INTRO: This survey asks questions about possible experiences with crime during the past three years, that is since <month> of 2018. We estimate these questions will take approximately 3 minutes to complete.
In the last 3 years, did anyone break into your home, garage, storage unit or shed or get in without permission? Exclude break‐ins of vehicles or trespassing in a yard.
Yes
No
In the last 3 years, since <month> 2018, was a car, truck, or other motor vehicle belonging to anyone in your household ...
Stolen?
Yes
No
Vandalized or broken into?
Yes
No
Was anything else stolen from you in the last 3 years (For example: cash, a wallet, purse, watch, jewelry, cell phone, tablet, or anything else that might have been stolen.)?
Yes
No
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 3 years, has anyone vandalized your home, car, or something else that belongs to you?
Yes
No
In the last 3 years, has anyone physically attacked you?
Yes
No
In the last 3 years, has anyone threatened you with physical violence?
Yes
No
In the last 3 years, did you experience any type of unwanted sexual contact?
Yes
No
In the last 3 years, did anyone attempt any type of forced unwanted sexual contact? Include times when someone threatened or tried to force you but did not succeed.
Yes
No
If all responses 1-8=no, skip to question 16
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. Thinking about the crimes that happened to you in the past 3 years, do you think any of these were a hate crime targeted at you?
Yes GO TO 10
No GO TO 11
How many times in the past 3 years did you experience a hate crime?
Once (skip to 11)
More than once (show instruction)
For the remaining questions, please think about the most recent time you experienced a hate crime.
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?
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
If yes to any, move to 12
Do you think this was a hate crime targeted at any of the people you spend time with?
Yes (ask 14)
No (skip to question 16)
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?
Yes (ask 14)
No (skip to question 16)
Did any of the following things happen?
The offender(s) used language that indicated you were targeted for a hate crime because of your sex, religion, race or ethnicity, sexual orientation or gender identity, or a disability
Yes
No
There was something at the scene, such as a swastika or a burning cross, that made you think this was a hate crime
Yes
No
The police told you that this was a hate crime
Yes
No
From what you know, the offender(s) had committed similar hate crimes in the past
Yes
No
The incident happened around a holiday, event, or place commonly associated with a specific group
Yes
No
Other hate crimes had occurred in your local area or neighborhood
Yes
No
Something else happened that would suggest it was a hate crime.
Yes Specify: _____________
No
In your own words, please describe <the/the most recent> hate crime you experienced. What happened? Where did it happen? Did you know the offender? What made you think this was because of your [protected characteristic(s) indicated in survey, if applicable]. Please do not use proper names in describing the location or offender.
The last set of questions ask about your personal characteristics.
What is the highest level of education you have completed?
1 High School Graduate
2 Some College
3 College Graduate
4 Post-Graduate degree
What is your gender?
1 Male
2 Female
3 Transgender
4 None of these
Are you Spanish, Hispanic, or Latino?
1 Yes
No
Please choose one or more races that you consider yourself to be.
1 White
2 Black or African American
3 American Indian or Alaskan Native
4 Asian
5 Native Hawaiian or Other Pacific Islander
6 Other (specify ____________________ )
Which of the following age groups includes your age?
1 Under 18
2 18-25
3 26-34
4 35-49
5 50 or Older
Thank you for completing the survey. Please enter your email address to receive your $5 Amazon.com gift card ____________________________________.
We are interested in meeting with people who can help us review and improve a survey instrument that is designed to measure hate crimes or crimes of prejudice or bigotry targeted against a person’s characteristics or religious beliefs. We are looking for people who are willing to participate in private, one-on-one interviews using videoconferencing technology to test some new questions we have developed for this survey. Our goal is to learn whether the questions are understood and can be answered by most people. This information will be used to finalize survey questions for a national study.
Would you be interested in participating in a 60-minute interview with a researcher? People who complete the interview will be given a $40 Amazon.com gift card to compensate for the costs associated with data and internet usage.
Yes, I would be interested in participating.
Email address_________________________________
No, I do not want to participate in this study
INTRO: This survey asks questions about possible experiences with crime during the past three years, that is since <month> of 2018. We estimate these questions will take approximately 3 minutes to complete.
In the last 3 years, did anyone break into your home, garage, storage unit or shed or get in without permission? Exclude break‐ins of vehicles or trespassing in a yard.
Yes
No
In the last 3 years, since <month> 2018, was a car, truck, or other motor vehicle belonging to anyone in your household ...
Stolen?
Yes
No
Vandalized or broken into?
