SILJ Draft Instrument
Section 1 – Individual Characteristics
PROGRAMMER: ALL STORAGE ITEMS SHOULD BE NAMED AS SI_XX.
COMPLETE FOR ALL:
PROGRAMMER DISPLAY AUTO-GENERATED UNIQUE ID: _______________
COMPLETE FOR ALL:
COMP_INSTR_1A.
INTERVIEWER: FILL S1Q1a WITH GENDER = (1) for male inmate and (2) for female inmate BASED ON FACILITY RECORDS.
The first set of questions are just to get some background information on you.
ASK ALL:
S1Q2a. What is your date of birth? ENTER ONE
(1) January (5) May (9) September
(2) February (6) June (10) October
(3) March (7) July (11) November
(4) April (8) August (12) December
BLIND D OR R - Skip to S1Q2c
If MM, DD, or YYYY missing – Skip to S1Q2c
Enter Month: ___ (MM) (Range 1-12, D)
Enter Day: ___ (DD) (Range 1-31, D, blank)
Enter Year: ___ (YYYY) (Range 1920-2004, D)
COMPLETE IF MM, DD, AND YYYY ALL PROVIDED:
DEFINE CALCAGE:
CALCAGE = Age calculated based on date of birth (S1Q2a) and date of interview
ASK IF MM, DD, and YYYY ALL PROVIDED IN S1Q2a:
S1Q2b. That means you are currently (CALCAGE) years old. Is that correct? ENTER ONE
(1) YES - Skip to S1Q3a
(2) No - Ask S1Q2c
BLIND D OR R - Ask S1Q2d
If calcage is < 18 thank the respondent very much and skip to end of interview.
ASK IF S1Q2a is missing MM, DD, or YYYY, OR IS D or R OR S1Q2b=2:
S1Q2c. How old are you?
AGE IN YEARS: ____ (Range 18 – 95) – Skip to S1Q3a
BLIND D OR R – Ask S1Q2d
UPDATE CALCAGE:
If S1Q2c ≠ empty then CALCAGE = age reported in S1Q2c.
If CALCAGE < 18 thank the respondent very much and skip to end of interview.
ASK IF S1Q2b= D, R OR S1Q2c = D, R:
S1Q2d. (INTERVIEWER: ASK IF NOT OBVIOUS)
As of today, [date of interview] are you 18 years old or older? ENTER ONE
(1) Yes
(2) No - thank the respondent very much, explain survey is for respondents 18 or older, and skip to end of interview
BLIND D OR R - thank the respondent very much, explain survey is for respondents 18 or older, and skip to end of interview
ASK ALL (i.e., if 18+):
S1Q3a. How tall are you?
FEET: __________ (Range 3 – 7)
INCHES: ________ (Range 0 – 11)
BLIND D OR R
ASK ALL:
S1Q3b. How much do you currently weigh?
POUNDS: __________ (Range 75 – 500)
BLIND D OR R
ASK ALL:
S1Q4a. Are you of Spanish, [IF S1Q1a=1: Latino/ IF S1Q1a=2: Latina], or Hispanic origin? ENTER ONE
(1) Yes
(2) No
BLIND D OR R
ASK ALL:
S1Q4b. Which of these categories describes your race? Please choose all that apply. ENTER ALL THAT APPLY (SHOW CARD)
INTERVIEWER: READ ALL RESPONSE OPTIONS AND GET YES/NO FOR EACH ITEM
|
Yes |
No |
S1Q4b_1. White? |
1 |
2 |
S1Q4b_2. Black or African American? |
1 |
2 |
S1Q4b_3. American Indian or Alaska Native? |
1 |
2 |
S1Q4b_4. Asian? |
1 |
2 |
S1Q4b_5. Native Hawaiian or other Pacific Islander? |
1 |
2 |
S1Q4b_95. Anything else? If S1Q4b_95=1, ask S1Q4b_OTH |
1 |
2 |
S1Q4b_OTH. [If S1Q4b_95=1] What other category describes your race? SPECIFY __________ |
ASK ALL:
S1Q5a. Were you born in the United States or some other country? ENTER ONE
(FR: IF RESPONDENT WAS BORN IN A U.S. TERRITORY – AMERICAN SAMOA, GUAM, NORTHERN MARIANA ISLANDS, PUERTO RICO, OR U.S. VIRGIN ISLANDS – MARK 1)
(1) United States - Skip to S1Q6a
(2) Other
BLIND D OR R -- Skip to S1Q5c
ASK IF S1Q5a=2:
S1Q5a1. When 'Other" is selected, display a screen that allows the interviewer to choose from the 10 most commonly reported countries (see below). If one of the countries listed below is selected, store the appropriate country code in [ ] in a separate variable. ENTER ONE
(01) Mexico (07) Cuba
(02) China (08) Dominican Republic
(03) India (09) Korea
(04) Philippines (10) Guatemala
(05) El Salvador (95) Other – Specify ____ (S1Q5a1_OTH)
(06) Vietnam
BLIND D OR R – Skip to S1Q5c
ASK IF S1Q5a=2:
S1Q5b. Are you now a citizen of (INSERT COUNTRY FROM S1Q5a1)? ENTER ONE
(1) Yes - Skip to S1Q5d
(2) No
BLIND D OR R
ASK IF S1Q5b=2, D, R OR S1Q5a=D or R:
S1Q5c. Of what country are you a citizen? ENTER ONE
(1) United States- Skip to S1Q6a
(2) Other - Display Countries to choose from in S1Q5c1
BLIND D OR R - Skip to S1Q6a
INTERVIEWER: If R reports dual citizenship, code ONLY 2=non-US citizenship here aS US citizenship WILL BE CAPTURED through S1Q5d.
ASK IF S1Q5c=2:
S1Q5c1. When 'other" is selected in S1Q5c, display a screen that allows the interviewer to choose from the 10 most commonly reported countries (see below). If one of the countries listed below is selected, store the appropriate country code in ( ) in S1Q5c1. ENTER ALL THAT APPLY
(01) Mexico (07) Cuba
(02) China (08) Dominican Republic
(03) India (09) Korea
(04) Philippines (10) Guatemala
(05) El Salvador (95) Other – Specify __________ (S1Q5c1_OTH)
(06) Vietnam
(96) NO OTHER MENTIONS
BLIND D OR R
ASK IF S1Q5b=1 or S1Q5c=2:
S1Q5d. Are you also a citizen of the United States? ENTER ONE
(1) Yes
(2) No
BLIND D OR R
ASK ALL:
S1Q6a. Are you now…? ENTER ONE
(1) Married
(2) Widowed
(3) Divorced
(4) Separated, for reasons other than incarceration, or
(5) Never married
BLIND D OR R
ASK ALL:
S1Q7a. Have you ever served in the United States Armed Forces? ENTER ONE
(1) Yes
(2) No – Skip to S2Q1a
BLIND D OR R – Skip to S2Q1a
ASK IF S1Q7a=1:
S1Q7b. Which branches have you served in? ENTER ALL THAT APPLY
(1) Army, including the Army National Guard or Reserve
(2) Navy, including the Reserve
(3) Marine Corps, including the Reserve
(4) Air Force, including the Air National Guard or Reserve
(5) Coast Guard, including the Reserve
(96) NO OTHER MENTIONS
BLIND D OR R – skip to S2Q1a
ASK IF S1Q7b=1-5:
S1Q7c. In what year did you first enter the U.S. Armed Forces?
YEAR: ___ (Range 1940 – CURRENT YEAR)
BLIND D OR R
ASK IF S1Q7b=1-5:
S1Q7d. In what year were you last discharged from the U.S. Armed Forces?
(ENTER ‘999’ IF INMATE HAS NOT BEEN DISCHARGED/IS CURRENTLY SERVING)
YEAR: ___ (Range 1940 – CURRENT YEAR)
BLIND D OR R
ASK IF S1Q7b=1-5:
S1Q7e. Altogether, how much time have you served in the U.S. Armed Forces?
____
Years (Range
0-75, blank)
____
Months (Range
0-60, blank)
____
Weeks (Range
0-50, blank)
____
Days (Range
1-30, blank)
BLIND D OR R
ASK IF S1Q7b=1-5:
S1Q7f. While serving in the U.S. Armed Forces, did you see combat in a line or combat unit? ENTER ONE
(1) Yes
(2) No – Skip to S1Q7g4
BLIND D OR R – Skip to S1Q7g4
ASK IF S1Q7f=1 AND IF S1Q7C IS BEFORE 2011 OR D OR R AND S1Q7D IS AFTER 2003 OR D OR R OR 999:
S1Q7g1. Did you see combat in a line or combat unit in Operation Iraqi Freedom? ENTER ONE
(1) Yes
(2) No
BLIND D OR R
ASK IF S1Q7f=1 AND IF S1Q7D IS AFTER 2001 OR D OR R OR 999:
S1Q7g2. Did you see combat in a line or combat unit in military operations in Afghanistan, including Operation Enduring Freedom or Operation Freedom’s Sentinel? ENTER ONE
(1) Yes
(2) No
BLIND D OR R
ASK IF S1Q7f=1:
S1Q7g3. While serving and on official duty with the U.S. Armed Forces, did you participate in some other military operation, which may include peacekeeping operations? ENTER ALL THAT APPLY
PROGRAMMER: ALLOW BOTH OPTIONS 1 AND 2 BUT ONLY IF NO, D, OR R ARE NOT SELECTED.
(1) YES, SOME OTHER OPERATION – Specify _________________ (S1Q7g3_OTH)
(2) YES, A PEACEKEEPING OPERATION
(3) No
(96) NO OTHER MENTIONS
BLIND D OR R
Skip to S1Q7h
ASK IF S1Q7f=2, D or R:
S1Q7g4. While serving and on official duty with the U.S. Armed Forces, did you participate in peacekeeping operations? ENTER ONE
(1) YES
(2) NO
BLIND D OR R
ASK IF S1Q7b=1-5:
S1Q7h. While serving and on official duty in the U.S. Armed Forces have you ever been exposed to dead, dying, or wounded people? ENTER ONE
(1) Yes
(2) No
BLIND D OR R
ASK IF S1Q7b=1-5:
S1Q7i. While serving and on official duty in the U.S. Armed Forces have you ever been exposed to environmental hazards such as Agent Orange, chemical warfare agents, ionizing radiation, or other potentially toxic substances? ENTER ONE
(1) Yes
(2) No
BLIND D OR R
ASK IF S1Q7b=1-5:
S1Q7j. While serving and on official duty in the United States Armed Forces, did you suffer any injury as a result of training or combat? ENTER ONE
(1) Yes
(2) No
BLIND D OR R
ASK IF S1Q7d IS NOT 999:
S1Q7k. What type of discharge did you receive from the United States Armed Forces? ENTER ONE
(1) Honorable
(2) General under honorable conditions
(3) General without honorable conditions
(4) Other than honorable
(5) Bad conduct
(6) Dishonorable
(7) Some other type of discharge
BLIND D OR R
Section 2 — Current Offenses and Detention Status
These next questions are about why you have been admitted to jail.
ASK ALL:
S2Q1a. On what date were you most recently admitted to this jail?
ENTER MONTH: ____ (MM) (Range 1-12, D)
ENTER DAY: ____ (DD) (Range 1-31, D, blank)
ENTER YEAR: ____ (YYYY) (Range 2000-CURRENT YEAR, D)
BLIND D OR R
INTERVIEWER: IF NECESSARY, REMIND INMATE OF CURRENT DATE AND PROBE FOR BEST GUESS.
PROGRAMMER: TRANSCRIBE DATE TO STORAGE ITEM 2A – MOST RECENT ADMISSION DATE IF MONTH, DAY, AND YEAR ARE ALL POPULATED. OTHERWISE, LEAVE BLANK. (NOTE THAT IF DATE IS NOT COMPLETE, FUTURE LOGIC CHECKS WILL BE SKIPPED AS INDICATED)
ASK ALL:
S2Q1b. Are you being held in this jail for an authority other than this jail? ENTER ONE
YES
NO – Skip to S1Q1d1
BLIND D OR R – Skip to S1Q1d1
ASK IF S2Q1b=1:
S2Q1c. For what other authorities are you being held? ENTER ALL THAT APPLY
(1) State prison authorities
(2) U.S. Marshals Service
(3) U.S. Immigration and Customs Enforcement
(4) Federal Bureau of Prisons
(5) Bureau of Indian Affairs
(6) American Indian or Alaska Native tribal governments
(7) Other local jail jurisdictions
(95) Other - Specify ________________ (S2Q1c_OTH)
(96) NO OTHER MENTIONS
BLIND D OR R
ASK ALL:
S2Q1d1. Are you being held in this jail... Please select all that apply (SHOW CARD) ENTER ALL THAT APPLY
(1) Waiting to be arraigned
(2) To stand trial for an offense
(3) Waiting for a hearing for revocation of pretrial release, probation, parole or other community release (this does not include determining release on probation or parole)
(4) For safekeeping
(5) As a witness
(6) For contempt of Court
(7) Waiting to be sentenced for an offense
(8) Serving a sentence in this jail
(9) Waiting to be transferred to serve a sentence somewhere else
(95) For another reason? Specify ______________ (S2Q1d1_OTH)
(96) NO OTHER MENTIONS
BLIND D OR R
COMP_INSTR_2Aa.
Rank in priority order S2Q1d1=8, 9, 3, 7, 2, 1, 4, 5, 6, 95 or D/R
Fill S2Q1d2 with priority ranked order.
Go to COMP_INSTR_2A.
PROGRAMMER COMPLETE FOR ALL (I.E., FILL WITH PRIORITY RANKING FROM S2Q1d1 BUT DO NOT SHOW ON SCREEN):
S2Q1d2. Are you being held in this jail… (RESPONSE FILLED FROM COMP_INSTR_2Aa)
(1) Waiting to be arraigned
(2) To stand trial for an offense
(3) Waiting for a hearing for revocation of pretrial release, probation, parole or other community release
(4) For safekeeping
(5) As a witness
(6) For contempt of Court
(7) Waiting to be sentenced for an offense
(8) Serving a sentence in this jail
(9) Waiting to be transferred to serve a sentence somewhere else
(95) For another reason? Specify ___________________________ (S2Q1d2_OTH)
BLIND D OR R
ASK IF S2Q1d2=2, 7, 8, or 9:
S2Q1d3. Are any of the offenses for which you are (INSERT RESPONSE FROM S2Q1d2 = 2, 7, 8, or 9) a ENTER ALL THAT APPLY-
|
Yes |
No |
S2Q1d3_1. Parole violation? |
1 |
2 |
S2Q1d3_2. Probation violation? |
1 |
2 |
S2Q1d3_3. Escape? |
1 |
2 |
BLIND D OR R
COMP_INSTR_2A.
If S2Q1d3_1=1, set S2Q1f=1. If S2Q1d3_2=1, set S2Q1f=2. If S2Q1d3_3=1, set S2Q1f=3.
Else skip to S2Q1f.
ASK IF S2Q1d2=3:
S2Q1e. Are you awaiting revocation of… ENTER ALL THAT APPLY
(1) Parole or supervised release after serving time?
(2) Probation, including shock probation and split sentences?
(3) Community release (including furlough, work or study release, or day or weekend reporting)
(4) Pretrial release (including bail/bond, electronic monitoring, own recognizance, or custody of another person)
(5) Other ______________________ (S2Q1e_OTH)
(96) NO OTHER MENTIONS
BLIND D OR R
(h) Help - DISPLAY HELP SCREEN h_REVOCATION
h_REVOCATION.
Parole - An offender on parole was conditionally released from a prison by a parole board prior to completion of sentence. While on parole, the released offender is placed under the supervision of a parole agency and must obey all conditions set forth by the parole authority.
Probation - An offender on probation is free as long as the person meets certain conditions of behavior. If the freedom is granted by a judicial officer, judge, or court, it is called probation from court. If the conditional release is granted after the offender has served time in a correctional facility, it is probation from prison.
Shock probation/split sentence - A sentence requiring the convicted person to serve a period of confinement in a local, state or federal facility followed by a period of probation. The term is often used for sentences to boot camp, followed by supervision in the community.
Community release - An offender on furlough, work or study release, day or weekend reporting, alcohol or drug diversion counseling, or electronic monitoring or house arrest.
Furlough – Temporary release from custody where an inmate is allowed to leave the jail to, for example, attend funeral or other personal reasons, and return.
Pretrial release -An offender on bail or bond, release to own recognizance, release to the custody of another person, on electronic monitoring or house arrest while awaiting trial or adjudication.
COMP_INSTR_2B.
If S2Q1e=1, set S2Q1f=1. If S2Q1e=2, set S2Q1f=2.
ASK ALL:
S2Q1f. (ONLY SHOW IF S2Q1d3_1=1 or S2Q1d3_2=1 or S2Q1d3_3=1 or S2Q1e=1 or 2: Other than (INSERT RESPONSE FROM S2Q1d3 OR S2Q1e),) when you were brought into this jail (DISPLAY “ON (INSERT STORAGE ITEM 2A – MOST RECENT ADMISSION DATE)” IF CONTAINS A DATE/ELSE DISPLAY “THIS TIME”) were you already on… ENTER ALL THAT APPLY
(1) [HIDE IF S2Q1d3_1=1 or S2Q1e=1] Parole or supervised release after serving time
(2) [HIDE IF S2Q1d3_2=1 or S2Q1e=2] Probation, including shock probation and split sentences
(3) [HIDE IF S2Q1d3_3=1] Escape
(4) Furlough
(5) Work or study release
(6) Day or weekend reporting
(7) Electronic monitoring or house arrest
(8) Alcohol or drug diversion counseling
(9) Under the supervision of a special court or diversion program, such as a Drug Court or a Veteran’s Court
(10) Bail/bond
(11) Release to your own recognizance or the custody of another person
(12) Other type of pretrial release
(13) None of these
(96) NO OTHER MENTIONS
(h) Help – DISPLAY HELP SCREEN h_RELEASE STATUS
h_RELEASE STATUS.
Supervised or conditional release - The release from a Federal, State or local correctional facility of an inmate who has not served his or her full sentence and whose freedom is contingent upon obeying specified rules of behavior.
Escape - An offender on escape has fled from a prison, jail or other correctional facility without an official release from physical custody. Also, an offender on escape may fail to return to a correctional facility after authorized leave.
Parole - An offender on parole was conditionally released from a prison by a parole board prior to completion of sentence. While on parole, the released offender is placed under the supervision of a parole agency and must obey all conditions set forth by the parole authority.
Probation - An offender on probation is free as long as the person meets certain conditions of behavior. If the freedom is granted by a judicial officer, judge, or court, it is called probation from court. If the conditional release is granted after the offender has served time in a correctional facility, it is probation from prison.
Shock probation/split sentence - A sentence requiring the convicted person to serve a period of confinement in a local, state or federal facility followed by a period of probation. The term is often used for sentences to boot camp, followed by supervision in the community.
Community release - An offender on furlough, work or study release, day or weekend reporting, alcohol or drug diversion counseling, or electronic monitoring or house arrest.
Pretrial release -An offender on bail or bond, release to own recognizance, release to the custody of another person, on electronic monitoring or house arrest while awaiting trial or adjudication.
COMP_INSTR_2B1.
(1) If S2Q1f is left blank return interviewer to screen until an answer is entered.
(2) Else if S2Q1f=13, do not allow any other entries.
(3) Else if S2Q1f=1‑12, do not allow an entry of 13.
(4) Provide pop‑up message for FR, "THIS ENTRY IS NOT ALLOWED."
COMP_INSTR_2B2.
If S2Q1f=2, go to S2Q1g. Else, skip to COMP_INSTR_2B3.
ASK IF S2Q1f=2:
S2Q1g. Now we are interested in how you received your probation sentence. Was your probation sentence a stand-alone sentence given by the court with no prison or jail time?
(1) YES – Skip to COMP_INSTR_2B3
(2) NO
BLIND D OR R – Skip to COMP_INSTR_2B3
ASK IF S2Q1g=2:
S2Q1h. Was your probation sentence part of a split sentence that included serving time in a prison or jail? ENTER ONE
(1) YES
(2) NO
BLIND D OR R
(h) Help - DISPLAY HELP SCREEN – h_SPLIT SENTENCE
h_SPLIT SENTENCE
A sentence requiring the convicted person to serve a period of confinement in a local, state or federal facility followed by a period of probation. The term is often used for sentences to boot camp, followed by supervision in the community.
COMP-INSTR 2B3.
If S2Q1e = 1 or 2, ask S2Q1i. Else, skip to COMP-INSTR_2B4.
ASK IF S2Q1e=1 or 2:
S2Q1i. What are the specific reasons that you are awaiting a hearing to revoke or take away your (INSERT RESPONSES FROM S2Q1e)? Any others? ENTER ALL THAT APPLY (SHOW CARD)
(1) Arrest/conviction for new offense
(2) Positive test for drug use
(3) Possession of drug(s)
(4) Failure to report for drug testing
(5) Failure to report for alcohol or drug treatment
(6) Failure to report for other counseling
(7) Failure to report to probation/parole officer/absconded
(8) Left jurisdiction without permission
(9) Failure to secure or maintain employment
(10) Failure to pay fines, restitution, or other financial obligations (e.g., child support)
(11) Failure to find approved housing
(12) Maintained contacts with other known offenders
(13) Possession of gun(s)
(95) Other – Specify _______________________ (S2Q1i_OTH)
(96) NO OTHER MENTIONS
BLIND D OR R
Skip to COMP_INSTR_2C
COMP_INSTR_2B4.
If S2Q1f=1 or 2, ask S2Q1j. Else skip to COMP_INSTR_2C.
ASK IF S2Q1f=1 or 2:
S2Q1j. Was your (INSERT RESPONSES FROM S2Q1f) taken away or revoked for violating the conditions of your release? ENTER ONE
(1) YES
(2) NO - skip to COMP_INSTR_2C
BLIND D OR R - Skip to COMP_INSTR_2C
ASK IF S2Q1j=1:
S2Q1k. What were the specific reasons that your (INSERT RESPONSES FROM S2Q1f) were taken away or revoked? Any others? ENTER ALL THAT APPLY (SHOW CARD)
(1) Arrest/conviction for new offense
(2) Positive test for drug use
(3) Possession of drug(s)
(4) Failure to report for drug testing
(5) Failure to report for alcohol or drug treatment
(6) Failure to report for other counseling
(7) Failure to report to probation/parole officer/absconded
(8) Left jurisdiction without permission
(9) Failure to secure or maintain employment
(10) Failure to pay fines, restitution, or other financial obligations (e.g., child support)
(11) Failure to find approved housing
(12) Maintained contacts with other known offenders
(13) Possession of gun(s)
(95) Other – Specify _______________________ (S2Q1k_OTH)
(96) NO OTHER MENTIONS
BLIND D OR R
COMP_INSTR_2C.
If S2Q1f =13 (Not on any Criminal Justice Status), skip to COMP_INSTR_2I
Else continue with S2Q2a
SECTION A: ON CRIMINAL JUSTICE STATUS, NEW OFFENSES
ASK IF S2Q1f=1-12:
S2Q2a. When you were brought into jail after being on (INSERT RESPONSES FROM S2Q1f) were you arrested or charged with any new offenses? ENTER ONE
(1) YES - Ask S2Q2b
(2) NO - Skip to Comp_Instr_2F1 (Priors only-S2Q6a, On Criminal Justice Status/no new offenses)
BLIND D OR R - Skip to S2Q2c
On Criminal Justice Status, New Arrest Offenses
ASK IF S2Q2a=1:
S2Q2b. For what new offenses were you arrested or charged when you were admitted to jail after being on (INSERT RESPONSES FROM S2Q1f)? ENTER ALL THAT APPLY
INTERVIEWER: IF OFFENSE IS A PROBATION VIOLATION, PAROLE VIOLATION, OR ESCAPE ONLY, ENTER A, B, OR C INSTEAD OF ENTERING THAT INTO A TEXT FIELD. OTHERWISE, ENTER INTO THE TEXT FIELDS ALONG WITH THE OTHER OFFENSES USING AUTOCOMPLETE, ONLY ONE OFFENSE PER LINE.
(A) Probation Violation only
(B) Parole Violation only
(C) Escape only
(96) NO OTHER MENTIONS
(95) SPECIFY OFFENSES
BLIND D OR R
PROGRAMMER: DO NOT ALLOW OPTION 95 IN COMBINATION WITH A,B,C,D,R. IF S2Q2b=95 (SPECIFY OFFENSES) then provide the following 5 text fields. Implement autoCOMPLETE function linking responses to list of all possible offenses.
S2Q2b_1. ___________________________
S2Q2b_2. ___________________________
S2Q2b_3. ___________________________
S2Q2b_4. ___________________________
S2Q2b_5. ___________________________
PROGRAMMER:
( 1) If ONLY (A), (B), and/or (C), and no other offense listed, transcribe offenses to Storage item 2C – Current arrest offenses and skip to S2Q5a_ar (New technical violations only)
(2) If ONLY S2Q2b_1 is completed, display PopS2Q2b (Pop up screen with interviewer instruction):
(DO NOT READ ALOUD) Please verify - Did you enter the words "parole violation" or "probation violation" or “escape violation” or an abbreviation of these words and no other offense.
(a) YES – Allow interviewer to change response to A, B, or C, and transcribe offense to Storage item 2C – Current arrest offenses and skip to S2Q5a_ar.
(b) NO – Continue with (3)
(3) Else, transcribe offenses (S2Q2b) to Storage item 2C – Current arrest offenses and continue with S2Q2b_ar.
ASK IF S2Q2b IS ANSWERED BUT NOT ONLY EITHER PAROLE, PROBABTION, OR ESCAPE VIOLATION:
S2Q2b_ar. On what date were you arrested or charged with the (insert offenses from Storage item 2C – Current arrest offenses (S2Q2b), or if no offenses (D or R) listed insert “new offenses”)?
ENTER MONTH: ____ (MM) (Range 1-12, D)
ENTER YEAR: ____ (YYYY) (Range 2000-CURRENT YEAR, D)
BLIND D OR R
(1) ONLY IF SI_2A CONTAINS A DATE: Verify that the arrest date in S2Q2b_ar is on or before the admission date in Storage item 2A – Most recent admission date. If not, ask S2Q2bv_ar.
(2) Else transcribe date in (S2Q2b_ar) to Storage item 2D – Current arrest date and skip to S2Q2c.
ASK IF SI_2A CONTAINS A DATE AND S2Q2b_ar IS AFTER ADMISSION DATE IN STORAGE ITEM 2A:
S2Q2bv_ar. The arrest date you just gave me (Insert arrest date from S2Q2b_ar) is after your admission date of (Insert admission date from Storage item 2A). Is this correct? ENTER ONE
(1) YES - transcribe date in (S2Q2b_ar) to Storage item 2D – Current arrest date and skip to S2Q2c.
(2) NO - Make corrections – Display items S2Q1a and S2Q2b_ar on screen. Allow interviewer to make changes. After FR has made corrections, transcribe S2Q1a to Storage item 2A – Most recent admission date and S2Q2b_ar to Storage item 2D – Current arrest date.
Screen example
I would like to verify a few items. (CORRECT AS NECESSARY or "ENTER" TO CONTINUE) Admission date Month: _____ Year: ____ fill from S2Q1a Arrest date Month: _____ Year: ____ fill from S2Q2b_ar |
ASK IF S2Q2b IS ANSWERED BUT NOT ONLY EITHER PAROLE, PROBABTION, OR ESCAPE VIOLATION:
S2Q2c. When you were brought into jail after being on (INSERT RESPONSES FROM S2Q1f)) were you sentenced for any new offenses? ENTER ONE
(1) YES
(2) NO - Skip to S2Q2e
(h) Help - DISPLAY HELP SCREEN h_Sentenced
BLIND D OR R - Skip to S2Q2e
h_ SENTENCED.
A judge or jury has imposed penalties upon a person convicted of a crime. Penalties may include imprisonment or payment of fines, or any of a number of alternatives to incarceration such as probation, restitution, or supervised community release.
New Sentenced Offenses
ASK IF S2Q2c=1:
S2Q2d. For what new offenses were you sentenced? ENTER ALL THAT APPLY
PROGRAMMER: DISPLAY OFFENSES PROVIDED IN S2Q2b, ONE OFFENSE PER LINE, AND ALLOW INTERVIEWER TO SELECT WHICH WERE SENTENCED.
S2Q2d_1. ___________________________
S2Q2d_2. ___________________________
S2Q2d_3. ___________________________
S2Q2d_4. ___________________________
S2Q2d_5. ___________________________
(96) NO OTHER MENTIONS
BLIND D OR R
(1) Transcribe offenses (S2Q2d) to Storage item 2F – New sentenced offenses and highest ranked to Storage item 2O – Controlling offenses
(2) Mark “01” (Convicted, sentenced) in Storage item 2B – Detention Status
(3) Transcribe arrest date in Storage item 2D to Storage item 2P – Controlling arrest date
Skip to S2Q3a
ASK IF S2Q2c=2, D or R:
S2Q2e. When you were brought into jail after being on (INSERT RESPONSES FROM S1Q2f), were you convicted of any new offenses? ENTER ONE
(1) YES
(2) NO - Skip to COMP_INSTR_2D
(h) Help - DISPLAY HELP SCREEN – h_Convicted
BLIND D OR R - Skip to COMP_INSTR_2D
h_CONVICTED
The judgment of a court that the defendant is guilty of the offenses with which charged, based on the verdict of a jury or judicial officers, or on the guilty pleas or a no contest plea of a defendant.
New Conviction, Awaiting Sentencing Offenses
ASK IF S2Q2e=1:
S2Q2f. For what new offenses were you convicted? ENTER ALL THAT APPLY
PROGRAMMER: DISPLAY OFFENSES PROVIDED IN S2Q2b, ONE OFFENSE PER LINE, AND ALLOW INTERVIEWER TO SELECT WHICH WERE CONVICTED.
S2Q2f_1. ___________________________
S2Q2f_2. ___________________________
S2Q2f_3. ___________________________
S2Q2f_4. ___________________________
S2Q2f_5. ___________________________
(96) NO OTHER MENTIONS
BLIND D OR R
(1) Transcribe offenses (S2Q2f) to Storage item 2G – New conviction awaiting sentencing offenses.
(2) If S2Q2c=2 and S2Q2e=1, Mark “O2” (Convicted, awaiting sentencing) in Storage item 2B – Detention Status. Transcribe highest ranked to Storage item 2O – Controlling offenses and transcribe arrest date in Storage item 2D to Storage item 2P – Controlling arrest date.
(3) Else continue with COMP_INSTR_2D.
COMP_INSTR_2D.
If S2Q2c=2 (no new sentence) and S2Q2e=2 (no new conviction), skip to COMP_INSTR_2D1 (Prior offenses, no new conviction). Else ask S2Q3a.
Prior Offenses - With New Sentence/Conviction Awaiting Sentencing Offenses
ASK IF S2Q2c=1 OR S2Q2e=1:
S2Q3a. For what offenses were you on (INSERT RESPONSES FROM S2Q1f) when you were admitted to jail? ENTER ALL THAT APPLY
(95) SPECIFY OFFENSES
BLIND D OR R
PROGRAMMER: IF S2Q3a=95, Implement AUTOCOMPLETE function linking responses to list of all possible offenses.
INTERVIEWER ENTER ONE OFFENSE PER LINE USING AUTOCOMPLETE
S2Q3a_1. ___________________________
S2Q3a_2. ___________________________
S2Q3a_3. ___________________________
S2Q3a_4. ___________________________
S2Q3a_5. ___________________________
PROGRAMMER: TRANSCRIBE OFFENSES (S2Q3A) TO STORAGE ITEM 2H – MOST RECENT PRIOR OFFENSES
ASK IF S2Q2c=1 OR S2Q2e=1:
S2Q3a_ar. In what month and year were you arrested for (INSERT OFFENSE FROM STORAGE ITEM 2H – MOST RECENT PRIOR OFFENSES, OR IF NO OFFENSES INSERT “OFFENSES FOR WHICH YOU WERE ON (INSERT RESPONSES FROM S2Q1f)”)
ENTER MONTH: ____ (MM) (Range 1-12, D)
ENTER YEAR: ____ (YYYY) (Range 2000-CURRENT YEAR, D)
BLIND D OR R
ONLY IF SI_2A CONTAINS A DATE: If date in S2Q3a_ar is before admission date in Storage item 2A-current admission date, skip to S2Q3a_ad.
Else ask S2Q3av_ar.
ASK IF SI_2A CONTAINS A DATE AND S2Q3a_ar IS ON OR AFTER STORAGE ITEM 2A:
S2Q3av_ar. The arrest date you just gave me (INSERT DATE FROM S2Q3a_ar) for (INSERT OFFENSE FROM STORAGE ITEM 2H – MOST RECENT PRIOR OFFENSES, OR IF NO OFFENSES INSERT OFFENSES INSERT “OFFENSES FOR WHICH YOU WERE ON (INSERT RESPONSES FROM S2Q1f)) is after your admission date of (INSERT STORAGE ITEM 2A – ADMISSION DATE). Is this correct? ENTER ONE
(1) YES - accept date and ask S2Q3a_ad.
(2) NO - make corrections – Display items S2Q3a_ar and S2Q1a on screen. Allow interviewer to make changes. After FR has made corrections, transcribe arrest date to Storage item 2Q – prior arrest date and transcribe date in S2Q1a to Storage item 2A – Current admission date.
Screen Example
I would like to verify a few items. (CORRECT AS NECESSARY or "ENTER" TO CONTINUE) Admission date Month: _____ Year: ____ fill from S2Q1a Prior arrest date Month: _____ Year: ____ fill from S2Q3a_ar |
ASK IF S2Q2c=1 OR S2Q2e=1:
S2Q3a_ad. On what date were you first admitted to jail or another facility for (INSERT STORAGE ITEM 2H – MOST RECENT PRIOR OFFENSES, OR IF NO OFFENSES INSERT “OFFENSES FOR WHICH YOU WERE ON (INSERT RESPONSES FROM S2Q1f)”?
ENTER MONTH: ____ (MM) (Range 1-12, D)
ENTER YEAR: ____ (YYYY) (Range 2000-CURRENT YEAR, D)
-or-
(0) NEVER ADMITTED
BLIND D OR R
Transcribe date to Storage item 2I – Most recent prior admission date
If S2Q3a_ad=0, mark 0 in S2Q3a_rl and skip to S2Q3b.
ASK IF S2Q3a_ad IS NOT 0:
S2Q3a_rl. On what date were you first released from jail or another facility for (INSERT STORAGE ITEM 2H – MOST RECENT PRIOR OFFENSES, OR IF NO OFFENSES INSERT OFFENSES INSERT “OFFENSES FOR WHICH YOU WERE ON (INSERT RESPONSES FROM S2Q1f)”?
ENTER MONTH: ____ (MM) (Range 1-12, D)
ENTER YEAR: ____ (YYYY) (Range 2000-CURRENT YEAR, D)
-or-
(0) NEVER ADMITTED
BLIND D OR R
INTERVIEWER: IF MORE THAN ONE DATE GIVEN, TAKE THE EARLIEST DATE.
(1) Verify that the admission date in S2Q3a_ad is on or before the release date in S2Q3a_rl. If not, ask S2Q3av_rl.
(2) Else transcribe date to Storage item 2J – Most recent prior release date and skip to S2Q3b.
ASK IF S2Q3a_rl IS BEFORE S2Q3a_ad:
S2Q3av_rl. The release date you just gave me (INSERT RELEASE DATE FROM S2Q3a_rl) is before your readmission date of (INSERT READMISSION DATE FROM S2Q3a_ad). Is this correct? ENTER ONE
(1) YES - transcribe date in S2Q3a_rl to Storage item 2J – Most recent prior release date and ask S2Q3b.
(2) NO - Make corrections – Display items S2Q3a_rl and S2Q3a_ad on screen. Allow interviewer to make changes. After FR has made corrections, transcribe S2Q3a_ad to Storage item 2I-Most recent prior admission date and S2Q3a_rl to Storage item 2J-Most recent prior release date.
Screen Example
I would like to verify a few items. (CORRECT AS NECESSARY or "ENTER" TO CONTINUE) Readmission Month: _____ Year: ____ fill from S2Q3a_ad Release Month: _____ Year: ____ fill from S2Q3a_rl |
Check if S2Q1f=1 (parole), 2 (probation), or 3 (escape)—
(1) Transcribe offenses (S2Q3a) to Storage item 2K – Prior sentenced offenses.
(2) Skip to COMP_INSTR_2E.
ASK IF S2Q2c=1 OR S2Q2e=1 AND S2Q1f IS NOT 1, 2 or 3:
S2Q3b. Are you sentenced for any of the offenses for which you were on (INSERT RESPONSE FROM S2Q1f EXCEPT IF = 1, 2, OR 3) when you were admitted to jail? ENTER ONE
(1) YES
(2) NO - Skip to S2Q3d
(h) Help – DISPLAY HELP SCREEN h_Sentenced
BLIND D OR R - Skip to S2Q3d
h_ SENTENCED.
A judge or jury has imposed penalties upon a person convicted of a crime. Penalties may include imprisonment or payment of fines, or any of a number of alternatives to incarceration such as probation, restitution, or supervised community release.
ASK IF S2Q3b=1:
S2Q3c. For what offenses are you sentenced? ENTER ALL THAT APPLY
PROGRAMMER: DISPLAY OFFENSES PROVIDED IN S2Q3a, ONE OFFENSE PER LINE, AND ALLOW INTERVIEWER TO SELECT WHICH WERE SENTENCED.
S2Q3c_1. ___________________________
S2Q3c_2. ___________________________
S2Q3c_3. ___________________________
S2Q3c_4. ___________________________
S2Q3c_5. ___________________________
(96) NO OTHER MENTIONS
BLIND D OR R
(1) Transcribe offenses (S2Q3c) to Storage item 2K-Prior sentenced offenses.
(2) If number of offenses in S2Q3c=S2Q3a, mark 2 in S2Q3d and Skip to COMP_INSTR_2E. Else ask S2Q3d.
ASK IF NUMBER OF OFFENSES IN S2Q3a IS GREATER THAN NUMBER OF OFFENSES IN S2Q3c:
S2Q3d. Are you convicted and awaiting sentencing for any offenses for which you were on (INSERT RESPONSES FROM S2Q1f EXCEPT IF = 1, 2, OR 3) when you were admitted to jail? ENTER ONE
(1) YES
(2) NO - Skip to COMP_INSTR_2E
(h) Help - DISPLAY HELP SCREEN – h_Convicted
h_CONVICTED
The judgment of a court that the defendant is guilty of the offenses with which charged, based on the verdict of a jury or judicial officers, or on the guilty pleas or a no contest plea of a defendant.
BLIND D OR R - Skip to COMP_INSTR_2E
ASK IF S2Q3d=1:
S2Q3e. For what offenses are you convicted and awaiting sentencing? ENTER ALL THAT APPLY
PROGRAMMER DISPLAY OFFENSES PROVIDED IN S2Q3a THAT WERE NOT ALREADY SELECTED IN S2Q3c, ONE OFFENSE PER LINE, AND ALLOW INTERVIEWER TO SELECT WHICH WERE CONVICTED.
S2Q3e_1. ___________________________
S2Q3e_2. ___________________________
S2Q3e_3. ___________________________
S2Q3e_4. ___________________________
S2Q3e_5. ___________________________
(96) NO OTHER MENTIONS
BLIND D OR R
Transcribe offenses (S2Q3e) to Storage item 2L-Prior conviction, awaiting sentencing offenses
Skip to COMP_INSTR_2E
Prior offenses, no new sentence/conviction
COMP_INSTR_2D1.
If S2Q1f=10 or 11 or 12, and no other value, skip to S2Q6f (Pretrial status only).
ASK IF (S2Q2c=2,D,R AND S2Q2e=2,D,R) AND S2Q1f=1-9:
S2Q4a. For what offenses were you on (INSERT RESPONSES FROM S2Q1f) when you were admitted to jail? ENTER ALL THAT APPLY
(95) SPECIFY OFFENSES
BLIND D OR R
INTERVIEWER: ENTER ONE OFFENSE PER LINE USING AUTOCOMPLETE
PROGRAMMER: IF S2Q4a=95, Implement AUTOCOMPLETE function linking responses to list of all possible offenses.
S2Q4a_1. ___________________________
S2Q4a_2. ___________________________
S2Q4a_3. ___________________________
S2Q4a_4. ___________________________
S2Q4a_5. ___________________________
PROGRAMMER: TRANSCRIBE OFFENSES (S2Q4A) TO STORAGE ITEM 2H-MOST RECENT PRIOR OFFENSES
ASK IF (S2Q2c=2,D,R AND S2Q2e=2,D,R) AND S2Q1f=1-9:
S2Q4a_ar. In what month and year were you arrested for (INSERT OFFENSES FROM STORAGE ITEM 2H – MOST RECENT PRIOR OFFENSES, OR IF NO OFFENSES “OFFENSES FOR WHICH YOU WERE ON (INSERT RESPONSES FROM S2Q1f)”)?
ENTER MONTH: ____ (MM) (Range 1-12, D)
ENTER YEAR: ____ (YYYY) (Range 2000-CURRENT YEAR, D)
BLIND D OR R
INTERVIEWER: IF MORE THAN ONE DATE GIVEN, TAKE THE EARLIEST DATE
ONLY IF SI_2A CONTAINS A DATE: If date in S2Q4a_ar is before admission date in Storage item 2A-current admission date, transcribe arrest date to Storage item 2Q-Prior arrest date, and skip to S2Q4a_ad. Else ask S2Q4av_ar.
ASK IF SI_2A CONTAINS A DATE AND S2Q4a IS ON OR AFTER STORAGE ITEM 2A:
S2Q4av_ar. The arrest date you just gave me (INSERT DATE FROM S2Q4a_ar) for the (INSERT OFFENSES FROM STORAGE ITEM 2H OR IF NO OFFENSES INSERT “OFFENSES FOR WHICH YOU WERE ON (INSERT RESPONSES FROM S2Q1F) is after your admission date of (Insert admission date from Storage item 2A). Is this correct? ENTER ONE
(1) YES - Accept date and transcribe to Storage item 2Q-Prior arrest date and ask S2Q4a_ad.
(2) NO - Make corrections – Display items S2Q4a_ar and S2Q1a on screen. Allow interviewer to make changes. After FR has made corrections, transcribe arrest date to Storage item 2Q-prior arrest date and transcribe date in S2Q1a to Storage item 2A-Current admission date.
Screen Example
I would like to verify a few items. (CORRECT AS NECESSARY or "ENTER" TO CONTINUE) Recent admission date Month: _____ Year: ____ fill from S2Q1a Prior arrest date Month: _____ Year: ____ fill from S2Q4a_ar
|
ASK IF (S2Q2c=2,D,R AND S2Q2e=2,D,R) AND S2Q1f=1-9:
S2Q4a_ad. On what date were you first admitted to jail or another facility for (INSERT OFFENSE FROM S2Q4a, OR IF NO OFFENSES “OFFENSES FOR WHICH YOU WERE ON (INSERT RESPONSES FROM S2Q1f)”)?
ENTER MONTH: ____ (MM) (Range 1-12, D)
ENTER YEAR: ____ (YYYY) (Range 2000-CURRENT YEAR, D)
-or-
(0) NEVER ADMITTED
BLIND D OR R
INTERVIEWER: IF MORE THAN ONE DATE GIVEN, TAKE THE EARLIEST DATE
Transcribe date to Storage item 2I-Most recent prior admission date
If S2Q4a_ad=0, mark “0” in S2Q4a_rl and skip to S2Q4b.
ASK IF S2Q4a_ad IS NOT 0:
S2Q4a_rl. On what date were you first released from jail or another facility for (INSERT OFFENSE FROM S2Q4a, OR IF NO OFFENSES INSERT “OFFENSES FOR WHICH YOU WERE ON (INSERT RESPONSES FROM S2Q1f)?
ENTER MONTH: ____ (MM) (Range 1-12, D)
ENTER YEAR: ____ (YYYY) (Range 2000-CURRENT YEAR, D)
-or-
(0) NEVER ADMITTED
BLIND D OR R
INTERVIEWER: IF MORE THAN ONE DATE GIVEN, TAKE THE EARLIEST DATE
(1) Verify that the admission date in S2Q4a_ad is on or before the release date in S2Q4a_rl. If not, ask S2Q4av_rl.
(2) Else transcribe date to Storage item 2J-Most recent prior release date and skip to S2Q4b.
ASK IF S2Q4a_ad IS AFTER S2Q4a_rl:
S2Q4av_rl. The release date you just gave me (Insert release date from S2Q4a_rl) is before your
readmission date of (Insert readmission date from S2Q4a_ad). Is this correct? ENTER ONE
(1) YES - transcribe date in (S2Q4a_rl) to Storage item 2J-Most recent prior release date and ask S2Q4b.
(2) NO - Make corrections – Display items S2Q4a_rl and S2Q4a_ad on screen. Allow interviewer to make changes. After FR has made corrections, transcribe S2Q4a_ad to Storage item 2I-Most recent prior admission date, and S2Q4a_rl to Storage item 2J-Most recent prior release date.
Screen Example
I would like to verify a few items. (CORRECT AS NECESSARY or "ENTER" TO CONTINUE) Readmission Month: _____ Year: ____ fill from S2Q4a_ad Release Month: _____ Year: ____ fill from S2Q4a_rl |
ASK IF (S2Q2c=2,D,R AND S2Q2e=2,D,R) AND S2Q1f=1-9:
S2Q4b. Are you sentenced for any of the offenses for which you were on (INSERT RESPONSES FROM S2Q1f)? ENTER ONE
(1) YES
(2) NO - Skip to S2Q4d
(h) Help – DISPLAY HELP SCREEN h_Sentenced
BLIND D OR R - Skip to S2Q4d
h_ SENTENCED.
A judge or jury has imposed penalties upon a person convicted of a crime. Penalties may include imprisonment or payment of fines, or any of a number of alternatives to incarceration such as probation, restitution, or supervised community release.
ASK IF S2Q4b =1:
S2Q4c. For what offenses are you sentenced? ENTER ALL THAT APPLY
PROGRAMMER: DISPLAY OFFENSES PROVIDED IN S2Q4a, ONE OFFENSE PER LINE, AND ALLOW INTERVIEWER TO SELECT WHICH WERE SENTENCED.
S2Q4c_1. ___________________________
S2Q4c_2. ___________________________
S2Q4c_3. ___________________________
S2Q4c_4. ___________________________
S2Q4c_5. ___________________________
(96) NO OTHER MENTIONS
BLIND D OR R
(1) Transcribe offenses (S2Q4c) to Storage item 2K-Prior sentenced offenses.
(2) Mark “03” (No new conviction, prior sentence) in Storage item 2B-Detention status. Transcribe highest rank to Storage item 2O-controlling offenses and Transcribe arrest date in S2Q4a_ar to Storage item 2P-Controlling arrest date.
(3) If number of offenses in S2Q4c=S2Q4a, Mark “2” in S2Q4d and skip to COMP_INSTR_2E. Else ask S2Q4d.
ASK IF NUMBER OF OFFENSES IN S2Q4c IS LESS THAN NUMBER IN S2Q4a:
S2Q4d. Are you convicted and awaiting sentencing for any of the offenses for which you were on (INSERT RESPONSES FROM S2Q1f)? ENTER ONE
(1) YES
(2) NO - Skip to COMP_INSTR_2D2
(h) Help - DISPLAY HELP SCREEN – h_Convicted
BLIND D OR R - Skip to COMP_INSTR_2D2
h_CONVICTED
The judgment of a court that the defendant is guilty of the offenses with which charged, based on the verdict of a jury or judicial officers, or on the guilty pleas or a no contest plea of a defendant.
ASK IF S2Q4d=1:
S2Q4e. For what offenses are you convicted and awaiting sentencing? ENTER ALL THAT APPLY
PROGRAMMER: DISPLAY OFFENSES PROVIDED IN S2Q4a THAT WERE NOT ALREADY SELECTED IN S2Q4c, ONE OFFENSE PER LINE, AND ALLOW INTERVIEWER TO SELECT WHICH WERE CONVICTED.
S2Q4e_1. ___________________________
S2Q4e_2. ___________________________
S2Q4e_3. ___________________________
S2Q4e_4. ___________________________
S2Q4e_5. ___________________________
(96) NO OTHER MENTIONS
BLIND D OR R
(1) Transcribe offenses (S2Q4e) to Storage item 2L-Prior conviction awaiting sentencing offenses
(2) If S2Q4b=2 and S2Q4d=1, Mark “04” (No new conviction, no prior sentence) in Storage item 2B-Detention Status. Transcribe highest rank to Storage item 2O-controlling offenses and Transcribe arrest date in S2Q4a_ar to Storage item 2Q-Prior arrest date and Storage item 2P-Controlling arrest date.
(3) Else continue with COMP_INSTR_2D2.
COMP_INSTR_2D2.
If S2Q4b=2 and S2Q4d=2, Mark “05” (Unconvicted) in Storage item 2B-Detention Status. Continue with COMP_INSTR_2E.
COMP_INSTR_2E.
(1) If Storage item 2B-Detention Status=01(Convicted, sentenced) and offenses are listed in Storage item 2F-New sentenced offenses, skip to S3Q1a (Pretrial).
(2) Else if Storage item 2B-Detention Status=02 (Convicted, awaiting sentence) and offenses are listed in Storage item 2G-New conviction awaiting sentencing offenses, skip to S3Q1a (Pretrial).
(3) Else if Storage item 2B-Detention Status=03 (No new conviction, prior sentence) and offenses are listed in Storage item 2K-Prior sentenced offenses, skip to S3Q1a (Pretrial).
(4) Else if Storage item 2B-Detention status=04 (No new conviction, prior conviction awaiting sentencing), and offenses are listed in Storage item 2L-Prior conviction awaiting sentencing offenses, skip to S3Q1a (Pretrial).
(5) Else if Storage item 2B-Detention Status=05 (Unconvicted), skip to COMP_INSTR_5A.
(6) Else mark “06” (No offense) in Storage item 2B-Detention status and skip to COMP_INSTR_5A.
SECTION B: CRIMINAL JUSTICE STATUS, TECHNICAL VIOLATORS ONLY
ASK IF S2Q2b IS ANSWERED AND ONLY PAROLE, PROBATION, OR ESCAPE VIOLATIONS OR SOME COMBO OF THE 3:
S2Q5a_ar. On what date were you arrested or charged with the (INSERT OFFENSES FROM STORAGE ITEM 2C – CURRENT ARREST OFFENSES)?
ENTER MONTH: ____ (MM) (Range 1-12, D)
ENTER YEAR: ____ (YYYY) (Range 2000-CURRENT YEAR, D)
BLIND D OR R
INTERVIEWER: IF MORE THAN ONE DATE GIVEN, TAKE THE EARLIEST DATE
(1) ONLY IF SI_2A CONTAINS A DATE: Verify that the arrest date in S2Q5a_ar is on or before the admission date in Storage item 2A-Current admission date. If not, ask S2Q5av_ar.
(2) Else transcribe date (S2Q5a_ar) to Storage item 2D-Current arrest date and Skip to S2Q5b.
ASK IF SI_2A CONTAINS A DATE AND S2Q5a_ar IS AFTER STORAGE ITEM 2A:
S2Q5av_ar. The arrest date you just gave me (INSERT ARREST DATE FROM S2Q5a_ar) is after your admission date of (INSERT ADMISSION DATE FROM STORAGE ITEM 2A). Is this correct? ENTER ONE
(1) YES - transcribe date in (S2Q5a_ar) to Storage item 2D-Current arrest date and ask S2Q5b.
(2) NO - Make corrections – Display items S2Q1a and S2Q5a_ar on screen. Allow interviewer to make changes. After FR has made corrections, transcribe S2Q1a to Storage item 2A-Current admission date and S2Q5a_ar to Storage item 2D-Current arrest date.
