? Remember, all answers to this survey are confidential. [CIR138c]

_________________________

WV6. What kind of business or industry is this? What do they make or do where you were working at the time of (IF MORE THAN ONE CIR: this/IF ONE CIR: the) incident? [CIR138d]

_________________________

WV7. Is this mainly . . . [CIR138e, modified]

1 Agriculture

2 Forestry

3 Construction

4 Healthcare and Social Assistance

5 Manufacturing

6 Mining

7 Oil and Gas Extraction

8 Public Safety

9 Services

10 Transportation

11 Warehousing

12 Utilities

13 Retail trade

14 Wholesale trade

15 Something else

WV8. What kind of work were you doing at this job at the time of (IF MORE THAN ONE CIR: this/IF ONE CIR: the) incident, that is, what was your occupation? [CIR138f]

_________________________

WV9. What were your usual activities or duties at this job? [NCVS-2, 138g]

_________________________

Consequences II: Socio-emotional Problems

Being a victim of crime affects people in different ways. The next questions are about how (IF MORE THAN ONE CIR: this/IF ONE CIR: the) incident may have affected you.

CS1 Did (IF MORE THAN ONE CIR: this/IF ONE CIR: the) incident lead you to have serious problems with your (age 15+: job or) schoolwork, or trouble with people (age 15+: at work or) at school? [CIR 36a, modified]

1. Yes

2. No

CS2 Did (IF MORE THAN ONE CIR: this/IF ONE CIR: the) incident lead you to have serious problems with family members or friends, such as having more arguments with them, losing trust in them, or feeling more distant from them? [CIR 36b, modified]

1. Yes

2. No

CS3 How upsetting has (IF MORE THAN ONE CIR: this/IF ONE CIR: the) incident been to you? [CIR 36c, modified]

1. Not at all upsetting

2. Mildly upsetting

3. Moderately upsetting

4. Severely upsetting

If CS1=1 or CS2=1 or CS3=3 or 4, continue to CS4.

CS4 Here is a list of things you may have felt because of the incident. For each, please mark whether you didn’t feel this way at all, you felt this way for less than a month, or you felt this way for a month or longer. Mark one answer in each row. [CIR 37, modified]

Didn’t feel Yes, for less Yes, for 1 month

this way than 1 month or more

Angry □ □ □
Shocked □ □ □
Fearful □ □ □
Depressed □ □ □
Anxious or panicked □ □ □
Less confident □ □ □
Sad □ □ □
Annoyed □ □ □
Empty □ □ □

CS5 Have you felt any other emotions as a result of (IF MORE THAN ONE CIR: this/IF ONE CIR: the) incident? [CIR37h/i, modified]

1. Yes  What was it? __________

2. No

CS5a. Did you have difficulty sleeping because of the incident? [CIR38b, modified]

No
Yes, for less than one month
Yes, for one month or more

CS6 Have you talked to a psychologist, psychiatrist, counselor, or other mental health professional about (IF MORE THAN ONE CIR: this/IF ONE CIR: the) incident? [New]

1. Yes (CS7)

2. No (PN CE1)

CS7 Did you have any out–of–pocket expenses for your mental health care, that is, expenses that you do not expect to get paid back from insurance or some other source? [New]

1. Yes (CS8)

2. No (PN CE1)

CS8 How much were these out-of-pocket expenses? [New]

1 Less than $100

2 $100 to less than $500

3 $500 to less than $1000

4 $1000 to less than $5000

5 $5000 or more

Consequences III: Economic Consequences

PN CE1 If CIR1=1 AND MV1=1 (vehicle was actually taken), ask CE1; else go to PN CE5:

CE1 What would you estimate was the value of the vehicle that was stolen or taken without permission? [CIR 104b, modified]

1 Less than $500

2 $500 to less than $1,000

3 $1,000 to less than $5,000

4 $5,000 to less than $10,000

5 $10,000 or more

CE2 Did you get the vehicle back? [CIR 99, modified]

1. Yes (CE3)

2. No (PN CE4)

CE3 Was the vehicle damaged in any way? [New]

1. Yes, it was damaged beyond repair

2. Yes, there was some damage

3. No, there was no damage

PN CE4a If MV1a=1 AND T1=1 GO TO CE4. ELSE GO TO PN CE5

CE4 Earlier you said some items were stolen along with the vehicle. What was the value of these other items, including the value of anything you got back? [CIR 104b, modified]

1 Less than $25

2 $25 to less than $50

3 $50 to less than $100

4 $100 to less than $500

5 $500 or more

PN CE4b After CE4, go to PN CE6.

