Cognitive Interview Protocol

Appendix E. Youth Cognitive Interview Protocol

(FRONT COVER)

National Crime Victimization Survey
(NCVS)
Juveniles Study
COGNITIVE INTERVIEW
PROTOCOL

NCVS Cognitive Interview Protocol R2

Cognitive Interview Protocol

Participant#________

Date __________________

Interviewer __________________
READ (OR PARAPHRASE) THE FOLLOWING TO THE SUBJECT AFTER THE INFORMED CONSENT IS SIGNED:
On behalf of the Bureau of Justice Statistics and the project team at RTI, thank you for participating in
this interview. Today I’m going to ask you a lot of questions from a survey that is done in people’s
homes. We’re going to pretend like I’m interviewing you at your home; however, after some of the
questions in the survey, I will also ask you some follow-up questions to get your thoughts on what I just
asked. We are looking for your honest thoughts on whether the questions in the survey make sense and
how you thought about your answer. This will help us make improvements to the questions so that that
all youth understand the questions in the same way. Remember, there are no right or wrong answers
and you don’t have to answer any question you do not want to answer. If you don’t want to answer a
question, you can tell me that or just say “pass” and we will move on. You can stop the interview at any
time. Please feel free at any time to say what you think about any of the questions, even if I don’t ask
you about them.
Do you have any questions?

Because it is not always easy to explain what you are thinking, I’m going to start with a little exercise to
show you an example of what we are asking.
Suppose I asked you, “How many windows are in this room(your house)?” Talk me through how you
would come up with your answer to that question?
LET PARTICIPANT SHARE THOUGHTS. ONCE FINISHED OR IF SAYS “I DON’T KNOW” SHARE A SIMILAR
THOUGHT PROCESS AS TO WHAT’S BELOW.
Example: Great! My thought process was…(SHARE). [EXPLAIN FURTHER: Someone else may not count a
window that doesn’t open, or may count a window that does open as two windows because there are
two panes of glass.]
Do you have any questions before we begin?
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Part 1. Household and Personal Characteristics
Household/Individual Characteristics

The first set of questions ask about you and the people you live with.
H12*. How old are you?
_____ years

 IF RESPONDENT IS YOUNGER THAN 12, END THE INTERVIEW. 
H26. How many people ages 18 or older live with you?
_____
H27*. Not counting yourself, how many other people under the age of 18 live with you?
_____

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H28*. (Ask if H27=1 or more*) Is anyone who lives with you…
a. Ages 0 to 11?
b. Ages 12 to 14?
c. Ages 15 to 17?

Yes
1
1
1

No
2
2
2

Person Characteristics I

P1C*. How long have you lived at your current address? (Do not read response options, but
code what R says)
1
2
3
4

LESS THAN 6 MONTHS
AT LEAST 6 MONTHS, BUT LESS THAN 1 YEAR
AT LEAST 1 YEAR, BUT LESS THAN 5 YEARS ...............SKIP TO P4C
5 YEARS OR MORE ................................................ SKIP TO P4C

Probe1. How long have you lived at your current address?

IF NEEDED: Can you tell me like we did in the windows example how you know you’ve lived
there that long?

Ask P3C only if P1C=1 or 2 (lived at address less than 1 year) or left P1C blank*.
P3C.

Have you been homeless or without a regular place to stay at any time in the
past 12 months, that is, since (DATE 12 MONTHS AGO)?

1 Yes
2 No

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If P1C=4* (5 or more), skip to instructions before P5C.
P4C.

How many times have you moved in the past 5 years, that is, since 2015?
______ times

If R is 15 or under, skip to Screener.
If 16+, ask P5C below.
P5C*. 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.
1 Yes
2 No

Skip to P6A

P6C*. AT ANY TIME during the past 12 months, that is, since (DATE 12 MONTHS AGO), did you
have a job or work at a business?
1 Yes
2 No

P6A.

Have you worked at this same job for all of the past 12 months?
1 Yes
2 No

P7C.

Skip to Screener

Skip to Screener

At any time in the past 12 months, have you been unemployed?
1 Yes
2 No

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Screener

The next questions ask about things that may have happened to you in the past 12 months, that
is, since (12M ANCHORDATE). The questions will cover theft, physical attacks and unwanted
sexual contact.)

Theft Screener

S_03. The next questions ask about different things that might have been stolen from you. This
may have happened to you while you were at home, (16+: at work or) school, or somewhere
else.
In the past 12 months did anyone…
S_03A1-7*
S_03A1. Steal something that you carry, like a cell phone, money, a
wallet, purse, or backpack?
S_03A2. Steal something that you wear, like clothing, jewelry, or
shoes?
S_03A3. Steal something in your home, like a TV, computer, tools, or
guns?
S_03A4. Steal something from your porch, lawn, garage, or other
part of your property, such as a bicycle, garden hose or lawn
furniture?
S_03A5. Steal something out of a vehicle, such as a package or
groceries?
S_03A6. (IF H28a=1*) Steal something belonging to the children
who live here?
S_03A7. Steal anything else that belongs to you, including things that
were stolen from you at work or at school?

Yes

No

Yes

No

Yes

No

Yes

No

Yes

No

Yes

No

Yes

No

Probe1. When you were thinking about your answers, how far back were you thinking?

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Probe2. IF H28a=1* When you were thinking about “something belonging to the children
who live here,”, who were you thinking about? Did you include yourself?

Probe3. What kinds of things get stolen from kids these days? (IF NECESSARY: If you had to
guess, what would you say are the top 3 things that get stolen from kids?)

Probe4. Where do you think kids are when things get stolen from them the most?

Probe5. IF YES TO ANY S_03A1-S_03A7 - Can you tell me briefly about what happened to you?

S_03B*. {IF THEFT: Other than what you have already mentioned,} In the past 12 months, did
anyone TRY to steal anything that belongs to you (IF H28a=1*: or the children who live with
you), but not actually steal it?
1
2

Yes
No

Probe1. What do you think it means for someone to TRY to steal something from you?

Probe2. When answering this question, would you think of times when a sibling tried to take
something from you?

Probe3. IF YES TO S_03B – How did someone try to steal something from you?

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If THEFT/ATTEMPT THEFT (S_03A any=yes* or S_03B=yes*), go to S_03c1.
Else, go to ATTACK SCREENER.

S_03C1*. {if more than 1 yes to S_03A or S_03B, say “You just said yes to more than one of
these questions about theft. Altogether…} How many times did someone (steal/try to steal)
something in the past 12 months?
1
2

•
•
•
•

Once
Two or more times {“{“{Follow-up with “How many times: _____________”}”
and ENTER NUMBER: _____________”}

If R cannot answer the # of times, follow the “Theft: Series” Path
If number = 1, follow the “Theft: 1 incident” Path.
If number = 2, follow the “Theft: 2 or More Incidents” Path.
If number = 3, follow the “Theft: 2 or More Incidents” Path.

GO TO THEFT INCIDENT FORM
•

If number = 4 or more times, ask S_03C2 below.

S_03C2. *Do you recall enough details about each incident to be able to distinguish them from
each other?
1
2

Yes (follow the “Theft: 2 or More Incidents” Path.)
No (follow the “Theft: Series” Path.)

Probe1. What do you think I am asking in this question?

IF NEEDED: What does it mean to be able to “distinguish them from each other”?

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GO TO THEFT INCIDENT FORM

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THEFT INCIDENT FORM
S_03D*.
THEFT One
In what month did the incident happen? If you don’t remember the exact month, please give
your best estimate.
IF 2 OR MORE: I will ask about (if 2-4 incidents, fill: each of these incidents; if 5+ incidents, fill:
the four most recent incidents), starting with the most recent. In what month did the most
recent incident happen? If you don’t remember the exact month, please give your best
estimate.
IF THEFT SERIES: I will ask about the most recent incident that happened. In what month did the
most recent incident happen? If you don’t remember the exact month, please give your best
estimate.

1
2
3
4
5
6
7
8
9
10
11
12
13
14

Before (current month minus 12), YEAR
(current month minus 12), YEAR
(current month minus 11), YEAR
(current month minus 10), YEAR
(current month minus 9), YEAR
(current month minus 8), YEAR
(current month minus 7), YEAR
(current month minus 6), YEAR
(current month minus 5), YEAR
(current month minus 4), YEAR
(current month minus 3), YEAR
(current month minus 2), YEAR
(current month minus 1), YEAR
(current month), YEAR

If R has trouble answering or S_03D=2 (exactly 12 months ago), ask S_03D1.
If S_03D=8 (exactly 6 months ago), go to S_03D2.
If S_03D=1 (before 12 months ago), go to Attack Screener.
Else, go to logic before S_03AT.
S_03D1*. Did this incident happen before, after, or on (12M ANCHORDATE)?
1
2

It happened before (12M ANCHORDATE)
It happened after or on (12M ANCHORDATE)
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3

I don’t know when it happened/can’t remember

Probe1. How do you remember what month this incident happened?

If S_03D1=2 (after or on 12M DATE), look at answer to S_03D*.
If they couldn’t answer S_03D*, go to S_03D2
If S_03D*=8 (12M ago), go to instructions before S_03AT
Else, go to Next Incident.
S_03D2. Did the incident happen before, after, or on [DATE 6 MONTHS AGO]?
1
It happened before (6M DATE)
2
It happened after or on (6Mdate)
3
I don’t know
If R reported someone BOTH stole AND tried to steal something (S_03A any=yes* AND
S_03B=yes*), ask S_03AT.
Else skip to S_03E.

S_03AT*. You said someone stole or tried to steal something from you during the incident in
[MONTH). Did the offender actually steal something or did they only TRY to steal something?
1 The offender actually stole something

Note: flag incident as “Theft”

2 The offender only tried to steal something Note: flag incident as “Attempted Theft”
S_03E. Still thinking about this (MONTH) [or, if no date: most recent] incident when someone
(stole/tried to steal) something, 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. Still thinking about this (MONTH/most recent) incident when someone (stole/tried to
steal) something, were you physically attacked or were you threatened with a weapon, during
this incident?
1
Yes
2
No
Go to instructions AFTER S_03F

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Probe1. What does it mean to be “physically attacked”? What does it mean to be threatened
with an attack?

S_03F. Still thinking about this (MONTH/most recent) incident when someone (stole/tried to
steal) something, did anyone have, or try to have, sexual contact with you that you DID NOT
CONSENT TO and that YOU DID NOT WANT to happen as part of this incident?
1
Yes
2
No
IF NEEDED: Probe2. What does “consent” mean to you as it is used in this question?

MARK MOST SERIOUS FLAG IN SPREADSHEET.
IF ONLY 1 INCIDENT, GO TO ATTACK SCREENER.
ELSE, GO TO NEXT INCIDENT.

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INCIDENTS 2-4 – LOOP THROUGH QUESTIONS AND RECORD ANSWERS ON SPREADSHEET
S_03D*.You said that someone (FILL: stole/tried to steal) something ___ times in the past 12
months. In what month did the (second/third/fourth) most recent incident happen? If you
don’t remember the exact month, please give your best estimate.
____________________
1
2
3
4
5
6
7
8
9
10
11
12
13
14

Before (current month minus 12), YEAR
(current month minus 12), YEAR
(current month minus 11), YEAR
(current month minus 10), YEAR
(current month minus 9), YEAR
(current month minus 8), YEAR
(current month minus 7), YEAR
(current month minus 6), YEAR
(current month minus 5), YEAR
(current month minus 4), YEAR
(current month minus 3), YEAR
(current month minus 2), YEAR
(current month minus 1), YEAR
(current month), YEAR

If S_03D=8 (exactly 6 months ago), go to S_03D2
If R has trouble answering or S_03D=2 (exactly 12 months ago), ask S_03D1.
If S_03D=1 (before 12 months ago), go to Attack Screener.
Else, go to logic before S_03AT1.S_03D1*. Did this next most recent incident happen before, after,

or on [ (12M ANCHORDATE]? )
1
2
3

It happened before (12M ANCHORDATE)
It happened after or on (12M ANCHORDATE)
I don’t know when it happened/can’t remember

Probe1. Was it any harder to remember the month when this happened?

For Rs who got S_03D1
• If they answered 1, they should go to Attack Screener
• If they answered 2 (after or on 12M DATE), look at their answer to S_03D.
o If they had left S_03D blank (couldn’t answer month originally), go to S_03D2
below
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•

o If they had answered the month 12 months ago in S_03D, go to instructions
before S_03AT
If they answered 3 or left it missing, go to next incident

(S_03D2 is for people who answered exactly 6M ago in S_03D or who left S_03D blank and
answered 2 to S_03D1)
S_03D2. Did the incident happen before, after, or on [DATE 6 MONTHS AGO]?
1
It happened before (6M DATE)
2
It happened after or on (6M DATE)
3
I don’t know

Ask S_03DD2 if the month and date matches any previously reported incident or no date was
provided for the current incident and the incident is in scope and the R reported a previous
incident also in scope but without providing a month. Else go to logic before S_03AT.
S_03DD2*. Is this incident part of any other incident you have already mentioned?
1 Yes
2 No

Skip to instructions before S_03AT

S_03DD3*. Which incident was this part of?
________________________
(Month & description)
IF MORE INCIDENTS, LOOP AGAIN.
IF NO MORE INCIDENTS, GO TO ATTACK SCREENER.
If R reported someone BOTH stole AND tried to steal something (S_03A any=yes* AND
S_03B=yes*), ask S_03AT.
Else skip to S_03E-G.

S_03AT*. You said someone stole or tried to steal something from you during (this/the)
incident in [MONTH[or, if no date: the past 12 months). Did the offender actually steal
something or did they only TRY to steal something?
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1 The offender actually stole something

Note: flag incident as “Theft”

2 The offender only tried to steal something Note: flag incident as “Attempted Theft”
S_03E. Still thinking about this (MONTH, YEAR [or, if no date: second/third/fourth most recent)
incident when someone (stole/tried to steal/stole or tried to steal) something, 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. Still thinking about this (MONTH [or, if no date: second/third/fourth most recent)
incident when someone (stole/tried to steal/stsole or tried to steal) something, were you
physically attacked or were you threatened with a weapon, during this incident?
1
Yes
2
No
(ask if “Attack” [yes to S_03F])
S_03G. Still thinking about this (MONTH, YEAR [or, if no date: second/third/fourth most recent)
incident when someone (stole/tried to steal/stole or tried to steal) something, 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
Probe1. Was it any harder to answer these questions this time?

MARK MOST SERIOUS FLAG IN SPREADSHEET.
IF MORE INCIDENTS, LOOP AGAIN.
IF NO MORE INCIDENTS, GO TO ATTACK SCREENER.

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Attack Screener

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 16+: at work,) at school, or away
from home.
(If any theft incidents were flagged as “attack” in previous sections, say: Other than the
attacks or threatened attacks you have already mentioned, in) In the past 12 months (POINT TO
12M DATE), did anyone attack or try to attack you…
S_06A1-4*
S_06A1. With a weapon, such as a gun or knife?
S_06A2. With something else used as a weapon, like a baseball bat,
scissors, or a stick?
S_06A3. By throwing something at you, such as a rock or bottle?
S_06A4. By hitting, slapping, grabbing, kicking, punching, or choking
you?

Yes
Yes

No
No

Yes
Yes

No
No

S_06A5*. In the past 12 months, did anyone attack or try to attack you or use force against you
in any other way? Please mention it even if you are not certain it was a crime.
1
Yes
2

No

Probe1. When you hear the word “attack”, what do you think of?

Probe2. In one of the questions, I asked if someone had attacked you with something that
was used as a weapon, like a baseball bat, scissors, or a stick. Can you think of any other
objects that someone could use as a weapon to attack a person?

Probe3. (IF YES TO ANY) You said yes to (READ ITEMS). Can you tell me briefly about what
happened to you?

Probe4. When I asked if someone “tried” to attack you, what do you think that means?

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Probe5. What are some of places where a kid might be attacked?

S_06A6*. In the past 12 months, did anyone THREATEN to attack you, but not actually do it, (if
yes to any q’s in this section so far [S_06A1- 5*], say: do not include incidents you have already
mentioned)?
1

Yes

2

No

Probe1. I asked whether anyone “threatened to attack you but did not actually do it”. What
do you think is meant by a “threatened attack”?

Probe2. If someone threatened you in a text or in social media, like Snapchat or Instagram,
would you say yes or no to this question?

S_06A8*. People sometimes don’t think of attacks by someone they know, like a boyfriend or
girlfriend, someone (AGES 16+: at work or) at school, a friend, a family member, a neighbor, or
any other person you’ve met or known.
(if yes to any item in this section so far [S_06A1-6*], say: Other than what you have already
mentioned, in) 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, attacked you
with a weapon, or otherwise physically hurt you.
1

Yes

2

No

Probe1. What does “physical force” mean to you as we use it in this question?

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Probe2. I asked you to think about any attacks by someone you know, like a boyfriend or
girlfriend, someone at school, a friend, or a family member. Had you already been thinking
about these types of people in the previous questions, or did this make you think of any other
types of situations that happened to you? (Explain)

If yes to any item in this section so far (S_06A1-8*) continue.
Else, go to SA Screener
S_06B1*. If more than 1 yes to any question in the attack screener, say “You just said yes to
more than one of these questions about physical attacks. Altogether…} In the past 12 months,
how many times did someone (attack you or try to attack you/threaten to attack you/attack
you or try to attack you or threaten to attack you)?
1
2

Once
Two or more times (Ask “How many times”: _____)

Probe1. When we ask “how many times”, what would you count as “a time”? What if the
same person attacked you more than once? On the same day? Different days?

•
•
•
•

If R cannot answer the # of times, follow the “Attack: Series” Path.
If number = 1, follow the “Attack: 1 incident” Path
If number = 2, follow the “Attack: 2 or More Incidents” Path
If number = 3, follow the “Attack: 2 or More Incidents” Path

GO TO ATTACK INCIDENT FORM
•

If number = 4 or more times, ask S_06B2 below.
S_06B2. *
Do you recall enough details about each incident to be able to distinguish
them from each other?
1

Yes

Follow the “Attack: 2 or More incidents” Path
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2

No

Follow the “Attack: Series” Path

Probe1. What do you think I am asking in this question?

IF NEEDED: What does it mean to be able to “distinguish them from each other”?

GO TO ATTACK INCIDENT FORM

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ATTACK INCIDENT FORM
S_06C*.
ATTACK One
When did the incident happen? If you don’t remember the exact month, please give your best
estimate.
IF 2 OR MORE: I will ask about (if 2-4 incidents, fill: each of these incidents; if 5+ incidents, fill:
the four most recent incidents), starting with the most recent. When did the most recent
incident happen? If you don’t remember the exact month, please give your best estimate.
IF ATTACK SERIES: I will ask about the most recent incident that happened. When did the most
recent incident happen? If you don’t remember the exact month, please give your best
estimate.
1
2
3
4
5
6
7
8
9
10
11
12
13
14

Before (current month minus 12), YEAR
(current month minus 12), YEAR
(current month minus 11), YEAR
(current month minus 10), YEAR
(current month minus 9), YEAR
(current month minus 8), YEAR
(current month minus 7), YEAR
(current month minus 6), YEAR
(current month minus 5), YEAR
(current month minus 4), YEAR
(current month minus 3), YEAR
(current month minus 2), YEAR
(current month minus 1), YEAR
(current month), YEAR

If S_06C=8 (exactly 6 months ago), go to S_06C2.
If R has trouble answering or S_06C=2 (exactly 12 months ago), ask S_06C1.
If S_06C=1 (before 12 months ago), go to Sexual Violence screener.
Else, go to logic before S_06D.
S_06C1*. Did this (most recent) incident happen before, after, or on [ (12M
ANCHORDATE]? )
1

It happened before (12M ANCHORDATE)
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2
3

It happened after or on (12M ANCHORDATE)
I don’t know when it happened/can’t remember

Probe1. How do you remember what month this incident happened?

For Rs who got S_06C1
If S_06C1*=1, (before 12M DATE) go to Sexual Violence Screener
If S_06C1*=2 (after or on 12M DATE), look at their answer to S_06C*.
If S_06C= blank (couldn’t answer month originally), go to S_06C2 below
If S_06C=2 (12 months ago), go to instructions before S_06D.
If they answered 3 or left it missing, go to Sexual Violence Screener.
(S_06C2 is for people who answered exactly 6M ago in S_06C or who left S_06C blank and
answered 2 to S_06C1)
S_06C2. Did the incident happen before, after, or on [DATE 6 MONTHS AGO]?
1
It happened before (6M DATE)
2
It happened after or on (6Mdate)
3
I don’t know
S_06DD2*. Is this incident part of any other incident you have already mentioned?
Yes
No Go to logic before S_06D.

S_6DD3*. Which incident was this part of?
________________________
(Month & description) Code that previous incident as ATA
All incidents should be coded as Attack/Threatened Attack (ATA).
If R reported someone BOTH attacked/tried to attack AND threatened to attack them ask
S_06D.
If R reported only that someone threatened to attack them (but not that someone attacked
or tried to attack them), skip to S_06E. Else skip to S_06F.
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S_06D*. In this incident, did someone actually attack or try to attack you, OR did they threaten
to attack you?
1. Attacked / Tried to attack Flag incident as “Attack” and skip to S_06F.
2. Threatened to attack
Ask S_06E below.
Probe1. What do you think the difference is between someone actually attacking you, trying
to attack you, and threatening to attack you?

S_06E*. How were you threatened? (Mark all that apply.)
1
2
3
4
Screener

Face to face
Flag incident as “Threatened Attack” go to S_06F.
By phone or text
go to NEXT INCIDENT or SA Screener
Online (email or social media)
go to NEXT INCIDENT or SA Screener
Some other way SPECIFY:__________
go to NEXT INCIDENT or SA

Probe1. What do you think each of these response options mean?

S_06F*. Still thinking about this incident when (someone attacked you or tried to attack
you/someone threatened to attack you/someone attacked you or tried to attack you or
someone threatened to attack you),
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
1 Yes
incident?
2 No
If yes, flag this incident as “SA”
Probe1. What does “consent” mean to you as it is used in this question?

MARK MOST SERIOUS FLAG IN SPREADSHEET.
IF ONLY 1 INCIDENT, GO TO SA SCREENER.
ELSE, GO TO NEXT INCIDENT.

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INCIDENTS 2-4 – LOOP THROUGH QUESTIONS AND RECORD ANSWERS ON SPREADSHEET
S_06C*. You said that someone (attacked you or tried to attack you/ threatened to attack
you/attacked you or tried to attack you and someone threatened to attack you) ____ times in
the past 12 months. When did the(second/third/fouth) most recent incident happen? If you
don’t remember the exact month, please give your best estimate.
1
2
3
4
5
6
7
8
9
10
11
12
13
14

Before (current month minus 12), YEAR
(current month minus 12), YEAR
(current month minus 11), YEAR
(current month minus 10), YEAR
(current month minus 9), YEAR
(current month minus 8), YEAR
(current month minus 7), YEAR
(current month minus 6), YEAR
(current month minus 5), YEAR
(current month minus 4), YEAR
(current month minus 3), YEAR
(current month minus 2), YEAR
(current month minus 1), YEAR
(current month), YEAR

R provides a month exactly 6 months ago, go to S_06C2.
If R has trouble answering or provides a month exactly 12 months ago, ask S_06C1.
If R provides a month before 12 months ago, go to Sexual Violence screener.
Else, go to logic before S_06D
S_06C1. Did this incident happen before, after, or on (12M ANCHORDATE?)
1
2
3

It happened before (12M ANCHORDATE)
It happened after or on (12M ANCHORDATE)
I don’t know when it happened/can’t remember

Probe1. Was it any harder to remember the month when this happened?

For Rs who got S_06C1
If S_06C1*=1, (before 12M DATE) go to Sexual Violence Screener
If S_06C1*=2 (after or on 12M DATE), look at their answer to S_06C*.
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NCVS Cognitive Interview Protocol R2

If S_06C= blank (couldn’t answer month originally), go to S_06C2 below
If S_06C=2 (12 months ago), go to instructions before S_06D.
If they answered 3 or left it missing, go to Sexual Violence Screener.
S_06C2. Did this incident happen before, after, or on [DATE 6 MONTHS AGO]?
1
It happened before (6M DATE)
2
It happened after or on (6M DATE)
3
I don’t know

All incidents should be coded as Attack/Threatened Attack (ATA).
S_6DD2*. Is this incident part of any other incident you have already mentioned?
1 Yes
2 No Skip to instructions before S_06D

S_6DD3*. Which incident was this part of?
________________________
(Month & description) Code that previous incident as ATA
Else, code as Attack/Threatened Attack (ATA).
If R reported someone BOTH attacked/tried to attack AND threaten to attack, ask S_06D.
If R reported only that someone threatened to attack them (but not that someone attacked
or tried to attack them), skip to S_06E. Else skip to S_06F.
S_06D*. In this (second/third/fouth) most recent incident, Did someone actually attack or try to
attack you, OR did they threaten to attack you?
1. Attacked / Tried to attack Flag incident as “Attack” and skip to S_06F.
2. Threatened to attack
Ask S_06E below.
S_06E*. How were you threatened? (Mark all that apply.)
1
2
3

Face to face
Flag incident as “Threatened Attack” go to S_06F.
By phone or text
Go to NEXT INCIDENT or SA Screener
Online (email orsocial media)
Go to NEXT INCIDENT or SA Screener

24

NCVS Cognitive Interview Protocol R2

4
Some other way SPECIFY:_________________
or SA Screener

Go to NEXT INCIDENT

Probe1. What do you think each of these response options mean?

S_06F. * Still thinking about this (second/third/fouth) most recent incident when (someone
attacked you or tried to attack you/someone threatened to attack you/someone attacked you
or tried to attack you or someone threatened to attack you),
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
1 Yes
incident?
2 No
If yes, flag this incident as “SA”
Probe1. Was it any harder to complete the table this time?

MARK MOST SERIOUS FLAG IN SPREADSHEET.
IF MORE INCIDENTS, LOOP AGAIN.
IF NO MORE INCIDENTS, GO TO SA SCREENER.

25

NCVS Cognitive Interview Protocol R2

SA Screener

Some of these questions are very personal and could be upsetting. Remember that you can
skip any question you don’t want to answer. Just let me know that you’d rather not answer the
question and I will skip ahead. Also, remember that you can stop the interview at any time and
no one will be upset with you. How are you doing so far?
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.
(If 16+) Sexual contact includes touching of your sexual body parts, or any type of sexual
penetration with a body part or object. It also includes making you touch or penetrate someone
else. 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.
Probe1. What do you think this paragraph is telling you?

(if under 16) Sexual contact includes someone touching your private parts, unwanted sex, or
making you do these kinds of things to them. 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.
Probe1. What do you think this paragraph is telling you?

(If any previous incident was flagged as “SA”, say: Other than the unwanted sexual contact you
have already mentioned,} in the past 12 months (POINT TO 12M DATE)…
S_07A1-4*
S_07A1. Did anyone touch, grab, or kiss your (if 16+: sexual body
parts against your will; if under 16: private parts when you didn’t
want them to )– or TRY to do this?
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 or THREATEN to do
this?

Yes

No

Yes

No

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NCVS Cognitive Interview Protocol R2

S_07A3. Did anyone threaten to physically hurt you or someone
close to you if you did not have sexual contact?
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?
Probe1. What do you think it means to “casually know” someone?

Yes

No

Yes

No

Probe2. What do you think the phrase “sexual contact that you DID NOT CONSENT TO”
means?

Probe3. What do you think is meant by “sexual contact that YOU DID NOT WANT TO
HAPPEN”?

Probe4. I also reminded you before I read these questions that the information you provide is
confidential. What do you think I meant by that?

Probe5. I asked you whether anyone had, or tried to have sexual contact with you – while you
were passed out, asleep, or unable to consent because you were drunk or high. What types of
situations do you think this question is asking about?

What do you think we mean by “passed out”?

“Unconscious”?

27

NCVS Cognitive Interview Protocol R2

“Blacked out”?

What about “unable to consent because you were drunk or high”?

If yes to any item in SA Screener Table above, continue to S_07B1.
Otherwise, skip to “Any Other Crimes” Screener.

S_07B1*. In the past 12 months, how many times did someone have or try to have these types
of sexual contact with you?
1
Once
2
Two or more times (If selected, follow up with “How many times?” and ENTER
NUMBER: _______________)

•
•
•
•

If R cannot answer the # of times, follow the “SA: Series” Path.
If number = 1, follow the “SA: 1 incident” Path
If number = 2, follow the “SA: 2 or More Incidents” Path
If number = 3, follow the “SA: 2 or More Incidents” Path

GO TO SA INCIDENT FORM
•

If number = 4 or more times, ask S_07B2 below.
S_07B2. * Do you recall enough details about each incident to be able to distinguish
them from each other?
1
2

Yes
No

Follow the “SA: 2 or More incidents” Path
Follow the “SA: Series” Path

Probe1. What do you think I am asking in this question?

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NCVS Cognitive Interview Protocol R2

IF NEEDED: What does it mean to be able to “distinguish them from each other”?

GO TO SA INCIDENT FORM
SA INCIDENT FORM
S_07C*.
SA One
In what month did the incident happen? If you don’t remember the exact month, please give
your best estimate.
IF 2 OR MORE: I will ask about (if 2-4 incidents, fill: each of these incidents; if 5+ incidents, fill:
the four most recent incidents), starting with the most recent. In what month did the most
recent incident happen? If you don’t remember the exact month, please give your best
estimate.
IF SA SERIES: I will ask about the most recent incident. In what month did the most recent
incident happen? If you don’t remember the exact month, please give your best estimate.

1
2
3
4
5
6
7
8
9
10
11
12
13
14

Before (current month minus 12), YEAR
(current month minus 12), YEAR
(current month minus 11), YEAR
(current month minus 10), YEAR
(current month minus 9), YEAR
(current month minus 8), YEAR
(current month minus 7), YEAR
(current month minus 6), YEAR
(current month minus 5), YEAR
(current month minus 4), YEAR
(current month minus 3), YEAR
(current month minus 2), YEAR
(current month minus 1), YEAR
(current month), YEAR

If R provides a month exactly 6 months ago, go to S_07C2.

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NCVS Cognitive Interview Protocol R2

If R has trouble answering or provides a month exactly 12 months ago, ask S_07C1.
If R provides a month before 12 months ago, go to “Any other crimes” screener.
Else, go to instructions after S_07C2.
S_07C1. Did this incident happen before, after, or on [12M ANCHORDATE]?
1
2
3

It happened before (12M ANCHORDATE)
It happened after or on (12M ANCHORDATE)
I don’t know when it happened/can’t remember

Probe1. How do you remember what month this incident happened?

For Rs who got S_07C1:
If S_07C1*=1, (before 12M DATE) go to Other Crimes Screener
If S_07C1*=2 (after or on 12M DATE), look at their answer to S_07C*.
If S_07C= blank (couldn’t answer month originally), go to S_07C2 below
If S_07C=2 (12 months ago), go to logic.
If they answered 3 or left it missing, go to logic.

S_07C2. Did this incident happen before, after, or on [DATE 6 MONTHS AGO]?
1
It happened before (6M DATE)
2
It happened after or on (6Mdate)
3
I don’t know
All incidents should be coded as Sexual Assault (SA).
S_07DD2*. Is this incident part of any other incident you have already mentioned?
Yes
No Go to logic.

S_07DD3*. Which incident was this part of?
________________________
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NCVS Cognitive Interview Protocol R2

(Month & description) Code that previous incident as SA
Else, code as Sexual Assault (SA).
MARK SA FLAG IN SPREADSHEET.
IF ONLY 1 INCIDENT, GO TO OTHER CRIMES SCREENER.
ELSE, GO TO NEXT INCIDENT.

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NCVS Cognitive Interview Protocol R2

INCIDENTS 2-4 – LOOP THROUGH QUESTIONS AND RECORD ANSWERS ON SPREADSHEET
S_07C*. You said that someone had, or tried to have these types of sexual contact with you
____ times in the past 12 months. In what month did the(second/third/fouth) most recent
incident happen? If you don’t remember the exact month, please give your best estimate.
1
2
3
4
5
6
7
8
9
10
11
12
13
14

Before (current month minus 12), YEAR
(current month minus 12), YEAR
(current month minus 11), YEAR
(current month minus 10), YEAR
(current month minus 9), YEAR
(current month minus 8), YEAR
(current month minus 7), YEAR
(current month minus 6), YEAR
(current month minus 5), YEAR
(current month minus 4), YEAR
(current month minus 3), YEAR
(current month minus 2), YEAR
(current month minus 1), YEAR
(current month), YEAR

If R provides a month exactly 6 months ago, go to S_07C2.
If R has trouble answering or provides a month exactly 12 months ago, ask S_07C1.
If R provides a month before 12 months ago, go to “Any other crimes” screener.
Else, go to instructions after S_07C2.
S_07C1. Did this incident happen before, after, or on [12M ANCHORDATE]?
1
2
3

It happened before (12M ANCHORDATE)
It happened after or on (12M ANCHORDATE)
I don’t know when it happened/can’t remember

For Rs who got S_07C1
If S_07C1*=1, (before 12M DATE) go to Other Crimes Screener
If S_07C1*=2 (after or on 12M DATE), look at their answer to S_07C*.
If S_07C= blank (couldn’t answer month originally), go to S_07C2 below
If S_07C=2 (12 months ago), go to logic.
If they answered 3 or left it missing, go to Other Crimes Screener.
S_07C2. Did this incident happen before, after, or on [DATE 6 MONTHS AGO]?
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NCVS Cognitive Interview Protocol R2

1
2
3

It happened before (6M DATE)
It happened after or on (6M DATE)
I dDon’t know

Probe1. Was it any harder to remember the month when this happened?

All incidents should be coded as Sexual Assault (SA).
S_7DD2*. Is this incident part of any other incident you have already mentioned?
1 Yes
2 No MARK SA FLAG IN SPREADSHEET.

S_7DD3*. Which incident was this part of?
________________________
(Month & description) Code that previous incident as SA
Else, code as Sexual Assault (SA).
IF MORE INCIDENTS, LOOP AGAIN.
IF NO MORE INCIDENTS, GO TO OTHER CRIMES SCREENER.

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NCVS Cognitive Interview Protocol R2

Any Other Crimes Screener
Ask of everyone.
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
12 months, that is, since (DATE 12 MONTHS AGO) that you haven’t mentioned? It could be
something you called the police about, or something you didn’t consider resporting to the
police.
1

Yes

2

No

Skip to

Probe1. IF NO – What other crimes can you think of that could happen to a person that we
have not talked about yet?

S_08a. Please describe what else happened to you since (DATE 12 MONTHS AGO).
(OPEN-ENDED VERBATIM RESPONSE FOR PURPOSES OF FIELD TEST)

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NCVS Cognitive Interview Protocol R2

If R had 1 or more incidents listed:
1. Select the most serious crime type listed in the answer sheet:
a. Sexual Assault (SA)
b. Attack/Threatened Attack (A, ATA)
c. Threatened Attack only (TA)
d. Break-in (BI)
e. Theft (T)
f. Attempted Theft (AT)  GO TO NARRATIVE ONLY.
2. If R experienced more than 1 incident of this crime type,
select the most recent incident
3. Remember the crime type and month. You will use this for
the remainder of the interview.
4. Go to “Part 2: V CIR” and follow instructions based on crime
type.
Most Serious________________________
Month_____________________________

If R did not have any incident listed in the summary form, go to Nonvictim Tab.

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NCVS Cognitive Interview Protocol R2

Part 2: V CIR
Introduction

CIR1. The next questions are about the incident in (MONTH) that involved [use most serious
fill].
• (for SA incidents) Unwanted sexual contact
• (for attack incidents) An [attack], [attempted attack] [or] [threatened attack]
• (for break in incidents) Break-in
• (for theft incidents) Theft
If you don’t recall particular details, or don’t want to answer, you can skip any question by
letting me know.
CIR2. Just to confirm, did any of the following other things also happen as part of this incident?
Read options except for most serious incident
[Someone stole something]
[Someone tried to steal something {else} but did not steal it]
[Someone broke in, or tried to break in to your property]
[Someone attacked or threatened to attack you]
[Someone had or tried to have sexual contact with you that you did not agree to and did
not want to happen]
CIRINTRO. Some of the next questions will refer to the “offender(s),” which meant the person
or people who did this to you.

If “SERIES”, continue with SC1 below. Else skip to most serious tab.
SC1. Earlier, you said this type of thing happened to you more than once in the past 12 months.
Did all of these incidents happen in the same place, did some of them happen in the same
place, or did they all happen in different places?
1
2
3

All in the same place
Some in the same place
All in different places

SC2. Were all of these incidents done by the same offender, were some of them done by the
same offender, or were they all done by different offenders?
1
All by same offender
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NCVS Cognitive Interview Protocol R2

2
3

Some by same offender
All by different offenders

Probe1. How easy or difficult was it for you to remember these things?

SC3. The rest of the questions will now ask you to focus on the most recent time this happened,
in (MONTH).

GO TO MOST SERIOUS TAB:
3.SA/Attack
OR
4. Non-Violent (Break-in/Theft)
OR
5. Non-victim

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NCVS Cognitive Interview Protocol R2

SA & Attack Packet

38

What Happened: Module SA

Ask this module for SA incidents. ELSE SKIP TO NEXT MODULE.
SA_START. Are you doing okay? Remember that you can skip any question if you don't recall
particular details, or don't want to answer.
PNSA1a. Earlier, you said someone had or tried to have unwanted sexual contact with you
during the incident in (MONTH).
These questions are about what specific things you did not want to happen during the incident.
It may seem like you’ve already answered these questions, but we want to understand clearly
what happened. Some of the language is explicit; it’s important that the questions be asked this
way so that you understand what we mean.
Probe1. What do you think “explicit” means?

Probe2. What do you think this paragraph is trying to tell you?

SA_0. In this incident, did someone have unwanted sexual contact with you, such as touching,
groping, or penetration, or make you do these things to them?
Yes
No

Go to logic before SA_G4.

If SA_0=1 ask SA_1
IF SA_0=2, go to logic before SA_G4.
SA_1*. In this particular incident…
a.
b.

Did you have unwanted vaginal sex [if male: with a
woman]?
Did you have unwanted oral or anal sex? [READ IF
NEEDED: Oral sex means that someone put their mouth or
tongue on a vagina, anus or penis. Anal sex is a man or
boy putting his penis in someone else’s anus.]

Yes

No

Yes

No

NCVS Cognitive Interview Protocol R2

c.

Was there unwanted penetration of sexual body parts
with a finger or object?
Was there unwanted sexual contact, such as touching or
kissing of sexual body parts, or grabbing, fondling, or
rubbing up against you in a sexual way?

d.

Yes

No

Yes

No

Probe1. How did you feel about answering these questions?

Probe2. What did you think about the descriptions? Did you understand them?

Ask SA_1f if yes to any item in a-d (indicating penetration or other sexual contact) above
(SA_1*). Else, go to logic before SA_G4.
SA_1f. You said that there was (fill with ALL yes responses from a-d above:
•

unwanted vaginal sex, (read a.)

•

unwanted oral or anal sex, (read a.)

•

unwanted penetration with a finger or object(read a.)

•

unwanted sexual touching) (read b. if under 16. Else read a.)

…that you did not want to happen.
Did the offender penetrate or touch YOUR sexual body parts, were you forced to penetrate or
touch the OFFENDER’S sexual body partsparts parts, or did BOTH happen?)
1
The offender penetrated or touched you
2
You were forced to penetrate or touch the offender
3
Both
**Probe1. FOR A. - What are some other words for “penetrate”? (IF DK – What do you think
penetrate means?)

SA_2*. During the incident…

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NCVS Cognitive Interview Protocol R2

a.
b.
c.
d.

Did the offender use physical force, such as holding or
pinning you, hitting or kicking you, or using a weapon?
Did the offender threaten to physically hurt you or
someone close to you?
Were you blacked out, unconscious, or asleep?
Were you unable to consent because you were too drunk
or high?

Yes

No

Yes

No

Yes
Yes

No
No

Is SA_1d=1* (no penetration) and ALL SA_2a-c = 2* (no tactics), ask SA_2e.
If any SA_1a-c = yes* (penetration) AND any SA_2a-d = yes* (any tactic identified), go to next
module.
Else, (penetration/no tactic; no penetration/any tactic), skip to instructions before SA_2f.
SA_2e*. During the incident, did the offender forcibly touch or kiss your sexual body parts, or
forcibly touch, grab, fondle, or rub up against you in a sexual way?
1
Yes
2
No
**Probe1. Can you give me an example of what it means to do something “forcibly”?

If SA_2a-d=2* and SA_2e=2* (no tactics), ask to SA_2F. Else, go to logic before SA_G4
SA_2f. Did the offender use some other type of pressure, such as threatening to cause financial
or other problems for you, threatening to break up with you, threatening to hurt your
reputation, or promising rewards?
1
Yes
Go to logic before SA_G4
2
No
**Probe1. What do you think this question is asking?

If any SA_1a-c = 1, go to next module.
Else, go to SA_3.

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NCVS Cognitive Interview Protocol R2

SA_3. * Did the offender physically TRY to do, or try to make you do, any of the following, BUT
DID NOT ACTUALLY DO IT?
If SA_0=2*, read all of the below
a. (if SA_1a = 2*) Have vaginal sex [if male: with a woman]
b. (if SA_1b = 2*) Did the offender physically try to, or try to
make you, have oral or anal sex? [READ IF NECESSARY] Oral
sex means that someone put their mouth or tongue on a
vagina, anus or penis. Anal sex is a man or boy putting his
penis in someone else’s anus.
c. (if SA_1c=2*) Did the offender physically try to sexually
penetrate you with a finger or object or make you penetrate
them with your finger or an object?
d. (if SA_1d = 2*) Did the offender physically try to, or try to
make you, touch or kiss sexual body parts?

Yes
Yes

No
No

Yes

No

Yes

No

Probe1. What do you think this question is asking?

If R answered yes to any attempted penetration item (SA_3a – SA_3c*), skip to SA_4a.
Else, go to SA_3E.
SA_3E. Did the offender verbally THREATEN to have vaginal sex, have oral or anal sex, or have
sexual penetration with a finger or object when you did not want it to happen?
Yes
No
Probe1. What do you think we’re asking in this question?

If SA_1d=1 (unwanted touching), go to next module.
If SA_3d=2 (did not physically try to touch) and SA_3E=2 (did not threaten), ask SA_3F below.
Else, go to SA_4a.
SA_3F. Did the offender verbally threaten to, or threaten to make you, touch or kiss sexual
body parts when you did not want it to happen?
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NCVS Cognitive Interview Protocol R2

Yes
No

Go to SA_4D

SA_4a. * You said that the offender [tried to/threatened to] have unwanted sexual contact
with you when you did not want it to happen. During this incident…
a. Did the offender use physical force, such as holding or
pinning you, hitting or kicking you, or using a weapon, in
doing this?
b. Did the offender threaten to physically hurt you or
someone close to you?
c. (IF ATTEMPT) Did the offender try to do it while you were
blacked out, unconscious, or asleep?
d. (IF ATTEMPT)) Did the offender try to do it while you were
unable to consent because you were too drunk or high?

Yes

No

Yes

No

Yes

No

Yes

No

If R answers “yes” to any attempted sexual contact (SA_3a-d=1*) AND any tactic above
(SA_4a, b, or d = 1*) ask SA_4b1.
If R answered “yes” to verbal threats of penetration or unwanted sexual contact (SA_3E=1*
or SA_3F=1*) or only threatened to physically hurt R or someone R knows (SA_4a_b=1*, all
else SA_4a=2*), go to SA_4C.
If no tactics reported above (All SA_4a=2*), go to SA_4D.
Else, go to next module.
SA_4B1. Did you tell the offender “no,” “stop” or that you did not want this to happen?
Yes
No
Skip to next module
Probe1. How did you feel about answering this question?

SA_4B2. When you said this, did the offender stop?
Yes
No
Skip to next module
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NCVS Cognitive Interview Protocol R2

SA_4C. At the time, how likely did you think it was that the offender would actually act on their
threat during the incident?
1
2
3
4

Very likely
Somewhat likely
Somewhat unlikely
Very unlikely

SA_4Ca. Were you threatened face to face, by phone or text, online (such as by email or social
media) or in some other way? Mark all that apply.
1
2
3
4

Face to face
By phone or text
Online (email or social media)
Some other way

If NOT “face to face” (SA_4Ca_1=no) and it is an attempted or threatened attack (S_ATA=1*),
go to NARRATIVE.
Else, go to next module.
SA_4D. (If not threatened touching: SA_3F=2*) What did the offender do that was unwanted?
(ELSE) How did the offender (try/threaten) to do something to you?

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NCVS Cognitive Interview Protocol R2

What Happened: Module A – Attack/Threatened Attack

Ask this module for SA or ANY Attack Incidents. ELSE SKIP TO NEXT MODULE.
A_START. How are you doing? The next set of questions are personal and could be upsetting.
Remember that you can skip any question you don’t want to answer. Just let me know that
you’d rather not answer the question and I will skip ahead. Also, remember that you can stop
the interview at any time and no one will be upset with you.
If MOST SERIOUS is Sexual Assault, skip to A1.
If S_06D is missing AND R reported Threat (S_TA=1) or Attempted (S_ATA=1) Attack, ask A0.
Else, go to A1.
A0. Did someone actually attack you, try to attack you, or threaten to attack you during this
incident?
1. Attacked / Tried to attack
2. Threatened to attack

Skip to A1

A8.
Were you threatened face to face, by phone or text, online (such as by email or social
media), or in some other way? Mark all that apply.
1

Face to face

2

By phone or text

3

Online (email or social media)

4

Some other way Specify:________-

If R answered “face to face”, continue to A1 below. Else, skip to next module.
A1. * [For SA incidents say: The next questions ask whether a weapon was used during this
incident.]

[For incidents flagged as (“Attacks” or “threatened attacks”), say: You said someone
(attacked or tried to attack you/threatened to attack you) during the incident in
[MONTH]].]
(If, in the attack screening table, R previously reported that the attack/threatened attack
involved a weapon or threw something at them, S_06A1-3=yes*, say: Just to confirm,)
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 ?
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NCVS Cognitive Interview Protocol R2

1
2

Yes
No

Continue to A2

If A1=2 AND force was used (SA_2A=1 or SA_2E=1 or SA_4a_a=1), skip to A9.
If Sexual Assault (S_SA=1) and Theft or Attempted Theft (S_T=1 or S_TA=1), skip to NEXT
MODULE.
If Sexual Assault (S_SA=1) and NO Theft or Attempted Theft (S_T=2 or S_TA=2), skip to A10.
A2*.
1
2
3
4
5

What was the weapon? Mark all that apply.
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 - ____________________________________

Probe1. What is a “blunt object”?

Probe2. What other things could be used as a weapon?

If weapon was a gun, continue to A2a. Else, skip to instructions before A2c.
A2a.

Was it a handgun or some other kind of gun, such as a rifle or shotgun?

1 Hand gun/pistol/revolver
2 Some other kind of gun/rifle/shotgun
Probe1. What is the difference between a handgun and some other kind of gun like a rifle or
shotgun?

A2b.

Did the offender(s):

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NCVS Cognitive Interview Protocol R2

a.
b.
c.
d.

Shoot you
Yes
Shoot at you, but miss
Yes
Hit you with the gun
Yes
Show you a gun or point a gun at you

No
No
No

If R answered a or c, skip to A10. Else, continue to instructions below A2c.
If R answered knife or other sharp object in A2, ask A2c below. Else go to A3.
A2c. You said the offender(s) had a knife or other sharp object. Did the offender(s):
a. Stab or cut you?
b. (if no) Try to stab or cut you?

Yes
Yes

No
No

If R was stabbed/cut (A2c_a=yes), skip to A10.
If R got SA CIR module and:
• indicated the tactic used by the offender was physical force or using a weapon
(SA2a=yes), skip to A9.
All other Rs should get A3 below.
A3*. [If R was shot at, but missed or if someone tried to stab/cut them (A2b_b=yes or
A2c_b=yes), say: In addition to trying to (FILL: shoot/stab or cut) you, did the offender(s) hit
you, grab you, knock you down or attack you in any other way?)
ELSE: Did the offender(s) hit you, grab you, knock you down or attack you in any way?]
1
2

Yes
No

Skip to A9

If R answered no to the question above (A3=no) and earlier reported that they were shot at
but missed or that someone tried to stab/cut them (A2b_b=yes or A2c_b=yes) skip to A10.
Else, ask A4 below.
A4.
Did the offender(s) TRY to hit you, grab you, knock you down or try to attack you in any
way?
1
2

Yes
No

Skip to A7

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NCVS Cognitive Interview Protocol R2

A5.
Did the offender(s) THREATEN to hit you, grab you, knock you down or threaten to
attack you in any way?
1
Yes
Skip to A7
2
No
A6.

What did the offender do? [Anything else?] Mark all that apply.
1
2
3
4
5
6
7

Took something without your permission
Tried to or threatened to take something
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 _______________________________________________

Probe1. [IF R NEEDED OPTIONS REPEATED] Would it have been helpful if you could have read
these responses instead of me reading them all to you?

Everyone who answered A6 should skip to A10.
A7.
row.

How did the offender(s) TRY or THREATEN to attack you? By… Mark one answer in each
a.
b.
c.

d.
e.
f.
g.
h.

saying they would attack or kill you?
(If R said the offender had a weapon in A1*) threatening
you with a weapon?
(If R said the weapon was a blunt object or something else
in A2=d or e*) trying to attack you with a weapon other
than gun, knife or sharp object?
throwing something at you?
following you or surrounding you?
trying to choke you?
trying to hit, slap, knock down, grab, hold, trip, jump, or
push you?
Something else
_______________________________________________?

Yes
Yes

No
No

Yes

No

Yes
Yes
Yes
Yes

No
No
No
No

Yes

No

Everyone who answered A7 should skip to A10.

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NCVS Cognitive Interview Protocol R2

A9. [If R got SA module and said that the offender used physical force during the sexual contact
(SA2a=yes*) say: Earlier you said the offender used physical force (If R said the offender had a
weapon in A1*, add: and had a weapon) during the incident.] Did the offender(s) [if R said the
offender had a weapon in A1*, say: also] do any of the following?
a. Hit you, slap you, or knock you down

Yes

No

b. Grab, hold, trip, jump, or push you

Yes

No

c. Hit you with an object other than a gun

Yes

No

d. Throw something at you

Yes

No

e. Choke you

Yes

No

f. Do something else to attack you? (If so, what?)
_________________

Yes

No

A10. Did the offender steal or try to steal something that belonged to you during this incident?
1
2

3

Yes, stole something
Yes, tried to steal something
No

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NCVS Cognitive Interview Protocol R2

Consequences I: Injury

Ask this module for SA or Attack incidents. ELSE SKIP TO NEXT MODULE.
CCI_INTRO Are you doing alright? This section asks about any injuries you may have had during
this incident. Some of these questions could be upsetting. Remember that you can skip any
question you don’t want to answer. Just let me know that you’d rather not answer the
question and I will skip ahead. Also, remember that you can stop the interview at any time and
no one will be upset with you.
CI1*. During the incident, [if R reported being shot or stabbed in previous module, “What
Happened-Attack”, say: besides being (shot and/or stabbed)] were you physically
injured in any (if R reported being shot or stabbed previous module, add: other) way?
Injuries include things such as bruises, black eyes, cuts, broken bones or more serious
injuries.
1. Yes
2. No Skip to NEXT MODULE
Probe1. How did you remember if you had any other injuries?

CI2.

Were you injured in any of these ways? Mark all that apply.

1. Broken or cracked bones
2. Broken nose
3. Dislocated joints
4. A concussion
5. Knocked unconscious
6. [If reported any penetration in “What Happened-SA” module (SA1a-d=yes*)] Injury
from sexual intercourse, such as to vagina or anus
7. [If R reported any penetration in SA module (SA1a-d=yes*), say: Other) Internal
injuries, such as internal bleeding or damage to internal organs
8. Some other way
Probe1. [IF R NEEDED OPTIONS REPEATED] Would it have been helpful if you could have read
these responses instead of me reading them all to you?

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NCVS Cognitive Interview Protocol R2

Ask CI2a if R doesn’t select any injuries in CI2 above or answered “other”.
Else, if CI1=1 (had injuries) and A3=1 (physical injury) or a sexual assault, skip to CI3.
Else, go to CI6.
CI2a. Were you injured in any of these other ways? Mark all that apply.
1.
2.
3.
4.
5.
6.
7.
8.

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) ______________________

Probe1. [IF R NEEDED OPTIONS REPEATED] Would it have been helpful if you could have read
these responses instead of me reading them all to you?

CI3. Did you face any other physical consequences as a result of this victimization?
1. Yes (specify)
2. No
Ask CI3a only for females who reported any kind of unwanted sexual contact in (SA1ae=yes*) or that the offender hit/grabbed/attacked the person in the (A3=yes*).
Else, skip to CI6
CI3a. Were you pregnant at the time?
1. Yes
2. No
CI6*. Did you receive any care from a medical or dental professional as a result of the
incident?
1. Yes
2. No Skip to next module
CI7.

Did you receive this care at the location where the incident happened, somewhere else,
or both?
1. Only where the incident happened
Skip to next module
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NCVS Cognitive Interview Protocol R2

2. Only somewhere else
3. Both
Probe1. Was it easy or difficult to remember this?

CI7a

Where did you receive this care? Mark all that apply.

1. At your home or the home of a relative, friend, or neighbor Skip to next module
2. At a hospital emergency room (ER) or an emergency clinic
3. At some other kind of medical or dental place
4. Somewhere else (SPECIFY)_____________________
Probe1. What kinds of things do you think of when you hear “some other kind of medical or
dental place”?

Probe2. [IF R NEEDED OPTIONS REPEATED] Would it have been helpful if you could have read
these responses instead of me reading them all to you?

CI8

Did you stay overnight in the hospital?
1. Yes
2. No Skip to CI10
CI9

How many nights did you stay in the hospital?
______ nights

Ask CI10 if R received any medical care (CI6=1*). Else, go to next module.
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?
1. Yes
2. No Skip to next module
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NCVS Cognitive Interview Protocol R2

Probe1. What do you think are out-of-pocket expenses?

CI11

How much were these out-of-pocket expenses?
1
2
3
4
5

Less than $100
$100 to less than $500
$500 to less than $1000
$1000 to less than $5000
$5000 or more

Probe1. How sure are you of your answer to this question?

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NCVS Cognitive Interview Protocol R2

Location Series

Ask this module for all incident types.
LO_INTRO. The next questions ask about when and where the incident in (fill: MONTH) took
place.
LO_T. About hat time did the incident happen?
After 6am-12 noon
After 12 noon – 3pm
After 3pm -6pm
After 6pm – 9pm
After 9pm – midnight
After 12 midnight – 6am
During the day, but don’t know what time
During the night, but don’t know what time
Don’t know whether day or night
If P1C* = 1, 2 or missing (lived at current house less than a year), ask CIR1A.
Else go to LO_3.
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 moving to this address
LO_3*. Where did the incident happen?
Inside your home
(If R lives in a building with 2 or more apartments/units, 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 (your property/your building’s property)
Inside somewhere else where you were staying overnight or longer
(IF AGES 16+) At your place of work
At school, on school property, or on a school bus
Somewhere else
If R answered yes to 1, 2, or 3 in LO_3*:
• and had indicated in CIR1a=2 that the incident happened before moving to their
current address*, go to LO1_1
• Else, if LO_3=1, 2, or 3 go to next module
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NCVS Cognitive Interview Protocol R2

If R answered yes to 4, 5, 6, or 7 in LO_3* ask LO1_1.
LO1_1. Did this happen in the city, town or village where you live (now)?
Yes
No Go to LO1_1a
If Yes to Loc1
• If LO_3 was 1, 2, 3, or 5*, go to LO8.
• If LO_3 was 4 (someplace staying overnight*) go to LO2.
• If LO_3 was 6 (at school*), go to instructions before LO3
• If LO_3 was 7, go to LO_5a.
Else, ask LO1_1a.
LO1_1a. Did this happen in the U.S. or in another country?
In the U.S.
In another country Go to next module
LO1_1b.Did this happen on an American Indian Reservation or on American Indian Lands?
Yes
No
If LO_3 was 1, 2, 3 or 5 (at work) *, go to L08.
If LO_3 was 6 (at school)*, go to instructions before LO3.
Else, ask LO2.
LO2.

Which of the following BEST describes where this happened…READ UNTIL RESPONDENT
PICKS ONE

At, in or near someone else’s home
At a business, such as a store, restaurant, bar, or office building
At a public building, such as a hospital or library
In a parking lot or garage
In an open area, on the street, or on public transportation
Or somewhere else? (specify) _________________________
Probe1. Can you tell me in your own words where this happened?

Skip to LO2e

If LO_3=1, 2, 3, 4, or 5, ask LO_4.
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NCVS Cognitive Interview Protocol R2

Else, go to instructions before LO3
LO_4. Did the incident occur when you were on the way to or from school?
1
Yes
Go to LO8
2
No
Go to LO8
LO2e. At what type of a business did the incident happen?
A restaurant, bar, nightclub
A bank
A gas station
A store or shopping mall
An office
A factory or warehouse
Other (specify) ________________________________________
All Rs who got LO2e should skip to LO8.
Ask LO3 if incident happened at school (LO_3=6*).
Else, skip to LO8.
LO3.

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)?
Inside a school building
On school property outside the school building (school parking area, play area, school
bus, etc.)
Skip to Loc8
Other (specify) _____
Skip to Loc8

LO4.

Was it your school?
Yes
No

LO8.

How far from your home was it…
A mile or less
More than a mile up to five miles
More than 5 miles up to fifty miles
More than 50 miles

Probe1. What were you thinking about to pick your answer here?

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NCVS Cognitive Interview Protocol R2

Victim-offender Relationship

Ask this module for all incident types.
VOINTRO Are you doing okay? This section asks about what you know about the offender(s).
Some of these questions could be upsetting. Remember that you can skip any question you
don’t want to answer. Just let me know that you’d rather not answer the question and I will
skip ahead. Also, remember that you can stop the interview at any time and no one will be
upset with you.
VO1*. (To the best of your knowledge) Was the incident committed by only one or by more
than one offender?
1
2
3
VO1b*.
1
2

One
More than one
Don’t know

Skip to VO2

Do you know who (the offender was/the offenders were)?
Yes
No

Go to instructions before VO6

Probe1. IF YES – Did you know who they were at the time of the incident?

VO2*. Do you know anything about (the offender/any of the offenders), such as
whether they were young or old, male or female, etc.?
1
2

Yes
No

Skip to next module

If R answered one offender in VO1=1*, Ask VO6 below.
If R answered “more than one” offender in VO1=2*, skip to VO14.
Else, skip to next module.
VO6. Was the offender someone you knew, even slightly, or a complete stranger?
1
2

Someone you knew
Complete stranger

Skip to VO8

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NCVS Cognitive Interview Protocol R2

VO7.

Would you be able to recognize the offender if you saw him/her?
1
2
3

VO8.

Yes
Not sure (possibly)
No

Skip to VO9
Skip to VO9
Skip to VO11

Was the offender someone you knew by sight only, a casual acquaintance, or someone
you knew well?
1
2
3

Knew by sight only
Someone you knew, but not well
Someone you knew well

Skip to VO10
Skip to VO10

Probe1. What does it mean to know someone “by sight only”? What about “a casual
acquaintance”?

VO9.

Did you know how the offender might be found, for instance, where he/she lived,
worked, went to school, or spent time?
1
2

Yes
No

If R answered V09, skip to VO11.
VO10. At the time of the incident, which of the following BEST describes how you knew the
offender?
1
(IF AGES 16+) 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, or someone you were no longer
dating or seeing (IF AGES 12-14) An ex-boyfriend, ex-girlfriend, or someone you were no
longer dating or seeing
4
A relative
5
Someone else
Probe1. What do you think the difference is between these first few options? (REREAD 1, 2, 3
IF NEEDED).
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NCVS Cognitive Interview Protocol R2

VO10a. Specifically, how did you know the offender at the time of the incident?
If “Spouse/Ex-Spouse” was selected above (VO10=1) above, read:
1
A husband or wife
2
An ex-husband or ex-wife
If “Someone romantically involved with” was selected above (VO10=2), read:
3
(IF AGES 16+) A live-in partner
4
(IF AGES 16+) A fiancé(e)
5
A boyfriend, girlfriend, or dating partner
6
Someone you were casually seeing
If “ex-boyfriend/girlfriend” was selected above (VO10=3), read:
7
An ex-boyfriend, ex-girlfriend, or former fiancé(e)
8
Someone you were no longer dating or seeing
If “relative” was selected above (VO10=4), read:
9
A parent or step-parent
10
(IF AGES 16+) A child or step-child
11
A brother, sister, step-brother, or step-sister
12
Some other relative _______________________________________________
If “someone else” was selected above (VO10=5), read:
13
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 16+) A customer or client
19
(IF AGES 16+) A patient
20
(IF AGES 16+) A supervisor or former supervisor
21
(IF AGES 16+) An employee or co-worker or former employee or co-worker
22
A teacher or school staff
23
Some other non-relative______________________________________________
If R was asked VO10a and selected a “live-in partner” or “roommate/boarder” (3 or 15*), skip
to VO13. Else, skip to VO12.

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NCVS Cognitive Interview Protocol R2

VO11. What was your connection, if any, to this person?
1
A friend of a friend
2
A schoolmate
3
A neighbor
4
(IF AGE 16+) A customer or client
5
(IF AGE 16+) A patient
6
(IF AGE 16+) Someone who worked at the same place as you
7
A teacher or school staff
8
Other – Specify
9
A stranger or someone of whom you have no knowledge
Probe1. What do you think this question is asking?

All who received VO11, go to next module.
VO12. Had you ever lived with this person?
1
2

Yes
No

Go to next module

VO13. Were you living with this person at the time of this incident in (MONTH)?
1
2
VO14*.

Yes
No

Go to next module
Go to next module

How many offenders were there?

__________
 DON’T KNOW. Don’t know number of offenders
VO15*.
Were any of the offenders someone you knew, even slightly, or were all of them
complete strangers?
1
2

At least one was someone you knew
All were complete strangers

Skip to VO17

VO16. Would you be able to recognize any of them if you saw them?
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NCVS Cognitive Interview Protocol R2

1
2
3

Yes
Not sure (possibly)
No

Skip to VO18
Skip to VO18
Skip to instructions 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.
1
2
3

Knew by sight only
Someone you knew, but not well
Someone you knew well

Probe1. What does it mean to know someone “by sight only”? What about “a casual
acquaintance”?

If R only answered “sight” (VO17 was only 1*), continue to VO18. If R answered any
combination including 2 or 3 in VO17, skip 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?
1
Yes
2
No
If R answered VO18, skip to instructions 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)
a. (IF AGES 16+) 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
Probe1. What do you think the difference is between these first few options? (REREAD 1, 2, 3
IF NEEDED).
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NCVS Cognitive Interview Protocol R2

VO19a.

Specifically, how did you know them? Mark all that apply.
a. If “spouse/ex-spouse” is selected above (VO19=a), read:
1
A husband or wife
2
An ex-husband or ex-wife
b. If “someone you were romantically involved with” is selected above (VO19=b),
read:
3
(IF AGES 16+) A live-in partner
4
(IF AGES 16+) A fiancé(e)
5
A boyfriend, girlfriend, or dating partner
6
Someone you were casually seeing
c. If “ex-boyfriend/girlfriend” is selected above (VO19=c), read:
7
An ex-boyfriend, ex-girlfriend, or former fiancé(e)
8
Someone you were no longer dating or seeing
d. If “relative” is selected above (VO19=d), read:
9
A parent or step-parent
10
(IF AGES 16+) A child or step-child
11
A brother, sister, step-brother, or step-sister
12
Some other relative _______________________________________________

e. If “someone else” is selected above (VO19=e), read:
13
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 16+) A customer or client
19
(IF AGES 16+) A patient
20
(IF AGES 16+) A supervisor or former supervisor
21
(IF AGES 16+) An employee or co-worker or former employee or co-worker
22
A teacher or school staff
23
Some other non-relative______________________________________________
If, in VO19a, R selected a “live-in partner” or “roommate/boarder” (3 or 15), skip to VO22. If
R selected any other option in VO19a, skip to VO21.
If R indicated in VO15 that he/she knew at least one offender (VO15=1*) or indicated
knowing any offender only by sight (VO17=1*), continue. Otherwise, skip to next module.
VO20. What was your connection, if any, to the offender(s)? Mark all that apply.
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NCVS Cognitive Interview Protocol R2

A friend of a friend
A schoolmate
A neighbor
(IF AGE 16+) A customer or client
(IF AGE 16+) A patient
(IF AGE 16+) 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
Probe1. [IF R NEEDED OPTIONS REPEATED] Would it have been helpful if you could have read
these responses instead of me reading them all to you?

All Rs who got VO20, skip to next module.
VO21. Had you ever lived with any of them?
1
2

Yes
No

Skip to next module

VO22. Were you living with any of them at the time of this incident?
1
2

Yes
No

Probe1. How did you feel about answering these questions?

All skip to next MODULE.

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NCVS Cognitive Interview Protocol R2

Offender Characteristics

For all incidents, read instructions below to see if module should be covered.
If VO1=1* or VO1a=1* (R knows who the offender/s is/are) or VO2=1* (R knows anything
about the offender/s).
If VO1=2* or VO1a=2* (more than one offender), skip to OCINTRO_MULTI.
Else skip to the next module.
OCINTRO How are you doing? This section asks for details about the offender. Some of these
questions could be upsetting. Remember that you can skip any question you don’t want to
answer. Just let me know that you’d rather not answer the question and I will skip ahead. Also,
remember that you can stop the interview at any time and no one will be upset with you.
OC1. Was the offender male or female?
1
2
3

Male
Female
Don’t know

OC2. How old would you say the offender was?
1
2
3
4
5
6

Under 18
18 to 24
25 to 34
35 to 54
55 or older
Don’t know

Skip to OC3
Skip to OC3
Skip to OC3
Skip to OC3
Skip to OC3

Probe1. IF OFFENDER 18+ - Did you know their age, or were you guessing? IF GUESSING: Why
did you pick the age range that you did?

OC2a. Would you say the offender was…
1
2

Under 12
12 to 14
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NCVS Cognitive Interview Protocol R2

3
15 to 17
4
Don’t know
Probe1. Did you know their age, or were you guessing? IF GUESSING: Why did you pick the
age range that you did?

OC3. Was the offender Hispanic or Latino?
1
2
3

Yes
No
Don’t know

OC4. What race or races was the offender? You may select more than one. Was the offender…
Mark all that apply.
White
Black or African American
American Indian or Alaska Native
Asian
Native Hawaiian or Other Pacific Islander
Don’t know
Probe1. [IF R NEEDED OPTIONS REPEATED] Would it have been helpful if you could have read
these responses instead of me reading them all to you?

OC5. Was the offender a member of a street gang, or don’t you know?
Yes
No
Don’t know
OC6. Was the offender drinking or on drugs at the time of the incident?
1
2
3

Yes, the offender was drinking or on drugs
No, the offender was not drinking or on drugs
Don't know
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NCVS Cognitive Interview Protocol R2

All Rs who got OC6 should skip to the next module.
OCINTRO_MULT This section asks for more details about the offenders.
OC9. Were the offenders male or female?
1
2
3
4

All were male
All were female
They were both male and female
Don’t know

Skip to OC11
Skip to OC11

If OC9=1 or 2 OR if VO14=2* (2 offenders involved) in the VO module, skip to OC11.
OC10. Were most of the offenders male or were most of them female?
1
Most were male
2
Most were female
3
They were evenly divided
4
Don’t know
OC11. How old would you say the youngest was?
1
2
3
4
5
6

Under 18
18 to 24
25 to 34
35 to 54
55 or older
Don’t know

Skip to OC12
Skip to OC12
Skip to OC12
Skip to OC12
Skip to OC12

Probe1. IF OFFENDER 18+ - Did you know their age, or were you guessing? IF GUESSING: Why
did you pick the age range that you did?

OC11a. Would you say the youngest offender was…
1
2
3
4

Under 12
12 to 14
15 to 17
Don’t know
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NCVS Cognitive Interview Protocol R2

Probe1. Did you know their age, or were you guessing? IF GUESSING: Why did you pick the
age range that you did?

OC12. How old would you say the oldest was?
1
2
3

Under 18
18 to 24
25 to 34
35 to 54
55 or older

Skip to OC13
Skip to OC13
Skip to OC13
Skip to OC13

Probe1. IF OFFENDER 18+ - Did you know their age, or were you guessing? IF GUESSING: Why
did you pick the age range that you did?

OC12a. Would you say the oldest offender was…
1
2
3
4

Under 12
12 to 14
15 to 17
Don’t know

Probe1. Did you know their age, or were you guessing? IF GUESSING: Why did you pick the
age range that you did?

OC13. Were any of the offenders Hispanic or Latino?
1
2
4

Yes
No
Don’t know

Skip to OC15
Skip to OC15
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NCVS Cognitive Interview Protocol R2

OC14. Were most of the offenders Hispanic, non-Hispanic, or were roughly an equal number
Hispanic and non-Hispanic?
1
2
3
4

Most of the offenders were Hispanic
Most of the offenders were non-Hispanic
A roughly equal number were Hispanic and non-Hispanic
Don’t know

OC15 Were the offenders… Mark all that apply.
White
Black or African American
American Indian or Alaska Native
Asian
Native Hawaiian or Other Pacific Islander
Don’t know
Probe1. [IF R NEEDED OPTIONS REPEATED] Would it have been helpful if you could have read
these responses instead of me reading them all to you?

If R did not select more than one race in OC15, go to OC18.
OC16. What race were most of the offenders?
(ONLY READ 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
7
Don’t know
OC17. Were any of the offenders a member of a street gang, or don’t you know?
Yes (a member of a street gang)
No (not a member of a street gang)
Don’t know (if a member of a street gang)
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NCVS Cognitive Interview Protocol R2

OC18. Were any of the offenders drinking or on drugs at the time of the incident?
1
2
3

Yes, some or all of the offenders were drinking or on drugs
No, none were drinking or on drugs
Don’t know

Probe1. Is there anything else about the offender that we did not already talk about but you
think we should know?

All, go to next module

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NCVS Cognitive Interview Protocol R2

Self-Protection

Ask this module if 1) the incident was flagged as “SA” or “Attack” * or 2) Incident was a
break-in, theft, or attempted theft and the R reported having contact with the offender in the
incident (PR2a=1 or 3*). Else, continue to next module.
Note: If R indicated in “Victim-Offender Relationship” module that the incident involved 1
offender, use “offender” throughout. If the incident involved more than one, use
“offenders”.
How are you doing so far? These next questions are about what you did when the incident in (fill:
MONTH) occurred.
People may react differently to certain situations and there’s not a wrong or right way to react.
Everyone is different and every situation is different.
Probe1. Can you tell me what these questions are about, based on what I just read?

Some of these questions could be upsetting. Remember that you can skip any question you don’t
want to answer. Just let me know that you’d rather not answer the question and I will skip ahead.
Also, remember that you can stop the interview at any time and no one will be upset with you.
SP1.

Which of the following describes how you reacted during the incident?

1 Did you not do anything, freeze, or not move?
2 Did you do what the person told you to do?
3 Did you do something or try to do something to protect
yourself or your belongings?
4 Did you do or try to do something else during the
incident?

Yes
Yes

No
No

Yes

No

Yes

No

Probe1. What do you think we are asking in this question?

Probe2. The last option I read was “You did or tried to do something else during the
incident”. Can you think of other things a person might do in a situation like this?

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NCVS Cognitive Interview Protocol R2

If R only answered 1 or 2 in SP1 (did what the person said, didn’t do anything), skip to SP3b.
SP2. You said that you took some action during the incident. What did you do? {Anything
else?} Mark all that apply.
1
2
3
4
5
6
7
8
9
10

You threatened or attacked the offender
You ducked or tried to avoid the offender(s)
You chased or warned the offender(s) off
You argued, reasoned, or pleaded with the offender(s)
You got away or tried to get away, hid, or locked a door
You called the police or a guard
You tried to get someone else’s attention
You held onto your belongings
You stalled or distracted the offender(s)
Something else

Probe1. [IF R NEEDED OPTIONS REPEATED] Would it have been helpful if you could have read
these responses instead of me reading them all to you?

If R did not threaten or attack the offender (SP2 ne 1) go to instructions before SP2b.
SP2a. What did you do to attack or threaten the offender(s)? Mark all that apply.
1
2
3
4
5
6
7

You attacked the offender(s) with a gun or fired a gun
You attacked the offender(s) with another weapon
You hit, kicked, or attacked the offender(s) in some other way
You threatened the offender(s) with a gun
You threatened the offender(s) with another weapon
You threatened the offender(s) in some other way
Something else _____________________________

Probe1. [IF R NEEDED OPTIONS REPEATED] Would it have been helpful if you could have read
these responses instead of me reading them all to you?

If R did not indicate doing something else in SP2 (code 10), go to instructions before SP3A.
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NCVS Cognitive Interview Protocol R2

SP2b. What other actions did you take during the incident?
__________________________________________________
If R did not report a physical injury in ” Consequences I: Injury” module (CI1=2*), skip to SP3b.
SP3A. Did you take (that action/any of these actions) …Mark one answer in each row.
a.
b.
c.

Before you were injured
After you were injured
At the same time you were injured

Yes
Yes
Yes

No
No
No

SP3b. Overall, do you think that what you did helped the situation, made it worse, or had no
impact?
1
Helped the situation
2
Made the situation worse
3
Had no impact on the situation
Probe1. How did you feel about answering this question?

SP4. Besides you and the offender(s), was anyone ELSE present during the incident? (Only
include those ages 12 or older)?
1
2
SP5.

Skip to next module

Did anyone else do or try to do anything to help you while the incident was going on?
1
2

SP6.

Yes
No

Yes
No

Skip to SP9

Who took these actions? Mark all that apply.
1
2
3

Someone who was with you
Someone who was with the offender(s)
Someone else

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NCVS Cognitive Interview Protocol R2

Probe1. What kinds of people do you think of as “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.
1
2
3
4
5
6

They attacked or tried to attack the offender(s)
They defended you or your property without physically attacking the offender(s)
They chased or warned off the offender(s)
They argued, reasoned, pleaded or bargained with the offender(s)
They tried to get help
They did something else (specify)__________

Probe1. [IF R NEEDED OPTIONS REPEATED] Would it have been helpful if you could have read
these responses instead of me reading them all to you?

SP8. Overall, did the actions of this person or people help the situation, make it worse, or
have no impact?
1
2
3

Helped the situation
Made the situation worse
Had no impact on the situation

SP9. (If R reported that the offender was under 12 in OC2a or OC11a, say: Not including the
offender,) Was anyonewho was there during the incident under the age of 12?
1
2

Yes
No

SP9a. Not counting yourself, (or) the offender (If R answered yes in SP9 above, say: , or
children under 12), were any other people harmed, threatened with harm, or have any
belongings taken or damaged during the incident?
1
2

Yes – How many? ________
No
Skip to next module

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NCVS Cognitive Interview Protocol R2

SP10. IF 2+ - Of these (FILL with # provided in SP9a) people, how many of them) live with you
now?
IF 1 - 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.)
________
Probe1. Was there anyone else involved in the incident that we haven’t talked about?
All, go to next MODULE.

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NCVS Cognitive Interview Protocol R2

Hate Crimes

Ask this module for all incident types.
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
Sex
Sexual orientation or gender identity

This could happen even if the offender falsely thinks you have certain characteristics or
religious beliefs.
HC2*. Do you think this was a hate crime targeted at you?
1 Yes
2 No

Skip to HC3

HC2a. Do you think prejudice or bigotry towards any of the following was a reason you were
targeted, even if the offender falsely thought something about you..
A.
B.
C.
D.
E.
F.

Because of your race
Because of your religion
Because of your ethnic background or national origin
Because of any disability you may have
Because of your sex
Because of your sexual orientation or gender identity –
by this we mean gay, lesbian, bisexual, straight,
transgender, or gender non-conforming?

Yes
Yes
Yes
Yes
Yes

No
No
No
No
No

Yes

No

Probe1. What does gender or gender identity mean? What about sexual orientation?

All Rs who got HC2a, should skip to HC4
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NCVS Cognitive Interview Protocol R2

HC3*. Do you think this was a hate crime targeted at any of the people you spend time with?
1 Yes
2 No
If R answers no (=2) to both HC2* and HC3*, skip 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?
1
2

Yes
No Skip to next module

HC5 Did any of the following things happen?
a. The offender(s) used hurtful or abusive language referring
to your sex, religion, race or ethnicity, sexual orientation
or gender identity, or a disability
b. There was something at the scene, such as a swastika or a
burning cross, that made you think this was a hate crime
c. The police told you that this was a hate crime
d. From what you know, the offender(s) had committed
similar hate crimes in the past

Yes

No

Yes

No

Yes
Yes

No
No

e. The incident happened around a holiday, event, or place
commonly associated with a specific group
f. Other hate crimes had occurred in your local area or
neighborhood
g. Something else happened that would suggest it was a
hate crime – Specify: _______________

Yes

No

Yes

No

Yes

No

All, skip to next MODULE.

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NCVS Cognitive Interview Protocol R2

Police Involvement Series

Ask this module for all incident types.
The next questions ask about whether the police got involved in the incident in (fill: MONTH).
PI1.

Did the police find out about the incident?
1. Yes Skip to PI4
2. No

PI2a. Why did you decide not to contact the police? Mark all that apply.
You didn’t think it was important enough to report
You didn’t think the police would do anything about it
You weren’t sure who did it
It was too personal to report
You told a parent or other adult relative
You took care of it yourself
You reported it to an official other than the police
You didn’t think the police would believe you
You didn’t want to get into trouble with the police
You didn’t want the offender to get in trouble or face harsh consequences
You were worried the offender might get back at you
You weren’t sure it was a crime
Some other reason
Probe1. [IF R NEEDED OPTIONS REPEATED] Would it have been helpful if you could have read
these responses instead of me reading them all to you?

If R does not code 13 in PI2a, skip to instructions before PI3.
PI2b. What was the other reason why you did not contact the police?
1. You didn’t trust the police
2. You didn’t find out until it was too late to report
3. It would have been too much trouble to report it
4. You thought someone else would contact the police
5. Some other reason ____________

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NCVS Cognitive Interview Protocol R2

If R only selects one reason in PI2a or PI2b, skip to PI17
PI3. Which of these would you say was the most important reason why you did not contact
the police?
(if needed, read responses selected in PI2 and/or PI2a plus, “No one reason is most
important”)
___________________________________
Probe1. Why did you pick this as the most important reason?

If R earlier reported (in the “Location Series” module) that the incident happened at school
(L3=6*) AND did not say in PI2a that he/she reported it to an official other than the police
(PI2a ne 6), then skip to PI16a.
If R did not report that the incident happened at school (L3 ne 6*), skip to PI17
Else, ask PI2c.
PI2c. Did you report the incident to a school official or School Resource Officer?
1. Yes
Skip to PI17
2. No
PI2d. Why did you decide not to contact a school official or School Resource Officer?
Mark all that apply.
You didn’t think it was important enough to report
You didn’t think the official or School Resource Officer would do anything about it
You weren’t sure who did it
It was too personal to report
You took care of it yourself
You didn’t think they would believe you
You didn’t want to get into trouble
You didn’t want the offender or his/her family to get in trouble or face harsh
consequences
You were worried the offender might get back at you
You weren’t sure it was a crime
Some other reason

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NCVS Cognitive Interview Protocol R2

Probe1. [IF R NEEDED OPTIONS REPEATED] Would it have been helpful if you could have read
these responses instead of me reading them all to you?

