NIS-4 Questionnaire Specifications for Combined Instrume
Generic Clearance for Cognitive, Pilot and Field Studies for Bureau of Justice Statistics Data Collection Activities
Year 4 NIS Specification_9-1-19
National Inmate Survey Prisons (NIS-4) Pilot Test
OMB: 1121-0339
F
National Inmate Survey: Year 4
Questionnaire Specifications for Combined Instrument
9-1-19
A1 TYPE OF INTERVIEW:
ENGLISH MALE
ENGLISH FEMALE
SPANISH MALE
SPANISH FEMALE
DEFINE CONFIRM_FILL
IF A1 = 1 THEN CONFIRM_FILL = “AN ENGLISH INTERVIEW WITH A MALE INMATE”
IF A1 = 2 THEN CONFIRM_FILL = “AN ENGLISH INTERVIEW WITH A FEMALE INMATE”
IF A1 = 3 THEN CONFIRM_FILL = “A SPANISH INTERVIEW WITH A MALE INMATE”
IF A1 = 4 THEN CONFIRM_FILL = “A SPANISH INTERVIEW WITH A FEMALE INMATE”
A1_CONFIRM INTERVIEWER: YOU INDICATED YOU WANT TO ADMINISTER [CONFIRM_FILL]. IS THIS CORRECT?
YES
NO
PROGRAMMER: PLEASE ROUTE ‘NO’ RESPONSES BACK TO A1. DK/REF ARE NOT ALLOWED FOR THIS ITEM.
DEFINE GENDER:
IF A1 = 1 OR 3 THEN GENDER = 1
IF A1 = 2 OR 4 THEN GENDER = 2
INTRO As I mentioned before, the National Inmate Survey is a research study being done by the Bureau of Justice Statistics and RTI International, a not-for-profit research organization in North Carolina.
This interview will take about 35 minutes. Your name will never be connected with the information you provide in this interview. We will treat everything you say as private and confidential. We will not share any information you provide with anyone outside or at the facility or anyone who is not working on the project.
OMB INTERVIEWER: IF RESPONDENT ASKS ANY QUESTIONS ABOUT OMB APPROVAL FOR THIS STUDY, YOU MAY READ THE INFORMATION BELOW. OTHERWISE TOUCH THE NEXT BUTTON TO GO TO THE NEXT SCREEN.
Notice: Public reporting for this collection of information is estimated to average 35 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to the Director, Bureau of Justice Statistics, 810 Seventh Street, NW, Washington, DC 20531. An agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a currently valid OMB control number. The OMB control number for this project is XXXX-xxxx.
____________________
I2 ENTER YOUR INTERVIEWER ID NUMBER:
__________ [ALLOW 6 DIGITS]
I3 IS AN INCENTIVE BEING OFFERED TO INMATES AT THIS FACILITY?
YES
NO
Section A – Demographics (CAPI)
A2 In what year were you born?
4-DIGIT YEAR: _________
DK/REF
DEFINE CALCAGE:
CALCAGE = AGE CALCULATED BY SUBTRACTING A2 YEAR FROM CURRENT YEAR.
A3 [IF A2 NE (DK OR REF)] Are you CALCAGE – 1 or CALCAGE?
1 CALCAGE – 1
2 CALCAGE
DK/REF
UPDATE CALCAGE:
IF A3 = 1 THEN CALCAGE = CALCAGE - 1
ELSE CALCAGE = CALCAGE
A4 [IF (A2=DK OR REF) OR A3 = DK OR REF] How old are you?
AGE: ____________
DK/REF
UPDATE CALCAGE:
IF A4 NE BLANK OR DK OR REF THEN CALCAGE = A4
IF A4 = DK THEN CALCAGE = DK
IF A4 = RE THEN CALCAGE = RE
I4 [IF CALCAGE < 18] HAS THIS FACILITY APPROVED PARTICIPATION FOR 16 AND 17-YEAR OLDS?
NOTE: THIS INFORMATION IS INCLUDED IN SECTION ? OF THE FACILITY LOGISTICS PLAN.
1 YES
2 NO
A4a [IF CALCAGE < 16 AND I4 = 1] Thank you for your willingness to participate, but we cannot interview anyone who is younger than 16 for this study.
[IF CALCAGE < 18 AND 14 = 2] Thank you for your willingness to participate, but we cannot interview anyone who is younger than 18 for this study.
PRESS NEXT BUTTON TO END INTERVIEW.
Note to Programmers: Route these cases to M20
A4b [IF A4 = DK/REF] Thank you for your willingness to participate, but we cannot interview if we don’t know how old you are.
PRESS NEXT BUTTON TO END INTERVIEW.
Note to Programmers: Route these cases to M20
B1. How old were you the first time you were arrested or taken into custody for any offense?
AGE: ________________ [RANGE: 6 – CALCAGE]
DK/REF
A5 When were you admitted to this facility?
A5a. 2-DIGIT MONTH: _________ [RANGE: 1 – 12] DK/REF
A5b. 2-DIGIT DAY: ____________ [RANGE: 1 – 31] DK/REF
A5c. 4-DIGIT YEAR: ___________ [RANGE: 1915 – current year] DK/REF
A6 [IF A5a = DK/REF AND A5c NE DK OR REF] What time of year was it? Was it winter, spring, summer, or fall when you were admitted to this facility?
1 WINTER
2 SPRING
3 SUMMER
4 FALL
DK/REF
DEFINE CALCTIME:
CALCTIME = CALCULATED BY “SUBTRACTING” DATE OF INCARCERATION FROM DATE OF INTERVIEW AND THEN ROUNDING. (less than 2 months report as days; 2 – 11 months report as months; 12 months or more round to nearest year)
DEFINE DOAFILL1:
If facility admission date is at least 12 months ago then DOAFILL1 = During the past 12 months
If facility admission date is less than 12 months ago then DOAFILL1 = Since you arrived at this facility
DEFINE DOAFILL2:
If facility admission date is at least 12 months ago then DOAFILL2 = during the past 12 months
If facility admission date is less than 12 months ago then DOAFILL2 = since you arrived at this facility
A7 [IF CALCTIME NE 0 DAYS] That means you have been here for about [CALCTIME]. Is that correct?
1 YES
2 NO
A8 [IF (A5c=DK OR REF) OR CALCTIME=0 DAYS OR A7 = 2] How long have you been in this facility?
INTERVIEWER: PROBE THOROUGHLY TO AVOID A DK OR REFUSE RESPONSE IF AT ALL POSSIBLE.
1 LESS THAN 1 WEEK
2 AT LEAST 1 WEEK BUT LESS THAN 1 MONTH
3 AT LEAST 1 MONTH BUT LESS THAN 2 MONTHS
4 AT LEAST 2 MONTHS BUT LESS THAN 6 MONTHS
5 AT LEAST 6 MONTHS BUT LESS THAN 1 YEAR
6 AT LEAST 1 YEAR BUT LESS THAN 5 YEARS
7 AT LEAST 5 YEARS BUT LESS THAN 10 YEARS
8 10 YEARS OR MORE
DK/REF
UPDATE DOAFILL1:
IF A8 = 1 – 5 THEN DOAFILL1 = Since you arrived at this facility
IF A8 = 6 – 8 OR DK OR REF, THEN DOAFILL1 = During the past 12 months
UPDATE DOAFILL2:
IF A8 = 1 – 5 THEN DOAFILL2 = since you arrived at this facility
IF A8 = 6 – 8 OR DK OR REF, THEN DOAFILL2 = during the past 12 months
RANDOMIZATION: PROGRAMMER, PLEASE IMPLEMENT RANDOMIZING ROUTINE 95/5.
FH_1 [IF RANDOM = 5] Is this the only facility you’ve been held in during your current incarceration?
Yes
No
DK/REF
FH_2 [IF FH_1 = 2 OR DK OR REF] Including this one, how many prisons have you been held in during your current incarceration? Please do not include any jails you may have been held in before you were transferred to prison.
NUMBER OF PRISONS: _________ [RANGE: 1 – 15]
DK/REF
FH_3 [IF FH_2 = 2 OR MORE] What is the name of the first prison you were assigned to for your current incarceration?
PRISON NAME: ___________
DK/REF
[IF FH_2=3 OR MORE, LOOP FH_2 -- 1 TIMES. IN LOOP, REPLACE “first” with “next”]
A9a. Did you spend last night in disciplinary or administrative segregation, or solitary confinement?
YES
NO
DK/REF
A9b. [IF A9a = 1] How many days have you been in disciplinary or administrative segregation, or solitary confinement?
1 1 day or less
2 More than 1 day but less than 7 days
3 At least 7 days but less than 14 days
4 At least 14 days but less than 30 days
5 30 days or more
DK/REF
A9c. [IF A9a = 2 OR DK OR REF] Which of the following best describes the housing unit where you spent last night?
[IF A9a = 1] Which of the following best describes the housing unit in disciplinary or administrative segregation, or solitary confinement where you spent last night?
1 An open dorm
2 A dorm with cubicles
3 A unit with cells
4 A unit with rooms
5 An area not originally intended as housing, such as a gym, classroom, or day room
6 NONE OF THESE
DK/REF
A10. How tall are you?
Feet: ___________
Inches: _____________
DK/REF
C1 [NO AUDIO REQUIRED] You will complete the rest of this interview on your own using the computer and headphones. Before you start, we’ll go through a short practice session together so you can learn how to use this computer to answer the interview questions. After this introduction, I will move away from the computer and will not be able to see your answers so that you can take the interview in private.
You do not need the mouse or keyboard to answer questions. You can simply touch the buttons on the screen using your finger.
MOVE COMPUTER SO RESPONDENT CAN SEE THE SCREEN.
For each question, the answers will appear on the screen, like these yes and no answers. POINT TO YES AND NO ANSWERS ON SCREEN. When you have the headphones on you’ll also hear instructions that will help you know where to touch the screen. To choose an answer you will need to use your finger to touch the button next to your answer on the computer screen, like this.
PRESS YES BUTTON.
After you choose your answer, you must touch the NEXT button. TOUCH THE NEXT BUTTON.
C2 [NO AUDIO REQUIRED] If you want to go back to the previous question, this is the BACK button. POINT TO BACK BUTTON.
Now I will show you how to use the back button to go back to the previous question and change the answer to no.
NOW DEMONSTRATE USE OF BACK BUTTON BY PRESSING IT TO GO BACK TO THE PREVIOUS SCREEN AND CHANGE YOUR ANSWER TO NO. THEN RETURN TO THIS SCREEN BY PRESSING NEXT.
If you don’t know the answer to the question, touch the button next to DON’T KNOW [POINT TO DON’T KNOW] and then press NEXT. PRESS DON’T KNOW BUTTON AND THEN NEXT.
C3 [NO AUDIO REQUIRED] If you don’t want to answer the question, you can touch the button next to REFUSE [POINT TO THE REFUSE BUTTON]and then press NEXT to go to the next question. PRESS REFUSE BUTTON AND THEN NEXT.
C4 [NO AUDIO REQUIRED] If you want the computer to read the question again, you can press the AUDIO button [POINT TO AUDIO BUTTON].
C5 [NO AUDIO REQUIRED] You can adjust the volume here [DEMONSTRATE VOLUME ADJUSTMENT, ON THE HEADPHONE CORD]. Or if you want to turn the volume off you can adjust it on your headphones or take your headphones off.
Please put on your headphones. When you are ready, let me know.
MOVE COMPUTER SO RESPONDENT CAN USE IT. ONCE RESPONDENT HAS HEADPHONES ON, TOUCH THE NEXT BUTTON SO RESPONDENT CAN BEGIN PRACTICE SESSION.
PLAY AUDIO FOR ALL FOLLOWING SCREENS
C6 This screen will play while you adjust the volume in your headphones. When you have adjusted the volume to a level that is comfortable to you, touch the NEXT button to continue with the practice session.
C7 For the rest of this interview you will control the interview and answer in complete privacy. You can read the questions on the computer screen and hear them read through the headphones. Nobody, not even your interviewer will know how you answer the questions. [IF CALAGE = 16 OR 17] Because you are under 18 I want to remind you that if you speak to your interviewer about any abuse you have experienced at this facility the interviewer or his or her supervisor may need to report it to the agency in this state that investigates abuse.
First, you will learn how to use the system and complete some practice questions.
Touch the NEXT button on your screen.
C8 After you hear the question, you will hear the possible answers. To answer the question, use your finger to touch the button on the screen next to your answer and then touch the NEXT button.
Do you like ice cream?
1 Yes
2 No
Don’t Know
Refuse to Answer
C10 For some questions you will enter your answer using a keypad like the one shown below. Try using the keypad to answer the question below. If you need to change your answer touch the “X” button in the lower right corner of the keypad to remove what you have already entered and then put in a new answer. After you answer the question, touch the NEXT button.
How many brothers and sisters do you have?
[RANGE: 0 – 999]
C11 Sometimes there will be more than one question to answer on a screen like the example shown below. For these questions the answer choices and the Refused and Don’t Know buttons are shown to the right of each question. Try answering the questions below and then touch the NEXT button to go to the next screen.
Has a doctor or other health care provider ever told you that you are allergic to…
-
Yes
No
C11a. Pollen?
1
2
C11b. Dust?
1
2
C11c. Mold?
1
2
DK/REF
C14 If you have any questions, ask your interviewer now. If not, tell the interviewer you are ready to begin and he or she will move away from the computer.
Touch the NEXT button when you are ready to begin.
CONTINUATION OF SECTION A: DEMOGRAPHICS
A11 Are you of Hispanic, Latino, or Spanish origin?
1 Yes
2 No
DK/REF
A12 [IF A11 = 1] Which of these categories describes your origin or descent?
-
Yes
No
A12a. Mexican-American?
1
2
A12b. Mexican?
1
2
A12c. Cuban?
1
2
A12d. Puerto Rican or other Caribbean?
1
2
A12e. Central or South American Spanish?
1
2
A12f. Some other Spanish group?
1
2
DK/REF
A13 Which of these categories describes your race?
You may answer yes to one or more of these categories.
-
Yes
No
A13a. White?
1
2
A13b. Black or African American?
1
2
A13c. American Indian or Alaska Native?
1
2
A13d. Asian?
1
2
A13e. Native Hawaiian or other Pacific Islander?
1
2
DK/REF
A16 How much do you currently weigh in pounds?
CURRENT WEIGHT: __________________ [RANGE: 50 – 700]
DK/REF
A17 Did you graduate from high school?
1 Yes
2 No
DK/REF
A18 [IF A17 = 1] Did you receive a high school diploma or a GED for finishing high school?
1 A high school Diploma
2 A GED
DK/REF
A19 [If A17 = 2] Did you receive a GED?
1 Yes
2 No
DK/REF
A20 [IF A17 =1 OR A19 =1] What is the highest level of school you have completed?
1 High school or GED
2 Some college but you did not receive a degree
3 Associate Degree
4 Bachelor’s Degree
5 An advanced degree such as a Master’s, MBA, or PhD
DK/REF
A21 [IF A17 =2 AND A19 =2] Did you attend high school?
1 Yes
2 No
DK/REF
V1. Have you ever served in the United States Armed Forces?
1 Yes
2 No
DK/REF
V2 [IF V1 = 1 OR DK OR REF] Have you served in the…
-
Yes
No
V2a. Army, including the Army National Guard or Reserve?
1
2
V2b. Navy, including the Reserve?
1
2
V2c. Marine Corps, including the Reserve?
1
2
V2d. Air Force, including the Air National Guard or Reserve?
1
2
V2e. Coast Guard, including the Reserve?
1
2
DK/REF
V4 [IF V1 = 1 OR V2a = 1 OR V2b = 1 OR V2c = 1 OR V2d = 1 OR V2e = 1] Are you currently serving in the United States Armed Forces?
Yes
No
DK/REF
V8 [IF V4 = 2] What type of discharge did you receive from the United States Armed Forces?
Honorable
General under honorable conditions
Other than honorable
Bad conduct
Dishonorable
Some other type of discharge
DK/REF
A22. Are you a U.S. citizen?
Yes
No
DK/REF
Section B – Criminal History
B0. These next questions are about your experience with crime and the criminal justice system.
Touch the NEXT button to go to the next screen.
B2. Altogether, how many times have you been arrested or taken into custody for any offense?
1 One time
2 2-3 times
3 4-10 times
4 11 times or more
DK/REF
B3. Before you were admitted to this facility, had you ever spent time as an adult or juvenile in a prison, jail, or other correctional facility?
1 Yes
2 No
DK/REF
B4. Are you currently in this facility because you have been sentenced to serve time for an offense?
1 Yes
2 No
DK/REF
B5. [IF B4 = 2 OR DK OR REF] Are you currently being held in this facility for a property offense? Property offenses include crimes like burglary, larceny, theft, auto theft, bad checks, fraud, forgery, arson, or possession of stolen goods.
1 Yes
2 No
DK/REF
B6. [IF B4 = 2 OR DK OR REF] Are you currently being held in this facility for a drug offense? Drug offenses include crimes like possessing, selling, trafficking, importing, smuggling, or manufacturing illegal drugs or drug paraphernalia.
1 Yes
2 No
DK/REF
B7. [IF B4 = 2 OR DK OR REF] Are you currently being held in this facility for a violent offense? Violent offenses include crimes like physical or sexual assault, rape, robbery, manslaughter, murder, attempted murder, or kidnapping.
1 Yes
2 No
DK/REF
B8. [IF B4 = 2 OR DK OR REF] Are you currently being held in this facility for other crimes against people? Other crimes against people include crimes like vehicular homicide, hit and run, reckless endangerment, child neglect, harassment, or stalking.
1 Yes
2 No
DK/REF
B9. [IF B4 = 2 OR DK OR REF] Are you currently being held in this facility for a sexual offense? Sexual offenses include crimes like rape, statutory rape, sexual assault, child molestation, pornography, incest, or indecent exposure.
1 Yes
2 No
DK/REF
B10. [IF B4 = 2 OR DK OR REF] Are you currently being held in this facility for a probation, parole, or community supervision violation?
1 Yes
2 No
DK/REF
B28. [IF B4 = 2 OR DK OR REF] Are you currently being held in this facility for a weapons offense? These offenses include things like possessing an illegal or stolen weapon, illegally discharging a firearm, using a weapon during the commission of a crime, or violating probation, parole, or community supervision by possessing a firearm.
Yes
No
DK/REF
B12. [IF B4 = 2 OR DK OR REF] Are you currently being held in this facility for driving under the influence or driving while intoxicated?
1 Yes
2 No
DK/REF
B11. [IF B4 = 2 OR DK OR REF] Are you currently being held in this facility for a procedural violation? Procedural violations include things like failure to appear in court, violating a restraining order, failure to obey a lawful order of a police officer, contempt, escape, resisting arrest without violence, or a regulatory or tax offense.
1 Yes
2 No
DK/REF
B13. [IF B4 = 2 OR DK OR REF] Are you currently being held in this facility for some other offense? Other offenses include crimes like loitering, prostitution, gambling, drunkenness, disorderly conduct, trespassing, minor traffic violations, or immigration violations.
1 Yes
2 No
DK/REF
B14. [IF B4 = 1] Are you currently sentenced and serving time in this facility for a property offense? Property offenses include crimes like burglary, larceny, theft, auto theft, bad checks, fraud, forgery, arson, or possession of stolen goods.
1 Yes
2 No
DK/REF
B15. [IF I0 = 2 OR IF B4 = 1] Are you
currently sentenced and serving time in this facility for a drug
offense? Drug offenses include crimes like possessing, selling,
trafficking, importing, smuggling, or manufacturing illegal drugs or
drug paraphernalia.
1 Yes
2 No
DK/REF
B16. [IF B4 = 1] Are you currently sentenced and serving time in this facility for a violent offense? Violent offenses include crimes like physical or sexual assault, rape, robbery, manslaughter, murder, attempted murder, or kidnapping.
1 Yes
2 No
DK/REF
B17. [IF B4 = 1] Are you currently sentenced and serving time in this facility for other crimes against people? Other crimes against people include crimes like vehicular homicide, hit and run, reckless endangerment, child neglect, harassment, or stalking.
1 Yes
2 No
DK/REF
B18. [IF B4 = 1] Are you currently sentenced and serving time in this facility for a sexual offense? Sexual offenses include crimes like rape, statutory rape, sexual assault, child molestation, pornography, incest, or indecent exposure.
1 Yes
2 No
DK/REF
B19. [IF B4 = 1] Are you currently sentenced and serving time in this facility for a probation, parole, or community supervision violation?
1 Yes
2 No
DK/REF
B29. [IF B4 = 1] Are you currently sentenced and serving time in this facility for a weapons offense? These offenses include things like possessing an illegal or stolen weapon, illegally discharging a firearm, using a weapon during the commission of a crime, or violating probation, parole, or community supervision by possessing a firearm.
Yes
No
DK/REF
B21. [IF B4 = 1] Are you currently sentenced and serving time in this facility for driving under the influence or driving while intoxicated?
1 Yes
2 No
DK/REF
B20. [IF B4 = 1] Are you currently sentenced and serving time in this facility for a procedural violation? Procedural violations include things like failure to appear in court, violating a restraining order, failure to obey a lawful order of a police officer, contempt, escape, resisting arrest without violence, or a regulatory or tax offense.
1 Yes
2 No
DK/REF
B22. [IF B4 = 1] Are you currently sentenced and serving time in this facility for some other offense? Other offenses include crimes like loitering, prostitution, gambling, drunkenness, disorderly
conduct, trespassing, minor traffic violations, or immigration violations.
1 Yes
2 No
DK/REF
B23. [IF B4 = 1 OR DK OR REF Are you currently serving a life sentence or a life sentence without parole?
1 Yes
2 No
DK/REF
B24. [IF B23 = 2 OR DK OR REF] Are you currently serving a death sentence?
Yes
No
DK/REF
B25. [IF B24 = 2 OR DK OR REF) What is your total maximum sentence length for all of the sentences you are serving?
1 Less than 1 year
2 At least 1 year but less than 5 years
3 At least 5 years but less than 10 years
4 At least10 years but less than 20 years
5 20 years or more
DK/REF
SECTION D: MISCELLANEOUS
D1 Are you currently married, widowed, divorced or separated, or have you never married?
1 Married
2 Widowed
3 Divorced
4 Separated (For reasons other than incarceration)
5 Never married
DK/REF
D2a [IF GENDER = 1] Which of the following best represents how you think of yourself?
