Attachment B.
Crosswalk of NISVS Instrument Revisions – Dropped and Revised Questions
Control Form
Revised items are marked in red font.
Minor edits to reflect a change in contractor and updating of CATI instructions due to renumbering (shown below).
NISVS 3 |
NISVS 4.0 |
||
Original Question |
New Question |
||
CF_INTRO_2 |
SAY, IF NEEDED: |
CF_INTRO_1 |
SAY, IF NEEDED: |
CF5 |
{FILL: “Including the number I just dialed” (CF2=2: LANDLINE)} “How many telephone numbers do you have in your household that are used for talking, EXCLUDING cell phones or telephone lines that are used only for machines like faxes and computers? |
CF5 |
{FILL: “Including the number I just dialed” (CF1=2: LANDLINE)} “How many telephone numbers do you have in your household that are used for talking, EXCLUDING cell phones or telephone lines that are used only for machines like faxes and computers? |
NUM_ADULTS |
{IF CF2=2, FILL: “I need to randomly select one adult who lives in your household to be interviewed.} How many members of your household, including yourself, are 18 years of age or older? |
NUM_ADULTS |
{IF CF1=2, FILL: “I need to randomly select one adult who lives in your household to be interviewed.”} How many members of your household, including yourself, are 18 years of age or older? |
CF_INTRO1a |
Hello, I am calling on behalf of the Centers for Disease Control and Prevention, the CDC. The CDC is conducting a study on health and injuries. My name is __________. I am an interviewer with RTI International and I am part of the research team. Let me assure you that this is not a sales call. |
CF_INTRO1a |
Hello, I am calling on behalf of the Centers for Disease Control and Prevention, the CDC. The CDC is conducting a study on health and injuries. My name is __________. I am an interviewer with {CONTRACTOR}, and I am part of the research team. Let me assure you that this is not a sales call. |
CF_INTRO1b |
You have been randomly chosen to participate in an important study. This call may be monitored or recorded for quality assurance purposes. The Centers for Disease Control and prevention (CDC) is doing a telephone study of up to {fill: 13,000 / 16,000 (Option Year)} people. Men and women age 18 and older will be asked questions about their health and injuries they may have experienced. The data we are collecting are very important, and will be used to inform prevention efforts. The survey will take approximately 25 minutes, on average. Since some of the questions are personal, we suggest that you be in a private setting during the survey. |
CF_INTRO1b |
You have been randomly chosen to participate in an important study. This call may be monitored or recorded for quality assurance purposes. The Centers for Disease Control and Prevention (CDC) is doing a telephone study of up to {fill: (# OF INTERVIEWS)} people. Men and women age 18 and older will be asked questions about their health and injuries they may have experienced. The data we are collecting are very important and will be used to inform prevention efforts. The survey will take approximately 25 minutes, on average. Since some of the questions are personal, we suggest that you be in a private setting during the survey. |
CF_INTRO1c |
There are minimal benefits or risks to being in this voluntary study. In order to keep your information private, the answers you give us will be combined with the answers from other people who are in the survey. No information that could personally identify you will be given to the CDC or anyone else. You can skip any question or stop the survey at any time. If you complete the survey, as a token of our appreciation we will send you a check for {FILL: $10 / $40 (NON-RESPONSE FOLLOW-UP PHASE)} |
CF_INTRO1c |
There
are minimal benefits or risks to being in this voluntary study.
|
CF_INTRO1d |
If you choose to receive the money, I will go to a separate computer file after we finish the survey and collect your name and address so that we can mail the check to you. Your name and address will not be connected to the information you provide in the survey, and will be erased from our files at the end of this study. You may want to have a pen or pencil and paper available to write down a few phone numbers. If you have questions or concerns about participating in the study, you may call the Survey Manager, Jessica Williams, at 866-800-9181. If you have any questions about your rights as a research participant, please contact RTI’s Office of Research Protection toll-free at 866-214-2043. |
CF_INTRO1d |
If you choose to receive the money, I will collect your name and address so that we can mail the check to you. Your name and address will not be connected to the information you provide in the survey, and will be erased from our files at the end of this study. You may want to have a pen or pencil and paper available to write down a few phone numbers. If you have questions or concerns about participating in the study, you may call the Survey Manager, {NAME}, at ###-###-####. If you have any questions about your rights as a research participant, please contact {CONTRACTOR} Office of Research Protection toll-free at ###-###-####. |
Respondent Characteristics
Renumbered the questions – replaced A with R.
ADDED Interviewer instruction to end interview if respondent did not provide their age. (RC1c: I'm sorry, for this survey we need to know your specific age. I will have to end the interview now. Thank you for your interest, and have a nice day/evening.).
REVISED graduate education response option (RC2). Changed parenthetical examples in “POSTGRADUATE DEGREE (MASTER’S, MA, MS, DOCTORATE, PhD, MD, JD)” to “(MASTER DEGREE, DOCTORATE DEGREE, MD, JD).”
REVISED sexual orientation response option from “Straight, that is, not gay” to “Straight, that is, not lesbian or gay.”
Health Conditions
Renumbered the questions – replaced B with HC.
Dropped 9 health condition questions (see below).
Added 3 questions to address Center priorities (suicide, prescription drug misuse); HC06-HC08.
NISVS 3 |
NISVS 4.0 |
||
Original Question |
New Question |
||
Stem |
Have you ever been told by a doctor, nurse, or other health professional that you had … ? |
|
|
B03 |
Diabetes |
|
DROPPED |
B04a |
High Blood Pressure |
|
DROPPED |
B04b |
HIV/AIDS |
|
DROPPED |
B08 |
serious difficulty hearing |
|
DROPPED |
B09 |
Are you blind or do you have serious difficulty seeing, even when wearing glasses |
|
DROPPED |
Stem |
Do you have … ? |
|
|
B10 |
serious difficulty walking or climbing stairs |
|
DROPPED |
B11 |
difficulty dressing or bathing |
|
DROPPED |
Stem |
Because of a physical, mental, or emotional condition, do you have difficulty… ? |
|
|
B12 |
concentrating, remembering or making decisions |
|
DROPPED |
B13 |
doing errands alone such as visiting a doctor’s office or shopping |
|
DROPPED |
|
(not asked in previous data collection) |
HC06 |
Have you ever, even once, taken any prescription pain medicine (like OxyContin, Vicodin, Lortab, or Percocet) without a prescription or differently than how a doctor told you to use it? |
|
(not asked in previous data collection) |
HC07 |
Have you ever been told by a doctor, nurse, or other health professional that you had any type of depression? |
|
(not asked in previous data collection) |
HC08 |
Have you ever attempted suicide? |
Stalking
Renumbered the questions – replaced C with ST.