All Rs should skip to PI17.
Ask PI4 if R said that the police found out about the incident (PI1=yes)
PI4. Who informed the police? If more than one person, chose the first response that
applies.
1.
You informed the police yourself
2.
Someone you live with
3.
A school employee or School Resource Officer
4.
Someone such as a security guard or a building manager
5.
The police were at scene
6.
Someone else told the police– specify ________________________________
If HC2=1 or HC3=1 (hate crime), go to PI16b.
If PI4=5, skip to PI17
Else, skip to PI5
PI16b. Did you tell the police that you believe the incident was a hate crime?
1
2

Yes
No

If PI4=5, skip to PI17
Else, skip to PI5
PI5.

[If PI4=2, 3, 4, 6: You said someone else informed the police] How did (you first/they)
notify the police?

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 someone else other than the R notified the police [PI4 ne 1]) Don’t know
If R answered 4, 5 or 6 in PI5, skip to PI10.

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NCVS Cognitive Interview Protocol R2

Probe1. These last few questions talked about reporting things to the police or other officials.
What do you think would need to happen in order to consider something “reported”? (e.g.,
file a report, tell an officer verbally, go to the station)

PI9.

Which of the following BEST describes when the police were first contacted?
1.
2.
3.
4.
5.

While the incident was happening
Within 10 minutes after the incident occurred
Within an hour after the incident occurred
Within 24 hours of the incident
Longer than a day after the incident occurred

PI10. What did the police do when they found out about the incident? Mark all that apply.
1.
2.
3.
4.
5.
6.
7.

Came to you
Tell you to go to a police station
Take a report over the phone
Deal with it through the mail
Deal with it through the Internet or a social media app
Something else ______________________________________
The police did nothing

Probe1. [IF R NEEDED OPTIONS REPEATED] Would it have been helpful if you could have read
these responses instead of me reading them all to you?

If R answered “they came to you” (PI10=1), skip to PI13.
If R did not select “took report over the phone (PI10 ne 3), skip to PI12
PI11. How satisfied were you with how the phone report was taken?
1.
Completely satisfied
2.
Mostly satisfied
3.
Equally satisfied or dissatisfied
4.
Mostly dissatisfied
5.
Completely dissatisfied
6.
(If someone else other than the R notified the police [PI4 ne 1]) Don’t know
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NCVS Cognitive Interview Protocol R2

Probe1. Tell me more about why you picked that answer.

PI12. Do you think the police should have come to you when they were contacted?
1
Yes
2
No
If R answered PI12, skip to instructions before PI6b.
PI13. How satisfied were you with the time it took the police to get to you after they were
contacted?
1.
Completely satisfied
2.
Mostly satisfied
3.
Equally satisfied or dissatisfied
4.
Mostly dissatisfied
5.
Completely dissatisfied
6.
(If someone else other than the R notified the police [PI4 ne 1]) Don’t know
Probe1. Tell me more about why you picked that answer.

If the R reported that the police were already at the scene (PI4=5) or R informed the police
using the internet or a social media app (PI5=2), skip to PI15.
PI14. Had the police told (you/the person who contacted them) how long it would take them
to get there?
1.
Yes
2.
No
3.
(If someone else other than the R notified the police [PI4 ne 1]) Don’t know

PI15. Did the police do any of the following while they were there? Mark all that apply.
1.
2.
3.
4.
5.

They took a report or asked you questions about what happened
They questioned other witnesses or suspects
They looked around
They took evidence, such as fingerprints
They made a list of what was taken
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NCVS Cognitive Interview Protocol R2

6.
7.
8.
9.

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

Probe1. [IF R NEEDED OPTIONS REPEATED] Would it have been helpful if you could have read
these responses instead of me reading them all to you?

PI16. Did the police do any of the following other things while they were there? Mark all that
apply.
1.
2.
3.
4.
5.
6.
7.
8.
9.

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 you as a victim
They contacted victim services on your behalf
They contacted emergency medical services
They did something else to help __________________________
[IF VOLUNTEERED]They did not do anything (IF PI15=1thru7: else) to help

Probe1. [IF R NEEDED OPTIONS REPEATED] Would it have been helpful if you could have read
these responses instead of me reading them all to you?

If R earlier reported (in the “Location Series” module) that the incident happened at school
(L3=6*) AND did not answer 6 to PI2a, OR answered “no” to PI2c (PI2c=2), ask PI16a below.
Else go to PI17.
PI16a. Did anyone report the incident to a school official or School Resource Officer (SRO)?
1. Yes
2. No
Ask of all Rs
PI17. Did you (or anyone you live with) have any later contact with the police about the
incident?
1.
Yes
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NCVS Cognitive Interview Protocol R2

2.

No

If PI17=2 and the R previously indicated that the police found out about the incident
(PI1=yes), skip to PI20.
If PI17=1, go to PI18.
Else, go to PI24.
PI18. Thinking about these later contacts, did the police get in touch with you or did you get
in touch with them?
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 the incident? Mark all that apply.
1.
2.
3.
4.
5.
6.
7.
8.
9.

They took a report or asked you questions about what happened
They questioned other witnesses or suspects
They watched over or promised to watch over the crime scene
(If the incident is flagged as “theft” *) They got some or all of your belongings
back
They made one or more arrests
They stayed in touch
They contacted victim services on your behalf
They did something else (specify)
They did not do anything to your knowledge

Probe1. [IF R NEEDED OPTIONS REPEATED] Would it have been helpful if you could have read
these responses instead of me reading them all to you?

PI20. Next are some questions about how you feel the police handled the incident. If more
than one officer was involved, please think about how you would rate them as a group.
How respectfully did the police treat you?
1. Very respectfully
2. Somewhat respectfully
3. Neither respectfully or disrespectfully
4. Somewhat disrespectfully
5. Very disrespectfully
6. Does not apply
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NCVS Cognitive Interview Protocol R2

PI21. How satisfied were you with the amount of time the police gave you to tell your story?
Completely satisfied
Mostly satisfied
Equally satisfied or dissatisfied
Mostly dissatisfied
Completely dissatisfied
Does not apply
PI22. How satisfied were you that the police did everything they could?
Completely satisfied
Mostly satisfied
Equally satisfied or dissatisfied
Mostly dissatisfied
Completely dissatisfied
PI23. Taking the whole experience into account, how effectively did the police handle the
incident?
1.
Very effectively
2.
Somewhat effectively
3.
Neither effectively nor ineffectively
4.
Somewhat ineffectively
5.
Very ineffectively
Probe1. What do you think is meant by “effectively” as it is used in this question?

Probe2. Which officers were you thinking about in these questions?

PI24. At the time, did you consider this incident to be a crime?
Yes
No
PI25. Now, looking back, do you consider this incident to be a crime?
Yes
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NCVS Cognitive Interview Protocol R2

No

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NCVS Cognitive Interview Protocol R2

Workplace Violence Series

Ask this module only if incident is “SA” or “Attack” AND if the youth has been employed in
the past 6 months (P5=1* or P6=1*).
WV1. Did the incident occur while you were working or on duty?
1
2

Yes
No

Skip to instructions before WV3

If R reported in the “Location Series” module that the incident happened at their home,
property, or workplace (L3 = 1, 3, 5*), skip to instructions before WV3.
WV2. Did the incident happen when you were on your way to or from work?
1
Yes
2
No
Skip to the next module.
Probe1. What would you count as your time going “to or from work”?

If R reported in the “Location Series” module that the incident did not happen at their
workplace (L3 ne 5*) or R answered “no” to both of the last two questions (WV1=2 and
WV2=2), skip to the next module.
WV3. The next questions are about the job you had at the time of the incident. Were you
employed by . . .
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?
Probe1. What do you think each of these response options means? READ EACH ONE.

WV5. What is the name of the (company/government agency/business/non-profit
organization) where you were working at the time of the incident? Remember, all answers to
this survey are confidential and you may skip any questions that you don’t want to answer.
_________________________
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NCVS Cognitive Interview Protocol R2

WV6. What kind of business or industry is this? What do they make or do where you were
working at the time of the incident?
_________________________
WV7. Is this mainly . . .
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: Specify___________
Probe1. How easy or difficult was it to answer this question?

WV8. What kind of work were you doing at this job at the time of the incident, that is, what
was your occupation? (For example: Registered nurse, personnel manager, supervisor of order
department, secretary, accountant)
_________________________
WV9. What were your usual activities or duties at this job? (For example: patient care,
directing hiring policies, supervising order clerks, typing and filing, reconciling financial records)
_________________________

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NCVS Cognitive Interview Protocol R2

Consequences II: Socio-emotional Problems
Ask this module for all incident types.

Being a victim of crime affects people in different ways. The next questions are about how the incident
may have affected you. Are you doing okay? Some of these questions could be upsetting. Remember
that you can skip any question you don’t want to answer. Just let me know that you’d rather not answer
the question and I will skip ahead. Also, remember that you can stop the interview at any time and no
one will be upset with you.

CS1

Did the incident lead you to have serious problems with your (age 515+: job or)
schoolwork, or trouble with people (age 515+: at work or) at school?

1. Yes
2. No
Probe1. What would you consider “serious problems” with school (or work)?

CS2

Did 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?
1. Yes
2. No

CS3*. How upsetting has the incident been to you?
1. Not at all upsetting
2. Mildly upsetting
3. Moderately upsetting
4. Severely upsetting
If R answered no to both CS1 and CS2 OR “Not at all upsetting” or “Mildly upsetting” to CS3,
skip to next module.

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NCVS Cognitive Interview Protocol R2

CS4

I am going to read a list of things you may have felt because of the incident. For each,
please tell me 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.
Didn’t feel
this way
a. Angry
b. Shocked
c. Fearful
d. Depressed
e. Anxious or panicked
f. Less confident
g. Sad

□
□
□
□
□
□
□
□

Yes, for less Yes, for 1 month
than 1 month or more

□
□
□
□
□
□
□
□

□
□
□
□
□
□
□
□

h. Annoyed
Probe1. Were there any feelings here that you didn’t know what they mean?

CS5a. Did you have difficulty sleeping because of the incident?
1
No
2
Yes, for less than one month
3
Yes, for one month or more
Probe1. IF YES – Did you have trouble sleeping because you were worried, because of pain or
discomfort from an injury, or for some other reason?

CS6

Have you talked to a psychologist, psychiatrist, counselor, or other mental health
professional about the incident?
1. Yes
2. No Skip to next module
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?

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NCVS Cognitive Interview Protocol R2

1. Yes
2. No Skip to next module
Probe1. In your own words, what is this question asking?

CS8

How much were these out-of-pocket expenses?
1
2
3
4
5

Less than $100
$100 to less than $500
$500 to less than $1000
$1000 to less than $5000
$5000 or more

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NCVS Cognitive Interview Protocol R2

Consequences III: Economic Consequences

CE15 Have you taken any time off from work or school because of the incident?
1.
2.
3.
4.

Yes, time off from work
Yes, time off from school
Yes, time off of both work and school
No Skip to next module

CE16 How many days did you take off work or school?
1.
2.
3.
4.
5.

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?
1. Yes
2. No Skip to CE19
Probe1. What do you think it means to “lose any pay for the time you took off”?

Probe2. Do you get paid hourly?

Probe3. How do you take time off at your job?

CE18 About how much pay did you lose?
1
2
3
4

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

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NCVS Cognitive Interview Protocol R2

CE19 Did you lose your job or have to give up work, or withdraw from school as a result of the
incident?
1. Yes Skip to next module
2. No
CE19a. Did you have to change your job or school as a result of the incident?
1. Yes
2. No
All go to next module.

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NCVS Cognitive Interview Protocol R2

Victim Services (VS) Series

Ask this module if ANY of the following apply:
•
•

•

R reported (in the “Attack” module) that the offender hit/grabbed/attacked him/her
(A3=yes*)
R reported any sexual contact in the “SA” module (SA1a-e=yes*) AND reported that
the R used one of the tactics in V2SA2 (SA2a-e=yes*, including force, threats, blacked
out, unable to consent)
R reported (in the “Consequences II: Socioemotional Problems” module) that the
incident was “severely upsetting (CS3=4*)

Else, skip to Narrative.
The next questions ask about any help you might have gotten after the incident in (fill:
MONTH) took place.
VS1a. Have you told any family, friends, co-workers, classmates or neighbors about the
incident?
1. Yes
2. No
VS1b. (If yes to VS1a, say: Other than [if police found out about the incident, PI1=yes, say: the
police or] family/friends) Have you told anyone in the following positions about the incident
who you thought might be able to help you? Mark all that apply.
1.
2.
3.
4.
5.
6.
7.

Teacher, school counselor, or school administrator
(AGES 16+) Employer, supervisor, or human resources personnel
Medical or mental health professional
Representative of a religious or community organization
Security guard or personnel, other than the police
Other(specify) ______________________
No, have not told anyone in a leadership or professional position.

Probe1. [IF R NEEDED OPTIONS REPEATED] Would it have been helpful if you could have read
these responses instead of me reading them all to you?

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NCVS Cognitive Interview Protocol R2

VS2. Besides any help you might have gotten from friends or family, have you received the
following kinds of professional services because of the incident?
A. Hotline, helpline, or crisis line intervention?
B. Counseling, therapy, support groups, or help from a mental
health provider?
C. (if R reported being hit in A3* or experienced any type
ofsexual contact in SA1a-e* and endorsed one of the tactics in
SA2a-e* or reported any physical injury in CI1*) Help or
advocacy with medical care or medical exams, including
accompanying you to a medical exam?
D. (If Rexperienced any type of sexual contact in SA1a-e* and
endorsed one of the tactics in SA2a-e*) Sexual assault exam by
a doctor, nurse or other medical professional?
E. Free or low cost legal services from an attorney?
F. Help with the legal process, such as with police interviews,
preparing for or going to court, or enforcement of your rights?
H. Help filing for a restraining, protection, or no-contact order?

Yes
Yes

No
No

Yes

No

Yes

No

Yes
Yes

No
No

Yes

No

If R answered no to all items asked, skip to VS4.
Probe1. FOR EACH YES, Who were you thinking about when you said ‘yes’ to this question?

VS3. How satisfied were you with…USE SATISFIED SCALE BELOW H FOR EACH QUESTION.
A. (IF VS2A=YES) Hotline, helpline, or crisis line intervention
B. (IF VS2B=YES) Counseling, therapy, support groups, or help from a mental health
provider
C. (IF VS2C=YES) Help or advocacy with medical care or medical exams, including
accompanying you to a medical exam
D. (IF VS2D=YES) Sexual assault exam by a doctor, nurse or other medical professional
E. (IF VS2E=YES) Free or low cost legal services from an attorney
F. (IF VS2F=YES) Help with the legal process, such as with police interviews, preparing for
court or going to court, or enforcement of your rights
G. (IF VS2H=YES) Help filing for a restraining, protection, or no-contact order
1.
2.
3.
4.
5.

Completely satisfied
Mostly satisfied
Equally satisfied or dissatisfied
Mostly dissatisfied
Completely dissatisfied
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NCVS Cognitive Interview Protocol R2

If R answered yes to any item in VS2A-H, skip to Narrative.
VS4. Were there any types of services that you TRIED to get BUT WERE UNABLE TO GET?
1. Yes
2. No
Skip to instructions before VS7
Probe1. How would you describe “trying” to get a service?

VS5. Which of the following services did you TRY to get BUT WERE UNABLE TO GET? Mark all
that apply.
Read only what was endorsed in VS2.
1. Hotline, helpline, or crisis line intervention
2. Counseling, therapy, support groups, or help from a mental health provider
3. (if R reported being hit in A3* or experienced any type of sexual contact in SA1a-e* and
endorsed one of the tactics in SA2a-e* or reported any physical injury in CI1*) Help or
advocacy with medical care or medical exams, including accompanying you to a medical
exam
4. (experienced any type of sexual contact in SA1a-e* and endorsed one of the tactics in
SA2a-e*) Sexual assault exam by a doctor, nurse or other medical professional
5. Free or low cost legal services from an attorney
6. Help with the legal process, such as with police interviews, preparing for or going to
court, or enforcement of your rights
7. Help filing for a restraining, protection, or no-contact order
8. Any other help or service because of the incident (specify)_______________________
If R did not say ‘yes’ to any items in VS5, skip to Narrative.

Probe1. [IF R NEEDED OPTIONS REPEATED] Would it have been helpful if you could have read
these responses instead of me reading them all to you?

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NCVS Cognitive Interview Protocol R2

VS6.

Were any of the following reasons why you didn’t actually get the services you needed
after the incident?
A. The services you needed were not available in your area?
B. Program was full, or there was a long wait list
C. You did not think you were eligible for services, or you were told
you were not eligible?
D. You did not have transportation (or childcare)?
E. You could not take time off work or school?
F. The services were not available in your language?
G. You didn’t want to get the offender in trouble or face harsh
consequences?
H. You were worried about the consequences for yourself or your
family?
I. Some other reason? (Specify) ___________________________

Yes
Yes

No
No

Yes
Yes
Yes
Yes

No
No
No
No

Yes

No

Yes

No

All Rs who answered VS6 will skip to Narrative.
If R answered no to all items in VS2 (did not get professional help) and did not try to get any
help (VS4=no), ask VS7 below. Else, skip to Narrative.
VS7. You said you didn’t try to get any services. Did you want any services?
1
2

Yes
No

Skip to Narrative

VS8. Please indicate whether or not each of the following were reasons why you did not try
to get any services.
A. You did not know what help or services were available
B. You did not think you were eligible for services,
or you were told you were not eligible
C. You did not have transportation {or childcare}
D. You could not take time off work or school
E. You didn’t want to get the offender in trouble or
face harsh consequences
F. You were worried about the consequences for yourself
or your family
G. You did not feel services were appropriate to meet your needs
H. Some other reason (Specify) ___________________________
Probe1. What kinds of services are you thinking of in this question?

Yes
Yes

No
No

Yes
Yes

No
No

Yes

No

Yes
Yes
Yes

No
No
No

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NCVS Cognitive Interview Protocol R2

Probe2. IF APPLICABLE – How did you feel being asked about childcare?

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NCVS Cognitive Interview Protocol R2

Narrative

Thank you for providing this information about the incident in (fill: MONTH).
N1. Would you mind describing the incident for me in your own words? Remember that you
can skip any questions, including this one, if you don’t want to answer, or you don’t recall
particular details.
__________________________________________
Probe1. Did the instructions on this question make sense to you?

Probe2. How do you feel about telling your story in your own words?

All skip to “Closing/Debrief”.

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Non-Violent Packet

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NCVS Cognitive Interview Protocol R2

What Happened: Module B – Break-ins
Ask this module if incident was “Break-In”. Otherwise, skip to next module.

BI1*. You said someone broke in or tried to break in during the incident in (MONTH). Did
someone break in or try to break into any of the following during this incident? Mark all
that apply.
a. Your home?
b. A garage, shed, or other detached building on your property?
c. A second home or vacation home?
d. A hotel or motel room where you or someone you live with
was staying?
e. A car or motor vehicle?
f. Some other place? Specify___________
Probe1. IF NOT CLEAR – What was the place that was broken into/someone tried to break
into?

If R answers no to all questions or only answers yes to car/motor vehicle, skip to next
module.
BI2*. (Excluding the motor vehicle) Did the offender(s) actually get inside (any of these
places)?
1
Yes
2
No
BI3.

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.
1
Yes
2
No
Skip to next module

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NCVS Cognitive Interview Protocol R2

BI4.

What were these signs? Mark all that apply.
1
2
3
4
5
6
7
8
9

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
There was some other damage to a door
Something else ____________________

Probe1. [IF R NEEDED OPTIONS REPEATED] Would it have been helpful if you could have read
these responses instead of me reading them all to you?

All, go to next module

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NCVS Cognitive Interview Protocol R2

What Happened: Module T. Theft

Ask this module only for “Theft”, “Theft + Break-in” incidents. Otherwise, skip to next
module.
T2a.

You said someone stole something from you during the incident in (fill: MONTH). What was

stolen? Mark all that apply.
If S_03A1* (something that you carry) was yes or S_03A5* (something out of a
vehicle) was yes, read:
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* (something that you wear) or S_03A3* (something in your home) was yes,
read:
7
Clothing, furs, or shoes
8
Jewelry, a watch, or keys
IF S_03A3* (something in your home) was yes, read:
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* (Something from your property) or S_03A6* (something belonging to the
children) was yes, read:
13
A bicycle or bicycle parts
14
A garden hose or lawn furniture
15
Toys, or sports and recreation equipment
IF S_03A5* (something out of a vehicle) was yes, read:
16
Something you kept in your vehicle, such as a GPS device or a phone charger
17
A package or groceries
For all, read:
18
Something else
Ask T2b if T2a18=yes. Else go to instructions before T3.
T2b. You said thing else was stolen. What was it? INTERVIEWER CODEMark all that apply.
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NCVS Cognitive Interview Protocol R2

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16

CASH
CREDIT CARDS, A CHECK, OR BANK CARDS
A PURSE OR WALLET
A BACKPACK, BRIEFCASE, OR LUGGAGE
A CELL PHONE
A TABLET, A LAPTOP, OR OTHER PERSONAL ELECTRONICS
CLOTHING, FURS, OR SHOES
JEWELRY, A WATCH, OR KEYS
A TV, A COMPUTER, OR APPLIANCES
OTHER HOME FURNISHINGS, SUCH AS CHINA OR RUGS
A HANDGUN OR OTHER FIREARM
TOOLS, MACHINES, OR OFFICE EQUIPMENT
A BICYCLE OR BICYCLE PARTS
A GARDEN HOSE OR LAWN FURNITURE
TOYS, OR SPORTS AND RECREATION EQUIPMENT
SOMETHING YOU KEPT IN YOUR VEHICLE, SUCH AS A GPS DEVICE OR A PHONE
CHARGER
17
A PACKAGE OR GROCERIES
18
SOMETHING ELSE
Ask T3 if R reported that cash OR purse/wallet was taken. If something other than cash or
purse/wallet was taken, go to T4. If nothing was taken, go to next module.
T3.

How much cash was taken?
Less than 10 dollars
$10 or more, but less than $20

$20 or more, but less than $30
$30 or more, but less than $50
$50 or more
T4. Who did the stolen property or money belong to?
1
2
3
4
5

You
Someone else you live with
Both you and someone else you live with
Someone you don’t live with
Other __________________________________________________________

If T4=4, go to next module.
If T4 ≠ 4 and T2a/T2b = 1, 3, or 5 (cash, purse/wallet, or cell phone), ask T5.
Else, if T4 ≠ 4, go to T6.

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NCVS Cognitive Interview Protocol R2

T5. Was the (cash or/purse or wallet or/ cell phone) on your person, such as in a pocket or
being held?
Yes
4

No

T6. Was there anything (else) the offender(s) took directly from you, such as from your pocket
or hands, or something that you were wearing?
Yes
5

No

All, go to next module

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NCVS Cognitive Interview Protocol R2

Location Series

Ask this module for all incident types.
The next questions ask about when and where the incident in (fill: MONTH) took place.
LO_T. About what time did the incident happen?
After 6am – 12 noon
After 12 noon – 3pm
After 3pm – 6pm
After 6pm – 9pm
After 9pm – midnight
After 12 midnight – 6am
During the day, but don’t know what time
During the night, but don’t know what time
Don’t know whether day or night
If R has lived at their current address for more than a year, skip to instructions before LO_1
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 moving to this address
If R answered “Break-In” module and indicated that someone tried to break into a second
home/vacation home, motel, or other location (BI1c, BI1d, or BI1f = yes)*, skip to instructions
before LO1_1 .
If R did not indicate that someone broke into their vehicle (BI1e=1)*, skip to instructions
before LO_3.
LO_1*. [Ask only if R indicated someone tried to break into their vehicle (BI1e=1)*] Where
was the vehicle when this happened?
1. On your property, such as your driveway or garage
2. (If R lives in an apartment, PC3a=1*) 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
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NCVS Cognitive Interview Protocol R2

Probe1. What would you consider to be “near where you live”?

If R answered yes to 1, 2 or 4 in LO_1* AND had indicated in CIR1a=2* incident happened
before moving to current address OR if LO_1 = 3, 5 or 6*, go to LO1_1.
Else, if LO_1*=1, 2 or 4 go to next module
LO_3*. Where did the incident happen?
1. Inside your home
2. (If R lives in an apartment, PC3a=1*) In a common area where you live, such as a
stairwell, hallway, or storage area
3. On your porch, lawn, garage, or other part of (If R lives in a single-family
home/townhome, P3a=1*, fill: your property; If R lives in an apartment, P3a=1*,
fill: your building’s property)
4. Inside somewhere else where you were staying overnight or longer
5. (IF AGES 16+) At your place of work
6. (IF AGES 12-18 and R is a regular student) At school, on school property or on a
school bus
7. (IF R is college student) In a campus building, such as a classroom or a lab
8. Somewhere else
If LO_3* = 1, 2, or 3 and R is college student, skip to LO_5a.
If LO_3* = 1, 2 or 3 and R does not code CIR1a as 2, go to next module
LO1_1. Did this happen in the city, town or village where you live (now)?
1. Yes
2. No
If Yes to LO1_1
•

AND LO_1 = 1, 2, 3, or 4* AND R is a college student, skip to LO_5a

•

AND LO_1 = 1, 2, 3, or 4* OR LO_3 = 1, 2, 3, or 5, skip to LO8

AND LO_3 = 4 (incident happened somewhere you were staying overnight), skip to
LO2
• AND LO_3 = 6 (incident happened at school), skip to instructions before LO3
• AND LO_3 = 7 (the incident happened on campus) skip to LO_5a
Else, ask LO1_1a.
•

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NCVS Cognitive Interview Protocol R2

LO1_1a. Did this happen in the U.S. or in another country?
1. In the U.S.
2. In another country
Go to next module
LO1_1b. Did this happen on an American Indian Reservation or on American Indian Lands?
1. Yes
2. No
If LO_1 = 1, 2, 3, or 4* AND R is a college student, skip to LO_5a
If LO_1 = 1, 2, 3, or 4* OR LO_3 = 1, 2, 3, or 5, skip to LO8
If LO_3 = 6 (incident happened at school), skip to instructions before LO3
Else, ask LO2.
LO2.

Which of the following BEST describes where this happened.
1. At, in or near someone else’s home
2. At a business, such as a store, restaurant, bar, or office building Skip to LO_2e
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) _________________________
Probe1. Can you tell me in your own words where this happened?

If incident did not occur at school or on campus (LO_3 does not equal 6 or 7), continue to
LO_4.
Else, skip to instructions before LO3.

LO_4. Did the incident occur when you were on the way to or from school?
1
Yes
Go to LO8
2
No
Go to LO8
LO_2e. At what type of a business did the incident happen?
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
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NCVS Cognitive Interview Protocol R2

7. Other (specify) ________________________________________
All Rs who got LO_2e should skip to LO8.
Ask LO3 if incident happened at school (LO_3=6*) AND a motor vehicle theft was not
reported. Else, skip to LO8.
LO3.

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)?
1. Inside a school building
2. On school property outside the school building (school parking area, play area, school
bus, etc.)
Skip to LO8
3. Other (specify) _____
Skip to LO8
LO4.

Was it your school?
1. Yes
2. No

LO_5a. Did this happen on a college or university campus?
Yes
No
If LO_3 = 1, 2 or 3 AND the incident happened before R moved to their current address
(CIR1a=2) OR LO_3 = 4, 5, 6, 7, or 8, Skip to LO8
LO_5. Where did this happen?
In or on the property of a resident hall or dorm
In or on the property of a fraternity or sorority house
In or on the property of other residential housing around the university
Somewhere else on campus
LO8.

How far from your home was it?
1. A mile or less
2. More than a mile up to five miles
3. More than 5 miles up to fifty miles
4. More than 50 miles

Probe1. What were you thinking about to pick your answer here?

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Presence Series

If SA or A, skip to next module.
Else, ask PR1.
The next questions ask about who was there when the incident in (fill: MONTH) took place.
PR1*. Did you or anyone you live with see, hear, or have any contact with the offender(s) as
the incident was happening?
1
2

Yes
No

Skip to next module

PR2*. Who saw, heard, or had contact with the offender(s) as the incident was
happening? Mark all that apply
1
2

3

You
Someone you live with
Someone you do not live with

If PR2=1, ask PR3.
Else, skip to next module.
Probe1. How would you answer this question if it happened while you had a friend with you?

PR3. 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?
Yes
No
All go to next MODULE.

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NCVS Cognitive Interview Protocol R2

Victim-offender Relationship

Ask this module for all incident types.
VOINTRO Are you doing okay? This section asks about what you know about the offender(s).
Some of these questions could be upsetting. Remember that you can skip any question you
don’t want to answer. Just let me know that you’d rather not answer the question and I will
skip ahead. Also, remember that you can stop the interview at any time and no one will be
upset with you.
VO1*. [If R was asked the “Presence Series” module and had no contact with the offender
(PR1*=no or PR2a*=no), fill: To the best of your knowledge,] Was the incident
committed by only one or by more than one offender?
1
2
3
VO1b*.
1
2

One
More than one
Don’t know

Skip toVO2

Do you know who (the offender was/the offenders were)?
Yes
No

Go to instructions before VO3

Probe1. IF YES – Did you know who they were at the time of the incident?

VO2*. Do you know anything about any of the offenders, such as whether they were
young or old, male or female, etc.?
1
2

Yes
No

Skip to next module

If Attack or Sexual Assault, skip to instructions before VO6.

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VO3.

(IF VO2 above=1, say: How did you learn what you know about the
offender/offenders?)/(ELSE, say: How did you find out who the [offender was/offenders
were]? Mark all that apply.
1
2
3
4
5
6
7
8
9

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 incident was flagged as “theft” or “motor vehicle theft” or “motor vehicle part
or gas theft”) The stolen item(s) were found on the offender(s) or at the
offender(s) home
Other - Specify ______________________________________________

If R answered one offender in VO1*, Ask VO6 below.
If R answered “more than one” offender in VO1*, skip to VO14.
All other Rs should skip to next module.
VO6. Was the offender someone you knew, even slightly, or a complete stranger?
1
2

Someone you knew
Complete stranger
VO7.

Would you be able to recognize the offender if you saw him/her?
1
2
3

VO8.

Skip to VO8

Yes
Not sure (possibly)
No

Skip to VO9
Skip to VO9
Skip to VO11

Was the offender someone you knew by sight only, a casual acquaintance, or someone
you knew well?
1
2
3

Knew by sight only
Someone you knew, but not well
Someone you knew well

Skip to VO10
Skip to VO10

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NCVS Cognitive Interview Protocol R2

Probe1. What does it mean to know someone “by sight only”? What about “a casual
acquaintance”?

VO9.

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

1
Yes
2
No
If R answered V09, skip to VO11.
VO10. At the time of the incident, which of the following BEST describes how you knew the
offender?
1
(IF AGES 16+) A spouse or ex-spouse
2
Someone you were romantically involved with, dating, or casually seeing at the
time of the incident
3
(IF AGES 16+) An ex-boyfriend, ex-girlfriend, former fiancé, or someone you were
no longer dating or seeing (IF AGES 12-15) An ex-boyfriend, ex-girlfriend, or someone
you were no longer dating or seeing
4
A relative
5
Someone else
Probe1. What do you think the difference is between these first few options? (REREAD 1, 2, 3
IF NEEDED)

VO10a. Specifically, how did you know the offender at the time of the incident?
If “Spouse/Ex-Spouse” was selected above (VO10=1) above, read:
1
A husband or wife
2
An ex-husband or ex-wife
If “Someone romantically involved with” was selected above (VO10=2), read:
3
(IF AGES 16+) A live-in partner
4
(IF AGES 16+) A fiancé(e)
5
A boyfriend, girlfriend, or dating partner
6
Someone you were casually seeing

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NCVS Cognitive Interview Protocol R2

If “ex-boyfriend/girlfriend” was selected above (VO10=3), read:
7
An ex-boyfriend, ex-girlfriend, (IF AGES 16+ or former fiancé(e))
8
Someone you were no longer dating or seeing
If “relative” was selected above (VO10=4), read:
9
A parent or step-parent
10
(IF AGES 16+) A child or step-child
11
A brother, sister, step-brother, or step-sister
12
Some other relative _______________________________________________
If “someone else” was selected above (VO10=5), read:
13
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 R was asked VO10a and selected a “live-in partner” or “roommate/boarder” (3 or 15*), skip
to VO13. Else, skip to VO12.
VO11. What was your connection, if any, to this person?
1
A friend of a friend
2
A schoolmate
3
A neighbor
4
(IF AGE 16+) A customer or client
5
(IF AGE 16+) A patient
6
(IF AGE 16+) Someone who worked at the same place as you
7
A teacher or school staff
8
Other – Specify
9
A stranger or someone of whom you have no knowledge
Probe1. What do you think this question is asking?

All who received VO11, go to next module.
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NCVS Cognitive Interview Protocol R2

VO12. Had you ever lived with this person?
1
2

Yes
No

Go to next module

VO13. Were you living with this person at the time of (IF MORE THAN ONE INCIDENT
SAY: this/IF ONE SAY: the) incident in (MONTH)?
1
2
VO14*.

Yes
No

Go to next module
Go to next module

How many offenders were there?

__________
DON’T KNOW. Don’t know number of offenders
VO15*.
Were any of the offenders someone you knew, even slightly, or were all of them
complete strangers?
1
2

At least one was someone you knew
All were complete strangers

Skip to VO17

VO16. Would you be able to recognize any of them if you saw them?
1
2
3

Yes
Not sure (possibly)
No

Skip to VO18
Skip to VO18
Skip to instructions before VO20

VO17*.Were any of the offenders someone you knew by sight only, someone you knew, but
not well, or someone you knew well? Mark all that apply.
1
2
3

Knew by sight only
Knew, but not well
Someone you knew well

Probe1. What does it mean to know someone “by sight only”? What about “a casual
acquaintance”?
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NCVS Cognitive Interview Protocol R2

If R only answered “sight” (VO17 was only 1*), continue to VO18. If R answered 2 or 3 in
VO17, skip 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?
1
2

Yes
No

If R answered VO18, skip to instructions before VO20
VO19. At the time of the incident, did you know any of the offenders in any way of the
following ways? (Mark yes or no to each)
a. (IF AGES 16+) A spouse or ex-spouse
Yes
No
b. Someone you were romantically involved with, dating, or casually seeing at the time of
the incident, but not a spouse or ex-spouse
Yes
No
c. An ex-boyfriend, ex-girlfriend, former fiancé(e), or someone you were no longer dating
or seeing
Yes
No
d. A relative
Yes
No
e. Someone else
Yes
No
Probe1. What do you think the difference is between these first few options? (REREAD 1, 2, 3
IF NEEDED).

VO19a.

Specifically, how did you know them? Mark all that apply.
a. If “spouse/ex-spouse” is selected above (VO19=a), read:
1
A husband or wife
2
An ex-husband or ex-wife
b. If “someone you were romantically involved with” is selected above (VO19=b),
read:
3
(IF AGES 16+) A live-in partner
4
(IF AGES 16+) A fiancé(e)
5
A boyfriend, girlfriend, or dating partner
6
Someone you were casually seeing
c. If “ex-boyfriend/girlfriend” is selected above (VO19=c), read:
7
An ex-boyfriend, ex-girlfriend, (IF AGES 16+, or former fiancé(e) )
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NCVS Cognitive Interview Protocol R2

8

Someone you were no longer dating or seeing

d. If “relative” is selected above (VO19=d), read:
9
A parent or step-parent
10
(IF AGES 16+) A child or step-child
11
A brother, sister, step-brother, or step-sister
12
Some other relative _______________________________________________
e. If “someone else” is selected above (VO19=e), read:
13
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, in VO19a, R selected a “live-in partner” or “roommate/boarder” (3 or 15), skip to VO22. If
R selected any other option in VO19a, skip to VO21.
If R indicated in VO15 that he/she knew at least one offender (VO15=1) or indicated knowing
any offender by sight (VO17=1*), continue. Otherwise, skip to next module.
VO20. How did you know, or know of, the offender(s)? Mark all that apply.
1
2
3
4
5
6
7
8
9

A friend of a friend
A schoolmate
A neighbor
(IF AGE 16+) A customer or client
(IF AGE 16+) A patient
(IF AGE 16+) 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

Probe1. [IF R NEEDED OPTIONS REPEATED] Would it have been helpful if you could have read
these responses instead of me reading them all to you?

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NCVS Cognitive Interview Protocol R2

All Rs who got VO20, skip to next module.
VO21. Had you ever lived with any of them?
1
2

Yes
No

Skip 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?
1
2

Yes
No

Probe1. How did you feel about answering these questions?

All skip to next MODULE.

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NCVS Cognitive Interview Protocol R2

Offender Characteristics

For all incidents, read instructions below to see if module should be covered.
Only ask this module if
•

Respondent or someone respondent does not live with had contact with the offender
during the incident (PR2a=1* or PR2c=1*)

•

Respondent does not know how many offenders there were (PR2c=1*), but knows
something about the offender(s) (VO2=1*)

Else skip to the next module.
If one offender (VO1=1*), continue to OCINTRO. If more than one offender (VO1=2*), skip to
OCINTRO_MULTI.
OCINTRO How are you doing? This section asks for details about the offender. Some of these
questions could be upsetting. Remember that you can skip any question you don’t want to
answer. Just let me know that you’d rather not answer the question and I will skip ahead. Also,
remember that you can stop the interview at any time and no one will be upset with you.
OC1. Was the offender male or female?
1
2
3

Male
Female
(OPTION SHOWN IF if VO7=3 or VO16=3) Don’t know

OC2. How old would you say the offender was?
1
2
3
4
5
6

Under 18
18 to 24
Skip to OC3
25 to 34
Skip to OC3
35 or 54
Skip to OC3
55 or older
Skip to OC3
(OPTION SHOWN IF if VO7=3 or VO16=3) Don’t know
Skip to OC3

Probe1. IF OFFENDER 18+ - Did you know their age, or were you guessing? IF GUESSING: Why
did you pick the age range that you did?

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NCVS Cognitive Interview Protocol R2

OC2a. Would you say the offender was…
Under 12
12 to 14
15 to 17
(OPTION SHOWN IF if VO7=3 or VO16=3) Don’t know
Probe1. Did you know their age, or were you guessing? IF GUESSING: Why did you pick the
age range that you did?

OC3. Was the offender Hispanic or Latino?
1
2
3

Yes
No
(OPTION SHOWN IF if VO7=3 or VO16=3) Don’t know

OC4. What race or races was the offender? You may select more than one. Mark all that apply.
1.
2.
3.
4.
5.
6

White
Black or African American
American Indian or Alaska Native
Asian
Native Hawaiian or Other Pacific Islander
(OPTION SHOWN IF if VO7=3 or VO16=3) Don’t know

Probe1. [IF R NEEDED OPTIONS REPEATED] Would it have been helpful if you could have read
these responses instead of me reading them all to you?

OC5.

Was the offender a member of a street gang, or don’t you know?
Yes
No
Don’t know

OC6. Was the offender drinking or on drugs at the time of the incident?

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NCVS Cognitive Interview Protocol R2

1
2
3

Yes, the offender was drinking or on drugs
No, the offender was not drinking or on drugs
Don't know

All Rs who got OC6 should skip to the next module.
OCINTRO_MULT This section asks for more details about the offenders.
OC9. Were the offenders male or female?
1
2
3
4

All were male
Skip to OC11
All were female
Skip to OC11
They were both male and female
(OPTION SHOWN IF if VO7=3 or VO16=3) Don’t know

If R reported that 2 offenders were involved in the “Victim-Offender Relationship” module
(VO14=2*), skip to OC11.
OC10. Were most of the offenders male or were most of them female?
1
Most were male
2
Most were female
3
They were evenly divided
4
(OPTION SHOWN IF if VO7=3 or VO16=3) Don’t know
OC11. How old would you say the youngest was?
1
2
3
4
5
6

Under 18
18 to 24
Skip to OC12
25 to 34
Skip to OC12
35 to 54
Skip to OC12
55 or older
Skip to OC12
(OPTION SHOWN IF if VO7=3 or VO16=3) Don’t know
Skip to OC12

Probe1. IF OFFENDER 18+ - Did you know their age, or were you guessing? IF GUESSING: Why
did you pick the age range that you did?

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NCVS Cognitive Interview Protocol R2

OC11a. Would you say the youngest offender was…
1
Under 12
2
12 to 14
3
15 to 17
(OPTION SHOWN IF if VO7=3 or VO16=3) Don’t know
Probe1. Did you know their age, or were you guessing? IF GUESSING: Why did you pick the
age range that you did?

OC12. How old would you say the oldest was?
1
2
3
4
5
6

Under 18
18 to 24
Skip to OC13
25 to 34
Skip to OC13
35 to 54
Skip to OC13
55 or older
Skip to OC13
(OPTION SHOWN IF if VO7=3 or VO16=3) Don’t know
Skip to OC13

Probe1. IF OFFENDER 18+ - Did you know their age, or were you guessing? IF GUESSING: Why
did you pick the age range that you did?

OC12a. Would you say the oldest offender was…
1
2
3
4

Under 12
12 to 14
15 to 17
(OPTION SHOWN IF if VO7=3 or VO16=3) Don’t know

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Probe1. Did you know their age, or were you guessing? IF GUESSING: Why did you pick the
age range that you did?

OC13. Were any of the offenders Hispanic or Latino?
1
2
3

Yes
No
(OPTION SHOWN IF if VO7=3 or VO16=3) Don’t know

Skip to OC15
Skip to OC15

OC14. Were most of the offenders Hispanic, non-Hispanic, or were roughly an equal number
Hispanic and non-Hispanic?
1
2
3
4

Most of the offenders were Hispanic
Most of the offenders were non-Hispanic
A roughly equal number were Hispanic and non-Hispanic
(OPTION SHOWN IF if VO7=3 or VO16=3) Don’t know

OC15 Were the offenders… Mark all that apply.
White
Black or African American
American Indian or Alaska Native
Asian
Native Hawaiian or Other Pacific Islander
(OPTION SHOWN IF if VO7=3 or VO16=3) Don’t know
Probe1. [IF R NEEDED OPTIONS REPEATED] Would it have been helpful if you could have read
these responses instead of me reading them all to you?

If R did not select more than one race in OC15, go to OC17.
OC16. What race were most of the offenders?
(ONLY SELECT YES RESPONSES FROM OC15)
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NCVS Cognitive Interview Protocol R2

1
2
3
4
5
6
7

Most were White
Most were Black or African American
Most were American Indian or Alaska Native
Most were Asian
Most were Native Hawaiian or Other Pacific Islander
Roughly equal numbers of two or more races
Don’t know (OPTION SHOWN IF if VO7=3 or VO16=3)

OC17. Were any of the offenders a member of a street gang, or don’t you know?
Yes
No
Don’t know
OC18. Were any of the offenders drinking or on drugs at the time of the incident?
1
2
3

Yes, some or all of the offenders were drinking or on drugs
No, none were drinking or on drugs
Don’t know

Probe1. Is there anything else about the offender that we did not already talk about but you
think we should know?

All, go to next module

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Self-Protection

Ask this module if Incident was an attack, threatened attack or unwanted sexual contact OR if
R reported having contact with the offender in the incident (PR2a=1*). Else, continue to next
module.
Note: If R indicated in “Victim-Offender Relationship” module that the incident involved 1
offender, use “offender” throughout. If the incident involved more than one, use
“offenders”.
How are you doing so far? These next questions are about what you did when the incident in (fill:
MONTH) occurred.
People may react differently to certain situations and there’s not a wrong or right way to react.
Everyone is different and every situation is different.
Probe1. Can you tell me what these questions are about, based on what I just read?

Some of these questions could be upsetting. Remember that you can skip any question you don’t
want to answer. Just let me know that you’d rather not answer the question and I will skip ahead.
Also, remember that you can stop the interview at any time and no one will be upset with you.
SP1. Which of the following describes how you reacted during the incident? Mark all that
apply.
1
2
3
4

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

Probe1. What do you think we are asking in this question?

Probe2. The last option I read was “You did or tried to do something else during the
incident”. Can you think of other things a person might do in a situation like this?

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Probe3. [IF R NEEDED OPTIONS REPEATED] Would it have been helpful if you could have read
these responses instead of me reading them all to you?

f R only answered 1 or 2 in SP1 (did what the person said, didn’t do anything), skip to
instructions before SP3a.
SP2. You said that you took some action during the incident. What did you do? Mark all that
apply.
1
2
3
4
5
6
7
8
9
10

You threatened or attacked the offender
You ducked or tried to avoid the offender(s)
You chased or warned the offender(s) off
You argued, reasoned, or pleaded with the offender
You got away or tried to get away, hid, or locked a door
You called the police or a guard
You tried to get someone else’s attention
You held onto your belongings
You stalled or distracted the offender(s)
Something else

Probe1. [IF R NEEDED OPTIONS REPEATED] Would it have been helpful if you could have read
these responses instead of me reading them all to you?

If R did not threaten or attack the offender (SP2 ne 1) go to instructions before SP2b.
SP2a. What did you do to attack or threaten the offender(s)? Mark all that apply.
1
2
3
4
5
6
7

You attacked the offender(s) with a gun or fired a gun
You attacked the offender(s) with another weapon
You hit, kicked, or attacked the offender(s) in some other way
You threatened the offender(s) with a gun
You threatened the offender(s) with another weapon
You threatened the offender(s) in some other way
Something else _____________________________

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NCVS Cognitive Interview Protocol R2

Probe1. [IF R NEEDED OPTIONS REPEATED] Would it have been helpful if you could have read
these responses instead of me reading them all to you?

If R did not indicate doing something else in SP2 (code 10), go to instructions before SP3a.
SP2b. What other actions did you take during the incident?
__________________________________________________
If R did not report a physical injury in ” Consequences I: Injury” module (CI1=2*), skip to SP3b.
SP3a. Did you take (that action/any of these actions)…Mark one answer in each row.
a.
b.
c.

Before you were injured
After you were injured
At the same time you were injured

Yes
Yes
Yes

No
No
No

SP3b. Overall, do you think that what you did helped the situation, made it worse, or had no
impact?
Helped the situation
Made the situation worse
Had no impact on the situation
Probe1. How did you feel about answering this question?

If R Reported in the “Presence Series” module (asked of all crime types, except for attack and
unwanted sexual contact) that someone other than he/she had contact with the offender
(PR2b=1* or PR2c=1*), skip to SP5.
SP4. Besides you and the offender(s), was anyone ELSE present during the incident? (Only
include those ages 12 or older)?
1
2
SP5.

Yes
No

Skip to next module

Did anyone else do or try to do anything to help you while the incident was going on?
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NCVS Cognitive Interview Protocol R2

1
2
SP6.

Yes
No

Skip to instructions before SP9

Who took these actions? Mark all that apply.
1
2
3

Someone who was with you
Someone who was with the offender(s)
Someone else

Probe1. What kinds of people do you think of as “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.
1
2
3
4
5
6

They attacked or tried to attack the offender(s)
They defended you or your property without physically attacking the offender(s)
They chased or warned off the offender(s)
They argued, reasoned, pleaded or bargained with the offender(s)
They tried to get help
They did something else (specify)

Probe1. [IF R NEEDED OPTIONS REPEATED] Would it have been helpful if you could have read
these responses instead of me reading them all to you?

SP8.

Overall, did the actions of this person or people help the situation, make it worse, or
have no impact?
1
2
3

Helped the situation
Made the situation worse
Had no impact on the situation
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NCVS Cognitive Interview Protocol R2

If no one other than the respondent had contact with the offender during the incident (PR2B
ne 1* AND PR2C ne 1*), skip to next module
SP9. (If R reported that the offender was under 12 in OC2a or OC11a, say: Not including the
offender,) Was/were anyone who was there during the incident under the age of 12?
1
2

Yes
No

SP9a. Not counting yourself, (or) the offender (If R answered yes in SP9 above, say: , or
children under 12), were any other people harmed, threatened with harm, or have any
belongings taken or damaged during the incident?
1
2

Yes – How many? ________
No
Skip to next module

SP10. IF 1 – Does this person live with you now?
IF 2+ - Of these (FILL with # provided in SP9a) people, how many of them live with you
now? (Do not include yourself, the offender(s) or children under 12 years of age.)
________
Probe1. Was there anyone else involved in the incident that we haven’t talked about?

All, go to next MODULE.

Hate Crimes

Ask this module for all incident types.
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
Sex
Sexual orientation or gender identity

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NCVS Cognitive Interview Protocol R2

This could happen even if the offender falsely thinks you have certain characteristics or
religious beliefs.
HC2*. Do you think that this was a hate crime targeted at you?
1 Yes
2 No

Skip to HC3

HC2a. Do you think prejudice or bigotry towards any of the following was a reason you were
targeted, even if the offender falsely thought something about you? Mark one answer in each
row.

A.
B.
C.
D.
E.
F.

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 sex
Yes
No
Because of your sexual orientation or gender identity – by this we mean gay, lesbian,
bisexual, straight, transgender, or gender non-conforming Yes
No
Probe1. What does gender or gender identity mean? What about sexual orientation?

If R selected yes for any of the options above, skip to HC4

HC3*. Do you think this was a hate crime targeted at any of the people you spend time with?
1 Yes
2 No

skip to next module

HC4 Did the offender(s) say something, write anything, or leave something behind at the crime
scene that made you think it was a hate crime?
1
2

Yes
No Skip to next module

HC5 Did any of the following things happen? Mark one answer in each row.

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NCVS Cognitive Interview Protocol R2

a. The offender(s) used hurtful or abusive language referring
to your sex, religion, race or ethnicity, sexual orientation
or gender identity, or a disability
b. There was something at the scene, such as a swastika or a
burning cross, that made you think this was a hate crime
c. The police told you that this was a hate crime
d. From what you know, the offender(s) had committed
similar hate crimes in the past

Yes

No

Yes

No

Yes
Yes

No
No

e. The incident happened around a holiday, event, or place
commonly associated with a specific group
f. Other hate crimes had occurred in your local area or
neighborhood
g. Something else happened that would suggest it was a
hate crime. Specify: _______________

Yes

No

Yes

No

Yes

No

All, skip to next MODULE.

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NCVS Cognitive Interview Protocol R2

Police Involvement Series

Ask this module for all incident types.
The next questions ask about whether the police got involved in the incident in (fill: MONTH).
PI1.

Did the police find out about the incident?
1. Yes Skip to PI4
2. No

PI2a. Why did you decide not to contact the police? Mark all that apply.
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.

You didn’t think it was important enough to report
You didn’t think the police would do anything about it
You weren’t sure who did it
It was too personal to report
You told a parent or other adult relative
You took care of it yourself
You reported it to an official other than the police
You didn’t think the police would believe you
You didn’t want to get into trouble with the police
You didn’t want the offender to get in trouble or face harsh consequences
You were worried the offender might get back at you
You weren’t sure it was a crime
Some other reason

Probe1. [IF R NEEDED OPTIONS REPEATED] Would it have been helpful if you could have read
these responses instead of me reading them all to you?

If R does not code 13 in PI2a, skip to instructions before PI3.
PI2b. What was the other reason why you did not contact the police? Mark all that
apply
1. You didn’t trust the police
2. You didn’t find out until it was too late to report
3. It would have been too much trouble to report it
4. You thought someone else would contact the police
5. Some other reason ____________
If R only selects one reason in PI2a or PI2b, skip to PI17

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NCVS Cognitive Interview Protocol R2

If R reported the incident happened at school AND that they reported the incident to an
official other than police, skip to PI2c
If R reported the incident happened at school and that they did NOT report it to an official
other than police, skip to PI16a.
PI3.

Which of these would you say was the most important reason why you did not contact
the police?
(if needed, read responses selected in PI2 and/or PI2a plus, “No one reason is most
important”)
___________________________________

Probe1. Why did you pick this as the most important reason?

If R earlier reported (in the “Location Series” module) that the incident happened at school
(L3=6*)
• AND that they reported it to an official other than the police (PI2=6), ask PI2c
• AND did not report it to an official other than the police (PI2a ne 6), skip to PI16a.
If the incident did not happen at school (L3 ne 6*), skip to PI17
PI2c. Did you report the incident to a school official or School Resource Officer?
1. Yes
Skip to PI17
2. No
PI2d. Why did you decide not to contact a school official or School Resource Officer?
Mark all that apply.
1.
2.
3.
4.
5.
6.
7.
8.
9.

You didn’t think it was important enough to report
You didn’t think the Official or School Resource Officer would do anything
about it
You weren’t sure who did it
It was too personal to report
You took care of it yourself
You didn’t think the police would believe you
You didn’t want to get into trouble
You didn’t want the offender or his/her family to get in trouble or face harsh
consequences
You were worried the offender might get back at you
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NCVS Cognitive Interview Protocol R2

10.
11.

You weren’t sure it was a crime
Some other reason

Probe1. [IF R NEEDED OPTIONS REPEATED] Would it have been helpful if you could have read
these responses instead of me reading them all to you?

All Rs who got PI2c should skip to PI17.
PI4.

Who informed the police? If more than one person, choose the first reposne that
applies
1.
You informed the police yourself
2.
Someone you live with
3.
A school employee or School Resource Officer
4.
Someone such as a security guard or a building manager
5.
The police were at scene
7.
Someone else told the police– specify ________________________________

If R did not believe it was a hate crime (HC2 ne 1 or HC3 ne 1), AND
• R answered PI4 as 1, 2, 3, 4, or 7, skip to PI5.
• R answered PI4 as 5, skip to PI17
PI16b. Did you tell the police that you believe the incident was a hate crime?
1
2

Yes
No

If R answered PI4 as 5, skip to PI17
PI5.

[If someone else other than the R informed the police (PI4 ne 1), say: You said someone
else informed the police. How did they notify the police?] If not, say: How did you first
notify the police?
1.
2.
3.
4.
5.
6.

[You/They] called the police
[You/They] approached an officer or police car
[You/They] went to the police station
[You/They] used the Internet or a social media app
Some other way – specify ________________________________
(If someone else other than the R notified the police [PI4 ne 1]) Don’t know

If R answered 4, 5 or 6 in PI5, skip to instructions before PI10.
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NCVS Cognitive Interview Protocol R2

Probe1. These last few questions talked about reporting things to the police or other officials.
What do you think would need to happen in order to consider something “reported”? (e.g.,
file a report, tell an officer verbally, go to the station)

PI9.

Which of the following BEST describes when the police were first contacted?
1.
2.
3.
4.
5.

While the incident was happening
Within 10 minutes after the incident occurred
Within an hour after the incident occurred
Within 24 hours of the incident
Longer than a day after the incident occurred

If PI5 = 2, 3, or 6, skip to instructions before PI11.
PI10. What did the police do when they found out about the incident? Mark all that apply.
1.
2.
3.
4.
5.
6.
7.

They came to you
(If “went to the police station” was not selected in PI5) They told you to go to a
police station
They took a report over the phone
They dealt with it through the mail
They dealt with it through the Internet or a social media app
Something else ______________________________________
The police did nothing

Probe1. [IF R NEEDED OPTIONS REPEATED] Would it have been helpful if you could have read
these responses instead of me reading them all to you?

If R answered “they came to you” (PI10=1), skip to PI13.
If R did not select “took report over the phone (PI10 ne 3), skip to instructions before PI12

PI11. How satisfied were you with how the phone report was taken?
1.
Completely satisfied
2.
Mostly satisfied
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NCVS Cognitive Interview Protocol R2

3.
Equally satisfied and dissatisfied
4.
Mostly dissatisfied
5.
Completely dissatisfied
6.
(If someone else other than the R notified the police [PI4 ne 1]) Don’t know
Probe1. Tell me more about why you picked that answer.

If R did not answer 2, 3, 4, 5, 6, or 7 to PI10, skip to instructions before PI16a.
PI12. Do you think the police should have come to you when they were contacted?
1
Yes
2
No
If R answered PI12, skip to PI17.
PI13. How satisfied were you with the time it took the police to get to you after they were
contacted?
1.
Completly satisfied
2.
Mostly satisfied
3.
Equally satisfied and dissatisfied
4.
Mostly dissatisfied
5.
Completely dissatisfied
6.
(If someone else other than the R notified the police [PI4 ne 1]) Don’t know

Don’t know Probe1. Tell me more about why you picked that answer.

If the R reported that the police came to them and that the police were not already at the
scene (PI4 ne 5) and were not contacted by approaching an officer or police car (PI4 ne 5 AND
PI5 ne 2), ask PI14.
Else skip to PI15.
PI14. Had the police told (you/the person who contacted them) how long it would take them
to get there?

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NCVS Cognitive Interview Protocol R2

1.
2.
3.

Yes
No
(If someone else other than the R notified the police [PI4 ne 1]) Don’t know

PI15. Did the police do any of the following while they were there? Mark all that apply.
1.
2.
3.
4.
5.
6.
7.
8.
9.

They took a report or asked you questions about what happened
They questioned other witnesses or suspects
They looked around
They took evidence, such as fingerprints
They made 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

Probe1. [IF R NEEDED OPTIONS REPEATED] Would it have been helpful if you could have read
these responses instead of me reading them all to you?

PI16. Did the police do any of the following other things while they were there? Mark all that
apply.
1.
2.
3.
4.
5.
6.
7.
8.
9.

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 you as a victim
They contacted victim services on your behalf
They contacted emergency medical services
They did something else to help. Spcify:__________________________
IF VOLUNTEERED: They did not do anything (IF PI15=1thru8: else) to help

Probe1. [IF R NEEDED OPTIONS REPEATED] Would it have been helpful if you could have read
these responses instead of me reading them all to you?

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NCVS Cognitive Interview Protocol R2

If R earlier reported (in the “Location Series” module) that the incident happened at school
(LO_3=6*) AND did not answer 7 to PI2a, ask PI16a below.
Else go to PI17.
PI16a. Did anyone report the incident to a school official or School Resource Officer (SRO)?
1. Yes
2. No
PI17. Did you (or anyone you live with) have any later contact with the police about the
incident?
1.
Yes
2.
No
If PI17=yes, ask PI18.
If PI17=no and the R previously indicated that the police found out about the incident
(PI1=yes), skip to PI20.
Else, skip to PI24.
PI18. Thinking about these later contacts, did the police get in touch with you or did you get
in touch with them?
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 the incident? Mark all that apply.
1.
2.
3.
4.
5.
6.
7.
8.
9.

They took a report or asked you questions about what happened
They questioned other witnesses or suspects
They watched over or promised to watch over the crime scene
(If the incident is flagged as “theft” *) They got some or all of your belongings
back
They made one or more arrests
They stayed in touch
They contacted victim services on your behaalf
They did something else. specify: ____________
They did not do anything to your knowledge

Probe1. [IF R NEEDED OPTIONS REPEATED] Would it have been helpful if you could have read
these responses instead of me reading them all to you?

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NCVS Cognitive Interview Protocol R2

PI20. Next are some questions about how you feel the police handled the incident. If more
than one officer was involved, please think about how you would rate them as a group.
How respectfully did the police treat you?
1. Very respectfully
2. Somewhat respectfully
3. Neither respectfully or disrespectfully
4. Somewhat disrespectfully
5. Very disrespectfully
6. (If PI4 ne 1 or 5) Does not apply
PI21. How satisfied were you with the amount of time the police gave you to tell your story?
1.
Completely satisfied
2.
Mostly satisfied
3.
Equally satisfied and dissatisfied
4.
Mostly dissatisfied
5.
Completely dissatisfied
6.
(If PI4 ne 1 or 5) Does not apply
PI22. How satisfied were you that the police did everything they could?
1.
Completely satisfied
2.
Mostly satisfied
3.
Equally satisfied and dissatisfied
4.
Mostly dissatisfied
5.
Completely dissatisfied
PI23. Taking the whole experience into account, how effectively did the police handle the
incident?
1.
Very effectively
2.
Somewhat effectively
3.
Neither effectively nor ineffectively
4.
Somewhat ineffectively
5.
Very ineffectively
Probe1. What do you think is meant by “effectively” as it is used in this question?

Probe2. Which officers were you thinking about in these questions?

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NCVS Cognitive Interview Protocol R2

PI24. At the time, did you consider this incident to be a crime?
Yes
No
PI25. Now, looking back, do you consider this incident to be a crime?
Yes
No

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NCVS Cognitive Interview Protocol R2

Consequences II: Socio-emotional Problems
Ask this module for all incident types.

Being a victim of crime affects people in different ways. The next questions are about how the incident
may have affected you. Are you doing okay? Some of these questions could be upsetting. Remember
that you can skip any question you don’t want to answer. Just let me know that you’d rather not answer
the question and I will skip ahead. Also, remember that you can stop the interview at any time and no
one will be upset with you.

CS1

Did 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?

1. Yes
2. No
Probe1. What would you consider “serious problems” with school (or work)?

CS2

Did 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?
1. Yes
2. No

CS3*. How upsetting has the incident been to you?
1. Not at all upsetting
2. Mildly upsetting
3. Moderately upsetting
4. Severely upsetting
If R answered no to both CS1 and CS2 OR “Not at all upsetting” or “Mildly upsetting” to CS3,
skip to next module.

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NCVS Cognitive Interview Protocol R2

CS4

Here is a list of things you may have felt because of the incident. For each, please say
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.
Didn’t feel
this way
a. Angry
b. Shocked
c. Fearful
d. Depressed
e. Anxious or panicked
f. Less confident
g. Sad
h. Annoyed

□
□
□
□
□
□
□
□
□

i. Empty
Probe1. What does it mean to feel “empty”?

Yes, for less Yes, for 1 month
than 1 month or more

□
□
□
□
□
□
□
□
□

□
□
□
□
□
□
□
□
□

Probe2. Were there any feelings here that you didn’t know what they mean?

CS5

Have you felt any other emotions as a result of the incident?
1. Yes  What was it? __________
2. No

CS5a. Did you have difficulty sleeping because of the incident?
1
No
2
Yes, for less than one month
3
Yes, for one month or more
Probe1. IF YES – Did you have trouble sleeping because you were worried, because of pain or
discomfort from an injury, or for some other reason?

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NCVS Cognitive Interview Protocol R2

CS6

Have you talked to a psychologist, psychiatrist, counselor, or other mental health
professional about the incident?
1. Yes
2. No Skip to next module
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?

1. Yes
2. No Skip to next module
Probe1. In your own words, what is this question asking?

CS8

How much were these out-of-pocket expenses?
1
2
3
4
5

Less than $100
$100 to less than $500
$500 to less than $1000
$1000 to less than $5000
$5000 or more

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NCVS Cognitive Interview Protocol R2

Consequences III: Economic Consequences

Ask this module only if R has been employed in the past 6 months (P6=1*). Module is asked for all
incident types.

CE15 Have you taken any time off from work because of the incident?
1. Yes
2. No Skip to next module
CE16 How many days did you take off work?
1.
2.
3.
4.
5.

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?
1. Yes
2. No Skip to CE19
Probe1. What do you think it means to “lose any pay for the time you took off”?

Probe2. Do you get paid hourly?

Probe3. How do you take time off at your job?

CE18 About how much pay did you lose?
1
2
3
4

Less than $100
$100 to less than $500
$500 to less than $1000
$1000 or more
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NCVS Cognitive Interview Protocol R2

CE19 Did you lose your job or have to give up work as a result of the incident?
1. Yes Skip to next module
2. No
CE19a. Did you have to change your job as a result of the incident?
1. Yes
2. No
All go to next module.

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NCVS Cognitive Interview Protocol R2

Victim Services (VS) Series

Ask this module if any of the following apply:
•
•
•

R reported any physical injury (in “Consequences I: Injury” module) in CI1
R reported (in the “break in” module) that the offender broke in their house (B2=1)
R reported (in the “Consequences II: Socioemotional Problems” module) that the
incident was “moderately upsetting” or “severely upsetting (CS3=3 or 4)

Else, skip to next module.
The next questions ask about any help you might have gotten after the incident in (fill:
MONTH) took place.
VS1a. Have you told any family, friends, co-workers or neighbors about the incident?
1. Yes
2. No
VS1b. (If yes to VS1a, say: Other than [if police found out about the incident, PI1=yes, say: 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.
1. (AGES 15+) Employer or supervisor
2.
3.
4.
5.
6.

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 in a leadership or professional position.

Probe1. [IF R NEEDED OPTIONS REPEATED] Would it have been helpful if you could have read
these responses instead of me reading them all to you?

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NCVS Cognitive Interview Protocol R2

VS2. Besides any help you might have gotten from friends or family, have you received the
following kinds of professional services because of the incident? Mark one answer in each row.
A. Hotline, helpline, or crisis line intervention?
B. Counseling, therapy, support groups, or help from a mental
health provider?
C. (if R reported any physical injury in CI1*) Help or advocacy
with medical care or medical exams?
D. (If R experienced any type of sexual contact in SV1a-e and
endorsed one of the tactics in SV2a-e) Sexual assault exam by a
doctor, nurse or other medical professional?
E. Free or low cost legal services from an attorney?
F. Help with the legal process, such as with police interviews,
preparing for court, or going to court?
I. Help getting a restraining, protection, or no-contact order?
If R answered no to all items asked, skip to VS4.

Yes
Yes

No
No

Yes

No

Yes

No

Yes
Yes

No
No

Yes

No

Probe1. FOR EACH YES, Who were you thinking about when you said ‘yes’ to this question?

VS3. How satisfied were you with (If more than one yes response in VS2, say: each of the types
of services you received/If only one response in VS2, fill with response selected)? USE SATISFIED
SCALE BELOW H FOR EACH QUESTION.
A. (IF VS2A=YES) Hotline, helpline, or crisis line intervention
B. (IF VS2B=YES) Counseling, therapy, support groups, or help from a mental health
provider
C. (IF VS2C=YES) Help or advocacy with medical care or medical exams
D. (IF VS2D=YES) Sexual assault exam by a doctor, nurse or other medical professional
E. (IF VS2E=YES) Free or low cost legal services from an attorney
F. (IF VS2F=YES) Help with the legal process, such as with police interviews, preparing for
court, or going to court
H. (IF VS2H=YES) Help getting a restraining, protection, or no-contact order
1.
2.
3.
4.
5.

Very satisfied
Somewhat satisfied
Neither satisfied or dissatisfied
Somewhat dissatisfied
Very dissatisfied

If R answered yes to any item in VS2A-H, skip to next module.
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NCVS Cognitive Interview Protocol R2

VS4. Were there any types of services that you TRIED to get BUT WERE UNABLE TO GET?
1. Yes
2. No
Skip to instructions before VS7
Probe1. How would you describe “trying” to get a service?

VS5. Which of the following services did you TRY to get BUT WERE UNABLE TO GET? Mark all
that apply.
1. Hotline, helpline, or crisis line intervention
2. Counseling, therapy, support groups, or help from a mental health provider
3. (if R reported any physical injury in CI1*) Help or advocacy with medical care or medical
exams
4. (experienced any type of sexual contact in SV1a-e and endorsed one of the tactics in
SV2a-e) Sexual assault exam by a doctor, nurse or other medical professional
5. Free or low cost legal services from an attorney
6. Help with the legal process, such as with police interviews, preparing for court, or going
to court
7. Help getting a restraining, protection, or no-contact order
8. Other (specify)_________________________________________
Probe1. [IF R NEEDED OPTIONS REPEATED] Would it have been helpful if you could have read
these responses instead of me reading them all to you?

If R answered no to all items in VS5, skip to next module.
VS6.

Were any of the following reasons why you didn’t actually get the services you needed
after the incident?
A. The services you needed were not available in your area?
B. You did not think you were eligible for services, or you were told
you were not eligible?
C. You did not have transportation?
D. The service provider did not have enough resources to help you?
E. You could not take time off work or school?
F. The services were not available in your language?

Yes
Yes

No
No

Yes
Yes
Yes
Yes

No
No
No
No
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NCVS Cognitive Interview Protocol R2

G. It was taking too much time or effort?
H. You didn’t want to get the offender in trouble or face harsh
consequences?
I. You were afraid of what the offender might do?
J. Some other reason? (Specify) ___________________________
All Rs who answered VS6 will skip to next module.

Yes
Yes

No
No

Yes
Yes

No
No

If R answered no to all items in VS2 (did not get professional help) and did not try to get any
help (VS4=no), ask VS7 below. Else, skip to next module.
VS7. You said you didn’t try to get any services. Did you want any services?
1
2

Yes
No

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.
A.
B.
C.
D.
E.

You did not know what help or services were available
You did not have transportation
(If any children in household*) You did not have childcare
You could not take time off work or school
You didn’t want to get the offender in trouble or
face harsh consequences
F. You were afraid of what the offender might do
G. Some other reason (Specify) ___________________________
Probe1. What kinds of services are you thinking of in this question?

Yes
Yes
Yes
Yes

No
No
No
No

Yes
Yes
Yes

No
No
No

Probe2. IF APPLICABLE – How did you feel being asked about childcare?

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NCVS Cognitive Interview Protocol R2

Narrative

Thank you for providing this information about the incident in (fill: MONTH).
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.
Remember that you can skip any question, including this one, if you don’t recall particular
details, or don’t want to answer.
__________________________________________
Probe1. Did the instructions on this question make sense to you?

Probe2. How do you feel about telling your story in your own words?

All skip to “Closing/Debrief”.

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NCVS Cognitive Interview Protocol R2

Non-Victim Packet

144

Part 3: NV

Police Ask-All Items

Next are some questions about experiences you may have had with the police in your area
during the past 12 months, that is, since [DATE 12 MONTHS AGO ]. Please include experiences
with police officers, sheriff’s deputies, state troopers, or school resource officers, but not with
guards or other security personnel who are not part of the police.
Probe1. What kinds of people do you think shouldn’t be included in your answers to these
questions?

PQ1_1. During the past 12 months, have you contacted the police in your area to report a
crime, disturbance or suspicious activity?
1
2

Yes
No

Probe1. What is a disturbance?

Probe2. What would you consider suspicious activity?

PQ1_2. During the past 12 months, have you contacted the police in your area to report
something else, such as a traffic accident or medical emergency?
1
2

Yes
No

NCVS Cognitive Interview Protocol R2

PQ2. During the past 12 months, that is, since [DATE 12 MONTHS AGO] have you… Mark one
answer in each row.
a. been stopped by the police when you were
driving or when you were a passenger in a motor
vehicle?
b. been stopped or approached by the police for
some other reason?
c. been at a community meeting, neighborhood
watch, or other activities where the police took
part?

Yes
1

No
2

1

2

1

2

PQ3a. The next questions ask for your views of the police in your area (If no contact reported
in PQ1 or PQ2, say: even though you may not have had direct contact with them
recently).
Please draw on everything you know about them and give your best judgments when
you respond to these questions.
Probe1. What do you think that last sentence is telling you to do? REREAD IF NEEDED.

How respectfully do you think the police in your area treat people?
1.
2.
3.
4.
5.

Very respectfully
Somewhat respectfully
Neither respectfully nor disrespectfully
Somewhat disrespectfully
Very disrespectfully

PQ3b. In your opinion, how much time and attention do the police in your area give to what
people have to say?
1.
2.
3.
4.
5.

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

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NCVS Cognitive Interview Protocol R2

PQ3c. In your opinion, how fairly do the police in your area treat people?
1. Very fairly
2. Somewhat fairly
3. Neither fairly nor unfairly
4. Somewhat unfairly
5. Very unfairly
Probe1. What does it mean to be treated fairly?

PQ3d. How effective are the police at preventing crime in your area?
1. Very effective
2. Somewhat effective
3. Neither effectively nor ineffective
4. Somewhat ineffective
5. Very ineffective
Probe1. What do you think we mean when we ask “how effective” the police are?

PQ3e. How much do you trust the police in your area?
1.
2.
3.
4.
5.

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

PQ3f. Taking everything into account, how would you rate the job the police in your area are
doing?
1. A very good job
2. A somewhat good job
3. Neither a good nor a bad job
4. A somewhat bad job
5. A very bad job
Probe1. Throughout this last section, I asked a lot about police in your area. What were you
thinking about as “your area”?

Probe2. How easy or difficult was it to answer these questions?
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NCVS Cognitive Interview Protocol R2

Community Measures

Next are some questions about your local area.
CA1a. How worried are you about…
Being mugged or robbed in your local area?

5

1
Extremely worried
2
Very worried
3
Somewhat worried
4
Slightly worried
Not at all worried

CA1b. (How worried are you about) 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
Probe1. What do you consider your “local area”?

CA1c. (How worried are you about) having something stolen from inside your home?
1
2
3
4
5

Extremely worried
Very worried
Somewhat worried
Slightly worried
Not at all worried

CA1d. (How worried are you about) having something stolen from your porch, lawn, garage, or
other part of your property?
1
2
3
4
5

Extremely worried
Very worried
Somewhat worried
Slightly worried
Not at all worried

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NCVS Cognitive Interview Protocol R2

CA_1. Is there any place within a mile of your home where you would be afraid to walk alone at
night?
1
2

Yes
No

CM2A. How often does concern about crime prevent you from doing things you would like to
do?
1
Every day
2
Several times a week
3
Several times a month
4
Once a month or less
5
Never
Probe1. IF NE NEVER: Are you prevented from doing things you would like to because you are
worried about crime, or because a parent or other adult won’t let you do them because they
are worried about crime?

CA3a. In your local area, how common a problem is 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
Probe1. What is vandalism?

CA3b. People being drunk or rowdy in public places?
1
2
3
4

Extremely common
Very common
Somewhat common
Not too common
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NCVS Cognitive Interview Protocol R2

5

Not common at all

CA3c Burned, abandoned or boarded-up buildings?
1
2
3
4
5

Extremely common
Very common
Somewhat common
Not too common
Not common at all

CA3d. People using or dealing drugs illegally?
1
Extremely common
2
Very common
3
Somewhat common
4
Not too common
5
Not common at all
CA4. 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?
1
2
3
4
5

Very likely
Somewhat likely
Neither likely nor unlikely
Somewhat unlikely
Very unlikely

CA5. If children or teenagers were damaging others’ property, how likely is it any of your
neighbors would do something about it?
1
2
3
4
5

Very likely
Somewhat likely
Neither likely nor unlikely
Somewhat unlikely
Very unlikely

CA6. If there was a crime in your local area, how likely is it that any of your neighbors would call
the police?
1
2
3
4
5

Very likely
Somewhat likely
Neither likely nor unlikely
Somewhat unlikely
Very unlikely
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NCVS Cognitive Interview Protocol R2

CA7a. Please tell me how much you agree or disagree with each of the following statements
about your local area.
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

CA7b. People in this local area can be trusted.
Strongly agree
Somewhat agree
Neither agree nor disagree
Somewhat disagree
Strongly disagree

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NCVS Cognitive Interview Protocol R2

Person Characteristics II

The next questions ask about you. Remember all answers to this survey are confidential.
If R had a job in the past 7 days (P5=1*), skip to logic before PC10.
If P5=2*, ask P9C.
Else (including Rs under 16), skip to PC19.
PC9.

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?
Yes
No

Ask PC10 if R had a job in the past 12 months (P6=1*).
Else, go to instructions before PC12.
PC10. Earlier you said you had a job or worked at a business at some time in the past 12
months. Did that (job/work) last 2 consecutive weeks or more?
1 Yes
2 No Skip to PC19
PC11. When did that job end?
___ ___ / ___ ___ / ___ ___ ___ ___
MM/DD/YYYY
If PC5=1 or PC10=1, ask PC12.
Else, skip to PC19.
PC12. (PC5=1: Earlier you said you had a job or worked at a business last week. The next
questions are about your current main job. Are you employed by…)
(PC10=1: The next questions are about your most recent job. Were you employed by…)
A private company, business, or individual for wages
The Federal government
A state, county, or local government
Self-employed in your own business, professional practice, or farm, or
Employed by a private not-for-profit, tax-exempt, or charitable organization?

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NCVS Cognitive Interview Protocol R2

PC14. What is the name of the (company/government agency/business/non-profit
organization) for which you worked? Remember, all answers to this survey are
confidential, and you may skip any question that you don’t want to answer.
_____________________________________
PC15. What kind of business or industry is this? What do they make or do?
____________________________________[TEXT RESPONSE FIRST]

PC16. Is this mainly . . .
Agriculture
Forestry
Construction
Healthcare and Social Assistance
Manufacturing
Mining
Oil and Gas Extraction
Public Safety
Services
Transportation
Warehousing
Utilities
Retail trade
Wholesale trade
Something else _____________________
Probe1. [IF R NEEDED OPTIONS REPEATED] Would it have been helpful if you could have read
these responses instead of me reading them all to you?

PC17. What kind of work (do/did) you do, that is, what (is/was) your occupation? (For
example: registered nurse, personnel manager, supervisor of order department,
secretary, accountant)
_____________________________________

153

NCVS Cognitive Interview Protocol R2

PC18. What (are/were) your usual activities or duties at this job? (For example: patient care,
directing hiring policies, supervising order clerks, typing and filing, reconciling financial
records)
_____________________________________
Ask PC19 of all Rs
The next questions ask about any health conditions, impairments, or disabilities you may have.
PC19. Are you deaf or do you have serious difficulty hearing?
1 Yes
2 No
PC20. Are you blind or do you have serious difficulty seeing even when wearing glasses?
1 Yes
2 No
PC21. Because of a physical, mental, or emotional condition, do you have serious difficulty:
PC21_1 . . . concentrating, remembering or making decisions?
1 Yes
2 No
PC21_2. . . walking or climbing stairs?
1 Yes
2 No
PC21_3. . . dressing or bathing?
Yes
No
PC24. (IF AGE 16+) Because of a physical, mental, or emotional condition, do you have
difficulty doing errands alone such as visiting a doctor's office or shopping?
Yes
154

NCVS Cognitive Interview Protocol R2

No
Probe1. IF YES AND NOT CLEAR – Do you have trouble doing these things because of a
physical, mental, or emotional condition?

If any PC19-PC24=1, ask PC24a. Else, skip to PC25.
PC24a. Do you consider yourself to be disabled?
1 Yes
2 No
PC25. The next questions are about your background.
Are you Hispanic or (Latino/Latina)?
1 Yes
2 No
PC26. Which one or more of the following would you say is your race? Select one or more.
White
Black or African American
American Indian or Alaska Native
Asian
Native Hawaiian or other Pacific Islander
IF PC25=1 (Hispanic) and only ONE answer selected in PC26, ask PC26a. Else, skip to PC27.
PC26a. Do you primarily consider yourself to be Hispanic, or {response from above}, or both
equally?
Hispanic
(response from P26)
Both equally
If R is 16+, ask PC27. Else, skip to logic before PC35.
PC27. Are you now…

155

NCVS Cognitive Interview Protocol R2

Married
Ask PC28
Widowed
skip to PC29
Divorced
skip to PC29
Separated, or
skip to PC29
Never married
skip to PC29
PC28. Is your spouse living with you?
Yes
No
If R answered PC28, go to PC35.
PC29. Do you live with a boyfriend, girlfriend, or partner?
Yes
No

P35.

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?
Yes, born in the United States
Yes, born in Puerto Rico, Guam, the U.S. Virgin Islands,
or Northern Marianas
Yes, born abroad of U.S. citizen parent or parents
Yes, U.S. citizen by naturalization
No, not a U.S. citizen

156

NCVS Cognitive Interview Protocol R2

Closing/Debrief

Ask of all Rs.
Now I have a few questions about this interview as a whole. Some of the questions I asked
may be considered personal. On a scale from 1 to 10 with 10 being very personal and
invasive and 1 being not personal at all, how would you rate this survey? Which questions
did you find personal and invasive?

Were there any questions that we haven’t already talked about that you felt were confusing
or difficult to answer?