Screen example
I would like to verify a few items. (CORRECT AS NECESSARY or "ENTER" TO CONTINUE) Admission date Month: _____ Year: ____ fill from S2Q1a Arrest date Month: _____ Year: ____ fill from S2Q5a_ar |
ASK IF S2Q2b IS ANSWERED AND ONLY PAROLE, PROBABTION, OR ESCAPE OR SOME COMBO OF THE 3:
S2Q5b. Are you sentenced for the (INSERT RESPONSES FROM STORAGE ITEM 2C-CURRENT ARREST OFFENSES (S2Q2b)) for which you were arrested or charged? ENTER ONE FOR EACH
PROGRAMMER: SCREEN SHOULD ONLY DISPLAY OFFENSES FROM STORAGE ITEM 2C.
|
Yes |
No |
S2Q5b_1. Parole violation? |
|
|
S2Q5b_2. Probation violation? |
|
|
S2Q5b_3. Escape? |
|
|
(h) Help – DISPLAY HELP SCREEN h_Sentenced
BLIND D OR R
h_ SENTENCED.
A judge or jury has imposed penalties upon a person convicted of a crime. Penalties may include imprisonment or payment of fines, or any of a number of alternatives to incarceration such as probation, restitution, or supervised community release.
(1) Transcribe all offenses marked “1” (YES) to Storage item 2M-New tech violation sentenced offenses and Mark “01” (Convicted, sentenced) in Storage item 2B-Detention status
(2) If any offenses in S2Q5b=2, ask S2Q5c. Else Skip to S2Q5d.
ASK IF ANY OFFENSES IN S2Q5b=2:
S2Q5c. Are you convicted and awaiting sentencing for the (INSERT OFFENSES MARKED “2” FROM S2Q5b) for which you were arrested or charged? ENTER ONE FOR EACH
PROGRAMMER: SCREEN SHOULD ONLY DISPLAY OFFENSES MARK “2” (NO) IN S2Q5B.
|
Yes |
No |
S2Q5c_1. Parole violation? |
|
|
S2Q5c_2. Probation violation? |
|
|
S2Q5c_3. Escape? |
|
|
(h) Help - DISPLAY HELP SCREEN – h_Convicted
BLIND D OR R
h_CONVICTED
The judgment of a court that the defendant is guilty of the offenses with which charged, based on the verdict of a jury or judicial officers, or on the guilty pleas or a no contest plea of a defendant.
(1) Transcribe all offense marked “1” to Storage item 2N-New tech violation conviction awaiting sentencing offenses.
(2) If all offenses in S2Q5b=2 and any offenses in S2Q5c=1, mark “02” (convicted, awaiting sentencing) in Storage item 2B-Detention status.
(3) If all offenses in S2Q5b=2 and all offenses in S2Q5c=2, Mark “03” (No new sentence, prior sentence) in Storage item 2B-Detention status.
ASK IF S2Q2b IS ANSWERED AND ONLY PAROLE, PROBATION, OR ESCAPE OR SOME COMBO OF THE 3:
S2Q5d. For what offenses were you on (INSERT RESPONSES FOR S2Q1f) when you were arrested or charged with (INSERT STORAGE ITEM 2C - CURRENT ARREST OFFENSES)? ENTER ALL THAT APPLY
(95) SPECIFY OFFENSES
BLIND D OR R
INTERVIEWER: ENTER ONE OFFENSE PER LINE USING AUTOCOMPLETE
PROGRAMMER: IF S2Q5d=95, Implement AUTOCOMPLETE function linking responses to list of all possible offenses.
S2Q5d_1. ___________________________
S2Q5d_2. ___________________________
S2Q5d_3. ___________________________
S2Q5d_4. ___________________________
S2Q5d_5. ___________________________
(1) Transcribe offenses to Storage item 2H-Most recent prior offenses, Storage item 2K-Prior sentenced offenses and highest ranked to Storage item 20-Controlling offenses.
ASK IF S2Q2b IS ANSWERED AND ONLY PAROLE, PROBATION, OR ESCAPE OR SOME COMBO OF THE 3:
S2Q5d_ar. In what month and year were you arrested for (INSERT OFFENSES FROM STORAGE ITEM 2H-MOST RECENT PRIOR OFFENSES, OR IF NO OFFENSES “OFFENSES FOR WHICH YOU WERE ON (INSERT RESPONSES FROM S2Q1f)?
ENTER MONTH: ____ (MM) (Range 1-12, D)
ENTER YEAR: ____ (YYYY) (Range 2000-CURRENT YEAR, D)
BLIND D OR R
INTERVIEWER: IF MORE THAN ONE DATE GIVEN, TAKE THE EARLIEST DATE
ONLY IF SI_2A CONTAINS A DATE: If date in S2Q5d_ar is before admission date in Storage item 2A-current admission date, transcribe arrest date to Storage item 2P-Controlling arrest date and to Storage item 2Q-Prior arrest date and ask S2Q5d_ad.
Else ask S2Q3av_ar.
ASK IF SI_2A CONTAINS A DATE AND S2Q5d_ar IS ON OR AFTER STORAGE ITEM 2A:
S2Q5dv_ar. The arrest date you just gave me (INSERT DATE FROM S2Q5d_ar) for (INSERT STORAGE ITEM 2H – MOST RECENT PRIOR OFFENSES) is after your admission date of (INSERT STORAGE ITEM 2A – MOST RECENT ADMISSION DATE). Is this correct? ENTER ONE
(1) YES - Accept date and ask S2Q5d_ad.
(2) NO - Make corrections – Display items S2Q5d_ar and S2Q1a on screen. Allow interviewer to make changes. After interviewer has made corrections, transcribe arrest date to Storage item 2Q-prior arrest date and Storage item 2P-Controlling arrest date. Transcribe date in S2Q1a to Storage item 2A – Most recent admission date.
Screen example
I would like to verify a few items. (CORRECT AS NECESSARY or "ENTER" TO CONTINUE) Admission date Month: _____ Year: ____ fill from S2Q1a Prior arrest date Month: _____ Year: ____ fill from S2Q5d_ar |
ASK IF S2Q2b IS ANSWERED AND ONLY PAROLE, PROBABTION, OR ESCAPE OR SOME COMBO OF THE 3:
S2Q5d_ad. On what date were you first admitted to jail or another facility for (INSERT OFFENSE FROM
S2Q5D, OR IF NO OFFENSES INSERT “OFFENSES FOR WHICH YOU WERE ON (INSERT RESPONSES FROM S2Q1a)”)?
ENTER MONTH: ____ (MM) (Range 1-12, D)
ENTER YEAR: ____ (YYYY) (Range 2000-CURRENT YEAR, D)
-or-
(0) NEVER ADMITTED
BLIND D OR R
INTERVIEWER: IF MORE THAN ONE DATE GIVEN, TAKE THE EARLIEST DATE
Transcribe date to Storage item 2I – Most recent prior admission date. If S2Q5d_ad=0, Mark “0” in S2Q5d_rl and Skip to COMP_INSTR_2F. Else ask S2Q5d_rl.
ASK IF S2Q5d_ad IS ASKED AND NOT ZERO:
S2Q5d_rl. On what date were you first released from jail or another facility for (INSERT OFFENSE FROM
S2Q5d, OR IF NO OFFENSES INSERT “OFFENSES FOR WHICH YOU WERE ON (INSERT RESPONSES
FROM S2Q1a)”)?
ENTER MONTH: ____ (MM) (Range 1-12, D)
ENTER YEAR: ____ (YYYY) (Range 2000-CURRENT YEAR, D)
-or-
(0) NEVER ADMITTED
BLIND D OR R
INTERVIEWER: IF MORE THAN ONE DATE GIVEN, TAKE THE EARLIEST DATE
(1) Verify that the admission date in S2Q5d_ad is on or before the release date in S2Q5d_rl. If not, ask S2Q5dv_rl.
(2) Else transcribe date to Storage item 2J – Most recent prior release date and skip to COMP_INSTR_2F.
ASK IF S2Q5d_rl IS AFTER S2Q5d_ad:
S2Q5dv_rl. The release date you just gave me (Insert release date from S2Q5d_rl) is after your readmission date of (Insert readmission date from S2Q5d_ad). Is this correct?
(1) YES - transcribe date in (S2Q5d_rl) to Storage item 2J-Most recent prior release date and ask COMP_INSTR_2F.
(2) NO - Make corrections – Display items S2Q5d_rl and S2Q5d_ad on screen. Allow interviewer to make changes. After FR has made corrections, transcribe S2Q5d_ad to Storage item 2I-Most recent prior admission date and S2Q5d_rl to Storage item 2J-Most recent prior release date.
Screen example
I would like to verify a few items. (CORRECT AS NECESSARY or "ENTER" TO CONTINUE) Release Month: _____ Year: ____ fill from S2Q5d_rl Readmission Month: _____ Year: ____ fill from S2Q5d_ad |
COMP_INSTR_2F.
(1) If Storage item 2B – Detention status=01 (Convicted, sentenced) or Storage item 2B – Detention status=02 (Convicted, awaiting sentencing), or Storage item 2B – Detention status=03 (No new conviction, prior sentence), skip to S3Q1a (Pretrial).
(2) Else if Storage item 2M – New tech violation sentenced offenses and Storage item 2N – New tech violation conviction awaiting sentencing offenses and Storage item 2K – Prior sentenced offenses are blank, D or R Mark “06” (No offense) in Storage item 2B –Detention status, and skip to COMP_INSTR_5A.
(3) Else mark “06” (No offense) in Storage item 2B-Detention status, skip to COMP_INSTR_5A.
SECTION C: CRIMINAL JUSTICE STATUS, NO NEW OFFENSES
COMPLETE IF S2Q1f=1-12 AND S2Q2a=2 (no new offense):
COMP_INSTR_2F1.
If S2Q1f=10 (bail/bond) or 11 (own recognizance) or 12 (other status) and no other value, Skip to S2Q6f. Else ask S2Q6a.
ASK IF S2Q2a=2 AND S2Q1f=1-9:
Status other than pretrial only
S2Q6a. For what offenses were you on (INSERT RESPONSES FROM S2Q1f) when you were admitted to jail? ENTER ALL THAT APPLY
(95) SPECIFY OFFENSES
BLIND D OR R
INTERVIEWER: ENTER ONE OFFENSE PER LINE USING AUTOCOMPLETE
PROGRAMMER: IF S2Q6a=95, Implement AUTOCOMPLETE function linking responses to list of all possible offenses.
S2Q6a_1. ___________________________
S2Q6a_2. ___________________________
S2Q6a_3. ___________________________
S2Q6a_4. ___________________________
S2Q6a_5. ___________________________
Transcribe offenses to Storage item 2H-Most recent prior offenses and Storage item 2C-Current arrest offenses.
ASK IF S2Q2a=2 AND S2Q1f=1-9:
S2Q6a_ar. In what month and year were you arrested or charged with (INSERT OFFENSES FROM STORAGE ITEM 2H-MOST RECENT PRIOR OFFENSES, OR IF NO OFFENSES INSERT “OFFENSE FOR WHICH YOU WERE ON (INSERT RESPONSES FROM S2Q1a)”)
ENTER MONTH: ____ (MM) (Range 1-12, D)
ENTER YEAR: ____ (YYYY) (Range 2000-CURRENT YEAR, D)
-or-
BLIND D OR R
INTERVIEWER: IF MORE THAN ONE DATE GIVEN, TAKE THE EARLIEST DATE
ONLY IF SI_2A CONTAINS A DATE: If date in S2Q6a_ar is before admission date in Storage item 2A-current admission date, transcribe date to Storage item 2D – Current arrest date and 2Q-prior arrest date and ask S2Q6a_ad.
Else ask S2Q6av_ar.
ASK IF SI_2A CONTAINS A DATE AND S2Q6a_ar IS ON OR AFTER STORAGE ITEM 2A:
S2Q6av_ar. The arrest date you just gave me (INSERT DATE FROM S2Q6A_AR) FOR (INSERT OFFENSES FROM STORAGE ITEM 2H, OR IF NO OFFENSES INSERT (“OFFENSE FOR WHICH YOU WERE ON (INSERT RESPONSES FROM S2Q1f) IS AFTER YOUR ADMISSION DATE OF (INSERT ADMISSION DATE FROM STORAGE ITEM 2A)”). Is this correct? ENTER ONE
(1) YES - Accept date and ask S2Q6a_ad.
(2) NO - Make corrections – Display items S2Q6a_ar and S2Q1a on screen. Allow interviewer to make changes. After interviewer has made corrections, transcribe arrest date to Storage item 2D – Current arrest date and Storage item 2Q – Prior arrest date and transcribe date in S2Q1a to Storage item 2A – Current admission date.
Screen example
I would like to verify a few items. (CORRECT AS NECESSARY or "ENTER" TO CONTINUE) Admission date Month: _____ Year: ____ fill from S2Q1a Prior arrest date Month: _____ Year: ____ fill from S2Q6a_ar |
ASK IF S2Q2a=2 AND S2Q1f=1-9:
S2Q6a_ad. On what date were you first admitted to jail or another facility for (INSERT OFFENSE FROM S2Q6A, OR IF NO OFFENSES INSERT “OFFENSES FOR WHICH YOU WERE ON (INSERT RESPONSES FROM S2Q1f)”)?
ENTER MONTH: ____ (MM) (Range 1-12, D)
ENTER YEAR: ____ (YYYY) (Range 2000-CURRENT YEAR, D)
-or
(0) Never admitted
BLIND D OR R
INTERVIEWER: IF MORE THAN ONE DATE GIVEN, TAKE THE EARLIEST DATE
If S2Q6a_ad=0, Mark “0” in S2Q6a_rl, skip to S2Q6b. Else transcribe date to Storage item 2I-Most recent prior admission date, continue with S2Q6a_rl
ASK IF S2Q6a_ad IS ASKED AND NOT 0:
S2Q6a_rl. On what date were you first released from jail or another facility for (INSERT OFFENSE FROM
S2Q6A, OR IF NO OFFENSES INSERT OFFENSES FOR WHICH YOU WERE ON (INSERT RESPONSES FROM S2Q1f))?
ENTER MONTH: ____ (MM) (Range 1-12, D)
ENTER YEAR: ____ (YYYY) (Range 2000-CURRENT YEAR, D)
-or-
(0) NEVER ADMITTED
BLIND D OR R
INTERVIEWER: IF MORE THAN ONE DATE GIVEN, TAKE THE EARLIEST DATE
(1) Verify that the admission date in S2Q6a_ad is on or before the release date in S2Q6a_rl. If not, ask S2Q6av_rl.
(2) Else Transcribe date to Storage item 2J-Most recent prior release date and skip to S2Q6b.
ASK IF S2Q6a_ad IS AFTER S2Q6a_rl:
S2Q6av_rl. The release date you just gave me (INSERT RELEASE DATE FROM S2Q6a_rl) is before your
readmission date of (INSERT READMISSION DATE FROM S2Q6a_ad). Is this correct? ENTER ONE
(1) YES - transcribe date in (S2Q6a_rl) to Storage item 2J – Most recent prior release date and ask S2Q6b.
(2) NO - Make corrections – display items S2Q6a_rl and S2Q6a_ad on screen. Allow interviewer to make changes. After interviewer has made corrections, transcribe S2Q6a_ad to storage item 2I – Most recent prior admission date and S2Q6a_rl to storage item 2J – Most recent prior release date.
Screen example
I would like to verify a few items. (CORRECT AS NECESSARY or "ENTER" TO CONTINUE) Release Month: _____ Year: ____ fill from S2Q6a_rl Readmission Month: _____ Year: ____ fill from S2Q6a_ad |
ASK IF S2Q2a=2 AND S2Q1f=1-9:
S2Q6b. Are you sentenced for any offenses for which you were on (INSERT RESPONSES FROM S2Q1f)?
ENTER ONE
(1) YES
(2) NO - Skip to S2Q6d
(h) Help – DISPLAY HELP SCREEN h_Sentenced
BLIND D OR R - Skip to S2Q6d
h_ SENTENCED.
A judge or jury has imposed penalties upon a person convicted of a crime. Penalties may include imprisonment or payment of fines, or any of a number of alternatives to incarceration such as probation, restitution, or supervised community release.
ASK IF S2Q6b=1:
S2Q6c. For what offenses are you sentenced? ENTER ALL THAT APPLY
PROGRAMMER: DISPLAY OFFENSES PROVIDED IN S2Q6a, ONE OFFENSE PER LINE, AND ALLOW INTERVIEWER TO SELECT WHICH WERE SENTENCED.
S2Q6c_1. ___________________________
S2Q6c_2. ___________________________
S2Q6c_3. ___________________________
S2Q6c_4. ___________________________
S2Q6c_5. ___________________________
(96) NO OTHER MENTIONS
BLIND D OR R
(1) Transcribe offenses to Storage item 2K-Prior sentenced offenses, and highest ranked to Storage item 2O-Controlling offenses. Transcribe arrest date in S2Q6a_ar to Storage item 2P-Controlling arrest date and to Storage item 2Q-Prior arrest date
(2) Mark “03” (No new conviction, prior sentence) in Storage item 2B-Detention status.
(3) If number of offenses in S2Q6c=S2Q6a, Mark “2” in S2Q6d and skip to COMP_INSTR_2G.
ASK IF NUMBER OF OFFENSES IN S2Q6c IS LESS THAN S2Q6a:
S2Q6d. Are you convicted and awaiting sentencing for any offenses for which you were on (INSERT RESPONSES FROM S2Q1F)? ENTER ONE
(1) YES
(2) NO - Skip to COMP_INSTR_2G
(h) Help – DISPLAY HELP SCREEN h_Convicted
BLIND D OR R -Skip to COMP_INSTR_2G
h_CONVICTED
The judgment of a court that the defendant is guilty of the offenses with which charged, based on the verdict of a jury or judicial officers, or on the guilty pleas or a no contest plea of a defendant.
ASK IF S2Q6d=1:
S2Q6e. For what offenses are you convicted and awaiting sentencing? ENTER ALL THAT APPLY
PROGRAMMER: DISPLAY OFFENSES PROVIDED IN S2Q6a THAT WERE NOT ALREADY SELECTED IN S2Q6c, ONE OFFENSE PER LINE, AND ALLOW INTERVIEWER TO SELECT WHICH WERE CONVICTED.
S2Q6e_1. ___________________________
S2Q6e_2. ___________________________
S2Q6e_3. ___________________________
S2Q6e_4. ___________________________
S2Q6e_5. ___________________________
(96) NO OTHER MENTIONS
BLIND D OR R
(1) Transcribe offenses to Storage item 2L-Prior conviction awaiting sentencing offenses.
(2) If S2Q6b=2 and S2Q6d=1, Mark “04” (No new conviction, prior conviction) in Storage item 2B-Detention status. Transcribe highest ranked to Storage item 2O-Controlling offenses.
COMP_INSTR_2G.
(1) If Storage item 2B-Detention Status=03 (No new conviction, prior sentence) or Storage item 2B- Detention status=04 (No new conviction, prior conviction awaiting sentencing). Skip to S3Q1a (Pretrial)
(2) If S2Q6b=2 and S2Q6d=2, and offenses are listed in Storage item 2H-Most recent prior offenses, Mark “05” (Unconvicted) in Storage item 2B-Detention Status, skip to COMP_INSTR_5A.
(3) Else, Mark “06” (No offense) in Storage item 2B-Detention Status, skip to COMP_INSTR_5A.
Pretrial status only
ASK IF [[S2Q2a=2] OR [S2Q2a=1 AND S2Q2c=2 AND S2Q2e=2]] AND S2Q1f=10 or 11 or 12, AND NO OTHER VALUE:
S2Q6f. For what offenses were you on (INSERT RESPONSES FROM S2Q1f) when you were admitted to jail? ENTER ALL THAT APPLY
(95) SPECIFY OFFENSES
BLIND D OR R
INTERVIEWER: ENTER ONE OFFENSE PER LINE USING AUTOCOMPLETE
PROGRAMMER: IF s2q6f=95, implement AUTOCOMPLETE function linking responses to list of all possible offenses.
S2Q6f_1. ___________________________
S2Q6f_2. ___________________________
S2Q6f_3. ___________________________
S2Q6f_4. ___________________________
S2Q6f_5. ___________________________
Transcribe offenses to Storage item 2C-Current arrest offenses and Storage item 2H-Most recent prior offenses
ASK IF [[S2Q2a=2] OR [S2Q2a=1 AND S2Q2c=2 AND S2Q2e=2]] AND S2Q1f=10 or 11 or 12, AND NO OTHER VALUE:
S2Q6f_ar. In what month and year were you arrested for or charged with the (INSERT OFFENSES FROM
STORAGE ITEM 2C-CURRENT ARREST OFFENSES) OR IF NO OFFENSES INSERT (“OFFENSE FOR WHICH YOU WERE ON (INSERT RESPONSES FROM S2Q1f)?
ENTER MONTH: ____ (MM) (Range 1-12, D)
ENTER YEAR: ____ (YYYY) (Range 2000-CURRENT YEAR, D)
BLIND D OR R
INTERVIEWER: IF MORE THAN ONE DATE GIVEN, TAKE THE EARLIEST DATE
ONLY IF SI_2A CONTAINS A DATE: If date in S2Q6f_ar is before admission date in Storage item 2A-current admission date, transcribe date to Storage item 2D-Current arrest date and Storage item 2Q-Prior arrest date, and ask S2Q6f_ad.
Else ask S2Q6fv_ar.
ASK IF SI_2A CONTAINS A DATE AND S2Q6f_ar IS ON OR AFTER STORAGE ITEM 2A:
S2Q6fv_ar. The arrest date you just gave me (INSERT DATE FROM S2Q6f_ar) FOR (INSERT OFFENSES FROM STORAGE ITEM 2H, OR IF NO OFFENSES INSERT “OFFENSE FOR WHICH YOU WERE ON (INSERT RESPONSES FROM S2Q1f)”) is after your admission date of (INSERT ADMISSION DATE FROM STORAGE ITEM 2A). Is this correct? ENTER ONE
(1) YES - Accept date and ask S2Q6f_ad.
(2) NO - Make corrections – Display items S2Q6f_ar and S2Q1a on screen. Allow interviewer to make changes. After FR has made corrections, transcribe arrest date to Storage item 2D-Current arrest date and Storage item 2Q-prior arrest date and transcribe date in S2Q1a to Storage item 2A-Current admission date.
Screen example
I would like to verify a few items. (CORRECT AS NECESSARY or "ENTER" TO CONTINUE) Admission date Month: _____ Year: ____ fill from S2Q1a Prior arrest date Month: _____ Year: ____ fill from S2Q6f_ar
|
ASK IF [[S2Q2a=2] OR [S2Q2a=1 AND S2Q2c=2 AND S2Q2e=2]] AND S2Q1f=10 or 11 or 12, AND NO OTHER VALUE:
S2Q6f_ad. On what date were you first admitted to jail or another facility for (INSERT OFFENSE FROM S2Q6F, OR IF NO OFFENSES INSERT “OFFENSES FOR WHICH YOU WERE ON (INSERT RESPONSES FROM S2Q1F)”)?
ENTER MONTH: ____ (MM) (Range 1-12, D)
ENTER YEAR: ____ (YYYY) (Range 2000-CURRENT YEAR, D)
-or-
(0) NEVER ADMITTED
BLIND D OR R
INTERVIEWER: IF MORE THAN ONE DATE GIVEN, TAKE THE EARLIEST DATE
If S2Q6f_ad=0, Mark “0” in S2Q6f_rl and skip to S2Q6g. Else transcribe date to Storage item 2I-Most recent prior admission date and continue with S2Q6f_rl.
ASK IF S2Q6f_ad IS ASKED AND NOT 0:
S2Q6f_rl. On what date were you first released from jail or another facility for (INSERT OFFENSE FROM
S2Q6f, OR IF NO OFFENSES INSERT “OFFENSES FOR WHICH YOU WERE ON (INSERT RESPONSES FROM S2Q1f)”)?
ENTER MONTH: ____ (MM) (Range 1-12, D)
ENTER YEAR: ____ (YYYY) (Range 2000-CURRENT YEAR, D)
-or-
(0) NEVER ADMITTED
BLIND D OR R
INTERVIEWER: IF MORE THAN ONE DATE GIVEN, TAKE THE EARLIEST DATE
(1) Verify that the admission date in S2Q6f_ad is on or before the release date in S2Q6f_rl. If not, ask S2Q6fv_rl.
(2) Else Transcribe date to Storage item 2J-Most recent prior release date and skip to S2Q6g.
ASK IF S2Q6f_ad IS AFTER S2Q6f_rl:
S2Q6fv_rl. The release date you just gave me (INSERT RELEASE DATE FROM S2Q6f_rl) is before your readmission date of (INSERT READMISSION DATE FROM S2Q6f_ad). Is this correct? ENTER ONE
(1) YES - transcribe date in (S2Q6f_rl) to Storage item 2J-Most recent prior release date and ask S2Q6g.
(2) NO - Make corrections – Display items S2Q6f_rl and S2Q6f_ad on screen. Allow interviewer to make changes. After interviewer has made corrections, transcribe S2Q6f_ad to Storage item 2I – Most recent prior admission date and S2Q6f_rl to Storage item 2J – Most recent prior release date.
Screen example
I would like to verify a few items. (CORRECT AS NECESSARY or "ENTER" TO CONTINUE) Release Month: _____ Year: ____ fill from S2Q6f_rl Readmission Month: _____ Year: ____ fill from S2Q6f_ad |
ASK IF S2Q2a=2 AND S2Q1f=10 or 11 or 12, AND NO OTHER VALUE:
S2Q6g. Are you sentenced for any offenses for which you were on (INSERT RESPONSES FROM S2Q1f)? ENTER ONE
(1) YES
(2) NO - Skip to S2Q6i
(h) Help – DISPLAY HELP SCREEN h_Sentenced
BLIND D OR R - Skip to S2Q6i
h_ SENTENCED.
A judge or jury has imposed penalties upon a person convicted of a crime. Penalties may include imprisonment or payment of fines, or any of a number of alternatives to incarceration such as probation, restitution, or supervised community release.
ASK IF S2Q6g=1:
S2Q6h. For what offenses are you sentenced? ENTER ALL THAT APPLY
PROGRAMMER: DISPLAY OFFENSES PROVIDED IN S2Q6f, ONE OFFENSE PER LINE, AND ALLOW INTERVIEWER TO SELECT WHICH WERE CONVICTED.
S2Q6h_1. ___________________________
S2Q6h_2. ___________________________
S2Q6h_3. ___________________________
S2Q6h_4. ___________________________
S2Q6h_5. ___________________________
(96) NO OTHER MENTIONS
BLIND D OR R
(1) Transcribe offenses to Storage item 2F-New sentenced offenses and highest ranker to Storage item 2O-Controlling offenses. Transcribe arrest date in Storage item 2C to Storage item 2P-Controlling arrest date.
(3) Mark “01” (Convicted, sentenced) in Storage item 2B-Detention status
(2) If number of offenses in S2Q6h=S2Q6f, Mark “02” in S2Q6i and Skip to COMP_INSTR_2H
ASK IF NUMBER OF OFFENSES IN S2Q6h IS LESS THAN THOSE IN S2Q6f:
S2Q6i. Are you convicted and awaiting sentencing for any offenses for which you were on (INSERT RESPONSES FROM S2Q1f)? ENTER ONE
(1) YES
(2) NO - Skip to COMP_INSTR _2H
(h) Help – DISPLAY HELP SCREEN h_Convicted
BLIND D OR R - Skip to COMP_INSTR _2H
h_CONVICTED
The judgment of a court that the defendant is guilty of the offenses with which charged, based on the verdict of a jury or judicial officers, or on the guilty pleas or a no contest plea of a defendant.
ASK IF S2Q6i=1:
S2Q6j. For what offenses are you convicted and awaiting sentencing? ENTER ALL THAT APPLY
PROGRAMMER: DISPLAY OFFENSES PROVIDED IN S2Q6f THAT WERE NOT ALREADY SELECTED IN S2Q6h, ONE OFFENSE PER LINE, AND ALLOW INTERVIEWER TO SELECT WHICH WERE CONVICTED.
S2Q6j_1. ___________________________
S2Q6j_2. ___________________________
S2Q6j_3. ___________________________
S2Q6j_4. ___________________________
S2Q6j_5. ___________________________
(96) NO OTHER MENTIONS
BLIND D OR R
(1) Transcribe offenses to Storage item 2G-New Conviction awaiting sentencing offenses.
(2) If S2Q6g=2 and S2Q6i=1, Mark “02” (Convicted, awaiting sentencing) in Storage item 2B-Detention status and transcribe highest ranked in Storage item 2G to Storage item 2O-Controlling offenses.
COMP_INSTR_2H.
(1) If Storage item 2B-Detention Status=01(Convicted, sentenced) and offenses are listed in Storage item 2F-New sentenced offenses, Skip to S3Q1a (Pretrial).
(2) Else if Storage item 2B=02(Convicted, awaiting sentencing) and offenses are listed in Storage item 2G-Convicted, awaiting sentencing offenses, Skip to S3Q1a (Pretrial).
(3) Else if S2Q6g=2 and S2Q6i=2 and offenses are listed in Storage item 2C-Current arrest offenses, Mark “05” (Unconvicted) in Storage item 2B-Detention status and Skip to COMP INSTR 4A
(4) Else, Mark “06” (No offense) in Storage item 2B-Detention status and Skip to COMP INSTR 4A
SECTION D: NOT ON CRIMINAL JUSTICE STATUS
ASK IF S2Q1f=13:
COMP_INSTR_2I.
Ask in priority order S2Q1d2=8, 9, 7, 2, 1, 4, 5, 6, or 10
If S2Q1d2=8, Ask S2Q7a - To serve a sentence in this jail
If S2Q1d2=2, Ask S2Q9a - To stand trial for an offense
If S2Q1d2=7, Ask S2Q8a - To await sentencing for an offense
If S2Q1d2=4, Ask S2Q10a - For safekeeping
If S2Q1d2=5, Ask S2Q11a - As a witness
If S2Q1d2=6, Ask S2Q12a - For contempt of court
If S2Q1d2=9, Ask S2Q13a - To await transfer to serve a sentence somewhere else
If S2Q1d2=1, Ask S2Q14a - To await arraignment
If S2Q1d2=10, Ask S2Q16a - For another reason
If S2Q1d2=D or R, Mark “06” No offense in Storage item 2B-Detention Status and skip to COMP_INSTR_5A.
ASK IF S2Q1f=13 AND S2Q1d2=8:
To serve a sentence
S2Q7a. For what offenses are you serving a sentence? Any others? ENTER ALL THAT APPLY
(95) SPECIFY OFFENSES
BLIND D OR R
INTERVIEWER: ENTER ONE OFFENSE PER LINE USING AUTOCOMPLETE
PROGRAMMER: If s2q7a=95, implement AUTOCOMPLETE function linking responses to list of all possible offenses.
S2Q7a_1. ___________________________
S2Q7a_2. ___________________________
S2Q7a_3. ___________________________
S2Q7a_4. ___________________________
S2Q7a_5. ___________________________
(1) Mark “01” (New conviction, sentenced) in Storage item 2B-Detention status.
(2) If “D” or “R” is marked, skip to S2Q7a_ar
(3) Else transcribe offenses to Storage item 2C – Current arrest offenses, Storage item 2F-New sentenced offenses, and 1st line to Storage Item 2O – Controlling Offense and continue with S2Q7a_ar.
ASK IF S2Q1f=13 AND S2Q1d2=8:
S2Q7a_ar. In what month and year were you arrested or charged with the ((INSERT STORAGE ITEM 2F-NEW SENTENCED OFFENSES) OR IF NO OFFENSES INSERT (“OFFENSE FOR WHICH YOU ARE SERVING A SENTENCE”))?
ENTER MONTH: ____ (MM) (Range 1-12, D)
ENTER YEAR: ____ (YYYY) (Range 2000-CURRENT YEAR, D)
BLIND D OR R
INTERVIEWER: IF MORE THAN ONE DATE GIVEN, TAKE THE EARLIEST DATE
(1) ONLY IF SI_2A CONTAINS A DATE: Verify that the arrest date in S2Q7a_ar is on or before the admission date in Storage item 2A-Current admission date. If not, ask S2Q7av_ar.
(2) Else transcribe arrest date to Storage item 2D-Current arrest date and Storage item 2P-Controlling arrest date and Skip to COMP_INSTR _2J.
ASK IF SI_2A CONTAINS A DATE AND S2Q7a_ar IS AFTER STORAGE ITEM 2A:
S2Q7av_ar. The arrest date you just gave me (INSERT ARREST DATE FROM S2Q7A_AR) is after your admission date of (INSERT STORAGE ITEM 2A – MOST RECENT ADMISSION DATE). Is this correct? ENTER ONE
(1) YES - transcribe date in (S2Q7a_ar) to Storage item 2D-Current arrest date and Storage item 2P-Controlling arrest date and Skip to COMP_INSTR_2J.
(2) NO - Make corrections – Display items S2Q1a and S2Q7a_ar on screen. Allow interviewer to make changes. After interviewer has made corrections, transcribe S2Q1a to Storage item 2A – Current admission date and transcribe S2Q7a_ar to Storage item 2D – Current arrest date and Storage item 2P – Controlling arrest date.
Screen example
I would like to verify a few items. (CORRECT AS NECESSARY or "ENTER" TO CONTINUE) Admission date Month: _____ Year: ____ fill from S2Q1a Arrest date Month: _____ Year: ____ fill from S2Q7a_ar |
ASK IF S2Q1f=13 AND S2Q1d2=7:
To await sentencing for an offense
S2Q8a. For what offenses are you awaiting sentencing? Any others? ENTER ALL THAT APPLY
(95) SPECIFY OFFENSES
BLIND D OR R
INTERVIEWER: ENTER ONE OFFENSE PER LINE USING AUTOCOMPLETE
PROGRAMMER: If s2q8a=95, implement AUTOCOMPLETE function linking responses to list of all possible offenses.
S2Q8a_1. ___________________________
S2Q8a_2. ___________________________
S2Q8a_3. ___________________________
S2Q8a_4. ___________________________
S2Q8a_5. ___________________________
(1) Mark “02” (convicted, awaiting sentencing) in Storage item 2B-Detention status.
(2) Else if “D” or “R” is marked, skip to S2Q8a_ar
(3) Else transcribe offenses to Storage item 2C – Current arrest offenses and Storage item 2G – New conviction, awaiting sentence, and highest ranked to Storage item 2O – Controlling offense and continue with S2Q8a_ar.
ASK IF S2Q1f=13 AND S2Q1d2=7:
S2Q8a_ar. In what month and year were you arrested or charged with ((INSERT OFFENSES FROM STORAGE ITEM S2Q8a) OR IF NO OFFENSES INSERT (“OFFENSE FOR WHICH YOU ARE AWAITING SENTENCING”))?
ENTER MONTH: ____ (MM) (Range 1-12, D)
ENTER YEAR: ____ (YYYY) (Range 2000-CURRENT YEAR, D)
BLIND D OR R
INTERVIEWER: IF MORE THAN ONE DATE GIVEN, TAKE THE EARLIEST DATE
(1) ONLY IF SI_2A CONTAINS A DATE: Verify that the arrest date in S2Q8a_ar is on or before the admission date in Storage item 2A – Most recent admission date. If not, ask S2Q8av_ar.
(2) Else transcribe arrest date to Storage item 2D – Current arrest date and Storage item 2P – Controlling arrest date and Skip to COMP_INSTR_2K.
ASK IF SI_2A CONTAINS A DATE AND S2Q8a_ar IS AFTER STORAGE ITEM 2A:
S2Q8av_ar. The arrest date you just gave me (INSERT ARREST DATE FROM S2Q8A_AR) is after your admission date of (INSERT ADMISSION DATE FROM STORAGE ITEM 2A). Is this correct? ENTER ONE
(1) YES - transcribe date in (S2Q8a_ar) to Storage item 2D – Current arrest date and Storage item 2P – Controlling arrest date and Skip to COMP_INSTR_2K.
(2) NO - Make corrections – Display items S2Q1a and S2Q8a_ar on screen. Allow interviewer to make changes. After interviewer has made corrections, transcribe S2Q1a to Storage item 2A – Current admission date and S2Q8a_ar to Storage item 2D – Current arrest date and Storage item 2P – Controlling arrest date.
Screen example
I would like to verify a few items. (CORRECT AS NECESSARY or "ENTER" TO CONTINUE) Admission date Month: _____ Year: ____ fill from S2Q1a Arrest date Month: _____ Year: ____ fill from S2Q8a_ar |
ASK IF S2Q1f=13 AND S2Q1d2=2:
To stand trial
S2Q9a. For what offenses are you to stand trial? ENTER ALL THAT APPLY
INTERVIEWER: IF OFFENSE IS PROBATION VIOLATION, PAROLE VIOLATION, OR ESCAPE ONLY, ENTER A, B, OR C INSTEAD OF ENTERING THAT INTO A TEXT FIELD. OTHERWISE, ENTER INTO THE TEXT FIELDS, ONLY ONE OFFENSE PER LINE
(A) Parole violation
(B) Probation violation
(C) Escape
(96) NO OTHER MENTIONS
(95) SPECIFY OFFENSES
BLIND D OR R
PROGRAMMER: IF S2Q9A=95 (SPECIFY OFFENSES) then provide the following 5 text fields. Implement AUTOCOMPLETE function linking responses to list of all possible offenses.
S2Q9a_1. ___________________________
S2Q9a_2. ___________________________
S2Q9a_3. ___________________________
S2Q9a_4. ___________________________
S2Q9a_5. ___________________________
(1) Mark “05” (Unconvicted) in Storage item 2B-Detention status.
(2) Else if “D” or “R” is marked, skip to S2Q9a_ar
(3) Else transcribe offenses to Storage item 2C-Current arrest offenses and continue with
S2Q9a_ar.
ASK IF S2Q1f=13 AND S2Q1d2=2:
S2Q9a_ar. In what month and year were you arrested for (INSERT OFFENSES FROM S2Q9A, OR IF NO OFFENSE INSERT “OFFENSES FOR WHICH YOU ARE TO STAND TRIAL”)?
ENTER MONTH: ____ (MM) (Range 1-12, D)
ENTER YEAR: ____ (YYYY) (Range 2000-CURRENT YEAR, D)
BLIND D OR R
INTERVIEWER: IF MORE THAN ONE DATE GIVEN, TAKE THE EARLIEST DATE
(1) ONLY IF SI_2A CONTAINS A DATE: Verify that the arrest date in S2Q9a_ar is on or before the admission date in Storage item 2A-Current admission date. If not, ask S2Q9av_ar.
(2) Else transcribe arrest date to Storage item 2D -Current arrest date and Skip to COMP_INSTR-5A.
ASK IF SI_2A CONTAINS A DATE AND S2Q9a_ar IS AFTER STORAGE ITEM 2A:
S2Q9av_ar. The arrest date you just gave me (INSERT ARREST DATE FROM S2Q9a_ar) is after your admission date of (INSERT STORAGE ITEM 2A – MOST RECENT ADMISSION DATE). Is this correct? ENTER ONE
(1) YES - transcribe date in (S2Q9a_ar) to Storage item 2D-Current arrest date and Skip to COMP_INSTR-5A.
(2) NO - Make corrections – Display items S2Q1a and S2Q9a_ar on screen. Allow interviewer to make changes. After interviewer has made corrections, transcribe S2Q1a to Storage item 2A – Most recent admission date and S2Q9a_ar to Storage item 2D – Current arrest date.
Screen example
I would like to verify a few items. (CORRECT AS NECESSARY or "ENTER" TO CONTINUE)
Admission date Month: _____ Year: ____ fill from S2Q1a Arrest date Month: _____ Year: ____ fill from S2Q9a_ar |
ASK IF S2Q1f=13 AND S2Q1d2=4:
For Safekeeping
S2Q10a. For what offenses were you arrested for or charged with when you were brought into this jail
for safekeeping? Any others? ENTER ALL THAT APPLY
(0) NONE/NO OFFENSE
(95) SPECIFY OFFENSES
BLIND D OR R
INTERVIEWER: ENTER ONE OFFENSE PER LINE USING AUTOCOMPLETE
PROGRAMMER: If s2q10a=95, implement AUTOCOMPLETE function linking responses to list of all possible offenses.
S2Q10a_1. ___________________________
S2Q10a_2. ___________________________
S2Q10a_3. ___________________________
S2Q10a_4. ___________________________
S2Q10a_5. ___________________________
(1) Mark “06” (No offense) in Storage item 2B-Detention status.
(2) Else if “D” or “R” is marked, skip to S2Q10a_ar
(3) Else transcribe offenses to Storage item 2C-Current arrest offenses and continue with S2Q10a_ar.
ASK IF S2Q1f=13 AND S2Q1d2=4:
S2Q10a_ar. In what month and year were you arrested or charged with (INSERT OFFENSES FROM S2Q10A, OR IF NO OFFENSES INSERT “OFFENSES FOR WHICH YOU WERE ARRESTED OR CHARGED WHEN YOU WERE BROUGHT IN FOR SAFEKEEPING”)?
ENTER MONTH: ____ (MM) (Range 1-12, D)
ENTER YEAR: ____ (YYYY) (Range 2000-CURRENT YEAR, D)
INTERVIEWER: IF MORE THAN ONE DATE GIVEN, TAKE THE EARLIEST DATE
(1) ONLY IF SI_2A CONTAINS A DATE: Verify that the arrest date in S2Q10a_ar is on or before the admission date in Storage item 2A-Current admission date. If not, ask S2Q10av_ar.
(2) Else transcribe arrest date to Storage item 2D -Current arrest date and Skip to COMP_INSTR_5A.
ASK IF SI_2A CONTAINS A DATE AND S2Q10a_ar IS AFTER STORAGE ITEM 2A:
S2Q10av_ar. The arrest date you just gave me (INSERT ARREST DATE FROM S2Q10a_ar) is after your admission date of (INSERT STORAGE ITEM 2A – MOST RECENT ADMISSION DATE). Is this correct? ENTER ONE
(1) Yes - transcribe date in (S2Q10a_ar) to Storage item 2D-Current arrest date and Skip to COMP_INSTR-5A.
(2) No - Make corrections – Display items S2Q1a and S2Q10a_ar on screen. Allow interviewer to make changes. After interviewer has made corrections, transcribe S2Q1a to Storage item 2A – Most recent admission date and S2Q10a_ar to Storage item 2D – Current arrest date and Skip to COMP_INSTR-5A.
Screen example
I would like to verify a few items. (CORRECT AS NECESSARY or "ENTER" TO CONTINUE) Admission date Month: _____ Year: ____ fill from S2Q1a Arrest date Month: _____ Year: ____ fill from S2Q10a_ar |
ASK IF S2Q1f=13 AND S2Q1d2=5:
As a Witness
S2Q11a. For what offenses were you arrested or charged with when you were brought in to jail to be held as a witness? Any others? ENTER ALL THAT APPLY
(0) NONE/NO OFFENSE
(95) SPECIFY OFFENSES
BLIND D OR R
INTERVIEWER: ENTER ONE OFFENSE PER LINE USING AUTOCOMPLETE
PROGRAMMER: If s2q11a=95, implement AUTOCOMPLETE function linking responses to list of all possible offenses.
S2Q11a_1. ___________________________
S2Q11a_2. ___________________________
S2Q11a_3. ___________________________
S2Q11a_4. ___________________________
S2Q11a_5. ___________________________
(1) Mark “06” (No offense) in Storage item 2B-Detention status.
(2) Else if “D” or “R” is marked, skip to S2Q11a_ar
(3) Else transcribe offenses to Storage item 2C-Current arrest offenses and continue with S2Q11a_ar.
ASK IF S2Q1f=13 AND S2Q1d2=5:
S2Q11a_ar. In what month and year were you arrested or charged with (INSERT OFFENSES FROM S2Q11a, OR IF NO OFFENSES INSERT “OFFENSES FOR WHICH YOU WERE ARRESTED OR CHARGED WHEN YOU WERE BROUGHT IN AS A WITNESS”)?
ENTER MONTH: ____ (MM) (Range 1-12, D)
ENTER YEAR: ____ (YYYY) (Range 2000-CURRENT YEAR, D)
INTERVIEWER: IF MORE THAN ONE DATE GIVEN, TAKE THE EARLIEST DATE
(1) ONLY IF SI_2A CONTAINS A DATE: Verify that the arrest date in S2Q11a_ar is on or before the admission date in Storage item 2A-Current admission date. If not, ask S2Q11av_ar.
(2) Else transcribe arrest date to Storage item 2D -Current arrest date and Skip to COMP_INSTR-5A.
ASK IF SI_2A CONTAINS A DATE AND S2Q11a_ar IS AFTER STORAGE ITEM 2A:
S2Q11av_ar. The arrest date you just gave me (INSERT ARREST DATE FROM S2Q11a_ar) is after your admission date of (INSERT STORAGE ITEM 2A – MOST RECENT ADMISSION DATE). Is this correct? ENTER ONE
(1) YES - transcribe date in (S2Q11a_ar) to Storage item 2D – Current arrest date and Skip to skip to COMP_INSTR-5A.
(2) NO - Make corrections – Display items S2Q1a and S2Q11a_ar on screen. Allow interviewer to make changes. After interviewer has made corrections, transcribe S2Q1a to Storage item 2A – Most recent admission date and S2Q11a_ar to Storage item 2D – Current arrest date. Skip to COMP_INSTR-5A.
Screen example
I would like to verify a few items. (CORRECT AS NECESSARY or "ENTER" TO CONTINUE) Admission date Month: _____ Year: ____ fill from S2Q1a Arrest date Month: _____ Year: ____ fill from S2Q11a_ar |
ASK IF S2Q1f=13 AND S2Q1d2=6:
For Contempt of Court
S2Q12a. For what offenses were you arrested or charged with when you were brought in to be held for
contempt of court? Any others? ENTER ALL THAT APPLY
(0) NONE/NO OFFENSE
(95) SPECIFY OFFENSES
BLIND D OR R
INTERVIEWER: ENTER ONE OFFENSE PER LINE USING AUTOCOMPLETE
PROGRAMMER: If s2q12a=95, implement AUTOCOMPLETE function linking responses to list of all possible offenses.
S2Q12a_1. ___________________________
S2Q12a_2. ___________________________
S2Q12a_3. ___________________________
S2Q12a_4. ___________________________
S2Q12a_5. ___________________________
(1) Mark “06” (No offense) in Storage item 2B – Detention status.
(2) Else if “D” or “R” is marked, skip to S2Q12a_ar.
(3) Else
transcribe offenses to Storage item
2C – Current arrest offenses and continue with S2Q12a_ar.
ASK IF S2Q1f=13 AND S2Q1d2=6:
S2Q12a_ar. In what month and year were you arrested or charged with (INSERT OFFENSES FROM S2Q12a, OR IF NO OFFENSES INSERT “OFFENSES FOR WHICH YOU WERE ARRESTED OR CHARGED WHEN YOU WERE BROUGHT TO BE HELD FOR CONTEMPT OF COURT”?
ENTER MONTH: ____ (MM) (Range 1-12, D)
ENTER YEAR: ____ (YYYY) (Range 2000-CURRENT YEAR, D)
INTERVIEWER: IF MORE THAN ONE DATE GIVEN, TAKE THE EARLIEST DATE
(1) ONLY IF SI_2A CONTAINS A DATE: Verify that the arrest date in S2Q12a_ar is on or before the admission date in Storage item 2A – Most recent admission date. If not, ask S2Q11av_ar.
(2) Else transcribe arrest date to Storage item 2D – Current arrest date and skip to COMP_INSTR-5A.
ASK IF SI_2A CONTAINS A DATE AND S2Q12a_ar IS AFTER STORAGE ITEM 2A:
S2Q12av_ar. The arrest date you just gave me (INSERT ARREST DATE FROM S2Q12a_ar) is after your admission date of (INSERT STORAGE ITEM 2A – MOST RECENT ADMISSION DATE). Is this correct? ENTER ONE
(1) YES - transcribe date in (S2Q12a_ar) to Storage item 2D – Current arrest date and Skip to skip to COMP_INSTR-5A.
(2) NO - Make corrections – Display items S2Q1a and S2Q12a_ar on screen. Allow interviewer to make changes. After interviewer has made corrections, transcribe S2Q1a to Storage item 2A – Most recent admission date and S2Q12a_ar to Storage item 2D – Current arrest date. Skip to COMP_INSTR-5A.
Screen example
I would like to verify a few items. (CORRECT AS NECESSARY or "ENTER" TO CONTINUE) Admission date Month: _____ Year: ____ fill from S2Q1a Arrest date Month: _____ Year: ____ fill from S2Q12a_ar |
ASK IF S2Q1f=13 AND S2Q1d2=9:
To Serve a Sentence for Another Authority
S2Q13a. For what offenses are you to serve a sentence somewhere else? ENTER ALL THAT APPLY
(0) NONE/NO OFFENSE
(95) SPECIFY OFFENSES
BLIND D OR R
INTERVIEWER: ENTER ONE OFFENSE PER LINE USING AUTOCOMPLETE
PROGRAMMER: If s2q13a=95, implement AUTOCOMPLETE function linking responses to list of all possible offenses.
S2Q13a_1. ___________________________
S2Q13a_2. ___________________________
S2Q13a_3. ___________________________
S2Q13a_4. ___________________________
S2Q13a_5. ___________________________
Mark “01” (Convicted, sentenced) in Storage item 2B-Detention Status.
(2) Else if “0” or “D” or “R” is marked, skip to S2Q13a_ar.
(3) Transcribe offenses to Storage item 2C-Current arrest offenses, Storage item 2F-New sentenced offenses, first line to Storage item 2O-Controlling offenses.
ASK IF S2Q1f=13 AND S2Q1d2=9:
S2Q13a_ar. In what month and year were you arrested for (INSERT OFFENSES FROM S2Q13A), OR IF NO OFFENSES (INSERT “OFFENSES FOR WHICH YOU ARE TO SERVE A SENTENCE SOMEWHERE ELSE”)?
ENTER MONTH: ____ (MM) (Range 1-12, D)
ENTER YEAR: ____ (YYYY) (Range 2000-CURRENT YEAR, D)
INTERVIEWER: IF MORE THAN ONE DATE GIVEN, TAKE THE EARLIEST DATE
(1) ONLY IF SI_2A CONTAINS A DATE: Verify that the arrest date in S2Q13a_ar is on or before the admission date in Storage item 2A-Current admission date. If not, ask S2Q13av_ar.
(2) Else transcribe arrest date to Storage item 2D -Current arrest date and Skip to COMP_INSTR-2J.
ASK IF SI_2A CONTAINS A DATE AND S2Q13a_ar IS AFTER STORAGE ITEM 2A:
S2Q13av_ar. The arrest date you just gave me (INSERT ARREST DATE FROM S2Q13a_ar) is after your
admission date of (INSERT ADMISSION DATE FROM STORAGE ITEM 2A). Is this correct? ENTER ONE
(1) YES - transcribe date in (S2Q13a_ar) to Storage item 2D-Current arrest date and go to COMP_INSTR-2J.
(2) NO - Make corrections – Display items S2Q1a and S2Q10a_ar on screen. Allow interviewer to make so changes. After interviewer has made corrections, transcribe S2Q1a to Storage item 2A – Most recent admission date and S2Q13a_ar to Storage item 2D – Current arrest date. Go to COMP_INSTR-2J.
COMP_INSTR_2J.
(1) If Storage item 2B-Detention status=01 (Convicted, sentenced) and offenses are listed in Storage item 2F-New Sentenced offenses, skip to S3Q1a (pretrial).
(2) Else Mark “06” (No offense) in Storage item 2B-Detention Status and Skip to COMP_INSTR-5A.