Revised and combined items after consultation with federal partners (ST01, ST03, ST04, ST05, ST06), and dropped 2 stalking tactic questions (see below).
Shortened 1 relationship question to reduce length and repetitiveness (ST14).
NISVS 3 |
NISVS 4.0 |
||
Original Question |
New Question |
||
Stem |
Has anyone ever … ? |
Stem |
Has anyone ever … ? |
C01 |
followed you around and watched you when you did not want them to? |
ST01 |
followed you around, watched, or spied on you when you did not want them to? |
C03 |
used GPS technology or equipment to monitor or track your location when you did not want them to? This includes GPS technology used in a phone or in social media, such as Facebook. IF NECESSARY: We are talking about times when you knew or you thought someone was using GPS technology to monitor you. IF NECESSARY: GPS is Global Positioning Tracking. |
ST03 |
used technology, such as hidden cameras, computer software, apps, or GPS to monitor or track your location without your permission. This includes GPS used in a phone or in social media, such as Facebook. IF NECESSARY: We are talking about times when you knew or you thought someone was using GPS technology to monitor you. IF NECESSARY: GPS is Global Positioning Tracking. |
C04 |
left strange or potentially threatening items for you to find? |
|
DROPPED |
C05 |
sneaked into your home or car and did things to scare you by letting you know they had been there? |
ST04 |
sneaked onto your property, such as your home or car, and did things to scare you by letting you know they had been there? |
C06 |
used technology such as a hidden camera, recorder, or computer software to spy on you from a distance? |
|
DROPPED |
C07 |
made unwanted phone calls to you, including hang-ups and voice messages? |
ST05 |
made unwanted phone calls, sent emails, voice, or text messages? |
C08 |
sent you unwanted text messages, photo messages, emails, or messages through Facebook, Twitter, or other social media? |
ST06 |
sent you unwanted messages through social media, such as Facebook, Instagram, and chat rooms? |
C14a |
Approximately how old was this person the first time {FILL: “he” (RELATIONSHIP CODES 100-139, 200-239, 300-339, 400-439, 500-539, 600, 700) / “she” (RELATIONSHIP CODES 150-189, 250-289, 350-389, 450-489, 550-589, 650, 750)} did any of these things to you? |
|
DROPPED |
C14b |
Was this person less than 5 years older than you or 5 or more years older than you the first time {FILL: he/she} did any of these things to you? |
|
DROPPED |
C16 |
What was your relationship to the first romantic or sexual partner who did any of these things to you? |
ST14 |
What was your relationship to this person? |
C18a |
Approximately how old was this person the first time {FILL: “he” (RELATIONSHIP CODES 100-139,) / “she” (RELATIONSHIP CODES 150-189)} did any of these things to you? |
|
DROPPED |
C18b |
Was this person less than 5 years older than you or 5 or more years older than you the first time {FILL: he/she} did any of these things you? |
|
DROPPED |
Noncontact Sexual Violence, Unwanted Sexual Contact, and Sexual Coercion
Renumbered the questions – replaced D with SC.
ADDED 2 questions to address workplace sexual harassment (SC01, SC02).
Minor edit (capitalization) to SC03 to distinguish from SC01 and SC02.
Shortened 2 relationship questions to reduce length and repetitiveness (SC10, SC21).
DROPPED 8 questions pertaining to perpetrator age and 2 questions on 12-month frequency of victimization (see below).
NISVS 3 |
NISVS 4.0 |
||
Original Question |
New Question |
||
|
|
SC01 |
In your lifetime, how many people in your WORKPLACE made unwanted sexual remarks, sexual jokes, or offensive comments about your body or appearance? Please include people you work with or come into contact with through your job. |
|
|
SC02 |
How many people in your WORKPLACE have done this to you in the past 12 months? That is since {FILL: DATE 12 MONTHS AGO}? |
D01 |
While you were in a public place, how many people have ever verbally harassed you in a sexual way that made you feel uncomfortable? |
SC03 |
While you were in a PUBLIC place, how many people have ever verbally harassed you in a sexual way that made you feel uncomfortable? |
D07a |
Approximately how old was this person the first time {FILL: “he” (RELATIONSHIP CODES 100-139, 200-239, 300-339, 400-439, 500-539, 600, 700) / “she” (RELATIONSHIP CODES 150-189, 250-289, 350-389, 450-489, 550-589, 650, 750)} did any of these things to you? |
|
DROPPED |
D07b |
Was this person less than 5 years older than you or 5 or more years older than you the first time {FILL: he/she} did any of these things to you? |
|
DROPPED |
D09 |
What was your relationship to the first romantic or sexual partner who did {FILL: “this” (JUST D03) / “any of these things”} to you? |
SC10 |
What was your relationship to this person? |
D11a |
Approximately how old was this person the first time {FILL: “he” (RELATIONSHIP CODES 100-139) / “she” (RELATIONSHIP CODES 150-189)} did any of these things to you? |
|
DROPPED |
D11b |
Was this person less than 5 years older than you or 5 or more years older than you the first time {FILL: he/she} did any of these things to you? |
|
DROPPED |
D14 |
Approximately
how many times in total did {FILL: “this” (IF JUST
D03) / “these things”} happen to you in the past 12
months, that is since {FILL: DATE 12 MONTHS AGO}? IF NECESSARY:
“I just need an approximate answer”; IF “R”
DOES NOT KNOW: “Would you say …” READ RESPONSE
OPTIONS 1-5 BELOW. |
|
DROPPED |
D20a |
Approximately how old was this person the first time {FILL: “he” (RELATIONSHIP CODES 100-139, 200-239, 300-339, 400-439, 500-539, 600, 700) / “she” (RELATIONSHIP CODES 150-189, 250-289, 350-389, 450-489, 550-589, 650, 750)} did any of these things to you? |
|
DROPPED |
D20b |
Was this person less than 5 years older than you or 5 or more years older than you the first time {FILL: he/she} did any of these things to you? |
|
DROPPED |
D22 |
What was your relationship to the first romantic or sexual partner who did {FILL: “this” / “any of these things”} to you? |
SC21 |
What was your relationship to this person? |
D24a |
Approximately how old was this person the first time {FILL: “he” (RELATIONSHIP CODES 100-139) / “she” (RELATIONSHIP CODES 150-189)} did any of these things to you? |
|
DROPPED |
D24b |
Was this person less than 5 years older than you or 5 or more years older than you the first time {FILL: he/she} did any of these things to you? |
|
DROPPED |
D29 |
Approximately how many times in total did {FILL: “this” (ONE BEHAVIOR) / “these things”} happen to you in the past 12 months, that is since {FILL: DATE 12 MONTHS AGO}? IF NECESSARY: “I just need an approximate answer” IF “R” GIVES A RESPONSE THAT SPANS CATEGORIES: “Would you say …” READ AFFECTED RESPONSE OPTIONS BELOW IF “R” DOES NOT KNOW: “Would you say …” READ RESPONSE OPTIONS 1-5 BELOW. IF NECESSARY: “In total” refers to your combined experiences across all of the people who did {FILL: “this” (ONE BEHAVIOR) / “these things”} to you in the past 12 months. |
|
DROPPED |
Completed Alcohol/Drug-Facilitated Rape and Made to Penetrate
Renumbered the questions – replaced E with AD.