PN CE5: IF T1=1 OR MV1b=1, GO TO CE5. ELSE GO TO PN CE6.

CE5 (Including cash) what would you estimate was the total value of the stolen items, including the value of anything you got back? [CIR 104b, modified]

1 Less than $25

2 $25 to less than $50

3 $50 to less than $100

4 $100 to less than $500

5 $500 to less than $1,000

6 $1,000 or more

PN CE6 : If MV1a=1 or MV1b=1 or T1=1, ask CE6:

CE6 [Apart from the stolen vehicle did/Otherwise: Did] you get any of the stolen (money) (or) (items) back? [CIR 106, modified]

1. Yes, you got all of it back (CE8)

2. Yes, you got some of it back (CE7)

3. No, you got none of it back (CE8)

CE7 (Apart from the cost of the vehicle,) What would you estimate was the total value of the (other) items you got back? [CIR 108, modified]

1 Less than $25

2 $25 to less than $50

3 $50 to less than $100

4 $100 to less than $500

5 $500 to less than $1,000

6 $1,000 or more

Property damage

PN CE8 If CIR1=6, skip to CE13.

CE8 (Other than any stolen property) was anything that belonged to you or someone you live with damaged or destroyed in (IF MORE THAN ONE CIR: this/IF ONE CIR: the) incident? [CIR 110, modified]

1. Yes (CE9)

2. No (PN CE15)

CE9 What was damaged (other than any stolen property)? Mark all that apply. [New]

A vehicle (including parts)
Something inside your home or apartment
A mailbox
Something outside of your home or apartment, such as doors, windows, or walls
Fences, walls, gates or items in a garden
A garage, shed, greenhouse or other structure on your property
An animal such as a pet or livestock
Other ____________________________________________________________

PN CE10 If CE9 = 1, ask CE10:

CE10 Was any of the damage a result of the offender trying to get into the vehicle? [New]

PN CE11 If CE9 = 3 or 4, ask CE11:

CE11 Was any of the damage to your house or apartment a result of the offender trying to get inside? [New]

PN CE12 If CE9 = 6, ask CE12:

CE12 Was any of the damage to your garage, shed, greenhouse or other structure on your property a result of the offender trying to get into the structure? [New]

CE13 (Excluding any costs you have already mentioned,) what was the total value of the damage done (IF CIR1=6: in this vandalism)? If you don’t know the exact amount, please give your best estimate. [New]

Less than $100
$100 to less than $500

2 $500 to less than $1,000

3 $1,000 to less than $5,000

4 $5,000 or more

CE14 Did you need to stay somewhere else or move to a new home as a result of (IF MORE THAN ONE CIR: this/IF ONE CIR: the) incident? [New]

1. Yes

2. No

Lost Work and Wages

PN CE15 If P6=1 or P6A=1 , ask CE15; else, go to next MODULE.

CE15 Have you taken any time off from work because of (IF MORE THAN ONE CIR: this/IF ONE CIR: the) incident? [CIR 143 and 147a, modified]

1. Yes (CE16)

2. No (Next section)

CE16 How many days did you take off work? [CIR 144 and 148, modified]

Less than one day
1 or 2 days
3 days to less than one full week
1 full week to less than a month
A month or more

CE17 Did you lose any pay for the time you took off? [CIR 145 and 149, modified]

1. Yes (CE18)

2. No (CE19)

CE18 About how much pay did you lose? [CIR 146 and 150]

Less than $100
$100 to less than $500
$500 to less than $1000
$1000 or more

CE19 Did you lose your job or have to give up work as a result of (IF MORE THAN ONE CIR: this/IF ONE CIR: the) incident? [New]

1. Yes

2. No

If CE19=No, continue. Otherwise, go to next section.

