NIS-4 Pilot Test Attachments

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Generic Clearance for Cognitive, Pilot and Field Studies for Bureau of Justice Statistics Data Collection Activities

NIS-4 Pilot Test Attachments

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ATTACHMENT 1

117 STAT. 972

PUBLIC LAW 108-79-SEPT. 4, 2003

Public Law 108-79
108th Congress
An Act
Sept. 4, 2003
[So 1435]

Prison Rape
Elimination Act
of 2003.
45 use
15601 note.

To provide for the analysis of the incidence and effects of prison rape in Federal, State, and
local institutions and to provide information, resources,· recommendations, and funding to
protect individuals from prison rape.

Be it enacted by the Senate and House of Representatives of the
United States of America in Congress assembled,
SECTION l.SHORT TITLE; TABLE OF CONTENTS.

(a) SHORT TITLE.-This Act may be cited as the "Prison Rape
Elimination Act of 2003".
(b) TABLE OF CONTENTS.-The table of contents of this Act is
as follows:
Sec. 1. Short title; table of contents.
Sec. 2. Findings.
Sec. 3. Purposes.
Sec. 4. National prison rape statistics, data, and research. Sec. 5.
Prison rape prevention and prosecution.
Sec. 6. Grants to protect inmates and safeguard communities. Sec.
7. National Prison Rape Reduction Commission.
Sec. 8. Adoption and effect of national standards.
Sec. 9. Requirement that accreditation organizations adopt accreditation standards. Sec. 10.
Definitions.

42 use 15601.

SEC. 2. FINDINGS.

Congress makes the following findings:
(1) 2,100,146 persons were incarcerated in the United States
at the end of 2001: 1,324,465 in Federal and State prisons and
631,240 in county and local jails. In 1999, there were more than
10,000,000 separate admissions to and discharges from prisons
and jails.
(2) Insufficient research has been conducted and insufficient
data reported on the extent of prison rape. However, experts have
conservatively estimated that at least 13 percent of the inmates in
the United States have been sexually assaulted in prison. Many
inmates have suffered repeated assaults. Under this estimate,
nearly 200,000 inmates now incarcerated have been or will be the
victims of prison rape. The total number of inmates who have
been sexually assaulted in the past 20 years likely exceeds
1,000,000.
(3) Inmates with mental illness are at increased risk of sexual
victimization. America's jails and prisons house more mentally ill
individuals than all of the Nation's psychiatric hospitals combined.
As many as 16 percent of inmates in State prisons and jails, and 7
percent of Federal inmates, suffer from mental illness.
( 4) Young first-time offenders are at increased risk of sexual
victimization. Juveniles are 5 times more likely to be sexually

PUBL I C LAW 108-79-S E P T . 4, 2003

117 STAT.
973

assaulted in adult rather than juvenile facilities -often within the first 48 hours of
incarceration.
(5) Most prison staff are not adequately trained or prepared to prevent,
report, or treat inmate sexual assaults.
(6) Prison rape often goes unreported, and inmate victims often receive
inadequate treatment for the severe physical and psychological effects of sexual
assault -if they receive treatment at all.
(7) HIV and AIDS are major public health problems within America's
correctional facilities. In 2 000, 25,088 inmates in Federal and State prisons were
known to be infected with HIV/AIDS. In 2000, HIV/AIDS accounted for more
than 6 percent of all deaths in Federal and State prisons. Infection rates for other
sexually transmitted diseases, tuberculosis , and hepa titis Band C are also far
greater for prisoners than for the American population as a whole. Prison rape
undermines the public health by contributing to the spread of these diseases, and
often giving a potential death sentence to its victims.
(8) Prison rape endangers the public safety by making brutalized inmates
more likely to commit crimes when they are released -as 600,000 inmates are
each year. '
(9) T he frequently interracial character of prison sexual assaults
significantly exacerbates interracial' tensions, both within prison and, upon
release of perpetrators and victims from prison, in the community at large.
(10) Prison rape increases the level of homicides and other violence against
inmates and staff, and the risk of insurrections and riots.
(11) Victims of prison rape suffer severe physical and psychological effects
that hinder their ability to integrate into the community and maintain stable
employment upon their release from prison. T hey are thus more likely to
become home less and/or require government assistance.
(12) Members of the public and government officials are largely unaware of
the epidemic character of prison rape and
the day-to-day horror experienced by victimized inmates.
'
(13) T he high incidence of sexua l assault within prisons involves actual and
potential violations of the United States Constitution. In Farmer v. Brennan, 511
U.S. 825 (1994), the Supreme Court ruled that deliberate indifference to the
substantial risk of sexual assault violates prisoner s' rights under the Cruel and
Unusual Punishments Clause of the Eighth Amendment. The E ighth
Amendment rights of State and local prisoners are protected through the Due
Process Clause of the Fourteenth Amendment. Pursuant to the power of
Congress under Sec tion Five of the Fourteenth Amendment, Congress may take
action to enforce those rights in States where officials have demonstrated such
indifference. States that do not take basic steps to abate prison rape by adopting
stand ards that do not generate sign ificant additional expenditures demonstrate
such indifference. Therefore, such States are not entitled to the same level of
Federal benefits as other States.
(14) T he high incidence of prison rape undermines the effectiveness and
efficiency of United States Government expenditures through grant programs
such as those dealing with health care; mental health care; disease prevention;
crime prevention, investigat ion, and prosecution; prison construction,

117 STAT.
974

PUBL I C LAW 108-79-SEPT. 4, 2003
maintenance, and operation; race relations; poverty; unemploy ment and homelessness. T he ef f ectiveness and efficiency of these
feder ally f unded grant pr ograms ar e compr omised by the failure of
State officials to adopt policies and pr ocedures that reduce the
incidence of prison rape in that the high incidence of prison rape: (A) increases the costs incur r ed by Feder al, State, and
local ju risdictions to administer their prison systems;
(B) increases the levels of violence, directed at inmates
and at staf f , within prisons;
(C) increases health care expenditures, both inside and
outside of prison systems, and reduces the ef f ectiveness of
disease prevention pr ogr ams by substantially increasing the
incidence and spr ead of HN, AIDS, tuberculosis, hepa titis
Band C, and other diseases;
(D) increases mental health care expenditur es, both
inside and outside of prison systems, by substantially
increasing the r ate of post -traumatic stress disor der,
depression, suicide, and the exacer bation of existing mental
illnesses among current and f ormer inmates;
(E) incr eases the risks of r ecidivism, civil strife, and
violent crime by individuals who have been brutalized by
prison rape; and
(F) increases the level of interracial tensions and strife
within prisons and, upon release of perpetrators and vic tims,
in the community at large.
(15) The high incidence of prison rape has a significant effect
on inter state. commer ce because it increases substantially (A) the costs incur r ed by Federal, State, and local
jurisdictions to administer their prison systems;
(B) the incidence and spread of HIV, AIDS, tuber culosis,
hepatitis Band C, and other diseas es, contributing to
increased health and medical expenditures throughout the
Nation;
(C) the rate of post-traumatic stress disor der, depres sion,
suicide, and the exacerbation of existing mental ill nesses
among current and former inmates, contributing to increased
health and medical expenditures throughout the Nation; and
(D) the risk of recidivism, civil strife, and violent crime
by individuals who have been brutalized by prison rape.
S E C. 3. PURPOSES.

42 use 15602.

T he purposes of this Act are to (1) establish a zer o -toler ance standard for the incidence of
prison rape in prisons in the United States;
(2) make the prevention of prison rape a top priority in each
prison system;
(3) develop and implement national standards f or the detec tion,
prevention, r eduction, and punishment of prison rape; ( 4) increase
the available data and inf ormation on the incidence of prison
rape, consequently improving the manage ment and administration
of cor r ectional facilities;
(5) standar dize the definitions used f or collec ting data on the
incidence of prison rape;

PUBL I C LAW 108-79-SEPT. 4, 2003

117 STAT. 975

(6) increase the accountability of prison officials who f ail to
detect, pr event, reduce, and punish prison rape;
(7) protect the Eighth Amendment rightsof Feder al, State, and
local prisoners;
(8) incr ease the efficiency and ef f ectiveness of Federal
expenditures through grant programs such as those dealing with
health car e; mental health care; disease prevention; crime prevention,
investigation, and pr os ecution; prison construction, maintenance, and
oper ation; race relations; poverty; unemploy ment; and homelessness;
and .
(9) reduce the costs that prison r ape imposes on inter state
commerce.
S E C. 4. NAT I ONAL P RISON RAPE STATISTICS, DAT A,
AND RE S E ARCH. 42 USC 15603.

ANNuAL COMPREHENSIVE STATISTICAL RE VI E W.
(1) IN GENERAL.-T he Bur eau of Justice Statistics of the
Department of Justice (in this section r efer r ed to as the "Bur eau")
shall car r y out, for each calendar year , a comprehen sive statistical
review and analysis of the incidence and effects of prison rape. T he
statistical review and analysis shall include, but not be limited to the
identification of the common char acter istics of .
(A) both victims and per petr ators of prison rape; and ( B) prisons
and prison systems with a high incidence of prison rape ...
(2) CONSIDERAT I ONS . .,.-In car r ying out par agraph ( 1), the
Bureau shall consider -·
.
(A) how rape should be defined for the purposes of the
statistical review and analysis; .
(B) how the Bureau should collect inf ormation about
staff -on-inmate sexual assault;
.
(C) how the Bureau should collect inf ormation beyond
inmate self -reports of prison rape;
.
(D) how the Bureau should adjust the data in order to
account for dif f er ences among prisons as required by subsection
(c) ( 3);
(E) the categorization of prisons as required by sub section
(c) ( 4); and
(F) whether a preliminar y study of prison rape should be
conducted to inf orm the methodology of the comprehensive
sta tistical review.
(3) SOLICI T AT I ON OF VI E WS.
-The Bureau of Justice Statis tics shall solicit views from repr esentatives of the following:
State departments of cor r ection; county and municipal jails; juvenile
correctional f acilities; former inmates; vict im advo cates; resear cher s;
and other experts in the area of sexual assault.
(4) SAMP L I NG T E CHNIQUES.
-T he review and analysis under
paragraph (1) shall be based on a random sample, or other
scientifically appropriate sample, of not less than 10 percent o f all
Feder al, State, and county prisons, and a representative sample of
municipal prisons. T he selection shall include at least one prison
from each State. T he selection of f acilities f or sampling shall be
made at the latest practicable date prior to cond ucting the surveys
and shall not be disclosed to any facility or prison system official
prior to the time period studied in the survey. Selection of a facility
for sampling during any

(a)

117 STAT.
976

Confidentiality.

PUBLIC LAW 108-79-SEPT. 4, 2003
year shaH not preclude its selection for sampling in any subsequent
year.
(5) SURVEYS.-In carrying out the review and analysis under
paragraph (1), the Bureau shaH, in addition to such other methods as
the Bureau considers appropriate, use surveys and other statistical
studies of current and former inmates from a sample of Federal,
State, county, and municipal prisons. The Bureau shaH ensure the
confidentiality of each survey participant.
(6) PARTICIPATION IN SURVEY.-Federal, State, or local
officials or facility administrators that receive a request from the
Bureau under subsection (a)(4) or (5) will be required to participate
in the national survey and provide access to any inmates under their
legal custody.
(b) REVIEW PANEL ON PRISON RAPE.0) ESTABLlSHMENT._To assist the Bureau in carrying out
the review and analysis under subsection (a), there is established,
within the Department of Justice, the Review Panel on Prison Rape
(in this section referred to as the "Panel").
(2) MEMBERSHIP._
(A) COMPOSITION.-The Panel shall be composed of 3
members, each of whom shaH be appointed by the Attorney
General, in consultation with the Secretary of Health and
Human Services.
(B) QUALIFICATIONS.-Members of the Panel shall be
selected from among individuals with knowledge or expertise
in matters to be studied by the Panel.
(3) PUBLIC HEARINGS.(A)IN GENERAL.--:-The duty of the Panel shaH be to carry
out, for each calendar year, public hearings concerning the
operation of the three prisons with the highest incidence of
prison rape and the two prisons with the lowest incidence of
prison rape in each category of facilities identified under
subsection (c)(4). The Panel shall hold a separate hearing
regarding the three Federal or State prisons with the highest
incidence of prison rape. The purpose of these hearings shaH be
to coHect evidence to aid in the identification of common
characteristics of both victims and perpetrators of prison rape,
and the identification of common characteristics of prisons and
prison systems with a high incidence of prison rape, and the
identification of common characteristics of prisons and prison
systems that appear to have been successful in deterring prison
rape.
(B) TESTIMONY AT HEARINGS.(i) PuBLIC OFFICIALS.-In carrying out the hearings
required under subparagraph (A), the Panel shaH request
the public testimony of Federal, State, and local officials
(and organizations that represent such officials), including
the warden or director of each prison, who bears
responsibility for the prevention, detection, and
punishment of prison rape at each entity, and the head of
the prison system encompassing such prison.
(ii) VICTIMS.-The Panel may request the testimony
of prison rape victims, organizations representing

PUBL I C LAW lOB -79-SEPT. 4,2003

117 STAT. 977

such victims, and other appropriate individuals and
organizations.
(C) SUBPOENAS.(i) ISSUANCE -.T he Panel may issue subpoenas for the
attendan ce of witnesses and the production of writ ten or other
matter.
(ii) ENFORCEMENT.-In the case of contumacy or refusal
to obey a subpoena, the Attorney General may in a Federal
court of appropriate jurisdiction obtain an appropriate order to
enforce the subpoena.
(c) REPORTS.(1) IN GE NE RAL-Not
.
later than June 30 of each year, Deadline. the
Attorney General shall submit a report on the activities
of the Bureau and the Review Panel, with respect to prison
rape, for the preceding calendar year to (A)Congress; and
(B) the Secretary of Health and Human Services.
(2). CONT E NTS.-T he report required under paragraph (1) shall
include (A)with respect to the effects of prison rape, statistical,
sociological, and psychological data;
(B) with respect to the incidence of prison rape (i) statistical data aggregated at the Federal, State, prison
system, and prison levels;
(ii) a listing of those institutions in the representa tive
sample, separated into each category identified under
subsection (c)(4) and ranked according to the incidence of
prison rape in each institution; and
(iii) an identification of those institutions in the
representative sample that appear to have been successful in
deterring prison rape; and
(C) a listing of any prisons in the representative sample that
did not cooperate with the survey conducted pursuant to section 4.
(3) DATA ADJUSTMENTS.-In preparing the information specified in
paragraph (2), the Attorney General shall use estab lished statistical
methods to adj ust the data as necessary to . account for differences
among institutions in the representative
sample, which are not related to the detection, prevention, reduction
and punishment of prison rape, or which are outside the control of the
State, prison, or prison system, in order to provide an accurate
comparison among prisons. Such dif ferences may include the mission,
security level, size, and juris diction under which the prison operates.
For each such adjust ment made, the Attorney General shall identif y
and explain such adjustment in the report.
(4) CAT E GORI Z AT I ON OF PRISONS.
-The report shall divide
the prisons surveyed into three categories. One category shall be
composed of all Federal and State prisons. The other two categories
shall be defined by the Attorney General in order to compare simil ar
institutions.
(d) CONT RACTS AND GRANTS.-In carrying out its duties under
this section, the Attorney General may (1) provide grants for research through the National Institute of
Justice; and
(2) contract with or provide grants to any other entitythe Attorney
General deems appropriate.

117 STAT.
978

PUBLIC LAW 108-79-SEPT. 4, 2003
(e) AUTHORIZATION OF APPROPRIATIONS.-There are
authorized to be appropriated $15,000,000 for each of fiscal years 2004
through 2010 to carry out this section.

use 15604.

Establishment.

Deadline.

use 15605.

SEC. 5. PRISON RAPE PREVENTION AND
PROSECUTION. (a) INFORMATION AND
ASSISTANCE.(1) NATIONAL CLEARINGHOUSE.-There is established
within the National Institute of Corrections a national clearinghouse
for the provision of information and assistance to Federal, State, and
local authorities responsible for the prevention, investigation, and
punishment of instances of prison rape.
(2) TRAINING AND EDUCATION.-The National Institute of
Corrections shall conduct periodic training and education programs
for Federal, State, and local authorities responsible for the prevention,
investigation, and punishment of instances of prison rape.
(b) REPORTS.(1) IN GENERAL.-Not later than September 30 of each year, the
National Institute of Corrections shall submit a report to Congress and
the Secretary of Health and Human Services. This report shall be
available to the Director of the Bureau of Justice Statistics.
(2) CONTENTS.-The report required under paragraph (1) shall
summarize the activities of the Department of Justice regarding prison
rape abatement for the preceding calendar year ..
(c) AUTHORIZATION OF APPROPRIATIONS.-There are
authorized to be appropriated $5,000,000 for each of fiscal years 2004
through 2010 to carry out this section ..
SEC. 6. GRANTS TO PROTECT INMATES AND SAFEGUARD
COMMUNITIES.
(a) GRANTS AUTHORIZED.-From amounts made available for
grants under this section, the Attorney General shall make grants to States
to assist those States in ensuring that budgetary circumstances (such as
reduced State and local spending on prisons) do not compromise efforts to
protect inmates (particularly from prison rape) and to safeguard the
communities to which inmates return. The purpose of grants under this
section shall be to provide funds for personnel, training, technical
assistance, data collection, and equipment to prevent and prosecute
prisoner rape.
(b) USE OF GRANT AMOUNTS.-Amounts received by a grantee
under this section may be used by the grantee, directly or through
subgrants, only for one or more of the following activities:
(1) PROTECTING INMATES.-Protecting inmates by(A) undertaking efforts to more effectively prevent prison
rape;
(B) investigating incidents of prison rape; or
(C) prosecuting incidents of prison rape.
(2) SAFEGUARDING COMMUNITIES.-Safeguarding
communities by(A) making available, to officials of State and local
governments who are considering reductions to prison budgets,
training and technical assistance in successful methods for
moderating the growth of prison populations without
compromising public safety, including successful methods used
by other jurisdictions;

PUBL I C LAW 108-79-S E P T . 4,2003

117 ST AT . 979

(B) developing and utilizing analyses of prison popu lations and risk
assessment instruments that will improve State and local governments'
understanding of risks to the community regarding release of inmates in the
prison population;
(C) preparing maps demonstrating the concentration, on a community by-community basis, of inmates who have been released, to facilitate the
efficient and effective (i) deployment of law enforcement resources (includin g probation
and parole resources); and
(ii) delivery of services (such as job training and substance abuse treatment)
to those released inmates; (D)promoting collaborative efforts, among
officials of State and local governments and leaders of appropriat e
communities, to understand and address the effects on a community of the
presence of a disproportionate number of released inmates in that
community; or
(E) developing policies and programs that reduce spending on prisons
by effectively reducing rates of parole and probation revocation without
compromising public safety.
(c) GRANT REQUIREMENTS.(1) PERIOD.-A grant under this .section shall be made for a period of not
more than 2 years.
(2) MAXIMUM. - T he amount of a grant under this section may no t exceed
$1,000,000.
(3) MAT CHING.-The Federal share of a grant under this section may not
exceed 50 percent of the total costs of the project described in the application
submitted under subsection (d) for the fiscal year for which the grant was made
under this section.
(d) APPLICAT I ONS.
(1) IN GENERAL-To
.
request a grant under this section, the chief executive
of a State shall submit an application to the Attorney General at such time, in
such manner, and accom panied by such information as the Att orney General
may require.
(2) CONT E NTS.-E ach application required by paragraph
(1) shall.
(A)include the certification of the chief executive that
the State receiving such grant ..
(i) has adopted all national prison rape standards that, as of the date
on which the application was submitted, have been promulgated under
this Act; and
(ij) will consider adopting all national prison rape standards that are
promulgated under this Act after such date; .. (B) specify with
particularity the preventative, prosecu torial, or administrative activities to be undertaken by the State with the
amounts received under the grant; and (C) in the case of an application for a
grant for one or more activities specified in paragraph (2) of subsection (b)(1) review the extent of the budgetary cir cumstances affecting the
State generally and describe how those circumstances relate to the
State's prisons;

117 STAT. 980

Deadline.