Were there any questions that you would have felt more comfortable answering if I had given
you the laptop and you could enter your answers yourself? Which questions?

What challenges do you think kids your age would face in participating in an in-person
interview like this (e.g. busy schedule)

What would you think about doing this entire survey online? Would that help youth
participate?

Is there anything we haven't discussed that you would like to mention?

Resource List

This interview may have brought up some sensitive issues for you. In case you would like to
talk to someone after this interview, your parent has been given a list of resources.

157

NCVS Cognitive Interview Protocol R2

(BACK COVER)

158

Proxy Interview Field Test Instrument

Attachment I: Proxy
Interview Field Test
Instrument

1

Proxy Interview Field Test Instrument

Person Characteristics I ................................................................................................... 3
Police Ask-All Items ....................................................................................................... 16
Community Measures .................................................................................................... 21
Victimization Screener ................................................................................................... 30
Vehicle Theft ................................................................................................................ 31
Vehicle Part Theft .......................................................................................................... 42
Theft ........................................................................................................................... 53
Break-In ...................................................................................................................... 68
Vandalism .................................................................................................................... 78
Attack .......................................................................................................................... 89
Unwanted Sexual Contact ............................................................................................ 102
Catch-All .................................................................................................................... 112
Crime Incident Report (Adults and Youth) ...................................................................... 113
Series Crimes ............................................................................................................. 118
What Happened: Module SV – Unwanted Sexual Contact .................................................. 121
What Happened: Module A – Attack/Threatened Attack .................................................... 137
Consequences I: Injury ................................................................................................ 148
What Happened: Module MV – Motor Vehicle Theft/Parts Theft/Attempted Theft .................. 156
What Happened: Module B – Break-ins .......................................................................... 161
What Happened: Module T – Theft................................................................................. 164
What Happened: Module V – Vandalism ......................................................................... 174
Location Series ........................................................................................................... 178
Presence Series .......................................................................................................... 189
Victim-Offender Relationship......................................................................................... 192
Offender Characteristics ............................................................................................... 209
Self-Protection ............................................................................................................ 222
Hate Crimes ............................................................................................................... 232
Police Involvement Series ............................................................................................ 236
Workplace Violence Series ............................................................................................ 258
Consequences II: Socio-emotional Problems ................................................................... 264
Consequences III: Economic Consequences .................................................................... 273
Property Damage ........................................................................................................ 278
Lost Work and Wages .................................................................................................. 283
Victim Services (VS) Series .......................................................................................... 287
Narrative.................................................................................................................... 305
Person Characteristics II .............................................................................................. 308
Household Characteristics II ......................................................................................... 325
Closing ...................................................................................................................... 329

2

Proxy Interview Field Test Instrument

Person Characteristics I

3

Proxy Interview Field Test Instrument

Box ID:

PC_START

4

Proxy Interview Field Test Instrument

Load variables used for routing in this instrument:
CONDITION – (2 = Interviewer Administered; 3 = Self-Administered)
UT_AGE – age of respondent
UT_RESP_GENDER – respondent's gender (1 = Male; 2 = Female; 3 = Other)
UT_HHR – household respondent (1 = Yes; 2 = No)
UT_HHM_KIDAGE_A – number of children in the household
UT_ASKALL – Ask All section to be asked (1 = Police; 2 = Community)
SOLO_HHM – lives alone (1 = Yes; 2 = No)
SVERSION – interleaving condition (1 = Interleaf; 2 = Non-interleaf)
RSTUDENT – regular student (1 = Yes; 2 = No)
CSTUDENT – college/campus student (1 = Yes; 2 = No)
PC3a – apartment dweller (1 = Apartment; 2 = No)
RECORDING – Consent to Record flag (1 = Yes; 2 = No)
Items to be CARI recorded:
PROXY
CONFRECORD
PC1_INTRO
N1
PQ1A-B
PQ2A-C
CA1A-C
S_01B1-2
S_01D
S_01E
S_01F
S_01G
S_02A1-3
S_02B1/S_02B1_NUM
S_02E
S_02F
S_02G
S_03A1-7
S_03B
S_03C1/S_03C1_NUM
S_03D
S_03DD2
S_03DD3
S_03E
S_03F
S_03G
S_04A1-3
S_04C
S_04DD2
S_04DD3
S_04E
S_04F
S_04G
S_05A1-2
S_06A1-5
S_06DD2

5

Proxy Interview Field Test Instrument

S_06DD3
S_06D
S_06E1-4/S_06E4_SPECIFY
S_06F
S_07A1-4
S_07C
S_07DD2
S_07DD3
CIR2A-H
SC1
SC2
SA_1A-D
A0
A2b_A-D
CI2_1-8
MV1a
BI2
T4/T4_SPECIFY
V1_1-8/V1_8_Specify
LO_1
LO_3
VO6
VO10A
SP1_1-4
HC5A-G/HC5_Specify
CS1
CE1
GLOBAL – Question not asked will return NULL in the data. Missing responses for questions that
are asked will return -9 in the data. Missing responses take the path of "No" response unless
otherwise noted in the routing instructions. If not a Yes/No question format, respondents route
to the next question or programming box unless otherwise noted in the routing instructions.
Tags: Change Request
Notes: New load variable, RECORDING, will be used in the PHP instrument routing
Box ID:

PC_BOX0A

IF CONDITION = 2, GO TO MODE. ELSE, GO TO PC_BOX1.
Tags: Change Request
Notes: Phone vs F2F administration (FI completed) (condition 2 only)

6

Proxy Interview Field Test Instrument

Question ID:

MODE

INTERVIEWER: IS THIS AN IN-PERSON INTERVIEW OR A TELEPHONE INTERVIEW?
1

IN PERSON

2

TELEPHONE

ASK Description: Respondents who completed the interviewer-administered questionnaire.
ASK Specification: IF CONDITION = 2.
PQID: NEW
SAS Variable: MODE
Tags: Change Request
Notes: Phone vs F2F administration (FI completed) (condition 2 only)
Question ID:

PROXY

TYPE OF INTERVIEW
0

RESPONDENT INTERVIEW

GO TO PC_BOX0B

1

PROXY INTERVIEW

GO TO PROXYREASON

ASK Description: Respondents who completed the interviewer-administered questionnaire.
ASK Specification: IF CONDITION = 2.
PROGRAM: If PROXY != 0, 1, display error message in red and bold "REQUIRED QUESTION".
User should not be permitted to leave PROXY blank.
PQID: NEW
SAS Variable: PROXY
Tags: Change Request
Notes: new question

7

Proxy Interview Field Test Instrument

Question ID:

PROXYREASON

ENTER THE REASON FOR THE PROXY INTERVIEW:
1

PROXY PERSON IS 12-13 YEARS OLD AND PARENT
REFUSED PERMISSION FOR SELF-INTERVIEW

2

PROXY PERSON IS PHYSICALLY/MENTALLY
UNABLE TO ANSWER

3

PROXY PERSON IS TEMPORARILY ABSENT AND
WON'T RETURN BEFORE CLOSEOUT

ASK Description: Proxy respondents who completed the interviewer-administered questionnaire.
ASK Specification: IF CONDITION = 2 AND PROXY = 1.
PROGRAM: If PROXYREASON != 1,2,3 display error message in red and bold "REQUIRED
QUESTION". User should not be permitted to leave PROXYREASON blank.
PQID: NEW
SAS Variable: PROXYREASON
Tags: Change Request
Notes: new question
Box ID:

PC_BOX0B

IF CONDITION = 2 AND MODE = 1 and RECORDING = 1 (YES), GO TO CONFRECORD.
ELSE, GO TO PC_BOX1.
Tags: Change Request
Notes: Consent to Record Instructions moved to beginning of Person Level Interview

8

Proxy Interview Field Test Instrument

Question ID:

CONFRECORD

You've consented to participate in this interview as well as to have the interview recorded for
quality control purposes. I am going to turn on the recording now and ask you to confirm that
permission to record.
[START RECORDING. THEN STATE:]
Today's date is [STATE: LOCAL DATE and TIME including AM/PM]. To confirm, you have given
your permission to record this interview for quality control purposes. Is that correct?
1

CONTINUE

GO TO PC_BOX1

2

STOP RECORDING

GO TO PC_RECORD2

ASK Description: Respondents who completed the interviewer-administered questionnaire inperson and consented to record their interview.
ASK Specification: IF CONDITION = 2 AND MODE = 1 AND RECORDING = 1.
PQID: NEW
SAS Variable: CONFRECORD
Tags: Change Request
Notes: Consent to Record Instructions moved to beginning of Person Level Interview
Question ID:

PC_RECORD2

[STOP RECORDING. THEN STATE:]
That's fine. The interview will not be recorded.
ASK Description: Respondents who did not give permission to record the interview.
ASK Specification: IF CONFRECORD = 2.
PQID: NEW
SAS Variable: PC_RECORD2
Tags: Change Request
Notes: Consent to Record Instructions moved to beginning of Person Level Interview
Box ID:

PC_BOX1

IF UT_HHR = 1 and CONDITION = 2, GO TO PC1_INTRO.
ELSE, GO TO PC1_PREINTRO.

9

Proxy Interview Field Test Instrument

Question ID:

PC1_PREINTRO

Thank you for participating in the National Survey of Crime and Safety sponsored by the Bureau
of Justice Statistics at the US Department of Justice.{ READ AS NEEDED:} The survey
questions asks for information about people's perceptions of community safety, their local
police, and their experiences with victimization and crime in the past year. The results will be
used to help improve the way the government measures crime.
{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.
If you need to change an answer, you can click the PREVIOUS button to go back to an earlier
screen. Do not click the "Back" button in your browser.}
ASK Description: Respondents who are completing the self-administered questionnaire or non
household respondents who are completing the interviewer-administered questionnaire.
ASK Specification: IF CONDITION = 3 OR (CONDITION = 2 AND UT_HHR != 1).
DISPLAY: If CONDITION = 2, display " READ AS NEEDED:". Else, if CONDITION = 3, do not
display.
If CONDITION = 3, display "On each screen,… NEXT button." Else, do not display.
SAS Variable: PC1_PREINTRO
Tags: Change Request
Notes: Text change
Question ID:

PC1_INTRO

{I want to remind you that you can skip any question you don't know the answer to or prefer
not to answer.} {Next/First} are some questions just about you.
DISPLAY: IF CONDITION = 2, Display "I want to… answer." Else, do not display.
IF CONDITION = 2 AND UT_HHR = 1, DISPLAY "Next".
ELSE, DISPLAY "First".
If CONDITION = 3, DISPLAY "First".
SAS Variable: PC1_INTRO
Tags: Change Request
Notes: IF CONDITION = 2: I want to remind you that you can skip any question you don't know
the answer to or prefer not to answer. (IF UT_HHR = 1: Next/ELSE: First) are some questions
just about you.
IF CONDITION = 3: First are some questions about you.

10

Proxy Interview Field Test Instrument

Question ID:

PC1

How long have you lived at this address?
1

| | | Years (Round to nearest whole year. Enter
0 if less than one year.)

2

| | | If less than one year, enter the number of
months

ASK Description: All respondents.
PROGRAM: Allow entry for both months and years. Allow 2 digits for each field.
CREATE THE FOLLOING DERIVED VARIABLE:
PC1_YEARS:
PC1_YEARS = 0;
IF PC1_YR != -9, SET PC1_YEARS = PC1_YEARS + PC1_YR;
IF PC1_MO != -9, SET PC1_YEARS = PC1_YEARS + PC1_MO / 12;
PQID: NCVS-1, 25c, 33a, 33b
SAS Variable: PC1_YR, PC1_MO
Notes: updated for label to match programming
Box ID:

PC_BOX2

IF Respondent did not report the number of months or number of years they have lived at their
address, GO TO PC2.
ELSE, respondent has been at the address for less than 1 year, GO TO PC3.
ELSE, respondent has been at the address for less than 5 years, GO TO PC4.
ELSE, GO TO BOX PC_BOX3.

IF PC1_YR = -9 AND PC1_MO = -9, GO TO PC2.
ELSE, IF PC1_YEARS < 1, GO TO PC3.
ELSE, IF PC1_YEARS < 5, GO TO PC4.
ELSE, GO TO BOX PC_BOX3.
Notes: revised varnames

11

Proxy Interview Field Test Instrument

Question ID:

PC2

Have you lived at this address. . .
1

Less than 6 months

GO TO PC3

2

At least 6 months, but less than 1 year

GO TO PC3

3

At least 1 year, but less than 5 years

GO TO PC4

4

5 years or more

GO TO PC5

ASK Description: Respondents who did not report the number of months or number of years
they have lived at their address.
ASK Specification: IF PC1_YR = -9 AND PC1_MO = -9.
PQID: NCVS-1, 33c
SAS Variable: PC2
Tags: Change Request
Notes: New - "here" if condition = 2 in "Have you lived (CONDITION=3: at your current address
/CONDITION=2: here) . . ."
Reversed change.
2. #10 – update "your current" to "this"
Question ID:

PC3

Have you been homeless or without a regular place to stay at any time in the past 12 months,
that is, since {DATE 12 MONTHS AGO}?
1

Yes

2

No

ASK Description: Respondents who have lived at their address for less than one year or did not
report how long they have lived at their current address.
ASK Specification: IF ((PC1_YR != -9 OR PC1_MO != -9) AND PC1_YEARS < 1) OR (PC1_YR = 9 AND PC1_MO = -9 AND PC2 = 1, 2, -9).
DISPLAY: For {DATE 12 MONTHS AGO}, display Today's date minus 12 months. Display format
– January 1, 1900.
PQID: NEW
SAS Variable: PC3
Tags: Change Request
Notes: added "or without a regular place to stay"

12

Proxy Interview Field Test Instrument

Question ID:

PC4

How many times have you moved in the past 5 years, that is, since {CURRENT MONTH AND
CURRENT YEAR MINUS 5}?
1

|||

ASK Description: Respondents who have lived at their address for less than 5 years or did not
report how long they have lived at their address.
ASK Specification: IF ((PC1_YR != -9 OR PC1_MO != -9) AND PC1_YEARS < 5) OR (PC1_YR = 9 AND PC1_MO = -9 AND PC2 = 1, 2, 3, -9).
PROGRAM: Allow 2 digits.
DISPLAY: For {CURRENT MONTH AND CURRENT YEAR MINUS 5}, display Today's date minus 5
in month/years. Display format – January, 1900.
PQID: NCVS-1, 33e
SAS Variable: PC4
Notes: removed "times" from text field label
Box ID:

PC_BOX3

IF respondent's age >= 16 (UT_AGE >= 16), GO TO PC5.
ELSE, GO TO PC_BOX4.

Question ID:

PC5

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.
1

Yes

GO TO PC6A

2

No

GO TO PC6

ASK Description: Respondents who are 16 years or older.
ASK Specification: IF UT_AGE >= 16.
DISPLAY: Display "Do not include… the house." in italics.
PQID: NCVS-1, 75a
SAS Variable: PC5

13

Proxy Interview Field Test Instrument

Question ID:

PC6

AT ANY TIME during the past 12 months, that is, since {DATE 12 MONTHS AGO}, did you have
a job or work at a business?
1

Yes

2

No

ASK Description: Respondents who are 16 years or older and did not have a job or work at a
business in the past 7 days.
ASK Specification: IF UT_AGE >= 16 AND PC5 = 2, -9.
PROGRAM: ROUTING INSTRUCTIONS: IF PC6 = 1, GO TO PC6a.
ELSE, IF PC6 = 2, GO TO PC_BOX4.
ELSE, GO TO PC7.
DISPLAY: For {DATE 12 MONTHS AGO}, display Today's date minus 12 months. Display format
– January 1, 1900.
PQID: NCVS-1, 75b
SAS Variable: PC6
Question ID:

PC6A

Have you worked at this same job for all of the past 12 months?
1

Yes

GO TO PC_BOX4

2

No

GO TO PC7

ASK Description: Respondents who are 16 years or older and have had a job or worked at a
business in the past 12 months.
ASK Specification: IF UT_AGE >= 16 AND (PC5 = 1 OR (PC5 = 2, -9 AND PC6 = 1)).
PQID: NEW
SAS Variable: PC6A
Question ID:

PC7

At any time in the past 12 months, have you been unemployed?
1

Yes

2

No

ASK Description: Respondents who are 16 years or older and had a job or worked at a business
in the past 12 months and have not worked the same job for all of the past 12 months or did
not report whether they had a job or worked at a business in the past 12 months.
ASK Specification: IF UT_AGE >= 16 AND (((PC5 = 1 OR (PC5 = 2, -9 AND PC6 = 1)) AND
PC6A = 2, -9) OR (PC5 = 2, -9 AND PC6 = -9)).
PQID: NEW
SAS Variable: PC7

14

Proxy Interview Field Test Instrument

Box ID:

PC_BOX4

If UT_ASKALL=1, GO TO PQ_START.
If UT_ASKALL=2, GO TO CA_START.

15

Proxy Interview Field Test Instrument

Police Ask-All Items
Box ID:

PQ_START

Programmer note: If UT_ASKALL = 1, GO TO PQ_BOX1. ELSE, GO TO CA_START.
Box ID:

PQ_BOX1

For PQ1a-b, display a ‘Yes' and ‘No' column with options for each response category.
Tags: Stem and Leaf screen
Question ID:

PQ1

Next are some questions about experiences you may have had with the police in your area
during the past 12 months, that is, since {DATE 12 MONTHS AGO}. Please include experiences
with police officers, sheriff's deputies, state troopers, or school resource officers, but not with
guards or other security personnel who are not part of the police.
1

During the past 12 months, have you contacted
the police in your area to report a crime,
disturbance or suspicious activity?

2

During the past 12 months, have you contacted
the police in your area to report something else,
such as a traffic accident or medical emergency?

ASK Description: Respondents who were selected to answer questions about the police in their
area.
ASK Specification: IF UT_ASKALL = 1.
DISPLAY: In "DATE 12 MONTHS AGO", display Today's date minus 12 months. Display format –
January 1, 1900.
PQID: NEW
SAS Variable: PQ1a, PQ1b
Tags: Change Request, Stem and Leaf screen
Notes: Revised wording added "or school resource officers"
Box ID:

PQ_BOX2

For PQ2a-c, display a ‘Yes' and ‘No' column with options for each response category.
Tags: Stem and Leaf screen

16

Proxy Interview Field Test Instrument

Question ID:

PQ2

During the past 12 months, that is, since {DATE 12 MONTHS AGO} have you…
1

been stopped by the police when you were driving
or when you were a passenger in a motor vehicle?

2

been stopped or approached by the police for
some other reason?

3

been at a community meeting, neighborhood
watch, or other activities where the police took
part?

ASK Description: Respondents who were selected to answer questions about the police in their
area.
ASK Specification: IF UT_ASKALL = 1.
DISPLAY: In "DATE 12 MONTHS AGO", display Today's date minus 12 months. Display format –
January 1, 1900.
PQID: NEW
SAS Variable: PQ2a, PQ2b, PQ2c
Tags: Change Request, Stem and Leaf screen
Notes: Revision to text, replaced "anti-crime activity" with "activities"
Question ID:

PQ3a

The next questions ask for your views of the police in your area{ even though you may not have
had direct contact with them recently}.
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?
1

Very respectfully

2

Somewhat respectfully

3

Neither respectfully nor disrespectfully

4

Somewhat disrespectfully

5

Very disrespectfully

ASK Description: Respondents who were selected to answer questions about the police in their
area.
ASK Specification: IF UT_ASKALL = 1.
DISPLAY: If PQ1a = 2 and PQ1b = 2 and PQ2a = 2 and PQ2b = 2 and PQ2c = 2, display " even
though you may not have had direct contact recently". Else, do not display this text.
PQID: NEW
SAS Variable: PQ3a

17

Proxy Interview Field Test Instrument

Question ID:

PQ3b

In your opinion, how much time and attention do the police in your area give to what people
have to say?
1

A great deal of time

2

A lot of time

3

A moderate amount of time

4

A little time

5

No time at all

ASK Description: Respondents who were selected to answer questions about the police in their
area.
ASK Specification: IF UT_ASKALL = 1.
PQID: NEW
SAS Variable: PQ3b
Question ID:

PQ3c

In your opinion, how fairly do the police in your area treat people?
1

Very fairly

2

Somewhat fairly

3

Neither fairly nor unfairly

4

Somewhat unfairly

5

Very unfairly

ASK Description: Respondents who were selected to answer questions about the police in their
area.
ASK Specification: IF UT_ASKALL = 1.
PQID: NEW
SAS Variable: PQ3c
Tags: Change Request
Notes: revised text, removed "regardless of who they are"

18

Proxy Interview Field Test Instrument

Question ID:

PQ3d

How effective are the police at preventing crime in your area?
1

Very effective

2

Somewhat effective

3

Neither effective nor ineffective

4

Somewhat ineffective

5

Very ineffective

ASK Description: Respondents who were selected to answer questions about the police in their
area.
ASK Specification: IF UT_ASKALL = 1.
PQID: NEW
SAS Variable: PQ3d
Question ID:

PQ3e

How much do you trust the police in your area?
1

Trust completely

2

Somewhat trust

3

Neither trust nor distrust

4

Somewhat distrust

5

Distrust completely

ASK Description: Respondents who were selected to answer questions about the police in their
area.
ASK Specification: IF UT_ASKALL = 1.
PQID: NEW
SAS Variable: PQ3e

19

Proxy Interview Field Test Instrument

Question ID:

PQ3f

Taking everything into account, how would you rate the job the police in your area are doing?
1

A very good job

2

A somewhat good job

3

Neither a good nor a bad job

4

A somewhat bad job

5

A very bad job

ASK Description: Respondents who were selected to answer questions about the police in their
area.
ASK Specification: IF UT_ASKALL = 1.
PQID: NEW
SAS Variable: PQ3f

20

Proxy Interview Field Test Instrument

Community Measures
Box ID:

CA_START

Programmer note: If UT_ASKALL = 2, GO TO CA1_INTRO. ELSE, GO TO S_INTRO_2.
Question ID:

CA1_INTRO

Next are some questions about your local area.
ASK Description: Respondents who were selected to answer questions about their local area.
ASK Specification: IF UT_ASKALL = 2.
Box ID:

CA_BOX1

Display questions CA1a through CA1d using the expanded stem-leaf screen. The introduction
text from CA1a is the stem. Show all leaves on the screen at once.
Tags: Stem and Leaf screen
Question ID:

CA1a

How worried are you about {each of the following:/. . .}
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

ASK Description: Respondents who were selected to answer questions about their local area.
ASK Specification: IF UT_ASKALL = 2.
DISPLAY: If CONDITION = 3, then display "each of the following:". Else, if CONDITION = 2,
then display ". . .".
PQID: NEW
SAS Variable: CA1a
Tags: Change Request, Stem and Leaf screen
Notes: 1. Change midpoint of response scale to "Somewhat or moderately"
2. New - "..." if condition = 2 in "How worried are you about (CONDITION=3: each of the
following:/CONDITION=2: . . . ) "

21

Proxy Interview Field Test Instrument

Question ID:

CA1b

{(How worried are you about) being/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

ASK Description: Respondents who were selected to answer questions about their local area.
ASK Specification: IF UT_ASKALL = 2.
DISPLAY: If CONDITION = 2, then display "(How worried are you about) being". Else if
CONDITION = 3, display "Being".
PQID: NEW
SAS Variable: CA1b
Tags: Change Request, Stem and Leaf screen
Notes: 1. Change midpoint of response scale to "Somewhat or moderately"
2. new - "How worried are you about" for condition = 2 in "(CONDITION=2: (How worried are
you about) ) being threatened or attacked in your local area?"
Question ID:

CA1c

{(How worried are you about) having/Having} something stolen from inside your home?
1

Extremely worried

2

Very worried

3

Somewhat worried

4

Slightly worried

5

Not at all worried

ASK Description: Respondents who were selected to answer questions about their local area.
ASK Specification: IF UT_ASKALL = 2.
DISPLAY: If CONDITION = 2, then display "(How worried are you about) having". Else if
CONDITION = 3, display "Having".
PQID: NEW
SAS Variable: CA1c
Tags: Change Request, Stem and Leaf screen
Notes: 1. Change midpoint of response scale to "Somewhat or moderately"
2. new - "How worried are you about" for condition = 2 in "(CONDITION=2: (How worried are
you about) ) having something stolen from inside your home?"

22

Proxy Interview Field Test Instrument

Question ID:

CA1d

{(How worried are you about) having/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

ASK Description: Respondents who were selected to answer questions about their local area.
ASK Specification: IF UT_ASKALL = 2.
DISPLAY: If CONDITION = 2, then display "(How worried are you about) having". Else if
CONDITION = 3, display "Having".
PQID: NEW
SAS Variable: CA1d
Tags: Change Request, Stem and Leaf screen
Notes: 1. Change midpoint of response scale to "Somewhat or moderately"
2. new - "How worried are you about" for condition = 2 in "(CONDITION=2: (How worried are
you about) ) having something stolen from your porch, lawn, garage, or other part of your
property?"
Question ID:

CA_1

Is there any place within a mile of your home where you would be afraid to walk alone at night?
1

Yes

2

No

ASK Description: Respondents who were selected to answer questions about their local area.
ASK Specification: IF UT_ASKALL = 2.
PQID: NEW
SAS Variable: CA_1
Tags: Change Request
Notes: Add new item before existing CM2: "Is there any place within a mile of your home where
you would be afraid to walk alone at night?" Yes/No

23

Proxy Interview Field Test Instrument

Question ID:

CA2

How often does concern about crime prevent you from doing things you would like to do?
1

Every day

2

Several times a week

3

Several times a month

4

Once a month or less

5

Never

ASK Description: Respondents who were selected to answer questions about their local area.
ASK Specification: IF UT_ASKALL = 2.
PQID: NEW
SAS Variable: CA2
Box ID:

CA_BOX2

Display questions CA3a through CA3d using the expanded stem-leaf screen. The introduction
text from CA3a is the stem. Show all leaves on the screen at once.
Tags: Stem and Leaf screen
Question ID:

CA3a

In your local area, how common a problem is {. . ./each of the following:}
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

ASK Description: Respondents who were selected to answer questions about their local area.
ASK Specification: IF UT_ASKALL = 2.
DISPLAY: If CONDITION = 2, then display ". . .". Else, if CONDITION = 3, then display "each of
the following:".
PQID: NEW
SAS Variable: CA3a
Tags: Change Request, Stem and Leaf screen
Notes: 1. Change midpoint of response scale to "Somewhat or moderately"
2. New - "..." if condition = 2 in "In your local area, how common a problem is [CONDITION=3:
each of the following:/CONDITION=2: . . . ] "
3. #264 – removed question mark

24

Proxy Interview Field Test Instrument

Question ID:

CA3b

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

ASK Description: Respondents who were selected to answer questions about their local area.
ASK Specification: IF UT_ASKALL = 2.
PQID: NEW
SAS Variable: CA3b
Tags: Change Request, Stem and Leaf screen
Notes: 1. Change midpoint of response scale to "Somewhat or moderately"
2. new - "In your local area, how common a problem is" for condition = 2 in "(CONDITION=2:
(In your local area, how common a problem is) ) people being drunk or rowdy in public places?"
3. reversed change
4. #264 – removed question mark
Question ID:

CA3c

Burned, abandoned or boarded-up buildings
1

Extremely common

2

Very common

3

Somewhat common

4

Not too common

5

Not common at all

ASK Description: Respondents who were selected to answer questions about their local area.
ASK Specification: IF UT_ASKALL = 2.
PQID: NEW
SAS Variable: CA3c
Tags: Change Request, Stem and Leaf screen
Notes: 1. Change midpoint of response scale to "Somewhat or moderately"
2. new - "In your local area, how common a problem is" for condition = 2 in "(CONDITION=2:
(In your local area, how common a problem is) ) burned, abandoned or boarded-up buildings?"
3. reversed change
4. #264 – removed question mark

25

Proxy Interview Field Test Instrument

Question ID:

CA3d

People using or dealing drugs illegally
1

Extremely common

2

Very common

3

Somewhat common

4

Not too common

5

Not common at all

ASK Description: Respondents who were selected to answer questions about their local area.
ASK Specification: IF UT_ASKALL = 2.
PQID: NEW
SAS Variable: CA3d
Tags: Change Request, Stem and Leaf screen
Notes: 1. Change midpoint of response scale to "Somewhat or moderately"
2. new - "In your local area, how common a problem is" for condition = 2 in "(CONDITION=2:
(In your local area, how common a problem is) ) people using or dealing drugs illegally?"
3. reversed change
4. #264 – removed question mark
Question ID:

CA4

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?
1

Very likely

2

Somewhat likely

3

Neither likely nor unlikely

4

Somewhat unlikely

5

Very unlikely

ASK Description: Respondents who were selected to answer questions about their local area.
ASK Specification: IF UT_ASKALL = 2.
PQID: NEW
SAS Variable: CA4

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Proxy Interview Field Test Instrument

Question ID:

CA5

If children or teenagers were damaging others' property, how likely is it any of your neighbors
would do something about it?
1

Very likely

2

Somewhat likely

3

Neither likely nor unlikely

4

Somewhat unlikely

5

Very unlikely

ASK Description: Respondents who were selected to answer questions about their local area.
ASK Specification: IF UT_ASKALL = 2.
PQID: NEW
SAS Variable: CA5
Question ID:

CA6

If there was a crime in your local area, how likely is it that any of your neighbors would call the
police?
1

Very likely

2

Somewhat likely

3

Neither likely nor unlikely

4

Somewhat unlikely

5

Very unlikely

ASK Description: Respondents who were selected to answer questions about their local area.
ASK Specification: IF UT_ASKALL = 2.
PQID: NEW
SAS Variable: CA6
Box ID:

CA_BOX3

Display questions CA7a and CA7b using the expanded stem-leaf screen. The introduction text
from CA7a is the stem. Show all leaves on the screen at once.
Tags: Stem and Leaf screen

27

Proxy Interview Field Test Instrument

Question ID:

CA7a

Please {tell me/mark} how much you agree or disagree with each of the following statements
about your local area.
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

ASK Description: Respondents who were selected to answer questions about their local area.
ASK Specification: IF UT_ASKALL = 2.
DISPLAY: If CONDITION = 2, then display "tell me". Else, if CONDITION = 3, then display
"mark".
PQID: NEW
SAS Variable: CA7a
Tags: Change Request, Stem and Leaf screen
Notes: 1. "I will ask" if condition = 2 in "Next are some statements that may or may not apply
to your local area. For each one, (CONDITION=3: please mark / CONDITION=2: I will ask )
how much you agree or disagree."
2. "Do you . . ." if condition = 2 in "People around here are willing to help their neighbors.
CONDITION=2: Do you . . ."
3. [IF CONDITION=2 DISPLAY: Please tell me how much you agree or disagree with each of the
following statements about your local area. / ELSE IF CONDITION=3 DISPLAY: How much do
you agree or disagree with each of the following statements about your local area?]
4. reversed change, removed "Do you…"
5. revise conditional text: tell me/mark

28

Proxy Interview Field Test Instrument

Question ID:

CA7b

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

ASK Description: Respondents who were selected to answer questions about their local area.
ASK Specification: IF UT_ASKALL = 2.
PQID: NEW
SAS Variable: CA7b
Tags: Change Request, Stem and Leaf screen
Notes: "Do you . . ." if condition = 2 in "People in this local area can be trusted.
CONDITION=2: Do you . . ."
reversed change, removed "Do you…"

29

Proxy Interview Field Test Instrument

Victimization Screener
Question ID:

S_INTRO_2

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,{ breakins, vandalism,} physical attacks, and unwanted sexual contact.
ASK Description: All respondents.
PROGRAM: ROUTING INSTRUCTIONS: If UT_HHR = 1 (household respondent), go to S_01. Else,
go to S_03.
DISPLAY: If UT_HHR = 1 (household respondent), display " break-ins, vandalism,". ELSE, do not
display this text. If UT_HHR != 1, display " will". ELSE, do not display this text.
In "TODAY'S DATE ONE YEAR AGO", display Today's date minus 12 months. Display format –
January 1, 1900.

30

Proxy Interview Field Test Instrument

Vehicle Theft
Question ID:

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?
1

Yes

2

No

ASK Description: Household respondents.
ASK Specification: If UT_HHR = 1.
PROGRAM: ROUTING INSTRUCTIONS: If S_01 = 1,-9, go to S_01A. Else, go to S_03.
PQID: Revision to NCVS-1, item 38
SAS Variable: S_01
Question ID:

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.
1

Number of motor vehicles: |_ _|

ASK Description: Respondents who have owned or lived with someone who owned a car, van,
truck, motorcycle, or other motor vehicle in the past 12 months or who did not indicate they
have owned or lived with someone who owned a car, van, truck, motorcycle, or other motor
vehicle in the past 12 months.
ASK Specification: IF S_01 = 1,-9.
PROGRAM: ROUTING INSTRUCTIONS: If S_01A = 0, -9, go to S_03.
Else go to S_01BOX1.
PQID: Revision to NCVS-1, item 38
SAS Variable: S_01A
Tags: Change Request
Notes: updated open text label
Box ID:

S_01BOX1

For S_01B, display a ‘Yes' and ‘No' column with options for each response category.
Tags: Stem and Leaf screen

31

Proxy Interview Field Test Instrument

Question ID:

S_01B

These first questions ask just about vehicle theft. In the past 12 months …
1

{Did anyone steal the vehicle or use it without
permission?/Did anyone steal any of these vehicles
or use it without permission?}

2

Did anyone TRY to steal {the vehicle/any of these
vehicles} but not actually steal it?

ASK Description: Respondents who have owned or lived with someone who owned a car, van,
truck, motorcycle, or other motor vehicle in the past 12 months.
ASK Specification: IF S_01 = 1 and S_01A > 0.
PROGRAM: ROUTING INSTRUCTIONS: If S_01B1 = 1 or S_01B2 = 1, go to S_01C1. Else, go to
S_02.
DISPLAY: In S_01B1, if S_01A = 1, display "Did anyone steal the vehicle or use it without
permission?". Else, display "Did anyone steal any of these vehicles or use it without
permission?".
In S_01B2, if S_01A = 1, display "the vehicle". Else, display "any of these vehicles".
PQID: Revision to NCVS-1, item 39a
SAS Variable: S_01B1, S_01B2
Tags: Stem and Leaf screen

32

Proxy Interview Field Test Instrument

Question ID:

S_01C1

In the past 12 months, how many times {was a vehicle stolen or used without permission/did
someone try to steal a vehicle/was a vehicle stolen or used without permission or did someone
try to steal a vehicle}?
1

Once

2

Two or more times {How many times: |_ _|}

ASK Description: Respondents who had a vehicle stolen, used without permission, or was
attempted stolen in the past 12 months.
ASK Specification: IF S_01 = 1 AND (S_01B1 = 1 OR S_01B2 = 1).
PROGRAM: ROUTING INSTRUCTIONS: If S_01C1 = -9 or (S_01C1 = 2 and S_01C1_NUM = -9),
go to S_01C1A.
Else, if S_01C1 = 2 and S_01C1_NUM >= 4, go to S_01C2.
Else, if S_01C1 = 2 and S_01C1_NUM = 2, 3, go to S_01D_INTRO.
Else, if S_01C1 = 1 or (S_01C1 = 2 and S_01C1_NUM = 1), go to S_01BOX2.
Else, go to S_02.
DISPLAY: If S_01B1 = 1 and S_01B2 = 1, display "was a vehicle stolen or used without
permission or did someone try to steal a vehicle". Else, if S_01B1 = 1 and S_01B2 = 2, -9,
display "was a vehicle stolen or used without permission". Else, if S_01B2 = 1 and S_01B1 = 2,
-9, display "did someone try to steal a vehicle".
If S_01C1 = 2, display "How many times:" and an open response field. Allow 2 digits.
PQID: Revision to NCVS-1, item 39b
SAS Variable: S_01C1, S_01C1_NUM
Tags: Change Request
Notes: revise for the FT (and use "two or more times" as per Darby)

33

Proxy Interview Field Test Instrument

Question ID:

S_01C1A

You did not enter how many times this happened in the past 12 months. Please select one of the
following.
1

I really meant to answer

2

I don't know the answer

ASK Description: Respondents who had a vehicle stolen, used without permission, or was
attempted stolen in the past 12 months and did not enter how many times this happened in the
past 12 months.
ASK Specification: IF S_01 = 1 AND (S_01B1 = 1 OR S_01B2 = 1) AND (S_01C1 = -9 OR
(S_01C1 = 2 AND S_01C1_NUM = -9)).
PROGRAM: If S_01C1A = 2, -9, set S_MV = 1 and create 1 CIR.
ROUTING INSTRUCTIONS: If S_01C1A = 1, go to S_01C1.
Else, go to S_01BOX2.
PQID: NEW
SAS Variable: S_01C1A
Tags: Change Request
Notes: replaced with "create 1 CIR"
Question ID:

S_01C2

Do you recall enough details about each incident to be able to distinguish them from each other?
1

Yes

2

No

GO TO S_01BOX2

ASK Description: Respondents who had a vehicle stolen, used without permission, or was
attempted stolen in the past 12 months and reported four or more vehicle theft incidents in the
past 12 months.
ASK Specification: IF S_01 = 1 AND (S_01B1 = 1 OR S_01B2 = 1) AND S_01C1 = 2 AND
S_01C1_NUM >= 4.
PROGRAM: If S_01C2 = 2, set SERIES = 1.
PQID: Adapted from CIR5b
SAS Variable: S_01C2

34

Proxy Interview Field Test Instrument

Question ID:

S_01D_INTRO

{I will ask/On the next screens, you are going to be asked} about {each of these/the four most
recent} incidents, starting with the most recent{ time this happened. Please click NEXT to
continue.}
ASK Description: Respondents who had a vehicle stolen, used without permission, or was
attempted stolen in the past 12 months and reported less than four vehicle theft incidents in the
last 12 months or reported four or more vehicle theft incidents in the past 12 months and
recalled enough details about each incident to be able to distinguish them from each other.
ASK Specification: IF S_01 = 1 AND (S_01B1 = 1 OR S_01B2 = 1) AND S_01C1 = 2 AND
(S_01C1_NUM = 2, 3 OR (S_01C1_NUM >= 4 AND S_01C2 = 1)).
DISPLAY: If S_01C1_NUM = 2, 3, 4, display "each of these". Else, if S_01C1_NUM >= 5, display
"the four most recent".
If CONDITION = 2, display "I will ask". Else, if CONDITION = 3, display "On the next screens,
you are going to be asked" and " time this happened… continue."
Tags: Change Request
Notes: IF CONDITION=2:
VERSION1: I will ask about each of these incidents, starting with the most recent.
VERSION2: I will ask about the four most recent incidents, starting with the most recent.
IF CONDITION=3:
VERSION1: On the next screens, you are going to be asked about each of these incidents,
starting with the most recent time this happened. Please click NEXT to continue.
VERSION2: On the next screens, you are going to be asked about the four most recent
incidents, starting with the most recent time this happened. Please click NEXT to continue.
Box ID:

S_01BOX2

If S_01C1 = 2 and (S_01C1_NUM = 2, 3 or (S_01C1_NUM >= 4 and S_01C2 = 1)), repeat
S_01D through S_01G up to 4 times for each vehicle theft incident reported in S_01C1_NUM.
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.
Else, if S_01C1 = 1 or S_01C1_NUM = 1 or (S_01C1_NUM >= 4 and S_01C2 = 2) or S_01C1A
= 2, -9, ask only about most recent incident in S_01D.

35

Proxy Interview Field Test Instrument

Question ID:

S_01D

{You said that someone{ stole a vehicle or used it without permission}{ or}{ tried to steal a
vehicle} {FILL ANSWER FROM S_01C1} times in the past 12 months.} In what month did the
{MOST RECENT/SECOND MOST RECENT/THIRD MOST RECENT/FOURTH MOST RECENT}
incident happen? If you don't remember the exact month, please give your best estimate.
1

Before {CURRENT MONTH MINUS 12}

2

{CURRENT MONTH MINUS 12}

3

{CURRENT MONTH MINUS 11}

4

{CURRENT MONTH MINUS 10}

5

{CURRENT MONTH MINUS 9}

6

{CURRENT MONTH MINUS 8}

7

{CURRENT MONTH MINUS 7}

8

{CURRENT MONTH MINUS 6}

9

{CURRENT MONTH MINUS 5}

10

{CURRENT MONTH MINUS 4}

11

{CURRENT MONTH MINUS 3}

12

{CURRENT MONTH MINUS 2}

13

{CURRENT MONTH MINUS 1}

14

{CURRENT MONTH}

ASK Description: Respondents who had a vehicle stolen or used without permission or had a
vehicle that someone attempted to steal once in the past 12 months or did not know how many
times this incident happened in the past 12 months.
ASK Specification: IF (S_01B1 = 1 OR S_01B2 = 1) AND (S_01C1 = 1 OR (S_01C1 = 2 AND
S_01C1_NUM >= 1) OR S_01C1A = 2, -9).
PROGRAM: ROUTING INSTRUCTIONS: If DATE PROVIDED IN S_01D IS CURRENT MONTH
MINUS 12 OR S_01D = -9, go to S_01D1.
Else, if DATE PROVIDED IN S_01D IS CURRENT MONTH MINUS 6, go to S_01D2.
Else, if DATE PROVIDED IN S_01D IS BEFORE CURRENT MONTH MINUS 12, go to S_02.
Else, go to S_01BOX3.
DISPLAY: If S_07B1_NUM > 1, display for all incidents after the first "You said that someone…
in the past 12 months.". Else, do not display this text.
If S_01B1 = 1, display "stole a vehicle or used it without permission". Else, do not display this
text.
If S_01B2 = 1, display "tried to steal a vehicle". Else, do not display this text.
If S_01B1 = 1 and S_01B2 = 1, display "or". Else, do not display this text.
For the first incident, display "MOST RECENT".
For the second incident, display "SECOND MOST RECENT".
For the third incident, display "THIRD MOST RECENT".
For the fourth incident, display "FOURTH MOST RECENT".
In each response option, take Today's month minus N in descending order. Display format January 1, 1900.
PQID: NEW

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Proxy Interview Field Test Instrument

SAS Variable: S_01D
Question ID:

S_01D1

Did this incident happen before, after, or on {12-MO ANCHORDATE}?
1

It happened before {12-MO ANCHORDATE}

2

It happened after or on {12-MO ANCHORDATE}

3

I don't know when it happened / can't remember

ASK Description: Respondents who had a vehicle stolen or used without permission or had a
vehicle that someone attempted to steal but did not provide a date when this happened or said
it happened 12 months ago.
ASK Specification: IF DATE PROVIDED IN S_01D IS CURRENT MONTH MINUS 12 OR S_01D = 9.
PROGRAM: ROUTING INSTRUCTIONS: If S_01D = -9 and S_01D1 = 2, go to S01D2.
Else, if DATE PROVIDED IN S_01D IS CURRENT MONTH MINUS 12 and S_01D1 = 2, go to
S_01BOX3.
Else, if S_01D1 = 3, -9, go to S_01BOX5.
Else, if S_01D1 = 1, go to S_02.
DISPLAY: In "12-MO ANCHORDATE", display Today's date minus 12 months. Display format –
January 1, 1900.
PQID: NEW
SAS Variable: S_01D1

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Proxy Interview Field Test Instrument

Question ID:

S_01D2

Did this incident happen before, after, or on {6-MO ANCHORDATE}?
1

It happened before {6-MO ANCHORDATE}

2

It happened after or on {6-MO ANCHORDATE}

3

I don't know

ASK Description: Respondents who had a vehicle stolen or used without permission or had a
vehicle that someone attempted to steal 6 months ago or on or after 12 months ago.
ASK Specification: IF DATE PROVIDED IN S_01D IS CURRENT MONTH MINUS 6 OR (S_01D = -9
AND S_01D1 = 2).
DISPLAY: In 6-MO ANCHORDATE, display Today's date minus 6 months. Display format –
January 1, 1900.
PQID: NEW
SAS Variable: S_01D2
Tags: Change Request
Notes: We would like to change the stem and response items (to align with the similar "12
month" items) as follows:
'Did this incident happen (NEW: before, after, or) on (CURRENT: or after '.$six.', or before)
'.$six.'?',
'1' => CURRENT: 'It happened on or after '.$six, NEW: 'It happened before '.$six,
'2' => CURRENT: 'It happened before '.$six, NEW: 'It happened after or on '.$six,
'3' => 'I don\'t know',
Note: for option 3 we will keep "I don't know" (rather than "I don't know when it happened") for documentation, refer to emails on 2/18/19 and 2/19/19 between Pamela and Darby
Box ID:

S_01BOX3

For each incident that happened within the past 12 months, set S_MV = 1.
If interleaving condition, go to S_01E.
Else, go to S_01BOX5.

IF DATE PROVIDED IN S_01D IS WITHIN THE PAST 12 MONTHS OR S_01D1 = 2, set S_MV = 1.
If SVERSION = 1, go to S_01E.
Else, go to S_01BOX5.

38

Proxy Interview Field Test Instrument

Question ID:

S_01E

Still thinking about this {most recent/second most recent/third most recent/fourth most
recent/S_01D: MONTH, YEAR} incident when someone{ stole a vehicle or used it without
permission}{ or}{ tried to steal a vehicle}, was anything stolen from the vehicle, such as a cell
phone, money, or anything else in the vehicle?
1

Yes

2

No

ASK Description: Respondents who had a vehicle stolen or used without permission or had a
vehicle that someone attempted to steal in the past 12 months or did not know how many times
this incident happened in the past 12 months.
ASK Specification: IF SVERSION = 1 AND (S_01C1 = 1 OR S_01C1_NUM >= 1 OR S_01C1A =
2, -9) AND (DATE PROVIDED IN S_01D IS WITHIN THE PAST 12 MONTHS OR S_01D1 = 2).
PROGRAM: If S_01E = 1, set S_T=1.
DISPLAY: If date provided in S_01D, display Month, Year for each incident. Display format –
January, 1900.
Else, if this is the first incident in the series and S_01D = -9, display "most recent."
Else, if this is the second incident in the series and S_01D = -9, display "second most recent."
Else, if this is the third incident in the series and S_01D = -9, display "third most recent."
Else, if this is the fourth incident in the series and S_01D = -9, display "fourth most recent."
If S_01B1 = 1, display "stole a vehicle or used it without permission". Else, do not display this
text.
If S_01B2 = 1, display "tried to steal a vehicle". Else, do not display this text.
If S_01B1 = 1 and S_01B2 = 1, display "or". Else, do not display this text.
PQID: NEW
SAS Variable: S_01E

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Proxy Interview Field Test Instrument

Question ID:

S_01F

Still thinking about this {most recent/second most recent/third most recent/fourth most
recent/S_01D: MONTH, YEAR} incident when someone{ stole a vehicle or used it without
permission}{ or}{ tried to steal a vehicle}, were you physically attacked or were you
threatened with a weapon during this incident?
1

Yes

GO TO S_01G

2

No

GO TO S_01BOX5

ASK Description: Respondents who had a vehicle stolen or used without permission or had a
vehicle that someone attempted to steal in the past 12 months or did not know how many times
this incident happened in the past 12 months.
ASK Specification: IF SVERSION = 1 AND (S_01C1 = 1 OR S_01C1_NUM >= 1 OR S_01C1A =
2, -9) AND (DATE PROVIDED IN S_01D IS WITHIN THE PAST 12 MONTHS OR S_01D1 = 2).
PROGRAM: If S_01F = 1, set S_ATA=1.
DISPLAY: If date provided in S_01D, display Month, Year for each incident. Display format –
January, 1900.
Else, if this is the first incident in the series and S_01D = -9, display "most recent."
Else, if this is the second incident in the series and S_01D = -9, display "second most recent."
Else, if this is the third incident in the series and S_01D = -9, display "third most recent."
Else, if this is the fourth incident in the series and S_01D = -9, display "fourth most recent."
If S_01B1 = 1, display "stole a vehicle or used it without permission". Else, do not display this
text.
If S_01B2 = 1, display "tried to steal a vehicle". Else, do not display this text.
If S_01B1 = 1 and S_01B2 = 1, display "or". Else, do not display this text.
PQID: NEW
SAS Variable: S_01F

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Proxy Interview Field Test Instrument

Question ID:

S_01G

Still thinking about this {most recent/second most recent/third most recent/fourth most
recent/S_01D: MONTH, YEAR} incident when someone{ stole a vehicle or used it without
permission}{ or}{ tried to steal a vehicle}, 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?
1

Yes

2

No

ASK Description: Respondents who had a vehicle stolen or used without permission or had a
vehicle that someone attempted to steal in the past 12 months or did not know how many times
this incident happened in the past 12 months and were physically attacked, or threatened with a
weapon during this incident.
ASK Specification: IF SVERSION = 1 AND (S_01C1 = 1 OR S_01C1_NUM >= 1 OR S_01C1A =
2, -9) AND (DATE PROVIDED IN S_01D IS WITHIN THE PAST 12 MONTHS OR S_01D1 = 2) AND
S_01F = 1.
PROGRAM: If S_01G = 1, set S_SA=1.
DISPLAY: If date provided in S_01D, display Month, Year for each incident. Display format –
January, 1900.
Else, if this is the first incident in the series and S_01D = -9, display "most recent."
Else, if this is the second incident in the series and S_01D = -9, display "second most recent."
Else, if this is the third incident in the series and S_01D = -9, display "third most recent."
Else, if this is the fourth incident in the series and S_01D = -9, display "fourth most recent."
If S_01B1 = 1, display "stole a vehicle or used it without permission". Else, do not display this
text.
If S_01B2 = 1, display "tried to steal a vehicle". Else, do not display this text.
If S_01B1 = 1 and S_01B2 = 1, display "or". Else, do not display this text.
PQID: NEW
SAS Variable: S_01G
Box ID:

S_01BOX5

If data has been collected for the four most recent dates in S_01D where N = S_01C1_NUM, go
to S_02.
Else, go to S_01D for incident (N+1).

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Proxy Interview Field Test Instrument

Vehicle Part Theft
Box ID:

S_02BOX1

For S_02A, display ‘Yes' and ‘No' columns with options for each response category.
Tags: Stem and Leaf screen
Question ID:

S_02A

In the past 12 months …
1

Did anyone steal any vehicle parts such as a tire,
car stereo, GPS, hubcap, or battery from {the
vehicle/any of these vehicles}?

2

Did anyone steal any gas from {the vehicle/any of
these vehicles}?

3

Did anyone TRY to steal vehicle parts from {the
vehicle/any of these vehicles} but did not actually
do this?

ASK Description: Household respondents who have owned or lived with someone who owned a
car, van, truck, motorcycle, or other motor vehicle in the past 12 months and reported whether
or not someone stole a vehicle or used it without permission or attempted to steal a vehicle.
ASK Specification: IF UT_HHR = 1 AND S_01 = 1 AND (S_01B1 = 1, 2 OR S_01B2 = 1, 2).
PROGRAM: ROUTING INSTRUCTIONS: If S_02A1 =1 or S_02A2 = 1 or S_02A3 = 1, go to
S_02B1. Else, go to S_03.
DISPLAY: If S_01A = 1, display "the vehicle". Else, if S_01A > 1 or S_01A = -9, display "any of
these vehicles".
PQID: Revision to NCVS-1, item 39a
SAS Variable: S_02A1, S_02A2, S_02A3
Tags: Change Request, Stem and Leaf screen
Notes: removed "Mark yes or no to each item."

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Proxy Interview Field Test Instrument

Question ID:

S_02B1

{Thinking about the times when someone stole or tried to steal vehicle parts or gas,}How many
times did {this happen/any of these things happen} in the past 12 months?
1

Once

2

Two or more times {How many times: |_ _|}

ASK Description: Respondents who had any vehicle parts or gas stolen from their vehicle or
someone tried to steal vehicle parts.
ASK Specification: IF S_02A1 = 1 OR S_02A2 = 1 OR S_02A3 = 1.
PROGRAM: ROUTING INSTRUCTIONS: If S_02B1 = -9 or (S_02B1 = 2 and S_02B1_NUM = -9),
go to S_02B1A.
Else, if S_02B1 = 2 and S_02B1_NUM >= 4, go to S_02B2.
Else, if S_02B1 = 2 and S_02B1_NUM = 2, 3, go to S_02C_INTRO.
Else, if S_02B1 = 1 or (S_02B1 = 2 and S_02B1_NUM = 1), go to S_02BOX2.
Else, go to S_03.
DISPLAY: If (S_02A1 = 1 or S_02A2 = 1) and S_02A3 = 1, display "Thinking about the times
when someone stole or tried to steal vehicle parts or gas,". Else, do not display this text.
If the respondent selected yes to only one vehicle theft type in S_02A, display "this happen".
Else, display "any of these things happen".
If S_02B1 = 2, display "How many times:" and an open response field. Allow 2 digits.
PQID: Revision to NCVS-1, item 39b
SAS Variable: S_02B1, S_02B1_NUM
Tags: Change Request
Notes: revise for the FT (and use "two or more times" as per Darby)

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Proxy Interview Field Test Instrument

Question ID:

S_02B1A

You did not enter how many times this happened in the past 12 months. Please select one of the
following.
1

I really meant to answer

2

I don't know the answer

ASK Description: Respondents who had any vehicle parts or gas stolen from their vehicle or
someone tried to steal vehicle parts and did not enter how many times this happened in the
past 12 months.
ASK Specification: IF (S_02A1 = 1 OR S_02A2 = 1 OR S_02A3 = 1) AND (S_02B1 = -9 OR
(S_02B1 = 2 AND S_02B1_NUM = -9)).
PROGRAM: If S_02B1A = 2, -9, set S_MVP = 1 and create 1 CIR.
ROUTING INSTRUCTIONS: If S_02B1A = 1, go to S_02B1.
Else, go to S_02BOX2.
PQID: NEW
SAS Variable: S_02B1A
Tags: Change Request
Notes: replaced with "create 1 CIR"
Question ID:

S_02B2

Do you recall enough details about each incident to be able to distinguish them from each other?
1

Yes

2

No

ASK Description: Respondents who had any vehicle parts or gas stolen from their vehicle or
someone tried to steal vehicle parts four or more times in the last 12 months.
ASK Specification: IF S_02B1 = 2 AND S_02B1_NUM >= 4.
PROGRAM: If S_02B2 = 2, set SERIES = 1.
ROUTING INSTRUCTIONS: If S_02B2 = 1, go to S_02C_INTRO.
Else, go to S_02BOX2.
PQID: Adapted from CIR5b
SAS Variable: S_02B2

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Proxy Interview Field Test Instrument

Question ID:

S_02C_INTRO

{I will ask/On the next screens, you are going to be asked} about {each of these/the four most
recent} incidents, starting with the most recent{ time this happened. Please click NEXT to
continue.}
ASK Description: Respondents who had any vehicle parts or gas stolen from their vehicle or
someone tried to steal vehicle parts two or more times in the last 12 months and recalled
enough details about each incident to be able to distinguish them from each other.
ASK Specification: IF (S_02B1 = 2 AND S_02B1_NUM >= 4 AND S_02B2 = 1) OR (S_02B1 = 2
AND S_02B1_NUM = 2, 3).
DISPLAY: If S_02B1_NUM = 2, 3, 4 display "each of these". Else, if S_02B1_NUM >= 5, display
"the four most recent".
If CONDITION = 2, display "I will ask". Else, if CONDITION = 3, display "On the next screens,
you are going to be asked" and " time this happened… continue."
Tags: Change Request
Notes: IF CONDITION=2:
VERSION1: I will ask about each of these incidents, starting with the most recent.
VERSION2: I will ask about the four most recent incidents, starting with the most recent.
IF CONDITION=3:
VERSION1: On the next screens, you are going to be asked about each of these incidents,
starting with the most recent time this happened. Please click NEXT to continue.
VERSION2: On the next screens, you are going to be asked about the four most recent
incidents, starting with the most recent time this happened. Please click NEXT to continue.
Box ID:

S_02BOX2

If S_02B1 = 2 and (S_02B1_NUM = 2, 3 or (S_02B1_NUM >= 4 and S_02B2 = 1)), repeat
S_02C through S_02G up to four most recent dates in S_02C where N = S_02B1_NUM. Ask all
items from S_02C through S_02G (as appropriate) for most recent incident, then move to next
most recent incident, and so on.
Else, if S_02B1 = 1 or (S_02B1 = 2 and (S_02B1_NUM = 1 or (S_02B1_NUM >= 4 and
S_02B2 = 2))) OR S_02B1A = 2, -9, ask only about most recent incident in S_02C.

45

Proxy Interview Field Test Instrument

Question ID:

S_02C

{You said that someone {stole} {or} {tried to steal} vehicle parts or gas {FILL ANSWER FROM
S_02B1 times} in the past 12 months.} In what month did the {MOST RECENT/SECOND MOST
RECENT/THIRD MOST RECENT/FOURTH MOST RECENT} incident happen? If you don't
remember the exact month, please give your best estimate.
1

Before {CURRENT MONTH MINUS 12}

2

{CURRENT MONTH MINUS 12}

3

{CURRENT MONTH MINUS 11}

4

{CURRENT MONTH MINUS 10}

5

{CURRENT MONTH MINUS 9}

6

{CURRENT MONTH MINUS 8}

7

{CURRENT MONTH MINUS 7}

8

{CURRENT MONTH MINUS 6}

9

{CURRENT MONTH MINUS 5}

10

{CURRENT MONTH MINUS 4}

11

{CURRENT MONTH MINUS 3}

12

{CURRENT MONTH MINUS 2}

13

{CURRENT MONTH MINUS 1}

14

{CURRENT MONTH}

ASK Description: Respondents who had any vehicle parts or gas stolen from their vehicle or
someone tried to steal vehicle parts two or more times in the last 12 months and recalled
enough details about each incident to be able to distinguish them from each other or did not
know how many times this incident happened in the past 12 months.
ASK Specification: IF (S_02A1 = 1 OR S_02A2 = 1 OR S_02A3 = 1) AND (S_02B1 = 1 OR
(S_02B1 = 2 AND S_02B1_NUM >= 1) OR S_02B1A = 2, -9).
PROGRAM: ROUTING INSTRUCTIONS: If DATE PROVIDED IN S_02C IS CURRENT MONTH MINUS
12 OR S_02C = -9, go to S_02C1.
Else, if DATE PROVIDED IN S_02C IS CURRENT MONTH MINUS 6, go to S_02C2.
Else, if DATE PROVIDED IN S_02C IS BEFORE CURRENT MONTH MINUS 12, go to S_03.
Else, go to S_02BOX2B.
DISPLAY: If S_02B1_NUM > 1, display for all incidents after the first "You said that someone…
in the past 12 months.".
If S_02A1 = 1 or S_02A2 = 1, display "stole". Else, do not display this text.
If S_02A3 = 1, display "tried to steal". Else, do not display this text.
If (S_02A1 = 1 or S_02A2 = 1) and S_02A3 = 1, display "or". Else, do not display this text.
For the first incident, display "MOST RECENT".
For the second incident, display "SECOND MOST RECENT".
For the third incident, display "THIRD MOST RECENT".
For the fourth incident, display "FOURTH MOST RECENT".
In each response option, take Today's month minus N in descending order. Display format –
January, 1900.
PQID: NEW

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Proxy Interview Field Test Instrument

SAS Variable: S_02C
Question ID:

S_02C1

Did this incident happen before, after, or on {12-MO ANCHORDATE}?
1

It happened before {12-MO ANCHORDATE}

2

It happened after or on {12-MO ANCHORDATE}

3

I don't know when it happened / can't remember

ASK Description: Respondents who had any vehicle parts or gas stolen from their vehicle or
someone tried to steal vehicle parts a year or more ago.
ASK Specification: FOR S_02C1: IF DATE PROVIDED IN S_02C IS CURRENT MONTH MINUS 12
OR S_02C = -9.
PROGRAM: ROUTING INSTRUCTIONS: If S_02C = -9 and S_02C1 = 2, go to S_02C2.
Else, if DATE PROVIDED IN S_02C IS CURRENT MONTH MINUS 12 and S_02C1 = 2, go to
S_02BOX2B.
Else, if S_02C1 = 3, -9, go to S_02BOX5.
Else, if S_02C1 = 1, go to S_03.
DISPLAY: In "12-MO ANCHORDATE", display Today's date minus 12 months. Display format –
January 1, 1900.
PQID: NEW
SAS Variable: S_02C1
Question ID:

S_02C2

Did this incident happen before, after, or on {6-MO ANCHORDATE}?
1

It happened before {6-MO ANCHORDATE}

2

It happened after or on {6-MO ANCHORDATE}

3

I don't know

ASK Description: Respondents who had any vehicle parts or gas stolen from their vehicle or
someone tried to steal vehicle parts six months ago.
ASK Specification: IF DATE PROVIDED IN S_02C IS CURRENT MONTH MINUS 6 OR (S_02C = -9
AND S_02C1 = 2).
PROGRAM: ROUTING INSTRUCTIONS: If S_02C = -9 AND S_02C1 = 2 AND S_02C2 = 3, -9, go
to S_02BOX5.
Else, go to S_02BOX2B.
DISPLAY: In "6-MO ANCHORDATE", display Today's date minus 6 months. Display format –
January 1, 1900.
PQID: NEW
SAS Variable: S_02C2

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Proxy Interview Field Test Instrument

Box ID:

S_02BOX2B

Respondents who had any vehicle parts or gas stolen from their vehicle or someone tried to
steal vehicle parts in the past 12 months and the MONTH/YEAR of the current incident matches
the MONTH/YEAR of any previously reported incidents, or no date was provided for the current
incident and the current incident was confirmed to have happened on or after anchor date and
there are any previously reported incidents for which a date was not collected that were
confirmed to have happened on or after anchor date, go to S_02DD2.
Else, go to box S_02BOX3.

IF (DATE PROVIDED IN S_02C IS WITHIN THE PAST 12 MONTHS AND S_02C MATCHES A DATE
PROVIDED IN S_01D) OR (S_02C = -9 AND S_02C1 = 2 AND (S_01D = -9 AND S_01D1 = 2
FOR ANY INCIDENT IN S_01D)), GO TO S_02DD2.
ELSE, GO TO S_02BOX3.

Question ID:

S_02DD2

Is this incident part of any other incident you have already mentioned?
1

Yes

GO TO S_02DD3

2

No

GO TO S_02BOX3

ASK Description: Respondents who had any vehicle parts or gas stolen from their vehicle or
someone tried to steal vehicle parts in the past 12 months and the MONTH/YEAR of the current
incident matches the MONTH/YEAR of any previously reported incidents, or no date was
provided for the current incident and the current incident was confirmed to have happened on or
after anchor date and there are any previously reported incidents for which a date was not
collected that were confirmed to have happened on or after anchor date.
ASK Specification: IF (DATE PROVIDED IN S_02C IS WITHIN THE PAST 12 MONTHS AND S_02C
MATCHES A DATE PROVIDED IN S_01D) OR (S_02C = -9 AND S_02C1 = 2 AND (S_01D = -9
AND S_01D1 = 2 FOR ANY INCIDENT IN S_01D)).
PQID: NEW
SAS Variable: S_02DD2

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Proxy Interview Field Test Instrument

Question ID:

S_02DD3

Which incident was this part of?
0

{Incident 1}

1

{Incident 2}

2

{Incident 3}

3

{Incident 4}

-8

This is a separate incident

ASK Description: Respondents who had any vehicle parts or gas stolen from their vehicle or
someone tried to steal vehicle parts that occurred as part of another incident.
ASK Specification: IF S_02DD2 = 1.
DISPLAY: Display each incident previously mentioned in S_01D 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". If S_02C = -9, only display prior incidents where the date is
also missing.
PQID: NEW
SAS Variable: S_02DD3
Box ID:

S_02BOX3

If S_02DD3 = 0, 1, 2, 3, set S_MVP = 1 for the incident selected in S_02DD3.
Else, if DATE PROVIDED IN S_02C IS WITHIN THE PAST 12 MONTHS or S_02C1 = 2 AND
(S_02DD2 != 1 OR S_02DD3 = -8, -9), set S_MVP = 1.
ROUTING INSTRUCTIONS: If SVERSION = 1 AND (S_02DD2 != 1 OR S_02DD3 = -8, -9), go to
S_02E.
Else, go to S_02BOX5.

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Proxy Interview Field Test Instrument

Question ID:

S_02E

Still thinking about this {most recent/second most recent/third most recent/fourth most
recent/MONTH, YEAR} incident in which someone {stole}{ or}{tried to steal vehicle parts or
gas}, other than the vehicle parts or gas, was anything else stolen from the vehicle, such as a
cell phone, money, or anything else in the vehicle?
1

Yes

2

No

ASK Description: Respondents who had any vehicle parts or gas stolen from their vehicle or
someone tried to steal vehicle parts at least once in the past 12 months or did not know how
many times this incident happened in the past 12 months.
ASK Specification: IF SVERSION = 1 AND (S_02A1 = 1 OR S_02A2 = 1 OR S_02A3 = 1) AND
(S_02B1 = 1 OR (S_02B1 = 2 AND S_02B1_NUM >= 1) OR S_02B1A = 2, -9) AND (DATE
PROVIDED IN S_02C IS WITHIN THE PAST 12 MONTHS OR S_02C1 = 2) AND (S_02DD2 != 1
OR S_02DD3 = -8, -9).
PROGRAM: If S_02E = 1, set S_T = 1.
DISPLAY: If date provided in S_02C, display Month, Year for each incident. Display format –
January, 1900.
Else, if this is the first incident in the series and S_02C = -9, display "most recent".
Else, if this is the second incident in the series and S_02C = -9, display "second most recent".
Else, if this is the third incident in the series and S_02C = -9, display "third most recent".
Else, if this is the fourth incident in the series and S_02C = -9, display "fourth most recent".
If S_02A1 = 1 or S_02A2 = 1, display "stole". Else, do not display this text.
If S_02A3 = 1, display "tried to steal vehicle parts or gas". Else, do not display this text.
If (S_02A1 = 1 or S_02A2 = 1) and S_02A3 = 1, display " or". Else, do not display this text.
PQID: NEW
SAS Variable: S_02E

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Proxy Interview Field Test Instrument

Question ID:

S_02F

Still thinking about this {most recent/second most recent/third most recent/fourth most
recent/MONTH, YEAR} incident in which someone {stole}{ or}{tried to steal vehicle parts or
gas}, were you physically attacked or were you threatened with a weapon during this incident?
1

Yes

GO TO S_02G

2

No

GO TO S_02BOX5

ASK Description: Respondents who had any vehicle parts or gas stolen from their vehicle or
someone tried to steal vehicle parts at least once in the past 12 months or did not know how
many times this incident happened in the past 12 months.
ASK Specification: IF SVERSION = 1 AND (S_02A1 = 1 OR S_02A2 = 1 OR S_02A3 = 1) AND
(S_02B1 = 1 OR (S_02B1 = 2 AND S_02B1_NUM >= 1) OR S_02B1A = 2, -9) AND (DATE
PROVIDED IN S_02C IS WITHIN THE PAST 12 MONTHS OR S_02C1 = 2) AND (S_02DD2 != 1
OR S_02DD3 = -8, -9).
PROGRAM: If S_02F = 1, set S_ATA = 1.
DISPLAY: If date provided in S_02C, display Month, Year for each incident. Display format –
January, 1900.
Else, if this is the first incident in the series and S_02C = -9, display "most recent".
Else, if this is the second incident in the series and S_02C = -9, display "second most recent".
Else, if this is the third incident in the series and S_02C = -9, display "third most recent".
Else, if this is the fourth incident in the series and S_02C = -9, display "fourth most recent".
If S_02A1 = 1 or S_02A2 = 1, display "stole". Else, do not display this text.
If S_02A3 = 1, display "tried to steal vehicle parts or gas". Else, do not display this text.
If (S_02A1 = 1 or S_02A2 = 1) and S_02A3 = 1, display " or". Else, do not display this text.
PQID: NEW
SAS Variable: S_02F

51

Proxy Interview Field Test Instrument

Question ID:

S_02G

Still thinking about this {most recent/second most recent/third most recent/fourth most
recent/MONTH, YEAR} incident in which someone {stole}{ or}{tried to steal vehicle parts or
gas}, 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

ASK Description: Respondents who had any vehicle parts or gas stolen from their vehicle or
someone tried to steal vehicle parts at least once in the past 12 months or did not know how
many times this incident happened in the past 12 months and were physically attacked, or
threatened with a weapon during this incident.
ASK Specification: IF SVERSION = 1 AND (S_02A1 = 1 OR S_02A2 = 1 OR S_02A3 = 1) AND
(S_02B1 = 1 OR (S_02B1 = 2 AND S_02B1_NUM >= 1) OR S_02B1A = 2, -9) AND (DATE
PROVIDED IN S_02C IS WITHIN THE PAST 12 MONTHS OR S_02C1 = 2) AND (S_02DD2 != 1
OR S_02DD3 = -8, -9) AND S_02F = 1.
PROGRAM: If S_02G = 1, set S_SA = 1.
DISPLAY: If date provided in S_02C, display Month, Year for each incident. Display format –
January, 1900.
Else, if this is the first incident in the series and S_02C = -9, display "most recent".
Else, if this is the second incident in the series and S_02C = -9, display "second most recent".
Else, if this is the third incident in the series and S_02C = -9, display "third most recent".
Else, if this is the fourth incident in the series and S_02C = -9, display "fourth most recent".
If S_02A1 = 1 or S_02A2 = 1, display "stole". Else, do not display this text.
If S_02A3 = 1, display "tried to steal vehicle parts or gas". Else, do not display this text.
If (S_02A1 = 1 or S_02A2 = 1) and S_02A3 = 1, display " or". Else, do not display this text.
PQID: NEW
SAS Variable: S_02G
Box ID:

S_02BOX5

If data has been collected for the four most recent dates in S_02C where N = S_02B1_NUM, go
to S_03.
Else, go to S_02C for incident (N+1).

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Proxy Interview Field Test Instrument

Theft
Box ID:

S_03BOX1

For S_03, display ‘Yes' and ‘No' columns with options for each response category.
Tags: Stem and Leaf screen

53

Proxy Interview Field Test Instrument

Question ID:

S_03A

The {next }questions {below }ask about different things that might have been stolen from you.
This may have happened to you while you were at home,{ at work or} school, or somewhere
else.
{Other than the thefts or attempted thefts you have mentioned already, in/In} the past 12
months did anyone…
1

Steal something that you carry, like a cell phone,
money, a wallet, purse, or backpack?

2

Steal something that you wear, like clothing,
jewelry, or shoes?

3

Steal something in your home, like a TV,
computer, tools, or guns?

4

Steal something from your porch, lawn, garage, or
other part of your property, such as a bicycle,
garden hose or lawn furniture?

5

Steal something out of a vehicle, such as a
package or groceries?

6

{Steal something belonging to the children who
live here?}

7

Steal anything else that belongs to you, including
things that were stolen from you at work or at
school?

ASK Description: All respondents.
DISPLAY: If CONDITION = 2, display "next ". If CONDITION = 3, display "below ". Else, do not
display this text.
If UT_AGE >= 16, display " at work or". Else, do not display this text.
If S_01B1 = 1 or S_01B2 = 1 or S_02A1 = 1 or S_02A2 = 1 or S_02A3 = 1 or S_01E = 1 or
S_02E = 1, display "Other than the… have mentioned already, in". Else, display "In".
If UT_HHM_KIDAGE_A >= 1, display response option 6. Else, do not display.
PQID: Revision to NCVS-1, item 36a
SAS Variable: S_03A1, S_03A2, S_03A3, S_03A4, S_03A5, S_03A6, S_03A7
Tags: Change Request, Stem and Leaf screen
Notes: 1. The (CONDITION=2: next) questions (CONDITION=3: below) ask about different
things that might have been stolen from you.
2. (CONDITION=2: (Did anyone steal) ) Something that you wear, like clothing, jewelry, or
shoes?
3. (CONDITION=2: (Did anyone steal) ) Something out of a vehicle, such as a package or
groceries?
4. reversed change request, do not display "next", "did anyone steal"
5. revised text in option 3, replaced "laptop" with "computer"
6. added text in option 7, ", including things that were stolen from you at work or at school"

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Proxy Interview Field Test Instrument

Question ID:

S_03B

{Other than what you have already mentioned,} In the past 12 months, did anyone TRY to steal
anything that belongs to you {or the children who live with you}, but not actually steal it?
1

Yes

2

No

ASK Description: All respondents
DISPLAY: If S_03A1 = 1 or S_03A2 = 1 or S_03A3 = 1 or S_03A4 = 1 or S_03A5 = 1 or
S_03A6 = 1 or S_03A7 = 1, display "Other than what you have already mentioned,". Else, do
not display this text.
If UT_HHM_KIDAGE_A >= 1, display "or the children who live with you". Else, do not display
this text.
PQID: Revision to NCVS-1, item 36a
SAS Variable: S_03B
Box ID:

S_03BOX2

If S_03A1 = 1 or S_03A2 = 1 or S_03A3 = 1 or S_03A4 = 1 or S_03A5 = 1 or S_03A6 = 1 or
S_03A7 = 1 or S_03B = 1, go to S_03C1. Else, go to S_04.

55

Proxy Interview Field Test Instrument

Question ID:

S_03C1

{You just said yes to more than one of these questions about theft. Altogether,} How many
times did someone{ steal}{ or}{ try to steal} something in the past 12 months?
1

Once

2

Two or more times {How many times: |_ _|}

ASK Description: Respondents who had something stolen or attempted stolen from them.
ASK Specification: IF S_03A1 = 1 OR S_03A2 = 1 OR S_03A3 = 1 OR S_03A4 = 1 OR S_03A5
= 1 OR S_03A6 = 1 OR S_03A7 = 1 OR S_03B = 1.
PROGRAM: ROUTING INSTRUCTIONS: If S_03C1 = -9 OR (S_03C1 = 2 AND S_03C1_NUM = 9), go to S_03C1A.
Else, if S_03C1 = 2 and S_03C1_NUM >= 4, go to S_03C2.
Else, if S_03C1 = 2 and S_03C1_NUM = 2, 3, go to S_03D_INTRO.
Else, if S_03C1 = 1 or (S_03C1 = 2 and S_03C1_NUM = 1), go to S_03BOX2.
Else, go to S_04.
DISPLAY: If "Yes" to more than one in S_03A1-S_03A7, display "You just said yes to more than
one of these questions about theft. Altogether,". Else, do not display this text.
If S_03A1 = 1 or S_03A2 = 1 or S_03A3 = 1 or S_03A4 = 1 or S_03A5 = 1 or S_03A6 = 1 or
S_03A7 = 1, display " steal". Else, do not display this text.
If S_03B = 1, display " try to steal". Else, do not display this text.
If (S_03A1 = 1 or S_03A2 = 1 or S_03A3 = 1 or S_03A4 = 1 or S_03A5 = 1 or S_03A6 = 1 or
S_03A7 = 1)and S_03B = 1, display " or". Else, do not display this text.
If S_03C1 = 2, display "How many times:" and an open response field. Allow 2 digits.
PQID: Revision to NCVS-1, item 36b
SAS Variable: S_03C1, S_03C1_NUM
Tags: Change Request
Notes: revise for the FT (and use "two or more times" as per Darby)

56

Proxy Interview Field Test Instrument

Question ID:

S_03C1A

You did not enter how many times this happened in the past 12 months. Please select one of the
following.
1

I really meant to answer

2

I don't know the answer

ASK Description: Respondents who had something stolen or attempted stolen from them and
did not enter how many times this happened in the past 12 months.
ASK Specification: IF (S_03A1 = 1 OR S_03A2 = 1 OR S_03A3 = 1 OR S_03A4 = 1 OR S_03A5
= 1 OR S_03A6 = 1 OR S_03A7 = 1 OR S_03B = 1) AND (S_03C1 = -9 OR (S_03C1 = 2 AND
S_03C1_NUM = -9)).
PROGRAM: If S_03C1A = 2, -9, create 1 CIR.
ROUTING INSTRUCTIONS: If S_03C1A = 1, go to S_03C1.
Else, go to S_03BOX2A.
PQID: NEW
SAS Variable: S_03C1A
Tags: Change Request
Notes: replaced with "create 1 CIR"
Question ID:

S_03C2

Do you recall enough details about each incident to be able to distinguish them from each other?
1

Yes

2

No

ASK Description: Respondents who had something stolen from them four or more times in the
past 12 months.
ASK Specification: IF S_03C1 = 2 AND S_03C1_NUM >= 4.
PROGRAM: If S_03C2 = 2, set SERIES = 1
ROUTING INSTRUCTIONS: If S_03C2 = 2, go to S_03BOX2.
Else, go to S_03D_INTRO.
PQID: Adapted from CIR5b
SAS Variable: S_03C2

57

Proxy Interview Field Test Instrument

Question ID:

S_03D_INTRO

{I will ask/On the next screens, you are going to be asked} about {each of these/the four most
recent} incidents, starting with the most recent{ time this happened. Please click NEXT to
continue.}
ASK Description: Respondents who had something stolen or attempted stolen from them more
than once in the past 12 months.
ASK Specification: IF (S_03C1 = 2 AND S_03C1_NUM = 2, 3) OR (S_03C1 = 2 AND
S_03C1_NUM >= 4 AND S_03C2 = 1).
DISPLAY: If S_03C1_NUM = 2, 3, 4 display "each of these". Else, if S_03C1_NUM >= 5, display
"the four most recent".
If CONDITION = 2, display "I will ask". Else, if CONDITION = 3, display "On the next screens,
you are going to be asked" and " time this happened… continue."
Tags: Change Request
Notes: IF CONDITION=2:
VERSION1: I will ask about each of these incidents, starting with the most recent.
VERSION2: I will ask about the four most recent incidents, starting with the most recent.
IF CONDITION=3:
VERSION1: On the next screens, you are going to be asked about each of these incidents,
starting with the most recent time this happened. Please click NEXT to continue.
VERSION2: On the next screens, you are going to be asked about the four most recent
incidents, starting with the most recent time this happened. Please click NEXT to continue.
Box ID:

S_03BOX2A

If S_03C1 = 2 and (S_03C1_NUM = 2, 3 or (S_03C1_NUM >= 4 and S_03C2 = 1)), repeat
S_03D through S_03G for up to four most recent dates in S_03C1 where N = S_03C1_NUM. Ask
all items from S_03D through S_04G (as appropriate) for most recent incident, then move to
next most recent incident, and so on.
Else, if S_03C1 = 1 or (S_03C1 = 2 and (S_03C1_NUM = 1 or (S_03C1_NUM >= 4 and S_03C2
= 2) or S_03C1A = 2, -9, ask only about most recent incident in S_03D.