Gay
Straight, that is, not gay
Bisexual, that is, you are sexually attracted to both men and women
Something else
DK/REF
D2b [IF GENDER = 2] Which of the following best represents how you think of yourself?
Lesbian or gay
Straight, that is, not lesbian or gay
Bisexual, that is, you are sexually attracted to both men and women
Something else
DK/REF
D3a What sex was recorded on your original birth certificate?
Male
Female
DK/REF
D3b Do you currently think of yourself as…?
Male
Female
Transgender
4 None of these
DK/REF
RANDOM = 5, SKIP TO D12
D6 [IF GENDER = 2] Before you entered this facility, had anyone ever physically forced you to have sex or sexual contact – that is unwanted touching of the breasts, genitals, or butt, or vaginal, oral, or anal sex?
[IF GENDER = 1] Before you entered this facility, had anyone ever physically forced you to have sex or sexual contact – that is unwanted touching of the genitals or butt, or vaginal, oral, or anal sex?
1 Yes
2 No
DK/REF
D7 [IF GENDER=2] Before you entered this facility, had anyone ever pressured you or made you feel you had to have sex or sexual contact – that is unwanted touching of the breasts, genitals, or butt, or vaginal, oral, or anal sex?
[IF GENDER = 1] Before you entered this facility, had anyone ever pressured you or made you feel you had to have sex or sexual contact – that is unwanted touching of the genitals or butt, or vaginal, oral, or anal sex?
1 Yes
2 No
DK/REF
DEFINE SEXTYPE1:
IF D6 = 1 AND D7 NE 1, SEXTYPE1 = “physically forced”
IF D6 NE 1 AND D7 =1, SEXTYPE1 = “pressured or made to feel that you had”
IF D6 = 1 AND D7 = 1, SEXTYPE1 = “physically forced, pressured, or made to feel that you had”
ELSE SEXTYPE1 = BLANK
D8 [IF D6 =1 OR D7 = 1] How many times were you [SEXTYPE1 FILL] to have sex or sexual contact before you entered this facility?
1 1 time
2 2 times
3 3 – 10 times
4 11 times or more
DK/REF
D9 [IF D8 NE 1 AND SEXTYPE1 NE BLANK AND CALCAGE = 18 OR OLDER] Were you [SEXTYPE1 FILL] to have sex or sexual contact before you were 18 years old, after you turned 18, or both?
1 Before you were 18
2 After you turned 18
3. Both
DK/REF
D10 [IF D8 = 1 AND CALCAGE = 18 OR OLDER] Were you [SEXTYPE1 FILL] to have sex or sexual contact before you were 18 years old?
1 Yes
2 No
DK/REF
D11 [IF (D6 = 1 OR D7 = 1) AND B3=1] Before you entered this facility, were you [SEXTYPE1 FILL] to have sex or sexual contact while you were an adult or juvenile in a jail, prison, or other correctional facility?
1 Yes
2 No
DK/REF
RANDOM = 95, SKIP TO SECTION E
RANDOM = 5
D12 Now think about the six months before you were incarcerated.
During the six months before you were incarcerated, did you live for most of the time…
In your own house or apartment, meaning your name was on the title, mortgage, or lease
In someone else’s house or apartment, including your parents’ place
In a residential treatment facility
In a transitional housing facility or halfway house
In a shelter
On the street or you were homeless
In no set place or you moved around a lot
In some other place or situation
DK/REF
D13 Have you ever had a job working for pay?
Yes
No
DK/REF
D14 At any point during the 6 months before you were incarcerated, did you have a job where you worked for pay?
Yes
No
DK/REF
D15 How did you support yourself during the six months before you were incarcerated?
-
Yes
No
D15a A job?
1
2
D15b Support from your family?
1
2
D15c Support from your friends?
1
2
D15d A government program or public assistance?
1
2
D15e Illegal income?
1
2
D15f Some other type of support?
1
2
DK/REF
D16 Still thinking about the six months before you were incarcerated, had anyone you were living with at that time ever been in jail, prison, or some other correctional institution?
Yes
No
DK/REF
D17 At the time you became incarcerated, how many children under the age of 18 did you have? Please count all children that you consider yourself to be a parent of.
NUMBER OF CHILDREN: __________ [RANGE 0-25]
DK/REF
D18 [IF D17 > 0] During the six months before you were incarcerated, how many of those [D17_FILL] children lived with you?
CHILDREN LIVED WITH R: ____________ [RANGE 01-25]
DK/REF
D19 Have any of your parents or guardians ever been incarcerated in a prison or jail?
Yes
No
DK/REF
D20 [IF D19 = 1] Are any of your parents or guardians currently incarcerated in a prison or jail?
Yes
No
DK/REF
D21 Have any of your brothers or sisters ever been incarcerated in a prison or jail?
Yes
No
I do not have any brothers or sisters
DK/REF
D22 [IF D21 = 1] Are any of your brothers or sisters currently incarcerated in a prison or jail?
Yes
No
DK/REF
D23 Think about the people you considered to be your closest friends before you were incarcerated. Had any of those close friends ever been incarcerated in a prison or jail?
Yes
No
DK/REF
D24 [IF D23 = 1] Are any of those close friends currently incarcerated in a prison or jail?
Yes
No
DK/REF
RANDOM = 5, SKIP TO SECTION CE
Section E: Sexual Activity with Inmates
E1 These next questions are about both wanted and unwanted sex or sexual contact you have had with other inmates in this facility DOAFILL2.
Touch the NEXT button to go to the next screen.
DEFINE forced:
If at least one of (E16, E18, E22, E24, E26, E28, E32, E34) is YES,
then forced = YES
else forced = NO
DEFINE pressured:
If at least one of (E17, E19, E23, E25, E27, E29, E33, E35) is YES,
then pressured = YES
else pressured = NO
DEFINE ForcedOrPressuredFill2:
If forced = YES AND pressured = NO
then forcedOrPressuredFill2 = “physically forced to”
Else if forced = NO AND pressured = YES
then forcedOrPressuredFill2 = “pressured or made to feel that you had to”
Else if forced = YES AND pressured = YES
then forcedOrPressuredFill2 = “physically forced, pressured, or made to feel that you had to”
Else
forcedOrPressuredFill2 = “????”
Note that if forced and pressured are both NO, the fill won’t be used so it doesn’t matter what it is.
E36 [IF GENDER = 1 AND (E22 = 1 OR E23 = 1 OR E26 = 1 OR E27 = 1 OR E32 = 1 OR E33 = 1)] DOAFILL1, how many times altogether were you [ForcedOrPressuredFill2]:
[IF E22 OR E23 = 1] Give or receive a handjob,
[IF E26 OR E27 = 1] Give or receive oral sex or a blowjob, or
[IF E32 OR E33 = 1] Have anal sex?
1 1 time
2 2 times
3 3 – 10 times
4 11 times or more
DK/REF
E36a [IF E36 = 3] DOAFILL1, how many times altogether were you [ForcedOrPressuredFill2:
[IF E22 OR E23 = 1] Give or receive a handjob,
[IF E26 OR E27 = 1] Give or receive oral sex or a blowjob, or
[IF E32 OR E33 = 1] Have anal sex?
1 3 times
2 4 times
3 5 times
4 6 times
5 7 times
6 8 times
7 9 times
8 10 times
DK/REF
E36b [IF E36 = 4] DOAFILL1, how many times altogether were you [ForcedOrPressuredFill2]:
[IF E22 OR E23 = 1] Give or receive a handjob,
[IF E26 OR E27 = 1] Give or receive oral sex or a blowjob, or
[IF E32 OR E33 = 1] Have anal sex?
NUMBER OF TIMES: _______________ [RANGE: 11 – 300]
DK/REF
E37 [IF GENDER = 2 AND (E24 = 1 OR E25 = 1 OR E28 = 1 OR E29 = 1 OR E32 = 1 OR E33 = 1)] DOAFILL1, how many times altogether were you [ForcedOrPressuredFill2]:
[IF E24 OR E25 = 1] Give or receive oral sex,
[IF E28 OR E29 = 1] Have vaginal sex, or
[IF E32 OR E33 = 1] Have anal sex?
1 1 time
2 2 times
3 3 – 10 times
4 11 times or more
DK/REF
E37a [IF E37 = 3] DOAFILL1, how many times altogether were you [ForcedOrPressuredFill2]:
[IF E24 OR E25 = 1] Give or receive oral sex,
[IF E28 OR E29 = 1] Have vaginal sex, or
[IF E32 OR E33 = 1] Have anal sex?
1 3 times
2 4 times
3 5 times
4 6 times
5 7 times
6 8 times
7 9 times
8 10 times
DK/REF
E37b [IF E37 = 4] DOAFILL1, how many times altogether were you [ForcedOrPressuredFill2]:
[IF E24 OR E25 = 1] Give or receive oral sex,
[IF E28 OR E29 = 1] Have vaginal sex, or
[IF E32 OR E33 = 1] Have anal sex?
NUMBER OF TIMES: _______________ [RANGE: 11 – 300]
DK/REF
E38 [IF E16 = 1 OR E17 = 1] DOAFILL1, how many times altogether were you [ForcedOrPressuredFill2 let another inmate touch your butt, thighs, or penis in a sexual way?
1 1 time
2 2 times
3 3 – 10 times
4 11 times or more
DK/REF
E38a [IF E38 = 3] DOAFILL1, how many times altogether were you [ForcedOrPressuredFill2] let another inmate touch your butt, thighs, or penis in a sexual way:
1 3 times
2 4 times
3 5 times
4 6 times
5 7 times
6 8 times
7 9 times
8 10 times
DK/REF
E38b [IF E38 = 4] DOAFILL1, how many times altogether were you [ForcedOrPressuredFill2] let another inmate touch your butt, thighs, or penis in a sexual way:
NUMBER OF TIMES: _______________ [RANGE: 11 – 300]
DK/REF
E39 [IF E18 = 1 OR E19 = 1] DOAFILL1, how many times altogether were you [ForcedOrPressuredFill2] let another inmate touch your thighs, breasts, or vagina in a sexual way?
1 1 time
2 2 times
3 3 – 10 times
4 11 times or more
DK/REF
E39a [IF E39 = 3] DOAFILL1, how many times altogether were you [ForcedOrPressuredFill2] let another inmate touch your thighs, breasts, or vagina in a sexual way:
1 3 times
2 4 times
3 5 times
4 6 times
5 7 times
6 8 times
7 9 times
8 10 times
DK/REF
E39b [IF E39 = 4] DOAFILL1, how many times altogether were you [ForcedOrPressuredFill2] let another inmate touch your thighs, breasts, or vagina in a sexual way:
NUMBER OF TIMES: _______________ [RANGE: 11 – 300]
DK/REF
E40 [IF E36 > 1 OR E37 > 1] How soon after you arrived at this facility were you [ForcedOrPressuredFill2] have sex or sexual contact with another inmate for the first time?
[IF E36 = 1 OR E37 = 1] How soon after you arrived at this facility were you [ForcedOrPressuredFill2] have sex or sexual contact with another inmate?
1 Within the first 24 hours after you arrived here
2 More than 24 hours but within your first 3 days here
3 More than 3 days but within your first 30 days here
4 More than 30 days but within your first 6 months here
5 More than 6 months but within your first 12 months here
6 More than 12 months after you arrived here
DK/REF
LCM1 DOAFILL1, did another inmate use physical force, pressure you, or make you feel that you had to have any type of sex or sexual contact?
1 Yes
2 No
DK/REF
LCM2a How long has it been since another inmate in this facility used physical force, pressured you, or made you feel that you had to have any type of sex or sexual contact?
1 Within the past 7 days
2 More than 7 days ago but within the past 30 days
3 More than 30 days ago but within the past 12 months
4 More than 12 months ago
5 This has not happened to me at this facility
DK/REF
E162 [IF E2 = 2 AND E6 = 2 AND E8 = 2 AND E12 = 2 AND E14 = 2 AND (LCM1 = 1 OR LCM2a = 1 OR 2 OR 3)] DOAFILL1, did another inmate use physical force to touch your butt, thighs, or penis in a sexual way?
1 Yes 2 No DK/REF
E172 [IF E2 = 2 AND E6 = 2 AND E8 = 2 AND E12 = 2 AND E14 = 2 AND (LCM1 = 1 OR LCM2a = 1 OR 2 OR 3)] DOAFILL1, did another inmate, without using physical force, pressure you or make you feel that you had to let them touch your butt, thighs, or penis in a sexual way?
1 Yes 2 No DK/REF |
|
|
E182 [IF E2 = 2 AND E8 = 2 AND E10 = 2 AND E12 = 2 AND E14 = 2 AND (LCM1 = 1 OR LCM2a = 1 OR 2 OR 3)] DOAFILL1, did another inmate use physical force to touch your butt, thighs, breasts, or vagina in a sexual way?
1 Yes 2 No DK/REF
E192 [IF E2 = 2 AND E8 = 2 AND E10 = 2 AND E12 = 2 AND E14 = 2 AND (LCM1 = 1 OR LCM2a = 1 OR 2 OR 3)] DOAFILL1, did another inmate, without using physical force, pressure you or make you feel that you had to let them touch your butt, thighs, breasts, or vagina in a sexual way?
1 Yes 2 No DK/REF |
E222 [IF E2 = 2 AND E6 = 2 AND E8 = 2 AND AND E12 = 2 AND E14 = 2 AND (LCM1 = 1 OR LCM2a = 1 OR 2 OR 3)] DOAFILL1, did another inmate use physical force to make you give or receive a handjob?
1 Yes 2 No DK/REF
E232 [IF E2 = 2 AND E6 = 2 AND E8 = 2 AND AND E12 = 2 AND E14 = 2 AND (LCM1 = 1 OR LCM2a = 1 OR 2 OR 3)] DOAFILL1, did another inmate, without using physical force, pressure you or make you feel that you had to give or receive a handjob?
1 Yes 2 No DK/REF |
|
|
E242 [IF E2 = 2 AND E8 = 2 AND E10 = 2 AND E12 = 2 AND E14 = 2 AND (LCM1 = 1 OR LCM2a = 1 OR 2 OR 3)] DOAFILL1, did another inmate use physical force to make you give or receive oral sex?
1 Yes 2 No DK/REF
E252 [IF E2 = 2 AND E8 = 2 AND E10 = 2 AND E12 = 2 AND E14 = 2 AND (LCM1 = 1 OR LCM2a = 1 OR 2 OR 3)] DOAFILL1, did another inmate, without using physical force, pressure you or make you feel that you had to give or receive oral sex?
1 Yes 2 No DK/REF |
E262 [IF E2 = 2 AND E6 = 2 AND E8 = 2 AND E12 = 2 AND E14 = 2 AND (LCM1 = 1 OR LCM2a = 1 OR 2 OR 3)] DOAFILL1, did another inmate use physical force to make you give or receive oral sex or a blowjob?
1 Yes 2 No DK/REF
E272 [IF E2 = 2 AND E6 = 2 AND E8 = 2 AND E12 = 2 AND E14 = 2 AND (LCM1 = 1 OR LCM2a = 1 OR 2 OR 3)] DOAFILL1, did another inmate, without using physical force, pressure you or make you feel that you had to give or receive oral sex or a blowjob?
1 Yes 2 No DK/REF |
|
|
E282 [IF E2 = 2 AND E8 = 2 AND E10 = 2 AND E12 = 2 AND E14 = 2 AND (LCM1 = 1 OR LCM2a = 1 OR 2 OR 3)] DOAFILL1, did another inmate use physical force to make you have vaginal sex?
1 Yes 2 No DK/REF
E292 [IF E2 = 2 AND E8 = 2 AND E10 = 2 AND E12 = 2 AND E14 = 2 AND (LCM1 = 1 OR LCM2a = 1 OR 2 OR 3)] DOAFILL1, did another inmate, without using physical force, pressure you or make you feel that you had to have vaginal sex?
1 Yes 2 No DK/REF
|
E322 [IF E2 = 2 AND E6 = 2 AND E8 = 2 AND E12 = 2 AND E14 = 2 AND (LCM1 = 1 OR LCM2a = 1 OR 2 OR 3)] DOAFILL1, did another inmate use physical force to make you have anal sex?
1 Yes 2 No DK/REF
E332 [IF E2 = 2 AND E6 = 2 AND E8 = 2 AND E12 = 2 AND E14 = 2 AND (LCM1 = 1 OR LCM2a = 1 OR 2 OR 3)] DOAFILL1, did another inmate, without using physical force, pressure you or make you feel that you had to have anal sex?
1 Yes 2 No DK/REF |
E322 [IF E2 = 2 AND E8 = 2 AND E10 = 2 AND E12 = 2 AND E14 = 2 AND (LCM1 = 1 OR LCM2a = 1 OR 2 OR 3)] DOAFILL1, did another inmate use physical force to make you have anal sex?
1 Yes 2 No DK/REF
E332 [IF E2 = 2 AND E8 = 2 AND E10 = 2 AND E12 = 2 AND E14 = 2 AND (LCM1 = 1 OR LCM2a = 1 OR 2 OR 3)] DOAFILL1, did another inmate, without using physical force, pressure you or make you feel that you had to have anal sex?
1 Yes 2 No DK/REF |
E342 [IF E2 = 2 AND E6 = 2 AND E8 = 2 AND E12 = 2 AND E14 = 2 AND (LCM1 = 1 OR LCM2a = 1 OR 2 OR 3)] DOAFILL1, did another inmate use physical force to make you have any type of sex or sexual contact other than sexual touching, handjobs, oral sex or blowjobs, or anal sex?
1 Yes 2 No DK/REF
E352 [IF E2 = 2 AND E6 = 2 AND E8 = 2 AND E12 = 2 AND E14 = 2 AND (LCM1 = 1 OR LCM2a = 1 OR 2 OR 3)] DOAFILL1, did another inmate, without using physical force, pressure you or make you feel that you had to have any type of sex or sexual contact other than sexual touching, handjobs, oral sex or blowjobs, or anal sex?
1 Yes 2 No DK/REF |
E342 [IF E2 = 2 AND E8 = 2 AND E10 = 2 AND E12 = 2 AND E14 = 2 AND (LCM1 = 1 OR LCM2a = 1 OR 2 OR 3)] DOAFILL1, did another inmate use physical force to make you have any type of sex or sexual contact other than sexual touching, oral sex, vaginal sex, or anal sex?
1 Yes 2 No DK/REF
E352 [IF E2 = 2 AND E8 = 2 AND E10 = 2 AND E12 = 2 AND E14 = 2 AND (LCM1 = 1 OR LCM2a = 1 OR 2 OR 3)] DOAFILL1, did another inmate, without using physical force, pressure you or make you feel that you had to have any type of sex or sexual contact other than sexual touching, oral sex, vaginal sex, or anal sex?
1 Yes 2 No DK/REF |
UPDATE forced:
If at least one of (E162, E182, E222, E242, E262, E282, E322, E342) is YES,
then forced = YES
else forced = NO
UPDATE pressured:
If at least one of (E172, E192, E232, E252, E272, E292, E332, E352) is YES,
then pressured = YES
else pressured = NO
UPDATE ForcedOrPressuredFill2:
If forced = YES AND pressured = NO
then forcedOrPressuredFill2 = “physically forced to”
Else if forced = NO AND pressured = YES
then forcedOrPressuredFill2 = “pressured or made to feel that you had to”
Else if forced = YES AND pressured = YES
then forcedOrPressuredFill2 = “physically forced, pressured, or made to feel that you had to”
Else
forcedOrPressuredFill2 = “????”
[Note that if forced and pressured are both NO, the fill won’t be used so it doesn’t matter what it is.]
E353 [IF GENDER = 1 AND (E222 = 1 OR E232 = 1 OR E262 = 1 OR E272 = 1 OR E322 = 1 OR E332 = 1)] DOAFILL1, how many times altogether were you [ForcedOrPressuredFill2:
[IF E222 OR E232 = 1] Give or receive a handjob,
[IF E262 OR E272 = 1] Give or receive oral sex or a blowjob, or
[IF E322 OR E332 = 1] Have anal sex?
1 1 time
2 2 times
3 3 – 10 times
4 11 times or more
DK/REF
E354 [IF E353 = 3] DOAFILL1, how many times altogether were you [ForcedOrPressuredFill2]:
[IF E222 OR E232 = 1] Give or receive a handjob,
[IF E262 OR E272 = 1] Give or receive oral sex or a blowjob, or
[IF E322 OR E332 = 1] Have anal sex?
1 3 times
2 4 times
3 5 times
4 6 times
5 7 times
6 8 times
7 9 times
8 10 times
DK/REF
E355 [IF E353 = 4] DOAFILL1, how many times altogether were you [ForcedOrPressuredFill2]:
[IF E222 OR E232 = 1] Give or receive a handjob,
[IF E262 OR E272 = 1] Give or receive oral sex or a blowjob, or
[IF E322 OR E332 = 1] Have anal sex?
NUMBER OF TIMES: _______________ [RANGE: 11 – 300]
DK/REF
E356 [IF GENDER = 2 AND (E242 = 1 OR E252 = 1 OR E282 = 1 OR E292 = 1 OR E322 = 1 OR E332 = 1)] DOAFILL1, how many times altogether were you [ForcedOrPressuredFill2]:
[IF E242 OR E252 = 1] Give or receive oral sex,
[IF E282 OR E292 = 1] Have vaginal sex, or
[IF E322 OR E332 = 1] Have anal sex?
1 1 time
2 2 times
3 3 – 10 times
4 11 times or more
DK/REF
E357 [IF E356 = 3] DOAFILL1, how many times altogether were you [ForcedOrPressuredFill2]:
[IF E242 OR E252 = 1] Give or receive oral sex,
[IF E282 OR E292 = 1] Have vaginal sex, or
[IF E322 OR E332 = 1] Have anal sex?
1 3 times
2 4 times
3 5 times
4 6 times
5 7 times
6 8 times
7 9 times
8 10 times
DK/REF
E358 [IF E356 = 4] DOAFILL1, how many times altogether were you [ForcedOrPressuredFill2]:
[IF E242 OR E252 = 1] Give or receive oral sex,
[IF E282 OR E292 = 1] Have vaginal sex, or
[IF E322 OR E332 = 1] Have anal sex?
NUMBER OF TIMES: _______________ [RANGE: 11 – 300]
DK/REF
E359 [IF E162 = 1 OR E172 = 1] DOAFILL1, how many times altogether were you [ForcedOrPressuredFill2] let another inmate touch your butt, thighs, or penis in a sexual way?