Screen example
I would like to verify a few items. (CORRECT AS NECESSARY or "ENTER" TO CONTINUE) Admission date Month: _____ Year: ____ fill from S2Q1a Arrest date Month: _____ Year: ____ fill from S2Q13a_ar |
ASK IF S2Q1f=13 AND S2Q1d2=1:
To Await Arraignment
S2Q14a. For what offenses are you awaiting arraignment? Any others? ENTER ALL THAT APPLY
(0) NONE/NO OFFENSE
(95) SPECIFY OFFENSES
BLIND D OR R
INTERVIEWER: ENTER ONE OFFENSE PER LINE USING AUTOCOMPLETE
PROGRAMMER: If s2q14a=95, implement AUTOCOMPLETE function linking responses to list of all possible offenses.
S2Q14a_1. ___________________________
S2Q14a_2. ___________________________
S2Q14a_3. ___________________________
S2Q14a_4. ___________________________
S2Q14a_5. ___________________________
(1) Mark “06” (No offense) in Storage item 2B – Detention status.
(2) Else if “D” or “R” is marked, skip to S2A14a_ar.
(3) Else transcribe offenses to Storage item 2C – Current arrest offenses and continue with S2Q14a_ar.
ASK IF S2Q1f=13 AND S2Q1d2=1:
S2Q14a_ar. In what month and year were you arrested for ((INSERT OFFENSES FROM S2Q14a), OR IF NO OFFENSES (INSERT “OFFENSES FOR WHICH YOU ARE AWAITING ARRAIGNMENT”))?
ENTER MONTH: ____ (MM) (Range 1-12, D)
ENTER YEAR: ____ (YYYY) (Range 2000-CURRENT YEAR, D)
INTERVIEWER: IF MORE THAN ONE DATE GIVEN, TAKE THE EARLIEST DATE
(1) ONLY IF SI_2A CONTAINS A DATE: Verify that the arrest date in S2Q14a_ar is on or before the admission date in Storage item 2A – Most recent admission date. If not, ask S2Q14av_ar.
(2) Else transcribe arrest date to Storage item 2D – Current arrest date and skip to COMP_INSTR-5A.
ASK IF SI_2A CONTAINS A DATE AND S2Q14a_ar IS AFTER STORAGE ITEM 2A:
S2Q14av_ar. The arrest date you just gave me (INSERT ARREST DATE FROM S2Q14a_ar) is after your admission date of (INSERT ADMISSION DATE FROM STORAGE ITEM 2A). Is this correct? ENTER ONE
(1) YES - transcribe date in (S2Q14a_ar) to Storage item 2D-Current arrest date and Skip to COMP_INSTR-5A.
(2) NO - Make corrections – Display items S2Q1a and S2Q14a_ar on screen. Allow interviewer to make changes. After interviewer has made corrections, transcribe S2Q1a to Storage item 2A-Current admission date and S2Q14a_ar to Storage item 2D-Current arrest date.
Screen example
I would like to verify a few items. (CORRECT AS NECESSARY or "ENTER" TO CONTINUE) Admission date Month: _____ Year: ____ fill from S2Q1a Arrest date Month: _____ Year: ____ fill from S2Q14a_ar |
COMP_INSTR_2K.
(1) If Storage item 2B-Detention status=02 (Convicted, awaiting sentencing) and offenses are listed in Storage item 2C-Current arrest offense offenses, skip to S3Q1a (pretrial).
(2) Else Mark “06” (No offense) in Storage item 2B-Detention Status, and Skip to COMP_INSTR_5A.
ASK IF S2Q1f=13 AND S2Q1d2=10:
Another reason, specify
S2Q16a. For what offenses were you arrested or charged with when you were brought in for (INSERT S2Q1d2_OTH)? Any others? ENTER ALL THAT APPLY
(0) NONE/NO OFFENSE
(95) SPECIFY OFFENSES
BLIND D OR R
INTERVIEWER: ENTER ONE OFFENSE PER LINE USING AUTOCOMPLETE
PROGRAMMER: If s2q16a=95, implement AUTOCOMPLETE function linking responses to list of all possible offenses.
S2Q16a_1. ___________________________
S2Q16a_2. ___________________________
S2Q16a_3. ___________________________
S2Q16a_4. ___________________________
S2Q16a_5. ___________________________
(1) Mark “06” (No offense) in Storage item 2B-Detention status.
(2) Else if “D” or “R” is marked, skip to S2Q16a_ar.
(3) Else transcribe offenses to Storage item 2C-Current arrest offenses and continue with S2Q16a_ar.
ASK IF S2Q1f=13 AND S2Q1d2=10:
S2Q16a_ar. In what month and year were you arrested for (INSERT OFFENSES FROM S2Q16a, OR IF NO
OFFENSES “OFFENSES FOR WHICH YOU BROUGHT IN FOR (INSERT S2Q1d2_OTH)”)?
ENTER MONTH: ____ (MM) (Range 1-12, D)
ENTER YEAR: ____ (YYYY) (Range 2000-CURRENT YEAR, D)
INTERVIEWER: IF MORE THAN ONE DATE GIVEN, TAKE THE EARLIEST DATE
(1) ONLY IF SI_2A CONTAINS A DATE: Verify that the arrest date in S2Q16a_ar is on or before the admission date in Storage item 2A-Current admission date. If not, ask S2Q16av_ar.
(2) Else transcribe arrest date to Storage item 2D-Current arrest date and skip to COMP_INSTR-5A.
ASK IF SI_2A CONTAINS A DATE AND S2Q16a_ar IS AFTER STORAGE ITEM 2A:
S2Q16av_ar. The arrest date you just gave me (INSERT ARREST DATE FROM S2Q16a_ar) is after your admission date of (INSERT STORAGE ITEM 2A – MOST RECENT ADMISSION DATE). Is this correct? ENTER ONE
(1) YES - transcribe date in (S2Q16a_ar) to Storage item 2D-Current arrest date and skip to COMP_INSTR-5A.
(2) NO - Make corrections – Display items S2Q1a and S2Q16a_ar on screen. Allow interviewer to make changes. After interviewer has made corrections, transcribe S2Q1a to Storage item 2A – Most recent admission date and S2Q16a_ar to Storage item 2D – Current arrest date. Skip to COMP_INSTR-5A.
Screen example
I would like to verify a few items. (CORRECT AS NECESSARY or "ENTER" TO CONTINUE) Admission date Month: _____ Year: ____ fill from S2Q1a Arrest date Month: _____ Year: ____ fill from S2Q16a_ar |
Section 3 – Pretrial Release and Trial
ASK IF STORAGE ITEM 2B – DETENTION STATUS = 01, 02, 03, or 04:
S3Q1a. When you were arrested or charged with (INSERT STORAGE ITEM 2C – CURRENT ARREST OFFENSES), were you charged with a misdemeanor or a felony or both? ENTER ONE
(1) Misdemeanor
(2) Felony
(3) Both misdemeanor and felony
(0) Neither, terms not used in this jurisdiction
BLIND D OR R
ASK IF STORAGE ITEM 2B – DETENTION STATUS = 01, 02, 03, or 04:
S3Q1b. In your trial for (INSERT STORAGE ITEM 2C – CURRENT ARREST OFFENSES) did you enter an Alford plea, a no contest plea, a guilty plea, or did you plead not guilty? ENTER ALL THAT APPLY
(1) ALFORD PLEA
(2) NO CONTEST PLEA
(3) GUILTY PLEA
(4) NOT GUILTY PLEA
(5) OTHER - Specify ___________________ (S3Q1b_OTH)
(96) NO OTHER MENTIONS
(h) Help - DISPLAY HELP SCREEN h_PLEA
BLIND D OR R
If S3Q1b=1, 2, 3, 5, d, r, ask S3Q1c. Else if only S3Q1b=4, go to S3Q1e.
h_PLEA.
Alford plea - A guilty plea to a charge by the defendant, despite his/her claim of innocence, because the evidence of guilt is overwhelming. Usually the plea is to a charge less than the original charge. The defendant agrees to plead guilty because he realizes that there is little chance to win acquittal on the original charge because of the strong evidence of his guilt.
No contest plea - A defendant's formal answer in court to the charge(s) contained in a complaint, information, or indictment, stating that he or she will not contest the charge(s), but neither admits guilt nor claims innocence. Also referred to as a nolo contendere plea.
Guilty plea - A defendant's formal answer in court to the charge(s) contained in a complaint, information, or indictment, stating that he or she will not contest the charge(s) and admits that he/she committed the offense(s) listed.
Not guilty plea - A defendant's formal answer in court to the charge(s) contained in a complaint, information, or indictment, claiming that he or she did not commit the offense(s) listed.
ASK IF S3Q1b=1, 2, 3, 5, D, R:
S3Q1c. Before your trial for (INSERT STORAGE ITEM 2C – CURRENT ARREST OFFENSES), did you reach an agreement with a prosecutor to plead guilty to a lesser charge, fewer counts, or less time? ENTER ONE
(1) YES
(2) NO - Skip to S3Q2a
BLIND D OR R - Skip to S3Q2a
ASK IF S3Q1c=1:
S3Q1c1. Which of the following did you agree to plead guilty to? ENTER ALL THAT APPLY
(1) A lesser charge
(2) Fewer counts
(3) Less time
(96) NO OTHER MENTIONS
BLIND D OR R
ASK IF S3Q1c=1:
S3Q1d. Did you plead to a misdemeanor or a felony or both? ENTER ONE
(1) Misdemeanor
(2) Felony
(3) Both misdemeanor and felony
(0) Neither, terms not used in this jurisdiction
BLIND D OR R
All skip to S3Q2a
ASK IF S3Q1b=4 ONLY:
S3Q1e. Were you found guilty by a judge or a jury? ENTER ONE
(1) JUDGE
(2) JURY
BLIND D OR R
ASK IF S3Q1b=4 ONLY:
S3Q1f. Were you found guilty of a misdemeanor or a felony or both? ENTER ONE
(1) Misdemeanor
(2) Felony
(3) Both misdemeanor and felony
(0) Neither, terms not used in this jurisdiction
BLIND D OR R
ASK IF STORAGE ITEM 2B – DETENTION STATUS = 01, 02, 03, or 04:
S3Q2a. Did you have a lawyer or public defender for the (INSERT STORAGE ITEM 2C – CURRENT ARREST OFFENSES) charge(s)? ENTER ONE
(1) YES – Skip to S3Q2b
(2) NO
BLIND D OR R
ASK IF S3Q2a=2, D, R:
S3Q2a1. Did you defend yourself? ENTER ONE
(1) YES
(2) NO
BLIND D OR R
All skip to S3Q3a
ASK IF S3Q2a=1:
S3Q2b. KEEP PREVIOUS QUESTION (S3Q2a) ON SCREEN. Did you hire your own lawyer or was one
assigned by the court? ENTER ONE
(1) Hired own lawyer
(2) Assigned by the court
(3) Both hired and assigned
BLIND D OR R
COMPLETE IF STORAGE ITEM 2B – DETENTION STATUS = 01, 02, 03, or 04:
FILL_3B.
If S3Q1b=1 insert “before your Alford plea”
If S3Q1b=2 Insert “before your no contest plea”
If S3Q1b=3 insert “before you pled guilty”
If S3Q1b=4 insert “before your trial began”
If S3Q1b=5 or BLIND D OR R insert "before your trial began"
If S3Q1b=MULTIPLE RESPONSES insert “before your plea and/or trial began”
ASK IF STORAGE ITEM 2B – DETENTION STATUS = 01, 02, 03, or 04:
S3Q2c. How many times did you talk to a lawyer about the charges (INSERT FILL_3B)?
____ NUMBER OF TIMES (Range 1-50)
(0) NONE - Skip to S3Q3a
BLIND D OR R
ASK IF S3Q2c>0, D, R:
S3Q2d1. When did you FIRST talk to a lawyer about (INSERT STORAGE ITEM 2C – CURRENT ARREST OFFENSES) on (INSERT STORAGE ITEM 2D – CURRENT ARREST DATE) -- within 24 hours of your arrest, within a week of your arrest, or more than a week AFTER your arrest? ENTER ONE
(1) WITHIN 24 HOURS OF YOUR ARREST - Skip to S3Q3a
(2) WITHIN A WEEK OF YOUR ARREST - Skip to S3Q3a
(3) MORE THAN A WEEK AFTER YOUR ARREST - Ask S3Q2d2 and keep S3Q2d1 on screen
BLIND D OR R - Skip to S3Q3a
ASK IF S3Q2d1=3:
S3Q2d2. (PROGRAMMER: keep S3Q2d1 on screen) When you first talked to your lawyer, was it more than a week before your trial, less than a week, about a week, or at your trial? ENTER ONE
(1) MORE THAN A WEEK BEFORE TRIAL
(2) LESS THAN A WEEK
(3) ABOUT A WEEK
(4) AT TRIAL
BLIND D OR R
ASK IF STORAGE ITEM 2B – DETENTION STATUS = 01, 02, 03, or 04:
S3Q3a. At any time after your arrest for the (INSERT STORAGE ITEM 2C – CURRENT ARREST OFFENSES) charge(s) was bail or bond set? ENTER ONE
(1) YES - Skip to S3Q3c
(2) NO
BLIND D OR R - Skip to S3Q3g
ASK IF S3Q3a=2:
S3Q3b. Why was bail or bond not set? ENTER ALL THAT APPLY
(1) Released on own recognizance - Skip to S3Q3e1
(2) Transferred to the custody of another authority – Skip to S3Q3g
(3) Non-bail/bond offense - Skip to COMP_INSTR_4A
(4) Parole/probation revocation or pending revocation - Skip to COMP_INSTR_4A
(5) Other offense pending - Skip to COMP_INSTR_4A
(95) Other - Specify___________________S3Q3b_OTH - Skip to COMP_INSTR_4A
(96) NO OTHER MENTIONS
BLIND D OR R - Skip to COMP_INSTR_4A
ASK IF S3Q3a=1:
S3Q3c. Were you released on bail or bond? ENTER ONE
(1) YES - Skip to S3Q3e
(2) NO
BLIND D OR R – Skip to S3Q3e
ASK IF S3Q3c=2:
S3Q3d. Why were you not released on bail or bond? ENTER ALL THAT APPLY
(1) Could not afford - Skip to COMP_INSTR_4A
(2) Did not want to be released - Skip to COMP_INSTR_4A
(3) Bondsman not found - Skip to COMP_INSTR_4A
(4) Sentenced, ineligible for bail - Skip to COMP_INSTR_4A
(5) On parole/probation - Skip to S3Q3g
(6) Bail/bond revoked - Skip to COMP_INSTR_4A
(7) Released some other way - Skip to S3Q3g
(8) Held for other court or jurisdiction - Skip to COMP_INSTR_4A
(95) Other - Specify____________S3Q3d_OTH - Skip to COMP_INSTR_4A
(96) NO OTHER MENTIONS
BLIND D OR R - Skip to Comp_Instr_4A
ASK IF S3Q3c=1, D or R:
S3Q3e. While you were out on bail or bond release were you… ENTER ALL THAT APPLY (SHOW CARD)
(1) Required to report to a probation/parole/pretrial officer,
(2) Placed on electronic monitoring/house arrest,
(3) Required to stay in the country or state,
(4) Required to stay away from a specific area (e.g., schools),
(5) Required to submit to drug testing,
(6) Required to participate in any special education, counseling, or treatment program,
(7) Required to maintain employment,
(8) Required to surrender your vehicle,
(9) Required to perform community service,
(10) Required to stay away from the victim, or
(95) Required to do anything else? - Specify__________ (S3Q3e_OTH)
(96) NO OTHER MENTIONS
(0) NONE
BLIND D OR R
ASK IF S3Q3b=1:
S3Q3e1. While you were out on your own recognizance were you … ENTER ALL THAT APPLY (SHOW CARD)
(1) Required to report to a probation/parole/pretrial officer,
(2) Placed on electronic monitoring/house arrest,
(3) Required to stay in the country or state,
(4) Required to stay away from a specific area (e.g., schools),
(5) Required to submit to drug testing,
(6) Required to participate in any special education, counseling, or treatment program,
(7) Required to maintain employment,
(8) Required to surrender your vehicle,
(9) Required to perform community service,
(10) Required to stay away from the victim, or
(95) Required to do anything else? - Specify__________ (S3Q3e1_OTH)
(96) NO OTHER MENTIONS
(0) NONE
BLIND D OR R
ASK IF S3Q3c=1 OR S3Q3b=1:
S3Q3f. How long were you out on (INSERT BAIL/BOND OR ROR)?
ENTER DAYS: ____ (Range 1-600, D, blank)
ENTER WEEKS: ____ (Range 1-104, D, blank)
ENTER MONTHS: ____ (Range 1-24, D, blank)
ENTER YEARS: ____ (Range 1-10, D, blank)
BLIND D OR R
ASK IF S3Q3a=D,R OR S3Q3b=1,2 OR S3Q3c=1 OR S3Q3d=5,7:
S3Q3g. Did you fail to appear for any scheduled court appearance? ENTER ONE
(1) YES
(2) NO - Skip to COMP_INSTR_4A
BLIND D OR R - Skip to COMP_INSTR_4A
ASK IF S3Q3g=1:
S3Q3g2. Why did you fail to appear for a scheduled court appearance? ENTER ALL THAT APPLY
(1) Chose not to appear
(2) Forgot to appear
(3) Could not find transportation to court
(4) Interfered with work or school
(5) Interfered with family obligation
(6) Medical reason
(95) Other – Specify __________________________ (S3Q3g2_OTH)
(96) NO OTHER MENTIONS
BLIND D OR R
Section 4 – Current Sentence
COMPLETE IF STORAGE ITEM 2B=01 THROUGH 05:
COMP_INSTR_4A.
(1) If Storage item 2B=02, 04, 05, transcribe offense in Storage item 2O - Controlling Offense to Storage item 4C – Final Controlling Offense and Skip to COMP_INSTR_5A (Incident characteristics).
(2) If Storage item 2B – Detention Status=01 ask S4Q1a. If Storage item 2B-Detention Status=03
ask S4Q9.
(3) If an offense item is D or R, and is referred to for a fill, use “offense(s)” for fills in
Items.
ASK IF STORAGE ITEM 2B=01:
SECTION A: CURRENT SENTENCED OFFENSES: DETENTION STATUS=01
The following questions are about your current sentence to jail, prison, or another correctional facility
Sentenced to Incarceration
S4Q1a. Have you been sentenced to serve time in jail, prison, or another correctional facility for the
following offenses (INSERT OFFENSES FROM STORAGE ITEM 2F – NEW SENTENCED OFFENSES AND PROVIDE A SPACE FOR EACH TO BE CHECKED) for which you were arrested on (INSERT STORAGE ITEM 2P – CONTROLLING ARREST DATE)?
INTERVIEWER: ENTER ONE PER LINE
(1) YES (2) NO Offense
S4Q1a_1. ___ ___________________________
S4Q1a_2. ___ ___________________________
S4Q1a_3. ___ ___________________________
S4Q1a_4. ___ ___________________________
S4Q1a_5. ___ ___________________________
BLIND D OR R
COMP_INSTR_4B.
See Storage item 2F-New sentenced offenses
(1) If more than one offense is checked sentenced to jail, prison, or another correctional facility - Skip to S4Q2a
(2) If only ONE offense is checked sentenced to jail, prison, or another correctional facility - store offense in Storage item 4C-Final Controlling offenses and continue with S4Q1b.
(3) If offenses are listed but not checked sentenced to jail, prison, or another correctional facility– Skip to S4Q3a (Probation sentences).
ASK IF COMP_INSTR_4B=2:
Single Sentenced Offense
S4Q1b. How long is your sentence to jail, prison or another correctional facility for the (INSERT OFFENSE FROM STORAGE ITEM 4C-FINAL CONTROLLING OFFENSE)? Include any time suspended by a judge or court.
(1) Life
(2) Life plus additional years
(3) Life without parole
(4) Death
(5) Intermittent (weekends/nights)
(95) ENTER NUMERIC SENTENCE
BLIND D OR R
PROGRAMMER: IF S4Q1B=95 THEN SHOW SCREEN WITH NUMERIC FIELDS FOR SENTENCE AS FOLLOWS.
INTERVIEWER: IF INMATE GIVES ONE NUMBER, ENTER IT UNDER MAXIMUM OR FLAT.
Minimum Maximum or flat
ENTER YEARS: ____ (Range 1-50, blank) ____ (Range 1-99, blank)
ENTER MONTHS: ____ (Range 1-36, blank) ____ (Range 1-99, blank)
ENTER DAYS: ____ (Range 1-90, blank) ____ (Range 1-90, blank)
All skip to S4Q2b
ASK IF COMP_INSTR_4B=1:
Multiple Sentenced Offenses
S4Q2a. What is the total maximum sentence length for all the consecutive sentences you are serving for (INSERT OFFENSES FROM S4Q1a)? Include any time suspended by a judge or court.
(1) Life
(2) Life plus additional years
(3) Life without parole
(4) Death
(5) Intermittent (weekends/nights)
(95) ENTER NUMERIC SENTENCE
BLIND D OR R
PROGRAMMER: IF S4Q2A=95 THEN SHOW SCREEN WITH NUMERIC FIELDS FOR SENTENCE AS FOLLOWS.
ENTER YEARS: ____ (Range 1-100, blank)
ENTER MONTHS: ____ (Range 1-50, blank)
ENTER DAYS: ____ (Range 1-90, blank)
ASK IF COMP_INSTR_4B=1:
S4Q2a1. Of the (INSERT OFFENSES FROM S4Q1a THAT ARE CHECKED FOR HAVING BEEN SENTENCED) for which offense did you receive the longest sentence to jail, prison, or another correctional facility?
(1) _____ OFFENSE THAT RECEIVED THE LONGEST SENTENCE (Range 1-5)
(0) _____ ALL HAVE THE SAME LENGTH
(6) _____ ONLY ONE SENTENCE RECEIVED
BLIND D OR R
If (1) is selected, Store the ONE offense selected from 1 -5 in S4Q1a in Storage item 4C – Final Controlling Offense.
If (0 or 6) or BLIND D OR R is selected, store the first line of offenses checked sentenced to jail, prison or another facility from S4Q1a in Storage item 4C – Final Controlling Offense.
ASK IF COMP_INSTR_4B=1:
S4Q2a2. How long is the sentence for the (INSERT OFFENSE FROM STORAGE ITEM 4C-FINAL
CONTROLLING OFFENSE)? Include any time suspended by a judge or court.
(1) Life
(2) Life plus additional years
(3) Life without parole
(4) Death
(5) Intermittent (weekends/nights)
(95) ENTER NUMERIC SENTENCE
BLIND D OR R
PROGRAMMER: IF S4Q2A2=95 THEN SHOW SCREEN WITH NUMERIC FIELD FOR SENTENCE AS FOLLOWS.
INTERVIEWER: IF INMATE GIVES ONE NUMBER, ENTER IT UNDER MAXIMUM OR FLAT.
Minimum Maximum or flat
ENTER YEARS: ____ (Range 1-50, blank) _____ (Range 1-99, blank)
ENTER MONTHS: ____ (Range 1-36, blank) _____ (Range 1-99, blank)
ENTER DAYS: ____ (Range 1-90, blank) _____ (Range 1-90, blank)
ASK COMP_INSTR_4B=1or 2:
S4Q2b. Did you receive an increase in (INSERT “YOUR SENTENCE” IF ONLY ONE OFFENSE IS CHECKED
SENTENCE TO JAIL, PRISON OR ANOTHER CORRECTIONAL FACILITY IN STORAGE ITEM 2F – NEW SENTENCED OFFENSES; OR INSERT “ANY OF YOUR SENTENCES” IF MORE THAN ONE OFFENSES IS CHECKED) because of… ENTER ONE FOR EACH
(1) YES (2) NO
S4Q2b_1. ___ A firearms violation?
S4Q2b_2. ___ A second or third strike?
S4Q2b_3. ___ The type of drug offense?
S4Q2b_4. ___ A hate crime?
S4Q2b_5. ___ Gang involvement?
S4Q2b_6. ___ Past DWI/DUI offenses?
S4Q2b_95. ___ Other? Specify________ (S4Q2b_OTH)
(96) NO OTHER MENTIONS
BLIND D OR R
ASK IF COMP_INSTR_4B=1or 2:
S4Q2c. When you were sentenced, was any part of your total sentence suspended by a judge or court? ENTER ONE
(1) YES
(2) NO - Skip to S4Q2e
BLIND D OR R - Skip to S4Q2e
ASK IF S4Q2c=1:
S4Q2d. By how much was your sentence suspended?
ENTER YEARS: ____ (Range 1-60, blank)
ENTER MONTHS: ____ (Range 1-30, blank)
ENTER DAYS: ____ (Range 1-200, blank)
-or-
(1) ALL OF IT
BLIND D OR R
ASK IF COMP_INSTR_4B=1or 2:
S4Q2e. Are you sentenced to jail, prison or another correctional facility as a juvenile, youthful offender or an adult? ENTER ONE FOR EACH
(1) YES (2) NO
S4Q2e_1. ___ Juvenile?
S4Q2e_2. ___ Youthful offender?
S4Q2e_3. ___ Adult?
BLIND D OR R
(h) Help - DISPLAY HELP SCREEN h_YOUTH
h_YOUTH.
Youthful offender - A category, established by statute in some states, which has an age limit above that for juveniles, whereby the person is not sentenced as an adult, and for which special correctional commitments and special record sealing procedures are made available.
Juvenile - A youth, within the age established by Statute, who has been sentenced in a juvenile court. Age limitations of "juveniles" vary among the states from 16 to 21 years of age, with the most common upper limit being 18 years.
ASK IF COMP_INSTR_4B=1or 2:
S4Q2f. In what month and year were you sentenced?
ENTER MONTH: ____ (MM) (Range 1-12, D)
ENTER YEAR: ____ (YYYY) (Range 2000-CURRENT YEAR, D)
BLIND D OR R - Ask S4Q2g
Else Skip to S4Q3a
ASK IF S4Q2f=D, R:
S4Q2g. How old were you when you were sentenced?
____ YEARS OF AGE (Range 8-90)
Blind D or R
PROGRAMMER: IF NUMBER IS LESS THAN 8 OR GREATER THAN 65, DISPLAY “VERIFY ENTRY”
ASK IF STORAGE ITEM 2B=01:
Sentenced to Probation
S4Q3a. Have you been sentenced to any probation for the (INSERT OFFENSES FROM STORAGE ITEM 2F-
NEW SENTENCED OFFENSES AND PROVIDE A PLACE FOR EACH TO BE CHECKED IN STORAGE ITEM 4A-PROBATION SENTENCE FOR NEW OFFENSES)?
INTERVIEWER: ENTER ONE PER LINE
(1) YES (2) NO
S4Q3a_1. ___ ___________________________
S4Q3a_2. ___ ___________________________
S4Q3a_3. ___ ___________________________
S4Q3a_4. ___ ___________________________
S4Q3a_5. ___ ___________________________
BLIND D OR R
COMP_INSTR_4D.
See Storage item 4A-Probation sentences for new offenses
(1) If only ONE offense is checked yes sentenced to probation, continue with S4Q3b
(2) If more than one offense is checked yes sentenced to probation, Skip to S4Q3c
(3) If no offense is checked yes sentenced to probation, and at least one offense is checked yes sentenced to jail/prison in S4Q1a, skip to S4Q4d
(4) If no offense is checked yes to sentenced probation and no offense is checked yes sentenced to jail/prison in S4Q1a, skip to COMP_INSTR_4F
ASK IF COMP_INSTR_4D=1:
Single probation offense
S4Q3b. How long is your sentence to probation for the (INSERT OFFENSE CHECKED FROM STORAGE
ITEM 4A-PROBATION SENTENENCE FOR NEW OFFENSES)?
ENTER YEARS: ____ (Range 1-10, blank)
ENTER MONTHS: ____ (Range 1-36, blank)
ENTER DAYS: ____ (Range 1-200, blank)
BLIND D OR R
COMP_INSTR_4D1.
(1) If no offense from 2F is checked sentenced to jail, prison or another correctional facility in S4Q1a, transcribe the 4A offense checked sentenced to probation in S4Q3a to Storage item 4C-Final Controlling offense and skip to S4Q4a.
(2) Else if 2F offenses are checked in S4Q1a, skip to S4Q4d.
ASK IF COMP_INSTR_4D=2:
Multiple probation offenses
S4Q3c. What is the total maximum sentence for all of your consecutive sentences to probation for (INSERT OFFENSES FROM S4Q1a)?
ENTER YEARS: ____ (Range 1-3, blank)
ENTER MONTHS: ____ (Range 1-36, blank)
ENTER DAYS: ____ (Range 1-200, blank)
BLIND D OR R
ASK IF COMP_INSTR_4D=2:
S4Q3d. Of the (INSERT OFFENSES CHECKED FROM STORAGE ITEM 4A – PROBATION SENTENCE FOR NEW OFFENSES) for which offense did you receive the longest sentence to probation? READ ALOUD EACH OFFENSE
(1) _____ OFFENSE THAT RECEIVED THE LONGEST SENTENCE (Range 1-5)
(0) _____ ALL HAVE THE SAME LENGTH
(6) _____ ONLY ONE SENTENCE RECEIVED
BLIND D OR R
COMP_INSTR_4D2.
Review responses to S4Q1a
(1) If no 2F offense is checked sentenced to jail, prison or another correctional facility in S4Q1a and (1) is selected in S4Q3d, transcribe the ONE offense selected from 1-5 to Storage item 4C-Final Controlling offense. Ask S4Q4a.
(2) If no 2F offense is checked sentenced to jail, prison or another correctional facility in S4Q1a, and (0, 6) or D or R is selected in S4Q3d, transcribe the first line from offenses checked sentenced to probation in Storage item 4A-probation sentence for new offenses to Storage item 4C- Final Controlling offense. Ask S4Q4a.
(3) Else if any 2F offense is checked sentenced to jail, prison or another correctional facility in S4Q1a, skip to S4Q4d
ASK IF COMP_INSTR_4D1=1 or COMP_INSTR_4D2=1 or 2:
S4Q4a. Are you sentenced to probation as a juvenile, youthful offender or an adult? ENTER ONE FOR EACH
YES (2) NO
S4Q4a_1. ___ Juvenile?
S4Q4a_2. ___ Youthful offender?
S4Q4a_3. ___ Adult?
BLIND D OR R
(h) Help - DISPLAY HELP SCREEN h_YOUTH
h_YOUTH.
Youthful offender - A category, established by statute in some states, which has an age limit above that for juveniles, whereby the person is not sentenced as an adult, and for which special correctional commitments and special record sealing procedures are made available.
Juvenile - A youth, within the age established by Statute, who has been sentenced in a juvenile court. Age limitations of "juveniles" vary among the states from 16 to 21 years of age, with the most common upper limit being 18 years.
ASK IF COMP_INSTR_4D1=1 or COMP_INSTR_4D2=1 or 2:
S4Q4b. In what month and year were you sentenced to probation?
ENTER MONTH: ____ (MM) (Range 1-12, D)
ENTER YEAR: ____ (YYYY) (Range 2000-CURRENT YEAR, D)
BLIND D OR R – ask S4Q4c
ASK IF S4Q4b=D,R:
S4Q4c. How old were you when you were sentenced to probation?
____ YEARS OF AGE (Range 0-99)
BLIND D OR R
PROGRAMMER: IF NUMBER IS LESS THAN 8 OR GREATER THAN 65, DISPLAY “VERIFY ENTRY”
ASK IF COMP_INSTR_4D1=1 or COMP_INSTR_4D2=1 or 2:
S4Q4c1. Did you receive an increase in (INSERT “YOUR SENTENCE” IF ONLY ONE OFFENSE IS CHECKED
SENTENCE TO JAIL, PRISON, OR ANOTHER CORRECTIONAL FACILITY IN STORAGE ITEM 2F-NEW SENTENCED OFFENSES; OR INSERT “ANY OF YOUR SENTENCES” IF MORE THAN ONE OFFENSES IS CHECKED) because of… ENTER ONE FOR EACH
(1) YES (2) NO
S4Q4c1_1. ___ A firearms violation?
S4Q4c1_2. ___ A second or third strike?
S4Q4c1_3. ___ The type of drug offense?
S4Q4c1_4. ___ A hate crime?
S4Q4c1_5. ___ Gang involvement?
S4Q4c1_6. ___ Past DWI/DUI offenses?
S4Q4c1_7. ___ Other? Specify_________ (S4Q4c1_OTH)
BLIND D OR R
ASK IF COMP_INSTR_4D1=1 or COMP_INSTR_4D2=1 or 2:
S4Q4c2. When you were sentenced to probation, was any part of your total sentence suspended by a judge or court? ENTER ONE
(1) YES
(2) NO – Skip to S4Q4d
BLIND D OR R – Skip to S4Q4d
ASK IF S4Q4c2=1:
S4Q4c3. By how much was your sentence suspended?
ENTER YEARS: ____ (Range 1-60, blank)
ENTER MONTHS: ____ (Range 1-30, blank)
ENTER DAYS: ____ (Range 1-200, blank)
-OR-
(1) ALL OF IT
BLIND D OR R
ASK IF COMP_INSTR_4B=1or 2 OR COMP_INSTR_4D=1or 2:
S4Q4d. Does your sentence to incarceration or probation include… ENTER ONE FOR EACH
|
Yes |
No |
S4Q4d_1. Court costs or penalty assessment fees? |
1 |
2 |
S4Q4d_2. Any fines? |
1 |
2 |
S4Q4d_3. Financial restitution to the victim if there was one? |
1 |
2 |
S4Q4d_95. Some other type of fee or payment? If S4Q4d_95=1, ask S4Q4d_OTH |
1 |
2 |
S4Q4d_OTH. [IF S4Q4d_95=1] Specify ______________________ |
BLIND D OR R
(h) Help - DISPLAY HELP SCREEN h_SENTENCED
h_ SENTENCED.
A judge or jury has imposed penalties upon a person convicted of a crime. Penalties may include imprisonment or payment of fines, or any of a number of alternatives to incarceration such as probation, restitution, or supervised community release.
ASK IF COMP_INSTR_4B=1or 2 OR COMP_INSTR_4D=1or 2:
S4Q4e. Does your sentence to incarceration or probation include – ENTER ALL THAT APPLY
|
Yes |
No |
S4Q4e_1. Community Service? |
1 |
2 |
S4Q4e_2. Mandatory drug testing? |
1 |
2 |
S4Q4e_3. Drug or alcohol treatment program? |
1 |
2 |
S4Q4e_4. Register as a sex offender? |
1 |
2 |
S4Q4e_5. Sex offenders treatment program? |
1 |
2 |
S4Q4e_6. Psychiatric or psychological counseling or treatment? |
1 |
2 |
S4Q4e_95. Any other special conditions or restrictions? If S4Q4e_95=1, ask S4Q4e_OTH |
1 |
2 |
S4Q4e_OTH. [IF S4Q4e_95=1] Specify ____________________ |
BLIND D OR R
(h) Help - DISPLAY HELP SCREEN h_SENTENCED
h_ SENTENCED.
A judge or jury has imposed penalties upon a person convicted of a crime. Penalties may include imprisonment or payment of fines, or any of a number of alternatives to incarceration such as probation, restitution, or supervised community release.
COMP_INSTR_4E.
(1) Check S4Q1a.
(2) Is “yes” checked for any offense? If yes, ask S4Q5a.
(3) Else, skip to COMP_INSTR_4F.
ASK IF COMP_INSTR_4B=1or 2:
S4Q5a. How much time in jail, prison, or another correctional facility have you already served on your sentence? Include all time served in jail, prison, or another facility that counts toward your sentence.
(0) Never admitted
(95) ENTER NUMERIC SENTENCE
BLIND D OR R
PROGRAMMER: IF S4Q5A=95 THEN SHOW SCREEN WITH NUMERIC FIELD SENTENCE AS FOLLOWS.
ENTER YEARS: ____ (Range 1-3, blank)
ENTER MONTHS: ____ (Range 1-36, blank)
ENTER DAYS: ____ (Range 1-200, blank)
ASK IF COMP_INSTR_4B=1or 2:
S4Q5b. Will you serve (IF “0” INSERT “YOUR”; ELSE INSERT “THE TIME REMAINING ON THIS”)
sentence in this jail or will you spend any of the time somewhere else? ENTER ONE
(1) ALL IN THIS JAIL -Skip to COMP_INSTR_4F
(2) SOME OR ALL OF THE TIME SOMEWHERE ELSE
BLIND D OR R - Skip to COMP_INSTR_4F
ASK IF S4Q5b=2:
S4Q5c. Where else will you serve time -- a state prison, federal prison, another local jail, a private prison, community release facility, or another kind of facility? ENTER ALL THAT APPLY
(1) STATE PRISON
(2) FEDERAL PRISON
(3) LOCAL JAIL
(4) PRIVATE PRISON
(5) COMMUNITY RELEASE FACILITY
(95) OTHER ___________________S4Q5c_OTH
(96) NO OTHER MENTIONS
BLIND D OR R
COMPLETE IF STORAGE ITEM 2B=01:
COMP_INSTR_4F.
(1) Check Storage item 2K. If offenses are listed in storage item 2K - Most recent prior sentenced offenses, continue with S4Q6.
(2) Else, Skip to COMP_INSTR_5A (Incident Characteristics).
ASK IF STORAGE ITEM 2B=01:
Section B: MOST RECENT PRIOR SENTENCED OFFENSES
SENTENCED TO INCARCERATION
S4Q6. Were you sentenced to serve time in jail, prison, or another correctional facility for the following offenses for which you were arrested on (INSERT DATE FROM STORAGE ITEM 2Q – PRIOR ARREST DATE)?
PROGRAMMER: Insert offenses from Storage item 2K-Prior sentenced offenses and provide a space for each to be checked
INTERVIEWER: ENTER ONE PER LINE
(1) YES (2) NO
S4Q6_1. ___ ___________________________
S4Q6_2. ___ ___________________________
S4Q6_3. ___ ___________________________
S4Q6_4. ___ ___________________________
S4Q6_5. ___ ___________________________
BLIND D OR R
COMPLETE IF STORAGE ITEM 2B=01 AND HAS ANY OFFENSES LISTED IN STORAGE ITEM 2K:
COMP_INSTR_4G.
See Storage item 2K-Prior sentenced offenses
(1) If only ONE offense is checked sentenced to jail, prison or another correctional facility in S4Q6, ask S4Q6a.
(2) If more than one offense is checked sentenced to jail, prison or another correctional facility in S4Q6, Skip to S4Q6b.
(3) If no offense is checked sentenced to jail, prison or another correctional facility in S4Q6, skip to S4Q7.
ASK IF COMP_INSTR_4G=1:
Single Sentenced Offense
S4Q6a. How long was the sentence to jail or another correctional facility for (INSERT OFFENSE FROM STORAGE ITEM 2K – PRIOR SENTENCED OFFENSES)? Include any time suspended by a judge or court.
(1) Life
(2) Life plus additional years
(3) Life without parole
(4) Death
(5) Intermittent (weekends/nights)
(95) ENTER NUMERIC SENTENCE
BLIND D OR R
PROGRAMMER: IF S4Q6A=95 THEN SHOW SCREEN WITH NUMERIC FIELD FOR SENTENCE AS FOLLOWS.
INTERVIEWER: IF INMATE GIVES ONE NUMBER, ENTER IT UNDER MAXIMUM OR FLAT.
Minimum Maximum or flat
ENTER YEARS: ____ (Range 1-50, blank) _____ (Range 1-99, blank)
ENTER MONTHS: ____ (Range 1-36, blank) _____ (Range 1-99, blank)
ENTER DAYS: ____ (Range 1-90, blank) _____ (Range 1-90, blank)
All go to S4Q6c.
ASK IF COMP_INSTR_4G=2:
Multiple Sentenced Offenses
S4Q6b. What was the total maximum sentence length for all the consecutive sentences you were
serving for (INSERT OFFENSES CHECKED SENTENCED TO JAIL, PRISON, OR ANOTHER CORRECTIONAL FACILITY FROM STORAGE ITEM 2K – PRIOR SENTENCED OFFENSES)? Include any time suspended by a judge or court.
(1) Life
(2) Life plus additional years
(3) Life without parole
(4) Death
(5) Intermittent (weekends/nights)
(95) ENTER NUMERIC SENTENCE
BLIND D OR R
PROGRAMMER: IF S4Q6B=95 THEN SHOW SCREEN WITH NUMERIC FIELD FOR SENTENCE AS FOLLOWS.
ENTER YEARS: ____ (Range 1-100, blank)
ENTER MONTHS: ____ (Range 1-50, blank)
ENTER DAYS: ____ (Range 1-90, blank)
ASK IF COMP_INSTR_4G=1 or 2:
S4Q6c. Did you receive an increase in (INSERT “YOUR SENTENCE” IF ONE OFFENSE IS CHECKED IN
STORAGE ITEM 2K-PRIOR SENTENCED OFFENSES OR INSERT “ANY OF YOUR SENTENCES” IF MORE THAN ONE OFFENSE IS CHECKED IN STORAGE ITEM 2K-PRIOR SENTENCED OFFENSES) because of… ENTER ONE FOR EACH
(1) YES (2) NO
S4Q4c1_1. ___ A firearms violation?
S4Q4c1_2. ___ A second or third strike?
S4Q4c1_3. ___ The type of drug offense?
S4Q4c1_4. ___ A hate crime?
S4Q4c1_5. ___ Gang involvement?
S4Q4c1_6. ___ Past DWI/DUI offenses?
S4Q4c1_7. ___ Other? Specify_________
BLIND D OR R
ASK IF COMP_INSTR_4G=1 or 2:
S4Q6d. Was any part of your total sentence suspended by a judge or court? ENTER ONE
(1) YES
(2) NO - Skip to S4Q6f
BLIND D OR R - Skip to S4Q6f
ASK IF S4Q6d=1:
S4Q6e. By how much was your sentence suspended?
(1) ALL OF IT
(95) ENTER NUMERIC SENTENCE
BLIND D OR R
PROGRAMMER: IF S4Q6E=95 THEN SHOW SCREEN WITH NUMERIC FIELD FOR SENTENCE AS FOLLOWS.
ENTER YEARS: ____ (Range 1-60, blank)
ENTER MONTHS: ____ (Range 1-30, blank)
ENTER DAYS: ____ (Range 1-200, blank)
ASK IF COMP_INSTR_4G=1 or 2:
S4Q6f. Were you sentenced as a juvenile, youthful offender or an adult? ENTER ONE FOR EACH
(1) YES (2) NO
S4Q6f_1. ___ Juvenile?
S4Q6f_2. ___ Youthful offender?
S4Q6f_3. ___ Adult?
BLIND D OR R
(h) Help - DISPLAY HELP SCREEN h_YOUTH
h_YOUTH.
Youthful offender - A category, established by statute in some states, which has an age limit above that for juveniles, whereby the person is not sentenced as an adult, and for which special correctional commitments and special record sealing procedures are made available.
Juvenile - A youth, within the age established by Statute, who has been sentenced in a juvenile court. Age limitations of "juveniles" vary among the states from 16 to 21 years of age, with the most common upper limit being 18 years.
ASK IF COMP_INSTR_4G=1 or 2:
S4Q6g. In what month and year were you sentenced?
ENTER MONTH: ____ (MM) (Range 1-12, D)
ENTER YEAR: ____ (YYYY) (Range 2000-CURRENT YEAR, D)
BLIND D OR R
INTERVIEWER: IF MORE THAN ONE DATE, TAKE THE FIRST DATE SENTENCED.
ASK IF S4Q6g=D,R:
S4Q6h. How old were you when you were sentenced?
____ YEARS OF AGE (Range 0-99)
BLIND D OR R
PROGRAMMER: IF NUMBER IS LESS THAN 8 OR GREATER THAN 65, DISPLAY “VERIFY ENTRY”
ASK IF STORAGE ITEM 2B=01 AND HAS ANY OFFENSES LISTED IN STORAGE ITEM 2K:
Sentenced to Probation
S4Q7. Were you sentenced to any probation for the (INSERT STORAGE ITEM 2K – PRIOR SENTENCED OFFENSES AND PROVIDE A SPACE FOR EACH TO BE CHECKED IN STORAGE ITEM 4B – PROBATION SENTENCE FOR PRIOR OFFENSES)?
INTERVIEWER: ENTER ONE PER LINE
(1) YES (2) NO
S4Q7_a. ___ ___________________________
S4Q7_b. ___ ___________________________
S4Q7_c. ___ ___________________________
S4Q7_d. ___ ___________________________
S4Q7_e. ___ ___________________________
BLIND D OR R
COMPLETE IF STORAGE ITEM 2B=01 AND HAS ANY OFFENSES LISTED IN STORAGE ITEM 2K:
COMP_INSTR_4H.
See Storage item 4B – Probation Sentences for prior offenses.
(1) If only ONE 4B offense is checked in S4Q7, continue with S4Q7a.
(2) If more than one 4B offense is checked in S4Q7, skip to S4Q7b.
(3) If no 4B offense is checked in S4Q7, skip to COMP_INSTR_5A (Incident Characteristics).
ASK IF COMP_INSTR_4H=1:
S4Q7a. How long was your sentence to probation for the (INSERT OFFENSES CHECKED FROM STORAGE ITEM 4B – PROBATION SENTENCES FOR PRIOR OFFENSES)?
ENTER YEARS: ____ (Range 1-3, blank)
ENTER MONTHS: ____ (Range 1-36, blank)
ENTER DAYS: ____ (Range 1-200, blank)
BLIND D OR R
All skip to COMP_INSTR_4H1.
ASK IF COMP_INSTR_4H=2:
S4Q7b. What was the total maximum sentence for all of your consecutive sentences to probation for (INSERT OFFENSES CHECKED FROM STORAGE ITEM 4B – PROBATION SENTENCES FOR PRIOR OFFENSES)?
ENTER YEARS: ____ (Range 1-3, blank)
ENTER MONTHS: ____ (Range 1-36, blank)
ENTER DAYS: ____ (Range 1-200, blank)
BLIND D OR R
COMPLETE IF ANY OFFENSES LISTED IN STORAGE ITEM 2K:
COMP_INST_4H1.
Check S4Q6. Is “yes” checked for any offense?
(1) YES, ask S4Q8a.
(2) NO, Skip to COMP_INSTR_5A (Incident characteristics)
ASK IF COMP_INSTR_4H1=1 or COMP_INSTR_4G=1 or 2:
S4Q8a. How much time in jail, prison or another correctional facility have you already served on your sentence for (INSERT STORAGE ITEM 2K – PRIOR SENTENCED OFFENSES)? Include all time served in jail, prison, or another correctional facility that counts toward your sentence.
(0) NONE OF IT
(1) ALL OF IT
(95) ENTER NUMERIC SENTENCE
BLIND D OR R
PROGRAMMER: IF S4Q2A2=95 THEN SHOW SCREEN WITH NUMERIC FIELD FOR SENTENCE AS FOLLOWS.
ENTER YEARS: ____ (Range 1-3, blank)
ENTER MONTHS: ____ (Range 1-36, blank)
ENTER WEEKS: ____ (Range 1-30, blank)
ENTER DAYS: ____ (Range 1-200, blank)
All Skip to COMP_INSTR_5A (Incident characteristics)
ASK IF STORAGE ITEM 2B=03:
SECTION C: CURRENT SENTENCED OFFENSES: DETENTION STATUS=03
Sentence to Incarceration
S4Q9. Were you sentenced to jail, prison, or another correctional facility for the following offenses for which you were arrested on (INSERT STORAGE ITEM 2Q – PRIOR ARREST DATE)?
PROGRAMMER: INSERT OFFENSES FROM STORAGE ITEM 2K – PRIOR SENTENCED OFFENSES AND PROVIDE A SPACE FOR EACH TO BE CHECKED.
INTERVIEWER: ENTER ONE PER LINE.
(1) YES (2) NO
S4Q9_a. ___ ___________________________
S4Q9_b. ___ ___________________________
S4Q9_c. ___ ___________________________
S4Q9_d. ___ ___________________________
S4Q9_e. ___ ___________________________
BLIND D OR R
COMPLETE IF STORAGE ITEM 2B=03:
COMP_INSTR_4I.
See Storage item 2K-Prior sentenced offenses
(1) If more than one 2K offense is checked sentenced to jail, prison, or another correctional facility in S4Q9 - ask S4Q9b.
(2) If only ONE 2K offense is checked sentenced to jail, prison, or another correctional facility in S4Q9, transcribe to Storage item 4C-Final controlling offense and continue with S4Q9a.
(3) If no 2K offense is checked sentenced to jail, prison, or another correctional facility in S4Q9 – Skip to S4Q10a - Probation sentences
ASK IF COMP_INSTR_4I=1:
Single Sentenced Offense
S4Q9a. How long was the sentence to jail, prison, or another correctional facility for (STORAGE ITEM 4C-FINAL CONTROLLING OFFENSE)? Include any time suspended by a judge or court.
(1) Life
(2) Life plus additional years
(3) Life without parole
(4) Death
(5) Intermittent (weekends/nights)
(95) ENTER NUMERIC SENTENCE
BLIND D OR R
PROGRAMMER: IF S4Q9A=95 THEN SHOW SCREEN WITH NUMERIC FIELD FOR SENTENCE AS FOLLOWS.
INTERVIEWER: IF INMATE GIVES ONE NUMBER, ENTER IT UNDER MAXIMUM OR FLAT.
Minimum Maximum or flat
ENTER YEARS: ____ (Range 1-50, blank) ____ (Range 1-99, blank)
ENTER MONTHS: ____ (Range 1-36, blank) ____ (Range 1-99, blank)
ENTER DAYS: ____ (Range 1-90, blank) ____ (Range 1-90, blank)
All go to S4Q9c.
ASK IF COMP_INSTR_4I=1:
Multiple Sentenced Offenses
S4Q9b. What was the total maximum sentence length for all the consecutive sentences you are serving
for (INSERT OFFENSES CHECKED SENTENCED TO JAIL, PRISON, OR ANOTHER CORRECTIONAL FACILITY FROM STORAGE ITEM 2K – PRIOR SENTECNED OFFENSES OR THOSE MARKED YES IN S4Q9)? Include any time suspended by a court or judge.
(1) Life
(2) Life plus additional years
(3) Life without parole
(4) Death
(5) Intermittent (weekends/nights)
(95) ENTER NUMERIC SENTENCE
BLIND D OR R
PROGRAMMER: IF S4Q9B=95 THEN SHOW SCREEN WITH NUMERIC FIELD FOR SENTENCE AS FOLLOWS.
ENTER YEARS: ____ (Range 1-100, blank)
ENTER MONTHS: ____ (Range 1-50, blank)
ENTER DAYS: ____ (Range 1-90, blank)
ASK IF COMP_INSTR_4I=1:
S4Q9b1. Of the (INSERT OFFENSES CHECKED FROM STORAGE ITEM 2K – PRIOR SENTENCED OFFENSES), for which offense did you receive the longest sentence to jail, prison, or another correctional facility? (READ ALOUD EACH OFFENSE)
(1) _____OFFENSE THAT RECEIVED THE LONGEST SENTENCE (Range 1-5)
(0) _____ ALL HAVE THE SAME LENGTH
(6) _____ ONLY ONE SENTENCE RECEIVED
BLIND D OR R
If (1) selected, store the ONE offense selected from Storage item 2K – Prior sentenced offenses in Storage item 4C - Final Controlling offense.
If (0, 6) or D or R is selected, store the first line checked from Storage item 2K – Prior sentenced offenses in Storage item 4C – Final Controlling offense.
ASK IF COMP_INSTR_4I=1:
S4Q9b2. How long was the sentence for (INSERT OFFENSE FROM STORAGE ITEM 4C – FINAL CONTROLLING OFFENSE)? Include any time suspended by a judge or court.