42 use 15606.

President.

PUBLIC LAW 108-79-SEPT. 4, 2003

(ii) describe the rate of growth of the State's prison
population over the preceding 10 years and explain why
the State may have difficulty sustaining that rate of
growth; and
(iii) explain the extent to which officials (including
law enforcement officials) of State and local governments
and victims of crime will be consulted regarding decisions
whether, or how, to moderate the growth of the State's
prison population.
(e) REPORTS BY GRANTEE.(1) IN GENERAL.-The Attorney General shall require each
grantee to submit, not later than 90 days after the end of the period
for which the grant was made under this section, a report on the
activities carried out under the grant. The report shall identify and
describe those activities and shall contain an evaluation of the
effect of those activities on(A) the number of incidents of prison rape, and the
grantee's response to such incidents; and
(B)the safety of the prisons, and the safety of the
communities in which released inmates are present.
(2) DISSEMINATION.-The Attorney General shall ensure that
each report submitted under paragraph (1) is made available under
the national clearinghouse established under section 5.
(f) STATE DEFINED.-In this section, the term "State" includes the
District of Columbia, the Commonwealth of Puerto Rico, and any other
territory or possession of the United States.
(g) AUTHORIZATION OF APPROPRIATIONS.(1) IN GENERAL.-There are authorized to be appropriated for
grants under this section $40,000,000 for each of fiscal years 2004
through 2010.
(2) LIMITATION.-Of amounts made available for grants
under this section, not less than 50 percent shall be available only
for activities specified in paragraph (1) of subsection (b).
SEC. 7. NATIONAL PRISON RAPE REDUCTION COMMISSION.
(a) ESTABLISHMENT.-There is established a commission to be
known as the National Prison Rape Reduction Commission (in this
section referred to as the "Commission").
(b) MEMBERS.(1) IN GENERAL.-The Commission shall be composed of 9
members, of whom(A) 3 shall be appointed by the President;
(B)2 shall be appointed by the Speaker of the House of
Representatives, unless the Speaker is of the same party as the
President, in which case 1 shall be appointed by the Speaker of
the House of Representatives and 1 shall be appointed by the
minority leader of the House of Representatives;
(C) 1 shall be appointed by the minority leader of the
House of Representatives (in addition to any appointment
made under subparagraph (B));
(D) 2 shall be appointed by the majority leader of the
Senate, unless the majority leader is of the same party as the
President, in which case 1 shall be appointed by the majority
leader of the Senate and 1 shall be appointed by the minority
leader of the Senate; and

PUBL I C L AW 108-79-S E P T . 4, 2003

117 STAT . 981

( E ) 1 member appointed by the minority leader of the Senate
(in addition to any appointment made under subparagraph (D».
(2) PERSONS ELIGIBL E
-E. ach member of the Commission shall
be an individual who has knowledge or expertise in mat ters to be
studied by the Commission.
(3) CONSUL T AT I ON RE QUIRED.
-The President, the Speaker
and minority leader of the House of Representatives, and the majority
leader and minority leader of the Senate shall consult with one another
prior to the appointment ofthe members of the Commission to achieve,
to the maximum extent possible, fair and equitable representation of
various points of view' with respect to the matters to be studied by the
Commission.
(4) T E RM.-E ach member shall be appointed for the life of the
Commission.
(5) T I ME FOR INITIAL APPOINTMENTs.
-T he appointment of Deadline.
the members shall be made not later than 60 days after the
date of enactment of this Act.
(6) VACANCIES.-A vacancy in the Commission shall be Deadline. filled in
the mann er in which the original appointment was
made, and shall be made not later than 60 days after the
date on which the vacancy occurred.
(c) OPERAT I ON.(1) CHAIRPERSON.-Not later than 15 days after appoint- Deadline. ments
of all the members are made , the Pr~sident shall appoint President. a chairperson
for the Commission from among its members.
(2) ME E T I NGS.
-T he Commission shall meet at the call
of the chairperson. T he initial meeting of the Cl;>mmission shall Deadline. take
place not later than 30 days after the initial appointment
of the members is completed.
(3) QUORUM.-A majority of the members of the Commis sion
shall constitute a quorum to conduct business, but the Commission may
establish a lesser quorum for conducting hearings schedule d by the
Commission.
(4) RULES.-T he Commission may establish by majority vote any
other rules for the conduct of Commission business, if such rules are
not inconsistent with this Act or other applicable law.
(d) COMPREHENSIVE STUDY OF THE IMPACTS OF PR
ISON RAPE .(1) IN GENERAL-T
. he Commission shall carry out a com prehensive legal and factual study of the penalogical, physical, mental,
medical, social, and economic impacts of prison rape in the United
States on(A) Federal, State, and local governments; and
(B) communities and social institutions generally, including
individuals, families, and businesses within such communities and
social institutions.
(2) MAT T E RS INCL UDE D.
-T he study under paragraph (1) shall
include (A) a review of existing Federal, State, and local government
policies and practices with respect to the prevention, detection, and
punishment of prison rape;
(B)an assessment of the relationship between prison rape and
prison conditions, and of existing monitoring, regulatory , and
enforcement practices that are intended to address any such
relationship;

117 STAT.
982

Deadline.

PUBLIC LAW 108-79-SEPT. 4,2003
(C) an assessment of pathological or social causes of
prison rape;
(D) an assessment of the extent to which the incidence of
prison rape contributes to the spread of sexually transmitted
diseases and to the transmission of HI V;
(E)an assessment of the characteristics of inmates most
likely to commit prison rape and the effectiveness of various
types of treatment or programs to reduce such likelihood;
(F) an assessment of the characteristics of inmates most
likely to be victims of prison rape and the effectiveness of
various types of treatment or programs to reduce such
likelihood;
(G) an assessment of the impacts of prison rape on
individuals, families, social institutions and the economy
generally, including an assessment of the extent to which the
incidence of prison rape contributes to recidivism and to
increased incidence of sexual assault;
(H) an examination of the feasibility and cost of conducting surveillance, undercover activities, or both, to reduce
the incidence of prison rape;
(I) an assessment of the safety and security of prison
facilities and the relationship of prison facility construction
and design to the incidence of prison rape;
(J)an assessment of the feasibility and cost of any
particular proposals for prison reform;
(K) an identification of the need for additional scientific
and social science research on the prevalence of prison rape in
Federal, State, and'local prisons;
(L) an assessment of the general relationship between
prison rape and prison violence;
(M) an assessment of the relationship between prison
rape and levels of training, supervision, and discipline of
prison staff; and
(N) an assessment of existing Federal and State systems
for reporting incidents of prison rape, including an assessment
of whether existing systems provide an adequate assurance of
confidentiality, impartiality and the absence of reprisal.
(3) REPORT.(A) DISTRIBUTION.-Not later than 2 years after the
date of the initial meeting of the Commission, the Commission shall submit a report on the study carried out under this
subsection to,0) the President;
(ii) the Congress;
(iii) the Attorney General;
(iv) the Secretary of Health and Human Services; (v)
the Director of the Federal Bureau of Prisons; (vi)
the chief executive of each State; and
(vii) the head of the department of corrections of
each State.
(B) CONTENTs.-The report under subparagraph (A)
shall include(i) the findings and conclusions of the Commission; (ii)
recommended national standards for reducing prison
rape;

PUBL I C LAW 108-79-S E P T . 4, 2003

117 STAT. 983

(iii) recommended protocols for preserving evidence
and treating victims of prison r ape; and
(iv) a summary of the materials r elied on by the
Commission in the pr eparation of the report.
(e) RE COMMENDATIONS.( 1) I N GENERAL.-I n conjunction with the r eport submitted
under subsection (d)(3), the Commission shall provide the
Attorney General and the Secretary of Health and Human
Services with recommended national standards for enhancing the
detection, pr evention, reduction, and punishment of prison r ape.
( 2) MATTERS INCLUDED.-T he information provided
under par agr aph ( 1) shall include r ecommended national
standards relating to - (A) the classification and assignment of prisoner s, using
proven standardized instruments and protocols, in a manner
that limits the occur r ence of prison rape;
(B) the investigation and r esolution of r ape complaints
by r esponsible prison authorities, local and State police, and
Feder al and State prosecution authorities;
(C) the preservation of physical and testimonial evi dence f or use in an investigation of the ci rcumstances
relating to the rape;
(D)acute -term trauma care for rape victims, including
standards relating to - (i) the manner and extent of physical examination
and treatment to be provided to any r ape victim; and
(ii) the manner. and extent· of any psychological
examination, psychiatric car e, medication, and mental
health counseling to be provided to any r ape victim; (E)
ref er r als f or long-term continuity of car e f or r ape
victims;
(F) educational and medical testing measures for
reducing the in cidence of HIV transmission due to prison
rape;
(G) post-rape prophylactic medical measur es f or r educing the
incidence of transmission of sexual diseases; (H) the tr aining
of correctional staff sufficient to ensure that they under stand
and appr eciate the significance of prison r ape and the
necessity of its·er adication;
( 1) the timely and comprehensive investigation of staf f
sexual misconduct involving r ape or other sexual assault on
inmates;
(J)ensuring the confidentiality of prison r ape com plaints
and protecting inmates who make complaints of prison rape;
(K) creating a system for reporting incidents of prison
rape that will ensure the confidentiality of prison rape
complaints, pr otect inmates who make prison r ape com plaints f r om retaliation, and assur e the impartial resolution of
prison r ape complaints;
(L)data collection and reporting of.
(i) prison rape;
(ii) prison staf f sexual misconduct; and
(ill) the resolution of prison rape complaints by
prison officials and Feder al, State, and lo cal investiga tion and prosecution authorities; and

.-......./.

117 ST AT .
984

PUBL I C LAW 108-79-SEPT. 4, 2003

( M) such other matters as may r easonably be related to the detection,
prevention, reduction, and punishment
of prison rape.
( 3) L I MI T AT I ON.
-T he Commission shall not propose a r ec ommended standard that would impose substantial additional costs compar ed to the
costs pr esently expended by Federal, State, and local prison authorities.
( DCONSULTATION WITH ACCREDITATION ORGANIZAT I ONs.-I n
developing recommended national standar ds f or enhancing the detection, pr evention,
reduction, and punishment of prison rape, the Commission shall consider any standar ds
that have alr eady been developed, or ar e being developed simultaneously to
the delib er ations of the Commission. T he Commission shall consult with accr editation
organizations responsible f or the accr editation of Fed er al, State, local or private prisons,
that have developed or ar e currently developing standar ds r elated to prison r ape. T he
Commis sion will also consult with national associations representing the corr ections
profession that have developed or are currently devel oping standards related to prison
rape.
( g) HEARINGS.( 1) IN GENERAL-T
. he Commission shall hold publi c
hearings. T he Commission may hold such hearings, sit and act at such times and
places, take such testimony, and r eceive such evidence as the Commission considers
advisable to carry
out its duties under this section.
( 2) WITNESS EXPENSEs.
-Witnesses requested to appear
before the Commission shall be paid the same fees as ar e paid to witnesses under
section 1821 of title 28, United States Code. T he per diem and mileage allowances for
witnesses shall be paid from funds appropriated to the Commission.
( h) INFORMAT I ON FROM F E DE RAL OR S T AT E AGENCI E s.-The Commission
may secur e directly from any Federal department or agency such information as the
Commission considers necessar y to carr y out its duties under this section. T he
Commission may request the hea d of any State or local department or agency to furnish
such information to the Commission.
(i) PERSONNE L MAT T E RS.
( 1) T RAVE L E XP E NS E-T
s. he members of the Commission
shall be allowed travel expenses, including per diem in lieu of subsistence, at r at
es
authorized for employees of agencies under subchapter I of chapter 57 of title 5,
United States Code, while away from their homes or regular places of business in the
per f ormance of ser vice for the Commission.
( 2) DE T AI L OF FEDERAL E MP L OYE E-With
S.
the affirmative vote of 2/3 of
the Commission, any Feder al· Government employee, with the approval of the head
of the appropriate Federal agency, may be detailed to the Commission without
reimbursement, and such detail shall be without interruption or loss of civil ser vice
status, benefits, or privileges.
( 3) PROCURE MENT OF TEMPORARY AND I N T E RMI T T E NT S E RV
I CE s.Upon the r equest of the Commission, the Attorney Gen eral shall provide reasonable
and appropriate office space, sup plies, and administr ative assist ance.
(j) CONT RACTS FOR RE S E ARCH. ( 1) NAT I ONAL INSTITUTE OF JUS T I CE
-With
. a o/s affirmative
vote, the Commission may select nongovernmental researchers and experts to assist
the Commission in car r ying out its duties

PUBLIC LAW 108-79-SEPT. 4, 2003

117 STAT. 985

under this Act. The National Institute of Justice shall contract with
the researchers and experts selected by the Commission to provide
funding in exchange for their services.
(2) OTHER ORGANIZATIONS.-Nothing in this subsection
shall be construed to limit the ability of the Commission to enter
into contracts with other entities or organizations for research
necessary to carry out the duties of the Commission under this
section.
(k) SUBPOENAS.(1) ISSUANCE.-The Commission may issue subpoenas for
the attendance of witnesses and the production of written or other
matter.
(2) ENFORCEMENT.-In the case of contumacy or refusal to
obey a subpoena, the Attorney General may in a Federal court of
appropriate jurisdiction obtain an appropriate order to enforce the
subpoena.
(3)
CONFIDENTIALITY
OF
DOCUMENTARY
EVIDENCE.-Documents provided to the Commission pursuant to
a subpoena issued under this subsection shall not be released
publicly without the affirmative vote of% of the Commission.
(l) AUTHORIZATION OF APPROPRIATIONS.-There are
authorized to be appropriated such sums as may be necessary to carry
out this section ..
(m) TERMINATION.~The Commission shall terminate on the date
that is 60 days after the date on which the Commission
submits the reports required by this section.'
.
(n)EXEMPTIoN.-The Commission shall be exempt from the
Federal Advisory Committee Act.
SEC. 8. ADOPTION AND EFFECT OF NATIONAL
STANDARDS. (a) PuBLICATION OF PROPOSED
STANDARDS.(1) FINAL RULE.-Not later than 1 year after receiving the
report specified in section 7(d)(3), the Attorney General shall
publish a final rule adopting national standards for the detection,
prevention, reduction, and punishment of prison rape.
(2) INDEPENDENT JUDGMENT.-The standards· referred to
in paragraph (1) shall be based upon the independent judgment of
the Attorney General, after giving due consideration to the
recommended national standards provided by the Commission
under section 7(e), and being informed by such data, opinions, and
proposals that the Attorney General determines to be appropriate to
consider.
(3) LIMITATION.-The Attorney General shall not establish a
national standard under this section that would impose substantial
additional costs compared to the costs presently expended by
Federal, State, and local prison authorities. The Attorney General
may, however, provide a list of improvements for consideration by
correctional facilities.
(4) TRANSMISSION TO STATES.-Within 90 days of
publishing the final rule under paragraph (1), the Attorney General
shall transmit the national standards adopted under such paragraph
to the chief executive of each State, the head of the department of
corrections of each State, and to the appropriate authorities in those
units of local government who oversee operations in one or more
prisons.
(b) APPLICABILITY TO FEDERAL BUREAU OF PRISONs.The national standards referred to in subsection (a) shall apply to the

Deadlines.
42 USC
15607.

117 STAT. 986

Deadline.

Procedures.