1 1 time
2 2 times
3 3 – 10 times
4 11 times or more
DK/REF
E360 [IF E359 = 3] DOAFILL1, how many times altogether were you [ForcedOrPressuredFill2] let another inmate touch your butt, thighs, or penis in a sexual way:
1 3 times
2 4 times
3 5 times
4 6 times
5 7 times
6 8 times
7 9 times
8 10 times
DK/REF
E361 [IF E359 = 4] DOAFILL1, how many times altogether were you [ForcedOrPressuredFill2] let another inmate touch your butt, thighs, or penis in a sexual way:
NUMBER OF TIMES: _______________ [RANGE: 11 – 300]
DK/REF
E362 [IF E182 = 1 OR E192 = 1] DOAFILL1, how many times altogether were you [ForcedOrPressuredFill2] let another inmate touch your butt, thighs, breasts, or vagina in a sexual way?
1 1 time
2 2 times
3 3 – 10 times
4 11 times or more
DK/REF
E363 [IF E362 = 3] DOAFILL1, how many times altogether were you [ForcedOrPressuredFill2] let another inmate touch your butt, thighs, breasts, or vagina in a sexual way:
1 3 times
2 4 times
3 5 times
4 6 times
5 7 times
6 8 times
7 9 times
8 10 times
DK/REF
E364 [IF E362 = 4] DOAFILL1, how many times altogether were you [ForcedOrPressuredFill2] let another inmate touch your butt, thighs, breasts, or vagina in a sexual way:
NUMBER OF TIMES: _______________ [RANGE: 11 – 300]
DK/REF
E365 [IF E353 > 1 OR E356 > 1] How soon after you arrived at this facility were you [ForcedOrPressuredFill2] have sex or sexual contact with another inmate for the first time?
[IF E353 = 1 OR E356 = 1] How soon after you arrived at this facility were you [ForcedOrPressuredFill2] have sex or sexual contact with another inmate?
1 Within the first 24 hours after you arrived here
2 More than 24 hours but within your first 3 days here
3 More than 3 days but within your first 30 days here
4 More than 30 days but within your first 6 months here
5 More than 6 months but within your first 12 months here
6 More than 12 months after you arrived here
DK/REF
Section F: Description of NCSAs
DEFINE NCSA:
IF E16 = 1 OR E17 = 1 OR E18 = 1 OR E19 = 1 OR E22 = 1 OR E23 = 1 OR E24 = 1 OR E25 = 1 OR E26 = 1 OR E27 = 1 OR E28 = 1 OR E29 = 1 OR E32 = 1 OR E33 = 1 OR E34 = 1 OR E35 = 1 OR E162 = 1 OR E172 = 1 OR E182 = 1 OR E192 = 1 OR E222 = 1 OR E232 = 1 OR E242 = 1 OR E252 = 1 OR E262 = 1 OR E272 = 1 OR E282 = 1 OR E292 = 1 OR E322 = 1 OR E332 = 1 OR E342 = 1 OR E352 = 1 THEN NCSA = 1
ELSE NCSA = 2
UPDATE forced:
If at least one of (E16, E18, E22, E24, E26, E28, E32, E34, E162, E182, E222, E242, E262, E282, E322, E342) is YES,
then forced = YES
else forced = NO
UPDATE pressured:
If at least one of (E17, E19, E23, E25, E27, E29, E33, E35, E172, E192, E232, E252, E272, E292, E332, E352) is YES,
then pressured = YES
else pressured = NO
UPDATE ForcedOrPressuredFill2:
If forced = YES AND pressured = NO
then forcedOrPressuredFill2 = “physically forced”
Else if forced = NO AND pressured = YES
then forcedOrPressuredFill2 = “pressured or made to feel that you had”
Else if forced = YES AND pressured = YES
then forcedOrPressuredFill2 = “physically forced, pressured, or made to feel that you had”
Else
forcedOrPressuredFill2 = “????”
[Note that if forced and pressured are both NO, the fill won’t be used so it doesn’t matter what it is.]
IF E36 + E37 + E38 + E39 + E353 + E356 + E359 + E362 = 1 THEN #NCSA1 = did it
IF E36 + E37 + E38 + E39 + E353 + E356 + E359 + E362 > 1 THEN #NCSA1 = did it ever
IF ALL (E36, E37, E38, E39, E353, E356, E359, E362) = DK OR REF THEN #NCSA1 = did it ever
DEFINE #NCSA2
IF E36 + E37 + E38 +E39 + E353 + E356 + E359 + E362 = 1 THEN #NCSA2 = were you
IF E36 + E37 + E38 +E39 + E353 + E356 + E359 + E362 > 1 THEN #NCSA2= were you ever
IF ALL (E36, E37, E38, E39, E353, E356, E359, E362) = DK OR REF THEN #NCSA2 = were you ever
DEFINE #NCSA3
IF E36 + E37 + E38 + E39 + E353 + E356 + E359 + E362 = 1 THEN #NCSA3 = was it
IF E36 + E37 + E38 + E39 + E353 + E356 + E359 + E362 > 1 THEN #NCSA3 = was it ever
IF ALL (E36, E37, E38, E39, E353, E356, E359, E362) = DK OR REF THEN #NCSA3 = was it ever
DEFINE #NCSA4
IF E36 + E37 + E38 + E39 + E353 + E356 + E359 + E362 = 1 THEN #NCSA4 = did you
IF E36 + E37 + E38 + E39 + E353 + E356 + E359 + E362 > 1 THEN #NCSA4 = did you ever
IF ALL (E36, E37, E38, E39, E353, E356, E359, E362) = DK OR REF THEN #NCSA4 = did you ever
DEFINE #NCSA5
IF E36 + E37 + E38 + E39 + E353 + E356 + E359 + E362 = 1 THEN #NCSA5 = why didn’t you
IF E36 + E37 + E38 + E39 + E353 + E356 + E359 + E362 > 1 THEN #NCSA5 = why didn’t you ever
IF ALL (E36, E37, E38, E39, E353, E356, E359, E362) = DK OR REF THEN #NCSA5 = why didn’t you ever
F1 [IF NCSA = 1] DOAFILL1,when you were [ForcedOrPressuredFill2] have sex or sexual contact with another inmate, [#NCSA1 FILL] involve more than one inmate?
1 Yes
2 No
DK/REF
F6 [IF NCSA = 1] DOAFILL1,when you were [ForcedOrPressuredFill2] have sex or sexual contact with another inmate, [#NSCA2 FILL] …
-
Yes
No
F6a. Persuaded or talked into it?
1
2
F6b. Given a bribe?
1
2
F6c. Blackmailed?
1
2
F6d. Given drugs or alcohol to get you drunk or high?
1
2
F6e. Offered protection from other inmates?
1
2
F6f. Trying to pay off or settle a debt that you owed?
1
2
F6g. Threatened with harm?
1
2
F6h. Physically held down or restrained?
1
2
F6i. Physically harmed or injured?
1
2
F6j. Threatened with a weapon?
1
2
DK/REF
F8 [IF NCSA = 1] DOAFILL1,when you were [ForcedOrPressuredFill2] have sex or sexual contact with another inmate, [#NCSA3] initiated by a gang?
1 Yes
2 No
DK/REF
F9 [IF NCSA = 1] DOAFILL1, when you were [ForcedOrPressuredFill2] have sex or sexual contact with another inmate, [#NCSA2] injured?
1 Yes
2 No
DK/REF
F10 [IF F9 = 1] DOAFILL1,when you were [ForcedOrPressuredFill2] have sex or sexual contact with another inmate, [#NCSA4] …
-
Yes
No
F10a. Receive knife or stab wounds?
1
2
F10b. Receive broken bones?
1
2
F10c. Have [anal/anal or vaginal tearing?
1
2
F10d. Have your teeth chipped or knocked out?
1
2
F10e Receive internal injuries?
1
2
F10f. Get knocked unconscious?
1
2
F10g. Receive bruises, a black eye, sprains, cuts, scratches, swelling, welts, or burns?
1
2
DK/REF
Section G: Staff Sexual Misconduct
G1 These next questions are about the behavior of staff at this facility DOAFILL2. By staff we mean the employees of this facility and anybody who works as a volunteer in this facility.
Touch the NEXT button to go to the next screen.
G4 DOAFILL1, have any facility staff pressured you or made you feel that you had to let them have sex or sexual contact with you?
1 Yes
2 No
DK/REF
G5 DOAFILL1, have you been physically forced by any facility staff to have sex or sexual contact?
1 Yes
2 No
DK/REF
DEFINE SEXTYPE2
IF G4 =1 AND G5 = 1 THEN SEXTYPE2 = physically forced, pressured, or made to feel that you had to
IF G4 = 1 AND G5 NE 1 THEN SEXTYPE2 = pressured or made to feel that you had to
IF G4 NE 1 AND G5 = 1 THEN SEXTYPE2 = physically forced to
G6 [IF G4 =1 OR G5 = 1] DOAFILL1, how many times were you [SEXTYPE2 FILL] have sex or sexual contact with any facility staff?
1 1 time
2 2 times
3 3 – 10 times
4 11 times or more
DK/REF
G6a. [IF G6 = 3] DOAFILL1, how many times were you [SEXTYPE2 FILL] have sex or sexual contact with any facility staff?
1 3 times
2 4 times
3 5 times
4 6 times
5 7 times
6 8 times
7 9 times
8 10 times
DK/REF
G6b. [IF G6 = 4] DOAFILL1, how many times were you [SEXTYPE2 FILL] have sex or sexual contact with any facility staff?
NUMBER OF TIMES: _______________ [RANGE: 11 – 300]
DK/REF
G8 [IF (G4 = 1 OR G5 = 1) AND G6 > 1] How soon after you arrived at this facility were you [SEXTYPE2] have sex or sexual contact with facility staff for the first time?
[IF (G4 = 1 OR G5 = 1) AND G6 = 1)] How soon after you arrived at this facility were you [SEXTYPE2] have sex or sexual contact with facility staff?
1 Within the first 24 hours after you arrived here
2 More than 24 hours but within your first 3 days here
3 More than 3 days but within your first 30 days here
4 More than 30 days but within your first 6 months here
5 More than 6 months but within your first 12 months here
6 More than 12 months after you arrived here
DK/REF
G7 DOAFILL1, have any facility staff offered you favors or special privileges in exchange for sex or sexual contact?
1 Yes
2 No
DK/REF
G2 DOAFILL1, have you willingly had sex or sexual contact with any facility staff?
1 Yes
2 No
DK/REF
G3 [IF G2 = 1] DOAFILL1, how many times have you willingly had sex or sexual contact with facility staff?
1 1 time
2 2 times
3 3 – 10 times
4 11 times or more
DK/REF
G3a [IF G3 = 3] DOAFILL1, how many times have you willingly had sex or sexual contact with any facility staff?
1 3 times
2 4 times
3 5 times
4 6 times
5 7 times
6 8 times
7 9 times
8 10 times
DK/REF
G3b [IF G3 = 4] DOAFILL1, how many times have you willingly had sex or sexual contact with any facility staff?
NUMBER OF TIMES: _______________ [RANGE: 11 – 300]
DK/REF
G9 [IF G4 = 1 OR G5 = 1] DOAFILL1, on any occasion when you were [SEXTYPE2 FILL] have sex or sexual contact with facility staff, did you report it to other facility staff?
1 Yes
2 No
DK/REF
G10 [IF G2 = 1 OR G4 = 1 OR G5 = 1] These next questions are about any sex or sexual contact you have had with facility staff DOAFILL2, whether you wanted to have it or not.
Touch the NEXT button to go to the next screen.
G11 [IF G2 = 1 OR G4 = 1 OR G5 = 1] DOAFILL1, which of the following types of sex or sexual contact did you have with a facility staff person?
-
Yes
No
G11a. You touched a facility staff person’s body or had your body touched in a sexual way?
1
2
G11b. You gave or received a handjob?
1
2
G11c. You gave or received oral sex or a blowjob?
1
2
G11d. You had vaginal sex?
1
2
G11e. You had anal sex?
1
2
DK/REF
G12 [IF G2 =1 OR G4 = 1 OR G5 = 1] DOAFILL1, when you had sex or sexual contact with facility staff, did it ever involve more than one facility staff person?
1 Yes
2 No
DK/REF
G17 [IF G2 =1 OR G4 = 1 OR G5 = 1] DOAFILL1, when you had sex or sexual contact with facility staff were any of the following methods used to get you to participate?
-
Yes
No
G17a. You were persuaded or talked into it?
1
2
G17b. You were given a bribe?
1
2
G17c. You were offered favors or special privileges?
1
2
G17d. You were blackmailed?
1
2
G17e. You were given drugs or alcohol to get you drunk or high?
1
2
G17f. You were offered protection from other inmates?
1
2
G17g. You were offered protection from another correctional officer?
1
2
G17h. You were trying to pay off or settle a debt that you owed?
1
2
G17i. You were threatened with harm?
1
2
G17j. You were physically held down or restrained?
1
2
G17k. You were physically harmed or injured?
1
2
G17l. You were threatened with a weapon?
1
2
DK/REF
G28. [IF G2 = 1 OR G4 = 1 OR G5 = 1] DOAFILL1, did you have sex or sexual contact with male facility staff, female facility staff, or both male and female facility staff?
Male facility staff
Female facility staff
Both male and female facility staff
DK/REF
G29. [IF G28 = 1 OR 2] DOAFILL1, did you have sex or sexual contact with any
-
Yes
No
G29a. Correctional officers?
1
2
G29b. Other staff working in the facility?
1
2
G29c. Volunteers in the facility?
1
2
DK/REF
G31. [IF G28 = 3] DOAFILL1, did you have sex or sexual contact with any
-
Yes
No
G31a. Male correctional officers?
1
2
G31b. Female correctional officers?
1
2
G31c. Other male staff working in the facility?
1
2
G31d. Other female staff working in the facility?
1
2
G31e. Male volunteers in the facility?
1
2
G31f. Female volunteers in the facility?
1
2
DK/REF
G19 [IF G2 =1 OR G4 = 1 OR G5 = 1] DOAFILL1, when you had sex or sexual contact with facility staff, were you ever injured?
1 Yes
2 No
DK/REF
G20 [IF G19 = 1] DOAFILL1, when you had sex or sexual contact with facility staff, did you ever …
-
Yes
No
G20a. Receive knife or stab wounds?
1
2
G20b. Receive broken bones?
1
2
G20c. Have [anal/anal or vaginal] tearing?
1
2
G20d. Have your teeth chipped or knocked out?
1
2
G20e. Receive internal injuries?
1
2
G20f. Get knocked unconscious?
1
2
G20g. Receive bruises, a black eye, sprains, cuts, scratches, swelling, welts, or burns?
1
2
DK/REF
Section DIR: Determining Incident to Report on in Section IIC
DEFINE NUMBER_OF_TIMES:
IF E36=1 OR E353=1 OR E37=1 OR E356=1, NUMBER_OF_TIMES = “1 time”
IF E36=2 OR E353=2 OR E37=2 OR E356=2, NUMBER_OF_TIMES= “2 times”
IF E36=3 OR E353=3 OR E37=3 OR E356 = 3, NUMBER_OF_TIMES= “3 to 10 times”
IF E36=4 OR E353=4 OR E37=4 OR E356=4, NUMBER_OF_TIMES= “11 times or more”
IF E36 = (DK OR REF) OR E353 = (DK OR REF) OR E37 = (DK OR REF) OR E356 = (DK OR REF), NUMBER_OF_TIMES = NO FILL
ELSE NUMBER_OF_TIMES = MISSING
DEFINE NUMBER_OF_TIMES_TOUCH:
IF E38=1 OR E359=1 OR E39=1 OR E362=1, NUMBER_OF_TIMES_TOUCH = “1 time”
IF E38=2 OR E359=2 OR E39=2 OR E362=2, NUMBER_OF_TIMES_TOUCH=”2 times”
IF E38=3 OR E359=3 OR E39=3 OR E362=3, NUMBER_OF_TIMES_TOUCH = “3 to 10 times”
IF E38=4 OR E359=4 OR E39=4 OR E362=4, NUMBER_OF_TIMES_TOUCH = “11 times or more”
IF E38 = (DK OR REF) OR E359 = (DK OR REF) OR E39 = (DK OR REF) OR E362 = (DK OR REF), NUMBER_OF_TIMES_TOUCH = NO FILL
ELSE NUMBER_OF_TIMES_TOUCH = MISSING
DIR1 [IF NUMBER_OF_TIMES=1 time AND NUMBER_OF_TIMES_TOUCH IS MISSING] Earlier you reported that DOAFILL2 you were [ForcedOrPressuredFill2] have sex or sexual contact with another inmate [NUMBER_OF_TIMES]. Please think about that experience as you answer the next questions.
Touch the NEXT button to go to the next screen.
DIR2 [IF NUMBER_OF_TIMES_TOUCH=1 time AND NUMBER_OF_TIMES IS
[IF GENDER=1]: Earlier you reported that DOAFILL2 you were [ForcedOrPressuredFill2] let another inmate touch your butt, thighs, or penis in a sexual way [NUMBER_OF_TIMES_TOUCH]. Please think about that experience as you answer the next questions.
Touch the NEXT button to go to the next screen.
[IF GENDER=2]: Earlier you reported that DOAFILL2 you were [ForcedOrPressuredFill2] let another inmate touch your butt, thighs, breasts, or vagina in a sexual way [NUMBER_OF_TIMES_TOUCH]. Please think about that experience as you answer the next questions.
Touch the NEXT button to go to the next screen.
DIR3 [IF NUMBER_OF_TIMES >= 2 times AND NUMBER_OF_TIMES_TOUCH IS MISSING] Earlier you reported that DOAFILL2 you were [ForcedOrPressuredFill2] have sex or sexual contact with another inmate [NUMBER_OF_TIMES].
[IF only one of ((E22=1 OR E23=1), (E24=1 OR E25=1), (E26=1 OR E27=1), (E28=1 OR E29=1), (E32=1 OR E33=1), (E222=1 OR E232=1), (E242=1 OR E252=1), (E262=1 OR E272=1), (E282=1 OR E292=1), (E322=1 OR E332=1)) is true]: As you answer the next questions, please think about the most recent time you were [ForcedOrPressuredFill2] have sex or sexual contact with another inmate.
Touch the NEXT button to go to the next screen.
[IF at least two of ((E22=1 OR E23=1), (E24=1 OR E25=1), (E26=1 OR E27=1), (E28=1 OR E29=1), (E32=1 PR E33=1), (E222=1 OR E232=1), (E242=1 OR E252=1), (E262=1 OR E272=1), (E282=1 OR E292=1), (E322=1 OR E332=1_) are true]: Think about the most recent time this happened to you. What were you [ForcedOrPressuredFill2] do?
-
Yes
No
DIR3a. [IF E22=1 OR E23=1 OR E222=1 OR E232=1] Give or receive a hand job?
1
2
DIR3b. [IF E26=1 OR E27=1 OR E262=1 OR E272=1] Give or receive oral sex or a blowjob?
1
2
DIR3c. [IF E24=1 OR E25=1 OR E242=1 OR E252=1] Give or receive oral sex?
1
2
DIR3d. [IF E28=1 OR E29=1 OR E282=1 OR E292=1] Have vaginal sex?
1
2
DIR3e. [IF E32=1 OR E33=1 OR E322=1 OR E332=1] Have anal sex?
1
2
DK/REF
As you answer the next questions please think about the most recent time you were [ForcedOrPressuredFill2] have sex or sexual contact with another inmate.
Touch the NEXT button to go to the next screen.
DIR4 [IF NUMBER_OF_TIMES_TOUCH >=2 times AND NUMBER_OF_TIMES IS
MISSING]
[IF GENDER = 1]: Earlier you reported that DOAFILL2 you were [ForcedOrPressuredFill2] let another inmate touch your butt, thighs, or penis in a sexual way [NUMBER_OF_TIMES_TOUCH].
Think about the most recent time this happened to you as you answer the next questions.
Touch the NEXT button to go to the next screen.
[IF GENDER = 2]: Earlier you reported that DOAFILL2 you were [ForcedOrPressuredFill2] let another inmate touch your butt, thighs, breasts, or vagina in a sexual way [NUMBER_OF_TIMES_TOUCH].
Think about the most recent time this happened to you as you answer the next questions.
Touch the NEXT button to go to the next screen.
DIR5 [IF (NUMBER_OF_TIMES >=1 time OR DK OR REF) AND (NUMBER_OF_TIMES_TOUCH >=1 time OR DK OR REF
[IF GENDER = 1]: Earlier you reported that DOAFILL2 you were [ForcedOrPressuredFill2] have sex or sexual contact with another inmate and that you were [ForcedOrPressuredFill2] let another inmate touch your butt, thighs, or penis in a sexual way.
[IF GENDER = 2]: Earlier you reported that DOAFILL2 you were [ForcedOrPressuredFill2] have sex or sexual contact with another inmate and that you were [ForcedOrPressuredFill2] let another inmate touch your butt, thighs, breasts, or vagina in a sexual way.
Think about the most recent time this happened to you. What were you [ForcedOrPressuredFill2] do?
-
Yes
No
DIR5a. [IF E22=1 OR E23=1 OR E222=1 OR E232=1] Give or receive a hand job?
1
2
DIR5b. [IF E26=1 OR E27=1 OR E262=1 OR E272=1] Give or receive oral sex or a blowjob?
1
2
DIR5c. [IF E24=1 OR E25=1 OR E242=1 OR E252=1] Give or receive oral sex?
1
2
DIR5d. [IFE28=1 OR E29=1 OR E282=1 OR E292=1] Have vaginal sex?
1
2
DIR5e. [IF E32=1 OR E33=1 OR E322=1 OR E332=1] Have anal sex?
1
2
DIR5f. [IF E16=1 OR E17=1 OR E162=1 OR E172=1] Be touched on your butt, thighs, or penis in a sexual way?
1
2
DIR5g. [IF E18=1 OR E19=1 OR E182=1 OR E192=1] Be touched on your thighs, breasts, or vagina in a sexual way?
1
2
DK/REF
[IF GENDER = 1]: As you answer the next questions please think about the most recent time you were [ForcedOrPressuredFill2] have sex or sexual contact with another inmate or let another inmate touch your butt, thighs, or penis in a sexual way.
Touch the NEXT button to go to the next screen.