58

Proxy Interview Field Test Instrument

Question ID:

S_03D

{You said that someone { stole}{ or}{ tried to steal} something {FILL ANSWER FROM S_01C1
times} in the past 12 months.} In what month did the {MOST RECENT/SECOND MOST
RECENT/THIRD MOST RECENT/FOURTH MOST RECENT} incident happen? If you don't
remember the exact month, please give your best estimate.
1

Before {CURRENT MONTH MINUS 12}

2

{CURRENT MONTH MINUS 12}

3

{CURRENT MONTH MINUS 11}

4

{CURRENT MONTH MINUS 10}

5

{CURRENT MONTH MINUS 9}

6

{CURRENT MONTH MINUS 8}

7

{CURRENT MONTH MINUS 7}

8

{CURRENT MONTH MINUS 6}

9

{CURRENT MONTH MINUS 5}

10

{CURRENT MONTH MINUS 4}

11

{CURRENT MONTH MINUS 3}

12

{CURRENT MONTH MINUS 2}

13

{CURRENT MONTH MINUS 1}

14

{CURRENT MONTH}

ASK Description: Respondent had something stolen or attempted stolen from them in the past
12 months or did not know how many times this incident happened in the past 12 months.
ASK Specification: IF (S_03A1 = 1 OR S_03A2 = 1 OR S_03A3 = 1 OR S_03A4 = 1 OR S_03A5
= 1 OR S_03A6 = 1 OR S_03A7 = 1 OR S_03B = 1) AND (S_03C1 = 1 OR (S_03C1 = 2 AND
S_03C1_NUM >= 1) OR S_03C1A = 2, -9).
PROGRAM: ROUTING INSTRUCTIONS: If DATE PROVIDED IN S_03D IS CURRENT MONTH
MINUS 12 OR S_03D = -9, go to S_03D1.
Else, if DATE PROVIDED IN S_03D IS CURRENT MONTH MINUS 6, go to S_03D2.
Else, if UT_HHR = 1 and DATE PROVIDED IN S_03D IS BEFORE CURRENT MONTH MINUS 12, go
to S_04.
Else, if DATE PROVIDED IN S_03D IS BEFORE CURRENT MONTH MINUS 12, go to S_06.
Else, go to S_03BOX2B.

59

Proxy Interview Field Test Instrument

DISPLAY: If S_03C1_NUM > 1, display for all incidents after the first "You said that someone…
in the past 12 months."
If S_03A1 = 1 or S_03A2 = 1 or S_03A3 = 1 or S_03A4 = 1 or S_03A5 = 1 or S_03A6 = 1 or
S_03A7 = 1, display "stole". Else, do not display this text.
If S_03B = 1, display "tried to steal". Else, do not display this text.
If (S_03A1 = 1 or S_03A2 = 1 or S_03A3 = 1 or S_03A4 = 1 or S_03A5 = 1 or S_03A6 = 1 or
S_03A7 = 1) and S_03B = 1, display "or". Else, do not display this text.
For the first incident, display "MOST RECENT".
For the second incident, display "SECOND MOST RECENT".
For the third incident, display "THIRD MOST RECENT".
For the fourth incident, display "FOURTH MOST RECENT".
In each response option, take Today's month minus N in descending order. Display format –
January, 1900.
PQID: NEW
SAS Variable: S_03D
Question ID:

S_03D1

Did this incident happen before, after, or on {12-MO ANCHORDATE}?
1

It happened before {12-MO ANCHORDATE}

2

It happened after or on {12-MO ANCHORDATE}

3

I don't know when it happened / can't remember

ASK Description: Respondents who had something stolen or attempted stolen from them 12
months ago or did not report the month and year that this incident occurred.
ASK Specification: IF DATE PROVIDED IN S_03D IS CURRENT MONTH MINUS 12 OR S_03D = 9.
PROGRAM: ROUTING INSTRUCTIONS: If S_03D = -9 and S_03D1 = 2, go to S_03D2.
Else, if DATE PROVIDED IN S_03D IS CURRENT MONTH MINUS 12 and S_03D1 = 2, go to
S_03BOX2B.
Else, if S_03D1 = 3, -9, go to S_03BOX5.
Else, if UT_HHR = 1 and S_03D1 = 1, go to S_04.
Else, go to S_06.
PQID: NEW
SAS Variable: S_03D1

60

Proxy Interview Field Test Instrument

Question ID:

S_03D2

Did this incident happen before, after, or on {6-MO ANCHORDATE}?
1

It happened before {6-MO ANCHORDATE}

2

It happened after or on {6-MO ANCHORDATE}

3

I don't know

ASK Description: Respondents who had something stolen from them six months ago or did not
report the month and year of the incident and confirmed it happened in the past 12 months.
ASK Specification: IF DATE PROVIDED IN S_03D IS CURRENT MONTH MINUS 6 OR (S_03D = -9
AND S_03D1 = 2).
PROGRAM: ROUTING INSTRUCTIONS: If S_03D = -9 AND S_03D1 = 2 AND S_03D2 = 3, -9, go
to S_03BOX5.
Else, go to S_03BOX2B.
PQID: NEW
SAS Variable: S_03D2
Box ID:

S_03BOX2B

Respondents who had something stolen from them in the past 12 months and the MONTH/YEAR
of the current incident matches the MONTH/YEAR of any previously reported incidents, or no
date was provided for the current incident and the current incident was confirmed to have
happened on or after anchor date and there are any previously reported incident for which a
date was not collected that were confirmed to have happened on or after anchor date, go to
S_03DD2.
Else, respondents who reported anyone tried to steal anything that belongs to them but did not
actually steal it and someone stole something from them in the past 12 months, go to S_03AT.
Else, go to S_03BOX3.

IF (DATE PROVIDED IN S_03D IS WITHIN THE PAST 12 MONTHS AND (S_03D MATCHES A
DATE PROVIDED IN S_01D OR S_02C)) OR (S_03D = -9 AND S_03D1 = 2 AND ((S_01D = -9
AND S_01D1 = 2 FOR ANY INCIDENT IN S_01D) OR (S_02C = -9 AND S_02C1 = 2 FOR ANY
INCIDENT IN S_02C))), GO TO S_03DD2.
ELSE, IF S_03B = 1, -9 AND (S_03A1 = 1 OR S_03A2 = 1 OR S_03A3 = 1 OR S_03A4 = 1 OR
S_03A5 = 1 OR S_03A6 = 1 OR S_03A7 = 1) AND (DATE PROVIDED IN S_03D IS WITHIN THE
PAST 12 MONTHS OR (DATE PROVIDED IN S_03D IS CURRENT MONTH MINUS 12 OR S_03D =
-9 AND S_03D1 = 2), GO TO S_03AT.
ELSE, GO TO S_03BOX3.

61

Proxy Interview Field Test Instrument

Question ID:

S_03DD2

Is this incident part of any other incident you have already mentioned?
1

Yes

2

No

ASK Description: Respondents who had something stolen or attempted stolen in the past 12
months and the MONTH/YEAR of the current incident matches the MONTH/YEAR of any
previously reported incidents, or no date was provided for the current incident and the current
incident was confirmed to have happened on or after anchor date and there are any previously
reported incident for which a date was not collected.
ASK Specification: IF (DATE PROVIDED IN S_03D IS WITHIN THE PAST 12 MONTHS AND S_03D
MATCHES A DATE PROVIDED IN S_01D OR S_02C) OR (S_03D = -9 AND S_03D1 = 2 AND
((S_01D = -9 AND S_01D1 = 2 FOR ANY INCIDENT IN S_01D) OR (S_02C = -9 AND S_02C1 =
2 FOR ANY INCIDENT IN S_02C))).
PROGRAM: ROUTING INSTRUCTIONS: IF S_03DD2 = 1, GO TO S_03DD3.
ELSE, IF S_03B = 1, -9 AND (S_03A1 = 1 OR S_03A2 = 1 OR S_03A3 = 1 OR S_03A4 = 1 OR
S_03A5 = 1 OR S_03A6 = 1 OR S_03A7 = 1) AND (DATE PROVIDED IN S_03D IS WITHIN THE
PAST 12 MONTHS OR (DATE PROVIDED IN S_03D IS CURRENT MONTH MINUS 12 OR S_03D =
-9 AND S_03D1 = 2), GO TO S_03AT.
ELSE, GO TO S_03BOX3.
PQID: NEW
SAS Variable: S_03DD2

62

Proxy Interview Field Test Instrument

Question ID:

S_03DD3

Which incident was this part of?
0

{Incident 1}

1

{Incident 2}

2

{Incident 3}

3

{Incident 4}

4

{Incident 5}

5

{Incident 6}

6

{Incident 7}

7

{Incident 8}

-8

This is a separate incident

ASK Description: Respondents who had something stolen from them as part of another incident.
ASK Specification: IF S_03DD2 = 1.
PROGRAM: IF S_03DD3 != -8, -9 AND S_03A1 != 1 AND S_03A2 != 1 AND S_03A3 != 1 AND
S_03A4 != 1 AND S_03A5 != 1 AND S_03A6 != 1 AND S_03A7 != 1 AND S_03B = 1, SET
S_AT = 1 FOR THE INCIDENT SELECTED IN S_03DD3.
ELSE, IF S_03DD3 != -8, -9, SET S_T = 1 FOR THE INCIDENT SELECTED IN S_03DD3.
ROUTING INSTRUCTIONS: IF S_03B = 1, -9 AND (S_03A1 = 1 OR S_03A2 = 1 OR S_03A3 = 1
OR S_03A4 = 1 OR S_03A5 = 1 OR S_03A6 = 1 OR S_03A7 = 1) AND (DATE PROVIDED IN
S_03D IS WITHIN THE PAST 12 MONTHS OR (DATE PROVIDED IN S_03D IS CURRENT MONTH
MINUS 12 OR S_03D = -9 AND S_03D1 = 2)) AND S_03DD3 = -8, -9, GO TO S_03AT.
Else, go to S_03BOX3.
DISPLAY: 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". If S_03D = -9, only display prior incidents where the date is also missing.
PQID: NEW
SAS Variable: S_03DD3

63

Proxy Interview Field Test Instrument

Question ID:

S_03AT

You said someone stole or tried to steal something from you during {this/the} incident
{MONTH/in the past 12 months}. Did the offender actually steal something or did they only TRY
to steal something?
1

The offender actually stole something

2

The offender only tried to steal something

ASK Description: Respondents who reported anyone tried to steal anything that belongs to them
but did not actually steal it and someone stole something from them in the past 12 months.
ASK Specification: IF S_03B = 1, -9 AND (S_03A1 = 1 OR S_03A2 = 1 OR S_03A3 = 1 OR
S_03A4 = 1 OR S_03A5 = 1 OR S_03A6 = 1 OR S_03A7 = 1) AND (DATE PROVIDED IN S_03D
IS WITHIN THE PAST 12 MONTHS OR (DATE PROVIDED IN S_03D IS CURRENT MONTH MINUS
12 OR S_03D = -9 AND S_03D1 = 2)) AND (S_03DD2 != 1 OR S_03DD3 = -8, -9).
DISPLAY: If S_03C1_NUM = 2, 3 or (S_03C1_NUM >= 4 and S_03C2 = 1), display "this". Else,
display "the".
If S_03D != -9, display Month from S_03D, display format – January. Else, if S_03D = -9,
display "in the past 12 months."
SAS Variable: S_03AT
Box ID:

S_03BOX3

If (DATE PROVIDED IN S_03D IS WITHIN THE PAST 12 MONTHS OR S_03D1 = 2) AND
S_03DD3 = 0, 1, 2, 3, 4, 5, 6, 7, set S_T = 1 for the incident selected in S_03DD3.
Else, if (DATE PROVIDED IN S_03D IS WITHIN THE PAST 12 MONTHS OR S_03D1 = 2) AND
((S_03B != 1 AND (S_03A1 = 1 OR S_03A2 = 1 OR S_03A3 = 1 OR S_03A4 = 1 OR S_03A5 =
1 OR S_03A6 = 1 OR S_03A7 = 1)) OR S_03AT = 1) AND (S_03DD2 != 1 OR S_03DD3 = -8, 9), set S_T = 1.
Else, if (DATE PROVIDED IN S_03D IS WITHIN THE PAST 12 MONTHS OR S_03D1 = 2) AND
((S_03B = 1 AND (S_03A1 != 1 AND S_03A2 != 1 AND S_03A3 != 1 AND S_03A4 != 1 AND
S_03A5 != 1 AND S_03A6 != 1 AND S_03A7 != 1)) OR S_03AT = 2) AND (S_03DD2 != 1 OR
S_03DD3 = -8, -9), set S_AT = 1.
ROUTING INSTRUCTIONS: If SVERSION = 1 AND (S_03DD2 != 1 OR S_03DD3 = -8, -9), go to
S_03E.
Else, go to S_03BOX5.

64

Proxy Interview Field Test Instrument

Question ID:

S_03E

Still thinking about this {most recent/second most recent/third most recent/fourth most recent/
S_03D: MONTH, YEAR} incident when someone {stole}{ or}{ tried to steal} something, 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

ASK Description: Respondents who had something stolen or someone tried to steal from them in
the past 12 months or did not know how many times this incident happened in the past 12
months.
ASK Specification: IF SVERSION = 1 AND (S_03A1 = 1 OR S_03A2 = 1 OR S_03A3 = 1 OR
S_03A4 = 1 OR S_03A5 = 1 OR S_03A6 = 1 OR S_03A7 = 1 OR S_03B = 1) AND (S_03C1 = 1
OR (S_03C1 = 2 AND S_03C1_NUM >= 1) OR S_03C1A = 2, -9) AND (DATE PROVIDED IN
S_03D IS WITHIN THE PAST 12 MONTHS OR S_03D1 = 2) AND (S_03DD2 != 1 OR S_03DD3 =
-8, -9).
PROGRAM: If S_03E = 1, set S_BI = 1.
DISPLAY: If date provided in S_03D, display Month, Year. Display format – January, 1900.
Else, if this is the first incident in the series and S_03D = -9, display "most recent".
Else, if this is the second incident in the series and S_03D = -9, display "second most recent".
Else, if this is the third incident in the series and S_03D = -9, display "third most recent". Else,
do not display.
If this is the fourth incident in the series and S_03D = -9, display "fourth most recent". Else, do
not display.
If S_03A1 = 1 or S_03A2 = 1 or S_03A3 = 1 or S_03A4 = 1 or S_03A5 = 1 or S_03A6 = 1 or
S_03A7 = 1, display "stole". Else, do not display.
If S_03B = 1, display "tried to steal". Else, do not display this text.
If (S_03A1 = 1 or S_03A2 = 1 or S_03A3 = 1 or S_03A4 = 1 or S_03A5 = 1 or S_03A6 = 1 or
S_03A7 = 1) and S_03B = 1, display "or". Else, do not display this text.
PQID: NEW
SAS Variable: S_03E

65

Proxy Interview Field Test Instrument

Question ID:

S_03F

Still thinking about this {most recent/second most recent/third most recent/fourth most recent/
S_03D: MONTH, YEAR} incident when someone {stole}{ or}{ tried to steal} something, were
you physically attacked or were you threatened with a weapon, during this incident?
1

Yes

GO TO S_03G

2

No

GO TO S_03BOX5

ASK Description: Respondents who had something stolen or someone tried to steal from them in
the past 12 months or did not know how many times this incident happened in the past 12
months.
ASK Specification: IF SVERSION = 1 AND (S_03A1 = 1 OR S_03A2 = 1 OR S_03A3 = 1 OR
S_03A4 = 1 OR S_03A5 = 1 OR S_03A6 = 1 OR S_03A7 = 1 OR S_03B = 1) AND (S_03C1 = 1
OR (S_03C1 = 2 AND S_03C1_NUM >= 1) OR S_03C1A = 2, -9) AND (DATE PROVIDED IN
S_03D IS WITHIN THE PAST 12 MONTHS OR S_03D1 = 2) AND (S_03DD2 != 1 OR S_03DD3 =
-8, -9).
PROGRAM: If S_03F = 1, set S_ATA = 1.
DISPLAY: If date provided in S_03D, display Month, Year. Display format – January, 1900.
Else, if this is the first incident in the series and S_03D = -9, display "most recent".
Else, if this is the second incident in the series and S_03D = -9, display "second most recent".
Else, if this is the third incident in the series and S_03D = -9, display "third most recent". Else,
do not display.
If this is the fourth incident in the series and S_03D = -9, display "fourth most recent". Else, do
not display.
If S_03A1 = 1 or S_03A2 = 1 or S_03A3 = 1 or S_03A4 = 1 or S_03A5 = 1 or S_03A6 = 1 or
S_03A7 = 1, display "stole". Else, do not display.
If S_03B = 1, display "tried to steal". Else, do not display this text.
If (S_03A1 = 1 or S_03A2 = 1 or S_03A3 = 1 or S_03A4 = 1 or S_03A5 = 1 or S_03A6 = 1 or
S_03A7 = 1) and S_03B = 1, display "or". Else, do not display this text.
PQID: NEW
SAS Variable: S_03F

66

Proxy Interview Field Test Instrument

Question ID:

S_03G

Still thinking about this {most recent/second most recent/third most recent/fourth most recent/
S_03D: MONTH, YEAR} incident when someone {stole}{ or}{ tried to steal} something, 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

ASK Description: Respondents who had something stolen or someone tried to steal from them in
the past 12 months or did not know how many times this incident happened in the past 12
months and were physically attacked, or threatened with a weapon, during this incident.
ASK Specification: IF SVERSION = 1 AND (S_03A1 = 1 OR S_03A2 = 1 OR S_03A3 = 1 OR
S_03A4 = 1 OR S_03A5 = 1 OR S_03A6 = 1 OR S_03A7 = 1 OR S_03B = 1) AND (S_03C1 = 1
OR (S_03C1 = 2 AND S_03C1_NUM >= 1) OR S_03C1A = 2, -9) AND (DATE PROVIDED IN
S_03D IS WITHIN THE PAST 12 MONTHS OR S_03D1 = 2) AND (S_03DD2 != 1 OR S_03DD3 =
-8, -9) AND S_03F = 1.
PROGRAM: If S_03G = 1, set S_SA = 1.
DISPLAY: If date provided in S_03D, display Month, Year. Display format – January, 1900.
Else, if this is the first incident in the series and S_03D = -9, display "most recent".
Else, if this is the second incident in the series and S_03D = -9, display "second most recent".
Else, if this is the third incident in the series and S_03D = -9, display "third most recent". Else,
do not display.
If this is the fourth incident in the series and S_03D = -9, display "fourth most recent". Else, do
not display.
If S_03A1 = 1 or S_03A2 = 1 or S_03A3 = 1 or S_03A4 = 1 or S_03A5 = 1 or S_03A6 = 1 or
S_03A7 = 1, display "stole". Else, do not display.
If S_03B = 1, display "tried to steal". Else, do not display this text.
If (S_03A1 = 1 or S_03A2 = 1 or S_03A3 = 1 or S_03A4 = 1 or S_03A5 = 1 or S_03A6 = 1 or
S_03A7 = 1) and S_03B = 1, display "or". Else, do not display this text.
PQID: NEW
SAS Variable: S_03G
Box ID:

S_03BOX5

If data has been collected for the four most recent dates in S_03D where N = S_03C1_NUM, go
to S_04.
Else, go to S_03D for incident (N+1).

67

Proxy Interview Field Test Instrument

Break-In
Box ID:

S_04START

ROUTING INSTRUCTIONS: IF UT_HHR = 1, go to S_04BOX1. Else, GO TO S_06
Box ID:

S_04BOX1

For S_04A1 through S_04A3, display a ‘Yes' and ‘No' column with options for each response
category.
Question ID:

S_04A

The next few questions ask about break-ins. {Other than break-in(s) you have mentioned
already, } in the past 12 months, did anyone…
1

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?

2

Break in or try to break into your garage, shed, or
storage room?

3

Break in or try to break into a hotel or motel room
or vacation home where you were staying?

ASK Description: All household respondents.
ASK Specification: IF UT_HHR = 1.
PROGRAM: ROUTING INSTRUCTIONS: If S_04A1 = 1 or S_04A2 = 1 or S_04A3 = 1, go to
S_04B1. Else, go to S_05.
DISPLAY: If S_03E = 1, display "Other than… already, ".
Else, do not display this text.
PQID: Revision to NCVS-1, item 37a
SAS Variable: S_04A1, S_04A2, S_04A3
Tags: Stem and Leaf screen

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Proxy Interview Field Test Instrument

Question ID:

S_04B1

How many times did someone break in or try to break in during the past 12 months?
1

Once

2

Two or more times {How many times: |_ _|}

ASK Description: Respondents who reported a break-in or attempted break-in in the past 12
months.
ASK Specification: IF S_04A1 = 1 OR S_04A2 = 1 OR S_04A3 = 1.
PROGRAM: ROUTING INSTRUCTIONS: If S_04B1 = -9 OR (S_04B1 = 2 AND S_04B1_NUM = 9), go to S_04B1A.
Else, if S_04B1 = 1 or (S_04B1 = 2 and S_04B1_NUM = 1), go to S_04 BOX1.
Else, if S_04B1 = 2 and S_04B1_NUM = 2, 3, go to S_04C_INTRO.
Else, if S_04B1 = 2 and S_04B1_NUM >= 4, go to S_04B2.
DISPLAY: If S_04B1 = 2, display "How many times:" and an open response field. Allow 2 digits.
PQID: Revision to NCVS-1, item 37b
SAS Variable: S_04B1, S_04B1_NUM
Tags: Change Request
Notes: revise for the FT (and use "two or more times" as per Darby)
Question ID:

S_04B1A

You did not enter how many times this happened in the past 12 months. Please select one of the
following.
1

I really meant to answer

2

I don't know the answer

ASK Description: Respondents who reported a break-in or attempted break-in in the past 12
months and did not enter how many times this happened in the past 12 months.
ASK Specification: IF (S_04A1 = 1 OR S_04A2 = 1 OR S_04A3 = 1) AND (S_04B1 = -9 OR
(S_04B1 = 2 AND S_04B1_NUM = -9)).
PROGRAM: If S_04B1A = 2, -9, set S_BI = 1 and create 1 CIR.
ROUTING INSTRUCTIONS: If S_04B1A = 1, go to S_04B1.
Else, go to S_04BOX2.
PQID: NEW
SAS Variable: S_04B1A
Tags: Change Request
Notes: replaced with "create 1 CIR"

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Proxy Interview Field Test Instrument

Question ID:

S_04B2

Do you recall enough details about each incident to be able to distinguish them from each other?
1

Yes

2

No

ASK Description: Respondents who reported a break-in or attempted break-in four or more
times in the last 12 months.
ASK Specification: IF S_04B1 = 2 AND S_04B1_NUM >= 4.
PROGRAM: If S_04B2, set SERIES = 1.
ROUTING INSTRUCTIONS: If S_04B2 = 2, go to S_04C. Else, go to S_04C_INTRO.
PQID: Adapted from CIR5b
SAS Variable: S_04B2
Question ID:

S_04C_INTRO

{I will ask/On the next screens, you are going to be asked} about {each of these/the four most
recent} incidents, starting with the most recent{ time this happened. Please click NEXT to
continue.}
ASK Description: Respondents who reported a break-in or attempted break-in more than once in
the last 12 months.
ASK Specification: IF S_04B1 = 2 AND (S_04B1_NUM = 2, 3 OR (S_04B1 = 2 AND
S_04B1_NUM >= 4 AND S_04B2 = 1)).
DISPLAY: If S_04B1_NUM = 2, 3, 4 display "each of these". Else, if S_04B1_NUM >= 5, display
"the four most recent".
If CONDITION = 2, display "I will ask". Else, if CONDITION = 3, display "On the next screens,
you are going to be asked" and " time this happened… continue."
Tags: Change Request
Notes: IF CONDITION=2:
VERSION1: I will ask about each of these incidents, starting with the most recent.
VERSION2: I will ask about the four most recent incidents, starting with the most recent.
IF CONDITION=3:
VERSION1: On the next screens, you are going to be asked about each of these incidents,
starting with the most recent time this happened. Please click NEXT to continue.
VERSION2: On the next screens, you are going to be asked about the four most recent
incidents, starting with the most recent time this happened. Please click NEXT to continue.
Box ID:

S_04BOX2

If S_04B1 = 2 and (S_04B1_NUM = 2, 3 or (S_04B1_NUM >= 4 and S_04B2 = 1), repeat
S_04C through S_04G for up to four most recent dates in S_04C where N = S_04B1_NUM. Ask
all items from S_04C through S_041G (as appropriate) for most recent incident, then move to
next most recent incident, and so on.
Else, if S_04B1 = 1 or (S_04B1 = 2 and (S_04B1_NUM = 1 or (S_04B1_NUM >= 4 and S_04B2
= 2))) or S_04B1A = 2, -9, ask only about most recent incident in S_04C.

70

Proxy Interview Field Test Instrument

Question ID:

S_04C

{You said that someone broke in or tried to break in {FILL ANSWER FROM S_04B1 times} in the
past 12 months.} In what month did the {MOST RECENT/SECOND MOST RECENT/THIRD MOST
RECENT/FOURTH MOST RECENT} incident happen? If you don't remember the exact month,
please give your best estimate.
1

Before {CURRENT MONTH MINUS 12}

2

{CURRENT MONTH MINUS 12}

3

{CURRENT MONTH MINUS 11}

4

{CURRENT MONTH MINUS 10}

5

{CURRENT MONTH MINUS 9}

6

{CURRENT MONTH MINUS 8}

7

{CURRENT MONTH MINUS 7}

8

{CURRENT MONTH MINUS 6}

9

{CURRENT MONTH MINUS 5}

10

{CURRENT MONTH MINUS 4}

11

{CURRENT MONTH MINUS 3}

12

{CURRENT MONTH MINUS 2}

13

{CURRENT MONTH MINUS 1}

14

{CURRENT MONTH}

ASK Description: Respondents who reported a break-in or attempted break-in in the last 12
months or did not know how many times this incident happened in the past 12 months.
ASK Specification: IF (S_04A1 = 1 OR S_04A2 = 1 OR S_04A3 = 1) AND (S_04B1 = 1 OR
(S_04B1 = 2 AND S_04B1_NUM >= 1) OR S_04B1A = 2, -9).
PROGRAM: ROUTING INSTRUCTIONS: If DATE PROVIDED IN S_04C IS CURRENT MONTH MINUS
12 OR S_04C = -9, go to S_04C1.
Else, if DATE PROVIDED IN S_04C IS CURRENT MONTH MINUS 6, go to S_04C2.
Else, if DATE PROVIDED IN S_04C IS BEFORE CURRENT MONTH MINUS 12, go to S_05.
Else, go to S_04BOX2B.
DISPLAY: If S_04B1_NUM > 1, display for all incidents after the first "You said that someone…
in the past 12 months."
For the first incident, display "MOST RECENT".
For the second incident, display "SECOND MOST RECENT".
For the third incident, display "THIRD MOST RECENT".
For the fourth incident, display "FOURTH MOST RECENT".
In each response option, take Today's month minus N in descending order. Display format –
January, 1900.
PQID: NEW
SAS Variable: S_04C

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Proxy Interview Field Test Instrument

Question ID:

S_04C1

Did this incident happen before, after, or on {12-MO ANCHORDATE}?
1

It happened before {12-MO ANCHORDATE}

2

It happened after or on {12-MO ANCHORDATE}

3

I don't know when it happened / can't remember

ASK Description: Respondents who reported a break-in or attempted break-in 12 months ago or
did not report the month and year that this incident occurred.
ASK Specification: IF DATE PROVIDED IN S_04C IS CURRENT MONTH MINUS 12 OR S_04C = 9.
PROGRAM: ROUTING INSTRUCTIONS: If S_04C = -9 and S_04C1 = 2, go to S_04C2.
Else, if DATE PROVIDED IN S_04C IS CURRENT MONTH MINUS 12 and S_04C1 = 2, go to
S_04BOX2B.
Else, if S_04C1 = 3, -9, go to S_04BOX5.
Else, go to S_05.
PQID: NEW
SAS Variable: S_04C1
Question ID:

S_04C2

Did this incident happen before, after, or on {6-MO ANCHORDATE}?
1

It happened before {6-MO ANCHORDATE}

2

It happened after or on {6-MO ANCHORDATE}

3

I don't know

ASK Description: Respondents who reported a break-in or attempted break-in six months ago or
did not report the month and year of the incident and confirmed it happened in the past 12
months.
ASK Specification: IF DATE PROVIDED IN S_04C IS CURRENT MONTH MINUS 6 OR (S_04C = -9
AND S_04C1 = 2).
PROGRAM: ROUTING INSTRUCTIONS: If S_04C = -9 AND S_04C1 = 2 AND S_04C2 = 3, -9, go
to S_04BOX5.
Else, go to S_04BOX2B.
PQID: NEW
SAS Variable: S_04C2

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Proxy Interview Field Test Instrument

Box ID:

S_04BOX2B

Respondents who reported a break-in or attempted break-in in the past 12 months and the
MONTH/YEAR of the current incident matches the MONTH/YEAR of any previously reported
incidents, or no date was provided for the current incident and the current incident was
confirmed to have happened on or after anchor date and there are any previously reported
incidents for which a date was not that were confirmed to have happened on or after anchor
date, go to S_04DD2.
Else, go to S_04BOX3.

IF (DATE PROVIDED IN S_04C IS WITHIN THE PAST 12 MONTHS AND (S_04C MATCHES A DATE
PROVIDED IN S_01D OR S_02C OR S_03D)) OR (S_04C = -9 AND S_04C1 = 2 AND ((S_01D =
-9 AND S_01D1 = 2 FOR ANY INCIDENT IN S_01D) OR (S_02C = -9 AND S_02C1 = 2 FOR ANY
INCIDENT IN S_02C) OR (S_03D = -9 AND S_03D1 = 2 FOR ANY INCIDENT IN S_03D))), GO
TO S_04DD2.
ELSE, GO TO S_04BOX3.

Question ID:

S_04DD2

Is this incident part of any other incident you have already mentioned?
1

Yes

GO TO S_04DD3

2

No

GO TO S_04BOX3

ASK Description: Respondents who reported a break-in or attempted break-in in the past 12
months and the MONTH/YEAR of the current incident matches the MONTH/YEAR of any
previously reported incidents, or no date was provided for the current incident and the current
incident was confirmed to have happened on or after anchor date and there are any previously
reported incidents for which a date was not that were confirmed to have happened on or after
anchor date.
ASK Specification: IF (DATE PROVIDED IN S_04C IS WITHIN THE PAST 12 MONTHS AND
(S_04C MATCHES A DATE PROVIDED IN S_01D OR S_02C OR S_03D)) OR (S_04C = -9 AND
S_04C1 = 2 AND ((S_01D = -9 AND S_01D1 = 2 FOR ANY INCIDENT IN S_01D) OR (S_02C = 9 AND S_02C1 = 2 FOR ANY INCIDENT IN S_02C) OR (S_03D = -9 AND S_03D1 = 2 FOR ANY
INCIDENT IN S_03D))).
PQID: NEW
SAS Variable: S_04DD2

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Proxy Interview Field Test Instrument

Question ID:

S_04DD3

Which incident was this part of?
0

{Incident 1}

1

{Incident 2}

2

{Incident 3}

3

{Incident 4}

4

{Incident 5}

5

{Incident 6}

6

{Incident 7}

7

{Incident 8}

8

{Incident 9}

9

{Incident 10}

10

{Incident 11}

11

{Incident 12}

-8

This is a separate incident

ASK Description: Respondents who reported a break-in or attempted break-in that was part of
another incident.
ASK Specification: IF S_04DD2 = 1.
DISPLAY: 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". If S_04C = -9, only display prior incidents where the date is also missing.
PQID: NEW
SAS Variable: S_04DD3
Box ID:

S_04BOX3

If (DATE PROVIDED IN S_04C IS WITHIN THE PAST 12 MONTHS OR S_04C1 = 2) AND
S_04DD3 = 0, 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, set S_BI for the incident selected in S_04DD3.
Else, if DATE PROVIDED IN S_04C IS WITHIN THE PAST 12 MONTHS OR S_04C1 = 2 AND
(S_04DD2 != 1 OR S_04DD3 = -8, -9), set S_BI = 1.
ROUTING INSTRUCTIONS: If SVERSION = 1 AND (S_04DD2 != 1 OR S_04DD3 = -8, -9), go to
S_04E.
Else, go to S_04BOX5.

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Proxy Interview Field Test Instrument

Question ID:

S_04E

Still thinking about this {most recent/second most recent/third most recent/fourth most
recent/S_04C: MONTH, YEAR} incident when someone broke in or tried to break in, was
anything stolen as part of this incident?
1

Yes

2

No

ASK Description: Respondents who reported a break-in or attempted break-in in the past 12
months or did not know how many times this incident happened in the past 12 months.
ASK Specification: IF SVERSION = 1 AND (S_04A1 = 1 OR S_04A2 = 1 OR S_04A3 = 1) AND
(S_04B1 = 1 OR (S_04B1 = 2 AND S_04B1_NUM >= 1) OR S_04B1A = 2, -9) AND (DATE
PROVIDED IN S_04C IS WITHIN THE PAST 12 MONTHS OR S_04C1 = 2) AND (S_04DD2 != 1
OR S_04DD3 = -8, -9).
PROGRAM: If S_04E = 1, set S_T = 1.
DISPLAY: If date provided in S_04C, display Month, Year for each incident. Display format –
January, 1900.
Else, if this is the first incident in the series and S_04C = -9, display "most recent".
Else, if this is the second incident in the series and S_04C = -9, display "second most recent".
Else, if this is the third incident in the series and S_04C = -9, display "third most recent".
Else, if this is the fourth incident in the series and S_04C = -9, display "fourth most recent".
PQID: NEW
SAS Variable: S_04E

75

Proxy Interview Field Test Instrument

Question ID:

S_04F

Still thinking about this {most recent/second most recent/third most recent/fourth most
recent/S_04C: MONTH, YEAR} incident when someone broke in or tried to break in, were you
physically attacked or were you threatened with a weapon, during this incident?
1

Yes

GO TO S_04G

2

No

GO TO S_04BOX5

ASK Description: Respondents who reported a break-in or attempted break-in in the past 12
months or did not know how many times this incident happened in the past 12 months.
ASK Specification: IF SVERSION = 1 AND (S_04A1 = 1 OR S_04A2 = 1 OR S_04A3 = 1) AND
(S_04B1 = 1 OR (S_04B1 = 2 AND S_04B1_NUM >= 1) OR S_04B1A = 2, -9) AND (DATE
PROVIDED IN S_04C IS WITHIN THE PAST 12 MONTHS OR S_04C1 = 2) AND (S_04DD2 != 1
OR S_04DD3 = -8, -9).
PROGRAM: If S_04F = 1, set S_ATA = 1.
DISPLAY: If date provided in S_04C, display Month, Year for each incident. Display format –
January, 1900.
Else, if this is the first incident in the series and S_04C = -9, display "most recent".
Else, if this is the second incident in the series and S_04C = -9, display "second most recent".
Else, if this is the third incident in the series and S_04C = -9, display "third most recent".
Else, if this is the fourth incident in the series and S_04C = -9, display "fourth most recent".
PQID: NEW
SAS Variable: S_04F

76

Proxy Interview Field Test Instrument

Question ID:

S_04G

Still thinking about this {most recent/second most recent/third most recent/fourth most
recent/S_04C: MONTH, YEAR} incident when someone broke in or tried to break in, 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

ASK Description: Respondents who reported a break-in or attempted break-in in the past 12
months or did not know how many times this incident happened in the past 12 months and were
physically attacked, or threatened with a weapon, during this incident.
ASK Specification: IF SVERSION = 1 AND (S_04A1 = 1 OR S_04A2 = 1 OR S_04A3 = 1) AND
(S_04B1 = 1 OR (S_04B1 = 2 AND S_04B1_NUM >= 1) OR S_04B1A = 2, -9) AND (DATE
PROVIDED IN S_04C IS WITHIN THE PAST 12 MONTHS OR S_04C1 = 2) AND (S_04DD2 != 1
OR S_04DD3 = -8, -9) AND S_04F = 1.
PROGRAM: If S_04G = 1, set S_SA = 1.
DISPLAY: If date provided in S_04C, display Month, Year for each incident. Display format –
January, 1900.
Else, if this is the first incident in the series and S_04C = -9, display "most recent".
Else, if this is the second incident in the series and S_04C = -9, display "second most recent".
Else, if this is the third incident in the series and S_04C = -9, display "third most recent".
Else, if this is the fourth incident in the series and S_04C = -9, display "fourth most recent".
PQID: NEW
SAS Variable: S_04G
Box ID:

S_04BOX5

If data has been collected for the four most recent dates in S_04C where N = S_04B1_NUM, go
to S_05.
Else, go to S_04C for incident (N+1).

77

Proxy Interview Field Test Instrument

Vandalism
Question ID:

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, has anyone vandalized your home, car, or something else that belongs to you or
someone else living here?
1

Yes

2

No

ASK Description: All household respondents.
ASK Specification: IF UT_HHR = 1.
PQID: NEW
SAS Variable: S_05A1
Tags: Change Request
Notes: #471 – revised question text
Question ID:

S_05A2

In the past 12 months, did someone deliberately injure or kill an animal, such as a pet or
livestock, that belonged to you or someone you live with?
1

Yes

2

No

ASK Description: All household respondents.
ASK Specification: IF UT_HHR = 1.
PROGRAM: ROUTING INSTRUCTIONS: If S_05A1 = 1 or S_05A2 = 1, go to S_05B1.
Else, go to S_06A.
PQID: NEW
SAS Variable: S_05A2

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Proxy Interview Field Test Instrument

Question ID:

S_05B1

In the past 12 months, how many times did someone vandalize something that belonged to you
or someone you live with?
{Please also count times when an animal was injured or killed.}
1

Once

2

Two or more times {How many times: |_ _|}

ASK Description: Respondents who had their home, car, or something else vandalized or had an
animal deliberately injured or killed in the past 12 months.
ASK Specification: IF S_05A1 = 1 OR S_05A2 = 1.
PROGRAM: ROUTING INSTRUCTIONS: If S_05B1 = -9 OR (S_05B1 = 2 AND S_05B1_NUM = 9), go to S_05B1A.
Else, if S_05B1 = 2 and S_05B1_NUM = 2, 3, go to S_05C_INTRO.
Else, if S_05B1 = 2 and S_05B1_NUM >= 4, go to S_05B2.
Else, if S_05B1 = 1 or (S_05B1 = 2 and S_05B1_NUM = 1), go to S_05BOX1.
DISPLAY: If S_05A2 = 1, display "Please also count times when an animal was injured or killed."
Else, do not display this text.
If S_05B1 = 2, display "How many times:" and an open response field. Allow 2 digits.
PQID: NEW
SAS Variable: S_05B1, S_05B1_NUM
Tags: Change Request
Notes: revise for the FT (and use "two or more times" as per Darby)
Question ID:

S_05B1A

You did not enter how many times this happened in the past 12 months. Please select one of the
following.
1

I really meant to answer

2

I don't know the answer

ASK Description: Respondents who had their home, car, or something else vandalized or had an
animal deliberately injured or killed in the past 12 months and did not enter how many times
this happened in the past 12 months.
ASK Specification: IF (S_05A1 = 1 OR S_05A2 = 1) AND (S_05B1 = -9 OR (S_05B1 = 2 AND
S_05B1_NUM = -9)).
PROGRAM: If S_05B1A = 2, -9, set S_V = 1 and create 1 CIR.
ROUTING INSTRUCTIONS: If S_05B1A = 1, go to S_05B1.
Else, go to S_05BOX1.
PQID: NEW
SAS Variable: S_05B1A
Tags: Change Request
Notes: replaced with "create 1 CIR"

79

Proxy Interview Field Test Instrument

Question ID:

S_05B2

Do you recall enough details about each incident to be able to distinguish them from each other?
1

Yes

2

No

ASK Description: Respondents who had their home, car, or something else vandalized or had an
animal deliberately injured or killed four or more times in the past 12 months.
ASK Specification: IF S_05B1 = 2 AND S_05B1_NUM >= 4.
PROGRAM: If S_05B2 = 2, set SERIES = 1.
ROUTING INSTRUCTIONS: If S_05B2 = 2, go to S_05BOX1.
Else, go to S_05C_INTRO.
PQID: Adapted from CIR5b
SAS Variable: S_05B2
Question ID:

S_05C_INTRO

{I will ask/On the next screens, you are going to be asked} about {each of these/the four most
recent} incidents, starting with the most recent{ time this happened. Please click NEXT to
continue.}
ASK Description: Respondents who had their home, car, or something else vandalized or had an
animal deliberately injured or killed more than once within the last 12 months.
ASK Specification: IF (S_05B1 = 2 AND S_05B1_NUM = 2, 3) OR (S_05B1 = 2 AND
S_05B1_NUM >= 4 AND S_05B2 = 1).
DISPLAY: If S_05B1_NUM = 2, 3, 4 display "each of these". Else, if S_05B1_NUM >= 5, display
"the four most recent".
If CONDITION = 2, display "I will ask". Else, if CONDITION = 3, display "On the next screens,
you are going to be asked" and " time this happened… continue."
Tags: Change Request
Notes: IF CONDITION=2:
VERSION1: I will ask about each of these incidents, starting with the most recent.
VERSION2: I will ask about the four most recent incidents, starting with the most recent.
IF CONDITION=3:
VERSION1: On the next screens, you are going to be asked about each of these incidents,
starting with the most recent time this happened. Please click NEXT to continue.
VERSION2: On the next screens, you are going to be asked about the four most recent
incidents, starting with the most recent time this happened. Please click NEXT to continue.

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Proxy Interview Field Test Instrument

Box ID:

S_05BOX1

If S_05B1 = 2 and (S_05B1_NUM = 2, 3 or (S_05B1_NUM >= 4 and S_05B2 = 1), repeat
S_05C through S_05G for up to four most recent dates in S_05C where N = S_05B1_NUM. 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.
Else, if S_05B1 = 1 or (S_05B1 = 2 and (S_05B1_NUM = 1 or (S_05B1_NUM >= 4 and S_05B2
= 2))) or S_05B1A = 2, -9, ask only about most recent incident in S_05C.

81

Proxy Interview Field Test Instrument

Question ID:

S_05C

{You said that {something was vandalized}{ and}{ someone deliberately injured or killed an
animal} {FILL ANSWER FROM S_05B1 times} in the past 12 months.} In what month did the
{MOST RECENT/SECOND MOST RECENT/THIRD MOST RECENT/FOURTH MOST RECENT}
incident happen? If you don't remember the exact month, please give your best estimate.
1

Before {CURRENT MONTH MINUS 12}

2

{CURRENT MONTH MINUS 12}

3

{CURRENT MONTH MINUS 11}

4

{CURRENT MONTH MINUS 10}

5

{CURRENT MONTH MINUS 9}

6

{CURRENT MONTH MINUS 8}

7

{CURRENT MONTH MINUS 7}

8

{CURRENT MONTH MINUS 6}

9

{CURRENT MONTH MINUS 5}

10

{CURRENT MONTH MINUS 4}

11

{CURRENT MONTH MINUS 3}

12

{CURRENT MONTH MINUS 2}

13

{CURRENT MONTH MINUS 1}

14

{CURRENT MONTH}

ASK Description: Respondents who had their home, car, or something else vandalized or had an
animal deliberately injured or killed in the past 12 months or did not know how many times this
incident happened in the past 12 months.
ASK Specification: IF (S_05A1 = 1 OR S_05A2 = 1) AND (S_05B1 = 1 OR (S_05B1 = 2 AND
S_05B1_NUM >= 1) OR S_05B1A = 2, -9).
PROGRAM: ROUTING INSTRUCTIONS: If DATE PROVIDED IN S_05C IS CURRENT MONTH MINUS
12 OR S_05C = -9, go to S_05C1.
Else, if DATE PROVIDED IN S_05C IS CURRENT MONTH MINUS 6, go to S_05C2.
Else, if DATE PROVIDED IN S_05C IS BEFORE CURRENT MONTH MINUS 12, go to S_06.
Else, go to S_05BOX2B.
DISPLAY: If S_05B1_NUM > 1, display for all incidents after the first "You said that someone…
in the past 12 months."
If S_05A1 = 1, display "something was vandalized". Else, do not display this text.
If S_05A2 = 1, display "someone deliberately injured or killed an animal". Else, do not display
this text.
If S_05A1 = 1 and S_05A2 = 1, display "and". Else, do not display this text.
For the first incident, display "MOST RECENT".
For the second incident, display "SECOND MOST RECENT".
For the third incident, display "THIRD MOST RECENT".
For the fourth incident, display "FOURTH MOST RECENT".
In each response option, take Today's month minus N in descending order. Display format –
January, 1900.
PQID: NEW

82

Proxy Interview Field Test Instrument

SAS Variable: S_05C
Question ID:

S_05C1

Did this incident happen before, after, or on {12-MO ANCHORDATE}?
1

It happened before {12-MO ANCHORDATE}

2

It happened after or on {12-MO ANCHORDATE}

3

I don't know when it happened / can't remember

ASK Description: Respondents who had something vandalized or had an animal deliberately
injured or killed 12 months ago or did not report the month and year of the incident.
ASK Specification: IF DATE PROVIDED IN S_05C IS CURRENT MONTH MINUS 12 OR S_05C = 9.
PROGRAM: ROUTING INSTRUCTIONS: If S_05C = -9 and S_05C1 = 2, go to S_05C2.
Else, if DATE PROVIDED IN S_05C IS CURRENT MONTH MINUS 12 and S_05C1 = 2, go to
S_05BOX2B.
Else, if S_05C1 = 3, -9, go to S_05BOX5.
Else, go to S_06.
PQID: NEW
SAS Variable: S_05C1
Question ID:

S_05C2

Did this incident happen before, after, or on {6-MO ANCHORDATE}?
1

It happened before {6-MO ANCHORDATE}

2

It happened after or on {6-MO ANCHORDATE}

3

I don't know

ASK Description: Respondents who had something vandalized or had an animal deliberately
injured or killed six months ago or did not report the month and year of the incident and
confirmed it happened in the past 12 months.
ASK Specification: IF DATE PROVIDED IN S_05C IS CURRENT MONTH MINUS 6 OR (S_05C = -9
AND S_05C1 = 2).
PROGRAM: ROUTING INSTRUCTIONS: If S_05C = -9 AND S_05C1 = 2 AND S_05C2 = 3, -9, go
to S_05BOX5.
Else, go to S_05BOX2B.
PQID: NEW
SAS Variable: S_05C2

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Proxy Interview Field Test Instrument

Box ID:

S_05BOX2B

Respondents who had their home, car, or something else vandalized or had an animal
deliberately injured or killed in the past 12 months and the MONTH/YEAR of the current incident
matches the MONTH/YEAR of any previously reported incidents, or no date was provided for the
current incident and the current incident was confirmed to have happened on or after anchor
date and there are any previously reported incidents for which a date was not collected that
were confirmed to have happened on or after anchor date, go to S_05DD2.
Else, go to S_05BOX3.

IF (DATE PROVIDED IN S_05C IS WITHIN THE PAST 12 MONTHS AND (S_05C MATCHES A DATE
PROVIDED IN S_01D OR S_02C OR S_03D OR S_04C)) OR (S_05C = -9 AND S_05C1 = 2 AND
((S_01D = -9 AND S_01D1 = 2 FOR ANY INCIDENT IN S_01D) OR (S_02C = -9 AND S_02C1 =
2 FOR ANY INCIDENT IN S_02C) OR (S_03D = -9 AND S_03D1 = 2 FOR ANY INCIDENT IN
S_03D) OR (S_04C = -9 AND S_04C1 = 2 FOR ANY INCIDENT IN S_04C)), GO TO S_05DD2.
ELSE, GO TO S_05BOX3.

Question ID:

S_05DD2

Is this incident part of any other incident you have already mentioned?
1

Yes

GO TO S_05DD3

2

No

GO TO S_05BOX3

ASK Description: Respondents who had their home, car, or something else vandalized or had an
animal deliberately injured or killed in the past 12 months and the MONTH/YEAR of the current
incident matches the MONTH/YEAR of any previously reported incidents, or no date was
provided for the current incident and the current incident was confirmed to have happened on or
after anchor date and there are any previously reported incidents for which a date was not
collected that were confirmed to have happened on or after anchor date.
ASK Specification: IF (DATE PROVIDED IN S_05C IS WITHIN THE PAST 12 MONTHS AND S_05C
MATCHES A DATE PROVIDED IN S_01D OR S_02C OR S_03D OR S_04C) OR (S_05C = -9 AND
S_05C1 = 2 AND ((S_01D = -9 AND S_01D1 = 2 FOR ANY INCIDENT IN S_01D) OR (S_02C = 9 AND S_02C1 = 2 FOR ANY INCIDENT IN S_02C) OR (S_03D = -9 AND S_03D1 = 2 FOR ANY
INCIDENT IN S_03D) OR (S_04C = -9 AND S_04C1 = 2 FOR ANY INCIDENT IN S_04C))).
PQID: NEW
SAS Variable: S_05DD2

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Proxy Interview Field Test Instrument

Question ID:

S_05DD3

Which incident was this part of?
0

{Incident 1}

1

{Incident 2}

2

{Incident 3}

3

{Incident 4}

4

{Incident 5}

5

{Incident 6}

6

{Incident 7}

7

{Incident 8}

8

{Incident 9}

9

{Incident 10}

10

{Incident 11}

11

{Incident 12}

12

{Incident 13}

13

{Incident 14}

14

{Incident 15}

15

{Incident 16}

-8

This is a separate incident

ASK Description: Respondents who had something vandalized or had an animal deliberately
injured or killed that was part of another incident.
ASK Specification: IF S_05DD2 = 1.
DISPLAY: Display each incident previously mentioned that this incident 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". If S_05C = -9, only display prior incidents where the date is
also missing.
PQID: NEW
SAS Variable: S_05DD3
Box ID:

S_05BOX3

IF (DATE PROVIDED IN S_05C IS WITHIN THE PAST 12 MONTHS OR S_05C1 = 2) AND
S_05DD3 = 0, 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, set S_V = 1 for the incident
selected in S_05DD3.
Else, if (DATE PROVIDED IN S_05C IS WITHIN THE PAST 12 MONTHS OR S_05C1 = 2) AND
(S_05DD2 != 1 OR S_05DD3 = -8, -9), set S_V = 1.
ROUTING INSTRUCTIONS: If SVERSION = 1 AND (S_05DD2 != 1 OR S_05DD3 = -8, -9), go to
S_05E.
Else, go to S_05BOX5.

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Proxy Interview Field Test Instrument

Question ID:

S_05E

Still thinking about this {most recent/second most recent/third most recent/fourth most
recent/S_05C: MONTH, YEAR} incident when {something was vandalized}{ or}{ someone
deliberately injured or killed an animal}, was anything stolen as part of the incident?
1

Yes

2

No

ASK Description: Respondents who had something vandalized or had an animal deliberately
injured or killed in the past 12 months or did not know how many times this incident happened
in the past 12 months.
ASK Specification: IF SVERSION = 1 AND (S_05A1 = 1 OR S_05A2 = 1) AND (S_05B1 = 1 OR
(S_05B1 = 2 AND S_05B1_NUM >= 1) OR S_05B1A = 2, -9) AND (DATE PROVIDED IN S_05C
IS WITHIN THE PAST 12 MONTHS OR S_05C1 = 2) AND (S_05DD2 != 1 OR S_05DD3 = -8, -9).
PROGRAM: If S_05E = 1, set S_T = 1.
DISPLAY: If date provided in S_05C, display Month, Year for each incident. Display format –
January, 1900.
Else, if this is the first incident in the series and S_05C = -9, display "most recent".
Else, if this is the second incident in the series and S_05C = -9, display "second most recent".
Else, if this is the third incident in the series and S_05C = -9, display "third most recent".
Else, if this is the fourth incident in the series and S_05C = -9, display "fourth most recent".
If S_05A1 = 1, display "something was vandalized". Else, do not display this text.
If S_05A2 = 1, display "someone deliberately injured or killed an animal". Else, do not display
this text.
If S_05A1 = 1 and S_05A2 = 1, display "or". Else, do not display this text.
PQID: NEW
SAS Variable: S_05E

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Proxy Interview Field Test Instrument

Question ID:

S_05F

Still thinking about this {most recent/second most recent/third most recent/fourth most
recent/S_05C: MONTH, YEAR} incident when {something was vandalized}{ or}{ someone
deliberately injured or killed an animal}, were you physically attacked or were you threatened
with a weapon, during this incident?
1

Yes

GO TO S_05G

2

No

GO TO S_05BOX5

ASK Description: Respondents who had something vandalized or had an animal deliberately
injured or killed in the past 12 months or did not know how many times this incident happened
in the past 12 months.
ASK Specification: IF SVERSION = 1 AND (S_05A1 = 1 OR S_05A2 = 1) AND (S_05B1 = 1 OR
(S_05B1 = 2 AND S_05B1_NUM >= 1) OR S_05B1A = 2, -9) AND (DATE PROVIDED IN S_05C
IS WITHIN THE PAST 12 MONTHS OR S_05C1 = 2) AND (S_05DD2 != 1 OR S_05DD3 = -8, -9).
PROGRAM: If S_05F = 1, set S_ATA = 1.
DISPLAY: If date provided in S_05C, display Month, Year for each incident. Display format –
January, 1900.
Else, if this is the first incident in the series and S_05C = -9, display "most recent".
Else, if this is the second incident in the series and S_05C = -9, display "second most recent".
Else, if this is the third incident in the series and S_05C = -9, display "third most recent".
Else, if this is the fourth incident in the series and S_05C = -9, display "fourth most recent".
If S_05A1 = 1, display "something was vandalized". Else, do not display this text.
If S_05A2 = 1, display "someone deliberately injured or killed an animal". Else, do not display
this text.
If S_05A1 = 1 and S_05A2 = 1, display "or". Else, do not display this text.
PQID: NEW
SAS Variable: S_05F

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Proxy Interview Field Test Instrument

Question ID:

S_05G

Still thinking about this {most recent/second most recent/third most recent/fourth most
recent/S_05C: MONTH, YEAR} incident when {something was vandalized}{ or}{ someone
deliberately injured or killed an animal}, 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

ASK Description: Respondents who had something vandalized or had an animal deliberately
injured or killed in the past 12 months or did not know how many times this incident happened
in the past 12 months and were physically attacked, or threatened with a weapon, during this
incident.
ASK Specification: IF SVERSION = 1 AND (S_05A1 = 1 OR S_05A2 = 1) AND (S_05B1 = 1 OR
(S_05B1 = 2 AND S_05B1_NUM >= 1) OR S_05B1A = 2, -9) AND (DATE PROVIDED IN S_05C
IS WITHIN THE PAST 12 MONTHS OR S_05C1 = 2) AND (S_05DD2 != 1 OR S_05DD3 = -8, -9)
AND S_05F = 1.
PROGRAM: If S_05G = 1, set S_SA = 1.
DISPLAY: If date provided in S_05C, display Month, Year for each incident. Display format –
January, 1900.
Else, if this is the first incident in the series and S_05C = -9, display "most recent".
Else, if this is the second incident in the series and S_05C = -9, display "second most recent".
Else, if this is the third incident in the series and S_05C = -9, display "third most recent".
Else, if this is the fourth incident in the series and S_05C = -9, display "fourth most recent".
If S_05A1 = 1, display "something was vandalized". Else, do not display this text.
If S_05A2 = 1, display "someone deliberately injured or killed an animal". Else, do not display
this text.
If S_05A1 = 1 and S_05A2 = 1, display "or". Else, do not display this text.
PQID: NEW
SAS Variable: S_05G
Box ID:

S_05BOX5

If data has been collected for the four most recent dates in S_05C where N = S_05B1_NUM, go
to S_06.
Else, go to S_05C for incident (N+1).

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Proxy Interview Field Test Instrument

Attack
Box ID:

S_06

For S_06A1 through S_06A5, display ‘Yes' and ‘No' columns with options for each response
category.
Tags: Stem and Leaf screen
Question ID:

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{ at work,} at school, or away from home.
{Other than the attacks or threatened attacks you have already mentioned, in/In} the past 12
months, did anyone attack or try to attack you…
1

With a weapon, such as a gun or knife

2

With something else used as a weapon, like a
baseball bat, scissors, or a stick?

3

By throwing something at you, such as a rock or
bottle?

4

By hitting, slapping, grabbing, kicking, punching,
or choking you?

5

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

ASK Description: All respondents.
DISPLAY: If UT_AGE >= 16, display " at work,". Else, do not display this text.
If S_01F = 1 or S_02F = 1 or S_03F = 1 or S_04F = 1 or S_05F = 1, display "Other than the
attacks or threatened attacks you have already mentioned, in". Else, display "In".
PQID: Revision to NCVS-1, item 41a
SAS Variable: S_06A1, S_06A2, S_06A3, S_06A4, S_06A5
Tags: Change Request, Stem and Leaf screen
Notes: #478 - added option 5 to stem and leaf screen

89

Proxy Interview Field Test Instrument

Question ID:

S_06A6

In the past 12 months, did anyone THREATEN to attack you, but not actually do it? {Do not
include incidents you have already mentioned.}
1

Yes

2

No

ASK Description: All respondents.
DISPLAY: If S_06A1 = 1 or S_06A2 = 1 or S_06A3 = 1 or S_06A4 = 1 or S_06A5 = 1, display
"Do not include incidents you have already mentioned.".
PQID: Revision to NCVS-1, item 41a
SAS Variable: S_06A6
Tags: Change Request
Notes: #437 updated question text
Question ID:

S_06A8

People sometimes don't think of attacks by someone they know, like {a current or former
spouse or partner/a boyfriend or girlfriend}, someone {at work or at school/at school}, a friend,
a family member, a neighbor, or any other person you've met or known.
{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, attacked you with a weapon, or otherwise physically hurt you.
1

Yes

2

No

ASK Description: All respondents.
DISPLAY: If UT_AGE >= 18, display "a current or former spouse or partner". Else, display "a
boyfriend or girlfriend".
If UT_AGE >= 16, display "at work or at school". Else, display "at school".
If S_06A1 = 1 or S_06A2 = 1 or S_06A3 = 1 or S_06A4 = 1 or S_06A5 = 1 or S_06A6 = 1,
display "Other than what you have already mentioned,". Else, do not display this text.
PQID: Revision to NCVS-1, item 42a
SAS Variable: S_06A8
Tags: Change Request
Notes: added ", a neighbor, or any other person you've met or known"
Box ID:

S_06BOX2

If S_06A1 = 1 or S_06A2 = 1 or S_06A3 = 1 or S_06A4 = 1 or S_06A5 = 1 or S_06A6 = 1 or
S_06A8 = 1, go to S_06B1.
Else, go to S_07.

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Proxy Interview Field Test Instrument

Question ID:

S_06B1

{You just said yes to more than one of these questions about physical attacks. Altogether,} In
the past 12 months, how many times did someone {attack you or try to attack you}{ or}{
threaten to attack you}?
1

Once

2

Two or more times {How many times: |_ _|}

ASK Description: Respondents who reported they were attacked or someone tried to attack
them or were threatened with attack in the past 12 months.
ASK Specification: IF S_06A1 = 1 OR S_06A2 = 1 OR S_06A3 = 1 OR S_06A4 = 1 OR S_06A5
= 1 OR S_06A6 = 1 OR S_06A8 = 1.
PROGRAM: ROUTING INSTRUCTIONS: If S_06B1 = -9 OR (S_06B1 = 2 AND S_06B1_NUM = 9), go to S_06B1A.
Else, if S_06B1 = 2 and S_06B1_NUM >= 4, go to S_06B2.
Else, if S_06B1 = 2 and S_06B1_NUM = 2, 3, go to S_06C_INTRO.
Else, if S_06B1 = 1 or (S_06B1 = 2 and S_06B1_NUM = 1), go to S_06C.
DISPLAY: If "Yes" to more than one in S_06A1 - 8, display "You just said yes to more than one
of these questions about physical attacks. Altogether,". Else, do not display this text.
If S_06A1 = 1 or S_06A2 = 1 or S_06A3 = 1 or S_06A4 = 1 or S_06A5 = 1 or S_06A8 = 1,
display "attack you or try to attack you". Else, do not display this text.
If S_06A6 = 1, display " threaten to attack you". Else, do not display this text.
If (S_06A1 = 1 or S_06A2 = 1 or S_06A3 = 1 or S_06A4 = 1 or S_06A5 = 1 or S_06A8 = 1)
and S_06A6 = 1, display "or". Else, do not display this text.
If S_06B1 = 2, display "How many times:" and an open response field. Allow 2 digits.
PQID: Revision to NCVS-1, item 41b, 42b
SAS Variable: S_06B1, S_06B1_NUM

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Proxy Interview Field Test Instrument

Question ID:

S_06B1A

You did not enter how many times this happened in the past 12 months. Please select one of the
following.
1

I really meant to answer

2

I don't know the answer

ASK Description: Respondents who reported they were attacked or someone tried to attack
them or were threatened with attack in the past 12 months and did not enter how many times
this happened the past 12 months.
ASK Specification: IF (S_06A1 = 1 OR S_06A2 = 1 OR S_06A3 = 1 OR S_06A4 = 1 OR S_06A5
= 1 OR S_06A6 = 1 OR S_06A8 = 1) AND (S_06B1 = -9 OR (S_06B1 = 2 AND S_06B1_NUM =
-9)).
PROGRAM: If (S_06A1 = 1 OR S_06A2 = 1 OR S_06A3 = 1 OR S_06A4 = 1 OR S_06A5 = 1 OR
S_06A8 = 1) AND S_06B1A = 2, -9, set S_A = 1 and create 1 CIR.
ROUTING INSTRUCTIONS: If S_06B1A = 1, go to S_06B1.
Else, go to S_06BOX3.
PQID: NEW
SAS Variable: S_06B1A
Tags: Change Request
Notes: replaced with "create 1 CIR"
Question ID:

S_06B2

Do you recall enough details about each incident to be able to distinguish them from each other?
1

Yes

2

No

ASK Description: Respondents who were attacked or someone tried to attack or were
threatened with attack four or more times in the past 12 months.
ASK Specification: IF S_06B1 = 2 AND S_06B1_NUM >= 4.
PROGRAM: If S_06B2 = 2, set SERIES = 1.
ROUTING INSTRUCTIONS: If S_06B2 = 2, go to S_06C.
Else, go to S_06C_INTRO.
PQID: Adapted from CIR5b
SAS Variable: S_06B2

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Proxy Interview Field Test Instrument

Question ID:

S_06C_INTRO

{I will ask/On the next screens, you are going to be asked} about {each of these/the four most
recent} incidents, starting with the most recent{ time this happened. Please click NEXT to
continue.}
ASK Description: Respondents who were attacked or someone tried to attack or were
threatened with attack more than once in the past 12 months.
ASK Specification: IF (S_06B1 = 2 and S_06B1_NUM = 2, 3) OR (S_06B1 = 2 AND
S_06B1_NUM >= 4 AND S_06B2 = 1).
DISPLAY: If S_06B1_NUM = 2, 3, 4 display "each of these". Else, if S_06B1_NUM >= 5, display
"the four most recent".
If CONDITION = 2, display "I will ask". Else, if CONDITION = 3, display "On the next screens,
you are going to be asked" and " time this happened… continue."
Tags: Change Request
Notes: IF CONDITION=2:
VERSION1: I will ask about each of these incidents, starting with the most recent.
VERSION2: I will ask about the four most recent incidents, starting with the most recent.
IF CONDITION=3:
VERSION1: On the next screens, you are going to be asked about each of these incidents,
starting with the most recent time this happened. Please click NEXT to continue.
VERSION2: On the next screens, you are going to be asked about the four most recent
incidents, starting with the most recent time this happened. Please click NEXT to continue.
Box ID:

S_06BOX3

If S_06B1 = 2 and (S_06B1_NUM = 2, 3 or (S_06B1_NUM >= 4 and S_06B2 = 1), repeat
S_06C through S_06F for up to four most recent dates in S_06C where N = S_06B1_NUM. Ask
all items from S_06C through S_06F (as appropriate) for most recent incident, then move to
next most recent incident, and so on.
Else, if S_06B1 = 1 or (S_06B1 = 2 and (S_06B1_NUM = 1 or (S_06B1_NUM >= 4 and S_06B2
= 2))) or S_06B1A = 2, -9, ask only about most recent incident in S_06C.

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Proxy Interview Field Test Instrument

Question ID:

S_06C

{You said that {someone attacked you or tried to attack you}{ and}{ someone threatened to
attack you} {FILL ANSWER FROM S_06B1 times} in the past 12 months.} When did the {MOST
RECENT/SECOND MOST RECENT/THIRD MOST RECENT/FOURTH MOST RECENT} incident
happen? If you don't remember the exact month, please give your best estimate.
1

Before {CURRENT MONTH MINUS 12}

2

{CURRENT MONTH MINUS 12}

3

{CURRENT MONTH MINUS 11}

4

{CURRENT MONTH MINUS 10}

5

{CURRENT MONTH MINUS 9}

6

{CURRENT MONTH MINUS 8}

7

{CURRENT MONTH MINUS 7}

8

{CURRENT MONTH MINUS 6}

9

{CURRENT MONTH MINUS 5}

10

{CURRENT MONTH MINUS 4}

11

{CURRENT MONTH MINUS 3}

12

{CURRENT MONTH MINUS 2}

13

{CURRENT MONTH MINUS 1}

14

{CURRENT MONTH}

ASK Description: Respondents who were attacked or someone tried to attack or were
threatened with attack in the past 12 months or did not know how many times this incident
happened in the past 12 months.
ASK Specification: IF (S_06A1 = 1 OR S_06A2 = 1 OR S_06A3 = 1 OR S_06A4 = 1 OR S_06A5
= 1 OR S_06A6 = 1 OR S_06A8 = 1) AND (S_06B1 = 1 OR (S_06B1 = 2 AND S_06B1_NUM >=
1) OR S_06B1A = 2, -9).
PROGRAM: ROUTING INSTRUCTIONS: If DATE PROVIDED IN S_06C IS CURRENT MONTH MINUS
12 OR S_06C = -9, go to S_06C1.
Else, if DATE PROVIDED IN S_06C IS CURRENT MONTH MINUS 6, go to S_06C2.
Else, if DATE PROVIDED IN S_06C IS BEFORE CURRENT MONTH MINUS 12, go to S_07.
Else, go to S_06BOX3B.
DISPLAY: If S_06B1_NUM > 1, display for all incidents after the first "You said that someone…
in the past 12 months."
If S_06A1 = 1 or S_06A2 = 1 or S_06A3 = 1 or S_06A4 = 1 or S_06A5 = 1 or S_06A8 = 1,
display "attack you or try to attack you". Else, do not display this text.
If S_06A6 = 1, display " threaten to attack you". Else, do not display this text.
If (S_06A1 = 1 or S_06A2 = 1 or S_06A3 = 1 or S_06A4 = 1 or S_06A5 = 1 or S_06A8 = 1)
and S_06A6 = 1, display "and". Else, do not display this text.
For the first incident, display "MOST RECENT".
For the second incident, display "SECOND MOST RECENT".
For the third incident, display "THIRD MOST RECENT".
For the fourth incident, display "FOURTH MOST RECENT".
In each response option, take Today's month minus N in descending order. Display format –
January, 1900.

94

Proxy Interview Field Test Instrument

PQID: NEW
SAS Variable: S_06C
Question ID:

S_06C1

Did this incident happen before, after, or on {12-MO ANCHORDATE}?
1

It happened before {12-MO ANCHORDATE}

2

It happened after or on {12-MO ANCHORDATE}

3

I don't know when it happened / can't remember

ASK Description: Respondents who were attacked or someone tried to attack or were
threatened with attack in the past 12 months.
ASK Specification: IF DATE PROVIDED IN S_06C IS CURRENT MONTH MINUS 12 OR S_06C = 9.
PROGRAM: ROUTING INSTRUCTIONS: If S_06C = -9 and S_06C1 = 2, go to S_06C2.
Else, if DATE PROVIDED IN S_06C IS CURRENT MONTH MINUS 12 and S_06C1 = 2, go to
S_06BOX3B.
Else, if S_06C1 = 3, -9, go to S_06BOX5.
Else, go to S_07.
PQID: NEW
SAS Variable: S_06C1
Question ID:

S_06C2

Did this incident happen before, after, or on {6-MO ANCHORDATE}?
1

It happened before {6-MO ANCHORDATE}

2

It happened after or on {6-MO ANCHORDATE}

3

I don't know

ASK Description: Respondents who were attacked or someone tried to attack or were
threatened with attack six months ago or did not report the month and year of the incident and
confirmed it happened in the past 12 months.
ASK Specification: IF DATE PROVIDED IN S_06C IS CURRENT MONTH MINUS 6 OR (S_06C = -9
AND S_06C1 = 2).
PROGRAM: ROUTING INSTRUCTIONS: If S_06C = -9 AND S_06C1 = 2 AND S_06C2 = 3, -9, go
to S_06BOX5.
Else, go to S_06BOX3B.
PQID: NEW
SAS Variable: S_06C2

95

Proxy Interview Field Test Instrument

Box ID:

S_06BOX3B

Respondents who were attacked or someone tried to attack or were threatened with attack in
the past 12 months and the MONTH/YEAR of the current incident matches the MONTH/YEAR of
any previously reported incidents, or no date was provided for the current incident and the
current incident was confirmed to have happened on or after anchor date and there are any
previously reported incidents for which a date was not collected that were confirmed to have
happened on or after anchor date, go to S_06DD2.
Else, go to S_06BOX3C.

IF (DATE PROVIDED IN S_06C IS WITHIN THE PAST 12 MONTHS AND (S_06C MATCHES A DATE
PROVIDED IN S_01D OR S_02C OR S_03D OR S_04C OR S_05C)) OR S_06C = -9 AND S_06C1
= 2 AND ((S_01D = -9 AND S_01D1 = 2 FOR ANY INCIDENT IN S_01D) OR (S_02C = -9 AND
S_02C1 = 2 FOR ANY INCIDENT IN S_02C) OR (S_03D = -9 AND S_03D1 = 2 FOR ANY
INCIDENT IN S_03D) OR (S_04C = -9 AND S_04C1 = 2 FOR ANY INCIDENT IN S_04C) OR
(S_05C = -9 AND S_05C1 = 2 FOR ANY INCIDENT IN S_05C)), GO TO S_06DD2.
ELSE, GO TO S_06BOX3C.

Question ID:

S_06DD2

Is this incident part of any other incident you have already mentioned?
1

Yes

GO TO S_06DD3

2

No

GO TO S_06BOX3C

ASK Description: Respondents who were attacked or someone tried to attack or were
threatened with attack in the past 12 months and the MONTH/YEAR of the current incident
matches the MONTH/YEAR of any previously reported incidents, or no date was provided for the
current incident and the current incident was confirmed to have happened on or after anchor
date and there are any previously reported incidents for which a date was not collected that
were confirmed to have happened on or after anchor date.
ASK Specification: IF (DATE PROVIDED IN S_06C IS WITHIN THE PAST 12 MONTHS AND S_06C
MATCHES A DATE PROVIDED IN S_01D OR S_02C OR S_03D OR S_04C OR S_05C) OR (S_06C
= -9 AND S_06C1 = 2 AND ((S_01D = -9 AND S_01D1 = 2 FOR ANY INCIDENT IN S_01D) OR
(S_02C = -9 AND S_02C1 = 2 FOR ANY INCIDENT IN S_02C) OR (S_03D = -9 AND S_03D1 = 2
FOR ANY INCIDENT IN S_03D) OR (S_04C = -9 AND S_04C1 = 2 FOR ANY INCIDENT IN S_04C)
OR (S_05C = -9 AND S_05C1 = 2 FOR ANY INCIDENT IN S_05C))).
PQID: NEW
SAS Variable: S_06DD2

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Proxy Interview Field Test Instrument

Question ID:

S_06DD3

Which incident was this part of?
0

{Incident 1}

1

{Incident 2}

2

{Incident 3}

3

{Incident 4}

4

{Incident 5}

5

{Incident 6}

6

{Incident 7}

7

{Incident 8}

8

{Incident 9}

9

{Incident 10}

10

{Incident 11}

11

{Incident 12}

12

{Incident 13}

13

{Incident 14}

14

{Incident 15}

15

{Incident 16}

16

{Incident 17}

17

{Incident 18}

18

{Incident 19}

19

{Incident 20}

-8

This is a separate incident

ASK Description: Respondents who were attacked or someone tried to attack or were
threatened with attack that was part of another incident.
ASK Specification: IF S_06DD2 = 1.
DISPLAY: Display each incident previously mentioned that this incident 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". If S_06C = -9, only display prior incidents where the date is
also missing.
PQID: NEW
SAS Variable: S_06DD3

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Proxy Interview Field Test Instrument

Box ID:

S_06BOX3C

IF (DATE PROVIDED IN S_06C IS WITHIN THE PAST 12 MONTHS OR S_06C1 = 2) AND
S_06DD3 = 0, 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, set S_ATA = 1 for
the incident selected in S_06DD3.
Else, if (DATE PROVIDED IN S_06C IS WITHIN THE PAST 12 MONTHS OR S_06C1 = 2), set
S_ATA = 1.

Box ID:

S_06BOX4

Respondents who were attacked or someone tried to attack and were threatened with attack in
the past 12 months, go to S_06D.
Else, respondents who were threatened with attack but not actually attacked or attempted to be
attacked in the past 12 months, go to S_06E.
Else, respondents who were attacked or someone tried to attack or were threatened with attack
face to face in the last 12 months, go to S_06F.
Else, go to S_06BOX5.

IF S_06A6 = 1 AND (S_06A1 = 1 OR S_06A2 = 1 OR S_06A3 = 1 OR S_06A4 = 1 OR S_06A5 =
1) AND (S_06B1 = 1 OR (S_06B1 = 2 AND S_06B1_NUM >= 1)) AND (DATE PROVIDED IN
S_06C IS WITHIN THE PAST 12 MONTHS OR S_06C1 = 2) AND (S_06DD2 != 1 OR S_06DD3 =
-8, -9), GO TO S_06D.
ELSE, IF S_06A6 = 1 AND S_06A1 != 1 AND S_06A2 != 1 AND S_06A3 != 1 AND S_06A4 != 1
AND S_06A5 != 1 AND (S_06B1 = 1 OR (S_06B1 = 2 AND S_06B1_NUM >= 1)) AND (DATE
PROVIDED IN S_06C IS WITHIN THE PAST 12 MONTHS OR S_06C1 = 2) AND (S_06DD2 != 1
OR S_06DD3 = -8, -9), GO TO S_06E.
ELSE, IF SVERSION = 1 AND (S_06A1 = 1 OR S_06A2 = 1 OR S_06A3 = 1 OR S_06A4 = 1 OR
S_06A5 = 1 OR S_06A6 = 1 OR S_06A8 = 1) AND (S_06B1 = 1 OR (S_06B1 = 2 AND
S_06B1_NUM >= 1)) AND (DATE PROVIDED IN S_06C IS WITHIN THE PAST 12 MONTHS OR
S_06C1 = 2) AND (S_06DD2 != 1 OR S_06DD3 = -8, -9), GO TO S_06F.
ELSE, GO TO S_06BOX5.

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Proxy Interview Field Test Instrument

Question ID:

S_06D

In this {most recent/second most recent/third most recent/fourth most recent} incident, did
someone actually attack or try to attack you, OR did they threaten to attack you?
1

Attacked / Tried to attack

2

Threatened to attack

ASK Description: Respondents who were attacked or someone tried to attack and were
threatened with attack in the past 12 months.
ASK Specification: IF S_06A6 = 1 AND (S_06A1 = 1 OR S_06A2 = 1 OR S_06A3 = 1 OR
S_06A4 = 1 OR S_06A5 = 1) AND (S_06B1 = 1 OR (S_06B1 = 2 AND S_06B1_NUM >= 1))
AND (DATE PROVIDED IN S_06C IS WITHIN THE PAST 12 MONTHS OR S_06C1 = 2) AND
(S_06DD2 != 1 OR S_06DD3 = -8, -9).
PROGRAM: If S_06D = 1, set S_A = 1.
ROUTING INSTRUCTIONS: If S_06D = 2, go to S_06E.
Else, IF SVERSION = 1 AND (S_06A1 = 1 OR S_06A2 = 1 OR S_06A3 = 1 OR S_06A4 = 1 OR
S_06A5 = 1 OR S_06A6 = 1 OR S_06A8 = 1) AND (S_06B1 = 1 OR (S_06B1 = 2 AND
S_06B1_NUM >= 1)) AND (DATE PROVIDED IN S_06C IS WITHIN THE PAST 12 MONTHS OR
S_06C1 = 2) AND (S_06DD2 != 1 OR S_06DD3 = -8, -9), go to S_06F.
Else, go to S_06BOX5.
SAS Variable: S_06D

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Proxy Interview Field Test Instrument

Question ID:

S_06E

How were you threatened? (Mark all that apply.)
1

Face to face

2

By phone or text

3

Online (email or social media)

4

Some other way Specify:

ASK Description: Respondents who were threatened with attack but not actually attacked or
attempted to be attacked in the past 12 months or did not know how many times this incident
happened in the past 12 months.
ASK Specification: IF ((S_06A6 = 1 AND (S_06A1 != 1 AND S_06A2 != 1 AND S_06A3 != 1
AND S_06A4 != 1 AND S_06A5 != 1)) OR S_06D = 2) AND (S_06B1 = 1 OR (S_06B1 = 2 AND
S_06B1_NUM >= 1) OR S_06B1A = 2, -9) AND (DATE PROVIDED IN S_06C IS WITHIN THE
PAST 12 MONTHS OR S_06C1 = 2) AND (S_06DD2 != 1 OR S_06DD3 = -8, -9).
PROGRAM: Display text box and allow 250 character text response.
If S_06E = 1, set S_TA = 1.
ROUTING INSTRUCTIONS: If SVERSION = 1 AND S_06E = 1, go to S_06F.
Else, go to S_06BOX5.
DISPLAY: Display "Mark all that apply." in italics.
PQID: Revision to NCVS-1, item 41a
SAS Variable: S_06E1, S_06E2, S_06E3, S_06E4, S_06E4_SPECIFY
Tags: Change Request, Choose-all-that-apply Item
Notes: How were you threatened? (CONDITION3: Mark all that apply. / CONDITION2: Would
you say… )
2. reversed change request for fill
3. Add specify text field.

100

Proxy Interview Field Test Instrument

Question ID:

S_06F

Still thinking about this {most recent/second most recent/third most recent/fourth most
recent/S_06C: MONTH, YEAR} incident when {someone attacked you or tried to attack you}{
or}{ someone threatened to attack you}, 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

ASK Description: Respondents who were attacked or someone tried to attack or were
threatened with attack in the last 12 months or did not know how many times this incident
happened in the past 12 months.
ASK Specification: IF SVERSION = 1 AND (S_06A1 = 1 OR S_06A2 = 1 OR S_06A3 = 1 OR
S_06A4 = 1 OR S_06A5 = 1 OR S_06A6 = 1 OR S_06A8 = 1) AND (S_06B1 = 1 OR (S_06B1 =
2 AND S_06B1_NUM >= 1) OR S_06B1A = 2, -9) AND (DATE PROVIDED IN S_06C IS WITHIN
THE PAST 12 MONTHS OR S_06C1 = 2) AND (S_06DD2 != 1 OR S_06DD3 = -8, -9).
PROGRAM: If S_06F = 1, set S_SA = 1.
DISPLAY: If date provided in S_06C, display Month, Year for each incident. Display format –
January, 1900.
Else, if this is the first incident in the series and S_06C = -9, display "most recent".
Else, if this is the second incident in the series and S_06C = -9, display "second most recent".
Else, if this is the third incident in the series and S_06C = -9, display "third most recent".
Else, if this is the fourth incident in the series and S_06C = -9, display "fourth most recent".
If S_06A1 = 1 or S_06A2 = 1 or S_06A3 = 1 or S_06A4 = 1 or S_06A5 = 1 or S_06A8 = 1,
display "attack you or try to attack you". Else, do not display this text.
If S_06A6 = 1, display " threaten to attack you". Else, do not display this text.
If (S_06A1 = 1 or S_06A2 = 1 or S_06A3 = 1 or S_06A4 = 1 or S_06A5 = 1 or S_06A8 = 1)
and S_06A6 = 1, display "or". Else, do not display this text.
PQID: NEW
SAS Variable: S_06F
Box ID:

S_06BOX5

If data has been collected for the four most recent dates in S_06C where N = S_06B1_NUM, go
to S_07BOX1.
Else, go to S_06C for incident (N+1).