Revised item based on low endorsement of behavior (AD01).
Combined 2 items (original E04 and E05) to created AD04, and DROPPED E05.
Combined perpetrator sex types (male and female) of original E08, E10a to enable asking behavior only once (now AD06), and DROPPED E10a.
DROPPED questions due to low endorsement (original E09, E10b, E12).
Combined 2 items (original E11a and E11b) to create AD08, and DROPPED E11b.
Shortened 2 relationship questions to reduce length and repetitiveness (AD14, AD22).
Revised 2 questions to reduce length and offer an open-ended response option (AD18 and AD26).
DROPPED 8 questions pertaining to perpetrator age (see below).
NISVS 3 |
NISVS 4.0 |
||
Original Question |
New Question |
||
E01 |
When you were unable to consent to sex or stop it from happening because you were too drunk, high, drugged, or passed out from alcohol or drugs, how many PEOPLE ever did the following when you did not want them to? [IF FEMALE] Put their mouth on your vagina or anus? |
AD01 |
When you were unable to consent to sex or stop it from happening because you were too drunk, high, drugged, or passed out from alcohol or drugs, how many PEOPLE ever did the following when you did not want them to? [IF FEMALE] Put their mouth on your vagina? |
E04 |
When you were unable to consent to sex or stop it from happening because you were too drunk, high, drugged, or passed out from alcohol or drugs, how many MALES ever did the following when you did not want them to … [IF FEMALE] Put their penis in your anus? |
AD04 |
When you were unable to consent to sex or stop it from happening because you were too drunk, high, drugged, or passed out from alcohol or drugs, how many MALES ever did the following when you did not want them to … [IF FEMALE] Put their penis in your mouth or anus? |
E05 |
When you were unable to consent to sex or stop it from happening because you were too drunk, high, drugged, or passed out from alcohol or drugs, how many MALES ever did the following when you did not want them to … [IF FEMALE] Put their penis in your mouth? |
|
DROPPED |
E08 |
When you were unable to consent to sex or stop it from happening because you were too drunk, high, drugged, or passed out from alcohol or drugs, how many FEMALES ever did the following when you did not want them to … [IF MALE] Put their mouth on your penis? |
AD06 |
When you were unable to consent to sex or stop it from happening because you were too drunk, high, drugged, or passed out from alcohol or drugs, how many PEOPLE ever did the following when you did not want them to … [IF MALE] Put their mouth on your penis? |
E09 |
When you were unable to consent to sex or stop it from happening because you were too drunk, high, drugged, or passed out from alcohol or drugs, how many FEMALES ever did the following when you did not want them to … [IF MALE] Made you put your mouth on their vagina? |
|
DROPPED |
E10a |
When you were unable to consent to sex or stop it from happening because you were too drunk, high, drugged, or passed out from alcohol or drugs, how many MALES ever did the following when you did not want them to … [IF MALE] Put their mouth on your penis? |
|
DROPPED |
E10b |
When you were unable to consent to sex or stop it from happening because you were too drunk, high, drugged, or passed out from alcohol or drugs, how many MALES ever did the following when you did not want them to … [IF MALE] Made you put your penis in their anus? |
|
DROPPED |
E11a |
When you were unable to consent to sex or stop it from happening because you were too drunk, high, drugged, or passed out from alcohol or drugs, how many MALES ever did the following when you did not want them to … [IF MALE] Put their penis in your mouth? |
AD08 |
[IF MALE] Put their penis in your mouth or anus? |
E11b |
When you were unable to consent to sex or stop it from happening because you were too drunk, high, drugged, or passed out from alcohol or drugs, how many MALES ever did the following when you did not want them to … [IF MALE] Put their penis in your anus? |
|
DROPPED |
E12 |
When you were unable to consent to sex or stop it from happening because you were too drunk, high, drugged, or passed out from alcohol or drugs, how many MALES ever did the following when you did not want them to … [IF MALE] Put their mouth on your anus? |
|
DROPPED |
E17a |
Approximately how old was this person the first time {FILL: “he” (RELATIONSHIP CODES 100-139, 200-239, 300-339, 400-439, 500-539, 600, 700) / “she” (RELATIONSHIP CODES 150-189, 250-289, 350-389, 450-489, 550-589, 650, 750)} did any of these things to you? |
|
DROPPED |
E17b |
Was this person less than 5 years older than you or 5 or more years older than you the first time {FILL: he/she} did any of these things to you? |
|
DROPPED |
E19 |
What was your relationship to the first romantic or sexual partner who did any of these things to you? |
AD14 |
What was your relationship to this person? |
E21a |