PUBLIC LAW 108-79-SEPT. 4, 2003

Federal Bureau of Prisons immediately upon adoption of the final rule
under subsection (a)(4).
(c) ELIGIBILITY FOR FEDERAL
FUNDS.(1) COVERED
PROGRAMS.(A) IN GENERAL.-For purposes of this subsection, a
fgrant program is covered by this subsection if, and only i
(i) the program is carried out by or under the authority
of the Attorney General; and
(ii) the program may provide amounts to States for
prison purposes.
(B) LIsT.-For each fiscal year, the Attorney General shall
prepare a list identifying each program that meets the criteria of
subparagraph (A) and provide that list to each State.
(2) ADOPTION OF NATIONAL STANDARDs.-For each
fiscal year, any amount that a State would otherwise receive for
prison purposes for that fiscal year under a grant program covered
by this subsection shall be reduced by 5 percent, unless the chief
executive of the State submits to the Attorney General(A) a certification that the State has adopted, and is in full
compliance with, the national standards described in section
8(a); or
(B) an assurance that not less than 5 percent of such
amount shall. be used only for the purpose of enabling the State
to adopt, and achieve full compliance with, those national
standards, so as to ensure that a certification under
subparagraph (A) may be submitted in future years. (3)
REPORT ON NONCOMPLIANCE.-Not later than September
30 of each year, the Attorney General shall publish a report listing
each grantee that is not in compliance with the national standards
adopted pursuant to section 8(a).
(4) COOPERATION WITH SURVEY.-For each fiscal year,
any amount that a State receives for that fiscal year under a grant
program covered by this subsection shall not be used for prison
purposes (and shall be returned to the grant program if no other
authorized use is available), unless the chief executive of the State
submits to the Attorney General a certification that neither the State,
nor any political subdivision or unit of local government within the
State, is listed in a report issued by the Attorney General pursuant to
section 4(c)(2)(C).
(5) REDISTRIBUTION OF AMOUNTS.-Amounts under a
grant program not granted by reason of a reduction under paragraph
(2), or returned by reason of the prohibition in paragraph (4), shall
be granted to one or more entities not subject to such reduction or
such prohibition, subject to the other laws governing that program.
(6) IMPLEMENTATION.-The Attorney General shall establish
procedures to implement this subsection, including procedures for
effectively applying this subsection to discretionary grant programs.
(7) EFFECTIVE DATE.(A)
REQUIREMENT
OF
ADOPTION
OF
STANDARDS.-The first grants to which paragraph (2) applies
are grants for the second fiscal year beginning after the date on
which the national standards under section 8(a) are finalized.

PUBLIC LAW 108-79-SEPT. 4, 2003

117 STAT.
987

(B
) REQUIREMENT FOR COOPERATION.-The first
grants to which paragraph (4) applies are grants for the fiscal
year beginning after the date of the enactment of this Act.
SEC. 9. REQUIREMENT THAT ACCREDITATION ORGANIZATIONS 42 use 15608.
ADOPT ACCREDITATION STANDARDS.
(a) ELIGIBILITY FOR FEDERAL GRANTS.-Notwithstanding any
other provision of law, an organization responsible for the accreditation
of Federal, State, local, or private prisons, jails, or other penal facilities
may not receive any new Federal grants during any period in which such
organization fails to meet any of the requirements of subsection (b).
(b) REQUIREMENTS.-To be eligible to receive Federal grant~, Deadlines. an
accreditation organization referred to in subsection (a) must
meet the following requirements:
(1) At all times after 90 days after the date of enactment of this
Act, the organization shall have in effect, for each facility that it is
responsible for accrediting, accreditation standards for' the
detection, prevention, reduction, and punishment of prison rape ..
(2) At all times. after 1 year after the date of the adoption of the
final rule under section 8(a)(4), the organization shall, in addition to
any other such standards that it may promulgate relevant to the
detection, prevention, reduction, and punishment of prison rape,
adopt accreditation standards consistent with the national standards
adopted pursuant to such final rule.
SEC. 10. DEFINITIONS.
42 USC 15609.
In this Act, the following definitions shall apply:
(1) CARNAL KNOWLEDGE.-The term "carnal knowledge"
means contact between the penis and the vulva or the penis and the
anus, including penetration of any sort, however slight .
.
(2) INMATE.-The term "inmate" means any person incarcerated or detained in any facility who is accused of, convicted of,
sentenced for, or adjudicated delinquent for, violations of criminal law
or the terms and conditions of parole, probation, pretrial release, or
diversionary program.
(3) JAIL.-The term "jail" means a confinement facility of a Federal,
State, or local law enforcement agency to hold(A) persons pending adjudication of crimiJ:!.al charges;

(B
)

persons committed to confinement after adjudication of criminal

or
charges for sentences of 1 year or less. (4) HIV.-The term "HIV"
means the human immunodeficiency virus.
(5) ORAL SODoMY.-The term "oral sodomy" means contact
between the mouth and the penis, the mouth and the· vulva, or the
mouth and the anus.
(6) POLICE LOCKUP.-The term "police lockup" means a
temporary holding facility of a Federal, State, or local law
enforcement agency to hold(A) inmates pending bail or transport to jail;
(B
) inebriates until ready for release; or
(C) juveniles pending parental custody or shelter placement.

PUBPULIC LAW 108-79-SEPT. 4, 2003
117 STAT. 988
(7) PRISON.-The term "prison" means any confinement
facilitY., of a Federal, State, or local government, whether
administered by such government or by a private organization on
behalf of such government, and includes(A
) any local jailor police lockup; and
(B
) any juvenile facility used for the custody or care of
juvenile inmates.
(8) PRISON RAPE.-The term "prison rape" includes the rape
of an inmate in the actual or constructive control of prison
officials.
(9) RAPE.-The term "rape" means(A
) the carnal knowledge, oral sodomy, sexual assault
with an object, or sexual fondling of a person, forcibly or
against that person's will;
(B
) the carnal knowledge, oral sodomy, sexual assault
with an object, or sexual fondling of a person not forcibly or
against the person's will, where the victim is incapable of
giving consent because of his or her youth or his or her
temporary or permanent mental or physical incapacity; or
(C) the carnal knowledge, oral sodomy, sexual assault
with an object, or sexual fondling of a person achieved
through the exploitation of the fear or threat of physical
violence or bodily injury.
(10) SEXUAL ASSAULT WITH AN OBJEcT.-The term
"sexual assault with an object" means the use of any hand, finger,
object, or other instrument to penetrate, however slightly, the
genital or anal opening ofthe body of another person.
(1
1
)
SEXUAL FONDLING.-The term "sexual fondling"
means the touching of the private body parts of another person
(including the genitalia, anus, groin, breast, inner thigh, or
buttocks) for the purpose of sexual gratification.
(12) EXCLUSIONs:-The terms and conditions described in
paragraphs (9) and (10) shall not apply to-.
(A
) custodial or medical personnel gathering physical
evidence, or engaged in other legitimate medical treatment, in
the course of investigating prison rape;
(B
) the use of a health care provider's hands or fingers or the use of
medical devices in the course of appropriate medical treatment
unrelated to prison rape; or

PUBLIC LAW 108-79-SEPT. 4, 2003

117 STAT. 989

(C) the use of a health care provider's hands or fingers and the use of
instruments to perform body cavity searches in order to maintain security and
safety within the prison or detention facility, provided that the search is
conducted in a manner consistent with constitutional requirements.
Approved September 4, 2003.

LEGISLATIVE HISTORY-S. 1435:
CONGRESSIONAL RECORD, Vol. 149 (2003):
July 21, considered and passed Senate. July 25, considered and
passed House.

WEEKLY COMPILATION OF PRESIDENTIAL DOCUMENTS, Vol. 39 (2003):
Sept. 4, Presidential statement.

ATTACHMENT 2

APPROVAL
January 14, 2019
Rachel Caspar
919-541-6376, x26376
[email protected]
Dear Rachel Caspar:
On 12/11/2018, the IRB Committee reviewed the following submission below and approved it
with required modifications. On 01/11/19, the required modifications you submitted were
reviewed and accepted.
Type of Review:
Title:
Investigator:
IRB ID:
Funding Source:
Customer/Client Name:
Project/Proposal Number:
Contract/Grant Number:
IND, IDE, or HDE:

Initial Study
National Inmate Survey (NIS-4) 2018-19
Rachel Caspar
STUDY00020413
Dept of Justice BJS
Dept of Justice BJS
0216099
2017-RP-BX-K053
None

At a convened meeting, the IRB Committee approved the protocol from 12/11/2018 to
12/10/2019. Before 12/10/2019 or within 30 days of study close, whichever is earlier, you are to
submit a completed continuing review and required attachments to request continuing approval
or closure. You can submit a continuing review by navigating to the active study and clicking
Create Modification / CR.
If continuing review approval is not granted before the expiration date of 12/10/2019, approval
of this study expires on that date.
In conducting this protocol, you are required to follow the requirements listed in the Investigator
Manual (HRP-103), which can be found by navigating to the IRB Library within the IRB system.
Sincerely,
The RTI Office of Research Protection

ATTACHMENT 3

BJS Letterhead

Date
Mr. J. Michael Zeigler, Acting Secretary
Maryland DPSCS
300 East Joppa Road, Suite 1000
Towson, MD 21286
Dear Secretary Zeigler:
I am writing to ask for your assistance with the fourth National Inmate Survey (NIS-4). The Bureau of Justice
Statistics (BJS) is mandated by the Prison Rape Elimination Act (PREA; P.L. 108-79) to carry out a
comprehensive statistical analysis and report on the prevalence and nature of sexual victimization within adult
correctional facilities. BJS is required to sample “not less than 10 percent” of correctional facilities nationwide
and to submit a report that ranks facilities based on the prevalence of sexual victimization. Findings from the
most recent data collection were published by BJS in Sexual Victimization in Prisons and Jails Reported by
Inmates, 2011-12, which was released in June 2013. The report is available online at
https://www.bjs.gov/content/pub/pdf/svpjri1112.pdf. Data collection for NIS-4 is schedule to start in early 2020.
BJS has again entered into a cooperative agreement with RTI International to conduct the data collection
activities for the NIS.
Since the last NIS, we have received helpful recommendations from state correctional administrators, advocates,
and other interested stakeholders. These recommendations were invaluable as we enhanced the survey to address
important issues identified in past collections. We are now interested in pilot testing the NIS-4 instrument with
inmates in several prisons, and we are hoping to do some of the pilot testing in one or two of your prisons. We
selected your Department of Corrections because we have worked so well with your state on previous rounds of
the NIS.
A RTI representative (Monica Sheppard) will contact you in early July. She will provide details about our plans
for pilot testing and answer any questions you may have. If you would like for Ms. Sheppard to work with a
liaison from your office, please let us know whom she should contact. We understand the potential burden of
even conducting a small pilot test in your prisons, but we will work diligently to minimize its impact on facility
operations.
If you have any questions in the meantime, please feel free to contact me at (202) 598-7610, or
[email protected]. Rachel Caspar, the Principal Investigator from RTI, is also available to address
questions and comments at (919) 541-6376, [email protected].
Sincerely,

Jessica Stroop
Statistician/PREA Portfolio Manager
Enclosures

BJS Letterhead

Date
Ms. Alisha Tafoya Lucero, Cabinet Secretary
New Mexico DOC
4337 NM 14
Santa Fe, NM 87508
Dear Secretary Lucero:
I am writing to ask for your assistance with the fourth National Inmate Survey (NIS-4). The Bureau of Justice
Statistics (BJS) is mandated by the Prison Rape Elimination Act (PREA; P.L. 108-79) to carry out a
comprehensive statistical analysis and report on the prevalence and nature of sexual victimization within adult
correctional facilities. BJS is required to sample “not less than 10 percent” of correctional facilities nationwide
and to submit a report that ranks facilities based on the prevalence of sexual victimization. Findings from the
most recent data collection were published by BJS in Sexual Victimization in Prisons and Jails Reported by
Inmates, 2011-12, which was released in June 2013. The report is available online at
https://www.bjs.gov/content/pub/pdf/svpjri1112.pdf. Data collection for NIS-4 is schedule to start in early 2020.
BJS has again entered into a cooperative agreement with RTI International to conduct the data collection
activities for the NIS.
Since the last NIS, we have received helpful recommendations from state correctional administrators, advocates,
and other interested stakeholders. These recommendations were invaluable as we enhanced the survey to address
important issues identified in past collections. We are now interested in pilot testing the NIS-4 instrument with
inmates in several prisons, and we are hoping to do some of the pilot testing in one or two of your prisons. We
selected your Department of Corrections because we have worked so well with your state on previous rounds of
the NIS.
A RTI representative (Monica Sheppard) will contact you in early July. She will provide details about our plans
for pilot testing and answer any questions you may have. If you would like for Ms. Sheppard to work with a
liaison from your office, please let us know whom she should contact. We understand the potential burden of
even conducting a small pilot test in your prisons, but we will work diligently to minimize its impact on facility
operations.
If you have any questions in the meantime, please feel free to contact me at (202) 598-7610, or
[email protected]. Rachel Caspar, the Principal Investigator from RTI, is also available to address
questions and comments at (919) 541-6376, [email protected].
Sincerely,

Jessica Stroop
Statistician/PREA Portfolio Manager
Enclosures

ATTACHMENT 4

Bureau of Justice
Statistics

National Inmate Survey
Pilot Study

Consent to Participate in Research
Introduction

The National Inmate Survey Pilot Study is a research study being done by the Bureau of Justice Statistics
and RTI International. You are one of the 25 inmates at this facility who have been randomly selected to
participate. Inmates will be interviewed at 4 facilities across the United States. The purpose of this
research study is to try out the procedures that will be used to conduct a much larger study later this year.
The larger study will include approximately 40,000 inmates from 168 facilities and data from that study
will be used to estimate the number of inmates who are sexually assaulted in prisons each year. Your
participation in this study is voluntary.

Description of the Study

This interview will take about 35 minutes. To start, I will ask you some questions about your background
and education and enter them into the computer. Next, I will show you how to use the computer and you
can complete the rest of the survey on your own. You will be able to see the questions on the computer
screen and listen to them through headphones. You will enter your answers directly into the computer by
touching the screen. I will be nearby in case you have questions but I won’t be able to see your answers.
You will be randomly assigned to receive either detailed questions about your own experiences with sex
and sexual assault in this facility (such as the types of sexual acts and where they occurred) or questions
about your childhood and your experiences in this facility. In addition, you will be asked about your
criminal history and military service. You will never be asked to identify anyone by name. You are the
only one who will know which questions you are asked. Even I won’t know unless you discuss the
questions with me. To thank you for participating in the study, we will provide you with [a snack that
you must eat before you leave the interview location/ a stamped envelope].

Possible Risks or Discomforts

Some of the questions in this interview are personal and they could make you feel uncomfortable or upset.
You can skip any questions you do not want to answer and you can stop the interview at any time. Please
tell me if you want to stop or take a break during the interview. If you find the questions upsetting for
any reason, I can also provide you with instructions for contacting a mental health counselor employed by
this facility or retained by this study.

Benefits

You will not receive any direct benefits for participating in this study. However, the results of this study
will be used to improve the procedures used in the larger study later this year. The larger study may help
improve the well-being of inmates in correctional facilities across the United States. If you choose not to
participate you will not lose any benefits or services that you now receive or might receive in the future.
Whether you participate or not will not affect your legal status or any decisions regarding your release
from this facility in any way.

Confidentiality

anyone at this facility or anyone on the outside who is not working on the study. There is, however, an
exception to our promise of confidentiality. If you tell me that you intend to seriously harm yourself or a
specific person, I may need to inform correctional staff here or authorities outside the facility who are
responsible for protecting prison inmates.

Further Questions

You may keep a copy of this form. If you have any questions about the project, you may write to the
National Inmate Survey (Project 0216099) at RTI International, P.O. Box 12194, Research Triangle Park,
NC 27709-2194. If you have questions about your rights as a project participant, you can write to RTI's
Office of Research Protection at the same address.

Bureau of Justice
Statistics

National Inmate Survey
Pilot Study

Consent to Participate in Research
Introduction

Description of the Study

This interview will take about 35 minutes. To start, the interviewer will ask you some questions about
your background and education and enter them into the computer. Next, the interviewer will show you
how to use the computer and you can complete the rest of the survey on your own. You will be able to
see the questions on the computer screen and listen to them through headphones. You will enter your
answers directly into the computer by touching the screen. The interviewer will be nearby in case you
have questions but won’t be able to see your answers.
You will be randomly assigned to receive either detailed questions about your own experiences with sex
and sexual assault in this facility (such as the types of sexual acts and where they occurred) or questions
about your childhood and your experiences in this facility. In addition, you will be asked about your
criminal history and military service. You will never be asked to identify anyone by name. You are the
only one who will know which questions you are asked. Not even the interviewer will know unless you
discuss the questions with him or her. To thank you for participating in the study, we will provide you
with [a snack that you must eat before you leave the interview location/ a stamped envelope].

Possible Risks or Discomforts

Some of the questions in this interview are personal and they could make you feel uncomfortable or upset.
You can skip any questions you do not want to answer and you can stop the interview at any time. Please
tell the interviewer if you want to stop or take a break during the interview. If you find the questions
upsetting for any reason, the interviewer can also provide you with instructions for contacting a mental
health counselor employed by this facility or retained by this study.

Benefits

Confidentiality

Your name will never be connected with the information you provide in this interview. We will treat

everything you say as private and confidential and we will not share any information you provide with
anyone at this facility or anyone on the outside who is not working on the study. There is, however, an
exception to our promise of confidentiality. If you tell the interviewer that you intend to seriously harm
yourself or a specific person, he or she may need to inform correctional staff here or authorities outside
the facility who are responsible for protecting prison inmates.

Further Questions

Interviewer Script to be Read After ACASI Consent Form
Instructions for Interviewer: You must read the following script out loud to the inmate and confirm that
he/she understands the information before concluding the informed consent process.
I want to go over the main points covered in this form to make sure everything is clear:
•

•
•

This interview is voluntary. You can say yes or no. It is totally up to you. Nothing about your legal
situation, such as when you will be released or what treatment you might receive, will be changed by
whether or not you participate in the interview.
If you start the interview and then want to quit, that’s okay.
If you want to skip any questions, that’s okay also.

Do you understand?
IF THE INMATE ANSWERS, “NO,” ANSWER ANY QUESTIONS THE INMATE HAS AND THEN
RETRUN TO THE CONSENT FORM AND RE-READ THE TEXT IN THE SECTIONS LABELED,
“POSSIBLE RISKS OR DISCOMFORTS” AND “BENEFITS”. POINT TO THE TEXT ON THE
INMATE’S COPY OF THE CONSENT FORM.
It is possible that some of the questions you answer using the computer may make you feel nervous or upset. If that
happens and you want to take a break or you want to talk to someone about how the questions made you feel, you
can tell me you want to take a break or want to speak with someone.
The form I just read aloud to you also talks about privacy. By private, we mean that the answers you enter into the
computer, even those about being abused or harmed, will always be kept secret. No one will ever know your
answers, not even me.