(1) Life
(2) Life plus additional years
(3) Life without parole
(4) Death
(5) Intermittent (weekends/nights)
(95) ENTER NUMERIC SENTENCE
BLIND D OR R
PROGRAMMER: IF S4Q9B2=95 THEN SHOW SCREEN WITH NUMERIC FIELD FOR SENTENCE AS FOLLOWS.
INTERVIEWER: IF INMATE GIVES ONE NUMBER, ENTER IT UNDER MAXIMUM OR FLAT
Minimum Maximum or flat
ENTER YEARS: ____ (Range 1-50, blank) _____ (Range 1-99, blank)
ENTER MONTHS: ____ (Range 1-36, blank) _____ (Range 1-99, blank)
ENTER DAYS: ____ (Range 1-90, blank) _____ (Range 1-90, blank)
ASK IF COMP_INSTR_4I=1 or 2:
S4Q9c. Did you receive an increase in (INSERT “YOUR SENTENCE” IF ONE OFFENSE IN STORAGE ITEM 2K-PRIOR SENTENCED OFFENSE OR INSERT “ANY OF YOUR SENTENCES” IF MORE THAN ONE OFFENSES IN STORAGE ITEM 2K-PRIOR SENTENCED OFFENSES) because of… ENTER ONE FOR EACH
(1) YES (2) NO
S4Q9c_1. ___ A firearms violation?
S4Q9c_2. ___ A second or third strike?
S4Q9c_3. ___ The type of drug offense?
S4Q9c_4. ___ A hate crime?
S4Q9c_5. ___ Gang involvement?
S4Q9c_6. ___ Past DWI/DUI offenses?
S4Q9c_95. ___ Other? Specify_________ (S4Q9c_OTH)
BLIND D OR R
ASK IF COMP_INSTR_4I=1 or 2:
S4Q9d. When you were sentenced, was any part of your total sentence suspended by a judge or court? ENTER ONE
(1) YES
(2) NO – Skip to S4Q9f
BLIND D OR R – Skip to S4Q9f
ASK IF S4Q9d=1:
S4Q9e. By how much was your sentence suspended by a judge or court?
(1) ALL OF IT
(95) ENTER NUMERIC SENTENCE
BLIND D OR R
PROGRAMMER: IF S4Q9E=95 THEN SHOW SCREEN WITH NUMERIC FIELD FOR SENTENCE AS FOLLOWS.
ENTER YEARS: ____ (Range 1-60, blank)
ENTER MONTHS: ____ (Range 1-30, blank)
ENTER DAYS: ____ (Range 1-200, blank)
ASK IF COMP_INSTR_4I=1 or 2:
S4Q9f. Are you sentenced to jail, prison, or another correctional facility as a juvenile, youthful offender or an adult? ENTER ONE FOR EACH
(1) YES (2) NO
S4Q9f_1. ___ Juvenile?
S4Q9f_2. ___ Youthful offender?
S4Q9f_3. ___ Adult?
BLIND D OR R
(h) Help – DISPLAY HELP SCREEN h_YOUTH
h_YOUTH.
Youthful offender – A category, established by statute in some states, which has an age limit above that for juveniles, whereby the person is not sentenced as an adult, and for which special correctional commitments and special record sealing procedures are made available.
Juvenile – A youth, within the age established by Statute, who has been sentenced in a juvenile court. Age limitations of “juveniles” vary among the states from 16 to 21 years of age, with the most common upper limit being 18 years.
ASK IF COMP_INSTR_4I=1 or 2:
S4Q9g. In what month and year were you sentenced?
ENTER MONTH: ____ (MM) (Range, 1-12, D)
ENTER YEAR: ____ (YYYY) (Range, 2000-CURRENT YEAR, D)
BLIND D OR R – Ask S4Q9h
ASK IF S4Q9g=D,R:
S4Q9h. How old were you when you were sentenced?
____ YEARS OF AGE
BLIND D OR R
ASK IF STORAGE ITEM 2B=03:
SENTENCED TO PROBATION
S4Q10a. Were you sentenced to any probation for the (INSERT OFFENSES FROM STORAGE ITEM 2K –PRIOR SENTENCED OFFENSES AND PROVIDE A SPACE FOR EACH TO BE CHECKED IN STORAGE ITEM 4B PROBATION SENTENCES FOR PRIOR OFFENSES)?
INTERVIEWER: ENTER ONE PER LINE
(1) YES (2) NO
S4Q10a_1. ____ ___________________________
S4Q10a_2. ____ ___________________________
S4Q10a_3. ____ ___________________________
S4Q10a_4. ____ ___________________________
S4Q10a_5. ____ ___________________________
BLIND D OR R
COMPLETE IF STORAGE ITEM 2B=03:
COMP_INSTR_4K.
See Storage item 4B-Probation sentences for prior offenses.
(1) If only ONE 4B offense is checked sentenced to probation, continue with S4Q10b.
(2) If more than one 4B offense is checked sentenced to probation, Skip to S4Q10c.
(3) If no 4B offense is checked sentenced to probation – skip to S4Q11a.
ASK IF COMP_INSTR_4K=1:
Single Sentenced Probation Offense
S4Q10b. How long was your sentence to probation for the (INSERT OFFENSE CHECKED FROM STORAGE ITEM 4B-PROBATION SENTENCES FOR PRIOR OFFENSES)?
ENTER YEARS: ____ (Range 1-3, blank)
ENTER MONTHS: ____ (Range 1-36, blank)
ENTER DAYS: ____ (Range 1-200, blank)
BLIND D OR R
PROGRAMMER: If no Storage Item 2K offense is checked sentenced to jail, prison or another correctional facility in S4Q9, transcribe offenses in Storage item 4B-Probation sentences for prior offenses to Storage item 4C-Controlling offense.
All skip to S4Q11a.
ASK IF COMP_INSTR_4K=2:
Multiple Sentenced Probation Offenses
S4Q10c.What was the total maximum sentence for all of your consecutive sentences to probation for (INSERT OFFENSE CHECKED FROM STORAGE ITEM 4B – PROBATION SENTENCES FOR PRIOR OFFENSES)?
ENTER YEARS: ____ (Range 1-3, blank)
ENTER MONTHS: ____ (Range 1-36, blank)
ENTER DAYS: ____ (Range 1-200, blank)
BLIND D OR R
ASK IF COMP_INSTR_4K=2:
S4Q10d. Of the (INSERT OFFENSE CHECKED FROM STORAGE ITEM 4B – PROBATION SENTENCES FOR PRIOR OFFENSES), for which offense did you receive the longest sentence to probation? (READ ALOUD EACH OFFENSE)
PROGRAMMER: DISPLAY OFFENSES CHECKED FROM STORAGE ITEM 4B – PROBATION SENTENCES FOR PRIOR OFFENSES BELOW.
(1) _____ OFFENSE THAT RECEIVED THE LONGEST SENTENCE (1-5)
(0) _____ ALL HAVE THE SAME LENGTH
(6) _____ ONLY ONE SENTENCE RECEIVED
BLIND D OR R
(1) If no 2K offense is checked sentenced to jail, prison or another correctional facility in S4Q9, and (1) is selected in S4Q10d, transcribe the ONE offense selected from 1-5 to Storage item 4C- Final Controlling offense.
(2) If no 2K offense is checked sentenced to jail, prison or another correctional facility in S4Q9, and (0,6) or D or R is selected S4Q10d, transcribe the first line from offenses checked in Storage item 4B-probation sentences for prior offenses to Storage item 4C- Final Controlling offense.
Check S4Q9/COMP_INSTR_4I
Is “yes” checked for any offense?
YES, skip to S4Q11d
NO, go to S4Q11a
ASK IF COMP_INSTR_4I=3:
S4Q11a. Are you sentenced for the (INSERT OFFENSE FROM STORAGE ITEM 4C – FINAL CONTROLLING OFFENSE) as a juvenile, youthful offender or an adult? ENTER ONE FOR EACH
(1) YES (2) NO
S4Q11a_1. ___ Juvenile?
S4Q11a_2. ___ Youthful offender?
S4Q11a_3. ___ Adult?
BLIND D OR R
(h) Help – DISPLAY HELP SCREEN h_YOUTH
h_YOUTH.
Youthful offender – A category, established by statute in some states, which has an age limit above that for juveniles, whereby the person is not sentenced as an adult, and for which special correctional commitments and special record sealing procedures are made available.
Juvenile – A youth, within the age established by Statute, who has been sentenced in a juvenile court. Age limitations of “juveniles” vary among the states from 16 to 21 years of age, with the most common upper limit being 18 years.
ASK IF COMP_INSTR_4I=3:
S4Q11b. In what month and year were you sentenced for the (INSERT OFFENSE FROM STORAGE ITEM 4C – FINAL CONTROLLING OFFENSE)?
ENTER MONTH: ____ (MM) (Range, 1-12, D)
ENTER YEAR: ____ (YYYY) (Range, 2000-CURRENT YEAR, D)
BLIND D OR R – Ask S4Q11c
ASK IF S4Q11b=D,R:
S4Q11c. How old were you when you were sentenced?
____ YEARS OF AGE
BLIND D OR R
ASK IF COMP_INSTR_4I=1 or 2 OR COMP_INST_4K=1 or 2:
S4Q11d. Does your sentence to incarceration or probation include – ENTER ALL THAT APPLY
|
Yes |
No |
S4Q11d_1. Court costs or penalty assessment fees? |
1 |
2 |
S4Q11d_2. Any fines? |
1 |
2 |
S4Q11d_3. Financial restitution to the victim if there was one? |
1 |
2 |
S4Q11d_95. Some other type of fee or payment? If S4Q11d_95=1, ask S4Q11d_OTH |
1 |
2 |
S4Q11d_OTH. [IF S4Q11d_95=1] Specify _______________ |
BLIND D OR R
ASK IF COMP_INSTR_4I=1or2 OR COMP_INST_4K=1or2:
S4Q11e. Does your sentence include – ENTER ALL THAT APPLY
|
Yes |
No |
S4Q11e_1. Community Service? |
1 |
2 |
S4Q11e_2. Mandatory drug testing? |
1 |
2 |
S4Q11e_3. Drug or alcohol treatment program? |
1 |
2 |
S4Q11e_4 Register as a sex offender? |
1 |
2 |
S4Q11e_5. Sex offenders treatment program? |
1 |
2 |
S4Q11e_6. Psychiatric or psychological counseling or treatment? |
1 |
2 |
S4Q11e_95. Any other special conditions or restrictions? If S4Q11e_95=1, ask S4Q11e_OTH |
1 |
2 |
S4Q11e_OTH. [ASK IF S4Q11e_95=1] Specify ______________________________ |
BLIND D OR R
Check S4Q9/COMP_INSTR_4I
Is “yes” checked for any offense?
Yes, ask S4Q12a
No, skip to COMP_INSTR_5A
ASK IF COMP_INSTR_4I=1:
S4Q12a. How much time in jail, prison or another correctional facility have you already served on your sentence? Include all time served in jail, prison, or another correctional facility that counts toward your sentence.
(0) NONE OF IT
(1) ALL OF IT - Skip to COMP_INSTR_4L
(95) ENTER NUMERIC SENTENCE
BLIND D OR R
PROGRAMMER: IF S4Q12A=95 THEN SHOW SCREEN WITH NUMERIC FIELD FOR SENTENCE AS FOLLOWS.
ENTER YEARS: ____ (Range 1-3, blank)
ENTER MONTHS: ____ (Range 1-36, blank)
ENTER DAYS: ____ (Range 1-200, blank)
ASK IF S4Q12a DOES NOT EQUAL 1:
S4Q12b. Will you serve (IF “0” INSERT “YOUR”; ELSE INSERT “THE TIME REMAINING ON THIS”) sentence in this jail or will you spend any of the time somewhere else? ENTER ONE
(1) ALL IN THIS JAIL - Skip to COMP_INSTR_4L
(2) SOME OR ALL OF THE TIME SOMEWHERE ELSE
BLIND D OR R - Skip to COMP_INSTR_4L
ASK IF S4Q12b =2:
S4Q12c. Where else will you serve time -- a state prison, federal prison, another local jail, a private prison, community release facility, or another kind of facility? ENTER ONE
(1) STATE PRISON
(2) FEDERAL PRISON
(3) LOCAL JAIL
(4) PRIVATE PRISON
(5) COMMUNITY RELEASE FACILITY
(6) OTHER - Specify ___________________(S4Q12c_6sp)
Technical Violations
COMPLETE IF STORAGE ITEM 2B=03:
COMP_INSTR_4L.
(1) See Storage item 2M- New technical violation sentence. If offenses are listed, go to S4Q13a.
(2) Else go to COMP_INSTR_5A.
ASK IF STORAGE ITEM 2B=03 AND ANY OFFENSES LISTED IN STORAGE ITEM 2M:
S4Q13a. Was any time added to your jail, prison or another correctional facility sentence because of your (INSERT OFFENSE FROM STORAGE ITEM 2M-NEW TECHNICAL VIOLATION SENTENCE)… ENTER ONE
(1) YES
(2) NO - Skip to S4Q13c
BLIND D OR R - Skip to S4Q13c
ASK IF S4Q13a=1:
S4Q13b. How much time was added to your sentence?
ENTER YEARS: ____ (Range 1-3, blank)
ENTER MONTHS: ____ (Range 1-36, blank)
ENTER DAYS: ____ (Range 1-200, blank)
BLIND D OR R
ASK IF STORAGE ITEM 2B=03 AND ANY OFFENSES LISTED IN STORAGE ITEM 2M:
S4Q13c. Was any time added to your parole, probation or other community supervision sentence because of your (INSERT OFFENSE FROM STORAGE ITEM 2M-NEW TECHNICAL VIOLATION SENTENCE)? ENTER ONE
(1) YES
(2) NO - Skip to COMP_INSTR_5A
BLIND D OR R - Skip to COMP_INSTR_5A
ASK IF S4Q13c=1:
S4Q13d. How much time was added to your sentence?
ENTER YEARS: ____ (Range 1-3, blank)
ENTER MONTHS: ____ (Range 1-36, blank)
ENTER DAYS: ____ (Range 1-200, blank)
BLIND D OR R
Section 5 – Incident Characteristics
COMP_INSTR_5A.
Refer to Storage item 2B (Detention Status screen-storage area).
If 1 “Convicted and sentenced” or 2 “Convicted and not sentenced” or 3 “Convicted on Prior and Sentenced” or 4 “convicted, no prior, unsentenced” are entered, continue with COMP_INTR_5B.
If 5 “Unconvicted” or 6 “No offense” are entered or if Storage Item 2B is blank, skip to S5Q18a.
COMPLETE IF STORAGE ITEM 2B = 01, 02, 03, or 04:
COMP_INSTR_5B.
(1) If offense in Storage Item 4C is categorized as “violent” - Mark 1 "Violent" in Storage item 5A and skip to S5Q2a.
(2) If offense in Storage Item 4C is categorized as “property offense” - Mark 2 "Property offense" in Storage item 5A and skip to S5Q12a
(3) If offense in Storage Item 4C is categorized as “drug offense” - Mark 3 "Drug offense" in Storage item 5A and skip to FI_INSTR_5H
(4) If offense in Storage Item 4C is categorized as “public order offense” - Mark 4 "Public order offense" in Storage item 5A and ask S5Q14a
(5) Else if offense in Storage Item 4c is not linked to a predetermined offense type then go to S5Q1a
ASK IF COMP_INSTR_5B=5 (OFFENSE IN STORAGE ITEM 4C NOT LINKED TO OFFENSE TYPE):
S5Q1a. [PROGRAMMER: IF LITERAL CANNOT BE LINKED TO AN OFFENSE IN THE LOOKUP TABLE] Is the (INSERT STORAGE ITEM 4C – FINAL CONTROLLING OFFENSE) generally considered a… ENTER ONE
(1) Violent offense? Mark 1 “Violent offense” in Storage item 5A and ask S5Q2a
(2) Property offense? Did you take, damage or handle someone's property, defraud them of something of theirs, embezzle something of value, burglarize a building, or obtain money or other financial gain by deceit? Mark 2 “Property offense” in Storage item 5A and skip to S5Q12a
(3) Violation of laws which could or did give you some financial gain, but not a violent or drug offense? Mark 2 “Property offense in Storage item 5A and skip to S5Q12a
(4) Drug offense? Mark 3 “Drug offense” in Storage item 5A and skip to FI_INSTR_5H
(5) Public order offense? Did you obstruct justice, drive while intoxicated, public drunkenness, engage in prostitution, or violate conditions of your parole or probation? Mark 4 "Public order offense" in Storage item 5A and skip to S5Q14a
(D) DON’T KNOW - Mark 5 in Storage item 5A and skip to S5Q14a
BLIND R – Skip to S5Q14a
ASK IF STORAGE ITEM 5A=1 (VIOLENT):
SECTION A: VICTIMS OF VIOLENT CRIME
The next few questions are about the victim of the (INSERT STORAGE ITEM 4C – FINAL CONTROLLING OFFENSE) for which you are now serving time.
S5Q2a. Was there one victim of the (INSERT STORAGE ITEM 4C – FINAL CONTROLLING OFFENSE) or more than one? ENTER ONE
(1) One victim
(2) More than one victim - Skip to S5Q5a
(3) No victim or victim was not a person - Skip to S5Q14a
BLIND D OR R - Skip to S5Q14a
ASK IF S5Q2a=1:
One Victim
S5Q2b. Was the victim of Spanish, Latino/Latina, or Hispanic origin? ENTER ONE
(1) YES
(2) NO
BLIND D OR R
ASK IF S5Q2a=1:
S5Q2c. What race was the victim? You may answer yes to one or more of these categories. ENTER ALL THAT APPLY (SHOW CARD)
|
YES |
NO |
S5Q2c_1. White? |
1 |
2 |
S5Q2c_2. Black or African American? |
1 |
2 |
S5Q2c_3. American Indian or Alaska Native? |
1 |
2 |
S5Q2c_4. Asian? |
1 |
2 |
S5Q2c_5. Native Hawaiian or Other Pacific Islander? |
1 |
2 |
S5Q2c_95. Anything else? If S5Q2c_95=1, ask S5Q2c_OTH |
1 |
2 |
S5Q2c_OTH. [ASK IF S5Q2c_95=1] Specify _______________________ |
BLIND D OR R
ASK IF S5Q2a=1:
S5Q2d. Was the victim male or female? ENTER ONE
(1) MALE
(2) FEMALE
BLIND D OR R
ASK IF S5Q2a=1:
S5Q2e. How old would you say the victim was? ENTER ONE
(1) Under 12 years
(2) 12 to 17
(3) 18 to 24
(4) 25 to 34
(5) 35 to 54
(6) 55 or older
BLIND D OR R
ASK IF S5Q2a=1:
S5Q3a. Was the victim someone you knew or a stranger you had never seen before? ENTER ONE
(1) KNEW
(2) STRANGER - Skip to COMP_INSTR_5F
BLIND D OR R - Skip to COMP_INSTR_5F
ASK IF S5Q3a=1:
S5Q3b. How well did you know the victim - by sight only, casual acquaintance, or well known? ENTER ONE
(1) SIGHT ONLY - Skip to COMP_INSTR_5F
(2) CASUAL ACQUAINTANCE
(3) WELL KNOWN
BLIND D OR R - Skip to COMP_INSTR_5F
ASK IF S5Q3b=2 or 3:
S5Q3c. What was the victim’s relationship to you at the time of the crime? ENTER ONE
(1) Spouse
(2) Ex-spouse
(3) Parent/step-parent
(4) Own child
(5) Stepchild
(6) Brother/sister/stepbrother/stepsister
(94) Other relative - Specify ____________ (S5Q3c_OTH1)
(7) Boyfriend/girlfriend
(8) Ex-boyfriend/ex-girlfriend
(9) Friend/ex-friend
(95) Other non-relative - Specify ___________ (S5Q3c_OTH2)
BLIND D OR R
COMPLETE IF S5Q2a=1:
COMP_INSTR_5F.
Refer to Storage item 4C.
(1) If there is a match of literals with "rape", skip to S5Q4c.
(2) If there is a match of literals with "murder", "manslaughter", or "homicide", skip to S5Q4d.
(3) Else, go to FI_INSTR_5F.
COMPLETE IF COMP_INSTR_5F=3:
FI_INSTR_5F.
Classify this offense, (Insert offense in Storage item 4C), into one of the following:
(1) RAPE - Skip to S5Q4c
(2) MURDER/MANSLAUGHTER/HOMICIDE - Skip to S5Q4d
(3) OTHER VIOLENT OFFENSE - Ask S5Q4a
ASK IF FI_INSTR_5F=3:
S5Q4a. Was this victim hurt or injured during the (INSERT STORAGE ITEM 4C – FINAL CONTROLLING OFFENSE)? ENTER ONE
(1) YES
(2) NO - Skip to S5Q4d
BLIND D OR R - skip to S5Q4d
ASK IF S5Q4a=1:
S5Q4b. What were the injuries? Any other injuries? ENTER ALL THAT APPLY (SHOW CARD)
(1) Victim died
(2) Victim raped or sexually assaulted
(3) Knife or stab wound
(4) Gun shot, bullet wounds
(5) Broken bones
(6) Teeth knocked out or chipped
(7) Internal injuries
(8) Knocked unconscious
(9) Bruises, black eye, cuts, scratches, swelling
(95) Other - Specify ________________________ (S5Q4b_OTH)
(96) NO OTHER MENTIONS
BLIND D OR R
Skip to S5Q4d
ASK IF COMP_INSTR_5F=1 OR FI_INSTR_5F=1:
S5Q4c. During the rape, how else was the victim hurt? Any other injuries? ENTER ALL THAT APPLY (SHOW CARD)
(1) Knife or stab wound
(2) Gun shot, bullet wounds
(3) Broken bones
(4) Teeth knocked out or chipped
(5) Internal injuries
(6) Knocked unconscious
(7) Bruises, black eye, cuts, scratches, swelling
(95) Other - Specify ________________________________ (S5Q4c_OTH)
(8) Not physically injured - Don't allow 1-7, 95 with a 8 entry.
(96) NO OTHER MENTIONS
BLIND D OR R
ASK IF S5Q2a=1:
S5Q4d. In your opinion, was the victim under the influence of alcohol or drugs at the time of the offense? ENTER ONE
(1) YES
(2) NO - Skip to S5Q11a
BLIND D OR R - Skip to S5Q11a
ASK IF S5Q4d=1:
Keep previous question on screen
S5Q4e. Which was it? ENTER ONE
(1) Alcohol
(2) Drugs
(3) Both
(4) Alcohol or drugs - could not tell which
BLIND D OR R
All Skip to S5Q11a
ASK IF S5Q2a=2:
More than One Victim
S5Q5a. How many persons were victims?
___ PERSONS (Range 2-20)
BLIND D OR R
ASK IF S5Q2a=2:
S5Q5b. Were these persons victims of a single incident or more than one incident of the crime? ENTER ONE
(1) ONE INCIDENT
(2) MULTIPLE INCIDENTS
BLIND D OR R
ASK IF S5Q2a=2:
S5Q6a. Were any of the victims of Spanish, Latino/Latina, or Hispanic origin? ENTER ONE
(1) YES
(2) NO - Skip to S5Q6c
BLIND D OR R - Skip to S5Q6c
ASK IF S5Q6a=1:
S5Q6b. Were all the victims Hispanic, most of them Hispanic, or most of them non-Hispanic? ENTER ONE
(1) All were Hispanic
(2) Most were Hispanic
(3) They were evenly divided
(4) Most were non-Hispanic
BLIND D OR R
ASK IF S5Q2a=2:
S5Q6c. Were all the victims of the same race? ENTER ONE
(1) YES
(2) NO - Skip to S5Q6e
BLIND D OR R - Skip to S5Q6e
ASK IF S5Q6c=1:
S5Q6d. What race or races were the victims? You may answer yes to one or more of these categories. ENTER ONE FOR EACH (SHOW CARD)
|
YES |
NO |
S5Q6d_1. White? |
1 |
2 |
S5Q6d_2. Black or African American? |
1 |
2 |
S5Q6d_3. American Indian or Alaska Native? |
1 |
2 |
S5Q6d_4. Asian? |
1 |
2 |
S5Q6d_5. Native Hawaiian or Other Pacific Islander? |
1 |
2 |
S5Q6d_95. Anything else? If S5Q6d_95=1, ask S5Q6d_OTH |
1 |
2 |
S5Q6d_OTH. [IF S5Q6d_95=1] Specify ____________ |
BLIND D OR R – ask S5Q6e
Else skip to S5Q7a
ASK IF S5Q6c=2,D or R or S5Q6d=D or R:
S5Q6e. What race were most of the victims? ENTER ONE
(1) Mostly White
(2) Mostly Black or African American
(3) Mostly American Indian or Alaska Native
(4) Mostly Asian
(5) Mostly Native Hawaiian or Other Pacific Islander
(6) Mostly another race
BLIND D OR R
ASK IF S5Q2a=2:
S5Q7a. Were the victims males or females? ENTER ONE
(1) All males – Skip to S5Q8a
(2) All females – Skip to S5Q8a
(3) Both males and females
BLIND D OR R – Skip to S5Q8a
ASK IF S5Q7a=3:
S5Q7b. Were most of the victims males or females? ENTER ONE
(1) Most were males
(2) Most were females
(3) They were evenly divided
BLIND D OR R
ASK IF S5Q2a=2:
S5Q8a. Approximately, how old would you say the youngest was? ENTER ONE
(1) Under 12 years
(2) 12 to 17
(3) 18 to 24
(4) 25 to 34
(5) 35 to 54
(6) 55 or older
BLIND D OR R
ASK IF S5Q2a=2:
S5Q8b. Approximately, how old would you say the oldest was? ENTER ONE
(1) Under 12 years
(2) 12 to 17
(3) 18 to 24
(4) 25 to 34
(5) 35 to 54
(6) 55 or older
BLIND D OR R
ASK IF S5Q2a=2:
S5Q9a. Were any of the victims known to you or were they all strangers you had never seen before?
ENTER ONE
(1) All known
(2) Some known
(3) All strangers - Skip to COMP_INSTR_5G
BLIND D OR R - Skip to COMP_INSTR_5G
ASK IF S5Q9a=1 or 2:
S5Q9b. How well did you know the victims - by sight only, casual acquaintance, or well known? ENTER
ONE
(1) SIGHT ONLY - Skip to COMP_INSTR_5G
(2) CASUAL ACQUAINTANCE
(3) WELL KNOWN
BLIND D OR R - Skip to COMP_INSTR_5G
ASK IF S5Q9b=2 or 3:
S5Q9c. At the time of the crime, what was your relationship to the victims (well-known persons and/or the casual acquaintances)? ENTER ALL THAT APPLY
(1) Spouse
(2) Ex-spouse
(3) Parent/step-parent
(4) Own child
(5) Stepchild
(6) Brother/sister/step-brother/step-sister
(94) Other relative - Specify _______________________________ (S5Q9c_OTH1)
(7) Boyfriend/girlfriend
(8) Ex-boyfriend/ex-girlfriend
(9) Friend/ex-friend
(95) Other non-relative - Specify ______________________________ (S5Q9c_OTH2)
(96) NO OTHER MENTIONS
BLIND D OR R
ASK IF S5Q2a=2:
COMP_INSTR_5G.
Refer to Storage item 4C.
(1) If there is a match of literals with "rape", skip to S5Q10c.
(2) If there is a match of literals with "murder", "manslaughter", or "homicide", skip to S5Q10d.
(3) Else, Skip to FI_INSTR_5G.
FI_INSTR_5G.
Classify this offense, (Insert offense in Storage item 4C), into one of the following:
(1) RAPE - Skip to S5Q10c
(2) MURDER/MANSLAUGHTER/HOMICIDE - Skip to S5Q10d
(3) OTHER VIOLENT OFFENSE - Ask S5Q10a
ASK IF FI_INSTR_5G=3:
S5Q10a. Were any of the victims hurt or injured during the (INSERT STORAGE ITEM 4C – FINAL CONTROLLING OFFENSE)? ENTER ONE
(1) YES
(2) NO - Skip to S5Q10d
Blind D or R - Skip to S5Q10d
ASK IF S5Q10a=1:
S5Q10b. What were the injuries? Any other injuries? ENTER ALL THAT APPLY (SHOW CARD)
(1) Victim died
(2) Victim raped or sexually assaulted
(3) Knife or stab wound
(4) Gun shot, bullet wounds
(5) Broken bones
(6) Teeth knocked out, or chipped teeth
(7) Internal injuries
(8) Knocked unconscious
(9) Bruises, black eye, cuts, scratches, swelling
(95) Other - Specify ________________________ (S5Q10b__OTH)
(96) NO OTHER MENTIONS
BLIND D OR R
All skip to S5Q10d
ASK IF COM_INSTR_5G=1 OR FI_INSTR_5G=1:
S5Q10c. During the rape, how else were the victims hurt? Any other injuries? ENTER ALL THAT APPLY (SHOW CARD)
(1) Knife or stab wound
(2) Gun shot, bullet wounds
(3) Broken bones
(4) Teeth knocked out, or chipped teeth
(5) Internal injuries
(6) Knocked unconscious
(7) Bruises, black eye, cuts, scratches, swelling
(95) Other - Specify________________________________ (S5Q10c_OTH)
(8) Not physically injured - Don't allow 1-7,95 with a 8 entry.
(96) NO OTHER MENTIONS
BLIND D OR R
ASK IF S5Q2a=2:
S5Q10d. In your opinion, were any of the victims under the influence of alcohol or drugs at the time of the offense? ENTER ONE
(1) YES
(2) NO - Skip to S5Q11a
BLIND D OR R - Skip to S5Q11a
ASK IF S5Q10d=1:
Keep previous question on screen
S5Q10e. Which was it? ENTER ONE
(1) Alcohol
(2) Drugs
(3) Both
(4) Alcohol or drugs - could not tell which
BLIND D OR R
ASK IF S5Q2a=1 or 2:
All Victims
S5Q11a. Other than the victim(s), was there anyone else with you when the crime occurred? ENTER ONE
(1) Yes
(2) No - Skip to S5Q14a
(3) Respondent not at site of crime - Skip to S5Q14a
BLIND D OR R – Skip to S5Q14a
ASK IF S5Q11a=1:
S5Q11b. How many others were with you?
____ PERSONS (Range 1-20)
BLIND D OR R
INTERVIEWER: If =0, ask S5Q11a again.
ASK IF S5Q11a=1:
S5Q11c. Were any of them also charged with a crime related to (INSERT STORAGE ITEM 4C – FINAL CONTROLLING OFFENSE)? ENTER ONE
(1) YES
(2) NO
BLIND D OR R
All skip to S5Q14a
ASK IF STORAGE ITEM 5A = 2 (PROPERTY):
SECTION B: PROPERTY OFFENDERS
S5Q12a. Did you acquire or receive any money, checks, or bank deposits, as a result of the (INSERT STORAGE ITEM 4C – FINAL CONTROLLING OFFENSE)? ENTER ONE
(1) YES
(2) NO - Skip to S5Q12c
BLIND D OR R - Skip to S5Q12c
INTERVIEWER: CAN INCLUDE OTHER TYPES OF PAYMENT (E.G., DIGITAL CURRENCY, ELECTRONIC MONEY)
ASK IF S5Q12a=1:
Keep previous question on screen
S5Q12b. How much did you obtain? Please take your best guess.
$____ (Range 1 – 100,000)
BLIND D OR R
ASK IF STORAGE ITEM 5A = 2 (PROPERTY):
S5Q12c. Did you acquire or receive any goods or property other than money as a result of the (INSERT STORAGE ITEM 4C – FINAL CONTROLLING OFFENSE)? ENTER ONE
(1) YES
(2) NO - Skip to S5Q12e
BLIND D OR R - Skip to S5Q12e
ASK IF S5Q12c=1:
S5Q12d. What did you obtain? ENTER ALL THAT APPLY
(1) Purse or wallet,
(2) Credit cards,
(3) Motor vehicle,
(4) Motor vehicle parts,
(5) Small personal electronics, for example, cell phones or iPads,
(6) Household or personal property,
(7) Commercial goods,
(8) Firearms,
(9) Drugs, or
(95) Other property - Specify ____________________________ (S5Q12d_OTH)
(96) NO OTHER MENTIONS
BLIND D OR R
(h) Help - DISPLAY HELP SCREEN h_PROP
h_PROP.
PROPERTY OBTAINED
Motor vehicle - An entire car, truck, van, boat, snow mobile, or other vehicle. A vehicle is stolen, even if later recovered.
Motor vehicle parts - A part of the vehicle (see above). If a vehicle is stolen and then recovered with a part missing, e.g., the stereo, both “motor vehicle” and “motor vehicle part” should be checked.
Small personal electronics - Items that plug in, like phones, iPads, and laptops.
Household or personal property - Includes any property owned by the victim(s) personally (except for money, purses, wallets, credit cards, motor vehicles, motor vehicles parts, and small personal electronics, which are included in a separate question or other categories) or by the household, e.g., computer, TVs, camera.
Commercial goods - Property owned by a store or other business or governmental enterprise.
Firearms - Guns. Toy guns would be included under household or personal property.
Drugs - Legal or illegal drugs.
ASK IF STORAGE ITEM 5A = 2 (PROPERTY):
S5Q12e. Did you damage anything that belonged to someone else? ENTER ONE
(1) YES
(2) NO - Skip to S5Q12g
BLIND D OR R - Skip to S5Q12g
ASK IF S5Q12e=1:
S5Q12f. What did you damage? ENTER ALL THAT APPLY
(1) Home or apartment building/garage,
(2) Motor vehicle,
(3) Personal effects of victim,
(4) Government/business/public/commercial building or property, or
(5) Other - Specify _________________________________ (S5Q12f_OTH)
(96) NO OTHER MENTIONS
BLIND D OR R
(h) Help - DISPLAY HELP SCREEN h_DAMAGE
h_DAMAGE
Home or apartment building/garage - Includes dwelling units or adjacent buildings
Motor vehicle - An entire car, truck, van, boat, snow mobile, or other vehicle.
Personal effects of victim - Any personal property owned or possessed by the victim other than the building in which the victim lives or an adjacent building.
Government/business/public/commercial building or property - Any property, including buildings, goods, inventories, or other things owned or possessed by a governmental unit, business or other commercial enterprise, or the public.
ASK IF STORAGE ITEM 5A = 2 (PROPERTY):
S5Q12g. Before your conviction for (INSERT STORAGE ITEM 4C – FINAL CONTROLLING OFFENSE) did you have a job where you were responsible for or had access to money, property, or opportunities that could be turned into money? ENTER ONE
(1) YES
(2) NO - Skip to S5Q12i
Blind D or R - Skip to S5Q12i
ASK IF S5Q12g=1:
S5Q12h.Were you able to commit the (INSERT STORAGE ITEM 4C – FINAL CONTROLLING OFFENSE) because of access to property or opportunities given by your job? ENTER ONE
(1) YES
(2) NO
BLIND D OR R
ASK IF STORAGE ITEM 5A = 2 (PROPERTY):
S5Q12i. Were you able to commit the (INSERT STORAGE ITEM 4C – FINAL CONTROLLING OFFENSE) because you had some special skills you acquired from your education or occupation? ENTER ONE
(1) YES
(2) NO
BLIND D OR R
ASK IF STORAGE ITEM 5A = 2 (PROPERTY):
S5Q12j. Were you able to commit the (INSERT STORAGE ITEM 4C – FINAL CONTROLLING OFFENSE) because you had some special knowledge about business or government? ENTER ONE
(1) YES
(2) NO
BLIND D OR R
ASK IF STORAGE ITEM 5A = 2 (PROPERTY):
S5Q12k. Was the offense committed mainly using the internet or computers? ENTER ONE
(1) YES
(2) NO – Skip to S5Q12m
BLIND D OR R – Skip to S5Q12m
ASK IF S5Q12k=1:
S5Q12l. Which of the following terms could be used to describe the offense? ENTER ALL THAT APPLY (SHOW CARD)
(1) Hacking,
(2) Phishing,
(3) Pirating/illegal downloading,
(4) Identity theft,
(5) Online fraud,
(6) Illegal selling/trading (e.g., on the dark web),
(7) Malware,
(8) Botnets,
(9) Distributed denial of service (DDoS), or
(95) Other – Specify ______________________ (S5Q12l_OTH)
(96) NO OTHER MENTIONS
BLIND D OR R
ASK IF STORAGE ITEM 5A = 2 (PROPERTY):
S5Q12m. What was the goal of the offense? ENTER ALL THAT APPLY
(1) Financial gain (e.g., to get or make money),
(2) Political protest,
(3) Criminal damage (e.g., for revenge or to harm another person’s property), or
(5) Other – Specify ____________________ (S5Q12m_OTH)
(96) NO OTHER MENTIONS
BLIND D OR R
All Skip to S5Q14a
ASK IF STORAGE ITEM 5A = 3 (DRUG):
Section C: Drug Offenders
FI_INSTR_5H.
Are any of the (Insert offense from Storage item 4C) “possession” of a drug?
(1) YES - Ask S5Q13a
(2) NO - Skip to S5Q13a1
Do not allow D or R entries
DEFINE FILL_5A:
(1) If storage item 2B=01, use Fill=Storage item 2F-New sentenced offenses
(2) Else If storage item 2B=02, use Fill=Storage item 2G-New convicted, awaiting sentencing offenses
(3) Else If storage item 2B=03, use Fill=Storage item 2K-Prior sentenced offenses
(4) Else If storage item 2B=04, use Fill=Storage item 2L-Prior convicted, awaiting sentencing offenses
ASK IF FI_INSTR_5H=1:
S5Q13a. You said that you were convicted for drug possession. Was that possession with intent to distribute drugs? ENTER ONE
(1) YES
(2) NO
BLIND D OR R
ASK IF STORAGE ITEM 5A = 3 (DRUG):
S5Q13a1. You said that you were convicted of (INSERT FILL_5A). What drugs were involved? Any others? ENTER ALL THAT APPLY
INTERVIEWER: REFER TO DRUG APPENDIX FOR SLANG TERMS FOR DRUGS.
(1) Heroin or morphine – Ask S5Q13a1_1
(2) Synthetic opioids like fentanyl, methadone, and carfentanil - Ask S5Q13a1_2
(3) Other semi-synthetic opioids like oxycodone, hydrocodone, and dilaudid – Ask S5Q13a1_3
(4) Amphetamines (Uppers) – Ask S5Q13a1_4
(5) Methamphetamine – Ask S5Q13a1_5
(6) Methaqualone – Ask S5Q13a1_6
(7) Barbiturates (Downers) – Ask S5Q13a1_7
(8) Tranquilizers – Ask S5Q13a1_8
(9) Crack cocaine – Ask S5Q13a1_9
(10) Cocaine other than crack – Ask S5Q13a1_10
(11) PCP – Ask S5Q13a1_11
(12) Ecstasy – Ask S5Q13a1_12
(13) LSD or other hallucinogens – Ask S5Q13a1_13
(14) Marijuana or hashish – Ask S5Q13a1_14
(94) Other - Specify __________________________ (S5Q13a1_OTH1) – Ask S5Q13a1_15
(95) Other - Specify __________________________ (S5Q13a1_OTH2) – Ask S5Q13a1_16
(96) NO OTHER MENTIONS
BLIND D OR R - Skip to S5Q13b
ASK IF S5Q13a1=1:
S5Q13a1_1. Approximately what amount of heroin or morphine was involved? ENTER ONE
____MILLIGRAMS (Range 0.00-500, blank)
____GRAMS (Range 0.00-900, blank)
____KILOGRAMS (Range 0.00-100, blank)
____OUNCES (Range 0.00-32, blank)
____POUNDS (Range 0.00-20, blank)
____TONS (Range 0.00-2, blank)
____OTHER – SPECIFY ______________ (S5Q13a1_1_OTH)
BLIND D OR R
ASK IF S5Q13a1=2:
S5Q13a1_2. Approximately what amount of other synthetic opioids (like fentanyl, methadone, and carfentanil) was involved? ENTER ONE
____PILLS (Range 0.00-1000, blank)
____MILLIGRAMS (Range 0.00-500, blank)
____GRAMS (Range 0.00-900, blank)
____KILOGRAMS (Range 0.00-100, blank)
____OUNCES (Range 0.00-32, blank)
____POUNDS (Range 0.00-20, blank)
____TONS (Range 0.00-2, blank)
____OTHER – SPECIFY ______________ (S5Q13a1_2_OTH)
BLIND D OR R
ASK IF S5Q13a1=3:
S5Q13a1_3. Approximately what amount of other semi-synthetic opioids (like oxycodone, hydrocodone, and dilaudid) was involved? ENTER ONE
____PILLS (Range 0.00-1000, blank)
____MILLIGRAMS (Range 0.00-500, blank)
____GRAMS (Range 0.00-900, blank)
____KILOGRAMS (Range 0.00-100, blank)
____OUNCES (Range 0.00-32, blank)
____POUNDS (Range 0.00-20, blank)
____TONS (Range 0.00-2, blank)
____OTHER – SPECIFY ______________ (S5Q13a1_3_OTH)
BLIND D OR R
ASK IF S5Q13a1=4:
S5Q13a1_4. Approximately what amount of amphetamines were involved? ENTER ONE
____MILLIGRAMS (Range 0.00-200, blank)
____GRAMS (Range 0.00-1000, blank)
____KILOGRAMS (Range 0.00-500, blank)
____OUNCES (Range 0.00-32, blank)
____POUNDS (Range 0.00-5, blank)
____ROCKS (Range 0.00-200, blank)
____OTHER – SPECIFY ______________ (S5Q13a1_4_OTH)
BLIND D OR R
ASK IF S5Q13a1=5:
S5Q13a1_5. Approximately what amount of methamphetamine was involved? ENTER ONE
____MILLIGRAMS (Range 0.00-200, blank)
____GRAMS (Range 0.00-1000, blank)
____KILOGRAMS (Range 0.00-500, blank)
____OUNCES (Range 0.00-32, blank)
____POUNDS (Range 0.00-5, blank)
____ROCKS (Range 0.00-200, blank)
____OTHER – SPECIFY ______________ (S5Q13a1_5_OTH)
BLIND D OR R
ASK IF S5Q13a1=6:
S5Q13a1_6. Approximately what amount of methaqualone was involved? ENTER ONE
____PILLS (Range 0.00-1000, blank)
____GRAMS (Range 0.00-1000, blank)
____KILOGRAMS (Range 0.00-10 blank)
____OUNCES (Range 0.00-16, blank)
____POUNDS (Range 0.00-5, blank)
____LITERS (Range 0.00-10, blank)
____GALLONS (Range 0.00-5, blank)
____OTHER – SPECIFY ______________ (S5Q13a1_6_OTH)
BLIND D OR R
ASK IF S5Q13a1=7:
S5Q13a1_7. Approximately what amount of barbiturates were involved? ENTER ONE
____PILLS (Range 0.00-1000, blank)
____GRAMS (Range 0.00-1000, blank)
____KILOGRAMS (Range 0.00-10 blank)
____OUNCES (Range 0.00-16, blank)
____POUNDS (Range 0.00-5, blank)
____LITERS (Range 0.00-10, blank)
____GALLONS (Range 0.00-5, blank)
____OTHER – SPECIFY ______________ (S5Q13a1_7_OTH)
BLIND D OR R
ASK IF S5Q13a1=8:
S5Q13a1_8. Approximately what amount of tranquilizers were involved? ENTER ONE
____PILLS (Range 0.00-1000, blank)
____GRAMS (Range 0.00-1000, blank)
____KILOGRAMS (Range 0.00-10 blank)
____OUNCES (Range 0.00-16, blank)
____POUNDS (Range 0.00-5, blank)
____LITERS (Range 0.00-10, blank)
____GALLONS (Range 0.00-5, blank)
____OTHER – SPECIFY ______________ (S5Q13a1_8_OTH)
BLIND D OR R
ASK IF S5Q13a1=9:
S5Q13a1_9. Approximately what amount of crack cocaine was involved? ENTER ONE
____MILLIGRAMS (Range 0.00-200, blank)
____GRAMS (Range 0.00-1000, blank)
____KILOGRAMS (Range 0.00-500, blank)
____OUNCES (Range 0.00-32, blank)
____POUNDS (Range 0.00-5, blank)
____ROCKS (Range 0.00-200, blank)
____OTHER – SPECIFY ______________ (S5Q13a1_9_OTH)
BLIND D OR R
ASK IF S5Q13a1=10:
S5Q13a1_10. Approximately what amount of cocaine (other than crack) was involved? ENTER ONE
____MILLIGRAMS (Range 0.00-200, blank)
____GRAMS (Range 0.00-1000, blank)
____KILOGRAMS (Range 0.00-500, blank)
____OUNCES (Range 0.00-32, blank)
____POUNDS (Range 0.00-5, blank)
____ROCKS (Range 0.00-200, blank)
____OTHER – SPECIFY ______________ (S5Q13a1_10_OTH)
BLIND D OR R
ASK IF S5Q13a1=11:
S5Q13a1_11. Approximately what amount of PCP was involved? ENTER ONE
____PILLS/CAPSULES (Range 1-1000, blank)
____GRAMS (Range 1-1000, blank)
____KILOGRAMS (Range 1-10, blank)
____OUNCES (Range 1-16, blank)
____POUNDS (Range 1-5, blank)
____LITERS (Range 1-3)
____GALLONS (Range 1-5)
____OTHER – SPECIFY ______________ (S5Q13a1_11_OTH)
BLIND D OR R
ASK IF S5Q13a1=12:
S5Q13a1_12. Approximately what amount of ecstasy was involved? ENTER ONE
____PILLS (Range 0.00-1000, blank)
____GRAMS (Range 0.00-1000, blank)
____KILOGRAMS (Range 0.00-10 blank)
____OUNCES (Range 0.00-16, blank)
____POUNDS (Range 0.00-5, blank)
____LITERS (Range 0.00-10, blank)
____GALLONS (Range 0.00-5, blank)
____OTHER – SPECIFY ______________ (S5Q13a1_12_OTH)
BLIND D OR R
ASK IF S5Q13a1=13:
S5Q13a1_13. Approximately what amount of LSD or other hallucinogens was involved? ENTER ONE
____PILLS (Range 1-3500)
____PAPERS, SQUARES (Range 1-3000)
____GRAMS (Range 0.00-1000, blank)
____KILOGRAMS (Range 0.00-10 blank)
____OUNCES (Range 0.00-16, blank)
____POUNDS (Range 0.00-5, blank)
____LITERS (Range 1-3)
____GALLONS (Range 1-5)
____OTHER – SPECIFY ______________ (S5Q13a1_13_OTH)
BLIND D OR R
ASK IF S5Q13a1=14:
S5Q13a1_14. Approximately what amount of marijuana or hashish was involved? ENTER ONE
____JOINTS (Range 1-100, blank)
____GRAMS (Range 1-1000, blank)
____KILOGRAMS (Range 1-1000, blank)
____OUNCES (Range 1-16, blank)
____POUNDS (Range 1-500000, blank)
____TONS (Range 1-1000, blank)
____OTHER – SPECIFY ______________ (S5Q13a1_14_OTH)
BLIND D OR R
ASK IF S5Q13a1=15:
S5Q13a1_15. Approximately what amount of (S5Q13a_OTH1) was involved? ENTER ONE
____PILLS (Range 0.00-1000, blank)
____GRAMS (Range 0.00-1000, blank)
____KILOGRAMS (Range 0.00-10 blank)
____OUNCES (Range 0.00-16, blank)
____POUNDS (Range 0.00-5, blank)
____LITERS (Range 0.00-10, blank)
____GALLONS (Range 0.00-5, blank)
____OTHER – SPECIFY ______________ (S5Q13a1_15_OTH)
BLIND D OR R
ASK IF S5Q13a1=16:
S5Q13a1_16. Approximately what amount of (S5Q13a_OTH2) was involved? ENTER ONE
____PILLS (Range 0.00-1000, blank)
____GRAMS (Range 0.00-1000, blank)
____KILOGRAMS (Range 0.00-10 blank)
____OUNCES (Range 0.00-16, blank)
____POUNDS (Range 0.00-5, blank)
____LITERS (Range 0.00-10, blank)
____GALLONS (Range 0.00-5, blank)
____OTHER – SPECIFY ______________ (S5Q13a1_16_OTH)
BLIND D OR R
ASK IF STORAGE ITEM 5A = 3 (DRUG):
The next few questions are about drug-related activities you may have been involved with.
S5Q13b. At the time of your arrest for (INSERT CONTROLLING OFFENSE FROM STORAGE ITEM 4C – FINAL CONTROLLING OFFENSE) were you… ENTER ONE FOR EACH
(1) YES (2) NO
S5Q13b_1. __ Importing or helping others import illegal drugs into the United States?
S5Q13b_2. __ Illegally manufacturing, growing or helping others manufacture or grow
drugs?
S5Q13b_3. __ Laundering drug money?
S5Q13b_4. __ Distributing or helping to distribute drugs to dealers?
S5Q13b_5. __ Selling or helping to sell drugs to others for their use?
S5Q13b_6. __ Using or possessing illegal drugs?
BLIND D OR R
COMPLETE IF STORAGE ITEM 5A = 3 (DRUG):
COMP_INSTR_5I.
If all S5Q13b=2, D or R, skip to S5Q13e. Else go to S5Q13c.
ASK IF ANY OF S5Q13b=1:
S5Q13c. When you committed the (INSERT STORAGE ITEM 4C – FINAL CONTROLLING OFFENSE) were you a part of any group or organization that manufactured, imported, distributed or sold drugs? ENTER ONE
(1) YES
(2) NO – Skip to S5Q13e
BLIND D OR R – Skip to S5Q13e
ASK IF S5Q13c=1:
S5Q13c1. Were you ... ENTER ONE FOR EACH
(1) YES (2) NO
S5Q13c1_1. ___ A street-level dealer
S5Q13c1_2. ___ A dealer above the street-level dealer
S5Q13c1_3. ___ A bodyguard, strongman or debt collector
S5Q13c1_4. ___ A go-between or broker
S5Q13c1_5. ___ A money runner
S5Q13c1_6. ___ A courier, mule or loader
BLIND D OR R
COMP_INSTR_5I2.
If all S5Q13c1=2, D or R, skip to S5Q13e.
Else ask S5Q13d.
ASK IF ANY OF S5Q13c1_1-6 =1:
S5Q13d. When you were (INSERT RESPONSES FROM S5Q13C1 MARKED 1), what drugs were involved? Any others? ENTER ALL THAT APPLY
(1) Heroin or morphine
(2) Synthetic opioids like fentanyl, methadone, and carfentanil
(3) Other semi-synthetic opioids like oxycodone, hydrocodone, and dilaudid
(4) Amphetamines (Uppers)
(5) Methamphetamine
(6) Methaqualone
(7) Barbiturates (Downers)
(8) Tranquilizers
(9) Crack cocaine
(10) Cocaine other than crack
(11) PCP
(12) Ecstasy
(13) LSD or other hallucinogens
(14) Marijuana or hashish
(94) Other - Specify ______________________________ (S5Q13d_OTH1)
(95) Other - Specify ______________________________ (S5Q13d_OTH2)
(96) NO OTHER MENTIONS
BLIND D OR R
ASK IF STORAGE ITEM 5A = 3 (DRUG):
S5Q13e. In the year before your arrest on (INSERT STORAGE ITEM 2P – CONTROLLING ARREST DATE), were you a part of any group or organization that engaged in drug manufacturing, importing, distribution or selling? ENTER ONE
(1) YES
(2) NO - Skip to S5Q14a
BLIND D OR R - Skip to S5Q14a
ASK IF S5Q13e=1:
S5Q13f. Altogether, about how many people would you say regularly participated in that group or organization?