Approximately how old was this person the first time {FILL: “he” (RELATIONSHIP CODES 100-139) / “she” (RELATIONSHIP CODES 150-189)} did any of these things to you? |
|
DROPPED |
E21b |
Was this person less than 5 years older than you or 5 or more years older than you the first time {FILL: he/she} did any of these things to you? |
|
DROPPED |
E24 |
Approximately how many times in total did {FILL: “this” (ONE BEHAVIOR) / “these things”} happen to you in the past 12 months, that is since {FILL: DATE 12 MONTHS AGO}? IF NECESSARY: “I just need an approximate answer” IF “R” GIVES A RESPONSE THAT SPANS CATEGORIES: “Would you say …” READ AFFECTED RESPONSE OPTIONS BELOW IF “R” DOES NOT KNOW: “Would you say …” READ RESPONSE OPTIONS 1-5 BELOW. IF NECESSARY: “In total” refers to your combined experiences across all of the people who did {FILL: “this” (ONE BEHAVIOR) / “these things”} to you in the past 12 months. |
AD18 |
Think
about the {person / all of the people} who did {FILL: “this”
(one behavior)/”these things”} to you in the past 12
months, that is since {FILL: DATE 12 MONTHS AGO}. How many times
in total did {FILL: “this” (ONE BEHAVIOR) / “these
things”} happen to you in the past 12 months? |
E27a |
Approximately how old was “this person” the first time {FILL: “he” (RELATIONSHIP CODES 100-139, 200-239, 300-339, 400-439, 500-539, 600, 700,) / “she” (RELATIONSHIP CODES 150-189, 250-289, 350-389, 450-489, 550-589, 650, 750)} did any of these things to you? |
|
DROPPED |
E27b |
Was this person less than 5 years older than you or 5 or more years older than you the first time {FILL: he/she} did any of these things to you? |
|
DROPPED |
E27d |
What was your relationship to the first romantic or sexual partner who did any of these things to you? |
AD22 |
What was your relationship to this person? |
E29a |
Approximately how old was this person the first time {FILL: “he” (RELATIONSHIP CODES 100-139) / “she” (RELATIONSHIP CODES 150-189)} did any of these things to you? |
|
DROPPED |
E29b |
Was this person less than 5 years older than you or 5 or more years older than you the first time {FILL: he/she} did any of these things to you? |
|
DROPPED |
E32 |
Approximately how many times in total did {FILL: “this” (ONE BEHAVIOR) / “these things”} happen to you in the past 12 months, that is since {FILL: DATE 12 MONTHS AGO}? IF NECESSARY: “I just need an approximate answer”; IF “R” GIVES A RESPONSE THAT SPANS CATEGORIES: “Would you say …” READ AFFECTED RESPONSE OPTIONS BELOW; IF “R” DOES NOT KNOW: “Would you say …” READ RESPONSE OPTIONS 1-5 BELOW. IF NECESSARY: “In total” refers to your combined experiences across all of the people who did {FILL: “this” (ONE BEHAVIOR) / “these things”} to you in the past 12 months. |
AD26 |
Think
about the {person / all of the people} who did {FILL: “this”
(one behavior)/”these things”} to you in the past 12
months, that is since {FILL: DATE 12 MONTHS AGO}. How many times
in total did {FILL: “this” (ONE BEHAVIOR) / “these
things”} happen to you in the past 12 months? |
Completed Physically Forced Rape and Made to Penetrate
Renumbered the questions – replaced E with FC.
Revised item based on low endorsement of behavior (FC01).
Combined 2 items (original E36 and E38) to create FC04, and DROPPED E38.
Combined perpetrator sex types (male and female) of original E40, E42a to enable asking behavior only once (now FC06), and DROPPED E42a.
DROPPED questions due to low endorsement (original E41, E42b, E44).
Combined 2 items (original E43a and E43b) to create FC08, and DROPPED E43b.
Shortened 2 relationship questions to reduce length and repetitiveness (FC14, FC22).
Revised 2 questions to reduce length and offer an open-ended response option (FC18 and FC24).
DROPPED 8 questions pertaining to perpetrator age (see below).
NISVS 3 |
NISVS 4.0 |
||
Original Question |
New Question |
||
E33 |
How many PEOPLE have ever used physical force or threats of physical harm to … [IF FEMALE] Put their mouth on your vagina or anus? |
FC01 |
How many PEOPLE have ever used physical force or threats of physical harm to … [IF FEMALE] Put their mouth on your vagina? |
E36 |
How many MALES have ever used physical force or threats of physical harm to … [IF FEMALE] Put their penis in your anus? |
FC04 |
How many MALES have ever used physical force or threats of physical harm to … [IF FEMALE] Put their penis in your mouth or anus? |
E38 |
How many PEOPLE have ever used physical force or threats of physical harm to … [IF FEMALE] Put their penis in your mouth? |
|
DROPPED |
E40 |
How many FEMALES have ever used physical force or threats of physical harm to … [IF MALE] Put their mouth on your penis? |
FC06 |
How many PEOPLE have ever used physical force or threats of physical harm to … [IF MALE] Put their mouth on your penis? |
E41 |
How many FEMALES have ever used physical force or threats of physical harm to … [IF MALE] Made you put your mouth on their vagina? |
|
DROPPED |
E42a |
How many MALES have ever used physical force or threats of physical harm to … [IF MALE] Put their mouth on your penis? |
|
DROPPED |
E42b |