CE19a. Did you have to change your job as a result of (IF MORE THAN ONE CIR: this/IF ONE CIR: the) incident?

1. Yes

2. No

Victim Services (VS) Series

If A3=yes or (any in SV1a-e=yes and any in SV2a-e=yes) or CI1=yes or MV1=1 or B2=1 or CS3=3 or 4, continue. Else go to next MODULE.

The next questions ask about any help you might have gotten after (IF MORE THAN ONE CIR: this/IF ONE CIR: the) incident (in MONTH) took place.

VS1a. Have you told any family, friends, co-workers or neighbors about the incident? [NEW]

VS1b. (IF VS1a=1: Other than [IF PI1=yes: the police or] family/friends) Have you told anyone in a leadership or professional position about the incident who you thought might be able to help you? Mark all that apply. [NEW]

(STUDENT=YES) Teacher, school counselor or school administrator
(AGES 15+) Employer or supervisor
Medical or mental health professional
Leader of a religious or community organization
Security guard or personnel, other than the police
Other (specify) ______________________
No, have not told anyone else

VS2. Besides any help you might have gotten from friends or family, have you received the following kinds professional services because of the incident? Mark one answer in each row. [NEW]

Hotline, helpline, or crisis line intervention?	Yes	No
Counseling, therapy, support groups, or help from a mental health provider?	Yes	No
(If A3=yes or (any in SV1a-e=yes and any in SV2a-e=yes or CI1=yes) Help or advocacy with medical care or medical exams?	Yes	No
(If any in SV1a-e=yes and any in SV2a-e=yes) Sexual assault exam by a doctor, nurse or other medical professional?	Yes	No
Free or low cost legal services from an attorney?	Yes	No
Help with the legal process, such as with police interviews, preparing for court, or going to court?	Yes	No
Help applying for victim compensation?	Yes	No
Help getting a restraining, protection, or no-contact order?	Yes	No
Short term or emergency financial assistance?	Yes	No
(If N_YOUTH>0 OR N_KIDS>0) Free or reduced cost childcare for victims?	Yes	No
Housing, shelter or safehouse services?	Yes	No
Help getting the different types of services you needed?	Yes	No
Any other help or services? ____________________________	Yes	No

IF YES TO ANY IN VS2A-M, CONTINUE TO VS3

OTHERWISE GO TO VS4

VS3. How satisfied were you with (IF MORE THAN ONE YES RESPONSE IN VS2: each of the types of services you received/IF ONLY ONE RESPONSE IN VS2: FILL CATEGORY FROM VS2)? Mark one answer in each row. [NEW]

1. Very satisfied

2. Somewhat satisfied

3. Neither satisfied or dissatisfied

4. Somewhat dissatisfied

5. Very dissatisfied

(IF VS2A=YES) Hotline, helpline, or crisis line intervention
(IF VS2B=YES) Counseling, therapy, support groups, or help from a mental health provider
(IF VS2C=YES) Help or advocacy with medical care or medical exams (victims of violence only)
(IF VS2D=YES) Sexual assault exam by a doctor, nurse or other medical professional (RSA victims only)
(IF VS2E=YES) Free or low cost legal services from an attorney
(IF VS2F=YES) Help with the legal process, such as with police interviews, preparing for court, or going to court
(IF VS2H=YES) Help getting a restraining, protection, or no-contact order
(IF VS2G=YES) Help applying for victim compensation
(IF VS2I=YES) Short term or emergency financial assistance
(IF VS2J=YES) Free or reduced cost childcare for victims
(IF VS2K=YES) Housing, shelter or safehouse services
(IF VS2L=YES) Help getting the different types of services you needed
(IF VS2M=YES) Any other help or services you received

IF NO OR BLANK TO ANY IN VS2A-L, CONTINUE. OTHERWISE SKIP TO NEXT MODULE.