READ FOR 16 AND 17 YEAR OLDS ONLY:
However, if you tell me out loud that you are being abused at this facility I, or my supervisors, may need to
report that information to the agency in this state that investigates abuse. Once we make a report, we have no
control over what will be done with the information.
Do you understand that what you enter into the computer, even if it is about abuse will always be
kept private?
IF THE INMATE ANSWERS ‘NO’, ANSWER ANY QUESTIONS THE INMATE HAS AND
THEN RETURN TO THE CONSENT FORM AND RE-READ THE TEXT ENTITLED
CONFIDENTIALITY AND POINT TO THIS TEXT ON THE INMATE’S COPY OF THE
CONSENT FORM.
Do you understand that if you say something out loud about being abused, that information is not
secret and may be reported to a state agency?
IF THE INMATE ANSWERS ‘NO’, ANSWER ANY QUESTIONS THE INMATE HAS AND
THEN RETURN TO THE CONSENT FORM AND RE-READ THE TEXT ENTITLED
CONFIDENTIALITY AND POINT TO THIS TEXT ON THE INMATE’S COPY OF THE
CONSENT FORM.
So, please do not say anything out loud to me about being abused unless you want me to pass that
information on to the agency in this state that investigates abuse. Do you have any questions?

If you think of any questions or comments about the survey later, you can write us at the address provided. If you
would like to participate in the interview, please tell me now and we will begin.
INMATE CAN KEEP A COPY OF THE CONSENT FORM IF HE/SHE WANTS ONE.

Bureau of Justice
Statistics

National Inmate Survey
Pilot Study

Consent to Participate in Research
Introduction

Description of the Study

This interview will take about 15 minutes. I will provide you with the questionnaire which you will
complete by yourself. The questionnaire includes detailed questions about your own experiences with sex
and sexual assault in this facility (such as the types of sexual acts and where they occurred). You will
never be asked to identify anyone by name. Once you have completed the questionnaire you will seal it in
an envelope and give it back to me. Neither I nor anyone at this facility will ever see your completed
questionnaire. To thank you for participating in the study, we will provide you with [a snack that you
must eat before you leave the interview location/ a stamped envelope].

Possible Risks or Discomforts

Some of the questions in this interview are personal and they could make you feel uncomfortable or upset.
You can skip any questions you do not want to answer and you can stop the interview at any time. If you
find the questions upsetting for any reason, I can also provide you with instructions for contacting a
mental health counselor employed by this facility or retained by this study.

Benefits

Confidentiality

Your name will never be connected with the information you provide in this interview. We will treat
everything you say as private and confidential and we will not share any information you provide with
anyone at this facility or anyone on the outside who is not working on the study. There is, however, an
exception to our promise of confidentiality. If you tell me that you intend to seriously harm yourself or a
specific person, I may need to inform correctional staff here or authorities outside the facility who are
responsible for protecting prison inmates.

Further Questions

You may keep a copy of this form. If you have any questions about the project, you may write to the

National Inmate Survey (Project 0216099) at RTI International, P.O. Box 12194, Research Triangle Park,
NC 27709-2194. If you have questions about your rights as a project participant, you can write to RTI's
Office of Research Protection at the same address.

Bureau of Justice
Statistics

National Inmate Survey
Pilot Study

Consent to Participate in Research
Introduction

Description of the Study

This interview will take about 15 minutes. The interviewer will provide you with the questionnaire which
you will complete by yourself. The questionnaire includes detailed questions about your own experiences
with sex and sexual assault in this facility (such as the types of sexual acts and where they occurred).
You will never be asked to identify anyone by name. Once you have completed the questionnaire you will
seal it in an envelope and give it back to the interviewer. Neither the interviewer nor anyone at this
facility will ever see your completed questionnaire. To thank you for participating in the study, we will
provide you with [a snack that you must eat before you leave the interview location/ a stamped envelope].

Possible Risks or Discomforts

Some of the questions in this interview are personal and they could make you feel uncomfortable or upset.
You can skip any questions you do not want to answer and you can stop the interview at any time. If you
find the questions upsetting for any reason, the interviewer can also provide you with instructions for
contacting a mental health counselor employed by this facility or retained by this study.

Benefits

Confidentiality

Your name will never be connected with the information you provide in this interview. We will treat
everything you say as private and confidential and we will not share any information you provide with
anyone at this facility or anyone on the outside who is not working on the study. There is, however, an
exception to our promise of confidentiality. If you tell the interviewer that you intend to seriously harm
yourself or a specific person, the interviewer may need to inform correctional staff here or authorities
outside the facility who are responsible for protecting prison inmates.

Further Questions

You may keep a copy of this form. If you have any questions about the project, you may write to the

Interviewer Script to be Read After PAPI Consent Form
Instructions for Interviewer: You must read the following script out loud to the inmate and confirm that
he/she understands the information before concluding the informed consent process.
I want to go over the main points covered in this form to make sure everything is clear:
•

•
•

Do you understand?
IF THE INMATE ANSWERS, “NO,” ANSWER ANY QUESTIONS THE INMATE HAS AND THEN
RETRUN TO THE CONSENT FORM AND RE-READ THE TEXT IN THE SECTIONS LABELED,
“POSSIBLE RISKS OR DISCOMFORTS” AND “BENEFITS”. POINT TO THE TEXT ON THE
INMATE’S COPY OF THE CONSENT FORM.
It is possible that some of the questions you answer may make you feel nervous or upset. If that happens and you
want to take a break or you want to talk to someone about how the questions made you feel, you can tell me you
want to take a break or want to speak with someone.
The form I just read aloud to you also talks about privacy. By private, we mean that the answers you mark on the
questionnaire, even those about being abused or harmed, will always be kept secret. No one will ever know your
answers, not even me.

READ FOR 16 AND 17 YEAR OLDS ONLY:
However, if you tell me out loud that you are being abused at this facility I, or my supervisors, may need to
report that information to the agency in this state that investigates abuse. Once we make a report, we have no
control over what will be done with the information.
Do you understand that what you mark on the questionnaire, even if it is about abuse will always be
kept private?
IF THE INMATE ANSWERS ‘NO’, ANSWER ANY QUESTIONS THE INMATE HAS AND
THEN RETURN TO THE CONSENT FORM AND RE-READ THE TEXT ENTITLED
CONFIDENTIALITY AND POINT TO THIS TEXT ON THE INMATE’S COPY OF THE
CONSENT FORM.
Do you understand that if you say something out loud about being abused, that information is not
secret and may be reported to a state agency?
IF THE INMATE ANSWERS ‘NO’, ANSWER ANY QUESTIONS THE INMATE HAS AND
THEN RETURN TO THE CONSENT FORM AND RE-READ THE TEXT ENTITLED
CONFIDENTIALITY AND POINT TO THIS TEXT ON THE INMATE’S COPY OF THE
CONSENT FORM.
So, please do not say anything out loud to me about being abused unless you want me to pass that
information on to the agency in this state that investigates abuse. Do you have any questions?

ATTACHMENT 5

OMB No.:
Exp.:

XXXX-XXXX
XX/XX/XXXX

NATIONAL INMATE
SURVEY
Conducted by the Bureau of Justice Statistics
and
RTI International

NOTICE: Public reporting for this collection of information is estimated to average 15 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 0MB control number. The 0MB control number for this
project is XXXX-XXXX.

6. Are you currently being held in this facility for any
of the following:

SECTION A

Mark

Please answer the question in the space provided or
mark your answer in the box, like this .To protect
your privacy, do not put your name on this survey.
1. On what date were you admitted to this facility?
If you cannot remember the exact date, please write
down whatever you can remember, such as the year
and the month.
________ / ________ / ________
Month
Day
Year
2. How old are you?

A violent offense, such as physical or
sexual assault, rape, robbery,
manslaughter, attempted murder, or
murder?

A drug offense, such as possessing,
selling, or manufacturing drugs?

A property offense, such as burglary,
larceny, auto theft, bad checks, fraud,
forgery or grand theft?

Any other offense?

Less than 1 week....................................................
At least 1 week but less than 1 month ...................
At least 1 month but less than 2 months ................
At least 2 months but less than 6 months...............
At least 6 months but less than 1 year ...................
At least 1 year but less than 5 years .......................
At least 5 years but less than 10 years ...................
10 years or more ....................................................

3. Are you of Hispanic, Latino, or Spanish origin?
Yes .........................................................................
No ..........................................................................

1
2

4. Which of these categories describes your race:
“Yes” or “No” for each item.

Yes

7. How long have you been in this facility?

Age: _______

Mark

“Yes” or “No” for each item.

Yes

White

Black or African American

American Indian or Alaska Native

Asian

Native Hawaiian or other Pacific Islander

1
2
3
4
5
6
7
8

8. 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?
Yes .........................................................................
No ..........................................................................

1
2

9. Do you consider yourself to be:
Gay.........................................................................
Straight, that is not gay ..........................................
Bisexual, that is, you are sexually attracted
to both men and women .........................................
Something else .......................................................

5. What is the highest level of school you have
completed?
Less than a high school graduate ...........................
High school graduate or GED ...............................
Some college .........................................................
College degree or more .........................................

1
2
3
4

1
2

3
4

10. Before you entered this facility, had anyone ever
physically forced, pressured, 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?
Yes ..................................
No ...................................

1
2

These next questions ask about unwanted sex or
sexual contact you have had with other inmates in
this facility. By unwanted, we mean sex or sexual
contact that you did not want to happen.

Continue to item 11
Go to item 12

14. In the past 12 months, did another inmate use
physical force to make you do any of the following:
Mark

11. Were you physically forced, pressured, or made to
feel you had to have sex or sexual contact before
you were 18 years old, after you turned 18, or
both?
Before you were 18 ...............................................
After you turned 18 ...............................................
Both .......................................................................

“Yes” or “No” for each item.

Yes

Give them a handjob or receive a handjob
from them?

Have oral sex (blowjob) with them?

Have anal sex with them?

15. In the past 12 months, did another inmate, without
using physical force, pressure you or make you feel
that you had to do any of the following:
Mark

1
2

13. This question is about wanted or voluntary sex or
sexual contact you have had with other inmates in
this facility. In the past 12 months, did you do any
of the following:
Mark

Yes

Touch their body in a sexual way or have
your body touched in a sexual way?

12. Before you entered this facility, were you
physically forced, pressured, or made to feel that
you had to have sex or sexual contact while you
were an adult or juvenile in a jail, prison, or other
correctional facility?
Yes .........................................................................
No ..........................................................................

“Yes” or “No” for each item.

Touch another inmate's body in a
sexual way or have your body touched
in a sexual way?

Give or receive a handjob from another
inmate at this facility?

Have oral sex (blowjob) with another
inmate at this facility?

Have anal sex with another inmate at
this facility?

“Yes” or “No” for each item.

Yes

Touch their body in a sexual way or have
your body touched in a sexual way?

Give them a handjob or receive a handjob
from them?

Have oral sex (blowjob) with them?

Have anal sex with them?

16. In the past 12 months, how many times altogether
were you physically forced, pressured, or made to
feel like you had to have sex or sexual contact with
another inmate?
0 times...................
1 time ....................
2 times...................
3–10 times.............
11 times or more ...



Go to SECTION B
on page 3



Continue to item 17
on page 3

2
3
4
5

17. In the past 12 months, when you were physically
forced, pressured, or made to feel that you had to
have sex or sexual contact with another inmate,
were you ever:
Mark

“Yes” or “No” for each item.

Yes

SECTION B
These next questions ask about sex or sexual contact
you have had with staff at this facility. By staff, we
mean the employees of this facility and anybody who
works as a volunteer in this facility.

Persuaded or talked into it?

Given a bribe or blackmailed?

Given drugs or alcohol to get you drunk
or high?

Offered protection from other inmates?

Trying to pay off or settle a debt that you
owed?

Threatened with harm or a weapon?

Physically held down or restrained?

Physically harmed or injured?

19. This question is about willing sex or sexual contact
you have had with any staff at this facility. In the
past 12 months, did you do any of the following:
Mark

18. In the past 12 months, when you were physically
forced, pressured, or made to feel that you had to
have sex or sexual contact with another inmate, did
you ever:
Mark

“Yes” or “No” for each item.

Yes

“Yes” or “No” for each item.

Yes

Touch a facility staff person's body in a
sexual way or have your body touched in
a sexual way?

Give or receive a handjob from a facility
staff person?

Have oral sex (blowjob) with a facility
staff person?

Have vaginal sex with a facility staff
person?

Have anal sex with a facility staff person?

Receive knife or stab wounds?

Receive broken bones?

Receive anal tearing?

Have your teeth chipped or knocked out?

Receive internal injuries?

Get knocked unconscious?

Receive bruises, a black eye, sprains,
cuts, scratches, swelling, or welts?

20. In the past 12 months, did a facility staff person
use physical force to make you do any of the
following:
Mark

“Yes” or “No” for each item.

Yes

Touch their body in a sexual way or have
your body touched in a sexual way?

Give them a handjob or receive a handjob
from them?

Have oral sex (blowjob) with them?

Have vaginal sex with them?

Have anal sex with them?

24. In the past 12 months, when you had sex or sexual
contact with facility staff, were you ever:

21. In the past 12 months, did a facility staff person
without using physical force, pressure you or make
you feel that you had to do any of the following:
Mark

“Yes” or “No” for each item.

Yes

Mark

“Yes” or “No” for each item.

Yes

Persuaded or talked into it?

Touch their body in a sexual way or have
your body touched in a sexual way?

Given a bribe or blackmailed?

Give them a handjob or receive a handjob
from them?

Given drugs or alcohol to get you drunk
or high?

Have oral sex (blowjob) with them?

Offered protection from other inmates?

Have vaginal sex with them?

Have anal sex with them?

Offered protection from another
correctional officer?

Trying to pay off or settle a debt that you
owed?

Threatened with harm or a weapon?

Physically held down or restrained?

Physically harmed or injured?

22. This question is about both wanted and unwanted
sex with staff at this facility. In the past 12 months,
how many times altogether have you had any type
of wanted or unwanted sex or sexual contact with
staff at this facility?
0 times ..................
1 time ....................
2 times ..................
3–10 times ............
11 times or more ...



Go to SECTION C
on page 5



Continue to item 23

2
3
4

25. In the past 12 months, when you had sex or sexual
contact with facility staff, was it ever with:
Mark

23. In the past 12 months, when you had sex or sexual
contact with facility staff, did any single incident
ever involve more than one facility staff person?
Yes .........................................................................
No ..........................................................................

“Yes” or “No” for each item.

Yes

Male facility staff?

Female facility staff?

26. In the past 12 months, when you had sex or sexual
contact with facility staff, did you ever:

Mark

“Yes” or “No” for each item.

Yes

Receive knife or stab wounds?

Receive broken bones?

Receive anal tearing?

Have your teeth chipped or knocked out?

Receive internal injuries?

Get knocked unconscious?

Receive bruises, a black eye, sprains,
cuts, scratches, swelling, or welts?

SECTION C
These last two questions are about your experience
with this survey.
27. How upsetting did you find it to answer questions
about your own experiences with sex and sexual
assault in this facility?
Not upsetting at all.................................................
Somewhat upsetting...............................................
Very upsetting .......................................................

1
2
3

28. How accurate are the answers you gave in this
survey?
Not very accurate...................................................
Fairly accurate .......................................................
Very accurate .........................................................

1
2
3

After you have completed the survey, please put it
in the envelope and seal it before you turn it in.
Thank You!

National Inmate Survey – Prisons
Year 4 (NIS-4P)
Survey specifications

1
F

National Inmate Survey: Year 4
Questionnaire Specifications for Combined Instrument
9-1-19
A1

TYPE OF INTERVIEW:
1
ENGLISH MALE
2
ENGLISH FEMALE
3
SPANISH MALE
4
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?
1
2

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.
NIS-4 Instrument
September 1, 2019

[Type here]

FACILITY ID
____________________

ENTER YOUR INTERVIEWER ID NUMBER:
__________ [ALLOW 6 DIGITS]

IS AN INCENTIVE BEING OFFERED TO INMATES AT THIS FACILITY?
1
2

YES
NO

NIS-4 Instrument
September 1, 2019

[Type here]

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
2

A4a

YES
NO

[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.

NIS-4 Instrument
September 1, 2019

[Type here]

4
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

When were you admitted to this facility?
A5a.
A5b.
A5c.

2-DIGIT MONTH: _________ [RANGE: 1 – 12]
DK/REF
2-DIGIT DAY: ____________ [RANGE: 1 – 31]
DK/REF
4-DIGIT YEAR: ___________ [RANGE: 1915 – current year]
DK/REF

[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
2

YES
NO

[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
2
3
4
5
6
7

NIS-4 Instrument
September 1, 2019

LESS THAN 1 WEEK
AT LEAST 1 WEEK BUT LESS THAN 1 MONTH
AT LEAST 1 MONTH BUT LESS THAN 2 MONTHS
AT LEAST 2 MONTHS BUT LESS THAN 6 MONTHS
AT LEAST 6 MONTHS BUT LESS THAN 1 YEAR
AT LEAST 1 YEAR BUT LESS THAN 5 YEARS
AT LEAST 5 YEARS BUT LESS THAN 10 YEARS

[Type here]

5
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?
1
Yes
2
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?
1
YES
2
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?

NIS-4 Instrument
September 1, 2019

[Type here]

6
[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

NIS-4 Instrument
September 1, 2019

[Type here]

7
SECTION C: ACASI Tutorial
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.

NIS-4 Instrument
September 1, 2019

[Type here]

8
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.

[NO AUDIO REQUIRED] If you want the computer to read the question again, you can
press the AUDIO button [POINT TO AUDIO BUTTON].

[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.

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.

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?

NIS-4 Instrument
September 1, 2019

[Type here]

[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
1
1
1

C11a. Pollen?
C11b. Dust?
C11c. Mold?
DK/REF
C14

No
2
2
2

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.