[IF GENDER = 2]: As you answer the next questions please think about the most recent time you were [ForcedOrPressuredFill2] have sex or sexual contact with another inmate or let another inmate touch your butt, thighs, breasts, or vagina in a sexual way.
Touch the NEXT button to go to the next screen.
[IF DIR1 OR DIR2 OR DIR3 OR DIR4 OR DIR5 is displayed, go to section IIC. Else, skip to Section DIRS]
Section IIC: Incident Characteristics of Inmate-On-Inmate Victimization
DEFINE RECENT_FILL:
IF DIR1 OR DIR2 is displayed, then RECENT_FILL = “incident”
IF DIR3 OR DIR4 OR DIR5 is displayed, then RECENT_FILL = “most recent incident”
DEFINE I-ON-I_FILL:
IF DIR1 OR DIR3 is displayed, then I-ON-I_FILL = “sex or sexual contact with another inmate”
IF DIR2 OR DIR4 is displayed AND GENDER=1, then I-ON-I_FILL = “another inmate touching your butt, thighs or penis in a sexual way”
IF DIR2 OR DIR4 is displayed AND GENDER=2, then I-ON-I_FILL = “another inmate touching your butt, thighs, breasts, or vagina in a sexual way”
IF DIR5 is displayed AND GENDER=1, then I-ON-I_FILL = “sex or sexual contact with another inmate or another inmate touching your butt, thighs, or penis in a sexual way”
IF DI9R5 is displayed AND GENDER=2, then I-ON-I_FILL = “sex or sexual contact with another inmate or another inmate touching your butt, thighs, breasts, or vagina in a sexual way”
IIC1 Did this [RECENT_FILL] of [I-ON-I_FILL] happen in [CURRENT YEAR] or [CURRENT YEAR -1]?
1 CURRENT YEAR
2 CURRENT YEAR – 1
DK/REF
DEFINE IIC1_FILL:
IF IIC1=1, then IIC1_FILL=CURRENT YEAR
IF IIC1=2, then, IIC1_FILL=CURRENT YEAR – 1
IIC2 [IF IIC1 NE DK OR REF] In what month in [IIC1_FILL] did this [RECENT_FILL] happen?
[IF IIC1 = DK OR REF] In what month did this [RECENT_FILL] happen?
January
February
March
April
May
June
July
August
September
October
November
December
DK/REF
IIC3 Did the [RECENT_FILL] happen…
-
Yes
No
IIC3a. Between 6:00 in the morning and noon?
1
2
IIC3b. After noon but before 6:00 in the evening?
1
2
IIC3c. After 6:00 in the evening but before midnight?
1
2
IIC3d. After midnight but before 6:00 in the morning?
1
2
DK/REF
IIC4 Where did the [RECENT_FILL] happen?
-
Yes
No
IIC4a. In your own cell, room, or sleeping area?
1
2
IIC4b. In the cell, room, or housing area of another inmate?
1
2
IIC4c. Somewhere else in the facility?
1
2
IIC4d. Off facility grounds?
1
2
DK/REF
IIC5 [IF IIC4c =1] Where were you when the incident happened?
-
Yes
No
IIC5a. In a shower?
1
2
IIC5b. In a bathroom?
1
2
IIC5c. In the yard or recreation area?
1
2
IIC5d. In a classroom or library?
1
2
IIC5e. In a workshop, kitchen, or other workplace?
1
2
IIC5f. In a closet?
1
2
IIC5g. In an office or other locked room?
1
2
IIC5h. On the stairs?
1
2
DK/REF
IIC6 [IF IIC4d =1] Where were you when the incident happened?
-
Yes
No
IIC6a. A bus, van, or car?
1
2
IIC6b. A courthouse?
1
2
IIC6c. Some type of temporary holding facility?
1
2
IIC6d. A hospital or other type of medical facility?
1
2
DK/REF
IIC7 Just before or during this [RECENT_FILL], which, if any of these things, happened? Were you…
-
Yes
No
IIC7a. Persuaded or talked into the sex or sexual contact?
1
2
IIC7b. Given a bribe?
1
2
IIC7c. Blackmailed?
1
2
IIC7d. Given drugs or alcohol to get you drunk or high?
1
2
IIC7e. Offered protection from other inmates?
1
2
IIC7f. Trying to pay off or settle a debt that you owed?
1
2
IIC7g. Threatened with harm?
1
2
IIC7h. Physically held down or restrained?
1
2
IIC7i. Physically harmed or injured?
1
2
IIC7j. Threatened with a weapon?
1
2
DK/REF
IIC8 Do you think this [RECENT_FILL] happened because of your…
-
Yes
No
IIC8a. Race or ethnicity?
1
2
IIC8b. Age?
1
2
IIC8c. Religion?
1
2
IIC8d. Gang affiliation?
1
2
DK/REF
IIC32 [IF D3b=3] Do you think this [RECENT_FILL] happened because you are transgender?
Yes
No
DK/REF
DEFINE SexualOrientationFill:
IF D2a=1, then SexualOrientationFill = “gay”
IF D2b=1, then SexualOrientationFill = “lesbian or gay”
IF D2a=3 OR D2b=3, then SexualOrientationFill = “bisexual”
IIC33 [IF D2a=1 OR D2b=1 OR D2a=3 OR D2b=3] Do you think this [RECENT_FILL] happened because you are [SexualOrientationFill]?
Yes
No
DK/REF
IIC9 During this [RECENT_FILL], did one inmate or more than one inmate have sexual contact with you?
One inmate
More than one inmate
DK/REF
IIC10a [IF IIC9 = 1] Was the other inmate male, female, or transgender?
Male
Female
Transgender
DK/REF
IIC10b [IF IIC9 = 2] Were any of the inmates involved in this incident…
-
Yes
No
IIC10b1. Male?
1
2
IIC10b2. Female?
1
2
IIC10b3. Transgender?
1
2
DK/REF
DEFINE PerpGenderFill1:
If IIC9=1 AND IIC10a=1
then PerpGenderFill1= “he”
If IIC9=1 AND IIC10a=2
then PerpGenderFill1= “she”
If IIC9=1 AND IIC10a=3
then PerpGenderFill1 = “they”
If IIC9=2
then PerpGenderFill1 = “they”
DEFINE PerpGenderFill2:
If IIC9=1 AND IIC10a=1
then PerpGenderFill2= “his”
If IIC9=1 AND IIC10a=2
then PerpGenderFill2= “her”
If IIC9=1 AND IIC10a=3
then PerpGenderFill2 = “their”
If IIC9=2
then PerpGenderFill2 = “their”
IIC11 [IF IIC9 = 1] Was the other inmate of Hispanic, Latino, or Spanish origin?
[IF IIC9 = 2] Were any of the other inmates of Hispanic, Latino, or Spanish origin?
Yes
No
DK/REF
IIC12 [IF IIC9 = 1] Was the other inmate…
[IF IIC9 = 2] Were any of the other inmates…
-
Yes
No
IIC12a. White?
1
2
IIC12b. Black or African American?
1
2
IIC12c. American Indian or Alaska Native?
1
2
IIC12d. Asian?
1
2
IIC12e. Native Hawaiian or other Pacific Islander?
1
2
DK/REF
IIC13a [IF IIC9 = 1] How old was this other inmate?
1 Under 25
2 25 – 34
3 35 – 44
4 45 – 54
5 55 or older
DK/REF
IIC13b [IF IIC9 = 2] Were any of the inmates…
-
Yes
No
IIC13b1. Older than you?
1
2
IIC13b2. Younger than you?
1
2
IIC13b3. About the same age as you?
1
2
DK/REF
IIC13DK [IF IIC13a = DK] Was this other inmate older than you, younger than you or about the same age as you?
1 Older than you
2 Younger than you
3 About the same age as you
DK/REF
IIC14a [IF IIC9 = 1] At the time this [RECENT_FILL] occurred was this other inmate assigned to the same housing unit, pod or dormitory as you?
1 Yes
2 No
DK/REF
IIC14b [IF IIC9 = 2] At the time this [RECENT_FILL] occurred were any of these inmates assigned to the same housing unit, pod or dormitory as you?
1 Yes
2 No
DK/REF
IIC15a [IF IIC9 = 1] How well did you know this other inmate at the time the [RECENT_FILL] occurred?
Did not know the inmate at all
Knew the inmate only a little
Knew the inmate but not well
Knew the inmate very well
DK/REF
IIC15b [IF IIC9 = 2] Did you know these inmates at the time the [RECENT_FILL] occurred?
You knew all the inmates who were involved
You knew some of the inmates who were involved
You did not know any of the inmates who were involved
DK/REF
IIC16a [IF IIC9 = 1] Was this other inmate a member of a gang?
Yes
No
DK/REF
IIC16b [IF IIC9 = 2] Were any of these inmates members of a gang?
Yes
No
DK/REF
IIC17 [IF IIC9 = 1] Before this incident happened, were you worried that this inmate might be planning to have sex or sexual contact with you?
[IF IIC9 = 2] Before this incident happened, were you worried that any of these inmates might be planning to have sex or sexual contact with you?
Yes
No
DK/REF
IIC18 [IF IIC9 = 1] Before this incident happened had you had any arguments or fights with this inmate?
[IF IIC9 = 2] ] Before this incident happened had you had any arguments or fights with any of these inmates?
Yes
No
DK/REF
IIC19 Were you injured during this [RECENT_FILL]?
1 Yes
2 No
DK/REF
IIC20 [IF IIC19 = 1] How were you injured during the incident? Did you…
-
Yes
No
IIC20a. Receive knife or stab wounds?
1
2
IIC20b. Receive broken bones?
1
2
IIC20c. Have [anal/anal or vaginal] tearing?
1
2
IIC20d. Have your teeth chipped or knocked out?
1
2
IIC20e Receive internal injuries?
1
2
IIC20f. Get knocked unconscious?
1
2
IIC20g. Receive bruises, a black eye, sprains, cuts, scratches, swelling, welts, or burns?
1
2
DK/REF
IIC21 [IF IIC19 = 1] As a result of any of the injuries you received during this incident, did you see a doctor, nurse, or other health care provider for any of the injuries you received?
1 Yes
2 No
DK/REF
IIC22 [IF IIC9 = 1] Did this inmate do any of the following things after the incident happened?
[IF IIC9 = 2] Did these inmates do any of the following things after the incident happened?
-
Yes
No
IIC22a. Gave you gifts or money so that you would keep it a secret?
1
2
IIC22b. Threatened to hurt you so that you would keep it a secret?
1
2
IIC22c. Said [
he/she/they] [PerpGenderFill1] would blame it on you if you told anyone?1
2
IIC22d. Said [
he/she/they] [PerpGenderFill1] would stop spending time with you if you told anyone?1
2
IIC22e. Had some type of sexual contact with you again?
1
2
IIC22f. Ignored you or stayed away from you?
1
2
IIC22g. Threatened to harm your family?
1
2
IIC22h. Hurt you or beat you up?
1
2
DK/REF
IIC23 Did you report this [RECENT_FILL] to anyone?
1 Yes
2 No
DK/REF
IIC24 [IF IIC23 = 1] Did you report the incident to…
-
Yes
No
IIC24a. A correctional officer?
1
2
IIC24b. An administrative staff person?
1
2
IIC24c. A medical or healthcare staff person?
1
2
IIC24d. An instructor or teacher?
1
2
IIC24e. A counselor or other mental health care provider?
1
2
IIC24f. A chaplain or other religious official?
1
2
IIC24g. A volunteer?
1
2
IIC24h. Some other type of facility staff person?
1
2
IIC24i. A telephone hotline?
1
2
IIC24j. Another inmate?
1
2
IIC24k. A family member or friend?
1
2
DK/REF
IIC25 At the time the [RECENT_FILL] happened were any other inmates aware that it was happening?
1 Yes
2 No
DK/REF
IIC26 At the time the [RECENT_FILL] happened were any staff at the facility aware that it was happening?
1 Yes
2 No
DK/REF
IIC27 [IF IIC23 = 1] Did any of the following things happen to you as a result of the report you made?
-
Yes
No
IIC27a. You were moved to administrative segregation or some other protective housing?
1
2
IIC27b. You were placed in a medical unit, ward, or hospital?
1
2
IIC27c. You were confined to your own cell, room, or housing area?
1
2
IIC27d. You were given a higher level of custody within the facility?
1
2
IIC27e. You were offered a transfer to another facility?
1
2
IIC27f. You were written up?
1
2
DK/REF
IIC28a [IF IIC9 = 1 AND IIC23 = 1] Did any of the following things happen to the inmate who had sex or sexual contact with you?
-
Yes
No
IIC28a1. The inmate was moved to administrative segregation or some other protective housing?
1
2
IIC28a2. The inmate was placed in a medical unit, ward, or hospital?
1
2
IIC28a3. The inmate was confined to [PerpGenderFill2] own cell, room, or housing area?
1
2
IIC28a4. The inmate was given a higher level of custody at this facility?
1
2
IIC28a5. The inmate was transferred to another facility?
1
2
IIC28a6. The inmate was written up?
1
2
IIC28a7. The inmate lost privileges?
1
2
1
2
DK/REF
IIC28b [IF IIC9 = 2 AND IIC23 = 1] Did any of the following things happen to the inmates who had sex or sexual contact with you?
-
Yes
No
IIC28b1. One or more of the inmates were moved to administrative segregation or some other protective housing?
1
2
IIC28b2. One or more of the inmates were placed in a medical unit, ward, or hospital?
1
2
IIC28b3. One or more of the inmates were confined to their own cell, room, or housing area?
1
2
IIC28b4. One or more of the inmates were given a higher level of custody at this facility?
1
2
IIC28b5. One or more of the inmates were transferred to another facility?
1
2
IIC28b6. One or more of the inmates were written up?
1
2
IIC28b7. One or more of the inmates lost privileges?
1
2
IIC28b8. One ore more of the inmates were charged with a crime?
1
2
DK/REF
IIC29 [IF IIC9 = 1] Since this [RECENT_FILL] happened has this inmate attempted any type of sexual contact with you?
[IF IIC9 = 2] ] Since this [RECENT_FILL] happened have any of these inmates attempted any type of sexual contact with you?
1 Yes
2 No
DK/REF
IIC30 [IF IIC9 = 1 AND IIC29 NE 1] Since this [RECENT_FILL] happened have you been worried that this inmate will try to initiate sexual contact with you again?
[IF IIC9 = 2 AND IIC29 NE 1] Since this [RECENT_FILL] happened have you been worried that any of these inmates would try to initiate sexual contact with you again?
1 Yes
2 No
DK/REF
IIC31 Since this [RECENT_FILL] happened, have you done any of the following things to reduce the chance that you would be attacked again?
-
Yes
No
IIC31a. Joined a gang?
1
2
IIC31b. Carried a weapon?
1
2
IIC31c. Fought more?
1
2
IIC31d. Worked out in order to bulk up?
1
2
IIC31e. Avoided certain areas?
1
2
IIC31f. Kept to yourself more?
1
2
IIC31g. Stayed in your own cell or housing area more?
1
2
IIC31h. Joined a religious group?
1
2
IIC31i. Avoided certain inmates?
1
2
IIC31j. Requested protective custody?
1
2
IIC31k. Requested transfer to another facility?
1
2
IIC31l. Requested a different housing unit, pod, or dormitory?
1
2
IIC31m. Contacted someone on the outside for help?
1
2
IIC31n. Tried to stay near facility staff?
1
2
IIC31o. Paid another inmate for protection?
1
2
DK/REF
Section DIRS: Determining the Incident to Report on In Section SIC
DIRS1 [ IF G3 + G6 = GT 1 TIME] Earlier you reported that, DOAFILL2, you had sex or sexual contact with a facility staff person more than 1 time.
[IF only one of (G11a, G11b, G11c, G11d, G11e) is YES]: As you answer the next questions please think about the most recent time when you had sex or sexual contact with a facility staff person.
[IF at least two of (G11a, G11b, G11c, G11d, G11e) are YES] Please think about the most recent time this happened. Which of the following types of sex or sexual contact did you have with a facility staff person?
-
Yes
No
DIRS1a. [IF G11a=1] You touched a facility staff person’s body or had your body touched in a sexual way?
1
2
DIRS1b. [IF G11b=1] You
hadgave or received a handjob?1
2
DIRS1c. [IF G11c=1] You gave or received oral sex or a blowjob?
1
2
DIRS1d. [IF G11d=1] You had vaginal sex?
1
2
DIRS1e. [IF G11e=1] You had anal sex ?
1
2
DK/REF
As you answer the next questions please think about this most recent time when you had sex or sexual contact with a facility staff person.
Touch the NEXT button to go to the next screen.
DIRS2 [IF G3 + G6 = 1 TIME] Earlier you reported that DOAFILL2 you had sex or sexual contact with a facility staff person 1 time. Please think about that experience as you answer the next questions.
Touch the NEXT button to go to the next screen.
DIRS3 [IF G5 = 1 AND G6 = DK OR REF] AND [IF G2=1 AND G3 = DK OR REF) Earlier you reported that, DOAFILL2, you had sex or sexual contact with a facility staff person. Please think about that experience as you answer the next questions.
Touch the NEXT button to go to the next screen.
[IF DIRS1 OR DIRS2 OR DIRS3 is displayed, continue with section SIC. Else, skip to Section X]
Section SIC: Incident Characteristics of Staff-On-Inmate Victimization
DEFINE RECENT_FILL2:
IF DIRS1 is displayed, then RECENT_FILL2 = “most recent incident”
IF DIRS2 OR DIRS3 is displayed, then RECENT_FILL2 = “incident”
SI1 [IF
SIC REPORTED=1] Did
this [RECENT_FILL2] of sex or sexual contact with a facility staff
person happen in [CURRENT YEAR] or [CURRENT YEAR -1]?
CURRENT YEAR
CURRENT YEAR – 1
DK/REF
DEFINE SI1_FILL:
IF SI1=1, then SI_FILL=CURRENT YEAR
IF SI1=2, then SI_FILL=CURRENT YEAR – 1
SI2 [IF SI1 NE DK OR REF] In what month in [SI1_FILL] did this [RECENT_FILL2] happen?
[IF SI1 = DK OR REF] In what month did this [RECENT_FILL2] happen?
January
February
March
April
May
June
July
August
September
October
November
December
DK/REF
SI3 Did the [RECENT_FILL2] happen…
-
Yes
No
SI3a. Between 6:00 in the morning and noon?
1
2
SI3b. After noon but before 6:00 in the evening?
1
2
SI3c. After 6:00 in the evening but before midnight?
1
2
SI3d. After midnight but before 6:00 in the morning?
1
2
DK/REF
SI4 Where did the [RECENT_FILL2] happen?
-
Yes
No
SI4a. In your own cell, room, or sleeping area?
1
2
SI4b. In the cell, room, or housing area of another inmate?
1
2
SI4c. Somewhere else in the facility?
1
2
SI4d. Off facility grounds?
1
2
DK/REF
SI5 [IF SI4c =1] Where were you when the incident happened?
-
Yes
No
SI5a. In a shower?
1
2
SI5b. In a bathroom?
1
2
SI5c. In the yard or recreation area?
1
2
SI5d. In a classroom or library?
1
2
SI5e. In a workshop, kitchen, or other workplace?
1
2
SI5f. In a closet?
1
2
SI5g. In an office or other locked room?
1
2
SI5h. On the stairs?
1
2
DK/REF
SI6 [IF SI4d =1] Where were you when the incident happened?
-
Yes
No
SI6a. A bus, van, or car?
1
2
SI6b. A courthouse?
1
2
SI6c. Some type of temporary holding facility?
1
2
SI6d. A hospital or other type of medical facility?
1
2
DK/REF
DEFINE TOUCHING ONLY:
IF G11a=1 AND G11b=2 AND G11c=2 AND G11d=2 AND G11e=2
Then TOUCHING ONLY=1
Else TOUCHING ONLY=0
SI7 [IF TOUCHING ONLY=1] Did this incident happen as part of a strip search?
1 Yes
2 No
DK/REF
SI8 [IF TOUCHING ONLY=1 AND SI7 NE 1] Did this incident happen as part of a pat down?
1 Yes
2 No
DK/REF
SI9 Just before or during this [RECENT_FILL2], which, if any of these things happened? Were you…
-
Yes
No
SI9a. Persuaded or talked into the sex or sexual contact?
1
2
SI9b. Given a bribe?
1
2
SI9c. Blackmailed?
1
2
SI9d. Given drugs or alcohol to get you drunk or high?
1
2
SI9e. Offered protection from other inmates?
1
2
SI9f. Trying to pay off or settle a debt that you owed?
1
2
SI9g. Threatened with harm?
1
2
SI9h. Physically held down or restrained?
1
2
SI9i. Physically harmed or injured?
1
2
SI9j. Threatened with a weapon?
1
2
SI9k. [IF A22 = 2] Told that you would be deported?
1
2
SI9l. Told that your family would be deported?
1
2
SI9m. Told that you would lose visitation privileges?
1
2
DK/REF
SI10 During this [RECENT_FILL2] did one staff person or more than one staff person have sex or sexual contact with you?
One staff person
More than one staff person
DK/REF
SI11 Do you think this [RECENT_FILL2] happened because of your…
-
Yes
No
SI11a. Race or ethnicity?
1
2
SI11b. Age?
1
2
SI11c. Religion?
1
2
SI11d. Gang affiliation?
1
2
DK/REF
SI31 [IF D3b=3] Do you think this [RECENT_FILL2] happened because you are transgender?
Yes
No
DK/REF
SIC32 [IF D2a=1 OR D2b=1 OR
D2a=3 OR D2b=3] Do you think this [RECENT_FILL2] happened because you
are [SexualOrientationFill]?
Yes
No
DK/REF
SI12a [IF SI10 = 1] Was the staff person male or female?
Male
Female
DK/REF
SI12b [IF SI10 = 2 OR DK OR REF] Were any of the staff involved in this incident…
-
Yes
No
SI12b1. Male?
1
2
SI12b2. Female?
1
2
DK/REF
DEFINE StaffGenderFill1:
IF SI10=1 AND SI12a=1, then StaffGenderFill1 = “he”
IF SI10=1 AND SI12a=2, then StaffGenderFill1= “she”
IF SI10=2 OR DK OR REF, then StaffGenderFill1= “they”
DEFINE StaffGenderFill2:
IF SI10=1 AND SI12a=1, then StaffGenderFill2 = “his”
IF SI10=1 AND SI12a=2, then StaffGenderFill2= “her”
IF SI10=2 OR DK OR REF, then StaffGenderFill2= “their”
DEFINE StaffGenderFill3:
IF SI10=1 AND SI12a=1, then StaffGenderFill3 = “himself”
IF SI10=1 AND SI12a=2, then StaffGenderFill3= “herself”
IF SI10=2 OR DK OR REF, then StaffGenderFill3= “themselves”
SI13 [IF SI10 = 1] Was the staff person of Hispanic, Latino, or Spanish origin?