Yes
No
Was anything else stolen from you in the last 3 years (For example: cash, a wallet, purse, watch, jewelry, cell phone, tablet, or anything else that might have been stolen.)?
Yes
No
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 3 years, has anyone vandalized your home, car, or something else that belongs to you?
Yes
No
In the last 3 years, has anyone physically attacked you?
Yes
No
In the last 3 years, has anyone threatened you with physical violence?
Yes
No
In the last 3 years, did you experience any type of unwanted sexual contact?
Yes
No
In the last 3 years, did anyone attempt any type of forced unwanted sexual contact? Include times when someone threatened or tried to force you but did not succeed.
Yes
No
If all responses 1-8=no, skip to question 14
This next set of questions focuses on whether the offender may have been targeting you because of prejudice or bigotry toward those with your characteristics or religious beliefs, even if they thought you had certain characteristics or religious beliefs that you don’t actually have. It is different from the offender committing the act for other reasons, such as being angry or wanting to get something from you.
Thinking about the crimes that happened to you in the past 3 years, do you think any of these were done to you because the offender was targeting you due to prejudice or bigotry toward those with your…
Race, ethnic background, or national origin?
Yes
No
Religion?
Yes
No
Disability?
Yes
No
Sexual orientation (including being lesbian, gay, bisexual, or straight) or gender identity (including being intersex, transgender, or gender non-conforming)?
Yes
No
Sex (i.e., against males or females)?
Yes
No
Other characteristics, how you look or a group you are a part of?
Yes
Specify_________________________________
No
If yes to any, skip to 11
Do you think the offender did this because of the characteristics or religious beliefs of people you spend time with?
Yes (ask 11)
No (skip to question 14)
How many times in the past 3 years did you experience a crime because the offender was targeting <people with your characteristics or religious beliefs/because of the characteristics or religious beliefs of the people you spend time with>?
Once (skip to 12)
More than once (show instruction)
For the remaining questions, please think about the most recent time this happened to you.
Did any of the following things happen?
During the incident or leading up to it, did the offender(s) use language that indicated you were targeted because of your sex, religion, race, ethnicity, or national origin, sexual orientation or gender identity, or a disability?
Yes
No
Did the offender leave something at the scene referring to your characteristics or religion, such as graffiti with hurtful words, symbols or images, or a burning cross?
Yes
No
Did the police find that the offender had something against people with your characteristics or religious beliefs?
Yes
No
Did you know or learn that the offender(s) had committed similar crimes against people like you in the past?
Yes
No
Did the incident happen around a holiday, event, or place commonly associated with a specific group?
Yes
No
Were there other crimes against people like you in your local area or neighborhood?
Yes
No
Did something else happen that would suggest the offender had something against people with your characteristics or religious beliefs?
Yes Specify: _________________________________________
No
Do you believe the incident was a hate crime?
Yes (ask Q14)
No (skip to Q15)
Did you tell the police that you believe the incident was a hate crime?
Yes
No
The last set of questions ask about your personal characteristics.
What is the highest level of education you have completed?
1 High School Graduate
2 Some College
3 College Graduate
4 Post-Graduate degree
What is your gender?
1 Male
2 Female
3 Transgender
4 None of these
Are you Spanish, Hispanic, or Latino?
1 Yes
No
Please choose one or more races that you consider yourself to be.
1 White
2 Black or African American
3 American Indian or Alaskan Native
4 Asian
5 Native Hawaiian or Other Pacific Islander
6 Other (specify ____________________ )
Which of the following age groups includes your age?
1 Under 18
2 18-25
3 26-34
4 35-49
5 50 or Older
Thank you for completing the survey. Please enter your email address to receive your $5 Amazon.com gift card ____________________________________.
We are interested in meeting with people who can help us review and improve a survey instrument that is designed to measure hate crimes or crimes of prejudice or bigotry targeted against a person’s characteristics or religious beliefs. We are looking for people who are willing to participate in private, one-on-one interviews using videoconferencing technology to test some new questions we have developed for this survey. Our goal is to learn whether the questions are understood and can be answered by most people. This information will be used to finalize survey questions for a national study.
Would you be interested in participating in a 60-minute interview with a researcher? People who complete the interview will be given a $40 Amazon.com gift card to compensate for the costs associated with data and internet usage.
Yes, I would be interested in participating.
Email address_________________________________
No, I do not want to participate in this study
File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
Author | Lynn Langton |
File Modified | 0000-00-00 |
File Created | 2021-01-13 |