NIS-4 Instrument
September 1, 2019

[Type here]

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?
A12a. Mexican-American?
A12b. Mexican?
A12c. Cuban?
A12d. Puerto Rican or other Caribbean?
A12e. Central or South American Spanish?
A12f. Some other Spanish group?
DK/REF

A13

Yes
1
1
1
1
1
1

No
2
2
2
2
2
2

Yes
1
1
1
1
1

No
2
2
2
2
2

Which of these categories describes your race?
You may answer yes to one or more of these categories.
A13a. White?
A13b. Black or African American?
A13c. American Indian or Alaska Native?
A13d. Asian?
A13e. Native Hawaiian or other Pacific Islander?
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

NIS-4 Instrument
September 1, 2019

[Type here]

11
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

[IF V1 = 1 OR DK OR REF] Have you served in the…
V2a. Army, including the Army National Guard or Reserve?
V2b. Navy, including the Reserve?
V2c. Marine Corps, including the Reserve?
V2d. Air Force, including the Air National Guard or Reserve?
V2e. Coast Guard, including the Reserve?
DK/REF

Yes
1
1
1
1
1

No
2
2
2
2
2

[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?
1 Yes
2 No
DK/REF

[IF V4 = 2] What type of discharge did you receive from the United States Armed Forces?
1
Honorable
2
General under honorable conditions
3
Other than honorable
4
Bad conduct
5
Dishonorable
6
Some other type of discharge
DK/REF

A22.

Are you a U.S. citizen?
1
Yes
2
No
DK/REF

NIS-4 Instrument
September 1, 2019

[Type here]

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.

NIS-4 Instrument
September 1, 2019

[Type here]

13
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.
1
Yes
2
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.

NIS-4 Instrument
September 1, 2019

[Type here]

14
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.
1 Yes
2 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

NIS-4 Instrument
September 1, 2019

[Type here]

15
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?
1
Yes
2
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

NIS-4 Instrument
September 1, 2019

[Type here]

16
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?
1
Gay
2
Straight, that is, not gay
3
Bisexual, that is, you are sexually attracted to both men and women
4
Something else
DK/REF

D2b

[IF GENDER = 2] Which of the following best represents how you think of yourself?
1
Lesbian or gay
2
Straight, that is, not lesbian or gay
3
Bisexual, that is, you are sexually attracted to both men and women
4
Something else
DK/REF

D3a

What sex was recorded on your original birth certificate?
1
Male
2
Female
DK/REF

D3b

Do you currently think of yourself as…?
1
Male
2
Female
3
Transgender
4
None of these
DK/REF

RANDOM = 5, SKIP TO D12

NIS-4 Instrument
September 1, 2019

[Type here]

17
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

[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

[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

NIS-4 Prison Instrument
September 1, 2019

18
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…

1
In your own house or apartment, meaning your name was on the title, mortgage, or lease
2
In someone else’s house or apartment, including your parents’ place
3
In a residential treatment facility
4
In a transitional housing facility or halfway house
5
In a shelter
6
On the street or you were homeless
7
In no set place or you moved around a lot
8
In some other place or situation
DK/REF
D13

Have you ever had a job working for pay?

1
2

DK/REF
D14

At any point during the 6 months before you were incarcerated, did you have a job where you
worked for pay?

1
2

DK/REF
D15

Yes
No

How did you support yourself during the six months before you were incarcerated?
D15a A job?
D15b Support from your family?
D15c Support from your friends?
D15d A government program or public assistance?
D15e Illegal income?
D15f Some other type of support?
DK/REF

D16

Yes
1
1
1
1
1
1

No
2
2
2
2
2
2

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?
1
Yes
2
No
DK/REF

NIS-4 Prison Instrument
September 1, 2019

19
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?
1 Yes
2 No
DK/REF

D20

[IF D19 = 1] Are any of your parents or guardians currently incarcerated in a prison or jail?
1
Yes
2
No
DK/REF

D21

Have any of your brothers or sisters ever been incarcerated in a prison or jail?
1
Yes
2
No
3
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?
1
Yes
2
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?
1
Yes
2
No
DK/REF

D24

[IF D23 = 1] Are any of those close friends currently incarcerated in a prison or jail?
1
Yes
2
No
DK/REF

RANDOM = 5, SKIP TO SECTION CE

NIS-4 Prison Instrument
September 1, 2019

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.

Males
[IF GENDER = 1] DOAFILL1,
have you been touched on your
butt, thighs, or penis in a sexual
way by another inmate?

1
Yes
2
No
DK/REF
E6

Females
[IF GENDER = 2] DOAFILL1,
have you been touched on your
butt, thighs, breasts, or vagina in a
sexual way by another inmate?
1
Yes
2
No
DK/REF

[IF GENDER = 1] DOAFILL1,
have you given or received a
handjob? A ‘handjob’ is when
someone’s penis is rubbed by
somebody else.
1
Yes
2
No
DK/REF

[IF GENDER = 1] DOAFILL1,
have you given or received oral
sex or a blowjob? Oral sex, or a
blowjob, is when one inmate puts
their mouth on the penis or butt of
another inmate.

1
Yes
2
No
DK/REF

1
Yes
2
No
DK/REF
E10

E12

[IF GENDER = 1] DOAFILL1,
have you had anal sex? Anal sex
is when one inmate inserts their
finger, penis, or an object into
another inmate’s butt.
1
2

NIS-4 Prison Instrument
September 1, 2019

Yes
No

[IF GENDER = 2] DOAFILL1,
have you given or received oral
sex? Oral sex is when one inmate
puts their mouth on the vagina or
butt of another inmate.

E12

[IF GENDER = 2] DOAFILL1,
have you had vaginal sex?
Vaginal sex is when one inmate
inserts their finger or an object
into another inmate’s vagina.
1
Yes
2
No
DK/REF
[IF GENDER = 2] DOAFILL1,
have you had anal sex? Anal sex
is when one inmate inserts their
finger or an object into another
inmate’s butt.
1
2

Yes
No

21
DK/REF
E14

[IF GENDER = 1] DOAFILL1,
have you had any type of sex or
sexual contact with another
inmate other than sexual
touching, handjobs, oral sex or
blowjobs, or anal sex?
1
2

E15

E16

DK/REF
E14

Yes
No

DK/REF
[IF E2 = 1 OR E6 = 1 OR E8 = 1 OR
E12 = 1 OR E14 = 1] These next
questions are only about unwanted sex
or sexual contact.

[IF GENDER = 2] DOAFILL1,
have you had any type of sex or
sexual contact with another
inmate other than sexual
touching, oral sex, vaginal sex, or
anal sex?
1
2

E15

Yes
No

DK/REF
[IF E2 = 1 OR E8 = 1 OR E10 = 1 OR E12 =
1 OR E14 = 1] These next questions are
only about unwanted sex or sexual contact.
Touch the NEXT button to go to the next
screen.

Touch the NEXT button to go to the next
screen.
[IF E2=1] DOAFILL1, did
another inmate use physical force
to touch your butt, thighs, or penis
in a sexual way?
1
Yes
2
No
DK/REF

E17

[IF E2 = 1] 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

E18

[IF E2=1] 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

E19

NIS-4 Prison Instrument
September 1, 2019

[IF E2 = 1] 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?

E22

1
Yes
2
No
DK/REF

[IF E6 =1] DOAFILL1, did
another inmate use physical force
to make you give or receive a
handjob?
1
Yes
2
No
DK/REF

E23

[IF E6 = 1] 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

E24

[IF E8 = 1] DOAFILL1, did
another inmate use physical force
to make you give or receive oral
sex?
1
Yes
2
No
DK/REF

E25

E26

[IF E8 =1] DOAFILL1, did
another inmate use physical force
to make you give or receive oral
sex or a blowjob?
1
Yes
2
No
DK/REF

E27

[IF E8 = 1] 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
2

NIS-4 Prison Instrument
September 1, 2019

Yes
No

[IF E8 = 1] 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

23
DK/REF

E28

[IF E10 = 1] DOAFILL1, did
another inmate use physical force
to make you have vaginal sex?
1
Yes
2
No
DK/REF

E29

[IF E10 = 1] 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

E32

[IF E12 = 1] DOAFILL1, did
another inmate use physical force
to make you have anal sex?

E32

1
Yes
2
No
DK/REF

1
Yes
2
No
DK/REF
E33

E34

[IF E12 = 1] 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
[IF E14 = 1] 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?

E33

E34

[IF E14 = 1] 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?

NIS-4 Prison Instrument
September 1, 2019

1
Yes
2
No
DK/REF
E35

[IF E12 = 1] DOAFILL1, did
another inmate use physical force
to make you have anal sex?

E35

1
Yes
2
No
DK/REF

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:
•
•
•
1
2
3
4
5
6

NIS-4 Prison Instrument
September 1, 2019

[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?
3 times
4 times
5 times
6 times
7 times
8 times

25
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
NIS-4 Prison Instrument
September 1, 2019

26
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

NIS-4 Prison Instrument
September 1, 2019

27
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

NIS-4 Prison Instrument
September 1, 2019

28
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

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

NIS-4 Prison Instrument
September 1, 2019

Yes

29
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

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

NIS-4 Prison Instrument
September 1, 2019

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

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?

E322

1
Yes
2
No
DK/REF

1
Yes
2
No
DK/REF
E332

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, without using
physical force, pressure you or
make you feel that you had to
have anal sex?
1
Yes
2
No
DK/REF
[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

NIS-4 Prison Instrument
September 1, 2019

[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?

E332

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, without using
physical force, pressure you or
make you feel that you had to
have anal sex?
1
Yes
2
No
DK/REF
[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

31
E352

E352

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]:
•
•

NIS-4 Prison Instrument
September 1, 2019

[IF E222 OR E232 = 1] Give or receive a handjob,
[IF E262 OR E272 = 1] Give or receive oral sex or a blowjob, or

32
•

[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]:
•
•

NIS-4 Prison Instrument
September 1, 2019

[IF E242 OR E252 = 1] Give or receive oral sex,
[IF E282 OR E292 = 1] Have vaginal sex, or

33
•

[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
2
3
4
5
6
7
8

3 times
4 times
5 times
6 times
7 times
8 times
9 times
10 times

NIS-4 Prison Instrument
September 1, 2019

34
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

NIS-4 Prison Instrument
September 1, 2019

35
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.]
DEFINE #NCSA1
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
NIS-4 Prison Instrument
September 1, 2019

36
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

[IF NCSA = 1] DOAFILL1,when you were [ForcedOrPressuredFill2] have sex or
sexual contact with another inmate, [#NSCA2 FILL] …
F6a. Persuaded or talked into it?
F6b. Given a bribe?
F6c. Blackmailed?
F6d. Given drugs or alcohol to get you drunk or high?
F6e. Offered protection from other inmates?
F6f. Trying to pay off or settle a debt that you owed?
F6g. Threatened with harm?
F6h. Physically held down or restrained?
F6i. Physically harmed or injured?
F6j. Threatened with a weapon?
DK/REF

Yes
1
1
1
1
1
1
1
1
1
1

No
2
2
2
2
2
2
2
2
2
2

[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

[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] …
F10a. Receive knife or stab wounds?
F10b. Receive broken bones?
F10c. Have [anal/anal or vaginal tearing?
F10d. Have your teeth chipped or knocked out?
F10e Receive internal injuries?
F10f. Get knocked unconscious?
F10g. Receive bruises, a black eye, sprains, cuts, scratches, swelling,
welts, or burns?
DK/REF

NIS-4 Prison Instrument
September 1, 2019

Yes
1
1
1
1
1
1
1

No
2
2
2
2
2
2
2

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.

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

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

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38
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

DOAFILL1, have any facility staff offered you favors or special privileges in exchange for sex or
sexual contact?
1
Yes
2
No
DK/REF

DOAFILL1, have you willingly had sex or sexual contact with any facility staff?
1
Yes
2
No
DK/REF

[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

NIS-4 Prison Instrument
September 1, 2019

39
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?
G11a. You touched a facility staff person’s body
or had your body touched in a sexual way?
G11b. You gave or received a handjob?
G11c. You gave or received oral sex or a
blowjob?
G11d. You had vaginal sex?
G11e. You had anal sex?
DK/REF

G12

Yes
1

No
2

1
1

2
2

1
1

2
2

[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?
G17a. You were persuaded or talked into it?
G17b. You were given a bribe?
G17c. You were offered favors or special privileges?
G17d. You were blackmailed?
G17e. You were given drugs or alcohol to get you drunk or high?
G17f. You were offered protection from other inmates?
G17g. You were offered protection from another correctional officer?
G17h. You were trying to pay off or settle a debt that you owed?
G17i. You were threatened with harm?
G17j. You were physically held down or restrained?
G17k. You were physically harmed or injured?
G17l. You were threatened with a weapon?
DK/REF

G28.

Yes
1
1
1
1
1
1
1
1
1
1
1
1

No
2
2
2
2
2
2
2
2
2
2
2
2

[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?
1

Male facility staff

NIS-4 Prison Instrument
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40
2
Female facility staff
3
Both male and female facility staff
DK/REF
G29.

[IF G28 = 1 OR 2] DOAFILL1, did you have sex or sexual contact with any
G29a. Correctional officers?
G29b. Other staff working in the facility?
G29c. Volunteers in the facility?
DK/REF

G31.

No
2
2
2

Yes
1
1
1
1
1
1

No
2
2
2
2
2
2

[IF G28 = 3] DOAFILL1, did you have sex or sexual contact with any
G31a. Male correctional officers?
G31b. Female correctional officers?
G31c. Other male staff working in the facility?
G31d. Other female staff working in the facility?
G31e. Male volunteers in the facility?
G31f. Female volunteers in the facility?
DK/REF

G19

Yes
1
1
1

[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 …
G20a. Receive knife or stab wounds?
G20b. Receive broken bones?
G20c. Have [anal/anal or vaginal] tearing?
G20d. Have your teeth chipped or knocked out?
G20e. Receive internal injuries?
G20f. Get knocked unconscious?
G20g. Receive bruises, a black eye, sprains, cuts, scratches, swelling,
welts, or burns?
DK/REF

NIS-4 Prison Instrument
September 1, 2019

Yes
1
1
1
1
1
1
1

No
2
2
2
2
2
2
2

41
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.

NIS-4 Prison Instrument
September 1, 2019

[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?
DIR3a. [IF E22=1 OR E23=1 OR E222=1 OR E232=1] Give or
receive a hand job?
DIR3b. [IF E26=1 OR E27=1 OR E262=1 OR E272=1] Give or
receive oral sex or a blowjob?
DIR3c. [IF E24=1 OR E25=1 OR E242=1 OR E252=1] Give or
receive oral sex?
DIR3d. [IF E28=1 OR E29=1 OR E282=1 OR E292=1] Have
vaginal sex?
DIR3e. [IF E32=1 OR E33=1 OR E322=1 OR E332=1] Have anal
sex?
DK/REF

Yes
1

No
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.
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.

NIS-4 Prison Instrument
September 1, 2019

43
Think about the most recent time this happened to you. What were you
[ForcedOrPressuredFill2] do?
DIR5a. [IF E22=1 OR E23=1 OR E222=1 OR E232=1] Give or
receive a hand job?
DIR5b. [IF E26=1 OR E27=1 OR E262=1 OR E272=1] Give or
receive oral sex or a blowjob?
DIR5c. [IF E24=1 OR E25=1 OR E242=1 OR E252=1] Give or
receive oral sex?
DIR5d. [IFE28=1 OR E29=1 OR E282=1 OR E292=1] Have vaginal
sex?
DIR5e. [IF E32=1 OR E33=1 OR E322=1 OR E332=1] Have anal
sex?
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?
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?
DK/REF

Yes
1

No
2

[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.

NIS-4 Prison Instrument
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44
[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?
1
January
2
February
3
March
4
April
5
May
6
June
7
July
8
August
9
September
10
October
11
November
12
December
DK/REF

IIC3

Did the [RECENT_FILL] happen…
IIC3a. Between 6:00 in the morning and noon?
IIC3b. After noon but before 6:00 in the evening?