[IF SI10 = 2 OR DK OR REF] Were any of the staff of Hispanic, Latino, or Spanish origin?
Yes
No
DK/REF
SI14 [IF SI10 = 1] Was the staff person…
[IF SI10 = 2 OR DK OR REF] Were any of the staff…
-
Yes
No
SI14a. White?
1
2
SI14b. Black or African American?
1
2
SI14c. American Indian or Alaska Native?
1
2
SI14d. Asian?
1
2
SI14e. Native Hawaiian or other Pacific Islander?
1
2
DK/REF
SI15a [IF SI10 = 1] How old was this staff person?
Under 25
25 – 34
35 – 44
45 – 54
55 or older
DK/REF
SI15b [IF SI10 = 2 OR DK OR REF] Were any of the staff…
-
Yes
No
SI15b1. Older than you?
1
2
SI15b2. Younger than you?
1
2
SI15b3. About the same age as you?
1
2
DK/REF
SI15DK [IF SI15a = DK] Was this staff person older than you, younger than you or about the same age as you?
Older than you
Younger than you
About the same age as you
DK/REF
SI16a [IF SI10 = 1] Was the staff person who had sexual contact with you…
-
Yes
No
SI16a1. A correctional officer?
1
2
SI16a2. Another staff person working in the facility?
1
2
SI16a3. A volunteer in the facility?
1
2
DK/REF
SI16b [IF SI10 = 2 OR DK OR REF] Were any of the staff who had sexual contact with you…
-
Yes
No
SI16b1. Correctional officers?
1
2
SI16b2. Other staff working in the facility?
1
2
SI16b3. Volunteers in the facility?
1
2
DK/REF
SI17a [IF SI10 = 1] Before the [RECENT_FILL2] happened, did any of these things ever happen?
-
Yes
No
SI17a1. The staff person talked to you about [
his/her] [StaffGenderFill2] personal life outside of work?1
2
SI17a2. The staff person gave you pictures of
[himself/herself][StaffGenderFill3]?1
2
SI17a3. The staff person wrote letters to you?
1
2
SI17a4. The staff person offered you things like drugs, cigarettes, alcohol, or other things you are not allowed to have in this facility?
1
2
SI17a5. The staff person offered you money?
1
2
SI17a6. The staff person did things for you to help you get out of trouble?
1
2
SI17a7. The staff person spent time alone with you and asked that you not tell anyone else about that time?
1
2
SI17a8. The staff person told you that [StaffGenderFill1] had special feelings for you or was in love with you?
1
2
SI17a9. The staff person talked or joked with you about sex or shared sexual stories with you?
1
2
DK/REF
SI17b [IF SI10 = 2 OR DK OR REF] Before the [RECENT_FILL2] happened, did any of these things ever happen?
-
Yes
No
SI17b1. One or more of the staff talked to you about his or her personal life outside of work?
1
2
SI17b2. One or more of the staff gave you pictures of themselves?
1
2
SI17b3. One or more of the staff wrote letters to you?
1
2
SI17b4. One or more of the staff offered you things like drugs, cigarettes, alcohol, or other things you are not allowed to have in this facility?
1
2
SI17b5. One or more of the staff offered you money?
1
2
SI17b6. One or more of the staff did things for you to help you get out of trouble?
1
2
SI17b7. One or more of the staff spent time alone with you and asked that you not tell anyone else about that time?
1
2
SI17b8. One or more of the staff told you that they had special feelings for you or were in love with you?
1
2
SI17b9. One or more of the staff talked or joked with you about sex or shared sexual stories with you?
1
2
DK/REF
SI18 During the [RECENT_FILL2] were you injured?
1 Yes
2 No
DK/REF
SI19 [IF SI18 = 1] How were you injured during the incident? Did you…
-
Yes
No
SI19a. Receive knife or stab wounds?
1
2
SI19b. Receive broken bones?
1
2
SI19c. [IF GENDER=1] Have anal tearing?
[IF GENDER=2] Have anal or vaginal tearing?
1
2
SI19d. Have your teeth chipped or knocked out?
1
2
SI19e Receive internal injuries?
1
2
SI19f. Get knocked unconscious?
1
2
SI19g. Receive bruises, a black eye, sprains, cuts, scratches, swelling, welts, or burns?
1
2
DK/REF
SI20 [IF SI18 = 1] As a result of any of the injuries you received during this incident, did you see a doctor, nurse, or other health care provider for any of the injuries you received?
1 Yes
2 No
DK/REF
SI21 [IF SI10 = 1] Did this staff person do any of the following things after the incident happened?
[IF SI10 = 2 OR DK OR REF] Did any of the staff involved do any of
the following things after the [RECENT_FILL2] happened
incident?
-
SI21a. Gave you gifts or money so that you would keep it secret?
Yes
No
SI21b. Threatened to hurt you so that you would keep it secret?
1
2
SI21c. Said
[he/she/they][StaffGenderFill1]would blame it on you if you told anyone?1
2
SI21d. Said
[he/she/they][StaffGenderFill1] would stop spending time with you if you told anyone?1
2
SI21e. Had sexual contact with you again?
1
2
SI21f. Ignored you or stayed away from you?
1
2
DK/REF
SI22 Did you report this [RECENT_FILL2] to anyone?
1 Yes
2 No
DK/REF
SI23 [IF SI22 = 1] Did you report the incident to…
-
Yes
No
SI23a. A correctional officer?
1
2
SI23b. An administrative staff person?
1
2
SI23c. A medical or healthcare staff person?
1
2
SI23d. An instructor or teacher?
1
2
SI23e. A counselor or other mental health care provider?
1
2
SI23f. A chaplain or other religious official?
1
2
SI23g. A volunteer?
1
2
SI23h. Some other type of facility staff person?
1
2
SI23i. A telephone hotline?
1
2
SI23j. Another inmate?
1
2
SI23k. A family member or friend?
1
2
DK/REF
SI24 At the time the [RECENT_FILL2] happened were any inmates aware that it was happening?
Yes
No
DK/REF
SI125 At the time the
[RECENT_FILL2] happened were any other staff at the facility
aware that it was happening?
Yes
No
DK/REF
SI26 [IF SI22 = 1] Did any of the following things happen to you as a result of the report you made?
-
Yes
No
SI26a. You were moved to administrative segregation or some other protective housing?
1
2
SI26b. You were placed in a medical unit, ward, or hospital?
1
2
SI26c. You were confined to your own cell, room, or housing area?
1
2
SI26d. You were given a higher level of custody within the facility?
1
2
SI26e. You were offered a transfer to another facility?
1
2
SI26f. You were written up?
1
2
DK/REF
SI27a [IF SI10 = 1 AND SI22 = 1] Did any of the following things happen to the staff person who had sex or sexual contact with you?
-
Yes
No
SI27a1. The staff person was fired?
1
2
SI27a2. The staff person was transferred to another facility?
1
2
SI27a3. The staff person was transferred to a different job at this facility?
1
2
SI27a4. The staff person was charged with a crime?
1
2
SI27a5. The staff person was suspended for a period of time?
1
2
SI27a6. The staff person was punished or disciplined in some way other than those listed above?
1
2
DK/REF
SI27b [IF (SI10 = 2 OR DK OR REF) AND SI22 = 1] Did any of the following things happen to any of the staff who had sex or sexual contact with you?
-
Yes
No
SI27b1. One or more of the staff were fired?
1
2
SI27b2. One or more of the staff were transferred to another facility?
1
2
SI27b3. One or more of the staff were transferred to a different job at this facility?
1
2
SI27b4. One or more of the staff were charged with a crime?
1
2
SI27b5. One or more of the staff were suspended for a period of time?
1
2
SI27b6. One or more of the staff were punished or disciplined in some way other than those listed above?
1
2
DK/REF
SI28 [IF SI10 = 1] Since this [RECENT_FILL2] happened has this staff person attempted any type of sexual contact with you?
[IF SI10 = 2 OR DK OR REF] Since this [RECENT_FILL2] happened have any of the staff involved attempted any type of sexual contact with you?
Yes
No
DK/REF
SI29 [IF SI10 = 1 AND SI28 NE 1] Since this [RECENT_FILL2] happened have you been worried that this staff person will try to initiate sexual contact with you again?
[IF (SI10 = 2 OR DK OR REF) AND SI28 NE 1] Since this [RECENT_FILL2] happened have you been worried that any of the staff involved would try to initiate sexual contact with you again?
Yes
No
DK/REF
SI30 Since this [RECENT_FILL2] happened, have you done any of the following things to reduce the chance that you would be attacked again?
-
Yes
No
SI30a. Joined a gang?
1
2
SI30b. Carried a weapon?
1
2
SI30c. Fought more?
1
2
SI30d. Worked out in order to bulk up?
1
2
SI30e. Tried to make yourself look less attractive?
1
2
SI30f. Avoided certain areas?
1
2
SI30g. Kept to yourself more?
1
2
SI30h. Stayed in your own cell or housing area more?
1
2
SI30i. Joined a religious group?
1
2
SI30j. Avoided certain staff?
1
2
SI30k. Requested protective custody?
1
2
SI30l. Requested transfer to another facility?
1
2
DK/REF
Section X: Other Victimization While Incarcerated
XINTRO These next questions are about other things that may have happened to you in this facility.
Touch the NEXT button to go to the next screen.
X6a DOAFILL1, have you been written up or charged with assaulting another inmate?
Yes
No
DK/REF
X6b [IF X6a = 1] DOAFILL1, how many times have you been written up or charged with assaulting another inmate?
1 1 time
2 2 times
3 3 - 5 times
4 6 – 10 times
4 11 times or more
DK/REF
X7a DOAFILL1, have you been written up or charged with physically assaulting a correctional officer or other facility staff person?
Yes
No
DK/REF
X7b [IF X7a = 1] DOAFILL1, how many times have you been written up or charged with physically assaulting a correctional officer or other facility staff person?
1 1 time
2 2 times
3 3 – 5 times
4 6 – 10 times
4 11 times or more
DK/REF
X8a DOAFILL1, have you been written up or charged with verbally assaulting a correctional officer or other facility staff person?
Yes
No
DK/REF
X8b [IF X8a = 1] DOAFILL1, how many times have you been written up or charged with verbally assaulting a correctional officer or other facility staff person?
1 1 time
2 2 times
3 3 – 10 times
4 11 times or more
DK/REF
LCM5 DOAFILL1, have you had any sex or sexual contact with staff in this facility whether you wanted to have it or not?
Yes
No
DK/REF
LCM6a How long has it been since you had any sex or sexual contact with staff in this facility whether you wanted to or not?
1 Within the past 7 days
2 More than 7 days ago but within the past 30 days
3 More than 30 days ago but within the past 12 months
4 More than 12 months ago
5 This has not happened to me at this facility
DK/REF
Section L: Pat Downs and Strip Searches
L0 These next questions are about your experiences with strip searches and pat downs at this facility.
Touch the NEXT button to go to the next screen.
L22a DOAFILL1, how often have you been strip searched?
Once a week or more
Several times a month
Once a month
Less than once a month
Never
DK/REF
L22b DOAFILL1, how often have you been patted down?
1 Once a week or more
2 Several times a month
3 Once a month
4 Less than once a month
5 Never
DK/REF
L23 [IF G11a = 1 AND L22a NE 5] Earlier you reported that, DOAFILL2, you touched a facility staff person’s body or had your body touched in a sexual way. Did this happen as part of a strip search?
1 Yes
2 No
DK/REF
L23a [IF L23 = 1] On any occasion DOAFILL2 when you touched a facility staff person’s body or had your body touched in a sexual way as part of a strip search, was the strip search conducted by
-
Yes
No
L23a1. Male facility staff?
1
2
L23a2. Female facility staff?
1
2
DK/REF
L24 [IF G11a = 1] DOAFILL1, when you touched a facility staff person’s body or had your body touched in a sexual way, did this happen when it was not part of a strip search?
1 Yes
2 No
DK/REF
L25 [IF G11a = 1 AND L22b NE 5] DOAFILL1, when you touched a facility staff person’s body or had your body touched in a sexual way, did this happen as part of a pat down?
1 Yes
2 No
DK/REF
L25a [IF L25 = 1] On any occasion DOAFILL2 when you touched a facility staff person’s body or had your body touched in a sexual way as part of a pat down, was the pat down conducted by
-
Yes
No
L25a1. Male facility staff?
1
2
L25a2. Female facility staff?
1
2
DK/REF
L26 [IF G11a = 1] DOAFILL1, when you touched a facility staff person’s body or had your body touched in a sexual way, did this happen when it was not part of a pat down?
1 Yes
2 No
DK/REF
Section S: Facility Conditions / Support / Safety
S0 These next questions are about everyday living in this facility.
Touch the NEXT button to go to the next screen.
S1 Are there inmates in this facility who you think of as your friends?
1 Yes
2 No
DK/REF
S2 Are there inmates in this facility who you can talk to about your personal problems?
1 Yes
2 No
DK/REF
S3 Are there inmates in this facility who would protect you if another inmate was trying to hurt you?
1 Yes
No
DK/REF
S4 Are there correctional officers or other staff at this facility who you can talk to about your problems?
1 Yes
2 No
DK/REF
S5 Are there correctional officers or other staff at this facility who would protect you if another inmate was trying to hurt you?
1 Yes
2 No
DK/REF
S6 How crowded is it in your housing unit?
Not at all crowded
Slightly crowded
Pretty crowded
Very crowded
DK/REF
S7 How crowded is it outside of the housing units – for example, in the dining hall, classrooms, gym, or work areas?
Not at all crowded
Slightly crowded
Pretty crowded
Very crowded
DK/REF
S8 How much privacy do you have in your housing unit?
None
A little
Some
A lot
DK/REF
S9 Please indicate whether you agree or disagree with each of the following statements.
Staff at this facility…
-
Agree
Disagree
S9a. Are generally fair?
1
2
S9b. Do their best to make this facility safe and secure?
1
2
S9c. Try to meet the needs of the inmates?
1
2
S9d. Break up fights quickly?
1
2
S9e. Use physical force only when necessary?
1
2
S9f. Let inmates know what is expected of them?
1
2
S9g. Generally treat inmates with respect?
1
2
S9h. Follow facility rules when handling inmate complaints and grievances?
1
2
S9i. Often write up inmates who don’t deserve it?
1
2
DK/REF
S10 DOAFILL1, how often have you been visited by your family or friends?
Frequently
Sometimes
Rarely
Never
DK/REF
S11 DOAFILL1, how often have you received letters from your family or friends?
1 Frequently
2 Sometimes
3 Rarely
4 Never
DK/REF
S12 DOAFILL1, how often have you talked on the telephone with your family or friends?
1 Frequently
2 Sometimes
3 Rarely
4 Never
DK/REF
S13 DOAFILL1, how often have inmates at this facility been hit, punched, or assaulted by other inmates?
1 Frequently
2 Sometimes
3 Rarely
4 Never
DK/REF
S14 DOAFILL1, how often have you worried about being hit, punched, or assaulted by other inmates in this facility?
Frequently
Sometimes
Rarely
Never
DK/REF
S15 DOAFILL1, how often have you seen other inmates with some type of weapon?
1 Frequently
2 Sometimes
3 Rarely
4 Never
DK/REF
S16 DOAFILL1, how much gang activity has there been at this facility?
None
A little
Some
A lot
DK/REF
S17 DOAFILL1, have you been in a fight, assault, or incident in which another inmate tried to harm you?
1 Yes
2 No
DK/REF
S18 [IF S17 = 1] DOAFILL1, how many times have you been in a fight, assault, or other incident in which another inmate tried to harm you?
1 1 time
2 2 times
3 3 – 10 times
4 11 times or more
DK/REF
S19 [IF S18 = 3] DOAFILL1, how many times have you been in a fight, assault, or other incident in which another inmate tried to harm you?
1 3 times
2 4 times
3 5 times
4 6 times
5 7 times
6 8 times
7 9 times
8 10 times
DK/REF
S20 [IF S18 = 4] DOAFILL1, how many times have you been in a fight, assault, or other incident in which another inmate tried to harm you?
NUMBER OF TIMES: ______________ [RANGE: 11 – 800]
DK/REF
S36 [IF S17 = 1] DOAFILL1, what injuries have you received in a fight, assault, or incident in which another inmate hurt you?
-
Yes
No
S36a. You received knife or stab wounds?
1
2
S36b. You received broken bones?
1
2
S36c. Your teeth were chipped or knocked out?
1
2
S36d You received internal injuries?
1
2
S36e. You were knocked unconscious?
1
2
S36f. You received bruises, a black eye, sprains, cuts, scratches, swelling, welts, or burns?
1
2
DK/REF
S37 [IF S36a = 1 OR S36b = 1 OR S36c = 1 OR S36d = 1 OR S36e = 1 OR S36f = 1] Did you see a doctor, nurse, or other health care provider for your injuries?
1 Yes
2 No
DK/REF
S21 DOAFILL1, have you been in a fight, assault, or incident in which a correctional officer or other facility staff person tried to harm you?
1 Yes
2 No
DK/REF
S22 [IF S21 = 1] DOAFILL1, how many times have you been in a fight, assault, or incident in which a correctional officer or other facility staff person tried to harm you?
1 1 time
2 2 times
3 3 – 10 times
4 11 times or more
DK/REF
S23 [IF S22 = 3] DOAFILL1, how many times have you been in a fight, assault, or other incident in which a correctional officer or other facility staff person tried to harm you?
1 3 times
2 4 times
3 5 times
4 6 times
5 7 times
6 8 times
7 9 times
8 10 times
DK/REF
S24 [IF S22 = 4] DOAFILL1, how many times have you been in a fight, assault, or other incident in which a correctional officer or other facility staff person tried to harm you?
NUMBER OF TIMES: ____________ [RANGE: 11 – 800]
DK/REF
S34 [IF S21 = 1] DOAFILL1, what injuries have you received in a fight, assault, or incident in which a correctional officer or other facility staff person tried to harm you?
-
Yes
No
S34a. You received knife or stab wounds?
1
2
S34b. You received broken bones?
1
2
S34c. Your teeth were chipped or knocked out?
1
2
S34d You received internal injuries?
1
2
S34e. You were knocked unconscious?
1
2
S34f. You received bruises, a black eye, sprains, cuts, scratches, swelling, welts, or burns?
1
2
DK/REF
S35 [IF S34a = 1 OR S34b = 1 OR S34c = 1 OR S34d = 1 OR S34e = 1 OR S34f = 1] Did you see a doctor, nurse, or other health care provider for your injuries?
1 Yes
2 No
DK/REF
S25 DOAFILL1, have any of your personal possessions or belongings been taken by another inmate without your permission?
1 Yes
2 No
DK/REF
S26 [IF S25 = 1] DOAFILL1, how many times have any of your personal possessions or belongings been taken by another inmate without your permission?
1 1 time
2 2 times
3 3 – 10 times
4 11 times or more
DK/REF
S27 [IF S26 = 3] DOAFILL1, how many times have any of your personal possessions or belongings been taken by another inmate without your permission?
1 3 times
2 4 times
3 5 times
4 6 times
5 7 times
6 8 times
7 9 times
8 10 times
DK/REF
S28 [IF S26 = 4] DOAFILL1, how many times have any of your personal possessions or belongings been taken by another inmate without your permission?
NUMBER OF TIMES: ______________ [RANGE: 11 – 800]
DK/REF
S29 DOAFILL1, do you think there has been enough staff at this facility to keep inmates safe?
1 Yes
2 No
DK/REF
S30 DOAFILL1, have you filed a grievance for any reason?
1 Yes
2 No
DK/REF
S31 [IF S30 = 1] DOAFILL1, how many times have you filed a grievance for any reason?
1 1 time
2 2 times
3 3 – 10 times
4 11 times or more
DK/REF
S32 [IF S31 = 3] DOAFILL1, how many times have you filed a grievance for any reason?
1 3 times
2 4 times
3 5 times
4 6 times
5 7 times
6 8 times
7 9 times
8 10 times
DK/REF
S33 [IF S31 = 4] DOAFILL1, how many times have you filed a grievance for any reason?
NUMBER OF TIMES: _____________ [RANGE: 11 – 800]
DK/REF
Section R – Mental Health
R1 The next questions are about how you have been feeling during the past 30 days.
About how often during the past 30 days did you feel nervous?
1 All of the time
2 Most of the time
3 Some of the time
4 A little of the time
5 None of the time
DK/REF
R2 During the past 30 days, about how often did you feel hopeless?
1 All of the time
2 Most of the time
3 Some of the time
4 A little of the time
5 None of the time
DK/REF
R3 During the past 30 days, about how often did you feel restless or fidgety?
1 All of the time
2 Most of the time
3 Some of the time
4 A little of the time
5 None of the time
DK/REF
R4 How often in the past 30 days did you feel so depressed that nothing could cheer you up?
1 All of the time
2 Most of the time
3 Some of the time
4 A little of the time
5 None of the time
DK/REF
R5 About how often in the past 30 days did you feel that everything was an effort?
1 All of the time
2 Most of the time
3 Some of the time
4 A little of the time
5 None of the time
DK/REF
R6 About how often in the past 30 days did you feel worthless?
1 All of the time
2 Most of the time
3 Some of the time
4 A little of the time
5 None of the time
DK/REF
R24 Have you ever been told by a mental health professional, such as a psychiatrist or psychologist, that you had…
-
Yes
No
R24a. Manic depression, a bipolar disorder, or mania?
1
2
R24b. A depressive disorder?
1
2
R24c. Schizophrenia or another psychotic disorder?
1
2
R24d. Post-traumatic stress disorder or PTSD?
1
2
R24e. Another anxiety disorder, such as panic disorder or OCD?
1
2
R24f. A personality disorder, such as antisocial or borderline personality?
1
2
R24g. A mental or emotional condition other than those listed above?
1
2
DK/REF
R25 The next questions are about any times you may have stayed overnight in any type of hospital or other facility for any problem with your emotions, nerves, or mental health. Please do not include any overnight hospital stays for alcohol or drug use.