How many MALES have ever used physical force or threats of physical harm to … [IF MALE] Made you put your penis in their anus? |
|
DROPPED |
E43a |
How many MALES have ever used physical force or threats of physical harm to … [IF MALE] Put their penis in your mouth? |
FC08 |
How many MALES have ever used physical force or threats of physical harm to … [IF MALE] Put their penis in your mouth or anus? |
E43b |
How many MALES have ever used physical force or threats of physical harm to … [IF MALE] Put their penis in your anus? |
|
DROPPED |
E44 |
How many MALES have ever used physical force or threats of physical harm to … [IF MALE] Put their mouth on your anus? |
|
DROPPED |
E47a |
Approximately how old was this person the first time {FILL: “he” (RELATIONSHIP CODES 100-139, 200-239, 300-339, 400-439, 500-539, 600, 700) / “she” (RELATIONSHIP CODES 150-189, 250-289, 350-389, 450-489, 550-589, 650, 750)} did any of these things to you? |
|
DROPPED |
E47b |
Was this person less than 5 years older than you or 5 or more years older than you the first time {FILL: he/she} did any of these things to you? |
|
DROPPED |
E49 |
What was your relationship to the first romantic or sexual partner who did any of these things to you? |
FC14 |
What was your relationship to this person? |
E51a |
Approximately how old was this person the first time {FILL: “he” (RELATIONSHIP CODES 100-139) / “she” (RELATIONSHIP CODES 150-189)} did any of these things to you? |
|
DROPPED |
E51b |
Was this person less than 5 years older than you or 5 or more years older than you the first time {FILL: he/she} did any of these things to you? |
|
DROPPED |
E56 |
Approximately how many times in total did {FILL: “this” (ONE BEHAVIOR) / “these things”} happen to you in the past 12 months, that is since {FILL: DATE 12 MONTHS AGO}? IF NECESSARY: “I just need an approximate answer” IF “R” GIVES A RESPONSE THAT SPANS CATEGORIES: “Would you say …” READ AFFECTED RESPONSE OPTIONS BELOW IF “R” DOES NOT KNOW: “Would you say …” READ RESPONSE OPTIONS 1-5 BELOW. IF NECESSARY: “In total” refers to your combined experiences across all of the people who did {FILL: “this” (ONE BEHAVIOR) / “these things”} to you in the past 12 months. |
FC18 |
Think
about the {person / all of the people} who did {FILL: “this”
(one behavior)/”these things”} to you in the past 12
months, that is since {FILL: DATE 12 MONTHS AGO}. How many times
in total did {FILL: “this” (ONE BEHAVIOR) / “these
things”} happen to you in the past 12 months? |
E57a |
Approximately how old was “this person” the first time {FILL: “he” (RELATIONSHIP CODES 100-139, 200-239, 300-339, 400-439, 500-539, 600, 700,) / “she” (RELATIONSHIP CODES 150-189, 250-289, 350-389, 450-489, 550-589, 650, 750)} did any of these things to you? |
|
DROPPED |
E57b |
Was this person less than 5 years older than you or 5 or more years older than you the first time {FILL: he/she} did any of these things to you? |
|
DROPPED |
E59 |
What was your relationship to the first romantic or sexual partner who did any of these things to you? |
FC22 |
What was your relationship to this person? |
E61a |
Approximately how old was this person the first time {FILL: “he” (RELATIONSHIP CODES 100-139) / “she” (RELATIONSHIP CODES 150-189)} did any of these things to you? |
|
DROPPED |
E61b |
Was this person less than 5 years older than you or 5 or more years older than you the first time {FILL: he/she} did any of these things to you? |
|
DROPPED |
E64 |
Approximately how many times in total did {FILL: “this” (ONE BEHAVIOR) / “these things”} happen to you in the past 12 months, that is since {FILL: DATE 12 MONTHS AGO}? IF NECESSARY: “I just need an approximate answer”; IF “R” GIVES A RESPONSE THAT SPANS CATEGORIES: “Would you say …” READ AFFECTED RESPONSE OPTIONS BELOW; IF “R” DOES NOT KNOW: “Would you say …” READ RESPONSE OPTIONS 1-5 BELOW. IF NECESSARY: “In total” refers to your combined experiences across all of the people who did {FILL: “this” (ONE BEHAVIOR) / “these things”} to you in the past 12 months. |
FC24 |
Think
about the {person / all of the people} who did {FILL: “this”
(one behavior)/”these things”} to you in the past 12
months, that is since {FILL: DATE 12 MONTHS AGO}. How many times
in total did {FILL: “this” (ONE BEHAVIOR) / “these
things”} happen to you in the past 12 months? |
Attempted Physically Forced Rape and Made to Penetrate and SV Outcome Questions
Renumbered the questions – replaced E with FA for Attempted Physically Forced SV and replaced E with OT for SV Outcomes
DROPPED questions due to low endorsement (original E65, E69, E71).
Revised original E66 (now FA01) to match the order of language in previous items in the survey.
Shortened 2 relationship questions to reduce length and repetitiveness (FA08, FA16).
Revised 2 questions to reduce length and offer an open-ended response option (FA12 and FA20).
DROPPED 4 questions pertaining to perpetrator age (see below).
ADDED 1 question on having filed a police report after a rape or made to penetrate incident (OT01).