___ NUMBER OF PEOPLE (Range 1 – 250)
BLIND D OR R
ASK IF S5Q13e=1:
S5Q13g. Which of these best describes your role in that group or organization – ENTER ONE
(1) A leader or organizer?
(2) A middle man?
(3) An underling, such as a carrier, runner, etc.?
(5) Something else? - Specify ________________________________ (S5Q13g_OTH)
BLIND D OR R
ASK IF STORAGE ITEM 2B = 01, 02, 03, or 04:
SECTION D: ALL CONVICTED OFFENDERS
Location and Time of Offense
S5Q14a. At the time of your arrest in (INSERT STORAGE ITEM 2P – CONTROLLING ARREST DATE), in what city or place did you live?
CITY/PLACE: _____________________________
STATE: _____ SELECT FROM DROP DOWN MENU
BLIND D OR R - Skip to S5Q14b1.
Store the numeric State FIPS Codes listed below
01 . AL
02 . AK
04 . AZ
05 . AR
06 . CA
08 . CO
09 . CT
10 . DE
11 . DC
12 . FL
13 . GA
15 . HI
16 . ID
17 . IL
18 . IN
19 . IA
20 . KS
21 . KY
22. LA
23 . ME
24 . MD
25 . MA
26 . MI
27 . MN
28 . MS
29 . MO
30 . MT
31 . NE
32 . NV
33 . NH
34 . NJ
35 . NM
36 . NY
37 . NC
38 . ND
39 . OH
40 . OK
41 . OR
42 . PA
44 . RI
45 . SC
46 . SD
47 . TN
48 . TX
49 . UT
50 . VT
51 . VA
53 . WA
54 . WV
55 . WI
56 . WY
66 . PR (Puerto Rico)
00 . Other –Specify
ASK IF S5Q14a IS NOT D OR R:
S5Q14b. Did the (INSERT STORAGE ITEM 4C – FINAL CONTROLLING OFFENSE) occur in (INSERT CITY AND STATE FROM S5Q14a)? ENTER ONE
(1) YES - Skip to COMP_INSTR_5J
(2) NO
BLIND D OR R - COMP_INSTR_5J
ASK IF S5Q14b=2:
S5Q14b1. In what city and state did the (INSERT CONTROLLING OFFENSE FROM STORAGE ITEM 4C – FINAL CONTROLLING OFFENSE) occur?
CITY: ____________________________
STATE: _____ SELECT STATE FROM DROP DOWN MENU AND STORE NUMERIC FIPS CODE
BLIND D OR R
All skip to COMP_INSTR_5J1
COMPLETE IF S5Q14b=1, D or R:
COMP_INSTR_5J.
Is (3), drug offense, or (4), public order offense, marked in Storage Item 5A?
(1) Yes - Skip to S5Q14c1
(2) No - Ask S5Q14c
ASK IF COMP_INSTR_5J=2:
S5Q14c. Did the (INSERT STORAGE ITEM 4C – FINAL CONTROLLING OFFENSE) take place… ENTER ONE
(1) At a home or apartment shared by you and the victim? - Ask S5Q14f
(2) At or in the victim's home or apartment? - Ask S5Q14d
(3) At or in your own home or apartment? - Skip to S5Q14f
(4) In a COMMERCIAL PLACE such as a bar, restaurant, gas station, store, office, or factory? - Ask S5Q14d
(5) In a PUBLIC PLACE such as at school, on the street, in a parking lot, on public transportation, in a station, or in a park, etc.? - Ask S5Q14d
(95) Some other place - Specify _____________________________ (S5Q14c_OTH) – Ask S5Q14d
(6) No one place/multiple incidents - Skip to S5Q15a
BLIND D OR R - Skip to S5Q14d
ASK IF COMP_INSTR_5J=1:
S5Q14c1. Did the (INSERT STORAGE ITEM 4C – FINAL CONTROLLING OFFENSE) take place… ENTER ONE
(1) At or in your own home or apartment, - Skip to S5Q14f
(2) In a commercial place such as a bar, restaurant, gas station, store, office, or factory, - Ask S5Q14d
(3) In a public place such as at school, on the street, in a parking lot, on public transportation, in a station, or in a park, etc., - Ask S5Q14d
(95) Some other place - Specify ______________________ (S5Q14c1_OTH), or - Ask S5Q14d
(4) No one place/multiple incidents - Skip to S5Q15a
BLIND D OR R – Skip to S5Q14d
ASK IF (S5Q14c=2,4,5,95,D or R) or (S5Q14c1=2,3,95,D or R):
S5Q14d. Did it take place in your own neighborhood or somewhere else? ENTER ONE
(1) OWN NEIGHBORHOOD
(2) SOMEWHERE ELSE
All Skip to S5Q14f
COMPLETE IF S5Q14b=2:
COMP_INSTR_5J1.
Is (3), drug offense, or (4), public order offense, marked in Storage Item 5A?
(1) Yes - Skip to S5Q14e1
(2) No - Ask S5Q14e
ASK IF COMP_INSTR_5J1=2:
S5Q14e. Did the (INSERT STORAGE ITEM 4C – FINAL CONTROLLING OFFENSE) take place… ENTER ONE
(1) At or in the victim's home or apartment,
(2) In a commercial place such as a bar, restaurant, gas station, store, office, or factory,
(3) In a public place such as at school, on the street, in a parking lot, on public
transportation, in a station or depot, or in a park, etc.,
(95) Some other place - Specify _____________________________ (S5Q14e_OTH), or
(4) No one place/multiple incidents - Skip to S5Q15a
BLIND D OR R
If response (1) through (3), 95, D or R - Skip to S5Q14f
ASK IF COMP_INSTR_5J1=1:
S5Q14e1. Did the (INSERT STORAGE ITEM 4C – FINAL CONTROLLING OFFENSE) take place – ENTER ONE
(1) In a commercial place such as a bar, restaurant, gas station, store, office, or factory,
(2) In a public place such as at school, on the street, in a parking lot, on public
transportation, in a station or depot, or in a park, etc.,
(95) Some other place - Specify _____________________________ (S5Q14e1_OTH), or
(3) No one place/multiple incidents - Skip to S5Q15a
BLIND D OR R – Skip to S5Q14f
ASK IF S5Q14e = 1-3, 95, D, or R or S5Q14e1 = 1,2,95, D or R
S5Q14f. Did the (INSERT STORAGE ITEM 4C – FINAL CONTROLLING OFFENSE) take place – ENTER ONE
(1) Inside a building,
(2) On the street or sidewalk, or
(3) Another place outside, for example, in a yard, an area surrounding a building, a park, or
a parking lot?
BLIND D OR R
COMPLETE IF S5Q14e=1-3, 95, D, or R or S5Q14e1=1, 2, 95, D or R:
COMP_INSTR_5K.
See Storage Item 5A. Is 1 "Violent crime" marked?
(1) Yes – Ask S5Q14g
(2) No – Skip to S5Q15a
ASK IF COMP_INSTR_5K = 1:
S5Q14g. Did you plan the (INSERT STORAGE ITEM 4C – FINAL CONTROLLING OFFENSE) ahead of time?
ENTER ONE
(1) YES
(2) NO
BLIND D OR R
ASK IF STORAGE ITEM 2B=01-04:
S5Q15a. Was it daylight or dark when the (INSERT CONTROLLING OFFENSE FROM STORAGE ITEM 4C – FINAL CONTROLLING OFFENSE) occurred? ENTER ONE
(1) Daylight,
(2) Dark,
(3) Dawn, almost light,
(4) Dusk, twilight, almost dark, or
(5) No one time - multiple incidents - Skip to S5Q16a
BLIND D OR R
ASK IF S5Q15a=1-4, D or R:
S5Q15b. About what time did the (INSERT STORAGE ITEM 4C – FINAL CONTROLLING OFFENSE) happen?
ENTER ONE
During the day
(1) Between 6 a.m. - 12 noon
(2) Between 12 noon - 6 p.m.
(3) Don't know what time of day
At night
(4) Between 6 p.m. - 12 midnight
(5) Between 12 midnight - 6 a.m.
(6) Don't know what time of night
BLIND D OR R
ASK IF STORAGE ITEM 2B = 01, 02, 03, or 04:
Weapon Use during Controlling Offense
S5Q16a. Did you use a weapon or have a weapon in your possession when the (INSERT STORAGE ITEM 4C – FINAL CONTROLLING OFFENSE) occurred? ENTER ONE
PROGRAMMER: IF S5Q14C=7, OR S5Q14C1=5, OR S5Q14E=5, OR S5Q14E1=5, USE FILL=”MOST RECENT (INSERT CONTROLLING OFFENSE FROM STORAGE ITEM 4C)”
(1) YES
(2) NO - Skip to S5Q17a
BLIND D OR R - Skip to S5Q17a
ASK IF S5Q16a=1:
S5Q16a1. How many weapons did you use or have in your possession when the (INSERT STORAGE ITEM 4C – FINAL CONTROLLING OFFENSE) occurred? ENTER ONE
PROGRAMMER: IF S5Q14C=7, OR S5Q14C1=5, OR S5Q14E=5, OR S5Q14E1=5, USE FILL=”MOST RECENT (INSERT CONTROLLING OFFENSE FROM STORAGE ITEM 4C)”
(1) One
(2) Two or more
BLIND D OR R
COMPLETE IF S5Q16a=1:
DEFINE WEAPONS_FILL:
If S5Q16a1 = 1 then WEAPONS_FILL = “kind of weapon was it”
If S5Q16a1 = 2, DK, REF then WEAPONS_FILL = “kinds of weapons were they”
ASK IF S5Q16a=1:
S5Q16b. What (INSERT WEAPONS_FILL)? ENTER ALL THAT APPLY (SHOW CARD)
(1) Firearm - Ask S5Q16c
(2) Toy or BB gun (include fake or replica guns) - Skip to S5Q17a
(3) Knife - Skip to S5Q17a
(4) Other sharp object (scissors, ice pick, ax, etc.) - Skip to S5Q17a
(5) Blunt object (rock, club, blackjack, etc.) - Skip to S5Q17a
(95) Another weapon – Specify __________________ (S5Q16b_OTH) - Skip to S5Q17a
(96) NO OTHER MENTIONS
(h) Help – DISPLAY HELP SCREEN h_FIREARM
BLIND D OR R- Skip to S5Q17a
h_FIREARM.
Handguns include both pistols and revolvers. They are firearms held and fired with one hand.
Rifle is a firearm intended to be shot from the shoulder. It has a long barrel which shoots bullets.
Shotgun is a firearm intended to be shot from the shoulder with either a single- or double-barrel for firing shot (a concentration of small pellets) at short ranges.
Toy gun or BB gun - A BB gun shoots a single pellet, using air rather than an explosive to propel the pellet. Toy guns are not firearms.
DEFINE WEAPONTYPE_FILL:
IF S5Q16b = 1 THEN WEAPONTYPE_FILL = “firearm”
IF S5Q16b = 2 THEN WEAPONTYPE_FILL = “toy or bb gun”
IF S5Q16b = 3 THEN WEAPONTYPE_FILL = “knife”
IF S5Q16b = 4 THEN WEAPONTYPE_FILL = “sharp object”
IF S5Q16b = 5 THEN WEAPONTYPE_FILL = “blunt object”
IF SQ16b = 6 AND S5Q16B_OTH IS NOT EMPTY THEN WEAPONTYPE_FILL = open-ended response from S5Q16b_OTH
ASK IF S5Q16b=1:
S5Q16c. How many firearms did you use or have in your possession when the (INSERT STORAGE ITEM 4C - FINAL CONTROLLING OFFENSE) occurred?
NUMBER OF FIREARMS: __________ (Range 1 – 99) – Skip to S5Q16e
BLIND D OR R
ASK IF S5Q16c=D or R:
S5Q16d. Was it one or more than one firearm? ENTER ONE
(1) ONE
(2) MORE THAN ONE
BLIND D OR R
COMPLETE IF S5Q16b=1:
DEFINE FIREARM_FILL1:
IF (S5Q16b=1 AND S5Q16c=1 OR S5Q16d = 1) THEN FIREARM_FILL1 = “type of firearm was it”
IF (S5Q16b = 1 AND S5Q16c 2+ OR S5Q16d=2) THEN FIREARM_FILL1 = “types of firearms were they”
DEFINE FIREARM_FILL2:
IF (S5Q16b=1 AND S5Q16c=1 OR S5Q16d = 1) THEN FIREARM_FILL2 = “the firearm”
IF (S5Q16b = 1 AND S5Q16c = 2+ OR S5Q16d=2 = 2) THEN FIREARM_FILL2 = “any of the firearms”
ASK IF S5Q16b=1:
S5Q16e. What (INSERT FIREARM_FILL1)? ENTER ALL THAT APPLY
(1) A handgun?
(2) A rifle?
(3) A shotgun?
(95) Some other type of firearm? Specify __________________ (S5Q16e_OTH)
(96) NO OTHER MENTIONS
(h) Help – DISPLAY HELP SCREEN h_FIREARM
BLIND D OR R
h_FIREARM.
Handguns include both pistols and revolvers. They are firearms held and fired with one hand.
Rifle is a firearm intended to be shot from the shoulder. It has a long barrel which shoots bullets.
Shotgun is a firearm intended to be shot from the shoulder with either a single- or double-barrel for firing shot (a concentration of small pellets) at short ranges.
Toy gun or BB gun - A BB gun shoots a single pellet, using air rather than an explosive to propel the pellet. Toy guns are not firearms.
DEFINE FIREARMTYPE_FILL:
IF ONLY S5Q16e = 1 THEN FIREARMTYPE_FILL = “handgun”
IF ONLY S5Q16e = 2 THEN FIREARMTYPE_FILL = “rifle”
IF ONLY S5Q16e = 3 THEN FIREARMTYPE_FILL = “shotgun”
IF ONLY S5Q16e_OTH ≠ Empty THEN FIREARMTYPE_FILL = verbatim from S5Q16e_OTH
IF MORE THAN ONE RESPONSE OPTION FROM S5Q16e IS SELECTED, INCLUDE ALL, SEPARATED BY COMMAS – FOR EXAMPLE: “HANDGUN, RIFLE, SHOTGUN”
ASK IF S5Q16b=1:
S5Q16f. How did you obtain the firearm that you used or had in your possession during the (INSERT STORAGE ITEM 4C – FINAL CONTROLLING OFFENSE)? ENTER ALL THAT APPLY (SHOW CARD) (Probe: Any others?)
(1) Stole it
(2) Rented it
(3) Borrowed from or was holding for somebody
(4) Traded something for it
(5) Bought it
(6) Someone bought it for me – Skip to S5Q16h
(7) Someone gave it to me as a gift – Skip to S5Q16h
(8) Found it/was at location where offense occurred – Skip to S5Q16j
(9) Was brought by someone else – Skip to S5Q16j
(95) Other – Specify_______________________ (S5Q16f__OTH) - Skip to S5Q16j
(96) NO OTHER MENTIONS
BLIND D OR R - Skip to S5Q16j
ASK IF S5Q16f=1-5:
S5Q16g. Where did you obtain the (INSERT FIREARMTYPE_FILL)? ENTER ALL THAT APPLY (SHOW CARD)
(1) Gun shop or gun store – Ask S5Q16g1
(2) Pawn shop – Ask S5Q16g1
(3) Flea market – Ask S5Q16g1
(4) Gun show – Ask S5Q16g1
(5) From the victim(s) – Skip to S5Q16j
(6) From a family member – Skip to S5Q16j
(7) From a friend– Skip to S5Q16j
(8) From a fence/black market source – Skip to S5Q16j
(9) Off the street/from a drug dealer – Skip to S5Q16j
(10) In a burglary– Skip to S5Q16j
(11) Online/the Internet– Skip to S5Q16j
(95) Other – Specify ____________________________ (S5Q16g_OTH) – Skip to S5Q16j
(96) NO OTHER MENTIONS
BLIND D OR R
ASK IF S5Q16g=1-4:
S5Q16g1. When you obtained the (INSERT FIREARMTYPE_FILL) was it from a licensed firearm dealer or a private seller? ENTER ONE
(1) LICENSED FIREARM DEALER
(2) PRIVATE SELLER
BLIND D OR R
ASK IF S5Q16f=5 AND S5Q16g=1-4:
S5Q16g2. Did you buy the (INSERT FIREARMTYPE_FILL) under your own name? ENTER ONE
(1) YES
(2) NO
(3) NO PAPERWORK WAS REQUIRED
BLIND D OR R
INTERVIEWER: IF THE INMATE INDICATES THAT THEY DID NOT HAVE TO PROVIDE A NAME, RECORD AS “NO PAPEREWORK REQUIRED”
ASK IF S5Q16f=5 AND S5Q16g=1-4:
S5Q16g3. Did the seller do a firearm purchase background check before selling you the gun? ENTER ONE
(1) YES
(2) NO
BLIND D OR R
ASK IF S5Q16f=5 AND S5Q16g=1-4:
S5Q16g4. Did you buy the (INSERT FIREARMTYPE_FILL) directly or did someone else buy it for you? ENTER ONE
(1) INMATE BOUGHT
(2) SOMEONE ELSE BOUGHT
BLIND D OR R
All skip to S5Q16j
ASK IF S5Q16f=6 or 7:
S5Q16h. Where did that person obtain the (INSERT FIREARMTYPE_FILL)? ENTER ONE (SHOW CARD)
(1) Gun shop or gun store
(2) Pawn shop
(3) Flea market
(4) Gun show
(5) From the victim(s)
(6) From a family member
(7) From a friend
(8) From a fence/black market source
(9) Off the street/from a drug dealer
(10) In a burglary
(11) Online/the internet
(95) Other – Specify ___________________________ (S5Q16h_OTH)
BLIND D OR R
ASK IF S5Q16f=6 or 7:
S5Q16i. Why did someone obtain the (INSERT FIREARMTYPE_FILL) for you (IF S5Q16f = 7, ADD “AS A GIFT”)? ENTER ALL THAT APPLY
(1) Could not travel to where the seller was
(2) Not allowed because I am too young
(3) Not allowed because of my criminal record
(4) They could get it more quickly or easily
(5) Did not want to be linked to firearm purchase
(95) Other –Specify __________________________ (S5Q16i_OTH)
(96) NO OTHER MENTIONS
BLIND D OR R
ASK IF S5Q16b=1:
S5Q16j. Did you get the (INSERT FIREARMTYPE_FILL) because you were planning to carry, possess, or use it during the (INSERT STORAGE ITEM 4C – FINAL CONTROLLING OFFENSE)? ENTER ONE
(1) YES
(2) NO
BLIND D OR R
ASK IF S5Q16b=1:
S5Q16k. Did you show or point (INSERT FIREARM_FILL2) at anyone during the (INSERT STORAGE ITEM 4C – FINAL CONTROLLING OFFENSE)? ENTER ONE
(1) YES
(2) NO
BLIND D OR R
ASK IF S5Q16b=1:
S5Q16l. Did you fire the (INSERT FIREARM_FILL2) during (INSERT STORAGE ITEM 4C – FINAL CONTROLLING OFFENSE)? ENTER ONE
(1) YES
(2) NO – Skip to S5Q16o
BLIND D OR R – Skip to S5Q16o
ASK IF S5Q16l=1:
S5Q16m. Did you shoot anyone? ENTER ONE
(1) YES
(2) NO – Skip to S5Q16o
BLIND D OR R – Skip to S5Q16o
ASK IF S5Q16m=1:
S5Q16n. Did anyone you shot die? ENTER ONE
(1) YES
(2) NO
BLIND D OR R
ASK IF S5Q16b=1-6:
S5Q16o. Now I would like you to think about all the weapons you carried, possessed or used when the (INSERT STORAGE ITEM 4C – FINAL CONTROLLING OFFENSE) occurred. Did you use the (INSERT WEAPONTYPE_FILL)...ENTER ONE FOR EACH
|
YES |
NO |
S5Q16o_1. To scare someone? |
1 |
2 |
S5Q16o_2. To kill someone? |
1 |
2 |
S5Q16o_3. To get away? |
1 |
2 |
S5Q16o_4. To protect yourself? |
1 |
2 |
S5Q16o_5. In any other way? If S5Q16o_5=1, ask S5Q16o_OTH |
1 |
2 |
S5Q16o_OTH. [IF S5Q16o_OTH=1] Specify _________________ |
BLIND D OR R
ASK IF S5Q16a=2, D or R:
Firearm Use during Any Offense
Skip if SQ16a=1
S5Q17a. Have you EVER used a firearm or had a firearm in your possession while committing a crime?
ENTER ONE
(1) YES
(2) NO - Skip to S5Q18a
BLIND D OR R - Skip to S5Q18a
ASK IF S5Q17a=1:
S5Q17b. What firearm(s)? ENTER ALL THAT APPLY
(1) A handgun,
(2) A rifle,
(3) A shotgun, or
(5) Some other type of firearm? Specify___________ (S5Q17b_OTH)
(96) NO OTHER MENTIONS
(h) Help – DISPLAY HELP SCREEN h_FIREARM
BLIND D OR R
h_FIREARM - Used for Items S5Q16b, S5Q16e, S5Q17b
Handguns include both pistols and revolvers. They are firearms held and fired with one hand.
Rifle is a firearm intended to be shot from the shoulder. It has a long barrel which shoots bullets.
Shotgun is a firearm intended to be shot from the shoulder with either a single- or double-barrel for firing shot (a concentration of small pellets) at short ranges.
Toy gun or BB gun - A BB gun shoots a single pellet, using air rather than an explosive to propel the pellet. Toy guns are not firearms.
DEFINE FIREARMTYPE2_FILL:
If S5Q17b = 1 THEN FIREARMTYPE2_FILL = “handgun”
If S5Q17b = 2 THEN FIREARMTYPE2_FILL = “rifle”
If S5Q17b = 3 THEN FIREARMTYPE2_FILL = “shotgun”
If S5Q17b_OTH ≠ Empty THEN FIREARMTYPE2_FILL = verbatim from S5Q16e_OTH
IF MORE THAN ONE RESPONSE TO S5Q17B SELECTED, INCLUDE ALL, SEPARATED BY COMMAS – FOR EXAMPLE: “HANDGUN, RIFLE, SHOTGUN”
ASK IF S5Q17a=1:
S5Q17c. How did you obtain the (INSERT FIREARMTYPE2_FILL) that you used or had in your possession while committing a crime? ENTER ALL THAT APPLY (SHOW CARD) (Probe: Any others?)
PROGRAMMER: IF MORE THAN ONE RESPONSE IN S5Q17B, USE FILL = "THE ONE USED DURING THE MOST RECENT CRIME" ELSE INSERT RESPONSE FROM S5Q17B.
(1) Stole it
(2) Rented it
(3) Borrowed from or was holding for somebody
(4) Traded something for it
(5) Bought it
(6) Someone bought it for me – Skip to S5Q17i
(7) Someone gave it to me as a gift – Skip to S5Q17i
(8) Found it/was at location where offense occurred – Skip to S5Q17i
(9) Was brought by someone else – Skip to S5Q17i
(95) Other – Specify:_______________________ (S5Q17c_OTH) - Skip to S5Q17i
(96) NO OTHER MENTIONS
BLIND D OR R- Skip to S5Q17i
ASK IF S5Q17c=1-5:
S5Q17d. Where did you obtain the (INSERT FIREARMTYPE2_FILL)? ENTER ALL THAT APPLY (SHOW CARD)
(1) Gun shop or gun store
(2) Pawn shop
(3) Flea market
(4) Gun show
(5) From the victim(s)
(6) From a family member
(7) From a friend
(8) From a fence/black market source
(9) Off the street/from a drug dealer
(10) In a burglary
(11) Online/the Internet
(95) Other –Specify ____________________________ (S5Q16g_OTH)
(96) NO OTHER MENTIONS
BLIND D OR R
ASK IF S5Q17a=1:
S5Q17i. Did you EVER fire the [FIREARMTYPE2] while committing a crime? ENTER ONE
(1) YES
(2) NO
BLIND D OR R
ASK ALL:
SECTION E: ALL INMATES – POLICE CONTACT AT THE TIME OF ARREST
S5Q18a. The next few questions are about contact you may have had with police at the time of your arrest on (INSERT STORAGE ITEM 2P – CONTROLLING ARREST DATE) for (INSERT STORAGE ITEM 4C – FINAL CONTROLLING OFFENSE).
At the time of your arrest, how many police officers were present?
(0) None/not arrested - Skip to s6q1a
(81) Voluntarily went in to police station - Skip to s6q1a
(82) Incarcerated at time of arrest - Skip to S6Q1a
(95) ENTER NUMBER OF POLICE OFFICERS
BLIND D OR R - Continue to S5Q18b
PROGRAMMER: IF S5Q18a=95 DISPLAY:
ENTER NUMBER OF POLICE OFFICERS: ____ (Range 1-20)
ASK IF S5Q18a=1-20, D or R:
S5Q18b. At the time of your arrest on (INSERT STORAGE ITEM 2P – CONTROLLING ARREST DATE), did the police officer(s) search you, frisk you, or pat you down? ENTER ONE
(1) YES
(2) NO
BLIND D OR R
ASK IF S5Q18a=1-20, D or R:
S5Q18c. Did the police officer(s) find any of the following items on or near you? ENTER ALL THAT APPLY
(1) Illegal weapons
(2) Illegal drugs
(3) Open containers of alcohol, such as beer or liquor
(4) Stolen property
(5) Other evidence of a crime - Specify ___________________ (S5Q18c_5_OTH)
(6) NONE
(96) NO OTHER MENTIONS
BLIND D OR R
ASK IF S5Q18a=1-20, D or R:
S5Q18d. When you were arrested, were you handcuffed? ENTER ONE
(1) YES
(2) NO
BLIND D OR R
ASK IF S5Q18a=1-20, D or R:
S5Q18e. (IF S5Q18d=1, DISPLAY “Aside from being handcuffed,”) Did the police officer(s) for any reason use or threaten to use physical force against you, such as grabbing you or threatening to hit you? ENTER ONE
(1) YES
(2) NO - Skip to S5Q18i
BLIND D OR R - Skip to S5Q18i
ASK IF S5Q18e=1:
S5Q18f. At the time of your arrest did the police officer(s)… ENTER ONE FOR EACH
INTERVIEWER: READ EACH ITEM BELOW AND PAUSE FOR RESPONSE
(1) YES (2) NO
S5Q18f_1. ___ Push or grab you?
S5Q18f_2. ___ Kick you or hit you with their hand or something held in their hand?
S5Q18f_3. ___ Unleash a police dog that bit you?
S5Q18f_4. ___ Spray you with a chemical or pepper spray?
S5Q18f_5. ___ Point a firearm at you but not shoot?
S5Q18f_6. ___ Point a firearm at you and shoot?
S5Q18f_95. ___ Use some other form of physical force – Specify ______ (S5Q18f_OTH)?
BLIND D OR R
If all marked “2" D and or R, Go to S5Q18i; Else continue with S5Q18g
ASK IF ANY OF S5Q18f=1:
S5Q18g. Were you injured as a result of (INSERT RESPONSES TO S5Q18f)? ENTER ONE
(1) YES
(2) NO - Skip to S5Q18i
BLIND D OR R -Skip to S5Q18i
ASK IF S5Q18g=1:
S5Q18h. Did your injuries include… ENTER ONE FOR EACH
INTERVIEWER: READ EACH ITEM BELOW AND PAUSE FOR RESPONSE
(1) YES (2) NO
S5Q18h_1. ___ Gunshot wound?
S5Q18h_2. ___ Broken bones or teeth knocked out?
S5Q18h_3. ___ Internal injuries?
S5Q18h_4. ___ Bruises, black eyes, cuts, scratches, sprains, or swelling
S5Q18h_5. ___ Any other injuries - Specify _______________ (S5Q18h_OTH)
BLIND D OR R
ASK IF S5Q18a=1-20, D or R:
S5Q18i. At any time during the arrest, did you -
INTERVIEWER: READ EACH ITEM BELOW AND PAUSE FOR RESPONSE
(1) YES (2) NO
S5Q18i_1. ___ Argue with or disobey the police officer (s)?
S5Q18i_2. ___ Curse at, insult, or call the police officer(s) a name?
S5Q18i_3. ___ Say something threatening to the police officer(s)?
S5Q18i_4. ___ Resist being handcuffed or arrested?
S5Q18i_5. ___ Resist being searched or having the vehicle searched?
S5Q18i_6. ___ Try to escape by hiding, running away, or engaging in a high-speed chase?
S5Q18i_7. ___ Grab, hit, or fight with the police officer(s)?
S5Q18i_8. ___ Use a weapon to threaten the police officer(s)?
S5Q18i_9. ___ Use a weapon to assault the police officer(s)?
BLIND D OR R
Section 6 – Criminal History
PROGRAMMER: IF AN OFFENSE ITEM IS BLANK, OR BLIND D OR R, AND IS REFERRED TO FOR A FILL, USE “THE OFFENSE(S)” FOR FILLS IN ITEMS.
ASK ALL:
SECTION A: PRIOR ARRESTS AND CONVICTIONS
Arrests
Now I'm going to ask you some questions about your prior offenses and sentencing for those offenses.
COMPLETE FOR ALL:
FILL_6A.
If Storage item 2Q has a date insert “your arrest on (insert arrest date from Storage item 2Q- Prior arrest date”;
Else if Storage item 2Q is blank, insert “your arrest on (insert arrest date from Storage item 2D-Current arrest date);
Else if Storage item 2D is also blank, insert “your most recent arrest”.
ASK ALL:
S6Q1a. Before (INSERT FILL_6A), how many times in your life have you been arrested for any offenses,
either as an adult or juvenile? Please include times when you may have been arrested but did not go to court or were not convicted.
NUMBER OF TIMES: ______ (Range 0 – 999)
BLIND D OR R
COMP_INSTR_6A.
If (0) entered in S6Q1a, mark “2” in Storage item 6A-Prior convictions and Storage item 6B-Prior incarcerations and skip to S6Q10a (Restraining order). Else continue with S6Q1b.
ASK IF S6Q1a =1-999, D OR R:
S6Q1b. How old were you the first time you were arrested for a crime, either as an adult or juvenile?
____ YEARS OF AGE (Range 0-99)
BLIND D OR R
PROGRAMMER: IF NUMBER IS LESS THAN 8 OR GREATER THAN 65, DISPLAY “VERIFY ENTRY”
ASK IF S6Q1a =1-999, D OR R:
S6Q1c. Before (INSERT FILL_6A), had you ever been arrested for a violent offense? Violent offenses
include crimes like physical assault, robbery, manslaughter, murder, attempted murder, extortion, stalking, sex offenses, or kidnapping. ENTER ONE
(1) YES
(2) NO
BLIND D OR R
ASK IF S6Q1a =1-999, D OR R:
S6Q1d. Before (INSERT FILL_6A), had you ever been arrested for a property offense? Property offenses
include crimes like burglary, larceny, theft, auto theft, bad checks, fraud, forgery, arson, or possession of stolen goods. ENTER ONE
(1) YES
(2) NO
BLIND D OR R
ASK IF S6Q1a =1-999, D OR R:
S6Q1e. Before (INSERT FILL_6A), had you ever been arrested for a drug offense? Drug offenses include crimes like possessing, selling, trafficking, importing, smuggling, or manufacturing illegal drugs or drug paraphernalia. ENTER ONE
(1) YES
(2) NO
BLIND D OR R
ASK IF S6Q1a =1-999, D OR R:
S6Q1f. Before (INSERT FILL_6A), had you ever been arrested for a public order offense? Public order offenses include crimes like obstruction of justice, driving while intoxicated, drunkenness, violation of parole/probation, or immigration violation. ENTER ONE
(1) YES
(2) NO
BLIND D OR R
ASK IF S6Q1a =1-999, D OR R:
Convictions
S6Q2a. Before (INSERT FILL_6A), how many times in your life have you been convicted or found guilty of a crime, either as a juvenile or an adult?
NUMBER OF TIMES: ______ (Range 0 – 999)
BLIND D OR R- ask S6Q2b
COMP_INSTR_6B.
If S6Q2a >0, mark “1” in Storage item 6A – Prior conviction. If S6Q2a=D or R, mark D or R in Storage Item 6A. If (0) entered in S6Q2a, mark “2” in Storage item 6A – Prior conviction and in Storage Item 6B – Prior incarcerations and skip to S6Q10a (Restraining order). Else continue with S6Q2b.
ASK IF S6Q2a>0, D or R:
S6Q2b. How old were you the first time you were convicted or found guilty of any offense, either as an adult or juvenile?
____ YEARS OF AGE (Range 0-99)
BLIND D OR R
PROGRAMMER: IF NUMBER IS LESS THAN 8 OR GREATER THAN 65, DISPLAY “VERIFY ENTRY”
ASK IF S6Q1c=1:
S6Q2c. Before (INSERT FILL_6A), had you ever been convicted or found guilty of a violent offense?
INTERVIEWER PROBE IF NECESSARY: Violent offenses include crimes like physical assault, robbery, manslaughter, murder, attempted murder, extortion, stalking, sex offenses, or kidnapping. ENTER ONE
(1) YES
(2) NO
BLIND D OR R
ASK IF S6Q1d=1:
S6Q2d. Before (INSERT FILL_6A), had you ever been convicted or found guilty of a property offense?
INTERVIEWER PROBE IF NECESSARY: Property offenses include crimes like burglary, larceny, theft, auto theft, bad checks, fraud, forgery, arson, or possession of stolen goods. ENTER ONE
(1) YES
(2) NO
BLIND D OR R
ASK IF S6Q1e=1:
S6Q2e. Before (INSERT FILL_6A), had you ever been convicted or found guilty of a drug offense?
INTERVIEWER PROBE IF NECESSARY: Drug offenses include crimes like possessing, selling, trafficking, importing, smuggling, or manufacturing illegal drugs or drug paraphernalia. ENTER ONE
(1) YES
(2) NO
BLIND D OR R
ASK IF S6Q1f=1:
S6Q2e1. Before (INSERT FILL_6A), had you ever been convicted or found guilty of a public order offense?
INTERVIEWER PROBE IF NECESSARY: Public order offenses include crimes like obstruction of justice, driving while intoxicated, drunkenness, violation of parole/probation, or immigration violation. ENTER ONE
(1) YES
(2) NO
BLIND D OR R
COMPLETE IF S6Q2a=1-999, D or R:
COMP_INSTR_6B.
(1) If S6Q2c, S6Q2d, or S6Q2e or S6Q2e1 = 1, ask items S6Q2f.
(2) If S6Q2c S6Q2d, AND S6Q2e= 2 or D or R, Skip to S6Q3a.
ASK IF COMP_INSTR_6B=1:
S6Q2f. For any of the times you were convicted or found guilty were you sentenced as a —
ENTER ONE FOR EACH
(1) YES (2) NO
S6Q2f_1. ___ Juvenile?
S6Q2f_2. ___ Youthful offender?
S6Q2f_3. ___ Adult?
BLIND D OR R
(h) Help - DISPLAY HELP SCREEN h_YOUTH
h_YOUTH.
Youthful offender - A category, established by statute in some states, which has an age limit above that for juveniles, whereby the person is not sentenced as an adult, and for which special correctional commitments and special record sealing procedures are made available.
Juvenile - A youth, within the age established by Statute, who has been sentenced in a juvenile court. Age limitations of "juveniles" vary among the states from 16 to 21 years of age, with the most common upper limit being 18 years.
ASK IF S6Q2a=1-999, D or R:
Probation
S6Q3a. Before (INSERT FILL_6A), how many times in your life have you been placed on probation by a court, either as an adult or juvenile? Include any sentence by a court to both probation and a correctional facility. (INCLUDE SHOCK PROBATION)
NUMBER OF TIMES: ______ (Range 0 – 999)
BLIND D OR R – Ask S6Q3b
If S6Q3a>0, mark “1” in Storage item 6C- Prior Probation and skip to S6Q3b
If 0, D, or R, mark “2” for (0) or “D” or “R” and skip to S6Q4a
INTERVIEWER: INCLUDE BOTH JUVENILE AND ADULT PROBATION. PLEASE ONLY COUNT THOSE TIMES WHEN YOU HAVE BEEN PLACED ON PROBATION IN THE PAST.
ASK IF S6Q3a=1-999, D or R:
S6Q3b. How old were you the first time you were placed on probation by a Court, either as an adult or juvenile?
____ YEARS OF AGE (Range 0-99)
BLIND D OR R
PROGRAMMER: IF NUMBER IS LESS THAN 8 OR GREATER THAN 65, DISPLAY “VERIFY ENTRY”
ASK IF S6Q3a>0, D or R:
S6Q3c. Before (INSERT FILL_6A) For what offenses were you on probation from a court?
INTERVIEWER: ENTER ONE OFFENSE PER LINE USING AUTOCOMPLETE
PROGRAMMER: Implement AUTOCOMPLETE function.
S6Q3c_1. ________________________________
S6Q3c_2. ________________________________
S6Q3c_3. ________________________________
S6Q3c_4. ________________________________
S6Q3c_5. ________________________________
BLIND D OR R
ASK IF S6Q3c_1 HAS A RESPONSE:
S6Q3d. For any of the times that you were on probation were you sentenced as a —
(1) YES (2) NO
___ Juvenile?
___ Youthful offender?
___ Adult?
BLIND D OR R
(h) Help - DISPLAY HELP SCREEN h_YOUTH
h_YOUTH.
Youthful offender - A category, established by statute in some states, which has an age limit above that for juveniles, whereby the person is not sentenced as an adult, and for which special correctional commitments and special record sealing procedures are made available.
Juvenile - A youth, within the age established by Statute, who has been sentenced in a juvenile court. Age limitations of "juveniles" vary among the states from 16 to 21 years of age, with the most common upper limit being 18 years.
ASK IF S6Q3c_1 HAS A RESPONSE:
S6Q3e. Before (FILL_6A), had you ever been charged with violating the conditions of your probation?
ENTER ONE
(1) YES – Ask S6Q3f
(2) NO - Skip to S6Q4a
BLIND D OR R - Ask S6Q3f
ASK IF S6Q3e = 1, D OR R:
S6Q3f. Before (FILL_6A) had your probation ever been revoked or taken away? ENTER ONE
(1) YES
(2) NO - Skip to S6Q4a
BLIND D OR R - Skip to S6Q4a
ASK IF S6Q3f=1:
S6Q3g. What were the specific reasons that your probation was revoked or taken away? Any others? ENTER ALL THAT APPLY
(1) Arrest/conviction for new offense
(2) Positive test for drug use
(3) Possession of drug(s)
(4) Failure to report for drug testing
(5) Failure to report for alcohol or drug treatment
(6) Failure to report for other counseling
(7) Failure to report to probation/parole officer/absconded
(8) Left jurisdiction without permission
(9) Failure to secure or maintain employment
(10) Failure to pay fines, restitution, or other financial obligations, like child support
(11) Maintained contacts with other known offenders
(12) Possession of gun(s)
(13) Failure to maintain approved housing/residence
(14) Failure to meet other conditions of supervision
(95) Other – Specify ________________ (S6Q3g_OTH).
(96) NO OTHER MENTIONS
BLIND D OR R
ASK IF S6Q1a > 0:
SECTION B: PRIOR INCARCERATIONS
Total number of incarcerations
FILL_6B
If Storage item 2I has a date insert “on (most recent prior admit date from Storage item 2I-Recent admit date)”;
Else if Storage item 2I is blank, insert “on your admission on (insert recent admission date from Storage item 2A-Recent admission date);
Else if Storage item 2A is also blank, insert “this time”.
S6Q4a. Before your admission (FILL_6B), had you ever been sentenced and served time in a jail, prison or another correctional facility, either as an adult or juvenile? ENTER ONE
(1) YES
(2) NO — Skip to S6Q10a
BLIND D OR R – Skip to S6Q10a
COMP_INSTR_6C.
If (2), (D) or (R) entered in S6Q4a, mark “2,” “D” or “R” in Storage item 6B – Prior incarcerations and skip to S6Q10a (Restraining order). If (1) entered in S6Q4a, mark “1” in Storage item 6B – Prior incarcerations and continue with S6Q4a1_1.
ASK IF S6Q4a=1:
S6Q4a1_1. Did you serve time in a juvenile facility? ENTER ONE
(1) YES
(2) NO
BLIND D OR R
ASK IF S6Q4a=1:
S6Q4a1_2. Did you serve time in a county, city or, tribal jail? ENTER ONE
(1) YES
(2) NO
BLIND D OR R
ASK IF S6Q4a=1:
S6Q4a1_3. Did you serve time in a State prison? ENTER ONE
(1) YES
(2) NO
BLIND D OR R
ASK IF S6Q4a=1:
S6Q4a1_4. Did you serve time in a Federal prison? ENTER ONE
(1) YES
(2) NO
BLIND D OR R
ASK IF S6Q4a=1:
S6Q4a1_5. Did you serve time in another facility? ENTER ONE
YES, Specify______________ (S6Q4a1_OTH)
NO
BLIND D OR R
COMPLETE IF S6Q4a=1:
COMP_INSTR_6D.
If S6Q4a1_1 through S6Q4a1_5 =2, D or R, skip to S6Q10a. Else ask S6Q4b
ASK IF ANY OF S6Q4a1_1-5=1:
S6Q4b. When was the first time you were sentenced and served time in a correctional facility as an adult or juvenile?
S6Q4b_1. MONTH: ____ (MM) (Range 1 – 12, blank)
S6Q4b_2. YEAR: (YYYY) (Range 1930 – CURRENT YEAR, blank)
BLIND D OR R – Ask S6Q4b1
ASK IF ANY OF S6Q4a1_1-5=1 AND IF S6Q4b_1=BLANK, D, R:
S6Q4b1. What time of year was it? Was it winter, spring, summer, or fall the first time you were sentenced and served time in a correctional facility?
(1) WINTER
(2) SPRING
(3) SUMMER
(4) FALL
BLIND D OR R
ASK IF ANY OF S6Q4a1_1-5=1 AND S6Q4b_1=BLANK,D,R AND S6Q4b_2=BLANK,D,R:
S6Q4b2. How old were you the first time you were sentenced and served time in a correctional facility as an adult or juvenile?
____ YEARS OF AGE (Range 0-99)
BLIND D OR R
PROGRAMMER: IF NUMBER IS LESS THAN 8 OR GREATER THAN 65, DISPLAY “VERIFY ENTRY”
ASK IF ANY OF S6Q4a1_1-5=1:
S6Q4c. Before your admission (FILL_6B), in total, how many times had you been sentenced to serve time in a correctional facility as an adult or juvenile?
____ NUMBER OF TIMES (Range 1 – 50) – Transcribe to Storage Item 6E – Total Incarcerations
BLIND D OR R – Transcribe to Storage Item 6E – Total Incarcerations
If S6Q4c=D or R, skip to S6Q10a. Else continue.
ASK IF STORAGE ITEM 6E=1-50 AND S6Q4a1_1=1:
Juvenile facility
S6Q5a. Before your admission (FILL_6B), how many times had you ever been sentenced and served time in a juvenile facility?
____ NUMBER OF TIMES (Range 1 – 10)
BLIND D OR R - Ask S6Q5b
ASK IF S6Q5a=1-10, D or R:
S6Q5b. How old were you the first time you were sentenced and served time in a juvenile facility before
your admission (FILL_ 6B)?
____ YEARS OF AGE (Range 0-99)
BLIND D OR R
PROGRAMMER: IF NUMBER IS LESS THAN 8 OR GREATER THAN 65, DISPLAY “VERIFY ENTRY”
ASK IF S6Q5a=1-10:
S6Q5c. For what offenses did you ever serve time in a juvenile facility before your admission (FILL_6B)? Any others?
INTERVIEWER: ENTER ONE OFFENSE PER LINE USING AUTOCOMPLETE
PROGRAMMER: Implement AUTOCOMPLETE function linking responses to list of all possible offenses.
S6Q5c_1. ___________________________
S6Q5c_2. ___________________________
S6Q5c_3. ___________________________
S6Q5c_4. ___________________________
S6Q5c_5. ___________________________
S6Q5c_6. ___________________________
S6Q5c_7. ___________________________
S6Q5c_8. ___________________________
S6Q5c_9. ___________________________
S6Q5c_10. __________________________
BLIND D OR R or Blank – Skip to Comp_Instr_6H
ASK IF S6Q5C_1 IS FILLED:
S6Q5e. For any of the times you served time in a juvenile facility were you sentenced as a — ENTER ONE FOR EACH
(1) YES (2) NO
S6Q5e_1.___ Youthful offender?
S6Q5e_2.___ Adult?
BLIND D OR R
(h) Help - DISPLAY HELP SCREEN h_YOUTH
h_YOUTH.
Youthful offender - A category, established by statute in some states, which has an age limit above that for juveniles, whereby the person is not sentenced as an adult, and for which special correctional commitments and special record sealing procedures are made available.
ASK IF STORAGE ITEM 6E=1-50 AND S6Q4a1_2=1:
Local (County and City) and Tribal Jail
S6Q6a. Before your admission (FILL_6B), how many times had have you ever been sentenced and
served time in a county, city, or tribal jail?
____ NUMBER OF TIMES (Range 1 – 20)
BLIND D OR R – Skip to Comp_Instr_6J
ASK IF S6Q6a=1-20:
S6Q6b. How old were you the first time you were sentenced and served time in a county, city, or tribal jail to serve a sentence?
____ YEARS OF AGE (Range 0-99)
BLIND D OR R
PROGRAMMER: IF NUMBER IS LESS THAN 8 OR GREATER THAN 65, DISPLAY “VERIFY ENTRY”
ASK IF S6Q6a=1-20:
S6Q6c. For what offenses did you serve time in a county, city, or tribal jail before your admission
(FILL_6B)? Any others?
INTERVIEWER: ENTER ONE OFFENSE PER LINE AUTOCOMPLETE
PROGRAMMER: Implement AUTOCOMPLETE function linking responses to list of all possible offenses.
S6Q6c_1. ___________________________
S6Q6c_2. ___________________________
S6Q6c_3. ___________________________
S6Q6c_4. ___________________________
S6Q6c_5. ___________________________
S6Q6c_6. ___________________________
S6Q6c_7. ___________________________
S6Q6c_8. ___________________________
S6Q6c_9. ___________________________
S6Q6c_10. __________________________
BLIND D OR R - Skip to Comp_Instr_6J
ASK IF S6Q6c_1 IS FILLED:
S6Q6d. For any of the times you served time in a county, city, or tribal jail were you sentenced as a — ENTER ONE FOR EACH
(1) YES (2) NO
S6Q6d_1.___ Juvenile?
S6Q6d_2.___ Youthful offender?
S6Q6d_3.___ Adult?
BLIND D OR R
(h) Help - DISPLAY HELP SCREEN h_YOUTH
h_YOUTH.
Youthful offender - A category, established by statute in some states, which has an age limit above that for juveniles, whereby the person is not sentenced as an adult, and for which special correctional commitments and special record sealing procedures are made available.
Juvenile - A youth, within the age established by Statute, who has been sentenced in a juvenile court. Age limitations of "juveniles" vary among the states from 16 to 21 years of age, with the most common upper limit being 18 years.
ASK IF STORAGE ITEM 6E=1-50 AND (S6Q4a1_3=1 or S6Q4a1_4=1):
State or Federal Prison
S6Q7a. Before your admissions (FILL_6B), how many times had you ever been sentenced and served
time in a State or Federal prison?
____ NUMBER OF TIMES (Range 1 – 20)
BLIND D OR R – Skip to Comp_Instr_6L.
ASK IF S6Q7a=1-20:
S6Q7b. How old were you the first time you were sentenced and served time in a State or Federal
prison before your admissions (FILL_6B)?
____ YEARS OF AGE (Range 0-99)
PROGRAMMER: IF NUMBER IS LESS THAN 8 OR GREATER THAN 65, DISPLAY “VERIFY ENTRY”
BLIND D OR R
ASK IF S6Q7a=1-20:
S6Q7c. For what offenses did you serve time in a State/Federal prison? Any others?
INTERVIEWER: ENTER ONE OFFENSE PER LINE USING AUTOCOMPLETE
PROGRAMMER: Implement AUTOCOMPLETE function linking responses to list of all possible offenses.
S6Q7c_1. ___________________________
S6Q7c_2. ___________________________
S6Q7c_3. ___________________________
S6Q7c_4. ___________________________
S6Q7c_5. ___________________________
S6Q7c_6. ___________________________
S6Q7c_7. ___________________________
S6Q7c_8. ___________________________
S6Q7c_9. ___________________________
S6Q8c_10. __________________________
BLIND D OR R - Skip to Comp_Instr_6L
ASK IF S6Q7c_1 IS FILLED:
S6Q7d. For any of the times you served time in a State or Federal prison were you sentenced as a –
ENTER ONE FOR EACH
(1) YES (2) NO
S6Q7d_1. ___ Juvenile?
S6Q7d_2. ___ Youthful offender?
S6Q7d_3. ___ Adult?
BLIND D OR R
(h) Help - DISPLAY HELP SCREEN h_YOUTH
h_YOUTH.
Youthful offender - A category, established by statute in some states, which has an age limit above that for juveniles, whereby the person is not sentenced as an adult, and for which special correctional commitments and special record sealing procedures are made available.
Juvenile - A youth, within the age established by Statute, who has been sentenced in a juvenile court. Age limitations of "juveniles" vary among the states from 16 to 21 years of age, with the most common upper limit being 18 years.
ASK IF STORAGE ITEM 6E=1-50 AND S6Q4a1_5=1:
Other facility- specify
S6Q8a. Before your admission (FILL_6B), how many times had you been sentenced and served time
in a (INSERT RESPONSES FROM S6Q4a1_OTH)?
____ NUMBER OF TIMES (Range 1 – 20)
BLIND D OR R - Skip to Comp_Instr_6P1
ASK IF S6Q8a=1-20:
S6Q8b. How old were you the first time you were sentenced and served time in a (INSERT RESPONSES FROM S6Q4a1_OTH) before your admissions (FILL_6B)?
____ YEARS OF AGE (Range 0-99)
BLIND D OR R
PROGRAMMER: IF NUMBER IS LESS THAN 8 OR GREATER THAN 65, DISPLAY “VERIFY ENTRY”
ASK IF S6Q8a=1-20:
S6Q8c. For what offenses did you serve time in (INSERT RESPONSES FROM S6Q4a1_OTH)? Any others?
INTERVIEWER: ENTER ONE OFFENSE PER LINE USING AUTOCOMPLETE
PROGRAMMER: Implement AUTOCOMPLETE function linking responses to list of all possible offenses.
S6Q8c_1. ___________________________
S6Q8c_2. ___________________________
S6Q8c_3. ___________________________
S6Q8c_4. ___________________________
S6Q8c_5. ___________________________
S6Q8c_6. ___________________________
S6Q8c_7. ___________________________
S6Q8c_8. ___________________________
S6Q8c_9. ___________________________
S6Q8c_10. __________________________
BLIND D OR R - Skip to Comp_Instr_6P1.
ASK IF S6Q8c_1 IS FILLED:
S6Q8d. For any of the times you served time in (INSERT RESPONSES FROM S6Q4a1_OTH) were you
sentenced as a — ENTER ONE FOR EACH
(1) YES (2) NO
S6Q8d_1. ___ Juvenile?
S6Q8d_2. ___ Youthful offender?
S6Q8d_3. ___ Adult?
BLIND D OR R
(h) Help - DISPLAY HELP SCREEN h_YOUTH
h_YOUTH.
Youthful offender - A category, established by statute in some states, which has an age limit above that for juveniles, whereby the person is not sentenced as an adult, and for which special correctional commitments and special record sealing procedures are made available.
Juvenile - A youth, within the age established by Statute, who has been sentenced in a juvenile court. Age limitations of "juveniles" vary among the states from 16 to 21 years of age, with the most common upper limit being 18 years.