VS4. Were there any types of services that you TRIED to get BUT WERE UNABLE TO GET? [NEW]

1. Yes – GO TO VS5

2. No – GO TO VS7

VS5. Which of the following services did you TRY to get BUT WERE UNABLE TO GET? Mark all that apply. [NEW]

(IF VS2A=NO OR BLANK) Hotline, helpline, or crisis line intervention
(IF VS2B=NO OR BLANK) Counseling, therapy, support groups, or help from a mental health provider
(IF VS2C=NO OR BLANK) Help or advocacy with medical care or medical exams (Attack, RSA, injury victims only)
(IF VS2D=NO OR BLANK) Sexual assault exam by a doctor, nurse or other medical professional (RSA victims only)
(IF VS2E=NO OR BLANK) Free or low cost legal services from an attorney
(IF VS2F=NO OR BLANK) Help with the legal process, such as with police interviews, preparing for court, or going to court
(IF VS2G=NO OR BLANK) Help getting a restraining, protection, or no-contact order
(IF VS2H=NO OR BLANK) Help applying for victim compensation
(IF VS2I=NO OR BLANK) Short term or emergency financial assistance
(IF VS2J=NO OR BLANK) Free or reduced cost childcare for victims (victims w/children only)
(IF VS2K=NO OR BLANK) Housing, shelter or safehouse services
(IF VS2L=NO OR BLANK) Help getting the different types of services you needed
Other (specify)_________________________________________

IF YES TO ANY IN VS5A-L, CONTINUE. OTHERWISE SKIP TO NEXT MODULE.

VS6. Were any of the following reasons why you didn’t actually get the services you needed after the incident? Mark one answer in each row. [NEW]

The services you needed were not available in your area?	Yes	No
You did not think you were eligible for services, or you were told you were not eligible?	Yes	No
You did not have transportation?	Yes	No
(IF CHILDREN IN HH) You did not have childcare?	Yes	No
The service provider did not have enough resources to help you?	Yes	No
You could not take time off work or school?	Yes	No
The services were not available in your language?	Yes	No
It was taking too much time or effort?	Yes	No
You didn’t want to get the offender in trouble or face harsh consequences?	Yes	No
You were afraid of what the offender might do?	Yes	No
Some other reason? (Specify) ___________________________	Yes	No

ALL IN VS6, SKIP TO NEXT MODULE. IF NO TO ALL IN VS2A-M AND NO TO VS4, CONTINUE. OTHERWISE SKIP TO NEXT MODULE.

VS7. You said you didn’t try to get any services. Did you want any services? [NEW]

IF YES TO VS7, GO TO VS8. OTHERWISE, SKIP TO NEXT MODULE.

VS8. Please indicate whether or not each of the following were reasons why you did not try to get any services. Mark one answer in each row. [NEW]

You did not know what help or services were available Yes No
You did not have transportation Yes No
(IF CHILDREN IN HH) You did not have childcare Yes No
You could not take time off work or school Yes No
You didn’t want to get the offender in trouble or
face harsh consequences Yes No
You were afraid of what the offender might do Yes No
Some other reason (Specify) ___________________________ Yes No

Narrative

Thank you for providing this information about the incident (in MONTH). On the next screen, you will be asked to describe the incident in your own words. Remember that you can skip any question, including this one, if you don’t recall particular details, or don’t want to answer.

N1. To check that the survey questions have captured what happened in this incident, please describe the incident in your own words. Depending on your situation, this might include who did it, where it occurred, what was taken, whether you were injured or any other details you feel are important to understand what happened. [CIR174, modified]

_____________________________________________________________

Person Characteristics II

The next questions ask about you.

PNP8 Ask if P5=2.