NISVS 3 |
NISVS 4.0 |
||
Original Question |
New Question |
||
E65 |
How many PEOPLE have ever used physical force or threats of physical harm to … [IF FEMALE] TRY to put their mouth on your vagina or anus but it did not happen? |
|
DROPPED |
E66 |
How many MALES have ever used physical force or threats of physical harm to … [IF FEMALE] TRY to put their penis in your vagina, anus or mouth, but it did not happen? |
FA01 |
How many MALES have ever used physical force or threats of physical harm to … [IF FEMALE] TRY to put their penis in your vagina, mouth, or anus, but it did not happen? |
E69 |
How many FEMALES have ever used physical force or threats of physical harm to … [IF MALE] TRY to make you put your mouth on their vagina but it did not happen? |
|
DROPPED |
E71 |
How many MALES have ever used physical force or threats of physical harm to … [IF MALE] TRY to put their mouth on your anus, but it did not happen? |
|
DROPPED |
E74a |
Approximately how old was “this person” the first time {FILL: “he” (RELATIONSHIP CODES 100-139, 200-239, 300-339, 400-439, 500-539, 600, 700) / “she” (RELATIONSHIP CODES 150-189, 250-289, 350-389, 450-489, 550-589, 650, 750)} did any of these things to you? |
|
DROPPED |
E74b |
Was this person less than 5 years older than you or 5 or more years older than you the first time {FILL: he/she} did any of these things to you? |
|
DROPPED |
E76 |
What was your relationship to the first intimate partner who did any of these things to you? |
FA08 |
What was your relationship to this person? |
E78a |
Approximately how old was this person the first time {FILL: “he” (RELATIONSHIP CODES 100-139) / “she” (RELATIONSHIP CODES 150-189)} did any of these things to you? |
|
DROPPED |
E78b |
Was this person less than 5 years older than you or 5 or more years older than you the first time {FILL: he/she} did any of these things to you? |
|
DROPPED |
E81 |
Approximately
how many times in total did {FILL: “this” (ONE
BEHAVIOR) / “these things”} |
FA12 |
Think
about the {person / all of the people} who did {FILL: “this”
(one behavior)/”these things”} to you in the past 12
months, that is since {FILL: DATE 12 MONTHS AGO}. How many times
in total did {FILL: “this” (ONE BEHAVIOR) / “these
things”} happen to you in the past 12 months? |
E84a |
Approximately how old was “this person” the first time {FILL: “he” (RELATIONSHIP CODES 100-139, 200-239, 300-339, 400-439, 500-539, 600, 700,) / “she” (RELATIONSHIP CODES 150-189, 250-289, 350-389, 450-489, 550-589, 650, 750)} did any of these things to you? |
|
DROPPED |
E84b |
Was this person less than 5 years older than you or 5 or more years older than you the first time {FILL: he/she} did any of these things to you? |
|
DROPPED |
E86 |
What was your relationship to the first intimate partner who did any of these things to you? |
FA16 |
What was your relationship to this person? |
E88a |
Approximately how old was this person the first time {FILL: “he” (RELATIONSHIP CODES 100-139) / “she” (RELATIONSHIP CODES 150-189)} did any of these things to you? |
|
DROPPED |
E88b |
Was this person less than 5 years older than you or 5 or more years older than you the first time {FILL: he/she} did any of these things to you? |
|
DROPPED |
E91 |
Approximately how many times in total did {FILL: “this” (ONE BEHAVIOR) / “these things”} happen to you in the past 12 months, that is since {FILL: DATE 12 MONTHS AGO}? IF NECESSARY: “I just need an approximate answer”; IF “R” GIVES A RESPONSE THAT SPANSCATEGORIES: “Would you say …” READ AFFECTED RESPONSE OPTIONS BELOW; IF “R” DOES NOT KNOW: “Would you say …” READ RESPONSE OPTIONS 1-5 BELOW. IF NECESSARY: “In total” refers to your combined experiences across all of the people who did {FILL: “this” (ONE BEHAVIOR) / “these things”} to you in the past 12 months. |
FA20 |
Think
about the {person / all of the people} who did {FILL: “this”
(one behavior)/”these things”} to you in the past 12
months, that is since {FILL: DATE 12 MONTHS AGO}. How many times
in total did {FILL: “this” (ONE BEHAVIOR) / “these
things”} happen to you in the past 12 months? |
|
(not asked in previous data collection) |
OT01 |
Thinking about these experiences in your entire lifetime, when {FILL: “this” (IF JUST ONE BEHAVIOR ENDORSED FROM AD01 – AD04, FC01-FC04,FA01 (FEMALE)/AD05 – AD08, FC05-FC08,FA02-FA04 (MALE), / “any of these things”} happened did you file a police report? |
Psychological Aggression and Reproductive Coercion
Renumbered the questions – replaced F with PA.
Reduced intimate partner descriptor in the stem and questions throughout to reduce repetitiveness.
Shortened original F01 (now PA01) to improve clarity of intent.
DROPPED 2 questions pertaining to perpetrator age (see below).
Revised 1 question to reduce length and offer easier, categorical response options (PA11) to reduce burden (see below).
ADDED introduction and 5 reproductive coercion questions (previously asked in 2010-2015) due to high interest in the field (PA12-PA16).
NISVS 3 |
NISVS 4.0 |
||
Original Question |
New Question |
||
Stem |
How many of your current or ex-romantic or sexual partners have EVER ... |
Stem |
How many of your current or ex partners have EVER ... |
F01 |
insulted, humiliated, or made fun of you in front of others? |
PA01 |
insulted or humiliated you in front of others? |
F09 |
How old were you the first time a current or ex-romantic or sexual partner did {FILL: “this” (ONE BEHAVIOR, ONE PERSON) / “any of these things”} to you? |
PA09 |
How old were you the first time a current or ex partner did {FILL: “this” (ONE BEHAVIOR, ONE PERSON) / “any of these things”} to you? |
F10 |
Approximately how old was “this person” the first time he or she did {FILL: “this” (ONE BEHAVAIOR) / ”any of these things”} to you? |
|
DROPPED |
F10b |
Was this person less than 5 years older than you or 5 or more years older than you the first time he or she did any of these things to you? |
|
DROPPED |
F11 |
How many current or ex-romantic or sexual partners have done {FILL: “this” (JUST ONE OF F01-F08) / “any of these things”} to you in the past 12 months? That is since {FILL: DATE 12 MONTHS AGO}? |
PA10 |
How many current or ex partners have done {FILL: “this” (JUST ONE OF F01 – F08) / “any of these things”} to you in the past 12 months? That is since {FILL: DATE 12 MONTHS AGO}? |
F12 |
Approximately
how many times in total did {FILL: “this” (ONE
BEHAVIOR) / “these things”} happen to you in the past
12 months, that is since {FILL: DATE 12 MONTHS AGO}? IF
NECESSARY: “I just need an approximate answer” IF “R”
GIVES A RESPONSE THAT SPANS CATEGORIES: “Would you say …”
READ AFFECTED RESPONSE OPTIONS BELOW. IF “R” DOES NOT
KNOW: “Would you say …” READ RESPONSE OPTIONS
1-5 BELOW
|
PA11 |
At the time that it was most frequent in the past 12 months, that is since {FILL: DATE 12 MONTHS AGO}, how often did a current or ex partner do {FILL: “this” (ONE BEHAVIOR) / “these things”} to you? Would you say …” (READ RESPONSE OPTIONS 1-5 BELOW).
|
|
(not asked in previous 2016-18 data collection) |
PA_INTRO2 |
The next few questions are related to other experiences you may have had with a current or ex-romantic or sexual partner. |
|
(not asked in previous 2016-18 data collection) |
PA12 |
How many of your current or ex partners have EVER ... [IF FEMALE ASK] tried to get you pregnant when you did not want to become pregnant or tried to stop you from using birth control? |
|
(not asked in previous 2016-18 data collection) |
PA13 |
How many of your current or ex partners have EVER ... [IF MALE ASK] tried to get pregnant when you didn’t want them to get pregnant} or tried to stop you from using birth control? |
|
(not asked in previous 2016-18 data collection) |
PA14 |
How many current or ex partners have done this to you in the past 12 months? That is since {FILL: DATE 12 MONTHS AGO}? |
|
(not asked in previous 2016-18 data collection) |
PA15 |
refused to use a condom when you wanted them to use one? |
|
(not asked in previous 2016-18 data collection) |
PA16 |
How many current or ex partners have done this to you in the past 12 months? That is since {FILL: DATE 12 MONTHS AGO}? |
Physical Violence
Renumbered the questions – replaced G with PV.