101

Proxy Interview Field Test Instrument

Unwanted Sexual Contact
Box ID:

S_07BOX1

For S_07A1 through S_07A4, display ‘Yes' and ‘No' columns with options for each response
category.
Tags: Stem and Leaf screen

102

Proxy Interview Field Test Instrument

Question ID:

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 touching of your sexual body parts, or any type of sexual penetration
with a body part or object. It also includes making you touch or penetrate someone else. 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./Sexual contact includes someone touching your
private parts, unwanted sex, or making you do these kinds of things to them. 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.}
{Other than the unwanted sexual contact you have already mentioned,} in the past 12 months…
1

Did anyone touch, grab, or kiss your {sexual body
parts against your will/private parts when you
didn't want them to} - or TRY to do this?

2

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 or THREATEN to do
this?

3

Did anyone threaten to physically hurt you or
someone close to you if you did not have sexual
contact?

4

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?

ASK Description: All respondents.
PROGRAM: ROUTING INSTRUCTIONS: If S_07A1 = 1 or S_07A2 = 1 or S_07A3 = 1 or S_07A4
= 1, go to S_07B1.
Else, go to S_08.
DISPLAY: If S_01G = 1 or S_02G = 1 or S_03G = 1 or S_04G = 1 or S_05G = 1 or S_06E = 1,
display "Other than the unwanted sexual contact you have already mentioned,". Else, do not
display this text.
If UT_AGE >= 16, display "Sexual contact… and women." Else, display "Sexual contact… and
girls."
PQID: NEW
SAS Variable: S_07A1, S_07A2, S_07A3, S_07A4
Tags: Change Request, Stem and Leaf screen

103

Proxy Interview Field Test Instrument

Notes: 1. Criteria for receiving S_07A is age 15+. Ages 12-15 should skip to S_07Y.
2. Change definition of sexual contact to "Sexual contact includes touching of your sexual body
parts, or any type of sexual penetration with a body part or object. It also includes making you
touch or penetrate someone else."
3. Change wording to "Did anyone touch, grab, or kiss your sexual body parts against your will
– or TRY to do this?"
Question ID:

S_07B1

In the past 12 months, how many times did someone have or try to have these types of sexual
contact with you?
1

Once

2

Two or more times {How many times: |_ _|}

ASK Description: Respondents who had unwanted sexual contact in the past 12 months.
ASK Specification: IF S_07A1 = 1 OR S_07A2 = 1 OR S_07A3 = 1 OR S_07A4 = 1.
PROGRAM: ROUTING INSTRUCTIONS: If S_07B1 = -9 OR (S_07B1 = 2 AND S_07B1_NUM = 9), go to S_07B1A.
Else, if S_07B1 = 2 and S_07B1_NUM >= 4, go to S_07B2.
Else, if S_07B1 = 2 and S_07B1_NUM = 2, 3, go to S_07C_INTRO.
Else, if S_07B1 = 1 or (S_07B1 = 2 and S_07B1_NUM = 1), go to S_07C.
DISPLAY: If S_07B1 = 2, display "How many times:" and an open response field. Allow 2 digits.
PQID: NEW
SAS Variable: S_07B1, S_07B1_NUM
Question ID:

S_07B1A

You did not enter how many times this happened in the past 12 months. Please select one of the
following.
1

I really meant to answer

2

I don't know the answer

ASK Description: Respondents who had unwanted sexual contact in the past 12 months and did
not enter how many times this happened the past 12 months.
ASK Specification: IF (S_07A1 = 1 OR S_07A2 = 1 OR S_07A3 = 1 OR S_07A4 = 1) AND
(S_07B1 = -9 OR (S_07B1 = 2 AND S_07B1_NUM = -9)).
PROGRAM: If S_07B1A = 2, -9, set S_SA = 1 and create 1 CIR.
ROUTING INSTRUCTIONS: If S_07B1A = 1, go to S_07B1.
Else, go to S_07BOX3.
PQID: NEW
SAS Variable: S_07B1A
Tags: Change Request
Notes: replaced with "create 1 CIR"

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Proxy Interview Field Test Instrument

Question ID:

S_07B2

Do you recall enough details about each incident to be able to distinguish them from each other?
1

Yes

2

No

ASK Description: Respondents who had unwanted sexual contact four or more times in the past
12 months.
ASK Specification: IF S_07B1 = 2 AND S_07B1_NUM >= 4.
PROGRAM: If S_07B2 = 2, set SERIES = 1.
ROUTING INSTRUCTIONS: If S_07B2 = 2, go to S_07C.
Else, go to S_07C_INTRO.
PQID: Adapted from CIR5b
SAS Variable: S_07B2
Question ID:

S_07C_INTRO

{I will ask/On the next screens, you are going to be asked} about {each of these/the four most
recent} incidents, starting with the most recent{ time this happened. Please click NEXT to
continue.}
ASK Description: Respondents who had unwanted sexual contact more than once in the past 12
months.
ASK Specification: IF (S_07B1 = 2 AND S_07B1_NUM = 2, 3) OR (S_07B1 = 2 AND
S_07B1_NUM >= 4 AND S_07B2 = 1).
DISPLAY: If S_07B1_NUM = 2, 3, 4 display "each of these". Else, if S_07B1_NUM >= 5, display
"the four most recent".
If CONDITION = 2, display "I will ask". Else, if CONDITION = 3, display "On the next screens,
you are going to be asked" and " time this happened… continue."
Tags: Change Request
Notes: IF CONDITION=2:
VERSION1: I will ask about each of these incidents, starting with the most recent.
VERSION2: I will ask about the four most recent incidents, starting with the most recent.
IF CONDITION=3:
VERSION1: On the next screens, you are going to be asked about each of these incidents,
starting with the most recent time this happened. Please click NEXT to continue.
VERSION2: On the next screens, you are going to be asked about the four most recent
incidents, starting with the most recent time this happened. Please click NEXT to continue.

105

Proxy Interview Field Test Instrument

Box ID:

S_07BOX3

If S_07B1 = 2 and (S_07B1_NUM = 2, 3 or (S_07B1_NUM >= 4 and S_07B2 = 1)), repeat
S_07C through S_07DD2 for up to four most recent dates in S_07C where N = S_07B1_NUM.
Ask all items from S_07C through S_07DD2 (as appropriate) for most recent incident, then
move to next most recent incident, and so on.
Else, if S_06B1 = 1 or (S_06B1 = 2 and (S_06B1_NUM = 1 or (S_06B1_NUM >= 4 and S_07B2
= 2))) or S_06B1A = 2, -9, ask only about most recent incident in S_07C.

106

Proxy Interview Field Test Instrument

Question ID:

S_07C

{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 12 months.} In what month did the {MOST
RECENT/SECOND MOST RECENT/THIRD MOST RECENT/FOURTH MOST RECENT} incident
happen? If you don't remember the exact month, please give your best estimate.
1

Before {CURRENT MONTH MINUS 12}

2

{CURRENT MONTH MINUS 12}

3

{CURRENT MONTH MINUS 11}

4

{CURRENT MONTH MINUS 10}

5

{CURRENT MONTH MINUS 9}

6

{CURRENT MONTH MINUS 8}

7

{CURRENT MONTH MINUS 7}

8

{CURRENT MONTH MINUS 6}

9

{CURRENT MONTH MINUS 5}

10

{CURRENT MONTH MINUS 4}

11

{CURRENT MONTH MINUS 3}

12

{CURRENT MONTH MINUS 2}

13

{CURRENT MONTH MINUS 1}

14

{CURRENT MONTH}

ASK Description: Respondents who had unwanted sexual contact in the past 12 months or did
not know how many times this incident happened in the past 12 months.
ASK Specification: IF (S_07A1 = 1 OR S_07A2 = 1 OR S_07A3 = 1 OR S_07A4 = 1) AND
(S_07B1 = 1 OR (S_07B1 = 2 AND S_07B1_NUM >= 1) OR S_07B1A = 2, -9).
PROGRAM: ROUTING INSTRUCTIONS: If DATE PROVIDED IN S_07C IS CURRENT MONTH MINUS
12 OR S_07C = -9, go to S_07C1.
Else, if DATE PROVIDED IN S_07C IS CURRENT MONTH MINUS 6, go to S_07C2.
Else, if DATE PROVIDED IN S_07C IS BEFORE CURRENT MONTH MINUS 12, go to S_08.
Else, go to S_07BOX3B.
DISPLAY: If S_07B1_NUM > 1, display for all incidents after the first "You said that someone…
in the past 12 months."
For the first incident, display "MOST RECENT".
For the second incident, display "SECOND MOST RECENT".
For the third incident, display "THIRD MOST RECENT".
For the fourth incident, display "FOURTH MOST RECENT".
In each response option, take Today's month minus N in descending order. Display format –
January, 1900.
PQID: NEW
SAS Variable: S_07C

107

Proxy Interview Field Test Instrument

Question ID:

S_07C1

Did this incident happen before, after, or on {12-MO ANCHORDATE}?
1

It happened before {12-MO ANCHORDATE}

2

It happened after or on {12-MO ANCHORDATE}

3

I don't know when it happened / can't remember

ASK Description: Respondents who had unwanted sexual contact 12 months ago or did not
report when they had unwanted sexual contact.
ASK Specification: IF DATE PROVIDED IN S_07C IS CURRENT MONTH MINUS 12 OR S_07C = 9.
PROGRAM: ROUTING INSTRUCTIONS: If S_07C = -9 and S_07C1 = 2, go to S_07C2.
Else, if DATE PROVIDED IN S_07C IS CURRENT MONTH MINUS 12 and S_07C1 = 2, go to
S_07BOX3B.
Else, if S_07C1 = 3, -9, go to S_07BOX4.
Else, go to S_08.
PQID: NEW
SAS Variable: S_07C1
Question ID:

S_07C2

Did this incident happen before, after, or on {6-MO ANCHORDATE}?
1

It happened before {6-MO ANCHORDATE}

2

It happened after or on {6-MO ANCHORDATE}

3

I don't know

ASK Description: Respondents who had unwanted sexual contact six months ago or did not
report the month and year of the incident and confirmed it happened in the past 12 months.
ASK Specification: IF DATE PROVIDED IN S_07C IS CURRENT MONTH MINUS 6 OR (S_07C = -9
AND S_07C1 = 2).
PROGRAM: ROUTING INSTRUCTIONS: If S_07C = -9 AND S_07C1 = 2 AND S_07C2 = 3, -9, go
to S_07BOX4.
Else, go to S_07BOX3B.
PQID: NEW
SAS Variable: S_07C2

108

Proxy Interview Field Test Instrument

Box ID:

S_07BOX3B

Respondents who had unwanted sexual contact in the past 12 months and the MONTH/YEAR of
the current incident matches the MONTH/YEAR of any previously reported incidents, or no date
was provided for the current incident and the current incident was confirmed to have happened
on or after anchor date and there are any previously reported incidents for which a date was not
collected that were confirmed to have happened on or after anchor date, go to S_07DD2.
Else, go to S_07BOX4.

IF (DATE PROVIDED IN S_07C IS WITHIN THE PAST 12 MONTHS AND (S_07C MATCHES A DATE
PROVIDED IN S_01D OR S_02C OR S_03D OR S_04C OR S_05C OR S_06C)) OR (S_07C = -9
AND S_07C1 = 2 AND ((S_01D = -9 AND S_01D1 = 2 FOR ANY INCIDENT IN S_01D) OR
(S_02C = -9 AND S_02C1 = 2 FOR ANY INCIDENT IN S_02C) OR (S_03D = -9 AND S_03D1 = 2
FOR ANY INCIDENT IN S_03D) OR (S_04C = -9 AND S_04C1 = 2 FOR ANY INCIDENT IN S_04C)
OR (S_05C = -9 AND S_05C1 = 2 FOR ANY INCIDENT IN S_05C) OR (S_06C = -9 AND S_06C1
= 2 FOR ANY INCIDENT IN S_06C))), GO TO S_07DD2.
ELSE, GO TO S_07BOX4.

Question ID:

S_07DD2

Is this incident part of any other incident you have already mentioned?
1

Yes

GO TO S_07DD3

2

No

GO TO S_07BOX4

ASK Description: Respondents who had unwanted sexual contact in the past 12 months and the
MONTH/YEAR of the current incident matches the MONTH/YEAR of any previously reported
incidents, or no date was provided for the current incident and the current incident was
confirmed to have happened on or after anchor date and there are any previously reported
incidents for which a date was not collected that were confirmed to have happened on or after
anchor date.
ASK Specification: IF (DATE PROVIDED IN S_07C IS WITHIN THE PAST 12 MONTHS AND
(S_07C MATCHES A DATE PROVIDED IN S_01D OR S_02C OR S_03D OR S_04C OR S_05C OR
S_06C)) OR (S_07C = -9 AND S_07C1 = 2 AND ((S_01D = -9 AND S_01D1 = 2 FOR ANY
INCIDENT IN S_01D) OR (S_02C = -9 AND S_02C1 = 2 FOR ANY INCIDENT IN S_02C) OR
(S_03D = -9 AND S_03D1 = 2 FOR ANY INCIDENT IN S_03D) OR (S_04C = -9 AND S_04C1 = 2
FOR ANY INCIDENT IN S_04C) OR (S_05C = -9 AND S_05C1 = 2 FOR ANY INCIDENT IN S_05C)
OR (S_06C = -9 AND S_06C1 = 2 FOR ANY INCIDENT IN S_06C))).
PQID: NEW
SAS Variable: S_07DD2

109

Proxy Interview Field Test Instrument

Question ID:

S_07DD3

Which incident was this part of?
0

{Incident 1}

1

{Incident 2}

2

{Incident 3}

3

{Incident 4}

4

{Incident 5}

5

{Incident 6}

6

{Incident 7}

7

{Incident 8}

8

{Incident 9}

9

{Incident 10}

10

{Incident 11}

11

{Incident 12}

12

{Incident 13}

13

{Incident 14}

14

{Incident 15}

15

{Incident 16}

16

{Incident 17}

17

{Incident 18}

18

{Incident 19}

19

{Incident 20}

20

{Incident 21}

21

{Incident 22}

22

{Incident 23}

23

{Incident 24}

-8

This is a separate incident

ASK Description: Respondents who had unwanted sexual contact that was part of another
incident.
ASK Specification: IF S_07DD2 = 1.
DISPLAY: 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". If S_06C = -9, only display prior incidents where the date is also missing.
PQID: NEW
SAS Variable: S_07DD3

110

Proxy Interview Field Test Instrument

Box ID:

S_07BOX4

IF (DATE PROVIDED IN S_07C IS WITHIN THE PAST 12 MONTHS OR S_07C1 = 2) AND
S_07DD3 = 0, 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23,
set S_SA = 1 for the incident selected in S_07DD3.
ELSE, IF (DATE PROVIDED IN S_07C IS WITHIN THE PAST 12 MONTHS OR S_07C1 = 2) AND
(S_07DD2 != 1 OR S_07DD3 = -8, -9), set S_SA = 1.
If data has been collected for the four most recent dates in S_07C where N = S_07B1_NUM, go
to S_08.
Else, go to S_07C for incident (N+1).

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Catch-All
Question ID:

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 12 months,
that is, since {DATE 12 MONTHS AGO} that you haven't mentioned? It could be something you
called the police about, or something you didn't consider reporting to the police.
1

Yes

2

No

ASK Description: All respondents.
PROGRAM: ROUTING INSTRUCTIONS: If S_08 = 1, go to S_08a.
Else, go to CIR_START.
DISPLAY: In "DATE 12 MONTH AGO", take Today's month minus twelve months. Display format
– January 1, 1900.
PQID: NEW
SAS Variable: S_08
Tags: Change Request
Notes: #398 update spec to match programming – remove parens around else and updated
"report" to "consider reporting"
Question ID:

S_08a

Please describe what else happened to you since {ANCHOR DATE}.
1

OPEN-ENDED VERBATIM RESPONSE FOR
PURPOSES OF FIELD TEST

ASK Description: Respondents who have another crime to report that has happened to them
within the last 12 months.
ASK Specification: IF S_08 = 1.
PROGRAM: Allow 1000 characters for text response.
DISPLAY: In "ANCHOR DATE", take Today's month minus twelve months. Display format –
January 1, 1900.
PQID: NEW
SAS Variable: S_08a

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Crime Incident Report (Adults and Youth)
Box ID:

CIR_START

PROGRAMMER NOTE: BEGIN CIR LOOP (CIR_START through NA_BOX3). Prioritize most serious
incident first, then the most recent incident within most serious. If some incidents with dates are
provided and others are missing a date, prioritize those with a date first. CONTINUE LOOPING
THROUGH CIRs UNTIL ALL INCIDENTS HAVE BEEN ASKED ABOUT.
PRIORITIZATION OF SERIOUSNESS
S_SA – Unwanted sexual contact
S_A – Attack
S_ATA – Attack or threatened attack
S_TA – Threatened Attack
S_BI – Break in
S_MV – Motor vehicle theft
S_T – Theft
S_MVP – Motor vehicle part or gas theft
S_V - Vandalism
NOTE: IF S_AT IS THE ONLY FLAG SET FOR AN INCIDENT, ONLY NARRATIVE WILL BE
COLLECTED. AN INCIDENT REPORTED IN S_08A, DOES NOT QUALIFY FOR A CIR.
ROUTING INSTRUCTIONS: If no CIR exists, go to PC9_INTRO. Else, go to IN1.
Display text on each screen in CIR for this incident in bold, including month/year and short text
description of screener item: Display format - Incident: April, 2018 ⇒ {Description}
Display Description as follows and use comma separators and "or" as needed:
If S_MV = 1, display "Motor vehicle theft or attempted theft".
If S_MVP = 1, display "Motor vehicle parts or gas theft or attempted theft".
If S_ATA = 1 and S_A != 1 and S_TA != 1, display "An attack, attempted attack, or threatened
attack".
If S_A = 1 and S_TA != 1 and S_ATA != 1, display "An attack or attempted attack".
If S_TA = 1 and S_A != 1 and S_ATA != 1, display "Threatened attack".
If S_A = 1 and S_TA = 1 and S_ATA != 1, display "An attack or threatened attack".
If S_T = 1, display "Theft".
If S_AT = 1, display "Attempted theft".
If S_BI = 1, display "Break-in".
If S_V = 1, display "Vandalism".
If S_SA = 1, display "Unwanted sexual contact".
Tags: Change Request
Notes: 1. Change priority - BI higher priority vs MV
2. Incidents reported in S_08A are excluded from CIR.

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Question ID:

IN1

The next questions are about the incident in {MONTH/YEAR} that involved: {DESCRIPTION OF
INCIDENT FEATURES BASED ON CRIME FLAGS}
{If you don't recall particular details, or don't want to answer, you can skip any question by
letting me know./The heading at the top of the screen will help remind you of the incident that
the next questions ask about.
If you don't recall particular details, or don't want to answer, you can skip any questions by
clicking the NEXT button.}
ASK Description: All respondents who reported an incident.
ASK Specification: IF (S_MV = 1 OR S_MVP = 1 OR S_T = 1 OR S_AT = 1 OR S_BI = 1 OR S_V
= 1 OR (S_A = 1 OR S_TA = 1 OR S_ATA = 1) OR S_SA = 1).
DISPLAY: In "Month/Year" display month/year of incident.
If CONDITION = 2, display "If you don't… me know." Else if CONDITION = 3, display "The
heading… NEXT button."
In "DESCRIPTION OF INCIDENT FEATURES BASED ON CRIME FLAGS" display description of each
incident based on flag and in bulleted list format:
If S_MV = 1, display "Motor vehicle theft or attempted theft".
If S_MVP = 1, display "Motor vehicle parts or gas theft or attempted theft".
If S_ATA = 1 and S_A != 1 and S_TA != 1, display "An attack, attempted attack, or threatened
attack".
If S_A = 1 and S_TA != 1 and S_ATA != 1, display "An attack or attempted attack".
If S_TA = 1 and S_A != 1 and S_ATA != 1, display "Threatened attack".
If S_A = 1 and S_TA = 1 and S_ATA != 1, display "An attack or threatened attack".
If S_T = 1, display "Theft".
If S_AT = 1, display "Attempted theft".
If S_BI = 1, display "Break-in".
If S_V = 1, display "Vandalism".
If S_SA = 1, display "Unwanted sexual contact".
Tags: Change Request
Notes: 1. Update text displayed in bulleted list
2. IF CONDITION=3 DISPLAY: The heading at the top of the screen will help remind you of the
incident that the next questions ask about.
If you don't recall particular details, or don't want to answer, you can skip any questions by
clicking the NEXT button.
ELSE IF CONDITION=2 DISPLAY: If you don't recall particular details, or don't want to answer,
you can skip any question by letting me know.
SKIP FROM IN1:
IF SVERSION=1 (INTERLEAF) GO TO CIRINTRO ; ELSE IF SVERSION=2 (NON-INTERLEAF) GO
TO CIR2
3. updated text fills

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Box ID:

CIR_BOX1

If SVERSION = 1 and S_AT = 1 and S_SA != 1 and S_A != 1 and S_TA != 1 and S_ATA != 1
and S_BI != 1 and S_T != 1 and S_MV != 1 and S_MVP != 1 and S_V != 1, go to NA_BOX1.
Else if SVERSION = 1, go to CIRINTRO.
Else, go to CIR_BOX1B.
Tags: Change Request
Notes: If the only flag is S_AT=1, then we want to skip over most of the CIR (and just go to N1,
the narrative)
Box ID:

CIR_BOX1B

For CIR2A – CIR2H, display ‘Yes' and ‘No' columns with options for each response category.
Tags: Change Request, Stem and Leaf screen

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Question ID:

CIR2

Just to confirm, did any of the following other things also happen as part of this incident
{MONTH/YEAR OF INCIDENT}?
1

{Someone stole or tried to steal a vehicle}

2

{Someone stole or tried to steal vehicle parts or
gas}

3

{Someone stole something{ else}}

4

{Someone tried to steal something{ else} but did
not steal it}

5

{Someone broke in, or tried to break in to your
property}

6

{Someone vandalized something of yours}

7

{Someone attacked or threatened to attack you}

8

{Someone had or tried to have sexual contact with
you that you did not agree to and did not want to
happen}

ASK Description: All respondents who reported an incident.
ASK Specification: IF SVERSION != 1 AND (S_MV = 1 OR S_MVP = 1 OR S_T = 1 OR S_AT = 1
OR S_BI = 1 OR S_V = 1 OR S_A = 1 OR S_TA = 1 OR S_ATA = 1 OR S_SA = 1).
PROGRAM: If CIR2A = 1, set S_MV = 1.
If CIR2B = 1, set S_MVP = 1.
If CIR2C = 1, set S_T = 1.
If CIR2D = 1, set S_AT = 1.
If CIR2E = 1, set S_BI = 1.
If CIR2F = 1, set S_V = 1.
If CIR2G = 1, set S_ATA = 1.
If CIR2H = 1, set S_SA = 1.
DISPLAY: In "MONTH/YEAR OF INCIDENT", display month/year of incident for an incident
entered in S_01D, S_02C, S_03D, S_04C, S_05C, S_06C, or S_07C.
If S_MV != 1, display response option 1. Else, do not display this response option.
If S_MVP != 1, display response option 2. Else, do not display this response option.
If S_T != 1, display response option 3. Else, do not display this response option. If S_MV = 1 or
S_MVP = 1, display " else". Else, do not display.
If S_AT != 1, display response option 4. Else, do not display this response option. If S_MV = 1
or S_MVP = 1, display " else". Else, do not display.
If S_BI != 1, display response option 5. Else, do not display this response option.
If S_V != 1, display response option 6. Else, do not display this response option.
If S_ATA != 1 and S_AT != 1 and S_A != 1, display response option 7. Else, do not display this
response option.
If S_SA != 1 and (S_ATA = 1 or S_A = 1 or S_TA = 1), display response option 8. Else, do not
display this response option.
SAS Variable: CIR2A, CIR2B, CIR2C, CIR2D, CIR2E, CIR2F, CIR2G, CIR2H
Tags: Change Request, Stem and Leaf screen

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Notes: Add new question: IF SVERSION=2/NON-INTERLEAF THEN ASK CIR2
Added new response option 5.
Box ID:

CIR_BOX2

Programmer note: Refresh headers after setting new flags in CIR2.
Display text on each screen in CIR for this incident in bold, including month/year and short text
description of screener item: Display format - Incident: April, 2018 ⇒ {Description}
Display Description as follows and use comma separators and "or" as needed:
If S_MV = 1, display "Motor vehicle theft or attempted theft".
If S_MVP = 1, display "Motor vehicle parts or gas theft or attempted theft".
If S_ATA = 1 and S_A != 1 and S_TA != 1, display "An attack, attempted attack, or threatened
attack".
If S_A = 1 and S_TA != 1 and S_ATA != 1, display "An attack or attempted attack".
If S_TA = 1 and S_A != 1 and S_ATA != 1, display "Threatened attack".
If S_A = 1 and S_TA = 1 and S_ATA != 1, display "An attack or threatened attack".
If S_T = 1, display "Theft".
If S_AT = 1, display "Attempted theft".
If S_BI = 1, display "Break-in".
If S_V = 1, display "Vandalism".
If S_SA = 1, display "Unwanted sexual contact".
ROUTING INSTRUCTIONS:
If SVERSION = 2 and S_AT = 1 and S_SA != 1 and S_A != 1 and S_TA != 1 and S_ATA != 1
and S_BI != 1 and S_T != 1 and S_MV != 1 and S_MVP != 1 and S_V != 1, go to NA_BOX1.
Else if SVERSION = 2, GO TO CIRINTRO.
Tags: Change Request
Notes: We would like to "refresh" the "burn line" after CIR2 - the logic would be the same as we
have now... (just that it would take CIR2 flags into consideration)...
If the only flag is S_AT=1, then we want to skip over most of the CIR (and just go to N1, the
narrative)
#399 - added "attempted..."
Question ID:

CIRINTRO

Some of the next questions will refer to the "offender(s)," which means the person or people
who did this to you.
ASK Description: All respondents who reported an incident.
ASK Specification: IF S_MV = 1 OR S_MVP = 1 OR S_T = 1 OR S_AT = 1 OR S_BI = 1 OR S_V
= 1 OR (S_A = 1 OR S_TA = 1 OR S_ATA = 1) OR S_SA = 1.

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Series Crimes
Box ID:

SC_START

If SERIES = 1 FOR THIS INCIDENT, ASK SC1.
Else, go to SC_BOX1.
Question ID:

SC1

Earlier, you said this type of thing happened to you more than once in the past 12 months.
{Did all of these incidents happen in the same place, did some of them happen in the same
place, or did they all happen in different places?/Did all, some, or none of these incidents
happen in the same place?}
1

All in the same place

2

Some in the same place

3

All in different places

ASK Description: Respondents who reported this type of incident happened four or more times
in the past 12 months and did not recall enough details about each incident to be able to
distinguish them from each other.
ASK Specification: IF SERIES = 1.
DISPLAY: If CONDITION = 2, display "Did all of these incidents… in different places?".
Else, if CONDITION = 3, display "Did all, some,… in the same place?"
PQID: CIR156, modified
SAS Variable: SC1
Tags: Change Request
Notes: 1. update 6 months to 12 months
2. [CONDITION=3: Did all, some, or none of these incidents occur in the same place? /
CONDITION=2: Did all of these incidents happen in the same place, did some of them happen in
the same place, or did they all happen in different places?]

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Question ID:

SC2

Were all of these incidents {done by the same offender, were some of them done by the same
offender, or were they all done by different offenders/, some of them, or none of them done by
the same offender(s)}?
1

All by same offender

2

Some by same offender

3

{All by different offenders/None by same offender}

ASK Description: Respondents who reported this type of incident happened four or more times
in the past 12 months and did not recall enough details about each incident to be able to
distinguish them from each other.
ASK Specification: IF SERIES = 1.
DISPLAY: If CONDITION = 2, display "done by the same offender, were…by different offenders"
and display in response option 3 "All by different offenders".
Else, if CONDITION = 3, display ", some of them, or none…same offender(s)" and display in
response option 3 "None by same offender".
PQID: CIR157
SAS Variable: SC2
Tags: Change Request
Notes: CONDITION=2: Were all of these incidents done by the same offender, were some of
them done by the same offender, or were they all done by different offenders?
CONDITION=3: Were all of these incidents, some of them, or none of them done by the same
offender(s)?
1 All by same offender
2 Some by same offender
3 (CONDITION=3: None by same offender / CONDITION=2: All by different offenders)
Question ID:

SC3

The rest of the questions will now ask you to focus on the most recent time this happened{, in
{MONTH/YEAR}}.
ASK Description: Respondents who reported this type of incident happened four or more times
in the past 12 months and did not recall enough details about each incident to be able to
distinguish them from each other.
ASK Specification: IF SERIES = 1.
DISPLAY: If month was reported for the incident in the current loop, display {, in
{MONTH/YEAR}}. For "MONTH/YEAR", display Month and Year of incident in current loop.
Display format – January, 2018. Else, if month was not reported for the incident in the current
loop, do not display this text.

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Box ID:

SC_BOX1

If this incident involved unwanted sexual contact, go to SA_START.
Else, if this incident involved an attack or threatened attack with or without a weapon, go to
A_START.
Else, if this incident involved theft or attempted theft of a motor vehicle, go to MV_START.
Else, if this incident involved a break-in or attempted break-in, go to BI_START.
Else, if this incident involved theft, go to T_START.
Else, if this incident did not involve theft or attempted theft of a motor vehicle but involved theft
or attempted theft of a motor vehicle parts or gas, go to MV_START.
Else, if this incident involved vandalized property, go to V_START.

IF S_SA = 1, GO TO SA_START.
ELSE, IF S_A = 1 OR S_TA = 1 OR S_ATA = 1, GO TO A_START.
ELSE, IF S_MV = 1, GO TO MV_START.
ELSE, IF S_BI = 1, GO TO BI_START.
ELSE, IF S_T = 1, GO TO T_START.
ELSE, IF S_MV != 1 AND S_MVP = 1, GO TO MV_START.
ELSE, IF S_V = 1, GO TO V_START.
Tags: Change Request
Notes: Change priority - BI higher priority vs MV

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What Happened: Module SV – Unwanted Sexual
Contact
Box ID:

SA_START

Respondents with S_SA = 1 are asked this module.
Question ID:

PNSA1a

Earlier, you said someone had or tried to have unwanted sexual contact with you during the
incident {in {MONTH/YEAR}/in the past 12 months}.
These questions are about what specific things you did not want to happen during the incident.
It may seem like you've already answered these questions, but we want to understand clearly
what happened. Some of the language is explicit; it's important that the questions be asked
this way so that you understand what we mean.
ASK Description: Respondents who reported unwanted sexual contact in this incident.
ASK Specification: IF S_SA = 1.
DISPLAY: If month was reported for the incident in the current loop, display {, in
{MONTH/YEAR}}. For "MONTH/YEAR", display Month and Year of incident in current loop.
Display format – January, 2018. Else, if month was not reported for the incident, display "in the
past 12 months.".
Tags: Change Request
Notes: Add "Earlier, you said someone had or tried to have unwanted sexual contact with you
during (IF MORE THAN ONE CIR OR SERIES CRIME: this/IF ONE CIR: the) incident (IF DATE
PROVIDED: in (MONTH)/IF NO DATE PROVIDED: in the past 12 months)."

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Question ID:

SA_0

In this incident, did someone have unwanted sexual contact with you, such as touching,
groping, or penetration, or make you do these things to them?
1

Yes

2

No

ASK Description: Respondents who reported unwanted sexual contact in this incident.
ASK Specification: IF S_SA = 1.
PROGRAM: ROUTING INSTRUCTIONS: If SA_0 = 1, go to SA_1.
Else, if SA_0 = 2, go to SA_BOX3.
Else, go to A_START.
SAS Variable: SA_0
Tags: Change Request
Notes: 1. Change wording to "In this incident, did someone have unwanted sexual contact with
you, such as touching, groping, or penetration, including making you do these things to them?
2. Skip pattern after SA0 should be:
IF "1" MARKED IN SA0, GO TO SA1.
ELSE IF "2" MARKED IN SA0, GO TO SA3.
ELSE GO TO NEXT MODULE.
Change 1. Who is asked this SA_2 matrix may change given the changes to the feeder
questions in matrix SA_1 - depends on how you renamed the variables (if SA_1a=1 or SA_1b=1
or SA_1c=1 or SA_1d=1 then the SA_2 questions are asked)
Change 2: Wording tweak to SA_2b: Did the offender threaten to physically hurt you or
someone close to you?
Box ID:

SA_BOX1

For SA_1A – SA_1D, display ‘Yes' and ‘No' columns with options for each response category.
Tags: Stem and Leaf screen

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Question ID:

SA_1

In this particular incident, …
1

Did you have unwanted vaginal sex{ with a
woman}?

2

Did you have unwanted oral or anal sex? ({READ
IF NEEDED: }Oral sex means that someone put
their mouth or tongue on a vagina, anus or penis.
Anal sex is a man or boy putting his penis in
someone else's anus.)

3

Was there unwanted penetration of sexual body
parts with a finger or object?

4

Was there unwanted sexual contact, such as
touching or kissing of sexual body parts, or
grabbing, fondling, or rubbing up against you in a
sexual way?

ASK Description: Respondents who reported unwanted sexual contact in this incident.
ASK Specification: IF SA_0 = 1.
PROGRAM: ROUTING INSTRUCTIONS: If SA_1A = 1 or SA_1B = 1 or SA_1C = 1 or SA_1D = 1,
go to SA_1F.
Else, go to SA_BOX2B.
DISPLAY: If UT_RESP_GENDER = 1, display " with a woman". Else, do not display this text.
If CONDITION =2, display "READ IF NEEDED: ". Else, do not display this text.
If CONDITION = 3, display "Oral sex… anus." in italics. Else if CONDITION = 2, do not display in
italics.
PQID: NEW
SAS Variable: SA_1A, SA_1B, SA_1C, SA_1D
Tags: Change Request, Stem and Leaf screen
Notes: 1. Combine these into one item "Did you have unwanted oral or anal sex?"
2. Change to "Was there unwanted penetration of sexual body parts with a finger or object?"
(And this becomes item c)
3. Change to "Was there unwanted sexual contact, such as…" (And this becomes item d)
4. Change skip to "IF YES TO ANY IN SA_1A-D")
5. Combine these into one item "Did you have unwanted oral or anal sex? (READ IF NEEDED:
Oral sex means that someone put their mouth or tongue on a vagina, anus or penis. Anal sex is
a man or boy putting his penis in someone else's anus.)"
6. Change to "Was there unwanted sexual contact, such as touching or kissing of …" (And this
becomes item d)
7. Note: in condition 3, the parenthetical text should be formatted with italics
8. If possible, what *was* S_01d will now be renamed S_01c (although ok if too difficult and
want to keep as S_01d - we can change in SAS on the backend)
9. If possible, what *was* S_01e will now be renamed S_01d (although ok if too difficult and
want to keep as S_01e - we can change in SAS on the backend)
10. The skip to S_01F might be affected (if S_01a=1 or S_01b=1 or S_01c=1 or S_01d=1 then
go to S_01f ; else go to the S_A3 matrix)

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Question ID:

SA_1F

You said that there was {unwanted vaginal sex}{,} {unwanted oral or anal sex}{,} {unwanted
penetration with a finger or object} {and} {unwanted sexual touching} that you did not want to
happen. Did the offender penetrate or touch YOUR sexual body parts, were you forced to
penetrate or touch the OFFENDER’S sexual body parts, or did BOTH happen?
1

The offender penetrated or touched you

2

You were forced to penetrate or touch the offender

3

Both

ASK Description: Respondents who reported any unwanted vaginal, oral or anal sex, unwanted
penetration with a finger or object, or unwanted sexual touching as part of this incident.
ASK Specification: IF SA_1A = 1 OR SA_1B = 1 OR SA_1C = 1 OR SA_1D = 1.
DISPLAY: If SA_1A = 1, display "unwanted vaginal sex". Else, do not display this text.
If SA_1B = 1, display "unwanted oral or anal sex". Else, do not display this text.
If SA_1C = 1, display "unwanted penetration with a finger or object". Else, do not display this
text.
If SA_1D = 1, display "unwanted sexual touching". Else, do not display this text.
If more than one response from SA_1 = 1, display "and" before the last display. Else, do not
display this text.
If three or more responses from SA_1 = 1, display commas after all but last 2 displays. Else, do
not display this text.
SAS Variable: SA_1F
Tags: Change Request
Notes: 1. Filter instruction changes to "(IF ANY IN SA_1A-D=yes)"
2. Display language changes to "(IF SA_1b=yes) unwanted oral or anal sex", "(IF SA_1c=yes)
unwanted penetration with a finger or object", and "(IF SA_1d=yes) unwanted sexual touching"
Box ID:

SA_BOX2

For SA_2A – SA_2D, display ‘Yes' and ‘No' columns with options for each response category.
Tags: Stem and Leaf screen

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Question ID:

SA_2

During {this/the} incident…
1

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

2

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

3

Were you blacked out, unconscious, or asleep?

4

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

ASK Description: Respondents who reported any unwanted vaginal, oral or anal sex, unwanted
penetration with a finger or object, or unwanted kissing or sexual touching as part of this
incident.
ASK Specification: IF SA_1A = 1 OR SA_1B = 1 OR SA_1C = 1 OR SA_1D = 1.
PROGRAM: ROUTING INSTRUCTIONS: If (SA_1A = 1 or SA_1B = 1 or SA_1C = 1) and (SA_2A
= 2, -9 and SA_2B = 2, -9 and SA_2C = 2, -9 and SA_2D = 2, -9), go to SA_2F.
Else, if (SA_1A = 1 or SA_1B = 1 or SA_1C = 1) and (SA_2A = 1 or SA_2B = 1 or SA_2C = 1 or
SA_2D = 1), go to A_START.
Else, if SA_1D = 1 and SA_2A = 2, -9 and SA_2B = 2, -9 and SA_2C = 2, -9, go to SA_2E.
Else, go to SA_BOX3.
DISPLAY: If more than 1 CIR, display "this". Else, display "the".
PQID: NEW
SAS Variable: SA_2A, SA_2B, SA_2C, SA_2D
Tags: Change Request, Stem and Leaf screen
Notes: 1. Add word "physically" before "hurt"
2. Skip before SA_2e becomes "(IF SA_1D=yes and SA_2a-d=no/missing)".

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Question ID:

SA_2E

During {this/the} incident, did the offender forcibly touch or kiss your sexual body parts, or
forcibly touch, grab, fondle, or rub up against you in a sexual way?
1

Yes

2

No

ASK Description: Respondents who reported unwanted kissing or sexual touching, without force
or threats, while conscious.
ASK Specification: IF SA_1A = 2, -9 AND SA_1B = 2, -9 AND SA_1C = 2, -9 AND SA_1D = 1
AND SA_2A = 2, -9 AND SA_2B = 2, -9 AND SA_2C = 2, -9.
PROGRAM: ROUTING INSTRUCTIONS: If SA_2A = 2, -9 and SA_2B = 2, -9 and SA_2C = 2, -9
and SA_2D = 2, -9 and SA_2E = 2, -9, go to SA_2F.
Else, go to SA_BOX2B.
DISPLAY: If more than 1 CIR, display "this". Else, display "the".
PQID: NEW
SAS Variable: SA_2E
Tags: Change Request
Notes: Also change the phrase "use force to" to "forcibly touch or", delete "you, touch " and add
"forcibly touch," before grab.
Question ID:

SA_2F

Did the offender use some other type of pressure, such as threatening to cause financial or
other problems for you, threatening to break up with you, threatening to hurt your reputation,
or promising rewards?
1

Yes

2

No

ASK Description: Respondents who reported unwanted kissing or sexual touching, without force.
ASK Specification: IF (SA_1A = 1 OR SA_1B = 1 OR SA_1C = 1 OR SA_1D = 1) AND SA_2A =
2, -9 AND SA_2B = 2, -9 AND SA_2C = 2, -9 AND SA_2D = 2, -9 AND SA_2E != 1.
SAS Variable: SA_2F
Tags: Change Request
Notes: Text revisions, all from SA_2f now go to SA_BOX2B.

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Box ID:

SA_BOX2B

Respondents who reported unwanted vaginal sex, unwanted oral sex, or unwanted penetration
of sexual body parts with a finger or object in this incident, go to A_START.Else, go to
SA_BOX3.
IF SA_1A = 1 or SA_1B = 1 or SA_1C = 1, go to A_START.Else, go to SA_BOX3.
Tags: Change Request
Notes: If any one of the following three is true, they WILL get the SA_3 matrix:
•
If SA_0 is NO (2)
•
If ALL of SA_1A through C are answered NO OR NOT ANSWERED (-9)
•
If ALL of SA_2A through E are answered NO or not answered (-9)
To put it the other way around, if all three of the following are true, they will NOT get the SA_3
matrix
•
If SA_0 == 1 or -9
•
AND ANY of SA_1A through C are answered YES
•
AND ANY of SA_2A through E are answered Yes
1. removed SA_1D from routing instructions.
Box ID:

SA_BOX3

For SA_3A – SA_3D, display ‘Yes' and ‘No' columns with options for each response category.
Tags: Stem and Leaf screen

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Question ID:

SA_3

Did the offender physically TRY to do, or try to make you do, any of the following, BUT NOT
ACTUALLY DO IT?
1

{Have vaginal sex{ with a woman}{?}}

2

{Did the offender physically try to, or try to make
you, have oral or anal sex?/Have oral or anal sex}
{({READ IF NEEDED: }Oral sex means that
someone put their mouth or tongue on a vagina,
anus or penis. Anal sex is a man or boy putting his
penis in someone else's anus.)}

3

{Did the offender physically try to sexually
penetrate you with a finger or object or try to
make you penetrate them with your finger or an
object?/Sexually penetrate you with a finger or
object or make you penetrate them with your
finger or an object}

4

{Did the offender physically try to, or try to make
you, touch or kiss sexual body parts?/Touch or kiss
sexual body parts}

ASK Description: Respondents who reported that someone did not have unwanted sexual
contact with them as part of this incident, or reported the incident did not involve unwanted
vaginal sex, unwanted oral or anal sex, or unwanted penetration of sexual body parts with a
finger or object.
ASK Specification: IF SA_0 = 2 OR (SA_0 = 1 AND SA_1A != 1 AND SA_1B != 1 AND SA_1C !=
1).
PROGRAM: ROUTING INSTRUCTIONS: If SA_3A = 1 or SA_3B = 1 or SA_3C = 1, go to
SA_BOX4. Else if SA_1D=1 and (SA_2A = 1 or SA_2B = 1 or SA_2C = 1 or SA_2E = 1) and
(SA_3A != 1 and SA_3B != 1 or SA_3C != 1) go to A_START.
Else, go to SA_3E.

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DISPLAY: If SA_0 = 2 OR SA_1A = 2, -9, display "Have vaginal sex with you{ with a
woman}{?}". If UT_RESP_GENDER = 1, display " with a woman". Else do not display. If
CONDITION = 2, display "?". Else if CONDITION = 3, do not display.
Else, do not display this response option.
If CONDITION = 2 and (SA_0 = 2 OR SA_1B = 2, -9), display "Did the offender physically try to
have oral or anal sex with you?" and "(READ IF... anus.)".
Else, if CONDITION = 3 and (SA_0 = 2 OR SA_1B = 2, -9), display "Have oral or anal sex with
you" and "(Oral sex… anus.)" in italics.
Else, do not display this response option.
If CONDITION = 2 and (SA_0 = 2 OR SA_1C = 2, -9), display "Did the offender physically try to
sexually penetrate you with a finger or objector make you penetrate them with your finger or an
object?".
Else, if CONDITION = 3 and (SA_0 = 2 OR SA_1C = 2, -9), display "Sexually penetrate you with
a finger or object or make you penetrate them with your finger or an object".
Else, do not display this response option.
If CONDITION = 2 and (SA_0 = 2 OR SA_1D = 2, -9), display "Did the offender physically try to
touch or kiss sexual body parts?".
Else, if CONDITION = 3 and (SA_0 = 2 OR SA_1D = 2, -9), display "Touch or kiss sexual body
parts".
Else, do not display this response option.
PQID: NEW
SAS Variable: SA_3A, SA_3B, SA_3C, SA_3D
Tags: Change Request, Stem and Leaf screen
Notes: 1. SA_3a - Add "(IF MALE: with a woman)" to the end of the item, and delete "with you"
2. SA_3b - Change to "Have oral or anal sex", add ", or make you," and remove "with you"
3. SA_3c - DELETE this item
4. SA_3d - This becomes SA_3c and change to "Sexually penetrate you with a finger or object
or make you penetrate them with your finger or an object"
5. SA_3e - This becomes SA_3d and change to "Touch or kiss sexual body parts" and add ", or
make you,"
6. Skip before SA_4a - Change skip to "IF ALL OF SA_3a – SA_3d = NO OR MISSING GO TO
NEXT MODULE. ELSE GO TO SA_4a"
7. SA_3b - Change to "Have oral or anal sex? (READ IF NEEDED: Oral sex means that someone
put their mouth or tongue on a vagina, anus or penis. Anal sex is a man or boy putting his penis
in someone else's anus.)"
8. SA_3a-d - include "or SA0=No" as condition in all display criteria.
9. delete the "Mark yes..." statement in the stem of SA_3a-d...
10. added ", or make you do,"
11. removed threat from question text and response options

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Question ID:

SA_3E

Did the offender verbally THREATEN to have vaginal sex, have oral or anal sex, or have sexual
penetration with a finger or object when you did not want it to happen?
1

Yes

2

No

ASK Description: Respondents who did NOT report that the offender tried to perform unwanted
vaginal sex, oral or anal sex, or penetration with finger or object.
ASK Specification: IF SA_3A = 2, -9 AND SA_3B = 2, -9 AND SA_3C = 2, -9.
PROGRAM: ROUTING INSTRUCTIONS:
IF SA_1D=1, GO TO A_START
ELSE IF SA_3D = 2, -9 AND SA_3E = 2, -9, GO TO SA_3F.
ELSE, GO TO SA_BOX4.
PQID: NEW
SAS Variable: SA_3E
Tags: Change Request, New item
Question ID:

SA_3F

Did the offender verbally threaten to, or threaten to make you, touch or kiss sexual body parts
when you did not want it to happen?
1

Yes

2

No

ASK Description: Respondents who did NOT report that the offender tried to perform unwanted
vaginal sex, oral or anal sex, penetration with finger or object, or groping/touching and did not
report a verbal threat of penetration.
ASK Specification: IF SA_3A = 2, -9 AND SA_3B = 2, -9 AND SA_3C = 2, -9 AND SA_3D = 2, -9
AND SA_3E = 2, -9.
PROGRAM: ROUTING INSTRUCTIONS: IF SA_3F = 2, -9 GO TO SA_4D.
ELSE, GO TO SA_BOX4.
PQID: NEW
SAS Variable: SA_3F
Tags: Change Request, New item
Box ID:

SA_BOX4

For SA_4A_a - SA_4A_c, display ‘Yes' and ‘No' columns with options for each response category.
Tags: Stem and Leaf screen

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Question ID:

SA_4A

You said that the offender {tried to/threatened to} have unwanted sexual contact with you
when you did not want it to happen.
1

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

2

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

3

{Did the offender try to do it while you were
blacked out, unconscious, or asleep?}

4

{Did the offender try to do it while you were
unable to consent because you were too drunk or
high?}

ASK Description: Respondents who reported the offender tried or threatened unwanted vaginal
sex, oral or anal sex, penetration with finger or object, or kissing or sexual touching.
ASK Specification: IF SA_3A = 1 OR SA_3B = 1 OR SA_3C = 1 OR SA_3D = 1 OR SA_3E = 1
OR SA_3F = 1.
PROGRAM: ROUTING INSTRUCTIONS: IF (SA_3A = 1 OR SA_3B = 1 OR SA_3C = 1 OR SA_3D
= 1) and (SA_4A_a=1 or SA_4A_b =1 or SA_4A_d=1), go to SA_4b1. Else If SA_3E = 1 or
SA_3F = 1 or (SA_4a_b = 1 and SA_4A_a != 1 and SA_4A_c != 1 and SA_4A_d != 1), go to
SA_4C.
Else, if SA_4A_a = 2, -9 and SA_4A_b = 2, -9 and SA_4A_c = 2, -9 and SA_4A_d = 2, -9, go to
SA_4D.
Else, go to A_START.
DISPLAY: If SA_3A = 1 or SA_3B = 1 or SA_3C = 1 or SA_3D=1, display "tried to" . Else display
"threatened to" .
IF (SA_3A=1 OR SA_3B = 1 or SA_3C = 1 or SA_3D=1), display SA_4A_c, SA_4A_d. (ONLY
DISPLAY SA_4A_c, SA_4A_d FOR ATTEMPTS – DO NOT DISPLAY IF ONLY THREATS IN SA_3E
and/or SA_3F)
PQID: NEW
SAS Variable: SA_4A_a, SA_4A_b, SA_4A_c, SA_4A_d
Tags: Change Request, Stem and Leaf screen
Notes: 1. Change filters to "[If any of SV3a – SV3c=yes] and [Otherwise if SV3d=yes]
2. Also change wording for Otherwise statement to "You said that the offender threatened or
tried to, or made you, touch or kiss…"
3. Remove "with you" from fills
4. Add "physically" before hurt
5. Skip coming out of SA_4a needs to change…
If ‘no' or missing to all in SA_4a_a-c, go to SA_4b.
Else if SA_4a_b=1 *and* SA_4a_a NOT EQ 1 *and* SA_4a_c NOT EQ 1 go to SA_4Ca
Else, go to next MODULE.
6. updated routing, from SA_4B to SA_4D and SA_4Ca to SA_4C.
7. significant rewording of question text and response codes per Darby and Pamela. New routing
instructions to and from this item.

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Question ID:

SA_4B1

Did you tell the offender “no,” “stop” or that you did not want this to happen?
1

Yes

2

No

ASK Description: Respondents who reported the offender tried unwanted vaginal sex, oral or
anal sex, penetration with finger or object, or kissing or sexual touching and used force or
threatened to hurt someone or did it while the respondent was drunk or high.
ASK Specification: (SA_3A = 1 OR SA_3B = 1 OR SA_3C = 1 OR SA_3D = 1) and (SA_4A_a=1
or SA_4A_b =1 or SA_4A_d=1)
PROGRAM: ROUTING INSTRUCTIONS: If SA_4B1=1, go to SA_4B2.
Else, go to A_START.
Question ID:

SA_4B2

When you said this, did the offender stop?
1

Yes

2

No

ASK Description: Respondents who told the offender no, stop or they didn’t want it to happen.
ASK Specification: SA_4B1=1
PROGRAM: ROUTING INSTRUCTIONS: Go

to A_START.

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Question ID:

SA_4C

At the time, how likely did you think it was that the offender would actually act on their threat
during {this/the} incident?
1

Very likely

2

Somewhat likely

3

Somewhat unlikely

4

Very unlikely

ASK Description: Respondents who reported the offender threatened unwanted vaginal sex, oral
or anal sex, penetration with finger or object, or kissing or sexual touching and threatened to
hurt someone but did not use physical force or try to do it when the respondent was unable to
consent.
ASK Specification: IF SA_3E = 1 OR SA_3F = 1 OR (SA_4A_b = 1 and SA_4A_a != 1 and
SA_4A_c != 1 and SA_4A_d != 1).
DISPLAY: If more than 1 CIR, display "this". Else, display "the".
PQID: NEW
SAS Variable: SA_4C
Tags: Change Request
Notes: 1. Change filter to "[IF YES IN SA_4b AND MORE THAN ONE YES IN SA_3a-d]
2. Change wording to "touch or kiss", remove "with you"
3. BJS - We want to change the skip out of SA_4C - now EVERYONE will head to SA_4Ca...
4. Add "with you"
5. significant rewording of question text per Darby and Pamela. New routing instructions to this
item.

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Question ID:

SA_4Ca

Were you threatened face to face, by phone or text, online (such as by email or social media),
or in some other way? (Mark all that apply.)
1

Face to face

2

By phone or text

3

Online (email or social media)

4

Some other way

ASK Description: Respondents who reported the offender threatened unwanted vaginal sex, oral
or anal sex, penetration with finger or object, or kissing or sexual touching and threatened to
hurt someone but did not use physical force or try when the respondent was unable to consent.
ASK Specification: IF SA_3E = 1 OR SA_3F = 1 OR (SA_4A_b = 1 AND SA_4A_a = 2, -9 AND
SA_4A_c = 2, -9 and SA_4A_d = 2, -9).
PROGRAM: ROUTING INSTRUCTIONS:
If SA_4Ca1 != 1 and S_A != 1 and S_TA != 1 and S_ATA = 1 and S_MV != 1 and S_MVP != 1
and S_T != 1 and S_AT != 1 and S_BI != 1 and S_V != 1, go to NA_BOX1.
Else, go to A_START.
DISPLAY: Display in italics, "Mark all that apply".
PQID: NEW
SAS Variable: SA_4Ca1, SA_4Ca2, SA_4Ca3, SA_4Ca4
Tags: Change Request, Choose-all-that-apply Item
Notes: 1. updated routing from SA_4D to A_START
2. new items SA_3E and SA_3F now route to this item

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Question ID:

SA_4D

{What did the offender do that was unwanted?/How did the offender {try/threaten} to do
something to you?}
1

TEXT RESPONSE

ASK Description: Respondents who did not report or refused to report whether the offender
threatened to touch or kiss sexual body parts or threatened unwanted vaginal sex, oral or anal
sex, penetration with finger or object, or kissing or sexual touching without using physical force,
threatening to hurt someone, or try when the respondent was unable to consent.
ASK Specification: IF SA_3F = 2, -9 OR (SA_4A_a = 2, -9 AND SA_4A_b = 2, -9 AND SA_4A_c
= 2, -9 and SA_4A_d = 2, -9).
PROGRAM: Display text field, max character length = 1000.
DISPLAY: If SA_3F = 2, -9, display “What did the offender do that was unwanted?” Else display
“How did the offender {try/threaten} to do something to you?” If SA_3A = 1 or SA_3B = 1 or
SA_3C = 1 or SA_3D = 1, display "try". Else, display "threaten".
PQID: NEW
SAS Variable: SA_4D
Tags: Change Request
Notes: Change filter to "[IF ANY OF SA_3a – SA_3d = yes]
2. Change wording to "touch or kiss", remove "with you"
3. question text no longer displays based on responses to SA_3C. This item is now asked when
new item SA_3F = 2, -9.

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What Happened: Module A – Attack/Threatened
Attack
Box ID:

A_START

Respondents with S_A = 1 or S_TA = 1 or S_ATA = 1 or S_SA=1 are asked this module.
ROUTING INSTRUCTIONS: IF S_SA=1, GO TO SA11.
ELSE IF S_06D = NULL AND (S_TA= 1 OR S_ATA = 1), go to A0.
Else, go to A1.
Tags: Change Request
Notes: CURRENT: ASK A0 IF ATTACK FROM INTERLEAVING/S_01F/S_02F/S_03F/S_04F/S_05F
REVISED: ASK A0 IF S_06D NOT ASKED AND (S_TA=1 OR S_ATA=1)
2. updated last statement from SA11 to A1
Question ID:

A0

Did someone actually attack you, try to attack you, or threaten to attack you during this
incident?
1

Attacked / Tried to attack

2

Threatened to attack

ASK Description: Respondents who reported being attacked, with or without a weapon, or
threatened with attack, and did not report unwanted sexual contact for this incident.
ASK Specification: IF S_06D = NULL AND (S_TA = 1 OR S_ATA = 1).
PROGRAM: If A0 = 1, set S_A = 1.
ROUTING INSTRUCTIONS: If A0 = 2, go to A8. Else, if A0 = 1, go to A1.
Else, go to CI_START.
SAS Variable: A0
Tags: Change Request
Notes: CURRENT: ASK A0 IF ATTACK FROM INTERLEAVING/S_01F/S_02F/S_03F/S_04F/S_05F
REVISED: ASK A0 IF S_06D NOT ASKED AND (S_TA=1 OR S_ATA=1)

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Proxy Interview Field Test Instrument

Question ID:

A8

{Were you threatened face to face, by phone or text, online (such as by email or social media),
or in some other way/How were you threatened}? (Mark all that apply.)
1

Face to face

2

By phone or text

3

Online (email or social media)

4

Some other way Specify:

ASK Description: Respondents who reported being threatened with attack, with or without a
weapon, or threatened with attack, or reported unwanted sexual contact for this incident.
ASK Specification: IF A0 = 2.
PROGRAM: Display text box and allow 250 character text response.
If A8a = 1, set S_TA = 1.
ROUTING INSTRUCTIONS: If A8a = 1, go to A1.
Else, If A8a !=1 and (S_MV != 1 and S_MVP != 1 and S_T != 1 and S_BI != 1 and S_V != 1),
go to NA_BOX1.
Else, go to CI_START.
DISPLAY: Display in italics "Mark all that apply."
If CONDITION = 2, display "Were you threatened...in some other way".
Else, if CONDITION = 3, display "How were you threatened".
PQID: NEW
SAS Variable: A8a, A8b, A8c, A8d, A8d_SPECIFY
Tags: Change Request, Choose-all-that-apply Item
Notes: added specify text field
Question ID:

SA11

The next questions ask whether a weapon was used during this incident.
ASK Description: Respondents who reported unwanted sexual contact as part of this incident.
ASK Specification: IF S_SA = 1.

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Proxy Interview Field Test Instrument

Question ID:

A1

{You said someone {attacked or tried to attack you}{threatened to attack you} during
{this/the} incident {in {MONTH}/{in the past 12 months}.} {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?
1

Yes

2

No

ASK Description: Respondents who reported being attacked or threatened with attack or
unwanted sexual contact as part of this incident.
ASK Specification: IF A0 = 1 OR A8a = 1 OR S_SA=1.
PROGRAM: ROUTING INSTRUCTIONS: If A1 = 1, go to A2.
Else if A1 != 1 and (SA_2A = 1 or SA_2E = 1 or SA_4A_a = 1), go to A_BOX3.
Else if S_SA=1 and (S_T = 1 or S_AT = 1), go to CI_START.
Else if S_SA=1 and S_T != 1 and S_AT != 1, go to A10.
Else, go to A3.
DISPLAY: If S_SA != 1, display "You said someone… {in {MONTH}/{in the past 12 months}."
Else, do not display this text.
If S_A = 1, display "attacked or tried to attack you". Else, do not display this text.
If S_TA = 1, display "threatened to attack you". Else, do not display this text.
If more than 1 CIR, display "this". Else, display "the".
If month was reported for the incident in the current loop, display { in {MONTH}}. For
"MONTH", display Month of incident in current loop. Display format – January. Else, if no date
provided, display "in the past 12 months".
If S_06A1 = 1 or S_06A2 = 1 or S_06A3 = 1, display, "Just to confirm, did". Else, display "Did".
PQID: CIR22
SAS Variable: A1
Tags: Change Request
Notes: A1 should be asked if A0=1 or A8a=1 (NEW) or S_SA=1
The skip pattern leaving this item will change:
PROGRAM: ROUTING INSTRUCTIONS: If A1 = 1, go to A2.
Else, if A1 != 1 and (SA_2A = 1 or SA_2E = 1 or SA_4A_a = 1), go to A_BOX3.
(NEW) Else if S_SA=1 go to CI_START
Else, go to A3.
2. New routing added for A10

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Proxy Interview Field Test Instrument

Question ID:

A2

What was the weapon? (Mark all that apply.)
1

A GUN

2

A KNIFE

3

SOME OTHER SHARP OBJECT, SUCH AS SCISSORS
OR AN AXE

4

A BLUNT OBJECT, SUCH AS A ROCK OR BAT

5

SOMETHING ELSE - Specify -

ASK Description: Respondents who reported being attacked or threatened with attack with a
weapon.
ASK Specification: IF A1 = 1.
PROGRAM: Display text box and allow 250 character text response.
ROUTING INSTRUCTIONS: If A2_1 = 1, go to A2a.
Else if A2_2 = 1 or A2_3 = 1, go to A_BOX2.
Else if (SA_2A !=1 and SA_2E != 1 and SA_4A_a != 1 and S_A !=1 and S_TA !=1) and (S_T =
1 or S_AT = 1), go to CI_START.
Else if (SA_2A !=1 and SA_2E != 1 and SA_4A_a != 1 and S_A !=1 and S_TA !=1) and S_T !=
1 and S_AT != 1, go to A10.
Else, go to A3.
DISPLAY: Display in italics "Mark all that apply."
PQID: CIR23a
SAS Variable: A2_1, A2_2, A2_3, A2_4, A2_5, A2_5_Specify
Tags: Change Request, Choose-all-that-apply Item
Notes: Revised routing instructions
If A2 = 1, go to A2a.
Else, if A2 = 2, 3 go to A_BOX2.
(NEW) Else if (SA_2A !=1 and SA_2E != 1 and SA_4A_a != 1 and S_A !=1 and S_TA !=1) go to
CI_START.
Else, go to A3.
2. New routing added for A10
Question ID:

A2a

Was it a handgun or some other kind of gun, such as a rifle or shotgun?
1

Hand gun/pistol/revolver

2

Some other kind of gun/rifle/shotgun

ASK Description: Respondents who reported being attacked or threatened with attack with a
gun.
ASK Specification: IF A2_1 = 1.
PQID: CIR23a, modified
SAS Variable: A2a

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Box ID:

A_BOX1

For A2b_a – A2b_d, display ‘Yes' and ‘No' columns with options for each response category.
Tags: Stem and Leaf screen
Question ID:

A2b

Did the offender(s):
1

Shoot you

2

Shoot at you, but miss

3

Hit you with the gun

4

Show you a gun or point a gun at you

ASK Description: Respondents who reported being attacked or threatened with attack with a
gun.
ASK Specification: IF A2_1 = 1.
PROGRAM: ROUTING INSTRUCTIONS: If (A2b_a = 1 or A2b_c = 1) and (S_T = 1 or S_AT = 1),
go to CI_START.
Else if (A2b_a = 1 or A2b_c = 1) and S_T != 1 and S_AT != 1, go to A10.
Else if A2_2 = 1 or A2_3 = 1, go to A_BOX2.
Else if (SA_2A != 1 and SA_2E != 1 and SA_4A_a != 1 and S_A != 1 and S_TA != 1) and (S_T
= 1 or S_AT = 1), go to CI_START.
Else if (SA_2A != 1 and SA_2E != 1 and SA_4A_a != 1 and S_A != 1 and S_TA != 1) and S_T
!= 1 and S_AT != 1, go to A10.
Else, go to A3.
PQID: CIR29a modified
SAS Variable: A2b_a, A2b_b, A2b_c, A2b_d
Tags: Change Request, Stem and Leaf screen
Notes: Revised routing instructions
If A2b_a = 1 or A2b_c = 1, go to CI_START.
(NEW) Else if (SA_2A !=1 and SA_2E != 1 and SA_4A_a != 1 and S_A !=1 and S_TA !=1) go
to CI_START
Else, go to A3.
2. Add new response option: "Show you a gun or point a gun at you"
3. New routing added for A10
4. #285, removed ?s
Box ID:

A_BOX2

For A2c_a – A2c_b, display ‘Yes' and ‘No' columns with options for each response category.
Tags: Stem and Leaf screen

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Proxy Interview Field Test Instrument

Question ID:

A2c

You said the offender(s) had a knife or other sharp object. Did the offender(s):
1

Stab or cut you?

2

{Try to stab or cut you?}

ASK Description: Respondents who reported being attacked or threatened with attack with a
weapon that was not a gun.
ASK Specification: IF A2_2 = 1 or A2_3 = 1.
DISPLAY: If A2c_a = 1, do not display A2c_b. If A2c_a= 2, -9, display A2c_b.
PROGRAM: ROUTING INSTRUCTIONS: If A2c_a = 1 and (S_T = 1 or S_AT = 1), go to
CI_START.
Else if A2c_a = 1 and S_T != 1 and S_AT != 1, go to A10.
Else if SA_2A = 1 or SA_2E = 1 or SA_4A_a = 1, go to A_BOX3.
Else if (SA_2A !=1 and SA_2E != 1 and SA_4A_a != 1 and S_A !=1 and S_TA !=1) and (S_T =
1 or S_AT = 1), go to CI_START.
Else if (SA_2A != 1 and SA_2E != 1 and SA_4A_a != 1 and S_A != 1 and S_TA != 1) and S_T
!= 1 and S_AT != 1, go to A10.
Else, go to A3.
PQID: CIR29a modified
SAS Variable: A2c_a, A2c_b
Tags: Change Request, Stem and Leaf screen
Notes: Revised routing instructions
If A2c_a = 1, go to CI_START.
Else, if SA_2A = 1 or SA_2E = 1 or SA_4A_a = 1, go to A_BOX3.
(NEW) Else if (SA_2A !=1 and SA_2E != 1 and SA_4A_a != 1 and S_A !=1 and S_TA !=1) go to
CI_START.
Else, go to A3.
2. New routing added for A10

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Question ID:

A3

{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?/Did the offender(s) hit you, grab you, knock you
down or attack you in any way?}
1

Yes

2

No

ASK Description: Respondents who reported being attacked or threatened with attack, with or
without a weapon.
ASK Specification: IF (A0 = 1 OR A8a = 1) AND A2b_a != 1 AND A2b_c != 1 AND A2c_a != 1.
PROGRAM: ROUTING INSTRUCTIONS: If A3 = 1, go to A_BOX3.
Else, if A3 = 2 and (A2b_b = 1 or A2c_b = 1) and (S_T = 1 or S_AT = 1), go to CI_START.
Else, if A3 = 2 and (A2b_b = 1 or A2c_b = 1) and S_T != 1 and S_AT != 1, go to A10.
Else, go to A4.
DISPLAY: If A2b_b = 1 or A2c_b = 1, display "In addition to … in any other way". Else, if A2b_b
!= 1 and A2c_b != 1, display "Did the offender(s)… in any way.".
If A2b_b = 1, display "shoot". Else, do not display.
If A2c_b = 1, display "stab or cut". Else, do not display.
PQID: CIR24
SAS Variable: A3
Tags: Change Request
Notes: Revised ASK Specification
IF (A0 = 1 OR A8a = 1) AND A2b_a != 1 AND A2b_c != 1 OR A2c_a != 1.
(NEW – remove "AND (SA_2A !=1 and SA_2E != 1 and SA_4A_a != 1)"
2. New routing added for A10
Question ID:

A4

Did the offender(s) TRY to hit you, grab you, knock you down or try to attack you in any way?
1

Yes

GO TO A7

2

No

GO TO A5

ASK Description: Respondents who reported being attacked or threatened with attack and not
being hit, grabbed, or knocked to the ground.
ASK Specification: IF A3 = 2 AND (A2b_b != 1 AND A2c_b != 1).
PQID: CIR25 -modified
SAS Variable: A4

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Question ID:

A5

Did the offender(s) THREATEN to hit you, grab you, knock you down or threaten to attack you in
any way?
1

Yes

GO TO A7

2

No

GO TO A6

ASK Description: Respondents who reported being attacked or threatened with attack and the
offender(s) not trying to hit, grab, or knock the respondent to the ground.
ASK Specification: IF A4 = 2.
PQID: CIR26 - modified
SAS Variable: A5
Question ID:

A6

What did the offender do? {Anything else?} (Mark all that apply.)
1

Took something without your permission

2

Tried to or threatened to take something

3

Argued with you or used abusive language

4

Broke in or tried to break in to your home

5

Broke in or tried to break in to your vehicle

6

Damaged or destroyed your property

7

Something else

ASK Description: Respondents who reported being attacked or threatened with attack and the
offender(s) not threatening to hit, grab, or knock the respondent to the ground.
ASK Specification: IF A5 = 2.
PROGRAM: Display text box and allow 250 character text response.
ROUTING INSTRUCTIONS: If (S_T = 1 or S_AT = 1), go to CI_START.
Else if S_T != 1 and S_AT != 1, go to A10.
DISPLAY: Display in italics "Mark all that apply."
If CONDITION = 2, display "Anything else?". Else, do not display this text.
If CONDITION = 2, display response options in uppercase. Else, display response options in
mixed case.
PQID: CIR27a - modified
SAS Variable: A6A, A6B, A6C, A6D, A6E, A6F, A6G, A6G_Specify
Tags: Change Request, Choose-all-that-apply Item
Notes: 1. IF CONDITION=2 THE RESPONSE OPTIONS SHOULD BE IN ALL CAPS (CAPITAL
LETTERS)
2. NEW: (CONDITION=2: Anything else?)
3. working change in option 3, removed "Bothered you verbally,"
4. New routing added for A10

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Question ID:

A7

{Did/How did} the offender(s) TRY or THREATEN to attack you{ by.../?} (Mark all that apply.)
1

Saying they would attack or kill you

2

{Threatening you with a weapon}

3

{Trying to attack you with a weapon other than
gun, knife or sharp object}}

4

Throwing something at you

5

Following you or surrounding you

6

Trying to choke you

7

Trying to hit, slap, knock down, grab, hold, trip,
jump, or push you

8

Something else

ASK Description: Respondents who reported being attacked or threatened with attack.
ASK Specification: IF A4 = 1 OR A5 = 1.
PROGRAM: Display text box and allow 250 character text response.
ROUTING INSTRUCTIONS: If (S_T= 1 or S_AT= 1), go to CI_START.
Else if S_T != 1 and S_AT != 1, go to A10.
DISPLAY: If CONDITION = 2, display "How did" and "?". Else, if CONDITION = 3, display "Did"
and " by...".
Display in italics "Mark all that apply."
If A1 = 1, display "threatening you with a weapon". Else, do not display this response option.
If A2_4 = 1 or A2_5 = 1, display "trying to attack you with a weapon other than gun, knife or
sharp object". Else, do not display this response option.
If CONDITION = 2, display response options in uppercase. Else, display response options in
mixed case.
PQID: CIR28a - modified
SAS Variable: A7A, A7B, A7C, A7D, A7E, A7F, A7G, A7H, A7H_Specify
Tags: Change Request, Choose-all-that-apply Item
Notes: 1. IF CONDITION=2 THE RESPONSE OPTIONS SHOULD BE IN ALL CAPS (CAPITAL
LETTERS)
2. (CONDITION=3: Did / CONDITION=2: How did) the offender(s) TRY or THREATEN to attack
you (CONDITION=3: by .../CONDITION=2:?)
3. replaced "weapon" with "object" in response 3
4. New routing added for A10
Box ID:

A_BOX3

For A9A - A9G, display ‘Yes' and ‘No' columns with options for each response category.
Tags: Stem and Leaf screen

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Question ID:

A9

{Earlier you said the offender used physical force{ and had a weapon} during the incident.} Did
the offender(s) {also} do any of the following?
1

Hit you, slap you, or knock you down

2

Grab, hold, trip, jump, or push you

3

Hit you with an object other than a gun

4

Throw something at you

5

Choke you

6

Do something else to attack you? Specify:

ASK Description: Respondent reported being attacked, with or without a weapon, or used force
in having or trying to have sexual contact with them.
ASK Specification: IF (A2b_a != 1 AND A2b_c != 1 AND A2c_a != 1) AND ((SA_2A = 1 OR
SA_2E = 1 OR SA_4A_a = 1) OR ((A2_2 = 1 OR A2_3 = 1) AND A2c_a != 1 AND (SA_2A = 1
OR SA_2E = 1 OR SA_4A_a = 1)) OR A3 = 1).
PROGRAM: Display text box and allow 250 character text response.
ROUTING INSTRUCTIONS: If (S_T= 1 or S_AT= 1), go to CI_START.
Else if S_T != 1 and S_AT != 1, go to A10.
DISPLAY: If SA_2A = 1 OR SA_2E = 1 OR SA_4A_a = 1, display "Earlier you said… during the
incident." Else, do not display this text.
If A1 = 1, display " and had a weapon" and "also". Else, do not display this text.
PQID: CIR29a modified
SAS Variable: A9A, A9B, A9C, A9D, A9E, A9F, A9F_Specify
Tags: Change Request, Stem and Leaf screen
Notes: BJS request - Delete row 5: Attack you with a weapon other than gun, knife or sharp
weapon
2. New routing added for A10

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Question ID:

A10

Did the offender steal or try to steal something that belonged to you during {this/the} incident?
1

Yes, stole something

2

Yes, tried to steal something

3

No

ASK Description: Respondents with a sexual attack, attack, attempted attack, or face-to-face
threatened attack who did not already report a theft or attempted theft.
ASK Specification: IF (S_A = 1 OR S_ATA = 1 OR S_TA = 1 OR S_SA = 1) AND (S_T != 1 AND
S_AT != 1)
PROGRAM: If A10 = 1, set S_T = 1. If A10 = 2, set S_AT = 1.
DISPLAY: If more than 1 CIR, display "this". Else, display "the".
PQID: NEW
SAS Variable: A10
Tags: Change Request
Notes: new question

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Consequences I: Injury
Box ID:

CI_START

Respondents with S_A = 1 or S_TA = 1 or S_ATA = 1 or S_SA = 1 are asked this module.
Question ID:

CI_INTRO

{The next questions ask/This section asks} about any injuries you may have had during this
incident.
ASK Description: Respondents who reported being attacked or someone tried to have unwanted
sexual contact with them.
ASK Specification: IF S_A = 1 OR S_TA = 1 OR S_ATA = 1 OR S_SA = 1.
DISPLAY: If CONDITION = 2, Display "The next questions ask".
Else, if CONDITION = 3, display "This section asks".
Tags: Change Request
Notes: CONDITION=3: This section asks / CONDITION=2: The next questions ask) about any
injuries you may have had during this incident.
Question ID:

CI1

During {this/the} incident, {besides being} {shot} {and/or} {stabbed}, were you physically
injured in any {other} way? Injuries include things such as bruises, black eyes, cuts, broken
bones or more serious injuries.
1

Yes

2

No

ASK Description: Respondents who reported being attacked or someone tried to have unwanted
sexual contact with them.
ASK Specification: IF S_A = 1 OR S_TA = 1 OR S_ATA = 1 OR S_SA = 1.
PROGRAM: ROUTING INSTRUCTIONS: IF CI1 = 1, go to CI_BOX0.
Else, go to CI_BOX1.
DISPLAY: If more than 1 CIR, display "this". Else, display "the".
If A2b_a = 1 or A2c_a = 1, display "besides being" and "other". Else, do not display this text.
If A2b_a = 1, display "shot". Else, do not display this text.
If A2c_a = 1, display "stabbed". Else, do not display
If A2c_a = 1 and A2c_a = 1, display "and/or". Else, do not display this text.
PQID: CIR 31a, modified
SAS Variable: CI1
Box ID:

CI_BOX0

Go to CI2.

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Question ID:

CI2

Were you injured in any of these ways? (Mark all that apply.)
1

Broken or cracked bones

2

Broken nose

3

Dislocated joints

4

A concussion

5

Knocked unconscious

6

{Injury from sexual intercourse, such as to vagina
or anus}

7

{Other internal injuries, such as internal bleeding
or damage to internal organs}

8

Some other way

ASK Description: Respondents who reported being injured during the incident.
ASK Specification: IF CI1 = 1.
PROGRAM: Display text box and allow 250 character text response.
ROUTING INSTRUCTIONS: If CI2_8 = 1 or (CI2_1 = -9 and CI2_2 = -9 and CI2_3 = -9 and
CI2_4 = -9 and CI2_5 = -9 and CI2_6 = -9 and CI2_7 = -9 and CI2_8 = -9), go to CI2a.
Else, if 12 <= UT_AGE <= 55 and CI1 = 1 and (A3 = 1 or SA_1A = 1 or SA_1B = 1 or SA_1C =
1 or SA_1D = 1), go to CI3.
Else, go to CI6.
DISPLAY:
Display in italics "Mark all that apply."
If SA_1A = 1 or SA_1B = 1 or SA_1C = 1 or SA_1D = 1, display CI2_6 "injury from sexual
intercourse, such as to vagina or anus". Else, do not display this response option.
If SA_1A = 1 or SA_1B = 1 or SA_1C = 1 or SA_1D = 1, display CI2_7 "other internal injuries,
such as internal bleeding or damage to internal organs". Else, do not display this response
option.
PQID: CIR 31a, modified
SAS Variable: CI2_1, CI2_2, CI2_3, CI2_4, CI2_5, CI2_6, CI2_7, CI2_8
Tags: Change Request, Choose-all-that-apply Item
Notes: 1. IF CONDITION=2 THE RESPONSE OPTIONS SHOULD BE IN ALL CAPS (CAPITAL
LETTERS)
2. CONDITION=2: How were you injured? Any other injury? (Mark all that apply.)
3. Updated routing to route to new question CI3

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Question ID:

CI2a

Were you injured in any of these other ways? (Mark all that apply.)
1

Bruising, swelling, welts, black eye

2

Bite mark or bite wound

3

Cuts or scratches

4

Sore muscles, sprains, strains, pulls

5

Burns

6

Nose bleed or bloody lip

7

Broken, chipped, or lost teeth

8

Other (specify)

ASK Description: Respondents who reported being injured during the incident and reported
being injured in some other way.
ASK Specification: IF CI1 = 1 AND (CI2_8 = 1 OR (CI2_1 = -9 AND CI2_2 = -9 AND CI2_3 = -9
AND CI2_4 = -9 AND CI2_5 = -9 AND CI2_6 = -9 AND CI2_7 = -9 AND CI2_8 = -9)).
PROGRAM: Display text box and allow 250 character text response.
DISPLAY: Display in italics "Mark all that apply."
PQID: CIR 31a, modified
SAS Variable: CI2a_1, CI2a_2, CI2a_3, CI2a_4, CI2a_5, CI2a_6, CI2a_7, CI2a_8,
CI2a_8_Specify
Tags: Change Request, Choose-all-that-apply Item
Notes: ALL IN CI2a GO TO CI3

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Question ID:

CI3

Did you face any other physical consequences as a result of this victimization?
1

Yes (Specify)

2

No

ASK Description: Respondents who reported being injured during the incident and reported
being injured in some other way.
ASK Specification: IF CI1 = 1 AND (CI2_8 = 1 OR (CI2_1 = -9 AND CI2_2 = -9 AND CI2_3 = -9
AND CI2_4 = -9 AND CI2_5 = -9 AND CI2_6 = -9 AND CI2_7 = -9 AND CI2_8 = -9)).
PROGRAM: Display text box and allow 250 character text response.
ROUTING INSTRUCTIONS: If UT_RESP_GENDER = 2 and 12 <= UT_AGE <= 55 and CI1 = 1
and (A3 = 1 or SA_1A = 1 or SA_1B = 1 or SA_1C = 1 or SA_1D = 1), go to CI3a.
Else, go to CI6.
PQID: NEW
SAS Variable: CI3, CI3_Specify
Tags: Change Request
Notes: new question
Question ID:

CI3a

Were you pregnant at the time?
1

Yes

2

No

ASK Description: Female respondents between ages 12 and 55 who reported being attacked or
unwanted sexual contact.
ASK Specification: IF UT_RESP_GENDER = 2 AND 12 <= UT_AGE <= 55 and CI1 = 1 and (A3 =
1 or SA_1A = 1 or SA_1B = 1 or SA_1C = 1 or SA_1D = 1).
PQID: CIR40
SAS Variable: CI3a
Tags: Change Request

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Question ID:

CI6

Did you receive any care from a medical or dental professional as a result of {this/the} incident?
1

Yes

GO TO CI7

2

No

GO TO CI_BOX1

ASK Description: Respondents who reported being injured during this incident.
ASK Specification: IF CI1 = 1.
DISPLAY: If more than 1 CIR, display "this". Else, display "the".
PQID: CIR 33a, modified
SAS Variable: CI6
Tags: Change Request
Question ID:

CI7

Did you receive this care at the location where the incident happened, somewhere else, or both?
1

Only where the incident happened

GO TO CI_BOX1

2

Only somewhere else

GO TO CI7a

3

Both

GO TO CI7a

ASK Description: Respondents who reported they received care from a medical or dental
professional as a result of this incident.
ASK Specification: IF CI6 = 1.
PQID: CIR33b - modified
SAS Variable: CI7

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Question ID:

CI7a

Where did you receive this care? (Mark all that apply.)
1

AT YOUR HOME OR THE HOME OF A RELATIVE,
FRIEND, OR NEIGHBOR

2

AT A HOSPITAL EMERGENCY ROOM ER) OR AN
EMERGENCY CLINIC

3

AT SOME OTHER KIND OF MEDICAL OR DENTAL
PLACE

4

SOMEWHERE ELSE (specify)

ASK Description: Respondents who reported they received care from a medical or dental
professional somewhere other than where the incident took place.
ASK Specification: IF CI7 = 2, 3.
PROGRAM: Display text box and allow 250 character text response.
ROUTING INSTRUCTIONS: If CI7aB = 1 or CI7aC = 1 or CI7aD = 1, go to CI8.
Else, go to CI_BOX1.
DISPLAY: Display in italics "Mark all that apply."
PQID: CIR33b - modified
SAS Variable: CI7aA, CI7aB, CI7aC, CI7aD, CI7aD_Specify
Tags: Choose-all-that-apply Item
Question ID:

CI8

Did you stay overnight in the hospital?
1

Yes

2

No

ASK Description: Respondents who reported they received care for the incident at a hospital
emergency room or clinic, or some other kind of medical/dental place, or somewhere else.
ASK Specification: IF CI7aB = 1 OR CI7aC = 1 OR CI7aD = 1.
PROGRAM: ROUTING INSTRUCTIONS: IF CI8 = 1, go to CI9.
Else, if CI6 = 1, go to CI10.
Else, go to CI_BOX1.
PQID: CIR 34a
SAS Variable: CI8

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Question ID:

CI9

How many nights did you stay in the hospital?
1

| | | nights

ASK Description: Respondents who stayed overnight at the hospital.
ASK Specification: IF CI8 = 1.
PROGRAM: ROUTING INSTRUCTIONS: If CI6 = 1, go to CI10.
Else, go to CI_BOX1.
PQID: CIR 34b, modified
SAS Variable: CI9
Question ID:

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?
1

Yes

GO TO CI11

2

No

GO TO CI_BOX1

3

Don't know

GO TO CI_BOX1

ASK Description: Respondents who received care for the incident and stayed at the hospital
overnight.
ASK Specification: IF CI6 = 1 AND CI8 = 1.
PQID: NEW
SAS Variable: CI10
Tags: Change Request
Notes: Add a "don't know" option and IF CI10=3 (don't know) skip to NEXT MODULE.