P8. Earlier you said you did not have a job or business last week. During the past 4 WEEKS, have you been ACTIVELY looking for work? [new, from ACS 36]

Yes 1

No 2

PNP9 Ask if P6=1 (no job last week but job in past 6 months), else go to PNP11:

P9. Earlier you said you had a job or worked at a business at some time in the past 6 months. Did that (job/work) last 2 consecutive weeks or more? [75c]

Yes 1 (P10)

No 2 (P19)

P10. When did that job end? [new]

___ ___ / ___ ___ / ___ ___ ___ ___

MM/DD/YYYY

IF THERE IS ANY DATA IN WV3-WV9 THEN GO TO P11a. Otherwise go to instruction after P11a:

P11a. Earlier you said that an incident happened while you were at work. Have you changed your job since then? [NEW]

Yes (go to P11)

No (go to P20)

PNP11 Ask if P5=1 (job last week) or P9=1 (2+ weeks of work), else go to P20:

P11. (Earlier you said you had a job or worked at a business last week.) The next questions are about your (current main/most recent) job. (Are/Were) you employed by . . . [NCVS-2, 138a]
DISPLAY: If P5=1, display “Earlier . . .,” “current main,” and “Are.” If P9=1, display “most recent” and “Were.”

A private company, business, or individual for wages, 1 (P12)

Federal government, 2 (P13)

A sState, county, or local government, 3 (P13)

Yourself (self-employed) in your own business, professional practice, or farm, or 4 (P12)

A private not-for-profit, tax-exempt, or charitable organization? 5 (P13)

P12. (Is/Was) this business incorporated? [NCVS-2, 138b]
DISPLAY: If P9=1 and P11=4, display “Was”; else display “Is.”

Yes 1

No 2

P13. What is the name of the (company/government agency/business/non-profit organization) for which you work(ed)? [NCVS-2, 138c]

P14. What kind of business or industry is this? [NCVS-2, 138d]

P15. Is this mainly . . . [modified NCVS-2, 138e]

Agriculture 1

Forestry 2

Construction 3

Healthcare and Social Assistance 4

Manufacturing 5

Mining 6

Oil and Gas Extraction 7

Public Safety 8

Services 9

Transportation 10

Warehousing 11

Utilities 12

Retail trade 13

Wholesale trade 14

Something else 15

P16. What kind of work (do/did) you do, that is, what (is/was) your occupation? [NCVS-2, 138f]

P17. What (are/were) your usual activities or duties at this job? [NCVS-2, 138g]

The next questions ask about any health conditions, impairments, or disabilities you may have. (NCVS-2, 168; Near Term Change to NCVS, 2016)

P20. Are you deaf or do you have serious difficulty hearing? [NCVS-2, 169a]

Yes 1

No 2

P21. Are you blind or do you have serious difficulty seeing even when wearing glasses? [NCVS-2, 169b; Near Term Change to NCVS, 2016]

Yes 1

No 2

Because of a physical, mental, or emotional condition, do you have serious difficulty:

P22. . . . concentrating, remembering or making decisions? [NCVS-2, 170a(1; Near Term Change to NCVS, 2016)]

Yes 1

No 2

P23. . . . walking or climbing stairs? [NCVS-2, 170a(2); Near Term Change to NCVS, 2016]

Yes 1

No 2

P24. . . . dressing or bathing? [NCVS-2, 170a(3); Near Term Change to NCVS, 2016]

Yes 1

No 2

P25. (IF AGE 15+) Because of a physical, mental, or emotional condition, do you have difficulty doing errands alone such as visiting a doctor's office or shopping? [NCVS-2, 170b; Near Term Change to NCVS, 2016]

Yes 1

No 2

P26 Are you Hispanic or Latino (if female, Latina)? [23]

Yes 1

No 2

P27. Which one or more of the following would you say is your race? Select one or more. [24]

White 1

Black or African American 2

American Indian or Alaska Native 3

Asian 4

Native Hawaiian or other Pacific Islander 5

______________________________________________________

PNP28 IF {H9}1, FILL AS “MARRIED.” (P28 asked of adults only)

P28. Are you now . . . [18]

Married, 1

Widowed, 2

Divorced, 3

Separated, or 4

Never married? 5

PN: IF {P28}1, AND {H9} NE 1, ASK:

P30. Is your spouse living with you? [NEW] (P30 asked of adults only)

Yes 1 (P29)

No 2 (P31a)

PNP32 If AGE GE 18, P28 NE 1, H9 NE 2, and another adult in HH, ask:

P32. Do you live with a boyfriend, girlfriend, or partner? [New, from CPS] (P32 asked of adults only)

Yes 1

No 2

Programming note: The questions about sexual orientation and gender identity will be asked of respondents age 18 and older.