Touch the NEXT button to go to the next screen.
R26 Have you ever stayed overnight or longer in any type of hospital or other facility to receive treatment or counseling for any problem you were having with your emotions, nerves, or mental health?
1 Yes
2 No
DK/REF
R27 [IF R26 = 1] During the 12 months before you were admitted to any facility to serve time on your current sentence, did you stay overnight or longer in any type of hospital or other facility to receive treatment or counseling for problems you were having with your emotions, nerves, or mental health?
1 Yes
2 No
DK/REF
R28 The next questions are about services you may have received for any problem with your emotions, nerves, or mental health. As you answer these questions please do not include any services you may have received for drug or alcohol use. Some questions ask about prescription medicine. Prescription medicines are drugs that you take if a doctor authorizes them for you.
Touch the NEXT button to go to the next screen.
R29 Have you ever taken any prescription medicine for any problem you were having with your emotions, nerves, or mental health?
1 Yes
2 No
DK/REF
R30 [IF B4 = 1 AND R29 = 1] At the time of the offense for which you are currently sentenced and serving time, were you taking prescription medicine for any problem you were having with your emotions, nerves, or mental health?
[IF B4 = 2 OR DK OR REF AND R29 = 1] At the time of the offense for which you are currently being held, were you taking prescription medicine for any problem you were having with your emotions, nerves, or mental health?
1 Yes
2 No
DK/REF
R31 [IF R29 = 1] Since you were admitted to any facility to serve time on your current sentence, have you taken prescription medicine for any problem you were having with your emotions, nerves, or mental health?
1 Yes
2 No
DK/REF
R33 Have you ever received counseling or therapy from a trained professional such as a psychiatrist, psychologist, social worker, or nurse for any problem you were having with your emotions, nerves, or mental health?
1 Yes
2 No
DK/REF
R34 [IF R33 = 1] Since you were admitted to any facility to serve time on your current sentence, have you received counseling or therapy from a trained professional such as a psychiatrist, psychologist, social worker, or nurse for any problem you were having with your emotions, nerves, or mental health?
1 Yes
2 No
DK/REF
R21 Did you ever in your life have any of the following experiences happen to you:
-
Yes
No
R21a. A serious fight or physical assault?
1
2
R21b. A sexual assault?
1
2
R21c. A life-threatening accident or injury?
1
2
R21d. The murder or suicide of a loved one?
1
2
R21e. The accidental death of a loved one?
1
2
R21f. Witnessed someone being seriously injured or killed?
1
2
R21g. Any experience that put you at risk of death?
1
2
DK/REF
Section Q – Disability Status
Q0 The next questions are about difficulties that you might have due to a physical, mental, or emotional problem.
Touch the NEXT button to go to the next screen.
Q1 Are you deaf, or do you have serious difficulty hearing?
1 Yes
2 No
DK/REF
Q2 Are you blind, or do you have serious difficulty seeing even when wearing glasses?
1 Yes
2 No
DK/REF
Q3 Because of a physical, mental, or emotional problem, do you have serious difficulty concentrating, remembering, or making decisions?
1 Yes
2 No
DK/REF
Q4 Do you have serious difficulty walking or climbing stairs?
1 Yes
2 No
DK/REF
Q5 Do you have difficulty dressing or bathing?
1 Yes
2 No
DK/REF
Q6 Because of a physical, mental, or emotional problem, do you have difficulty doing activities on your own, such as going to meal time, going outside, working in or outside of this facility, going to classes, or attending programs?
1 Yes
2 No
DK/REF
Q7 [IF Q1 OR Q2 OR Q3 OR Q4 OR Q5 OR Q6 = 1] Is the difficulty you experience doing activities on your own caused by…
-
Yes
No
Q7a. A physical problem?
1
2
Q7b. A mental or emotional problem?
1
2
DK/REF
Q8. Did a doctor, school counselor, or other professional ever tell you that you have:
-
Yes
No
Q8a. ADD or ADHD?
1
2
Q8b. Dyslexia?
1
2
Q8c. A learning disability?
1
2
Q8d. Autism or Asperger’s?
1
2
DK/REF
Section RH: Restrictive Housing Module
RH0 Next, we would like to know about your experiences with solitary confinement at this facility. Solitary confinement can include administrative or disciplinary segregation and may also be called secure housing, the hole, lockdown, the SHU, or protective custody.
Touch the NEXT button to go to the next screen.
RH1 [IF A9a = 2 OR DK OR REF] DOAFILL1, have you spent any time in disciplinary or administrative segregation, or solitary confinement?
Yes
No [GO TO NEXT MODULE]
DK/REF [GO TO NEXT MODULE]
RH2 [IF A9a = 1 OR RH1 = 1] DOAFILL1, how many different times have you been placed in disciplinary or administrative segregation, or solitary confinement?
1 1 time
2 2 times
3 3 - 5 times
4 6 – 10 times
5 11 times or more
DK/REF
RH3 [IF RH2 = 1 OR DK OR REF] DOAFILL1, how many days did you spend in disciplinary or administrative segregation, or solitary confinement?
[IF RH2 > 1] DOAFILL1, how many days altogether have you spent in disciplinary or administrative segregation, or solitary confinement?
1 1 day or less
2 More than 1 day but less than 7 days
3 At least 7 days but less than 14 days
4 At least 14 days but less than 30 days
5 30 days or more
DK/REF
RH4 [IF
RH1 = 1] Please
think about the [IF RH2 > 1, INCLUDE “most recent”]
time DOAFILL2
that
you were placed
in disciplinary or administrative segregation, or solitary
confinement.
Why do you think you were placed in
disciplinary
or administrative segregation, or solitary confinement?
Was it…
[IF A9a = 1] Why do you think you have been assigned to disciplinary or administrative segregation, or solitary confinement? Is it…
-
Yes
No
RH4a. Because you were a danger to yourself?
1
2
RH4b. For mental health reasons?
1
2
RH4c. For medical reasons?
1
2
RH4d. Because you asked to be placed there for your own protection?
1
2
RH4e. As a punishment for breaking rules?
1
2
RH4f. For a cool down period?
1
2
RH4g. For some other reason?
1
2
DK/REF
RH5 [IF RH4e = 1] What facility rules were you accused of breaking that led to you being assigned to disciplinary or administrative segregation, or solitary confinement [IF RH2 > 1, INCLUDE “the most recent time”]?
-
Yes
No
RH5a. Fighting with another inmate?
1
2
RH5b. Verbally assaulting staff?
1
2
RH5c. Physically assaulting staff?
1
2
RH5d. Possession of contraband?
1
2
RH5e. Having sexual contact with staff?
1
2
RH5f. Having sexual contact with another inmate?
1
2
RH5g. Noncompliance?
1
2
RH5h. Some other rule or rules?
1
2
DK/REF
RH6 [IF RH4e = 1] Were you given a hearing after being placed in disciplinary or administrative segregation, or solitary confinement to determine if you were guilty of breaking facility rules?
Yes
No
DK/REF
RH7 [IF RH1 = 1 AND RH2 > 1] How long did you remain in disciplinary or administrative segregation, or solitary confinement the most recent time you were placed there?
1 1 day or less
2 More than 1 day but less than 7 days
3 At least 7 days but less than 14 days
4 At least 14 days but less than 30 days
5 30 days or more
DK/REF
RH8 [IF RH1 = 1 AND A9a NE 1] During the [IF RH2 > 1, INCLUDE “most recent”] time you were in disciplinary or administrative segregation, or solitary confinement, were you in a cell by yourself for all or most of the time?
[IF A9a = 1] Are you being housed in a cell by yourself?
Yes
No
DK/REF
RH9 [IF RH8 = 2 AND A9a = 2 AND RH1 = 1] How many other inmates were in the cell with you the [IF RH2 > 1, INCLUDE “most recent”] time you were in disciplinary or administrative segregation, or solitary confinement?
[IF RH8 = 2 AND A9a = 1] How many other inmates are in the cell with you?
NUMBER OF INMATES: _______ [RANGE: 1 – 60]
DK/REF
RH10 [IF RH1 = 1] Were you able to leave your cell at least once every day the [IF RH2>1, INCLUDE “most recent” ] time you were in disciplinary or administrative segregation, or solitary confinement?
[IF A9a = 1] Are you able to leave your cell at least once every day?
Yes
No
DK/REF
RH11 [IF RH1 = 1] Were you put in shackles or handcuffs every time you left your cell the [IF RH2>1, INCLUDE “most recent”] time you were in disciplinary or administrative segregation, or solitary confinement?
[IF A9a = 1] Are you put in shackles or handcuffs every time you leave your cell?
Yes
No
DK/REF
RH12 [IF RH1 = 1] Did you have the same access to your lawyer or attorney as you did before you were placed in disciplinary or administrative segregation, or solitary confinement [IF RH2>1, INCLUDE “this most recent time”]?
[IF A9a = 1] Do you have the same access to your lawyer or attorney as you did before you were placed in disciplinary or administrative segregation, or solitary confinement?
1 Yes
2 No
DK/REF
RH13 [IF RH1 = 1] Were you able to talk to staff every day while you were in disciplinary or administrative segregation, or solitary confinement [IF RH2>1, INCLUDE “this most recent time”]?
[IF
A9a = 1] Are you able to talk to staff every day in disciplinary
or administrative segregation or
solitary
confinement?
1 Yes
2 No
DK/REF
RH14 [IF RH1 = 1] Did a trained counselor or mental health professional check on you while you were in disciplinary or administrative segregation, or solitary confinement [IF RH2>1, INCLUDE “this most recent time”]?
[IF A9a = 1] Has a trained counselor or mental health professional checked on you while you have been in disciplinary or administrative segregation, or solitary confinement?
1 Yes
2 No
DK/REF
RH15 [IF RH14 = 1 AND RH1 = 1] How often did a trained counselor or mental health professional check on you while you were in disciplinary or administrative segregation, or solitary confinement [IF RH2>1, INCLUDE “this most recent time”]?
[IF RH14 = 1 AND A9a = 1] How often has a trained counselor or mental health professional checked on you while you have been in disciplinary or administrative segregation, or solitary confinement?
1 Every day
2 A few times a week
3 Once a week
4 Less than once a week
DK/REF
RH16 [IF RH1 = 1] Now please think about the [IF RH2 > 1, INCLUDE “most recent”] time when you were released from disciplinary or administrative segregation, or solitary confinement. Because you were in disciplinary or administrative segregation, or solitary confinement, did you…
-
Yes
No
RH16a. Lose your job in the facility?
1
2
RH16b. Get assigned to a different job in the facility?
1
2
RH16c. Have less yard or free time than you did before?
1
2
RH16d. Lose good time or good time credits?
1
2
DK/REF
RH17 [IF RH1 = 1] As a result of being in disciplinary or administrative segregation, or solitary confinement, did you…
-
Yes
No
RH17a. Have to participate in a program designed to help you avoid getting sent to disciplinary or administrative segregation, or solitary confinement in the future?
1
2
RH17b. Get assigned to a higher custody or security level?
1
2
RH17c. Get moved somewhere else in the facility?
1
2
RH17d. Lose privileges, such as phone, visitation, or canteen privileges?
1
2
RH17e. Lose access to programs, such as classes, work-release, or other training programs?
1
2
DK/REF
RH18 [IF RH1 = 1] After you returned from being in disciplinary or administrative segregation, or solitary confinement were any of your personal possessions missing?
1 Yes
2 No
DK/REF
Section P – Medical Conditions and Care
P0 The next questions are about your health and any health care you may have received in any facility where you have been held to serve time on your current sentence. Some questions may ask about prescription medicines. Prescription medicines are drugs that you take if a doctor authorizes them for you.
Touch the NEXT button to go to the next screen.
P1 When you were first admitted to any facility to serve time on your current sentence, did a staff person…
-
Yes
No
P1a. Check to see if you were sick, injured, drunk, or high?
1
2
P1b. Ask you any questions about your health or medical history?
1
2
P1c. Ask if you had ever thought about or tried to commit suicide?
1
2
DK/REF
P2 Since you were admitted to any facility to serve time on your current sentence, have you been injured in an accident, such as slipping or falling while at work or while playing sports?
1 Yes
2 No
DK/REF
P3 [IF P2 = 1] Since you were admitted to any facility to serve time on your current sentence what types of injuries have you received as a result of an accident?
-
Yes
No
P3a. You received broken bones?
1
2
P3b. Your teeth were chipped or knocked out?
1
2
P3c. You received internal injuries?
1
2
P3d. You were knocked unconscious?
1
2
P3e. You received bruises, a black eye, sprains, cuts, scratches, swelling, welts, or burns?
1
2
DK/REF
P4 [IF P3a = 1 OR P3b = 1 OR P3c = 1 OR P3d = 1 OR P3e = 1] Did you see a doctor, nurse, or other health care provider for any of your injuries?
1 Yes
2 No
DK/REF
P5 Since you were admitted to any facility to serve time on your current sentence, have you had any problems with your teeth or gums?
1 Yes
2 No
DK/REF
P6 [IF P5 = 1] Since you were admitted to any facility to serve time on your current sentence, did you see a dentist, doctor, nurse, or other health care provider for any of these problems with your teeth or gums?
1 Yes
2 No
DK/REF
P7 [IF P6 = 1] Since you were admitted to any facility to serve time on your current sentence, what procedures did you receive from a dentist or other dental health provider?
-
Yes
No
P7a. Had teeth cleaned?
1
2
P7b. Had one or more teeth pulled out?
1
2
P7c. Had a root canal?
1
2
P7d. Had a cap or crown put in?
1
2
P7e. Had a cavity filled?
1
2
P7f. Oral surgery?
1
2
P7g. Some other dental procedure?
1
2
DK/REF
P8 Since you were admitted to any facility to serve time on your current sentence, have you seen a doctor, nurse, or other health care provider for any reason other than those already mentioned?
1 Yes
2 No
DK/REF
P9 Since you were admitted to any facility to serve time on your current sentence, have you seen a doctor, nurse, or other health care provider outside the prison, for example in a community hospital, doctor’s office, or clinic?
1 Yes
2 No
DK/REF
P10 The next questions are about medical tests you may have had since you were admitted to any facility to serve time on your current sentence.
Since you were admitted to any facility to serve time on your current sentence, has anyone pricked your skin to test you for tuberculosis or TB?
1 Yes
2 No
DK/REF
P11 [IF P10 = 1] What was the result of the last tuberculosis (TB) test you had?
1 Positive – you have tuberculosis (TB)
2 Negative – you do not have tuberculosis (TB)
3 Your results are not available yet
4 You were never told the result
DK/REF
P12 [IF P11 = 1] Were you given medicine to take because of your positive tuberculosis or TB skin test?
1 Yes
2 No
DK/REF
P13 [IF P11 NE 1] Has a doctor, nurse, or other health care provider ever told you that you have tuberculosis or TB?
1 Yes
2 No
DK/REF
P14 Since you were admitted to any facility to serve time on your current sentence, have you had your blood tested for any reason?
1 Yes
2 No
DK/REF
P15 [IF P14 = 1] Since you were admitted to any facility to serve time on your current sentence, have you had your blood tested for HIV – the virus that causes AIDS?
1 Yes
2 No
DK/REF
P16 [IF P15 = 1] What was the result of the most recent HIV test you had?
1 Positive, you are infected with HIV – the virus that causes AIDS
2 Negative, you are not infected with HIV – the virus that causes AIDS
3 Your results are not available yet
4 You were never told the result
DK/REF
P17 [IF P14 NE 1 OR P15 NE 1] Have you ever been tested for HIV – the virus that causes AIDS?
1 Yes
2 No
DK/REF
P18 [IF P17 = 1] What was the result of the most recent HIV test you had?
1 Positive, you are infected with HIV – the virus that causes AIDS
2 Negative, you are not infected with HIV – the virus that causes AIDS
3 Your results are not available yet
4 You were never told the result
DK/REF
P19 [IF P16 OR P18 = 1] Are you currently taking any medicine or receiving treatment for HIV – the virus that causes AIDS?
1 Yes
2 No
DK/REF
P20 [IF P14 = 1] Since you were admitted to any facility to serve time on your current sentence, have you been tested for Hepatitis C?
1 Yes
2 No
DK/REF
P21 [IF P20 = 1] Since you were admitted to any facility to serve time on your current sentence, have you tested positive for Hepatitis C?
1 Yes
2 No
DK/REF
P22 [IF P21 = 1] Since you were admitted to any facility to serve time on your current sentence, have you taken any medicine or received treatment for Hepatitis C?
1 Yes
2 No
DK/REF
P23 [IF P22 = 1] Are you currently taking any medicine or receiving treatment for Hepatitis C?
Yes
No
DK/REF
P24 [IF P20 NE 1 OR (P14 = 2 OR DK OR REF)] Has a doctor, nurse, or other health care provider ever told you that you have Hepatitis C?
1 Yes
2 No
DK/REF
P25 Has a doctor, nurse, or other health care provider ever told you that you had any sexually transmitted disease other than HIV or Hepatitis C?
1 Yes
2 No
DK/REF
P26 These next questions are about specific medical problems you may have had in the past or have currently.
Has a doctor, nurse, or other health care provider ever told you that you had…
-
Yes
No
P26a. Any type of cancer?
1
2
P26b. High blood pressure or hypertension?
1
2
P26c. A stroke?
1
2
P26d. IF GENDER = 1: Diabetes, high blood sugar, or sugar diabetes?
IF GENDER = 2: Diabetes, high blood sugar, or sugar diabetes that was not due to being pregnant?
1
2
P26e. Heart disease, including a heart attack, coronary heart disease, angina, congestive heart failure or other heart problems?
1
2
P26f. A problem with your kidneys?
1
2
P26g. Some form of arthritis, rheumatoid arthritis, gout, lupus, or fibromyalgia?
1
2
P26h. Asthma?
1
2
P26i. Cirrhosis of the liver?
1
2
P26j. A traumatic brain injury?
1
2
DK/REF
P27 [IF P26a = 1 OR P26b = 1 OR P26c = 1 OR P26d = 1 OR P26e = 1 OR P26f = 1 OR P26g = 1 OR P26h = 1 OR P26i = 1] Has a doctor, nurse, or other health care provider told you that you currently have…
NOTE TO PROGRAMMERS: FILL WITH ONLY THOSE DISEASES THE R ENDORSED IN P26
-
Yes
No
P27a. [IF P26a = 1] Any type of cancer?
1
2
P27b. [IF P26b = 1] High blood pressure or hypertension?
1
2
P27c. [IF P26c = 1] Problems caused by a stroke?
1
2
P27d. [IF P26d = 1 AND IF GENDER = 1]: Diabetes, high blood sugar, or sugar diabetes?
[IF P26d=1 AND IF GENDER = 2]: Diabetes, high blood sugar, or sugar diabetes that was not due to being pregnant?
1
2
P27e. [IF P26e = 1] Heart disease, including a heart attack, coronary heart disease, angina, congestive heart failure or other heart problems?
1
2
P27f. [IF P26f = 1] A problem with your kidneys?
1
2
P27g. [IF P26g = 1] Arthritis, rheumatoid arthritis, gout, lupus, or fibromyalgia?
1
2
P27h. [IF P26h = 1] Asthma?
1
2
P27i. [IF P26i = 1] Cirrhosis of the liver?
1
2
P27j. [IF P26j = 1] Problems caused by a traumatic brain injury?
1
2
DK/REF
P28 [IF P27a = 1 OR P27b = 1 OR P27c = 1 OR P27d = 1 OR P27e = 1 OR P27f = 1 OR P27g = 1 OR P27h = 1 OR P27i = 1 OR P27j = 1] Are you currently taking prescription medicine…
-
Yes
No
P28a. [IF P27a = 1] For any type of cancer?
1
2
P28b. [[IF P27b = 1] For high blood pressure or hypertension?
1
2
P28c. [IF P27c = 1] To prevent a stroke?
1
2
P28d. . [IF P27d = 1 AND IF GENDER = 1]: For diabetes, high blood sugar, or sugar diabetes?
[IF P27d=1 AND IF GENDER = 2]: For diabetes, high blood sugar, or sugar diabetes that was not due to being pregnant?]
1
2
P28e. [IF P27e = 1] For heart disease, including a heart attack, coronary heart disease, angina, congestive heart failure or other heart problems?
1
2
P28f. [IF P27f = 1] For a problem with your kidneys?
1
2
P28g. [IF P27g = 1] For any form of arthritis, rheumatoid arthritis, gout, lupus, or fibromyalgia?
1
2
P28h. [IF P27h = 1] For asthma?
1
2
P28i. [IF P27i = 1] For cirrhosis of the liver?
1
2
P28j. [IF P27j = 1] For a traumatic brain injury?
1
2
DK/REF
P29 [IF P27a = 1 OR P27b = 1 OR P27c = 1 OR P27d = 1 OR P27e = 1 OR P27f = 1 OR P27g = 1 OR P27h = 1 OR P27i = 1 OR P27j = 1] Are you currently receiving any medical treatment other than prescription medication…
-
Yes
No
P29a. [IF P27a = 1] for For any type of cancer?
1
2
P29b. [[IF P27b = 1] For high blood pressure or hypertension?
1
2
P29c. [IF P27c = 1] To prevent a stroke?
1
2
P29d. [IF P27d = 1 AND IF GENDER = 1]: For diabetes, high blood sugar, or sugar diabetes?
[IF P27d=1 AND IF GENDER = 2]: For diabetes, high blood sugar, or sugar diabetes that was not due to being pregnant?]
1
2
P29e. [IF P27e = 1] For heart disease, including a heart attack, coronary heart disease, angina, congestive heart failure or other heart problems?
1
2
P29f. [IF P27f = 1] For a problem with your kidneys?
1
2
P29g. [IF P27g = 1] For any form of arthritis, rheumatoid arthritis, gout, lupus, or fibromyalgia?
1
2
P29h. [IF P27h = 1] For asthma?
1
2
P29i. [IF P27i = 1] For cirrhosis of the liver?
1
2
P29j. [IF P27j = 1] For a traumatic brain injury?
1
2
DK/REF
Section PIV: Parental Involvement
PIV1 Is your biological mother, the woman who gave birth to you, still alive?
Yes
No
DK/REF
PIV2 [IF PIV1 = 2] How old were you when your biological mother died?
If you were less than a year old when she died, please enter 0.