ASK IF STORAGE ITEM 6E=1-50 AND (S6Q4a1_3=1 or S6Q4a1_4=1):
SECTION C: PRIOR PAROLE
Parole
S6Q9a. Before your admission (FILL_6B), had you ever been placed on parole, either as a
juvenile or an adult, after serving time in a State or Federal prison? ENTER ONE
(1) YES - Enter (1) "Yes" in Storage item 6F-Previous parole and ask S6Q9b.
(2) NO - Enter (2), "No" in Storage item 6F-Previous parole and skip to S6Q10a (Restraining order).
BLIND D OR R – Enter (D) or (R) in Storage item 6F-Previous parole and Skip to S6Q10a (Restraining order).
ASK IF S6Q9a=1:
S6Q9b. How old were you the first time you were placed on parole after serving time in a State
or Federal prison?
____ YEARS OF AGE (Range 0-99)
BLIND D OR R
PROGRAMMER: IF NUMBER IS LESS THAN 8 OR GREATER THAN 65, DISPLAY “VERIFY ENTRY”
ASK IF S6Q9a=1:
S6Q9c. Before your admission (FILL_6B), for what offenses had you ever been placed on
parole, either as an adult or a juvenile, after serving time in a State or Federal prison? Any others?
INTERVIEWER: ENTER ONE OFFENSE PER LINE USING AUTOCOMPLETE
PROGRAMMER: Implement AUTOCOMPLETE function linking responses to list of all possible offenses.
S6Q9c_1. ___________________________
S6Q9c_2. ___________________________
S6Q9c_3. ___________________________
S6Q9c_4. ___________________________
S6Q9c_5. ___________________________
S6Q9c_6. ___________________________
S6Q9c_7. ___________________________
S6Q9c_8. ___________________________
S6Q9c_9. ___________________________
S6Q9c_10. __________________________
BLIND D OR R
COMPLETE IF S6Q9a=1:
COMP_INSTR_6Q.
If S6Q9c = D, R, or None, go to S6Q10a (Restraining order). Else ask items S6Q9e.
ASK IF S6Q9c_1 IS FILLED:
S6Q9e. Before your admission (FILL_6B), had you ever been charged with violating the conditions of your parole? ENTER ONE
(1) YES
(2) NO - Skip to S6Q10a
BLIND D OR R - Skip to S6Q10a
ASK IF S6Q9e=1:
S6Q9f. Before your admission (FILL_6B), had your parole ever been revoked or taken away? ENTER ONE
YES
NO - Skip to S6Q10a
BLIND D OR R - Skip to S6Q10a
ASK IF S6Q9f=1:
S6Q9g. What were the specific reasons that your parole was revoked or taken away? Any others? ENTER ALL THAT APPLY
(1) Arrest/conviction for new offense
(2) Positive test for drug use
(3) Possession of drug(s)
(4) Failure to report for drug testing
(5) Failure to report for alcohol or drug treatment
(6) Failure to report for other counseling
(7) Failure to report to probation/parole officer/absconded
(8) Left jurisdiction without permission
(9) Failure to secure or maintain employment
(10) Failure to pay fines, restitution, or other financial obligations (e.g., child support)
(11) Maintained contacts with other known offenders
(12) Possession of gun(s)
(13) Failure to maintain approved housing/residence
(14) Failure to meet other conditions of supervision
(95) Other - Specify _______________________ (S6Q9g_OTH)
(96) NO OTHER MENTIONS
BLIND D OR R
ASK ALL:
SECTION D: RESTRAINING ORDER
S6Q10a. Have you ever been under a restraining order? Sometimes this kind of order is called a peace bond, a protective order, a no contact order, or a domestic restraining order. ENTER ONE
(1) YES
(2) NO – Skip to S6Q11a
BLIND D OR R – Skip to S6Q11a
ASK IF S6Q10a=1:
S6Q10b. Who was the person who sought the restraining order? ENTER ONE
(1) Spouse
(2) Ex-spouse
(3) Parent/step-parent
(4) Own child/stepchild
(5) Brother/sister/step-brother/step-sister
(6) Other relative
(7) Boyfriend/girlfriend
(8) Ex-boyfriend/ex-girlfriend
(9) Friend/ex-friend
(10) Other non-relative
BLIND D OR R
ASK IF S6Q10a=1:
S6Q10c. Have you ever been arrested or prosecuted for violating a restraining order? ENTER ONE
(1) YES
(2) NO
BLIND D OR R
ASK IF S6Q10a=1:
S6Q10d. When you were admitted to jail (DISPLAY “ON (INSERT STORAGE ITEM 2A – MOST RECENT ADMISSION DATE” IF CONTAINS A DATE/ELSE DISPLAY “THIS TIME”), were you under a restraining order? ENTER ONE
(1) YES
(2) NO – Skip to S6Q11a
BLIND D OR R – Skip to S6Q11a
ASK IF S6Q10d=1:
S6Q10e. When you were admitted (DISPLAY “ON (INSERT STORAGE ITEM 2A – MOST RECENT ADMISSION DATE)” IF CONTAINS A DATE/ELSE DISPLAY “THIS TIME”), were you formally charged with violating a restraining order? ENTER ONE
(1) YES
(2) NO
BLIND D OR R
ASK ALL:
SECTION F: PRIOR FINANCIAL OBLIGATION
S6Q11a. Altogether, how many different times in your life have you been sentenced or ordered by a court to pay a fine, restitution, or some other financial obligation associated with a criminal offense? (Not including traffic tickets)
NUMBER OF TIMES: ______ (Range 0 – 999)
If 0, Skip to S7Q1a
BLIND D OR R – Skip to S7Q1a
ASK IF S6Q11a>0:
S6Q11b. How old were you the first time you were sentenced or ordered by a court to pay a fine, restitution, or some other financial obligation associated with a criminal offense? Exclude traffic violations.
____ YEARS OF AGE (Range 0-99)
BLIND D OR R
PROGRAMMER: IF NUMBER IS LESS THAN 8 OR GREATER THAN 65, DISPLAY “VERIFY ENTRY”
ASK IF S6Q11a>0:
S6Q11c. Have you ever been sentenced or ordered by a court to pay a fine, restitution, or some other financial obligation associated with a violent offense? ENTER ONE
INTERVIEWER PROBE IF NECESSARY: Violent offenses include crimes like physical assault, robbery, manslaughter, murder, attempted murder, extortion, stalking, sex offenses, or kidnapping.
(1) YES
(2) NO – Skip to S6Q11e
BLIND D OR R – Skip to S6Q11e
ASK IF S6Q11c=1:
S6Q11d. Altogether, how many times in your life have you been sentenced or ordered by a court to pay a fine, restitution, or some other financial obligation associated with a violent offense? Please remember to include any violent offenses you may have already told me about earlier in the survey.
NUMBER OF TIMES: ______ (Range 0 – 999)
BLIND D OR R
ASK IF S6Q11a>0:
S6Q11e. Have you ever been sentenced or ordered by a court to pay a fine, restitution, or some other financial obligation associated with a property offense? ENTER ONE
INTERVIEWER PROBE IF NECESSARY: Property offenses include crimes like burglary, larceny, theft, auto theft, bad checks, fraud, forgery, arson, or possession of stolen goods.
(1) YES
(2) NO – Skip to S6Q11g
BLIND D OR R - Skip to S6Q11g
ASK IF S6Q11e=1:
S6Q11f. Altogether, how many times in your life have you been sentenced or ordered by a court to pay a fine, restitution, or some other financial obligation associated with a property offense? Please remember to include any property offenses you may have already told me about earlier in the survey.
NUMBER OF TIMES: ______ (Range 0 – 999)
BLIND D OR R
ASK IF S6Q11a>0:
S6Q11g. Have you ever been sentenced or ordered by a court to pay a fine, restitution, or some other financial obligation associated with a drug offense? ENTER ONE
INTERVIEWER PROBE IF NECESSARY: Drug offenses include crimes like possessing, selling, trafficking, importing, smuggling, or manufacturing illegal drugs or drug paraphernalia.
(1) YES
(2) NO – Skip to S7Q1a
BLIND D OR R – Skip to S7Q1a
ASK IF S6Q11g=1:
S6Q11h. Altogether, how many times in your life have you been sentenced or ordered by a court to pay a fine, restitution, or some other financial obligation associated with a drug offense? Please remember to include any drug offenses you may have already told me about earlier in the survey.
NUMBER OF TIMES: ______ (Range 0 – 999)
BLIND D OR R
S6Q11i. Have you ever been sentenced or ordered by a court to pay a fine, restitution, or some other financial obligation associated with a public order offense? ENTER ONE
INTERVIEWER PROBE IF NECESSARY: Public order offenses include crimes like obstruction of justice, driving while intoxicated, drunkenness, violation of parole/probation, or immigration violation.
(1) YES
(2) NO – Skip to S7Q1a
BLIND D OR R – Skip to S7Q1a
ASK IF S6Q11i=1:
S6Q11j. Altogether, how many times in your life have you been sentenced or ordered by a court to pay a fine, restitution, or some other financial obligation associated with a public order offense? Please remember to include any public order offenses you may have already told me about earlier in the survey.
NUMBER OF TIMES: ______ (Range: 0 – 999)
BLIND D OR R
Section 7 – Socioeconomic Characteristics
ASK ALL:
S7Q1a. This group of questions concerns your education, employment, and income.
Before your admission (DISPLAY “ON (INSERT STORAGE ITEM 2A – MOST RECENT ADMISSION DATE)” IF CONTAINS A DATE/ELSE DISPLAY “THIS TIME”), what was the highest grade of school that you had attended? ENTER ONE
(0) NEVER ATTENDED OR ATTENDED KINDERGARTEN ONLY - Skip to S7Q1c
ELEMENTARY HIGH SCHOOL COLLEGE
(1) FIRST (9) NINTH (13) FRESHMAN
(2) SECOND (10) TENTH (14) SOPHOMORE
(3) THIRD (11) ELEVENTH (15) JUNIOR
(4) FOURTH (12) TWELFTH (16) SENIOR
(5) FIFTH
(6) SIXTH GRADUATE SCHOOL
(7) SEVENTH (17) ONE YEAR
(8) EIGHTH (18) TWO OR MORE
YEARS
(19) ATTENDED SCHOOL IN ANOTHER COUNTRY/SYSTEM THAT IS NOT COMPARABLE – Skip to S7Q1c
BLIND D OR R- Skip to S7Q1c
ASK IF S7Q1a=1-18:
S7Q1b. Did you complete that year? ENTER ONE
(1) YES
(2) NO
BLIND D OR R – Skip to S7Q1c
COMPLETE IF S7Q1a=1-18:
COMP_INSTR_7A.
See items S7Q1a and S7Q1b.
(1) If completed less than 12th grade (S7Q1a=1-11 and S7Q1b=1 or 2) OR (S7Q1a=12 and S7Q1b=2, D or R) OR S7Q1a=0,19,D or R, ask S7Q1c.
(2) If completed 12th grade or more (S7Q1a=12 and S7Q1b=1 OR S7Q1a=13-18 and S7Q1b=1 or 2), skip to S7Q1d.
ASK IF COMP_INSTR_7A=1:
S7Q1c. Do you have a GED, that is, a high school equivalency certificate? ENTER ONE
(1) YES - Skip to S7Q1e
(2) NO - Skip to S7Q2a
BLIND D OR R - Skip to S7Q2a
ASK IF COMP_INSTR_7A=2\:
S7Q1d. Did you receive a GED or a high school diploma for finishing high school? ENTER ONE
(1) GED
(2) HIGH SCHOOL DIPLOMA - Skip to S7Q2a
BLIND D OR R - Skip to S7Q2a
ASK IF S7Q1c=1 OR S7Q1d=1:
S7Q1e. Did you earn your GED while serving time in a prison, jail, or other correctional facility? ENTER
ONE
(1) YES
(2) NO
BLIND D OR R
ASK ALL:
S7Q2a. Before your admission to jail (DISPLAY “ON (INSERT STORAGE ITEM 2A – MOST RECENT ADMISSION DATE)” IF CONTAINS A DATE/ELSE DISPLAY “THIS TIME”) were you free at least one year? ENTER ONE
(1) YES - Skip to S7Q3a
(2) NO
BLIND D OR R
(h) Help - DISPLAY HELP SCREEN h_FREE
h_FREE.
Not incarcerated or jailed by any law enforcement agency (jail, detention center, prison, reformatory, etc.).
If the inmate is on parole, probation, escape, bail, or other release, he/she is considered "free".
ASK IF S7Q2a=2, D or R:
S7Q2b. How many months were you free before your admission to jail? ENTER ONE
NUMBER OF MONTHS: ___ (MM) (Range 1-11)
-or-
(0) LESS THAN 1 MONTH
BLIND D OR R
(h) Help - DISPLAY HELP SCREEN h_FREE
If S7Q2b=0, D or R, skip to S7Q4c, else ask S7Q3a
h_FREE.
Not incarcerated or jailed by any law enforcement agency (jail, detention center, prison, reformatory, etc.). If the inmate is on parole, probation, escape, bail, or other release, he/she is considered "free".
ASK IF S7Q2a=1 OR S7Q2b=1-11 (FREE AT LEAST A MONTH PRIOR TO INCARCERATION):
S7Q3a. Now I would like to ask you about jobs you may have worked before your incarceration. Excluding any illegal activities, during the 30 days before admission to jail (DISPLAY “ON (INSERT STORAGE ITEM 2A – MOST RECENT ADMISSION DATE)” IF CONTAINS A DATE/ELSE DISPLAY “THIS TIME”), did you have a job or a business? Please only think about jobs or businesses you worked at in the 30 days before you were admitted to jail (DISPLAY “ON (INSERT STORAGE ITEM 2A – MOST RECENT ADMISSION DATE)” IF CONTAINS A DATE/ELSE DISPLAY “THIS TIME”). ENTER ONE
(1) YES
(2) NO - Skip to S7Q4a
BLIND D OR R - Skip to S7Q4c
ASK IF S7Q3a=1:
S7Q3a1. How many different jobs or businesses did you have? ENTER ONE
(1) One
(2) Two
(3) Three
(4) Four or more
(5) NONE – Skip to S7Q4a
BLIND D OR R – Skip to S7Q4a
INTERVIEWER: If S7Q3a1 = 5, CONFIRM ANSWER AND, IF IT REMAINS THE SAME, CHANGE RESPONSE TO S7Q3a TO (2) NO.
ASK IF S7Q3a1=1-4:
S7Q3b. Was this full-time, part-time, or work done occasionally? ENTER ONE
(1) FULL-TIME
(2) PART-TIME
(3) WORK DONE OCCASIONALLY
BLIND D OR R
ASK IF S7Q3a1=1-4:
S7Q3b1. What was your occupation then? (PROBE FOR SPECIFIC OCCUPATION)
SPECIFY: ______________________
BLIND D OR R
ASK IF S7Q3a1=1-4:
S7Q3c. Were you looking for other work at that time? ENTER ONE
(1) YES
(2) NO
BLIND OR R
All Skip to S7Q6a
ASK IF S7Q3a=2, D or R OR S7Q3a1=5, D or R:
S7Q4a. In the 30 days before your admission to jail (DISPLAY “ON (INSERT STORAGE ITEM 2A – MOST RECENT ADMISSION DATE” IF CONTAINS A DATE/ELSE DISPLAY “THIS TIME”)) were you looking for work? ENTER ONE
(1) YES – Skip to S7Q4c
(2) NO
BLIND D OR R – Skip to 7Q4c
ASK IF S7Q4a=2:
S7Q4b. What were the reasons you were not looking for work? Any other reasons? ENTER ALL THAT APPLY (SHOW CARD)
(1) No suitable work available
(2) Couldn't find any work
(3) Lack of necessary schooling, training, skills, or experience
(4) Medical condition, ill health, physical or mental disability
(5) Emotional or mental health problem
(6) Employers thought you were too young
(7) Employers thought you were too old
(8) Criminal record was a handicap
(9) Family responsibilities or couldn't arrange child care
(10) On welfare or other public assistance
(11) In school/special program
(12) Didn't need job
(13) Didn't want job
(14) Illegal activities
(15) On drugs/alcohol
(16) Retired
(95) Other - Specify ___________________________________ (S7Q4b_OTH)
(00) No specific reason - If (00) is selected (1) - (95) cannot be selected - display error message
(96) NO OTHER MENTIONS
BLIND D OR R
ASK IF S7Q3a=2, D or R OR S7Q3a1=5, D or R
S7Q4c. Excluding any illegal activities or work done while in jail or prison, in what month and year did you last work at a job or business? Please only think about jobs or businesses you worked at for at least two weeks back to back before your admission to jail (DISPLAY “ON (INSERT STORAGE ITEM 2A – MOST RECENT ADMISSION DATE)” IF CONTAINS A DATE/ELSE DISPLAY “THIS TIME”)?
MONTH: ____ (MM) (Range 1 – 12, blank)
YEAR: ____ (YYYY) (Range 1930 – CURRENT YEAR)
-or-
(0) Never worked at all
(1) Never worked two consecutive weeks (at least two weeks back to back)
BLIND D OR R
If precodes (0), (1), D, or R are selected, skip to COMP_INSTR_7B
Else go to S7Q4d.
ASK IF S7Q4c DOES NOT EQUAL 0, 1, D or R:
S7Q4d. Was this full time, part time, or occasional work? ENTER ONE
(1) FULL TIME
(2) PART TIME
(3) OCCASIONAL
BLIND D OR R
ASK IF S7Q4c DOES NOT EQUAL 0, 1, D or R:
S7Q5. What was your occupation then? (PROBE FOR A SPECIFIC OCCUPATION)
SPECIFY: ______________________
BLIND D OR R
ASK ALL:
COMP_INSTR_7B.
If S7Q2b=0, D or R skip to S7Q8a, else ask S7Q6a
ASK IF S7Q2a=1 or S7Q2b=1-11 (FREE AT LEAST A MONTH PRIOR TO ADMISSION):
S7Q6a. Now I’m going to read you a list of places you may have lived during the 30 days prior to your admission to jail (DISPLAY “ON (INSERT STORAGE ITEM 2A – MOST RECENT ADMISSION DATE)” IF CONTAINS A DATE/ELSE DISPLAY “THIS TIME”). At any time during those 30 days did you live…ENTER ONE FOR EACH
|
Yes |
No |
S7Q6a1. In a house, apartment, or mobile home that you or your family owned or rented? |
1 |
2 |
S7Q6a2. In someone else’s house, apartment, or mobile home? |
1 |
2 |
S7Q6a3. In transitional housing for former inmates, such as a halfway house? |
1 |
2 |
S7Q6a4. In a residential treatment facility? |
1 |
2 |
S7Q6a5. In a rooming house, hotel, or motel? |
1 |
2 |
S7Q6a6. In a car, truck, or other motor vehicle? |
1 |
2 |
S7Q6a7. In a homeless shelter, on the street, or in some outdoor location? – Skip to S7Q6c |
1 |
2 |
S7Q6a8. In a prison, jail, or some other type of correctional facility? |
1 |
2 |
S7Q6a95. In some other place? |
1 |
2 |
BLIND D OR R
ASK IF S7Q6a7=2, D, or R:
S7Q6b. In the (IF S7Q2b < 12 MONTHS, INSERT VALUE IN S7Q2b, ELSE INSERT 12) months before your admission (DISPLAY “ON (INSERT STORAGE ITEM 2A – MOST RECENT ADMISSION DATE)” IF CONTAINS A DATE/ELSE DISPLAY “THIS TIME”), had there been a time when you were homeless, living on the street or in a shelter? ENTER ONE
(1) YES
(2) NO
BLIND D OR R
ASK IF S7Q6a8 = 2, D, or R:
S7Q6c. In the (IF S7Q2b < 12 MONTHS, INSERT VALUE IN S7Q2b, ELSE INSERT 12) months before your admission (DISPLAY “ON (INSERT STORAGE ITEM 2A – MOST RECENT ADMISSION DATE)” IF CONTAINS A DATE/ELSE DISPLAY “THIS TIME”), had you spent any time in a prison, jail, juvenile or other correctional facility? ENTER ONE
(1) YES
(2) NO - Skip to COMP_INSTR_7B1
BLIND D OR R - Skip to COMP_INSTR_7B1
If S7Q2a = 1 AND S7Q6c = 1 then go to S7Q6cv. Else ask S7Q6d.
ASK IF S7Q2a=1 AND S7Q6c=1:
S7Q6cv. Earlier you said that you were free at least a year before your most recent admission to jail. Is that correct? ENTER ONE.
YES – Skip to COMP_INSTR_7B1
NO – Go to S7Q6d
INTERVIEWER: IF R RESPONDS “YES” TO S7Q6cv, CHANGE RESPONSE TO S7Q6c TO NO.
ASK IF S7Q6c=1:
S7Q6d. Which was it? Any others? ENTER ALL THAT APPLY
(1) State, Federal, or private prison
(2) County, city, or tribal jail
(3) Juvenile facility
(5) Other - Specify ___________________________ (S7Q6d_OTH)
(96) NO OTHER MENTIONS
BLIND D OR R
ASK IF S7Q2a=1 or S7Q2b=1-11 (FREE AT LEAST A MONTH PRIOR TO ADMISSION):
COMP_INSTR_7B1.
If S7Q6a 3, 4, 7, or 8=1 or S7Q6b=1, skip to COMP_INSTR_7D.
ASK IF (S7Q2a=1 or S7Q2b=1-11) AND S7Q6a1, 2, 5, 6 or 9 = 1:
S7Q7a. Excluding yourself, how many people were you living with at the time of your admission to jail?
NUMBER OF PEOPLE: _____ (Range 0 – 15)
BLIND D OR R
If 0, D, or R, skip to S7Q8a.
ASK
IF S7Q7a=1-15:
S7Q7b. Excluding yourself, how many
were adults aged 18 and over?
ADULTS AGE 18 AND OVER: ____ (Range 0 – 15)
BLIND D OR R
ASK IF S7Q7a=1-15 AND S7Q7a NE S7Q7b:
S7Q7c. How many were children under age 18?
CHILDREN UNDER AGE 18: ____ (Range 0 – 15)
BLIND D OR R
ASK IF S7Q7a=1-15:
COMP_INSTR_7C.
(1) If S7Q7b + S7Q7c = S7Q7a then skip to S7Q7e
(2) Else ask S7Q7d
ASK IF S7Q7b+S7Q7c DOES NOT EQUAL S7Q7a:
S7Q7d. Excluding yourself, that makes (INSERT SUM OF S7Q7b and S7Q7c) persons. Is that correct? ENTER ONE
(1) YES - Set S7Q7a=S7Q7b + S7Q7c
(2) NO - Display "Let me verify the last few questions" and display items S7Q7a, S7Q7b, and S7Q7c on screen and allow FI to make corrections.
ASK IF S7Q7a>0:
S7Q7e. And how were they related to you? Is that everyone? ENTER ALL THAT APPLY
(1) Inmate's child(ren)/Stepchild(ren) under age 18
(2) Inmate's adult child(ren)/Stepchild(ren)
(3) Spouse
(4) Parent(s)/Step-parent(s)
(5) Grandparent(s)
(6) Grandchild(ren)
(7) Brother(s)/sister(s) or Stepbrother(s)/Stepsister(s)
(8) Other relative(s)
(9) Girlfriend
(10) Boyfriend
(11) Child(ren) under age 18 unrelated to inmate
(12) Other friend(s)/Non-relative(s)
(96) NO OTHER MENTIONS
BLIND D OR R
ASK IF S7Q7a>0:
S7Q7f. Were you or anyone living with you receiving public assistance or welfare, for example, Aid to Families with Dependent Children (AFDC), food stamps, Medicaid, Women, Infants, and Children Program (WIC), or housing assistance, before you were admitted to jail? ENTER ONE
(1) YES
(2) NO
BLIND D OR R
ASK ALL:
S7Q8a. Do you have any biological or legally adopted children? Do not include stepchildren unless they are legally adopted. ENTER ONE
(1) YES
(2) NO – Skip to COMP_INSTR_7F1
BLIND D OR R – Skip to COMP_INSTR_7F1
ASK IF S7Q8a=1:
S7Q8b. How many biological or legally adopted children do you have?
INTERVIEWER: Do not include stepchildren unless they are legally adopted.
NUMBER OF CHILDREN: ____ (Range 1 – 20)
BLIND D OR R
If 0, ask S7Q8bv. Else, go toS7Q8c1
ASK IF S7Q8b=0:
S7Q8bv. I thought you said that you had biological or legally adopted children. How many children do
you have?
INTERVIEWER: Do not include stepchildren unless they are legally adopted.
____ INSERT IN S7Q8b
(0) NONE – FI CHANGE RESPONSE TO (2) IN S7Q8a AND GO TO Comp_Instr_7F1
BLIND D OR R – Skip to COMP_INSTR_7F1
ASK IF S7Q8b=1-20:
S7Q8c1. How old is your [first/second/third/etc.] child?
[LOOP THROUGH UNTIL ALL CHILDREN ARE REPORTED ON.]
INTERVIEWER: FOR MULTIPLE CHILDREN, ENCOURAGE RESPONDENT TO START WITH THE OLDEST AND WORK DOWN FROM THERE. FOR CHILDREN UNDER AGE 1 CODE AS 0
AGE OF CHILD: ____ (Range 0 – 75)
BLIND D OR R
COMPLETE IF S7Q8b=1-20:
CALCULATED VARIABLE:
CREATE HASH_UNDER18
IF S7Q8C1 IS LESS THAN 18 OR IF ONLY ONE CHILD’S AGE IN S7Q8C2 IS LESS THAN 18, THEN HASH_UNDER18=1
IF TWO CHILDREN’S AGES IN S7Q8C2 ARE LESS THAN 18, THEN HASH_UNDER18=2
IF THREE CHILDREN’S AGES IN S7Q8C2 ARE LESS THAN 18, THEN HASH_UNDER18=3
ETC…
IF 20 CHILDREN’S AGES IN S7Q8C2 ARE LESS THAN 18, THEN HASH_UNDER18=20
ELSE, HASH_UNDER18=0
IF HASH_UNDER18 = 1 OR MORE, ASK S7Q9a
IF HASH_UNDER18 = 0, SKIP TO S7Q10a.
DEFINE #UNDER18_FILL:
IF HASH_UNDER18 = 1 THEN HASH_UNDER18_FILL = EMPTY
IF HASH_UNDER18 = 2 – 20 THEN HASH_UNDER18_FILL = HASH_UNDER18
DEFINE CHILD_FILL1:
IF HASH_UNDER18 = 1 THEN CHILD_FILL1 = “CHILD WHO IS”
IF HASH_UNDER18 = 2 – 20 THEN CHILD_FILL1 = “CHILDREN WHO ARE”
DEFINE CHILD_FILL2:
IF HASH_UNDER18 = 1 THEN CHILD_FILL2 = “YOUR”
IF HASH_UNDER18 = 2 – 20 THEN CHILD_FILL2 = “ANY OF YOUR”
DEFINE CHILD_FILL3:
IF HASH_UNDER18 = 1 THEN CHILD_FILL3 = “CHILD WHO IS UNDER 18”
IF HASH_UNDER18 = 2 – 20 THEN CHILD_FILL3 = “CHILDREN WHO ARE UNDER 18”
DEFINE THIS_FILL1:
IF HASH_UNDER18 = 1 THEN THIS_FILL1 = “THIS”
IF HASH_UNDER18 = 2 – 20 THEN THIS_FILL1 = “ANY OF THESE”
DEFINE THIS_FILL2:
IF HASH_UNDER18 = 1 THEN THIS_FILL2 = “THIS”
IF HASH_UNDER18 = 2 – 20 THEN THIS_FILL2 = “THESE”
ASK IF HASH_UNDER18 = 1-20:
S7Q9a. Were you living with (INSERT THIS-FILL1) (INSERT #UNDER18_FILL) (INSERT CHILD_FILL3) just before your admission to jail (DISPLAY “ON (INSERT STORAGE ITEM 2A – MOST RECENT ADMISSION DATE)” IF CONTAINS A DATE/ELSE DISPLAY “THIS TIME”)? ENTER ONE
INTERVIEWER: IF NEEDED, REMIND INMATE THAT THIS QUESTION IS ASKING ABOUT JUST BEFORE THEY WERE ADMITTED to JAIL.
(1) YES - Ask S7Q9b IF HASH_UNDER18 > 1, Else go to S7Q9d
(2) NO - Skip to S7Q10a
BLIND D OR R - Skip to S7Q10a
ASK IF S7Q9a=1 AND HASH_UNDER18>1:
S7Q9b. How many of these (INSERT HASH_UNDER18_FILL) children were you living with just before your admission to jail (DISPLAY “ON (INSERT STORAGE ITEM 2A – MOST RECENT ADMISSION DATE)” IF CONTAINS A DATE/ELSE DISPLAY “THIS TIME”)?
INTERVIEWER: IF NEEDED, REMIND INMATE THAT THIS QUESTION IS ASKING ABOUT JUST BEFORE THEY WERE ADMITTED. THIS DATE IS REFERRED TO AS ADMITTANCE DATE THROUGHOUT THE SURVEY.
NUMBER: ____ (Range 1 – HASH_UNDER18)
BLIND D OR R
If S7Q9b > 1, ask S7Q9c
If S7Q9b = 1, D, or R, skip to S7Q9d
COMPLETE IF S7Q9b=1 or >1:
DEFINE CHILD_FILL4:
IF S7Q9b = 1 THEN CHILD_FILL4 = “child”
IF S7Q9b = 2 OR MORE THEN CHILD_FILL4 = “children”
CREATE HASH_S7Q9b:
HASH_S7Q9b= S7Q8b Value – S7Q9b Value
DEFINE CHILD_FILL5:
IF HASH_S7Q9b = 1 THEN CHILD_FILL5 = “child that was”
IF HASH_S7Q9b = 2 OR MORE THEN CHILD_FILL5 = “children that were”
DEFINE IS_FILL:
IF S7Q9b = 1 THEN IS_FILL = “is”
IF S7Q9b = 2 OR MORE THEN IS_FILL = “are”
ASK IF S7Q9b>1:
S7Q9c. How many of those (FILL WITH VALUE FROM S7Q9b) children that you lived with are currently living together?
NUMBER: ____ (Range 0, 2 – S7Q9b VALUE)
BLIND D OR R
ASK IF S7Q9b=1 or >1:
S7Q9d. Who (INSERT IS_FILL) the (INSERT VALUE FROM S7Q9b) (INSERT CHILD_FILL4) you were living with just before your admission to jail living with now? ENTER ALL THAT APPLY
INTERVIEWER: IF NEEDED, REMIND INMATE THAT THIS QUESTION IS ASKING ABOUT JUST BEFORE THEY WERE ADMITTED TO JAIL. THIS DATE IS REFERRED TO AS THE ADMISSION DATE THROUGHOUT THE SURVEY.
(1) Child’s mother / father (including step parents)
(2) Child’s grandmother
(3) Child’s grandfather
(4) Pther relatives
(5) Your boyfriend / girlfriend / partner
(6) Your friends
(7) Friends of the child(ren)
(8) Foster parent(s)/foster home
(9) Incarcerated
(10) Agency or institution (including mental health facility, group home, residential treatment facility)
(11) Child lives on own (includes school/college, military, monastery etc.)
(95) Someone else – Specify: ____________ (S7Q9D_OTH)
(12) Deceased
(96) NO OTHER MENTIONS
BLIND D OR R
ASK IF S7Q8b=1-20:
S7Q10a. Since your admission to jail (DISPLAY “ON (INSERT STORAGE ITEM 2A – MOST RECENT ADMISSION DATE)” IF CONTAINS A DATE/ELSE DISPLAY “THIS TIME”), about how often have you made or received calls from your biological or legally adopted (INSERT CHILD_FILL4)? Would you say daily or almost daily, at least once a week, at least once a month, less than once a month, or never? ENTER ONE
(1) DAILY OR ALMOST DAILY
(2) AT LEAST ONCE A WEEK
(3) AT LEAST ONCE A MONTH
(4) LESS THAN ONCE A MONTH
(5) NEVER
BLIND D OR R
ASK IF S7Q8b=1-20:
S7Q10b. And how often have you sent or received mail from your (INSERT CHILD_FILL4)? ENTER ONE
(1) Daily or almost daily,
(2) At least once a week,
(3) At least once a month,
(4) Less than once a month, or
(5) Never
BLIND D OR R
ASK IF S7Q8b=1-20:
S7Q10c. And how often have you been personally visited by your (INSERT CHILD FIILL_4)? ENTER ONE
(1) Daily or almost daily,
(2) At least once a week,
(3) At least once a month,
(4) Less than once a month, or
(5) Never
BLIND D OR R
ASK IF HASH_UNDER18=1-20:
S7Q10d. Sometimes people have a legal agreement through a court or a child support agency that specifies how much money a person has to pay for child support. At the time of your admission to jail (DISPLAY “ON (INSERT STORAGE ITEM 2A – MOST RECENT ADMISSION DATE)” IF CONTAINS A DATE/ELSE DISPLAY “THIS TIME”), did you have a legal agreement to pay child support for any of your biological or legally adopted children who were under the age of 18? ENTER ONE
(1) YES
(2) NO - Skip to COMP_INSTR_7F1
BLIND D OR R – Skip to COMP_INSTR_7F1
ASK IF S7Q10d=1:
S7Q10e. Do you owe any back child support? ENTER ONE
(1) YES
(2) NO
BLIND D OR R
COMPLETE FOR ALL:
COMP_INSTR_7F1.
If S7Q2b = 0, skip to S7Q11d. Else ask S7Q11a
ASK IF S7Q2a=1 or S7Q2b=1-11 (FREE AT LEAST A MONTH PRIOR TO ADMISSION):
S7Q11a. In the 30 days before your admission to jail (DISPLAY “ON (INSERT STORAGE ITEM 2A – MOST RECENT ADMISSION DATE)” IF CONTAINS A DATE/ELSE DISPLAY “THIS TIME”), did you receive any income from… ENTER ONE FOR EACH (SHOW CARD)
|
Yes |
No |
S7Q11a_1. Wages, salary, commissions, bonuses, or tips from a job? Please do not include money earned from any illegal activities. |
1 |
2 |
S7Q11a_2. Self-employment from your own business or farm? |
1 |
2 |
S7Q11a_3. Social Security or Railroad Retirement? |
1 |
2 |
S7Q11a_4. Supplemental Security Income or SSI? |
1 |
2 |
S7Q11a_5. Any public assistance or welfare payments from the state or local welfare office? |
1 |
2 |
S7Q11a_6. Retirement, survivor, or disability pensions? |
1 |
2 |
S7Q11a_7. Veteran’s Administration payments? |
1 |
2 |
S7Q11a_8. Unemployment compensation? |
1 |
2 |
S7Q11a_9. Child support or alimony? |
1 |
2 |
S7Q11a_10. Disability benefits? |
1 |
2 |
S7Q11a_11. Illegal activities such as theft or drug sales? |
1 |
2 |
S7Q11a_95. Any other source of income? |
1 |
2 |
BLIND D OR R
COMPLETE IF S7Q2a=1 or S7Q2b=1-11 (FREE AT LEAST A MONTH PRIOR TO ADMISSION):
COMP_INSTR_7G.
(1) If at least one category in S7Q11a = 1, ask S7Q11b
(2) Else skip to S7Q11d
ASK IF ANY OF S7Q11a_1-11, _95=1:
S7Q11b. Think about all of the income you received during the 30 days before your admission to jail (DISPLAY “ON (INSERT STORAGE ITEM 2A – MOST RECENT ADMISSION DATE)” IF CONTAINS A DATE/ELSE DISPLAY “THIS TIME”), including from any illegal activities. ENTER ONE (SHOW CARD)
Would you say the income you received in those 30 days was...
(1) Less than $200,
(2) $200 - $599,
(3) $600 - $999,
(4) $1000 -$1999,
(5) $2000 - $4999, or
(6) $5000 or more?
BLIND D OR R
ASK IF ANY OF S7Q11a_1-11, _95=1 AND S7Q7a=1-15:
S7Q11b1. Was your income in those 30 days at least half of the financial support for the household? ENTER ONE
(1) YES
(2) NO
BLIND D OR R
ASK IF S7Q11a_11=1:
S7Q11c. How much of your total income during those 30 days came from illegal activity? Would you say… ENTER ONE
(1) All of it,
(2) Most of it,
(3) Some of it, or
(4) Just a little of it?
BLIND D OR R
ASK IF S7Q11a_3=2, D or R AND S7Q11a_4=2, D or R:
S7Q11d. Have you ever received income from Social Security as a result of a retirement, survivors, or disability benefit? ENTER ONE
(1) YES
(2) NO
BLIND D OR R
ASK IF S7Q11a_3=2, D or R AND S7Q11a_4=2, D or R:
S7Q11e. Have you ever received Supplemental Security Income (SSI)? ENTER ONE
(1) YES
(2) NO
BLIND D OR R
COMPLETE IF S7Q2a=1 or S7Q2b=1-11 (FREE AT LEAST A MONTH PRIOR TO ADMISSION):
S7Q11f. During the 30 days before your admission to jail (DISPLAY “ON (INSERT STORAGE ITEM 2A – MOST RECENT ADMISSION DATE)” IF CONTAINS A DATE/ELSE DISPLAY “THIS TIME”), were you covered by any of the following types of health insurance or health coverage plans? ENTER ONE FOR EACH
PROGRAMMER: IF NEEDED, REMIND INMATE THAT THIS QUESTION IS ASKING ABOUT THE 30 DAYS BEFORE THEY WERE ADMITTED.
|
YES |
NO |
S7Q11f_1. Insurance through a current employer or union of yours or another family member? |
1 |
2 |
S7Q11f_2. Insurance purchased directly from an insurance company by you or another family member? |
1 |
2 |
S7Q11f_3. Medicare, for people 65 and older, or people with certain disabilities? |
1 |
2 |
S7Q11f_4. Medicaid, Medical Assistance, or any kind of government-assistance plan for those with low incomes or a disability? |
1 |
2 |
S7Q11f_5. TRICARE or other military health care? |
1 |
2 |
S7Q11f_6. VA? Please answer yes if you have ever used or enrolled in VA healthcare. |
1 |
2 |
S7Q11f_7. Indian Health Service? |
1 |
2 |
S7Q11f_95. Any other type of health insurance or health coverage plan? If S7Q11f_95=1, ask S7Q11f_OTH |
1 |
2 |
S7Q11f_OTH. [ASK IF S7Q11f_OTH] Specify: ________________________________ |
BLIND D OR R
INTERVIEWER: IF NEEDED, REMIND INMATE THAT THIS QUESTION IS ASKING ABOUT THE 30 DAYS BEFORE THEY WERE ADMITTED.
ASK ALL:
S7Q11g. After you are released from jail, do you expect to be eligible for any health care benefits from the U.S Department of Veterans Affairs or VA such as treatment for physical or mental health problems or treatment for drug or alcohol use? ENTER ONE
(1) YES
(2) NO
BLIND D OR R
ASK ALL:
S7Q12PIVa. Now I would like to ask you a few questions about your biological parents. Is your biological mother - that is, the woman who gave birth to you - still alive?
Yes – Skip to S7Q12PIVc
No
BLIND D OR R
ASK IF S7Q12PIVa = 2:
S7Q12PIVb. How old were you when your biological mother died?
INTERVIEWER: If inmate was less than a year old when she died, please enter 0
AGE:
BLIND D OR R
[RANGE: 0 – CALCAGE]
ASK IF S7Q12PIVa=1 OR S7Q12PIVb>5:
S7Q12PIVc. Thinking about your biological mother and her involvement in your life [IF S7Q12PIVb>17 SHOW: before you turned 18/ IF S7Q12PIVb=6-17 SHOW: before she died], would you say she was very involved, somewhat involved, or not at all involved?
Very involved
Somewhat involved
Not at all involved
BLIND D OR R
ASK ALL:
S7Q12PIVd. Do you know the identity of your biological father?
Yes
No – Skip to S7Q12PIV
BLIND D OR R
ASK IF S7Q12PIVd=1:
S7Q12PIVe. Is your biological father still alive?
Yes – Skip to S7Q12PIVg
No
BLIND D OR R
ASK IF S7Q12PIVe=2:
S7Q12PIVf. How old were you when your biological father died?
INTERVIEWER: If inmate was not born yer or less than a year old when he died, please enter 0.
AGE:
BLIND D OR R
[RANGE: 0 – CALCAGE]
ASK IF S7Q12PIVe=1 OR S7Q12PIVf>5:
S7Q12PIVg. Thinking about your biological father and his involvement in your life [IF S7Q12PIVf>17 SHOW: before you turned 18/ IF S7Q12PIVf=6-17 SHOW: before he died], would you say he was very involved, somewhat involved, or not at all involved?
Very involved
Somewhat involved
Not at all involved
BLIND D OR R
ASK IF S7Q12PIVd=1
S7Q12PIVh. Were your biological parents married to each other at the time you were born?
Yes - Skip to S7Q12PIVjl
No
BLIND D OR R
ASK IF S7Q12PIVh=2, D or R:
S7Q12PIVi. At any time between when you were born and when you turned 18, were your biological parents married to each other?
Yes
No
BLIND D OR R
ASK IF S7Q12PIVh=1 OR S7Q12PIVi=1:
S7Q12PIVjl. At any time between when you were born and when you turned 18, did your biological parents get divorced?
Yes
No
BLIND D OR R
ASK IF S7Q12PIVh=1 OR S7Q12PIVi=1:
S7Q12PIVk. Between the time you were born and when you turned [CALCAGE], about how long were your biological parents married to each other?
Less than 3 years
At least 3 years but less than 10 years
At least 10 years but less than [CALCAGE] years
[CALCAGE] years
BLIND D OR R
ASK IF S7Q12PIVd=2 OR S7QPIVf<6 OR S7QPIVg=2, 3, D, R:
S7Q12PIVl. Before you turned 18 was there another man who was like a father to you?
Yes
No – Skip to S7Q12PIVn
BLIND D OR R
ASK IF S7Q12PIVl=1:
S7Q12PIVm. Who was the other man who was most like a father to you before you turned 18?
An adoptive father
A stepfather
A foster father
Your mother’s boyfriend
A grandfather
An uncle
A brother, including a stepbrother or half-brother
A cousin
A minister or member of the clergy
A teacher
A neighbor
Some other man
BLIND D OR R
ASK ALL:
S7Q12PIVn. Were you living with a male parent or a male parent-figure at the time you were 14 years old?
Yes
No – Skip to S7Q12PIVp
BLIND D OR R
ASK IF S7Q12PIVn=1:
S7Q12PIVo. Who was the male parent or male parent-figure you were living with when you were 14 years old?
Your biological father
Your adoptive father
Your stepfather
A foster father
Your mother’s boyfriend
Your grandfather
Your uncle
Some other male parent-figure
BLIND D OR R
ASK ALL:
S7Q12PIVp. Were you living with a female parent or a female parent-figure at the time you were 14 years old?
Yes
No – Skip to S7Q12a
BLIND D OR R
ASK IF S7Q12PIVp=1:
S7Q12PIVq. Who was the female parent or female parent-figure you were living with when you were 14 years old?
Your biological mother
Your adoptive mother
Your stepmother
A foster mother
Your father’s girlfriend
Your grandmother
Your aunt
Some other female parent-figure
BLIND D OR R
ASK ALL:
S7Q12a. When you were growing up, who did you live with most of the time? ENTER ONE
INTERVIEWER: IF MORE THAN ONE RELATIVE, SELECT CLOSEST BLOOD RELATIVE ONLY
(1) Both parents (of which one could be a step-parent)
(2) Mother
(3) Father
(4) Grandparents
(5) Other relatives (include step-relations)
(6) Friends
(7) Foster homes - Skip to S7Q12d
(8) Agency or institution (including religious institution) - Skip to S7Q12d
(95) Someone else - Specify __________________________ (S7Q12a_OTH)
BLIND D OR R - Ask S7Q12b
ASK IF S7Q12a=1,2,3,4,5,6,9, D or R:
S7Q12b.Before you were 18, did you ever live in a foster home, agency or institution, even if it was only for a short time? ENTER ONE
(1) YES
(2) NO – Skip to S7Q12d
BLIND D OR R - Skip to S7Q12d
ASK
IF S7Q12b=1:
S7Q12c. Was it a foster home, an
agency or institution, or both? ENTER ONE
(1) FOSTER HOME
(2) AGENCY OR INSTITUTION
(3) BOTH
BLIND D OR R
ASK ALL:
S7Q12d. Before you were 18, did any of your parents or guardians ever receive welfare or public assistance, for example, AFDC, TANF, SNAP, food stamps, Medicaid, or WIC? ENTER ONE
(1) YES
(2) NO
BLIND D OR R
ASK ALL:
S7Q12e. Before you were 18, did you ever live in public housing or publicly assisted housing, for example, Section 8 housing? ENTER ONE
(1) YES
(2) NO
BLIND D OR R
ASK ALL:
S7Q13a. Before you were 18, did any of your parents or guardians abuse alcohol or drugs? ENTER ONE
(1) YES
(2) NO - Skip to S7Q14
BLIND D OR R - Skip to S7Q14
ASK IF S7Q13a=1:
S7Q13b. Was it alcohol, drugs or both? KEEP S7Q13a ON SCREEN. ENTER ONE
(1) ALCOHOL
(2) DRUGS
(3) BOTH ALCOHOL AND DRUGS
BLIND D OR R
ASK ALL:
S7Q14. How many brothers and sisters have you had? Include half and step brothers and sisters.
NUMBER OF BROTHERS AND SISTERS: ____ (Range 0-25)
(0) NONE
BLIND D OR R
ASK ALL:
S7Q15a. Have any of your parents or stepparents ever been sentenced and served time in jail or prison? ENTER ONE
(1) YES
(2) NO - Skip to S7Q15c
BLIND D OR R – Skip to S7Q15c
ASK IF S7Q15a=1:
S7Q15b. Who was that? Anyone else? ENTER ALL THAT APPLY
(1) Mother/Stepmother
(2) Father/Stepfather
(96) NO OTHER MENTIONS
BLIND D OR R
ASK ALL:
S7Q15c. Have any of your children, brothers, sisters, or your spouse(s) ever been sentenced and served time in jail or prison? Include any step-family. ENTER ONE
(1) YES
(2) NO - Skip to COMP_INSTR_7I
BLIND D OR R – Skip to COMP_INSTR_7I
ASK IF S7Q15c=1:
S7Q15d. Who was that? Anyone else? ENTER ALL THAT APPLY
(1) Spouse
(2) Child/Stepchild
(3) Brother/Stepbrother
(4) Sister/Stepsister
(96) NO OTHER MENTIONS
BLIND D OR R
ASK ALL:
COMP_INSTR_7I.
Is response (9) (girlfriend) or response (10) (boyfriend) picked in S7Q7e?
(1) Yes - Ask S7Q15e
(2) No - Skip to S7Q16a
ASK IF COMP_INSTR_7I=1:
S7Q15e. Has your (INSERT GIRLFRIEND/BOYFRIEND FROM S7Q7e) ever been sentenced and served time in jail or prison? ENTER ONE
(1) YES
(2) NO
BLIND D OR R
ASK ALL:
S7Q16a. While you were growing up, did you have friends you hung around with who engaged in activities such as – ENTER ONE FOR EACH
(1) YES (2) NO
S7Q16a_1. __ Using drugs?
S7Q16a_2. __ Destroying or damaging property that did not belong to them?
S7Q16a_3. __ Shoplifting?
S7Q16a_4. __ Stealing motor vehicles or parts from motor vehicles?
S7Q16a_5. __ Selling stolen property?
S7Q16a_6. __ Breaking into homes or other buildings?
S7Q16a_7. __ Selling, importing, or manufacturing drugs?
S7Q16a_8. __ Mugging, robbing or extorting money from people?
S7Q16a_95. __ Any other illegal activity? - If yes, Specify - _______________ (S7Q16a_OTH)
BLIND D OR R
If all marked "2", (no) or D or R, go to S7Q16d; else continue with S7Q16b
ASK IF ANY OF S7Q16a_1-9=1:
S7Q16b. Did you participate in any of these activities with them? ENTER ONE
(1) YES
(2) NO - Skip to S7Q16d
BLIND D OR R - Skip to S7Q16d
ASK IF S7Q16b=1:
S7Q16c. How old were you when you first started (ITEMS MARKED IN S7Q16A)? ENTER ONE
INTERVIEWER: IF MORE THAN ONE ACTIVITY LISTED, INSTRUCT RESPONDENT TO DECIDE WHICH ACTIVITY HAPPENED FIRST IN THEIR LIFE AND ENTER THAT YOUNGEST AGE)
____ ENTER YEARS OF AGE (1-99)
(0) DIDN'T DO ANY OF THOSE ACTIVITIES
PROGRAMMER: IF NUMBER IS LESS THAN 8 OR GREATER THAN 65, DISPLAY “VERIFY ENTRY”
BLIND D OR R
SASK ALL:
S7Q16d. Have you ever been shot at with a gun? Do not include military combat. ENTER ONE
(1) YES
(2) NO - Skip to S7Q16f
BLIND D OR R - Skip to S7Q16f
ASK IF S7Q16d=1:
S7Q16e. Were you wounded? ENTER ONE
(1) YES
(2) NO
BLIND D OR R
ASK ALL:
S7Q16f. Has anybody ever used a knife or other sharp object against you? ENTER ONE
(1) YES
(2) NO - Skip to S8Q1a
BLIND D OR R - Skip to S8Q1a
ASK IF S7Q16f=1:
S7Q16g. Were you injured? ENTER ONE
(1) YES
(2) NO
BLIND D OR R
Section 8 – Alcohol and Drug Use and Treatment
PROGRAMMER: IN QUESTIONS WHERE A CONTROLLING OFFENSES IS INSERTED, ASK QUESTIONS ONLY IF THERE IS A CONTROLLING OFFENSE STORED IN STORAGE ITEM 2O. IN QUESTIONS WHERE A CONTROLLING ARREST DATE IS INSERTED, ASK QUESTIONS ONLY IF THERE IS A CONTROLLING ARREST DATE STORED IN STORAGE ITEM 2P.
Now I would like to ask you some questions about alcohol and drugs. These are questions about different experiences some people may have if they use alcohol or drugs. We are asking these questions of everyone in the study. Remember that the information you provide will be kept confidential and will only be used for this study.
ASK ALL:
The next questions are about drinking alcohol.
S8Q1a. In your entire life, have you had at least 12 drinks of any kind of alcohol, not counting small tastes or sips? ENTER ONE
(1) YES - Transcribe to Storage item 8A=1 and ask S8Q1b
(2) NO - Transcribe to Storage item 8A=2 and skip to S8Q6a
BLIND D - Transcribe to Storage item 8A=1 and Continue with S8Q1b
BLIND R - Transcribe to Storage item 8A=2 and Skip to S8Q6a
ASK IF S8Q1a=1 or D:
S8Q1b. About how old were you when you first started drinking, other than small tastes or sips?
____ AGE
BLIND D OR R
ASK IF S8Q1a=1 or D:
S8Q1c. Have you ever drunk alcoholic beverages, more than once a week for more than a month? ENTER ONE
(1) YES
(2) NO
BLIND D OR R
COMPLETE IF S8Q1a=1 or D:
COMP_INSTR_8A1.