PNP35 If Male, ask:

P35. Which of the following BEST represents how you think of yourself? [New, from NHIS; Near Term Change to NCVS, 2016 ]

Gay 1 [skip to P37]

Straight, that is, not gay 2 [skip to P37]

Bisexual 3 [skip to P37]

Something else 4 [skip to P37]

PNP36 If Female or Other, ask: :

P36. Which of the following BEST represents how you think of yourself? [New, from NHIS; Near Term Change to NCVS, 2016 ]

Lesbian or gay 1

Straight, that is, not lesbian or gay 2

Bisexual 3

Something else 4

P37. What sex was recorded on your original birth certificate? [NCVS, 2016)

Male 1

Female 2

Refused

Don’t know

P39. Do you currently describe yourself as male, female, or transgender? [NCVS, 2016]

Male 1 (P42)

Female 2 (P42)

Transgender 3 (P42)

None of these (SPECIFY) ……………………………………………………………………………. 4 [P41]

PNP42 Ask if responses in P39 and P40 do not match:

P42. Just to confirm, your sex was recorded as {INSERT RESPONSE FROM P37} at birth and you now describe yourself as {P39}. Is that correct? [NCVS, 2016)

Yes 1

No 2 (Go back to P37 or P39 to correct)

Refused

Don’t know

Citizenship

P43. Are you a citizen of the United States? That is, were you born in the United States, born in a U.S. territory, born of U.S. citizen parents, or did you become a citizen of the U.S. through naturalization? [new, from ACS; Near Term changes NCVS, 2016]

Yes, born in the United States 1 (P46)

Yes, born in Puerto Rico, Guam, the U.S. Virgin Islands,
or Northern Marianas 2 (P45)

Yes, born abroad of U.S. citizen parent or parents 3 (P45)

Yes, U.S. citizen by naturalization 4 (P44)

No, not a U.S. citizen 5 (P45)

Military Service

P46. Have you ever served on active duty in the U. S. Armed Forces, Reserves, or National Guard? [new, from CPS; Near term changes to NCVS 2016]

Never served in the military 0 (Next Section)

Only on active duty for training in the Reserves

or National Guard 1 (Next Section)

Now on active duty 2

On active duty in the past, but not now 3

P47. When did you serve on active duty in the U.S. Armed Forces? Mark all that apply, even if just for part of the time period. [new, from CPS; Near term changes to NCVS 2016]

September 2001 or later 1

August 1990 to August 2001 (including Persian Gulf War) 2

May 1975 to July 1990 3

Vietnam Era (August 1964 to April 1975) 4

February 1955 to July 1964 5

Korean War (July 1950 to January 1955) 6

January 1947 to June 1950 7

World War II (December 1941 to December 1946) 8

November 1941 or earlier 9

HOUSEHOLD CHARACTERISTICS II [ASK OF HH RESPONDENT ONLY]

H26a. Thinking about all of the people who lived in your household in the past 12 months, which category represents the TOTAL combined income ? This includes money from jobs, net income from business, farm or rent, pensions, dividends, interest, Social Security payments, and any other money income received by the people in this household who are 14 years of age or older. [Near Term Change to NCVS, 2016]

1 Less than $30,000

2 $30,000 or more

H26b. Was it…

(IF LESS THAN $30,000 IN H26a)

Less than $5,000 1

$5,000 to $7,499 2

$7,500 to $9,999 3

$10,000 to $12,499 4

$12,500 to $14,999 5

$15,000 to $17,499 6

$17,500 to $19,999 7

$20,000 to $24,999 8

$25,000 to $29,999 9

(IF $30,000 OR MORE IN H26a)