AGE: ___________ [RANGE: 0 – CALCAGE]
DK/REF
PIV3 [IF CALCAGE GT 17 AND (PIV1 = 1 OR PIV2 GT 17)] Think about your biological mother and her involvement in your life before you turned 18. Would you say she was very involved, somewhat involved, or not at all involved?
[IF CALCAGE GT 17 AND PIV2 = 6 - 17] Think about your biological mother and her involvement in your life before she died. Would you say she was very involved, somewhat involved, or not at all involved?
[IF CALCAGE = 16 OR 17 AND PIV1 = 1] Think about your biological mother and her involvement in your life. Would you say she has been very involved, somewhat involved, or not at all involved?
[IF CALCAGE = 16 OR 17 AND PIV2 GT 5] Think about your biological mother and her involvement in your life before she died. Would you say she was very involved, somewhat involved, or not at all involved?
[IF CALCAGE GT 17 AND (PIV1 = 1 OR PIV2 GT 17)] Think about
your biological mother and her involvement in your life before you
turned 18. Would you say she was very involved, somewhat involved, or
not at all involved?
[IF CALCAGE = 16 OR 17 AND (PIV1 = 1 OR PIV2 GT 15)] Think
about your biological mother and her involvement in your life. Would
you say she has been very involved, somewhat involved, or not at all
involved?
Very involved
Somewhat involved
Not at all involved
DK/REF
PIV4 Is your biological father still alive?
Yes
No
DK/REF
PIV5 [IF PIV4 = 2] How old were you when your biological father died?
If you had not been born or were less than a year old when he died, please enter 0.
AGE: ___________ [RANGE: 0 – CALCAGE]
DK/REF
PIV6 [IF CALCAGE GT 17 AND (PIV4 = 1 OR PIV5 GT 17)] Think about your biological father and his involvement in your life before you turned 18. Would you say he was very involved, somewhat involved, or not at all involved?
[IF CALCAGE GT 17 AND PIV5 = 6 - 17] Think about your biological father and his involvement in your life before he died. Would you say he was very involved, somewhat involved, or not at all involved?
[IF CALCAGE = 16 OR 17 AND PIV4 = 1] Think about your biological father and his involvement in your life. Would you say he has been very involved, somewhat involved, or not at all involved?
[IF CALCAGE = 16 OR 17 AND PIV5 GT 5] Think about your biological father and his involvement in your life before he died. Would you say he was very involved, somewhat involved, or not at all involved?
[IF CALCAGE GT 17 AND (PIV4 = 1 OR PIV5 GT 17)] Think about
your biological father and his involvement in your life before you
turned 18. Would you say he was very involved, somewhat involved, or
not at all involved?
[IF CALCAGE = 16 OR 17 AND (PIV4 = 1 OR PIV5 GT 15)] Think
about your biological father and his involvement in your life. Would
you say he has been very involved, somewhat involved, or not at all
involved?
Very involved
Somewhat involved
Not at all involved
DK/REF
PIV7 [IF PIV6 = 3 OR DK OR REF] Do you know who your biological father is?
Yes
No
DK/REF
PIV8 Were your biological parents married to each other at the time you were born?
Yes
No
DK/REF
PIV9 [IF CALCAGE GT 17 AND PIV8 = 2 OR DK ] At any time between when you were born and when you turned 18 were your biological parents married to each other?
[IF CALCAGE = 16 OR 17 AND PIV8 = 2 OR DK] At any time since you were born, have your biological parents been married to each other?
Yes
No
DK/REF
PIV10 [IF CALCAGE GT 17 AND (PIV8 = 1 OR PIV9 = 1)] Between the time you were born and when you turned 18, were your biological parents married to each other the entire time, most of the time or some of the time?
[IF CALCAGE = 16 OR 17 AND (PIV8 = 1 OR PIV9 = 1] During the time since you were born, have your biological parents been married to each other the entire time, most of the time or some of the time?
The entire time
Most of the time
Some of the time
DK/REF
PIV11 [IF CALCAGE GT 17 AND ((PIV4 = 2 AND PIV6 = 1 OR 2 OR 3 OR BLANK) OR (PIV4 = 1 AND PIV6 = 2 OR 3))] Before you turned 18 was there another man who was like a father to you?
[IF CALCAGE = 16 OR 17 AND ((PIV4 = 2 AND PIV6 = 1 OR 2 OR 3 OR BLANK) OR (PIV4 = 1 AND PIV6 = 2 OR 3))] Is there another man who has been like a father to you while you’ve been growing up?
[IF CALCAGE GT 17 AND (PIV6 = 3 OR DK OR REF OR BLANK)]
Before you turned 18 was there another man who was like a father to
you?
[IF CALCAGE = 16 OR 17 AND (PIV6 =3 OR DK OR REF OR BLANK)]
Is there another man who has been like a father to you while you’ve
been growing up?
Yes
No
DK/REF
PIV12 [IF PIV11 = 1 AND CALCAGE GT 17] Who was the other man who was most like a father to you before you turned 18?
[IF PIV11 = 1 AND CALCAGE = 16 OR 17] Who is the other man who has been most like a father to you while you’ve been growing up?
A stepfather
An adoptive father
A foster father
Your mother’s boyfriend
A grandfather
An uncle
A brother, including a step- or half-brother
A cousin
A minister or member of the clergy
A teacher
A neighbor
Some other man
DK/REF
PIV13 Were you living with a male parent or male parent-figure at the time you were 14 years old?
Yes
No
DK/REF
PIV14 [IF PIV13 = 1] Who was the male parent or male parent-figure you were living with when you were 14 years old?
Your biological father
Your stepfather
Your adoptive father
A foster father
Your mother's boyfriend
Your grandfather
Your uncle
Some other male parent-figure
DK/REF
PIV15 Were you living with a female parent or female parent figure at the time you were 14 years old?
Yes
No
DK/REF
PIV16 [IF PIV15 = 1] Who was the female parent or female parent-figure you were living with when you were 14 years old?
Your biological mother
Your stepmother
Your adoptive mother
A foster mother
Your father’s girlfriend
Your grandmother
Your aunt
Some other female parent-figure
DK/REF
RANDOM = 95, SKIP TO M0
Section CE: Childhood Experiences
CE1 Next, we’ll ask about some experiences you may have had growing up.
Which of the following experiences did you have before age 18?
-
Yes
No
CE1a Did your mother or father die before you were 18?
1
2
CE1b Did your parents separate or divorce before you were 18?
1
2
CE1c Did either parent attempt or commit suicide?
1
2
CE1d Was either parent in prison or jail for 6 months or longer?
1
2
CE1e Did either parent, or person who raised you, have a mental illness?
1
2
CE1f Did either parent, or person who raised you, have an alcohol or drug problem?
1
2
CE1g Were you sent to a juvenile detention center?
1
2
DK/REF
CE2 At any time before you turned 18 did you live…
-
Yes
No
CE2a Wwith your biological mother?
1
2
CE2b With your biological father?
1
2
CE2c In a foster home?
1
2
DK/REF
CE3 How often did you do each of the following things before age 18?
-
Very Often
Often
Sometimes
Rarely
Never
X3aCE3a.Bully or threaten other kids ?
1
2
3
4
5
CE3b. Start fights?
1
2
3
4
5
CE3c. Run away from home and stay away overnight?
1
2
3
4
5
CE3d. Lie, or “con,” other people?
1
2
3
4
5
CE3e. Set fires?
1
2
3
4
5
CE3f. Stay out very late, long after you were supposed to be home?
1
2
3
4
5
CE3g. Skip school?
1
2
3
4
5
DK/REF
CE4 How often did you do each of the following things before age 18?
-
Very Often
Often
Sometimes
Rarely
Never
CE4a Argue, or “talk back,” to adults?
1
2
3
4
5
CE4b Disobey rules at home, school, or work?
1
2
3
4
5
CE4c Refuse to follow directions from adults like your parents, teacher, or boss?
1
2
3
4
5
CE4d Blame others for your mistakes or bad behavior?
1
2
3
4
5
CE4e Do mean things to “pay people back” for things they did that you didn’t like?
1
2
3
4
5
DK/REF
CE5 How often did you have each of the following experiences before age 18?
-
Very Often
Often
Sometimes
Rarely
Never
CE5a Your family was on welfare?
1
2
3
4
5
CE5b You were homeless?
1
2
3
4
5
CE5c You had to do chores too hard or dangerous for someone your age?
1
2
3
4
5
CE5d You didn’t have anyone who would take care of you or protect you?
1
2
3
4
5
CE5e Nobody ensured you had adequate food or clothing or medical care?
1
2
3
4
5
CE5f Someone touched you or made you touch them in a sexual way against your will?
1
2
3
4
5
CE5g You were sexually abused at home?
1
2
3
4
5
CE5h You were beaten up or terrorized by bullies at school or in the neighborhood?
1
2
3
4
5
DK/REF
CE6 How often did you have each of the following experiences before age 18?
-
Very Often
Often
Sometimes
Rarely
Never
CE6a Someone in your family hit you so hard that it left bruises or marks?
1
2
3
4
5
CE6b You were physically abused at home?
1
2
3
4
5
CE6c You felt that someone in your family hated you?
1
2
3
4
5
CE6d You were emotionally abused at home?
1
2
3
4
5
CE6e People in your family said hurtful or insulting things to you?
1
2
3
4
5
CE6f Someone in your family made you feel important?
1
2
3
4
5
CE6g You felt loved and cared for?
1
2
3
4
5
CE6h Your family was a source of strength and support?
1
2
3
4
5
DK/REF
SECTION LA: Living Area and Activities
DEFINE A9c_FILL:
IF A9c=1, A9c_FILL= “an open dorm”
IF A9c=2, A9c_FILL= “a dorm with cubicles”
IF A9c=3, A9c_FILL= “a unit with cells”
IF A9c=4, A9c_FILL= “a unit with rooms”
IF A9c=5, A9c_FILL= “an area not originally intended as housing, such as a gym, classroom, or day room”
LA_2 These questions are about this prison and how inmates are housed here.
[IF A9c = 1 OR 2 OR 3 OR 4 OR 5]: Earlier you said you spent last night in [A9c_FILL]. Including you, about how many inmates are currently housed in this housing unit?
[IF A9c=6 OR DK OR REF]: Including you, about how many inmates are currently housed in the housing unit where you spent last night?
1
2 - 5
6 - 10
11 - 15
16 - 30
31 or more
DK/REF
LA_3 Does your housing unit have any windows that allow the sun to shine in during the day?
Yes
No
DK/REF
LA_4 How noisy is it in your housing unit during sleeping hours?
Not at all noisy
Slightly noisy
Pretty noisy
Very noisy
DK/REF
LA_17 How crowded is it in your housing unit?
Not at all crowded
Slightly crowded
Pretty crowded
Very crowded
DK/REF
LA_18 How much privacy do you have in your housing unit?
None
A little
Some
A lot
DK/REF
LA_5 How often is it too hot in your housing unit?
All of the time
Most of the time
Some of the time
Never
DK/REF
LA_6 How often is it too cold in your housing unit?
All of the time
Most of the time
Some of the time
Never
DK/REF
LA_7 How often do you see mice, rats, bugs, or insects in your housing unit?
All of the time
Most of the time
Some of the time
Never
DK/REF
LA_19 How crowded is it in other parts of the facility, outside of your housing unit – for example, in the dining hall, classrooms, gym, or work areas?
Not at all crowded
Slightly crowded
Pretty crowded
Very crowded
DK/REF
LA_8 During the last 24 hours, about how many hours did you spend in your housing unit? Please include time when you were sleeping.
NUMBER OF HOURS: __________ [RANGE: 1 – 24]
DK/REF
LA_9 During the last 24 hours, did you spend any time outdoors?
Yes
No
DK/REF
LA_10 [IF LA_9 = 1] During the last 24 hours, about how much time did you spend outdoors?
Less than 30 minutes
At least 30 minutes but less than 1 hour
At least 1 hour but less than 2 hours
At least 2 hours but less than 5 hours
5 hours or more
DK/REF
LA_11 During the past 24 hours, about how many hours did you spend sleeping?
Less than 30 minutes
At least 30 minutes but less than 1 hour
At least 1 hour but less than 2 hours
At least 2 hours but less than 5 hours
At least 5 hours but less than 7 hours
At least 7 hours but less than 9 hours
9 hours or more
DK/REF
LA_12 The next questions are about how you spend your time at this prison. Please think about how you spent the last 24 hours.
During the last 24 hours, did you…
-
Yes
No
LA_12a. Attend a class or training?
1
2
LA_12b. Exercise or work out?
1
2
LA_12c. Watch television?
1
2
LA_12d. Read books, newspapers or magazines?
1
2
LA_12e. Work at a job?
1
2
LA_12f. Participate in religious meetings or activities?
1
2
LA_12g. Have in-person visits with family or friends?
1
2
LA_12h. Talk on the telephone with family or friends?
1
2
LA_12i. Play games like cards, chess, checkers, or sports with other inmates?
1
2
LA_12j. Talk with your lawyer – either in person or on the telephone?
1
2
LA_12k. Visit the library?
1
2
LA_12l. Visit the infirmary or medical ward?
1
2
DK/REF
DEFINE LA_12 FILL
IF LA_12a = 1 THEN LA_12a FILL = attending a class or training
IF LA_12b =1 THEN LA_12b FILL = exercising or working out
IF LA_12c =1 THEN LA_12c FILL = watching television
IF LA_12d = 1 THEN LA_12d FILL = reading books, newspapers or magazines
IF LA_12e = 1 THEN LA_12e FILL = working at a job
IF LA_12f = 1 THEN LA_12f FILL = participating in religious meetings or activities
IF LA_12g = 1 THEN LA_12g FILL = having in-person visits with family or friends
IF LA_12h = 1 THEN LA_12h FILL = talking on the telephone with family or friends
IF LA_12i = 1 THEN LA_12i FILL = playing games like cards, chess, checkers, or sports, with other inmates
IF LA_12j = 1 THEN LA_12j FILL = talking with your lawyer, either in person or on the telephone
IF LA_12k = 1 THEN LA_12k FILL = visiting the library
IF LA_12l = 1 THEN LA_12l FILL = visiting the infirmary or medical ward
LA_13 [FOR EACH ITEM ENDORSED IN LA_12] About how much time did you spend [LA_12 FILL] during the last 24 hours?
Less than 30 minutes
At least 30 minutes but less than 1 hour
At least 1 hour but less than 2 hours
At least 2 hours but less than 5 hours
5 hours or more
DK/REF
LA_14 Now think about how you spent your time during the past seven days. Did you do any of the following things during the past seven days?
-
Yes
No
LA_14a. [IF LA_12a = 2 OR DK OR REF] Attend a class or training?
1
2
LA_14b. [IF LA_12b = 2 OR DK OR REF] Exercise or work out?
1
2
LA_14c. [IF LA_12c = 2 OR DK OR REF] Watch television?
1
2
LA_14d. [IF LA_12d = 2 OR DK OR REF] Read books, newspapers or magazines?
1
2
LA_14e. [IF LA_12e = 2 OR DK OR REF] Work at a job?
1
2
LA_14f. [IF LA_12f = 2 OR DK OR REF] Participate in religious meetings or activities
1
2
LA_14g. [IF LA_12g = 2 OR DK OR REF] Have in-person visits with family or friends?
1
2
LA_14h. [IF LA_12h = 2 OR DK OR REF] Talk on the telephone with family or friends?
1
2
LA_14i. [IF LA_12i = 2 OR DK OR REF] Play games with other inmates such as cards, chess, checkers, or sports?
1
2
LA_14j. [IF LA_12j = 2 OR DK OR REF] Talk with your lawyer – either in person or on the telephone?
1
2
LA_14k. [IF LA_12k = 2 OR DK OR REF] Visit the library?
1
2
LA_14l. [IF LA_12l = 2 OR DK OR REF] Visit the infirmary or medical ward?
1
2
DK/REF
LA_15 How would you describe the amount of food you currently receive at this facility?
There is too much food
There is just the right amount of food
There is not enough food
DK/REF
LA_16 How would you describe the quality of the food you currently receive at this facility?
Excellent
Very good
Good
Fair
Poor
DK/REF
LA_20 Are there inmates in this facility who you think of as your friends?
1 Yes
2 No
DK/REF
LA_21 Are there inmates in this facility who you can talk to about your problems?
1 Yes
2 No
DK/REF
LA_22 Are there inmates in this facility who would protect you if another inmate was trying to hurt you?
Yes
No
DK/REF
LA_23 Are there correctional officers or other staff at this facility who you can talk to about your personal problems?
1 Yes
2 No
DK/REF
LA_24 Are there correctional officers or other staff at this facility who would protect you if another inmate was trying to hurt you?
1 Yes
2 No
DK/REF
SECTION MOV: Movement Within the Facility
MOV_1 These next questions are about the rules you have to follow when you leave or return to your housing unit.
During the past seven days, when you left or returned to your housing unit were you ever escorted by at least one corrections officer?
Yes
No
You did not leave your housing unit during the past seven days
DK/REF
MOV_2 [IF MOV_1 = 1] During the past seven days, when you left or returned to your housing unit were you always escorted by at least one corrections officer?
Yes
No
DK/REF
MOV_3 [IF MOV_1 NE 3] During the past seven days, when you left or returned to your housing unit were you ever patted down or strip searched?
Yes
No
DK/REF
MOV_4 [IF MOV_3 = 1] During the past seven days, when you left or returned to your housing unit were you always patted down or strip searched?
Yes
No
DK/REF
MOV_5 [IF MOV_1 NE 3] During the past seven days, when you left or returned to your housing unit did you ever wear handcuffs?
1 Yes
2 No
DK/REF
MOV_6 [IF MOV_5 = 1] During the past seven days, when you left or returned to your housing unit did you always wear handcuffs?
Yes
No
DK/REF
MOV_7 [IF MOV_1 NE 3] During the past seven days, when you left or returned to your housing unit did you ever wear shackles or belly chains?
Yes
No
DK/REF
MOV_8 [IF MOV_7 = 1] During the past seven days, when you left or returned to your housing until did you always wear shackles or belly chains?
Yes
No
DK/REF
MOV_9 [IF MOV_1 NE 3] During the past seven days, when you left or returned to your housing unit did you ever wear a straight jacket?
Yes
No
DK/REF
MOV_10 [IF MOV_9 = 1] During the past seven days, when you left or returned to your housing until did you always wear a straight jacket?
Yes
No
DK/REF
Section AFG: Altercations, Fights, and Grievances
AFG2 These next questions are about violence in this facility.
DOAFILL1, how often have inmates at this facility been hit, punched, or assaulted by other inmates?
1 Frequently
2 Sometimes
3 Rarely
4 Never
DK/REF
AFG3 DOAFILL1, how often have you worried about being hit, punched, or assaulted by other inmates in this facility?
1 Frequently
2 Sometimes
3 Rarely
4 Never
DK/REF
AFG4 DOAFILL1, how often have you seen other inmates with some type of weapon?
1 Frequently
2 Sometimes
3 Rarely
4 Never
DK/REF
AFG5 DOAFILL1, how much gang activity has there been at this facility?
1 Frequently
2 Sometimes
3 Rarely
4 Never
DK/REF
AFG6 DOAFILL1, have you been in a fight, assault, or incident in which another inmate tried to harm you?
1 Yes
2 No
DK/REF
AFG7 [IF AFG6 = 1] DOAFILL1, how many times have you been in a fight, assault, or other incident in which another inmate tried to harm you?
1 1 time
2 2 times
3 3 – 10 times
4 11 times or more
DK/REF
AFG8 [IF AFG6 = 1 AND AFG7 = 1] DOAFILL1, what injuries did you receive in the fight, assault, or incident in which another inmate tried to harm you?
[IF AFG6 = 1 AND AFG7 = 2 OR 3 OR 4 OR DK OR REF] DOAFILL1, what injuries did you receive during any of the fights, assaults, or incidents in which another inmate tried to harm you?
-
Yes
No
AFG8a. You received knife or stab wounds?
1
2
AFG8b. You received broken bones?
1
2
AFG8c. Your teeth were chipped or knocked out?
1
2
AFG8d. You received internal injuries?
1
2
AFG8e. You were knocked unconscious?
1
2
AFG8f. You received bruises, a black eye, sprains, cuts, scratches, swelling, welts, or burns?
1
2
DK/REF
AFG9 [IF AFG8a = 1 OR AFG8b = 1 OR AFG8c = 1 OR AFG8d = 1 OR AFG8e = 1 OR AFG8f = 1] Did you see a doctor, nurse, or other health care provider for your injuries?
1 Yes
2 No
DK/REF
AFG10 DOAFILL1, have you been in a fight, assault, or incident in which a correctional officer or other facility staff person tried to harm you?
1 Yes
2 No
DK/REF
AFG11 [IF AFG10 = 1] DOAFILL1, how many times have you been in a fight, assault, or incident in which a correctional officer or other facility staff person tried to harm you?
1 1 time
2 2 times
3 3 – 10 times
4 11 times or more
DK/REF
AFG12 [IF AFG10 = 1 AND AFG11 = 1] DOAFILL1, what injuries did you receive in the fight, assault, or incident in which a correctional officer or other facility staff person tried to harm you?
[IF AFG10 = 1 AND AFG11 = 2 OR 3 OR 4 OR DK OR REF] DOAFILL1, what injuries did you receive in any of the fights, assaults, or incidents in which a correctional officer or other facility staff person tried to harm you?
-
Yes
No
AFG12a. You received knife or stab wounds?
1
2
AFG12b. You received broken bones?
1
2
AFG12c. Your teeth were chipped or knocked out?
1
2
AFG12d. You received internal injuries?
1
2
AFG12e. You were knocked unconscious?
1
2
AFG12f. You received bruises, a black eye, sprains, cuts, scratches, swelling, welts, or burns?
1
2
DK/REF
AFG13 [IF AFG12a = 1 OR AFG12b = 1 OR AFG12c = 1 OR AFG12d = 1 OR AFG12e = 1 OR AFG12f = 1] Did you see a doctor, nurse, or other health care provider for your injuries?
1 Yes
2 No
DK/REF
AFG14 DOAFILL1, have any of your personal possessions or belongings been taken by another inmate without your permission?
1 Yes
2 No
DK/REF
AFG15 [IF AFG14 = 1] DOAFILL1, how many times have any of your personal possessions or belongings been taken by another inmate without your permission?
1 1 time
2 2 times
3 3 – 10 times
4 11 times or more
DK/REF
AFG16 DOAFILL1, do you think there has been enough staff at this facility to keep inmates safe?