(1) If Storage item 2B (detention status) = 06 (no offense) skip to Comp_Instr_8A4
(2) If Storage item 2B (detention status) = 01, 02, 03, 04 or 05, ask S8Q2a
(3) Else skip to COMP_INSTR_8A4
ASK IF COMP_INSTR_8A1=2:
S8Q2a. Did you drink any alcohol during the 12 months before your admission to jail (DISPLAY “ON (INSERT STORAGE ITEM 2A – MOST RECENT ADMISSION DATE)” IF CONTAINS A DATE/ELSE DISPLAY “THIS TIME”)? ENTER ONE
YES
NO – Skip to COMP_INSTR_8A1a
BLIND D OR R – Skip to COMP_INSTR_8A1a
ASK IF S8Q2a=1:
S8Q2b. During that year how often did you usually drink alcohol? ENTER ONE
(READ ALL CATEGORIES)
(1) Daily or almost daily
(2) At least once a week
(3) Less than once a week
(4) About once a month
(5) Less than once a month
BLIND D OR R
COMPLETE IF COMP_INSTR_8A1=2:
COMP_INSTR_8A1a.
(1) If Storage item 2B (detention status) = 05, skip to COMP_INSTR_8A4.
(2) Else if 2B Detention status= 01, 02, 03, or 04, ask S8Q3a.
(3) Else skip to COMP_INSTR_8A4.
ASK IF COMP_INSTR_8A1a=2:
S8Q3a. Had you been drinking any alcohol at the time of the (INSERT STORAGE ITEM 2O – CONTROLLING OFFENSE)? ENTER ONE
(1) YES
(2) NO
BLIND D OR R
COMPLETE IF S8Q1a=1 or D:
COMP_INSTR_8A4.
Does S8Q1c=1, or S8Q2b=1 or 2?
(1) Yes – Continue with S8Q4a
(2) No, D, or R - Skip to S8Q6a (Drug use)
ASK IF COMP_INSTR_8A4=1:
ALCOHOL ABUSE QUESTIONS
S8Q4a. Now I am going to ask you some questions about your use of alcohol. In the 12 months before your admission to jail (DISPLAY “ON (INSERT STORAGE ITEM 2A – MOST RECENT ADMISSION DATE)” IF CONTAINS A DATE/ELSE DISPLAY “THIS TIME”), have you…
ASK IF COMP_INSTR_8A4=1:
S8Q4a_1. Had times when you ended up drinking more, or longer, than you intended? ENTER ONE
(1) YES
(2) NO
BLIND D OR R
ASK IF COMP_INSTR_8A4=1:
S8Q4a_2. More than once wanted to cut down or stop drinking, or tried to, but couldn't? ENTER ONE
(1) YES
(2) NO
BLIND D OR R
ASK IF COMP_INSTR_8A4=1:
During the 12 months before your admission to jail, have you…
S8Q4a_3. Spent a lot of time drinking? Or being sick or getting over other after effects? ENTER ONE
(1) YES
(2) NO
BLIND D OR R
ASK IF COMP_INSTR_8A4=1:
S8Q4a_4. Wanted a drink so badly you couldn't think of anything else? ENTER ONE
(1) YES
(2) NO
BLIND D OR R
ASK IF COMP_INSTR_8A4=1:
During the 12 months before your admission to jail, have you…
S8Q4a_5. Found that drinking – or being sick from drinking – often interfered with taking care of your home or family? Or caused job troubles? Or school problems? ENTER ONE
(1) YES
(2) NO
BLIND D OR R
ASK IF COMP_INSTR_8A4=1:
S8Q4a_6. Continued to drink even though it was causing trouble with your family or friends? ENTER ONE
(1) YES
(2) NO
BLIND D OR R
ASK IF COMP_INSTR_8A4=1:
During the 12 months before your admission to jail, have you…
S8Q4a_7. Given up or cut back on activities that were important or interesting to you, or gave you pleasure, in order to drink? ENTER ONE
(1) YES
(2) NO
BLIND D OR R
ASK IF COMP_INSTR_8A4=1:
S8Q4a_8. More than once gotten into situations while or after drinking that increased your chances of getting hurt (such as driving, swimming, using machinery, walking in a dangerous area, or having unsafe sex)? ENTER ONE
(1) YES
(2) NO
BLIND D OR R
ASK IF COMP_INSTR_8A4=1:
During the 12 months before your admission to jail, have you…
S8Q4a_9. Continued to drink even though it was making you feel depressed or anxious or adding to another health problem? Or after having had a memory blackout? ENTER ONE
(1) YES
(2) NO
BLIND D OR R
ASK IF COMP_INSTR_8A4=1:
S8Q4a_10. Had to drink much more than you once did to get the effect you wanted? Or found that your usual number of drinks had much less effect than before? ENTER ONE
(1) YES
(2) NO
BLIND D OR R
ASK IF COMP_INSTR_8A4=1:
During the 12 months before your admission to jail, have you…
S8Q4a_11. Found that when the effects of alcohol were wearing off, you had withdrawal symptoms, such as trouble sleeping, shakiness, restlessness, nausea, sweating, a racing heart, or a seizure? Or sensed things that were not there? ENTER ONE
(1) YES
(2) NO
BLIND D OR R
ASK IF COMP_INSTR_8A4=1:
S8Q5a. Now I am going to read a list of experiences many other people have had in connection with drinking alcoholic beverages. In your entire life… ENTER ONE FOR EACH
(1) YES (2) NO
S8Q5a_1. __ Have you ever felt you should cut down on your drinking?
S8Q5a_2. __ Have people ever annoyed you by criticizing your drinking?
S8Q5a_3. __ Have you ever felt bad or guilty about your drinking?
S8Q5a_4. __ Have you ever had a drink first thing in the morning to steady your nerves or get rid of hangover?
BLIND D OR R
ASK IF COMP_INSTR_8A4=1:
S8Q5b. In your entire life, have you ever driven a car, motorcycle, truck, boat, or any other vehicle after having too much to drink? ENTER ONE
(1) YES
(2) NO - Skip to S8Q5c
BLIND D OR R - Skip to S8Q5c
ASK IF S8Q5b=1:
S8Q5b1. KEEP PREVIOUS QUESTION, S8Q5b, ON SCREEN. In your entire life, have you ever had an accident after you were drinking? ENTER ONE
(1) YES
(2) NO
BLIND D OR R
ASK IF COMP_INSTR_8A4=1:
S8Q5c. In your entire life, have you ever had as much as a fifth of liquor in one day, that would be about 20 drinks, or 3 bottles of wine, or as much as 3 six-packs of beer in one day? ENTER ONE
(1) YES
(2) NO
BLIND D OR R
ASK ALL:
DRUG USE QUESTIONS
These next questions are about using drugs other than alcohol. Your responses to these questions are completely voluntary, but valuable to the study.
INTERVIEWER: FOR S8Q6a1 (MARIJUANA) AND S8Q6a5 (OPIATES), PLEASE INCLUDE BOTH LEGAL AND ILLEGAL USE
S8Q6a. Have you ever, even once, used… ENTER ONE FOR EACH (SHOW CARD)
|
YES |
NO |
S8Q6a1. marijuana or hashish? |
1 |
2 |
S8Q6a2. “crack”? |
1 |
2 |
S8Q6a3. other forms of cocaine, including powder, free base, and coca paste? |
1 |
2 |
S8Q6a4. heroin? |
1 |
2 |
S8Q6a5. other opiates, including Fentanyl, Percocet, OxyContin, Methadone, Vicodin, buprenorphine? |
1 |
2 |
S8Q6a6. PCP? PCP is also called “angel dust” or phencyclidine. |
1 |
2 |
S8Q6a7. ecstasy, or ‘Molly’, also known as MDMA? |
1 |
2 |
S8Q6a8. any other type of hallucinogen, including LSD, peyote, mescaline, or psilocybin, found in mushrooms? |
1 |
2 |
S8Q6a9. methamphetamine, also known as meth, ice, crystal meth, glass or crank? |
1 |
2 |
S8Q6a10. any inhalants – that is substances that people sniff or inhale for kicks or to get high? These substances include: amyl nitrite, locker room odorizers, cleaning fluid, gasoline, glue, nitrous oxide or “whip-its” , or spray paints. |
1 |
2 |
BLIND D OR R
COMP_INSTR_8B.
Is "Yes" entered for any of S8Q6a1 through S8Q6a10?
(1) Yes - Mark "yes" in Storage item 8B and ask items S8Q6b through S8Q6d IN A LOOP for each drug with a "yes" in S8Q6a1 through S8Q6a10. Use the appropriate drug fill in items S8Q6b through S8Q6d from S8Q6a1 through 6a10. Should be order of drugs in S8Q6a.
(2) No (i.e., all were answered No, D or R, or some combination) - Mark "no" in Storage item 8B and skip to COMP_INSTR_8G.
ASK IF COMP_INSTR_8B=1:
S8Q6b. Have you ever used (APPROPRIATE DRUG FROM S8Q6a1 THROUGH 6a10), once a week or more for at least a month? ENTER ONE
(1) YES
(2) NO
BLIND D OR R
ASK IF COMP_INSTR_8B=1AND STORAGE ITEM 2B=01, 02, 03, or 04:
S8Q6c. Now I would like for you to think about the 30 days before your arrest (INSERT STORAGE ITEM 2P – CONTROLLING ARREST DATE). During those 30 days did you use… ENTER ONE FOR EACH
PROGRAMMER: THIS SCREEN SHOULD FILL WITH ONLY THOSE DRUGS THE R ENDORSED IN S8Q6a1-10.
|
YES |
NO |
S8Q6c1. [IF S8Q6a1 = 1] marijuana or hashish? |
1 |
2 |
S8Q6c2. [IF S8Q6a2 = 1] “crack”? |
1 |
2 |
S8Q6c3. [IF S8Q6a3 = 1] other forms of cocaine, including powder, free base, and coca paste? |
1 |
2 |
S8Q6c4. [IF S8Q6a4 = 1] heroin? |
1 |
2 |
S8Q6c5. [IF S8Q6a5 = 1] other opiates, including Fentanyl, Percocet, OxyContin, Methadone, Vicodin? |
1 |
2 |
S8Q6c6. [IF S8Q6a6 = 1] PCP? (PCP is also called “angel dust” or phencyclidine.) |
1 |
2 |
S8Q6c7. [IF S8Q6a7 = 1] ecstasy or ‘Molly’, also known as MDMA? |
1 |
2 |
S8Q6c8. [IF S8Q6a8 = 1] any other type of hallucinogen, including LSD, peyote, mescaline, or psilocybin, found in mushrooms? |
1 |
2 |
S8Q6c9. [IF S8Q6a9 = 1] methamphetamine, also known as meth, ice crystal, meth, glass or crank? |
1 |
2 |
S8Q6c10. [IF S8Q6a10 = 1] inhalants - that is substances that people sniff or inhale for kicks or to get high? (These include: amyl nitrite, locker room odorizers, cleaning fluid, gasoline, glue, nitrous oxide or “whip-its”, or spray paints.) |
1 |
2 |
BLIND D OR R - Skip to COMP_INSTR_8B2
ASK IF ANY ITEMS OF S8Q6c=1 AND STORAGE ITEM 2B=01, 02, 03, or 04:
S8Q6d. How often did you use (APPROPRIATE DRUG FROM S8Q6c1 THROUGH 6c10,) during that month — less than once a week, at least once a week, almost daily, or daily? ENTER ONE
(IF INMATE RESPONDS WITH "ONLY USED FOR PART OF MONTH" OR "USE VARIED OVER MONTH," SELECT "OTHER")
(1) LESS THAN ONCE A WEEK
(2) AT LEAST ONCE A WEEK
(3) ALMOST DAILY
(4) DAILY
(5) OTHER – SPECIFY NUMBER OF DAYS ____ (S8Q6d_OTH) - Display total screen, including place to enter number of days
BLIND D OR R
COMPLETE IF COMP_INSTR_8B=1:
COMP_INSTR_8B2.
When S8Q6b through S8Q6d are complete for all "yes" responses in S8Q6a1 through 6a10, go to COMP_INSTR_8B3.
COMPLETE IF COMP_INSTR_8B=1:
COMP_INSTR_8B3.
If S8Q6a5 = 1, ask S8Q7a. Else, skip to COMP_INSTR_8C1.
ASK IF S8Q6a_5=1:
S8Q7a. These next questions ask about ever using prescription opioids in any way other than how a doctor or medical professional directed you to use them. This includes using it without a prescription of your own, using in greater amounts, more often, or longer than you were told to take it, taking it any other way doctor did not direct you to take it. Have you ever used… ENTER ONE FOR EACH
|
YES |
NO |
S8Q7a1. fentanyl or carfentanil without a prescription or in any way other than how it was directed for you to use it? |
1 |
2 |
S8Q7a2. other prescription opioids, for example oxycodone, dilaudid, buprenorphine, Percocet, OxyContin, Methadone, or Vicodin without a prescription or in any way other than how it was directed for you to use them? |
1 |
2 |
BLIND D OR R
ASK S8Q7b1 IF S8Q7a1=1 AND S8Q7b2 IF S8Q7a2=1:
S8Q7b. How old were you the first time you used…
S8Q7b1. fentanyl without a prescription or in any way other than how you were directed to use it? AGE: ____ (Range 0-99)
PROGRAMMER: IF NUMBER IS LESS THAN 8 OR GREATER THAN 65, DISPLAY “VERIFY ENTRY”
S8Q7b2. other prescription opioids without a prescription or in any way other than how you were directed to use it? AGE: ____ (Range 0-99)
PROGRAMMER: IF NUMBER IS LESS THAN 8 OR GREATER THAN 65, DISPLAY “VERIFY ENTRY”
BLIND D OR R
ASK S8Q7c1 IF S8Q7a1=1 and S8Q7c2 IF S8Q7a2=1:
S8Q7c. In the year before your admission to jail did you use… ENTER ONE FOR EACH
|
YES |
NO |
S8Q7c1. [IF item S8Q7a1=1] fentanyl without a prescription or in any way other than how you were directed to use it? |
1 |
2 |
S8Q7c2. [IF item S8Q7a2=1] other prescription opioids without a prescription or in any other than how you were directed to use it? |
1 |
2 |
BLIND D OR R
If S8Q7c1 AND S8Q7c2 = 2 or Blind D or R, skip to S8Q7f
ASK S8Q7d1 IF S8Q7c1=1 and S8Q7d2 IF S8Q7c2=1:
S8Q7d. In the month before your arrest on (INSERT STORAGE ITEM 2P – CONTROLLING ARREST DATE) did you use… ENTER ONE FOR EACH
|
YES |
NO |
S8Q7d1. [IF item S8Q7a1=1] fentanyl without a prescription or in any way other than how you were directed to use it? |
1 |
2 |
S8Q7d2. [IF item S8Q7a2=1] other prescription opioids without a prescription or in any other than how you were directed to use it? |
1 |
2 |
BLIND D OR R
ASK IF S8Q7a1=1 OR IF S8Q7a2=1:
S8Q7f. Have you ever received medication-assisted treatment, such as Methadone, Buprenorphine (Suboxone), or Naltrexone (Vivitrol) because of (FILL: fentanyl and/or other prescription opioids) use? ENTER ONE
(1) YES
(2) NO
BLIND D OR R
ASK IF S8Q7a1=1 OR IF S8Q7a2=1:
S8Q7g. Have you ever received an overdose reversal medication (e.g. Narcan or naloxone) in response to an overdose from (FILL: fentanyl and/or other prescription opioids)? ENTER ONE
(1) YES
(2) NO
BLIND D OR R
COMPLETE IF COMP_INSTR_8B=1:
COMP_INSTR_8C1.
If S8Q6a_4 = 1 ask S8Q7b1. Else, skip to COMP_INSTR_ 8C2.
ASK IF S8Q6a_4=1:
S8Q7h. You said that you used heroin, how old were you the first time you used it?
AGE: ____ (Range 0-99)
PROGRAMMER: IF NUMBER IS LESS THAN 8 OR GREATER THAN 65, DISPLAY “VERIFY ENTRY”
BLIND D OR R
ASK IF S8Q6a_4=1:
S8Q7f1. Have you ever received medication-assisted treatment, such as Methadone, Buprenorphine (Suboxone), or Naltrexone (Vivitrol) because of your heroin use? ENTER ONE
(1) YES
(2) NO
BLIND D OR R
ASK IF S8Q6a_4=1:
S8Q7g1. Have you ever received an overdose reversal medication (e.g. Narcan or naloxone) in response to an overdose from heroin? ENTER ONE
(1) YES
(2) NO
BLIND D OR R
ASK IF COMP_INSTR_8B=1:
COMP_INSTR_8C2.
Is "Yes" marked in S8Q6c for any drug completed? Then, continue with S8Q8a. Else skip to S8Q10a.
ASK IF ANY OF S8Q6c=1 AND STORAGE ITEM 2O IS FILLED:
S8Q8a. When you committed the (INSERT STORAGE ITEM 2O – CONTROLLING OFFENSE) were you trying to get money to buy drugs or otherwise obtain drugs for your use? ENTER ONE
(1) YES
(2) NO
BLIND D OR R
ASK IF ANY OF S8Q6c=1 AND STORAGE ITEM 2O IS FILLED:
S8Q8b. Were you under the influence of any drugs at the time of the (INSERT STORAGE ITEM 2O – CONTROLLING OFFENSE) for which you are now in jail? ENTER ONE
(1) YES
(2) NO – Skip to S8Q9a
BLIND D OR R – Skip to S8Q9a
ASK IF ANY OF S8Q8b=1 AND STORAGE ITEM 2O IS FILLED:
S8Q8c. At the time of the offense were you under the influence of…
PROGRAMMER: THIS SCREEN SHOULD FILL WITH ONLY THOSE DRUGS THE R ENDORSED IN S8Q6a
|
YES |
NO |
S8Q8c1. [IF S8Q6a1 = 1] marijuana or hashish? |
1 |
2 |
S8Q8c2. [IF S8Q6a2 = 1] “crack”? |
1 |
2 |
S8Q8c3. [IF S8Q6a3 = 1] any other form of cocaine, (Including powder, free base, and coca paste? |
1 |
2 |
S8Q8c4. [IF S8Q6a4 = 1] heroin? |
1 |
2 |
S8Q8c5. [IF S8Q6a5 = 1] other opiates, including Fentanyl, Percocet, OxyContin, Methadone, Vicodin? |
1 |
2 |
S8Q8c6. [IF S8Q6a6 = 1] PCP? (PCP is also called “angel dust” or phencyclidine.) |
1 |
2 |
S8Q8c7. [IF S8Q6a7 = 1] ecstasy or ‘Molly’, also known as MDMA? |
1 |
2 |
S8Q8c8. [IF S8Q6a8 = 1] any other type of hallucinogen, including LSD, peyote, mescaline, or psilocybin, found in mushrooms? |
1 |
2 |
S8Q8c9. [IF S8Q6a9 = 1] methamphetamine, also known as meth, ice crystal, meth, glass or crank? |
1 |
2 |
S8Q8c10. [IF S8Q6a10 = 1] inhalants - that is, substances that people sniff or inhale for kicks or to get high? (These include: amyl nitrite, locker room odorizers, cleaning fluid, gasoline, glue, nitrous oxide or “whip-its”, or spray paints.) |
1 |
2 |
ASK IF ANY OF S8Q8c1-10=1:
S8Q9a. In the month before your arrest on (INSERT STORAGE ITEM 2P – CONTROLLING ARREST DATE), what were the sources of the drugs that you were using? ENTER ALL THAT APPLY
(1) Bought from a stranger
(2) Bought from a dealer you know
(3) Bought from a friend
(4) Stolen
(5) Given by friends or acquaintances
(6) Bought with an illegal prescription
(7) Obtained legally using doctor’s prescription
(8) Traded sex for drugs
(95) Other - Specify __________________________ (S8Q9a_OTH)
(96) NO OTHER MENTIONS
BLIND D OR R - Skip to S8Q10a
ASK IF MORE THAN ONE RESPONSE PICKED IN S8Q9a:
S8Q9b. What was the main source of the drugs that you were using? [PROGRAMMER: ONLY DISPLAY THOSE RESPONSES THAT WERE SELECTED IN S8Q9a]
ENTER ONE
(1) Bought from a stranger
(2) Bought from a dealer you know
(3) Bought from a friend
(4) Stolen
(5) Given by friends or acquaintances
(6) Bought with an illegal prescription
(7) Obtained legally using doctor’s prescription
(8) Traded sex for drugs
(95) Other - Specify __________________________ (S8Q9b_OTH)
BLIND D OR R
ASK IF ANY OF S8Q6a=1:
S8Q10a. Have you ever, even once, used a needle to inject any drug that was not prescribed for you? ENTER ONE
(1) YES
(2) NO – Skip to S8Q10c
BLIND D OR R – Skip to S8Q10c
ASK IF S8Q10a=1:
S8Q10b. Have you ever used a needle that you knew or suspected someone else had used before?
ENTER ONE
(1) YES
(2) NO
BLIND D OR R
ASK IF ANY OF S8Q6a1-3 or 6-10 = 1:
S8Q10c. You said that you have used (INSERT ALL DRUG NAMES WITH "YES" RESPONSE IN S8Q6a1 THROUGH S8Q6a10, EXCLUDING 4 - HEROIN AND 5 – OTHER OPIATES). How old were you the first time you used any of these drugs?
____ YEARS OF AGE (Range 0 – 99)
BLIND D OR R
PROGRAMMER: IF NUMBER IS LESS THAN 8 OR GREATER THAN 65, DISPLAY “VERIFY ENTRY”
ASK IF COMP_INSTR_8B=1:
LIFE EXPERIENCES WITH DRUG USE
These next questions are about experiences many people have in connection with their use of drugs. Tell me if you have had any of these experiences.
S8Q11a1. In your entire life, have you ever driven a car, motorcycle, truck, boat, or any other vehicle while under the influence of drugs? ENTER ONE
(1) YES
(2) NO - Skip to S8Q11b
BLIND D OR R - Skip to S8Q11b
ASK IF S8Q11a1=1:
S8Q11a2. KEEP PREVIOUS QUESTION ON SCREEN. In your entire life, have you ever had an accident while under the influence of drugs? ENTER ONE
(1) YES
(2) NO
BLIND D OR R
SHOW IF COMP_INSTR_8B=1:
S8Q11b. During the year before your admission to jail, have you…
ASK IF COMP_INSTR_8B =1:
S8Q11b1. Had times when you ended up using drugs more, or longer, than you intended? ENTER ONE
(1) YES
(2) NO
BLIND D OR R
ASK IF COMP_INSTR_8B =1:
S8Q11b2. More than once wanted to cut down or stop using drugs, or tried to, but couldn't? ENTER ONE
(1) YES
(2) NO
BLIND D OR R
ASK IF COMP_INSTR_8B =1:
S8Q11b3. Spent a lot of time using drugs? Or being sick or getting over other aftereffects? ENTER ONE
(1) YES
(2) NO
BLIND D OR R
ASK IF COMP_INSTR_8B =1:
S8Q11b4. Wanted to use drugs so badly you couldn't think of anything else? ENTER ONE
(1) YES
(2) NO
BLIND D OR R
ASK IF COMP_INSTR_8B =1:
S8Q11b5. Found that using drugs--or being sick of drugs--often interfered with taking care of your home or family? Or caused job troubles? Or school problems? ENTER ONE
(1) YES
(2) NO
BLIND D OR R
ASK IF COMP_INSTR_8B =1:
S8Q11b6. Continued to use drugs even though it was causing trouble with your family or friends? ENTER
ONE
(1) YES
(2) NO
BLIND D OR R
ASK IF COMP_INSTR_8B =1:
S8Q11b7. Given up or cut back on activities that were important or interesting to you, or gave you pleasure, in order to use drugs? ENTER ONE
(1) YES
(2) NO
BLIND D OR R
ASK IF COMP_INSTR_8B =1:
S8Q11b8. More than once gotten into situations while or after getting high that increased your chances of getting hurt (such as driving, swimming, using machinery, walking in a dangerous area, or having unsafe sex)? ENTER ONE
(1) YES
(2) NO
BLIND D OR R
ASK IF COMP_INSTR_8B =1:
S8Q11b9. Continued to use drugs even though it was making you feel depressed or anxious or adding to another health problem? Or after having had a memory blackout? ENTER ONE
(1) YES
(2) NO
BLIND D OR R
ASK IF COMP_INSTR_8B =1:
S8Q11b10. Had to increase intake much more than you once did to get the effect you want? Or found that your previous intake had much less effect than before? ENTER ONE
(1) YES
(2) NO
BLIND D OR R
ASK IF COMP_INSTR_8B =1:
S8Q11b11. Found that when the effects of the high were wearing off, you had withdrawal symptoms, such as trouble sleeping, shakiness, restlessness, nausea, sweating, a racing heart, or a seizure? Or sensed things that were not there? ENTER ONE
(1) YES
(2) NO
BLIND D OR R
COMPLETE FOR ALL:
COMP_INSTR_8G.
Refer to Storage item 8A (used Alcohol) and Storage item 8B (used drugs). Are BOTH items marked "No"?
Both items marked “No” – Skip to S9Q1a (next section)
(2) At least one item marked “Yes” - ask S8Q12a.
ASK IF COMP_INSTR_8G=2:
S8Q12a. These next questions deal with treatment for alcohol and drug problems, not including cigarettes. Please report treatment or counseling designed to help you cut down or stop your alcohol or drug use. Please include detoxification and any other treatment for medical problems associated with your alcohol or drug use.
Have you ever received treatment or counseling for your use of alcohol or any drug, not counting cigarettes? ENTER ONE
(1) YES
(2) NO – Skip to S9Q1a
BLIND D OR R – Skip to S9Q1a
ASK IF S8Q12a=1:
S8Q12a1. Was the treatment or counseling you received for alcohol use only, drug use only, or both alcohol and drug use? ENTER ONE
(1) ALCOHOL
(2) DRUG
(3) BOTH ALCOHOL AND DRUG
BLIND D OR R
DEFINE TREAT_FILL:
If S8Q12a1 = 1 then TREAT_FILL = “alcohol use”
IF S8Q12a1 = 2 then TREAT_FILL = “drug use”
Else TREAT_FILL = “alcohol or drug use”
ASK IF S8Q12a=1:
S8Q12b. Treatment or counseling for [TREAT_FILL = drug use/alcohol or drug use] can be provided in a variety of ways. Have you ever received any treatment or counseling from… ENTER ONE FOR EACH
|
YES |
NO |
S8Q12b1. an alcohol or drug detoxification unit where you spent up to 72 hours to dry out? |
1 |
2 |
S8Q12b2. an alcohol or drug program in which you lived in a special facility or unit? |
1 |
2 |
S8Q12b3. counseling sessions with a trained professional while NOT living in a special facility or unit? |
1
|
2 |
S8Q12b4. a self-help group or peer group counseling, such as Alcoholics Anonymous, Cocaine Anonymous, or Narcotics Anonymous? |
1 |
2 |
S8Q12b5. an education or awareness program explaining problems with alcohol or drugs? |
1 |
2 |
S8Q12b6. a maintenance drug to cut your high or make you sick, such as methadone, Antabuse, or naltrexone? |
1 |
2 |
S8Q12b95. some other program? |
1 |
2 |
BLIND D OR R
ASK IF S8Q12a=1:
S8Q12c. Have you received any kind of treatment or counseling for your use of alcohol or any drug... ENTER ONE FOR EACH
|
YES |
NO |
S8Q12c1. since your admission to jail (DISPLAY “ON (INSERT STORAGE ITEM 2A – MOST RECENT ADMISSION DATE)” IF CONTAINS A DATE/ELSE DISPLAY “THIS TIME”)? |
1 |
2 |
S8Q12c2. while you were previously incarcerated in a prison, jail, or some other type of correctional facility? |
1 |
2 |
S8Q12c3. while on probation or parole? |
1 |
2 |
S8Q12c4. while living in the community and not on probation or parole? |
1 |
2 |
BLIND D OR R
COMPLETE IF S8Q12a=1:
COMP_INSTR_8F.
(1) If S8Q12c1 = 1 AND at least one of S8Q12b=1, ask S8Q12d
(2) Else, skip to COMP_INSTR_8J
ASK IF COMP_INSTR_8F=1:
S8Q12d. Since your admission to jail (DISPLAY “ON (INSERT STORAGE ITEM 2A – MOST RECENT ADMISSION DATE)” IF CONTAINS A DATE/ELSE DISPLAY “THIS TIME”), did you receive any treatment or counseling from… ENTER ONE FOR EACH
|
YES |
NO |
S8Q12d1. [IF S8Q12b1= 1] an alcohol or drug detoxification unit where you spent up to 72 hours to dry out? |
1 |
2 |
S8Q12d2. [IF S8Q12b2= 1] an alcohol or drug program in which you lived in a special facility or unit? |
1 |
2 |
S8Q12d3. [IF S8Q12b3= 1] counseling sessions with a trained professional while NOT living in a special facility or unit? |
1 |
2 |
S8Q12d4. [IF S8Q12b4= 1] a self-help group or peer group counseling, such as Alcoholics Anonymous, Cocaine Anonymous, or Narcotics Anonymous? |
1 |
2 |
S8Q12d5. [IF S8Q12b5= 1] an education or awareness program explaining problems with alcohol or drugs? |
1 |
2 |
S8Q12d6. [IF S8Q12b6= 1] a maintenance drug to cut your high or make you sick, such as methadone, antabuse, or naltrexone? |
1 |
2 |
S8Q12d95. [IF S8Q12b95= 1] some other program? |
1 |
2 |
BLIND D OR R
ASK IF S8Q12c1=1:
S8Q12e. Was the treatment or counseling received at the jail for alcohol use only, drug use only, or both alcohol and drug use? ENTER ONE
(1) ALCOHOL USE ONLY
(2) DRUG USE ONLY
(3) BOTH ALCOHOL AND DRUG USE
BLIND D OR R
ASK IF ANY OF S8Q12d1-7=1:
S8Q12f. Were you required to (INSERT FILL_8B) (FILL WITH PROGRAM NAME FROM S8Q12d)? ENTER ONE
FILL_8B.
If S8Q12d1 or _2= “yes” use "be in"
If S8Q12d3, _4, _5, _95 = “yes” use “attend”
If S8Q12d6= “yes” use “use”
If S8Q12d1-95 have more than one =”yes” use “participate in”
(1) YES
(2) NO
COMPLETE IF S8Q12a=1:
COMP_INSTR_8J.
If S8Q12c3=1, then ask S8Q12g. Else, skip to S9Q1a (next section).
ASK IF S8Q12c3=1:
S8Q12g.When you were on probation or parole, were you REQUIRED to (INSERT FILL_8B) the (IF ANY OF S8Q12b=1 FILL WITH PROGRAM NAME FROM S8Q12b/ELSE FILL WITH “TREATMENT OR COUNSELING)? ENTER ONE
Fill_8B.
If S8Q12b1 or _2 = “yes” use "be in"
If S8Q12b3, _4, _5, _7 = “yes” use “attend”
If S8Q12b6= “yes” use “use”
If S8Q12b1-7 have more than one =”yes” use “participate in”
(1) YES
(2) NO - Skip to S9Q1a
BLIND D OR R – Skip to S9Q1a
ASK IF S8Q12g=1:
S8Q12h. Was it for problems with alcohol, drugs, or both? ENTER ONE
(1) Alcohol only
(2) Drugs only
(3) Both alcohol and drugs
(4) Neither
BLIND D OR R
Section 9 – Medical Conditions, Mental Health, And Disabilities
SECTION A: PHYSICAL HEALTH AND MEDICAL CONDITIONS
ASK ALL:
These questions deal with your health and any health care you may have received.
S9Q1a. When you were admitted to this jail, did a staff person… ENTER ONE FOR EACH
|
YES |
NO |
S9Q1a1. check to see if you were sick, injured, drunk, or high? |
1 |
2 |
S9Q1a2. ask you any questions about your health or medical history? |
1 |
2 |
S9Q1a3. ask if you had ever thought about or tried to commit suicide? |
1 |
2 |
BLIND D OR R
ASK ALL:
S9Q1b. Since you were admitted to this jail, have you seen a doctor, nurse, or other health care provider? ENTER ONE
(1) YES
(2) NO
BLIND D OR R
ASK ALL:
S9Q1c. Since you were admitted to this jail, have you seen a doctor, nurse, or other health care provider outside the jail, for example in a community hospital, doctor’s office, or clinic? ENTER ONE
(1) YES
(2) NO
BLIND D OR R
ASK ALL:
S9Q1d. At the time of your admission (DISPLAY “ON (INSERT STORAGE ITEM 2A – MOST RECENT ADMISSION DATE)” IF CONTAINS A DATE/ELSE DISPLAY “THIS TIME”), were you taking any prescription medication? ENTER ONE
(1) YES
(2) NO - Skip to S9Q2a
Blind D or R - Skip to S9Q2a
ASK IF S9Q1d=1:
S9Q1e. After your admission, did you continue to take the prescription medication? ENTER ONE
(1) YES
(2) NO
BLIND D OR R
ASK ALL:
S9Q2a. The next questions are about medical tests you may have had since you were admitted to this jail.
Since you were admitted to this jail, has anyone pricked your skin to test you for tuberculosis, or TB? ENTER ONE
(1) YES
(2) NO – Skip to S9Q2c
BLIND D OR R – Skip to S9Q2c
ASK IF S9Q2a=1:
S9Q2b. What was the result of the tuberculosis (TB) test you had? ENTER ONE
(1) Positive – you have tuberculosis (TB) – Skip to COMP_INSTR_9A
(2) Negative – you do not have tuberculosis (TB)
(3) Results are not available yet
(4) Was never told the result
BLIND D OR R
ASK IF S9Q2a=2, D or R OR S9Q2b=2, 3, 4, D, or R:
S9Q2c. Has a doctor, nurse, or other health care provider ever told you that you have tuberculosis, or TB? ENTER ONE
(1) YES
(2) NO
BLIND D OR R
ASK IF S1Q1a=2:
S9Q3a. Since your admission to jail (DISPLAY “ON (INSERT STORAGE ITEM 2A – MOST RECENT ADMISSION DATE)” IF CONTAINS A DATE/ELSE DISPLAY “THIS TIME”), have you had a pelvic examination, that is, a woman’s exam? ENTER ONE
YES
NO
BLIND D OR R
ASK IF S1Q1a=2:
S9Q3b. When you were admitted to jail (DISPLAY “ON (INSERT STORAGE ITEM 2A – MOST RECENT ADMISSION DATE)” IF CONTAINS A DATE/ELSE DISPLAY “THIS TIME”), were you pregnant? ENTER ONE
(1) YES
(2) NO - Skip to S9Q4a
BLIND D OR R - Skip to S9Q4a
ASK IF S9Q3b=1:
S9Q3c. Since your admission to jail, have you received an obstetric examination, an examination of you and the baby before it was born? ENTER ONE
(1) YES
(2) NO
BLIND D OR R
ASK IF S9Q3b=1:
S9Q3d. Have you received any other care, such as instructions on child care, exercises, a special diet, medication, or special testing from a doctor, nurse, or other medical person? ENTER ONE
(1) YES
(2) NO
BLIND D OR R
ASK ALL:
S9Q4a. Since you were admitted to this jail, have you had your blood tested for any reason? ENTER ONE
(1) YES
(2) NO – Skip to S9Q4d
BLIND D OR R – Skip to S9Q4d
ASK IF S9Q4a=1:
S9Q4b. Since you were admitted to this jail, have you had your blood tested for HIV – the virus that causes AIDS? ENTER ONE
(1) YES
(2) NO – Skip to S9Q4d
Blind D or R – Skip to S9Q4d
ASK IF S9Q4b=1:
S9Q4c. What was the result of the HIV test you had? ENTER ONE
(1) Positive, you are infected with HIV – the virus that causes AIDS – Skip to S9Q5a
(2) Negative, you are not infected with HIV – the virus that causes AIDS – Skip to S9Q5a
(3) Your results are not available yet – Skip to S9Q5a
(4) You were never told the result – Skip to S9Q5a
BLIND D OR R – Skip to S9Q5a
ASK IF S9Q4b=2, D or R:
S9Q4d. Have you ever been tested for HIV – the virus that causes AIDS? ENTER ONE
(1) YES
(2) NO – Skip to S9Q5a
BLIND D OR R – Skip to S9Q5a
ASK IF S9Q4d=1:
S9Q4e. What was the result of the most recent HIV test you had? ENTER ONE
(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
BLIND D OR R
ASK ALL:
S9Q5a. Since you were admitted to jail (DISPLAY “ON (INSERT STORAGE ITEM 2A – MOST RECENT ADMISSION DATE)” IF CONTAINS A DATE/ELSE DISPLAY “THIS TIME”), have you been injured in a fight, assault, or incident in which someone tried to harm you? ENTER ONE
(1) YES
(2) NO - Skip to S9Q5c
BLIND D OR R- Skip to S9Q5c
ASK IF S9Q5a=1:
S9Q5b1. What were the injuries? ENTER ALL THAT APPLY
(1) Knife or stab wounds
(2) Gun shot, bullet wounds
(3) Broken bones
(4) Sexually assaulted
(5) Teeth knocked out or chipped
(6) Internal injuries
(7) Knocked unconscious
(8) Bruises, black eye, sprains, cuts, scratches, swelling, welts
(95) Other - Specify ___________________________(S9Q5b1_OTH)
(96) NO OTHER MENTIONS
BLIND D OR R
ASK IF S9Q5a=1:
S9Q5b2. Did you see a doctor, nurse, or other health care person for the injury(ies)? ENTER ONE
(1) YES
(2) NO
BLIND D OR R
ASK ALL:
S9Q5c. Since you were admitted to jail (DISPLAY “ON (INSERT STORAGE ITEM 2A – MOST RECENT ADMISSION DATE)” IF CONTAINS A DATE/ELSE DISPLAY “THIS TIME”), have you been injured in an accident, for example, slipping or falling while at work, playing sports, or elsewhere? ENTER ONE
(1) YES
(2) NO - Skip to S9Q5e
BLIND D OR R - Skip to S9Q5e
ASK IF S9Q5c=1:
S9Q5d1. Since you were admitted to jail what types of injuries have you received as a result of an accident? ENTER ALL THAT APPLY
(1) You received broken bones
(2) Your teeth were chipped or knocked out
(3) You received internal injuries
(4) You were knocked unconscious
(5) You received bruises, a black eye, sprains, cuts, scratches, swelling, welts, or burns
(95) Other - Specify ___________________________ (S9Q5d1_OTH)
(96) NO OTHER MENTIONS
BLIND D OR R
ASK IF S9Q5c=1:
S9Q5d2. Did you see a doctor, nurse, or other health care person for the injury(ies)? ENTER ONE
(1) YES
(2) NO
BLIND D OR R
ASK ALL:
S9Q5e. Have you had a cold, virus, or the flu since your admission? ENTER ONE
(1) YES
(2) NO - Skip to S9Q5f
BLIND D OR R - Skip to S9Q5f
ASK IF S9Q5e=1:
S9Q5e1. Did you see a doctor, nurse, or other health care person for the problem? ENTER ONE
(1) YES
(2) NO
BLIND D OR R
ASK ALL:
S9Q5f. Since you were admitted to this jail, have you had any problems with your teeth or gums? ENTER
ONE
(1) YES
(2) NO – Skip to S9Q6a
BLIND D OR R – Skip to S9Q6a
ASK IF S9Q5f=1:
S9Q5f1. Did you see a dentist, doctor, nurse, or other health care provider for any of these problems
with your teeth or gums? ENTER ONE
(1) YES
(2) NO
BLIND D OR R
ASK ALL:
S9Q6a. 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… ENTER ONE FOR EACH
|
|
YES |
NO |
|||
|
S9Q6a1. any type of cancer? |
1 |
2 |
|||
|
S9Q6a2. high blood pressure or hypertension? |
1 |
2 |
|||
|
S9Q6a3. a stroke? |
1 |
2 |
|||
|
S9Q6a4. IF GENDER = M: diabetes, high blood sugar, or sugar diabetes? |
1 |
2 |
|||
|
IF GENDER = F: diabetes, high blood sugar, or sugar diabetes that was not due to being pregnant? |
|||||
|
S9Q6a5. heart disease, including a heart attack, coronary heart disease, angina, congestive heart failure or other heart problems? |
1 |
2 |
|||
|
S9Q6a6. a problem with your kidneys? |
1 |
2 |
|||
|
S9Q6a7. some form of arthritis, rheumatoid arthritis, gout, lupus, or fibromyalgia? |
1 |
2 |
|||
|
S9Q6a8. asthma? |
1 |
2 |
|||
|
S9Q6a9. cirrhosis of the liver? |
1 |
2 |
|||
|
S9Q6a10. a traumatic brain injury? |
1 |
2 |
|||
BLIND D OR R – Skip to S9Q6e
|
|
|
|
ASK IF ANY OF S9Q6a=1:
S9Q6b. Has a doctor, nurse, or other health care provider told you that you currently have… ENTER ONE FOR EACH
PROGRAMMER: FILL WITH ONLY THOSE DISEASES THE R ENDORSED IN S9Q6a.
|
YES |
NO |
S9Q6b1. [If S9Q6a1=1] any type of cancer? |
1 |
2 |
S9Q6b2. [IF S9Q6a2 = 1] high blood pressure or hypertension? |
1 |
2 |
S9Q6b3. [IF S9Q6a3 = 1] problems caused by a stroke? |
1 |
2 |
S9Q6b4. [IF S9Q6a4 = 1] diabetes, high blood sugar, or sugar diabetes? |
1 |
2 |
S9Q6b5. [IF S9Q6a5 = 1] heart disease, including a heart attack, coronary heart disease, angina, congestive heart failure or other heart problems? |
1 |
2 |
S9Q6b6. [IF S9Q6a6 = 1] a problem with your kidneys? |
1 |
2 |
S9Q6b7. [IF S9Q6a7 = 1] arthritis, rheumatoid arthritis, gout, lupus, or fibromyalgia? |
1 |
2 |
S9Q6b8. [IF S9Q6a8 = 1] asthma? |
1 |
2 |
S9Q6b9. [IF S9Q6a9 = 1] cirrhosis of the liver? |
1 |
2 |
S9Q6b10. [IF S9Q6a10 = 1] problems caused by a traumatic brain injury? |
1 |
2 |
BLIND D OR R |
|
|
ASK IF ANY OF S9Q6a=1:
S9Q6c. Are you currently taking prescription medicine… ENTER ONE FOR EACH
PROGRAMMER: FILL WITH ONLY THOSE DISEASES THE R ENDORSED IN S9Q6a.
|
YES |
NO |
|
|
|
S9Q6c1. [If S9Q6a1=1] for any type of cancer? |
1 |
2 |
|
|
|
S9Q6c2. [If S9Q6a2=1] for high blood pressure or hypertension? |
1 |
2 |
|
|
|
S9Q6c3. [If S9Q6a3=1] to prevent a stroke? |
1 |
2 |
|
|
|
S9Q6c4. [If S9Q6a4=1] for diabetes, high blood sugar, or sugar diabetes? |
1 |
2 |
|
|
|
S9Q6c5. [If S9Q6a5=1] for heart disease, including a heart attack, coronary heart disease, angina, congestive heart failure or other heart problems? |
1 |
2 |
|
|
|
S9Q6c6. [If S9Q6a6=1] for a problem with your kidneys? |
1 |
2 |
|
|
|
S9Q6c7. [If S9Q6a7=1] for any form of arthritis, rheumatoid arthritis, gout, lupus, or fibromyalgia? |
1 |
2 |
|
|
|
S9Q6c8. [If S9Q6a8=1] for asthma? |
1 |
2 |
|
|
|
S9Q6c9. [If S9Q6a9=1] for cirrhosis of the liver? |
1 |
2 |
|
|
|
S9Q6c10. [If S9Q6a10=1] for a traumatic brain injury? |
1 |
2 |
|
|
|
BLIND D OR R |
|
|
ASK IF ANY OF S9Q6a=1:
S9Q6d. Are you currently receiving any medical treatment other than prescription medication… ENTER ONE FOR EACH
PROGRAMMER: FILL WITH ONLY THOSE DISEASES THE R ENDORSED IN S9Q6a.
|
YES |
NO |
S9Q6d1. [If S9Q6a1=1] for any type of cancer? |
1 |
2 |
S9Q6d2. [If S9Q6a2=1] for high blood pressure or hypertension? |
1 |
2 |
S9Q6d3. [If S9Q6a3=1] to prevent a stroke? |
1 |
2 |
S9Q6d4. [If S9Q6a4=1] for diabetes, high blood sugar, or sugar diabetes? |
1 |
2 |
S9Q6d5. [If S9Q6a5=1] for heart disease, including a heart attack, coronary heart disease, angina, congestive heart failure or other heart problems? |
1 |
2 |
S9Q6d6. [If S9Q6a6=1] for a problem with your kidneys? |
1 |
2 |
S9Q6d7. [If S9Q6a7=1] for any form of arthritis, rheumatoid arthritis, gout, lupus, or fibromyalgia? |
1 |
2 |
S9Q6d8. [If S9Q6a8=1] for asthma? |
1 |
2 |
S9Q6d9. [If S9Q6a9=1] for cirrhosis of the liver? |
1 |
2 |
S9Q6d10. [If S9Q6a10=1] for a traumatic brain injury? |
1 |
2 |
BLIND D OR R |
|
|
ASK ALL:
S9Q6e. Since you were admitted to this jail, have you been tested for Hepatitis C? ENTER ONE
(1) YES
(2) NO – Skip to S9Q6e4
BLIND D OR R – Skip to S9Q6e4
ASK IF S9Q6e=1:
S9Q6e1. Since you were admitted to this jail, have you tested positive for Hepatitis C? ENTER ONE
(1) YES
(2) NO – Skip to S9Q6e4
BLIND D OR R – Skip to S9Q6e4
ASK IF S9Q6e=1:
S9Q6e2. Since you were admitted to this jail, have you taken any medicine or received treatment for Hepatitis C? ENTER ONE
(1) YES
(2) NO – Skip to S9Q6f
BLIND D OR R – Skip to S9Q6f
ASK IF S9Q6e2=1:
S9Q6e3. Are you currently taking any medicine or receiving treatment for Hepatitis C? ENTER ONE
(1) YES
(2) NO
BLIND D OR R
All skip to S9Q6f
ASK IF S9Q6e=2, D or R:
S9Q6e4. Has a doctor, nurse, or other health care provider ever told you that you have Hepatitis C? ENTER ONE
(1) YES
(2) NO
BLIND D OR R
ASK ALL:
S9Q6f. Has a doctor, nurse, or other health care provider ever told you that you had Hepatitis B? ENTER ONE
(1) YES
(2) NO
BLIND D OR R
ASK ALL:
S9Q6g. Has a doctor, nurse, or other health care provider ever told you that you had any sexually transmitted disease other than HIV, or Hepatitis B or C? ENTER ONE
(1) YES
(2) NO
BLIND D OR R
ASK ALL:
S9Q7a. These next questions are about smoking cigarettes. Have you smoked at least 100 cigarettes in your entire life (that is, about 5 packs)? ENTER ONE
(1) YES
(2) NO – Skip to S9Q8a
BLIND D OR R – Skip to S9Q8a
ASK IF S9Q7a=1:
S9Q7b. How old were you when you first started smoking cigarettes fairly regularly?
SPECIFY _______ (Range 0 – 99)
PROGRAMMER: IF NUMBER IS LESS THAN 8 OR GREATER THAN 65, DISPLAY “VERIFY ENTRY”
BLIND D OR R
ASK IF S9Q7a=1:
S9Q7c. Are you allowed to smoke at this facility? ENTER ONE
(1) YES
(2) NO – Skip to S9Q7h
BLIND D OR R – Skip to S9Q7h
ASK IF S9Q7c=1:
S9Q7d. Do you now smoke cigarettes every day, some days, or not at all? ENTER ONE
(1) EVERY DAY
(2) SOME DAYS
(3) NOT AT ALL – Skip to S9Q7g
BLIND D OR R
ASK IF S9Q7d=1, 2, D or R:
S9Q7e. On how many of the past 30 days did you smoke cigarettes?
NUMBER OF DAYS: _____ (Range 1 – 30)
BLIND D OR R – Skip to S9Q7h
ASK IF S9Q7e=1-30:
S9Q7f. On the (FILL NUMBER FROM S9Q7e) days you smoked cigarettes during the past 30 days, how many cigarettes did you smoke per day, on average?
NUMBER OF CIGARETTES: _____ (Range 1 – 30)
BLIND D OR R
Skip to S9Q7h
ASK IF S9Q7d=3:
S9Q7g. Why haven’t you smoked any cigarettes during the past 30 days? ENTER ONE
(1) Could not afford to buy cigarettes
(2) Did not want to smoke cigarettes
(3) Trying to quit
(5) Some other reason
BLIND D OR R
ASK IF S9Q7a=1:
S9Q7h. During the 30 days before your admission to jail (DISPLAY “ON (INSERT STORAGE ITEM 2A – MOST RECENT ADMISSION DATE)” IF CONTAINS A DATE/ELSE DISPLAY “THIS TIME”), did you smoke cigarettes every day, some days, or not at all? ENTER ONE
(1) EVERY DAY
(2) SOME DAYS
(3) NOT AT ALL
BLIND D OR R
ASK ALL:
S9Q8a. Now I’d like to ask about exercise. During the last 30 days, did you spend any time doing physical exercise, for example sports, weightlifting, or running? ENTER ONE
(1) YES
(2) NO – Skip to S9Q10a
BLIND D OR R – Skip to S9Q10a
ASK IF S9Q8a=1:
S9Q8b. On how many of those 30 days did you spend time doing any physical exercise?
NUMBER OF DAYS: _____ (Range 1 – 30)
BLIND D OR R
SECTION B: MENTAL HEALTH
Current Mental Health Condition Screener
COMPLETE FOR ALL:
DEFINE DATE_30
DATE_30 = INTERVIEW DATE – 30 DAYS BUT SHOULD BE FILLED AS JUST THE MONTH AND DAY.
ASK ALL:
S9Q10a. The next questions are about how you have been feeling during the past 30 days, that is, since (DATE_30). For each question please tell me whether you felt that way all of the time, most of the time, some of the time, a little of the time, or none of the time. (SHOW CARD)
INTERVIEWER: PROVIDE SHOW CARD TO INMATE BEFORE ASKING S9Q10a-f
About how often during the past 30 days did you feel nervous? ENTER ONE
(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
BLIND D OR R
ASK ALL:
S9Q10b. During the past 30 days, about how often did you feel hopeless? ENTER ONE
(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
BLIND D OR R
ASK ALL:
S9Q10C. (During the past 30 days,) about how often did you feel restless or fidgety? ENTER ONE
(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
BLIND D OR R
ASK ALL:
S9Q10d. How often (during the past 30 days) did you feel so depressed that nothing could cheer you up? ENTER ONE
(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
BLIND D OR R
ASK ALL:
S9Q10e. About how often (during the past 30 days) did you feel that everything was an effort? ENTER
ONE
(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
BLIND D OR R
ASK ALL:
S9Q10f. About how often (during the past 30 days) did you feel worthless? ENTER ONE
(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
BLIND D OR R
ASK ALL:
Mental Health History and Treatment
S9Q11a. Have you ever been told by a medical doctor or a mental health professional, such as a psychiatrist or psychologist, that you had… ENTER ONE FOR EACH
|
YES |
NO |
S9Q11a1. manic depression, a bipolar disorder, or mania? |
1 |
2 |
S9Q11a2. a depressive disorder? |
1 |
2 |
S9Q11a3. schizophrenia or another psychotic disorder? |
1 |
2 |
S9Q11a4. post-traumatic stress disorder or PTSD? |
1 |
2 |
S9Q11a5. another anxiety disorder, such as panic disorder or obsessive-compulsive disorder, also known as OCD? |
1 |
2 |
S9Q11a6. a personality disorder, such as antisocial or borderline personality |
1 |
2 |
S9Q11a7. oppositional defiant disorder, intermittent explosive disorder or other anger disorder? |
1 |
2 |
S9Q11a95. a mental or emotional condition other than those I just asked you about? If S9Q11a95=1, go to S9Q11a_OTH |
1 |
2 |
S9Q11a_OTH. [IF S9Q11a95=1] What condition is that? Specify: _____________________ |
BLIND D OR R
If any S9Q11a=1, ask S9Q11b, else skip to S9Q11c
ASK IF ANY OF S9Q11a=1:
S9Q11b. When were you most recently told that you had this (these) condition(s)? ENTER ONE
(1) Less than 6 months ago
(2) 6 months to 1 year ago
(3) 1 to 2 years ago
(4) More than 2 years ago
BLIND D OR R
ASK ALL:
S9Q11c. Now I am going to ask you about services you may have received for problems you are having with your emotions, nerves, or mental health, other than those related to drug or alcohol abuse.