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Question ID:

CI11

How much were these out-of-pocket expenses?
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

ASK Description: Respondents who reported out of pocket expenses for this incident.
ASK Specification: IF CI10 = 1.
PQID: NEW
SAS Variable: CI11
Tags: Change Request
Notes: How much were these out-of-pocket expenses? (CONDITION=2: Would you say…)
Reversed request change
Box ID:

CI_BOX1

If this incident involved theft or attempted theft of a motor vehicle, go to MV_START.
Else, if this incident involved a break-in or attempted break-in, go to BI_START.
Else, if this incident involved theft or attempted theft, go to T_START.
Else, if this incident did not involve theft or attempted theft of a motor vehicle but involved theft
or attempted theft of motor vehicle parts or gas, go to MV_START.
Else, if this incident involved vandalized property, go to V_START.

IF S_MV
ELSE, IF
ELSE, IF
ELSE, IF
ELSE, IF

= 1, GO TO MV_START.
S_BI = 1, GO TO BI_START.
S_T = 1 OR S_AT = 1, GO TO T_START.
S_MV != 1 AND S_MVP = 1, GO TO MV_START.
S_V = 1, GO TO V_START.

Tags: Change Request
Notes: Change priority - BI higher priority vs MV

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What Happened: Module MV – Motor Vehicle
Theft/Parts Theft/Attempted Theft
Box ID:

MV_START

Respondents with S_MV = 1 or S_MVP = 1 are asked this module.
If S_MV = 1 and (S_01B1 = 1 and S_01B2 = 1), go to MV1a.
Else, if S_MV = 1, go to MV2a.
Else, if S_MVP = 1 and (S_02A1 = 1 OR S_02A2 = 1) and S_02A3 = 1, go to MV1b.
Else, if S_MVP = 1, go to MV2b.
Else, go to MV_BOX1.

Question ID:

MV1a

You said someone stole or tried to steal a vehicle or used it without permission during {this/the}
incident{ in {MONTH}}. Did the offender(s) actually take the vehicle?
1

Yes

2

No

ASK Description: Respondents who reported someone stole or tried to steal a vehicle.
ASK Specification: IF S_MV = 1 AND (S_01B1 = 1 AND S_01B2 = 1).
PROGRAM: ROUTING INSTRUCTIONS: If MV1a = -9, go to MV_BOX1.
DISPLAY: If more than 1 CIR, display "this". Else, display "the".
If month was reported for the incident in the current loop, display { in {MONTH}}. For
"MONTH", display Month of incident in current loop. Display format – January. Else, if month
was not reported for the incident in the current loop, do not display.
PQID: NEW
SAS Variable: MV1a
Notes: removed setting flags

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Question ID:

MV2a

{You said someone {stole a vehicle or used it without permission/tried to steal a vehicle} during
{this/the} incident{ in {MONTH}}.} Who did the vehicle belong to?
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

ASK Description: Respondents who reported someone stole or tried to steal a vehicle.
ASK Specification: IF S_MV = 1 OR MV1a = 1, 2.
PROGRAM: Display text box and allow 250 character text response.
ROUTING INSTRUCTIONS:
If S_MVP = 2 and (S_02A1 = 1 or S_02A2 = 1) and S_02A3 = 1, go to MV1b.
Else, if S_MVP = 2, go to MV2b.
Else, if S_MV = 1 and MV1a != 2, go to MV3.
Else, go to MV_BOX1.
DISPLAY: If S_01B1 != 1 OR S_01B2 != 1, display "You said someone … incident { in
{MONTH}}." Else, do not display this text.
If S_MV = 1, display "stole a vehicle or used it without permission".
Else, display "tried to steal a vehicle".
If more than 1 CIR, display "this". Else, display "the".
If month was reported for the incident in the current loop, display { in {MONTH}}. For
"MONTH", display Month of incident in current loop. Display format – January. Else, if month
was not reported for the incident in the current loop, do not display this text.
PQID: CIR 97a, modified
SAS Variable: MV2a, MV2a_Specify
Tags: Change Request
Notes: 1. IF CONDITION=2 THE RESPONSE OPTIONS SHOULD BE IN ALL CAPS (CAPITAL
LETTERS)
2. Response option wording would differ for condition 2 and 3...
CONDITION=3:
1
2
3
4
5

You
Someone else you live with
Both you and someone else you live with
Someone you don't live with
Other

CONDITION=2:
1 RESPONDENT
2 SOMEONE RESPONDENT LIVES WITH
3 BOTH RESPONDENT AND SOMEONE ELSE S/HE LIVES WITH
4 SOMEONE RESPONDENT DOESN'T LIVE WITH
5 OTHER
3. reversed change request

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Question ID:

MV1b

You said someone stole or tried to steal vehicle parts or gas during {this/the} incident{ in
{MONTH}}. Did the offender(s) actually take any vehicle parts or gas?
1

Yes

2

No

ASK Description: Respondents who reported someone stole or tried to steal vehicle parts.
ASK Specification: IF S_MVP = 1 AND (S_02A1 = 1 OR S_02A2 = 1) AND S_02A3 = 1.
DISPLAY: If more than 1 CIR, display "this". Else, display "the".
If month was reported for the incident in the current loop, display { in {MONTH}}. For
"MONTH", display Month of incident in current loop. Display format – January. Else, if month
was not reported for the incident in the current loop, do not display.
PQID: NEW
SAS Variable: MV1b

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Question ID:

MV2b

{You said someone stole or tried to steal vehicle parts or gas during {this/the} incident{ in
{MONTH}}.} Who did the vehicle parts or gas belong to?
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

ASK Description: Respondents who reported someone stole or tried to steal vehicle parts.
ASK Specification: IF S_MVP = 1.
PROGRAM: Display text box and allow 250 character text response.
ROUTING INSTRUCTIONS:
If S_MV = 1 and (MV1a = 1 or MV1a = NULL (was not asked)), go to MV3.
Else, go to MV_BOX1.
DISPLAY: If (S_02A1 != 1 AND S_02A2 != 1) OR S_02A3 != 1, display "You said someone …
incident {in {MONTH}}." Else, do not display this text.
If more than 1 CIR, display "this". Else, display "the".
If month was reported for the incident in the current loop, display { in {MONTH}}. For
"MONTH", display Month of incident in current loop. Display format – January. Else, if month
was not reported for the incident in the current loop, do not display.
PQID: CIR 97a, modified
SAS Variable: MV2b, MV2b_Specify
Tags: Change Request
Notes: 1. IF CONDITION=2 THE RESPONSE OPTIONS SHOULD BE IN ALL CAPS (CAPITAL
LETTERS)
2. Response option wording would differ for condition 2 and 3...
CONDITION=3:
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
CONDITION=2:
1 RESPONDENT
2 SOMEONE RESPONDENT LIVES WITH
3 BOTH RESPONDENT AND SOMEONE ELSE S/HE LIVES WITH
4 SOMEONE RESPONDENT DOESN'T LIVE WITH
5 OTHER
3. reversed change request

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Question ID:

MV3

Did anyone ever tell the offender(s) they could use the vehicle?
1

Yes

GO TO MV4

2

No

GO TO MV_BOX1

ASK Description: Respondents who reported someone stole or tried to steal a vehicle and did
not report the vehicle was not actually stolen or refuse to report whether or not the vehicle was
actually stolen.
ASK Specification: IF S_MV = 1 AND MV1a != 2,-9.
PQID: CIR 98, modified
SAS Variable: MV3
Question ID:

MV4

Did the offender(s) return the vehicle?
1

Yes

2

No

ASK Description: Respondents who reported anyone told the offender they could use the
vehicle.
ASK Specification: IF MV3 = 1.
PROGRAM: ROUTING INSTRUCTIONS: If MV4 = 1 and S_MV = 1 and S_MVP != 1 and S_T != 1
and S_BI != 1 and S_V != 1 and S_A != 1 and S_TA != 1 and S_ATA != 1 and S_SA != 1, go to
NA_BOX1.
Else, go to MV_BOX1.
PQID: CIR 99, modified
SAS Variable: MV4
Box ID:

MV_BOX1

If this incident involved a break-in or attempted break-in and the break in module has not yet
been completed, go to BI_START.
Else, if this incident involved theft and the theft module has not yet been completed, go to
T_START.
Else, if this incident involved vandalized property, go to V_START.
Else, go to LO_INTRO.

IF S_BI = 1 AND BI1a = NULL, GO TO BI_START.
ELSE, IF S_T = 1 AND T2a_1 = NULL, GO TO T_START.
ELSE, IF S_V = 1, GO TO V_START.
ELSE, GO TO LO_INTRO.

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What Happened: Module B – Break-ins
Box ID:

BI_START

Respondents with S_BI = 1 are asked this module.

Question ID:

BI1

You said someone broke in or tried to break in during {this/the} incident{ in {MONTH}}. Did
someone break in or try to break into any of the following during this incident? (Mark all that
apply.)
1

Your home?

2

A garage, shed, or other detached building on your
property?

3

A second home or vacation home?

4

A hotel or motel room where you or someone you
live with was staying?

5

A car or motor vehicle?

6

Some other place? Specify:

ASK Description: Respondents who reported a break-in.
ASK Specification: IF S_BI = 1.
PROGRAM: ROUTING INSTRUCTIONS: If BI1a = 1 OR BI1b = 1 OR BI1c = 1 OR BI1d = 1 OR
BI1f = 1, go to BI2.
Else, go to BI_BOX2.
DISPLAY: If more than 1 CIR, display "this". Else, display "the".
If month was reported for the incident in the current loop, display { in {MONTH}}. For
"MONTH", display Month of incident in current loop. Display format – January. Else, if month
was not reported for the incident in the current loop, do not display.
Display "Mark all that apply." in italics.
PQID: CIR10b, modified
SAS Variable: BI1a, BI1b, BI1c, BI1d, BI1e, BI1f, BI1f_Specify
Tags: Change Request, Choose-all-that-apply Item
Notes: 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)). (CONDITION=2: Did someone break
in or try to break into any of the following during this incident /CONDITION=3: During (IF MORE
THAN ONE CIR: this/IF ONE CIR: the) incident did someone break in or try to break into…)?
2. reversed change request

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Question ID:

BI2

{Excluding the motor vehicle, did/Did} the offender(s) actually get inside {any of these places}?
1

Yes

2

No

ASK Description: Respondents who reported a break-in of something other than a motor vehicle.
ASK Specification: IF BI1a = 1 OR BI1b = 1 OR BI1c = 1 OR BI1d = 1 OR BI1f = 1.
DISPLAY: If BI1e = 1 and (BI1a = 1 or BI1b = 1 or BI1c = 1 or BI1d = 1 or BI1f = 1), display
"Excluding the motor vehicle, did". Else, display "Did".
If more than one BI1[a/b/c/d/f] = 1, display "any of these places". Else, do not display this text.
PQID: CIR12, modified
SAS Variable: BI2
Question ID:

BI3

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.
1

Yes

GO TO BI4

2

No

GO TO BI_BOX2

ASK Description: Respondents who reported a break-in of something other than a motor vehicle.
ASK Specification: IF BI1a = 1 OR BI1b = 1 OR BI1c = 1 OR BI1d = 1 OR BI1f = 1.
DISPLAY: Display in italics "Signs of force… locks or windows.".
PQID: CIR14, modified
SAS Variable: BI3

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Question ID:

BI4

What were these signs?{ Anything else?} (Mark all that apply.)
1

A window was damaged

2

A window screen was damaged or removed

3

A lock on a window was damaged or tampered
with

4

There was some other damage to a window

5

A door was damaged

6

A screen door was damaged or removed

7

A lock or a door handle was damaged or tampered
with

8

There was some other damage to a door

9

Something else

ASK Description: Respondents who reported a break-in with signs of force.
ASK Specification: IF BI3 = 1.
PROGRAM: Display text box and allow 250 character text response.
DISPLAY: Display in italics, "Mark all that apply."
If CONDITION = 2, display " Anything else?". Else do not display.
If CONDITION = 2, display response options in uppercase. Else, if CONDITION = 3, display in
mixed case.
PQID: CIR15a, modified
SAS Variable: BI41, BI42, BI43, BI44, BI45, BI46, BI47, BI48, BI49, BI49_Specify
Tags: Change Request, Choose-all-that-apply Item
Notes: 1. IF CONDITION=2 THE RESPONSE OPTIONS SHOULD BE IN ALL CAPS (CAPITAL
LETTERS)
2. CONDITION=2: Anything else?
Box ID:

BI_BOX2

If this incident involved theft, go to T_START.
Else, if this incident did not involve theft or attempted theft of a motor vehicle but involved theft
or attempted theft of a motor vehicle parts or gas, go to MV_START.
Else, if this incident involved vandalized property, go to V_START.
Else, go to LO_INTRO.

IF S_T = 1, GO TO T_START.
ELSE, IF S_MV != 1 AND S_MVP = 1, GO TO MV_START.
ELSE, IF S_V = 1, GO TO V_START.
ELSE, GO TO LO_INTRO.

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What Happened: Module T – Theft
Box ID:

T_START

Respondents with S_T = 1 are asked this module.
Tags: Change Request
Notes: The Theft module should (as of 3/5/19) only be asked if S_T=1 (not asked if S_AT=1).
Box ID:

T_BOX1A

Go to T2a.

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Question ID:

T2a

You said someone stole something from you during {this/the} incident{ in {MONTH}}. What
was stolen?{ Anything else?} (Mark all that apply.)
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}

7

{CLOTHING, FURS, OR SHOES}

8

{JEWELRY, A WATCH, OR KEYS}

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}

13

{A BICYCLE OR BICYCLE PARTS}

14

{A GARDEN HOSE OR LAWN FURNITURE}

15

{TOYS, OR SPORTS AND RECREATION
EQUIPMENT}

16

{SOMETHING YOU KEPT IN YOUR VEHICLE, SUCH
AS A GPS DEVICE OR A PHONE CHARGER}

17

{A PACKAGE OR GROCERIES}

18

SOMETHING ELSE

ASK Description: Respondents who reported someone stole something.
ASK Specification: IF S_T = 1.
PROGRAM: ROUTING INSTRUCTIONS:
If T2a_18 = 1, go to T2b.
Else, if T2a_1 = 1 or T2a_3 = 1, go to T_BOX3.
Else, go to T4.

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DISPLAY: Display in italics, "Mark all that apply."
If more than 1 CIR, display "this". Else, display "the".
If month was reported for the incident in the current loop, display { in {MONTH}}. For
"MONTH", display Month of incident in current loop. Display format – January. Else, if month
was not reported for the incident in the current loop, do not display.
If CONDITION = 2, display " Anything else?". Else, do not display this text.
If CONDITION = 2, display response options in uppercase. Else, if CONDITION = 3, display in
mixed case.
If S_03A1 = 1 OR S_03A5 = 1, display options 1-6. Else, do not display these response options.
If S_03A2 = 1 OR S_03A3 = 1, display options 7 and 8. Else, do not display these response
options.
If S_03A3 = 1, display options 9-12. Else, do not display these response options.
If S_03A4 = 1 OR S_03A6 = 1, display options 13-15. Else, do not display these response
options.
If S_03A5 = 1, display options 16 and 17. Else, do not display these response options.
PQID: CIR96a - modified
SAS Variable: T2a_1, T2a_2, T2a_3, T2a_4, T2a_5, T2a_6, T2a_7, T2a_8, T2a_9, T2a_10,
T2a_11, T2a_12, T2a_13, T2a_14, T2a_15, T2a_16, T2a_17, T2a_18
Tags: Change Request, Choose-all-that-apply Item
Notes: 1. IF CONDITION=2 THE RESPONSE OPTIONS SHOULD BE IN ALL CAPS (CAPITAL
LETTERS)
2. NEW:CONDITION=2: Anything else?
3. The Theft module should (as of 3/5/19) only be asked if S_T=1 (not asked if S_AT=1).

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Question ID:

T2b

{ INSTRUCTION ONLY: INTERVIEWER CODE THE APPROPRIATE CATEGORIES}/You said
someone stole or tried to steal something else from you during {this/the} incident{ in
{MONTH}}. What was stolen? (Mark all that apply.)
1

{CASH}

2

{CREDIT CARDS, CHECK, BANK CARDS}

3

{PURSE/WALLET}

4

{BACKPACK, BRIEFCASE, LUGGAGE}

5

{CELL PHONE}

6

{OTHER PERSONAL AND PORTABLE
ELECTRONICS}

7

{CLOTHING, FURS, SHOES}

8

{JEWELRY, WATCH, KEYS}

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}

13

{BICYCLE OR PARTS}

14

{GARDEN HOSE OR LAWN FURNITURE}

15

{TOYS, SPORTS, RECREATION EQUIPMENT}

16

{UNATTACHED MOTOR VEHICLE ACCESSORIES
(GPS DEVICE, PHONE CHARGERS, ETC.)}

17

{A PACKAGE OR GROCERIES}

18

SOMETHING ELSE Specify:

ASK Description: Respondents who reported someone stole something else.
ASK Specification: IF T2a_18 = 1.
PROGRAM: Display text box and allow 250 character text response.
ROUTING INSTRUCTIONS: If T2a_1 = 1 or T2a_3 = 1 or T2b_1 = 1 or T2b_3 = 1, go to
T_BOX3.
Else, go to T4.

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DISPLAY: If condition 2, display “INSTRUCTION ONLY: INTERVIEWER CODE THE APPROPRIATE
CATEGORIES.” If condition 3, display “You said someone stole or tried to steal something else
from you during {this/the} incident{ in {MONTH}}. What was stolen?”
Display in italics, "Mark all that apply."
If more than 1 CIR, display "this". Else, display "the".
If month was reported for the incident in the current loop, display { in {MONTH}}. For
"MONTH", display Month of incident in current loop. Display format – January of 2018. Else, if
month was not reported for the incident in the current loop, do not display.
If S_03A1 !=1 AND S_01E !=1 AND S02E !=1, display options 1-6. Else, do not display.
If S_03A2 !=1, display options 7 and 8. Else, do not display.
If S_03A3 !=1, display options 9-12. Else, do not display.
If S_03A4 !=1 AND S_03A6 !=1, display options 13-15. Else, do not display.
If S_03A5 !=1 AND S_01E !=1 AND S02E !=1, display options 16 and 17. Else, do not display.
If CONDITION = 2, display response options in uppercase. Else, if CONDITION = 3, display in
mixed case.
PQID: CIR96a, modified
SAS Variable: T2b_1, T2b_2, T2b_3, T2b_4, T2b_5, T2b_6, T2b_7, T2b_8, T2b_9, T2b_10,
T2b_11, T2b_12, T2b_13, T2b_14, T2b_15, T2b_16, T2b_17, T2b_18, T2b_18_SPECIFY
Tags: Change Request, Choose-all-that-apply Item
Notes: IF CONDITION=2 THE RESPONSE OPTIONS SHOULD BE IN ALL CAPS (CAPITAL
LETTERS)
Box ID:

T_BOX3

If respondent is less than 18 years old, go to T3a.
If respondent is 18 years old or older, go to T3b.

If UT_AGE < 18, go to T3a.
If UT_AGE >= 18, go to T3b.
Notes: added to split original T3 by age group

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Question ID:

T3a

How much cash was taken? {READ RESPONSES UNTIL R SAYS YES.}
1

Less than 10 dollars

GO TO T4

2

$10 or more, but less than $20

GO TO T4

3

$20 or more, but less than $30

GO TO T4

4

$30 or more, but less than $50

GO TO T4

5

$50 or more

GO TO T4

ASK Description: Respondents who are less than 18 years old and reported cash or a
wallet/purse was stolen.
ASK Specification: IF UT_AGE < 18 and (T2a_1 = 1 OR T2a_3 = 1 OR T2b_1 = 1 OR T2b_3 =
1).
DISPLAY: If CONDITION = 2, display "READ RESPONSES UNTIL R SAYS YES.". Else, do not
display this text.
PQID: CIR96e
SAS Variable: T3a
Tags: Change Request
Notes: How much cash was taken? (CONDITION=2: READ RESPONSES UNTIL R SAYS YES.)
updated to split original T3 by age group

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Question ID:

T3b

How much cash was taken? {READ RESPONSES UNTIL R SAYS YES.}
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

ASK Description: Respondents who are 18 years old or older and reported cash or a wallet/purse
was stolen.
ASK Specification: IF UT_AGE >= 18 and (T2a_1 = 1 OR T2a_3 = 1 OR T2b_1 = 1 OR T2b_3 =
1).
DISPLAY: If CONDITION = 2, display "READ RESPONSES UNTIL R SAYS YES.". Else, do not
display this text.
PQID: CIR96e
SAS Variable: T3b
Tags: Change Request
Notes: How much cash was taken? (CONDITION=2: READ RESPONSES UNTIL R SAYS YES.)
updated to split original T3 by age group

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Question ID:

T4

Who did the stolen property or money belong to?
1

{RESPONDENT/You}

2

{SOMEONE RESPONDENT LIVES WITH/Someone
else you live with}

3

{BOTH RESPONDENT AND SOMEONE ELSE S/HE
LIVES WITH/Both you and someone else you live
with}

4

{SOMEONE RESPONDENT DOESN'T LIVE
WITH/Someone you don't live with}

5

{OTHER/OTHER Specify:

}

ASK Description: Respondents who reported someone stole or tried to steal something.
ASK Specification: IF S_T = 1 or S_AT = 1.
PROGRAM: Display text box and allow 250 character text response.
ROUTING INSTRUCTIONS: If T4 = 4 and S_SA != 1 and S_A != 1 and S_MV != 1 and S_MVP !=
1 and S_TA != 1 and S_ATA != 1 and S_V != 1 and S_BI != 1, go to NA_BOX1.
Else, if T4 != 4 and (T2a_1 = 1 or T2a_3 = 1 or T2a_5 = 1 or T2b_1 = 1 or T2b_3 = 1 or T2b_5
= 1), go to T5.
Else, if T4 != 4, go to T6.
Else, go to T_BOX2.
DISPLAY: If CONDITION = 2, display in response option 1 "RESPONDENT"; in response option 2
"SOMEONE RESPONDENT LIVES WITH"; in response option 3 "BOTH RESPONDENT AND
SOMEONE ELSE S/HE LIVES WITH"; in response option 4 "SOMEONE RESPONDENT DOSEN'T
LIVE WITH"; in response option 5 "OTHER".
If CONDITION = 3, display in response option 1 "You "; in response option 2 "Someone else you
live with"; in response option 3 "Both you and someone else you live with"; in response option 4
"Someone you don't live with"; in response option 5 "OTHER Specify: ".
If CONDITION = 2, display response options in uppercase. Else, if CONDITION = 3, display in
mixed case.
PQID: CIR97a, modified
SAS Variable: T4, T4_Specify
Tags: Change Request

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Notes: 1. IF CONDITION=2 THE RESPONSE OPTIONS SHOULD BE IN ALL CAPS (CAPITAL
LETTERS)
2. Response options for Condition 2 different than condition 3...
CONDITION=3:
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
CONDITION=2:
1 RESPONDENT
2 SOMEONE RESPONDENT LIVES WITH
3 BOTH RESPONDENT AND SOMEONE ELSE S/HE LIVES WITH
4 SOMEONE RESPONDENT DOESN'T LIVE WITH
5 OTHER
Question ID:

T5

Was the {cash} {or} {purse or wallet} {or} {cell phone} on your person, such as in a pocket or
being held?
1

Yes

2

No

ASK Description: Respondents who reported cash, a purse or wallet, or cell phone stolen.
ASK Specification: IF T4 != 4 AND (T2a_1 = 1 OR T2a_3 = 1 OR T2a_5 = 1 or T2b_1 = 1 or
T2b_3 = 1 or T2b_5 = 1).
DISPLAY: If T2a_1 = 1 or T2b_1 = 1, display "cash". Else, do not display this text.
If T2a_3 = 1 or T2b_3 = 1, display "purse or wallet". Else, do not display this text.
If T2a_5 = 1 or T2b_5 = 1, "cell phone". Else, do not display this text.
Display "or" between fills if more than one is displayed.
PQID: CIR102a, modified
SAS Variable: T5

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Question ID:

T6

Was there anything {else} the offender(s) took directly from you, such as from your pocket or
hands, or something that you were wearing?
1

Yes

2

No

ASK Description: Respondents who reported someone stole something or tried to steal
something that does belong the respondent or someone the respondent lives with.
ASK Specification: IF (S_T = 1 AND S_AT = 1) AND T4 != 4.
DISPLAY: If T2a_1 = 1 OR T2a_3 = 1 OR T2a_5 = 1 or T2b_1 = 1 or T2b_3 = 1 or T2b_5 = 1,
display "else". Else, do not display this text.
PQID: CIR102b, modified
SAS Variable: T6
Box ID:

T_BOX2

If this incident did not involve theft or attempted theft of a motor vehicle but involved theft or
attempted theft of a motor vehicle parts or gas, go to MV_START.
Else, if this incident involved vandalized property, go to V_START.
Else, go to LO_INTRO.

IF S_MV != 1 AND S_MVP = 1, GO TO MV_START.
ELSE, IF S_V = 1, GO TO V_START.
ELSE, GO TO LO_INTRO.

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What Happened: Module V – Vandalism
Box ID:

V_START

Respondents with S_V = 1 (but no other screener flags = 1) are asked this module.
ROUTING INSTRUCTIONS: If S_V = 1 and S_A != 1 and S_TA != 1 and S_T != 1 and S_BI != 1
and S_SA != 1 and S_MV != 1 and S_MVP != 1 AND S_05A1 = 1, go to V1.
Else, if S_V = 1 and S_A != 1 and S_TA != 1 and S_T != 1 and S_BI != 1 and S_SA != 1 and
S_MV != 1 and S_MVP != 1 AND SOLO_HHM != 1, go to V3.
Else, go to LO_INTRO.
Tags: Change Request
Notes: NEW ROUTING INTO THIS MODULE:
If S_V=1 and S_A!=1 and S_TA!=1 and S_T!=1 and S_BI!=1 and S_SA!=1 and S_MV!=1 and
S_MVP!=1 then do:
if S_05A1=1 go to V1
else If SOLO_HHM != 1 go to V3
Else go to LO_INTRO

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Question ID:

V1

You said someone damaged or destroyed your property during {this/the} incident{ in
{MONTH}}. What kind of property did the offender damage or destroy?{ Anything else?}(Mark
all that apply.)
1

A vehicle (including parts)

2

Something inside your home or apartment

3

A mailbox

4

Something outside of your home or apartment,
such as doors, windows, or walls

5

Fences, walls, gates or items in a garden

6

A garage, shed, greenhouse or other structure on
your property

7

An animal such as a pet or livestock

8

Other

ASK Description: Respondents who reported their property was damaged or destroyed and did
not report any other incident type.
ASK Specification: IF S_V = 1 and S_A != 1 and S_TA != 1 and S_T != 1 and S_BI != 1 and
S_SA != 1 and S_MV != 1 and S_MVP != 1 AND S_05A1 = 1.
PROGRAM: Display text box and allow 250 character text response.
DISPLAY: Display in italics "Mark all that apply."
If more than 1 CIR, display "this". Else, display "the".
If month was reported for the incident in the current loop, display { in {MONTH}}. For
"MONTH", display Month of incident in current loop. Display format – January. Else, if month
was not reported for the incident in the current loop, do not display.
If CONDITION = 2, display " Anything else?". Else, do not display this text.
If CONDITION = 2, display response options in uppercase. Else, if CONDITION = 3, display in
mixed case.
PQID: 2009 Supplement, 61a
SAS Variable: V1_1, V1_2, V1_3, V1_4, V1_5, V1_6, V1_7, V1_8, V1_8_Specify
Tags: Change Request, Choose-all-that-apply Item
Notes: 1. IF CONDITION=2 THE RESPONSE OPTIONS SHOULD BE IN ALL CAPS (CAPITAL
LETTERS)
2. CONDITION=2: Anything else?
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)/). What kind of property did the
offender damage or destroy? (CONDITION=2: Anything else?) (Mark all that apply.)

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Question ID:

V2

What kind of damage did the offender do? (Mark all that apply.)
1

Broke glass, such as a window or mirror

2

Defaced something, such as painting graffiti, or
keyed a car

3

Burned something

4

Drove into or ran over something with a vehicle

5

Broke or destroyed something else

6

{Injured or killed animals}

7

Other

ASK Description: Respondents who reported their property was damaged or destroyed and did
not report any other incident type.
ASK Specification: IF S_V = 1 and S_A != 1 and S_TA != 1 and S_T != 1 and S_BI != 1 and
S_SA != 1 and S_MV != 1 and S_MVP != 1 AND S_05A1 = 1.
PROGRAM: Display text box and allow 250 character text response.
DISPLAY: Display "Mark all that apply." in italics.
If V1_7 = 1, display "Injured or killed animals". Else, do not display this response option.
If CONDITION = 2, display response options in uppercase. Else, if CONDITION = 3, display in
mixed case.
PQID: 2009 SUPPLEMENT, 62A
SAS Variable: V2_1, V2_2, V2_3, V2_4, V2_5, V2_6, V2_7, V2_7_Specify
Tags: Change Request, Choose-all-that-apply Item
Notes: 1. IF CONDITION=2 THE RESPONSE OPTIONS SHOULD BE IN ALL CAPS (CAPITAL
LETTERS)
2. new wording – replaced "keying" with "or keyed" and deleted ", or dirtying something"

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Question ID:

V3

{You said someone injured or killed an animal during {this/the} incident{ in {MONTH}}.} Did
the offender attack or threaten anyone (else) who was living with you during {this/the}
incident?
1

Yes

2

No

ASK Description: Respondents who reported their property was damaged or destroyed or
someone injured or killed an animal and did not report any other incident type and is not in a
single person household.
ASK Specification: IF S_V = 1 and S_A != 1 and S_TA != 1 and S_T != 1 and S_BI != 1 and
S_SA != 1 and S_MV != 1 and S_MVP != 1 AND S_05A1 != 1 AND SOLO_HHM != 1.
DISPLAY: If S_05A2 = 1 and V1 = -9 and V2 = -9, display "You said someone…{ in
{MONTH}}.". Else, do not display this text.
If more than 1 CIR, display "this". Else, display "the".
If month was reported for the incident in the current loop, display { in {MONTH}}. For
"MONTH", display Month of incident in current loop. Display format – January. Else, if month
was not reported for the incident in the current loop, do not display.
PQID: 2009 Supplement, 64a, modified
SAS Variable: V3
Tags: Change Request
Notes: ask update only based on new routing
Question ID:

V4

Did the offender steal or try to steal something that belonged to anyone (else) who lived with
you during {this/the} incident?
1

Yes

2

No

ASK Description: Respondents who reported their property was damaged or destroyed or
someone injured or killed an animal and did not report any other incident type and is not in a
single person household.
ASK Specification: IF S_V = 1 and S_A != 1 and S_TA != 1 and S_T != 1 and S_BI != 1 and
S_SA != 1 and S_MV != 1 and S_MVP != 1 AND S_05A1 != 1 AND SOLO_HHM != 1.
DISPLAY: If more than 1 CIR, display "this". Else, display "the".
PQID: 2009 Supplement, 64a, modified
SAS Variable: V4
Notes: ask update only based on new routing

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Location Series
Question ID:

LO_INTRO

The next questions ask about when and where {this/the} incident{ in {MONTH}} took place.
ASK Description: Respondents who reported an incident.
ASK Specification: IF S_MV = 1 or S_MVP = 1 or S_T = 1 or S_BI = 1 or S_V = 1 or S_A = 1 or
S_TA = 1 or S_ATA = 1 or S_SA = 1.
DISPLAY: If more than 1 CIR, display "this". Else, display "the".
If month was reported for the incident in the current loop, display { in {MONTH}}. For
"MONTH", display Month of incident in current loop. Display format – January. Else, do not
display this text.
Tags: Change Request
Notes: added "when and"
Question ID:

LO_T

About what time did the incident happen?
1

After 6am - 12 noon

2

After 12 noon - 3pm

3

After 3pm - 6pm

4

After 6pm - 9pm

5

After 9pm - midnight

6

After 12 midnight - 6am

7

During the day, but don't know what time

8

During the night, but don't know what time

9

Don't know whether day or night

ASK Description: Respondents who reported an incident.
ASK Specification: IF S_MV = 1 or S_MVP = 1 or S_T = 1 or S_BI = 1 or S_V = 1 or S_A = 1 or
S_TA = 1 or S_ATA = 1 or S_SA = 1.
PQID: NEW
SAS Variable: LO_T
Tags: Change Request
Notes: New question

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Box ID:

LO_BOX1

Respondents who have lived at their current address less than 6 months, at least 6 months, but
less than 1 year, or did not report how long they have lived at their current address, go to
CIR1A.
Else, go to LO_BOX2.

If PC2 = 1, 2, -9 or PC1_YEARS < 1, go to CIR1A.
Else, go to LO_BOX2.

Question ID:

CIR1A

Did this incident happen while you were living at your current address, or before you moved to
this address?
1

While living at current address

2

Before moving to this address

ASK Description: Respondents who have lived at their current address less 6 months, at least 6
months, but less than 1 year, or did not report how long they have lived at their current
address.
ASK Specification: IF PC2 = 1, 2, -9 or PC1_YEARS < 1.
SAS Variable: CIR1A
Box ID:

LO_BOX2

Respondents who reported a break in at a second home, a hotel or motel room, or some other
place, go to LO_BOX4.
Else, respondents who reported someone broke into or vandalized their vehicle, go to LO_1.
Else, go to LO_BOX3.
If BI1c = 1 or BI1d = 1 or BI1f = 1, go to LO_BOX4.
Else, if BI1e = 1 or V1_1 = 1 or S_MV = 1 or S_MVP = 1, go to LO_1.
Else, go to LO_BOX3.

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Question ID:

LO_1

Where was the vehicle when this happened?{ (READ UNTIL RESPONDENT PICKS ONE)}
1

On your property, such as your driveway or garage

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

ASK Description: Respondents who reported someone broke into or vandalized their vehicle.
ASK Specification: IF BI1e = 1 OR V1_1 = 1 OR S_MV = 1 OR S_MVP = 1.
DISPLAY: If PC3a = 1, display response option 2 "In your building's garage or parking lot". Else,
do not display.
If CONDITION = 2, display " (READ UNTIL RESPONDENT PICKS ONE)". Else, do not display.
PQID: NEW
SAS Variable: LO_1
Tags: Change Request
Notes: Where was the vehicle when this happened? [ CONDITION=2: (READ UNTIL
RESPONDENT PICKS ONE) ]
Box ID:

LO_BOX3

If (LO_1 = 1, 2, 4 and CIR1A = 2) or LO_1 = 3, 5, 6, go to LO_BOX4.
Else, if LO_1 = 1, 2, 4, go to PR_INTRO.
Else, if S_MV != 1 and S_MVP != 1 and (S_T = 1 or S_BI = 1 or S_V = 1 or S_A = 1 or S_TA =
1 or S_ATA = 1 or S_SA = 1), go to LO_3.
Else, go to PR_INTRO.

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Question ID:

LO_3

Where did {this/the} incident happen?
1

Inside your home

2

{In a common area where you live, such as a
stairwell, hallway, or storage area}

3

On your porch, lawn, garage, or other part of
{your/your building's} property

4

Inside somewhere else where you were staying
overnight or longer

5

{At your place of work}

6

{At school, on school property, or on a school bus}

7

{In a campus building such as a classroom or a
lab}

8

Somewhere else

ASK Description: Respondents whose incident does not involve theft of a motor vehicle or theft
of motor vehicle parts.
ASK Specification: IF S_MV != 1 AND S_MVP != 1 AND (S_T = 1 or S_BI = 1 or S_V = 1 or S_A
= 1 or S_TA = 1 or S_ATA = 1 or S_SA = 1).
DISPLAY: If more than 1 CIR, display "this". Else, display "the".
If PC3a = 1, display response option 2. Else, do not display.
If PC3a = 1, display "your building's" in response option 3. Else, display "your".
If UT_AGE >= 16, display response option 5. Else, do not display.
If UT_AGE <= 18 and RSTUDENT = 1, display response option 6. Else, do not display.
If CSTUDENT = 1, display response option 7. Else, do not display.
PQID: CIR10a modified
SAS Variable: LO_3
Tags: Change Request
Notes: If CONDITION = 2, display response options in uppercase. Else, display in mixed case.
Change filter to "IF AGE<=18 and H17=0". Response category should read "at school, on school
property, or on a school bus". Per PG 1/24, replace H17 = 0 with RSTUDENT =1.
If CONDITION = 2, display response options in uppercase. Else, display in mixed case.
Box ID:

LO_BOX4

If LO_3 = 1, 2, 3 and CIR1A = 2, go to LO1_1.
Else, if LO_3 = 1, 2, 3 and CSTUDENT = 1, go to LO_5a.
Else, if LO_3 = 1, 2, 3, go to PR_INTRO.
Else, go to LO1_1.
Tags: Change Request

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Question ID:

LO1_1

Did this happen in the city, town or village where you live (now)?
1

Yes

2

No

ASK Description: Respondents who reported this incident occurred outside of their home or
vehicle.
ASK Specification: If (LO_3 = 1, 2, 3 and CIR1A = 2) OR LO_3 != 1, 2, 3.
PQID: CIR7a, modified
SAS Variable: LO1_1
Box ID:

LO_BOX5

If LO1_1 = 1 and LO_1 = 1, 2, 3, 4 and CSTUDENT = 1, go to LO_5a.
Else, if LO1_1 = 1 and (LO_1 = 1, 2, 3, 4 or LO_3 = 1, 2, 3, 5), go to LO8.
Else, if LO1_1 = 1 and LO_3 = 6, go to LO_BOX7.
Else, if LO1_1 = 1 and LO_3 = 4, 8, go to LO2.
Else, if LO1_1 = 1 and LO_3 = 7, go to LO_5a.
Else, go to LO1_1a.
Tags: Change Request
Notes: if Loc1/LO1_1=1 then do as follows:
If L1/LO_1 is code 1, 2, 3, or 4 and PC8=1, then go to Loc5/LO_5
Else If L1/LO_1 is code 1,2, 3 or 4 or L3/LO_3 is code 1, 2, 3 or 5, go to Loc8/LO8
Else If L3/LO_3=6 go to Loc3/LO3
Else if L3/LO_3=5 go to Loc3/LO3
/* New logic added */ Else if L3/LO_3=4 go to Loc2/LO2
/* New logic added */ Else if L3/LO_3=7 go to Loc5a/L5
/* New logic added */ Else if L3/LO_3=8 go to Loc2/LO2
Otherwise, continue to Loc1a/LO_1a.
Question ID:

LO1_1a

Did this happen in the U.S. or in another country?
1

In the U.S.

GO TO LO1_1b

2

In another country

GO TO PR_INTRO

ASK Description: Respondents who reported this incident did not happen in their home town.
ASK Specification: IF LO1_1 != 1.
PQID: CIR7a, modified
SAS Variable: LO1_1a

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Question ID:

LO1_1b

Did this happen on an American Indian Reservation or on American Indian Lands?
1

Yes

2

No

ASK Description: Respondents who reported the incident occurred within the U.S.
ASK Specification: IF LO1_1a = 1.
PQID: CIR9
SAS Variable: LO1_1b
Box ID:

LO_BOX6

If LO_1 = 1, 2, 3, 4 and CSTUDENT = 1, go to LO_5a.
Else, if LO_1 = 1, 2, 3, 4 or LO_3 = 1, 2, 3, 5, go to LO8.
Else, if LO_3 = 6, go to LO3.
Else, go to LO2.
Tags: Change Request

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Question ID:

LO2

Which of the following BEST describes where this happened . . . { READ UNTIL RESPONDENT
PICKS ONE.}
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)

ASK Description: Respondents who reported this incident did not happen at home or at school.
ASK Specification: IF LO_1 != 1, 2, 3, 4 AND LO_3 != 1, 2, 3, 5, 6.
PROGRAM: Display text box and allow 250 character text response.
ROUTING INSTRUCTIONS: If LO2 = 2, go to LO2e.
Else, if (12 <= UT_AGE = 18 or CSTUDENT = 1) and LO_3 != 6, 7, go to LO_4.
Else, go to LO_BOX7.
DISPLAY: If CONDITION = 2, display " READ UNTIL RESPONDENT PICKS ONE". Else, do not
display.
PQID: CIR10a, modified
SAS Variable: LO2, LO2_SPECIFY
Tags: Change Request
Notes: Which of the following BEST describes where this happened . . . (CONDITION=2: READ
UNTIL RESPONDENT PICKS ONE.)
Question ID:

LO_4

Did {this/the} incident occur when you were on the way to or from school?
1

Yes

GO TO LO8

2

No

GO TO LO8

ASK Description: Respondents who are aged 12 to 18 or are a student and reported this incident
did not happen at school or on campus.
ASK Specification: IF LO_1 != 1, 2, 3, 4 AND LO_3 != 1, 2, 3, 5, 6, 7 AND (12 <= UT_AGE = 18
OR CSTUDENT = 1).
DISPLAY: If more than 1 CIR, display "this". Else, display "the".
PQID: CIR135a, modified
SAS Variable: LO_4

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Question ID:

LO_2e

At what type of a business did {this/the} incident happen?
1

A restaurant, bar, nightclub

GO TO LO8

2

A bank

GO TO LO8

3

A gas station

GO TO LO8

4

A store or shopping mall

GO TO LO8

5

An office

GO TO LO8

6

A factory or warehouse

GO TO LO8

7

Other (specify)

GO TO LO8

ASK Description: Respondents who reported this incident happened at a business.
ASK Specification: IF LO2 = 2.
PROGRAM: Display text box and allow 250 character text response.
DISPLAY: If more than 1 CIR, display "this". Else, display "the".
If CONDITION = 2, display response options in uppercase. Else, if CONDITION = 3, display in
mixed case.
PQID: CIR10e, modified
SAS Variable: LO_2e, LO_2e_SPECIFY
Tags: Change Request
Notes: IF CONDITION=2 THE RESPONSE OPTIONS SHOULD BE IN ALL CAPS (CAPITAL
LETTERS)
Box ID:

LO_BOX7

If LO_3 = 6 and S_MV != 1, go to LO3.
Else, go to LO8.

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Question ID:

LO3

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)?
1

Inside a school building

GO TO LO4

2

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

GO TO LO8

3

Other (specify)

GO TO LO8

ASK Description: Respondents who reported this incident happened at school and did not
involve a motor vehicle theft.
ASK Specification: IF S_MV != 1 AND LO_3 = 6.
PROGRAM: Display text box and allow 250 character text response.
PQID: CIR 10g, modified
SAS Variable: LO3, LO3_SPECIFY
Question ID:

LO4

Was it your school?
1

Yes

GO TO LO8

2

No

GO TO LO8

ASK Description: Respondents who reported the incident occurred inside a school building.
ASK Specification: IF LO3 = 1.
PQID: CIR17a
SAS Variable: LO4

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Question ID:

LO_5a

Did this happen on a college or university campus?
1

Yes

2

No

ASK Description: Respondents who are students and reported their vehicle was broken into or
vandalized on their property, in their building's garage or parking lot, in some other garage or
parking lot, or on the street where they live or reported the incident occurred in their home, in a
common area, or on their property.
ASK Specification: IF CSTUDENT = 1 AND (LO_1 = 1, 2, 3, 4 OR LO_3 = 1, 2, 3).
PROGRAM: ROUTING INSTRUCTIONS: If LO_5a = 1, go to LO_5.
Else, if (LO_3 = 1, 2, 3 and CIR1A = 2) or LO_3 != 1, 2, 3, go to LO8.
Else, go to PR_BOX1.
PQID: NEW
SAS Variable: LO_5a
Tags: Change Request
Notes: new question
Question ID:

LO_5

Where did this happen?
1

In or on the property of a 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

4

Somewhere else on campus

ASK Description: Respondents who reported this incident occurred on a college or university
campus.
ASK Specification: IF CSTUDENT = 1 AND (LO_1 = 1, 2, 3, 4 OR LO_3 = 1, 2, 3) AND LO_5a =
1.
SAS Variable: LO_5
Tags: Change Request
Notes: Add response option 4: Somewhere else on campus and remove "university" from option
1...

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Proxy Interview Field Test Instrument

Question ID:

LO8

How far from your home was it . . .
1

A mile or less

2

More than a mile up to five miles

3

More than 5 miles up to fifty miles

4

More than 50 miles

ASK Description: Respondents who reported this incident occurred outside of their home or
vehicle.
ASK Specification: IF (LO_3 = 1, 2, 3 and CIR1A = 2) OR LO_3 != 1, 2, 3.
PQID: CIR19, modified
SAS Variable: LO8

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Proxy Interview Field Test Instrument

Presence Series
Box ID:

PR_BOX1

Respondents who reported an incident that involved unwanted sexual contact or an attack of
any kind, go to VO_INTRO.
Else, go to PR_INTRO.

If S_SA = 1 or S_A = 1 or S_AT = 1 or S_ATA = 1, go to VO_INTRO.
Else, go to PR_INTRO.

Question ID:

PR_INTRO

The next questions ask about who was there when {this/the} incident{ in {MONTH}} took
place.
ASK Description: Respondents who did not report an incident that involved unwanted sexual
contact or an attack of any kind.
ASK Specification: IF S_SA != 1 AND S_A != 1 AND S_AT != 1 AND S_ATA != 1.
DISPLAY: If more than 1 CIR, display "this". Else, display "the".
If month was reported for the incident in the current loop, display { in {MONTH}}. For
"MONTH", display Month of incident in current loop. Display format – January. Else, if month
was not reported for the incident in the current loop, do not display.
Question ID:

PR1

Did you{ or anyone you live with} see, hear, or have any contact with the offender(s) as the
incident was happening?
1

Yes

2

No

ASK Description: Respondents who did not report an incident that involved unwanted sexual
contact or an attack of any kind.
ASK Specification: IF S_SA != 1 AND S_A != 1 AND S_AT != 1 AND S_ATA != 1.
PROGRAM: ROUTING INSTRUCTIONS: If PR1 = 1 and SOLO_HHM != 1, go to PR2.
Else, go to VO_INTRO.
DISPLAY: If SOLO_HHM != 1, display " or anyone you live with". Else, do not display this text.
PQID: CIR20a, modified
SAS Variable: PR1

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Question ID:

PR2

Who saw, heard, or had contact with the offender(s) as the incident was happening? (Mark all
that apply.)
1

{RESPONDENT/You}

2

{ONLY SOMEONE RESPONDENT LIVES
WITH/Someone you live with}

3

{SOMEONE RESPONDENT DOES NOT LIVE
WITH/Someone you do not live with}

ASK Description: Respondents who reported anyone in their household saw, heard, or had any
contact with the offender(s) as the incident was happening.
ASK Specification: IF PR1 = 1 AND SOLO_HHM != 1.
PROGRAM: ROUTING INSTRUCTIONS: IF PR2a = 1, go to PR3.
Else, go to VO_INTRO.
DISPLAY: Display in italics "Mark all that apply."
If CONDITION = 2 display in response option 1 "RESPONDENT"; display in response option 2
"ONLY SOMEONE RESPONDENT LIVES WITH"; display in response option 3 "SOMEONE
RESPONDENT DOES NOT LIVE WITH".
Else, if CONDITION = 3, display in response option 1 "You"; display in response option 2
"Someone you live with"; display in response option 3 "Someone you do not live with".
PQID: CIR20b, modified
SAS Variable: PR2a, PR2b, PR2c
Tags: Change Request, Choose-all-that-apply Item
Notes: We need to change this item from a MARK ONE to a MARK ALL for BOTH Condition 2 and
Condition 3 (variables will be PR2a, PR2b, PR2c) - think this is ALSO a change for the specs
Question text changing for both Conditions - adding "Mark all that apply":
Who saw, heard, or had contact with the offender(s) as the incident was happening? (Mark all
that apply.)
The response options will differ for the two conditions as follows...
CONDITION=2 RESPONSE OPTIONS:
1 RESPONDENT
2 ONLY SOMEONE ELSE RESPONDENT LIVES WITH
3 SOMEONE RESPONDENT DOES NOT LIVE WITH
CONDITION=3 NEW RESPONSE OPTIONS:
1 You
2 Someone you live with
3 Someone you do not live with

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Question ID:

PR3

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?
1

Yes

2

No

ASK Description: Respondents who reported that they saw, heard, or had contact with the
offender(s) as the incident was happening.
ASK Specification: IF PR2a = 1.
PQID: CIR22
SAS Variable: PR3

191

Proxy Interview Field Test Instrument

Victim-Offender Relationship
Question ID:

VO_INTRO

This section asks what you know about the offender(s).
ASK Description: Respondents who reported an incident.
ASK Specification: IF S_MV = 1 OR S_MVP = 1 OR S_T = 1 OR S_BI = 1 OR S_V = 1 OR S_A =
1 OR S_TA = 1 OR S_ATA = 1 OR S_SA = 1.
Question ID:

VO1

{To the best of your knowledge, was/Was} the incident committed by only one or by more than
one offender?
1

One

2

More than one

3

{Don't know}

ASK Description: Respondents who reported an incident.
ASK Specification: IF S_MV = 1 OR S_MVP = 1 OR S_T = 1 OR S_BI = 1 OR S_V = 1 OR S_A =
1 OR S_TA = 1 OR S_ATA = 1 OR S_SA = 1.
PROGRAM: ROUTING INSTRUCTIONS: If VO1 = -9, go to VO1a.
Else, if VO1 = 3, go to VO2.
Else, go to VO1b.
DISPLAY: IF PR1 = 2 or PR2a = 0, display "To the best of your knowledge, was". Else, display
"Was".
If PR1 = 2 or PR2a = 0, display response option 3 "Don't know". Else, do not display.
PQID: CIR60
SAS Variable: VO1
Tags: Change Request
Notes: replaced "crime" with "incident"

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Question ID:

VO1a

To the best of your knowledge, was the incident committed by only one or by more than one
offender?
1

One

2

More than one

3

Don't know

ASK Description: Respondents who did not answer whether the incident was committed by only
one or by more than one offender.
ASK Specification: IF VO1 = -9.
PROGRAM: ROUTING INSTRUCTIONS: If VO1a = 3,-9, go to VO2.
Else, go to VO1b.
SAS Variable: VO1a
Tags: Change Request
Notes: replaced "crime" with "incident"
Question ID:

VO1b

Do you know who {the offender was/the offenders were}?
1

Yes

2

No

ASK Description: Respondents who reported there were one or more offender(s).
ASK Specification: IF VO1 = 1, 2 OR VO1a = 1, 2.
PROGRAM: ROUTING INSTRUCTIONS: If VO1b = 2, go to VO2.
Else, go to VO_BOX1.
DISPLAY: If VO1 = 1 OR VO1a = 1, display "the offender was".
Else, display "the offenders were".
PQID: CIR 61, modified
SAS Variable: VO1b

193

Proxy Interview Field Test Instrument

Question ID:

VO2

Do you know anything about {the offender/any of the offenders}, such as whether they were
young or old, male or female, etc.?
1

Yes

2

No

ASK Description: Respondents who don't know or did not report whether the incident was
committed by only one or by more than one offender or do not know who the offender(s)
was/were.
ASK Specification: IF VO1 = 3 OR VO1a = 3, -9 OR VO1b = 2.
PROGRAM: ROUTING INSTRUCTIONS: If VO2 = 1, go to VO_BOX1.
Else, if VO2 = 2,-9, go to OC_BOX1.
DISPLAY: If VO1 = 1 OR VO1a = 1, display "the offender". Else, display "any of the offenders".
PQID: CIR 61, modified
SAS Variable: VO2
Box ID:

VO_BOX1

IF S_A = 1 or S_TA = 1 or S_ATA = 1 or S_SA = 1, go to VO_BOX2.
Else, go to VO3.

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Proxy Interview Field Test Instrument

Question ID:

VO3

{How did you learn what you know about the offender{s}?/How did you find out who the
{offender was/offenders were}?} (Mark all that apply.)
1

You saw or heard the offender(s)

2

Someone you live with saw or heard the
offender(s)

3

Someone else saw or heard the offender(s)

4

You figured it out yourself

5

The police told you

6

The offender(s) admitted it

7

The offender(s) had threatened to do it, or had
done it before

8

{The stolen item(s) were found on the offender(s)
or at the offender(s) home}

9

Other - specify

ASK Description: Respondents who reported they know something about the offender(s) and did
not report an attack, threatened attack, attack with a weapon, or unwanted sexual contact as
part of this incident.
ASK Specification: IF VO2 = 1 AND S_A != 1 AND S_TA != 1 AND S_ATA != 1 AND S_SA != 1.
PROGRAM: Display text box and allow 250 character text response.
DISPLAY: If VO2 = 1, display "How did you learn what you know about the offender{s}?". Else,
display "How did you find out who the {offender was/offenders were}?".
If VO1 = 1, display "offender was". Else, display "s" or "offenders were".
Display "Mark all that apply." in italics.
If S_MV = 1 or S_MVP = 1 or S_T = 1, display option 8 "The stolen… home". Else, do not
display.
PQID: CIR 58a
SAS Variable: VO3_1, VO3_2, VO3_3, VO3_4, VO3_5, VO3_6, VO3_7, VO3_8, VO3_9,
VO3_9_SPECIFY
Tags: Change Request, Choose-all-that-apply Item
Notes: 1. IF CONDITION=2 THE RESPONSE OPTIONS SHOULD BE IN ALL CAPS (CAPITAL
LETTERS)
2. SOME Response option text will vary by condition... (note that Condition=2 responses will be
in ALL CAPS)
1 (CONDITION=3: You / CONDITION=2: Respondent ) saw or heard the offender(s)
2 Someone (CONDITION=3: you live / CONDITION=2: respondent lives) with saw or heard the
offender(s)
4 (CONDITION=3: You / CONDITION=2: Respondent ) figured it out(CONDITION=3: yourself /
CONDITION=2: him/herself)
5 The police told (CONDITION=3: you / CONDITION=2: respondent )
3. reversed change request for category fills and uppercase.

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Proxy Interview Field Test Instrument

Box ID:

VO_BOX2

If VO1 = 1 or VO1a = 1, go to VO6.
If VO1 = 2 or VO1a = 2, go to VO14.
Else, go to Offender Characteristics module, OC_BOX1.

Question ID:

VO6

Was the offender someone you knew, even slightly, or a complete stranger?
1

Someone you knew

GO TO VO8

2

Complete stranger

GO TO VO7

ASK Description: Respondents who reported there was one offender and know something about
the offender.
ASK Specification: IF (VO1 = 1 OR VO1a = 1) AND VO2 = 1.
PQID: CIR62, modified
SAS Variable: VO6
Tags: Change Request
Notes: 1. IF CONDITION=2 THE RESPONSE OPTIONS SHOULD BE IN ALL CAPS (CAPITAL
LETTERS)
2. SOME Response option text will vary by condition... (note that Condition=2 responses will be
in ALL CAPS)
1
Someone (CONDITION=3: you / CONDITION=2: respondent ) knew
3. reversed change request for category fills and uppercase.
Question ID:

VO7

Would you be able to recognize the offender if you saw him/her?
1

Yes

GO TO VO9

2

Not sure (possibly)

GO TO VO9

3

No

GO TO VO11

ASK Description: Respondents who reported there was one offender and know something about
the offender and the offender was a complete stranger.
ASK Specification: IF (VO1 = 1 OR VO1a = 1) AND VO2 = 1 AND VO6 = 2.
PQID: CIR63
SAS Variable: VO7

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Proxy Interview Field Test Instrument

Question ID:

VO8

Was the offender someone you knew by sight only, a casual acquaintance, or someone you
knew well?
1

Knew by sight only

2

Someone you knew, but not well

3

Someone you knew well

ASK Description: Respondents who reported there was one offender and know something about
the offender and the offender was someone they knew.
ASK Specification: IF (VO1 = 1 OR VO1a = 1) AND VO2 = 1 AND VO6 = 1.
PROGRAM: ROUTING INSTRUCTIONS: If VO8 = 1, -9, go to VO9.
Else, if VO8 = 2, 3, go to VO_BOX2A.
PQID: CIR64, modified
SAS Variable: VO8
Question ID:

VO9

Did you know how the offender might be found, for instance, where he/she lived, worked, went
to school, or spent time?
1

Yes

2

No

ASK Description: Respondents who reported there was one offender and know something about
the offender and the offender was someone they knew by sight only or did not report whether
they could recognize the offender, or the offender was a complete stranger who they could
recognize or possibly recognize them if they saw him/her.
ASK Specification: IF (VO1 = 1 OR VO1a = 1) AND VO2 = 1 AND ((VO6 = 1 AND VO8 = 1, -9)
OR (VO6 = 2 AND VO7 = 1, 2)).
PROGRAM: ROUTING INSTRUCTIONS: Go to VO11.
PQID: CIR65a, modified
SAS Variable: VO9
Box ID:

VO_BOX2A

Go to VO10.

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Proxy Interview Field Test Instrument

Question ID:

VO10

At the time of the incident, {which of the following BEST describes }how {did }you
{know/knew} the offender?
1

{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

ASK Description: Respondents who reported the offender was a casual acquaintance or someone
they knew well.
ASK Specification: IF VO8 = 2, 3.
PROGRAM: ROUTING INSTRUCTIONS: If VO10 = -9, go to VO13. Else, go to VO10a.
DISPLAY: If CONDITION = 2, display "did", "know" and "For example, was the offender a friend,
cousin, etc.?". Else if CONDITION = 3, display "which of the following BEST describes " and
"knew".
If UT_AGE >= 16 or missing, display option 1. Else, do not display.
If UT_AGE >= 12 or missing, display option 3 and if UT_AGE >= 16 or missing, display " former
fiancé(e),". Else do not display.
If CONDITION = 2, display response options in uppercase. Else, if CONDITION = 3, display in
mixed case.
PQID: CIR66a, modified
SAS Variable: VO10
Tags: Change Request
Notes: IF CONDITION=2 THE RESPONSE OPTIONS SHOULD BE IN ALL CAPS (CAPITAL
LETTERS)
2. VO10 option 3 - change to who sees "former fiance(e)" - was age 16+. want to change to
15+

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Question ID:

VO10a

Specifically, how did you know the offender at the time of the incident?
1

{A HUSBAND OR WIFE}

2

{AN EX-HUSBAND OR EX-WIFE}

3

{A LIVE-IN PARTNER}

4

{A FIANCÉ(E)}

5

{A BOYFRIEND, GIRLFRIEND, OR DATING
PARTNER}

6

{SOMEONE YOU WERE CASUALLY SEEING}

7

{AN EX-BOYFRIEND, EX-GIRLFRIEND, OR FORMER
FIANCÉ(E)/AN EX-BOYFRIEND OR EXGIRLFRIEND}

8

{SOMEONE YOU WERE NO LONGER DATING OR
SEEING}

9

{A PARENT OR STEP-PARENT}

10

{A CHILD OR STEP-CHILD}

11

{A BROTHER, SISTER, STEP-BROTHER, OR STEPSISTER}

12

{SOME OTHER RELATIVE

13

{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

{A CUSTOMER OR CLIENT}

19

{A PATIENT}

20

{A SUPERVISOR OR FORMER SUPERVISOR}

21

{AN EMPLOYEE OR CO-WORKER OR FORMER
EMPLOYEE OR CO-WORKER}

22

{A TEACHER OR SCHOOL STAFF}

23

{SOME OTHER NON-RELATIVE

}

}

ASK Description: Respondents who reported the offender was a casual acquaintance or someone
they knew well.
ASK Specification: IF VO8 = 2, 3 AND VO10 != -9.
PROGRAM: Display text boxes and allow 250 character text response.
ROUTING INSTRUCTIONS: If VO10a = 3, 15, go to VO13.
Else, go to VO12.

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DISPLAY: If VO10 = 1 or -9, display response options 1 and 2.
If VO10 = 2 or -9 and UT_AGE > = 16 or missing, display response options 3 and 4.
If VO10 = 2 or -9, display response options 5 and 6.
If VO10 = 3 or -9 and UT_AGE >= 16 or missing, display "AN EX-BOYFRIEND, EX-GIRLFRIEND,
OR FORMER FIANCÉ(E)" in response option 7.
If VO10 = 3 or -9 and UT_AGE <= 15, display "AN EX-BOYFRIEND OR EX-GIRLFRIEND" in
option 7.
If VO10 = 3 or -9 and UT_AGE >= 12 or missing, display response option 8.
If VO10 = 4 or -9, display response options 9, 11 and 12.
If VO10 = 4 or -9 and UT_AGE > = 16 or missing, display response option 10.
If VO10 = 5 or -9, display response options 13, 14, 15, 16, 17, 22, 23.
If VO10 = 5 or -9 and UT_AGE > = 15 or missing, display response options 18, 19, 20, and 21.
If CONDITION = 2, display response options in uppercase. Else, if CONDITION = 3, display in
mixed case.
PQID: CIR66a, modified
SAS Variable: VO10a, VO10a_SPECIFY
Tags: Change Request
Notes: IF CONDITION=2 THE RESPONSE OPTIONS SHOULD BE IN ALL CAPS (CAPITAL
LETTERS)

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Question ID:

VO11

What was your connection, if any, to this person?
1

A friend of a friend

2

A schoolmate

3

A neighbor

4

{A customer or client}

5

{A patient}

6

{Someone who worked at the same place as you}

7

A teacher or school staff

8

Other - specify

9

A stranger/or someone of whom you have no
knowledge

ASK Description: Respondents who reported the offender was a complete stranger or knew the
offender by sight only.
ASK Specification: IF VO6 = 2 OR VO8 = 1.
PROGRAM: Display text box and allow 250 character text response.
ROUTING INSTRUCTIONS: Go to OC_BOX1.
DISPLAY: If UT_AGE >= 16, display response options 4, 5 and 6.
PQID: NEW
SAS Variable: VO11, VO11_SPECIFY
Tags: Change Request
Notes: 1. IF CONDITION=2 THE RESPONSE OPTIONS SHOULD BE IN ALL CAPS (CAPITAL
LETTERS)
2. SOME Response option text will vary by condition... (note that Condition=2 responses will be
in ALL CAPS)
RESPONSE OPTION 9
CONDITION=3: a stranger/ or someone of whom you have no knowledge
CONDITION=2: NO CONNECTION/A STRANGER/ OR SOMEONE R HAD NO KNOWLEDGE
3. reversed request change for category fill and uppercase.
Question ID:

VO12

Had you ever lived with this person?
1

Yes

GO TO VO13

2

No

GO TO OC_BOX1

ASK Description: Respondents who reported the offender was someone other than a live-in
partner or roommate or boarder.
ASK Specification: IF VO8 = 2, 3 AND VO10a != 3, 15.
PQID: 2006 SVS 10b, modified
SAS Variable: VO12

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Question ID:

VO13

Were you living with this person at the time of {this/the} incident {in {MONTH/YEAR}}?
1

Yes

GO TO OC_BOX1

2

No

GO TO OC_BOX1

ASK Description: Respondents who reported the offender was a live-in partner, roommate, or
boarder of have ever lived with the offender.
ASK Specification: IF VO10a = 3, 15 OR VO12 = 1.
DISPLAY: If more than 1 CIR reported, display "this". Else, if only one incident reported, display
"the".
If month was reported for the incident in the current loop, display {in {MONTH}}. For
"MONTH/YEAR", display Month and Year of incident in current loop. Display format – January,
1900. Else, if month/year were not reported for the incident in the current loop, do not display.
PQID: 2006 SVS, 10c modified
SAS Variable: VO13
Question ID:

VO14

How many offenders were there?
1

|||

ASK Description: Respondents who reported there were two or more offenders and know
something about the offender(s).
ASK Specification: IF (VO1 = 2 OR VO1a = 2) AND VO2 = 1.
PROGRAM: Display checkbox with label "Don't know number of offenders" below numeric field.
Allow user to only allow entering in the numeric field or selecting the checkbox, not both.
PQID: CIR74
SAS Variable: VO14, VO14_DontKnow
Question ID:

VO15

Were any of the offenders someone you knew, even slightly, or were all of them complete
strangers?
1

At least one was someone you knew

2

All were complete strangers

ASK Description: Respondents who reported there were two or more offenders and know
something about the offender(s).
ASK Specification: IF (VO1 = 2 OR VO1a = 2) AND VO2 = 1.
PROGRAM: If VO15 = 1, go to VO17.
Else, if VO15 = 2,-9, go to VO16.
PQID: CIR62, modified
SAS Variable: VO15

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Question ID:

VO16

Would you be able to recognize any of them if you saw them?
1

Yes

GO TO VO18

2

Not sure (possibly)

GO TO VO18

3

No

GO TO VO_BOX3

ASK Description: Respondents who reported that all of the offenders were complete strangers or
did not report whether they knew any of the offenders or not.
ASK Specification: IF VO15 = 2, -9.
PQID: CIR76
SAS Variable: VO16
Question ID:

VO17

Were any of the offenders someone you knew by sight only, someone you knew, but not well, or
someone you knew well? (Mark all that apply.)
1

Knew by sight only

2

Knew, but not well

3

Someone you knew well

ASK Description: Respondents who reported at least one of the offenders was someone they
knew.
ASK Specification: IF VO15 = 1.
PROGRAM: ROUTING INSTRUCTIONS: If (VO17_1 = 1 and VO17_2 != 1 and VO17_3 != 1) or
(VO17_1 = -9 and VO17_2 = -9 and VO17_3 = -9), go to VO18.
Else, if VO17_2 = 1 or VO17_3 = 1, go to VO_BOX2B.
DISPLAY: Display "Mark all that apply." in italics.
PQID: CIR77a, modified
SAS Variable: VO17_1, VO17_2, VO17_3
Tags: Choose-all-that-apply Item

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Question ID:

VO18

Did you know how any of the offenders might be found, for instance, where they lived, worked,
went to school, or spent time?
1

Yes

2

No

ASK Description: Respondents who would be able to or possibly be able to recognize any of the
offenders if they saw them or only knew the offenders by sight only or did not report whether
they knew any of the offenders by sight only, knew any of the offenders but not well, or any of
the offenders were someone they knew well.
ASK Specification: IF VO16 = 1, 2 OR (VO17_1 = 1 AND VO17_2 != 1 AND VO17_3 != 1) OR
(VO17_1 = -9 AND VO17_2 = -9 AND VO17_3 = -9).
PROGRAM: ROUTING INSTRUCTIONS: Go to VO_BOX3.
PQID: CIR78a, modified
SAS Variable: VO18
Box ID:

VO_BOX2B

Go to VO19.
Question ID:

VO19

At the time of the incident, did you know any of the offenders in any way of the following ways?
1

{A spouse or ex-spouse}

2

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

3

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

4

A relative

5

Someone else

ASK Description: Respondents who reported that any of the offenders were someone they knew,
but not well or were someone they knew well.
ASK Specification: IF VO17_2 = 1 OR VO17_3 = 1.
DISPLAY: If UT_AGE >= 16, display response option 1 "A spouse or ex-spouse". Else, do not
display this response option.
PQID: CIR79a, modified
SAS Variable: VO19_A, VO19_B, VO19_C, VO19_D, VO19_E

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Proxy Interview Field Test Instrument

Question ID:

VO19a

Specifically, how did you know them? (Mark all that apply.)
1

{A HUSBAND OR WIFE}

2

{AN EX-HUSBAND OR EX-WIFE}

3

{A LIVE-IN PARTNER}

4

{A FIANCÉ(E)}

5

{A BOYFRIEND, GIRLFRIEND, OR DATING
PARTNER}

6

{SOMEONE YOU WERE CASUALLY SEEING}

7

{AN EX-BOYFRIEND, EX-GIRLFRIEND, OR FORMER
FIANCÉ(E)/AN EX-BOYFRIEND OR EXGIRLFRIEND}

8

{SOMEONE YOU WERE NO LONGER DATING OR
SEEING}

9

{A PARENT OR STEP-PARENT}

10

{A CHILD OR STEP-CHILD}

11

{A BROTHER, SISTER, STEP-BROTHER, OR STEPSISTER}

12

{SOME OTHER RELATIVE

13

{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

{A CUSTOMER OR CLIENT}

19

{A PATIENT}

20

{A SUPERVISOR OR FORMER SUPERVISOR}

21

{AN EMPLOYEE OR CO-WORKER OR FORMER
EMPLOYEE OR CO-WORKER}

22

{A TEACHER OR SCHOOL STAFF}

23

{SOME OTHER NON-RELATIVE

}

}

ASK Description: Respondents who reported that any of the offenders were someone they knew,
but not well or were someone they knew well.
ASK Specification: IF VO17_2 = 1 OR VO17_3 = 1.
PROGRAM: Display text boxes and allow 250 character text response.
ROUTING INSTRUCTIONS: If VO19a_3 = 1 OR VO19a_15 = 1, go to VO22.
Else, go to VO21.

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DISPLAY: Display "Mark all that apply." in italics.
If VO19_A = 1 or (VO19_A != 1 and VO19_B != 1 and VO19_C != 1 and VO19_D != 1 AND
VO19_E != 1), display response options 1 and 2. Else, do not display.
If (VO19_B = 1 or (VO19_A != 1 and VO19_B != 1 and VO19_C != 1 and VO19_D != 1 AND
VO19_E != 1)) and UT_AGE > = 16 or missing, display response options 3 and 4. Else, do not
display.
If VO19_B = 1 or (VO19_A != 1 and VO19_B != 1 and VO19_C != 1 and VO19_D != 1 AND
VO19_E != 1), display response options 5 and 6. Else, do not display.
If VO19_C = 1 or (VO19_A != 1 and VO19_B != 1 and VO19_C != 1 and VO19_D != 1 AND
VO19_E != 1) and if UT_AGE >= 16 or missing, display "AN EX-BOYFRIEND, EX-GIRLFRIEND,
OR FORMER FIANCÉ(E)" in response option 7. Else, do not display.
If VO19_C = 1 or (VO19_A != 1 and VO19_B != 1 and VO19_C != 1 and VO19_D != 1 AND
VO19_E != 1) and UT_AGE <= 15, display "AN EX-BOYFRIEND OR EX-GIRLFRIEND" in option 7.
Else, do not display.
If VO19_C = 1 or (VO19_A != 1 and VO19_B != 1 and VO19_C != 1 and VO19_D != 1 AND
VO19_E != 1) and UT_AGE >= 12 or missing, display response option 8. Else, do not display.
If VO19_D = 1 or (VO19_A != 1 and VO19_B != 1 and VO19_C != 1 and VO19_D != 1 AND
VO19_E != 1), display response options 9, 11 and 12. Else, do not display.
If (VO19_D = 1 or (VO19_A != 1 and VO19_B != 1 and VO19_C != 1 and VO19_D != 1 AND
VO19_E != 1)) and UT_AGE > = 16 or missing, display response options 10. Else, do not
display.
If VO19_E = 1 or (VO19_A != 1 and VO19_B != 1 and VO19_C != 1 and VO19_D != 1 AND
VO19_E != 1), display response options 13, 14, 15, 16, 17, 22, 23. Else, do not display.
If (VO19_E = 1 or (VO19_A != 1 and VO19_B != 1 and VO19_C != 1 and VO19_D != 1 AND
VO19_E != 1)) and UT_AGE > = 15 or missing, display response options 18, 19, 20, and 21.
Else, do not display.
If CONDITION = 2, display all categories in uppercase. Else, if CONDITION = 3, display in mixed
case.
PQID: CIR79a, modified
SAS Variable: VO19a_1, VO19a_2, VO19a_3, VO19a_4, VO19a_5, VO19a_6, VO19a_7,
VO19a_8, VO19a_9, VO19a_10, VO19a_11, VO19a_12, VO19a_12_SPECIFY, VO19a_13,
VO19a_14, VO19a_15, VO19a_16, VO19a_17, VO19a_18, VO19a_19, VO19a_20, VO19a_21,
VO19a_22, VO19a_23, VO19a_23_SPECIFY
Tags: Change Request, Choose-all-that-apply Item
Notes: IF CONDITION=2 THE RESPONSE OPTIONS SHOULD BE IN ALL CAPS (CAPITAL
LETTERS)
Box ID:

VO_BOX3

If VO15 = 1 or (VO17_1 = 1 and VO17_2 != 1 and VO17_3 != 1), go to VO20.
Else, go to OC_BOX1.

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Proxy Interview Field Test Instrument

Question ID:

VO20

What was your connection, if any, to the offender(s)? (Mark all that apply.)
1

A friend of a friend

2

A schoolmate

3

A neighbor

4

{A customer or client}

5

{A patient}

6

{Someone who worked at the same place as you}

7

A teacher or school staff

8

Other - specify

9

A stranger/or someone of whom you have no
knowledge

ASK Description: Respondents who reported at least one of the offenders were someone they
knew or knew any of the offenders by sight only.
ASK Specification: IF VO15 = 1 OR (VO17_1 = 1 AND VO17_2 != 1 AND VO17_3 != 1).
PROGRAM: Display text box and allow 250 character text response.
ROUTING INSTRUCTIONS: Go to OC_BOX1.
DISPLAY: Display "Mark all that apply." in italics.
If UT_AGE >= 16, display options 4, 5 and 6. Else, do not display.
PQID: NEW
SAS Variable: VO20_1, VO20_2, VO20_3, VO20_4, VO20_5, VO20_6, VO20_7, VO20_8,
VO20_8_SPECIFY, VO20_9
Tags: Change Request, Choose-all-that-apply Item
Notes: 1. IF CONDITION=2 THE RESPONSE OPTIONS SHOULD BE IN ALL CAPS (CAPITAL
LETTERS)
2. SOME Response option text will vary by condition... (note that Condition=2 responses will be
in ALL CAPS )
6 (IF AGE 15+) Someone who worked at the same place as (CONDITION=3: you /
CONDITION=2: respondent )
RESPONSE OPTION 9
CONDITION=3: a stranger/ or someone of whom you have no knowledge
CONDITION=2: NO CONNECTION/A STRANGER/ SOMEONE RESPONDENT HAD NO KNOWLEDGE
3. reversed request change for category fill and uppercase.