1 Yes
2 No
DK/REF
AFG17 DOAFILL1, have you filed a grievance for any reason?
1 Yes
2 No
DK/REF
AFG18 [IF AFG17 = 1] DOAFILL1, how many times have you filed a grievance for any reason?
1 1 time
2 2 times
3 3 – 10 times
4 11 times or more
DK/REF
AFG1 DOAFILL1, have you been written up or charged with…
-
Yes
No
AFG1a. A drug violation, such as possession, use, or dealing in drugs?
1
2
AFG1b. Possession of a weapon?
1
2
AFG1c. Possession of stolen property?
1
2
AFG1d. Possession of any other unauthorized substance or item?
1
2
AFG1e. Verbal assault on a correctional officer or other staff member?
1
2
AFG1f. Physical assault on a correctional officer or other staff member?
1
2
AFG1g. Verbal assault on another inmate?
1
2
AFG1h. Physical assault on another inmate?
1
2
AFG1i. Escape or attempted escape?
1
2
AFG1j. Any other major violation, including work slowdowns, food strikes, setting fires, rioting, etc.?
1
2
AFG1k. Any minor violations relating to facility orderliness and operation, such as use of abusive language, horseplay, failing to follow sanitary regulations, etc.?
1
2
DK/REF
WA1 Now think about work assignments at this facility.
Do you currently have a work assignment outside this prison facility for which you leave the prison grounds?
Yes
No
DK/REF
WA2 [IF WA1 = 1] For how many weeks have you been working at this work assignment that requires you to leave the prison grounds?
Less than 1 week
1 – 5 weeks
6 – 12 weeks
13 weeks or longer
DK/REF
WA3 [IF WA1 = 1] In the past seven days, about how many hours did you work outside the prison facility?
1 – 8 hours
9 – 16 hours
17 – 24 hours
25 – 32 hours
33 hours or more
DK/REF
WA4 Do you currently have a work assignment inside this prison or on the grounds of the prison?
Yes
No
DK/REF
WA5 [IF WA4 = 1] For how many weeks have you been working at this work assignment inside the prison or on the grounds of the prison?
Less than 1 week
1 – 5 weeks
6 – 12 weeks
13 weeks or longer
DK/REF
WA6 [IF WA4 = 1] In the past seven days, about how many hours did you work inside this prison or on the grounds of the prison?
1 – 8 hours
9 – 16 hours
17 – 24 hours
25 – 32 hours
33 hours or more
DK/REF
WA7 [IF WA1 = 1 OR WA4 = 1] Are you required to have a work assignment while in this prison?
Yes
No
DK/REF
WA8 [IF WA1 = 1 OR WA4 = 1] Are you paid money for the work assignment you have?
Yes
No
DK/REF
WA9 [IF WA8 = 1] Other than money, do you receive anything else for the work assignment you do, such as time credits or other privileges?
[IF WA8 = 2 OR DK OR REF] Do you receive anything else for the work assignment you do, such as time credits or other privileges?
Yes
No
DK/REF
WA10 [IF WA7 = 2] Inmates choose to have a work assignment for different reasons. Do you have a work assignment…
-
Yes
No
WA10a. To break up boredom or see what the work assignment is like?
1
2
WA10b. To spend time with friends or make friends?
1
2
WA10c. To try to get out of prison early?
1
2
WA10d. To learn some new job skills?
1
2
WA10e. To earn spending money?
1
2
DK/REF
WA11 [IF WA1 = 2 AND WA4 = 2] DOAFILL1, have you ever had a work assignment?
Yes
No
DK/REF
WA12 [IF WA11 = 1] When was the last time you had a work assignment at this prison?
Within the past month
1 – 3 months ago
4 – 6 months ago
7 – 12 months ago
DK/REF
WA13 [IF WA11 = 1 OR 2] Inmates do not have work assignments for a variety of reasons. For each reason listed below, please indicate whether or not it is a reason why you don’t currently have a work assignment.
-
Yes
No
WA13a. You are not healthy enough to work
1
2
WA13b. You don’t want to do the jobs that are available
1
2
WA13c. Facility staff will not allow you to work
1
2
WA13d. You don’t have the skills needed
1
2
WA13e. You would rather do other things with your time
1
2
DK/REF
Section PP: Program Participation
PP_1 These next questions are about programs you have participated in at this facility.
DOAFILL1, have you participated in any job training programs, such as employment readiness or vocational training?
Yes
No
DK/REF
PP_2 [IF PP_1 = 1] DOAFILL1, were you required to participate in any job training programs?
Yes
No
DK/REF
PP_3 [IF PP_1 = 1] Are you currently participating in any job training programs?
Yes
No
DK/REF
PP_4 [IF PP_3 = 2] Why aren’t you participating in any job training programs?
-
Yes
No
PP_4a. You completed the program?
1
2
PP_4b. You quit or dropped out of the program?
1
2
PP_4c. You are no longer allowed to participate in the program?
1
2
PP_4d. The program is no longer available at this facility?
1
2
PP_4e. Some other reason?
1
2
DK/REF
PP_5 [IF PP_1 = 2] Why haven’t you participated in any job training programs DOAFILL2?
-
Yes
No
PP_5a. You are not interested in the program?
1
2
PP_5b. You are not eligible to participate in the program?
1
2
PP_5c. You are too busy to attend the program?
1
2
PP_5d. You don’t need job training?
1
2
PP_5e. You don’t think the program would be useful?
1
2
PP_5f. Job training programs are no longer offered at this facility?
1
2
PP_5g. Some other reason?
1
2
DK/REF
PP_6 [IF PP_1 = 1] Why did you participate in job training programs DOAFILL2?
-
Yes
No
PP_6a. To break up boredom or see what the program was like?
1
2
PP_6b. To spend time with friends or make friends?
1
2
PP_6c. To try to get out of prison early?
1
2
PP_6d. To learn some new skills?
1
2
PP_6e. Some other reason?
1
2
DK/REF
PP_7 DOAFILL1, have you participated in any education programs, such as high school, GED, adult basic education, college courses, or English as a Second Language?
Yes
No
DK/REF
PP_8 [IF PP_7 = 1] DOAFILL1, were you required to participate in any education programs?
Yes
No
DK/REF
PP_9 [IF PP_7 = 1] Are you currently participating in any education programs?
Yes
No
DK/REF
PP_10 [IF PP_9 = 2] Why aren’t you participating in any education programs?
-
Yes
No
PP_10a. You completed the program?
1
2
PP_10b. You quit or dropped out of the program?
1
2
PP_10c. You are no longer allowed to participate in the program?
1
2
PP_10d. The program is no longer available at this facility?
1
2
PP_10e. Some other reason?
1
2
DK/REF
PP_11 [IF PP_7 = 2] Why haven’t you participated in any education programs DOAFILL2?
-
Yes
No
PP_11a. You are not interested in the program?
1
2
PP_11b. You are not eligible to participate in the program?
1
2
PP_11c. You are too busy to attend the program?
1
2
PP_11d. You don’t need education training?
1
2
PP_11e. You don’t think the program would be useful?
1
2
PP_11f. Education programs are no longer offered at this facility?
1
2
PP_11g. Some other reason?
1
2
DK/REF
PP_12 [IF PP_7 = 1] Why did you participate in education programs DOAFILL2?
-
Yes
No
PP_12a. To break up boredom or see what the program was like?
1
2
PP_12b. To spend time with friends or make friends?
1
2
PP_12c. To try to get out of prison early?
1
2
PP_12d. To learn some new skills?
1
2
PP_12e. Some other reason?
1
2
DK/REF
PP_13 [IF PP_7 = 1] What types of education programs did you participate in DOAFILL2?
-
Yes
No
PP_13a. Basic education classes up through 8th grade?
1
2
PP_13b. High school or GED classes?
1
2
PP_13c. College level classes?
1
2
PP_13d. English as a Second Language or ESL classes?
1
2
PP_13e. Some other education program?
1
2
DK/REF
PP_14 DOAFILL1, have you participated in any of the following classes or programs?
-
Yes
No
PP_14a. A parenting or child rearing class?
1
2
PP_14b. An anger management or conflict resolution class?
1
2
PP_14c. A money management or financial planning class?
1
2
PP_14d. A sex offender treatment program?
1
2
PP_14e. A religious study group?
1
2
PP_14f. A prisoner assistance group such as a prisoner counseling group, advisory council, worker’s council, or inmate liaison group?
1
2
PP_14g. A drug or alcohol support group such as Alcoholics Anonymous, Al-Anon, or Narcotics Anonymous?
1
2
PP_14h. An arts and crafts program?
1
2
PP_14i. A health or nutrition program?
1
2
DK/REF
PP_15 [IF ANY ITEMS IN PP_14 = 1] Are you currently participating in any of the following classes or programs?
-
Yes
No
PP_15a. [IF PP_14a = 1] A parenting or child rearing class?
1
2
PP_15b. [IF PP_14b = 1] An anger management or conflict resolution class?
1
2
PP_15c. [IF PP_14c = 1] A money management or financial planning class?
1
2
PP_15d. [IF PP_14d = 1] A sex offender treatment program?
1
2
PP_15e. [IF PP_14e = 1] A religious study group?
1
2
PP_15f. [IF PP_14f = 1] A prisoner assistance group such as a prisoner counseling group, advisory council, worker’s council, or inmate liaison group?
1
2
PP_15g. [IF PP_14g = 1] A drug or alcohol support group such as Alcoholics Anonymous, Al-Anon, or Narcotics Anonymous?
1
2
PP_15h. [IF PP_14h = 1] An arts and crafts program?
1
2
PP_15i. [IF PP_14i = 1] A health or nutrition program?
1
2
DK/REF
REL_1 Currently, how important would you say religion is to you?
Very important
Somewhat important
Not important at all
DK/REF
REL_2 Has religion become more important, stayed about the same, or become less important to you since you entered prison?
Become more important
Stayed about the same
Become less important
DK/REF
REL_3 DOAFILL1, about how often have you participated in organized religious activities?
Every day
Not every day but at least once a week
Less than once a week but at least once a month
Less than once a month
Not at all
DK/REF
Section VOC: Visitors and Outside Contact
VOC_1 These next questions are about contact you have with people outside this facility. By contact we mean phone calls, video visits, e-mails, text messages, letters, dvds, cds, tape recordings, or in-person visits.
DOAFILL1, have you had any contact with your relatives?
Yes
No
DK/REF
VOC_2 [IF VOC_1 = 1] DOAFILL1, what kinds of contact have you had with any of your relatives? Have you…
-
YES
NO
VOC_2a. Had in-person visits?
1
2
VOC_2b. Talked on the phone?
1
2
VOC_2c. Received letters?
1
2
VOC_2d. Had some other type of contact such as emails, text messaging, video visiting, dvds, cds, or tape recordings?
1
2
DK/REF
VOC_3 [IF VOC_2a = 1 OR VOC_2b = 1 OR VOC_2c = 1 OR VOC_2d = 1] When was the last time you had any kind of contact with your relatives?
Within the past day
More than a day ago but within the past week
More than a week ago but within the past month
More than a month ago but within the past 3 months
More than 3 months ago but within the past 6 months
More than 6 months ago
DK/REF
VOC_4 [IF VOC_1 = 2] Why do you think you have not had any kind of contact with your relatives DOAFILL2? Do you think it is because…
-
YES
NO
VOC_4a. They live too far away?
1
2
VOC_4b. They cannot afford to travel to this prison?
1
2
VOC_4c. They don’t want to see you while you are incarcerated?
1
2
VOC_4d. You are not allowed to have visitors?
1
2
VOC_4e. You do not want to have visitors?
1
2
VOC_4f. They are not healthy enough to travel?
1
2
DK/REF
VOC_5 DOAFILL1, have you had any contact with your friends or acquaintances?
Yes
No
DK/REF
VOC_6 [IF VOC_5 = 1] DOAFILL1, what kinds of contact have you had with your friends or acquaintances? Have you…
-
YES
NO
VOC_6a. Had in-person visits?
1
2
VOC_6b. Talked on the phone?
1
2
VOC_6c. Received letters?
1
2
VOC_6d. Had some other type of contact such as emails, text messaging, video visiting, dvds, cds, or tape recordings?
1
2
DK/REF
VOC_7 [IF VOC_6a = 1 OR VOC_6b = 1 OR VOC_6c = 1 OR VOC_6d = 1] When was the last time you had any kind of contact with your friends or acquaintances?
Within the past day
More than a day ago but within the past week
More than a week ago but within the past month
More than a month ago but within the past 3 months
More than 3 months ago but within the past 6 months
More than 6 months ago
DK/REF
VOC_8 [IF VOC_5 = 2] Why do you think you have not had any kind of contact with your friends or acquaintances DOAFILL2? Do you think it is because…
-
YES
NO
VOC_8a. They live too far away?
1
2
VOC_8b. They cannot afford to travel to this prison?
1
2
VOC_8c. They don’t want to see you while you are incarcerated?
1
2
VOC_8d. You are not allowed to have visitors?
1
2
VOC_8e. You do not want to have visitors?
1
2
VOC_8f. They are not healthy enough to travel?
1
2
DK/REF
Section PRP: Post-Release Plans
PRP1 [IF B24 NE 1]These last questions are about plans you may have for after you are released from this facility.
Do you have a definite date on which you expect to be released from prison?
Yes
No
DK/REF
PRP2 [IF PRP1 = 1] In what year do you think you will be released from prison?
[CURRENT YEAR]
[CURRENT YEAR + 1]
[CURRENT YEAR +2]
[CURRENT YEAR + 3]
[CURRENT YEAR + 4]
[CURRENT YEAR + 5]
[CURRENT YEAR + 6] or later
DK/REF
PRP3 [IF PRP1 = 2 OR DK OR REF] Do you expect to ever be released from prison?
Yes
No
DK/REF
PRP4 [IF PRP3 = 1] In what year is your earliest possible release date?
[CURRENT YEAR]
[CURRENT YEAR + 1]
[CURRENT YEAR +2]
[CURRENT YEAR + 3]
[CURRENT YEAR + 4]
[CURRENT YEAR + 5]
[CURRENT YEAR + 6] or later
DK/REF
PRP14 [IF B24 NE 1] How far is this prison from where you were living before you entered prison on your current incarceration?
Less than 5 miles
5 – 10 miles
11 – 20 miles
21 – 50 miles
51 – 100 miles
101 – 500 miles
501 miles or more
DK/REF
PRP5 [IF PRP3 NE 2 OR PRP1=1] Do you have a plan for where you will live after you are released from prison?
Yes
No
DK/REF
PRP6 [IF PRP5 = 1] Did any staff at this prison help you make plans for where you will live after you are released from prison?
Yes
No
DK/REF
PRP7 [IF PRP5 = 1] Do you think you will live alone after you are released from prison or do you think you will live with other people?
Will live alone
Will live with other people
DK/REF
PRP8 [IF PRP7 = 2] Who do you plan to live with after you are released from prison?
-
Yes
No
PRP8a. [IF D1 = 1] Your husband or wife?
1
2
PRP8b. Your boyfriend or girlfriend?
1
2
PRP8c. Your parents or step-parents?
1
2
PRP8d. Your brother or sister?
1
2
PRP8e. Your children who are younger than 18?
1
2
PRP8f. Your children who are at least 18 years old?
1
2
PRP8g. Your grandparents?
1
2
PRP8h. Your grandchildren?
1
2
PRP8i. Some other relative, such as an aunt, uncle, or cousin?
1
2
PRP8j. Someone you are not related to?
1
2
DK/REF
PRP9 [IF PRP5 = 1] Where do you plan to live after you are released from prison?
-
Yes
No
PRP9a. In your own house, apartment, condo or mobile home?
1
2
PRP9b. In someone else’s house, apartment, condo or mobile home?
1
2
PRP9c. In transitional housing for former inmates such as a halfway house?
1
2
PRP9d. In a residential treatment facility?
1
2
PRP9e. In a rooming house, hotel, or motel?
1
2
PRP9f. In a car, truck, or other motor vehicle?
1
2
PRP9g. In a homeless shelter, on the street, or in some outdoor location?
1
2
PRP9h. In some other place?
1
2
DK/REF
PRP10 [IF PRP3 NE 2 OR PRP1=1] Do you plan to get a job after you are released from prison?
Yes
No
DK/REF
PRP11 [IF PRP10 = 1] Did any staff at this prison help you make plans for getting a job after you are released from prison?
Yes
No
DK/REF
PRP12 [IF PRP3 NE 2 OR PRP1=1] Do you have plans to go to school after you are released from prison?
Yes
No
DK/REF
PRP13 [IF PRP12 = 1] Did any staff at this prison help you make plans for going to school after you are released from prison?
Yes
No
DK/REF
Section M: Interview Debriefing Items
M0 Thank you for completing the survey. Now we have a few questions about your experience with this interview.
Touch the NEXT button to go to the next screen.
M1 How difficult was it for you to use the computer to do this survey?
1 Not difficult at all
2 Sort of difficult
3 Very difficult
DK/REF
DEFINE InterviewTypeFill:
IF RANDOM = 95, then InterviewTypeFill = “your own experiences with sex and sexual assault in this facility”
IF RANDOM = 5, then InterviewTypeFill = “your childhood and your experiences at this facility”
M2 How comfortable did you feel using the computer to answer questions about [InterviewTypeFIll]?
1 Very comfortable
2 Somewhat comfortable
3 Somewhat uncomfortable
4 Very uncomfortable
DK/REF
M3. How upsetting did you find it to answer questions about [InterviewTypeFIll]?
1 Not upsetting at all
2 Somewhat upsetting
3 Very upsetting
DK/REF
M4. How accurate are the answers you entered into the computer?
1 Not very accurate
2 Fairly accurate
3 Very accurate
DK/REF
M5 Did anyone tell you directly that you were required to participate in this study?
Yes
No
DK/REF
M6 [IF M5 = 1] Who told you that you were required to participate in this study?
A facility staff person
An interviewer from RTI
Another inmate
Someone else
DK/REF
M7 [IF M6 = 2] Were you ever made to feel that you were required to participate in this study?
Yes
No
DK/REF
M8. Did anyone put pressure on you to answer the survey questions in a certain way?
Yes
No
DK/REF
M9. [IF M8 = 1] Who pressured you to answer the survey questions in a certain way?
A facility staff person
An interviewer from RTI
Another inmate
Someone else
DK/REF
M10. [IF M8 = 1 AND RANDOM = 95] Are there any types of sex or sexual contact that you didn’t report in this survey because someone pressured you not to?
Yes
No
DK/REF
M11. That is all the questions we have. If you found the survey questions upsetting for any reason, your interviewer can tell you how to contact a mental health counselor employed by this facility. Thank you very much for participating in this study.
M11a. Please tell your interviewer that you have completed the survey.
M12. THANK INMATE FOR PARTICIPATING.
NOTIFY OFFICER THAT THE INMATE IS FINISHED AND CAN LEAVE THE INTERVIEW ROOM. AFTER THE INMATE LEAVES THE ROOM, ENTER THE PASSWORD TO CONTINUE ON TO YOUR DEBRIEFING QUESTIONS.
ENTER PASSWORD TO CONTINUE.
NOTE TO PROGRAMMER: WE’LL NEED A SHORT PASSWORD SO THAT RESPONDENTS CAN’T GO ANY FURTHER IN THE INTERVIEW. THE LAST SET OF DEBRIEFING QUESTIONS WILL BE FOR THE INTERVIEWER.
M13. Estimate the respondent’s understanding of the interview
1 No difficulty – no language or reading problem
2 Some difficulty
3 A great deal of difficulty
M14 Please record any comments the respondent made about the nature of the questions or the task of answering the questions during either the CAPI or ACASI portions of the interview.
__________________________________________________________________
ALLOW 150 CHARACTERS
M15 How upset did the respondent appear to be during the ACASI portion of the interview?
1 Not upset at all
2 Somewhat upset
3 Very upset
M16 [IF M15 = 2 OR 3] Please provide any details you can about why this inmate appeared to be somewhat or very upset during the ACASI portion of the interview.
__________________________________________________________________
ALLOW 150 CHARACTERS
M17 Did this inmate complete the interview while wearing shackles?
Yes
No
M18. Did this inmate complete the interview while wearing handcuffs?
Yes
No
M19. Approximately how long had this inmate been waiting when he or she was brought to speak with you about participating in the NIS?
Did not wait at all
1 – 10 minutes
11 - 20 minutes
21 – 30 minutes
31 – 60 minutes
More than 1 hour but less than 2 hours
More than 2 hours but less than 4 hours
More than 4 hours
Unsure how long inmate had been waiting
M20 How much difficulty did you have persuading this inmate to participate in the NIS?
No difficulty – the inmate was eager to participate
Just a little difficulty – the inmate was willing, but not eager, to participate
Some difficulty – the inmate wasn’t willing but you were able to persuade him/her
Quite a lot of difficulty – you had to really work to counter the inmate’s objections
This inmate had previously refused to participate and you were working the case as a refusal converter
M21 Indicate the degree of distractions or interruptions during the interview.
1 None
2 A few
3 A lot
M22 Was the privacy of the interview setting compromised at any point during the interview?
1 Yes
2 No
M23 [IF M22 = 1] In what way was the privacy of the interview setting compromised during this interview?
________________________________________________________________
ALLOW 150 CHARACTERS
M24 [IF I3 = 1] Did the inmate take the incentive that was offered?
YES
NO
M25 [IF M24 = 1] What incentive did the inmate receive?
_______________________________________________
ALLOW 40 CHARACTERS
M26 PLEASE PROVIDE ANY OTHER COMMENTS ABOUT THE INTERVIEW THAT WOULD BE USEFUL FOR THE PROJECT TEAM TO KNOW:
________________________________________________________________
ALLOW 150 CHARACTERS
REVIEW INTERVIEWER: YOU HAVE REACHED THE END OF THE INTERVIEW. ENTER 1 AND TOUCH THE FINISH BUTTON BELOW TO FINALIZE THIS CASE AND RETURN TO THE CASE MANAGEMENT SYSTEM.
NIS-4 Instrument
September 1, 2019 [Type here] [Type here]
| File Type | application/msword |
| File Title | Section 4: Sexual Activity Within the Facility |
| Author | Emily McFarlane |
| Last Modified By | SYSTEM |
| File Modified | 2019-09-18 |
| File Created | 2019-09-18 |
© 2024 OMB.report | Privacy Policy