Reduced intimate partner descriptor in the stem and questions throughout to reduce repetitiveness.
Combined original G01 and G02 to create 1 item (PV01).
Broadened behaviors in original G06 (see PV05).
DROPPED 2 questions pertaining to perpetrator age (see below).
Revised 1 question to reduce length and offer easier response options (PV15) to reduce burden (see below).
NISVS 3 |
NISVS 4.0 |
||
Original Question |
New Question |
||
G_INTRO1a |
The next questions are related to physical acts you may have experienced with your romantic or sexual partners. |
PV_INTRO1 |
The next questions are related to physical acts you may have experienced with your current or ex-romantic or sexual partners. |
Stem |
How many of your current or ex-romantic or sexual partners have ever… |
Stem |
How many of your current or ex partners have ever… |
G01 |
slapped you? |
PV01 |
slapped, pushed, or shoved you? |
G02 |
Pushed or shoved you? |
|
DROPPED |
G03 |
How old were you the first time a current or ex-romantic or sexual partner did {FILL: “this” (JUST G01) / ”any of these things”} to you? |
PV02 |
How old were you the first time a current or ex partner did {FILL: “this” (JUST PV01) / ”any of these things”} to you? |
G04 |
How many current or ex-romantic or sexual partners have done {FILL: “this” (JUST G01)/ “any of these things”} to you in the past 12 months? That is since {FILL: DATE 12 MONTHS AGO}? |
PV03 |
How many current or ex partners have done {FILL: “this” / “any of these things”} to you in the past 12 months? That is since {FILL: DATE 12 MONTHS AGO}? |
G_INTRO1b |
I want to continue to ask you about other physical acts you might have ever experienced by a current or ex-romantic or sexual partner in your lifetime. |
|
DROPPED |
Stem |
How many of your current or ex-romantic or sexual partners have ever … |
Stem |
How many of your current or ex partners have ever … |
G06 |
kicked you? |
PV05 |
kicked you or stomped on you? |
G14 |
How old were you the first time a current or ex-romantic or sexual partner {FILL: LIST OF SEVERE PHYSICAL ACT BEHAVIORS ENDORSED IN G05-G13 – USE THE SEVERE PHYSICAL VIOLENCE BEHAVIOR FILLS (APPENDIX II) - SEPARATE THE LAST TWO BEHAVIORS ENDORSED WITH “or”}? |
PV11 |
How old were you the first time a current or ex partner {FILL: LIST OF SEVERE PHYSICAL ACT BEHAVIORS ENDORSED IN PV04 – PV10 – USE THE SEVERE PHYSICAL VIOLENCE BEHAVIOR FILLS (APPENDIX II) - SEPARATE THE LAST TWO BEHAVIORS ENDORSED WITH “or”}? |
G15 |
How many current or ex-romantic or sexual partners have done {FILL: “this” (ONE BEHAVIOR, ONE PERSON)/ “these things”} to you in the past 12 months? That is since {FILL: DATE 12 MONTHS AGO}? |
PV12 |
How many current or ex partners have done {FILL: “this” (ONE BEHAVIOR, ONE PERSON)/ “these things”} to you in the past 12 months? That is since {FILL: DATE 12 MONTHS AGO}? |
G16 |
Think
about {FILL: “the person” (ONLY ONE OF G01, G02, G05 –
G13 ENDORSED AND ONLY 1 PERSON) / “all of the people”}
who {FILL: ENDORSED BEHAVIORS G01, G02, G05-G13 - USE THE PHYSICAL
VIOLENCE BEHAVIOR FILLS (APPENDIX II); SEPARATE THE LAST TWO
BEHAVIORS WITH THE WORD “or”} in your lifetime. What
was your relationship with the first current or ex-romantic or
sexual partner who did {FILL: “this” (ONE BEHAVIOR)/
“any of these things”} to you the FIRST time? |
PV13 |
Think about {FILL: “the person” (ONLY ONE OF PV01, PV04 – PV10 ENDORSED AND ONLY 1 PERSON) / “all of the people”} who {FILL: ENDORSED BEHAVIORS PV01, PV04 – PV10 - USE THE PHYSICAL VIOLENCE BEHAVIOR FILLS (APPENDIX II); SEPARATE THE LAST TWO BEHAVIORS WITH THE WORD “or”} in your lifetime. What was your relationship with the first current or ex partner who did {FILL: “this” (ONE BEHAVIOR)/ “any of these things”} to you the FIRST time? IF NECESSARY: “Was this person male or female?” |
G17a |
Approximately how old was this person the first time {FILL: “he” (RELATIONSHIP CODES 100-139) / “she” (RELATIONSHIP CODES 150-189)} “he” or “she” did {FILL: “this” (ONE BEHAVIOR) / “any of these things”} to you? |
|
DROPPED |
G17b |
Was this person less than 5 years older than you or 5 or more years older than you the first time {FILL: he/she} did any of these things to you? |
|
DROPPED |
G18 |
What was your relationship with the {FILL: “first” (SUM G04+G15>1)} current or ex-romantic or sexual partner who did {FILL: “this” (ONE BEHAVIOR)/ “any of these things”} to you in the past 12 months? That is since {FILL: DATE 12 MONTHS AGO}? IF NECESSARY: “Was this person male or female?” |
PV14 |
What was your relationship with the {FILL: “first” (SUM PV03+PV12>1)} current or ex partner who did {FILL: “this” (ONE BEHAVIOR)/ “any of these things”} to you in the past 12 months? That is since {FILL: DATE 12 MONTHS AGO}? IF NECESSARY: “Was this person male or female?” |
G19 |
Approximately
how many times in total did {FILL: “this” (ONE
BEHAVIOR) / “these things”} happen to you in the past
12 months, that is since {FILL: DATE 12 MONTHS AGO}? IF
NECESSARY: “I just need an approximate answer”. IF “R”
GIVES A RESPONSE THAT SPANS CATEGORIES: “Would you say …”
READ AFFECTED RESPONSE OPTIONS BELOW. IF “R” DOES NOT
KNOW: “Would you say …” READ RESPONSE OPTIONS
1-5 BELOW.