207

Proxy Interview Field Test Instrument

Question ID:

VO21

Had you ever lived with any of them?
1

Yes

GO TO VO22

2

No

GO TO OC_BOX1

ASK Description: Respondents who reported that any of the offenders were someone they knew,
but not well or were someone they knew well and that none of the offenders were a live-in
partner, roommate, or boarder.
ASK Specification: IF (VO17_2 = 1 OR VO17_3 = 1) AND VO19a_3 != 1 AND VO19a_15 != 1.
PQID: 2006 SVS 10b, modified
SAS Variable: VO21
Question ID:

VO22

Were you living with any of them at the time of {this/the} incident?
1

Yes

2

No

ASK Description: Respondents who have ever lived with any of the offenders.
ASK Specification: IF VO19a_3 = 1 OR VO19a_15 = 1 OR VO21 = 1.
DISPLAY: If more than 1 CIR reported, display "this". Else, if only one incident reported, display
"the".
PQID: 2006 SVS 10c, modified
SAS Variable: VO22

208

Proxy Interview Field Test Instrument

Offender Characteristics
Box ID:

OC_BOX1

Respondents who reported the crime was committed by only one offender, go to OCINTRO.
Else, respondents who reported the crime was committed by more than one offender, go to
OCINTRO_MULT.
Else, respondents who saw, heard, or had contact with the offender(s) as the incident was
happening or someone the respondent does not live with had contact with the offender(s) as the
incident was happening, go to OCINTRO.
Else, respondents who did not know or did not report how many offenders the crime was
committed by but knew something about the offender(s), go to OCINTRO.Else, go to SP_BOX1.
IF VO1 = 1 OR VO1a = 1, GO TO OCINTRO.
ELSE, IF VO1 = 2 OR VO1a = 2, GO TO OCINTRO_MULT.
ELSE, IF PR2a = 1 OR PR2c = 1, GO TO OCINTRO.
ELSE, IF VO1 = 3, -9 AND VO2 = 1, GO TO OCINTRO.ELSE, GO TO SP_BOX1.
Question ID:

OCINTRO

This section asks for details about the offender.
ASK Description: Respondents who reported the crime was committed by only one offender, or
respondents who saw, heard, or had contact with the offender(s) as the incident was happening
or someone the respondent does not live with had contact with the offender(s) as the incident
was happening, or respondents who did not know or did not report how many offenders the
crime was committed by but knew something about the offender(s).
ASK Specification: IF VO1 = 1 OR VO1a = 1 OR (VO1 != 2 AND VO1a != 2 AND (PR2a = 1 OR
PR2c = 1 OR (VO1 = 3, -9 AND VO2 = 1))).
Question ID:

OC1

Was the offender male or female?
1

Male

2

Female

3

{Don't know}

ASK Description: Respondents who reported the crime was committed by only one offender, or
respondents who saw, heard, or had contact with the offender(s) as the incident was happening
or someone the respondent does not live with had contact with the offender(s) as the incident
was happening, or respondents who did not know or did not report how many offenders the
crime was committed by but knew something about the offender(s).
ASK Specification: IF VO1 = 1 OR VO1a = 1 OR (VO1 != 2 AND VO1a != 2 AND (PR2a = 1 OR
PR2c = 1 OR (VO1 = 3, -9 AND VO2 = 1))).
DISPLAY: If VO7 = 3 or VO16 = 3, display response option 3 "Don't know". Else do not display
this response option.
PQID: CIR67
SAS Variable: OC1

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Proxy Interview Field Test Instrument

Question ID:

OC2

How old would you say the offender was?{ (USE CATEGORIES AS PROBES IF NEEDED.)}
1

Under 18

2

18 to 24

3

25 to 34

4

35 to 54

5

55 or older

6

{Don't know}

ASK Description: Respondents who reported the crime was committed by only one offender, or
respondents who saw, heard, or had contact with the offender(s) as the incident was happening
or someone the respondent does not live with had contact with the offender(s) as the incident
was happening, or respondents who did not know or did not report how many offenders the
crime was committed by but knew something about the offender(s).
ASK Specification: IF VO1 = 1 OR VO1a = 1 OR (VO1 != 2 AND VO1a != 2 AND (PR2a = 1 OR
PR2c = 1 OR (VO1 = 3, -9 AND VO2 = 1))).
PROGRAM: ROUTING INSTRUCTIONS: IF OC2 = 1, GO TO OC2a.
ELSE, GO TO OC3.
DISPLAY: If CONDITION = 2, display " (USE CATEGORIES AS PROBES IF NEEDED.)" Else, do not
display this text.
If VO7 = 3 or VO16 = 3, display response option 6 "Don't know". Else do not display this
response option.
PQID: CIR68, modified
SAS Variable: OC2
Tags: Change Request
Notes: add parenthetical text to the stem for condition 2...
How old would you say the offender was? [CONDITION=2: (USE CATEGORIES AS PROBES IF
NEEDED.) ]
1. Change response categories (AND ADD ONE) to:
1 Under 18
2 18 to 24
3 25 to 34
4 35 to 54
5 55 or older
6 Don't know (OPTION SHOWN IF if VO7=3 or VO16=3)

210

Proxy Interview Field Test Instrument

Question ID:

OC2a

Would you say the offender was…
1

Under 12

2

12 to 14

3

15 to 17

4

{Don't know}

ASK Description: Respondents who reported the offender was under 18 years old.
ASK Specification: IF OC2 = 1.
DISPLAY: If VO7 = 3 or VO16 = 3, display response option 4 "Don't know". Else do not display
this response option.
PQID: CIR68, modified
SAS Variable: OC2a
Question ID:

OC3

Was the offender Hispanic or Latino?
1

Yes

2

No

3

{Don't know}

ASK Description: Respondents who reported the crime was committed by only one offender, or
respondents who saw, heard, or had contact with the offender(s) as the incident was happening
or someone the respondent does not live with had contact with the offender(s) as the incident
was happening, or respondents who did not know or did not report how many offenders the
crime was committed by but knew something about the offender(s).
ASK Specification: IF VO1 = 1 OR VO1a = 1 OR (VO1 != 2 AND VO1a != 2 AND (PR2a = 1 OR
PR2c = 1 OR (VO1 = 3, -9 AND VO2 = 1))).
DISPLAY: If VO7 = 3 or VO16 = 3, display response option 3 "Don't know". Else do not display
this response option.
PQID: CIR69
SAS Variable: OC3

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Proxy Interview Field Test Instrument

Question ID:

OC4

What race or races was the offender? You may select more than one. Was the offender… (Mark
all that apply.)
1

White

2

Black or African American

3

American Indian or Alaska Native

4

Asian

5

Native Hawaiian or Other Pacific Islander

6

{Don't know}

ASK Description: Respondents who reported the crime was committed by only one offender, or
respondents who saw, heard, or had contact with the offender(s) as the incident was happening
or someone the respondent does not live with had contact with the offender(s) as the incident
was happening, or respondents who did not know or did not report how many offenders the
crime was committed by but knew something about the offender(s).
ASK Specification: IF VO1 = 1 OR VO1a = 1 OR (VO1 != 2 AND VO1a != 2 AND (PR2a = 1 OR
PR2c = 1 OR (VO1 = 3, -9 AND VO2 = 1))).
DISPLAY: Display "Mark all that apply." in italics.
If VO7 = 3 or VO16 = 3, display response option 6 "Don't know". Else do not display this
response option.
PQID: CIR70
SAS Variable: OC4_1, OC4_2, OC4_3, OC4_4, OC4_5, OC4_6
Tags: Change Request, Choose-all-that-apply Item
Notes: IF CONDITION=2 THE RESPONSE OPTIONS SHOULD BE IN ALL CAPS (CAPITAL
LETTERS)

212

Proxy Interview Field Test Instrument

Question ID:

OC5

Was the offender a member of a street gang, or don't you know?
1

Yes

2

No

3

Don't know

ASK Description: Respondents who reported the crime was committed by only one offender, or
respondents who saw, heard, or had contact with the offender(s) as the incident was happening
or someone the respondent does not live with had contact with the offender(s) as the incident
was happening, or respondents who did not know or did not report how many offenders the
crime was committed by but knew something about the offender(s).
ASK Specification: IF VO1 = 1 OR VO1a = 1 OR (VO1 != 2 AND VO1a != 2 AND (PR2a = 1 OR
PR2c = 1 OR (VO1 = 3, -9 AND VO2 = 1))).
PQID: new
SAS Variable: OC5
Tags: Change Request
Notes: new question
Question ID:

OC6

Was the offender drinking or on drugs at the time of the incident{, or don't you know}?
1

Yes, the offender was drinking or on drugs

GO TO SP_BOX1

2

No, the offender was not drinking or on drugs

GO TO SP_BOX1

3

Don't know

GO TO SP_BOX1

ASK Description: Respondents who reported the crime was committed by only one offender, or
respondents who saw, heard, or had contact with the offender(s) as the incident was happening
or someone the respondent does not live with had contact with the offender(s) as the incident
was happening, or respondents who did not know or did not report how many offenders the
crime was committed by but knew something about the offender(s).
ASK Specification: IF VO1 = 1 OR VO1a = 1 OR (VO1 != 2 AND VO1a != 2 AND (PR2a = 1 OR
PR2c = 1 OR (VO1 = 3, -9 AND VO2 = 1))).
DISPLAY: If CONDITION = 2, display ", or don't you know". Else, do not display.
PQID: CIR72a, modified
SAS Variable: OC6
Tags: Change Request
Notes: Was the offender drinking or on drugs at the time of the incident (CONDITION=2: , or
don't you know)?

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Proxy Interview Field Test Instrument

Question ID:

OCINTRO_MULT

This section asks for more details about the offenders.
ASK Description: Respondents who reported the crime was committed by more than one
offender.
ASK Specification: IF VO1 != 1 AND VO1a != 1 AND (VO1 = 2 OR VO1a = 2).
Question ID:

OC9

Were the offenders male or female?
1

All were male

2

All were female

3

They were both male and female

4

{Don't know}

ASK Description: Respondents who reported the crime was committed by more than one
offender.
ASK Specification: IF VO1 != 1 AND VO1a != 1 AND (VO1 = 2 OR VO1a = 2).
PROGRAM: ROUTING INSTRUCTIONS: If OC9 = 1, 2 or VO14 = 2, go to OC11.
ELSE, GO TO OC10.
DISPLAY: If VO7 = 3 or VO16 = 3, display response option 4 "Don't know". Else do not display
this response option.
PQID: CIR80a, modified
SAS Variable: OC9
Question ID:

OC10

Were most of the offenders male or were most of them female?
1

Most were male

2

Most were female

3

They were evenly divided

4

{Don't know}

ASK Description: Respondents who reported the crime was committed by more than one
offender and did not report the offenders were all one gender and did not report there were two
offenders.
ASK Specification: IF VO1 != 1 AND VO1a != 1 AND (VO1 = 2 OR VO1a = 2) AND OC9 != 1, 2
AND VO14 != 2.
DISPLAY: If VO7 = 3 or VO16 = 3, display response option 4 "Don't know". Else do not display
this response option.
PQID: CIR80b
SAS Variable: OC10

214

Proxy Interview Field Test Instrument

Question ID:

OC11

How old would you say the youngest was?{ (USE CATEGORIES AS PROBES IF NEEDED.)}
1

Under 18

2

18 to 24

3

25 to 34

4

35 to 54

5

55 or older

6

{Don't know}

ASK Description: Respondents who reported the crime was committed by more than one
offender.
ASK Specification: IF VO1 != 1 AND VO1a != 1 AND (VO1 = 2 OR VO1a = 2).
PROGRAM: ROUTING INSTRUCTIONS: IF OC11 = 1, GO TO OC11A.
ELSE, GO TO OC12.
DISPLAY: If CONDITION = 2, display " (USE CATEGORIES AS PROBES IF NEEDED.)" Else, do not
display this text.
If VO7 = 3 or VO16 = 3, display response option 6 "Don't know". Else do not display this
response option.
PQID: CIR81, modified
SAS Variable: OC11
Tags: Change Request
Notes: How old would you say the youngest was? [ CONDITION=2: (USE CATEGORIES AS
PROBES IF NEEDED.) ]
1. Change response categories (AND ADD ONE) to:
1 Under 18
2 18 to 24
3 25 to 34
4 35 to 54
5 55 or older
6 Don't know (OPTION SHOWN IF if VO7=3 or VO16=3)

215

Proxy Interview Field Test Instrument

Question ID:

OC11a

Would you say the youngest offender was…
1

Under 12

2

12 to 14

3

15 to 17

4

{Don't know}

ASK Description: Respondents who reported the crime was committed by more than one
offender and reported the youngest offender was under the age of 18.
ASK Specification: IF VO1 != 1 AND VO1a != 1 AND (VO1 = 2 OR VO1a = 2) AND OC11 = 1.
DISPLAY: If VO7 = 3 or VO16 = 3, display response option 4 "Don't know". Else do not display
this response option.
PQID: CIR81, modified
SAS Variable: OC11a

216

Proxy Interview Field Test Instrument

Question ID:

OC12

How old would you say the oldest was?{ (USE CATEGORIES AS PROBES IF NEEDED.)}
1

Under 18

2

18 to 24

3

25 to 34

4

35 to 54

5

55 or older

6

{Don't know}

ASK Description: Respondents who reported the crime was committed by more than one
offender.
ASK Specification: IF VO1 != 1 AND VO1a != 1 AND (VO1 = 2 OR VO1a = 2).
PROGRAM: ROUTING INSTRUCTIONS: IF OC12 = 1, GO TO OC12A.
ELSE, GO TO OC13.
DISPLAY: If CONDITION = 2, display " (USE CATEGORIES AS PROBES IF NEEDED.)" Else, do dot
display this text.
If VO7 = 3 or VO16 = 3, display response option 6 "Don't know". Else do not display this
response option.
PQID: CIR82, modified
SAS Variable: OC12
Tags: Change Request
Notes: How old would you say the oldest was? [ CONDITION=2: (USE CATEGORIES AS PROBES
IF NEEDED.) ]
1. Change response categories (AND ADD ONE) to:
1 Under 18
2 18 to 24
3 25 to 34
4 35 to 54
5 55 or older
6 Don't know (OPTION SHOWN IF if VO7=3 or VO16=3)

217

Proxy Interview Field Test Instrument

Question ID:

OC12a

Would you say the oldest offender was…
1

Under 12

2

12 to 14

3

15 to 17

4

{Don't know}

ASK Description: Respondents who reported the crime was committed by more than one
offender and reported the oldest offender was under the age of 18.
ASK Specification: IF VO1 != 1 AND VO1a != 1 AND (VO1 = 2 OR VO1a = 2) AND OC12 = 1.
DISPLAY: If VO7 = 3 or VO16 = 3, display response option 4 "Don't know". Else do not display
this response option.
PQID: CIR82, modified
SAS Variable: OC12a
Question ID:

OC13

Were any of the offenders Hispanic or Latino?
1

Yes

GO TO OC14

2

No

GO TO OC15

3

{Don't know}

GO TO OC15

ASK Description: Respondents who reported the crime was committed by more than one
offender.
ASK Specification: IF VO1 != 1 AND VO1a != 1 AND (VO1 = 2 OR VO1a = 2).
DISPLAY: If VO7 = 3 or VO16 = 3, display response option 4 "Don't know". Else do not display
this response option.
PQID: CIR83a
SAS Variable: OC13

218

Proxy Interview Field Test Instrument

Question ID:

OC14

Were most of the offenders Hispanic, non-Hispanic, or were roughly an equal number Hispanic
and non-Hispanic?
1

Most of the offenders were Hispanic

2

Most of the offenders were non-Hispanic

3

A roughly equal number were Hispanic and nonHispanic

4

{Don't know}

ASK Description: Respondents who reported the crime was committed by more than one
offender and reported any of the offenders were Hispanic or Latino.
ASK Specification: IF VO1 != 1 AND VO1a != 1 AND (VO1 = 2 OR VO1a = 2) AND OC14 = 1.
DISPLAY: If VO7 = 3 or VO16 = 3, display response option 4 "Don't know". Else do not display
this response option.
PQID: CIR83b, modified
SAS Variable: OC14
Question ID:

OC15

Were the offenders… (Mark all that apply.)
1

White?

2

Black or African American?

3

American Indian or Alaska Native?

4

Asian?

5

Native Hawaiian or Other Pacific Islander?

6

{Don't know}

ASK Description: Respondents who reported the crime was committed by more than one
offender.
ASK Specification: IF VO1 != 1 AND VO1a != 1 AND (VO1 = 2 OR VO1a = 2).
PROGRAM: ROUTING INSTRUCTIONS: IF 2 OR MORE ARE SELECTED FROM OC15_1, OC15_2,
OC15_3, OC15_4, OR OC15_5, GO TO OC16.
ELSE, GO TO OC17.
DISPLAY: Display "Mark all that apply." in italics.
If VO7 = 3 or VO16 = 3, display response option 6 "Don't know". Else do not display this
response option.
PQID: CIR84a
SAS Variable: OC15_1, OC15_2, OC15_3, OC15_4, OC15_5, OC15_6
Tags: Choose-all-that-apply Item

219

Proxy Interview Field Test Instrument

Question ID:

OC16

What race were most of the offenders?
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

7

{DON'T KNOW}

ASK Description: Respondents who reported one or more of the offenders were at least two of
the following: white, black or African American, Asian, Native Hawaiian or other Pacific islander,
or American Indian or Alaska native.
ASK Specification: IF 2 OR MORE ARE SELECTED FROM OC15_1, OC15_2, OC15_3, OC15_4, OR
OC15_5.
DISPLAY: If OC15_1 = 1, display response option 1. Else, do not display this response option.
If OC15_2 = 1, display response option 2. Else, do not display this response option.
If OC15_3 = 1, display response option 3. Else, do not display this response option.
If OC15_4 = 1, display response option 4. Else, do not display this response option.
If OC15_5 = 1, display response option 5. Else, do not display this response option.
If VO7 = 3 or VO16 = 3, display response option 7 "Don't know". Else, do not display this
response option.
If CONDITION = 2, display all categories in uppercase. Else, display in mixed case.
PQID: CIR84c, modified
SAS Variable: OC16
Tags: Change Request
Notes: IF CONDITION=2 THE RESPONSE OPTIONS SHOULD BE IN ALL CAPS (CAPITAL
LETTERS)

220

Proxy Interview Field Test Instrument

Question ID:

OC17

Were any of the offenders a member of a street gang, or don't you know?
1

Yes (a member of a street gang)

2

No (not a member of a street gang)

3

Don't know (if a member of a street gang)

ASK Description: Respondents who reported the crime was committed by more than one
offender.
ASK Specification: IF VO1 != 1 AND VO1a != 1 AND (VO1 = 2 OR VO1a = 2).
PQID: new
SAS Variable: OC17
Tags: Change Request
Notes: new question
2. #301 – update spec to match program, add text in parens
Question ID:

OC18

Were any of the offenders drinking or on drugs at the time of the incident{, or don't you know}?
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

ASK Description: Respondents who reported the crime was committed by more than one
offender.
ASK Specification: IF VO1 != 1 AND VO1a != 1 AND (VO1 = 2 OR VO1a = 2).
DISPLAY: If CONDITION = 2, display ", or don't you know". Else, do not display.
PQID: CIR86a, modified
SAS Variable: OC18
Tags: Change Request
Notes: Were any of the offenders drinking or on drugs at the time of the incident
(CONDITION=2: , or don't you know)?

221

Proxy Interview Field Test Instrument

Self-Protection
Box ID:

SP_BOX1

GLOBAL – IF VO1=1, USE "OFFENDER" IN THIS SERIES. IF VO1=2, USE "OFFENDERS".
If the crime involved an attack of any kind or unwanted sexual contact or the respondent had
contact with the offender(s) as the incident was happening, go to SPINTRO.Else, go to HC2.
If S_A = 1 OR S_TA = 1 OR S_ATA = 1 OR S_SA = 1 or PR2a = 1, go to SPINTRO.Else, go to
HC2.
Question ID:

SPINTRO

These next questions are about what you did when {this/the} incident{ in {MONTH}} occurred.
People may react differently to certain situations and there's not a wrong or right way to react.
Everyone is different and every situation is different.
ASK Description: Respondents who reported the crime involved an attack of any kind or
unwanted sexual contact or the respondent had contact with the offender(s) as the incident was
happening.
ASK Specification: IF S_A = 1 OR S_TA = 1 OR S_ATA = 1 OR S_SA = 1 OR PR2a = 1.
DISPLAY: If more than 1 CIR reported, display "this". Else, if only one incident reported, display
"the".
If month was reported for the incident in the current loop, display { in {MONTH}}. For
"MONTH", display Month of incident in current loop. Display format – January. Else, if month
was not reported for the incident in the current loop, do not display.
Tags: Change Request
Notes: replaced "it's often not clear how one should" with "there's not a wrong or right way to"

222

Proxy Interview Field Test Instrument

Question ID:

SP1

Which of the following describes how you reacted during the incident? (Mark all that apply.)
1

Did you not do anything, freeze, or not move??

2

Did you do what the person told you to do?

3

Did you do something or try to do something to
protect yourself or your belongings?

4

Did you do or try to do something else during the
incident?

ASK Description: Respondents who reported the crime involved an attack of any kind or
unwanted sexual contact or the respondent had contact with the offender(s) as the incident was
happening.
ASK Specification: IF S_A = 1 OR S_TA = 1 OR S_ATA = 1 OR S_SA = 1 OR PR2a = 1.
PROGRAM: ROUTING INSTRUCTIONS: If SP1_3 = 1 or SP1_4 = 1, go to SP2.
Else, go to SP_BOX3.
DISPLAY: Display "Mark all that apply." in italics.
PQID: CIR41a, modified
SAS Variable: SP1_1, SP1_2, SP1_3, SP1_4
Tags: Change Request, Choose-all-that-apply Item
Notes: 1. (CONDITION=3: You did / CONDITION=2: Did you do ) what the person told you to
do (CONDITION=2:?)
2. (CONDITION=3: You didn't do anything, froze or didn't move / CONDITION=2: Did you not
do anything, freeze or not move?)
3. (CONDITION=3: You did something or tried / CONDITION=2: Did you do something or try)
to do something to protect yourself or your belongings (CONDITION=2:?)
4. (CONDITION=3: You did or tried / CONDITION=2: Did you do or try) to do something else
during the incident(CONDITION=2:?)
5. reversed request change for category fills.
6. #269 – updated category text

223

Proxy Interview Field Test Instrument

Question ID:

SP2

You said that you took some action during the incident. What did you do?{ Anything else?}
(Mark all that apply.)
1

You threatened or attacked the offender{s}

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{s}

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

ASK Description: Respondents who reacted during the incident by doing something to protect
themselves or their belongings or tried to do something else during the incident.
ASK Specification: IF SP1_3 = 1 or SP1_4 = 1.
PROGRAM: If SP2_1 = 1, go to SP2A.
Else, go to SP_BOX2.
DISPLAY: If CONDITION = 2, display " Anything else?". Else, do not display.
Display "Mark all that apply." in italics.
If CONDITION = 2, display all categories in uppercase. Else, display in mixed case.
PQID: CIR42a, modified
SAS Variable: SP2_1, SP2_2, SP2_3, SP2_4, SP2_5, SP2_6, SP2_7, SP2_8, SP2_9, SP2_10
Tags: Change Request, Choose-all-that-apply Item
Notes: 1. IF CONDITION=2 THE RESPONSE OPTIONS SHOULD BE IN ALL CAPS (CAPITAL
LETTERS)
2. You said that you took some action during the incident. What did you do? (CONDITION=2:
Anything else?) (Mark all that apply.)

224

Proxy Interview Field Test Instrument

Question ID:

SP2A

{INSTRUCTION ONLY: INTERVIEWER CODE THE APPROPRIATE CATEGORIES BASED ON
RESPONSE TO SP2./What did you do to attack or threaten the offender{s}?} (Mark all that
apply.)
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

ASK Description: Respondents who took action during the incident by threatening or attacking
the offender(s).
ASK Specification: IF SP2_1 = 1.
PROGRAM: Display text box and allow 250 character text response.
DISPLAY: If CONDITION = 2, display “INSTRUCTION ONLY: INTERVIEWER CODE THE
APPROPRIATE CATEGORIES BASED ON RESPONSE TO SP2”. If CONDITION = 3, display “What
did you do to attack or threaten the offender{s}?”
Display "Mark all that apply." in italics.
If CONDITION = 2, display all categories in uppercase. Else, display in mixed case.
PQID: CIR42a, modified
SAS Variable: SP2A_1, SP2A_2, SP2A_3, SP2A_4, SP2A_5, SP2A_6, SP2A_7, SP2A_SPECIFY
Tags: Change Request, Choose-all-that-apply Item
Notes: IF CONDITION=2 THE RESPONSE OPTIONS SHOULD BE IN ALL CAPS (CAPITAL
LETTERS)
Box ID:

SP_BOX2

If SP2_10 = 1, go to SP2b.
Else, go to SP_BOX3.

225

Proxy Interview Field Test Instrument

Question ID:

SP2b

{ INSTRUCTION ONLY: INTERVIEWER CODE THE APPROPRIATE CATEGORIES BASED ON
RESPONSE TO SP2/ What other actions did you take during the incident?}
1

TEXT RESPONSE

ASK Description: Respondents who took action during the incident by doing something else.
ASK Specification: IF SP2_10 = 1.
DISPLAY: If CONDITION = 2, display “INSTRUCTION ONLY: INTERVIEWER CODE THE
APPROPRIATE CATEGORIES BASED ON RESPONSE TO SP2”. If CONDITION = 3, display “What
other actions did you take during the incident?”
PROGRAM: DISPLAY TEXT FIELD, MAX CHARACTER LENGTH = 256.
PQID: CIR42b
SAS Variable: SP2b
Box ID:

SP_BOX3

Respondents who were physically injured in any way during the incident, go to SP3A.
Else, go to SP3B.
If CI1 = 1, GO TO SP3A.
Else, go to SP3B.

226

Proxy Interview Field Test Instrument

Question ID:

SP3A

Did you {take that action/take any of these actions} {before you were injured, after you were
injured, or at the same time you were injured?/…} (Mark all that apply.)
1

Before you were injured

2

After you were injured

3

At the same time you were injured

ASK Description: Respondents who reported the crime involved an attack of any kind or
unwanted sexual contact or the respondent had contact with the offender(s) as the incident was
happening and were physically injured in any way during the incident.
ASK Specification: IF (S_A = 1 OR S_TA = 1 OR S_ATA = 1 OR S_SA = 1 OR PR2a = 1) AND
CI1 = 1.
DISPLAY: If CONDITION = 2, display " before you… injured?". Else if CONDITION = 3, display
"…".
If only one selection at SP2A, display "take that action". Else if multiple selections at SP2A,
display "take any of these actions".
Display "Mark all that apply." in italics.
PQID: CIR43a, modified
SAS Variable: SP3a_1, SP3a_2, SP3a_3
Tags: Change Request, Choose-all-that-apply Item
Notes: Did you (take that action/take any of these actions) (CONDITION=3: … / CONDITION=2:
before you were injured, after you were injured, or at the same time you were injured?) (Mark
all that apply.)
Question ID:

SP3b

Overall, do you think that what you did helped the situation, made it worse, or had no impact?
1

Helped the situation

2

Made the situation worse

3

Had no impact on the situation

ASK Description: Respondents who reported the crime involved an attack of any kind or
unwanted sexual contact or the respondent had contact with the offender(s) as the incident was
happening.
ASK Specification: IF S_A = 1 OR S_TA = 1 OR S_ATA = 1 OR S_SA = 1 OR PR2a = 1.
PQID: CIR48, modified
SAS Variable: SP3b
Box ID:

SP_BOX4

Respondents who reported someone else saw, heard, or had contact with the offender(s), go to
SP5.Else, go to SP4.
If PR2b = 1 OR PR2c = 1, go to SP5.Else, go to SP4.

227

Proxy Interview Field Test Instrument

Question ID:

SP4

Besides you and the offender{s}, was anyone ELSE present during the incident? (Only include
those ages 12 or older)?
1

Yes

GO TO SP5

2

No

GO TO HC2

ASK Description: Respondents who reported the crime involved an attack of any kind or
unwanted sexual contact or the respondent had contact with the offender(s) as the incident was
happening and did not report that someone else saw, heard, or had contact with the
offender(s).
ASK Specification: IF (S_A = 1 OR S_TA = 1 OR S_ATA = 1 OR S_SA = 1 OR PR2a = 1) AND
PR2b != 1 AND PR2c != 1.
PQID: CIR47, modified
SAS Variable: SP4
Question ID:

SP5

Did anyone else do or try to do anything to help you while the incident was going on?
1

Yes

GO TO SP6

2

No

GO TO SP_BOX5

ASK Description: Respondents who reported the crime involved an attack of any kind or
unwanted sexual contact or the respondent had contact with the offender(s) as the incident was
happening and reported someone other than themselves and the offender(s) were present
during the incident.
ASK Specification: IF (S_A = 1 OR S_TA = 1 OR S_ATA = 1 OR S_SA = 1 OR PR2a = 1) AND
SP4 != 2, -9.
PQID: NEW
SAS Variable: SP5

228

Proxy Interview Field Test Instrument

Question ID:

SP6

Who took these actions? (Mark all that apply.)
1

Someone who was with you

2

Someone who was with the offender{s}

3

Someone else

ASK Description: Respondents who reported that someone else did or tried to do anything to
help them while the incident was going on.
ASK Specification: IF SP5 = 1.
DISPLAY: Display "Mark all that apply." in italics.
PQID: NEW
SAS Variable: SP6_1, SP6_2, SP6_3
Tags: Choose-all-that-apply Item
Question ID:

SP7

What did the person or people try to do to help you? (Mark all that apply.)
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)

ASK Description: Respondents who reported that someone else did or tried to do anything to
help them while the incident was going on.
ASK Specification: IF SP5 = 1.
PROGRAM: Display text box and allow 250 character text response.
DISPLAY: Display "Mark all that apply." in italics.
If CONDITION = 2, display all categories in uppercase. Else, display in mixed case.
PQID: CIR49a, modified
SAS Variable: SP7_1, SP7_2, SP7_3, SP7_4, SP7_5, SP7_6, SP7_6_SPECIFY
Tags: Change Request, Choose-all-that-apply Item
Notes: IF CONDITION=2 THE RESPONSE OPTIONS SHOULD BE IN ALL CAPS (CAPITAL
LETTERS)

229

Proxy Interview Field Test Instrument

Question ID:

SP8

Overall, did the actions of this person or people help the situation, make it worse, or have no
impact?
1

Helped the situation

2

Made the situation worse

3

Had no impact on the situation

ASK Description: Respondents who reported that someone else did or tried to do anything to
help them while the incident was going on.
ASK Specification: IF SP5 = 1.
PQID: CIR48
SAS Variable: SP8
Box ID:

SP_BOX5

If PR2b = 1 or PR2c = 1 or SP4 = 1, GO TO SP9.Else, go to HC2.
Question ID:

SP9

{Not including the offender{s}, were/Were} anyone who was there during the incident under
the age of 12?
1

Yes

2

No

ASK Description: Respondents who reported the crime involved an attack of any kind or
unwanted sexual contact and reported that someone else saw, heard, or had contact with the
offender(s).
ASK Specification: IF (S_A = 1 OR S_TA = 1 OR S_ATA = 1 OR S_SA = 1) AND (PR2b = 1 OR
PR2c = 1 OR SP4 = 1).
DISPLAY: If OC2a=1 or OC11a=1, display "Not including the offender{s}, were". Else, display
"Were".
SAS Variable: SP9

230

Proxy Interview Field Test Instrument

Question ID:

SP9a

Not counting yourself, {or }the offender{s}{, or children under 12}, were any other people
harmed, threatened with harm, or have any belongings taken or damaged in {this/the}
incident?
1

Yes {How many? | |__|}

2

No

ASK Description: Respondents who reported the crime involved an attack of any kind or
unwanted sexual contact and reported that someone else saw, heard, or had contact with the
offender(s).
ASK Specification: IF (S_A = 1 OR S_TA = 1 OR S_ATA = 1 OR S_SA = 1) AND (PR2b = 1 OR
PR2c = 1 OR SP4 = 1).
PROGRAM: If SP9a = 1, display "How many?" and an open response field. Allow 2 digits.
ROUTING INSTRUCTIONS: If SP9a = 1, go to SP10.
Else, if SP9a = 2, -9, go HC2.
DISPLAY: If more than 1 CIR reported, display "this". Else, if only one incident reported, display
"the".
If SP9 = 1, display ", or children under 12". Else, display "or ".
PQID: CIR52, modified
SAS Variable: SP9A, SP9A_NUM
Question ID:

SP10

{Of these {SP9A_NUM} people, how many of them live with you now?/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.)}
1

|||

ASK Description: Respondents who reported that someone other than themselves were harmed,
threatened with harm, or had belongings taken or damaged in this incident.
ASK Specification: IF SP9a = 1.
PROGRAM: Allow 2 digits.
DISPLAY: If SP9A_NUM > 1, display "Of these… now?". Else, display "Thinking just… age.)".
PQID: CIR54a, modified
SAS Variable: SP10

231

Proxy Interview Field Test Instrument

Hate Crimes
Question ID:

HC2

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
Sex
Sexual orientation or gender identity

This could happen even if the offender falsely thinks you have certain characteristics or religious
beliefs.
Do you think that this was a hate crime targeted at you?
1

Yes

GO TO HC_BOX1

2

No

GO TO HC3

ASK Description: Respondents who reported an incident.
ASK Specification: IF S_MV = 1 OR S_MVP = 1 OR S_T = 1 OR S_BI = 1 OR S_V = 1 OR S_A =
1 OR S_TA = 1 OR S_ATA = 1 OR S_SA = 1.
DISPLAY: Indent bullet points.
PQID: CIR162, modified
SAS Variable: HC2
Tags: Change Request
Notes: replaced "have any reason to suspect" with "think"
Box ID:

HC_BOX1

For HC2a_1 – HC2a_6, display a ‘Yes' and ‘No' column with options for each response category.
Tags: Stem and Leaf screen

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Proxy Interview Field Test Instrument

Question ID:

HC2a

Do you think prejudice or bigotry towards any of the following was a reason you were targeted,
even if the offender falsely thought something about you?
1

Because of your race?

2

Because of your religion?

3

Because of your ethnic background or national
origin?

4

Because of any disability you may have?

5

Because of your sex?

6

Because of your sexual orientation or gender
identity - by this we mean gay, lesbian, bisexual,
straight, transgender, or gender non-conforming?

ASK Description: Respondents who suspect that this incident was a hate crime targeted at
them.
ASK Specification: IF HC2 = 1.
PROGRAM: ROUTING INSTRUCTIONS: IF HC2a _1 = 1 OR HC2a_2 = 1 OR HC2a_3 = 1 OR
HC2a_4 = 1 OR HC2a_5 = 1 OR HC2a_6 = 1, GO TO HC4.
ELSE, GO TO HC3.
PQID: CIR162, modified
SAS Variable: HC2a_1, HC2a_2, HC2a_3, HC2a_4, HC2a_5, HC2a_6
Tags: Change Request, Stem and Leaf screen
Notes: Please (CONDITION=2: tell me / CONDITION=3: indicate) if you think each of the
following was a reason you were targeted, even if the offender falsely thought something about
you.
2. reversed request change for fill
Question ID:

HC3

Do you think this was a hate crime targeted at any of the people you spend time with?
1

Yes

GO TO HC4

2

No

GO TO PI_INTRO

ASK Description: Respondents who do not suspect that this incident was a hate crime targeted
at them or respondents who did suspect that this incident was a hate crime, but not because of
race, religion, ethnic background, disability, sex, or sexual orientation.
ASK Specification: IF HC2 = 2, -9 OR (HC2a_1 = 2, -9 AND HC2a_2 = 2, -9 AND HC2a_3 = 2, 9 AND HC2a_4 = 2, -9 AND HC2a_5 = 2, -9 AND HC2a_6 = 2, -9).
PQID: CIR163, modified
SAS Variable: HC3

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Proxy Interview Field Test Instrument

Question ID:

HC4

Did the offender(s) say something, write something, or leave something behind at the crime
scene that made you think it was a hate crime?
1

Yes

GO TO HC_BOX2

2

No

GO TO PI_INTRO

ASK Description: Respondents who suspect that this incident was a hate crime targeted at them
or any of the people they spend time with.
ASK Specification: IF HC2 = 1 OR (HC2 = 2, -9 AND HC3 = 1) OR (HC2a_1 = 1 OR HC2a_2 = 1
OR HC2a_3 = 1 OR HC2a_4 = 1 OR HC2a_5 = 1 OR HC2a_6 = 1).
PQID: CIR164b
SAS Variable: HC4
Box ID:

HC_BOX2

For HC5a – HC5g, display a ‘Yes' and ‘No' column with options for each response category.
Tags: Stem and Leaf screen

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Proxy Interview Field Test Instrument

Question ID:

HC5

Did any of the following things happen?
1

The offender(s) used hurtful or abusive language
referring to your sex, religion, race or ethnicity,
sexual orientation or gender identity, or a disability

2

There was something at the scene, such as a
swastika or a burning cross, that made you think
this was a hate crime

3

The police told you that this was a hate crime

4

From what you know, the offender(s) had
committed similar hate crimes in the past

5

The incident happened around a holiday, event, or
place commonly associated with a specific group

6

Other hate crimes had occurred in your local area
or neighborhood

7

Something else happened that would suggest it
was a hate crime Specify:

ASK Description: Respondents who reported the offenders said, wrote, or left anything behind at
the crime scene that suggested the incident was a hate crime.
ASK Specification: IF HC4 = 1.
PROGRAM: Display text box and allow 250 character text response.
PQID: CIR165, modified
SAS Variable: HC5a, HC5b, HC5c, HC5d, HC5e, HC5f, HC5g, HC5_SPECIFY
Tags: Stem and Leaf screen
Notes: removed ", such as a Gay Pride March, an ethnic church, or a special ed classroom"
#440 added paren around What

235

Proxy Interview Field Test Instrument

Police Involvement Series
Question ID:

PI_INTRO

The next questions ask about whether the police got involved in {this/the} incident{ in
{MONTH}}.
ASK Description: Respondents who reported an incident.
ASK Specification: IF S_MV = 1 OR S_MVP = 1 OR S_T = 1 OR S_BI = 1 OR S_V = 1 OR S_A =
1 OR S_TA = 1 OR S_ATA = 1 OR S_SA = 1.
DISPLAY: If more than 1 CIR, display "this". Else, display "the".
If month was reported for the incident in the current loop, display { in {MONTH}}. For
{MONTH}, display Month of incident in current loop. Display format – January. Else, if month
was not reported for the incident in the current loop, do not display.
Question ID:

PI1

Did the police find out about {this/the} incident?
1

Yes

2

No

ASK Description: Respondents who reported an incident.
ASK Specification: IF S_MV = 1 OR S_MVP = 1 OR S_T = 1 OR S_BI = 1 OR S_V = 1 OR S_A =
1 OR S_TA = 1 OR S_ATA = 1 OR S_SA = 1.
PROGRAM: ROUTING INSTRUCTIONS: If PI1 = 1, go to PI4.
Else, if PI1 = 2, go to PI2a.
Else, go to PI24.
DISPLAY: If more than 1 CIR, display "this". Else, display "the".
PQID: CIR 115, modified
SAS Variable: PI1

236

Proxy Interview Field Test Instrument

Question ID:

PI2a

Why did you decide not to contact the police? (Mark all that apply.)
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 told a parent or other adult relative}

6

You took care of it yourself

7

You reported it to an official other than the police

8

You didn't think the police would believe you

9

You didn't want to get into trouble with the police

10

You didn't want the offender to get in trouble or
face harsh consequences

11

You were worried the offender might get back at
you

12

You weren't sure it was a crime

13

Some other reason

ASK Description: Respondents who reported the police did not find out about this incident.
ASK Specification: IF PI1 = 2.
PROGRAM: ROUTING INSTRUCTIONS: If PI2a_13 = 1, go to PI2b.
Else, go to PI_BOX1.
DISPLAY: Display "Mark all that apply." in italics.
If UT_AGE < 18, display response option 5. Else, do not display.
If CONDITION = 2, display response options in uppercase. Else, if CONDITION = 3, display
response options in mixed case.
PQID: CIR117a, modified
SAS Variable: PI2a_1, PI2a_2, PI2a_3, PI2a_4, PI2a_5, PI2a_6, PI2a_7, PI2a_8, PI2a_9,
PI2a_10, PI2a_11, PI2a_12, PI2a_13
Tags: Change Request, Choose-all-that-apply Item
Notes: 1. IF CONDITION=2 THE RESPONSE OPTIONS SHOULD BE IN ALL CAPS (CAPITAL
LETTERS)
2. Added new response option 5 [IF AGE<18 DISPLAY: You told a parent or other adult relative?
/ ELSE BLANK

237

Proxy Interview Field Test Instrument

Question ID:

PI2b

{ INSTRUCTION ONLY: INTERVIEWER CODE THE APPROPRIATE CATEGORIES BASED ON
RESPONSE TO PI2a/What was the other reason why you did not contact the police?} (Mark all
that apply.)
1

You didn't trust the police

2

You didn't find out until it was too late to report

3

It would have been too much trouble to report it

4

You thought someone else would contact the police

5

Some other reason

ASK Description: Respondents who reported the police did not find out about this incident for
some other reason.
ASK Specification: IF PI2a_13 = 1.
PROGRAM: Display text box and allow 250 character text response.
DISPLAY: If CONDITION = 2, display “INSTRUCTION ONLY: INTERVIEWER CODE THE
APPROPRIATE CATEGORIES BASED ON RESPONSE TO PI2a”. If CONDITION = 3, display “What
was the other reason why you did not contact the police?”
If CONDITION = 2, display all categories in uppercase. Else, if CONDITION = 3, display in mixed
case.
Display "Mark all that apply." in italics.
PQID: CIR117a, modified
SAS Variable: PI2b_1, PI2b_2, PI2b_3, PI2b_4, PI2b_5, PI2b_5_SPECIFY
Tags: Change Request, Choose-all-that-apply Item
Notes: IF CONDITION=2 THE RESPONSE OPTIONS SHOULD BE IN ALL CAPS (CAPITAL
LETTERS)
Add (Mark all that apply.)
ask update only

238

Proxy Interview Field Test Instrument

Box ID:

PI_BOX1

If more than one reason marked in PI2a and PI2b (excluding PI2a_13), go to PI3.
Else, respondents who reported the incident happened at school, on school property, or on a
school bus and reported the incident to an official other than police, go to PI2C.
Else, respondents who reported the incident happened at school, on school property, or on a
school bus and did not report the incident to an official other than police, go to PI16a.
Else, go to PI17.

IF PI2a[_1/…/_12] = 1 OR PI2b[_1/…/_5] = 1 FOR TWO OR MORE REASONS, go to PI3.
Else, if PI2a_7 = 1 and LO_3 = 6, go to PI2C.
Else, if PI2a_7 != 1 AND LO_3 = 6, go to PI16a.
Else, go to PI17.
Tags: Change Request
Notes: variable name update in routing

239

Proxy Interview Field Test Instrument

Question ID:

PI3

Which of these would you say was the most important reason why you did not contact the
police?
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 told a parent or other adult relative}

6

{You took care of it yourself}

7

{You reported it to an official other than the
police}

8

{You didn't think the police would believe you}

9

{You didn't want to get into trouble with the
police}

10

{You didn't want the offender to get in trouble or
face harsh consequences}

11

{You were worried the offender might get back at
you}

12

{You weren't sure it was a crime}

13

{You didn't trust the police}

14

{You didn't find out until it was too late to report}

15

{It would have been too much trouble to report it}

16

{You thought someone else would contact the
police}

17

{FILL DISPLAY FROM PI2b_5_SPECIFY}

18

NO ONE REASON IS MOST IMPORTANT

ASK Description: Respondents who reported the police did not find out about this incident for
multiple reasons.
ASK Specification: IF PI2a[_1/…/_12] = 1 OR PI2b[_1/…/_5] = 1 FOR TWO OR MORE REASONS.
PROGRAM: ROUTING INSTRUCTIONS: If PI2a_7 = 1 and LO_3=6, go to PI2c.
Else, if PI2a_7 != 1 and LO_3 = 6, go to
PI16a. Else, go to PI17.

240

Proxy Interview Field Test Instrument

DISPLAY: If CONDITION = 2, display all categories in uppercase. Else, if CONDITION = 3,
display in mixed case.
If PI2a_1 = 1, display response option 1. Else, do not display.
If PI2a_2 = 1, display response option 2. Else, do not display.
If PI2a_3 = 1, display response option 3. Else, do not display.
If PI2a_4 = 1, display response option 4. Else, do not display.
If PI2a_5 = 1, display response option 5. Else, do not display.
If PI2a_6 = 1, display response option 6. Else, do not display.
If PI2a_7 = 1, display response option 7. Else, do not display.
If PI2a_8 = 1, display response option 8. Else, do not display.
If PI2a_9 = 1, display response option 9. Else, do not display.
If PI2a_1 = 1, display response option 10. Else, do not display.
If PI2a_11 = 1, display response option 11. Else, do not display.
If PI2a_12 = 1, display response option 12. Else, do not display.
If PI2b_1 = 1, display response option 13. Else, do not display.
If PI2b_2 = 1, display response option 14. Else, do not display.
If PI2b_3 = 1, display response option 15. Else, do not display.
If PI2b_4 = 1, display response option 16. Else, do not display.
If PI2b_5_SPECIFY != -9, display "FILL DISPLAY FROM PI2b_5_SPECIFY". Else, do not display.
PQID: CIR 118, modified
SAS Variable: PI3
Tags: Change Request
Notes: added category 5 "You told a parent or other adult relative"
Question ID:

PI2c

Did you report the incident to a school official or School Resource Officer?
1

Yes

2

No

GO TO PI17

ASK Description: Respondents who reported the incident happened at school, on school
property, or on a school bus and reported the incident to an official other than police.
ASK Specification: If LO_3 = 6 and PI2a_7 = 1.
PQID: NEW
SAS Variable: PI2c
Notes: ask update only

241

Proxy Interview Field Test Instrument

Question ID:

PI2d

Why did you decide not to contact a school official or School Resource Officer?{ Any other
reasons?} (Mark all that apply.)
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

8

You didn't want the offender or his/her family to
get in trouble or face harsh consequences

9

You were worried the offender might get back at
you

10

You weren't sure it was a crime

11

Some other reason

ASK Description: Respondents who reported the incident happened at school, on school
property, or on a school bus and reported the incident to an official other than police and did not
report the incident to a school official or School Resource Officer.
ASK Specification: If LO_3 = 6 and PI2a_7 = 1 AND PI2c = 2.
PROGRAM: ROUTING INSTRUCTIONS: GO TO PI17.
DISPLAY: If CONDITION = 2, display "Any other reasons?". Else do not display. Display "Mark
all that apply." in italics.
If CONDITION = 2, display all categories in uppercase. Else, if CONDITION = 3, display in mixed
case.
PQID: CIR117a, modified
SAS Variable: PI2d_1, PI2d_2, PI2d_3, PI2d_4, PI2d_5, PI2d_6, PI2d_7, PI2d_8, PI2d_9,
PI2d_10, PI2d_11
Tags: Change Request, Choose-all-that-apply Item
Notes: 1. IF CONDITION=2 THE RESPONSE OPTIONS SHOULD BE IN ALL CAPS (CAPITAL
LETTERS)
2. removed "with the official or the school resource officer" and added "or his/her family"

242

Proxy Interview Field Test Instrument

Question ID:

PI4

Who informed the police? If more than one person, choose the first response that applies.
1

You informed the police yourself

2

Someone you live with

3

{A school employee or School Resource Officer}

4

Someone such as a security guard or a building
manager

5

The police were at scene

7

Someone else told the police {Who?/Specify:}

ASK Description: Respondents who reported the police found out about the incident.
ASK Specification: IF PI1 = 1.
PROGRAM: Display text box and allow 250 character text response.
ROUTING INSTRUCTIONS: If HC2 = 1 or HC3 = 1, go to PI16b.
Else if PI4 = 1, 2, 3, 4, 7, go to PI5.
Else if PI4 = 5 or -9, go to PI17.
DISPLAY: If CONDITION = 2, display "Who?". Else, display "Specify:".
If RStudent = 1, display category 3 "A school… Officer". Else, do not display.
PQID: CIR 116a, modified
SAS Variable: PI4, PI4_SPECIFY
Tags: Change Request
Notes: 1. Someone else told the police
(CONDITION=3: Specify: / CONDITION=2: Who?)
2. reversed change request for category fill
3. #73 - readded category fill
Question ID:

PI16b

Did you tell the police that you believe the incident was a hate crime?
1

Yes

2

No

ASK Description: Respondents who reported the police found out about the incident and suspect
that this incident was a hate crime targeted at them or any of the people they spend time with.
ASK Specification: IF PI1 = 1 AND (HC2 = 1 OR HC3 = 1).
PROGRAM: ROUTING INSTRUCTIONS: If PI4 = 1, 2, 3, 4, 7, go to PI5.
Else if PI4 = 5 or -9, go to PI17.
PQID: CIR166, modified
SAS Variable: PI16b

243

Proxy Interview Field Test Instrument

Question ID:

PI5

{You said someone else informed the police.} How did {you first/they} notify the police?
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

{Don't Know}

ASK Description: Respondents who reported the police found out about the incident through the
respondent, someone they live with, a school employee or School Resource Officer, a security
guard or building manager, or someone else.
ASK Specification: IF PI4 = 1, 2, 3, 4, 7.
PROGRAM: Display text box and allow 250 character text response.
ROUTING INSTRUCTIONS: If PI5 = 1, 2, 3, go to PI9.
If PI5 = 4, 5, 6, go to PI_BOX2.
DISPLAY: If PI4 =2,3,4,7, display “You said someone else informed the police.” If PI4 = 1,
display "you first" and "you". Else if PI4 != 1, display "they", "they" and category 6.
If CONDITION = 2, display response options in uppercase. Else, if CONDITION = 3, display
response options in mixed case.
PQID: New
SAS Variable: PI5, PI5_SPECIFY
Tags: Change Request
Notes: IF CONDITION=2 THE RESPONSE OPTIONS SHOULD BE IN ALL CAPS (CAPITAL
LETTERS)

244

Proxy Interview Field Test Instrument

Question ID:

PI9

Which of the following BEST describes when the police were first contacted?{ (READ
RESPONSES UNTIL R SAYS YES.)}
1

While the incident was happening

2

Within 10 minutes after the incident occurred

3

Within an hour after the incident occurred

4

Within 24 hours of the incident

5

Longer than a day after the incident occurred

ASK Description: Respondents who reported the police were notified by phone call, approaching
an officer, or by going to the police station.
ASK Specification: IF PI5 = 1, 2, 3.
DISPLAY: If CONDITION = 2, display " (READ RESPONSES UNTIL R SAYS YES.)". Else do not
display.
PQID: New
SAS Variable: PI9
Notes: Which of the following BEST describes when the police were first contacted? [
CONDITION=2: (READ RESPONSES UNTIL R SAYS YES.) ]
Box ID:

PI_BOX2

IF PI5 = 1, 4, 5, GO TO PI_BOX2A.
ELSE, GO TO PI_BOX3.
Box ID:

PI_BOX2A

Go to PI10.

245

Proxy Interview Field Test Instrument

Question ID:

PI10

What did the police do when they found out about the incident? (Mark all that apply.)
1

Come to you

2

Tell you to go to a police station

3

Take a report over the phone

4

Deal with it through the mail

5

Deal with it through the Internet or a social media
app

6

Something else

7

{IF R VOLUNTEERS: THE POLICE DID
NOTHING/The police did nothing}

ASK Description: Respondents who reported the police were contacted by phone, using the
internet or social media app, or some other way.
ASK Specification: IF PI5 = 1, 4, 5.
PROGRAM: Display text box and allow 250 character text response.
ROUTING INSTRUCTIONS: Go to PI_BOX3.
DISPLAY: Display "Mark all that apply." in italics.
If CONDITION = 2, display "IF R… NOTHING". Else if CONDITION = 3, display "The police did
nothing".
PQID: CIR 121, modified
SAS Variable: PI10_1, PI10_2, PI10_3, PI10_4, PI10_5, PI10_6, PI10_6_SPECIFY, PI10_7
Tags: Change Request, Choose-all-that-apply Item
Notes: What did the police do when they found out about the incident? (CONDITION=2: Did
they . . . / CONDITION=3: ) (Mark all that apply.)
7. (CONDITION=2: IF R VOLUNTEERS: THE POLICE DID NOTHING/ CONDITION=3: The police
did nothing)
2. reversed change request for cond = 2 fill.
3. #457 – added conditional text for option 7
Box ID:

PI_BOX3

Respondents who reported the police came to them when they found out about the incident, go
to PI13.
Else, respondents who gave the police a report over the phone, go to PI11.
Else, go to PI_BOX4.
If PI10_1 = 1, go to PI13.
Else, if PI10_3 = 1, go to PI11.
Else, go to PI_BOX4.

246

Proxy Interview Field Test Instrument

Question ID:

PI11

How satisfied were you with how the phone report was taken{ . . ./?}
1

Completely satisfied

2

Mostly satisfied

3

Equally satisfied and dissatisfied

4

Mostly dissatisfied

5

Completely dissatisfied

6

{Or do you not have an opinion?/Don't know}

ASK Description: Respondents who gave the police a report over the phone.
ASK Specification: IF PI10_3 = 1.
DISPLAY: If CONDITION = 2, display " …". Else, display "?".
If CONDITION = 2 and PI4 = 2, 3, 4, 5, 7 , display option 6 "Or do you not have an opinion?".
Else, if CONDITION = 3 and PI4 = 2, 3, 4, 5, 7, display option 6 "Don't know".
Else, do not display.
PQID: New
SAS Variable: PI11
Tags: Change Request
Notes: How satisfied were you with how the phone report was taken (CONDITION=3: . . . /
CONDITION=2: ? )
response option 6 will also differ as follows:
6. IF CODES 2-5, 7 IN PI4: (CONDITION=2: Or do you not have an opinion? / CONDITION=3:
Don't know)
Box ID:

PI_BOX4

Respondents who reported the police told them to go to a police station, or took a report over
the phone, or dealt with it through the mail, or dealt with it through the internet or social media
app, or did something else, or did nothing, go to PI12.
Else, go to PI_BOX6.
If PI10_2 = 1 OR PI10_3 = 1 OR PI10_4 = 1 OR PI10_5 = 1 OR PI10_6 = 1 OR PI10_7 = 1, go
to PI12.
Else, go to PI_BOX6.

247

Proxy Interview Field Test Instrument

Question ID:

PI12

Do you think the police should have come to you when they were contacted?
1

Yes

2

No

ASK Description: Respondents who reported the police told them to go to a police station, or
took a report over the phone, or dealt with it through the mail, or dealt with it through the
internet or social media app, or did something else, or did nothing.
ASK Specification: IF PI10_2 = 1 OR PI10_3 = 1 OR PI10_4 = 1 OR PI10_5 = 1 OR PI10_6 = 1
OR PI10_7= 1.
PROGRAM: Go to PI17.
PQID: New
SAS Variable: PI12
Question ID:

PI13

How satisfied were you with the time it took the police to get to you after they were contacted?
1

Completely satisfied

2

Mostly satisfied

3

Equally satisfied and dissatisfied

4

Mostly dissatisfied

5

Completely dissatisfied

6

{Or do you not have an opinion?/Don't Know}

ASK Description: Respondents who reported the police came to them when they found out about
incident.
ASK Specification: IF PI10_1 = 1.
DISPLAY: If CONDITION = 2 and PI4 = 2, 3, 4, 5, 7, display option 6 "Or do you not have an
opinion?".
Else, if CONDITION = 3 and PI4 = 2, 3, 4, 5, 7, display option 6 "Don't know".
Else, do not display.
PQID: New
SAS Variable: PI13
Tags: Change Request
Notes: response option 6 will also differ as follows:
6. IF CODES 2-5, 7 IN PI4: (CONDITION=2: Or do you not have an opinion? / CONDITION=3:
Don't know)

248

Proxy Interview Field Test Instrument

Box ID:

PI_BOX5

Respondents who reported the police came to them when they found out about incident and
reported that the police were not already at the scene and the police were not contacted by
approaching an officer or police car, go to PI14.
Else, go to PI_BOX5A.
IF PI10_1 = 1 AND PI4 != 5 AND PI5 != 2, GO TO PI14.
Else, go to PI_BOX5A.
Question ID:

PI14

Had the police told {you/the person who contacted them} how long it would take them to get
there?
1

Yes

2

No

3

{Don't know}

ASK Description: Respondents who reported the police came to them when they found out about
incident and reported that the police were not already at the scene and the police were not
contacted by approaching an officer or police car.
ASK Specification: IF PI10_1 = 1 AND PI4 != 5 AND PI5 != 2.
DISPLAY: If PI4 = 1, display "you".
Else, display "the person who contacted them".
If PI4 = 2, 3, 4, 7, display option 3 "Don't know".
Else, do not display.
PQID: New
SAS Variable: PI14
Box ID:

PI_BOX5A

Go to PI15.

249

Proxy Interview Field Test Instrument

Question ID:

PI15

{What did/Did} the police do{ any of the following} while they were there?{ Anything else?}
(Mark all that apply.)
1

They took a report or asked you questions about
what happened

2

They questioned other witnesses or suspects

3

They looked around

4

They took evidence, such as fingerprints

5

They made a list of what was taken

6

They promised to watch over the crime scene

7

They promised to investigate

8

They made one or more arrests

9

They did not do any of these things

ASK Description: Respondents who reported the police came to them when they found out about
incident.
ASK Specification: IF PI10_1 = 1.
DISPLAY: If CONDITION = 2, display response options in uppercase. Else, if CONDITION = 3,
display response options in mixed case.
If CONDITION = 2, display "What did" and " Anything else?". Else if CONDITION = 3, display
"Did" and " any of the following".
PQID: CIR 123a, modified
SAS Variable: PI15_1, PI15_2, PI15_3, PI15_4, PI15_5, PI15_6, PI15_7, PI15_8, PI15_9
Tags: Change Request, Choose-all-that-apply Item
Notes: 1. IF CONDITION=2 THE RESPONSE OPTIONS SHOULD BE IN ALL CAPS (CAPITAL
LETTERS)
(CONDITION=2: What did / CONDITION=3: Did) the police do (CONDITION=3: any of the
following) while they were there? (CONDITION=2: Anything else?) (Mark all that apply.)
#468 – updated text in option 9

250

Proxy Interview Field Test Instrument

Question ID:

PI16

Did the police do any of the following other things while they were there? (Mark all that apply.)
1

They calmed people down

2

They resolved the conflict

3

They gave advice about insurance

4

They gave information about your rights as a
victim

5

They gave information about services that could
help you as a victim

6

They contacted victim services on your behalf

7

They contacted emergency medical services

8

They did something else to help Specify:

9

{RECORD IF VOLUNTEERED: }They did not do
anything {else} to help

ASK Description: Respondents who reported the police came to them when they found out about
incident.
ASK Specification: IF PI10_1 = 1.
PROGRAM: Display text box and allow 250 character text response.
DISPLAY: Display "Mark all that apply." in italics.
If PI15_1 = 1 or PI15_2 = 1 or PI15_3= 1 or PI15_4= 1 or PI15_5= 1 or PI15_6= 1 or PI15_7=
1 or PI15_8= 1, display "else" in response option 8. Else, do not display.
If CONDITION = 2, display "RECORD IF VOLUNTEERED: ". Else, do not display.
PQID: NEW
SAS Variable: PI16_1, PI16_2, PI16_3, PI16_4, PI16_5, PI16_6, PI16_7, PI16_8,
PI16_8_SPECIFY, PI16_9
Tags: Change Request, Choose-all-that-apply Item
Notes: 1. (CONDITION=2: RECORD IF VOLUNTEERED:) They did not do anything (IF ANY
PI15=1thru7 IF YES: else) to help
2. replaced "victims" with "you as a victim" and added new response category "They contacted
victim services on your behalf"

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Box ID:

PI_BOX6

Respondents who reported the incident happened at school, on school property, or on a school
bus and did not report the incident to an official other than police, go to PI16a.
Else, go to PI17.

If PI2a_7 != 1 and LO_3 = 6, go to PI16a.
Else go to PI17.
Tags: Change Request
Notes: variable name update in routing only
Question ID:

PI16a

Did anyone report the incident to a school official or School Resource Officer (SRO)?
1

Yes

2

No

ASK Description: Respondents who reported the incident happened at school, on school
property, or on a school bus and did not report the incident to an official other than police.
ASK Specification: IF PI2a_7 != 1 AND LO_3 = 6.
PQID: NEW
SAS Variable: PI16a
Notes: ask update only
Question ID:

PI17

Did you (or anyone you live with) have any later contact with the police about the incident?
1

Yes

2

No

ASK Description: Respondents who reported whether or not the police found out about the
incident.
ASK Specification: IF PI1 = 1, 2.
PROGRAM: ROUTING INSTRUCTIONS: If PI17 = 1, go to PI18.
Else, if PI17 = 2 and PI1 = 1, go to PI20.
Else, go to PI24.
PQID: CIR124
SAS Variable: PI17

252

Proxy Interview Field Test Instrument

Question ID:

PI18

Thinking about these later contacts, did the police get in touch with you or did you get in touch
with them?
1

Police contacted you (or someone else you live
with)

2

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

3

BOTH

ASK Description: Respondents who reported they or anyone they live with had any later contact
with the police about the incident.
ASK Specification: IF PI17 = 1.
PQID: CIR125a
SAS Variable: PI18

253

Proxy Interview Field Test Instrument

Question ID:

PI19

What did the police do to follow up on {this/the} incident?{ Anything else?} (Mark all that
apply.)
1

They took a report or asked you questions about
what happened

2

They questioned other witnesses or suspects

3

They watched over or promised to watch over the
crime scene

4

{They got some or all of your belongings back}

5

They made one or more arrests

6

They stayed in touch

7

They contacted victim services on your behalf

8

They did something else (specify)

9

They did not do anything to your knowledge

ASK Description: Respondents who reported they or anyone they live with had any later contact
with the police about the incident.
ASK Specification: IF PI17 = 1.
PROGRAM: Display text box and allow 250 character text response.
DISPLAY: If more than 1 CIR reported, display "this". Else, if only one incident reported, display
"the".
If CONDITION = 2, display " Anything else?". Else, do not display.
Display "Mark all that apply." in italics.
If CONDITION = 2, display response options in uppercase. Else, if CONDITION = 3, display
response options in mixed case.
IF S_T = 1, display response option 4 "They got… back".
PQID: CIR 127a, modified
SAS Variable: PI19_1, PI19_2, PI19_3, PI19_4, PI19_5, PI19_6, PI19_7, PI19_8,
PI19_8_SPECIFY, PI19_9
Tags: Change Request, Choose-all-that-apply Item
Notes: 1. IF CONDITION=2 THE RESPONSE OPTIONS SHOULD BE IN ALL CAPS (CAPITAL
LETTERS)
2. Add a new response option after category 6: They contacted victim services on your behalf

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Proxy Interview Field Test Instrument

Question ID:

PI20

Next are some questions about how you feel the police handled {this/the} incident. If more
than one officer was involved, please think about how you would rate them as a group.
How respectfully did the police treat you?
1

Very respectfully

2

Somewhat respectfully

3

Neither respectfully or disrespectfully

4

Somewhat disrespectfully

5

Very disrespectfully

6

{Does not apply}

ASK Description: Respondents who reported they or anyone they live with had any later contact
with the police about the incident or reported they or anyone they live with did not have any
later contact with the police but the police did find out about the incident.
ASK Specification: IF PI17 = 1 OR (PI17 = 2 AND PI1 = 1).
DISPLAY: If more than 1 CIR reported, display "this". Else, if only one incident reported, display
"the".
If PI4 =! 1 or 5, display response option 6 "Does not apply". Else, do not display.
PQID: New
SAS Variable: PI20
Question ID:

PI21

How satisfied were you with the amount of time the police gave you to tell your story?
1

Completely satisfied

2

Mostly satisfied

3

Equally satisfied and dissatisfied

4

Mostly dissatisfied

5

Completely dissatisfied

6

{Does not apply}

ASK Description: Respondents who reported they or anyone they live with had any later contact
with the police about the incident or reported they or anyone they live with did not have any
later contact with the police but the police did find out about the incident.
ASK Specification: IF PI17 = 1 OR (PI17 = 2 AND PI1 = 1).
DISPLAY: If PI4 =! 1 or 5, display response option 6 "Does not apply". Else, do not display.
PQID: New
SAS Variable: PI21

255

Proxy Interview Field Test Instrument

Question ID:

PI22

How satisfied were you that the police did everything they could . . .
1

Completely satisfied

2

Mostly satisfied

3

Equally satisfied and dissatisfied

4

Mostly dissatisfied

5

Completely dissatisfied

ASK Description: Respondents who reported they or anyone they live with had any later contact
with the police about the incident or reported they or anyone they live with did not have any
later contact with the police but the police did find out about the incident.
ASK Specification: IF PI17 = 1 OR (PI17 = 2 AND PI1 = 1).
PQID: New
SAS Variable: PI22
Question ID:

PI23

Taking the whole experience into account, how effectively did the police handle the incident?
1

Very effectively

2

Somewhat effectively

3

Neither effectively nor ineffectively

4

Somewhat ineffectively

5

Very ineffectively

ASK Description: Respondents who reported they or anyone they live with had any later contact
with the police about the incident or they or anyone they live with did not have any later contact
with the police but the police did find out about the incident.
ASK Specification: IF PI17 = 1 OR (PI17 = 2 AND PI1 = 1).
PQID: New
SAS Variable: PI23

256

Proxy Interview Field Test Instrument

Question ID:

PI24

At the time, did you consider this incident to be a crime?
1

Yes

2

No

ASK Description: Respondents who did not report whether or not the police found out about the
incident or they or anyone they live with did not have any later contact with the police and the
police found out about the incident.
ASK Specification: IF PI1 = -9 OR (PI17 = 2 AND PI1 = 1, 2) OR PI17 = 1, -9.
SAS Variable: PI24
Tags: Change Request
Notes: updated routing due to deleting PI24a
Question ID:

PI25

Now, looking back, do you consider this incident to be a crime?
1

Yes

2

No

ASK Description: Respondents who did not report whether or not the police found out about the
incident or they or anyone they live with did not have any later contact with the police and the
police found out about the incident.
ASK Specification: IF PI1 = -9 OR (PI17 = 2 AND PI1 = 1, 2) OR PI17 = 1, -9.
SAS Variable: PI25
Tags: Change Request
Notes: updated routing due to deleting PI25a

257

Proxy Interview Field Test Instrument

Workplace Violence Series
Box ID:

WV_BOX1

Respondents who had a job or worked at a business in the past 7 days or past 12 months and
reported this incident involved an attack, threatened attack, attack with a weapon, or unwanted
sexual contact, go to WV1.
Else, go to CS1.

If (PC5 = 1 or PC6 = 1) and (S_A = 1 OR S_TA = 1 OR S_ATA = 1 OR S_SA = 1), go to WV1.
Else, go to CS1.

Question ID:

WV1

Did {this/the} incident occur while you were working or on duty?
1

Yes

2

No

GO TO WV_BOX3

ASK Description: Respondents who had a job or worked at a business in the past 7 days or past
12 months and reported this incident involved an attack, threatened attack, attack with a
weapon, or unwanted sexual contact.
ASK Specification: IF (PC5 = 1 OR PC6 = 1) AND (S_A = 1 OR S_TA = 1 OR S_ATA = 1 OR
S_SA = 1).
DISPLAY: If more than 1 CIR, display "this". Else, display "the".
PQID: CIR135a, modified
SAS Variable: WV1
Box ID:

WV_BOX2

Respondents who reported the incident did not occur on their own property, inside their home,
or at their place of work, go to WV2.
Else, go to CS1.

IF LO_1 != 1 AND LO_3 != 1, 3, 5, go to WV2.
Else, go to CS1.

258

Proxy Interview Field Test Instrument

Question ID:

WV2

Did {this/the} incident happen when you were on your way to or from work?
1

Yes

2

No

ASK Description: Respondents who had a job or worked at a business in the past 7 days or past
12 months and reported this incident involved an attack, threatened attack, attack with a
weapon, or unwanted sexual contact and reported the incident did not occur on their own
property, inside their home, or at their place of work.
ASK Specification: IF (PC5 = 1 OR PC6 = 1) AND (S_A = 1 OR S_TA = 1 OR S_ATA = 1 OR
S_SA = 1) AND LO_1 != 1 AND LO_3 != 1, 3, 5.
DISPLAY: If more than 1 CIR, display "this". Else, display "the".
PQID: CIR135a, modified
SAS Variable: WV2
Box ID:

WV_BOX3

Respondents who reported the incident occurred at their place of work or reported the incident
occurred while they were working or on duty or reported the incident happened on when they
were on their way to or from work, go to WV3.
Else, go to CS1.

IF LO_3 = 5 or WV1 = 1 or WV2 = 1, GO TO WV3.
ELSE, GO TO CS1.

259

Proxy Interview Field Test Instrument

Question ID:

WV3

The next questions are about the job you had at the time of {this/the} incident. Were you
employed by . . .
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?

ASK Description: Respondents who had a job or worked at a business in the past 7 days or past
12 months and reported this incident involved an attack, threatened attack, attack with a
weapon, or unwanted sexual contact and reported the incident occurred at their place of work or
reported the incident occurred while they were working or on duty or reported the incident
happened on when they were on their way to or from work.
ASK Specification: IF (PC5 = 1 OR PC6 = 1) AND (S_A = 1 OR S_TA = 1 OR S_ATA = 1 OR
S_SA = 1) AND (LO_3 = 5 OR WV1 = 1 OR WV2 = 1).
DISPLAY: If more than 1 CIR, display "this". Else, display "the".
PQID: CIR138a
SAS Variable: WV3
Question ID:

WV5

What is the name of the (company/government agency/business/non-profit organization) where
you were working at the time of {this/the} incident? Remember, all answers to this survey are
confidential, and you may skip any question that you don't want to answer.
1

TEXT RESPONSE

ASK Description: Respondents who had a job or worked at a business in the past 7 days or past
12 months and reported this incident involved an attack, threatened attack, attack with a
weapon, or unwanted sexual contact and reported the incident occurred at their place of work or
reported the incident occurred while they were working or on duty or reported the incident
happened on when they were on their way to or from work.
ASK Specification: IF (PC5 = 1 OR PC6 = 1) AND (S_A = 1 OR S_TA = 1 OR S_ATA = 1 OR
S_SA = 1) AND (LO_3 = 5 OR WV1 = 1 OR WV2 = 1).
PROGRAM: DISPLAY TEXT FIELD, MAX CHARACTER LENGTH = 1000.
DISPLAY: If more than 1 CIR, display "this". Else, display "the". Display "Remember…
confidential." in italics.
PQID: CIR138c
SAS Variable: WV5
Tags: Change Request
Notes: added ", and you may skip any question that you don't want to answer"

260

Proxy Interview Field Test Instrument

Question ID:

WV6

What kind of business or industry is this? What do they make or do where you were working at
the time of {this/the} incident?
1

TEXT RESPONSE

ASK Description: Respondents who had a job or worked at a business in the past 7 days or past
12 months and reported this incident involved an attack, threatened attack, attack with a
weapon, or unwanted sexual contact and reported the incident occurred at their place of work or
reported the incident occurred while they were working or on duty or reported the incident
happened on when they were on their way to or from work.
ASK Specification: IF (PC5 = 1 OR PC6 = 1) AND (S_A = 1 OR S_TA = 1 OR S_ATA = 1 OR
S_SA = 1) AND (LO_3 = 5 OR WV1 = 1 OR WV2 = 1).
PROGRAM: DISPLAY TEXT FIELD, MAX CHARACTER LENGTH = 1000.
DISPLAY: If more than 1 CIR, display "this". Else, display "the".
PQID: CIR138d
SAS Variable: WV6

261

Proxy Interview Field Test Instrument

Question ID:

WV7

{Is this mainly…/Which of these categories best describes the business or industry?}{ TURN
LAPTOP SCREEN TO RESPONDENT/ READ UNTIL RESPONSE PROVIDED.}
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 Specify:

ASK Description: Respondents who had a job or worked at a business in the past 7 days or past
12 months and reported this incident involved an attack, threatened attack, attack with a
weapon, or unwanted sexual contact and reported the incident occurred at their place of work or
reported the incident occurred while they were working or on duty or reported the incident
happened on when they were on their way to or from work.
ASK Specification: IF (PC5 = 1 OR PC6 = 1) AND (S_A = 1 OR S_TA = 1 OR S_ATA = 1 OR
S_SA = 1) AND (LO_3 = 5 OR WV1 = 1 OR WV2 = 1).
PROGRAM: Display text box and allow 250 character text response.
DISPLAY: IF CONDITION = 2, display "Is this mainly…". IF MODE = 1 (IN PERSON), display "
TURN LAPTOP SCREEN TO RESPONDENT". Else if MODE = 2 (PHONE), display " READ UNTIL
RESPONSE PROVIDED." If CONDITION = 3, display "Which of these… industry?".
PQID: CIR138e, modified
SAS Variable: WV7, WV7_SPECIFY
Tags: Change Request
Notes: 1. Revised display instructions: IF MODE=IN PERSON: TURN LAPTOP SCREEN TO
RESPONDENT/IF MODE=PHONE: READ UNTIL RESPONSE PROVIDED
2. New stem wording (both condition 2 and condition 3) ...
IF CONDITION = 2, stem = "Is this mainly… (DISPLAY)"
DISPLAY = IF MODE=1 (IN PERSON), display: TURN LAPTOP SCREEN TO RESPONDENT.
ELSE if MODE=2 (PHONE), display: READ UNTIL RESPONSE PROVIDED.
ELSE If CONDITION = 3, stem = "Which of these categories best describes the business or
industry?"

262

Proxy Interview Field Test Instrument

Question ID:

WV8

What kind of work were you doing at this job at the time of {this/the} incident, that is, what
was your occupation? (For example: registered nurse, personnel manager, supervisor of order
department, secretary, accountant)
1

TEXT RESPONSE

ASK Description: Respondents who had a job or worked at a business in the past 7 days or past
12 months and reported this incident involved an attack, threatened attack, attack with a
weapon, or unwanted sexual contact and reported the incident occurred at their place of work or
reported the incident occurred while they were working or on duty or reported the incident
happened on when they were on their way to or from work.
ASK Specification: IF (PC5 = 1 OR PC6 = 1) AND (S_A = 1 OR S_TA = 1 OR S_ATA = 1 OR
S_SA = 1) AND (LO_3 = 5 OR WV1 = 1 OR WV2 = 1).
PROGRAM: DISPLAY TEXT FIELD, MAX CHARACTER LENGTH = 1000.
DISPLAY: If more than 1 CIR, display "this". Else, display "the".
PQID: CIR138f
SAS Variable: WV8
Question ID:

WV9

What were your usual activities or duties at this job? (For example: patient care, directing hiring
policies, supervising order clerks, typing and filing, reconciling financial records)
1

TEXT RESPONSE

ASK Description: Respondents who had a job or worked at a business in the past 7 days or past
12 months and reported this incident involved an attack, threatened attack, attack with a
weapon, or unwanted sexual contact and reported the incident occurred at their place of work or
reported the incident occurred while they were working or on duty or reported the incident
happened on when they were on their way to or from work.
ASK Specification: IF (PC5 = 1 OR PC6 = 1) AND (S_A = 1 OR S_TA = 1 OR S_ATA = 1 OR
S_SA = 1) AND (LO_3 = 5 OR WV1 = 1 OR WV2 = 1).
PROGRAM: DISPLAY TEXT FIELD, MAX CHARACTER LENGTH = 1000.
PQID: NCVS-2, 138g
SAS Variable: WV9

263

Proxy Interview Field Test Instrument

Consequences II: Socio-emotional Problems
Question ID:

CS1

Being a victim of crime affects people in different ways. The next questions are about how
{this/the} incident may have affected you.
Did {this/the} incident lead you to have serious problems with your{ job or} schoolwork, or
trouble with people{ at work or} at school?
1

Yes

2

No

ASK Description: Respondents who reported an incident.
ASK Specification: IF S_MV = 1 or S_MVP = 1 or S_T = 1 or S_BI = 1 or S_V = 1 or S_A = 1 or
S_TA = 1 or S_ATA = 1 or S_SA = 1.
DISPLAY: If more than 1 CIR, display "this". Else, display "the".
If UT_AGE >= 16, display " job or" and " at work or". Else, do not display.
PQID: CIR 36a, modified
SAS Variable: CS1
Question ID:

CS2

Did {this/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?
1

Yes

2

No

ASK Description: Respondents who reported an incident.
ASK Specification: IF S_MV = 1 or S_MVP = 1 or S_T = 1 or S_BI = 1 or S_V = 1 or S_A = 1 or
S_TA = 1 or S_ATA = 1 or S_SA = 1.
DISPLAY: If more than 1 CIR, display "this". Else, display "the".
PQID: CIR 36b, modified
SAS Variable: CS2

264

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Question ID:

CS3

How upsetting has {this/the} incident been to you?
1

Not at all upsetting

2

Mildly upsetting

3

Moderately upsetting

4

Severely upsetting

ASK Description: Respondents who reported an incident.
ASK Specification: IF S_MV = 1 or S_MVP = 1 or S_T = 1 or S_BI = 1 or S_V = 1 or S_A = 1 or
S_TA = 1 or S_ATA = 1 or S_SA = 1.
DISPLAY: If more than 1 CIR, display "this". Else, display "the".
PQID: CIR 36c, modified
SAS Variable: CS3
Box ID:

CS_BOX1

Respondents who had serious problems with their job or schoolwork, or trouble with people at
work or school, or had serious problems with family members or friends, or reported this
incident was moderately upsetting or severely upsetting to them, go to CS_BOX2.Else, go to
CE_BOX1.
If CS1 = 1 or CS2 = 1 or CS3 = 3, 4, go to CS_BOX2.Else, go to CE_BOX1.
Box ID:

CS_BOX2

Display questions CS4_A through CS4_H using the expanded stem-leaf screen. The introduction
text from CS4_A is the stem. Show all leaves on the screen at once.
Tags: Change Request, Stem and Leaf screen
Notes: variable name update only

265

Proxy Interview Field Test Instrument

Question ID:

CS4_A

{I am going to read/Here is} a list of things you may have felt because of the incident. For
each, please {tell me/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.
Angry
1

Didn't feel this way

2

Yes, for less than 1 month

3

Yes, for 1 month or more

ASK Description: Respondents who had serious problems with their job or schoolwork, or trouble
with people at work or school, or had serious problems with family members or friends, or
reported this incident was moderately upsetting or severely upsetting to them.
ASK Specification: IF CS1 = 1 OR CS2 = 1 OR CS3 = 3, 4.
DISPLAY: If CONDITION = 2, display "I am going to read" and "tell me". Else if CONDITION = 3,
display "Here is" and "mark".
PQID: CIR 37, modified
SAS Variable: CS4_A
Tags: Change Request, Stem and Leaf screen
Notes: (CONDITION=3: Here is / CONDITION=2: I am going to read) a list of things you may
have felt because of the incident. For each, please (CONDITION=3: mark / CONDITION=2: tell
me) 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.
a. Angry (CONDITION=2: – did you not feel angry at all, did you feel angry for less than a
month, or did you feel angry for a month or more?)
2. #82 - removed additional text after each category

266

Proxy Interview Field Test Instrument

Question ID:

CS4_B

Shocked
1

Didn't feel this way

2

Yes, for less than 1 month

3

Yes, for 1 month or more

ASK Description: Respondents who had serious problems with their job or schoolwork, or trouble
with people at work or school, or had serious problems with family members or friends, or
reported this incident was moderately upsetting or severely upsetting to them.
ASK Specification: IF CS1 = 1 OR CS2 = 1 OR CS3 = 3, 4.
PQID: CIR 37, modified
SAS Variable: CS4_B
Tags: Change Request, Stem and Leaf screen
Notes: b. Shocked (CONDITION=2: ((– did you not feel shocked at all, did you feel shocked for
less than a month, or did you feel shocked for a month or more?) )
2. #82 - removed additional text after each category
Question ID:

CS4_C

Fearful
1

Didn't feel this way

2

Yes, for less than 1 month

3

Yes, for 1 month or more

ASK Description: Respondents who had serious problems with their job or schoolwork, or trouble
with people at work or school, or had serious problems with family members or friends, or
reported this incident was moderately upsetting or severely upsetting to them.
ASK Specification: IF CS1 = 1 OR CS2 = 1 OR CS3 = 3, 4.
PQID: CIR 37, modified
SAS Variable: CS4_C
Tags: Change Request, Stem and Leaf screen
Notes: c. Fearful (CONDITION=2: ((– did you not feel fearful at all, did you feel fearful for less
than a month, or did you feel fearful for a month or more?) )
2. #82 - removed additional text after each category

267

Proxy Interview Field Test Instrument

Question ID:

CS4_D

Depressed
1

Didn't feel this way

2

Yes, for less than 1 month

3

Yes, for 1 month or more

ASK Description: Respondents who had serious problems with their job or schoolwork, or trouble
with people at work or school, or had serious problems with family members or friends, or
reported this incident was moderately upsetting or severely upsetting to them.
ASK Specification: IF CS1 = 1 OR CS2 = 1 OR CS3 = 3, 4.
PQID: CIR 37, modified
SAS Variable: CS4_D
Tags: Change Request, Stem and Leaf screen
Notes: d. Depressed (CONDITION=2: ((– did you not feel depressed at all, did you feel
depressed for less than a month, or did you feel depressed for a month or more?) )
2. #82 - removed additional text after each category
Question ID:

CS4_E

Anxious or panicked
1

Didn't feel this way

2

Yes, for less than 1 month

3

Yes, for 1 month or more

ASK Description: Respondents who had serious problems with their job or schoolwork, or trouble
with people at work or school, or had serious problems with family members or friends, or
reported this incident was moderately upsetting or severely upsetting to them.
ASK Specification: IF CS1 = 1 OR CS2 = 1 OR CS3 = 3, 4.
PQID: CIR 37, modified
SAS Variable: CS4_E
Tags: Change Request, Stem and Leaf screen
Notes: e. Anxious or panicked (CONDITION=2: ((– did you not feel anxious or panicked at all,
did you feel anxious or panicked for less than a month, or did you feel anxious or panicked for a
month or more?) )
2. #82 - removed additional text after each category

268

Proxy Interview Field Test Instrument

Question ID:

CS4_F

Less confident
1

Didn't feel this way

2

Yes, for less than 1 month

3

Yes, for 1 month or more

ASK Description: Respondents who had serious problems with their job or schoolwork, or trouble
with people at work or school, or had serious problems with family members or friends, or
reported this incident was moderately upsetting or severely upsetting to them.
ASK Specification: IF CS1 = 1 OR CS2 = 1 OR CS3 = 3, 4.
PQID: CIR 37, modified
SAS Variable: CS4_F
Tags: Change Request, Stem and Leaf screen
Notes: f. Less confident (CONDITION=2: ((– did you not feel less confident at all, did you feel
less confident for less than a month, or did you feel less confident for a month or more?) )
2. #82 - removed additional text after each category
Question ID:

CS4_G

Sad
1

Didn't feel this way

2

Yes, for less than 1 month

3

Yes, for 1 month or more

ASK Description: Respondents who had serious problems with their job or schoolwork, or trouble
with people at work or school, or had serious problems with family members or friends, or
reported this incident was moderately upsetting or severely upsetting to them.
ASK Specification: IF CS1 = 1 OR CS2 = 1 OR CS3 = 3, 4.
PQID: CIR 37, modified
SAS Variable: CS4_G
Tags: Change Request, Stem and Leaf screen
Notes: g. Sad (CONDITION=2: ((– did you not feel sad at all, did you feel sad for less than a
month, or did you feel sad for a month or more?) )
2. #82 - removed additional text after each category

269

Proxy Interview Field Test Instrument

Question ID:

CS4_H

Annoyed
1

Didn't feel this way

2

Yes, for less than 1 month

3

Yes, for 1 month or more

ASK Description: Respondents who had serious problems with their job or schoolwork, or trouble
with people at work or school, or had serious problems with family members or friends, or
reported this incident was moderately upsetting or severely upsetting to them.
ASK Specification: IF CS1 = 1 OR CS2 = 1 OR CS3 = 3, 4.
PQID: CIR 37, modified
SAS Variable: CS4_H
Tags: Change Request, Stem and Leaf screen
Notes: h. Annoyed (CONDITION=2: ((– did you not feel annoyed at all, did you feel annoyed for
less than a month, or did you feel annoyed for a month or more?) )
2. #82 - removed additional text after each category
Question ID:

CS5a

Did you have difficulty sleeping because of the incident?
1

No

2

Yes, for less than one month

3

Yes, for one month or more

ASK Description: Respondents who had serious problems with their job or schoolwork, or trouble
with people at work or school, or had serious problems with family members or friends, or
reported this incident was moderately upsetting or severely upsetting to them.
ASK Specification: IF CS1 = 1 OR CS2 = 1 OR CS3 = 3, 4.
PQID: CIR38b, modified
SAS Variable: CS5a

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Question ID:

CS6

Have you talked to a psychologist, psychiatrist, counselor, or other mental health professional
about {this/the} incident?
1

Yes

GO TO CS7

2

No

GO TO CE_BOX1

ASK Description: Respondents who had serious problems with their job or schoolwork, or trouble
with people at work or school, or had serious problems with family members or friends, or
reported this incident was moderately upsetting or severely upsetting to them.
ASK Specification: IF CS1 = 1 OR CS2 = 1 OR CS3 = 3, 4.
DISPLAY: If more than 1 CIR, display "this". Else, display "the".
PQID: New
SAS Variable: CS6
Question ID:

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?
1

Yes

GO TO CS8

2

No

GO TO CE_BOX1

3

Don't know

GO TO CE_BOX1

ASK Description: Respondents who had serious problems with their job or schoolwork, or trouble
with people at work or school, or had serious problems with family members or friends, or
reported this incident was moderately upsetting or severely upsetting to them and talked to a
mental health professional about this incident.
ASK Specification: IF (CS1 = 1 OR CS2 = 1 OR CS3 = 3, 4) AND CS6 = 1.
PQID: New
SAS Variable: CS7
Tags: Change Request
Notes: Add a "Don't know" response option (it will follow the same SKIP pattern as CS7=NO)

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Question ID:

CS8

How much were these out-of-pocket expenses?{ READ CATEGORIES AS NEEDED.}
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

ASK Description: Respondents who had serious problems with their job or schoolwork, or trouble
with people at work or school, or had serious problems with family members or friends, or
reported this incident was moderately upsetting or severely upsetting to them and talked to a
mental health professional about this incident and reported out of pocket expenses for their
mental health care.
ASK Specification: IF (CS1 = 1 OR CS2 = 1 OR CS3 = 3, 4) AND CS6 = 1 AND CS7 = 1.
DISPLAY: If CONDITION = 2, display " READ CATEGORIES AS NEEDED". Else, do not display.
PQID: New
SAS Variable: CS8
Tags: Change Request
Notes: How much were these out-of-pocket expenses? [ CONDITION=2: READ CATEGORIES AS
NEEDED. ]

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Consequences III: Economic Consequences
Box ID:

CE_BOX1

Respondents who confirmed their vehicle was actually stolen as part of this incident, go to CE1.
Else, respondents who had anything stolen as part of this incident or had vehicle parts or gas
stolen during the incident, go to CE5.
Else, respondents who reported someone vandalized their home, car, or something else that
belongs to them or someone they live with or someone killed an animal that belonged to them
as part of this incident, go to CE13.
Else, go to CE_BOX5.
If MV1a = 1, go to CE1.
Else, if S_T = 1 or MV1b = 1, go to CE5.
Else, if S_V = 1, go to CE13.
Else, go to CE_BOX5.
Question ID:

CE1

What would you estimate was the value of the vehicle that was stolen or taken without
permission?{ READ CATEGORIES AS NEEDED.}
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

ASK Description: Respondents who confirmed their vehicle was actually stolen as part of this
incident.
ASK Specification: IF MV1a = 1.
DISPLAY: If CONDITION = 2, display " READ CATEGORIES AS NEEDED.". Else, do not display.
PQID: CIR 104b, modified
SAS Variable: CE1
Tags: Change Request
Notes: CONDITION=2: READ CATEGORIES AS NEEDED.