NIS-4 Prison Instrument
September 1, 2019

Yes
1
1

No
2
2

45
IIC3c. After 6:00 in the evening but before midnight?
IIC3d. After midnight but before 6:00 in the morning?
DK/REF
IIC4

Yes
1
1
1
1
1
1
1
1

No
2
2
2
2
2
2
2
2

Yes
1
1
1
1

No
2
2
2
2

Just before or during this [RECENT_FILL], which, if any of these things, happened? Were
you…
IIC7a. Persuaded or talked into the sex or sexual contact?
IIC7b. Given a bribe?
IIC7c. Blackmailed?
IIC7d. Given drugs or alcohol to get you drunk or high?
IIC7e. Offered protection from other inmates?
IIC7f. Trying to pay off or settle a debt that you owed?
IIC7g. Threatened with harm?
IIC7h. Physically held down or restrained?
IIC7i. Physically harmed or injured?
IIC7j. Threatened with a weapon?
DK/REF

IIC8

No
2
2
2
2

[IF IIC4d =1] Where were you when the incident happened?
IIC6a. A bus, van, or car?
IIC6b. A courthouse?
IIC6c. Some type of temporary holding facility?
IIC6d. A hospital or other type of medical facility?
DK/REF

IIC7

Yes
1
1
1
1

[IF IIC4c =1] Where were you when the incident happened?
IIC5a. In a shower?
IIC5b. In a bathroom?
IIC5c. In the yard or recreation area?
IIC5d. In a classroom or library?
IIC5e. In a workshop, kitchen, or other workplace?
IIC5f. In a closet?
IIC5g. In an office or other locked room?
IIC5h. On the stairs?
DK/REF

IIC6

2
2

Where did the [RECENT_FILL] happen?
IIC4a. In your own cell, room, or sleeping area?
IIC4b. In the cell, room, or housing area of another inmate?
IIC4c. Somewhere else in the facility?
IIC4d. Off facility grounds?
DK/REF

IIC5

1
1

Yes
1
1
1
1
1
1
1
1
1
1

No
2
2
2
2
2
2
2
2
2
2

Do you think this [RECENT_FILL] happened because of your…
Yes

NIS-4 Prison Instrument
September 1, 2019

46
IIC8a. Race or ethnicity?
IIC8b. Age?
IIC8c. Religion?
IIC8d. Gang affiliation?
DK/REF
IIC32

1
1
1
1

2
2
2
2

[IF D3b=3] Do you think this [RECENT_FILL] happened because you are transgender?
1
Yes
2
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]?
1
Yes
2
No
DK/REF

IIC9

During this [RECENT_FILL], did one inmate or more than one inmate have sexual contact with
you?
1
One inmate
2
More than one inmate
DK/REF

IIC10a [IF IIC9 = 1] Was the other inmate male, female, or transgender?
1
Male
2
Female
3
Transgender
DK/REF
IIC10b [IF IIC9 = 2] Were any of the inmates involved in this incident…
IIC10b1. Male?
IIC10b2. Female?
IIC10b3. Transgender?
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
NIS-4 Prison Instrument
September 1, 2019

Yes
1
1
1

No
2
2
2

47
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?
1
Yes
2
No
DK/REF

IIC12

[IF IIC9 = 1] Was the other inmate…
[IF IIC9 = 2] Were any of the other inmates…
IIC12a. White?
IIC12b. Black or African American?
IIC12c. American Indian or Alaska Native?
IIC12d. Asian?
IIC12e. Native Hawaiian or other Pacific Islander?
DK/REF

Yes
1
1
1
1
1

No
2
2
2
2
2

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…
IIC13b1. Older than you?
IIC13b2. Younger than you?
IIC13b3. About the same age as you?
DK/REF
IIC13DK

Yes
1
1
1

No
2
2
2

[IF IIC13a = DK] Was this other inmate older than you, younger than you or about the same
age as you?
1

Older than you

NIS-4 Prison Instrument
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48
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?
1
Did not know the inmate at all
2
Knew the inmate only a little
3
Knew the inmate but not well
4
Knew the inmate very well
DK/REF
IIC15b [IF IIC9 = 2] Did you know these inmates at the time the [RECENT_FILL] occurred?
1
You knew all the inmates who were involved
2
You knew some of the inmates who were involved
3
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?
1
Yes
2
No
DK/REF
IIC16b [IF IIC9 = 2] Were any of these inmates members of a gang?
1
Yes
2
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?
1
Yes
2
No
DK/REF

NIS-4 Prison Instrument
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49
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?
1
Yes
2
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…
IIC20a. Receive knife or stab wounds?
IIC20b. Receive broken bones?
IIC20c. Have [anal/anal or vaginal] tearing?
IIC20d. Have your teeth chipped or knocked out?
IIC20e Receive internal injuries?
IIC20f. Get knocked unconscious?
IIC20g. Receive bruises, a black eye, sprains, cuts, scratches, swelling, welts,
or burns?
DK/REF
IIC21

Yes
1
1
1
1
1
1
1

No
2
2
2
2
2
2
2

[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?

IIC22a. Gave you gifts or money so that you would keep it a secret?
IIC22b. Threatened to hurt you so that you would keep it a secret?
IIC22c. Said [he/she/they] [PerpGenderFill1] would blame it on you if you told
anyone?
IIC22d. Said [he/she/they] [PerpGenderFill1] would stop spending time with
you if you told anyone?
IIC22e. Had some type of sexual contact with you again?
IIC22f. Ignored you or stayed away from you?
IIC22g. Threatened to harm your family?
IIC22h. Hurt you or beat you up?
DK/REF
IIC23

Did you report this [RECENT_FILL] to anyone?

NIS-4 Prison Instrument
September 1, 2019

Yes
1
1
1

No
2
2
2

1
1
1
1

2
2
2
2

1
Yes
2
No
DK/REF
IIC24

[IF IIC23 = 1] Did you report the incident to…
IIC24a. A correctional officer?
IIC24b. An administrative staff person?
IIC24c. A medical or healthcare staff person?
IIC24d. An instructor or teacher?
IIC24e. A counselor or other mental health care provider?
IIC24f. A chaplain or other religious official?
IIC24g. A volunteer?
IIC24h. Some other type of facility staff person?
IIC24i. A telephone hotline?
IIC24j. Another inmate?
IIC24k. A family member or friend?
DK/REF

IIC25

Yes
1
1
1
1
1
1
1
1
1
1
1

No
2
2
2
2
2
2
2
2
2
2
2

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?
IIC27a. You were moved to administrative segregation or some other
protective housing?
IIC27b. You were placed in a medical unit, ward, or hospital?
IIC27c. You were confined to your own cell, room, or housing area?
IIC27d. You were given a higher level of custody within the facility?
IIC27e. You were offered a transfer to another facility?
IIC27f. You were written up?
DK/REF

Yes
1

No
2

1
1
1
1
1

2
2
2
2
2

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?
IIC28a1. The inmate was moved to administrative segregation or some other
protective housing?
IIC28a2. The inmate was placed in a medical unit, ward, or hospital?
IIC28a3. The inmate was confined to [PerpGenderFill2] own cell, room, or
housing area?
NIS-4 Prison Instrument
September 1, 2019

Yes
1

No
2

1
1

2
2

51
IIC28a4.
IIC28a5.
IIC28a6.
IIC28a7.
IIC28a8.
DK/REF

The inmate was given a higher level of custody at this facility?
The inmate was transferred to another facility?
The inmate was written up?
The inmate lost privileges?
The inmate was charged with a crime?

1
1
1
1
1

2
2
2
2
2

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?

IIC28b1. One or more of the inmates were moved to administrative
segregation or some other protective housing?
IIC28b2. One or more of the inmates were placed in a medical unit, ward, or
hospital?
IIC28b3. One or more of the inmates were confined to their own cell, room,
or housing area?
IIC28b4. One or more of the inmates were given a higher level of custody at
this facility?
IIC28b5. One or more of the inmates were transferred to another facility?
IIC28b6. One or more of the inmates were written up?
IIC28b7. One or more of the inmates lost privileges?
IIC28b8. One ore more of the inmates were charged with a crime?
DK/REF
IIC29

Yes
1

No
2

1
1
1
1

2
2
2
2

[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?

IIC31a.
IIC31b.
IIC31c.
IIC31d.

Joined a gang?
Carried a weapon?
Fought more?
Worked out in order to bulk up?

NIS-4 Prison Instrument
September 1, 2019

Yes
1
1
1
1

No
2
2
2
2

52
IIC31e. Avoided certain areas?
IIC31f. Kept to yourself more?
IIC31g. Stayed in your own cell or housing area more?
IIC31h. Joined a religious group?
IIC31i. Avoided certain inmates?
IIC31j. Requested protective custody?
IIC31k. Requested transfer to another facility?
IIC31l. Requested a different housing unit, pod, or dormitory?
IIC31m. Contacted someone on the outside for help?
IIC31n. Tried to stay near facility staff?
IIC31o. Paid another inmate for protection?
DK/REF

NIS-4 Prison Instrument
September 1, 2019

1
1
1
1
1
1
1
1
1
1
1

2
2
2
2
2
2
2
2
2
2
2

53
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?
DIRS1a. [IF G11a=1] You touched a facility staff
person’s body or had your body touched in a
sexual way?
DIRS1b. [IF G11b=1] You had gave or received a
handjob?
DIRS1c. [IF G11c=1] You gave or received oral
sex or a blowjob?
DIRS1d. [IF G11d=1] You had vaginal sex?
DIRS1e. [IF G11e=1] You had anal sex ?
DK/REF

Yes
1

No
2

1
1

2
2

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.

NIS-4 Prison Instrument
September 1, 2019

54
[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]?
1
CURRENT YEAR
2
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?
1 January
2 February
3 March
4 April
5 May
6 June
7 July
8 August
9 September
10 October
11 November
12 December
DK/REF

SI3

Did the [RECENT_FILL2] happen…
SI3a. Between 6:00 in the morning and noon?
SI3b. After noon but before 6:00 in the evening?
SI3c. After 6:00 in the evening but before midnight?
SI3d. After midnight but before 6:00 in the morning?
DK/REF

SI4

Yes
1
1
1
1

No
2
2
2
2

Yes
1
1
1
1

No
2
2
2
2

Where did the [RECENT_FILL2] happen?
SI4a. In your own cell, room, or sleeping area?
SI4b. In the cell, room, or housing area of another inmate?
SI4c. Somewhere else in the facility?
SI4d. Off facility grounds?
DK/REF

NIS-4 Prison Instrument
September 1, 2019

SI5

[IF SI4c =1] Where were you when the incident happened?
SI5a. In a shower?
SI5b. In a bathroom?
SI5c. In the yard or recreation area?
SI5d. In a classroom or library?
SI5e. In a workshop, kitchen, or other workplace?
SI5f. In a closet?
SI5g. In an office or other locked room?
SI5h. On the stairs?
DK/REF

SI6

Yes
1
1
1
1
1
1
1
1

No
2
2
2
2
2
2
2
2

Yes
1
1
1
1

No
2
2
2
2

[IF SI4d =1] Where were you when the incident happened?
SI6a. A bus, van, or car?
SI6b. A courthouse?
SI6c. Some type of temporary holding facility?
SI6d. A hospital or other type of medical facility?
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…

SI9a. Persuaded or talked into the sex or sexual contact?
SI9b. Given a bribe?
SI9c. Blackmailed?
SI9d. Given drugs or alcohol to get you drunk or high?
SI9e. Offered protection from other inmates?
SI9f. Trying to pay off or settle a debt that you owed?
SI9g. Threatened with harm?
SI9h. Physically held down or restrained?
SI9i. Physically harmed or injured?
SI9j. Threatened with a weapon?
SI9k. [IF A22 = 2] Told that you would be deported?
NIS-4 Prison Instrument
September 1, 2019

Yes
1
1
1
1
1
1
1
1
1
1
1

No
2
2
2
2
2
2
2
2
2
2
2

56
SI9l. Told that your family would be deported?
SI9m. Told that you would lose visitation privileges?
DK/REF
SI10

1
1

2
2

During this [RECENT_FILL2] did one staff person or more than one staff person have sex or
sexual contact with you?
1 One staff person
2 More than one staff person
DK/REF

SI11

Do you think this [RECENT_FILL2] happened because of your…
Yes

SI31

SI11a. Race or ethnicity?
1
SI11b. Age?
1
SI11c. Religion?
1
SI11d. Gang affiliation?
1
DK/REF
[IF D3b=3] Do you think this [RECENT_FILL2] happened because you are transgender?

No
2
2
2
2

1 Yes
2 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]?
1 Yes
2 No
DK/REF

SI12a

[IF SI10 = 1] Was the staff person male or female?
1 Male
2 Female
DK/REF

SI12b

[IF SI10 = 2 OR DK OR REF] Were any of the staff involved in this incident…
SI12b1. Male?
SI12b2. Female?
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”
NIS-4 Prison Instrument
September 1, 2019

Yes
1
1

No
2
2

57
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?
1 Yes
2 No
DK/REF

SI14

[IF SI10 = 1] Was the staff person…
[IF SI10 = 2 OR DK OR REF] Were any of the staff…
SI14a. White?
SI14b. Black or African American?
SI14c. American Indian or Alaska Native?
SI14d. Asian?
SI14e. Native Hawaiian or other Pacific Islander?
DK/REF

SI15a

Yes
1
1
1
1
1

No
2
2
2
2
2

[IF SI10 = 1] How old was this staff person?
1 Under 25
2 25 – 34
3 35 – 44
4 45 – 54
5 55 or older
DK/REF

SI15b

[IF SI10 = 2 OR DK OR REF] Were any of the staff…
SI15b1. Older than you?
SI15b2. Younger than you?
SI15b3. About the same age as you?
DK/REF

SI15DK

Yes
1
1
1

No
2
2
2

[IF SI15a = DK] Was this staff person 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

SI16a

[IF SI10 = 1] Was the staff person who had sexual contact with you…
Yes

NIS-4 Prison Instrument
September 1, 2019

58
SI16a1. A correctional officer?
SI16a2. Another staff person working in the facility?
SI16a3. A volunteer in the facility?
DK/REF
SI16b

Yes
1
1
1

No
2
2
2

[IF SI10 = 1] Before the [RECENT_FILL2] happened, did any of these things ever happen?
SI17a1. The staff person talked to you about [his/her]
[StaffGenderFill2] personal life outside of work?
SI17a2. The staff person gave you pictures of [himself/herself]
[StaffGenderFill3]?
SI17a3. The staff person wrote letters to you?
SI17a4. The staff person offered you things like drugs, cigarettes,
alcohol, or other things you are not allowed to have in this facility?
SI17a5. The staff person offered you money?
SI17a6. The staff person did things for you to help you get out of
trouble?
SI17a7. The staff person spent time alone with you and asked that you
not tell anyone else about that time?
SI17a8. The staff person told you that [StaffGenderFill1] had special
feelings for you or was in love with you?
SI17a9. The staff person talked or joked with you about sex or shared
sexual stories with you?
DK/REF

SI17b

2
2
2

[IF SI10 = 2 OR DK OR REF] Were any of the staff who had sexual contact with you…
SI16b1. Correctional officers?
SI16b2. Other staff working in the facility?
SI16b3. Volunteers in the facility?
DK/REF

SI17a

1
1
1

Yes
1

No
2

1
1

2
2

1
1

2
2

[IF SI10 = 2 OR DK OR REF] Before the [RECENT_FILL2] happened, did any of these things
ever happen?

SI17b1. One or more of the staff talked to you about his or her
personal life outside of work?
SI17b2. One or more of the staff gave you pictures of themselves?
SI17b3. One or more of the staff wrote letters to you?
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?
SI17b5. One or more of the staff offered you money?
SI17b6. One or more of the staff did things for you to help you get out
of trouble?
SI17b7. One or more of the staff spent time alone with you and asked
that you not tell anyone else about that time?
SI17b8. One or more of the staff told you that they had special
feelings for you or were in love with you?
SI17b9. One or more of the staff talked or joked with you about sex or
shared sexual stories with you?
DK/REF
NIS-4 Prison Instrument
September 1, 2019

Yes
1

No
2

1
1
1

2
2
2

1
1

2
2

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…
SI19a. Receive knife or stab wounds?
SI19b. Receive broken bones?
SI19c. [IF GENDER=1] Have anal tearing?
[IF GENDER=2] Have anal or vaginal tearing?
SI19d. Have your teeth chipped or knocked out?
SI19e Receive internal injuries?
SI19f. Get knocked unconscious?
SI19g. Receive bruises, a black eye, sprains, cuts, scratches, swelling,
welts, or burns?
DK/REF

SI20

Yes
1
1
1

No
2
2
2

1
1
1
1

2
2
2
2

[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?
SI21b. Threatened to hurt you so that you would keep it secret?
SI21c. Said [he/she/they] [StaffGenderFill1]would blame it on you if
you told anyone?
SI21d. Said [he/she/they] [StaffGenderFill1] would stop spending
time with you if you told anyone?
SI21e. Had sexual contact with you again?
SI21f. Ignored you or stayed away from you?
DK/REF

SI22

Yes
1
1

No
2
2

1
1

2
2

Did you report this [RECENT_FILL2] to anyone?
1
Yes
2
No
DK/REF

SI23

[IF SI22 = 1] Did you report the incident to…
SI23a. A correctional officer?
SI23b. An administrative staff person?
SI23c. A medical or healthcare staff person?

NIS-4 Prison Instrument
September 1, 2019

Yes
1
1
1

No
2
2
2

60
SI23d. An instructor or teacher?
SI23e. A counselor or other mental health care provider?
SI23f. A chaplain or other religious official?
SI23g. A volunteer?
SI23h. Some other type of facility staff person?
SI23i. A telephone hotline?
SI23j. Another inmate?
SI23k. A family member or friend?
DK/REF
SI24

1
1
1
1
1
1
1
1

2
2
2
2
2
2
2
2

At the time the [RECENT_FILL2] happened were any inmates aware that it was
happening?
1 Yes
2 No
DK/REF

SI125

At the time the [RECENT_FILL2] happened were any other staff at the facility aware
that it was happening?
1 Yes
2 No
DK/REF

SI26

[IF SI22 = 1] Did any of the following things happen to you as a result of the report you
made?
SI26a. You were moved to administrative segregation or some other
protective housing?
SI26b. You were placed in a medical unit, ward, or hospital?
SI26c. You were confined to your own cell, room, or housing area?
SI26d. You were given a higher level of custody within the facility?
SI26e. You were offered a transfer to another facility?
SI26f. You were written up?
DK/REF

SI27a

No
2

1
1
1
1
1

2
2
2
2
2

[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?
SI27a1. The staff person was fired?
SI27a2. The staff person was transferred to another facility?
SI27a3. The staff person was transferred to a different job at this
facility?
SI27a4. The staff person was charged with a crime?
SI27a5. The staff person was suspended for a period of time?
SI27a6. The staff person was punished or disciplined in some way
other than those listed above?
DK/REF

SI27b

Yes
1

Yes
1
1
1

No
2
2
2

1
1
1

2
2
2

[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

NIS-4 Prison Instrument
September 1, 2019

61
SI27b1. One or more of the staff were fired?
SI27b2. One or more of the staff were transferred to another
facility?
SI27b3. One or more of the staff were transferred to a different job
at this facility?
SI27b4. One or more of the staff were charged with a crime?
SI27b5. One or more of the staff were suspended for a period of
time?
SI27b6. One or more of the staff were punished or disciplined in
some way other than those listed above?
DK/REF
SI28

1
1

2
2

1
1

2
2

[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?
1
Yes
2
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?
1
Yes
2
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?