|
PV15 |
At the
time that it was most frequent in the past 12 months, that is
since {FILL: DATE 12 MONTHS AGO}, how often did a current or ex
partner do {FILL: “this” (ONE BEHAVIOR) / “these
things”} to you?
|
Consequences / Impact of Intimate Partner Violence
Renumbered the questions – replaced H with CQ.
Reduced intimate partner descriptor in the stem and questions throughout to reduce repetitiveness.
Moved location and revised the introduction to the questions.
Dropped 1 question due to low use in analyses (H12).
Replaced head injury question (H17) with concussion question (CQ16) to address Center priorities.
Shortened 2 items by removing intimate partner language (see CQ22 and CQ23) and inserting it into the introduction.
Revised original H26 and H27 to ask about having filed a police report after (CQ26 and CQ27).
DROPPED 3 questions (H33-H35) in order to add other priority questions.
NISVS 3 |
NISVS 4.0 |
||
Original Question |
New Question |
||
Stem |
Because of what a current or ex-romantic or sexual partner did to you, did you ever experience … |
|
(MOVED INTO REVISED INTRO) |
|
|
INTRO/STEM |
I
am going to read you a list of possible injuries. Please tell me
which of these you have experienced because of the physical acts,
unwanted sexual situations, or repeated unwanted attempts to
contact, follow, or harass you by a current or ex partner. |
H12 |
Any other physical injuries? [IF R RESPONDS NO, DK OR REF TO H12, SKIP TO H18; CODE H13-H17 AS LEGIT SKIP.] |
|
DROPPED |
Intro |
I am going to read you a list of other possible injuries. Please tell me which of these you have experienced because of the physical acts, unwanted sexual situations, or repeated unwanted attempts to contact, follow, or harass you by a current or ex romantic or sexual partner. |
|
(REVISED & MOVED UP EARLIER) |
H17 |
A head injury? |
CQ16 |
A concussion is when a blow to the head caused you to have one or more symptoms such as blurred or double vision, sensitivity to light or noise, headaches, dizziness or balance problems, nausea, being dazed or confused, difficulty remembering, difficulty concentrating, or being knocked out. Did you ever experience a concussion because of what a current or ex partner did to you? {IF NECESSARY: Do not include situations where you were hurt accidentally.} |
H18 |
Did you ever experience mental or emotional harm (for example, anxiety or depression) because of what a current or ex-romantic or sexual partner did to you? |
CQ17 |
Did you ever experience mental or emotional harm (for example, anxiety or depression) because of what a current or ex partner did to you? |
H19 |
[IF ANY OF H10-H12 OR H18 IS YES, ASK H19] Did you ever need medical care because of what a current or ex-romantic or sexual partner did to you? |
CQ18 |
Did you ever need medical care because of what a current or ex partner did to you? |
H21 |
Were you injured in the past 12 months because of any of the things a current or ex-romantic or sexual partner did to you? |
CQ20 |
In the past 12 months were you injured because of the things a current or ex partner did to you? |
INTRO |
Now I am going to read you a list of services and other types of assistance you might have needed. |
INTRO |
Now I will read you a list of services and assistance you might have needed because of what a current or or ex-romantic or sexual partner did to you. |
H23 |
Have you ever talked to a crisis hotline operator about what a current or ex-romantic or sexual partner did to you? |
CQ22 |
Have you ever talked to a crisis hotline operator? |
H24 |
Did you ever need housing services because of the things a current or ex-romantic or sexual partner did to you? |
CQ23 |
Did you ever need housing services? |
H26 |
Did you ever need help from law enforcement because of the things a current or ex-romantic or sexual partner did to you? |
CQ26 |
Did you ever file a police report because of the things that a current or ex partner did to you? |
H27 |
Did you need help from law enforcement in the past 12 months? |
CQ27 |
In the past 12 months did you file a police report because of the things that a current or ex partner did to you? |
H29 |
About how many days of work did you ever have to miss when a current or ex-romantic or sexual partner did these things to you? |
CQ28 |
About how many days of work did you ever have to miss when a current or ex partner did these things to you? |
H30 |
[IF H29>0] In the past 12 months how many days of work did you have to miss when a current or ex-romantic or sexual partner did these things to you? |
CQ29 |
[IF CQ28>0] In the past 12 months how many days of work did you have to miss when a current or ex partner did these things to you? |
H31 |
About how many days of school did you ever have to miss when a current or ex-romantic or sexual partner did these things to you? |
CQ30 |
About how many days of school did you ever have to miss when a current or ex partner did these things to you? |
H32 |
[IF H30>0] In the past 12 months how many days of school did you have to miss when a current or ex-romantic or sexual partner did these things to you? |
CQ31 |
[IF CQ30>0] In the past 12 months how many days of school did you have to miss when a current or ex partner did these things to you? |
H33 |
Are there any children under the age of 18 currently living in your household all or most of the year? |
|
DROPPED |
INTRO |
[IF H33=1] These next two questions are about children under the age of 18. |
|
DROPPED |
H34 |
Did a child under the age of 18 currently living in your household ever see or hear their parent or guardian being pushed, slapped, hit, punched, or beat up by that person’s current or ex romantic or sexual partner? |
|
DROPPED |
H35 |
Did a child under the age of 18 currently living in your household ever see or hear their parent or guardian being insulted, humiliated, or threatened with physical harm by that person’s current or ex romantic or sexual partner? |
|
DROPPED |
Normative Behaviors
Formerly Section J. DROPPED all 11 questions to reduce survey length.
File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
File Modified | 0000-00-00 |
File Created | 0000-00-00 |