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Question ID:

CE2

Did you get the vehicle back?
1

Yes

GO TO CE3

2

No

GO TO CE_BOX2

ASK Description: Respondents who confirmed their vehicle was actually stolen as part of this
incident.
ASK Specification: IF MV1a = 1.
PQID: CIR 99, modified
SAS Variable: CE2
Question ID:

CE3

Was the vehicle damaged in any way?
1

Yes, it was damaged beyond repair

2

Yes, there was some damage

3

No, there was no damage

ASK Description: Respondents who confirmed their vehicle was actually stolen as part of this
incident and got the vehicle back.
ASK Specification: IF MV1a = 1 AND CE2 = 1
PQID: New
SAS Variable: CE3
Box ID:

CE_BOX2

Respondents who reported anything was stolen from their vehicle, go to CE4.
Else, go to CE_BOX3.
If S_01E = 1, go to CE4.
Else, go to CE_BOX3.

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Question ID:

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?{ READ CATEGORIES AS NEEDED.}
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

ASK Description: Respondents who confirmed their vehicle was actually stolen as part of this
incident and reported anything was stolen from their vehicle .
ASK Specification: IF MV1a = 1 AND S_01E = 1
PROGRAM: ROUTING INSTRUCTIONS: Go to CE_BOX4.
DISPLAY: If CONDITION = 2, display " READ CATEGORIES AS NEEDED.". Else, do not display.
PQID: CIR 104b, modified
SAS Variable: CE4
Tags: Change Request
Notes: CONDITION=2: READ CATEGORIES AS NEEDED.
Box ID:

CE_BOX3

Respondents who had anything stolen as part of this incident or had vehicle parts or gas stolen
during the incident and did not actually have their vehicle stolen, go to CE5.
If (S_T = 1 or MV1b = 1) and MV1a != 1, GO TO CE5.
Else, go to CE_BOX4.

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Question ID:

CE5

(Including cash) what would you estimate was the total value of the stolen items, including the
value of anything you got back?{ READ CATEGORIES AS NEEDED.}
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

ASK Description: Respondents who had anything stolen as part of this incident or had vehicle
parts or gas stolen during the incident and did not actually have their vehicle stolen
ASK Specification: IF (S_T = 1 OR MV1b = 1) AND MV1a != 1.
DISPLAY: If CONDITION = 2, display " READ CATEGORIES AS NEEDED.". Else, do not display.
PQID: CIR 104b, modified
SAS Variable: CE5
Tags: Change Request
Notes: CONDITION=2: READ CATEGORIES AS NEEDED.
Box ID:

CE_BOX4

Respondents who reported their vehicle was actually stolen or reported the offender(s) actually
took vehicle parts or gas or reported the offender actually stole something or had anything
stolen as part of this incident, go to CE6.
Else, go to CE_BOX5.
IF MV1a = 1 OR MV1b = 1 OR S_03AT = 1 OR S_T = 1, GO TO CE6.
Else, go to CE_BOX5.

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Question ID:

CE6

{Apart from the stolen vehicle did/Did} you get any of the stolen {money }{or } {items }back?
1

Yes, you got all of it back

GO TO CE_BOX5

2

Yes, you got some of it back

GO TO CE7

3

No, you got none of it back

GO TO CE_BOX5

ASK Description: Respondents who reported their vehicle was actually stolen or reported the
offender(s) actually took vehicle parts or gas or reported the offender actually stole something
or had anything stolen as part of this incident.
ASK Specification: IF MV1a = 1 OR MV1b = 1 OR S_03AT = 1 OR S_T = 1.
DISPLAY: IF S_MV = 1, display "Apart from the stolen vehicle did". Else, display "Did".
IF T2a = 1 OR T2b = 1, display "money". IF T2a OR T2b HAS ANY RESPONSE OTHER THAN 1,
display "items ". If (T2a = 1 OR T2b = 1) AND (IF T2a OR T2b HAS ANY RESPONSE OTHER
THAN 1), display "or ".
PQID: CIR 106, modified
SAS Variable: CE6
Question ID:

CE7

{Apart from the cost of the vehicle, what/ What} would you estimate was the total value of the
{ other} items you got back?{ READ CATEGORIES AS NEEDED.}
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

ASK Description: Respondents who got any of their stolen money or items back.
ASK Specification: IF CE6 = 2.
DISPLAY: If S_MV=1, "Apart from the cost of the vehicle, what" and " other". Else, display
"What".
If CONDITION = 2, display " READ CATEGORIES AS NEEDED.". Else, do not display.
PQID: CIR 108, modified
SAS Variable: CE7
Tags: Change Request
Notes: CONDITION=2: READ CATEGORIES AS NEEDED.

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Property Damage
Box ID:

CE_BOX5

Respondents who did not report someone vandalized their home, car, or something else that
belongs to them or someone they live with or someone killed an animal that belonged to them
as part of this incident, go to CE8.
Else, go to CE13.
If S_V != 1, go to CE8.
Else, go to CE13.
Question ID:

CE8

{Other than any stolen property was/Was} anything that belonged to you or someone you live
with damaged or destroyed in {this/the} incident?
1

Yes

GO TO CE9

2

No

GO TO CE_BOX9

ASK Description: Respondents who reported an incident that did not involve someone
vandalizing their home, car, or something else that belongs to them or someone they live with
or someone killing an animal that belonged to them.
ASK Specification: IF S_V != 1 AND (S_MV = 1 OR S_MVP = 1 OR S_T = 1 OR S_BI = 1 OR S_A
= 1 OR S_TA = 1 OR S_ATA = 1 OR S_SA = 1).
DISPLAY: If S_T=1 or MV1a=1 or MV1b=1, display "Other than… was". Else, display "Was".
If more than 1 CIR, display "this". Else, display "the".
PQID: CIR 110, modified
SAS Variable: CE8

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Question ID:

CE9

What was damaged or destroyed{ other than any stolen property}?{ Anything else?} (Mark all
that apply.)
1

A vehicle (including parts)

2

Something inside your home or apartment

3

A mailbox

4

Something outside of your home or apartment,
such as doors, windows, or walls

5

Fences, walls, gates or items in a garden

6

A garage, shed, greenhouse or other structure on
your property

7

An animal such as a pet or livestock

8

Other Specify

ASK Description: Respondents who had anything that belonged to them or someone they live
with was damaged or destroyed in this incident.
ASK Specification: IF CE8 = 1.
PROGRAM: Display text box and allow 250 character text response.
DISPLAY: If S_T=1 or MV1a=1 or MV1b=1, display " other than any stolen property". Else, do
not display.
Display "Mark all that apply." in italics.
If CONDITION = 2, display " Anything else?". Else do not display.
If CONDITION = 2, display all categories in uppercase. Else, display in mixed case.
PQID: New
SAS Variable: CE9_1, CE9_2, CE9_3, CE9_4, CE9_5, CE9_6, CE9_7, CE9_8, CE9_8_SPECIFY
Tags: Change Request, Choose-all-that-apply Item
Notes: 1. IF CONDITION=2 THE RESPONSE OPTIONS SHOULD BE IN ALL CAPS (CAPITAL
LETTERS)
2. CONDITION=2: Anything else?
Box ID:

CE_BOX6

Respondents who had a vehicle damaged or destroyed during this incident, go to CE10.
Else, go to CE_BOX7.
If CE9_1 = 1, go to CE10.
Else, go to CE_BOX7.

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Question ID:

CE10

Was any of the damage a result of the offender trying to get into the vehicle?
1

Yes

2

No

ASK Description: Respondents who had a vehicle damaged or destroyed during this incident.
ASK Specification: IF CE9_1 = 1.
PQID: New
SAS Variable: CE10
Box ID:

CE_BOX7

Respondents who had a mailbox or something outside of their home damaged or destroyed
during this incident, go to CE11.
Else, go to CE_BOX8.
If CE9_3 = 1 or CE9_4 = 1, go to CE11.
Else, go to CE_BOX8.
Question ID:

CE11

Was any of the damage to your house or apartment a result of the offender trying to get inside?
1

Yes

2

No

ASK Description: Respondents who had a mailbox or something outside of their home damaged
or destroyed during this incident
ASK Specification: IF CE9_3 = 1 OR CE9_4 = 1.
PQID: New
SAS Variable: CE11
Box ID:

CE_BOX8

Respondents who had a garage, shed, greenhouse or other structure on their property damaged
or destroyed during this incident, go to CE12.
Else, go to CE13.
If CE9_6 = 1, go to CE12.
Else, go to CE13.

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Question ID:

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?
1

Yes

2

No

ASK Description: Respondents who had a garage, shed, greenhouse or other structure on their
property damaged or destroyed during this incident.
ASK Specification: IF CE9_6 = 1.
PQID: New
SAS Variable: CE12
Question ID:

CE13

{Excluding any costs you have already mentioned, what/What} was the total value of the
damage done{ in this vandalism}? If you don't know the exact amount, please give your best
estimate.{ READ CATEGORIES AS NEEDED.}
1

Less than $100

2

$100 to less than $500

3

$500 to less than $1,000

4

$1,000 to less than $5,000

5

$5,000 or more

ASK Description: Respondents who reported someone vandalized their home, car, or something
else that belongs to them or someone they live with or someone killed an animal that belonged
to them as part of this incident or had anything that belonged to them or someone they live with
was damaged or destroyed in this incident.
ASK Specification: IF S_V = 1 OR CE8 = 1.
DISPLAY: If CE4 != -9 and CE5 !=-9 and CE7 != -9, display "Excluding any cost… what". Else,
display "What".
If S_V = 1, display " in this vandalism". Else, do not display.
Display "If you don't… estimate." in italics.
If CONDITION = 2, display " READ CATEGORIES AS NEEDED.". Else, do not display.
PQID: New
SAS Variable: CE13
Tags: Change Request
Notes: CONDITION=2: READ CATEGORIES AS NEEDED.

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Question ID:

CE14

Did you need to stay somewhere else or move to a new home as a result of {this/the} incident?
1

Yes

2

No

ASK Description: Respondents who reported someone vandalized their home, car, or something
else that belongs to them or someone they live with or someone killed an animal that belonged
to them as part of this incident or had anything that belonged to them or someone they live with
was damaged or destroyed in this incident.
ASK Specification: IF S_V = 1 OR CE8 = 1.
DISPLAY: If more than 1 CIR, display "this". Else, display "the".
PQID: New
SAS Variable: CE14
Tags: Change Request
Notes: flag CE14 as "new" for Henry (Apparently he has a DIFFERENT CE14 – from days gone
by…)

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Lost Work and Wages
Box ID:

CE_BOX9

Respondents who had a job or worked at a business at any time in the past 12 months or are a
regular student or are a college/campus student, go to CE15.
Else, go to VS_BOX1.

If PC5 = 1 OR PC6 = 1 or RStudent = 1 or CStudent = 1, go to CE15.
Else, go to VS_BOX1.
Tags: Change Request
Notes: BJS request added PC5 = 1 or RStudent=1 or CStudent=1, go to CE15.
Question ID:

CE15

Have you taken any time off from work or school because of {this/the} incident?
1

Yes, time off from work

GO TO CE16

2

Yes, time off from school

GO TO CE16

3

Yes, time off from both work and school

GO TO CE16

4

No

GO TO VS_BOX1

ASK Description: Respondents who had a job or worked at a business at any time in the past 12
months or are a regular student or are a college/campus student.
ASK Specification: IF PC5 = 1 OR PC6 = 1 or RStudent = 1 or CStudent = 1.
DISPLAY: If more than 1 CIR, display "this". Else, display "the".
PQID: CIR 143 and 147a, modified
SAS Variable: CE15
Tags: Change Request
Notes: BJS revised text. added "or school" and revised response labels.

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Question ID:

CE16

How many days did you take off work or school?{ READ CATEGORIES AS NEEDED.}
1

Less than one day

2

1 or 2 days

3

3 days to less than one full week

4

1 full week to less than a month

5

A month or more

ASK Description: Respondents who had a job or worked at a business at any time in the past 12
months or are a regular student or are a college/campus student and have taken any time off
from work or school because of the incident.
ASK Specification: IF (PC5 = 1 OR PC6 = 1 or RStudent = 1 or CStudent = 1) AND CE15 = 1, 2,
3.
PROGRAM: If CE15 = 1 or 3, go to CE17.
Else, go to CE19.
DISPLAY: If CONDITION = 2, display " READ CATEGORIES AS NEEDED.". Else, do not display.
PQID: CIR 144 and 148, modified
SAS Variable: CE16
Tags: Change Request
Notes: 1. CONDITION=2: READ CATEGORIES AS NEEDED.
2. BJS revised wording, added "or school"
Question ID:

CE17

Did you lose any pay for the time you took off?
1

Yes

GO TO CE18

2

No

GO TO CE19

ASK Description: Respondents who had a job or worked at a business at any time in the past 12
months or are a regular student or are a college/campus student and have taken any time off
from work because of the incident.
ASK Specification: IF (PC5 = 1 OR PC6 = 1 or RStudent = 1 or CStudent = 1) AND CE15 = 1, 3.
PQID: CIR 145 and 149, modified
SAS Variable: CE17

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Question ID:

CE18

About how much pay did you lose?{ READ CATEGORIES AS NEEDED.}
1

Less than $100

2

$100 to less than $500

3

$500 to less than $1000

4

$1000 or more

ASK Description: Respondents who had a job or worked at a business at any time in the past 12
months or are a regular student or are a college/campus student and have taken any time off
from work because of the incident and lost pay for the time they took off.
ASK Specification: IF (PC5 = 1 OR PC6 = 1 or RStudent = 1 or CStudent = 1) AND CE15 = 1, 3
AND CE17 = 1.
DISPLAY: If CONDITION = 2, display " READ CATEGORIES AS NEEDED.". Else, do not display.
PQID: CIR 146 and 150
SAS Variable: CE18
Tags: Change Request
Notes: CONDITION=2: READ CATEGORIES AS NEEDED.
Question ID:

CE19

Did you lose your job or have to give up work, or withdraw from school as a result of {this/the}
incident?
1

Yes

GO TO VS_BOX1

2

No

GO TO CE19A

ASK Description: Respondents who had a job or worked at a business at any time in the past 12
months or are a regular student or are a college/campus student and have taken any time off
from work or school because of the incident.
ASK Specification: IF (PC5 = 1 OR PC6 = 1 or RStudent = 1 or CStudent = 1) AND CE15 = 1, 2,
3.
DISPLAY: If more than 1 CIR, display "this". Else, display "the".
PQID: New
SAS Variable: CE19
Tags: Change Request
Notes: BJS revised wording, added ", or withdraw from school"

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Question ID:

CE19a

Did you have to change your job or school as a result of {this/the} incident?
1

Yes

2

No

ASK Description: Respondents who had a job or worked at a business at any time in the past 12
months or are a regular student or are a college/campus student and have taken any time off
from work or school because of the incident and did not lose their job or have to give up work,
or withdraw from school as a result of this incident.
ASK Specification: IF (PC5 = 1 OR PC6 = 1 or RStudent = 1 or CStudent = 1) AND CE15 = 1, 2,
3 AND CE19 = 2.
DISPLAY: If more than 1 CIR, display "this". Else, display "the".
SAS Variable: CE19a
Tags: Change Request
Notes: BJS revised wording, added "or school"

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Proxy Interview Field Test Instrument

Victim Services (VS) Series
Box ID:

VS_BOX1

Respondents who are completing their first CIR and reported an attack, threatened attack, or
attack with a weapon as part of this incident, or had unwanted vaginal sex, oral sex, anal sex,
sexual penetration with a finger or object in their vagina or anus or in the offender's vagina or
anus, or sexual touching and the offender used physical force, threatened to hurt them or
someone close to them, they were blacked out, unconscious or asleep, or unable to consent
because they were too drunk or high, or used force to touch them in a sexual way, or reported
the incident was severely upsetting to them, go to VS_intro.
IF THIS IS THE FIRST CIR AND (S_A = 1 OR S_TA = 1 OR S_ATA = 1 OR ((SA_1a = 1 OR
SA_1b = 1 or SA_1c = 1 OR SA_1d = 1) AND (SA_2a = 1 OR SA_2b = 1 OR SA_2c = 1 OR
SA_2d = 1 OR SA_2e = 1)) OR CS3 = 4), go to VS_intro.
Else, go to NA_BOX1.
Tags: Change Request
Notes: Change criteria for who gets VS series to "If CIR1=7 or (any in SA_1a-d=yes and any in
SA_2a-e=yes) or CS3=4 AND CIR #1, continue. Else go to next MODULE." To clarify, ONLY ask
this series for the first CIR. Skip Victim Services altogether for 2nd, 3rd, etc. CIR.
Question ID:

VS_intro

The next questions ask about any help you might have gotten after {this/the} incident{ in
{MONTH}} took place.
ASK Description: Respondents who are completing their first CIR and reported an attack,
threatened attack, or attack with a weapon as part of this incident, or had unwanted vaginal
sex, oral sex, anal sex, sexual penetration with a finger or object in their vagina or anus or in
the offender's vagina or anus, or sexual touching and the offender used physical force,
threatened to hurt them or someone close to them, they were blacked out, unconscious or
asleep, or unable to consent because they were too drunk or high, or used force to touch them
in a sexual way, or reported the incident was severely upsetting to them.
ASK Specification: IF THIS IS THE FIRST CIR AND (S_A = 1 OR S_TA = 1 OR S_ATA = 1 OR
((SA_1a = 1 OR SA_1b = 1 or SA_1c = 1 OR SA_1d = 1) AND (SA_2a = 1 OR SA_2b = 1 OR
SA_2c = 1 OR SA_2d = 1 OR SA_2e = 1)) OR CS3 = 4).
DISPLAY: If more than 1 CIR reported, display "this". Else, if only one incident reported, display
"the".
If month was reported for the incident in the current loop, display { in {MONTH}}. For
"MONTH", display Month of incident in current loop. Display format – January. Else, if month
was not reported for the incident in the current loop, do not display.
QID VS1A.
PQID: NEW

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Proxy Interview Field Test Instrument

Question ID:

VS1A

Have you told any family, friends, co-workers{, classmates} or neighbors about the incident?
1

Yes

2

No

ASK Description: Respondents who are completing their first CIR and reported an attack,
threatened attack, or attack with a weapon as part of this incident, or had unwanted vaginal
sex, oral sex, anal sex, sexual penetration with a finger or object in their vagina or anus or in
the offender's vagina or anus, or sexual touching and the offender used physical force,
threatened to hurt them or someone close to them, they were blacked out, unconscious or
asleep, or unable to consent because they were too drunk or high, or used force to touch them
in a sexual way, or reported the incident was severely upsetting to them.
ASK Specification: IF THIS IS THE FIRST CIR AND (S_A = 1 OR S_TA = 1 OR S_ATA = 1 OR
((SA_1a = 1 OR SA_1b = 1 or SA_1c = 1 OR SA_1d = 1) AND (SA_2a = 1 OR SA_2b = 1 OR
SA_2c = 1 OR SA_2d = 1 OR SA_2e = 1)) OR CS3 = 4).
DISPLAY: If RStudent = 1 or CStudent = 1, display ", classmates".
PQID: NEW
SAS Variable: VS1A
Tags: Change Request
Notes: added ", classmates" if RStudent = 1 or CStudent = 1.

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Question ID:

VS1B

{Other than{ the police or} family/friends have/Have} you told anyone in the following
positions about the incident who you thought might be able to help you? (Mark all that apply.)
1

{Teacher, school counselor or school
administrator}

2

{Employer, supervisor, or human resources
personnel}

3

Medical or mental health professional

4

Representative of a religious or community
organization

5

Security guard or personnel, other than the police

6

Other person in a leadership or professional
position (specify)

7

No, have not told anyone in any of these positions.

ASK Description: Respondents who are completing their first CIR and reported an attack,
threatened attack, or attack with a weapon as part of this incident, or had unwanted vaginal
sex, oral sex, anal sex, sexual penetration with a finger or object in their vagina or anus or in
the offender's vagina or anus, or sexual touching and the offender used physical force,
threatened to hurt them or someone close to them, they were blacked out, unconscious or
asleep, or unable to consent because they were too drunk or high, or used force to touch them
in a sexual way, or reported the incident was severely upsetting to them.
ASK Specification: IF THIS IS THE FIRST CIR AND (S_A = 1 OR S_TA = 1 OR S_ATA = 1 OR
((SA_1a = 1 OR SA_1b = 1 or SA_1c = 1 OR SA_1d = 1) AND (SA_2a = 1 OR SA_2b = 1 OR
SA_2c = 1 OR SA_2d = 1 OR SA_2e = 1)) OR CS3 = 4).
PROGRAM: Display text box and allow 250 character text response.
DISPLAY: If VS1A=1, display "Other than{ the police or} family/friends, have". Else, display
"Have".
If VS1A=1 and PI1 = 1, display " the police or". Else, do not display.
Display "Mark all that apply." in italics.
If CStudent = 1 or RStudent = 1, display response option 1 "Teacher… administrator". Else do
not display.
If UT_AGE >= 16, display response option 3 "Employer or supervisor". Else do not display.
PQID: NEW
SAS Variable: VS1B_1, VS1B_2, VS1B_3, VS1B_4, VS1B_5, VS1B_6, VS1B_6_SPECIFY, VS1B_7
Tags: Change Request, Choose-all-that-apply Item
Notes: revised wording in text and response categories
2. #434 – removed conditional text

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Box ID:

VS_BOX2

For VS2A – VS2K, display a ‘Yes' and ‘No' column with options for each response category.
Display VS2A-G in one screen and VS2H-K on the next screen.
Tags: Change Request, Stem and Leaf screen
Notes: variable name update only

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Question ID:

VS2

Besides any help you might have gotten from friends or family, have you received the following
kinds of services because of the incident?
1

Hotline, helpline, or crisis line intervention?

2

{Counseling, therapy, support groups, or help
from a mental health provider?}

3

{Help or advocacy with medical care or medical
exams, including accompanying you to a medical
exam?}

4

{Sexual assault exam by a doctor, nurse or other
medical professional?}

5

Free or low cost legal services from an attorney?

6

Help with the legal process, such as with police
interviews, preparing for or going to court, or
enforcement of your rights?

7

Help filing for a restraining, protection, or nocontact order?

8

{Help applying for victim compensation?}

9

{Short term or emergency financial assistance?}

10

{Housing, shelter or safehouse services?}

11

{Any other help or services because of the
incident?
}

ASK Description: Respondents who are completing their first CIR and reported an attack,
threatened attack, or attack with a weapon as part of this incident, or had unwanted vaginal
sex, oral sex, anal sex, sexual penetration with a finger or object in their vagina or anus or in
the offender's vagina or anus, or sexual touching and the offender used physical force,
threatened to hurt them or someone close to them, they were blacked out, unconscious or
asleep, or unable to consent because they were too drunk or high, or used force to touch them
in a sexual way, or reported the incident was severely upsetting to them.
ASK Specification: IF THIS IS THE FIRST CIR AND (S_A = 1 OR S_TA = 1 OR S_ATA = 1 OR
((SA_1a = 1 OR SA_1b = 1 or SA_1c = 1 OR SA_1d = 1) AND (SA_2a = 1 OR SA_2b = 1 OR
SA_2c = 1 OR SA_2d = 1 OR SA_2e = 1)) OR CS3 = 4).
PROGRAM: Display text box and allow 250 character text response.
ROUTING INSTRUCTIONS: IF VS2A = 1 OR VS2B = 1 OR VS2C = 1 OR VS2D = 1 OR VS2E = 1
OR VS2F = 1 OR VS2G = 1 OR VS2H = 1 OR VS2I = 1 OR VS2J = 1 OR VS2K = 1, GO TO
VS_BOX3.
ELSE, GO TO VS4.
DISPLAY: If CS6 != 1, display response option 2. Else do not display.
If A3=yes or (any in SA_1A-D=yes and any in SA_2A-E=yes or CI1=yes), display response
option 3. Else, do not display.
If any in SA_1A-D=yes and any in SA_2A-E=yes, display response option 4. Else, do not
display.
If UT_AGE >= 18, -9, display response options 8, 9, 10, 11. Else, do not display.
PQID: NEW

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SAS Variable: VS2A, VS2B, VS2C, VS2D, VS2E, VS2F, VS2G, VS2H, VS2I, VS2J, VS2K,
VS2K_SPECIFY
Tags: Change Request, Stem and Leaf screen
Notes: 1. Replace "professional" with "of" in question stem
2. VS2b - BOTH CONDITION 2 AND 3 – ONLY SHOW ‘B' IF CS6 NOT EQ 1
3. VS2c - add to end of item ", including accompanying you to a medical exam"
4. VS2f - wording change (unconditional) Change wording to "Help with the legal process, such
as with police interviews, preparing for or going to court, or enforcement of your rights?"
5. VS2l - (If you haven't already done this) Delete this item (Help getting the different types of
services you needed)
6. VS2M - Add "because of the incident" to the end of this response category
7. VS3 - Modify skip pattern before VS3 to the revised numbering of VS2 (IF YES TO ANY IN
VS2A-M)
BJS
1) We want row 8 (Help filing for a restraining, protection, or no contact order) to be shifted up
one in the matrix - will now be shown in row 7 (right below Help with the legal process, such as
with police interviews, preparing for or going to court, or enforcement of your rights)
2) Delete row 10 (Free or reduced childcare for victims)
3) NOTE: Please rename all VS2 variables based on the new order
Box ID:

VS_BOX3

Display questions VS3A through VS3K using the expanded stem-leaf screen. The introduction
text from VS3A is the stem. Show all leaves on the screen at once.
If VS2A = 1, display VS3A.
If VS2B = 1, display VS3B.
If VS2C = 1, display VS3C.
If VS2D = 1, display VS3D.
If VS2E = 1, display VS3E.
If VS2F = 1, display VS3F.
If VS2G = 1, display VS3G.
If VS2H = 1, display VS3H.
If VS2I = 1, display VS3I.
If VS2J = 1, display VS3J.
If VS2K = 1, display VS3K.
Tags: Change Request, Stem and Leaf screen
Notes: removed VS3M references

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Question ID:

VS3A

How satisfied were you with...
Hotline, helpline, or crisis line intervention
1

Completely satisfied

2

Mostly satisfied

3

Equally satisfied and dissatisfied

4

Mostly dissatisfied

5

Completely dissatisfied

ASK Description: Respondents who received professional help from a hotline, helpline, or crisis
line intervention.
ASK Specification: IF VS2A = 1.
PQID: NEW
SAS Variable: VS3A
Tags: Change Request, Stem and Leaf screen
Notes: 1. Exclude display fill instructions "(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)" and display unconditional "How satisfied were you with…"
2. Take "Were you…" out of condition 2.
Question ID:

VS3B

Counseling, therapy, support groups, or help from a mental health provider
1

Completely satisfied

2

Mostly satisfied

3

Equally satisfied and dissatisfied

4

Mostly dissatisfied

5

Completely dissatisfied

ASK Description: Respondents who received professional help from counseling, therapy, support
groups, or help from a mental health provider.
ASK Specification: IF VS2B = 1.
PQID: NEW
SAS Variable: VS3B
Tags: Stem and Leaf screen

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Question ID:

VS3C

Help or advocacy with medical care or medical exams, including accompanying you to a medical
exam
1

Completely satisfied

2

Mostly satisfied

3

Equally satisfied and dissatisfied

4

Mostly dissatisfied

5

Completely dissatisfied

ASK Description: Respondents who received professional help or advocacy with medical care or
medical exams.
ASK Specification: IF VS2C = 1.
PQID: NEW
SAS Variable: VS3C
Tags: Change Request, Stem and Leaf screen
Notes: VS3c - add to end of item ", including accompanying you to a medical exam"
Question ID:

VS3D

Sexual assault exam by a doctor, nurse or other medical professional
1

Completely satisfied

2

Mostly satisfied

3

Equally satisfied and dissatisfied

4

Mostly dissatisfied

5

Completely dissatisfied

ASK Description: Respondents who received professional help from a sexual assault exam by a
doctor, nurse or other medical professional.
ASK Specification: IF VS2D = 1.
PQID: NEW
SAS Variable: VS3D
Tags: Stem and Leaf screen

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Question ID:

VS3E

Free or low cost legal services from an attorney
1

Completely satisfied

2

Mostly satisfied

3

Equally satisfied and dissatisfied

4

Mostly dissatisfied

5

Completely dissatisfied

ASK Description: Respondents who received professional help from free or low cost legal
services from an attorney.
ASK Specification: IF VS2E = 1.
PQID: NEW
SAS Variable: VS3E
Tags: Stem and Leaf screen
Question ID:

VS3F

Help with the legal process, such as with police interviews, preparing for or going to court, or
enforcement of your rights
1

Completely satisfied

2

Mostly satisfied

3

Equally satisfied and dissatisfied

4

Mostly dissatisfied

5

Completely dissatisfied

ASK Description: Respondents who received professional help with the legal process, such as
with police interviews, preparing for court, or going to court.
ASK Specification: IF VS2F = 1.
PQID: NEW
SAS Variable: VS3F
Tags: Change Request, Stem and Leaf screen
Notes: VS3f - Change wording to "Help with the legal process, such as with police interviews,
preparing for or going to court, or enforcement of your rights?"

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Question ID:

VS3G

Help filing for a restraining, protection, or no-contact order
1

Completely satisfied

2

Mostly satisfied

3

Equally satisfied and dissatisfied

4

Mostly dissatisfied

5

Completely dissatisfied

ASK Description: Respondents who received professional help getting a restraining, protection,
or no-contact order.
ASK Specification: IF VS2G = 1.
PQID: NEW
SAS Variable: VS3G
Tags: Change Request, Stem and Leaf screen
Notes: 1. VS3h - Change to "Help filing for…"
2. move after "Helped with the legal process…" was VS3H
Question ID:

VS3H

Help applying for victim compensation
1

Completely satisfied

2

Mostly satisfied

3

Equally satisfied and dissatisfied

4

Mostly dissatisfied

5

Completely dissatisfied

ASK Description: Respondents who received professional help applying for victim compensation.
ASK Specification: IF VS2H = 1.
PQID: NEW
SAS Variable: VS3H
Tags: Change Request, Stem and Leaf screen
Notes: move after "Help filing for a restraining …" was VS3G

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Question ID:

VS3I

Short term or emergency financial assistance
1

Completely satisfied

2

Mostly satisfied

3

Equally satisfied and dissatisfied

4

Mostly dissatisfied

5

Completely dissatisfied

ASK Description: Respondents who received professional help from short term or emergency
financial assistance.
ASK Specification: IF VS2I = 1.
PQID: NEW
SAS Variable: VS3I
Tags: Stem and Leaf screen
Question ID:

VS3J

Housing, shelter or safehouse services
1

Completely satisfied

2

Mostly satisfied

3

Equally satisfied and dissatisfied

4

Mostly dissatisfied

5

Completely dissatisfied

ASK Description: Respondents who received professional help from housing, shelter or
safehouse services.
ASK Specification: IF VS2J = 1.
PQID: NEW
SAS Variable: VS3J
Tags: Change Request
Notes: was VS3K

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Question ID:

VS3K

Any (other) help or services you received
1

Completely satisfied

2

Mostly satisfied

3

Equally satisfied and dissatisfied

4

Mostly dissatisfied

5

Completely dissatisfied

ASK Description: Respondents who received professional help from any other services.
ASK Specification: IF VS2K = 1.
PQID: NEW
SAS Variable: VS3K
Tags: Change Request
Notes: was VS3M
Box ID:

VS_BOX4

Respondents who did not receive or refused to report if they received professional services from
a hotline, helpline, or crisis line intervention; counseling, therapy, support groups, or help from
a mental health provider; help or advocacy with medical care or medical exams, including
accompanying you to a medical exam; sexual assault exam by a doctor, nurse or other medical
professional; free or low cost legal services from an attorney; help with the legal process, such
as with police interviews, preparing for or going to court, or enforcement of your rights; help
applying for victim compensation; help filing for a restraining, protection, or no-contact order;
short term or emergency financial assistance; or housing, or shelter or safehouse services, go to
VS4.
Else, go to NA_BOX1.

IF VS2A = 2, -9 OR VS2B = 2, -9 OR VS2C = 2, -9 OR VS2D = 2, -9 OR VS2E = 2, -9 OR VS2F
= 2, -9 OR VS2G = 2, -9 OR VS2H = 2, -9 OR VS2I = 2, -9 OR VS2J = 2, -9, GO TO VS4.
ELSE, GO TO NA_BOX1.
Tags: Change Request
Notes: removed reference to VS2K

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Proxy Interview Field Test Instrument

Question ID:

VS4

Were there any types of services that you TRIED to get BUT WERE UNABLE TO GET?
1

Yes

GO TO VS5

2

No

GO TO VS7

ASK Description: Respondents who did not receive or refused to report if they received
professional services from a hotline, helpline, or crisis line intervention; counseling, therapy,
support groups, or help from a mental health provider; help or advocacy with medical care or
medical exams, including accompanying you to a medical exam; sexual assault exam by a
doctor, nurse or other medical professional; free or low cost legal services from an attorney;
help with the legal process, such as with police interviews, preparing for or going to court, or
enforcement of your rights; help applying for victim compensation; help filing for a restraining,
protection, or no-contact order; short term or emergency financial assistance; housing, or
shelter or safehouse services.
ASK Specification: IF VS2A = 2, -9 OR VS2B = 2, -9 OR VS2C = 2, -9 OR VS2D = 2, -9 OR
VS2E = 2, -9 OR VS2F = 2, -9 OR VS2G = 2, -9 OR VS2H = 2, -9 OR VS2I = 2, -9 OR VS2J = 2,
-9.
PQID: NEW
SAS Variable: VS4
Tags: Change Request
Notes: ask update only to remove VS2K

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Question ID:

VS5

Which {of the following }services did you TRY to get BUT WERE UNABLE TO GET?{ READ
CATEGORIES AS NEEDED.} (Mark all that apply.)
1

{Hotline, helpline, or crisis line intervention}

2

{Counseling, therapy, support groups, or help
from a mental health provider}

3

{Help or advocacy with medical care or medical
exams, including accompanying you to a medical
exam}

4

{Sexual assault exam by a doctor, nurse or other
medical professional}

5

{Free or low cost legal services from an attorney}

6

{Help with the legal process, such as with police
interviews, preparing for or going to court, or
enforcement of your rights}

7

{Help filing for a restraining, protection, or nocontact order}

8

{Help applying for victim compensation}

9

{Short term or emergency financial assistance}

10

{Housing, shelter or safehouse services}

11

Any other help or service because of the incident
Specify:

ASK Description: Respondents who tried but were unable to get help from any type of service.
ASK Specification: IF VS4 = 1.
PROGRAM: Display text box and allow 250 character text response.
ROUTING INSTRUCTIONS: IF VS5A = 1 OR VS5B = 1 OR VS5C = 1 OR VS5D = 1 OR VS5E = 1
OR VS5F = 1 OR VS5G = 1 OR VS5H = 1 OR VS5I = 1 OR VS5J = 1 OR VS5K = 1, GO TO
VS_BOX5.
Else, go to NA_BOX1.
DISPLAY: If CONDITION = 2, display " READ CATEGORIES AS NEEDED." If CONDITION = 3,
display "of the following ".
Display "Mark all that apply." in italics.
If VS2A = 2, -9, display response option 1.
If VS2B = 2, -9, display response option 2.
If VS2C = 2, -9 AND A3=yes or (any in SA_1A-D=yes and any in SA_2A-E=yes or CI1=yes),
display response option 3.
If VS2D = 2, -9 AND any in SA_1A-D=yes and any in SA_2A-E=yes, display response option 4.
If VS2E = 2, -9, display response option 5.
If VS2F = 2, -9, display response option 6.
If VS2G = 2, -9 and UT_AGE >= 18 or missing, display response option 7.
If VS2H = 2, -9, display response option 8.
If VS2I = 2, -9 and UT_AGE >= 18 or missing, display response option 9.
If VS2J = 2, -9 and UT_AGE >= 18 or missing, display response option 10.
PQID: NEW

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SAS Variable: VS5A, VS5B, VS5C, VS5D, VS5E, VS5F, VS5G, VS5H, VS5I, VS5J, VS5K,
VS5K_SPECIFY
Tags: Change Request, Choose-all-that-apply Item
Notes: 1. VS5c - add to end of item ", including accompanying you to a medical exam"
2. VS5f - Change wording to "Help with the legal process, such as with police interviews,
preparing for or going to court, or enforcement of your rights?"
3. VS5g - Change to "Help filing for…"
4. VS5l - (If you haven't already done this) Delete this item (Help getting the different types of
services you needed)
BJS
1) We want row 8 (Help filing for a restraining, protection, or no contact order) to be shifted up
one in the matrix - will now be shown in row 7 (right below Help with the legal process, such as
with police interviews, preparing for or going to court, or enforcement of your rights)
2) Delete row 10 (Free or reduced childcare for victims)
3) NOTE: Please rename all VS2 variables based on the new order
Box ID:

VS_BOX5

For VS6A-VS6I, display a ‘Yes' and ‘No' column with options for each response category.
Tags: Change Request, Stem and Leaf screen
Notes: removed reference to VS6K

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Question ID:

VS6

Were any of the following reasons why you didn't actually get the services you needed after the
incident?
1

The services you needed were not available in your
area?

2

Program was full, or there was a long wait list

3

You did not think you were eligible for services, or
you were told you were not eligible?

4

You did not have transportation{ or childcare}?

5

You could not take time off work or school?

6

The services were not available in your language?

7

You didn't want to get the offender in trouble or
face harsh consequences?

8

You were worried about the consequences for
yourself or your family?

9

Some other reason? (Specify)

ASK Description: Respondents who were unable to receive help from a hotline, helpline, or crisis
line intervention; counseling, therapy, support groups, or help from a mental health provider;
help or advocacy with medical care or medical exams, including accompanying you to a medical
exam; sexual assault exam by a doctor, nurse or other medical professional; free or low cost
legal services from an attorney; help with the legal process, such as with police interviews,
preparing for or going to court, or enforcement of your rights; help applying for victim
compensation; help filing for a restraining, protection, or no-contact order; short term or
emergency financial assistance; housing, or shelter or safehouse services.
ASK Specification: IF VS5A = 1 OR VS5B = 1 OR VS5C = 1 OR VS5D = 1 OR VS5E = 1 OR VS5F
= 1 OR VS5G = 1 OR VS5H = 1 OR VS5I = 1 OR VS5J = 1 OR VS5K = 1.
PROGRAM: Display text box and allow 250 character text response.
ROUTING INSTRUCTIONS: GO TO NA_BOX1.
DISPLAY: If UT_HHM_KIDAGE_A >= 1 AND UT_AGE >= 18 or -9, then display " or childcare" in
response option 4.
PQID: NEW
SAS Variable: VS6A, VS6B, VS6C, VS6D, VS6E, VS6F, VS6G, VS6H, VS6I, VS6I_SPECIFY
Tags: Change Request, Stem and Leaf screen
Notes: BJS requests:
1. VS6 is asked if any VS5 question = 1, this is the same as it was, except that we now have
fewer VS5 options
2. Add new item before VS6b >> "Program was full, or there was a long wait list"
3. VS6d Delete this item (You did not have childcare)
4. VS6e Delete this item (The service provider did not have enough resources to help you)
5. VS6h Delete this item (It was taking too much time or effort)
6. Revised wording for one of the response options
7. And rename the variables to align with the new order
8. add "or childcare" after transportation

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Question ID:

VS7

You said you didn't try to get any services. Did you want any services?
1

Yes

GO TO VS_BOX6

2

No

GO TO NA_BOX1

ASK Description: Respondents who reported there were not any services that they tried but
were unable to get.
ASK Specification: IF VS4 = 2 and VS2A = 2, -9 OR VS2B = 2, -9 OR VS2C = 2, -9 OR VS2D =
2, -9 OR VS2E = 2, -9 OR VS2F = 2, -9 OR VS2G = 2, -9 OR VS2H = 2, -9 OR VS2I = 2, -9 OR
VS2J = 2, -9 and VS2K = 2, -9.
PQID: NEW
SAS Variable: VS7
Box ID:

VS_BOX6

For VS8A – VS8H, display a ‘Yes' and ‘No' column with options for each response category.
Tags: Change Request, Stem and Leaf screen
Notes: added VS8H

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Question ID:

VS8

Please indicate whether or not each of the following were reasons why you did not try to get any
services. (Mark all that apply.)
1

You did not know what help or services were
available

2

You did not think you were eligible for services, or
you were told you were not eligible

3

You did not have transportation{ or childcare}

4

You could not take time off work or school

5

You didn't want to get the offender in trouble or
face harsh consequences

6

You were worried about the consequences for
yourself or your family

7

You did not feel services were appropriate to meet
your needs

8

Some other reason (Specify)

ASK Description: Respondents who reported there were not any services that they tried but
were unable to get and they wanted any services.
ASK Specification: IF VS4 = 2 AND VS7 = 1.
PROGRAM: Display text box and allow 250 character text response.
DISPLAY: Display "Mark all that apply." in italics.
If UT_HHM_KIDAGE_A >= 1 and UT_AGE >= 18 or missing, display response option 3 " or
childcare". Else do not display.
PQID: NEW
SAS Variable: VS8A, VS8B, VS8C, VS8D, VS8E, VS8F, VS8G, VS8H, VS8H_SPECIFY
Tags: Change Request, Stem and Leaf screen
Notes: BJS changes
- Change wording in question stem "Mark all that apply." instead of "Mark one answer in each
row."
- VS8b Add new item before VS8b to say "B. You did not think you were eligible for services, or
you were told you were not eligible"
- VS8b (now c) Add to end of item "(IF H28A=1&R IS ADULT OR MISSING AGE) or childcare?"
- old VS8c Delete this item (You did not have childcare)
- Add new item before the other/specify that says "You did not feel services were appropriate to
meet your needs"
- Rename the variables

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Narrative
Box ID:

NA_BOX1

Respondents completing the interviewer-administered questionnaire, go to N1.
Else, respondents completing the self-administered questionnaire, go to NARR.
If CONDITION = 2, GO TO N1.
Else if CONDITION = 3, GO TO NARR.
Question ID:

NARR

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.
ASK Description: Respondents completing the self-administered questionnaire.
ASK Specification: IF CONDITION = 3.
DISPLAY: If month was reported for the incident in the current loop, display { in {MONTH}}. For
{MONTH}, display Month of incident in current loop. Display format – January. Else, if month
was not reported for the incident in the current loop, do not display.

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Question ID:

N1

{Thank you for telling me about the incident{ in {MONTH}}. Would you mind describing the
incident for me in your own words? Remember that you can skip any question, including this
one, if you don't want to answer, or you don't recall particular details.} {Also remember that we
are recording this interview, so I won't need to type in what you have to say./Since the audio
recording is off, please be patient as I type in your answer.}{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.}
1

TEXT RESPONSE

ASK Description: All respondents.
PROGRAM: DISPLAY TEXT FIELD, MAX CHARACTER LENGTH = 4000.
DISPLAY: If CONDITION = 2, display "Thank you… particular details.". Else, if CONDITION = 3,
display "To check… what happened."
If month was reported for the incident in the current loop, display { in {MONTH}}. For
{MONTH}, display Month of incident in current loop. Display format – January. If month was not
reported for the incident in the current loop, do not display.
If CONFRECORD = 1, display "Also remember that… have to say." Else, if CONFRECORD = 2,
display "Since the audio… in your answer."
ROUTING: If Condition=2 show N1_TRANSITION ; Else go to NA_BOX3
SAS Variable: N1
Tags: Change Request
Notes: If easy to do, please change max character length to 4000 (if not easy then leave as
1000).
2. replace "please describe" with "mind describing", added "want to answer, or you don't recall"
and deleted ", or don't want to answer".

Box ID:

N1_TRANSITION

Thank you. (IF NEEDED: We appreciate you sharing such personal information about this incident.)
Now we're going to move on to the next set of questions."
ASK Description: Condition 2 respondents.
ASK Specification: IF CONDITION = 2
SAS Variable: Not applicable
Tags: New screen
Notes: Text change

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Box ID:

NA_BOX3

END OF CIR LOOP
If data has been collected for all incidents reported, go to PC9_INTRO.
Else, go to CIR1 for next incident loop.

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Person Characteristics II
Question ID:

PC9_INTRO

The next questions ask about you. Remember all answers to this survey are confidential.
ASK Description: All respondents.
Box ID:

PC2_BOX1

Respondents who did not indicate they have a job or work at a business in the past 7 days, GO
TO PC9.
Else, go to PC2_BOX2.

IF PC5 = 2, GO TO PC9.
ELSE, GO TO PC2_BOX2.

Question ID:

PC9

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?
1

Yes

2

No

ASK Description: Respondents who did not indicate they had a job or work at a business in the
past 7 days.
ASK Specification: IF PC5 = 2.
PQID: new, from ACS 36
SAS Variable: PC9
Box ID:

PC2_BOX2

Respondents who indicated they had a job or work at a business in the past 12 months, GO TO
PC10.
Else, go to PC2_BOX3.
IF PC6 = 1, GO TO PC10.
ELSE, GO TO PC2_BOX3.

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Question ID:

PC10

Earlier you said you had a job or worked at a business at some time in the past 12 months. Did
that (job/work) last 2 consecutive weeks or more?
1

Yes

GO TO PC11

2

No

GO TO PC_INTRO2

ASK Description: Respondents who indicated they have a job or work at a business in the past
12 months.
ASK Specification: IF PC6 = 1.
PQID: 75c
SAS Variable: PC10
Question ID:

PC11

When did that job end?
1

DATE FIELD

ASK Description: Respondents who indicated they had a job or work at a business in the past 12
months and the job/work lasted 2 consecutive weeks or more.
ASK Specification: IF PC6 = 1 AND PC10 = 1.
PROGRAM: Show Text Field for DATE, format MM/DD/YYYY. Numeric response only.
LOGIC CHECK: Hard check – date entered > current date.
PQID: new
SAS Variable: PC11
Box ID:

PC2_BOX3

Respondents who had a job or worked at a business in the past 7 days or past 12 months and
reported any incident that involved an attack, threatened attack, attack with a weapon, or
unwanted sexual contact and reported the incident occurred at their place of work or reported
the incident occurred while they were working or on duty or reported the incident happened on
when they were on their way to or from work, GO TO PC11A.
ELSE, go to PC2_BOX4.

IF (PC5 = 1 OR PC6 = 1) AND THE FOLLOWING IS TRUE FOR ANY CIR: (S_A = 1 OR S_TA = 1
OR S_ATA = 1 OR S_SA = 1) AND (LO_3 = 5 OR WV1 = 1 OR WV2 = 1) AND (WV3 != -9 OR
WV5 != -9 OR WV6 != -9 OR WV7 != -9 OR WV8 != -9 OR WV9 != -9), go to PC11A.
Else, go to PC2_BOX4.

309

Proxy Interview Field Test Instrument

Question ID:

PC11a

Earlier you said that an incident happened while you were at work. Have you changed your job
since then?
1

Yes

GO TO PC12

2

No

GO TO PC_INTRO2

ASK Description: Respondents who provided any details about any incident that happened at
work or on the way to or from work.
ASK Specification: IF (PC5 = 1 OR PC6 = 1) AND THE FOLLOWING IS TRUE FOR ANY CIR: (S_A
= 1 OR S_TA = 1 OR S_ATA = 1 OR S_SA = 1) AND (LO_3 = 5 OR WV1 = 1 OR WV2 = 1) AND
(WV3 != -9 OR WV5 != -9 OR WV6 != -9 OR WV7 != -9 OR WV8 != -9 OR WV9 != -9).
PQID: NEW
SAS Variable: PC11a
Tags: Change Request
Notes: Check skip pattern to make sure "No" responses are skipping to PC_INTRO2 rather than
PC21.
Box ID:

PC2_BOX4

Respondents who indicated they had changed jobs since the incident, GO TO PC_INTRO2.
Respondents who indicated they had a job or work at a business in the past 7 days or the
job/work in the past 12 months lasted 2 consecutive weeks or more, GO TO PC12.
Else, GO TO PC_INTRO2.

IF PC11a = 2, GO TO PC_INTRO2.
ELSE, IF PC5 = 1 OR PC10 = 1, GO TO PC12.
ELSE, GO TO PC_INTRO2.

310

Proxy Interview Field Test Instrument

Question ID:

PC12

{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 . . .
1

A private company, business, or individual for
wages,

GO TO PC14

2

{The }Federal government,{ or}

GO TO PC14

3

A state, county, or local government,

GO TO PC14

4

{Self-employed/Yourself (self-employed)} in your
own business, professional practice, or farm, or

GO TO PC14

5

{Employed by a/A} private not-for-profit, taxexempt, or charitable organization?

GO TO PC14

ASK Description: Respondents who indicated they had a job or work at a business in the past 7
days or the job/work in the past 12 months lasted 2 consecutive weeks or more.
ASK Specification: IF PC5 = 1 OR PC10 = 1.
DISPLAY: IF PC5 = 1, display "Earlier…last week.", "current main" and "Are". Else, if PC10 = 1,
display "most recent" and "Were".
IF CONDITION = 2, display "The ", " or", "Self-employed" and "Employed by a". Else, if
CONDITION = 3, display "Yourself (self-employed)" and "A".
PQID: NCVS-2, 138a
SAS Variable: PC12
Question ID:

PC14

What is the name of the (company/government agency/business/non-profit organization) for
which you worked? Remember, all answers to this survey are confidential, and you may skip
any question that you don't want to answer.
1

TEXT RESPONSE

ASK Description: Respondents who indicated they had a job or work at a business in the past 7
days or the job/work in the past 12 months lasted 2 consecutive weeks or more.
ASK Specification: IF PC5 = 1 OR PC10 = 1.
PROGRAM: DISPLAY TEXT FIELD, MAX CHARACTER LENGTH = 200.
PQID: NCVS-2, 138c
SAS Variable: PC14
Tags: Change Request
Notes: updated text

311

Proxy Interview Field Test Instrument

Question ID:

PC15

What kind of business or industry is this? What do they make or do?
1

TEXT RESPONSE

ASK Description: Respondents who indicated they had a job or work at a business in the past 7
days or the job/work in the past 12 months lasted 2 consecutive weeks or more.
ASK Specification: IF PC5 = 1 OR PC10 = 1.
PROGRAM: DISPLAY TEXT FIELD, MAX CHARACTER LENGTH = 200.
PQID: NCVS-2, 138d
SAS Variable: PC15
Tags: Change Request
Notes: added "What do they make or do?"

312

Proxy Interview Field Test Instrument

Question ID:

PC16

{Is this mainly…? TURN LAPTOP AROUND SO R CAN SEE LIST./Which of these categories best
describes the business or industry?}
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 Specify:

ASK Description: Respondents who indicated they had a job or work at a business in the past 7
days or the job/work in the past 12 months lasted 2 consecutive weeks or more.
ASK Specification: IF PC5 = 1 OR PC10 = 1.
DISPLAY: IF CONDITION = 2, DISPLAY "Is this mainly… CAN SEE LIST.". IF CONDITION = 3,
DISPLAY "Which of these… industry?".
PQID: modified NCVS-2, CIR138e
SAS Variable: PC16
Tags: Change Request
Notes: Delete "READ UNTIL RESPONSE OPTION PROVIDED" and replace with "TURN LAPTOP
AROUND SO R CAN SEE LIST"
IF CONDITION=2 DISPLAY: Is this mainly…? TURN LAPTOP AROUND SO R CAN SEE LIST.
IF CONDITION=3 DISPLAY: Which of these categories best describes the business or industry?

313

Proxy Interview Field Test Instrument

Question ID:

PC17

What kind of work {do/did} you do, that is, what {is/was} your occupation? (For example:
registered nurse, personnel manager, supervisor of order department, secretary, accountant)
1

TEXT RESPONSE

ASK Description: Respondents who indicated they had a job or work at a business in the past 7
days or the job/work in the past 12 months lasted 2 consecutive weeks or more.
ASK Specification: IF PC5 = 1 OR PC10 = 1.
PROGRAM: DISPLAY TEXT FIELD, MAX CHARACTER LENGTH = 200.
DISPLAY: If PC5 =1, display "do" and "is". Else, display "did" and "was".
PQID: NCVS-2, 138f
SAS Variable: PC17
Question ID:

PC18

What {are/were} your usual activities or duties at this job? (For example: patient care, directing
hiring policies, supervising order clerks, typing and filing, reconciling financial records)
1

TEXT RESPONSE

ASK Description: Respondents who indicated they had a job or work at a business in the past 7
days or the job/work in the past 12 months lasted 2 consecutive weeks or more.
ASK Specification: IF PC5 = 1 OR PC10 = 1.
PROGRAM: DISPLAY TEXT FIELD, MAX CHARACTER LENGTH = 200.
DISPLAY: If PC5 =1, display "are". Else, display "were".
PQID: NCVS-2, 138g
SAS Variable: PC18
Question ID:

PC_INTRO2

The next questions ask about any health conditions, impairments, or disabilities you may have.
ASK Description: All respondents.
PQID: NCVS-2, 168; Near Term Change to NCVS, 2016
Question ID:

PC19

Are you deaf or do you have serious difficulty hearing?
1

Yes

2

No

ASK Description: All respondents.
PQID: NCVS-2, 169a
SAS Variable: PC19

314

Proxy Interview Field Test Instrument

Question ID:

PC20

Are you blind or do you have serious difficulty seeing even when wearing glasses?
1

Yes

2

No

ASK Description: All respondents.
PQID: NCVS-2, 169b; Near Term Change to NCVS, 2016
SAS Variable: PC20
Box ID:

PC2_BOX5

For PC21 - PC23, display a ‘Yes' and ‘No' column with options for each response category.
Tags: Stem and Leaf screen
Question ID:

PC21

Because of a physical, mental, or emotional condition, do you have serious difficulty:
1

. . . concentrating, remembering or making
decisions?

2

. . . walking or climbing stairs?

3

. . . dressing or bathing?

ASK Description: All respondents.
PQID: NCVS-2, 170a(1-3); Near Term Change to NCVS, 2016)
SAS Variable: PC21, PC22, PC23
Tags: Stem and Leaf screen
Box ID:

PC2_BOX6

IF UT_AGE >= 16, GO TO PC24.
Else, GO TO PC2_BOX6AA.

Question ID:

PC24

Because of a physical, mental, or emotional condition, do you have difficulty doing errands alone
such as visiting a doctor's office or shopping?
1

Yes

2

No

ASK Description: Respondents age 16 or older.
ASK Specification: IF UT_AGE >= 16.
PQID: NCVS-2, 170b; Near Term Change to NCVS, 2016
SAS Variable: PC24

315

Proxy Interview Field Test Instrument

Box ID:

PC2_BOX6AA

IF PC19 = 1 OR PC20 = 1 OR PC21 = 1 OR PC22 = 1 OR PC23 = 1 OR PC24 = 1, GO TO PC24A.
Else, GO TO PC25_INTRO.
Tags: Change Request
Notes: Add new question PC24a. Do you consider yourself to be disabled? Yes/No
Question ID:

PC24A

Do you consider yourself to be disabled?
1

Yes

2

No

ASK Description: Respondents who are deaf or have serious difficulty hearing, blind or have
serious difficulty seeing even when wearing glasses, because of a physical, mental, or emotional
condition have serious difficulty concentrating, remembering or making decisions, walking or
climbing stairs, dressing or bathing, or because of a physical, mental, or emotional condition
have difficulty doing errands alone such as visiting a doctor's office or shopping.
ASK Specification: IF PC19 = 1 OR PC20 = 1 OR PC21 = 1 OR PC22 = 1 OR PC23 = 1 OR PC24
= 1.
PQID: NEW
SAS Variable: PC24A
Tags: Change Request
Notes: Add new question PC24a. Do you consider yourself to be disabled? Yes/No
Question ID:

PC25_INTRO

The next questions are about your background.
ASK Description: All respondents.
Question ID:

PC25

Are you Hispanic or {Latino/Latina}?
1

Yes

2

No

ASK Description: All respondents.
DISPLAY: IF UT_RESP_GENDER = 2, DISPLAY "Latina". Else, DISPLAY "Latino".
PQID: 23
SAS Variable: PC25

316

Proxy Interview Field Test Instrument

Question ID:

PC26

Which one or more of the following would you say is your race? Select one or more.
1

White

2

Black or African American

3

American Indian or Alaska Native

4

Asian

5

Native Hawaiian or Other Pacific Islander

ASK Description: All respondents.
PROGRAM: ROUTING INSTRUCTIONS: IF PC25 = 1 AND ((PC26_1 = 1 AND PC26_2 != 1 AND
PC26_3 != 1 AND PC26_4 != 1 AND PC26_5 != 1) OR (PC26_1 != 1 AND PC26_2 = 1 AND
PC26_3 != 1 AND PC26_4 != 1 AND PC26_5 != 1) OR (PC26_1 != 1 AND PC26_2 != 1 AND
PC26_3 = 1 AND PC26_4 != 1 AND PC26_5 != 1) OR (PC26_1 != 1 AND PC26_2 != 1 AND
PC26_3 != 1 AND PC26_4 = 1 AND PC26_5 != 1) OR (PC26_1 != 1 AND PC26_2 != 1 AND
PC26_3 != 1 AND PC26_4 != 1 AND PC26_5 = 1)), go to PC26a. Else, go to PC2_BOX7.
PQID: 24
SAS Variable: PC26_1, PC26_2, PC26_3, PC26_4, PC26_5
Tags: Choose-all-that-apply Item

317

Proxy Interview Field Test Instrument

Question ID:

PC26a

Do you primarily consider yourself to be Hispanic, or {response from PC26}, or both equally?
1

Hispanic

2

{response from PC26}

3

Both equally

ASK Description: Respondents who are Hispanic and say they are only one race.
ASK Specification: IF PC25 = 1 AND ((PC26_1 = 1 AND PC26_2 != 1 AND PC26_3 != 1 AND
PC26_4 != 1 AND PC26_5 != 1) OR (PC26_1 != 1 AND PC26_2 = 1 AND PC26_3 != 1 AND
PC26_4 != 1 AND PC26_5 != 1) OR (PC26_1 != 1 AND PC26_2 != 1 AND PC26_3 = 1 AND
PC26_4 != 1 AND PC26_5 != 1) OR (PC26_1 != 1 AND PC26_2 != 1 AND PC26_3 != 1 AND
PC26_4 = 1 AND PC26_5 != 1) OR (PC26_1 != 1 AND PC26_2 != 1 AND PC26_3 != 1 AND
PC26_4 != 1 AND PC26_5 = 1)).
DISPLAY: For question text fill and response option 2, display:
"White" if PC26 = 1.
"Black or African American" if PC26 = 2.
"American Indian or Alaska Native if PC26 = 3.
"Asian" if PC26 = 4.
"Native Hawaiian or Other Pacific Islander" if PC26 = 5.
PQID: NEW
SAS Variable: PC26a
Tags: Change Request
Notes: Add new question after P26: [IF P25=1 AND ONLY ONE RESPONSE IN P26 CODES 1-5]
Do you primarily consider yourself to be Hispanic, or [response from P26], or both equally?
Hispanic, [Response from P26], Both equally
Box ID:

PC2_BOX7

Respondents who are over 16 years of age, go to PC27.
Else, go to PC_BOX10.

IF UT_AGE >= 16, GO TO PC27.
Else, GO TO PC2_BOX10.

318

Proxy Interview Field Test Instrument

Question ID:

PC27

Are you now . . .
1

Married

2

Widowed

3

Divorced

4

Separated, or

5

Never married

ASK Description: Respondents over 16 years of age.
ASK Specification: IF UT_AGE >= 16.
PQID: 18
SAS Variable: PC27
Box ID:

PC2_BOX8

Respondents who are over 16 years of age and are now married, go to PC28.
Else, go to PC2_BOX9.

IF UT_AGE >= 16 AND PC27 = 1, GO TO PC28.
ELSE, GO TO PC2_BOX9.

Question ID:

PC28

Is your spouse living with you?
1

Yes

GO TO PC2_BOX10

2

No

GO TO PC2_BOX10

ASK Description: Respondents who are over 16 years of age and are now married.
ASK Specification: IF UT_AGE >= 16 AND PC27 = 1.
PQID: NEW
SAS Variable: PC28
Box ID:

PC2_BOX9

Respondents who are over 16 years of age and live with another adult and are not married, go
to PC29.
Else, go to PC2_BOX10.

IF UT_AGE >= 16 AND SOLO_HHM != 1 AND PC27 != 1, GO TO PC29.
Else, GO TO PC2_BOX10.

319

Proxy Interview Field Test Instrument

Question ID:

PC29

Do you live with a boyfriend, girlfriend, or partner?
1

Yes

2

No

ASK Description: Respondents who are over 16 years of age and live with another adult and are
not married.
ASK Specification: IF UT_AGE >= 16 AND SOLO_HHM != 1 AND PC27 != 1.
PQID: New, from CPS
SAS Variable: PC29
Box ID:

PC2_BOX10

The questions about sexual orientation and gender identity will be asked of VICTIMS age 16 and
older (victim defined as R was asked to complete at least one CIR). If Male, go to PC30. If
Female or Other, go to PC31.
Else, go to PC35.
IF UT_AGE >=16 AND (S_MV = 1 OR S_MVP = 1 OR S_T = 1 OR S_BI = 1 OR S_V = 1 OR S_A
= 1 OR S_TA = 1 OR S_ATA = 1 OR S_SA = 1 AND UT_RESP_GENDER = 1, GO TO PC30.
ELSE, IF UT_AGE >=16 AND (S_MV = 1 OR S_MVP = 1 OR S_T = 1 OR S_BI = 1 OR S_V = 1
OR S_A = 1 OR S_TA = 1 OR S_ATA = 1 OR S_SA = 1 AND UT_RESP_GENDER != 1, GO TO
PC31.
ELSE, GO TO PC35.
Tags: Change Request
Notes: Note that items PC31 through PC34 should ONLY be asked of victims who are ages 16+.

320

Proxy Interview Field Test Instrument

Question ID:

PC30

Which of the following BEST represents how you think of yourself?
1

Gay

GO TO PC32

2

Straight, that is, not gay

GO TO PC32

3

Bisexual

GO TO PC32

4

Something else (Specify:

5

Refused

GO TO PC32

6

Don't know

GO TO PC32

)

GO TO PC32

ASK Description: Respondents who are 16 years or older and are male and completed a CIR.
ASK Specification: IF UT_AGE >= 16 AND UT_RESP_GENDER = 1 AND COMPLETED ONE OR
MORE CIR.
PROGRAM: Display text box and allow 128 character text response.
PQID: New, from NHIS; Near Term Change to NCVS, 2016
SAS Variable: PC30, PC30_SPECIFY
Tags: Change Request
Notes: BJS Add "Specify:
Question ID:

"

(128 characters) to option 4

PC31

Which of the following BEST represents how you think of yourself?
1

Lesbian or gay

2

Straight, that is, not lesbian or gay

3

Bisexual

4

Something else (Specify:

5

Refused

6

Don't know

)

ASK Description: Respondents who are 16 years or older and are female and completed a CIR.
ASK Specification: IF UT_AGE >= 16 AND UT_RESP_GENDER != 1 AND COMPLETED ONE OR
MORE CIR.
PROGRAM: Display text box and allow 128 character text response.
PQID: New, from NHIS; Near Term Change to NCVS, 2016
SAS Variable: PC31, PC31_SPECIFY
Tags: Change Request
Notes: BJS Add "Specify:

"

(128 characters) to option 4

321

Proxy Interview Field Test Instrument

Question ID:

PC32

What sex was recorded on your original birth certificate?
1

Male

2

Female

3

Refused

4

Don't know

ASK Description: Respondents who are 16 years or older and completed a CIR.
ASK Specification: IF UT_AGE >= 16 AND COMPLETED ONE OR MORE CIR.
PQID: NCVS, 2016
SAS Variable: PC32
Tags: Change Request
Notes: Change to "What sex was recorded on your original birth certificate?"
Question ID:

PC33

Do you currently describe yourself as male, female, or transgender?
1

Male

2

Female

3

Transgender

4

None of these (SPECIFY)

5

Refused

6

I don't know the answer

ASK Description: Respondents who are 16 years or older and completed a CIR.
ASK Specification: IF UT_AGE >= 16 AND COMPLETED ONE OR MORE CIR
PROGRAM: Display text box and allow 250 character text response.
PQID: NCVS, 2016
SAS Variable: PC33, PC33_SPECIFY
Box ID:

PC2_BOX11

Respondents who reported their sex on their birth certificate was male or female and currently
describe themselves as male, female, or transgender and currently describe themselves as
something different than the sex recorded on their original birth certificate, go to PC34.
Else, go to PC35.
If PC32 = 1, 2 AND PC33 = 1, 2, 3 AND PC32 != PC33, go to PC34.
Else, go to PC35.

322

Proxy Interview Field Test Instrument

Question ID:

PC34

Just to confirm, your sex recorded at birth was {INSERT RESPONSE FROM PC32} and you now
describe yourself as {INSERT RESPONSE FROM PC33}. Is that correct?
1

Yes

2

No

-7

Refused

-8

Don't know

GO TO PC32

ASK Description: Respondents who reported their sex on their birth certificate was male or
female and currently describe themselves as male, female, or transgender and currently
describe themselves as something different than the sex recorded on their original birth
certificate.
ASK Specification: If PC32 = 1, 2 AND PC33 = 1, 2, 3 AND PC32 != PC33.
PQID: NCVS, 2016
SAS Variable: PC34
Tags: Change Request
Notes: Change wording to: "Just to confirm, your sex recorded at birth was {INSERT RESPONSE
FROM P32} and you now describe yourself as {P33}. Is that correct? [NCVS, 2016)"
Question ID:

PC35

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?
1

Yes, born in the United States

2

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

3

Yes, born abroad of U.S. citizen parent or parents

4

Yes, U.S. citizen by naturalization

5

No, not a U.S. citizen

ASK Description: All respondents.
PQID: new, from ACS; Near Term changes NCVS, 2016
SAS Variable: PC35
Box ID:

PC2_BOX12

Respondents who are 18 years or older, go to PC36.
Else, go to HHC2_BOX1.
If UT_AGE >=18, go to PC36.
Else, go to HHC2_BOX1.

323

Proxy Interview Field Test Instrument

Question ID:

PC36

Have you ever served on active duty in the U. S. Armed Forces, Reserves, or National Guard?
1

NEVER SERVED IN THE MILITARY

GO TO HHC2_BOX1

2

ONLY ON ACTIVE DUTY FOR TRAINING IN THE
RESERVES OR NATIONAL GUARD

GO TO HHC2_BOX1

3

Now on active duty

4

On active duty in the past, but not now

ASK Description: Respondents who are 18 years or older.
ASK Specification: IF UT_AGE >= 18.
PQID: new, from CPS; Near term changes to NCVS 2016
SAS Variable: PC36
Tags: Change Request
Notes: updated codes to 1-4
Question ID:

PC37

When did you serve on active duty in the U.S. Armed Forces?{ READ CATEGORIES AS
NEEDED.} (Mark all that apply, even if just for part of the time period.)
1

September 2001 or later

2

August 1990 to August 2001 (including Persian
Gulf War)

3

May 1975 to July 1990

4

Vietnam Era (August 1964 to April 1975)

5

February 1955 to July 1964

6

Korean War (July 1950 to January 1955)

7

January 1947 to June 1950

8

World War II (December 1941 to December 1946)

9

November 1941 or earlier

ASK Description: Respondents who are 18 years or older and are now on active duty or were on
active duty in the past but not now.
ASK Specification: IF UT_AGE >= 18 AND PC36 = 3, 4.
DISPLAY: DISPLAY "Mark all… period." in italics. IF CONDITION = 2, DISPLAY " READ
CATEGORIES AS NEEDED.".
PQID: new, from CPS; Near term changes to NCVS 2016
SAS Variable: PC37_1, PC37_2, PC37_3, PC37_4, PC37_5, PC37_6, PC37_7, PC37_8, PC37_9
Tags: Choose-all-that-apply Item

324

Proxy Interview Field Test Instrument

Household Characteristics II
Box ID:

HHC2_BOX1

Household Respondents, go to H26a.
Else, go to ALL_END.

If UT_HHR = 1, go to H26a.
Else, go to ALL_END.

Question ID:

H26a

Thinking about all of the people who lived in your household in the past 12 months, {was
your/which category represents the} TOTAL combined income{ less than $30,000, or $30,000
or more}? 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.
1

Less than $30,000

2

$30,000 or more

ASK Description: Household respondents.
ASK Specification: IF UT_HHR = 1.
PROGRAM: ROUTING INSTRUCTIONS: IF H26a = 1, GO TO H26B1.
ELSE, IF H26a = 2, GO TO H26B2.
ELSE, GO TO H27.
DISPLAY: IF CONDITION = 2, DISPLAY "was your", "less than $30,000, or $30,000 or more?".
ELSE, IF CONDITION = 3, DISPLAY "which category represents the".
PQID: Near Term Change to NCVS, 2016
SAS Variable: H26a
Tags: Change Request
Notes: Thinking about all of the people who lived in your household in the past 12 months,
(CONDITION=2: was your / CONDITION=3: which category represents the ) TOTAL combined
income (CONDITION=2: less than $30,000, or $30,000 or more)? 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.

325

Proxy Interview Field Test Instrument

Question ID:

H26B1

Was the total combined income in your household…{ READ CATEGORIES UNTIL RESPONDENT
SAYS YES.}
1

Less than $5,000

2

$5,000 to $7,499

3

$7,500 to $9,999

4

$10,000 to $12,499

5

$12,500 to $14,999

6

$15,000 to $17,499

7

$17,500 to $19,999

8

$20,000 to $24,999

9

$25,000 to $29,999

ASK Description: Household respondents whose combined total household income is less than
$30,000.
ASK Specification: IF UT_HHR = 1 AND H26a = 1.
PROGRAM: ROUTING INSTRUCTIONS: GO TO H27.
DISPLAY: IF CONDITION = 2, DISPLAY "READ CATEGORIES UNTIL RESPONDENT SAYS YES.".
ELSE, DO NOT DISPLAY.
SAS Variable: H26B1
Tags: Change Request
Notes: Was the total combined income in your household… (CONDITION=2: READ CATEGORIES
UNTIL RESPONDENT SAYS YES)

326

Proxy Interview Field Test Instrument

Question ID:

H26B2

Was the total combined income in your household…{ READ CATEGORIES UNTIL RESPONDENT
SAYS YES.}
1

$30,000 to $34,999

2

$35,000 to $39,999

3

$40,000 to $49,999

4

$50,000 to $74,999

5

$75,000 to $99,999

6

$100,000 to $149,999

7

$150,000 to $199,999

8

$200,000 or more

ASK Description: Household respondents whose combined total household income is $30,000 or
more.
ASK Specification: IF UT_HHR = 1 AND H26a = 2.
DISPLAY: IF CONDITION = 2, DISPLAY "READ CATEGORIES UNTIL RESPONDENT SAYS YES.".
ELSE, DO NOT DISPLAY.
SAS Variable: H26B2
Tags: Change Request
Notes: Was the total combined income in your household… (CONDITION=2: READ CATEGORIES
UNTIL RESPONDENT SAYS YES)
Question ID:

H27

At any time during the past 12 months, did anyone who lives with you 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?
1

Yes

2

No

ASK Description: Household respondents.
ASK Specification: IF UT_HHR = 1.
PQID: new: modified from Survey of Income and Program Participation
SAS Variable: H27

327

Proxy Interview Field Test Instrument

Question ID:

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?
1

Almost all the time

2

Often

3

Once in a while

4

Hardly ever

5

Never

ASK Description: Household respondents.
ASK Specification: IF UT_HHR = 1.
PQID: new National Survey of Families and Households
SAS Variable: H28

328

Proxy Interview Field Test Instrument

Closing
Question ID:

ALL_END

{PLEASE CLICK ON THE SUBMIT BUTTON TO FINALIZE THE INTERVIEW/If you have any
questions or concerns about participating in the survey, please contact NSCS Survey Support at
1-855-849-6119. You can also email any questions or concerns to [email protected].
Thank you for participating in this study. We realize that some of the topics covered are quite
personal and can be difficult to think and talk about. We appreciate your willingness to be a
part of this study and want you to know that we recognize the important contribution you have
made. Sometimes when people have participated in a study like this, they realize that they are
interested in following up on some of the issues that they have been asked about in the study
with someone who is professionally trained to deal with these kinds of issues.
On the next screen you will see a list of the toll-free numbers of resources that you can use now
or in the future if you want to speak further with someone.}
ASK Description: All respondents.
DISPLAY: If CONDITION = 2, display "PLEASE CLICK ON THE SUBMIT BUTTON TO FINALIZE
THE INTERVIEW". Else if CONDITION = 3, display "If you have any... with someone".
Question ID:

SUBMITTED

{PLEASE CLOSE THIS WINDOW AND GO BACK TO THE IMS/You can reach the National
Domestic Violence Hotline at 1-800-799-SAFE. You can reach the National Center for Victims of
Crime at 1-202-467-8700. You can reach the National Child Abuse Hotline at 1-800-4-A-CHILD.
You can reach Victim Connect at 1-855-4-VICTIM.
That completes the survey. Thank you for your participation.
Please close your browser or the current tab to exit the survey.}
ASK Description: All respondents.
PROGRAM: ROUTING INSTRUCTIONS: If CONDITION = 2, close module and return to the IMS.
If CONDITION = 3, close module.
DISPLAY: If CONDITION = 2, display "PLEASE CLOSE... IMS". Else if CONDITION = 3, display
"You can... the survey.".

329