$30,000 to $34,999 10

$35,000 to $39,999 11

$40,000 to $49,999 12

$50,000 to $74,999 13

$75,000 to $99,999 14

$100,000 to $149,999 15

$150,000 to $199,999 16

$200,000 or more 17

H27. At any time during the past 12 months, did anyone who lives there receive any kind of welfare or public assistance from a state or local welfare office – any food or housing benefits, welfare-to-work assistance, emergency help, or anything like that? (new: modified from Survey of Income and Program Participation)

Yes 1

No 2

H28. How often do you worry that your total income (for everyone who lives there) will not be enough to meet your expenses and bills? (new National Survey of Families and Households)

Almost all the time 1

Often 2

Once in a while 3

Hardly ever 4

Never 5

Please click on the “submit” button below to submit your responses. Thank you for your participation.

File Type	application/vnd.openxmlformats-officedocument.wordprocessingml.document
Author	Darby Steiger
File Modified	0000-00-00
File Created	2021-01-20

Draft Master Instrument for Usability Testing

Research to support the National Crime Victimization Survey (NCVS)

Attachment 1 UT Items to be Tested

Usability Testing under the National Crime Victimization Survey (NCVS) Redesign

OMB: 1121-0325

Household/Individual Characteristics

Person Characteristics I

Police Ask-All Items

Community Measures

Victimization Screener (Long Cues, Bounded, Interleaved)

Victimization Screener: Vehicle Theft

Victimization Screener: Vehicle Part Theft

Victimization Screener: Theft

Victimization Screener: Break-In

Victimization Screener: Vandalism

Victimization Screener: Attack

Victimization Screener: Unwanted Sexual Contact

Crime Incident Report (Adults and Youth)

Series Crimes

What Happened: Module SV – Unwanted Sexual Contact (NEW)

a.

Was there unwanted vaginal sex?

Yes

No

b.

Was there unwanted oral sex? Oral sex means that someone put their mouth or tongue on a vagina, anus or penis.

Yes

No

c.

Was there unwanted anal sex? Anal sex is a man or boy putting his penis in someone else’s anus.

Yes

No

d.

Was there unwanted sexual penetration with a finger or object in your [FEMALE: vagina or] anus or in the offender’s vagina or anus?

Yes

No

e.

Was there unwanted sexual touching, such as kissing, touching of [sexual body/private] parts, or grabbing, fondling, or rubbing up against you in a sexual way, even if it was over your clothes?

Yes

No

PROGRAMMER NOTE: Display language for SV1F and subsequent items:

(IF SV1a=YES) unwanted vaginal sex

(IF SV1b=YES) unwanted oral sex

(IF SV1c=YES) unwanted anal sex

(IF SV1d=YES) unwanted penetration with finger or object

(IF SV1e=YES) unwanted sexual touching or kissing

a.

Did the offender use physical force, such as holding or pinning you, hitting or kicking you, or using a weapon?

Yes

No

b.

Did the offender threaten to hurt you or someone close to you?

Yes

No

c.

Were you blacked out, unconscious, or asleep?

Yes

No

d.

Were you unable to consent because you were too drunk or high?

Yes

No

[IF SV1e=YES AND SV2a-d=no]

SV2e. During (IF MORE THAN ONE CIR: this/IF ONE CIR: the) incident, did the offender use force to kiss you, or grab, grope or touch your [sexual body/private] parts? (NEW)

Yes

No

[IF NO TO ALL IN SV2a-e]

SV2f. Did the offender use some other type of pressure, such as threatening to cut off financial support, threatening to cause problems for you, or promising rewards?

Yes

No

[IF NO TO ALL IN SV2a-f]

SV2g. What did the offender do that made it unwanted or against your will (specify)?

a. (if SV1a = no) Have vaginal sex with you

Yes

No

b. (if SV1b = no) Have oral sex with you

Yes

No

c. (if SV1c = no) Have anal sex with you

Yes