Because of problems you are having with your emotions, nerves, or mental health, have you ever taken a medication prescribed by a psychiatrist or other doctor? ENTER ONE
(1) YES
(2) NO - Skip to S9Q12a
BLIND D OR R - Skip to S9Q12a
ASK IF S9Q11c=1:
S9Q11d. At the time of the (INSERT STORAGE ITEM 2O – CONTROLLING OFFENSE), were you taking prescription medicine for any problem you were having with your emotions, nerves, or mental health? ENTER ONE
(1) YES
(2) NO
BLIND D OR R
ASK IF S9Q11c=1:
S9Q11e. Since you were admitted to jail (DISPLAY “ON (INSERT STORAGE ITEM 2A – MOST RECENT ADMISSION DATE)” IF CONTAINS A DATE/ELSE DISPLAY “THIS TIME”), have you taken prescription medicine for any problem you were having with your emotions, nerves, or mental health? ENTER ONE
YES
NO
BLIND D OR R
ASK ALL:
S9Q12a. 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.
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? ENTER ONE
(1) YES
(2) NO – Skip to S9Q13a
BLIND D OR R – Skip to S9Q13a
ASK IF S9Q12a=1:
S9Q12b. During the 12 months before your arrest on (INSERT STORAGE ITEM 2P – CONTROLLING ARREST DATE), did you stay 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? ENTER ONE
(1) YES
(2) NO
BLIND D OR R
ASK IF S9Q12a=1:
S9Q12c. Have you been admitted to a mental hospital, unit, or treatment program since your admission to jail (DISPLAY “ON (INSERT STORAGE ITEM 2A – MOST RECENT ADMISSION DATE)” IF CONTAINS A DATE/ELSE DISPLAY “THIS TIME”)? ENTER ONE
(1) YES
(2) NO
BLIND D OR R
ASK ALL:
S9Q13a. Because of any problem you were having with your emotions, nerves, or mental health, have you EVER received counseling or therapy from a trained professional? ENTER ONE
(1) YES
(2) NO- Skip to S9Q14a
BLIND D OR R – Skip to S9Q14a
ASK IF S9Q13a=1:
S9Q13b. Were you receiving counseling or therapy at any time during the 12 months before your arrest on (INSERT STORAGE ITEM 2P – CONTROLLING ARREST DATE)? ENTER ONE
(1) YES
(2) NO
BLIND D OR R
ASK IF S9Q13a=1:
S9Q13c. Have you received counseling or therapy since your admission to jail (DISPLAY “ON (INSERT STORAGE ITEM 2A – MOST RECENT ADMISSION DATE)” IF CONTAINS A DATE/ELSE DISPLAY “THIS TIME”)? ENTER ONE
(1) YES
(2) NO
BLIND D OR R
ASK IF S9Q13a=1:
S9Q13d. Are you currently receiving any counseling, treatment, or therapy from a mental health professional such as a psychiatrist, psychologist, social worker, or nurse for any problem with your emotions, nerves, or mental health? ENTER ONE
(1) YES
(2) NO
BLIND D OR R
ASK ALL:
S9Q14a. Because of any problem you were having with your emotions, nerves, or mental health have you ever received any other mental health treatment or services? ENTER ONE
(1) YES – Specify: _________________________
(2) NO – Skip to S9Q15a
BLIND D OR R – Skip to S9Q15a
ASK IF S9Q14a=1:
S9Q14b. Were you receiving (INSERT ANSWER FROM S9Q14a) at any time during the year before your arrest on (INSERT STORAGE ITEM 2P – CONTROLLING ARREST DATE)? ENTER ONE
(1) YES
(2) NO
BLIND D OR R
ASK IF S9Q14a=1:
S9Q14c. Have you received (INSERT ANSWER FROM S9Q14a) since your admission to jail (DISPLAY “ON (INSERT STORAGE ITEM 2A – MOST RECENT ADMISSION DATE)” IF CONTAINS A DATE/ELSE DISPLAY “THIS TIME”)? ENTER ONE
(1) YES
(2) NO
BLIND D OR R
ASK ALL:
S9Q15a. Have you ever attempted suicide? ENTER ONE
(1) YES
(2) NO – Skip to S9Q15b
Blind D or R – Skip to S9Q15b
ASK IF S9Q15a=1:
S9Q15a1. How many times have you attempted suicide?
___ (Range 1 – 25) – Skip to S9Q16a
BLIND D OR R – Skip to S9Q16a
ASK IF S9Q15a=2, D or R:
S9Q15b. Have you ever considered suicide? ENTER ONE
(1) YES
(2) NO
BLIND D OR R
ASK ALL:
S9Q16a. In the 12 months before your arrest on (INSERT STORAGE ITEM 2P – CONTROLLING ARREST DATE), did problems with your emotions, nerves, or mental health keep you from participating fully in things like work, school, family life, or other activities? ENTER ONE
(1) YES
(2) NO
BLIND D OR R
ASK ALL:
SECTION C: DISABILITIES
S9Q17a. Are you blind or do you have serious difficulty seeing even when wearing glasses? ENTER ONE
(1) YES
(2) NO
BLIND D OR R
ASK ALL:
S9Q17b. Are you deaf or do you have serious difficulty hearing? ENTER ONE
(1) YES
(2) NO
BLIND D OR R
ASK ALL:
S9Q17c. Has a doctor, psychologist, or teacher ever told you that you have a learning disability, such as dyslexia or dyscalculia? ENTER ONE
(1) YES
(2) NO
BLIND D OR R
ASK ALL:
S9Q17d. Has a doctor, psychologist, or teacher ever told you that you have an attention deficit disorder, sometimes called ADD or ADHD? ENTER ONE
(1) YES
(2) NO
BLIND D OR R
ASK ALL:
S9Q17e. Have you ever been enrolled in special education classes, sometimes called S.P.E.D.? ENTER
ONE
(1) YES
(2) NO
BLIND D OR R
ASK ALL:
S9Q17f. Because of a physical, mental, or emotional problem, do you have serious difficulty concentrating, remembering, or making decisions? ENTER ONE
(1) YES
(2) NO – Skip to S9Q17h
BLIND D OR R – Skip to S9Q17h
ASK IF S9Q17f=1:
S9Q17g. Is the serious difficulty you have concentrating, remembering, or making decisions caused by…
ENTER ONE
A physical problem,
A mental or emotional problem,
Or both?
BLIND D OR R
ASK ALL:
S9Q17h. Because of a physical, mental or emotional condition, or nerves, do you have serious difficulty walking or climbing stairs? ENTER ONE
(1) YES
(2) NO
BLIND D OR R
ASK ALL:
S9Q17i. Because of a physical, mental or emotional condition, or nerves, do you have serious difficulty dressing or bathing? ENTER ONE
(1) YES
(2) NO
BLIND D OR R
ASK ALL:
S9Q17j. 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? ENTER ONE
(1) YES
(2) NO – Skip to S9Q17l
BLIND D OR R – Skip to S9Q17l
ASK IF S9Q17j=1:
S9Q17k. Is the difficulty you experience doing activities on your own caused by… ENTER ONE
A physical problem,
A mental or emotional problem,
Or both?
BLIND D OR R
If S9Q17a, OR S9Q17b =1, OR S9Q17c = 1, OR S9Q17d = 1, OR S9Q17f = 1, OR S9Q17h = 1, OR S9Q17i = 1, OR S9Q17j=1, ask S9Q17l
Else, skip to S9Q18a
ASK IF S9Q17a-d = 1 OR S9Q17f = 1 OR S9Q17h-j = 1:
S9Q17l. Do you consider yourself to be disabled? ENTER ONE
(1) YES
(2) NO
BLIND D OR R
ASK ALL:
SECTION D: SEXUAL AND PHYSICAL ASSAULTS
Sexual Assaults
The following questions pertain to forced or unwanted sexual acts. Incidents involving forced or unwanted sexual acts are often difficult to talk about. As a reminder, you may skip any questions you do not feel comfortable answering.
S9Q18a. Before your admission to jail (DISPLAY “ON (INSERT STORAGE ITEM 2A – MOST RECENT ADMISSION DATE)” IF CONTAINS A DATE/ELSE DISPLAY “THIS TIME”), had anyone ever pressured or forced you to have any sexual contact against your will, that is, touching of genitals (INSERT FILL_9A)?
DEFINE FILL_9A:
If S1Q1a = '2', female display "breast, or buttocks, or oral, anal, or vaginal sex"
If S1Q1a = '1', male display "or oral or anal sex”
(1) YES
(2) NO - Skip to S9Q19a
BLIND D OR R - Skip to S9Q19a
ASK IF S9Q18a=1:
S9Q18b. Did the sexual contact against your will occur once or more than once? ENTER ONE
(1) ONCE
(2) MORE THAN ONCE - Skip to S9Q18j
BLIND D OR R - Skip to S9Q18j
ASK IF S9Q18b=1:
Single incident of sexual assault
S9Q18c. Did the sexual contact against your will occur before or after you were 18 years old? ENTER
ONE
(1) BEFORE AGE 18
(2) AGE 18 OR OLDER
BLIND D OR R
ASK IF S9Q18b=1:
S9Q18d. When the incident occurred, was the person or persons who did this to you an adult, age 18 or older? ENTER ONE
(1) YES
(2) NO
BLIND D OR R
ASK IF S9Q18b=1:
S9Q18e. Was it someone you knew? ENTER ONE
(1) YES
(2) NO -Skip to S9Q18g
BLIND D OR R -Skip to S9Q18g
ASK IF S9Q18e=1:
S9Q18f. Was this person or persons… ENTER ALL THAT APPLY
(1) Your parent or guardian,
(2) Your spouse/ex-spouse,
(3) Another relative,
(4) A boyfriend or girlfriend,
(5) Another friend or acquaintance, or
(95) Someone else?
(96) NO OTHER MENTIONS
BLIND D OR R
ASK IF S9Q18b=1:
S9Q18g. In this incident did someone rape you or attempt to rape you? Rape includes (INSERT FILL_9B) ENTER ONE
DEFINE FILL_9B:
If S1Q1a = 2, D, or R, use fill "oral, anal, or vaginal sex."
If S1Q1a = 1 use fill "oral or anal sex."
(1) YES
(2) NO - Skip to S9Q18i
BLIND D OR R - Skip to S9Q18i
ASK IF S9Q18g=1:
S9Q18h. Was it a completed rape or an attempted one? ENTER ONE
(1) COMPLETED RAPE
(2) ATTEMPTED RAPE
BLIND D OR R
ASK IF S9Q18b=1:
S9Q18i. Did this incident take place while you were incarcerated? ENTER ONE
(1) YES
(2) NO
BLIND D OR R
All skip to S9Q19a
ASK IF S9Q18b=2, D or R:
Multiple incidents (or unknown number) of sexual assault
S9Q18j. Did the sexual contacts against your will occur before you were 18 years old, after age 18, or both? ENTER ONE
(1) BEFORE AGE 18
(2) AGE 18 OR OLDER
(3) BOTH
BLIND D OR R
ASK IF S9Q18b=2, D or R:
S9Q18k. Was one person involved or more than one? ENTER ONE
(1) ONE
(2) MORE THAN ONE - Skip to S9Q18r
BLIND D – Skip to S9Q18r
BLIND R – Skip to S9Q19a
ASK IF S9Q18k=1:
Single assailant (or unknown number)
S9Q18l. When these sexual contacts against your will occurred, was the person an adult, age 18 or older? ENTER ONE
(1) YES, 18 OR OLDER
(2) NO, UNDER 18 ONLY
BLIND D OR R
ASK IF S9Q18k=1:
S9Q18m. Was this person someone you knew? ENTER ONE
(1) YES
(2) NO - Skip to S9Q18o
BLIND D OR R - Skip to S9Q18o
ASK IF S9Q18m=1:
S9Q18n. Was this person…? ENTER ONE
(1) Your parent or guardian,
(2) Your spouse/ex-spouse,
(3) Another relative,
(4) A boyfriend or girlfriend,
(5) Another friend or acquaintance, or
(95) Someone else?
BLIND D OR R
ASK IF S9Q18k=1:
S9Q18o. In any of these incidents did this person rape you or attempt to rape you? Rape includes (INSERT FILL_9B) ENTER ONE
(1) YES
(2) NO - Skip to S9Q18q
BLIND D OR R - Skip to S9Q18q
ASK IF S9Q18o=1:
S9Q18p. Were any of these rapes completed? ENTER ONE
(1) SOME OR ALL COMPLETED
(2) NONE COMPLETED
BLIND D OR R
ASK IF S9Q18k=1:
S9Q18q. Did any of these incidents take place while you were incarcerated? ENTER ONE
(1) YES
(2) NO
BLIND D OR R
All skip to S9Q19a
ASK IF S9Q18k=2 or D:
Multiple assailants
S9Q18r. How many persons?
____ NUMBER OF PERSONS (Range 2 – 50)
BLIND D OR R
ASK IF S9Q18k=2 or D:
S9Q18s. When these sexual contacts against your will occurred, were any of these persons adults, age 18 or older, or were they under 18? ENTER ONE
(1) Yes, all were 18 or older
(2) Both under and over age 18
(3) No, all were under 18 only
BLIND D OR R
ASK IF S9Q18k=2 or D:
S9Q18t. Were any of these persons someone you knew? ENTER ONE
(1) YES
(2) NO - Skip to S9Q18v
Blind D or R – Skip to S9Q18v
ASK IF S9Q18t=1:
S9Q18u. Were any of these persons… ENTER ONE FOR EACH
(1) YES (2) NO
S9Q18u_1. __ Your parent or guardian,
S9Q18u_2. __ Your spouse/ex-spouse,
S9Q18u_3. __ Another relative,
S9Q18u_4. __ A boyfriend or girlfriend,
S9Q18u_5. __ Another friend or acquaintance, or
S9Q18u_95. __ Someone else? Specify ________________________ (S9Q18u_OTH)
BLIND D OR R
ASK IF S9Q18k=2 or D:
S9Q18v. In any of these incidents did anyone rape you or attempt to rape you? Rape includes (INSERT FILL_9B) ENTER ONE
(1) YES
(2) NO - Skip to S9Q18x
BLIND D OR R - Skip to S9Q18x
ASK IF S9Q18v=1:
S9Q18w. Were any of these rapes completed? ENTER ONE
(1) Some or all completed
(2) None completed
BLIND D OR R
ASK IF S9Q18k=2 or D:
S9Q18x. Did any of these incidents take place while you were incarcerated? ENTER ONE
(1) YES
(2) NO
BLIND D OR R
ASK ALL:
Physical Assaults
S9Q19a. Before you were admitted to jail (DISPLAY “ON (INSERT STORAGE ITEM 2A – MOST RECENT ADMISSION DATE)” IF CONTAINS A DATE/ELSE DISPLAY “THIS TIME”), had you ever been physically abused for example, hit, beat, or choked? ENTER ONE
INTERVIEWER PROBE IF NECESSARY: DO NOT INCLUDE SEXUAL ABUSE/ASSAULT
(1) YES - Skip to S7Q18c
(2) NO
BLIND D OR R
ASK IF S9Q19a=2, D or R:
S9Q19b. Before you were admitted to jail (DISPLAY “ON (INSERT STORAGE ITEM 2A – MOST RECENT ADMISSION DATE)” IF CONTAINS A DATE/ELSE DISPLAY “THIS TIME”), had anyone ever… ENTER ALL THAT APPLY
(1) YES (2) NO
S9Q19b_1. __ Pushed, grabbed, slapped, kicked, bit or shoved you?
S9Q19b_2. __ Hit you with a fist?
S9Q19b_3. __ Beat you up?
S9Q19b_4. __ Choked you?
S7Q18b_5. __ Used a weapon, for example, a gun, knife, rock or other object, against you?
BLIND D OR R
COMPLETE IF S9Q19a=2, D or R:
COMP_INSTR_9B.
If any entry in S9Q19b = (1), ask S9Q19c, else skip to S10Q1a
ASK IF S9Q19a=1 OR ANY OF S9Q19b=1:
S9Q19c. Were you physically injured when you were (INSERT FILL_9C)? ENTER
DEFINE FILL_9C:
If 1 in S9Q19b, "pushed, grabbed, slapped, kick, bit or shoved"
Else if 2 in S9Q19b, "hit with a fist"
Else if 3 in S9Q19b, "beat up"
Else if 4 in S9Q19b, "choked"
Else if 5 in S9Q19b, "had a weapon used against you"
Else if S9Q19a = 1 or more than one option selected, “physically abused"
(1) YES
(2) NO - Skip to S9Q19e
BLIND D OR R - Skip to S9Q19e
ASK IF S9Q19c=1:
S9Q19d. What were the injuries? Any others? ENTER ALL THAT APPLY (SHOW CARD)
(1) Knife or stab wounds
(2) Gun shot, bullet wounds
(3) Broken bones
(4) Teeth knocked out or chipped
(5) Internal injuries
(6) Knocked unconscious
(7) Bruises, black eye, cuts, scratches, swelling, welts
(95) Other - Specify ___________________________
BLIND D OR R
ASK IF S9Q19a=1 OR ANY OF S9Q19b=1:
S9Q19e. Did the (INSERT FILL_9D) occur once or more than once? ENTER ONE
DEFINE FILL_9D:
If S9Q19a =1, use "physical abuse"
Else if any S9Q19b= 1, use "injury"
(1) ONCE – Go to S9Q19f
(2) MORE THAN ONCE - Skip to S9Q19j
BLIND D OR R - Skip to S9Q19j
ASK IF S9Q19e=1:
Single incident of physical assault
S9Q19f. Did the (INSERT FILL_9D) occur before or after you were 18 years old? ENTER ONE
(1) BEFORE AGE 18
(2) AGE 18 OR OLDER
BLIND D OR R
ASK IF S9Q19e=1:
S9Q19g. When this incident occurred, was the person who did this to you an adult, age 18 or older?
ENTER ONE
(1) YES
(2) NO
BLIND D OR R
ASK IF S9Q19e=1:
S9Q19h. Was this person someone you knew? ENTER ONE
(1) YES
(2) NO - Skip to S10Q1a
BLIND D OR R - Skip to S10Q1a
ASK IF S9Q19h=1:
S9Q19i. Was this person… ENTER ALL THAT APPLY
(1) Your parent or guardian,
(2) Your spouse/ex-spouse,
(3) Brother (stepbrother)/sister (stepsister),
(4) Another relative,
(5) A boyfriend or girlfriend,
(6) Another friend or acquaintance, or
(95) Someone else?
BLIND D OR R
All skip to S10Q1a
ASK IF S9Q19e=2, D or R:
Multiple Incidents of physical assault
S9Q19j. Did the (INSERT FILL_9E) occur before you were 18 years old, after age 18 or both? ENTER ONE
DEFINE FILL_9E:
If S9Q19a =1, use "physical abuse"
Else if any S9Q19b= 1, use "injury"
(1) BEFORE AGE 18
(2) AGE 18 OR OLDER
(3) BOTH
BLIND D OR R
ASK IF S9Q19e=2, D or R:
S7Q19k. Did one person or more than one (INSERT FILL_9F) you? ENTER ONE
DEFINE FILL_9F:
If S9Q19a =1, use "physically abuse"
Else if any S9Q19b= 1, use "injure"
(1) ONE
(2) MORE THAN ONE - Skip to S9Q19o
BLIND D – Skip to S9Q19o
BLIND R – Skip to S10Q1a
ASK IF S9Q19k=1:
Single Assailant
S9Q19l. When these incidents occurred, was the person who (INSERT FILL_9G) you an adult, age 18 or older? ENTER ONE
DEFINE FILL_9G:
If S9Q19a =1, use "physically abused"
Else if any S9Q19b= 1, use "injured"
(1) Yes, 18 or older
(2) No, under 18 only
BLIND D OR R
ASK IF S9Q19k=1, D or R:
S9Q19m. Was this person someone you knew? ENTER ONE
(1) YES
(2) NO - Skip to S10Q1a
BLIND D OR R - Skip to S10Q1a
ASK IF S9Q19m=1:
S9Q19n. Was this person… ENTER ONE
(1) Your parent or guardian,
(2) Your spouse/ex-spouse,
(3) Brother (stepbrother)/sister (stepsister),
(4) Another relative,
(5) A boyfriend or girlfriend,
(6) Another friend or acquaintance, or
(95) Someone else?
BLIND D OR R
All skip to S10Q1a
ASK IF S9Q19k=2 or D:
Multiple Assailants
S9Q19o. How many persons (INSERT FILL_9G) you? ENTER ONE
____ NUMBER OF PERSONS (Range 2 – 50)
BLIND D OR R
ASK IF S9Q19k=2 or D:
S9Q19p. When these incidents occurred, were any of the persons who (INSERT FILL_9G) you adults, age 18 or older, or were they under 18? ENTER ONE
(1) Yes, all were 18 or older
(2) Both under and over age 18
(3) No, all were under 18 only
BLIND D OR R
ASK IF S9Q19k=2 or D:
S9Q19q. Were any of these persons someone you knew? ENTER ONE
(1) YES
(2) NO - Skip to S10Q1a
BLIND D OR R - Skip to S10Q1a
ASK IF S9Q19q=1:
S9Q19r. Were any of these persons… ENTER ONE FOR EACH
(1) Yes (2) No
S9Q19r_1. __ Your parent or guardian?
S9Q19r_2. __ Your spouse/ex-spouse?
S9Q19r_3. __ Brother (stepbrother)/sister (stepsister)?
S9Q19r_4. __ Another relative?
S9Q19r_5. __ A boyfriend or girlfriend?
S9Q19r_6. __ Another friend or acquaintance?
S9Q19r_7. __ Someone else?
BLIND D OR R
Section 10 – Jail Programs and Activities
ASK ALL:
S10Q1a. In the last 24 hours, how much time did you spend where you sleep? Include hours you were sleeping.
____ HOURS (Range 1 – 24, blank)
____ MINUTES (Range 1 – 60, blank)
(0) NONE
ASK ALL:
S10Q2a. In the last 24 hours, did you spend any time doing physical exercise for example sports, weightlifting, or running? ENTER ONE
(1) YES
(2) NO - Skip to S10Q3a
BLIND D OR R - Skip to S10Q3a
ASK IF S10Q2a=1:
S10Q2b. KEEP PREVIOUS QUESTION ON SCREEN.
How much time did you spend doing physical exercise?
____ HOURS (Range 1 – 24, blank)
____ MINUTES (Range 1 – 60, blank)
(0) NONE
IF (0), VERIFY RESPONSE TO S10Q2a. IF (0) NONE IS CORRECT, CHANGE S10Q2a TO NO.
ASK ALL:
S10Q3a. Is there a television available for you to watch in this jail? ENTER ONE
(1) YES
(2) NO - Skip to S10Q4a
BLIND D OR R - Skip to S10Q4a
ASK IF S10Q3a=1:
S10Q3b. In the last 24 hours, did you watch any television? ENTER ONE
(1) YES
(2) NO - Skip to S10Q4a
BLIND D OR R - Skip to S10Q4a
ASK IF S10Q3b=1:
S10Q3c. KEEP PREVIOUS QUESTION ON SCREEN.
How much time did you spend watching television?
____ HOURS (Range 1 – 24, blank)
____ MINUTES (Range 1 – 60, blank)
(0) NONE
BLIND D OR R
IF (0), VERIFY RESPONSE TO S10Q3b. IF (0) NONE IS CORRECT, CHANGE S10Q3b TO NO.
ASK ALL:
S10Q4a. Are there any newspapers, magazines, or books available to you, either paper or electronically,
in the library, or from other inmates? ENTER ONE
(1) YES
(2) NO - Skip to S10Q5a
BLIND D OR R - Skip to S10Q5a
ASK IF S10Q4a=1:
S10Q4b. In the last 24 hours, did you spend any time reading? ENTER ONE
(1) YES
(2) NO - Skip to S10Q5a
BLIND D OR R - Skip to S10Q5a
ASK IF S10Q4b=1:
S10Q4c. KEEP PREVIOUS QUESTION ON SCREEN.
How much time did you spend reading?
____ HOURS (Range 1 – 24, blank)
____ MINUTES (Range 1 – 60, blank)
(0) NONE
BLIND D OR R
IF (0), VERIFY RESPONSE TO S10Q4b. IF (0) NONE IS CORRECT, CHANGE S10Q4b TO NO.
ASK ALL:
S10Q5a. In the last 24 hours, did you spend any time in other kinds of recreation, for example, arts, crafts, playing cards, or other games? ENTER ONE
(1) YES
(2) NO - Skip to S10Q6a
BLIND D OR R - Skip to S10Q6a
ASK IF S10Q5a=1:
S10Q5b. KEEP PREVIOUS QUESTION ON SCREEN.
How much time did you spend?
____ HOURS (Range 1 – 24, blank)
____ MINUTES (Range 1 – 60, blank)
(0) NONE
BLIND D OR R
IF (0), VERIFY RESPONSE TO S10Q5a. IF (0) NONE IS CORRECT, CHANGE S10Q5a TO NO.
ASK ALL:
S10Q6a. (INSERT “SINCE YOUR ADMISSION” IF STORAGE ITEM 2A < 7 DAYS PAST; ELSE INSERT “IN THE PAST WEEK”) have you engaged in any religious activities, such as religious services, private prayer or meditation, or Bible reading or studying? ENTER ONE
(1) YES
(2) NO - Skip to S10Q7a
BLIND D OR R - Skip to S10Q7a
ASK IF S10Q6a=1:
S10Q6b. KEEP PREVIOUS QUESTION ON SCREEN.
How much time did you spend?
____ HOURS (Range 1 – 24, blank)
____ MINUTES (Range 1 – 60, blank)
(0) NONE
BLIND D OR R
IF (0), VERIFY RESPONSE TO S10Q6a. IF (0) NONE IS CORRECT, CHANGE S10Q6a TO NO.
ASK ALL:
S10Q7a. Do you now have a work assignment outside this jail facility for which you leave the jail grounds? ENTER ONE
(1) YES
(2) NO - Skip to S10Q7d
BLIND D OR R - Skip to S10Q7d
ASK IF S10Q7a=1:
S10Q7b. What sorts of work assignments, for which you leave jail grounds, do you have currently? ENTER ALL THAT APPLY (SHOW CARD)
General janitorial duties, such as cleaning or sweeping
Grounds or road maintenance
Food preparation or related duties, for example, in the kitchen or bakery
Laundry
Hospital, infirmary, or other medical services
Farming, forestry, or ranching
Goods production, industries, or contract services, such as telemarketing or work at a print shop
Other services such as library, stockroom, store, office help, recreation, sew shop, barber or beauty shop, etc.
Maintenance, repair, or construction
Other – Specify ________________ (S10Q7b_OTH)
(96) NO OTHER MENTIONS
BLIND D OR R
ASK IF S10Q7a=1:
S10Q7c. In the last week, how many hours did you work on (this job/these jobs)?
____ HOURS (Range 1 – 80, blank)
____ MINUTES (Range 1 – 60, blank)
BLIND D OR R
ASK ALL:
S10Q7d. Do you have a work assignment here, either inside this facility or on the facility grounds? ENTER ONE
(1) YES
(2) NO - Skip to COMP_INSTR_10A
BLIND D OR R - Skip to COMP_INSTR_10A
ASK IF S10Q7d=1:
S10Q7e. What sorts of work assignments, inside the facility or on facility grounds, do you have currently? ENTER ALL THAT APPLY
General janitorial duties, such as cleaning or sweeping
Grounds or road maintenance
Food preparation or related duties, for example, in the kitchen or bakery
Laundry
Hospital, infirmary, or other medical services
Farming, forestry, or ranching
Goods production, industries, or contract services, such as telemarketing or work at a print shop
Other services such as library, stockroom, store, office help, recreation, sew shop, barber or beauty shop, etc.
Maintenance, repair, or construction
Other – Specify ________________ (S10Q7e_OTH)
NO OTHER MENTIONS
BLIND D OR R
ASK IF S10Q7d=1:
S10Q7f. In the last week, how many hours did you work on (this job/these jobs)?
____ HOURS (Range 1 – 80, blank)
____ MINUTES (Range 1 – 60, blank)
BLIND D OR R
ASK ALL:
COMP_INSTR_10A.
(1) Is "yes" marked in either S10Q7a or S10Q7d?
(2) Yes - Ask S10Q7g
(3) No - Skip to COMP_INSTR_10A2
ASK IF S10Q7a=1 OR S10Q7d=1:
S10Q7g. Are you paid money for any of this work? ENTER ONE
(1) YES
(2) NO - Skip to S10Q7i
BLIND D OR R - Skip to S10Q7i
ASK IF S10Q7g=1:
S10Q7h. DISPLAY ALL ON ONE SCREEN. How much do you get paid? Count money even if payment is
owed. ENTER ONE
PRESS DECIMAL POINT "." TO ENTER CENTS$[][][].[][]
(1) Per hour (Range .01 – 50.00)
(2) Per day (Range .01 – 200.00)
(3) Per week (Range .01 – 500.00)
BLIND D OR R
ASK IF S10Q7a=1 OR S10Q7d=1:
S10Q7i. Other than money, do you receive anything for work, such as time credits or other privileges?
ENTER ONE
(1) YES
(2) NO - Skip to S10Q8a
BLIND D OR R - Skip to S10Q8a
ASK IF S10Q7i=1:
S10Q7j. What do you receive? Anything else? ENTER ALL THAT APPLY
(1) Good time/time credits
(2) Food beverages, etc.
(5) Other - Specify ________________________________ (S10Q7j_OTH)
(96) NO OTHER MENTIONS
BLIND D OR R
ASK ALL:
S10Q8a. Since you were admitted to jail (DISPLAY “ON (INSERT STORAGE ITEM 2A – MOST RECENT ADMISSION DATE)” IF CONTAINS A DATE/ELSE DISPLAY “THIS TIME”), have you participated in any job training programs, such as employment readiness or vocational training? ENTER ONE
(1) YES
(2) NO – Skip to S10Q9a
BLIND D OR R – Skip to S10Q9a
(h) HELP – Display help screen h_VOCATIONAL
h_VOCATIONAL.
Vocational program – A special program dedicated to training participants for a job, for example, electronics, plumbing, construction trades, food service, beautician training, computer electronics, secretarial, housekeeping, cooking, or cosmetology.
ASK IF S10Q8a=1:
S10Q8b. Are you still in a vocational or job training program? ENTER ONE
(1) YES
(2) NO
BLIND D OR R
ASK ALL:
S10Q9a. Since you were admitted to jail (DISPLAY “ON (INSERT STORAGE ITEM 2A – MOST RECENT ADMISSION DATE)” IF CONTAINS A DATE/ELSE DISPLAY “THIS TIME”), have you participated in any education programs, such as high school, GED, adult basic education, college courses, or English as a Second Language (ESL)? ENTER ONE
(1) YES
(2) NO – Skip to S10Q10a
BLIND D OR R – Skip to S10Q10a
ASK IF S10Q9a=1:
S10Q9b. What kind of program was that - basic classes up to the 9th grade, high school classes to get a diploma or GED, college level classes, or English as a second language? ENTER ALL THAT APPLY
(1) BASIC CLASSES UP TO 9TH GRADE - Ask S10Q9c
(2) HIGH SCHOOL EQUIVALENCY OR GED CLASSES - Ask S10Q9c
(3) COLLEGE LEVEL CLASSES - Skip to S10Q10a
(4) ENGLISH AS A SECOND LANGUAGE - Skip to S10Q10a
(5) OTHER - Specify _______________________________ (S109b_OTH) - Skip to S10Q10a
(96) NO OTHER MENTIONS
BLIND D OR R - Ask to S10Q9c
If more than one item marked, follow shortest skip, i.e. if mark 1 and 4, skip to S10Q9c
ASK IF S10Q9a=1:
S10Q9c. Since your admission, have you completed your high school equivalency or GED? ENTER ONE
(1) YES
(2) NO
BLIND D OR R
ASK ALL:
S10Q10a. Since you were admitted to jail (DISPLAY “ON (INSERT STORAGE ITEM 2A – MOST RECENT ADMISSION DATE)” IF CONTAINS A DATE/ELSE DISPLAY “THIS TIME”), have you joined or participated in… ENTER ONE FOR EACH
(1) YES (2) NO
S10Q10a_1. ___ A Bible club or other religious study group?
S10Q10a_2. ___ An ethnic/racial organization, for example, NAACP, African American or Black Culture Group, Hispanic Committee, Aztlan, or Lakota?
S10Q10a_3. ___ Inmate assistance groups, like inmate liaison, advisory, or worker’s councils, or inmate counseling groups?
S10Q10a_4. Other inmate self-help/personal improvement groups, for example, Toastmasters, Jaycees, Gavel club, veterans club, or parent awareness groups?
BLIND D OR R
ASK ALL:
S10Q10b. Since you were admitted to jail (DISPLAY “ON (INSERT STORAGE ITEM 2A – MOST RECENT ADMISSION DATE)” IF CONTAINS A DATE/ELSE DISPLAY “THIS TIME”), have you participated in any of the following classes or programs? ENTER ONE FOR EACH
|
YES |
NO |
S10Q10b_1. Any parenting or child rearing classes? |
1 |
2 |
S10Q10b_2. Any anger management or conflict resolution classes? |
1 |
2 |
S10Q10b_3. Any money management or financial planning classes |
1 |
2 |
S10Q10b_4. Any sex offender treatment programs |
1 |
2 |
BLIND D OR R
ASK ALL:
S10Q11a. Is there access to a law library in this facility? ENTER ONE
(1) YES
(2) NO
BLIND D OR R
ASK ALL:
S10Q12a. Jails have a set of rules that inmates are expected to follow. This next set of questions are about any jail rules that you may have broken. Since you were admitted to jail (DISPLAY “ON (INSERT STORAGE ITEM 2A – MOST RECENT ADMISSION DATE)” IF CONTAINS A DATE/ELSE DISPLAY “THIS TIME”), how many times have you been written up for or found guilty of breaking any jail rules?
TIMES: ________________ (Range 0 – 500)
BLIND D OR R
If S10Q12a = 1+ ask S10Q12b, else skip to S10Q13a
ASK IF S10Q12a=1-500:
S10Q12b. Since your admission, have you been written up for or been found guilty of… ENTER ONE FOR EACH
(1) YES (2) NO
S10Q12b1. …a drug violation, such as possession, use, or selling? ____
S10Q12b1_1. If yes - How many times? ____ (Range 0-250)
S10Q12b12. …an alcohol violation, such as possession, use, or selling? ____
S10Q12b2_1. If yes - How many times? ____(Range 0-250)
S10Q12b3. …possession of a weapon? ____
S10Q12b3_1. If yes - How many times? ____ (Range 0-250)
S10Q12b4. …possession of stolen property? ____
S10Q12b4_1. If yes - How many times? ____ (Range 0-250)
S10Q12b5. …possession of any other unauthorized substance or item? ____
S10Q12b5_1. If yes - How many times? ____ (Range 0-250)
S10Q12b6. …verbal assault on a correctional officer or other staff person? ____
S10Q12b6_1. If yes - How many times? ____ (Range 0-250)
S10Q12b7. …physical assault on a correctional officer or other staff person? ____
S10Q12b7_1. If yes - How many times? ____ (Range 0-250)
S10Q12b8. …verbal assault on another inmate? ____
S10Q12b8_1. If yes - How many times? ____ (Range 0-250)
S10Q12b9. …physical assault on another inmate? ____
S10Q12b9_1. If yes - How many times? ____ (Range 0-250)
S10Q12b10. …escape or attempted escape? ____
S10Q12b10_1. If yes - How many times? ____ (Range 0-250)
S10Q12b11. …being out of place? ____
S10Q12b11_1. If yes - How many times? ____ (Range 0-250)
S10Q12b12. …disobeying orders? ____
S10Q12b12_1. If yes - How many times? ____ (Range 0-250)
S10Q12b13. …any other major violations, including work slowdowns, food strikes, setting fires, rioting, etc.? ____
S10Q12b13_1. If yes - How many times? ____ (Range 0-250)
S10Q12b14. …any other minor violations relating to facility orderliness and operation, such as use of abusive language, horseplay, failing to follow sanitary regulations? ____
S10Q12b14_1. If yes - How many times? ____ (Range 0-250)
S10Q12b15. …any other violations - Specify_____________________________ (S10Q12b_OTH)
S10Q12b15_1. If yes - How many times? ____ (Range 0-250)
OMP_INSTR_10A1.
(1) See items marked in S10Q12b
(2) If only one item marked “yes” – skip to S10Q12d
(3) If more than one item is marked “yes” – skip to S10Q12c
(4) Else skip to S10Q13a
COMPLETE IF MORE THAN ONE S10Q12b=1:
S10Q12c. So you have told me that you were written up for or found guilty of:
PROGRAMMER: THIS SCREEN SHOULD FILL WITH ONLY THOSE ITEMS THE R ENDORSED IN S10Q12b.
(1) A drug violation, such as possession, use, or selling
(2) An alcohol violation, such as possession, use, or selling
(3) Possession of a weapon
(4) Possession of stolen property
(5) Possession of any other unauthorized substance or item
(6) Verbal assault on a correctional officer or other staff person
(7) Physical assault on a correctional officer or other staff person
(8) Verbal assault on another inmate
(9) Physical assault on another inmate
(10) Escape or attempted escape
Being out of place
Disobeying orders
Some other major violation, including work slowdowns, food strikes, setting fires, rioting, etc.
Some other minor violations relating to facility orderliness and operation, such as use of abusive language, horseplay, failing to follow sanitary regulations
(95) Some other violation
INTERVIEWER: IF RESPONDENT DISAGREES WITH ANY OF THESE, GO BACK TO S10Q12 AND UPDATE APPROPRIATE REPONSE OPTIONS.
ASK IF MORE THAN ONE S10Q12b=1:
S10Q12c1. Which of these rule violations occurred most recently? ENTER ONE
PROGRAMMER: THIS SCREEN SHOULD FILL WITH ONLY THOSE ITEMS THE R ENDORSED IN S10Q12b.
A drug violation, such as possession, use, or selling
An alcohol violation, such as possession, use, or selling
Possession of a weapon
Possession of stolen property
Possession of any other unauthorized substance or item
Verbal assault on a correctional officer or other staff person
Physical assault on a correctional officer or other staff person
Verbal assault on another inmate
Physical assault on another inmate
Escape or attempted escape
Being out of place
Disobeying orders
Some other major violation, including work slowdowns, food strikes, setting fires, rioting, etc.
Some other minor violations relating to facility orderliness and operation, such as use of abusive language, horseplay, failing to follow sanitary regulations
BLIND D OR R - Skip S10Q13a
ASK IF ONE OR MORE S10Q12b = 1:
S10Q12d. Did any disciplinary action take place for that (FILL FROM S10Q12c1 IF MORE THAN ONE YES TO S10Q12b OR FILL FROM S10Q12b IF ONLY ONE=1)? ENTER ONE
(1) YES
(2) NO - skip S10Q13a
BLIND D OR R - skip S10Q13a
ASK IF S10Q12d=1:
S10Q12d1. What disciplinary action took place for that (FILL FROM S10Q12c1 IF MORE THAN ONE YES TO S10Q12b OR FILL FROM S10Q12b IF ONLY ONE=1)? Any others? ENTER ALL THAT APPLY
(1) Solitary confinement or segregation
(2) Confinement to own cell or quarters
(3) Higher custody level within facility
(4) Transferred to another facility
(5) Loss of “good” time/gain of “bad” time
(6) Received a new sentence
(7) Given extra work
(8) Loss or change of work assignment
(9) Loss of privileges (including commissary and visiting privileges)
(10) Put in restraints
(11) Received formal reprimand only
(12) Received no punishment/punishment suspended
(95) Other – Specify ___________(S10Q12d1_OTH)
(96) NO OTHER MENTIONS
BLIND D OR R
ASK ALL:
S10Q13a. Since your admission (DISPLAY “ON (INSERT STORAGE ITEM 2A – MOST RECENT ADMISSION DATE)” IF CONTAINS A DATE/ELSE DISPLAY “THIS TIME”), have you ever been given a furlough or day pass? ENTER ONE
(1) YES
(2) NO – Skip to S10Q14a
BLIND D OR R – Skip to S10Q14a
ASK IF S10Q13a=1:
S10Q13b. How many times?
____ TIMES (Range 0 – 250)
BLIND D OR R
ASK IF S10Q13a=1:
S10Q13c. Why were you given a furlough or day pass? ENTER ALL THAT APPLY
(1) To visit family or friends
(2) To work/find work
(3) To attend classes/school
(4) To attend funeral
(5) Other - Specify ______________________________ (S10Q13c_OTH)
(96) NO OTHER MENTIONS
BLIND D OR R
COMP_INSTR_10B.
Is [Current date] – [Storage item 2A – Recent admission date] => 30 AND does [Storage item 2B – Detention status] = 01-04 convicted? If yes, ask S10Q15a
Is [Current date] – [Storage item 2A – Recent admission date] < 30 OR does [Storage item 2B – Detention status] = 05, 06, missing? If yes, skip to S10Q18a
Is Storage Item 2b=01-04, but Storage Item 2A is missing a date? If yes, ask S10Q14.
ASK IF COMP_INSTR_10B=3:
S10Q14. To the best of your knowledge, were you admitted to this jail 30 days ago or more?
(1) YES – Go to S10Q15a
(2) NO – Skip to S10Q18a
BLIND D OR R – Skip to S10Q18a
ASK IF COMP_INSTR_10B=1 or S10Q14=1:
S10Q15a. Since your admission (DISPLAY “ON (INSERT STORAGE ITEM 2A – MOST RECENT ADMISSION DATE)” IF CONTAINS A DATE/ELSE DISPLAY “THIS TIME”), have you participated in any programs that were designed to help prepare you for release from jail? (This does not include temporary release from jail on, for example, work release or furlough) ENTER ONE
(1) YES
(2) NO – Skip to S10Q15c
BLIND D OR R – Skip to S10Q15c
(h) Help - DISPLAY HELP SCREEN h_RELEASE
h_RELEASE.
Include persons released after a period of confinement (e.g., sentence completion, bail/bond releases, other pretrial releases, transfers to other jurisdictions, or deaths)
Exclude temporary discharges (e.g., work releases, medical appointments/treatment, out to courts, furloughs, day reporters, or transfers to other facilities within your jurisdiction).
ASK IF S10Q15a=1:
S10Q15b. Was participation in any of the programs mandatory? ENTER ONE
(1) YES
(2) NO
BLIND D OR R
ASK IF COMP_INSTR_10B=1 or S10Q14=1:
S10Q15c. Since your admission (DISPLAY “ON (INSERT STORAGE ITEM 2A – MOST RECENT ADMISSION DATE)” IF CONTAINS A DATE/ELSE DISPLAY “THIS TIME”), have you ever participated in a program or class related to… ENTER ONE FOR EACH
(1) YES (2) NO
S10Q15c_1. __ Money or personal finance
S10Q15c_2. __ Anger management
S10Q15c_3. __ Conflict resolution
S10Q15c_4. __ Domestic or intimate partner violence counseling
S10Q15c_5. __ Parenting or childcare skills
S10Q15c_6. __ Religious or spiritual counseling
S10Q15c_7. __ Classes or interviews to help you change your attitudes, beliefs, or reactions to situations (sometimes called cognitive behavioral or CBT class)
S10Q15c_8. __ Violence support and prevention groups
S10Q15c_95. __ Other – Specify _____________________________ (S10Q16c_OTH)
BLIND D OR R
ASK IF COMP_INSTR_10B=1 or S10Q14=1:
S10Q16a. In addition to any participation in programs or classes, have you been provided with information to help you accomplish any of the following activities after your release… ENTER ONE FOR EACH
(1) YES (2) NO
S10Q16a_1. __ Finding a place to live
S10Q16a_2. __ Finding a job
S10Q16a_3. __ Finding a means of transportation
S10Q16a_4. __ Continuing your education
S10Q16a_5. __ Finding child care
S10Q16a_6. __ Finding legal assistance
S10Q16a_7. __ Getting drug or alcohol treatment
S10Q16a_8. __ Accessing health care
S10Q16a_9. __ Getting counseling
S10Q16a_10. __ Getting financial assistance
S10Q16a_11. __ Obtaining photo ID
S10Q16a_12. __ Working on personal relationships
S10Q16a_95. __ Other – Specify _____________________________ (S10Q16a_OTH)
BLIND D OR R
ASK ALL:
S10Q17a. Have you spoken with a social worker, case manager or counselor since your admission to the jail? ENTER ONE
(1) YES
(2) NO –Skip to S10Q18a
BLIND D OR R – Skip to S10Q18a
ASK IF S10Q17a=1:
S10Q17b. How often have you spoken with a social worker, case manager or counselor since your admission to the jail? ENTER ONE
(1) Once
(2) Weekly
(3) Biweekly
(4) Monthly
(5) Less often than monthly
BLIND D OR R
ASK IF COMP_INSTR_10B=1 or S10Q14=1:
S10Q18a. Since your admission to jail, has a staff or a community member talked to you about any of the following: ENTER ALL THAT APPLY
(1) Affordable Housing
(2) Employment
(3) Substance abuse treatment
(4) Mental health treatment
(96) NO OTHER MENTIONS
BLIND D OR R
ASK ALL:
S10Q19a. Did you receive any government benefits like, Medicaid, TANF, SSI, or SSDI prior to your admission to jail? ENTER ONE
(1) YES
(2) NO – Skip to S10Q20a
BLIND D OR R– Skip to S10Q20a
ASK IF S10Q19a=1:
S10Q19b. In which of the following benefits were you enrolled? ENTER ALL THAT APPLY
(1) Medicaid and other government-funded health insurance
(2) TANF or welfare
(3) Supplemental Security Income
(4) Social Security Disability Income
(5) SNAP, food stamps, or other government nutrition assistance programs
(95) Other – Specify _____________________________ (S10Q19b_OTH)
(96) NO OTHER MENTIONS
BLIND D OR R
ASK IF COMP_INSTR_10B=1 or S10Q14=1:
S10Q20a. Do you have a place to stay when you are released from jail? ENTER ONE
(1) YES
(2) NO – Skip to S10Q21a
BLIND D OR R – Skip to S10Q21a
ASK IF S10Q20a=1:
S10Q20b. Which of the following best describes the place you will stay when you are released from jail? ENTER ONE (SHOW CARD)
(1) A house, apartment, condominium which you own
(2) A house, apartment, condominium which you rent
(3) A house, apartment, condominium owned or rented by a family member, friend, or significant other
(4) A residential drug treatment center
(5) A sober living home
(6) A halfway house
(7) A homeless shelter
(8) Permanent supported housing
(95) Other – Specify _____________________________ (S10Q20b_OTH)
BLIND D OR R
ASK IF COMP_INSTR_10B=1 or S10Q14=1:
S10Q21a. Do you have a job arranged for when you are released from jail? ENTER ONE
(1) YES
(2) NO – Skip to S10Q22a
BLIND D OR R – Skip to S10Q22a
ASK IF S10Q21a=1:
S10Q21b. Which of the following best describes the job you have arranged for when you are released from jail? ENTER ONE
FR PROBE: Which do you consider to be your main job?
(1) A formal job at a business, private organization, or governmental agency
(2) Informal employment, such as with a friend or family member
(3) Self-employment
BLIND D OR R
(h) Help - DISPLAY HELP SCREEN H_FORMAL JOB
h_FORMAL JOB.
A job in which you receive a paycheck or pay taxes on what you earn
ASK IF S10Q21a=1:
S10Q21c. Is this the same job or type of job you held before you were admitted to jail? ENTER ONE
(1) YES
(2) NO
BLIND D OR R
ASK ALL:
S10Q22a. Since your admission to jail, have you communicated with friends or family? ENTER ONE
(1) YES
(2) NO – Skip to S10Q22b1
BLIND D OR R – Skip to S10Q22b1
ASK IF S10Q22a=1:
S10Q22a1. How do you communicate with friends or family? ENTER ALL THAT APPLY
(1) Mail
(2) Telephone
(3) Video visits
(4) Messaging on social media
(5) E-mail
(6) In-person, contact visits in the facility
(7) In-person, non-contact visits in the facility
(8) In-person visits while on furlough
(95) Other – Specify ________________ (S10Q22a1_OTH)
(96) NO OTHER MENTIONS
BLIND D OR R
If S10Q22a1 does not equal 6 or 7 ask S10Q22b2.
Else, skip to S10Q23a.
ASK IF S10Q22a=2, D or R:
S10Q22b1. Why have you not communicated with friends or family? ENTER ALL THAT APPLY
(1) Do not want to communicate with anyone
(2) Cost
(3) Denied by jail
(4) No-one has reached out
(5) Other – Specify _____________________________ (S10Q22b1_OTH)
(96) NO OTHER MENTIONS
BLIND D OR R
ASK IF S10Q22a DOES NOT EQUAL 6 OR 7:
S10Q22b2. Why have you not received visitors? ENTER ALL THAT APPLY
(1) Do not want visitors
(2) Distance
(3) Cost
(4) Denied by jail
(5) No-one has requested to visit
(95) Other – Specify _____________________________ (S10Q22b2_OTH)
(96) NO OTHER MENTIONS
BLIND D OR R
ASK ALL:
S10Q23a. Were you charged a booking fee at the time of your admission to jail? ENTER ONE
(1) YES
(2) NO – Skip to S10Q23b
BLIND D OR R – Skip to S10Q23b
ASK IF S10Q23a=1:
S10Q23a1. What was the fee you were charged at the time of your admission to jail?
$______ (Range 0 – 1000)
BLIND D OR R
ASK ALL:
S10Q23b. Are you being charged any fees for your current stay in this jail? ENTER ONE
(1) YES
(2) NO – Skip to S10Q24a
BLIND D OR R – Skip to S10Q24a
ASK ALL:
S10Q24a. Do you have a definite date on which you expect to be released from jail? ENTER ONE
(1) YES
(2) NO - Skip to S10Q24c
BLIND D OR R - Skip to S10Q24c
ASK IF S10Q24a=1:
S10Q24b. KEEP PREVIOUS QUESTION ON SCREEN
In what month and year will you be released?
MONTH: ____ (MM) (Range 1 – 12)
YEAR: ____ (YYYY) (Range 2020 – 2065)
PRESS ENTER TO CONTINUE -- Skip to end of interview
BLIND D OR R
ASK IF S10Q24a=2, D or R OR S10Q24b=D or R:
S10Q24c. What is your earliest court date?
MONTH: ____ (MM) (Range 1 – 12)
YEAR: ____ (YYYY) (Range 2020 – 2065)
BLIND D OR R
ASK IF S10Q24a=2, D or R OR S10Q24b=D or R:
S10Q24d. Do you expect to be released (IF S10Q24c HAS A VALID DATE, INSERT “at that time”; if S10Q24c=D, R OR BLANK, INSERT “when you go to court”)? ENTER ONE
(1) YES
(2) NO
BLIND D OR R
We are finished, thank you for participating in the survey!
Survey
of Inmates in Local Jails Pretest, 2020 – Section 1 –
Individual
Characteristics,
Page
File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
Author | Kathryn O'Hara |
File Modified | 0000-00-00 |
File Created | 2021-01-14 |