SI30a. Joined a gang?
SI30b. Carried a weapon?
SI30c. Fought more?
SI30d. Worked out in order to bulk up?
SI30e. Tried to make yourself look less attractive?
SI30f. Avoided certain areas?
SI30g. Kept to yourself more?
SI30h. Stayed in your own cell or housing area more?
SI30i. Joined a religious group?
SI30j. Avoided certain staff?
SI30k. Requested protective custody?
SI30l. Requested transfer to another facility?
DK/REF

NIS-4 Prison Instrument
September 1, 2019

Yes
1
1
1
1
1
1
1
1
1
1
1
1

No
2
2
2
2
2
2
2
2
2
2
2
2

62
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?
1
Yes
2
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?
1
Yes
2
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?
1
Yes
2
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
NIS-4 Prison Instrument
September 1, 2019

LCM5 DOAFILL1, have you had any sex or sexual contact with staff in this facility whether you wanted
to have it or not?
1
Yes
2
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

NIS-4 Prison Instrument
September 1, 2019

64
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?
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

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

L23a1. Male facility staff?
L23a2. Female facility staff?
DK/REF
L24

Yes
1
1

No
2
2

[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

NIS-4 Prison Instrument
September 1, 2019

65
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

L25a1. Male facility staff?
L25a2. Female facility staff?
DK/REF
L26

Yes
1
1

No
2
2

[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

NIS-4 Prison Instrument
September 1, 2019

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.

Are there inmates in this facility who you think of as your friends?
1
Yes
2
No
DK/REF

Are there inmates in this facility who you can talk to about your personal problems?
1
Yes
2
No
DK/REF

Are there inmates in this facility who would protect you if another inmate was trying to hurt you?
1
Yes
2
No
DK/REF

Are there correctional officers or other staff at this facility who you can talk to about your
problems?
1
Yes
2
No
DK/REF

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

How crowded is it in your housing unit?
1
Not at all crowded
2
Slightly crowded
3
Pretty crowded
4
Very crowded
DK/REF

How crowded is it outside of the housing units – for example, in the dining hall, classrooms, gym,
or work areas?

1
Not at all crowded
2
Slightly crowded
3
Pretty crowded
4
Very crowded
DK/REF
NIS-4 Prison Instrument
September 1, 2019

67
S8

How much privacy do you have in your housing unit?
1
None
2
A little
3
Some
4
A lot
DK/REF

Please indicate whether you agree or disagree with each of the following statements.
Staff at this facility…
S9a. Are generally fair?
S9b. Do their best to make this facility safe and secure?
S9c. Try to meet the needs of the inmates?
S9d. Break up fights quickly?
S9e. Use physical force only when necessary?
S9f. Let inmates know what is expected of them?
S9g. Generally treat inmates with respect?
S9h. Follow facility rules when handling inmate complaints and
grievances?
S9i. Often write up inmates who don’t deserve it?
DK/REF

S10

Agree
1
1
1
1
1
1
1
1

Disagree
2
2
2
2
2
2
2
2

DOAFILL1, how often have you been visited by your family or friends?
1
Frequently
2
Sometimes
3
Rarely
4
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
2
3

Frequently
Sometimes
Rarely

NIS-4 Prison Instrument
September 1, 2019

68
4
Never
DK/REF
S14

DOAFILL1, how often have you worried about being hit, punched, or assaulted by other inmates
in this facility?

1
2
3
4

DK/REF

S15

Frequently
Sometimes
Rarely
Never

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?

1
2
3
4

DK/REF
S17

None
A little
Some
A lot

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
2
3
4
5
6
7

3 times
4 times
5 times
6 times
7 times
8 times
9 times

NIS-4 Prison Instrument
September 1, 2019

69
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?
S36a. You received knife or stab wounds?
S36b. You received broken bones?
S36c. Your teeth were chipped or knocked out?
S36d You received internal injuries?
S36e. You were knocked unconscious?
S36f. You received bruises, a black eye, sprains, cuts, scratches,
swelling, welts, or burns?
DK/REF

S37

Yes
1
1
1
1
1
1

No
2
2
2
2
2
2

[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
NIS-4 Prison Instrument
September 1, 2019

70
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?
S34a. You received knife or stab wounds?
S34b. You received broken bones?
S34c. Your teeth were chipped or knocked out?
S34d You received internal injuries?
S34e. You were knocked unconscious?
S34f. You received bruises, a black eye, sprains, cuts, scratches,
swelling, welts, or burns?
DK/REF

S35

Yes
1
1
1
1
1
1

No
2
2
2
2
2
2

[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
NIS-4 Prison Instrument
September 1, 2019

71
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

NIS-4 Prison Instrument
September 1, 2019

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

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

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

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

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

NIS-4 Prison Instrument
September 1, 2019

73
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…
R24a. Manic depression, a bipolar disorder, or mania?
R24b. A depressive disorder?
R24c. Schizophrenia or another psychotic disorder?
R24d. Post-traumatic stress disorder or PTSD?
R24e. Another anxiety disorder, such as panic disorder or OCD?
R24f. A personality disorder, such as antisocial or borderline
personality?
R24g. A mental or emotional condition other than those listed above?
DK/REF

R25

Yes
1
1
1
1
1
1

No
2
2
2
2
2
2

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?

NIS-4 Prison Instrument
September 1, 2019

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:
R21a. A serious fight or physical assault?
R21b. A sexual assault?
R21c. A life-threatening accident or injury?
R21d. The murder or suicide of a loved one?
R21e. The accidental death of a loved one?
R21f. Witnessed someone being seriously
injured or killed?
R21g. Any experience that put you at risk of

NIS-4 Prison Instrument
September 1, 2019

Yes
1
1
1
1
1
1

No
2
2
2
2
2
2

75
death?
DK/REF

NIS-4 Prison Instrument
September 1, 2019

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

Are you blind, or do you have serious difficulty seeing even when wearing glasses?
1 Yes
2 No
DK/REF

Because of a physical, mental, or emotional problem, do you have serious difficulty concentrating,
remembering, or making decisions?
1 Yes
2 No
DK/REF

Do you have serious difficulty walking or climbing stairs?
1 Yes
2 No
DK/REF

Do you have difficulty dressing or bathing?
1 Yes
2 No
DK/REF

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

[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…
Q7a. A physical problem?
Q7b. A mental or emotional problem?
DK/REF

NIS-4 Prison Instrument
September 1, 2019

Yes
1
1

No
2
2

77
Q8. Did a doctor, school counselor, or other professional ever tell you that you have:

Q8a. ADD or ADHD?
Q8b. Dyslexia?
Q8c. A learning disability?
Q8d. Autism or Asperger’s?
DK/REF

NIS-4 Prison Instrument
September 1, 2019

Yes
1
1
1
1

No
2
2
2
2

78
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?
1
Yes
2
No
DK/REF

RH2

[GO TO NEXT MODULE]
[GO TO NEXT MODULE]

[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…
RH4a. Because you were a danger to yourself?
RH4b. For mental health reasons?
RH4c. For medical reasons?
RH4d. Because you asked to be placed there for your own protection?
RH4e. As a punishment for breaking rules?
RH4f. For a cool down period?
RH4g. For some other reason?
DK/REF

NIS-4 Prison Instrument
September 1, 2019

Yes
1
1
1
1
1
1
1

No
2
2
2
2
2
2
2

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”]?

RH5a. Fighting with another inmate?
RH5b. Verbally assaulting staff?
RH5c. Physically assaulting staff?
RH5d. Possession of contraband?
RH5e. Having sexual contact with staff?
RH5f. Having sexual contact with another inmate?
RH5g. Noncompliance?
RH5h. Some other rule or rules?
DK/REF
RH6

Yes
1
1
1
1
1
1
1
1

No
2
2
2
2
2
2
2
2

[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?
1
Yes
2
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?
1 Yes
2 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

NIS-4 Prison Instrument
September 1, 2019

80
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?
1
Yes
2
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?
1
Yes
2
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”]?

NIS-4 Prison Instrument
September 1, 2019

[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…
RH16a. Lose your job in the facility?
RH16b. Get assigned to a different job in the facility?
RH16c. Have less yard or free time than you did before?
RH16d. Lose good time or good time credits?
DK/REF

RH17

No
2
2
2
2

[IF RH1 = 1] As a result of being in disciplinary or administrative segregation, or solitary
confinement, did you…
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?
RH17b. Get assigned to a higher custody or security level?
RH17c. Get moved somewhere else in the facility?
RH17d. Lose privileges, such as phone, visitation, or canteen privileges?
RH17e. Lose access to programs, such as classes, work-release, or other
training programs?
DK/REF

RH18

Yes
1
1
1
1

Yes
1

No
2

1
1
1
1

2
2
2
2

[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

NIS-4 Prison Instrument
September 1, 2019

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…
P1a. Check to see if you were sick, injured, drunk, or high?
P1b. Ask you any questions about your health or medical history?
P1c. Ask if you had ever thought about or tried to commit suicide?
DK/REF
P2

Yes
1
1
1

No
2
2
2

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

[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?

P3a. You received broken bones?
P3b. Your teeth were chipped or knocked out?
P3c. You received internal injuries?
P3d. You were knocked unconscious?
P3e. You received bruises, a black eye, sprains, cuts, scratches,
swelling, welts, or burns?
DK/REF
P4

Yes
1
1
1
1
1

No
2
2
2
2
2

[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

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

[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?

NIS-4 Prison Instrument
September 1, 2019

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?

P7a. Had teeth cleaned?
P7b. Had one or more teeth pulled out?
P7c. Had a root canal?
P7d. Had a cap or crown put in?
P7e. Had a cavity filled?
P7f. Oral surgery?
P7g. Some other dental procedure?
DK/REF
P8

Yes
1
1
1
1
1
1
1

No
2
2
2
2
2
2
2

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

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?

NIS-4 Prison Instrument
September 1, 2019

84
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

NIS-4 Prison Instrument
September 1, 2019

85
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?
1 Yes
2 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…

P26a. Any type of cancer?
P26b. High blood pressure or hypertension?
P26c. A stroke?
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?
P26e. Heart disease, including a heart attack, coronary heart disease,
angina, congestive heart failure or other heart problems?
NIS-4 Prison Instrument
September 1, 2019

Yes
1
1
1
1

No
2
2
2
2

86
P26f. A problem with your kidneys?
P26g. Some form of arthritis, rheumatoid arthritis, gout, lupus, or
fibromyalgia?
P26h. Asthma?
P26i. Cirrhosis of the liver?
P26j. A traumatic brain injury?
DK/REF
P27

2
2

1
1
1

2
2
2

[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
P27a.
P27b.
P27c.
P27d.

[IF P26a = 1] Any type of cancer?
[IF P26b = 1] High blood pressure or hypertension?
[IF P26c = 1] Problems caused by a stroke?
[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?
P27e. [IF P26e = 1] Heart disease, including a heart attack, coronary
heart disease, angina, congestive heart failure or other heart problems?
P27f. [IF P26f = 1] A problem with your kidneys?
P27g. [IF P26g = 1] Arthritis, rheumatoid arthritis, gout, lupus, or
fibromyalgia?
P27h. [IF P26h = 1] Asthma?
P27i. [IF P26i = 1] Cirrhosis of the liver?
P27j. [IF P26j = 1] Problems caused by a traumatic brain injury?
DK/REF
P28

1
1

Yes
1
1
1
1

No
2
2
2
2

1
1

2
2

1
1
1

2
2
2

[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…
P28a.
P28b.
P28c.
P28d.

[IF P27a = 1] For any type of cancer?
[[IF P27b = 1] For high blood pressure or hypertension?
[IF P27c = 1] To prevent a stroke?
. [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?]
P28e. [IF P27e = 1] For heart disease, including a heart attack, coronary
heart disease, angina, congestive heart failure or other heart problems?
P28f. [IF P27f = 1] For a problem with your kidneys?
P28g. [IF P27g = 1] For any form of arthritis, rheumatoid arthritis, gout,
lupus, or fibromyalgia?
P28h. [IF P27h = 1] For asthma?
P28i. [IF P27i = 1] For cirrhosis of the liver?
P28j. [IF P27j = 1] For a traumatic brain injury?
DK/REF

NIS-4 Prison Instrument
September 1, 2019

Yes
1
1
1
1

No
2
2
2
2

1
1

2
2

1
1
1

2
2
2

87
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…
P29a. [IF P27a = 1] for For any type of cancer?
P29b. [[IF P27b = 1] For high blood pressure or hypertension?
P29c. [IF P27c = 1] To prevent a stroke?
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?]
P29e. [IF P27e = 1] For heart disease, including a heart attack, coronary
heart disease, angina, congestive heart failure or other heart problems?
P29f. [IF P27f = 1] For a problem with your kidneys?
P29g. [IF P27g = 1] For any form of arthritis, rheumatoid arthritis, gout,
lupus, or fibromyalgia?
P29h. [IF P27h = 1] For asthma?
P29i. [IF P27i = 1] For cirrhosis of the liver?
P29j. [IF P27j = 1] For a traumatic brain injury?
DK/REF

NIS-4 Prison Instrument
September 1, 2019

Yes
1
1
1
1

No
2
2
2
2

1
1

2
2

1
1
1

2
2
2

88
Section PIV: Parental Involvement
PIV1

Is your biological mother, the woman who gave birth to you, still alive?
1
Yes
2
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?
1
Very involved
2
Somewhat involved
3
Not at all involved
DK/REF
PIV4

Is your biological father still alive?
1
Yes
2
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.

NIS-4 Prison Instrument
September 1, 2019

89
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?
1
2
3

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?
1
Yes
2
No
DK/REF

PIV8

Were your biological parents married to each other at the time you were born?
1
Yes
2
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?
1
Yes
2
No
DK/REF
NIS-4 Prison Instrument
September 1, 2019

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?
1
The entire time
2
Most of the time
3
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?
1
Yes
2
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?
1 A stepfather
2 An adoptive father
3 A foster father
4 Your mother’s boyfriend
5 A grandfather
6 An uncle
7 A brother, including a step- or half-brother
8 A cousin
9 A minister or member of the clergy
10 A teacher
11 A neighbor
12 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?
NIS-4 Prison Instrument
September 1, 2019

91
1
2

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?
1
Your biological father
2
Your stepfather
3
Your adoptive father
4
A foster father
5
Your mother's boyfriend
6
Your grandfather
7
Your uncle
8
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?
1
Yes
2
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?
1
Your biological mother
2
Your stepmother
3
Your adoptive mother
4
A foster mother
5
Your father’s girlfriend
6
Your grandmother
7
Your aunt
8
Some other female parent-figure
DK/REF
RANDOM = 95, SKIP TO M0

NIS-4 Prison Instrument
September 1, 2019

92
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?
CE1a Did your mother or father die before you were 18?
CE1b Did your parents separate or divorce before you were 18?
CE1c Did either parent attempt or commit suicide?
CE1d Was either parent in prison or jail for 6 months or longer?
CE1e Did either parent, or person who raised you, have a mental illness?
CE1f Did either parent, or person who raised you, have an alcohol or drug problem?
CE1g Were you sent to a juvenile detention center?
DK/REF

CE2

Yes
1
1
1

No
2
2
2

How often did you do each of the following things before age 18?

X3aCE3a.Bully or threaten other kids ?
CE3b. Start fights?
CE3c. Run away from home and stay away
overnight?
CE3d. Lie, or “con,” other people?
CE3e. Set fires?
CE3f. Stay out very late, long after you were
supposed to be home?
CE3g. Skip school?
DK/REF
CE4

No
2
2
2
2
2
2
2

At any time before you turned 18 did you live…

CE2a Wwith your biological mother?
CE2b With your biological father?
CE2c In a foster home?
DK/REF
CE3

Yes
1
1
1
1
1
1
1

Very
Often
1
1

Often

Sometimes

Rarely

Never

2
2

3
3

4
4

5
5

1
1

2
2

3
3

4
4

5
5

Often

Sometimes

Rarely

2
2

3
3

4
4

5
5

How often did you do each of the following things before age 18?

CE4a Argue, or “talk back,” to adults?
CE4b Disobey rules at home, school, or work?
CE4c Refuse to follow directions from adults
like your parents, teacher, or boss?
CE4d Blame others for your mistakes or bad
behavior?
CE4e Do mean things to “pay people back”
for things they did that you didn’t like?
DK/REF
NIS-4 Prison Instrument
September 1, 2019

Very
Often
1
1

Never

CE5

How often did you have each of the following experiences before age 18?

CE5a Your family was on welfare?
CE5b You were homeless?
CE5c You had to do chores too hard or
dangerous for someone your age?
CE5d You didn’t have anyone who would take
care of you or protect you?
CE5e Nobody ensured you had adequate food
or clothing or medical care?
CE5f Someone touched you or made you
touch them in a sexual way against your
will?
CE5g You were sexually abused at home?
CE5h You were beaten up or terrorized by
bullies at school or in the
neighborhood?
DK/REF
CE6

Very
Often
1
1

Often

Sometimes

Rarely

Never

2
2

3
3

4
4

5
5

How often did you have each of the following experiences before age 18?

CE6a Someone in your family hit you so hard
that it left bruises or marks?
CE6b You were physically abused at home?
CE6c You felt that someone in your family
hated you?
CE6d You were emotionally abused at home?
CE6e People in your family said hurtful or
insulting things to you?
CE6f Someone in your family made you feel
important?
CE6g You felt loved and cared for?
CE6h Your family was a source of strength
and support?
DK/REF

NIS-4 Prison Instrument
September 1, 2019

Very
Often

Often

Sometimes

Rarely

Never

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
1
2
2-5
3
6 - 10
4
11 - 15
5
16 - 30
6
31 or more
DK/REF

LA_3

Does your housing unit have any windows that allow the sun to shine in during the day?
1
Yes
2
No
DK/REF

LA_4

How noisy is it in your housing unit during sleeping hours?
1
Not at all noisy
2
Slightly noisy
3
Pretty noisy
4
Very noisy
DK/REF

LA_17 How crowded is it in your housing unit?
1
Not at all crowded
2
Slightly crowded
3
Pretty crowded
4
Very crowded
DK/REF
LA_18 How much privacy do you have in your housing unit?
1
2
3
4

None
A little
Some
A lot

NIS-4 Prison Instrument
September 1, 2019

95
DK/REF
LA_5

How often is it too hot in your housing unit?
1
All of the time
2
Most of the time
3
Some of the time
4
Never
DK/REF

LA_6

How often is it too cold in your housing unit?
1
All of the time
2
Most of the time
3
Some of the time
4
Never
DK/REF

LA_7

How often do you see mice, rats, bugs, or insects in your housing unit?
1
All of the time
2
Most of the time
3
Some of the time
4
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?
1
Not at all crowded
2
Slightly crowded
3
Pretty crowded
4
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?
1
Yes
2
No
DK/REF

LA_10 [IF LA_9 = 1] During the last 24 hours, about how much time did you spend outdoors?
1
Less than 30 minutes
2
At least 30 minutes but less than 1 hour
3
At least 1 hour but less than 2 hours
4
At least 2 hours but less than 5 hours
5
5 hours or more
DK/REF
NIS-4 Prison Instrument
September 1, 2019

96
LA_11 During the past 24 hours, about how many hours did you spend sleeping?
1
Less than 30 minutes
2
At least 30 minutes but less than 1 hour
3
At least 1 hour but less than 2 hours
4
At least 2 hours but less than 5 hours
5
At least 5 hours but less than 7 hours
6
At least 7 hours but less than 9 hours
7
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…
LA_12a. Attend a class or training?
LA_12b. Exercise or work out?
LA_12c. Watch television?
LA_12d. Read books, newspapers or magazines?
LA_12e. Work at a job?
LA_12f. Participate in religious meetings or activities?
LA_12g. Have in-person visits with family or friends?
LA_12h. Talk on the telephone with family or friends?
LA_12i. Play games like cards, chess, checkers, or sports with other
inmates?
LA_12j. Talk with your lawyer – either in person or on the telephone?
LA_12k. Visit the library?
LA_12l. Visit the infirmary or medical ward?
DK/REF

Yes
1
1
1
1
1
1
1
1
1

No
2
2
2
2
2
2
2
2
2

1
1
1

2
2
2

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?
1
2
3
4

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

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September 1, 2019

97
5 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?

LA_14a. [IF LA_12a = 2 OR DK OR REF] Attend a class or training?
LA_14b. [IF LA_12b = 2 OR DK OR REF] Exercise or work out?
LA_14c. [IF LA_12c = 2 OR DK OR REF] Watch television?
LA_14d. [IF LA_12d = 2 OR DK OR REF] Read books, newspapers or
magazines?
LA_14e. [IF LA_12e = 2 OR DK OR REF] Work at a job?
LA_14f. [IF LA_12f = 2 OR DK OR REF] Participate in religious
meetings or activities
LA_14g. [IF LA_12g = 2 OR DK OR REF] Have in-person visits with
family or friends?
LA_14h. [IF LA_12h = 2 OR DK OR REF] Talk on the telephone with
family or friends?
LA_14i. [IF LA_12i = 2 OR DK OR REF] Play games with other
inmates such as cards, chess, checkers, or sports?
LA_14j. [IF LA_12j = 2 OR DK OR REF] Talk with your lawyer – either
in person or on the telephone?
LA_14k. [IF LA_12k = 2 OR DK OR REF] Visit the library?
LA_14l. [IF LA_12l = 2 OR DK OR REF] Visit the infirmary or medical
ward?
DK/REF

Yes
1
1
1
1

No
2
2
2
2

1
1

2
2

1
1

2
2

LA_15 How would you describe the amount of food you currently receive at this facility?
1
There is too much food
2
There is just the right amount of food
3
There is not enough food
DK/REF
LA_16 How would you describe the quality of the food you currently receive at this facility?
1
Excellent
2
Very good
3
Good
4
Fair
5
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
2

Yes
No

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98
DK/REF
LA_22 Are there inmates in this facility who would protect you if another inmate was trying to hurt you?
1
Yes
2
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

NIS-4 Prison Instrument
September 1, 2019

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?
1
2
3

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?
1
2

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?
1
2

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?
1
2

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?
1
2

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?

NIS-4 Prison Instrument
September 1, 2019

100

1
2

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?
1
2

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?
1
2

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?
1
2

Yes
No

DK/REF

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101

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
2
3

NIS-4 Prison Instrument
September 1, 2019

1 time
2 times
3 – 10 times

102
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?
AFG8a. You received knife or stab wounds?
AFG8b. You received broken bones?
AFG8c. Your teeth were chipped or knocked out?
AFG8d. You received internal injuries?
AFG8e. You were knocked unconscious?
AFG8f. You received bruises, a black eye, sprains, cuts, scratches,
swelling, welts, or burns?
DK/REF

AFG9

Yes
1
1
1
1
1
1

No
2
2
2
2
2
2

[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?
AFG12a. You received knife or stab wounds?

NIS-4 Prison Instrument
September 1, 2019

Yes
1

No
2

103
AFG12b. You received broken bones?
AFG12c. Your teeth were chipped or knocked out?
AFG12d. You received internal injuries?
AFG12e. You were knocked unconscious?
AFG12f. You received bruises, a black eye, sprains, cuts, scratches,
swelling, welts, or burns?
DK/REF
AFG13

1
1
1
1
1

2
2
2
2
2

[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…
NIS-4 Prison Instrument
September 1, 2019

104

AFG1a. A drug violation, such as possession, use, or dealing in drugs?
AFG1b. Possession of a weapon?
AFG1c. Possession of stolen property?
AFG1d. Possession of any other unauthorized substance or item?
AFG1e. Verbal assault on a correctional officer or other staff
member?
AFG1f. Physical assault on a correctional officer or other staff
member?
AFG1g. Verbal assault on another inmate?
AFG1h. Physical assault on another inmate?
AFG1i. Escape or attempted escape?
AFG1j. Any other major violation, including work slowdowns, food
strikes, setting fires, rioting, etc.?
AFG1k. Any minor violations relating to facility orderliness and
operation, such as use of abusive language, horseplay, failing to follow
sanitary regulations, etc.?
DK/REF

NIS-4 Prison Instrument
September 1, 2019

Yes
1
1
1
1
1

No
2
2
2
2
2

1
1
1
1

2
2
2
2

105

Section WA: Work Assignments
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?
1
2

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?
1
2
3
4

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
2
3
4
5

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?
1
2

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?
1
2
3
4

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

1 – 8 hours

NIS-4 Prison Instrument
September 1, 2019

106
2
3
4
5

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?
1
2

Yes
No

DK/REF
WA8

[IF WA1 = 1 OR WA4 = 1] Are you paid money for the work assignment you have?
1
2

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?
1
2

Yes
No

DK/REF
WA10 [IF WA7 = 2] Inmates choose to have a work assignment for different reasons. Do you have a
work assignment…
WA10a. To break up boredom or see what the work
assignment is like?
WA10b. To spend time with friends or make friends?
WA10c. To try to get out of prison early?
WA10d. To learn some new job skills?
WA10e. To earn spending money?
DK/REF

Yes

1
1
1
1
1

2
2
2
2
2

WA11 [IF WA1 = 2 AND WA4 = 2] DOAFILL1, have you ever had a work assignment?
1
2

Yes
No

DK/REF
WA12

[IF WA11 = 1] When was the last time you had a work assignment at this prison?
1
2
3

Within the past month
1 – 3 months ago
4 – 6 months ago

NIS-4 Prison Instrument
September 1, 2019

107
4

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.
WA13a. You are not healthy enough to work
WA13b. You don’t want to do the jobs that
are available
WA13c. Facility staff will not allow you to
work
WA13d. You don’t have the skills needed
WA13e. You would rather do other things
with your time
DK/REF

NIS-4 Prison Instrument
September 1, 2019

Yes
1

No
2

1
1

2
2

108

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?
1
2

Yes
No

DK/REF
PP_2

[IF PP_1 = 1] DOAFILL1, were you required to participate in any job training programs?
1
2

Yes
No

DK/REF
PP_3

[IF PP_1 = 1] Are you currently participating in any job training programs?
1
2

Yes
No

DK/REF
PP_4

[IF PP_3 = 2] Why aren’t you participating in any job training programs?
PP_4a. You completed the program?
PP_4b. You quit or dropped out of the program?
PP_4c. You are no longer allowed to participate in the program?
PP_4d. The program is no longer available at this facility?
PP_4e. Some other reason?
DK/REF

PP_5

No
2
2
2
2
2

[IF PP_1 = 2] Why haven’t you participated in any job training programs DOAFILL2?
PP_5a. You are not interested in the program?
PP_5b. You are not eligible to participate in the program?
PP_5c. You are too busy to attend the program?
PP_5d. You don’t need job training?
PP_5e. You don’t think the program would be useful?
PP_5f. Job training programs are no longer offered at this facility?
PP_5g. Some other reason?
DK/REF

PP_6

Yes
1
1
1
1
1

Yes
1
1
1
1
1
1
1

No
2
2
2
2
2
2
2

Yes
1
1
1

No
2
2
2

[IF PP_1 = 1] Why did you participate in job training programs DOAFILL2?

PP_6a. To break up boredom or see what the program was like?
PP_6b. To spend time with friends or make friends?
PP_6c. To try to get out of prison early?
NIS-4 Prison Instrument
September 1, 2019

109
PP_6d. To learn some new skills?
PP_6e. Some other reason?
DK/REF
PP_7

1
1

2
2

DOAFILL1, have you participated in any education programs, such as high school, GED, adult
basic education, college courses, or English as a Second Language?
1
2

Yes
No

DK/REF
PP_8

[IF PP_7 = 1] DOAFILL1, were you required to participate in any education programs?
1
2

Yes
No

DK/REF
PP_9

[IF PP_7 = 1] Are you currently participating in any education programs?
1
2

Yes
No

DK/REF
PP_10 [IF PP_9 = 2] Why aren’t you participating in any education programs?
PP_10a. You completed the program?
PP_10b. You quit or dropped out of the program?
PP_10c. You are no longer allowed to participate in the program?
PP_10d. The program is no longer available at this facility?
PP_10e. Some other reason?
DK/REF

Yes
1
1
1
1
1

No
2
2
2
2
2

PP_11 [IF PP_7 = 2] Why haven’t you participated in any education programs DOAFILL2?
PP_11a. You are not interested in the program?
PP_11b. You are not eligible to participate in the program?
PP_11c. You are too busy to attend the program?
PP_11d. You don’t need education training?
PP_11e. You don’t think the program would be useful?
PP_11f. Education programs are no longer offered at this facility?
PP_11g. Some other reason?
DK/REF

Yes
1
1
1
1
1
1
1

No
2
2
2
2
2
2
2

Yes
1
1
1
1

No
2
2
2
2

PP_12 [IF PP_7 = 1] Why did you participate in education programs DOAFILL2?
PP_12a.
PP_12b.
PP_12c.
PP_12d.

To break up boredom or see what the program was like?
To spend time with friends or make friends?
To try to get out of prison early?
To learn some new skills?

NIS-4 Prison Instrument
September 1, 2019

110
PP_12e. Some other reason?
DK/REF

PP_13 [IF PP_7 = 1] What types of education programs did you participate in DOAFILL2?
PP_13a. Basic education classes up through 8th grade?
PP_13b. High school or GED classes?
PP_13c. College level classes?
PP_13d. English as a Second Language or ESL classes?
PP_13e. Some other education program?
DK/REF

Yes
1
1
1
1
1

No
2
2
2
2
2

PP_14 DOAFILL1, have you participated in any of the following classes or programs?
PP_14a. A parenting or child rearing class?
PP_14b. An anger management or conflict resolution class?
PP_14c. A money management or financial planning class?
PP_14d. A sex offender treatment program?
PP_14e. A religious study group?
PP_14f. A prisoner assistance group such as a prisoner counseling
group, advisory council, worker’s council, or inmate liaison group?
PP_14g. A drug or alcohol support group such as Alcoholics
Anonymous, Al-Anon, or Narcotics Anonymous?
PP_14h. An arts and crafts program?
PP_14i. A health or nutrition program?
DK/REF

Yes
1
1
1
1
1
1

No
2
2
2
2
2
2

1
1

2
2

PP_15 [IF ANY ITEMS IN PP_14 = 1] Are you currently participating in any of the following classes
or programs?
PP_15a. [IF PP_14a = 1] A parenting or child rearing class?
PP_15b. [IF PP_14b = 1] An anger management or conflict resolution class?
PP_15c. [IF PP_14c = 1] A money management or financial planning class?
PP_15d. [IF PP_14d = 1] A sex offender treatment program?
PP_15e. [IF PP_14e = 1] A religious study group?
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?
PP_15g. [IF PP_14g = 1] A drug or alcohol support group such as Alcoholics
Anonymous, Al-Anon, or Narcotics Anonymous?
PP_15h. [IF PP_14h = 1] An arts and crafts program?
PP_15i. [IF PP_14i = 1] A health or nutrition program?
DK/REF

NIS-4 Prison Instrument
September 1, 2019

Yes
1
1
1
1
1
1

No
2
2
2
2
2
2

1
1

2
2

111
Section REL: Religion
REL_1 Currently, how important would you say religion is to you?
1
2
3

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?
1
2
3

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?
1
2
3
4
5

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

NIS-4 Prison Instrument
September 1, 2019

112

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 inperson visits.
DOAFILL1, have you had any contact with your relatives?
1
Yes
2
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

VOC_2a. Had in-person visits?

VOC_2b. Talked on the phone?

VOC_2c. Received letters?
VOC_2d. Had some other type of contact such as emails, text messaging,
video visiting, dvds, cds, or tape recordings?

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?
1
2
3
4
5
6

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

VOC_4a. They live too far away?

VOC_4b. They cannot afford to travel to this prison?

VOC_4c. They don’t want to see you while you are incarcerated?

VOC_4d. You are not allowed to have visitors?
VOC_4e. You do not want to have visitors?

NIS-4 Prison Instrument
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113
VOC_4f. They are not healthy enough to travel?

DK/REF
VOC_5

DOAFILL1, have you had any contact with your friends or acquaintances?
1
Yes
2
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

VOC_6a. Had in-person visits?

VOC_6b. Talked on the phone?

VOC_6c. Received letters?
VOC_6d. Had some other type of contact such as emails, text messaging,
video visiting, dvds, cds, or tape recordings?

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

1
2
3
4
5
6

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

VOC_8a. They live too far away?

VOC_8b. They cannot afford to travel to this prison?

VOC_8c. They don’t want to see you while you are incarcerated?

VOC_8d. You are not allowed to have visitors?
VOC_8e. You do not want to have visitors?
VOC_8f. They are not healthy enough to travel?
DK/REF
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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?
1
2

Yes
No

DK/REF
PRP2

[IF PRP1 = 1] In what year do you think you will be released from prison?
1
2
3
4
5
6
7

[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?
1
2

Yes
No

DK/REF
PRP4

[IF PRP3 = 1] In what year is your earliest possible release date?
1
2
3
4
5
6
7

[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?
1
Less than 5 miles
2
5 – 10 miles
3
11 – 20 miles
4
21 – 50 miles
5
51 – 100 miles
6
101 – 500 miles
7
501 miles or more
DK/REF

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115
PRP5

[IF PRP3 NE 2 OR PRP1=1] Do you have a plan for where you will live after you are released
from prison?
1
Yes
2
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?
1
Yes
2
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?
1
Will live alone
2
Will live with other people
DK/REF

PRP8

[IF PRP7 = 2] Who do you plan to live with after you are released from prison?
PRP8a. [IF D1 = 1] Your husband or wife?
PRP8b. Your boyfriend or girlfriend?
PRP8c. Your parents or step-parents?
PRP8d. Your brother or sister?
PRP8e. Your children who are younger than 18?
PRP8f. Your children who are at least 18 years old?
PRP8g. Your grandparents?
PRP8h. Your grandchildren?
PRP8i. Some other relative, such as an aunt, uncle, or cousin?
PRP8j. Someone you are not related to?
DK/REF

PRP9

Yes
1
1
1
1
1
1
1
1
1
1

No
2
2
2
2
2
2
2
2
2
2

Yes
1
1
1
1
1
1
1
1

No
2
2
2
2
2
2
2
2

[IF PRP5 = 1] Where do you plan to live after you are released from prison?
PRP9a. In your own house, apartment, condo or mobile home?
PRP9b. In someone else’s house, apartment, condo or mobile home?
PRP9c. In transitional housing for former inmates such as a halfway house?
PRP9d. In a residential treatment facility?
PRP9e. In a rooming house, hotel, or motel?
PRP9f. In a car, truck, or other motor vehicle?
PRP9g. In a homeless shelter, on the street, or in some outdoor location?
PRP9h. In some other place?
DK/REF

PRP10 [IF PRP3 NE 2 OR PRP1=1] Do you plan to get a job after you are released from prison?
1
Yes
2
No
DK/REF
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116

PRP11 [IF PRP10 = 1] Did any staff at this prison help you make plans for getting a job after you are
released from prison?
3
Yes
4
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?
1
Yes
2
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?
1
Yes
2
No
DK/REF

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117

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.

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

Did anyone tell you directly that you were required to participate in this study?
1
Yes
2
No
DK/REF

[IF M5 = 1] Who told you that you were required to participate in this study?
1
A facility staff person
2
An interviewer from RTI
3
Another inmate
4
Someone else
DK/REF

M7
[IF M6 = 2] Were you ever made to feel that you were required to participate in this study?
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118

1
Yes
2
No
DK/REF
M8.

Did anyone put pressure on you to answer the survey questions in a certain way?
1
Yes
2
No
DK/REF

M9.

[IF M8 = 1] Who pressured you to answer the survey questions in a certain way?
1
A facility staff person
2
An interviewer from RTI
3
Another inmate
4
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?
1
Yes
2
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
2
3

M14

No difficulty – no language or reading problem
Some difficulty
A great deal of difficulty

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

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119

M15

How upset did the respondent appear to be during the ACASI portion of the interview?
1
2
3

M16

Not upset at all
Somewhat upset
Very upset

[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?
1
2

Yes
No

M18. Did this inmate complete the interview while wearing handcuffs?
1
2

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?
1
2
3
4
5
6
7
8
9
M20

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
How much difficulty did you have persuading this inmate to participate in the NIS?
1
2
3
4
5

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
2

Yes
No

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120
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?
1
2

M25

YES
NO

[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 Prison Instrument
September 1, 2019

File Type	application/pdf
Author	Smith, Erica
File Modified	2019-09-16
File Created	2019-09-16